Local News

Mystery solved: With cause revealed, years of chest pain finally end

7Dan DeBruler isn’t one to make a fuss about his health. He tends to power through the occasional illness or injury without complaint. But for years, he had recurrent symptoms that were often worrisome enough to send him to the emergency department.
“I’d say it was at least eight times, over the past 12 or 15 years,” he said. “Multiple medical facilities, both military and civilian. I’d get these terrible chest pains, which I know you shouldn’t ignore. And it was always handled with care, because a man over 40 with chest pain usually means a heart attack.”
But his heart would always check out fine, and by then DeBruler’s intense, burning chest pain had usually subsided anyway. Acid reflux seemed like a likely culprit, so sometimes he would leave with a new prescription or new advice: don’t drink coffee, sleep with your head elevated, keep your stress under control.
Then he’d be fine for weeks or months. And just when he thought he’d solved the problem, the same agony would return.
At one point last year, it was the worst it had ever been. He was at a party with family and friends when his chest was again seized with a fiery discomfort, so he went outside to walk it off. When he hadn’t returned, his fellow guests – including a paramedic and a nursing student – went to investigate.
“They found me reclining in a van, sweating profusely,” he said. “And they thought, ‘Oh wow, he’s having a heart attack.’”
He left that party in an ambulance, but ended up with the same result: no apparent heart trouble, and no real explanation for why this kept happening.
Finally, earlier this year, he found relief. The episodes had become so frequent that he visited the emergency department at Cape Fear Valley Hoke Hospital three times in a single week.
“Those three visits were the first times I’d ever been there,” he said.
The first two times, he had the same familiar outcome. But on the third visit, emergency physician Jody Lakey, DO, had a new hunch and ordered an ultrasound.
“And we had a new answer,” DeBruler said. “It was actually a very faulty gallbladder.”
While gallbladder pain is typically felt on the right side, just under the ribs, it can sometimes present in the chest – feeling very much like a heart attack. It’s often precipitated by a meal with oily foods, such as french fries or creamy sauces.
“I was able to retrace the days between those two visits this time around,” he said, “and what I had consumed in those days. It seemed to have no rhyme or reason before, but now it made perfect sense.”
Days later, general surgeon Ovie Appresai, MD, removed the gallbladder that had tormented DeBruler for so long.
“I feel great now,” said DeBruler. “I’ve learned a lot about what the gallbladder does, so I’m just careful not to eat things the gallbladder was used to handling for me. My wife and I eat pretty healthy to begin with, so it’s just been this small adjustment.”
With the mystery solved and the chest pains behind him, DeBruler is looking forward to enjoying life without that unpredictable misery. And he’s grateful for the people who worked so hard to figure things out.
“The nurses, PAs, attendants and technicians all took their roles to heart,” he said. “And I finally got it resolved. I felt like they really raised the bar on what healthcare should look like.”

(Photo: Dan DeBruler thought his chest pain was a heart attack, but was diagnosed with a faulty gallbladder instead. Photo courtesy of Cape Fear Valley Health)

Government Watch: County seeks funding for Crown; ShotSpotter contract renewed

Cumberland County
On Sept. 11, the Cumberland County Board of Commissioners voted 5-2 to release a Request for Qualifications/Proposals for renovating or modernizing the Crown Theatre and Arena with a budget not to exceed $100 million and with seating options of 2,500 and 3,000, joint and separate project approaches and references to prior scope and market studies.
With the revitalization of the theatre and arena where the existing Crown Complex is located, the County is also seeking community input for the current Gillespie Street lot around the downtown Judge E. Maurice Braswell Cumberland County Courthouse area. The survey can be found by visiting https://www.surveymonkey.com/r/NZ5K58N. Survey results will be presented at the Oct. 9 board meeting. To date, the County has received more than 1,000 responses.
6Also, the board will vote on consent at their Sept. 15 meeting to transfer governance of the Fayetteville Area Convention and Visitors Bureau, otherwise known as DistiNCtly Fayetteville, to the Cumberland County Tourism Development Authority. The FACVB Board of Directors adopted amendments to its articles of incorporation and bylaws, effective July 1, 2025, and dissolved its board.
On Sept. 2, the Board of Commissioners also recognized 64 non-profit organizations that received $1.395 million in Community Impact Grants. The grants, funded through Cumberland County’s American Rescue Plan Act allocation, provide up to $50,000 per nonprofit to reimburse qualifying expenses. The nonprofits represented five categories in Health and Human Services, Religious and Faith-Based Services, Public Safety and Emergency Response, Educational and Youth Development and Arts, Culture and Community Development. Recipients were first announced on May 19.
City of Fayetteville
On Sept. 8, the Fayetteville City Council renewed its contract with ShotSpotter, a gunshot detection system, for another year at $220,000. The vote was 8-2 with Councilmen Mario Benavente and Deno Hondros dissenting. The system currently operates in three 1-mile zones in the City including Cliffdale/Reilly Roads, Massey Hill and along the Murchison Road corridor.
According to the data, ShotSpotter has detected 4,005 shots, which has led to more than 1,000 shell casings being recovered, 45 arrests, 19 victims identified and 27 guns recovered. Others say it is less effective due to only 24% of alerts being linked to confirmed gunfire. A second motion was passed to collect and review data-based recommendations over the next year from ShotSpotter.
The board also reviewed a proposal to redevelop the corner of Blount and Gillespie Streets. The City hired HR&A Advisors to look at a 9.33 acre site, located near Downtown Fayetteville and the Cumberland County Jail, which is anchored by the E.E. Smith House, Habitat for Humanity sponsored houses, low-density housing, vacant retail spaces and churches.
Community engagement for the presentation included a public event held in June with over 45 residents and a survey yielding 92 online responses. Out of the feedback, the mixed-use development concepts included a large central community green space and cultural center, a community park anchored with a pavilion and a small neighborhood park or community green on a realigned Chase Street.
The next steps are for HR&A to refine the development scenarios and test financial feasibility for the site, which will be brought back to the council at a later date.
The city’s Economic and Community Development Department is also currently seeking feedback from local small businesses about what resources they feel are missing to help them expand and improve their operations.
According to a press release issued on the survey, “Small businesses are the backbone of Fayetteville’s economy. They create jobs, strengthen neighborhoods and contribute to the growth and sustainability of our community. Their success helps drive investment and build wealth in the city.”
The City released the survey hoping that the input would “provide insight to help shape potential programs and initiatives, expand existing programs and address the needs of businesses in Fayetteville.”
The survey can be found by visiting https://www.fayettevillenc.gov/City-Departments/Economic-Community-Development. It will be open until Oct. 3.
About the Greater Fayetteville Chamber
Advocacy is a cornerstone of the Greater Fayetteville Chamber. Every week, the Chamber dedicates staff to attend City of Fayetteville and Cumberland County meetings as well as monitoring updates on the state and federal levels. We monitor legislation locally, statewide and federally to protect our community’s business interests. With 91% of U.S. adults recognizing a Chamber of Commerce's impact on growth, membership ensures a strong voice shaping policies, driving economic success and building a thriving business community—together. To learn more, visit www.faybiz.com or email jmclaughlin@faybiz.com.

FTCC's Early Childhood/Birth-Kindergarten program

At Fayetteville Technical Community College, we believe strong teachers are the cornerstone of strong communities. From the robust Early Childhood/Birth–Kindergarten program to Teacher Preparation degrees and the innovative Residency Licensure Certificate, FTCC is shaping the future of education—one teacher at a time.
20FTCC’s Associate in Applied Science in Early Childhood Education is the department’s largest program, preparing graduates to work with children from birth through early elementary years. This degree equips students to serve in diverse learning environments, including preschools, childcare centers, and Head Start programs.
The program also offers stackable certificates that allow professionals to enhance their skills and credentials quickly, such as the:
• Special Needs Certificate – prepares students to work with children with exceptionalities.
• Infant–Toddler Care Certificate (C55290) – focuses on the care and development of children from birth to age three.
These certificates are ideal for individuals seeking career advancement, immediate workforce entry, or a stepping stone toward completing the full associate degree. Many graduates also qualify for the North Carolina Early Childhood Credential and pursue TEACH Early Childhood® scholarships or apprenticeships.
Teacher Preparation Degrees:
A Pathway to Teaching
For students planning to transfer to a four-year university, FTCC offers two Associate degree options in Teacher Preparation:
• Associate in Arts in Teacher Preparation
• Associate in Science in Teacher Preparation
These programs require 60 semester hours and are designed for seamless transfer to UNC system and private universities. Students build strong academic foundations while gaining early exposure to education concepts that prepare them for upper-level coursework.
Residency Licensure Certificate: A Career Changer’s Fast Track
Launched in 2024, FTCC’s Residency Licensure Certificate Program in Elementary Education offers a flexible and supported path to teacher licensure for individuals who already hold a bachelor’s degree in a field other than education. This program is especially valuable for career-changers, military spouses, and veterans who want to transition into teaching while maintaining work or family commitments.
Key program features include:
• Six fully online courses (18 credit hours) completed in 36 months
• Coursework covering pedagogy, classroom management, literacy, assessment, and content instruction
• Hands-on experience through a practicum and residency year in local schools
• Preparation for state-required licensure tests
“Participating in the FTCC Residency Licensure Program was one of the most impactful steps in my journey to becoming a more effective and confident educator. The structure of the program, along with the dedicated support from my professors, played a critical role in my professional growth and directly contributed to my success,” said FTCC Graduate Shenita Perry.
Whether you’re preparing to transfer to a university teaching program, entering the classroom through alternative licensure, or advancing your early childhood credentials, FTCC is here to help you make a better life for you and for the next generation.
Call 910-678 8205 or email education@faytechcc.edu to connect with an advisor.

Supreme Court Associate Justice Ketanji Brown Jackson visits FSU

Fayetteville has played host to some big names in the past, including Presidents. On Thursday, Sept. 4, the city hosted the Honorable Ketanji Brown Jackson, Associate Justice of the Supreme Court of the United States. Justice Jackson is the first Black woman to serve on the Supreme Court. She was appointed in 2022.
Her presence brought excitement among her fans and supporters. Held at J. W. Seabrook Auditorium on the campus of Fayetteville State University, this intimate event was hosted by the Fayetteville Area Habitat for Humanity. Justice Jackson wasn’t here on a political visit; she was here to discuss her book Lovely One.
Her book is a memoir of her incredible life and the choices that led her to be sworn in as an Associate Justice, and she discussed the content with the CEO of the Fayetteville Area Habitat for Humanity, Brandon Price. This free event was an effort by the organization to further promote their “commitment to bringing people together to build homes, communities, and hope. A safe, decent place to live is the cornerstone of a strong community." Emphasizing, “Our vision is a world where everyone has a decent place to live. Inspiring and deeply resonant, Lovely One is a testament to the power of dreaming big.”
Attendees were required to register for the event a month prior to allow for proper security vetting. The day of the event, FSU’s campus was abuzz. While the day-to-day activities continued, the small corner of campus that houses the auditorium was packed with cars, people and Secret Service.
Drones flew over the courtyard, black SUVs and suited members of the secret service fanned the way for the VIP guests. Distinguished guests were met with the enthusiastic smiling faces of FSU staff, students and alumni.
Lanyards were passed out at check-in and campus security ensured everyone made it to the right seating area.
Inside, balloons, centerpieces and standing cocktail tables were meticulously placed for the book signing scheduled right after the one-on-one. Attendees had the option at registration to purchase a book for the book signing.
The two-story, intimate theater space was dimly lit with more emphasis on the stage where Justice Jackson and Mr. Price sat and discussed her journey to the Supreme Court.
After prayer and the National Anthem, Judge Toni King had the honor of introducing the phenomenal Ketanji Brown Jackson. A roar of applause filled the auditorium, and many stood to their feet.
She approached the podium and read an excerpt from her book, Lovely One, her voice, gentle but commanding.
And command she did. Every word commanded the attention of the audience. Her journey takes the reader from her birthplace of DC to Florida, where she would finish high school, then on to Harvard to complete her law degree. She eventually made it back to DC, not as a little girl, but as a mighty force and voice for justice.
Her book is a self-titled memoir. A point of contention for some and a point of pride for most, Ketanji, one of the names her aunt sent her mother while she was serving with the Peace Corps in West Africa, has always been something to be proud of, a continuation of culture, for Justice Jackson.
When the one-on-one ended, those who had purchased a book received their signed copies and enjoyed a small reception in honor of her visit.
Ketanji Brown Jackson left a lasting impact on everyone in the room. To purchase her book, visit https://www.penguinrandomhouse.com/books/737094/lovely-one-by-ketanji-brown-jackson/

Health & Wellness: Harnett surgeons handle more than operations

When you talk to Marla West, it’s easy to forget that she’s 86 years old. With a sharp memory and a youthful sense of humor, the Lillington resident loves hunting for antique treasures in shops and keeping her garden in bloom.
7But for most of her life, there’s been one thing that has sometimes slowed her down.
“Ever since I was a little girl, I’ve had problems with constipation,” she said. “I would go a few days with nothing happening, but then I’d take a laxative, and it would be fine.”
This continued into adulthood, with patience and laxatives usually taking care of the problem. But in recent years, West found that medication sometimes made things even worse.
“I have a very bad hip,” she said, “and the medication I took for that pain made me so constipated. I think that’s where it really became a problem.”
The problem started with some minor belly pain one night.
“I just had a little stomachache,” she said. “And I thought, oh, it was probably something I ate. I’ll be fine.”
But by midnight, it hadn’t gone away. When her daughter, Robin, said they should probably go to the hospital, West was still sure it was nothing.
“But we went anyway,” she said, “and I’m so glad we did.”
At Central Harnett Hospital, she quickly learned that her discomfort was something much more serious. She’d been so constipated, for so long, that her colon had perforated. West remembers hearing someone say how dangerous it was, especially at her age, and that she’d need an emergency colostomy. She was quickly transferred to Betsy Johnson Hospital for the surgery.
“And then Dr. Hall came in and talked to me,” she said, “and I just can’t tell you how wonderful she is.”
Rachel Hall, DO, is a board-certified general surgeon at Cape Fear Valley General Surgery in Dunn. The practice offers what they call “a family-type environment,” where patient and provider get to know each other before surgery. But in West’s emergency, the introductions were swift with no time to spare.
“Everything happened very quickly,” said West. “But I knew she was a very skilled surgeon, and more than that, she was just a very nice person. After we talked about what was going to happen, I just knew I was going to be OK.”
After a three-hour surgery, West woke up feeling groggy but relieved. She spent 10 days recovering. Visits from Dr. Hall helped keep her spirits up.
“She said they were still keeping an eye on me, and I wasn’t out of the woods yet,” said West, “but I was never really afraid because she was just so positive.”
Seven months later, West is back to antiquing and gardening with her daughter. She has even made peace with her colostomy bag, something she’d feared would be very hard to get used to.
“It just takes a little extra time every day,” she said. “I'm used to just undressing and jumping in the shower, but you have to remove and clean everything. I just get started before everybody else does if we're going somewhere.”
While she wouldn’t wish a scary night like that on anyone, West said she’s glad she followed her daughter’s advice to go to the hospital. And she’s grateful Dr. Hall was there.
“I just can’t tell you how wonderful she is,” said West. “I mean, my gosh, she saved my life.”
Sanford W. Hawkins-Rivers, MD, works with Dr. Hall at Cape Fear Valley General Surgery in Dunn and was recently awarded the Physician of the Year award from the Cape Fear Valley Health Foundation’s Caduceus Society. For another patient, one of his best skills was knowing when you don’t need to operate.
Sandra Mahiquez, who lives in Benson, struggled for months with a worsening pain in her wrist and thumb. Friends and family recommended Dr. Hawkins-Rivers. At her first appointment, she braced for a conversation about surgery. But she was pleasantly surprised.
“He said what I needed was just a steroid shot,” she said. “So, I got that, and that alone made it 80 percent better.”
She received another shot in a follow-up visit, and by her third visit, she was back to 100 percent.
“I don’t even think about it anymore,” she said. “All that pain, just gone.”
Now Mahiquez happily recommends Dr. Hawkins-Rivers to anyone who asks, and not just because he helped her avoid surgery.
“He’s very confident,” she said, “but he’s pleasant too. He jokes around and makes you feel really comfortable. I hope I never do need surgery, but if I do, that’s where I’m going.”

(Photo courtesy of Cape Fear General Surgery)

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