November/December 2016 â€˘ Vol. 46, No. 10
Mecklenburg Medicine A Publication of the Mecklenburg County Medical Society | www.meckmed.org
2016 HOLIDAY HOUSE
r o f e m o H e Com The Holidays! November 4-6
Mecklenburg Medical Alliance & Endowment
22nd HOLIDAY SHOW HOUSE
Mecklenburg County Medical Society facebook.com/meckmed
Mecklenburg County Medical Society Foundation @meckmedsociety
We’re We’re changing changing the the landscape landscape of of neuroscience neuroscience care care in in our our community community Novant Health stroke and neurosciences is adding 15 new physicians in neurosurgery, neurology Novant Health stroke and neurosciences is adding 15 new physicians in neurosurgery, neurology and neurointensive care. Your patients now have expanded access to expert care and the and neurointensive care. Your patients now have expanded access to expert care and the benefit of multi-subspecialty providers skilled in the latest therapies and treatments for brain, benefit of multi-subspecialty providers skilled in the latest therapies and treatments for brain, vascular and spine conditions, as well as multiple sclerosis, Parkinson’s disease, movement vascular and spine conditions, as well as multiple sclerosis, Parkinson’s disease, movement disorders, epilepsy and more. At Novant Health, we’re saving lives and improving outcomes. disorders, epilepsy and more. At Novant Health, we’re saving lives and improving outcomes. Novant Health Novant Health Neurosurgery Specialists Neurosurgery Specialists Charlotte • 704-316-3070 Charlotte • 704-316-3070 Josh Billingsley, MD Josh Billingsley, MD Eric Eskioglu, MD Eric Eskioglu, MD Ziad Hage, MD Ziad Hage, MD Jenny Orning, MD Jenny Orning, MD Novant Health Novant Health Northlake Neurology Northlake Neurology Huntersville • 704-316-5388 Huntersville • 704-316-5388 Edward Robles, MD Edward Robles, MD
Novant Health Novant Health Neurology Specialists Neurology Specialists Charlotte • 704-384-9437 Charlotte • 704-384-9437 Matthews • 704-316-9001 Matthews • 704-316-9001 Ebinita Arhebamen, MD Ebinita Arhebamen, MD James Battista, MD James Battista, MD Max Carraro, MD Max Carraro, MD Ana Messler, PhD Ana Messler, PhD Deepika Shangula, MD Deepika Shangula, MD
Novant Health Neurology Novant Health Neurology Inpatient Specialists Inpatient Specialists Hospitalists Hospitalists Javon Edgecombe, MD Javon Edgecombe, MD Laurie McWilliams, MD Laurie McWilliams, MD Kevin Meier, MD Kevin Meier, MD Qaisir Toqeer, MD Qaisir Toqeer, MD Ali Turk, MD Ali Turk, MD
Call today to refer a patient. Call today to refer a patient.
NovantHealth.org/neuroscience NovantHealth.org/neuroscience © Novant Health, Inc. 2016 © Novant Health, Inc. 2016
2 | November/December 2016 • Mecklenburg Medicine
Table of Contents
Nov/Dec 2016 Vol. 46 No. 10
5 President’s Letter: The Short Way to Paradise
By Stephen J. Ezzo, MD, President
6 Feature: Highlights from NCMS/NCMGMA M3 Conference By Stephen J. Ezzo, MD
7 Charlotte AHEC Course Offerings for November/December 8 Mecklenburg Medical Alliance & Endowment 9 Member News 9 New Members 9 Upcoming Meetings & Events
President Stephen J. Ezzo, MD Secretary Elizabeth B. Moran, MD Treasurer Scott L. Furney, MD Immediate Past President Simon V. Ward III, MD
BOARD MEMBERS John R. Allbert, MD Maureen L. Beurskens, MD Raymond E. Brown, PA W. Frank Ingram III, MD Stephen R. Keener, MD, MPH Scott S. Lindblom, MD Shivani P. Mehta, MD, MPH Robert L. Mittl, Jr., MD Babak Mokari, DO Cameron B. Simmons, Jr., MD Cheryl L. Walker-McGill, MD, MBA
EX-OFFICIO BOARD MEMBERS
10 At the Hospitals 10 National Health & Wellness Observances for November/December 12 Independent Physicians of the Carolinas 14 Advertising Acknowledgements
Tracei Ball, MD, President-Elect Charlotte Medical Dental & Pharmaceutical Society Sandi D. Buchanan, Executive Director Mecklenburg County Medical Society
Karen Chandler, President Mecklenburg Medical Alliance & Endowment Docia E. Hickey, MD NCMS Past President Darlyne Menscer, MD NCMS Delegate to the AMA Marcus G. Plescia, MD, Health Director Mecklenburg County Health Department
On the Cover:
The MMAE Holiday House 1870 Queens Road West Friday-Saturday, Nov. 4-5 — 10 a.m.-5 p.m.; Sunday, Nov. 6 — Noon-5 p.m. Tickets available online at www.mmaeonline.com. 1112 Harding Place, #200, Charlotte, NC 28204 704-376-3688 • FAX 704-376-3173 firstname.lastname@example.org Copyright 2016 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, contact Mark Ethridge at email@example.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 Coordinator Stephanie D. Smith Meetings & Special Events Jenny H. Otto
MECKLENBURG MEDICINE STAFF Editor Stephen J. Ezzo, MD Managing Editor Sandi D. Buchanan Copy Editors Lee McCracken Stephanie Smith
Advertising Mark Ethridge firstname.lastname@example.org Editorial Board N. Neil Howell, MD Scott S. Lindblom, MD Jessica Schorr Saxe, MD
Graphic Design — Wade Baker
Mecklenburg Medicine • November/December 2016 | 3
Ready. For. Anything. Ready to lead. Ready to thrive. Ready for the world. Country Day Ready.
Open House Dates: October 5 (Junior Kindergarten – Kindergarten) October 18 (Junior Kindergarten – Grade 4) November 18 (Grades 9 – 12)
4 | November/December 2016 • Mecklenburg Medicine
The Short Way to Paradise By Stephen J. Ezzo, MD, FAAP, NHmg CPE, MCMS-P
he medical profession is obsessed with abbreviations and acronyms. They abound everywhere; indeed, it is hard to get through a sentence without encountering one. While it is possible that other trades have as many shortenings of words and phrases, I have my doubts (although I have on good authority the U.S. Government will give us a run for our money). After all, in what other field can you find a sentence similar to this: “OV for a 57-yo-AAM with HTN, AODM, CHF on ACEI and ASA, who presents for BP check, CXR, BMP, BNP and PSA?” Or in my world, “18-month-WF in for WCC, needs MCHAT-R, ASQ/PEDS, catch up vaccines to include DTaP, IPV, HIB and MMR.” How has this come about? I believe there are several reasons. It makes us sound important. To a certain extent this has succeeded. Think of how STAT (from the Latin word statim) has been co-opted into the vernacular. Speaking of Latin, we are so cool we have numerous abbreviations from the ancient language. Is it po BID or TID dosing? We have our own language that those who sought another career do not share. Granted, this marks us as somewhat tribal in nature, but I’ll chalk that up to evolutionary biology. It allows for quicker documentation. For those of us who never learned to type or spell correctly, this is a welcome advantage. (In HS, I considered typing class something for girls to take. It never dawned on me that if I enrolled, I had a good chance of being the only guy present. Slow learner.) It is a clear-cut, obvious sign of our collective genius. The entire world has followed our lead in the art of condensing via texts and tweets, using a single letter for words (or should that be “4 words?”), and even to the point of creating acronyms for acronyms’ sake. I often think organizations spend more time working on clever acronyms than on their mission. Then again, maybe this is just a sign that we are lazy and were the vanguard in the dumbing-down of society. In any case, abbreviations and acronyms now are ingrained in our way of life. We even have reached the point of shortening them lest they get too long and cumbersome. (Kind of BGL/BL like putting a Starbucks kiosk inside a Starbucks store so you don’t have to go too far for your latte.) I can imagine the conversation that led to this: ASQ “Man, all this typing of abbreviations is killing me!” “Hey, I got an idea! Let’s shorten them!” “What do you mean?” “You know, CAT can be CT, and MRI, MR.” “Brilliant! What else you got?” Some abbreviations are so important they have two to their name. So, when I go into SVT, my FM doc can order an EKG or ECG. If I become shaky and sweaty during the procedure, he can check a BSL (BS) or BGL (BG).
Others can have their letters rearranged and still mean the same thing. But whether it is TURP or TUPR, I’d prefer to avoid both. For that matter, some days I have the same adverse reaction whether it’s called an EHR or EMR. There are same-letter abbreviations that mean a world (or body location) of difference. I often document newborns who take four ounces of BM per feed, and in the next line detail another type of BM. Likewise, I am quite sure I want to suffer neither EKG/ECG from the lung PE or the more indelicate PE. Changing one letter in an abbreviation can have significant overtones. I think most of us would prefer to hear from the NCMS, instead of the NCMB. AODM Speaking of one-letter (or number) differences, how could merely going up one number from BSL/BS ICD-9 to 10 result in an additional 55,000 codes? When your VNS reads QNS, what does that do to your ANS? While the key to abbreviations and acronyms is both content and context, one cannot, at times, resist the temptation of frivolity as it interacts with the lay world (okay, maybe you can, but I cannot). Every time I work on our Antibiotic Stewardship Protocol (ASP), visions of Cleopatra on her barge flutter through my mind. Should there be a PAC for people with PAC? If you champion a certain heart defect, do you qualify as a MVP for MVP? If you blow off your PCP’s care plan for you, have you just gone AMA on a member of the AMA? I know a lot of folks who’d like nothing more than to d/c all the people on both sides of the aisle in DC. Regardless of the telemedicine craze, AOL can be found on your computer. Diagnosing AOM cannot. It should be apparent by now that this is how one mind functions when it experiences FAD (facing a deadline). One last thought: While it is perfectly appropriate to seek medical care at a UC when your UC flares, to all my male colleagues out there, never, ever go to the ED for your ED.
“You can’t take over the world without a good acronym.” — C. S. Woolley
Trivia question: The popular children’s nursery rhyme, “Ring Around the Rosy” is associated with what disease? Answer on page 9.
Mecklenburg Medicine • November/December 2016 | 5
President’s Letter cont’d. Glossary of Acronyms/Abbreviations by appearance (for the uninitiated): OV: office visit yo: year old AAM: African-American male HTN: hypertension AODM: adult onset diabetes mellitus CHF: congestive heart failure ACEI: angiotensin converting enzyme inhibitor ASA: acetylsalicylic acid BP: blood pressure CXR: chest X-ray BMP: basic metabolic package BNP: B-type natriuretic peptide PSA: prostate specific antigen WF: white female WCC: well child check MCHAT–R: modified checklist for autism in toddlers-revised ASQ: ages and stages questionnaire PEDS: parent’s evaluation of developmental status DTaP: diphtheria, tetanus, acellular pertussis IPV: inactivated polio vaccine HIB: haemophilus influenza type B
MMR: measles, mumps, rubella STAT: from the Latin statim/statum, meaning “immediately” po: per os, by mouth BID: bis in die, twice a day TID: ter in die, three times a day HS: high school CAT: computerized axial tomography CT: computerized tomography MRI: magnetic resonance imaging MR: magnetic resonance SVT: supraventricular tachycardia FM: family medicine EKG/ECG: electrocardiogram BSL/BS: blood sugar level BGL/BG: blood glucose level TURP: transurethral resection of prostate TUPR: transurethral prostate resection EHR: electronic health record EMR: electronic medical record BM: breast milk BM: bowel movement PE: pulmonary embolus/edema/effusion PE: premature ejaculation NCMS: North Carolina Medical Society
NCMB: North Carolina Medical Board ICD: international statistical classification of diseases and related health problems, aka (also known as) idiotic coding device VNS: vagal nerve stimulator QNS: quantity not sufficient ANS: autonomic nervous system ASP: antibiotic stewardship protocol PAC: political action committee PAC: premature atrial contractions MVP: most valuable player MVP: mitral valve prolapse PCP: primary care physician AMA: against medical advice AMA: American Medical Association d/c: discharge, discontinue DC: District of Columbia AOL: America On-Line AOM: acute otitis media FAD: facing a deadline UC: urgent care UC: ulcerative colitis ED: emergency department ED: just watch any men’s golf or football TV show
Highlights from NCMS/NCMGMA M3 Conference By Stephen J. Ezzo, MD
he NCMS/NCMGMA M3 Conference — “Merging Medicine and Management” — was held September 15-18 at the Grandover Resort in Greensboro. The meeting, jointly sponsored by the North Carolina Medical Society and the North Carolina Medical Group Management Association, was the first of its kind, replacing the NCMS Annual Meeting and House of Delegates. Attendance was greater than last year’s meeting. Some of the highlights included: • Installation of the new NCMS President, Paul R. G. Cunningham, MD, dean of the Brody School of Medicine at East Carolina University. • Recognition and appreciation for Docia Hickey, MD, outgoing NCMS president, and former MCMS president. The MCMS also wishes to extend its thanks and gratitude to Dr. Hickey for her remarkable work this past year. We are proud of you, Docia! Safe travels! • MCMS member, Yele Aluko, MD, received the T. Reginald Harris, MD, Memorial Award for his contributions to the practice of medicine, outstanding patient care and quality outcomes for his work with Novant Health Heart and Vascular Institute. Well done, Yele! • Former MCMS member, Warren Pendergast, MD, who recently retired after years as CEO of the N.C. Physicians Health Program, received
the E. Harvey Estes, MD, Physician Community Service Award for his outstanding record of service to the physicians and citizens of North Carolina. • MCMS Board of Directors members, Frank Ingram, MD, and Babak Mokari, DO, began their work in the NCMS Leadership College. • Attorney General Roy Cooper addressed the attendees, highlighting the areas in health care he felt were of importance. • Ms. Francine Mary Netter, daughter of medical illustrator Frank Netter, MD, spoke at the NCMS 1849 Society dinner. Netter recently published a biography of her father and recounted his life both as a father and an illustrator. Next year’s meeting will be held September 14-17 at the Marriott Crabtree in Raleigh.
6 | November/December 2016 • Mecklenburg Medicine
Charlotte AHEC Course Offerings Charlotte AHEC is part of the N.C. Area Health Education Centers (AHEC) Program and Carolinas HealthCare System.
Continuing Medical Education (CME) 11/3 11/12 11/15 11/16 12/3 Online Online Online Online Online Online Online Online
CHS Neurosciences Institute Stroke Symposium LGBT Mental Health Symposium Updates in Pain Management Tobacco-Free Behavioral Health Summit 10th Annual GI/HPB Conference Protecting Your Patients From Air Pollution DOT Medical Examiners Course Risk Management: Patient Identification Social Media: Risks & Benefits for Physicians Prevention & Management of Concussion/Mild Traumatic Brain Injury Motor Vehicle Crash Victims MTAC Trauma Modules Get the 4-1-1: Everything Primary Care Providers Should Know About Parent Training in Behavior Therapy While Working With Families With Young Children Who Have ADHD
For more information or to register for these courses, call 704-512-6523 or visit www.charlotteahec.org.
Comfort, compassion, 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 our priority. Choose us.
MIDTOWN MEDICAL OFFICE 2300 Randolph Road | Charlotte, North Carolina
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Mecklenburg Medicine • November/December 2016 | 7
Mecklenburg Medical Alliance & Endowment WORDS FROM OUR
GRANT RECIPIENTS We are sincerely grateful to be the recipient of a grant from MMAE to support education of our Clinical Teams. This training will impact the lives of those cared for by Hospice & Palliative Care Charlotte Region. We are so honored that you value and support the work we do with patients and families facing end of life. On behalf of the patients and families we serve, thank you! Christy Gisinger, VP Philanthropy Hospice & Palliative Care Charlotte Region Assistance League of Charlotte is appreciative of MMAE’s generous grant for the purchase of hygiene kits for middle school children. It has enhanced our ability to fulfill an unmet community need as expressed by the CharlotteMecklenburg Schools. Marion Zinkievich, Grants Chairman Assistance League of Charlotte MMAE has really answered the call to help youth and families in crisis. NeighborCare is truly grateful for this wonderful award from MMAE. Your commitment to helping youth have some normalcy as their parents are hospitalized is a true testament of what your values depict of promoting awareness of healthrelated, charitable, scientific and educational needs in the community. Because of your support, NeighborCare will be able to prevent nearly 120 youths from entering the foster care system, create improved health and emotional outcomes for patients and their children, and keep families intact. Curtis J. Joe, Sr., Program Director The Relatives We are deeply grateful to Mecklenburg Medical Alliance and Endowment for helping us make the Safe Alliance’s Domestic Violence Shelter a place where hope and healing begin. Medical providers who understand the complex issues that arise when domestic violence, poverty and homelessness intersect provided acute care, education and referrals to 477 survivors and their dependent children in a safe and supportive environment. Thank you. Kathryn Firmin-Sellers, PhD, Chief Operating Officer Safe Alliance
You’re Invited! to
The MMAE Holiday House Preview Party Thursday, November 3 ’TWAS THE NIGHT BEFORE THE HOLIDAY HOUSE AND ALL THROUGH MYERS PARK … Join us as we Jingle & Mingle at the home of Dr. Elizabeth and Mr. Robert Rostan for holiday cheer and heavy hors d’oeuvres 6-9 p.m. 1870 Queens Road West Tickets $80 per person, $80 tax-deductible. Purchase tickets at www.mmaeonline.com, or mail your check to: MMAE, 1112 Harding Place, Suite 200, Charlotte, NC 28204.
8 | November/December 2016 • Mecklenburg Medicine
NEW MEMBERS Photo not available.
Upcoming Meetings & Events NOVEMBER
Harlee B. Palmer, PA-C Carolina Medical Associates 7108 Pineville-Matthews Road Charlotte, NC 28226 704-542-2191 Wingate Physician Assistant Program, 2014
Meetings are at the MCMS office unless otherwise noted.
Lisa W. Rentz, MD Emergency Medicine Mid-Atlantic Emergency Medical Associates 1900 Randolph Road #900 Charlotte, NC 28207 704-377-2424 Drexel University, 2003
Save the Date! MCMS Annual Dinner Meeting Thursday, January 19, 2017, 6-9 p.m. n Charlotte Country Club
Francine Mary Netter Author of “Medicine’s Michelangelo: The Life & Art of Frank H. Netter, MD”
Wine, Dessert Pairing, Book Signing and Networking to follow Register at www.meckmed.org or call the MCMS office at 704-376-3688.
Saturday, Nov. 5 NCSG Board meeting. Umstead Hotel, Cary, N.C..
Tuesday, Nov. 8 MedLink meeting. Mecklenburg County Health Department. 8:30 a.m. Tuesday, Nov. 15 January magazine deadline. Wednesday, Nov.16 MMAE Board meeting. 10 a.m.
Thursday, Nov. 17 CAMGMA meeting. Myers Park Baptist Church Cornwell Center. Noon.
Thursday, Nov. 17 Charlotte Medical Society membership meeting. Time and location TBD. Friday, Nov. 18 Child Health Committee meeting. 7:30 a.m.
Monday, Nov. 21 (tentative) MCMS Executive Committee meeting. 5:45 p.m. Thursday-Friday, Nov. 24-25 MCMS office closed for Thanksgiving.
Tuesday, Nov. 29 MCMS President’s Dinner/Board meeting. Charlotte Country Club. 6 p.m.
Trivia answer from page 5:
The Bubonic Plague, or “Black Death.” Ring around the rosy – symptoms of plague included a ring-shaped, rosy red rash. A pocket full of posies – posies were carried both to minimize the smells emanating from those suffering from plague, and in the hope that the flower, mixed with herbs, could ward off the disease. Ashes, ashes – this refers to cremation of bodies, as well as the ashen appearance of victims. (The original line was “A-tishoo, A-tishoo” which refers to the symptoms of sneezing and coughing). We all fall down! – unfortunately, this is what happened to most people with plague.
Friday-Saturday, Nov. 4-5, 10 a.m.-5 p.m. Sunday, Nov. 6, Noon-5 p.m. MMAE Holiday House. 1870 Queens Road West
Tuesday, Dec. 13 MedLink meeting. Mecklenburg County Health Department. 8:30 a.m. Thursday, Dec. 15 CAMGMA Holiday Party. Charlotte Country Club. 4-8 p.m.
Thursday, Dec. 15 February magazine deadline.
Friday-Monday, Dec . 23-26 MCMS office closed for Christmas.
Mecklenburg Medicine • November/December 2016 | 9
At the Hospitals
Novant Health Expands Neuroscience Service Line Novant Health stroke and neurosciences has added 15 new physicians in neurosurgery, neurology and neurointensive care, including the first female neurosurgeon in Charlotte, Jennifer Orning, MD. Patients now have expanded access to expert care and the benefit of multi-subspecialty providers. “We have experts who can provide high-end subspecialty care, such as cerebrovascular neurosurgery, brain tumor neurosurgery, multiple sclerosis neurology, Parkinson’s movement disorder neurology, vascular neurology and more,” says Eric Eskioglu, MD. “We are truly structured to provide the most comprehensive neurologic care possible.” Joining Novant Health Neurosurgery Specialists are Joshua Billingsley, MD, Ziad Hage, MD, and Jennifer Orning, MD. To refer a patient, call 704-316-3070. Joining Novant Health Neurology Specialists are Ebinita Arhebamen, MD, James Battista, MD, Matthew Carraro, MD, Ana Messler, PhD, and Deepika Shangula, MD. To refer a patient, call 704-384-9437 in Charlotte or 704-316-9001 in Matthews. Joining Novant Health Neurology Inpatient Specialists Hospitalists are Javon Edgecombe, MD, Laurie McWilliams, MD, Kevin Meier, MD, Qaiser Toqeer, MD, and Allison Turk, MD. To learn more, visit NovantHealth.org/ neuroscience.
first Tuesday of the month at Novant Health Cancer Specialists Matthews, 1700 Matthews Township Parkway. Call 704-384-5223 for more information.
Novant Health Cancer Care Adds Tumor Board for Head and Neck Cancers Held the second and fourth Tuesday of each month at 7 a.m., this tumor board enhances multidisciplinary care for head and neck cancer patients. Email Carrie Baldwin at clbaldwin@ novanthealth.org for more information or to present a case.
Huntersville Radiation Oncology Services Now Includes SRS/SBRT Huntersville-area patients now have access to stereotactic radiosurgery and stereotactic body radiation therapy, highly precise radiation treatments that pinpoint tumors in hard-toreach areas. The upgraded equipment includes a 160 multi-leaf collimator system and Hexapod robotic table. Call 704-316-6630 for more information.
Novant Health Developmental & Behavioral Pediatrics Opens in Charlotte Novant Health Developmental & Behavioral Pediatrics has opened a second location in Charlotte. Located inside Presbyterian Medical Tower at 1718 E. 4th St., Suite 601, the clinic is staffed by James DuRant III, MD, and provides patients and families with comprehensive care of developmental delays, autism spectrum disorders, learning disabilities, ADHD and more. For more information or to refer a patient, call 704-384-0567.
Novant Health Opens Heart and Vascular Clinic in Langtree Community Novant Health Heart & Vascular Institute has opened a satellite location in the Langtree community of Mooresville. The clinic is at 106 Langtree Village Drive, Suite 200, and is staffed by James Kay, MD. For more information or to refer a patient, call 704-887-4530.
Lung Cancer Support Group Launches in Matthews Patients facing a lung cancer diagnosis and their loved ones are invited to attend this new support group. Sessions are at 5:30 p.m. on the
Novant Health Opens Pulmonary Medicine Clinic in Monroe Novant Health Pulmonary Medicine South has opened in Monroe at 2000 Wellness Blvd., Suite 130. The clinic is staffed by Carl Smart, MD, and provides diagnosis and treatment for disorders of the lungs and respiratory system. For more information or to refer a patient, call 704-316-2154.
Novant Health Endocrinology Cotswold Opens in Charlotte Novant Health Endocrinology Cotswold has opened in Charlotte at 330 Billingsley
10 | November/December 2016 • Mecklenburg Medicine
Road, Suite 101. The facility is staffed by Victoria Bouhairie, MD, and offers treatment for thyroid and parathyroid disorders, including thyroid cancer, thyroid nodules, pituitary diseases, adrenal disorders, male hypogonadism, osteoporosis and diabetes mellitus. For more information or to refer a patient, call 704-316-2335. Novant Health Opens New Medical Office Building in Mint Hill Novant Health has opened a medical office building in the Mint Hill community at the corner of Albemarle Road and Interstate 485. The 13,000-square-foot facility houses three clinics, including Novant Health Mint Hill OB/ GYN, Novant Health Lakeside Pediatrics and Novant Health Lakeside Family Physicians, as well as specialty care space. This medical office building is the first addition to the campus where Novant Health Mint Hill Medical Center will open in 2018.
NATIONAL HEALTH & WELLNESS OBSERVANCES NOVEMBER 2016 Alzheimer’s Disease Awareness Month American Diabetes Month Diabetic Eye Disease Month Epilepsy Awareness Month Family Caregivers Month Healthy Skin Month n Home Care Month Hospice and Palliative Care Month Lung Cancer Awareness Month Pancreatic Cancer Awareness Month Prematurity Awareness Month Nov. 14: World Diabetes Day Nov. 17: Great American Smokeout
DECEMBER 2016 AIDS Awareness Month Drunk and Drugged Driving Prevention (3D) Month Safe Toys and Gifts Month Dec. 4-10: Hand Washing Awareness Week Dec. 4-10: Influenza Vaccination Week
At the Hospitals
Levine Children’s Hospital has Success with Clinical Trial for Pediatric Cancer Javier Oesterheld, MD, specialty medical director of pediatric hematology/oncology/ BMT and palliative care at Levine Children’s Hospital, is leading a multi-institutional study that is improving survival rates among patients Javier Oesterheld, MD with relapsed leukemia. Dr. Oesterheld and Dr. Jessica Hochberg created the study in New York and Charlotte and have been running the study collaboratively. The patient population for relapsed leukemia does not have a strong survival rate; however, the data collected in the study shows that the combination of therapies is delivering an incredible response. “We are seeing 80 percent response rates, where normally the response rate is only 40-60 percent,” says Oesterheld. Data from the clinical trial, known as the MITCL (Mitoxantrone and Clofarabine), recently was recognized by the American Society of Pediatric Hematology and Oncology. Out of hundreds of abstracts, the paper from Levine Children’s Hospital was the No. 1 choice to be recognized at this year’s Society conference in Minneapolis. Oesterheld and Hochberg presented the data to conference attendees and it received an overwhelming response. “We are now expanding this study nationally and expect to prove the point that this is a great combination of chemotherapy with promising results,” says Oesterheld. To date, the trial has treated more than 20 patients in Charlotte and the Medical College of New York. For more information, contact Oesterheld at 704-381-9900. n
Teamwork Leads to Supply of Promising Drug Thanks to great teamwork between CHS’ Therapeutic Research and Development Department and Carolinas n
Medical Center’s Inpatient Pharmacy, Carolinas HealthCare System now has a supply of a drug that has shown promise in treating a deadly brain infection. The infection, caused by an amoeba that can inhabit lakes and streams, recently took the lives of a visitor to the U.S. National Whitewater Center and a swimmer in the Edisto River near Charleston. Mark King, AVP of Enterprise Research at CHS, learned that a drug called miltefosine had been used to treat two patients who survived the infection. Although the drug originally was available only through a clinical trial with the CDC, King reached out to Ryan Bender, supervisor of Pharmacy’s Investigational Drug Services, to explore options to stock it locally. After discovering that a hospital in Texas had obtained a supply of the drug, Bender and King reached out to the drug manufacturer. They learned that miltefosine recently had been approved by the FDA to treat another infection, and CHS could stock it without employing investigational protocols, so they looped in Tyler Greenwood, Manager of Pharmacy at CMC. Greenwood worked with the drug manufacturer to obtain the paperwork needed to stock the drug and secured internal approval of the agreement in less than a day. The supply arrived at CMC’s pharmacy in just two days. Katie Passaretti, MD, medical director of infection prevention for CHS, urged caution before drawing conclusions on the drug’s effectiveness. “Miltefosine only has been used in a few cases, and we don’t have enough data to say for sure that it was the key in curing these patients,” says Passaretti. “It does appear that providing treatment as soon as possible is important, and having the drug on hand will allow us to respond quickly, if needed, and combine it with other supportive therapies.” Four Physicians Named Full Professors After intense review of their outstanding academic portfolios and letters of recommendation from five external full professor reviewers, the Faculty Advancement Committee recommended four CHS faculty members advance to the rank of Full Professor of Carolinas HealthCare n
System. This is based on their national and/ or international stature, significant impact on their field, recognition as a thought leader in relevant professional organizations and ongoing commitment to System mission and citizenship. They are:
Alan Heffner, MD – Pulmonary and Critical Care Consultants and Departments of Internal and Emergency Medicine. Michael Runyon, MD – Director of Research, Department of Emergency Medicine. Jaspal Singh, MD – Pulmonary and Critical Care Consultants and the Department of Internal Medicine.
Kelly VanderHave, MD – Pediatric Orthopaedic Surgeon, Department of Orthopaedic Surgery. New Service to Cut Wait Times at Urgent Care Locations Carolinas HealthCare System now allows patients to electronically reserve a spot in line at all 28 of its urgent care locations in the region. Use of the reservation system already has cut wait times an average of 64 percent at three pilot locations. For decades, urgent cares have been built as walk-in facilities, with no way of reserving a time to see a provider. Now, patients can treat an urgent care visit the same way they treat checking in for an airline reservation or a rapid pick-up order at a restaurant — by making a few clicks on a phone or tablet. To reserve a spot online at a Carolinas HealthCare System urgent care location, patients can use a tablet, smartphone or computer. One of the easiest ways to reserve a spot is through the Carolinas HealthCare System “Carolinas” app, available on the iTunes store and on Google Play. Using the app, patients can log on, find an urgent care close to them and click “Reserve Your Spot” to sign up for a time. Once patients select an urgent care reservation time and opt in to receive text message updates, they will receive alerts when the reservation time is approaching. The initiative is part of Carolinas HealthCare System’s goal to respond to patients’ need for on-demand care, while ensuring they get high-quality care. n
Mecklenburg Medicine • November/December 2016 | 11
Independent Physicians of the Carolinas CGH was pleased to receive special recognition in the healthcare industry: Gardiner Roddey, MD, and Sanjib Mohanty, MD, were named in Charlotte Magazine’s “Top Docs” issue (an honor determined by Charlotte-area physicians); and the practice was designated as a “Low Cost & High Quality” provider by BlueCross BlueShield of N.C. 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. The physicians and staff who work at Charlotte Gastroenterology & Hepatology (CGH) have been honored and humbled this year with recognition and opportunities to give back. This summer, Sam Fulp, MD, Thomas Gavigan, MD, Alice Gavigan, Renae Lynch, RN, and Michelle Buchoux, RN, spent a week in Nicaragua on a mission trip. While there, they were able to perform/assist in EGD and colonoscopy procedures, give lectures on endoscopy to medical interns and RNs, and present information on scope reprocessing standards.
The Pancreatic Cancer Action Network’s PurpleStride Charlotte 5K was on September 10. Charlotte Gastroenterology & Hepatology was honored to be a silver sponsor. Team CGH raised more than $4,000 and had 29 members participate in the event.
Allergy Asthma and Immunology Relief (AAIR) is pleased to announce the addition of two new providers. Cheryl WalkerMcGill, MD, is board-certified in allergy-immunology and internal medicine. She has more than 25 years experience in the management of asthma, allergic rhinitis and other allergic conditions. Dr. WalkerMcGill earned her undergraduate and medical Cheryl Walker-McGill, MD degrees from Duke University and completed her residency and subspecialty training in allergy-immunology at the Northwestern University School of Medicine. She has served on faculty at the Northwestern University School of Medicine and the UNC School of Medicine and is a recipient of the Chicago Public School System Distinguished Achievement in Asthma Education Award and the 2007 NMA Floyd J. Malveaux Award in Allergy, Asthma and Immunology. Walker-McGill is a Fellow of the American Academy of Allergy, Asthma and Immunology (AAAAI). She is the immediate past-chair of the Committee for the Underserved of the American Academy of Allergy, Asthma and Immunology and the immediate past-chair of the Asthma, Allergy and Immunology Section of the National Medical Association. Walker-McGill is married to Paul A. McGill, DDS, and resides in Charlotte. She enjoys mentoring students interested in health care and writing children’s books. Erin Welden, PA-C, graduated from Methodist University’s physician assistant program in Fayetteville in 2011 and has been practicing in allergy and asthma since 2012. Originally from South Jersey, Welden and her husband moved to Ft. Bragg in 2005. She graduated summa cum laude in 2008 from Methodist College Erin Welden with a bachelor of science degree in biology, and a minor in chemistry and religion. Welden and her husband, Terry, have two young children who keep them very active. They enjoy spending time at the local botanical garden, going to the zoo and spending time at the Jersey shore when they get the chance. Welden is a member of the ACAAI and the North Carolina Academy of Physician Assistants. She has experience with both pediatric and adult patients and is currently accepting new patients of all ages. She has special interests in eosinophilic esophagitis and contact dermatitis. AAIR is also proud to be organizing, with the Primary Immune Deficiency organization, the second annual Charlotte Walk for Immunodeficiency on November 5 at Symphony Park. AAIR is pleased to be offering oral desensitization immunotherapy for food allergies, as well as SLIT for environmental allergies. The clinical research team is actively recruiting new patients for food allergy, asthma, immunodeficiency and allergic skin conditions. Contact Caroline@aairofcharlotte.com for more information.
12 | November/December 2016 • Mecklenburg Medicine
We are pleased to welcome Dr. Nirav Naik to our practice.
Save the Date!
Nirav A. Naik, MD is board certified in medical oncology, hematology, and internal medicine. His clinical interests include breast, colorectal, lung and head and neck cancers. Please call 704.342.9577 to schedule your patients with Dr. Naik.
2711 Randolph Rd., Suite 100 | Charlotte, NC 28207 7108 Pineville-Matthews Rd., Ste 102 | Charlotte, NC 28226
ONCOLOGYCHARLOTTE.COM | 704.342.1900
Thank you for all your referrals this year.
North Carolina Society of Gastroenterology 2017 Annual Conference February 11-12, 2017 n Pinehurst Resort, Pinehurst, NC Promoting High Standards of Care for North Carolina Patients
CEENTA offers a VIP line to reach our physicians within minutes.
Physicians in Gastroenterology and Hepatology, Physician Assistants, Nurse Anesthetists and Nurses working specifically in Gastroenterology.
Keynote Speakers Peter Draganov, MD
Keith Lindor, MD
Richard Peek, MD
For information on NCSG membership and to register, visit www.ncgisociety.org or contact Sandi Buchanan, executive director, at firstname.lastname@example.org.
Please visit www.ncgisociety.org for more information.
Mecklenburg Medicine â€˘ November/December 2016 | 13
Randolph Audiology & Hearing Aid Clinic TOMORROW’S TECHNOLOGY FOR TODAY’S EARS
Wade Kirkland, M.A. Audiologist
The following patrons made Mecklenburg Medicine possible.
Brackett Flagship Properties..............................................7
No-cost trial period on hearing aids
Carolinas HealthCare System.........................................15
Auditory processing evaluations
Charlotte Country Day School..........................................4
Evidence-based hearing aid fittings
Charlotte Eye Ear Nose & Throat Associates...............13
Assistive listening devices
704-367-1999 Terry P. Jordan, M.S. Audiologist With a master’s degree in audiology from Florida State University, Terry brings 25 years of audiology experience to Randolph Audiology.
Randolph Medical Park | Randolph Building 3535 Randolph Road, Suite 211 Charlotte, NC 28211
SERVING THE CHARLOTTE AREA FOR OVER 20 YEARS
Charlotte Radiology.................................................... 4, 14 Hospice & Palliative Care Charlotte Region...................7 LabCorp............................................................Back Cover Novant Health.....................................................................2 Oncology Specialists of Charlotte..................................13 Randolph Audiology & Hearing Aid Clinic..................14
14 | November/December 2016 • Mecklenburg Medicine
The smallest patients. The care. When it’s your child, you want the best. At Levine Children’s Hospital, that’s what you get: exceptional care in more than 30 specialties from cancer to cardiology. We’re consistently ranked as one of the best children’s hospitals in the country. That means you get care that’s world-class. And kid-approved.
Meet some of our little heroes:
#I AMLCH LCH Meck Med Ad.indd 1
Mecklenburg Medicine • November/December9/7/2016 2016 |PM15 4:21:01
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 z 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** Gastonia Stat Lab Huntersville Huntersville** Lake Norman Matthews Northridge* Pineville Rock Hill Salisbury** 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. 1718 E. 4th Street 660 Summitt Crossing, Suite 206 14330 Oakhill Park Lane 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 514 Corporate Road 809 N. Lafayette Street 1710-A Davie Avenue 10320 Mallard Creek Road
*Drug Screens only **Blood Draws only
16 | November/December 2016 • Mecklenburg Medicine
Charlotte, NC Charlotte, NC Charlotte, NC Concord, NC Charlotte, NC Gastonia, NC Huntersville, NC Huntersville, NC Mooresville, NC Matthews, NC Charlotte, NC Pineville, NC Rock Hill, SC Salisbury, NC Salisbury, NC Shelby, NC Statesville, NC Charlotte, NC
704-540-0251 704-332-6904 704-542-7061 704-795-2710 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 704-221-4407 704-480-7004 704-878-0948 704-549-8647