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8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
1/12
VOLUME 17 NO. 12 n inside.dukemedicine.or n December 2008
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By Dke Medicine News and
Cmmnicatins
In mid-Novembe, Duke Univesity Heath
System ed a ceticate o need (CON) wit
the State o Noth Caoina o constuction
o a oosed 265,000-squae-oot cance
cente that woud exand and consoidate
Dukes comehensive outatient cance
sevices and eseach aciities.
The oject aso cas o enovating 14,400
additiona squae eet o the existing Moi
Cance Cinic in Duham. The equested
exansion and enovation woud cost an
estimated $235 miion.
The oosed exansion woud aow Duke
to gow its teaching, taining and eseach
ogams in ode to emain cometitive as
a nationa educationa and eseach eade.
The oject seeks to ceate a comehensi
atient- and amiy-centeed aciity to me
the ojected statewide demand o
oncoogy sevices. The goa is to imove
and steamine access by utting adut
cance sevices, cuenty seaated in
vaious ocations thoughout the medica
cente, unde one oo.
This exansion woud aow Duke to kee
ace with the gowing demand, ocay and
statewide, o the kind o sohisticated,
eading-edge cance sevices that we ae
committed to oviding to the eoe o
Noth Caoina, said Victo J. Dzau, M.D.,
chanceo o heath aais and CEO o Du
Univesity Heath System. We wi continue
ou anning eated to this oject in hoe
o eceiving an aova om the CON
Apprval sght rCancer Center expansi
see CANCER CENTER, p.10
IlE pHOTO
By Bill Stagg
Eastway Elementary is one o Durhams most chal-lenged public schools. Many o its challenges haveless to do with education than with social and health
issues that cling to povertys coattails.
But brighter days lie ahead thanks to students rom
the Duke University School o Nursing, who are helping
Eastway children and amilies cope with an array o
complex health education needs.
A ew blocks away sits the long-abandoned ormer
Holton Middle School, a tattered monument to a neigh-
borhoods decline.
With the help o Duke University Health System
(DUHS), however, Holtons days o despair are num-
bered. Come August, a renovated Holton is scheduled to
reopen as a recreation center/vocational school with a
2,600-square-oot community wellness center staed
and run by Duke health care providers.
DUHS already has donated $250,000 or design and
construction-related costs. Services will be provided to
Durham patients regardless o their ability to pay.
And, thanks to an eort spearheaded by DUHS,
Duke and community doctors are donating specialty
care to uninsured people through a new program called
Project Access.
Thats not all. From clinics and wellness centers in
several Durham public schools, to programs or young
mothers who are recovering drug addicts, to working
with Durhams burgeoning Latino community on physi-
see CARING, p.2
Caing o
Drham
Innvative prgrams advancemissins, serve neighbrs
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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Inside Dke Medicine Decemb
I N S I D E V O L U M E 1 7 , I S S U E 1 2nCoNTACT uSCamps mail: DUMC 104030Deliveries: 2200 W. Main St.,Suite 910-B, Duham, NC 27705Phne: 919.660.1318E-mail: [email protected]
CREDITSCartn: Josh Tayo
STAEditr: Anton ZuikeManaging Editr: Mak SchScience Editr: Key MacomCalendar Editr: Ein pattDesigner: Vanessa DeJongh
Coyight 2008Duke Univesity Heath Syste
Inside Duke Medicine, the emoyee
newsae o the Duke Univesity Heath
System, is ubished monthy by Duke
Medicine News & Communications.
You comments, stoy ideas and hoto
contibutions ae aways wecome and
aeciated. Deadine o submissions
is the 15th o each month.
cal and mental health issues Duke
Medicine is not just in the Durham
community, but o the Durham
community.
In all, DUHS devotes $8 million
yearly to community outreach and
donations and $42.5 million to charitycare as part o the total o $180.6
million it devotes to community
benets unding.
The three eorts above are among
many that illustrate Dukes commitment
to the well-being o the community
where Duke Medicines people work
and which many o them call home.
Eastway
The Eastway eort is part o
a program called Raising Health,
Raising Hope.
Nursing students work with
amilies as part o a Child and FamilySupport Team comprising a social
worker, school nurse, guidance
counselor, principal and assistant
principal. The team creates individual-
ized solutions or each student to
succeed in the classroom.
Raising Health, Raising Hope is
an opportunity or the Duke nursing
students to assist their community in
addressing health education issues
while learning how to create a support
network or a diverse, underserved
population, said Rosa M. Solorzano,
M.D., M.P.H., associate director o
Duke School o Nursings Global andCommunity Health Initiatives.
The nursing students also conduct
other activities, such as eye screenings
or Eastway children.
Focus groups o amilies, which
are largely poor and Arican-American
or Latino, told the team that hygiene,
mental health, violence, attention
decit/hyperactivity disorder, nutri-
tion, oral health, asthma and puberty
were the critical issues or the health
education curriculum.
Hltn
The Holton Center renovation is
part o an ongoing eort to revitalizeone o Durhams most impoverished
areas, Northeast Central Durham.
The Holton building is owned
by the Durham Public Schools, but is
being renovated jointly by the schools,
the city, the county and DUHS. The
health system will operate the wellness
center on the rst foor, in planned
partnership with Lincoln Community
Health Center.
The wellness center will operate
weekdays manned by Duke medical
providers and sta. It will oer
primary care services to community
members, as well as to vocationalschool students whose parents enroll
them as clinic patients. The center will
have six exam rooms, a nurses station
and reception area.
We are proud to be responsive to
needs expressed by the Durham com-
munity and honored to provide primary
and preventive medical care to our
patients and neighbors, Victor J. Dzau,
M.D., chancellor or Health Aairs at
Duke University, health system CEO,
said in making the donation.
Prject Access
Duke Medicines eort toeliminate health care disparities
worldwide is a challenge, even in
Durham The City o Medicine.
The number o working adults
in Durham who dont have health
insurance has nearly doubled since
2004, rom 15 percent to 27 percent.
Though they live within a ew miles
o one o the worlds leading medical
centers, they oten have no reliable
way to take advantage o Duke
Medicines excellent
health services.
Thats where Project
Access comes in. Duke
Medicine, Durham
County and community
health care proessionals launched
a collaboration last July to improve
access to specialty care or uninsured
people who seek primary care at
Lincoln Community Health Center.Duke Medicine specialists and the
health system are donating their time,
expertise and resources or 2,000
episodes o specialty care, including
inpatient or surgical care, said William
J. Fulkerson Jr., M.D., senior vice
president or clinical aairs.
The intent is to reduce barriers
so physicians at Lincoln can reer
patients who are unable to pay to
specialists beore emergencies arise,
Fulkerson said. Patients need better,
easier access to specialty care when a
serious need arises, in a way that will
limit the possibility that disease willgo untreated until it reaches a crisis
level and patients seek care by going
to the emergency room. n
CARES, cnt.
o n t H e c o v e r
Senir physician extender Kaitlyn Granda the Divisin Cmmnity Health examines
Ryal Steele in the Walltwn Neighbrhd Clinic n Brad Street. pHOTO BIll STAGG
Primary care Wellness Centers in r
pblic schls, seving mosty ow-income
youngstes: Watts, Genn and powe eement
ies, and Southen High. Cinics ovide medi
and menta heath sevices duing the schoo
yea. Eementay cinics aso ovide biingua
menta heath sevices.
Jst r us/Prmising Practices, ovidin
imay cae, case management, nutition
counseing and occuationa theay sevic
o edey and disabed aduts.
Lyn Park Clinic, a neighbohood cinic
oviding imay cae to ow-income
Duham atients in a community cente in
Duham's West End, in conjunction with
lincon Community Heath Cente.
Walltwn Neighbrhd Clinic, ovidin
imay cae to ow-income atients in
Duhams Watown neighbohood, in
conjunction with lincon.
Drham Cmmnity Health Netwrk,
in-home chonic-disease management, atie
suot, heath education and atient
advocacy to 19,000 Medicaid atients at eig
Duke and community imay cae actices
Lcal Access t Crdinated Healthcare
(LATCH), oviding biingua in-home heat
education on chonic disease, atient
suot, and atient advocacy to 11,500
uninsued Duham esidents.
Learning Tgether, oviding heath
education in seected ubic schoos,
assistance in aying o ubic benets, a
suot to Dukes atne agencies.
Chrnic Disease Edcatin, with mateia
eaed o and taught to hysica educat
teaches o Duham midde and high schoochiden.
ALMA (Amigas Latinas Mtivand el
Alma), eseach ogam to tain latinas in
menta heath coing skis and teaching th
skis to ees.
BieneSTAR, a biingua menta heath sevi
o latino amiies and chiden enoed in t
eementay schoo weness cinics.
Arican American Health Imprvement
Partnership, a community-based eseach
ogam seving adut atients with diabet
though chuch-based suot gous,
in-home diabetes coaching and education.
AACoRN, a eseach oject to educe
ediatic obesity by testing bette ways o
imoving ood choices by chiden and
aents, in atneshi with the John Avey
Boys & Gis Cub.
Dke Medicine in Drham
Duke Medicine devotes $180.6 million to
communit benets undin ever er.
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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c A L e n D A rc A L e n D A r
Decembe 2008 Inside Dke Medicine
December You inside's guide to what'shaening at Duke MedicineeanDec. 3 4:30-6 p.m.
University Seminar on Global Health Series Tom
Quinn, director o Johns Hopkins Center or GlobalHealth, will present the sixth talk in the series, Inec-
tious Diseases: Continuous Threats to Global Health.
The event is ree, but registration is appreciated. John
Hope Franklin Center. Free parking is available in the
Pickens Lot across the street. Light rereshments will be
served. Register: http://globalhealth.duke.edu/
news-events/calendar
Dec. 8 6:30-8:30 p.m.
Grief and the Holidays The holidays can be an espe-
cially difcult time o the year when you are grieving.
This workshop will oer helpul strategies or sel-care
and explore the possibility o creating new amily rituals
and traditions. Teer House. Details and registration:
416-3853
Dec. 16 8 a.m.-12 p.m.
New Investigator Training or those new to research
or new to r esearch at Duke. Erwin Square, 8th FloorTraning Room. Continental breakast will be served.
Register: http://crso.som.duke.edu/modules/
crso_resrch/index.php?id=14
Jan. 14 4:30-6 p.m.
University Seminar on Global Health Series
with Daniel Schmitt, Department o Anthropology and
Anatomy at Duke. The event is ree, but registration is
appreciated. John Hope Franklin Center. Free parking
is available in the Pickens Lot across the street. Light
rereshments will be served. Register: http://global-
health.duke.edu/news-events/calendar
doDec. 1 2-4:30 p.m.
Duke Holiday Receptions 2008 Sta and acultyare cordially invited to join your riends and colleagues
at the Duke Holiday Reception in the Searle Center
Lecture Hall. Details: Staff & Family Programs,
684-9040
Dec. 1-2 11 p.m.-12:30 a.m. (Dec. 2)
Duke Holiday Receptions 2008 For Third Shit Duke
Holiday Reception at the Duke Hospital-Atrium Caete-
ria. Details: Staff & Family Programs, 684-9040
Dec. 2 10 a.m.-2 p.m.
Holiday Arts Sale sponsored by the Health Arts
Network at Duke (HAND). Come shop or gits among
handcrated items rom local artisans and support the
arts in the hospital. Duke South Food Court Corridor
Dec. 2 7-9 p.m.
Duke Chorale Christmas Concert This holiday tradi-
tion begins with seasonal music on the carillon and or
organ. Admission is one non-perishable ood item. Duke
Chapel. Details: 660-3333
Dec. 4 2-4 p.m.
Duke Holiday Receptions 2008 In the Bryan Center
Von Canon Room. Details: Staff & Family Programs,
684-9040
Dec. 9 7-8 p.m.
Duke Choral Christmas Concert All are invited to at-
tend this annual Christmas concertthe avorite o many.
Admission is one non-perishable ood item or the needy o
the Durham community. Duke Chapel. Details: 681-9488
Dec. 10 10 a.m.-2 p.m.
Holiday Arts Sale sponsored by the Health Arts
Network at Duke (HAND). Come shop or gits among
handcrated items rom local artisans and support the
arts in the hospital. Duke South Food Court Corridor
Dec. 12 4-5 p.m.
Sound the Bright Flutes!: Seasonal Music for
Early Woodwinds Trio Rossignol (Patricia Petersen,
Karen Cook and Douglas Young) will discuss the record-
er rom its inception through the contemporary period.
Come hear a bit about the instruments history and
repertory, and listen to some delightul seasonal music
or the recorder! Pieces or other early winds, such as
cornetto, shawm and curtal will also be included. Music
will include medieval English carols, French Noels, set-
tings by Praetorius o amiliar German Christmas hymns
and more. Perkins Library Rare Book Room. Admission isree. Details: 660-3333
Dec. 18 12-2 p.m.
Duke Chapel by Candlelight Annual Open House
The public is invited to enjoy the beauty o the Chapel
by candlelight, eaturing seasonal organ music and
Christmas decorations. Visitors are invited to come or
any portion o the open house. Details: 681-9488
Dec. 19 12-1 p.m.
Osler Literary Roundtable Annual Holiday Read-
ing Share something you have written or someone else
has written about the holidays or the winter season. Or
just come listen to others share. Rereshments will be
served. South Clinic Room 1993
giveDec. 4 5:30 p.m.
Tree of Hope Lighting Ceremony for the Du
Cancer Patient Support Program (DCPSP). Tho Hope honors those individuals acing cancer, th
who have aced cancer and those who have mad
dierence in their lives. You can honor or rememb
a loved one with a light on the tree and their nam
will also be written in the Book o Honor in the D
lobby. The ceremony begins in the DCPSPs lobby
special recognition or this years Light o Hope, M
Palmer, a now retired, 10-year DCPSP sta memb
Then the group will move to the Seese-Thornton G
o Tranquility or the tree lighting. For inormatio
about honoring someone with a light on the tree
contact the DCPSP at 684-4497.
Dec. 5 6 p.m.
19th annual Duke Childrens Teddy Bear Bal
beneft the Duke Childrens Hospital & Health Cent
This premier black-tie gala marks an evening ull o
essence o the holidays. It begins with cocktails and
silent auction. Guests browse more than 300 silenttion items, each paired with a loveable teddy bear.
previous years, guests will be invited to partake in a
tasting being sponsored by Nomacorc. The highligh
the evening is the live auction, eaturing exclusive
spirit events and this years avorite Duke Children
Flights o Fancy. The quilt presentation will be o
by dessert and dancing to the music o The Casabla
Orchestra. The best partits all or the children! D
tails: http://www.dukechildrens.org/
Dec. 6 10:30 a.m.
Jingle Bell Run A un walk/run to support the A
Foundation. The run will take place at St. Marys S
in Raleigh. I you are interested in joining the Du
Team, contact Stacy Ardoin at stacy.ardoin@d
edu. For more inormation about the race, contact
Bennett [email protected] or 971-5394.
How to submit:
Send calendar listings to
Wnt more ino?
Duke Health events:
http://www.dukehealth.org
Duke University events:
http://calendar.duke.edu
Sunctchers re iven to ll Duke emloees ever er durin the holids. This ers
desin is ictured bove. See below or detils on the Duke Holid Recetion or st
nd cult. IMAGE prOVIDED BY DUKE HUMAN rESOUrCES
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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B u L L e t i n SA t A g L A n c e
News bries, notices, even
nd The Book ClubA merry heart doeth good like a medicine. traditionalI T I g U R E SnI N S I D E J O K En
2,726cardiovascular MRIs perormed
by the Duke Heart Center inscal 2007, a rate o more than
7per day, every day o the year.
(The projection or scal 2008is more than 3,000 MRIs, among the
highest annual volumes in the world.)
Souce: Duke Heat Cente, 2008 reot.
Inside Dke Medicine Decem
p I C T U R E Sn
V O L U N T E E R I N gn
D the write thing
The Duke Witing in the Disciines po
and Oce o Aumni Aais have aun
the Duke Witing poject, an educatio
exeiment that aims to bing Duke au
and emoyees togethe with cuent
Duke students.
The Witing poject oes students th
ootunity to get eedback on cass w
assignments om eoe with eevaexeience.
By aticiating, membes o the boade
community can ay a diect oe in he
students deveo the communication
easoning skis that ae so imotant o
success in both oessiona and civic
The time commitment o vountees
no moe than thee to ou hous o
the couse o a semeste.
ind out moe: http://www.dkeal
cm/thereaderprject
Jmp!Moe than 250 ceative ictues and comeing stoies wee submitted
o Dukes second annua My Heath. My lie. hoto contest. The
enties wee unny, atistic and insiing.
Chis Hideth, diecto o Duke Univesity photogahy, chose the
gand-ize winne: Joni Hais o the Caita Budget Oce. O
a the enties, this hotogah iteay jumed out to me, said
Hideth. I ove the ou subjects susended in midai each with
thei own unique ose, but as a gou, evoking a sense o hamony,
amiy, and togetheness.
Joni Hais had this to say about why he heath mattes to he: With a
amiy histoy o high bood essue and diabetes, and a iends ecent
death to cance, I dont take my heath o ganted. I execise outiney
and have ost 10 ounds.
The hoto shows he nieces duing an annua amiy vacation: (et to
ight): Zai Wison, Aex Mie, Sydney Stehens, and Samiiah Wison.
See a gaey o contest submissions by going to http://inside.
dkemedicine.rg and seaching hoto contest.
H O L I D a y I D E a Sn
Axillary dishes phliday cnvenience
You can save money and
avoid the ines this hoiday
season by having you
hoiday ham o
tukey deiveed to
Duke in time o
the hoidays. As
an added conve-
nience, you can ay though
ayo deduction.
Duke Hosita Auxiiay and Heaveny
Ham ae teaming u to make it ossib
Duke Auxiiay suots ojects at Du
Hosita though undaising eots.
To ode, see robet at the Bouncing
Ba in the Chidens Hosita o ca
668-4112 o moe inomation.
Chistmas odes shoud be aced
by Dec. 17. pick u Chistmas odes
om 7-9 a.m. and 3-5 .m. in the
aking ot behind Duke Chidens
on Dec. 22
H O L I D a y U Nn
Jingle Bell Rnt fght arthritis
Join the Duke Medicine team o the J
Be run to suot the Athitis oun
at 10:30 a.m. Dec. 6 at St. Mays Sc
in raeigh.
Duke Team contact: Stacy Adoin, sta
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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Decembe 2008 Inside Dke Medicine
tHe Book cLuB
Bilding p
By day, Tim penniga oams Duke Medi
Cente as a high-enegy oject manag
maintenance and constuction.
When hes not busy gussying u the cou
at Duke Noth, nding ceative ways to
mateias and in genea ooking o new
to kee Duke Medicine geen, he ikes to
with a good book.
Tim ecenty took a iteay busmans ho
by icking u Hw Bildings Learn (V
$30), witten in 1994 by Stewat Band
Its a ascinating ook at how buiding
adat ove time when constanty ene
and eshaed by thei occuants, say
M. Band sot o kicks the stung
o the tyica aoach to buiding des
chaenging the achitectua comm
to matue om being atists o sace t
becoming atists o time.
The thought-ovoking emise chaen
achitects, histoians, ea estate oes
and eoe in genea to think in tems
buidings ie, not just its oigina intent
Buidings, Band contends, adat as the
changes ove time between thei bith a
thei demise, but not a adat we. On
the most undamenta questions Band
is why some buidings gain beoved sta
and othes dont. In 1997, the BBC aie
thee-hou documentay based on the b
Bil
Events High ivesSchoo o Nusing News
reseach News Tdays Tp NewsInside ScooSchoo o Medicine NewsHr NewsInqirypoes globl HelthEthics Ats, Cutue & Medicine Lives
E V E N T Sn
Patersn t deliver CartLectre
The 2009 Haiet Cook Cate lectue
annua ectue seies begun by the Scho
Nusings Cass o 1963 to commemoa
ie o Haiet Cook Cate and he wok
beha o the Duke and Duham commu wi eatue Babaa pateson, ph.D.
pateson is an r.N., oesso and Tie 1
Canada reseach Chai in Chonic Ines
the Univesity o New Bunswick.
pateson wi addess assumtions abou
eoe with chonic iness need and wa
and utue diections o nusing science
consides the most ecent evidence a
what is needed to suot and sustai
se-management o chonic iness.
The 2009 Haiet Cook Cate lectue w
be hed Jan. 28.
Again this year, hundreds oDuke Medicine employees
with a passion or decorating teddy
bears took the annual challenge
to help raise money or Duke
Childrens Health Center.
The 19th-annual Teddy Bear Ball
was Dec. 5, at the Durham Marriott
and Civic Center downtown.
Ten entries were selected out
o a highly creative group. Here
are the winners by category:
Ber beutiul
See mre phts the entries at http://inside.
dkemedicine.rg Search r teddy bear.
Best in Shw: lynn poe, peioeative Sevices-Eye Cente. Beary Beatil: Vicki Bunett,
radiation Oncoogy. Hme & Garden: Vicki Bead, Adiana E Caamawy, Betsy aucette, Donna
Withow, patient Visito reations. Clthing & Jewelry: Vivian Jodan, Oeations Imovement.
Dining & Entertainment: Susan B. Coe, Hosita Sevice Access Management. ChildrensCrner: lynn poe, peioeative Sevices-Eye Cente. Deck the Walls: Samantha Caentie,
Outatient registation. Sprts & Recreatin: Caoine Hoingswoth, radioogy. Childrens
Art: Jeeyn Moe, peds Bone Maow. Trips & Getaways: Coutney Jenkins, Wiiams Unit.
C O L L a B O R a T I O N Sn
Med Center Library blgseeking cntribtrs
Caing a
bogges
and wites!
Inteested inexoing issues
in medicine,
nusing,
inomation, eseach and education?
Hee is you ootunity. The Medica
Cente libay is seeking guest bogges
o the ibays Cossoads bog.
Toics o osts coud incude:
Makingevidence-basedpracticea
eaity.
Spotlightingsignicantnewarticles
om the iteatue
Usingtechnologyinhealthcare
Lifeasastudentorclinician.
Othertopicsofinterest.
No evious bogging exeience is
equied.
Guest bogges wi eceive ee intei-
bay oan ivieges o coy cads o
thei aticiation.
Inteested? Questions? Contact Megan
von Isenbug at megan.vnisenbrg@
dke.ed o (919) 660-1131.
New Mrrisville Clinic has pened
The new Morrisville Clinic,oering primary care, specialtycare and urgent care, opened Nov. 10not ar rom RDU airport. The clinic
is located at 10950 Chapel Hill Road.
Duke Urgent Care Morrisville is
open 8 a.m.-8 p.m., every day o the
year. Duke Primary Care and Duke
Medicine will be open 8 a.m.-5 p.m.,
Monday through Friday.
Cardiology and orthopedic
specialty care will be coming soon.
Download a copy o the
new Duke Medicine Closer to You
Location Map, which is beingdistributed throughout the Triangle
and shows more than 100 Duke clin-
ics spread across North Carolina by
going to http://inside.dukemedicine.
org and entering location map in
the search eld.
For additional inormation about
Duke Medicine clinics, visit http://
www.dukehealth.org.
E D U C a T I O Nn
ree therapy r breastcancer srvivrs
An innovative execise and eceation
theay ogam based at the Univesity o
Noth Caoina at Chae Hi, in atneshi
with the Duke Cente o
Cance Suvivoshi wi oe a
ee educationa session o
beast cance suvivos on Dec.
8, om 58 .m.
The session wi be hed in the
Stedman Nutition Cente, on
the Duke Cente o living
Camus, ocated o Ewin
road in Duham.
The Get rEAl & HEEl education session
wi ocus on teaching aticiants to useexecise and eceation theay to manage
cance teatment-eated symtoms such
as ain, anxiety and atigue; and to
imove quaity o ie.
The session is oen to a beast cance
suvivos, whethe ecenty diagnosed o a
ong-tem suvivo.
To eno in the ee education session o
o moe inomation about Get rEAl &
HEEl, contact Jennie Cashion at (919)
962-1222, o emai: cashin1@email.
nc.ed, beoe Dec. 2.
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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Inside Dke Medicine Decem
g o o D i D e A SP At i e n t c A r e
Remember tencrypt e-mail
Thoughout Duke Univesity Heath System
oeations, thee ae occasions when otecte
heath inomation (pHI) o othe sensitive
eectonic inomation is sent by e-mai.
A tyica tansaction might incude the
atients account and medica ecod inoma
tion, home addess and hone numbe, even
the atients name. povides and atients m
aso communicate with each othe by e-mai.
To otect atients ivacy and condentiait
e-mais containing
pHI o othe sensitiv
inomation must be
encyted.
When using e-mai,
membes o the Duk
wokoce ae
equied to use lotu
Notes o iNotes,
which ae DHTS-
suoted encyted emai accounts. Know
you eatues. Cick sensitive eectonic
inomation beoe sending pHI by lotus
Notes. The communication o pHI by esona
e-mai accounts (AOl, Hotmai, Outook, etc.)
is ohibited, as is the automatic owading o
e-mais outside o Duke Medicine.
It is imotant to emembe that you aeesonsibe o taking easonabe stes to
conto uses and discosues o pHI by
aying the minimum necessay ue.
Minimum necessay means incuding in an
e-mai ony the amount o pHI necessay o
the uose o the communication.
Comying with the minimum necessay
communication equiements incudes
de-identiying the pHI as much as ossibe.
o exame, when pHI is sent via e-mai, the
e-mai shoud not eeence the atients nam
i thee ae othe identies, such as a medica
ecod numbe o an account numbe,
avaiabe. I it is necessay to incude pHI in a
e-mai, the e-mai shoud ony be sent to thos
who have a need to know the inomation
E-mais containing pHI may not be owaded
within o outside Duke Medicine, and pHI
shoud neve be used in the subject ine o an
e-mai as the subject ine is not encyted
even when the sensitive eectonic inoma-
tion box is checked.
o uthe guidance on this toic, go to
https://email.dhs.dke.ed/secreemail
o, see the DUHS Eectonic Communication
oicy, the DUHS Mobie Comuting and
Stoage Devices oicy, o contact rob Adam
inomation secuity oce, at rb.adams@
dke.ed.
The sixth part of 'Six Rights in 6 Months' patient safety series.
By Jhn Hwe, RN, BSN, CAP
In 1897, a young girl by the name o VirginiaOHanlon asked a question to the editor o theNew York Sun that resulted in one o the classic
responses o all time. Trivia bus may remember
her question, which goes like this:
I am 8 years old. Some o my little riends say
that there is no Santa Claus. Papa says i you see it
in the Sun, its so. Please tell me the truth. Is there a
Santa Claus?
O course, the classic response was Yes,
Virginia. There is a Santa Claus. Although
the editors response was much more involved
than just that amous line, he understood howimportant the right response
was going to be.
Every day, physicians,
nurses, pharmacists, and
technicians at Duke Medicine
understand the importance o
their hard work helping our
patients experience the right
response to the medications
that they receive while in
our care.
A question that is oten
asked in the hospital is
How can we maximize the
saety o our medication useprocesses? The short answer
is Follow the 6 Rights o
Medication Administration.
But, similar to the editors
response to Virginias ques-
tion, there is more to it than
just a couple o sentences. And the real answer is in
being aware and carrying out the sub-steps in each
o those 6 Rights when prescribing, processing,
administering or teaching patients about their
medications.
In 2006, a landmark report rom the Institute
o Medicine o the National Academies started a
nationwide drive to maximize medication saety.
The study noted that approximately 1.5 millionpeople are harmed by medication errors each year,
with an estimated cost o o $3.5 billion per year.
The medication saety leaders at Duke continue
to work to maximize saety and minimize the
possibility o error in the medication use process.
Part o this commitment is the 6 Rights in Six
Months campaign.
This month, the ocus is on the Right Response.
As with each o the 6 Rights, there are
multiple steps and considerations or each member
o the health care team involved in the process
o getting the right response rom the patient.
Examples o steps to help assure the right response
might include:
For prescribers: Considering age, disease state,
other medications taken or each patient to obtain
the best therapeutic result or any medication.
For nurses: Knowing onset, peak and duration of
each medication being administered. Anticipate
the expected response and appropriate monitor-
ing/care which may be required.
For pharmacists: Considering the effects of
herbal preparations, naturopathics, over the
counter medications, etc., on the patients
medication regimen. For patients and family members:
Asking about expected and
adverse results o any new
medication. The nurses and
physicians are always willing to
answer your questions.
Another part o making sae
choices in the medication delivery
process consists o remembering a
ew non-negotiable behaviors,
including always taking and using
the medication administration
record with you to obtain and
administer medications, taking
medications in the originalpackaging into the patients room,
labeling any medication prepared
at the time o preparation and
reviewing or returning to the last
step prior to any interruptions that
may occur in the process. These behaviors and saety
steps are considered important enough to be included
each month, even as we ocus on a dierent Right.
Throughout the six months o our 6 Rights in
6 Months eort, the Medication Saety Education
Committee has stressed the importance o the basics
o eective processes, combined with vigilance by
all persons in the process to maximize the saety o
our medication use processes.
And just as Virginia was searching or the rightresponse, helping assure that the patient experiences
the Right Response to their medications is an
important part o our job at Duke.
Maximizing sae medication delivery processes
is always the right response. n
Want to know more about the Medication
Safety Education Committee and its efforts?
Contact committee coordinator John Howe, RN at
[email protected] , or visit the Medication
Safety Web site at: http://PatientMedSafetyEd.
duhs.duke.edu/
6 Rights of theMedication Use Process :
1 ) Right patient
2) Right drug
3) Right dose
4) Right route
5) Right time
6) Right response
Riht resonse
Hw t encrypt e-mail
To encyt otected heath inomation
when sending an emai on lotus Notes,
cick the Sensitive Eectonic Inomation
box io to sending a message.
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n e w S F e At u r e
The Science & Research Spplement t Inside Dke Medicine
VOLUME 17 NO. 12 n inside.dukemedicine.or n December 2008
Health dangers: hidden in plain sighBy Kelly Malcm
In early 2007, pet owners acrossthe U.S. were let grie-stricken andseeking answers as their pets began
dying ater eating tainted pet ood.
The culprit, a chemical called
melamine used in the production o
plastics, would soon be implicated in the
hospitalizations o thousands o inantsin China who had ingested tainted
milk powder. These poisonings and
others rom imported and domestically
produced products led to a tightening o
saety restrictions by the U.S. Consumer
Product Saety Commission and the
development o this years Consumer
Product Saety Improvement Act.
Duke, through collaborations
between the School o Medicine and the
Nicolas School o the Environment,
has been integrally involved in assessing
the health risks posed by various materi-
als and environmental toxins. Research
here is helping to develop standardsunder which Congress acts on behal
o consumers. Woodhall Stopord,
M.D., MSPH, o the Department o
Community and Family Medicine
and the Division o Occupational and
Environmental Medicine, has worked at
Duke or over 20 years, developing risk
assessments or products.
When I began in the early 80s, I
was looking at the saety o childrens
art materials, he explained. Things
began to change during that period
as more and more adult artists were
developing cancer as a result o
exposure to heavy metals. It was then
that the rst Consumer Product Saety
Act became law, requiring review and
labeling o art materials.
An important component o
Stopords research is a risk assessment
technique called modeling, which
determines tolerable exposure levelsand likely exposure amounts using
animal models that are then extrapo-
lated to people.
Researchers Theodore Slotkin,
Ph.D., o the Department o
Pharmacology and Cancer Biology, and
Ed Levin, Ph.D., o the Department
o Psychiatry are also using animal
models to determine how exposuresto substances like lead, pesticides and
cigarette smoke aect children, who are
at greatest risk or adverse health eects.
A recent study by the
Environmental Protection Agency
showed that every school age child
contains residues o organophosphates,
a type o insecticide, in their urine,
revealed Slotkin. Up until ve or six
years ago, organophosphates were the
most widely used type o pesticide.
It was partially based on our work
demonstrating that these chemicals had
the potential or adverse neurologi
aects that the EPA withdrew acce
ability o the use o chlorpyrios in
home, said Slotkin.
Slotkins research is unded by
the EPAs Superund project, a ede
ally unded program to clean up to
waste. Research by his lab, and by
Levins lab, which looks at the poteadverse behavioral eects o toxica
exposures, is rapidly redening wh
chemicals are considered sae.
We are sort o the re marsha
o science in that our job
to adequately vet these t
o thousands o compou
that are in wide use, sai
Levin. He cited a Colum
University study that ou
that children living in Manhattan h
the highest known concentrations
insecticide in their bodies and that
exposure was in turn having negat
eects on IQ and behavior. Whenthe insecticides were replaced with
toxic substances, such as boric acid
those eects declined, he said.
Slotkin and Levin suspect that
increased incidence o neurobehavi
conditions such as autism and ADH
may be directly related to chemical
exposures. These organophosphate
insecticides disrupt normal neuro-
logical development by blocking th
breakdown o a neurotransmitter
called acetylcholine, Levin explaine
ADHD drgs dntincrease genetic damage
Two widey escibed medications to teat
attention decit hyeactivity disode (ADHD)
do not cause genetic damage associated with
an inceased isk o deveoing cance.
A study, conducted in coaboation with
eseaches at the Nationa Institutes o Heath,
counteed a evious eot that aised concen
in the medica community. Biomakes
associated with an inceased cance isk had
been ound in bood sames om a sma study
o chiden taking methyhenidate.
The new ndings shoud he aeviate some o
the concens that wee aised by the evious
study, says Scott Koins, ph.D., study co-autho
and diecto o Dukes ADHD ogam.
Howeve, we need to continue to study the
ong-tem eects o these medications and
exand ou anayses to incude ode atient
ouations.
Alberts seminar
Buce Abets, ph.D., ome esident o the
Nationa Academies o Science and cuent
edito-in-chie o Science Magazine, wi be
giving a secia semina tited Making
Science Out o Science Education: Stategies
o Success in This Citica Enteise o the
Wods utue, Jan. 30 at 1:30 .m. in
lSrCs lOVE Auditoium. Thee wi be
ootunities o students and ost-docs tomeet with him as we.
Science Web links
Schoo o Medicine Dean Nancy Andews, M.D.,
ph.D., addesses the chaenges acing the next
geneation o hysician scientists in the most
ecent issue o HHMI Buetin, a Howad
Hughes Medica Institute ubication. Its time
o schoos and othes to ste u and eieve
the socia and economic essues that theaten
this imotant caee ath, she says. To ead
the u atice, visit the HHMI Buetin Web site
at http://www.hhmi.rg/blletin/nv2008/
perspectives/advcate.html.
read an atice by the IGSps Kenda Mogan
on the use o new technoogy to study genetics
at a system-based eve. Visithttp://research.
dke.ed/rbbi/.
led by Bigid Hogan, ph.D., rS, o the
Deatment o Ce Bioogy and Tannishtha reya,
ph.D., o the Deatment o phamacoogy and
Cance Bioogy, The Duke Stem Ce and
regeneative Medicine pogam aims to bing
togethe scientists and cinica investigatos
studying stem ces and thei emakabe
theaeutic otentia. See thei newy aunched
Web site at http://www.stemcell.dke.ed/.
a stud b the Epa showed tht
ever school e child hs residues
o te o insecticide in their urine.
Children are ten vlnerable t health eects psed by envirnmental cntaminants. ILLuSTRATIoNS BY VANESSA DEJoNGH
see ToXIC, p.8
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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Inqiry Decem
The brain is then unable to orm the
correct connections between neurons so
important or normal unctioning.
Another important part o our
lab is the development o potential
treatments or exposure. Were trying
to determine the mechanisms by which
these compounds exert their infuence
and then use those clues to develop
treatment interventions.
Their work and the work o other
researchers interested in environmental
medicine at Duke is being supported
by the Center or Comparative Biologyo Vulnerable Populations, led by
Richard T. Di Giulio, Ph.D., director o
the Superund Basic Research Center
at Duke. One o the means o support
includes pilot project unding. This
year, two projects were winners o the
prestigious ONES, or Outstanding
New Environmental Scientist, award,
given by the National Institute o
Environmental Health Sciences.
This is really a quite a remarkable
achievement or an institution to receive
two o these awards in the same year,
said the Centers deputy director Marie
Lynn Miranda, Ph.D.
Miranda, whose primary ap-
pointment is with the Nicholas School,
works closely with School o Medicine
aculty to address environmental jus-
tice issues throughout North Carolina
and the country.
For example, she teamed with
Wayne Thomann, M.D., o the
Department o Community and
Family Medicine and the Division
o Occupational and Environmental
Medicine, to look at air quality
within North Carolina homes and its
resulting eects on the health o the
occupants. According to the Childrens
Environmental Health Initiative, a
program led by Miranda, asthma and
allergies have an unequal impact on
specic subsets o the population,
including minorities and poor amilies,
and can be due to the presence o mold
and other contaminants in the home.
Thomann studies ways to engineer
buildings, including Dukes hospitals,
so that exposures to ungal spores and
other contaminates are reduced or
employees and especially
patients with compromised
immune systems.
With chemicals being
so pervasive within our
everyday environment, and an
increased reliance on imported goods
rom China and other countries, what
can be done to avoid potential adverse
health eects?
Continued government oversight
is key, say Dukes environmental
researchers. Indeed, they acknowledge
the oten-dicult task o monitoring
thousands o compounds or saety but
stress that more research is imperative.
Said Levin, The health damage is
occurring; we cant close our eyes and
pretend it isnt happening. It may be
expensive and laborious but it has to be
done. I were going to have a modern
industrialized society were going to
have to protect against these risks. n
ToXIC, cnt.
Early stdies may hldkey t male cntracept
The usion o sem and egg succee
in mammas because the sem ces
hyeactivate in ogessivey moe a
envionments o the emae eodu
tact beoe encounteing the egg, a
ast-moving sem dives on thoug
eggs etiization baie.
Mammas have sem with a tai th
eacts when cacium ions ente a
micoscoic channe in the tai, that
makes the sem go into ovedive.
act, ou genes ae needed to od
the so-caed CatSe ion channe in
sem tai that hyemotivates the s
The CatSe genes may someday be
tageted in a mae contacetive: no
cacium-ion channe gene = no se
hyeactivity = no etiization (ineeated to the gene bockage has be
oven in mice).
The inteesting thing is that mamm
eties, sea uchin, and even some
imitive owe invetebates, anima
without backbones, have a o thes
genes, whie bids, insects, woms,
and most sh secies, do not, says
co-autho Xingjiang Cai, M.D., ph.D
the Duke Deatment o Ce Bioog
the Duke Deatment o Medicine,
Division o Cadioogy.
He and co-autho David E. Caham
ph.D., have woked to ean moe a
the evoution o the sem-secic
channes. Thei genomics study was
designed to addess the hysioogic
signicance o the CatSe channe
sem hyeactivation acoss anima
secies using genomic databases to
evoutionay aths o the genes tha
contibute to this channe.
One o the imotant things abou
studying this aticua ion channe
the sem) is that tageting these g
shoud not aect any othe ion cha
in the body. Othe ion channes ae
imotant in heat unction and in o
ogans, Cai said. The idea that th
sem ion channe coud be bocked
human mae contacetive is intee
A contacetive dug used secica
men with no side eects woud be aeaing, he said.
Ateam o researchers atDuke University MedicalCenter and the Universit
catholique de Louvain (UCL)in Belgium has ound that
lactic acid is an important
energy source or tumor cells.
In urther experiments, they
discovered a new way to
destroy the most hard-to-kill,
dangerous tumor cells by
preventing them rom deliver-
ing lactic acid.
We have known or more than
50 years that low-oxygen, or hypoxic,
cells cause resistance to radiation
therapy, said senior co-author Mark
Dewhirst, DVM, Ph.D., proessor o
radiation oncology and pathology
at Duke. Over the past 10 years,
scientists have ound that hypoxic cells
are also more aggressive and hard to
treat with chemotherapy. The work
we have done presents an entirely new
way or us to go ater them.
Many tumors have cells that
burn uel or activities in dierent
ways. Tumor cells near blood vessels
have adequate oxygen sources and
can either burn glucose like normal
cells, or lactic acid (lactate). Tumor
cells urther rom vessels are hypoxic
and ineciently burn a lot o glucose
to keep going. In turn, they produce
lactate as a waste product.
Tumor cells with good oxygen
supply actually preer to burn lactate,
which rees up glucose to be used by
the less-oxygenated cells. But when the
researchers cut o the cells ability to
use lactate, the hypoxic cells didnt get
as much glucose.
For the dangerous hypoxic cells,
it is glucose or death, said Pierre
Sonveaux, proessor in the UCL Unit o
Pharmacology & Therapeutics and lead
author o the study, published in the
Nov. 20 online edition o the Journal
o Clinical Investigation. He ormerly
worked with Dr. Dewhirst at Duke.
The next challenge was to discover
how lactate moved into tumor cells.
Because lactate recycling exists in
exercising muscle to prevent cramps,
the researchers imagined that
the same molecular machinery
could be used by tumor cells.
We discovered that atransporter protein o muscle
origin, MCT1, was also pres-
ent in respiring tumor cells,
said Dewhirst. The team
used chemical inhibitors
o MCT1 and cell models
in which MCT1 had been
deleted to learn its role in
delivering lactate.
We not only proved that
MCT1 was important, we ormally
demonstrated that MCT1 was unique
or mediating lactate uptake, said
Proessor Olivier Feron o the UCL
Unit o Pharmacology & Therapeutics.
Blocking MCT1 did not kill
the oxygenated cells, but it nudged
their metabolism toward ineciently
burning glucose. Because the glucose
was used more abundantly by the
better-oxygenated cells, they used
up most o the glucose beore it
could reach the hypoxic cells, which
starved while waiting in vain or
glucose to arrive.
This nding is really exciting,
Dewhirst said. The idea o starving
hypoxic cells to death is completely
novel. n
Lactic acid nd t el tmrs
Science Editr: Key Macom
Inquiy eatues science and eseac
eated news items om Duke Med
News and Communications and oth
Duke deatments. To submit conte
contact us at [email protected]
Were trin to determine the
mechnisms b which these
comounds exert their infuence.
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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Decembe 2008 Inside Dke Medicine
w o r k i n g
Special t Inside Dke Medicine
What does it take to deliver three
meals to the more than 220
patients and approximately 1,100 visi-
tors and sta who dine in the Durham
Regional Hospital caeteria each day?
Observe the Food & Nutrition
team in action, and you have witnessed
a nely-tuned orchestra. With each
employee hitting an essential note in
the complicatedyet harmonious
production, this orchestra delivers the
right ingredients to the right patient at
the right time, while at the same time
running a restaurant and catering busi-
ness 24 hours a day, 365 days a year.
Heres a typical morning in the lie
o Sam Powell, who begins each dayunloading and preparing ood so the
orchestra can work their magic.
5 a.m.
Sam begins unloading groceries rom
the delivery truck. Approximately 500
boxes o bread, milk and other grocer-
ies are delivered to DRH almost every
day and placed in the appropriate
storage. While unloading, Sam greets
Mary Humphrey who is making resh
baked brownies rom scratch or
patients. Close by, Rochelle Brown is
making sandwiches or the caeteria
and all the catering events or theday while Monica Ford is putting the
salad bar together or lunch.
6 a.m.
Sam continues to unload the grocer-
ies and stock.
He meets cook Vince Battle, who
has been prepping and cooking
breakast or the caeteria since 5,
while Chris Decosta prepares and
cooks breakast or patients.
Rhonda Modlin stocks chips, drinks
and supplements. Next, she will
pull items rom cold storage and
rerigeration or her co-workers whoare preparing lunch. She will pull
all pizzas or the caeteria and the
patients who ordered pizza or lunch.
6:30 a.m.
The caeteria opens or breakast.
Phyllis Cadlet begins serving
breakast while Catherine Joyner and
Beverly Simpson run the cash registers.
Hazel Pringle prepares the deli bar
or lunch.
Mary places brownies in the oven.
While they bake, she cooks the non-en-
tre items and cuts and boils potatoes
or patient and caeteria entres.
7 a.m.
The patient tray line in the kitchen
begins. Thats where Laayette Artis,Sheila Bobbitt, Teresa Harding,
Ophelia Hall, Barbara Giles and
Ariel Moore prepare every patients
breakast plate, along with silverware,
drinks and napkins. The trayline
operates two hours or each meal.
When the line is not running, the team
cleans dishes.
While Sam continues to unload the
truck, he greets patient menu techni-
cians Shamera Boykin, Sherri Couch,
Nina Emmons, Shanaya Foster, Calina
Hobson, Frenchie Roscoe and Derek
Walker who collect the breakast trays
or patients. There are ve patient
menu technicians on each shit. They
deliver trays to patients three times a
day. Each technician has one or two
units, and will deliver all meals or
that unit. And, he or she will takeeach patients order with a handheld
digital device.
When the team nishes breakast
delivery, they come back or the lunch
trays, and start the whole process again.
8 a.m.
Chris and Vince begin cleaning the
grills or lunch.
In the Diet Ofce, Krystal Lubitz and
Jennier Young discuss a Ms. Baileys
milkshake. From a computer, Krystal,
who pulls and tracks all the ord
saw that Ms. Bailey is a diabetic
called Jennier, who is a register
dietitian, to see i Ms. Bailey can
have a shake.
The ood services teamrom
cook to the patient menu technici
is responsible or ensuring that ea
patient receives the proper meal. M
times, the diet ordered by the phy
will restrict salt or sugar either on
tray or cooked in the ood.
Jennier is part o an interdisc
ary team that works with physicia
to care or patients. Its an orche
every day. I one part is missing, it
throws everything o, says Jenni
10 a.m.
The caeteria is closed and the t
begins to clean and prepare or
lunch. Monica and Rochelle set
the salad bar and Rochelle mak
sandwiches.
Phyllis cleans every table and re
ishes silverware.
Trudie Watson prepares the dail
lunch special.
James Walker, Ingredient Contr
Cook, prepares the entres. He a
ingredients or every meal so the
cooks can prepare the meal. Chris and Vince begin cooking l
or patients and the caeteria.
11 a.m.
And, the beat goes on. In about
another hour, Sam will nish un
ing 500 boxes rom the truck, a
will have placed them in storage
rooms. He will then help bring b
to the ood preparers and cooks
he will determine what inventor
needs to order or tomorrow.
At 7 a.m., 11 a.m. and 4 p.m.
every day, the orchestra deliver
music to the 220 waiting patienand approximately 1,100 visitors
sta who dine in the hospital cae
This happens 1,095 times a year
regardless o conditions.
Oten, all it takes or someo
day to turn around is a smile and
comorting word, says Andrew
Hennis, Food & Nutrition directo
And in addition to the organized
chaos o ood preparation, our tea
delivers that smile and comorting
word nourishment or the soul.
Here t Serve
Hees the gocey ode o Duham regiona Hositas annua buet and beakast o
emoyees, vountees and etiees:
390poundsofturkey
343poundsofham
400poundsofpotatoes
72gallonsofyams
48poundsofmarshmallows
to cove the yams
360poundsofgreenbeans
990slicesofbacon
80poundsofeggs
1,440rolls
105poundsofcornbreadstufng
120poundsofcranberrysauce
96quartsofeggnog
1,152slicesofchocolatecake
60pecanpies
170poundsofcheesecake
Then, conside that a this cooking goes on whie the ood & Nutition team eeds
atients and visitos in the caeteia as usua.
rm trck t tray, DRH d & Ntritin deliver
Rchelle Brwn restcks d in the Drham Reginal Hspital caeteria.pHOTO BY TOM WOOTErS
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
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w o r k i n g
0 Inside Dke Medicine Decem
C E L E B R a T I O N Sn
2008 hliday receptinsschedle
Join othe Duke sta and acuty o ee
eeshments and entetainment duing this
yeas hoiday ceebations.
Enjoy the sights, sounds and favos o theseason om 2-4:30 .m. Dec. 1 in the Seae
Cente; 2 .m.-4 .m. Dec. 4 in the Byan
Cente; and 11 .m.-12:30 a.m. Dec. 1 in the
Duke Hosita Atium Caeteia.
Aso duing the hoiday season, u-time
acuty and sta wi eceive a Duke suncatche
as a git o thei contibutions and sevice.
The 2008 Duke Suncatche, distibuted
though Sta & amiy pogams to oces,
ays tibute to Tustwothiness, one o
Dukes guiding incies.
See the suncatche, and nd inomation
about othe hoiday events on page 3.
E D U C a T I O Nn
Medical Spanishclasses schedled
Hees a geat ootunity: join us o casses
geaed towads soken Sanish and taioed to
you needs.
Stating on Jan. 19 and continuing though
Mach 26, 10-week couses wi be oeed by
E Cento Hisano though the HISpAmeicano
Institute in coaboation with Duke Schoo o
Nusing and the latino Heath poject at Duke
Univesity.
The two-hou casses wi be hed once a week
as oows:
Level1:NopreviousSpanishknowledge
equied.
Monday, 5:30-7:30 .m., at Duke South
in Duham.
Wednesday, 3:30-5:30 .m., at Duham
regiona Hosita.
Level2:Prerequisites:basicgrammar,simple
medica diaogues.
Tuesday, 5:30-7:30 .m. - Duke South
Thusday, 3:305:30 .m. - Duham
regiona Hosita
Level3:Prerequisites:verbs,presenttense,
numbes, diect and indiect onouns andmedica vocabuay.
Wednesday, 5:30-7:30 .m. - Duke South
Level4:Prerequisites:verbs,pasttenseand
command, idiomatic exessions and medica
vocabuay. Cass is avaiabe uon equest
The cost is $200 e student. Book not
incuded (but $10 o when you bing a new
student). payment by check o cedit cad. No
eunds. registe now to ensue you ace.
Ino: Adiana at (919) 6803333
T R a I C a L E R Tn
Lane restrictinsn Erwin Rad
Commutes who use Ewin road in Duha
take note: Ewin road may be naowed t
ane between Moeene road and laSae
o a oad imovement oject oveseen bDukes aciities Management Deatment
The ane cosing wi ikey cause tac
congestion duing eak tave times such
moning ush hou. Motoists ae uged t
aow moe tave time, use exta caution
the constuction zone and to conside
atenate outes.
The wok is at o a majo oject to enh
intesections aong Ewin road. Duing th
hase, new tun anes ae being added.
a L T E R N a T I V E Sn
Mbile armers Market
cntines thrgh wintSumme may be ove, but you dont have
ogo esh, oca oduce.
Duke sta and acuty can eno in the M
ames Maket, which wi continue tho
the a and winte season.
The a/winte Mobie Maket, oganized
lIVE Or lIE, incudes boccoi, cauifow
squash and othe oduce om Binkey
in Ceedmoo; ettuce and augua om C
rock am and fowes om enock o
am, both in Hisboough.
Odes can be icked u om 4 .m. to 6
on Tuesdays at the Saah p. Duke Gaden
o moe inomation and to join, visit
http://hr.dke.ed/mbilemarket o c(919) 684-3136, extensin 1.
p E R S O N a L I N a N C En
ree seminars nspending, retirement
I cuent economic conditions have you
concened about cedit, debt and etieme
the Duke edea Cedit Union may have
ee nancia semina o you.
Decembe seminas incude:
Renancing,6:30-8p.m.Dec.2,inthe
Tee House
BuildingaBetterBudget,12:30-1:30p.
Dec. 2, in the Seae Cente
Creditability:BuildaStrongCreditHisto
6:30-8 .m. Dec. 9, Tee House
RetirementStrategiesforWomen,12:3
1:30 .m. Dec. 9, in the Seae Cente
To egiste, visit http://www.dkec.rg
seect semina sign-u unde Quick link
You can aso egiste by sending e-mai
to [email protected] o caing
(919) 660-9745.
division. Duke is committed to continuing
to be a nationa and intenationa eade in
cance-eated atient sevices and cinicaand basic eseach.
New cance cases ae ojected to incease
by 21 ecent in the geate Tiange ove
the next ve yeas and 13 ecent in Noth
Caoina as a whoe. Today, moe than 65
ecent o adut cance atients and 78
ecent o chidhood cance atients
suvive ve yeas beyond diagnosis,
ceating a vast and gowing numbe o
cance suvivos, who equie oow-u
and suotive cae.
Cinicians and eseaches at Duke and
othe institutions have made so many
advancements and ae seeing so many
moe atients each suvivoshi, and i you
combine the gowing numbe o suvivos
with the gowing numbe o newy
diagnosed eoe, we can exect to see a
ea exosion in demand o ou sevices,
said Kevin Sowes, r.N., M.S.N., chie
oeating oce and inteim CEO o Duke
Univesity Hosita. This exansion eay
efects ou attemt to meet that need.
I aoved, the new aciity woud house
cinica ogams in a aeas o ambuatoy
cance cae, incuding cinic sace, inusion
theay, adiation oncoogy, imaging, ab
sevices, hamacy sevices, genetic
counseing and atient suot sevices,
incuding educationa, nutitiona and socia
wok esouces.
The new buiding woud be ocated next
to the existing Mois Cance Cinic, which
is at o the Duke South cinic buiding.
Constuction woud occu at the sametime as constuction on the exansion o
Duke Univesity Hosita, but the ojects
woud be hased so that atient cae and
eseach can continue without inteu-
tion, Sowes said.
Moe than 75 ecent o cance atients
seen at the Duke Comehensive Cance
Cente in 2007 wee esidents o Noth
Caoina. Duke cuenty seves atients
om a but one o Noth Caoinas 100
counties. Its cinica sevices ae consistenty
anked among the nations best.
A CON equest is equied by the s tate o
any oosed hosita aciities exansion.
I aoved, it is hoed constuction woud
begin in Juy 2009. The oject is estimated
to take thee yeas to comete.
We ae awae that this oject is
conditiona uon aova by the state,
Sowes said. We hoe that the eviewes
o the equest wi ecognize that consoi-
dating and exanding ou cance sevices is
necessay o us to be abe to meet the
cance cae need that is ojected o Noth
Caoina. This oject is o geat imo-
tance to eoe who wi be diagnosed
with cance in the utue, and is aso
imotant to the ed o oncoogy as Duke
eseaches continue to make basic and
cinica discoveies that ae changing the
ives o eoe with cance.n
CANCER CENTER, cnt.
JoAnn Kempel (shown above atlet, with riends), an administra-tive assistant or the Department
o Biochemistry, and her husband,
Ken, visited Biltmore twice during
the holidays and once in the spring.
And, they plan on visiting again
on New Years Day. Employee
discounts, available to Duke aculty
and sta, made it possible.
The largest privately owned
home in the U.S., Biltmores
250-room French-style chateau
is a popular Asheville attraction.
Kempel bought her tickets through
Dukes PERQS program. Through
Dukes discount, aculty and
sta save $9 on adult admission.
Children under 10 are admitted
ree o charge.
Thats just one o many dis-
counts. Find out more by going to
http://www.hr.duke.edu/discounts
or reading posts rom resident
savings expert Dr. Discount at
http://inside.dukemedicine.orgn
Emplyee discnts
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
11/12
A n n o u n c e M e n t S
r e c o g n i t i o n
L i v e S
Decembe 2008 Inside Dke Medicine
Jerey R. Marcs, M.D., has been named
assistant vice-chai o ediatic sugica
aais in the Deatment o Sugey,
deatment Chai Danny O. Jacobs, M.D.,
announced.
In the newy estabished osition, Macus
wi eesent 13 sugeons in eight sugica
sections and hoes to become a bidgebetween the deatments o sugey,
ediatics and the Medica Cente in a way
that wi uthe Dukes commitment to
ediatic sugica cae.
D. Macus is a taented sugeon and
eade, and I ook owad to woking with
him to enhance the aeady stong co-
aboation between sugeons, ediaticians,
and othe ediatic ovides, said Joseh
St. Geme, M.D., chai o the Deatment
o pediatics.
Macus is a boad-cetied astic sugeon
whose inteests ocus on the coection o
acia deomities and aesthetic acia
enhancement o chiden and aduts.
In addition to his new osition, Macus isaso sugica diecto o Duke Chidens
Hosita, diecto o Dukes Cet Team and
Caniomaxioacia Tauma pogam, and an
assistant oesso at Duke Univesity
Medica Schoo.
Psthms hnrsr Lawrence Katz
The ate lawence Katz, ph.D., was hon
by the Society o Neuoscience duing
ecent annua meeting.
These science achievement awads s
the ed o neuoscience, honoing thoeay in thei caee as we as senio
scientists, and those who omote the
advancement o women in the ed, s
Eve Made, ph.D., society esident.
Katz was inducted into the paticia
Godman-rakic Ha o Hono. This ost
mous Ha o Hono ecognizes sustaine
excetiona achievements in neuoscien
evidenced by ubications, inventions,
awads, as we as a demonstated high
degee o imagination, innovation, and
initiative in the usuit o neuoscience
a dedication to aciitating the advance
o women in neuoscience.
Katz died om meanoma in Novembe
2006. His scientic accomishments w
ecognized by his being named a How
Hughes Medica Institute Investigato i
1996 and the James B. Duke poesso
Neuobioogy at Duke Univesity in 199
Katz made semina discoveies in coti
deveoment and cicuity with an em
on the visua system. He dened nove
asects o neuotohin signaing and
eguation in the centa nevous syste
designed and deveoed new technoo
and methods that tansomed eds
anging om hotostimuation to fuo
cent atex micoshees to bioostics; a
most ecenty ovided undamenta in
into the unctiona oganization o the
oactoy system.
Duing his time at Duke, Katz tained mstudents and ostdoctoa eows, ma
whom have gone on to conduct thei o
high-quaity eseach at estigious inst
tions aound the wod.
Stehen Shea, ph.D., a ostdoctoa e
who woked with Katz, said: lay wa
inventive, enegetic, and chaismatic, t
didnt just make his ab un he made
entie ed moe un. My time woking
him wi undoubtedy aways stand as a
highight o my scientic caee, and I w
cay his infuence with me wheeve I
Drham Reginal Hspitalachieves Magnet stats
Mary Ann chs, chie nrsing and patient care services fcer r Dke university Health
System; Adrey Neal, Drham Reginal Hspital Magnet crdinatr; and Glria McNeil,
Peggy Baker and Margaret Cheek spread the wrd last mnth that DRH had achieved
Magnet stats. pHOTO COUrTESY O DUrHAM rEGIONAl HOSpITAl
Jnathan Etter, M.D., o the Duke Eye
Cente, won st-ace honos in the sixth
annua Ohthamoogy Times resident
Wites Awad ogam. Ette eceived the
awad Nov. 9.
The ogam was sonsoed though an
unesticted educationa gant omAdvanced Medica Otics (AMO).
Ette aced st among 14 enties eceived
om aticiants eesenting ohthamic
teaching institutions om acoss the county
and, o the st time, a Canadian institu-
tion, the Univesity o Toonto. His
esentation was tited unga keatitis:
enhancing antiunga deivey with
emtosecond ase-assisted keatectomy.
Ettes mento was Aan N. Cason, M.D.;
2008 maked the second consecutive yea
that one o Casons esidents eaned the
to sot in the cometition.
The resident Wites Awads ogam is
designed to encouage exceence in witing
and esentation skis among esidents.
Ellen Drham Davis, cinica nuse
seciaist, has been named to Vandebit
Univesitys Schoo o Nusings To 100
leades. The honoees wee cited o
making a signicant imact in the wod o
heath cae and nusing.
The To 100 leades ist comises
individuas in vituay evey asect o heath
cae. The common denominato is thei
aiation with Vandebit, eithe as acuty
membe, aumnus o vountee.
Durham Regional Hospital achievedMagnet designation or excellencein nursing rom the American Nurses
Credentialing Center (ANCC). Only 5
percent o the nations hospitals have
earned the designation, which is intended
to recognize hospitals that provide the
highest level o nursing care.
Durham Regional nurses provide
exceptional care every day to hundreds
o patients, says Durham Regional
CEO Kerry Watson. It is an honor
Durham Regional has been selected tojoin this elite group o nursing organiza-
tions that provide superior care.
Announcement o the recognition
on Nov. 17 was the result o a three-
year application and evaluation process
that included interviews with more
than 500 nurses, physicians, and sta,
as well as examination o nearly 2,200
pages o documentation, said Peggy
Baker, Ed.D., R.N., Durham Regional
Hospitals interim chie nursing and
patient care services ocer.
This is the highest honor a U.S.
hospital can receive or its nursing pro-
gram, and it recognizes the innovative,rst-rate care patients receive at Durham
Regional Hospital and Duke Medicine,
said Victor J. Dzau, M.D., chancellor
or health aairs and president and
CEO o Duke University Health System.
Achieving magnet status is a testament
to the knowledge and dedication our
nurses bring to their proession.
The announcement adds another
Magnet recognition to the health sys-
tem. Duke University Hospital achieved
Magnet status in 2006.
Prior to and during the Durham
Regional site visit, examiners rom the
American Nurses Credentialing Center,
the credentialing arm o the ANA,
reviewed documentation about patient-
to-nurse ratios and evaluated the
results o patient satisaction surveys.
In addition, they reviewed the number
o nurses certied in specialty areas and
advancement in the clinical ladder, and
analyzed nurse-led initiatives intended
to improve the hospital work environ-
ment, Baker said.
Magnet designation lasts our
years, during which time the ANCC
monitors the hospital closely to ensure
it maintains high standards o care.
Magnet hospitals oten are able to at-
tract and retain the best-trained nurses,
according to ANCC inormation about
the Magnet Recognition Program.Being designated a Magnet
organization is recognition or the
teamwork o not only the nurses, but
also our physicians, sta and volun-
teers who care or our patients and
amilies, said Baker. The award
isnt just or nursing its or the
entire hospital.
Attaining Magnet recognition will
allow Durham Regional to maintain and
grow its already strong base o registered
and certied nurses, Baker said. n
read emembances o these dedicated
coeagues:
Page Andersn, M.D., a membe o
the Duke Schoo o Medicine acuty o
35 yeas.
J. Alexander McMahn, a tustee an
acuty membe who advised Duke
Univesity ove ou decades.
Seach thei names at http://inside.d
medicine.rg to nd hotos, ie stoi
and inomation about memoias.
This honor reconizes the
innovtive, rst-rte cre
tients receive t Durhm
Reionl Hositl.
8/14/2019 Inside Duke Medicine - December 2008 (Vol. 17 No. 12)
12/12
2 Inside Dke Medicine Decem
o n t H e w e B
Fdba
Tell us wht ou think t http://inside.
dkemedicine.rg. Click on about
nd ll out the eedbck orm.
ol a m
you cn downlod pD o this issue,
suitble or emilin or rintin, t
http://inside.dkemedicine.rg
nx ss
The next rint edition will er
Jan. 5. The dedline or submissions
or tht issue is Dec. 12.
givea
High5H
ighFivesisInsideO
nlinesdailywayof
recognizingthegood
workofDukeMedic
ine
employees,orforyo
utosharewhatinsp
iresyou
aboutworkingatDu
keMedicine.
Heresjustatinyselectionof
whatsbeenonline
already.
Ifyouknowaperson
whodeservesaHigh
Five
orwanttoshareath
oughtonwhatinsp
iresyou,use
ourcommentforma
thttp://inside.dukem
edicine.org
(clickonContacta
tthetopofthepage)
.
AlsogotoInsideOn
lineeverydaytosee
new
HighFivesandtorea
danarchiveofpastre
cognition.
a tients mother rised Eric
Hrwitz, M.D., in neontolo, or
oin the extr mile to kee the mil
inormed:
Eic was wondeu when ou son wasbon. We coudnt have imagined anyone
bette. He did such an
incedibe job o caing
o ou son and keeing
us inomed. He gave
us many udates
(good and bad)
thoughout the night,
which was so aeci-
ated. He went out o his
way to make us ee comotabe
and at ease duing a vey stessu time.
Comment rom tients duhter
bout Jennier Richmnd, nursin cre
ssistnt II, Emerenc Dertment:
Jennie was totay amazing! She ovided
wods o encouagement to ou amiy.
Jennie was a comete stange and,
somehow, she made us excetionay
comoted and assued that we had done
the ight thing. We wanted to et you a
know what an ange and jewe om heaven
that you have in you midst.
Yvette Meggs oers hert rise or
Dke Raleigh Hspital, where
Mes, RN, CN IV, workss ost-o nurse in
sme d surer:
I enjoy the coseness o
sta within Duke raeigh.
You can wak in the doo
and know eveyone and
eceive one-on-one attention om
nuses, hysicians and administation. Duke
raeigh is a use-iendy hosita.
Jst a ew yr clleages whvereceived High ives:
Antrn Green, tient trnsorter,
led ke role in tients recover
Antons wam smie, gente siit and
heu hand ovided a caming eect o
my anxiety. Ove the ast two months at
Duke, his steady touch duing tanses
contibuted to my heaing as much as othes
with cinica taining.
a tients rent ws imressed with
the rertion nd knowlede o
Carlyn Jettner, CN II, Neontl Intensiv
Cre Unit:
Caoyn has oeated a above execta-
tions, and he knowedge is excetiona. This
was vey evident duing doctos ounds; she
had eaed o evey question, and she
made ositive suggestions and contibution
Caoyn has ovided excetiona communi-
cation to my wie and me and has been o
immense suot.
J Ellen Hlt, clinicl nurse on 2300 nd
DUSON rdute student, used cell
hone technolo to hel tient
with dicult tsk. Heres wht
colleue Helen gordon
hd to s:
Jo ut togethe a
stunning esentationthat was deiveed to
DUSON acuty in the
ABSN pogam about
the vitues and eatues o
the iphone to enhance atient
cae. Jo gave an exame o teaching a
atient a comicated dessing change by
hotogahing the dessing change on the
atients ce hone. The atient was abe to
do the dessing change because o the
ictues and the audio messages that Jo
ecoded o him. She is innovative and
knows how to use the technoogy to
stengthen atient cae. Give this young
woman and geat nuse a BIG HIGH IVE!