inside duke medicine - december 2008 (vol. 17 no. 12)

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

i n q u i r y

i pla sh

D sahs a l

halh ss psd

b mal xs.

Pa 7

w o r k i n g

Fm a

Fd ha as

fd hdds,

da, a a D hspal.

Pa 9

r e c o g n i t i o n

Ma ahd

Dham ral Hspal

ahs a sas ad

b f u.S. hspals.

Pa 11

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


2/12

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.


3/12

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

[email protected]

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


4/12

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

[email protected]


5/12


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.


6/12

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.


7/12

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


8/12

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.


9/12


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


10/12

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


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


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.


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!

inside duke medicine - december 2008 (vol. 17 no. 12)

Documents