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July/August 2013 • Vol. 43, No. 7

Mecklenburg Medicine A Publication of the Mecklenburg County Medical Society | www.meckmed.org

Enjoy Healthy Foods From Our Local Markets

Mecklenburg County Medical Society • Mecklenburg Medical Alliance and Endowment Mecklenburg County Medical Society

Founders of: Bioethics Resource Group, Ltd., Hospitality House of Charlotte, Teen Health Connection, N.C. MedAssist, Physicians Reach Out


A specialty clinic for your high cancer risk patients

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2 | July/August 2013 • Mecklenburg Medicine


Contents

Features 8 Fit and Strong! Program at Arthritis Services 10 It’s Summer ... Visit Your Local Farmers Markets!

15 Annual Healthcare Management Symposium in August In This Issue ------------------------------------------------------------------------------------------------------------- 5 President’s Letter: A History Lesson – Part 3 The March of Mecklenburg Medicine 7 MCMS Past Presidents 1903-2013 11 MMAE 14 Member News

OFFICERS Janice E. Huff, MD President James B. Hall, MD President-Elect Simon V. Ward III, MD Secretary Stephen J. Ezzo, MD Treasurer Maeve E. O’Connor, MD Immediate Past President BOARD Members Lloyd L. Bridges, MD Raymond E. Brown, PA Scott L. Furney, MD Harold R. Howe, Jr., MD Scott L. Lindblom, MD A. Miller Wilson Maxwell, MD John P. McBryde, MD Paras H. Mehta, MD Cheryl L. Walker-McGill, MD Thomas N. Zweng, MD Ex-Officio BOARD Members Gretchen Allen President, Mecklenburg Medical Alliance & Endowment Keia V. R. Hewitt, MD President, Charlotte Medical Society Docia E. Hickey, MD NCMS Speaker of the House Stephen R. Keener, MD, MPH Medical Director, Mecklenburg County Health Department Darlyne Menscer, MD NCMS Delegate to the AMA Douglas R. Swanson, MD, FACEP Medical Director, Mecklenburg EMS Agency

14 Upcoming Meetings & Events 16 At the Hospitals 18 National Health Observances for July and August 18 Advertising Acknowledgement

On The Cover Take advantage of all the delicious and nutritious fresh produce the season has to offer. For a list of farmers markets in our area, see page 10.

Mecklenburg County Medical Society

July 2013 Vol. 43 No. 7

1112 Harding Place, #200, Charlotte, NC 28204 704-376-3688 • FAX 704-376-3173 meckmed@meckmed.org Copyright 2013 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. Non-members may subscribe to Mecklenburg Medicine at a cost of $30 per year, or $3.50 per issue, if extra copies are available. 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, call Mark Ethridge at 704-344-1980. 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.

Executive Staff Sandi D. Buchanan Executive Director Trisha G. Herndon Director, Meetings & Special Events Stephanie D. Smith Executive Assistant Mecklenburg Medicine Staff Editor Mark E. Romanoff, MD Managing Editor Sandi D. Buchanan Copy Editor Lee McCracken Advertising Mark Ethridge 704-344-1980 Editorial Board N. Neil Howell, MD Janice E. Huff, MD Jessica Schorr Saxe, MD Graphic Design — Wade Baker

Mecklenburg Medicine • July/August 2013 | 3


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President’s Letter

A History Lesson – Part 3 The March of Mecklenburg Medicine By Janice E. Huff, MD, President

I

admit to a love/hate relationship with my editorial board. All is well when they agree with my manuscript, but when they want to edit, I am baffled by their obtuseness. Are they unable to recognize the polished gem before them? But with the medical history saga, they were correct. In particular, it was the wisdom of Neil Howell, MD, that organized the material into four sections. What follows is a brief history of the hospitals in Mecklenburg County. Much more can be found in the references noted. Part 4 of the series will deal with medical education, which has been going on longer than many of you may know.

Mrs. Jane Wilkes and Charles Fox, MD, founded one of the first hospitals in Charlotte.

During the Civil War, North Carolina had no general hospitals. Nonetheless, Charlotte found itself a final transportation stop for wounded soldiers. In order to care for them, a Wayside Hospital and a Confederate hospital were built, and Charlotte citizens gained their first hands-on experience with large-scale patient care. Mrs. Jane Wilkes, originally from New York, helped found another hospital, along with Charles Fox, MD. The hospital was located in the North Carolina Military Academy building at East Morehead Street and South Boulevard. All three hospitals closed in 1865. After the Civil War, under the leadership of Mrs. Wilkes, and with the help of the Episcopal churches, The Charlotte Home and Hospital was established in 1876 in two rented rooms on East Seventh Street. The city of Charlotte made its first contribution

Charlotte Memorial Hospital opened in 1940 and changed its name to Carolinas Medial Center in 1990. to the hospital in the sum of $200 in 1885. In 1896, a lot was purchased at Sixth and Poplar streets for relocation. The name was changed to St. Peter’s Hospital, it had beds for 20 paying patients and 10 free patients. This was the first North Carolina hospital with an X-ray machine. St. Peter’s continued to function until the opening of Charlotte Memorial Hospital (CMH) in 1940, when all patients and assets were transferred to CMH. The name was changed to Carolinas Medical Center in 1990 (the same year it was designated an “Academic Medical Center Teaching Hospital”), then to Carolinas HealthCare System (CMCMain) in 1996 and now has 874 beds. The first patient admitted to CMH was Sarah Clarkson on October 10, 1940. She underwent an appendectomy performed by E. R. Hipp, Sr., MD. The Charlotte Sanatorium was built at Seventh and Church streets in 1908 and was the finest medical building in this region. It stood for 34 years until the patients and staff moved to CMH in 1942, due to crowding in downtown Charlotte. Encouraged by the success of St. Peter’s Hospital for white patients, Mrs. Wilkes and the women of the Episcopal Churches of Charlotte ventured to build a hospital for African-American patients.

They advertised in a national Episcopal magazine and received donations from all over the country. In 1883, $400 was used to purchase an old school building and a neighboring lot. In December 1888, the cornerstone was laid, and in September 1891, the building was completed with room for 20 patients at a total cost of $4,400. It was the first hospital in America for black patients only. Named The Good Samaritan Hospital of Charlotte, it functioned until 1982. By then, it was owned by CMH and was called Charlotte Community Hospital. While Charlotte Memorial and Mercy Hospital had some beds for AfricanAmerican patients by 1960, the hospital staffs were not integrated until 1963. In 1982, Charlotte Community Hospital was reorganized as a nursing home called The Magnolias (where I saw patients on my geriatric rotation as a resident). In 1990, it was demolished for construction of the Panthers football stadium. In 1897, the Charlotte Medical and Surgical Institute opened as a private forprofit hospital owned by physicians. It

In 1891, the first hospital in America for African-American patients opened in Charlotte.

Mecklenburg Medicine • July/August 2013 | 5


specialized in surgery, and a year later was renamed the Charlotte Private Hospital. Like the other hospitals, it did not admit patients with contagious diseases. In 1903, 10 physicians from the North Carolina Medical College bought the Charlotte Private Hospital for $2,000 and donated it to the city’s Presbyterian churches. This became the teaching hospital for the Medical College and was renamed Presbyterian Hospital in 1903. In 1918, the hospital moved to its current location Presbyterian Hospital got its start in the Elizabeth College building with 100 beds. in 1903. Management and financial support for charity care by the Presbyterian churches was not ideal, and in 1925 reached its nadir when the hospital was sued by hospital supply houses. Student nurses went on strike, the dietitian and superintendent of nurses resigned, the administrator was pursued by lawyers demanding payment for their clients, and the buildings and grounds were advertised for sale to satisfy their mortgages. At that point in time, Presbyterian handled 90 percent of the indigent care in the county. Financial support from the Presbyterian churches and collaboration among physicians, nurses, volunteers and management turned things around. In July 1940, a new Presbyterian Hospital opened with 160 beds and 27 bassinets at a cost of $560,000. By 1972, there were 502 beds. In 1997, Forsyth Medical Center in Winston-

Salem and Presbyterian Hospital merged to form Novant Health. In 2013, the hospital’s name was changed to Novant Health Presbyterian Medical Center and now has 622 beds. In 1906, Mercy Hospital was started by the Sisters of Mercy in Belmont behind the present St. Peter’s Catholic Church on South Tryon Street. It was the first Catholic hospital built in North Carolina. It moved to its present site in 1916. In 1995, it was purchased by Carolinas HealthCare System, renamed CMC-Mercy, Mercy Hospital was the first and now has 185 beds. Catholic hospital in North After the creation of five hospitals in a span Carolina in 1906. of just 30 years, the next three decades saw growth of the established Charlotte hospitals. However, in the middle of the 20th century, the hospital landscape changed again, this time bringing with it a place for education, as well as improved medical care.

References: “The Black Physician in Charlotte, North Carolina (A Historical Review)” by Emery L. Rann, MD “History of Medicine in Mecklenburg County” by Lawrence K. Boggs, MD, 1978 “A History of Medicine and the Medical Society in Mecklenburg County in the Early 20th Century” by Wilson K. Wallace, May 1966 “A History of Medicine in Charlotte-Mecklenburg” from the MCMS Bulletin, January 1993 “History of Mecklenburg County Medicine” by Charles M. Strong, MD, February 1929 “A Great, Public Compassion: The Story of Charlotte Memorial Hospital and Carolinas Medical Center” by Jerry Shinn, 2002

Hickory Radiation Oncologists to Become Employees of Southeast Radiation Oncology Group Southeast Radiation Oncology Group, PA (SERO), a private Charlotte-based physician practice, is pleased to announce the physicians of Hickory Radiation Oncology, PA (HRO) will become employees of SERO, effective July 1. Founded in 1975, SERO has 30 board-eligible or board-certified radiation oncologists and five physician extenders, providing radiation oncology services at 16 hospital and freestanding locations in the Carolinas. SERO offers a wide range of cancer treatments and services to its patients, including external beam radiotherapy, intensity modulated radiotherapy (IMRT), prostate seed implants, MammoSite®, GliaSite®, CyberKnife®, intracavitary and interstitial brachytherapy, stereotactic radiosurgery and radionuclides. It is also involved in a number of clinical trials for new cancer-fighting drugs and devices. HRO, a private radiation oncology practice founded in 1992 as

6 | July/August 2013 • Mecklenburg Medicine

Sigmon Radiation Oncology, has three physicians, Drs. Reggie Sigmon, John delCharco and Shannon Tomlinson, who provide services at Catawba Valley Medical Center and Frye Regional Medical Center, both in Hickory. “We are looking forward to the addition of the Hickory physicians to our group. They are well- known for providing high-quality patient care, with an emphasis on patient safety and satisfaction,” says Robert Fraser, MD, president of SERO. Reggie Sigmon, MD, president of HRO, noted “We feel this is a perfect fit of practice styles and philosophy. Our goal of providing compassionate, quality care will be enhanced by our association with SERO.” For more information, contact Paul Williams, SERO administrator, at 704-333-7376.


110 YEARS!

MCMS PAST PRESIDENTS Henry Q. Alexander Henry Q. Alexander L. W. Hunter W. W. Pharr John R. Irwin C. A. Misenheimer Annie Alexander Andrew J. Crowell A. M. Whisnant T. F. Costner Walter O. Nisbet C. E. Walker J. H. Tucker Calvin S. McLaughlin, Sr. James P. Matheson B. J. Witherspoon Brodie C. Nalle, Sr. Charles M. Strong John P. Munroe Leighton W. Hovis John C. Montgomery John Q. Myers Parks M. King Robert F. Leinbach John P. Kennedy Simril M. Henderson J. De Armon Lucius G. Gage, Sr. James M. Northington H. R. Thompson C. N. Peeler John S. Gaul, Sr. Robert L. Gibbon, Jr. Hamilton W. McKay, Sr. Joseph A. Elliott, Sr. William Allan Henry L. Sloan, Sr.

1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939

Robert T. Ferguson Thomas D. Sparrow W. J. Wannamaker Thomas C. Bost Oren Moore Claude B. Squires John R. Ashe, Sr. Luther W. Kelly, Sr. J. Lester Ranson, Sr. V. K. Hart Roy B. McKnight Monroe T. Gilmour Edward R. Hipp, Sr. David G. Welton Elias S. Faison W. Z. Bradford, Sr. Thomas W. Baker M. B. Bethel Charles L. Stuckey James E. Hemphill Ernest W. Franklin, Jr. Philip Naumoff Marvin Lymberis Joe M. Van Hoy John P. Harloe Chalmers R. Carr John H. E. Woltz W. Lester Brooks William H. Pettus William T. Raby Lawrence K. Boggs James B. Greenwood, Jr. Henry H. Nicholson, Jr. David S. Citron Julian S. Albergotti, Jr. J. David Stratton Fred H. Taylor

1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976

Hoke S. Nash, Jr. Hugh D. Verner Thomas L. Dulin Robert S. Lackey J. Dewey Dorsett, Jr. John W. Foust Angus M. McBryde, Jr. Robert B. Payne Andrew W. Walker Robert E. Miller Luther W. Kelly, Jr. Jared N. Schwartz Jonnie H. McLeod George C. Barrett Kenneth E. Wood Patrick Box C. Raymond Fernandez Dallas C. Craven N. Neil Howell Darlyne Menscer Charles B. Rich, Jr. Michael F. Miltich W. Stuart Tucker, Jr. Dale R. Shaw John T. Klimas Carolyn E. Hart Harry A. Gallis T. Hayes Woollen, Jr. William A. Walker Mark E. Romanoff Docia E. Hickey Katherine J. Pierce William K. Poston, Jr. Ophelia E. Garmon-Brown Robert W. Schafermeyer Maeve E. O’Connor

1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012

Mecklenburg Medicine • July/August 2013 | 7


Feature

Fit and Strong! Program at Arthritis Services By Cynthia Berrier, RN, BSN, Executive Director, Arthritis Services

M

ecklenburg County Medical Society (MCMS) awarded a grant from the Smith Arthritis Fund to Arthritis Services in August 2012 to provide persons with arthritis and related conditions in our community access to the nationally-recognized evidencebased Fit and Strong! program. Jennifer Watson, licensed physical therapist with Arthritis Services, is nationally certified to teach the eight-week comprehensive program developed at the Center for Research on Health and Aging at the University of Illinois. Watson is being recruited to become a national trainer of this program.

Developed by Rachel Seymour, PhD, the Fit and Strong! program is a physical activity and behavioral change intervention used for older adults who have lower extremity joint pain and stiffness related to osteoarthritis. The program includes intensive problemsolving, designed to encourage symptom management and build confidence in exercise as a necessary part of treatment. Setting goals are stressed throughout the program, building toward a physical activity lifestyle of exercising three times per week for one hour each time. Each of the three class/week sessions involves all essential elements of a safe exercise program, along with education lectures on applicable health education topics. Using the funds awarded to us from MCMS, we began recruiting people to participate in the program. We marketed the program at the Levine Senior Center and recruited 16 people. Pre-testing was completed using the standardized required forms provided to us by the University of Illinois. Data was input before and after the eight weeks onto the Fit and Strong! website as a requirement for use of the program. Over the first two weeks, two persons had to leave the program due to medical reasons. Fourteen persons attended three times per week for the remaining six weeks. At the completion of the program, the following improvements were recorded:

Arthritis Services offers an array of self-help services in this community for persons who deal with the demands of having a chronic illness.

8 | July/August 2013 • Mecklenburg Medicine

• 71 percent experienced decreased pain with functional activities • 43 percent experienced a decrease in joint stiffness • 36 percent experienced a decrease in how often they had to take pain medication • 79 percent experienced an increase in energy on a daily basis • 86 percent experienced increased confidence in their ability to perform exercise • 86 percent experienced an increase in their physical activity intensity levels 100 percent of participants agreed or strongly agreed to the following questions: • The exercises progressed at an appropriate pace for me. • The health topics helped me understand my arthritis. • The group discussion helped me understand how exercise can improve my life and arthritis. • I can do the Fit and Strong! exercises on my own. • I would recommend Fit and Strong! to my friends and family. 100 percent of participants rated their overall reaction to Fit and Strong! as Excellent or Good. 93 percent of participants rated they physically felt Excellent or Good after completing the class series. 100 percent of participants felt the Fit and Strong! classes were worth their time. What changes have you noticed in your health since participating in Fit and Strong!? (Summary of responses below): Increased endurance; decreased pain; decreased leg cramps; improved sleep; more physically active and positive; increased strength and flexibility; decreased stiffness; able to enter/exit car without difficulty; increase in ability to go up/down stairs without pain; increase in ability to carry out day-to-day activities with increased confidence; makes me feel younger; stronger legs; decreased shoulder pain; increased ability to turn head each way; less pain in knees/feet during function; according to MD, I am in excellent condition; can walk longer; overall feel much better; better understanding of needs for my body as an older person; can adapt and be active; left side of my body getting stronger; legs stronger to climb steps into home. For nearly 36 years, Arthritis Services has offered an array of self-help services in this community for persons who deal with the demands of having a chronic illness on


a day-to-day basis. This is not easy for these individuals. Sometimes the help comes through a consultation with a nurse on the phone, sometimes it is with knowledge imparted in a group session with a physical therapist, and at other times it is just the listening ear of another person who also has pain. What began as a small support group initiative in 1977, Arthritis Services currently serves more than 3,000 persons annually and is the founder of The Community Arthritis Project. This collaborative effort with the Department of Social Services, Older Adult Division, transports professional services into areas of this community that quite often are underserved. We do all this to ensure that those with the most need, and quite often the least resources, do not miss out on solid self-management strategies that can make a huge difference in pain perception, physical fitness, self-efficacy and activities of daily living. We have felt privileged to be awarded grants from the Carolyn Kirkpatrick Smith Arthritis Fund for many years. Our projects have provided directservice opportunities for persons with arthritis right here in our community and have afforded the opportunity to study their effectiveness among arthritis sufferers. Thank you, MCMS, for entrusting the grants from the Smith Arthritis Fund to our organization. We continue to pledge good stewardship. Arthritis Patient Services, dba Arthritis Services, is at 500 E. Morehead St., Suite 320, and can be reached at 704-331-4878. For more information, visit www.arthritisservices.org.

The Smith Arthritis Fund

Jennifer Watson, MPT, leads the group in the Fit and Strong! program. The Older Americans Act Title III Disease Prevention Health Promotion funding, disseminated through the Centralina Council of Governments Area Agency on Aging, allowed Watson to receive training to become a certified instructor for the Fit and Strong! program.

The Smith Arthritis Fund was established in 1979 when Carolyn Kirkpatrick Smith donated $41,500 for arthritis research. This fund is administered through the Mecklenburg County Medical Society. The fund is designed to support research projects as they relate to the needs of patients suffering from rheumatic diseases. Each year, the Smith Arthritis Fund Committee accepts grant applications and administers funds. Contact the Medical Society office for more information.

Mecklenburg Medicine • July/August 2013 | 9


Feature

It’s Summer ...

Visit Your Local Farmers Markets!

7th Street Public Market

224 E. Seventh St., Charlotte 704-230-4346 • www.7thstreetpublicmarket.com Atherton Mill and Market

2014 South Blvd., Charlotte 803-744-6741 The Bradford Store

15915 Davidson Concord Road, Huntersville 704-439-4303 • www.thebradfordstore.com Charlotte Regional Farmers Market

1801 Yorkmont Road, Charlotte 704-357-1269 Davidson Farmers Market

120 S. Main St., Davidson 704-400-0880 • www.davidsonfarmersmarket.org Elizabeth Avenue Farmers Market

1521 Elizabeth Avenue, Charlotte 704-333-3396 Hodges Farm and Pumpkin Patch

3900 Rocky River Road, Charlotte 704-608-8897 • www.hodgesfarmnc.com Huntersville Farmers Market

103 Maxwell St., Huntersville 704-766-2220

Kings Drive Farmers Market

938 S. Kings Drive, Charlotte 704-332-6366 Matthews Community Farmers Market

N. Trade St., Matthews 704-821-6430 • www.matthewsfarmersmarket.com Mecklenburg County Market

1515 Harding Place, Charlotte www.mecklenburgcountymarket.com Meeting Street Market at Cedar Walk

Elon Park Elementary School 11425 Ardrey Kell Road, Charlotte 704-287-6181 • meetingstreetmarket.com Mint Hill Farmers Market

Carl J. McEwen Historic Village 7601 Matthews-Mint Hill Road, Mint Hill 704-537-0726 Newell Farmers Market

1704 Rocky River Road, Charlotte 704-578-1415 • newellfarmersmarket.com North Mecklenburg Farmers Market

700 N. Tryon St., Charlotte 704-336-2561

10 | July/August 2013 • Mecklenburg Medicine

Pineville Downtown Farmers Market

300 Main St., Pineville 704-889-2291 The Neighborhood Farmers Market

2845 Beatties Ford Road, Charlotte Charlotte, NC 28216 Novant Health Presbyterian Medical Center Farmers Market

200 Hawthorne Lane, Charlotte 704-384-4000 Novant Health Presbyterian Medical Center Matthews Farmers Market

1500 Matthews Township Parkway, Matthews 704-384-6500 Providence Produce Market

10636 Providence Road, Charlotte 11252 Lawyers Road, Mint Hill 3116 Old Monroe Road, Matthews 1316 Providence Road South, Waxhaw 704-821-6069 • www.providenceproduce.com Shamrock Farmers Market

1501 Eastway Drive, Charlotte Wedgewood Farmers Market

Madison Park Neighborhood 4800 Wedgewood Drive, Charlotte 704-560-0667


MMAE

Dear Friends,

30th We are celebrating the w year on a high note. ne its of the ing ing ter nd en is fou t en ary of the Alliance & Endowm ebrate the 80th annivers cel ll wi we , Mecklenburg Medical 14 20 In t. ing of our Endowmen anniversary of the found w MMAE. Society Auxiliary — no Mecklenburg Medical ers are: officers and Board memb VanDerVeer As of June 1, our new VP Civic Affairs: Gail Louise Hanford njamin, Patsy Reames, Be is Lo ip: rsh be en em All M n VP yn Gaskin President: Gretche nts: Linda Kramer, Carol me rse sbu Di d rd an ts Wa y an VP Gr President-Elect: Sherr Paula Reutlinger en Haggstrom ing and Development: ure nn Ma Pla , y: air tar Ch cre Se ng rdi Reco Hayes y: Jackie Palmer Parliamentarian: Genie Corresponding Secretar rf idges ha Br Sc y an mm Jo Ta , lliford Past President: VP Programs: Becky Wi ley gh Hi en nt: Maure VP Financial Developme Nichols ce Ali VP Health Projects: r members and exciting meetings for ou er oth d an on he nc Lu Health our annual Community Plans are developing for th you soon. wi se the g ward to sharin for k loo e W . ity un mm the co

With best regards. ent id es r p , en ll A en h c et r G

10310 Mallard Creek Road

Mallard Crossing Medical Park 10310 and 10320 Mallard Creek Road Charlotte, NC (University Area)

10320 Mallard Creek Road

• Newly renovated common lobbies - Summer 2013 completion • 2nd Generation medical space ranging from 1200-2500 SF • Custom designed suites from 2500-3500 SF • Generous improvement allowances • Competitive lease rates For more information, contact:

Tiffany Slayden

Healthcare Real Estate Specialists

2701 Coltsgate Road | Suite 300 | Charlotte, NC 28211 www.brackettflagship.com

704-971-8905

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Mecklenburg Medicine • July/August 2013 | 11


MedLink advocates for improved access to care in Mecklenburg County through education, communication and collaboration among service providers. MedLink members meet the second Tuesday of every month at 8:30 a.m. at the MCMS office. For more information, visit medlinkofmecklenburg.org. Member Agencies Ada Jenkins Center Anuvia Prevention & Recovery Center Care Ring Carolinas HealthCare System Centro de Salud Betesda

Charlotte Community Health Clinic C.W. Williams Community Health Center Hospice & Palliative Care Charlotte Region Lake Norman Community Health Clinic Matthews Free Medical Clinic

12 | July/August 2013 • Mecklenburg Medicine

Mecklenburg County Health Department Mecklenburg County Medical Society Novant Health NC MedAssist Shelter Health Services


Womens Physicians Section

Mecklenburg County Medical Society

Save the date for

Fighting for Women with Fashion A Fall Fashion Presentation by Nordstrom Tuesday, Oct. 1, 2013, 6 p.m.-9 p.m. Foundation for the Carolinas | 220 N. Tryon St. Tickets available in August at www.meckmed.org | For more info, call 704-376-3688 Hosted by the Charlotte Women’s Bar and the Mecklenburg County Medical Society Women Physicians Section Proceeds benefit the Safe Alliance Clyde and Ethel Dickson Domestic Violence Shelter

Affordable pricing for your patients at all income levels Charlotte Speech and Hearing Center is the only hearing center in this area that provides discounts based on income levels. It is our mission to provide affordable hearing healthcare for those in need. We have been serving the Charlotte area since 1967 and offer:

• Full diagnostic evaluations for • children and adults • Advanced Hearing Aid Technology • including Completely in the Canal Aids • Central Auditory Processing Services

Comfort, compassion, and peace of mind. That’s what we can promise your patients. Once you’ve made the decision to refer to hospice, the next choice is easy. Choose the hospice that makes your patients a priority. Choose us.

Nancy J. McKeown, Au.D., Board Certified in Audiology 741 Kenilworth Avenue, Suite 100, Charlotte NC 28204

704.523.8027 - Ext. 10

www.charlottespeechhearing.com

704.375.0100

hpccr.org

Mecklenburg Medicine • July/August 2013 | 13


Member News

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 Carolinas HealthCare Post Acute Care Services

Open to all Emeritus members of the Mecklenburg County Medical Society and their guest(s).

MCMS

Membership Directory If you would like to purchase a copy of the 2013 MCMS Membership Pictorial Directory, call our office at 704-376-3688.

Going green First step: Opt out of the printed version of Mecklenburg Medicine Magazine Each issue is posted to the MCMS website in an interactive format. OPT OUT of the printed version and enjoy all articles and information online at www.meckmed.org. To opt out, email us at meckmed@meckmed.org. Include your name as it appears on the mailing label and the words “opt out”.

Thank you! 14 | July/August 2013 • Mecklenburg Medicine

Upcoming Meetings & Events Meetings are at the MCMS office unless otherwise noted.

JULY Note: No MMAE Board meeting. No CAMGM meeting. n Thursday, July 4 MCMS office closed for Independence Day. n Tuesday, July 9 MedLink meeting. 8:30 a.m. n Monday, July 15 MCMS Executive Committee meeting. 5:45 p.m. n Friday, July 19 Child Health Committee meeting. 7:30 a.m. n Monday, July 22 September magazine deadline. n Monday, July 22 MCMS Board meeting. 5:30 p.m. n Tuesday, July 23 WPS Fighting for Women with Fashion Planning Committee meeting. Safe Alliance office, 601 E. Fifth St. 6 p.m.

AUGUST Note: No MCMS Board meeting. No CAMGM meeting. n Tuesday, Aug. 13 MedLink meeting. 8:30 a.m. n Tuesday, Aug. 13 WPS Fighting for Women with Fashion Planning Committee meeting. Safe Alliance office, 601 E. Fifth St. 6 p.m. n Thursday, Aug. 15 Managers Healthcare Symposium. Harris Conference Center. 8 a.m.-4 p.m. n Sunday-Friday, Aug. 18-23 37th Annual NCAPA Summer Conference. Kinston Plantation, Myrtle Beach. n Thursday, Aug. 22 October magazine deadline. n Tuesday, Aug. 27 WPS Fighting for Women with Fashion Planning Committee meeting. Safe Alliance office, 601 E. Fifth St. 6 p.m. n Monday, Aug. 19 MCMS Executive Committee meeting. 5:45 p.m. n Thursday, Aug. 22 October magazine deadline.


Annual Healthcare Management Symposium in August By David White, MBA, CMPE

We invite all medical group managers, medical staff and physicians to attend the annual Healthcare Management Symposium in August. Mecklenburg County Medical Society (MCMS), in cooperation with the Charlotte Area Medical Group Managers (CAMGM) and the Professional Association of Health Care Office Managers (PAHCOM), will hold the annual symposium on Thursday, Aug. 15, at the Harris Conference Center at CPCC West. Our lunch sponsor this year is Mag Mutual Insurance Company. Breakfast sponsor is NCBT. Break sponsors include Carolina Office Solutions, Charlotte Speech & Hearing Center, Wells Fargo Bank and Prince Parker & Associates. We enjoy good vendor participation David White and thank them for their support. A crowd favorite, we always have sponsor prize drawings in the general meeting area near the end of the day’s events. Committed sponsors thus far are Care Cloud, Gentiva, Integra Staffing, Southeastern Institute and United Transcription. The all-day meeting will include major talks on the latest in employment law, legislation, and risk issues. Speakers include Kenny Colbert (president, The Employers Association), Conor Brockett (associate general counsel, North Carolina Medical Society) and David Sousa (counsel, Medical Mutual Insurance Company of NC). Schedule: Starts at 8 a.m.; Lunch at noon; Ends at 4–5 p.m. Cost: $125, payable by check to MCMS or VISA/ MasterCard sent by secure fax to 704-376-3173 or online at meckmed.org under Calendar of Events Attendance at past conferences has ranged from 50 to 100 people. All medical group managers, staff and physicians are welcome. You need not be a member of any of the sponsoring organizations to attend. David W. White, MBA, CMPE is the CAMGM Secretary/ Membership Chair and the MCMS Legislative Committee Chair. He can be contacted at dwhite@carolina.rr.com or by phone at 704- 617-1100. To learn more, visit dwhitegroup.com.

Save the

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Date! 2013 Healthcare Management Symposium Thursday, Aug. 15 8 a.m.-4 p.m. Harris Conference Center 3216 CPCC Harris Campus Drive, Charlotte Cost: $125 per person Presented by:

Mecklenburg County Medical Society Charlotte Area Medical Group Managers Professional Association of Health Care Office Management Confirmed speakers, to date:

Conor Brockett, Dept. of Government Affairs and Health Policy, North Carolina Medical Society Kenny Colbert, The Employers Association David Sousa, Medical Mutual Insurance of North Carolina

Vendor Opportunities Tabletop Exhibit ($350) includes draped tabletop with two chairs, acknowledgement signage and recognition on program material, MCMS website and publications. For more information, call MCMS at 704-376-3688.

Congratulations … the following practices have paid 2013 annual dues for all eligible physicians in their practice:

Novant Health Dilworth Pediatrics Novant Health Maternal & Fetal Medicine Mecklenburg Medicine • July/August 2013 | 15


At the Hospitals

Novant Health Introduces Cancer Risk Clinic Novant Health recently introduced a multidisciplinary clinic specially designed for men and women at high risk to develop cancer. The Novant Health Cancer Risk Clinic focuses on prevention and education. Patients leave with an individualized plan of care, including strategies to reduce their lifetime risk to develop the disease. Every patient referred to the clinic meets with a genetic counselor in advance of his or her visit for a review of family history and to determine if testing is indicated. Services provided may include a review of imaging, clinical exam, physician consultation, consideration for clinical trials, lifestyle recommendations, follow-up screening guidelines and plan of care recommendations. The Cancer Risk Clinic provides a forum for physician experts to work across disciplines to provide the best preventive care for patients at high risk to develop these cancers — breast, ovarian, uterine, colon, pancreatic, prostrate and melanoma. Led by surgical oncologist Ilan Avin, MD, the clinic is held weekly at Novant Health Presbyterian Medical Center. Call 704-384-5373 to make a referral. Learn more at www.novanthealth.org/cancerrisk.

Two Physicians Join Presbyterian Neurology Center Presbyterian Neurology Center, a comprehensive neurology clinic with locations in Charlotte and Matthews, welcomes two new physicians. Mausumi Lidogoster, MD, completed her neurology residency and a fellowship in clinical neurophysiology/EMG at New York University Medical Center. She earned her medical degree at New York Medical College in Valhalla, N.Y. Lidogoster will care for patients at the practice’s Matthews office at 1401 Matthews Township Parkway, Suite 212. She can be reached at 704-316-9001. Shankar Perumal, MD, is an epilepsy specialist who is returning to Presbyterian Neurology Center. Perumal completed a fellowship in epilepsy and clinical neurophysiology at Wake Forest University Baptist Medical Center in Winston-Salem. He completed his residency at Albany Medical Center in Albany, N.Y., and earned his medical degree from Upstate Medical University in Syracuse. Perumal has advanced training in epilepsy, including epilepsy monitoring, and will care for patients at the practice’s Charlotte office at 1918 Randolph Road, Suite 400. He can be reached at 704-384-9437. To learn more about Presbyterian Neurology Center, visit www.presbyterianneurology.org.

Novant Health Charlotte-Area Cardiology Practices Unite as Novant Health Heart & Vascular Institute Hawthorne Cardiothoracic & Vascular Surgeons, Mid Carolina Cardiology, Presbyterian Novant Heart & Wellness and Presbyterian Pediatric Cardiology are now Novant Health Heart & Vascular Institute. The practices and their 46 doctors offer a range of cardiac services from prevention to non-surgical and surgical treatment. Under the new unified name, patients will better recognize that the practices and doctors are connected. Offices will maintain their current locations and telephone numbers, and will accept the same insurance plans. Presbyterian Cardiovascular Institute also has been renamed the Novant Health Heart & Vascular Institute.

Charlotte Colon and Rectal Surgery Associates Joins Novant Health Charlotte Colon and Rectal Surgery Associates has joined Novant Health. The practice is at 2015 Randolph Road. Charlotte Colon and Rectal Surgery Associates provides comprehensive evaluation and treatment of colon and anorectal conditions. The practice offers colorectal Robert Stevens, MD cancer screening and diagnosis and a wide range of both surgical and non-surgical treatment options. As one of the region’s only groups of board-certified colon and rectal surgeons, the surgical team is uniquely qualified to provide prompt and responsive care for urgent or routine colon and rectal problems.

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The practice recently welcomed Robert L. Stevens, MD, who brings years of experience and is board-certified in colon and rectal surgery. A graduate of Bob Jones University, he earned his medical degree from the University of Connecticut School of Medicine and completed his general surgery residency at Carolinas Medical Center. Stevens completed a colon and rectal surgery fellowship at the Colon and Rectal Clinic of Orlando in Florida. To refer a patient, call 704-333-1259. For more information on Charlotte Colon and Rectal Surgery Associates or other services within the Novant Health network, call 704-384-CARE (2273). Novant Health Pulmonary and Critical Care Opens Two Satellite Locations Novant Health Pulmonary and Critical Care has opened two satellite locations: • 2000 Wellness Blvd., Suite 130, Monroe • 5933 Blakeney Park Drive, Suite 101, Charlotte Novant Health Pulmonary and Critical Care provides comprehensive consultation, diagnostic treatment and management services for an array of pulmonary diseases and conditions, such as asthma, emphysema, chronic bronchitis, obstructive sleep apnea, occupational lung disease, pneumonia, lung cancer, pulmonary hypertension and other disorders affecting the respiratory tract. To refer a patient, call 704-384-9900. n

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Novant Health South Charlotte Endocrinology Physician Named Fellow of the American College of Endocrinology Kanakasabai Narasimhan, MD, of Novant Health South Charlotte Endocrinology, recently was inducted as a Fellow of the American College of Endocrinology (FACE). This designation means an endocrinologist has achieved a level of training and experience Kanakasabai Narasimhan, MD consistent with the high standards established and adopted by the clinical endocrinology specialty. To refer a patient, call 704-316-2930. n


At the Hospitals

Dr. Michael Haake Performs a First-In-World Treatment on Prostate Cancer Patient The Carolinas HealthCare System Levine Cancer Institute’s radiation oncology team, led by Michael Haake, MD, was the first in the world to use new technology for advanced high-dose-rate, ultrasound-guided brachytherapy treatment for prostate cancer that drastically reduces recovery time and enables patients to walk out of the hospital just hours after receiving treatment. HDR brachytherapy involves delivering radiotherapy from inside the body by temporarily placing a tiny radioactive source directly into the tumor or other targeted area. Using a robotic device called an afterloader, physicians place the radioactive source into position through needles that have been inserted into the area being treated. The source is then moved within the needles under computer control to create the specified dose distribution within the patient’s anatomy. Plans for this type of treatment can be created in a real-time environment, using ultrasound images generated in the operating room rather than CT scans generated postoperatively elsewhere. This avoids the need to move the patient to a CT scanner for imaging after the needles have been put in place. “From a practical point of view, this type of technology enables us to monitor the location of the implant needle tips better in real time, which then allows us to actually leave the procedure room with a great treatment plan,” says Dr. Haake. n

New Virtual Critical Care Command Center Open Carolinas HealthCare System (CHS) launched an innovative technology center to provide an extra level of clinical expertise for critically ill or injured patients. The Virtual Critical Care Command Center in Mint Hill opened this spring. It is staffed with physician and nurse critical care specialists to monitor patients in critical care units across the Carolinas. “This new department does not replace physicians and nurses at the bedside, but

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provides an additional group of clinical experts to closely watch and review the vital functions of those patients,” says James McDeavitt, MD, chief academic officer for CHS. Two-way audio/video connectivity from the Virtual Critical Care Command Center, plus clinical monitoring of each patient’s vital signs, helps establish standards and coordinates critical care while providing an additional layer of safety for patients. The initial phase includes 120 critical care beds at Carolinas Medical Center-Mercy, Carolinas Medical Center-Pineville, Carolinas Medical Center-University, Carolinas Medical CenterLincoln, Carolinas Medical Center-Union, Cleveland Regional Medical Center in Shelby and Stanly Regional Medical Center in Albemarle. Renowned Pediatric Surgeon Joins Carolinas HealthCare System Anthony Stallion, MD, recently joined Carolinas Healthcare System as the chief of pediatric surgery and works throughout the System, including Levine Children’s Hospital and Jeff Gordon Children’s Hospital. Stallion previously was at the Cleveland Clinic and is a recognized leader in pediatric surgery, being named to the 2013 National Best Doctors in America list. Stallion spent the past 12 years as a staff surgeon at Cleveland Clinic Children’s Hospital and was an associate professor of surgery at the Cleveland Clinic Lerner College of Medicine. A three-year member of the American College of Surgeon’s National Committee on Trauma and a former associate and interim director of a level I pediatric trauma center, Stallion is a leading expert on pediatric trauma. A board-certified surgeon in both general and pediatric surgery, Stallion’s clinical interests include minimally invasive surgery, inflammatory bowel

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disease, colorectal disease, Hirschsprung’s Disease, surgical repair of congenital anomalies and care of patients with solid tumors. Stallion’s research has included systemic and intestinal inflammation and multisystem organ failure. Stallion earned his medical degree from the University of Michigan Medical School in 1987 before serving a general surgical residency at the University of Cincinnati Hospital. He completed pediatric surgery fellowships at Children’s Hospital Medical Center in Cincinnati and Children’s Hospital of Michigan in Detroit. He is a member of a wide variety of professional organizations, including the American College of Surgeons, the American Pediatric Surgical Association, the American Academy of Pediatrics, the Society of Laparoendoscopic Surgeons, the Children’s Oncology Group, the Society of Black Academic Surgeons and Alpha Omega Alpha. Specialty Pediatric Unit Continues to Grow Doctors and staff at Carolinas HealthCare System’s Developmental and Behavioral Pediatrics of the Carolinas are taking an active role to help educate primary care doctors all over the region on appropriate care for children with behavioral needs. The team provides educational materials to primary care doctors, sets up phone conversations to explain certain conditions, and invites primary care doctors to come by their offices and shadow Joseph Stegman, MD, and his team. Dr. Stegman began Developmental and Behavioral Pediatrics of the Carolinas in 2001, with offices in Charlotte and Concord. Early in his career, Stegman cultivated a special interest in children with these conditions, especially those with attention deficit disorders. The Concord office is a full development center, and it includes a pediatric rehabilitation team. A PhD psychologist and a therapist are on staff to work with patients who have specific disabilities. The staff now also includes a boardcertified developmental and behavioral specialist, physician assistant and a nurse practitioner. Last August, Yasmin Senturias, MD, joined the team to help raise awareness on the dangers of fetal alcohol syndrome.

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Advertising Acknowledgement The following patrons made Mecklenburg Medicine possible.

Brackett Flagship Properties.....................................11 Carolinas HealthCare System..................................19 Charlotte Eye, Ear, Nose & Throat Associates.........4 Charlotte Radiology..................................................18 Charlotte Speech & Hearing Center........................13 Hospice & Palliative Care Charlotte Region..........13 LabCorp.....................................................Back Cover Novant Health..............................................................2 Prince Parker & Associates, Inc.................................4 Randolph Audiology & Hearing Aid Clinic.............4

National Health & Wellness Observances JULY 2013 Eye Injury Prevention Month Hemochromatosis Screening and Awareness Month International Group B Strep Awareness Month Juvenile Arthritis Awareness Month UV Safety Month n July 28 World Hepatitis Day

AUGUST 2013 Cataract Awareness Month Children’s Eye Health and Safety Month Medic Alert Awareness Month National Immunization Awareness Month Psoriasis Awareness Month Spinal Muscular Atrophy Awareness Month n August 1 National Minority Donor Awareness Day n August 1–6 World Breastfeeding Week n August 6 National Night Out

18 | July/August 2013 • Mecklenburg Medicine


Medicine’s greatest minds and ideas are out there. When we bring them together, we all live better.

That’s the power of One.

Carolinas HealthCare System CarolinasHealthCare.org

Mecklenburg Medicine • July/August 2013 | 19


Mecklenburg County Medical Society 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.

LabCorp [1/2H]

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PRSRT STD U.S. POSTAGE PAID CHARLOTTE, N.C. PERMIT NO. 1494


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