H E A LT H Y Want the latest news from Duke Raleigh Hospital? Check out our blog at DukeRaleighBlog.com!
Winter|15
NAVIGATING THROUGH TOUGH TIMES:
CANCER CARE WITH HEART & COMPASSION Page 4
Reconstructing Life A Healthy Twist on The Gift That After Breast Cancer Mac & Cheese Gives Back Page 3
Page 7
Page 8
Find the hidden acorn, and you could WIN an UP® by Jawbone®! Details on page 2.
FROM THE PRESIDENT
Welcome to the latest issue of Healthy Focus.
Meet the Physician:
Dr. Isaac Karikari
I hope you and your families had a wonderful Thanksgiving and are gearing up
Neurosurgeon Isaac Karikari, MD,
for a happy, healthy holiday season.
brings his advanced treatment
As we close out 2014, we’re excited to
of complex scoliosis cases to
announce that we’re expanding Duke Cancer Institute in Wake County with the addition of 10 new providers and three locations. This growth allows us to provide Wake County patients greater access to the latest advancements in cancer care and to clinical trials in more locations throughout our community. We’ve devoted this issue’s feature to the new physicians. You can read all about them and our expanded services on Page 4. Cancer affects people with the disease both physically and emotionally long after they’ve finished treatment. On Page 3, you’ll read about one of our plastic and reconstructive surgeons who helps women reclaim their lives after cancer. Finally, as it’s the season of giving thanks, we wanted to thank all of you for your continued support of Duke Raleigh Hospital. I’d like to extend a special thanks to those who have donated to our philanthropic program, the P.G. Fox Society. Since 2004, the Society has raised money for a variety of unique hospital projects, ranging from improved facilities to scholarships for nurses who have proven exceptional in their field. You can learn more about the Society, including how to support its efforts, on Page 8. Wishing all of you a wonderful holiday season and a happy new year! Sincerely, David W. Zaas, MD, MBA President
Find the hidden acorn, and be entered to WIN an UP® by Jawbone®. Submit your entry at dukeraleighhospital.org/focus. All entries must be received by Feb. 28, 2015. Must be 18 years or older to enter. Duke University Health System employees and their immediate family members are not eligible.
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Duke Raleigh Hospital. Isaac Karikari, MD
Growing up in Ghana, West Africa, Dr. Karikari spent a lot of time in hospitals because his younger brother had a seizure disorder that required frequent medical attention. “I knew early on that I wanted to be a physician,” Dr. Karikari says. “I wanted to help people like my brother.” Dr. Karikari moved to the United States as a teenager and studied biology at Morehouse College in Atlanta. He received his medical degree and completed a neurosurgery residency at Duke University School of Medicine. He also recently completed a fellowship in orthopaedic surgery at Washington University in St. Louis.
UNCOMMON KNOWLEDGE Dr. Karikari’s unique combination of training in both neurosurgery and orthopaedic surgery will allow him to treat patients at Duke Raleigh who have scoliosis and other spinal deformities. He performs laminectomies, discectomies and spine reconstructions in both children and adults, and he’s trained in complex scoliosis treatment, a valuable skill that not all neurosurgeons have. “Most patients come to me after having already seen multiple physicians without success,” Dr. Karikari says. “It’s gratifying to help these people at their lowest points and get them back to normal life.” Out of the office, Dr. Karikari enjoys spending time with his wife and their 1-year-old son.
To learn more or to schedule an appointment with Dr. Karikari, call 919-681-6855 or visit dukemedicine.org.
What is an UP® by Jawbone®? An activity monitor worn on your wrist, the UP logs all your daily movements, whether from a walk or gym workout, so you can keep an eye on your fitness and find new ways to fit activity into your day.
dukeraleighhospital.org
Reconstructing
NORMAL Breast reconstruction can play an important role in emotional healing following mastectomy. FOR SANJAY DALUVOY, MD, plastic and reconstructive surgeon at Duke Raleigh Hospital, the beauty of his specialty lies in its ability to improve lives in multiple ways. “Plastic and reconstructive surgery isn’t defined by lifesaving procedures—it’s built on life-changing procedures,” says Dr. Daluvoy, who joined Specialists in Plastic Surgery in summer 2014 and is on staff at Duke Raleigh. “Correcting tissue deformities can assist patients functionally, but more importantly, it helps them overcome the emotional consequences of defects, which can be even deeper than the physical effects.” Removal of one or both breasts to treat breast cancer can be scarring not just physically but emotionally as well. “Breast reconstruction is about helping women feel whole again in mind and body,” Dr. Daluvoy says. “I see my role as the first step in the healing phase of the cancer journey.”
• Tissue flap procedures use tissue taken from elsewhere on the patient’s body to rebuild the breast. Dr. Daluvoy performs pedicled flap reconstruction, a technique in which he harvests tissue from
A SOLUTION FOR EVERYONE Breast reconstruction doesn’t always require surgery. Patients may
locations near the breast, such as the abdomen or back. “The type of reconstruction a woman chooses should depend on her
elect to wear an external prosthesis with a bra. For those who prefer a
goals and her definition of normal,” Dr. Daluvoy says. “Once I learn what
surgical solution, however, Dr. Daluvoy and Specialists in Plastic Surgery
those are, I can develop very specific and personalized treatments to help
offer two types of reconstructive procedures at Duke Raleigh:
patients have the best and most comfortable experiences possible.”
• Implant-based procedures typically use tissue expanders placed immediately after mastectomy to enlarge the pocket of skin the breast once occupied so the surgeon can insert an implant several weeks later. Patients visit the surgeon several times between the mastectomy and implant placement so the tissue expanders can be
If a disease-related defect is damaging your self-image or quality of life, a plastic and reconstructive surgeon may be able to offer a solution. To find one, visit dukeraleighhospital.org and click “Physicians.”
inflated gradually.
Considering Breast Reconstruction?
• Method: Your choice of reconstruction technique may depend on your
If you are, take these three factors into account before making
age, health, course of breast cancer treatment, availability of tissue
your decision:
elsewhere on the body to use in rebuilding the breast and the results
• Goal: Why do you want to have breast reconstruction? What do you
you wish to achieve.
hope to achieve with the procedure? This is an intensely personal
•T iming: The decision of when to have breast reconstruction may
decision that you should make based only on your wishes. Your plastic
depend on a number of factors, including whether radiation therapy is
and reconstructive surgeon can help align your expectations with an
necessary—radiation may harm a newly restored breast—the surgical
appropriate surgical option.
technique you choose, or your personal schedule.
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YOUR
ANCHOR FOR CANCER CARE The Duke Cancer Institute in Wake County offers patients unparalleled options for treatment.
AS PART OF OUR continued commitment to caring for cancer
“Having multiple access points for oncology treatment means
patients across Wake County, Duke Cancer Institute and Duke
that people throughout Wake County can receive care close to
Raleigh Hospital recently welcomed 10 new experienced and
home,” says Chad Seastrunk, MHA, administrative director of
specialized oncologists, vastly expanding the level and range of
operations at Duke Cancer Center Raleigh. “When patients are
services we provide and bringing an advanced level of care closer
coming to see us five days a week, having a clinic nearby provides
to the patients who need it.
for their comfort and convenience.”
The new oncologists will work in clinics at Duke Cancer Center
“We’re becoming a cancer center without walls,” adds
Raleigh, Duke Cancer Center Macon Pond and Duke Cancer
Elizabeth E. Campbell, MD, medical oncologist with Duke Cancer
Center Cary.
Center Macon Pond. “The clinics at Macon Pond and Cary ensure access to Duke care in both communities.”
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dukeraleighhospital.org
ALL HANDS—AND SPECIALTIES—ON DECK In addition to bringing cancer care closer to those who need it, the new cancer clinics will house a team of oncologists and therapists,
REACHING NEW HORIZONS Patients visiting our new clinics and seeing our new physicians will have another vital resource at their disposal: clinical trials. Duke Cancer Center Raleigh is a proud member of the Duke Cancer Institute
eliminating the need for patients to make
(DCI), a leading center for cancer research in the nation. Adding the clinics at
multiple trips to see different doctors.
Macon Pond and Cary to our network grows our patient base, which allows Duke
“Duke is known for its multidisciplinary approach to care,” Seastrunk says. “These
Raleigh and DCI to launch more cancer-related clinical trials in our area. “One of the major reasons I started working with DCI and Duke Raleigh was
clinics bring together all physicians involved
the opportunity to continue and expand my clinical trials,” says William R. Berry, MD,
in treatment. Rather than waiting up to two
medical oncologist with Duke Cancer Center Cary. “It’s important for me to
weeks to schedule appointments with a
advance caring for patients with prostate cancer, and clinical trials are the best
radiation oncologist, medical oncologist
way to do that.”
and surgeon, patients meet all their physicians in one day, with a patient navigator on hand to ensure patients understand
Dr. Berry is associated with ongoing clinical trials related to prostate and other urologic cancers. “I’m bringing those trials to a community in which they might not otherwise be
their course of treatment and to facilitate
possible,” he says. “These trials can really make a difference in treating cancer over
transitions between providers.”
the next 10 to 20 years.”
The new oncologists are also trained in a wide variety of specialties. In addition to providing general oncology services, the physicians treat thoracic, breast, gynecologic,
ONE PORT, MANY BOATS “Duke Raleigh integrates three levels of expertise into one system,” Dr. Campbell
gastrointestinal, urologic and prostate
says. “The clinical research taking place at DCI, care at Duke Raleigh, and our cancer
cancers, and plans call for expanding options
clinics give patients a wider variety of treatment opportunities.”
in these areas. Preventive services and survivorship resources will also play a big role. “Duke Cancer Center Macon Pond will specialize in women’s cancers, and we want the support to go along with that, including mammography screenings and outpatient counseling, all conveniently located,” Dr. Campbell says. “The ultimate goal is better survivorship—not just a higher percentage of survivors, but giving those survivors a better quality of life overall.”
Because all locations are under the Duke Medicine umbrella, providers can synchronize communication across an internal network—and reduce the opportunity for miscommunication and redundancy. “DCI has connected us so we can draw on one another,” Dr. Campbell says. “We as physicians can learn from one another and build a better care network.”
To learn more about cancer services at Duke Cancer Institute in Wake County, visit dukeraleighhospital.org/cancer. To make an appointment at Duke Cancer Center Raleigh, call 919-862-5400. For appointments at Duke Cancer Center Macon Pond and Duke Cancer Center Cary, call 919-781-7070.
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A Beacon of Hope A cancer diagnosis brings with it a wide array of emotions and worries. Duke Cancer Center Raleigh has been providing care to the residents of Wake County for more than 15 years, and we’ve developed
Our New
ONCOLOGISTS
Neeraj Agrawal, MD Medical Oncology
a robust network of support and care services that can help ease those concerns and provide hope and help as our patients undergo treatment. • Patient navigators assist with everything from educating patients about their
William R. Berry, MD Medical Oncology
Elizabeth E. Campbell, MD Medical Oncology
Maggie Deutsch, MD Medical Oncology
Amit Mehta, MD Medical Oncology
John Reilly, Jr., MD Radiation Oncology
diagnosis and treatment options to scheduling appointments. • Support groups for patients with any type of cancer give people a compassionate audience with which to discuss their worries and fears, as well as successes, while they undergo treatment and post-recovery therapies.
Monica Jones, MD Medical Oncology
• Spiritual care, whether in the form of simple, non-judgmental listening or more in-depth pastoral care and counseling, is provided by our chaplains, who are committed to meeting the needs of both patients and their families, regardless of their faith.
Lewis Rosenberg, MD Radiation Oncology
Scott Sailer, MD Radiation Oncology
Steve Tremont, MD Medical Oncology
• Integrative medicine combines the best of today’s scientific advancements with the most thoroughly studied complementary and alternative therapies, including mindfulness meditation, acupuncture and medical hypnotherapy, to treat cancer patients in
The Duke Cancer Institute (DCI) does more than offer nationally recognized cancer care; it’s a leader in researching and developing new cancer treatments. DCI...
mind, body and spirit. • Genetic counseling, which is conducted by a certified genetic counselor with the Duke Hereditary Cancer Clinic, can educate both those with relatives who had cancer and patients with the disease about their risks and treatment options. • Nutritional services are available for all newly diagnosed cancer patients. In addition, a wide variety of healthy,
Employs more than
300 researchers and physicians, along with 500 clinical staff.
Is one of only
41 National Cancer Institute–designated comprehensive cancer centers.
wholesome foods are available during treatment.
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dukeraleighhospital.org
VEGGIE
Replace refined white-flour noodles
hearty spin on a comfort-food favorite.
QUINOA ‘MAC’ & CHEESE
INGREDIENTS: 3 cups water 1½ cups quinoa ½ cup chopped onion 1 c up chopped sweet pepper, any color 1 c up broccoli, butternut squash, peas or other vegetable of your choosing 1 cup milk 1 large egg, beaten 1 cup shredded cheddar cheese salt and pepper, to taste NUTRITIONAL INFORMATION PER SERVING Servings: 6 Calories: 303 Total Fat: 11g Cholesterol: 54.3mg Carbohydrates: 37.2g Sodium: 187.4mg Fiber: 4.7g Protein: 14.7g
1
Preheat oven to 350ºF and grease a 2-quart casserole dish with a light coating of olive oil.
2
Bring water to a boil on the stove, then add the quinoa. Cook until all the liquid is absorbed.
3
eanwhile, sauté the onion over medium heat until M it’s translucent, then add the sweet pepper and other vegetables. Cook until tender.
4
In a mixing bowl, combine the vegetables with the cooked quinoa, and season to taste with salt and pepper. Add the milk, beaten egg and shredded cheese. Stir to combine, and then pour into your prepared baking dish.
5
Bake for approximately 15 to 20 minutes, or until the casserole is set.
community
CALENDAR
with protein-packed quinoa for a
Midlife Matters: Menopause, Sexuality and Women’s Health April 11 Hilton North Raleigh/Midtown Duke Medicine’s Women’s Health Initiative is hosting the biennial Stronger Together regional conference focusing on important and timely women’s health topics. This year’s focus is on matters of women in midlife, including sexuality, menopause and pelvic floor disorders. Cost to attend is $35. For more information, visit dcri.org/events/strongertogether-community-event. Call 1-888-ASK-DUKE (275-3853) to register. Duke Weight-Loss Surgery Seminars For some people, a healthy diet and rigorous exercise aren’t enough for dramatic weight loss. The weight-loss surgery program at Duke Raleigh Hospital may be the answer for those at risk of serious weight-related health issues. Before applying to the weight-loss surgery program, prospective patients are asked to attend a free seminar that provides information about obesity, surgery and our program. To see a calendar of upcoming programs or to register, visit dukeraleighhospital.org or call 1-888-ASK-DUKE (275-3853). Support Programs Duke Raleigh Hospital offers support groups for individuals who have been affected by a variety of conditions, including breast cancer, gynecologic cancers and brain aneurysms. To see a complete listing of the support programs offered at Duke Raleigh, please visit dukeraleighhospital.org.
Connect With Us! Follow Duke Raleigh Hospital on Facebook and Twitter to get more healthy tips and recipes, learn about Duke Raleigh–sponsored events, and keep up with all that our physicians are doing to improve the lives of people in our community and around the world!
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Sign up for our new monthly e-newsletter! Go to dukeraleighhealthyfocus.com. This publication in no way seeks to serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.
A Partnership to Improve Lives Every year, thousands of patients and their families come to Duke Raleigh Hospital for healing. Hand-inhand with providing the best medical care, our staff is committed to an unparalleled patient experience. Patients at Duke Raleigh benefit directly from treatment advances pioneered through Duke Medicine’s leading clinical research enterprise. Duke Raleigh continually invests in top-notch healthcare professionals, the most sophisticated diagnostic equipment, and state-of-the-art technology and facilities. Gifts from patients, families and others support those investments, continuing a tradition that began in 1924, when an extraordinary gift from North Carolina industrialist James Buchanan Duke led to the establishment of Duke University and Duke University Medical Center. Mr. Duke’s goal was to improve the health and well-being of people throughout the Carolinas. You can help Duke Raleigh develop innovative and patient-centered programs and to meet our community’s growing healthcare needs by contributing to the P.G. Fox Society. The P.G. Fox Society began in 2004 to honor the many contributions and to acknowledge the distinguished career of the late Powell G. Fox, Jr., MD. The Society supports special projects that benefit the patients of Duke Raleigh.
For more information about making a gift to the P.G. Fox Society, please call 919-954-3293 or contact Paige Humble at Duke Raleigh Hospital via email, p.humble@duke.edu. You can also contact Jillian Ream in Duke Medicine Development by calling 919-385-3197 or via email, jillian.ream@duke.edu.
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