September 2018 • Vol. 48, No. 8
Mecklenburg Medicine A Publication of the Mecklenburg County Medical Society | www.meckmed.org
FIGHTING FOR WOMEN SAVE THE DATE ~ OCTOBER 2
Mecklenburg County Medical Society
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facebook.com/meckmed
Mecklenburg County Medical Society Foundation @meckmedsociety
Changing the landscape of cancer care in north Charlotte Welcome to our newest clinic — Novant Health Lake Norman Oncology You want your cancer patients to have access to high-quality, compassionate care. That’s why we’re excited to welcome Novant Health Lake Norman Oncology to the family. Skilled in treating cancer and diseases of the blood, our experienced providers will consult with you to offer your patients a multidisciplinary approach in order to deliver the best combination of cancer therapies. With locations in Huntersville and Mooresville, and a clinic opening later this year in the University area, we’re improving access so your patients can be treated closer to home. Let Novant Health Lake Norman Oncology partner with you to offer your patients the expert cancer care they’re seeking.
Make a referral today, call 704-799-3946.
Novant Health Lake Norman Oncology 10030 Gilead Parkway, Suite 350 Huntersville, NC 28078
Novant Health Lake Norman Oncology - Mooresville 170 Medical Park Road, Suite 101 Mooresville, NC 28117
Visit NovantHealth.org/LakeNormanOncologyHuntersville to learn more about our services. © Novant Health, Inc. 2018 8/18 •GCM-268179
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Mecklenburg Medicine • September 2018 | 3
Chemotherapy may destroy your cancer but it doesn’t have to destroy your hair
We are the only oncology group in the Charlotte region to offer DigniCap® Congratulations Dr. Favaro and Dr. Misra on being selected TOP DOCTORS 2018 Oncology/Hematology
New Clinical Trials Metastatic Breast
Pfizer Madeline study/Observational Mobile App HR+, HER 2-
Metastatic Breast
Merrimack SHERBOC study/HR+, HRG+, HER 2-
Head & Neck
Pfizer Javelin study/Front-Line advanced squamous cell carcinoma
Lung
Armo CYPRESS-1 study/ Non-small cell, High PD-L1 Expression
Metastatic Cholangiocarcinoma Incyte study/FGFR2 translocations, Failed previous therapy
Justin Favaro MD PhD • Jason Shultz MD • Catherine Moore MD • Dipika Misra MD
704-342-1900
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For patient enrollment: email joe.howe@djlresearch.com or call 704-247-9179, ext. 201
Randolph Road & Pineville-Matthews Road
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OncologyCharlotte.com
September 2018 Vol. 48 No. 8
Table of Contents 6 President’s Letter: Is Resilience Training the Answer?
OFFICERS
President Scott L. Furney, MD President-Elect Elizabeth B. Moran, MD Secretary Babak Mokari, DO Treasurer John R. Allbert, MD Immediate Past-President Stephen J. Ezzo, MD
By Scott L. Furney, MD, President, MCMS
7 Charlotte AHEC Course Offerings 7 National Health & Wellness Observances 8 Feature: Men’s Health: Colorectal Cancer Update By Sam R. Fulp, MD
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BOARD MEMBERS
Raymond E. Brown, PA Sarah M. Edwards, MD E. Carl Fisher, Jr., MD Donald D. Fraser, MD Vishal Goyal, MD, MPH Jane S. Harrell, MD Stephen R. Keener, MD, MPH B. Lauren Paton, MD Anna T. Schmelzer, MD Rachel L. Storey, DO Andrew I. Sumich, MD G. Bernard Taylor, MD
Member News New Members In Memoriam Upcoming Meetings & Events At the Hospitals Independent Physicians of the Carolinas Advertising Acknowledgements
EX-OFFICIO BOARD MEMBERS Tracei Ball, MD, President-Elect Charlotte Medical Dental & Pharmaceutical Society Sandi D. Buchanan, Executive Director Mecklenburg County Medical Society Darlyne Menscer, MD NCMS Delegate to the AMA
Meg Sullivan, MD, Medical Director Mecklenburg County Health Department
On the Cover:
The 8th Annual Fighting for Women With Fashion event is Tuesday, Oct. 2, 7 p.m. at CenterStage@NoDa featuring a fashion presentation, silent auction and wine pull. Proceeds benefit the Safe Alliance Clyde and Ethel Dickson Domestic Violence Shelter. This event is a proud partnership of the Mecklenburg County Medical Society Women Physicians Section and the Women Lawyers of Charlotte. Purchase tickets and make donations online at www.safealliance.org/FightingForWomen. 1112 Harding Place, #200, Charlotte, NC 28204 704-376-3688 • FAX 704-376-3173 meckmed@meckmed.org Copyright 2018 Mecklenburg County Medical Society Mecklenburg Medicine is published 10 times per year by the Mecklenburg County Medical Society, 1112 Harding Place, Suite 200, Charlotte, NC 28204. Opinions expressed by authors are their own, and not necessarily those of Mecklenburg Medicine or the Mecklenburg County Medical Society. Mecklenburg Medicine reserves the right to edit all contributions for clarity and length, as well as to reject any material submitted. Mecklenburg Medicine is not responsible for unsolicited manuscripts. Classified Ads: Open to members, nonprofits and non-member individuals only; advance approval of the Managing Editor and advance payment required. Member rate is 0, non-members $20 for the first 30 words; $.75 each additional word. Display Ads: Open to professional entities or commercial businesses. For specifications and rate information, contact Mark Ethridge at mecklenburgmedicine@gmail.com. Acceptance of advertising for this publication in no way constitutes professional approval or endorsement of products or services advertised herein. We welcome your comments and suggestions: Call 704-376-3688 or write Mecklenburg Medicine, c/o Mecklenburg County Medical Society, 1112 Harding Place, Suite 200, Charlotte, NC 28204.
Douglas R. Swanson, MD, FACEP, Medical Director Mecklenburg EMS Agency
EXECUTIVE STAFF
Executive Director Sandi D. Buchanan Finance & Membership Director Stephanie D. Smith Meetings & Special Events Coordinator Jenny H. Otto
MECKLENBURG MEDICINE STAFF Editor Scott L. Furney, MD Managing Editor Sandi D. Buchanan Copy Editors Lee McCracken Stephanie Smith
Advertising Mark Ethridge mecklenburgmedicine@gmail.com Editorial Board Stephen J. Ezzo, MD N. Neil Howell, MD Jessica Schorr Saxe, MD Graphic Design Wade Baker
Mecklenburg Medicine • September 2018 | 5
President’s Letter
Is Resilience Training the Answer? By Scott L. Furney, MD
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here is a lot of talk about physician and ACP burnout these days, and for good reason. In a previous letter, I reviewed the unacceptably high prevalence of burnout in our clinicians and I also reviewed, in brief, some of the drivers of that burnout. Clerical work in electronic health records, shortened time with patients, administrative burdens and many more distractions from bedside care all contribute. Resilience training for physicians has been proposed as an antidote for the plague of burnout. I would argue that this is misguided when used as a primary strategy. The drivers are much more related to excess stress than “weak” providers. The analogy of insufficiency fractures versus stress fractures might provide some guidance. For osteoporotic bones, medications to improve bone resilience is standard of care. For stress fractures, we reduce the stress to allow the bones to heal and work on the mechanics that caused the fractures. I think we are dealing with stress fractures when it comes to physician burnout. Consider the resilience one must have to successfully complete medical school and residency. The providers who train so rigorously for their career are more like elite athletes than the frail elderly. Their bones are not weak. Stress is the primary problem. There also is a component of “blaming the victim” when we tell providers they have to improve their resilience in order to be satisfied in their practice. This is especially ironic when sessions aimed to improve resilience and reduce burnout occur on evenings and weekends! Asking providers to spend their Saturday learning how to obtain better life balance adds insult to injury. If the analogy makes sense, then we must focus on the root causes and reduce stress in order to prevent future fractures. When I speak to providers in full-time practice, they are fairly uniform in their requests: • Reduce or delegate non-clinical tasks to others • Improve the usability of EMR’s • Improve patient contact time — both in duration and quality • Reduce or eliminate pre-authorizations for providers shown to provide high-value care In many of these domains, we need to embrace our role in making them possible. If we are too controlling or do not invest in training our staff, we retain many non-clinical tasks. Where
The providers who train so rigorously for their career are more like elite athletes than the frail elderly. Their bones are not weak. Stress is the primary problem.
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EMR training is available, we need to be first in line. Most important, we need to acknowledge that the income treadmill is a self-defeating cycle when run at an unsustainable pace. Eliminating testing for patients who do not need it will provide insurers the understanding that when we do order an MRI, we really need it for the patient in front of us — and without the hour of bargaining that follows most orders. Lastly, spending more time with each patient may reduce our incomes, but we will enjoy our years in practice and will be less likely to drive ourselves into early retirement. So, back to resilience training; I am not saying it is a bad idea. For some, it may be very helpful in the journey to a balanced life. I am concerned, however, that it appears to be the main focus of improvement efforts in stemming the tide of burnout. Without addressing the host of other stressors in the workplace, the impact and durability of that effort will be limited. As a profession, we need to do more than go to another after-hours event and commiserate. In humble service,
Save the Date! David G. Welton, MD Society Fall Luncheon Wednesday, Sept. 18, 2013 • 11:30 a.m. Charlotte Country Club
Speaker: JOHN E. BARKLEY, MD Mecklenburg County Medical Society and their guest(s).
Membership Social Thursday, Oct. 25
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6:30-8:30 p.m.
The Olde Mecklenburg Brewery 4150 Yancey Road, Charlotte To RSVP, email Sandi Buchanan at sbuchanan@meckmed.org.
Save the Date! Members Meet and Greet with
SENATOR JEFF JACKSON Wednesday, Oct. 10 5:30 p.m.
CHARLOTTE AHEC COURSE OFFERINGS Charlotte AHEC is part of the N.C. Area Health Education Centers (AHEC) Program and Carolinas HealthCare System.
SEPTEMBER 2018
Continuing Medical Education (CME)
110 Perrin Place Charlotte, NC 28207
RSVP to Sandi Buchanan at sbuchanan@meckmed.org
NATIONAL HEALTH & WELLNESS OBSERVANCES SEPTEMBER 2018 Alzheimer’s Association Memory Walk n Baby Safety Awareness Month n Blood Cancer Awareness Month Fruit & Veggies More Matters Month Healthy Aging™ Month n National Recovery Month National Childhood Obesity Awareness Month n National Cholesterol Education Awareness Month n National Food Safety Education Month National Ovarian Cancer Awareness Month n National Menopause Awareness Month n National Preparedness Month National Sickle Cell Disease Awareness Month National Yoga Month n Prostate Health Month Prostate Cancer Awareness Month n Sports and Home Eye Safety Month n Whole Grains Month September 1–7: National Childhood Injury Prevention Week September 9–15: Suicide Prevention Week September 11: National Day of Service and Remembrance September 9–15: National Assisted Living Week September 16–22: National Rehabilitation Week September 19: Backpack Awareness Day September 23–29: Active Aging Week September 26: National Women’s Health and Fitness Day September 29: Family Health and Fitness Day
9/5 BC Connect: A Resource Sharing Forum for Breast Health Professionals 9/13 ICU Liberation Summit 9/20 HCCs for Coders: An In-depth Look Webinar Project ECHO: Sickle Cell Online Breaking the Cycle: Opioid Epidemic — Alternatives to Opioids in Primary Care Online Breaking the Cycle: Opioid Epidemic — Chronic Pain & Safe Opioid Prescribing Best Practices Online Breaking the Cycle: Opioid Epidemic — Considerations of Co-Morbid Mood and Anxiety in Chronic Pain Online Breaking the Cycle: Opioid Epidemic — Neonatal Abstinence Syndrome Online Breaking the Cycle: Opioid Epidemic — Pain Management in the Cancer Patient Online Breaking the Cycle: Opioid Epidemic — Responsible Pain Management in the Emergency Department Online CHS Approach to Sepsis and Infected Patients Requiring Hospitalization Online Heart Failure Patient Education for Primary Care Providers Online High Risk Medications in the Elderly Online Introduction to HCCs for Practice Managers and Physicians Online Medical Genomics 101 Online Protecting Your Patients From Air Pollution Online The Role of the PCP in the Management of Pediatric Obesity (5-2-1-0 Principles) For more information or to register for these courses, call 704-512-6523 or visit www.charlotteahec.org.
Emeritus & EarlyRetired Members Don’t forget to RSVP for the
Welton Society Luncheon Thursday, Sept. 6 n 11:30 a.m. Charlotte Country Club RSVP to Jenny Otto at jotto@meckmed.org.
Mecklenburg Medicine • September 2018 | 7
Feature
Mecklenburg Resilience Symposium: Building Hope for Tomorrow Through Action Today
Friday, Nov.16 • 7:30 a.m.-4 p.m. Friendship Missionary Baptist Church 3400 Beatties Ford Road The American Psychological Association defines resilience as the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress. Resilience is not a trait people either have or do not have. It involves behaviors, thoughts and actions that can be learned and developed in anyone. This full-day symposium will begin with an optional screening of the film “Resilience.” It will be followed by a keynote address focused on understanding the effects of adverse child events and toxic stress on the human body and community. A panel of experts will discuss current programs proven to work along with strategies for implementation. During the afternoon breakout sessions, participants will be encouraged to brainstorm on current practices and creative solutions to address toxic stress and building resilience. In closing, we will reconvene to share highlights from the breakout sessions in an effort to create a roadmap that will lead us to a trauma-informed, resilient community.
Objectives: • Outline the effects of adverse child events and toxic stress • Identify successful resilience programs • Devise a resilience plan of action for the community
Contact: Gabriela Staley at gabriela.staley@atriumhealth.org
Register online at www.charlotteahec.com. Continuing Education Credit will be provided.
Did You Know? MCMS membership for residents and fellows is automatic and free during their training in Mecklenburg County.
Men’s Health:
Colorectal Cancer Update By Sam R. Fulp, MD, Charlotte Gastroenterology & Hepatology
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n considering men’s health needs, colorectal cancer (CRC) screening should be strongly considered in the male population. CRC, in most studies, is second to lung cancer in causing cancer deaths in men in the United States and Western Europe. CRC is second to breast cancer in causing cancer deaths in women. CRC screening generally would be followed for women, as well as men. CRC usually arises from a premalignant polyp (adenoma or serrated polyp). Adenomas have an increased incidence in males compared to females in most studies, although the incidence of CRC in males is relatively equal to that in females. Finding and removing precancerous polyps in the colon has been found to help prevent CRC. Screening for CRC should be considered in all persons between ages 50-75. The American Cancer Society (ACS) recommends colon screening start at age 45. The U.S. Multi-Society Task Force on Colorectal Cancer still recommends starting screening for CRC at age 50. There is little evidence to support changing the average-risk screening age to 45, but the ACS recommendation is probably based on the rising incidence of CRC in people younger than 50. More time is needed to understand how the ACS recommendations will affect CRC screening, since insurance will be unlikely to cover this change in the 45-50 age group in the near future. Symptoms such as rectal bleeding should be aggressively evaluated even in those persons younger than 50. “First-tier” methods for CRC screening include colonoscopy every 10 years and annual fecal immunochemical tests (FIT). “Second-tier” tests for CRC screening include CT colonography every five years, FIT-fecal DNA (Cologuard) every three years, and flexible sigmoidoscopy every five to 10 years. “Third-tier” tests include capsule endoscopy every five years. First-tier methods have the best evidence for efficacy, followed by second and third-tier methods. A colonoscopy should include examination of the entire colon with adequate visualization of the entire colonic mucosa with removal of all polyps and follow-up colonoscopy dependent on the results. Positive tests for screening methods other than colonoscopy generally would be followed by full colonoscopy and removal of all polyps. Discontinuation of screening at age 75 should be considered, particularly in patients who are up to date on colon screening and don’t have a history of premalignant colon polyps. The decision about when to discontinue screening/ surveillance due to advanced age should be individualized. If precancerous colon polyps (adenomas or serrated polyps) are detected, there are guidelines for follow-up colon surveillance based on good quality evidence. If no polyps are found on screening colonoscopy, then follow up in 10 years is recommended. Generally, if one to two premalignant polyps are removed (smaller than 1 cm), then follow-up colonoscopy is recommended in five to 10 years. If three to 10 premalignant polyps are removed, or if any are any greater than 1 cm, then a follow-up colonoscopy is generally recommended in three years. Also, screening colonoscopy is recommended every five years after age 40 in persons with a first-degree relative (sibling, parent, offspring) who developed CRC at or before age 60. Reference: ASGE.org (Guidelines)
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Member News
NEW MEMBERS Charlotte Radiology
700 E. Morehead St. #300, Charlotte, NC 28202 704-334-7800 James X. Chen, MD Diagnostic Radiology Johns Hopkins University, 2012
James M. Essenberg, MD Musculoskeletal Radiology Washington University, 2012
Brian K. Harshman, MD Neuroradiology University of Louisville, 2006 Photo not available.
Bryan M. Hoag, MD Diagnostic Radiology SUNY Upstate Medical University, 2012
In Memoriam Walter L. Grubb, Jr., MD
April 17, 2018 Medical College of Virginia, 1961 Diagnostic Radiology
Pierre W. Martimbeau, MD
June 11, 2018 University of Montreal-Quebec, 1966 Gynecology/Oncology
John A. McGee, Jr., MD
June 25, 2018 University of North Carolina-Chapel Hill, 1958 OB/GYN
Henry H. (Nick) Nicholson, Jr., MD
Election of New Officers and Directors for 2019
Nominations for the election of MCMS directors will be accepted by Sandi Buchanan, executive director, no later than September 15. Email your nomination to sbuchanan@ meckmed.org. Ballots for the election of MCMS officers and directors will be sent in October by email to those members who have an email address on file with the Medical Society office. Those who do not have an email address on file will receive a copy by U.S. mail.
MCMS Awards Grants From the Smith Arthritis Fund By Janice E. Huff, Chair, Smith Arthritis Fund Committee The MCMS Smith Arthritis Fund Committee is pleased to announce two grants totaling $3,000 were awarded in August for programs and studies which benefit, either directly or indirectly, patients who have arthritis. The first grant of $1,500 was awarded to Arthritis Services to provide funding to bring a new evidence-based program entitled Geri-Fit to Mecklenburg County. Geri-Fit, based in California, is a high-level movement and strengthening program. The second $1,500 grant was awarded to the Lupus Foundation of America, Inc., North Carolina Chapter. This grant provides funding to support the 18th Annual NC Lupus Summit to continue its efforts in educating individuals living with lupus in Mecklenburg County. This summit is the largest educational conference on lupus in the state and provides a variety of discussions led by physicians and other experts dedicated to solving the mystery of lupus.
Upcoming Meetings & Events SEPTEMBER
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June 30, 2018 Duke University, 1947 General Surgery
Eugene J. Tom, MD
June 28, 2018 University of North Carolina-Chapel Hill, 1995 Anesthesiology
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Monday, Sept. 3 MCMS office closed for Labor Day Thursday, Sept. 6 Welton Society Fall Luncheon Charlotte Country Club 11:30 a.m. Friday, Sept. 7 Child Health Committee meeting 7:30 a.m. Tuesday, Sept. 11 MedLink meeting Community Care Partners of Greater Mecklenburg 4701 Hedgemore Drive 8:30 a.m. Monday, Sept. 17 MCMS Executive Committee meeting 5:45 p.m.
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Tuesday, Sept. 18 Charlotte Dental Society meeting Myers Park Country Club 6 p.m. Thursday, Sept. 20 CAMGMA meeting Myers Park Baptist Church Cornwell Center Noon Friday, Sept. 21 November/December magazine deadline Monday, Sept. 24 MCMS Board meeting 5:15 p.m.-dinner, 5:45 p.m. meeting Tuesday, Sept. 25 Charlotte Pediatric Society meeting Myers Park Country Club 6 p.m.
Mecklenburg Medicine • September 2018 | 9
At the Hospitals
Ophelia Garmon-Brown, MD, MDiv, Receives Prestigious Order of the Long Leaf Pine Award Ophelia Garmon-Brown, MD, MDiv, chief community wellness and health equity executive for Novant Health, has been awarded the Order of the Long Leaf Pine, the highest honor the state of North Carolina can give a civilian. As a board-certified family physician, Dr. Garmon-Brown has had a profound impact on the lives of the thousands she has cared for in the Charlotte community, her home since 1980. Her career path led her to high-level leadership roles at the former Nalle Clinic and Novant Health, where she has worked for nearly 20 years. Beyond helping those in the Charlotte area, Garmon-Brown traveled the globe as a medical missionary, delivering free care to those in need. Her mission work has taken her to Uganda, South Africa, Guyana, Jamaica and Kenya, where she established a mini-health clinic. Garmon-Brown was the co-founder of the Charlotte Community Health Clinic, the first free clinic in Mecklenburg County to be designated a Federally Qualified Health Clinic. She also is the former medical director of the health clinic at the Salvation Army’s Women and Children’s Shelter; has volunteered at the Charlotte Pregnancy Care Center; and served as the first African-American elected president of the Mecklenburg County Medical Society. She is a member of the Charlotte-Mecklenburg Schools Investment Committee, which announced the ambitious Project L.I.F.T. campaign. She co-chaired the CharlotteMecklenburg Opportunity Task Force, where she helped convene the study of issues related to economic mobility for citizens in Charlotte and also co-chaired the One Charlotte Health Alliance, a partnership which is the first of its kind to address disparities to build a stronger city. n
Lake Norman Oncology Joins Novant Health For nearly 17 years, Lake Norman Oncology has served the local community with quality and personalized cancer therapy and care. Novant Health is delighted to partner n
with them to provide exceptional care in the Lake Norman area at both the Huntersville and Mooresville locations. Richard Krumdieck, MD, is board-certified in internal medicine, hematology and oncology. Dr. Krumdieck is a past president of the North Carolina Oncology Association (NCOA) and has served on the board of the NCOA and on the steering committee of the American Society of Clinical Oncology. David Eagle, MD, also is board-certified in internal medicine, hematology and oncology. He presently serves on the editorial board for the journal Oncology and has published several articles on various topics over the past few years including the oncology medical home model of care. Timothy Kuo, MD, is board-certified in both internal medicine and medical oncology. Dr. Kuo has broad experience in the management of both cancer and blood-related disorders. The Huntersville clinic is at 10030 Gilead Road and the Mooresville clinic is at 170 Medical Park Road. For more information or to refer a patient, call 704-799-3946. Novant Health Welcomes Pediatric Epileptologist Christopher Beatty, MD Novant Health Pediatric Neurology is pleased to welcome Christopher Beatty, MD, a pediatric epileptologist. He will be in the clinic’s main office in the Metroview Building at 1900 Randolph Road, Suite 1010. Dr. Beatty received his medical degree from Case Western Reserve University School of Medicine in Cleveland, Ohio. He went on to complete residencies in pediatrics and child neurology at the University of Washington in Seattle. Beatty is fellowship-trained in clinical neurophysiology and is board-certified in neurology with special qualification in child neurology, clinical neurophysiology and epilepsy. Before joining Novant Health, he was a pediatric epileptologist and an assistant professor at Seattle Children’s Hospital, where he also was medical director of the epilepsy monitoring unit. For more information or to refer a patient, call 704-384-1390. n
Vascular Surgeon Rebecca Kelso, MD, Joins Novant Health Rebecca Kelso, MD, has joined Novant Health Heart and Vascular Institute at 301 n
10 | September 2018 • Mecklenburg Medicine
Hawthorne Lane, Suite 200. Dr. Kelso is a native of Waxhaw. She received her undergraduate degree in chemistry from Wheaton College in Wheaton, Ill., and her medical degree from the University of North Carolina School of Medicine at Chapel Hill. Kelso completed a residency in general surgery and a fellowship in vascular surgery and is skilled in the treatment of peripheral vascular disease, including endovascular therapy and urgent surgery. Before joining Novant Health, Kelso worked at the Cleveland Clinic. She also was an assistant professor at Cleveland Clinic Lerner College of Medicine, where she was actively involved in trainee education for 10 years. She served as the assistant program director for the vascular surgery residency program from 2013 until 2018. For more information or to refer a patient, call 704-316-5100. Neurosciences 2018 Advancing Brain and Spine Care Learn about the latest advances in neurosciences from fellowship-trained neurologists and neurosurgeons who have devoted their careers to the art and science of brain and spine care. Join us October 12-13 at Harris Conference Center, 3216 CPCC Harris Campus Drive, Charlotte, NC 28208. Keynote speaker: Henry S. Friedman, MD, world-renowned adult and pediatric neuro-oncology expert and researcher from Duke Health. Day 1: Stroke care Endovascular stroke management Neuro critical care Telestroke Headaches Day 2: Outpatient neuroscience care Complex spine management Epilepsy management Parkinson’s Disease and movement disorders Sleep health Pediatric neurosurgery Cost: $70 for MD/DO; $50 for PA/NP; and $30 for RN and other clinical professionals. CME credit is available and advanced registration is required. For more information and to register online, visit NovantHealth.org/ Neurosciences2018. n
At the Hospitals
Atrium Health Teams Achieve Magnet® Recognition for Excellent Nursing Care After months of hard work — and years of dedication to the highest standards of nursing — the teams at Atrium Health’s Carolinas Medical Center and its outpatient clinics, Levine Children’s Hospital and Levine Cancer Institute– Charlotte, received news they had attained re-designation from The American Nurses Credentialing Center’s Magnet Recognition Program®. Additionally, the nursing team at Carolinas Medical Center–Mercy received its first designation. The Magnet program distinguishes healthcare organizations that meet rigorous standards for nursing excellence. This credential is the highest national honor for professional nursing practice. Only the top 8 percent, or 475 of the more than 6,000 U.S. healthcare organizations, have received the credential. “This achievement recognizes the high standards of professional practice exhibited by our nurses every day,” says Robert Rose, MS, RN, NEA-BC, vice president and chief nurse executive of Atrium Health’s Central Division, which includes Carolinas Medical Center, Levine Children’s Hospital, Levine Cancer Institute-Charlotte and Carolinas Medical Center–Mercy. “Our repeated achievement of this credential underscores the foundation of excellence and values that drive our entire staff to strive harder each day to meet the healthcare needs of the people we serve.” To achieve initial Magnet recognition, organizations must pass a rigorous and lengthy process that demands widespread participation from leadership and staff. This process includes an electronic application, written patient care documentation, an on-site visit and a review by the Commission on Magnet Recognition. Healthcare organizations must reapply for Magnet recognition every four years. When applying, an organization must provide documented evidence to demonstrate how staff members sustained and improved Magnet concepts, performance and quality over the four-year period since the organization received its initial recognition.
According to a study in the Journal of Quality Nursing Care, Magnet-recognized organizations employ the best-trained and most-qualified nurses. The 2008 study found that job satisfaction, employee retention and patient satisfaction are higher at Magnetrecognized organizations.
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Computerworld Announces Atrium Health as Best Place to Work in IT For the sixth year, IDG’s Computerworld has ranked Atrium Health as one of the best places to work for IT professionals. The Best Places to Work in IT program began in 1994, and each year, 100 organizations receive the honor. Atrium Health was the only healthcare system in North Carolina to be listed. The Best Places to Work in IT list is an annual ranking of the top 100 work environments for technology professionals by Computerworld. The list is compiled based on a comprehensive questionnaire regarding company offerings in categories such as benefits, career development, training and retention. In addition, Computerworld conducts extensive surveys of lT workers, and their responses factor heavily in determining the rankings. “Our 1,000 teammates may not have direct contact with our patients, but they can see through their work how they are helping to improve patients’ lives by giving them access to care where they need it,” says Jonathan Bowers, interim chief information and analytics officer for Atrium Health. “Our team is constantly pushing our technology to be the most effective and accessible at our facilities and for our patients. We couldn’t do that without the great team we have.” “Computerworld’s 2018 Best Places to Work in IT list illustrates that the companies that offer the best working environments aren’t satisfied with rolling out one or two initiatives,” says Ken Mingis, Computerworld executive editor. “They seek an edge in the talent marketplace through a combination of good salaries, great benefits, ready access to training, and the deployment of cutting-edge technologies. They recognize that the top tech talent easily can move to the organization that respects them best, and they are determined to be that organization.” n
Poison Control Launches Chat Service The North Carolina Poison Control Center now offers people who suspect a poisoning another method to contact a poison expert — online chat. n
How does the chat service work? Those who prefer to connect online instead of by phone may visit Carolinas Poison Center’s website, www.NCPoisonCenter.org, and click the red Chat circle to get started. From there, people are quickly connected to a nurse or pharmacist who provides on-the-spot care and advice. In fact, two out of every three cases can be handled right at the site of the chat or call. When is the chat service available and who can use it? The chat service is available 24/7 and can be used to help people of all ages. Does the chat service provide the same support as reaching an expert by phone? Absolutely. The same nurses and pharmacists who answer the phones also answer the chats. In addition, the center is staffed with medical and clinical toxicologists who provide back-up for complex cases. Is the chat service confidential? Anonymous? Yes. Your conversation always is confidential, whether you use the chat service (www. NCPoisonCenter.org) or call by phone (1-800222-1222). Why did the NC Poison Center add a chat option? The new chat service is designed to complement the phone number contact method by offering the convenience and flexibility of online chat, should that be a preferred method of communication. When should you contact the North Carolina Poison Control Center? If you think it’s a poisoning, contact Carolinas Poison Control first to reach a nurse or pharmacist who can give you immediate treatment advice. Poison Control services are available to both clinicians and the public.
COUGH? COUGH
Do you suffer from PERSISTENT or UNEXPLAINED Do you suffer from PERSISTENT OR UNEXPLAINED The VOLCANO-2 Study
Study A clinical researchThe studyVOLCANO-2 for people with
A clinical research study for people with chronic refracto chronic refractory cough.
Be at least 18 years ol
QUALIFIED Qualified participants must Be diagnosed with a c • PARTICIPANTS Be at least 18 years oldMUST cough or an unexplai for at least 1 year • Please Be diagnosed with a chronic cough or an contact Allergy, Asthma & Immunology R unexplained cough for at lefor ast amore year information at Institute
(704) 910-1402 ext. 350 or aairresearch@aairofcha Please contact Allergy, Asthma & Immunology Research Institute for more information at (704) 910-1402 ext. 350 or aairresearch@aairofcharlotte.com
Mecklenburg Medicine • September 2018 | 11
Independent Physicians of the Carolinas
Independent Physicians of the Carolinas is a nonprofit 501(c)(6) membership organization whose mission is to create public awareness of medical doctors not employed by a network or hospital system and to provide educational programs and resources to physician members and their administration. Visit us at IndependentPhysicians.org. Charlotte Skin & Laser is pleased to announce the addition of two nonsurgical women’s health and wellness treatments: Geneveve by Viveve and Femme 360 by BTL. Geneveve by Viveve is a discreet one-time, hour- long procedure used to treat stress urinary incontinence (SUI). It uses clinically-proven cryogen-cooled monopolar radiofrequency (CMRF) to uniformly deliver gentle volumetric heating while cooling delicate surface tissue for patient comfort. Ultra Femme 360 uses controlled heating, as well, to achieve complete feminine rejuvenation including labial remodeling, restoring the vaginal and vulvar areas to a more youthful state. Both techniques require no anesthesia and have no associated downtime. They can be done separate or together for more heightened results. Jason Shultz, MD, with Oncology Specialists of Charlotte (OSC) will be the guest speaker at the LiveLung group meeting on September 11 at 11:30 a.m. at Covenant Presbyterian Church, 1000 E. Morehead St. in Charlotte. The meeting is open to the public; RSVP at LiveLung.org. Join OSC for the inaugural Charlotte ZERO Prostate Run/ Walk 5K on Saturday, Sept. 15, 8:30 a.m., at Toringdon Circle Shopping Center in Ballantyne. Dipika Misra, MD, with OSC was selected as one of eight women in the inaugural group of community leaders — the 2018 “More than Pink Women” representing the mission of Susan G. Komen Charlotte for breast cancer fundraising and awareness. Other prominent persons in Charlotte who are also “More than Pink Women” leaders include reporters Molly Dipika Misra, MD, spoke to a Grantham and Moira Quinn, and Pinku crowd of 200 at the FORE THE CURE golf tournament benefitting Mukherjee, PhD, who conducts breast Komen Charlotte. cancer research in Charlotte. For the third consecutive year, Jason Shultz, MD, with OSC rounded up a team to raise funds for breast cancer in our community at the Fore The Cure golf tournament. The event was spearheaded by OSC’s chemo nurse
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Joanne Monaco. This year’s event surpassed all others with more than $25,000 raised for Susan G. Komen Charlotte. Many healthcare practices made the fundraising possible: Carolina Neurosurgery & Spine, Charlotte Dermatology, Criswell & Criswell Plastic Surgery, Dermatology, Laser & Vein Specialists of the Carolinas, Mecklenburg Dermatology Associates, Queen City Plastic Surgery, Sensenbrenner Primary Jason Shultz, MD, (third from left) with his golf team, JD Care and Southeast Semones,Trent Vaden, and David Dwyer support Komen Charlotte at FORE THE CURE tournament. Radiation Oncology, The Med Spa at Matthews Internal Medicine is offering a new service for women’s health and wellness: stress incontinence is more common than you think. Geneveve is a non-surgical, in-office treatment that increases vaginal tightness for urinary incontinence, increased stimulation and improved moisture. Call 704-899-5038 to learn more today. Premier Cardiovascular Care has new locations at 3535 Randolph Road, Suite 210, Charlotte, NC 28211 and at 11301 Golf Links Drive N., Charlotte, NC 28277. David Smith, MD, and Premier Cardiovascular Care are hosting the “Spirit of the Heart” health fair in Charlotte on October 5-6.
Advertising Acknowledgements The following patrons made Mecklenburg Medicine possible.
Asthma Allergy and Immunology Relief (AAIR) of Charlotte...........11 Atrium Health.........................................................................................15 Carolina Neurosurgery & Spine Associates..........................................3 Charlotte Eye Ear Nose & Throat Associates.................................... 14 Charlotte Radiology...............................................................................14 DJL Clinical Research........................................................................... 14 Flagship Healthcare Properties............................................................ 13 LabCorp..................................................................................Back Cover Monarch...................................................................................................13 Novant Health...........................................................................................2 Oncology Specialists of Charlotte..........................................................4 Southeast Radiation Oncology Group...................................................3
MATTHEWS PROFESSIONAL CENTER 1220 Mann Drive | Mooresville, North Carolina
PROPERTY HIGHLIGHTS • Available For Sale • ± 2,925 SF Free-standing Medical Office Condominium • Former Neurology / Sleep Clinic in impeccable condition • 0.5 mile from Novant Health’s Matthews Medical Center • Less than 1 mile to Independence Blvd and approx. 1.75 miles to I-485 • Asking Price: $650,000 ($222/SF)
TIFFANY SLAYDEN d. 704-971-8906 tiffany@FlagshipHP.com
DEVELOPMENT • CAPITAL SOLUTIONS • ACQUISITIONS • BROKERAGE • ASSET MANAGEMENT • PROPERTY MANAGEMENT • ENGINEERING • CONSULTING Flagship Healthcare Properties is a fully integrated commercial real estate firm committed to healthcare. Flagship has developed over 1.7 million square feet and currently manages over 3 million square feet of healthcare space. The firm invests through and is manager of Flagship Healthcare Trust, a private REIT. 2701 Coltsgate Road, Suite 300 | Charlotte, North Carolina 28211 | 704-442-0222 | www.flagshiphp.com
ONLY 30 PERCENT OF DEPRESSED TEENS ARE BEING TREATED FOR IT. DON’T BOTTLE IT UP. WE’RE HERE TO HELP The State Employees Credit Union (SECU) Youth Crisis Center, a Monarch program, is the first step in life-changing treatment for young people between the ages of 6-17 who are in a mental health or substance use crisis.
MonarchNC.org (844) 263-0050
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Welcome
Jad Jabbour, MD Dr. Jabbour is a boardcertified otolaryngologist who specializes in pediatric ear, nose, and throat care at our SouthPark location. SouthPark 6035 Fairview Road, Charlotte, NC 28210 704.295.3000 | ceenta.com
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FOR THE CAROLINAS
Every day, more than 32,000 people choose us for their healthcare. From the region’s most advanced heart program and cancer institute to a nationally ranked children’s hospital, we remain strong in our commitment – not just to delivering better care, but to delivering the best care. For all. Mecklenburg Medicine • September 2018 | 15
Mecklenburg County Medical Society
PRSRT STD U.S. POSTAGE PAID CHARLOTTE, N.C. PERMIT NO. 1494
1112 Harding Place, #200 Charlotte, NC 28204 CHANGE SERVICE REQUESTED MCMS Mission: To unite, serve and represent our members as advocates for our patients, for the health of the community and for the profession of medicine. Founders of: Bioethics Resource Group, Ltd., Hospitality House of Charlotte, Teen Health Connection, N.C. MedAssist, Physicians Reach Out
LabCorp Laboratory Corporation of America
PATIENT SERVICE CENTERS
Ballantyne Billingsley** Carmel** Cabarrus Charlotte Charlotte** Gastonia Stat Lab Huntersville Huntersville** Lake Norman Matthews Northridge* Pineville Rock Hill Salisbury** Shelby Statesville** University**
… for all of your laboratory testing needs
15830 John Delaney Drive 300 Billingsley Road, Suite 200A 5633 Blakeney Park Drive, Suite 100 478 Copperfield Blvd. 8401 Medical Plaza Dr, Ste 140 1718 E. 4th Street 660 Summitt Crossing, Suite 206 16525 Holly Crest Lane, Suite 250 10030 Gilead Road, Suite B100 134 Medical Park Drive, Suite 102 1500 Matthews Township Parkway, Suite 1147 5031-G West W.T. Harris Blvd. 10410 Park Road, Suite 450 2460 India Hook Road, Suite 101 601 Mocksville Avenue 809 N. Lafayette Street 1710-A Davie Avenue 10320 Mallard Creek Road
*Drug Screens only **Blood Draws only
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Charlotte, NC Charlotte, NC Charlotte, NC Concord, NC Charlotte, NC Charlotte, NC Gastonia, NC Huntersville, NC Huntersville, NC Mooresville, NC Matthews, NC Charlotte, NC Pineville, NC Rock Hill, SC Salisbury, NC Shelby, NC Statesville, NC Charlotte, NC
704-540-0251 704-332-6904 704-542-7061 704-795-2710 704-372-6609 704-372-6609 704-854-9497 704-948-8101 704-875-9130 704-799-6230 704-849-0154 704-598-6266 704-341-1145 803-328-1724 704-637-1676 704-480-7004 704-878-0948 704-549-8647