september
2 012
Cary Endocrine & Diabetes Center PA Celebrating Its First Year
T H E M A G A Z I N E F O R H E A LT H C A R E P R O F E S S I O N A L S
Also in This Issue
Rethinking HER Irritable Bowel Syndrome
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Contents
6
COVER STORY
september
Cary Endocrine & Diabetes Center PA Celebrating Its First Year
2012
Vol. 3, Issue 8
FEATURES
14
Practice Management
DEPARTMENTS 10 Your Financial Rx
Minimize Your Retirement Plan Risks
12 Community Service
Saks Fifth Avenue Campaign to Raise Funds for Myself: Together Again
Rethinking the EHR Revolution
13 Practice Management
Dr. Andrea Lukes reviews IBS – incidence, causes, symp-
toms, diagnosis and treatment – of this common disorder.
15
16 Physician News
Women’s Health
Identifying Irritable Bowel Syndrome in Women with Abdominal Pain
New Marketing Trend: Personal Doctor Websites
Joseph U. Barker, M.D., Earns Orthopedic Board Certification
17 Physician News
Radiologist Lewis Rosenburg Joins Cancer Center of North Carolina
18 UNC Research News
Two $12.6 Million Grants to Advance Understanding of Autism
Paul Brown supports why media relations is an essential
19 Rex News
practice marketing and referral tool in this age of information.
COVER PHOTO: Sung-Eun Yoo, M.D., brings to the region her compassion for those in need. She does so through Cary Endocrinology & Diabetes Center PA and Luke Charity Clinic Inc.
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The Triangle Physician
Advanced Technology Enhances Care for Critically Ill WakeMed Patients
20 News
Welcome to the Area and upcoming events
JOHNSTON MEDIC AL CENTER Clayton A Healthier tomorrow begins today
JOHNSTON MEDIC AL CENTER Clayton
A H e a lt h i e r tom or r o w b e g i n s today
From the Editor
From the Editor Many Happy Returns Endocrinologist Sung-Eun Yoo has found her niche. As a result, she and her staff at Cary Endocrinology & Diabetes Center are celebrating a successful first year with satisfying patient growth. T H E M A G A Z I N E F O R H E A LT H C A R E P R O F E S S I O N A L S
From their convenient location, they serve the underserved – those who suffer from endocrine disorders, common, yet complex conditions that are largely misunderstood, misdiagnosed and mistreated. Of particular note is the treatment of thyroid disease, diabetes and osteoporosis, which is complemented at CEDC by great specialization and one-on-one patient education and ongoing guidance. With Luke Charity Clinic, Dr. Yoo and numerous volunteers – physicians included – bring hope to those who cannot afford health care. One can imagine these patients’ delight. Through both practices, Dr. Yoo’s cultural understanding is a welcome relief, especially to Asian-Americans patients, many of whom have avoided needed medical care because of the language barrier. Also in this issue of The Triangle Physician, gynecologist Andrea Lukes returns to review the diagnosis, treatment and possible causes of irritable bowel syndrome, a common condition in women. Financial planning guru Paul Pittman gives pointers on minimizing unnecessary risks associated with retirement plans. Marketing specialist Amanda
Editor Heidi Ketler, APR
heidi@trianglephysician.com
Contributing Editors Paul J. Pittman, C.F.P. ??? ??? ??? ??? Photography Mark Jacoby Creative Director Joseph Dally
mark@jacobyphoto.com
jdally@newdallydesign.com
Advertising Sales Info@trianglephysiciancom News and Columns Please send to info@trianglephysician.com
Kanaan discusses the value of personal physician websites in addition to practice websites.
The Triangle Physician is published by: New Dally Design
Of special note this issue is an excellent excuse to shop at Saks Fifth Avenue Oct. 18-21!
Subscription Rates: $48.00 per year $6.95 per issue
Two percent raised on certain purchases and 100 percent of Key to the Cure T-shirts sales will be donated to Myself: Together Again, a successful breast cancer initiative founded by local cancer survivor Debbie Horowitz. We all know that a healthy practice relies on a certain level of growth – satisfied patients, in combination with new patients. The Triangle Physician can help with the latter, by offering a means of introduction. Submit your news and insight at no cost and consider affordable advertising that reaches more than 9,000 throughout the Triangle medical community. Send your materials and inquiries to heidi@trianglephysician.com. Our 2013 editorial calendar also is available upon request. With gratitude and respect,
Heidi Ketler Editor
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The Triangle Physician
Advertising rates on request Bulk rate postage paid Greensboro, NC 27401
Every precaution is taken to insure the accuracy of the articles published. The Triangle Physician can not be held responsible for the opinions expressed or facts supplied by its authors. Opinions expressed or facts supplied by its authors are not the responsibility of The Triangle Physician. The Triangle Physician makes no warrant to the accuracy or reliability of this information. All advertiser and manufacturer supplied photography will receive no compensation for the use of submitted photography. Any copyrights are waived by the advertiser. No part of this publication can be reproduced or transmitted in any form or by any means without the written permission from The Triangle Physician.
Cover
Cary Endocrine & Diabetes Center PA Celebrating Its First Year Sept. 19 marks a year of healthy growth for Cary Endocrine & Diabetes Center PA, which opened its doors to meet a need for specialized care. The first and only endocrinology practice in Cary, Cary Endocrine & Diabetes Center (CEDC) is led by board-certified endocrinologist Sung-Eun Yoo, M.D., a former clinical assistant professor of medicine in the University of North Carolina, Department of Medicine Division of Endocrinology. Dr. Yoo earned fellowships in endocrinology and metabolism at the University of Cincinnati and UNC-CH. CEDC is a full-service endocrinology practice offering diagnosis and treatment of all types of endocrine problems and metabolic disease – including diabetes, thyroid disease, osteoporosis, adrenal insufficien-
By Heidi Ketler
cy, polycystic ovary syndrome (PCOS), tumors of the endocrine organs, lipid disorders and male hypogonadism.
where I have practiced,” says Dr. Yoo, underscoring the regional demand for endocrine care.
Dr. Yoo is certified in neck ultrasound and has the expertise to perform neck and thyroid ultrasound and ultrasound-guided fine-needle aspiration. She also has the International Society for Clinical Densitometry (ISCD) certification for diagnosis of osteoporosis. Advanced onsite diagnostic technology at CEDC includes neck ultrasound and DEXA (dual energy X-ray absorptiometry). Dr. Yoo also is a recognized physician for diabetes care by the National Committee for Quality Assurance.
New to Dr. Yoo’s staff is Jeanne Hutson, M.P.H., M.S.N., N.P.-C., a nurse practitioner, who is board certified in advanced diabetes management. Ms. Hutson has expert credentials in diabetes management through the lifespan and insulin therapy and insulin pump management. Her special interests include caring for diabetes in teenagers, from age 15, and in women during pregnancy.
“Before opening our specialty clinic, patients living in this area had to drive to Raleigh and Chapel Hill. I see more type I diabetes here compared to other places
“Jeanne has a strong background as a dietician and certified diabetes educator, covering all aspects of managing diabetes, including high blood pressure, high cholesterol and being overweight. Addressing all of these things is difficult for most physician practices to do effectively”, says Dr. Yoo.
Comprehensive Thyroid Expertise and Care Of the 27 million Americans estimated to have thyroid disease, only slightly more than half have been diagnosed, according to the National Institutes of Health. Women have a one in five chance of developing thyroid problems in their lifetime, and they are seven times more likely than men to have these problems. The most common conditions of the thyroid include hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid). Either condition can greatly affect one’s metabolism and quality of life.
Personalized patient care
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The Triangle Physician
Graves’ disease is the most common cause of hyperthyroidism. It occurs when the immune system produces antibodies that
attack the thyroid gland, causing an overproduction of thyroid hormone. If left untreated, hyperthyroidism can lead to other health problems, including congestive heart failure, as well as osteoporosis. Radioactive iodine is one of several treatment options, including antithyroid drugs and surgical removal of part or all of the thyroid. Hashimoto’s thyroiditis is the most common cause of hypothyroidism in the United States. It occurs when the immune system produces antibodies that attack the thyroid gland, creating chronic inflammation that damages the gland and interferes with its ability to make enough thyroid hormone. It occurs more often in women than men, and tends to run in families. Hypothyroidism is treated with thyroid hormones, thyroxine (T4) or desiccated natural thyroid (T4 and T3) to raise the thyroid hormone to normal levels. Swelling of the thyroid gland also should be cause for concern. Though in most cases thyroid nodules are harmless and resolve themselves, they are found to be cancerous in 8 percent of women and 4 percent of men, according to Dr. Yoo. The treatment for thyroid cancer is surgical removal (thyroidectomy), which may be followed by radioactive iodine therapy to destroy remaining thyroid cells and years of monitoring. Depending on the type of tumor, monitoring may include tests for thyroid function and serum thyroglobulin levels (a tumor marker), as well as possible radiologic studies using sonogram, computed tomography, magnetic resonance imaging and radioactive scans.
In-house thyroid ultrasound and fine needle aspiration
CEDC combines the expertise of an endocrinologist and expert sonographer with a full complement of technology for expedient diagnosis of thyroid disease through onsite thyroid ultrasound and ultrasound-guided fine-needle aspiration.
risk for fractures and measure response to osteoporosis treatment. The most widely recognized BMD test is dual-energy X-ray absorptiometry, which is available onsite at CEDC.
Strategies for Treating Osteoporosis In the United States, more than 40 million people either already have osteoporosis or are at high risk due to low bone mass. The disease can occur in both men and women at any age, but it is most common in older women. Asian Americans also have a high risk for osteoporosis, even among younger adults who may have an increased risk for lactose intolerances. Asian Americans tend to be small and thin, which increases their chance of getting osteoporosis. The majority of all hip and spine fractures among older white women can be attributed to underlying bone fragility, or osteoporosis. Unfortunately intervention before a fracture happens rarely, says Dr. Yoo. “Even when a woman near or past menopause sustains a fracture and is likely to experience another, it’s not standard procedure to refer them for an osteoporosis evaluation and treatment.” A bone mineral density (BMD) test is the best way to determine bone health. BMD tests can identify osteoporosis, determine one’s
Comprehensive treatment for osteoporosis includes a focus on proper nutrition, exercise and fall prevention. Dr. Yoo prescribes one of several medications that have been shown to slow or stop bone loss or build new bone, increase bone density and reduce fracture risk. Also available for onsite treatment are intravenous bisphosphonate therapy, teriparatide therapy and denosumab therapy.
Importance of Diabetes Education and Management According to the American Diabetes Association, 25.8 million children and adults in the United States (8.3 percent of the population) have diabetes. Of those, 18.8 people are diagnosed, an estimated 7 million are undiagnosed and 79 million have prediabetes. Type 1 diabetes accounts for 5-10 percent of all people with diabetes. The vast majority of people with diabetes – 90-95 percent – have type 2 diabetes. Although monitoring and management can prevent complications, diabetes remains the leading cause of blindness and kidney failure. It also continues to be a risk factor for heart disease, stroke and foot or leg amputations.
SEPTEMBER 2012
7
As part of a patient’s diabetes care team, an endocrinologist fine tunes treatment plans to get the patient quickly to their blood-sugar goal. “How well they manage that depends on their understanding of the lifestyle influences on blood-sugar levels, particularly diet and exercise,” says Ms. Hutson.
Community Outreach Serves Low Income and Uninsured Dr. Yoo is founder and chair of Luke Charity Clinic, a faith-based outreach of physician, nurse and non-medical volunteers that provides basic medical care to the uninsured and low-income populations. Special assistance is available to non-English-speaking Asians.
In-house DEXA and osteoporosis treatment
Type 2 diabetes is the fifth leading cause of death among Japanese, Chinese, Filipino and Korean Americans, despite their relatively lower body weight, according to Dr. Yoo. Gestational diabetes also is a problem among pregnant Asian Americans. “Many experts think that genetics and the Western lifestyle account for the high risk of diabetes in Asian Americans,” she says. Understanding diabetes – its causes, risk factors, warning signs and prevention tips – is the first step to managing it. Type 1 diabetes occurs when the body’s immune system destroys the insulin-producing beta cells in the pancreas, causing a deficiency in the insulin hormone. Type 1 can start at any age, but usually begins in those younger than 20. The cause is not completely clear. Doctors suspect an environmental toxin or virus triggers the immune system to attack the pancreas and beta cells. Susceptibility can be inherited. Type 2 diabetes, or insulin-resistant diabetes almost always begins as prediabetes. Those at greatest risk are over age 45, though more children are being diagnosed with it. Also at high risk are adults who are overweight, inactive, have low HDL choles-
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The Triangle Physician
terol or high triglyceride levels and have high blood pressure. Unlike type 1 diabetes, type 2 can be prevented or delayed with a healthy lifestyle that includes eating sensibly, exercising regularly and maintaining a healthy weight. The key to living a long, healthy life with diabetes is keeping blood-sugar levels within a target range through a nutritious diet and exercise. Medication also may be prescribed for those with type 2 diabetes. All people with type 1 diabetes must use insulin injections to control their blood sugar. One-on-one and ongoing patient education and support is an essential component of care at Cary Endocrine & Diabetes Center and necessary for the best outcomes. Dr. Yoo stresses the importance of the provider-patient relationship. As with any type of medical treatment, patient compliance is necessary to assure success. For those patients who do their part, Dr. Yoo says, “We see a lot of improvement, with the three-month average blood-sugar goal (HgA1c) under 7 percent or lower without hypoglycemia” – which is a desirable blood glucose goal.
Luke Charity Clinic serves the community through monthly charity clinics and annual Multi-Specialty Health Fair. “We found a lot of undiagnosed hypertension and diabetes,” Dr. Yoo says. She believes this underscores the region’s unmet health needs, which is due in large part to the high cost of health insurance and the language barrier. The Korean-born and -educated Dr. Yoo brings to the region her compassion for those in need, as well as for Korean-speaking immigrants. She does so through her day-to-day practice and through activities of Luke Charity Clinic Inc.
You’re Invited, Referrals Welcome The medical community is invited to an open house Friday, Sept. 21, from 2-5 p.m. at CEDC, located at 103 Parkway Office Court, Suite 202, Cary 27518. Patient referrals to CEDC are welcome. CEDC office hours are Monday through Friday from 8 a.m. to 5 p.m. Call CEDC at (919) 378-2332 or toll free at (888) 380-3836 or (919) 378-2334 for Korean to make a referral or RSVP to the open house. Appointments at Luke Charity Clinic may be made by calling (919) 870-9070. More information is available at www.caryendocrine.com or www.lukeclinic.org.
Lux Salon is a proud sponsor of The Myself: Together Again Project (M: TA). M: TA has been shosen to be the recipient of Saks Fifth Avenue’s Key to the Cure. On October 19, join M: TA for an honorary luncheon at Saks Fifth Avenue Raleigh with keynote speaker Carole Radsziwill. Tickets will be on sale at Lux and the M: TA website starting in September. www.myselftogetheragain.org
Call Us Today For An Appointment! (919) 790-7011 www.luxsalonspa.net
Your Financial Rx
Minimize Your Retirement Plan Risks By Paul J. Pittman, C.F.P.
One of the most difficult aspects of my job
How
is helping a client understand risk. Some
investments that you offer inside your
often
are
you
reviewing
the
risk is a necessary evil for most investors
retirement plan? Are you putting funds
and not a bad thing, if properly managed.
on a watch-list? Are you removing and
Unnecessary risk is the bane of a portfolio.
replacing funds that are not in line with your investment policy statement?
I preach every day that if you do not have to take on risk to accomplish your goals,
One way to limit the risk of your employee
then don’t do it! If all of your goals can be
retirement plan is to have a qualified
met by putting your money in certificates
adviser review and oversee the plan. This
of deposits, then by all means, do it.
is the person who should be counseling
Everyone does not need to be in the stock
you and your employees.
market, but when the markets are good, everyone wants to be in the stock market.
The broker-in-charge of every plan charges a fee every quarter of every year. Are you
Take a good, long look at your financial
getting what you are paying for? How often
picture and consider the risks. I have written
is your broker-of-record contacting you and
before about allocation, diversification,
meeting with the employees?
Paul Pittman is a Certified Financial Planner™ with The Preferred Client Group, a financial consulting firm for physicians in Cary, N.C. He has more than 25 years of experience in the financial industry and is passionate about investor education. He is also a nationally sought-after speaker, humorist and writer. Mr. Pittman can be reached at (919) 4594171 and paul.pittman@pcgnc.com. Send an e-mail to receive Mr. Pittman’s Weekly Market Commentary.
are not getting the kind of service and guidance you deserve. If you and your
redundancy, weightings, etc., etc. Just don’t employment-sponsored
Take a look at the name of the broker-in-
employees aren’t 100 percent thrilled with
retirement plan, a huge risk factor every
charge of your plan. Are your employees
this person, then you can easily replace
month.
familiar with this person? If not, then you
him or her at any time.
overlook
your
Fiduciary Advisors If you are the employer, you may have infinite and personal liability for your retirement plan. It is important for you to understand that compliance with Employee Retirement Income Security Act (ERISA) standards is not enough to protect you or properly take care of your employees. Attorneys ask me on a regular basis to meet with business-owner clients, who ask, “Do I, as the business owner, have any personal liability with my employee retirement plan?” The short answer is this: yes!
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The Triangle Physician
solution. 2006 legislation is encouraging
Cash balance contributions are age-
more
and
dependent. The older the participant, the
successful business owners to adopt this
higher the amount. The reason for this
type of plan.
difference is that an older person has fewer
and
more
professionals
years to save toward the approximate $2.5 A cash balance plan is a defined benefit
million lump sum that is allowed in a cash
plan that specifies both the contribution
balance plan. As an example, if you were
to be credited to each participant and the
born in 1950, you can defer $150,261 into
investment earnings to be credited based
a cash balance plan plus $20,500 into your
on those contributions. Each participant
401(k) for a total of $170,761 for that year!
has an account that resembles those in a 401(k) or profit sharing plan. The plan
Few advisers are aware of cash balance
actuary, who maintains the account,
plans. Make sure the one who is overseeing
generates annual participant statements.
your portfolio risk management is.
Cash Balance Plans What about the risk of not putting away enough money for your own retirement? With the economy the way it is, you have no doubt asked yourself that question when you look at your statements. Do not let this stop you from putting money away. You may want to make some changes as to where the money is placed, but definitely make the deposit. If you already have a qualified retirement plan, such as a 401(k), you can also start a cash balance plan. A cash balance plan is a type of retirement plan that belongs to the same general class of plans known as “qualified plans.” A 401(k) is a qualified plan. These plans “qualify” for tax deferral and creditor protection under ERISA. In a cash balance plan, each participant has an account. The account grows annually in two ways: first, a contribution and second, an interest credit, which is guaranteed rather than being dependent on the plan’s investment performance. For owners and partners seeking larger tax deductions and accelerated retirement savings, cash balance plans may be the
Womens Wellness half vertical.indd 1
12/21/2009 4:29:23 PM
SEPTEMBER 2012
11
Community Service
Saks Fifth Avenue Campaign to Raise Funds for
Myself: Together Again Saks Fifth Avenue-Triangle Towne Center
from 11 a.m. to 1 p.m. at Saks Fifth Avenue-
in Raleigh selected Myself: Together Again
Triangle Towne Center. Author and actress
as the recipient of the company’s national
Carole Radzwill will be the keynote speaker.
Key to the Cure, which supports the fight against women’s cancers.
When Debbie was diagnosed with breast cancer at age 32, she could not find real
As part of the campaign, Saks Fifth Avenue
“process” pictures to prepare her emotion-
will host its charity shopping weekend Oct.
ally for her double mastectomy and breast
18-21, when 2 percent of all sales, exclud-
reconstruction. So with the help of a Susan
ing certain departments, and 100 percent
G. Komen for the Cure grant in 2006 and
of Key to the Cure T-shirts will be donated
photographer Missy Lamb, she set out to
to Myself: Together Again (M:TA).
educate every surgeon, plastic surgeon, hospital, cancer center, patient and wom-
On Friday, Oct. 19, M:TA founder Debbie
an in the Raleigh-Durham area about the
Horwitz will be the honored at a luncheon
importance of understanding all that goes
Debbie Horwitz (right) shared her journey with mastectomy and breast reconstruction in Myself: Together Again. Sherri Burgess provided an updated version in Sherri’s Story.
into the process of breast reconstruction. The result is Myself: Together Again, 32 pages of striking images that document each stage of Ms. Horwitz’s journey with a double mastectomy and breast reconstruction. To date, Myself: Together Again is the only book available that shows what it truly looks like to go through the process of tissue expander breast reconstruction – from a patient’s perspective. Sherri’s Story is an updated visual guide of breast reconstruction featuring a new patient, Sherri Burgess. Published in February 2012, it has since gained worldwide readership, like the first book. Myself: Together Again is a 501c3 public charity. To order luncheon tickets or the books, visit www.myselftogetheragain.org. For more information, contact Ms. Horwitz at info@myselftogetheragain.org.
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The Triangle Physician
UNC NewsManagement Practice
New Marketing Trend:
Personal Doctor Websites By Amanda Kanaan
If you are part of a larger medical group, then
Nearly 85 percent of patients now turn to
your practice most likely has a website. How-
the internet for information on their ailments
ever, a growing number of physicians are
and their physicians. These “e-patients” are
now creating websites to market themselves
empowered, knowledgeable and expect and
individually. Although it’s important that the
demand a far higher level of service and
community be familiar with your practice
resources from their health care providers.
name, the most successful physicians I’ve
Physicians who are able to capitalize on this
worked with also understand the benefit of
new “e-patient” revolution stand to gain the
personal branding.
greatest benefit through a savvy online marketing strategy.
Medical practice websites often include a section called “meet the team” or something
Here are the top ways in which a personal
similar. Each team member’s page usually
website may be beneficial:
includes a name, bio and headshot.
1. T o establish a personal brand and
However, this isn’t enough information for
2. If your clinical interests are different
respected reputation patients to really connect with you or to establish a reputation within your field. By designing a personal website just for you (e.g. “www.drbrown.com”), this gives you the ability to include all the information necessary to establish your brand – that is, what differentiates you among your peers.
than your partners 3. If you have a new skill that you want to market
Amanda Kanaan is the president and founder of WhiteCoat Designs, a North Carolinabased marketing agency catering specifically to physicians. WhiteCoat Designs offers doctors affordable marketing solutions to help them grow their practices. Services include website design, search engine optimization (SEO), social media management, online reputation monitoring, brochure and collateral design, branding makeovers and physician liaison services to build patient referrals. Ms. Kanaan can be reached at amanda@whitecoat-designs. com or (919) 714-9885. To learn more, visit www.whitecoat-designs.com.
4. To offer your services for speaking Creating a personal website is an affordable
engagements 5. To submit yourself to the local media for interviews as an expert in your field
and effective way to build, maintain or grow your reputation in the community. Patients
6. If you are a new doctor who needs to
are researching their doctors online more
A good example of this would be an OB/
build a reputation within the vicinity
now than ever, and it’s important that your
GYN doctor who wants to establish himself
7. I f you are considering leaving your cur-
services be easy to find and provide as
rent practice at some point in the future
much information and transparency as pos-
as the leading robotic surgeon in the area. If he solely relied on his practice website to
8. If you are trying to rank higher for cer-
sible when describing your offerings. Your
tell patients within his bio that he also offers
tain keywords in the search engines
website has seven seconds to make an impression on a patient. Make them count.
robotic surgery, it would take much longer to build his reputation. By having an individual website devoted to his robotic surgery, he can now talk more in depth about his training and qualifications, the number of cases he’s performed, photos of how the procedure works, patient outcomes, testimonials, a video introducing himself, etc. He can then use this website to promote himself in the search engine rankings, such as Google, to increase traffic to his site and attract more patients.
SEPTEMBER 2012
13
Practice Management
Rethinking the
EHR Revolution By Maryan Binkley
For years, experts have pointed to electronic health records as a cure for many of the problems hindering our health care system, including the inability of physicians to quickly access a patient’s history.
Maryan Binkley is the owner and president of WebChart Inc. WebChart specializes in providing webbased, total medical data documentation solutions for physician practices, surgery centers and hospitals. Ms. Binkley graduated from nursing school in 1968 and began her career in a physician practice in the Washington, D.C., area. In 1974 she earned a bachelor’s degree in business administration. Ms. Binkley has worked in health care since 1968 in both clinical and administrative positions, providing her working knowledge of the challenges facing physicians and staff in today’s rapidly changing environment.
In terms of making information more readily
of checkboxes for each patient they see.
available, new federal incentives to subsidize
The required computer interaction limits
the upfront costs of electronic health records
their mobility, and if the computer is in
(EHRs) are a welcome development. A
the exam room, their interaction with the
recent report projects a robust 12 percent
patient, causing dissatisfaction from both
growth rate for such systems over the next
parties. Physicians who use front-end voice
few years. After a notoriously slow start for
recognition fare only marginally better, as
the technology, four of every 10 physicians
they’re required to immediately correct
now utilize EHRs at their hospital or office.
anything the software misinterpreted.
Of course, adopting electronic records is only
The quality of the document can also suffer.
When the transcriptionist types the note
step one. The real key to improving patient
The physician becomes the only set of
into the system, the software automatically
outcomes and gaining efficiencies lies in how
eyes looking at information going into the
parses the document for discrete data,
EHRs are implemented. Clearly, the industry
record, making it harder to detect crucial
which is automatically uploaded to the
is still finding its way in this regard. Last year,
mistakes. When it comes to reviewing patient
appropriate field of the EHR. The provider
a study of more than 2,700 family physicians
information, because the information was
receives all of the structured data needed
found that only 49 percent were satisfied in
entered into a one-size-fits-all template,
to meet Meaningful Use requirements, but
whole with their system.
practitioners no longer have a narrative note
also retains access to the note in narrative
they can look to for a clear understanding of
form. Further enhancing the documentation
what previous medical personnel observed.
process, mobile applications are becoming
While there’s no silver bullet to improving
increasingly robust and look to be a viable
the EHR experience, providers often benefit
means to simplifying a clinician’s workflow.
from taking a clear-eyed look at what these
EHR users do well by playing to the
systems can deliver. Many facilities discover,
technology’s strengths. For a number
only after an expensive rollout, that electron-
of forward-thinking facilities around the
Efforts to improve interoperability within the
ic charts aren’t actually a panacea for their re-
country, this has meant integrating their EHR
industry continue to advance, suggesting
cord-keeping challenges. For instance, while
with other software programs and building
a bright future for such interfacing. What’s
physicians appreciate the ability to call up
synergies between them. One promising
becoming more apparent is that EHRs are not
patient data instantaneously, many are unen-
trend involves hospitals and clinics linking
the solution to inefficiencies in health care,
thused about not only how that information is
transcription management software with their
but rather part of the solution. The sooner
initially captured, but also how it’s presented.
EHR system, creating a “hybrid” solution.
providers realize this, the quicker we’ll see the real information revolution we’ve been waiting for.
Doctors who were previously able to quickly
With the help of a software technology known
dictate their exam notes into a phone system
as “discrete reportable transcription,” doctors
or digital recorder now have to log into a
can realize the benefits of EHRs without
For more information call (866) 953-2828 or
computer and scroll through extensive lists
giving up their ability to dictate patient notes.
visit online at webchart.biz.
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The Triangle Physician
Women’s Health
Identifying
Irritable Bowel Syndrome in Women with Abdominal Pain By Andrea Lukes, M.D., M.H.Sc., F.A.C.O.G.
Abdominal pain is often multifactorial in
There are four types of IBS characterized
women, and health care providers should
by bowel habits: chronic or recurrent diar-
also consider a bowel etiology.
rhea (IBS-d), constipation (IBS-c), mixed (IBS-m) or unspecified (IBS-u). All types
Irritable bowel syndrome (IBS) affects as
have associated abdominal pain or dis-
many as 15 percent to 20 percent of ado-
comfort.
lescents and adults, presenting most commonly in young women. In fact, IBS affects
To diagnose IBS, a complete medical his-
about twice as many women as men.
tory and physical is needed. Symptoms must have started at least six months prior
IBS is a term encompassing abdominal pain
and must have occurred at least three days
and changes in bowel function that have no
per month for the previous three months.
diagnosed causes. It is not a disease, but a group of symptoms that occur together (di-
IBS can have a significant impact on the
gestive.niddk.nih.gov/ddiseases/pubs/ibs).
patient’s quality of life, particularly when a patient presents with overlapping GI dis-
The changes in bowel function with IBS
orders that may exacerbate IBS symptoms,
include diarrhea, constipation or both. In
such as malabsorption of dietary sugars.
addition, there may be cramping, passing
However, IBS is not life-threatening, does
of mucous, rectal bleeding, bloating, back
not worsen if untreated, and does not pre-
pain, insomnia not related to other symp-
cipitate more serious diseases or disorders.
After earning her bachelor’s degree in religion from Duke University (1988), Dr. Andrea Lukes pursued a combined medical degree and master’s degree in statistics from Duke (1994). Then, she completed her ob/gyn residency at the University of North Carolina (1998). During her 10 years on faculty at Duke University, she co-founded and served as the director of gynecology for the Women’s Hemostasis and Thrombosis Clinic. She left her academic position in 2007 to begin Carolina Women’s Research and Wellness Center, and to become founder and chair of the Ob/Gyn Alliance. She and partner Amy Stanfield, M.D., F.A.C.O.G., head Women’s Wellness Clinic, the private practice associated with Carolina Women’s Research and Wellness Clinic. Women’s Wellness Clinic welcomes referrals for management of heavy menstrual bleeding. Call (919) 251-9223 or visit www. cwrwc.com.
toms, heart palpitations or urinary problems. Some patients report suffering ex-
More dangerous conditions must be ruled
of IBS. Stress reduction, particularly during
treme urgency with their bowel movements,
out in any diagnosis of IBS. A colonoscopy
meals, is encouraged, and changes in diet
while others report having up to 20 bowel
can rule out colon cancer, particularly if the
appropriate to the symptoms (such as add-
movements a day. Symptoms are often re-
patient has a family history of the disease,
ing more fiber to a constipated patient’s
ported as being worse after eating, during
and inflammatory bowel disease (Crohn’s
diet) are recommended. Large meals can
stressful times or during menstruation.
disease), which also may present similar
exacerbate symptoms, so smaller meals
symptoms as IBS. A pelvic ultrasound can
are recommended. A low-fat/ high carbo-
The causes of IBS are not well understood,
help identify ovarian cysts, and blood tests
hydrate (pasta, rice, whole-grain) diet may
but may be caused by brain-gut signal
can rule out Celiac disease and food aller-
help.
problems, gastrointestinal (GI) motor prob-
gies. Other tests for diagnosis of IBS are
lems, hypersensitivity, mental health prob-
not needed. However, a stool test, lower
Pharmacologic options for IBS include
lems, bacterial gastroenteritis, genetics and
GI series and sigmoidoscopy or colonos-
fiber supplements, laxatives, antidiarrhe-
food sensitivity. The discomfort associated
copy may be indicated for symptoms that
als, antispasmodics, antidepressants and
with IBS is believed to result from abnor-
include fecal bleeding, rectal bleeding,
lubiprostone (Amitiza). Further, providers
malities of muscular contractions or of the
weight loss, anemia and a family history of
should consider the benefits of probiotics.
sensory or motor nerves within the bowel,
colon cancer or IBS.
We encourage providers to work with gastroenterologists to establish the best model
leading to pain or dysfunctional reflexes. Imbalances of neurotransmitters, particu-
Treatment of IBS usually involves encour-
of care for women with IBS-related abdomi-
larly serotonin, may also contribute.
aging the patient to avoid the aggravators
nal pain.
SEPTEMBER 2012
15
Physician News
Joseph U. Barker, M.D., Earns Orthopedic Board Certification The American Board of
To maintain this certification, this process
selected for a sports medicine fellowship
Orthopaedic
must be performed every seven to 10
at the prestigious Rush University Medical
years.
Center in Chicago, where he was an assis-
Surgery
has awarded board cer-
tant team physician for DePaul University,
tification to Joseph U. Barker, M.D., of Raleigh
Dr. Barker grew up in Asheville, N.C., and
Chicago Steel Hockey, the Chicago White
Orthopaedic Clinic.
attended Wake Forest University, where
Sox and the Chicago Bulls.
he received an academic scholarship and To become board certified, the surgeon
earned his undergraduate degree with
Dr. Barker has authored more than 20
must meet the specified educational, eval-
a 4.0 grade point average. He attended
book chapters and scientific articles on
uation and examination requirements of
Duke University School of Medicine on an
hip, knee and shoulder injuries. He is on
the board, including:
academic scholarship and was awarded a
the editorial board for the Journal of Knee
• Completing 120 hours of pertinent
Howard Hughes Fellowship for his ortho-
Surgery and is a member of the Interna-
pedic research.
tional Cartilage Repair Society. His clini-
continuing medical education;
cal and research interests include: ante-
• Practicing in one location for at least Dr. Barker completed his surgical intern-
rior cruciate ligament injuries, rotator cuff
ship and his orthopedic residency at Cor-
tears of the shoulder, meniscus surgery,
process to make certain he is respect-
nell University/Hospital for Special Sur-
hip arthroscopy and cartilage repair.
ed by his peers and practicing ethical
gery in New York, which is ranked by U.S.
orthopedic surgery; and,
News and World Report as the No. 1 ortho-
Having been involved in athletics for years
pedic hospital in the nation. He then was
with multiple personal sports injuries, Dr.
20 consecutive months; • Undergoing a stringent peer review
• Passing a written and oral examination.
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Physician News Barker brings a unique understanding, knowledge and dedication to providing quality care for patients of all ages and activity levels. To refer a patient to Dr. Barker, call (919) 863-6808. For more information, visit www.josephbarkermd.com.
Partnering with patients and providers for a healthier community.
Radiologist Lewis Rosenburg Joins Cancer Centers of North Carolina Radiologist
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ulated radiation therapy, brachytherapy and radiosurgery. Dr. Rosenberg earned his medical degree and his doctorate from Case Western Reserve University in Cleveland in Ohio. He completed his residency in radiation oncology at the University of North Carolina at Chapel Hill. Dr. Rosenberg is seeing patients at 4101 Macon Pond Road in Raleigh 27607. For referrals, call (919) 781-7070.
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The Triangle Physician 2012 Editorial Calendar
October Breast Cancer Reconstructive Surgery
November Urology Robotic Surgery
December
Pain Management
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SEPTEMBER 2012
17
UNC Research News
Two $12.6 Million Grants to Advance Understanding of Autism Two autism researchers at the University
“The identification of early brain markers
“We are very grateful for our government’s
of North Carolina School of Medicine
in infants who later develop autism, dur-
support of autism research and are excit-
have each been awarded $12.6 million
ing a period when children may benefit
ed to be a part of efforts to develop safe
grants in the latest round of funding from
maximally from early detection and inter-
and effective treatments to improve the
the National Institutes of Health’s Autism
vention, has the potential to significantly
core symptoms of autism,” Dr. Sikich said.
Centers of Excellence research program.
improve the lives of autistic individuals,”
“At least 1.5 million Americans suffer from
Dr. Piven said.
autism, but options for treatment are currently limited.”
UNC is one of only two institutions that have received more than one Autism Centers of
Linmarie Sikich, M.D.,
Excellence grant. In 2010, the Interagency
associate professor of
“Our SOARS-B study is a great example of
Autism Coordinating Committee ranked
psychiatry and direc-
translational science to develop new treat-
UNC No. 2 among the top 25 institutions in
tor of the Adolescent
ments,” Dr. Sikich said. “A large clinical
the world publishing autism research.
and School-age Psy-
trial is needed to really figure out whether
chiatric Intervention
oxytocin works in autism and is only pos-
Research
Program
sible with the support of the National In-
UNC has become one of the premier au-
(ASPIRE), has been awarded a $12.6 mil-
stitutes of Health and the cooperation of
tism research institutions in the world,”
lion grant to establish a new research net-
medical centers across the country since
said Joseph Piven, M.D., recipient of a
work, the ACE SOARS Network, to develop
no U.S. pharmaceutical companies are
grant for a new round of research in the
and test new treatments for autism spec-
currently marketing intranasal oxytocin.”
ongoing Infant Brain Imaging Study (IBIS)
trum disorders. Dr. Sikich will direct the
Network.
ACE SOARS Network and provide overall
Dr. Piven said that UNC research on au-
project coordination.
tism “covers that gamut from basic neuro-
“These grants are further evidence that
biology to clinical research on pathogen-
The National Institutes of Health (NIH)
esis to applied research on intervention.
created the Autism Centers of Excellence
The first project ACE SOARS will undertake
(ACE) program in 2007 as an intense and
is a five-year study of oxytocin nasal spray
coordinated research program to identify
in children and adolescents (ages three to
“The breadth of the IBIS and ACE SOARS
the causes of autism spectrum disorders
17) with an autism spectrum disorder called
research networks, one focusing on brain
(ASD) and new treatments.
SOARS-B (Study of Oxytocin in Autism to
development in infants at risk for autism
improve Reciprocal Social Behaviors). The
and the other conducting research on a
The grant to Dr. Piv-
study will be conducted at treatment cen-
novel therapeutic intervention for autism,
en, Kenan professor
ters at UNC, Harvard University, Mount Sinai
is an example of the depth and range of
of psychiatry and di-
School of Medicine, Vanderbilt University
autism research at UNC,” he said.
rector of the Carolina
and University of Washington with genetic
Institute for Develop-
analyses done at Duke University.
mental
The ACE research program is funded by five NIH institutes: the Eunice Kennedy
Disabilities,
will be used to fund
The SOARS-B study will determine if oxy-
Shriver National Institute of Child Health
longitudinal brain imaging of a combined
tocin improves social functioning in ASD,
and Human Development (NICHD), the
sample of 600 infants who are at high risk
evaluate oxytocin’s safety in children and
National Institute on Deafness and Other
for later developing autism by virtue of
identify factors that influence a child’s re-
Communication Disorders, the National
having an older sibling with autism. The
sponse to oxytocin. The study is the larg-
Institute of Environmental Health Scienc-
Infant Brain Imaging Network, or IBIS,
est treatment to date and will ultimately
es, the National Institute of Mental Health
which is led by UNC and includes clinical
include 300 individuals with an autism
and the National Institute of Neurological
study sites at Children’s Hospital of Phila-
spectrum diagnosis. It is also one of the
Disorders and Stroke.
delphia, the University of Washington in
first studies to focus equally on both
Seattle and Washington University in St.
verbal and nonverbal individuals on the
Louis, will conduct the study.
spectrum.
18
The Triangle Physician
Wake Med News
Advanced Technology Enhances Care for Critically Ill WakeMed Patients WakeMed Health & Hospitals recently
before they become emergencies, accord-
service up and running and working with
launched the WakeMed eICU Service,
ing to a WakeMed press advisory.
physicians to ensure it meets the needs of patients as well as staff. The eICU medical
which is designed to reduce complications, shorten hospital stays and save lives
“Many clinical decisions are based on data,
director is Bill Lane, M.D., who recently
among critically ill adults.
including the patient’s vital signs, medica-
joined WakeMed after working for the past
tions and test results,” said William K. At-
three years with similar technology at Cone
The service employs critical care nurses
kinson II, Ph.D., M.P.H., M.P.A., WakeMed
Health’s LeBauer Critical Care Medicine in
and physicians, whose primary purpose
president and chief executive officer. “…
Greensboro.
is to analyze real-time patient data from a
This advancement is all about leveraging
central monitoring station 24 hours a day,
data and specialized medical providers to
Dr. Lane is board certified in critical care
seven days a week. Advanced software
deliver the right treatment at the right time
medicine. He earned his medical degree
from Philips Healthcare enables the criti-
to maximize outcomes and patient safety.”
from Duke University School of Medicine and completed a fellowship in critical care
cal care experts to identify trends that may indicate a change in a patient’s condition.
“The service offers families extra peace
medicine at Walter Reed Army Medical
of mind, knowing their loved one is being
Center.
Cameras and microphones integrated into
cared for and monitored by two expert crit-
each critical care room allow the eICU phy-
ical care teams,” said Vicki Block, M.H.A.,
Initially, the eICU Service will be used to
sicians and nurses to interact and serve
senior vice president and administrator,
monitor patients in the 88 adult critical care
as a resource for the bedside care team,
WakeMed Raleigh Campus, who is also
beds at WakeMed Raleigh Campus and
the patient and the patient’s family as they
leading the eICU Service implementation.
Cary Hospital. In the future, the WakeMed eICU Service may be expanded and of-
make important, timely decisions. This added layer of protection also is designed
The service is led by an experienced team
to help bedside staff identify and respond
of critical care experts, including nurses
to adverse condition changes immediately,
who have been instrumental in getting the
However much you value wildlife conservation in North Carolina,
fered for use in other regional hospitals.
DEC NC
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right here in the Old North State. Conservation education efforts are preparing future generations to sustain your concern for the lands we protect today. At www.ncwhf.org, download the license tag application and see the good works in process. pp Your new tag shows your support and your n contribution is put to work…times four. co
www.ncwhf.org w
SEPTEMBER 2012
19
News Welcome to the Area
Upcoming Events
Physicians
Vellore Gundurao Kasturi, MD
Dennis Manaloor Abraham, MD
Duke University Hospitals Durham
Cardiology; Cardiovascular Disease
Duke University Hospitals Durham
Awni Mohammed Al-Subu, MD Critical Care Pediatrics; Pediatrics
Duke Children’s Hospital Durham
Luis Emilio Betancourt, MD Child Psychiatry; Psychiatry
Duke University Hospitals Durham
Daniel Shinik Chang, MD Dermatology
Duke University Hospitals Durham
Shanti Priya Eranti, MD
Obstetrics and Gynecology, Medical Genetics
Kenneth HyunChung Kim, MD Gynecology/Oncology
UNC Division of Gynecologic Oncology Chapel Hill
Svati Singla Long, MD Radiology
Duke University Medical Center Durham
Laura Katie Laird Maxwell, MD Psychiatry; Addiction Psychiatry; Child and Adolescent Psychiatry; Geriatric Psychiatry; Neurology/Psychiatry; Psychosomatic Medicine
Univ of North Carolina Hospitals Chapel Hill
237 S Winstead Ave Rocky Mount
Andrew Munro, MD
Stephanie Louise Gaillard, MD
Duke University Hospitals Durham
Internal Medicine, Medical Oncology
Duke Univ Medical Ctr, Div of Medical Oncology Durham
Douglas Hart Gates, MD Orthopedic Surgery
Triangle Orthopaedics Durham
David Golovoy, MD Neuroradiology, Diagnostic Radiology
Duke University Hospitals Durham
Rachel Adams Greenup, MD Surgical Oncology
Duke University Medical Center Durham
Dawn Marie Grinenko, MD Internal Medicine, Adolescent & Young Adult Medicine, Hospitalist, Pediatrics
University of North Carolina Hospitals Chapel Hill
Ananda Reddy Gurram, MD Hospitalist
3218 Rexford Lane Cary
Brent Allen Hanks, MD Internal Medicine; Immunology, Hematology and Oncology
Duke University Hospitals Durham
Thomas Joseph Hopkins, MD Anesthesiology Pain Management, Anesthesiology, Critical Care
Ophthalmology
Brian Joseph Ohlendorf, MD Anesthesiology
4810 Rockport Dr Durham
Michael Ryan Phillips, MD General Surgery, General Preventive Medicine
University of North Carolina Hospitals Chapel Hill
Maria De Lourdes Portela Martinez, MD Family Medicine
1028 Haven Hollow Way Durham
John Michael Reynolds, MD Pulmonary Disease, Internal Medicine, Critical Care-Internal Medicine
Duke University, Department of Medicine Durham
Amy Elizabeth Sell, MD Emergency Medicine
7235 Brookbank Lane Raleigh
Ayodeji Olabanji Shedu, MD Hospitalist
Betsy Johnson Regional Hospital Dunn
Zaneta Yeungjoo-Chung Strouch, MD Anesthesiology
Cary
1427 Crimson Creek Dr Durham
Judith Marie Ugale-Wilson, MD
Mohammad Junaid Hussain, MD
216 Listening Ridge Ln Cary
Hospitalist, Internal Medicine
Critical Care Pediatrics
Southern Medical Partners Durham
Fang Xu, MD
Janie Louise Jacobs, MD
10321 Sablewood Drive Raleigh
Pediatrics
Premier Pediatrics Southern Pines
Arif Hossain Kamal, MD Hematology and Oncology, Internal Medicine
Duke University Medical Center Durham
20
The Triangle Physician
Allison Kathryn Garver, PA
Family Medicine; Family Practice; Urgent Care 1200 Westview Lane Raleigh
Physician Assistants Amanda Arner Hellberg, PA Orthopedic - Surgery of the Hand, Orthopedic Sports Medicine, Orthopedic Surgery of the Spine, Adult Reconstructive, Trauma, Ankle Foot
Wake Orthopaedics Raleigh Robert Allan Hodge, PA Cardiovascular Surgery, Critical Care Surgery
First Health of the Carolinas Pinehurst Edwin Kim Marshall, Jr, PA Orthopedic Surgery
1900 Brentmoor Dr Raleigh
Evan David Mayfield, PA Critical Care Medicine, Emergency Medical Services; Emergency Medicine, Hospitalist, Surgical Critical Care, Trauma Surgery
UNC School of Medicine, Dept of Surgery Chapel Hill
Sarah Jane Ostrom, PA 310 Cary Pines Dr Cary
Shannon Marie Poplstein, PA Orthopedic Sports Medicine
Orthopedic Specialists of North Carolina Raleigh
Anna Kate Pruett, PA
Oct. 1, 5:30-7:30 p.m. Look Good Feel Better® is a free American Cancer Society program that teaches women beauty techniques while they undergo chemotherapy and radiation treatments. Participants receive a free cosmetics kit and instruction by beauty professionals. Location: North Conference Room, Durham Regional Hospital Registration: Call (919) 470-7168
Stroke Support Group Oct. 8, 1-2:30 p.m. The mission of this support group is to help educate the stroke survivor, caregiver and community about stroke prevention and stroke disabilities. This group meets the second Monday of each month. Location: Private Dining Room C, Durham Regional Hospital.
Good Neighbors, Good Health Health Education Seminar Oct. 16, 7 p.m. This free educational series is designed to help the community stay on top of important health issues. October’s seminar will feature a panel discussion on “When Is the Right Time to Visit a Neurosurgeon?” Light refreshments will be provided. Location: Durham Regional Hospital auditorium
870 Red Hill Rd. Cameron
Diabetes Support Group for Adults
Tia Lyn Spriggs, PA
Oct. 16, 6-7:30 p.m. This support group for those with diabetes and their guest is facilitated by certified diabetes educators to help participants manage their diabetes. October’s session will be on how to incorporate healthy modifications to favorite family recipes. Location: Teer House, 4019 N. Roxboro Road, Durham 27704
Family Practice
111 Appleton Way Sanford
Michelle Marie Toma, PA Emergency Medicine
Wake Emergency Physicians Cary
Valorie Anne Van Houten, PA Adolescent & Young Adult Medicine; Alcohol and Drug Abuse; Allergy/ Immunology, Diagnostic Lab, Immunology; Cardiology; Cardiovascular Disease, Internal Medicine; Clinical Neuropathology; Clinical Neurophysiology; Critical Care Pediatrics; Critical Care Surgery
Nash General Hospital Rocky Mount
Internal Medicine, Hospitalist
Edward Booth Yellig, MD 2514 White Oak Rd Raleigh
Sarah Wistran Young, MD Internal Medicine 4289 Seven Lakes West West End
Look Good Feel Better®
T H E M A G A Z I N E F O R H E A LT H C A R E P R O F E S S I O N A L S
Weight Loss Surgery Support Group Oct. 23, 6-7:30 p.m. This support group encourages discussion on topics related to adjustment before and after weight loss surgery. October’s topic will be “Post Surgery Regain – Tips for Getting Back on Track.” Location: Duke Center for Metabolic and Weight Loss Surgery Clinic, 407 Crutchfield St., Durham 27704 Register for these events online at www.durhamregional.org/events or by calling (919) 403-4374, unless otherwise noted.
“More than a doctor. Like a friend.”
We know it by heart.
Trust. WHV is an independent group of heart specialists with locations throughout Eastern North Carolina - ready to provide the care for your patient’s heart when and where they need it. We’ve been pioneering and delivering innovative cardiovascular care for over 25 years. Through our affiliation with UNC Health Care, our physicians can also tap into the latest research and expertise associated with a world-class academic institution. And this in turn allows all our patients to have more access to clinical trials and new therapies, resulting in the best cardiovascular care available in the area.
Cardiovascular Professionals in Johnston, Wayne and Wilson Counties Mateen Akhtar, MD, FACC Benjamin G. Atkeson, MD, FACC Kevin R. Campbell, MD, FACC Randy A.S. Cooper, MD, FACC Christian Gring, MD, FACC
Matthew A. Hook, MD, FACC Eric M. Janis, MD, FACC Diane E. Morris, ACNP Ravish Sachar, MD, FACC Nyla Thompson, PA-C
Waheed Akhtar, MD, FACC Malay Agrawal, MD, FACC Sunil Chand, MD, FACC Paul Perez-Navarro, MD, FACC Joel Schneider, MD, FACC
Cardiovascular Services Echocardiography Nuclear Cardiology Interventional Cardiology Carotid Artery Interventions Cardiac Catheterization Cardiac CT Angiography and Calcium Scoring Electrophysiology and Cardiac Arrhythmias Peripheral Vascular Interventions Pacemakers / Defibrillators Stress Tests Holter Monitoring Lipid and Anti-Coagulation Clinics Vascular Ultrasounds / AAA Screening
WHV Locations in Johnston, Wayne and Wilson Counties 910 Berkshire Road Smithfield, NC 27577
2076 NC Hwy 42 West, Suite 100 Clayton, NC 27520
2605 Forest Hills Road South West Wilson, NC 27893
2400 Wayne Memorial Drive, Suite A Goldsboro, NC 27534
Phone: 919-989-7909 Fax: 919-989-3147
Phone: 919-359-0322 Fax: 919-359-0326
Phone: 252-243-7049
Phone: (919) 736-8655 Fax: (919) 734-6999
When it comes to your cardiovascular care – We know it by heart. To learn more, visit our website www.WHVheart.com or call us at 1-800-WHV-2889 (800-948-2889).
The No-Excuse Mammogram. Saturday and evening appointments where your patients live, work and play in the Triangle. An annual screening mammogram only takes 20 minutes, from check-in to exam completion. That’s the convenience of Wake Radiology, where we specialize in state-of-the-art digital mammography as well as comprehensive women’s imaging. It‘s easy for patients to schedule this important exam, because many of our nine breast imaging offices throughout the Triangle are open evenings and Saturdays, and walk-ins are welcome at all locations. Wake Radiology is in-network with most insurance plans and offers financial assistance or payment plans to those who need it. If your patients have celebrated 40 birthdays or more, encourage them to safeguard their health by calling 919-232-4700 or going online to schedule their annual digital screening mammogram today. Wake Radiology. Excellence in breast imaging.
Wake Radiology is proud to be the only freestanding multi-site imaging provider in the Triangle to have earned the American College of Radiology’s designation of Breast Imaging Centers of Excellence (BICOE).
Wake Radiology Express Scheduling Monday-Friday 7:30am-6:30pm Express Scheduling: 919-232-4700 Chapel Hill Scheduling: 919-942-3196 Or online at wakerad.com Nine convenient Triangle locations Raleigh | West Raleigh | Northwest Raleigh | Chapel Hill Cary | Garner Wake Forest | Morrisville | Fuquay-Varina
Comprehensive Breast Imaging Centers