FALL
2008
                     INSIDE
                 LEARN HOW
                  JOINT
           REPLACEMENT
          ...
NEED CARE FAST?                                MAKING ROUNDS
                                                             ...
Letter
                         CEO
            from the




Transforming For A Purpose
Three years of planning, followed ...
OPEN H
VALLEY PAVILION OPENS ITS DOORS TO THE
        BY DONNIE BYERS   ‫׀‬   PHOTOGRAPHY BY RICHARD ELDER



After more t...
HOUSE
COMMUNITY
 Valley Pavilion was built to better meet the needs of the growing community by offering
 specialty servic...
[continued from previous page] With a booming
        surrounding population and ever-increasing
        Emergency Departm...
Open for business
CEO Michael Nagowski warms up
the crowd before a ceremonial
ribbon-sutting by Cape
Fear Valley officials...
VALLEY PAVILION EASILY REPRESENTS THE MOST AMBITIOUS

EXPANSION PROJECT IN CAPE FEAR VALLEY HEALTH SYSTEM’S




 [continue...
52-YEAR HISTORY




 beds to better handle the area’s growing population needs.         The first-floor Pavilion Imaging o...
[continued from previous page] second floor houses Cape Fear Valley’s
                            extensive cardiac progra...
WELCOME TO
THE FAMILY
BLADEN COUNTY HOSPITAL OFFICIALLY JOINS CAPE FEAR
VALLEY HEALTH SYSTEM WITH A LITTLE SOUTHERN STYLE
...
Daniel Tauoa is normally an outgoing child but becomes awfully shy when he walks into his
                     doctor’s of...
BY DONNIE BYERS




            SAY GOODBYE
            TO THE DRIVE
                                                     ...
Most of the families that come to see me are overweight, and they’re
not surprised to learn their child has become diabeti...
Few and far between
usually                            Dr. Cordero is the first Pediatric
                                ...
Putting them to the test
                               Dougald Clark regularly works
                               out h...
R
N




    FALL 2008 MAKING ROUNDS   17
[continued from previous page] stunned, but not Clark. He          Bradley Broussard, M.D., of Cape Fear Orthopaedic
     ...
but it also requires a smaller incision. As a result, blood     it is to repair hip joints. Hip arthritis is usually signa...
20   MAKING ROUNDS FALL 2008
BY DONNIE BYERS   ‫׀‬   PHOTOGRAPHY BY RICHARD ELDER




                             Richard Osenbach, M.D.




GETTING I...
[continued from previous page] by the pace     new in-house neurosurgery program earlier this year. The
                wi...
Joining Dr. Osenbach at Cape Fear
Valley Neurosurgery is John Spitalieri,
D.O., who also brings an impressive
resumé and e...
NEWPHYSICIANS
                             Brunilda Cordero, M.D., has been approved for the Associate Staff in Pediatric ...
Richard K. Osenbach, M.D., has been approved for the Associate Staff in Neurosurgery
and has joined Cape Fear Valley Neuro...
NEWPHYSICIANS
     Rajeev K. Gopinathapillai, M.D., has been                of Southern California, also in Los Angeles. D...
Duke University Medical Center in Durham. Prior to            Jersey – Robert Wood Johnson Medical School in Camden,
joini...
BOARD OF TRUSTEE
PROFILE                                                                               BY DONNIE BYERS



...
Stephensons’ stay here. The city has grown from an almost sleepy               have to travel out of town. They can just
b...
CHOOSING A NEW PHYSICIAN
                 Finding the right doctor for your primary healthcare needs can go a long way tow...
through the military and then through the Civil              talking about male health problems or receiving certain
Servi...
FOUNDATIONNEWS
     Golf tournament raises more than $225,000 for a good cause
     Cape Fear Valley Health Foundation’s 1...
Friends of Cancer Center
David Elliott (left) and Renee Elliott (right) of Fort Bragg Federal Credit
Union present a check...
NEWSBRIEFS
     WAYFINDING MAP
     Finding your way around Cape Fear Valley Medical Center just got easier
         Cape ...
WELL DESERVED REST
           Long-time Chief Financial Officer retires after 33 years


                                 ...
Just for KIDS                                                      BABY on the WAY
 American Red Cross Swim Lessons       ...
Get FIT
Bone Builders Exercise Class                                       Senior Strength
Monday, Wednesday, Friday      ...
SUPPORT & INFORMATION
     Groups led by Cape Fear Valley

     Facing Forward, a support group for women living with     ...
2008
2008
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2008

  1. 1. FALL 2008 INSIDE LEARN HOW JOINT REPLACEMENT SURGERY CAN GET YOU BACK ON YOUR FEET THE AREA’S FIRST PEDIATRIC ENDOCRINOLOGIST OPENS UP SHOP CAPE FEAR VALLEY ENTERS THE NEUROSURGERY ARENA
  2. 2. NEED CARE FAST? MAKING ROUNDS Fall 2008 SM The Official Magazine of Cape Fear Valley Health System We’re There For All Your Minor Illness & Injury Needs Cape Fear Valley has earned With Three Convenient Locations The Joint Commission’s Gold Seal of Approval TM CAPE FEAR VALLEY EXPRESSCARE Editor Donnie Byers Public Relations Coordinator 524 BEAUMONT ROAD dbyers@capefearvalley.com Across from the Cape Fear Valley Medical Center Emergency Department Contributing Clinton Weaver Writers Marketing & Outreach Director 7 Days a Week / 9 a.m. - 10 p.m. jcweaver@capefearvalley.com Photography Richard Elder Photographer HEALTH PAVILION NORTH relder@capefearvalley.com EXPRESSCARE Design Donnie Byers RAMSEY STREET & ANDREWS ROAD Public Relations Coordinator 7 Days a Week / 9 a.m. - 7 p.m. dbyers@capefearvalley.com Making Rounds is published by the Marketing & Outreach Department of HIGHSMITH-RAINEY Cape Fear Valley Health System. EXPRESSCARE Please direct all correspondence to the 150 ROBESON STREET Marketing & Outreach Department Cape Fear Valley Downtown Fayetteville P.O. Box 2000 Fayetteville, NC 28302-2000. 7 Days a Week / 7 a.m. - 1 a.m. If your address is incorrect or you would like to be removed from our mailing list, please call 609-6725 or send an email to preynolds@capefearvalley.com. www.capefearvalley.com 2 MAKING ROUNDS FALL 2008
  3. 3. Letter CEO from the Transforming For A Purpose Three years of planning, followed by nearly three percent larger, with dedicated family spaces on each years of construction. Valley Pavilion has been a floor. monumental undertaking. But it has been well worth Even the artwork was chosen with our patients in the effort. mind. Selected works from local artists adorn the With the completion of this six-story building, Cape waiting rooms and hallways, creating a calm, healing Fear Valley now provides a first-class Heart & Vascular environment. Center worthy of our affiliation with the nation’s top- In sum, Valley Pavilion provides the facility, the ranked heart program. framework and the focus for transforming the way Not only that, but we have a new Emergency we care for our patients. We look forward to serving Department equipped to handle one of the nation’s the needs of our patients in this wondrous new busiest patient loads. We rank among the Top 100 showcase facility for years to come. busiest Emergency Departments in the country. With 77 beds, our new facility is more than up to the challenge. Valley Pavilion also provides 96 new inpatient beds, to improve access to hospital care. Each room contains computers at the bedside to make it Michael Nagowski, CEO Chief Executive Officer easier for our doctors and nurses to document your care. Another 36 beds are available for observation patients. With the opening of this facility, our emphasis is squarely on providing patient-centered care. Every aspect of the pavilion was designed to cater to the needs of patients and their families. The rooms are 50 FALL 2008 MAKING ROUNDS 3
  4. 4. OPEN H VALLEY PAVILION OPENS ITS DOORS TO THE BY DONNIE BYERS ‫׀‬ PHOTOGRAPHY BY RICHARD ELDER After more than six years of steady planning and construction, Cape Fear Valley Health System finally unveiled Valley Pavilion to an eager public in September. Throngs of area residents were able to tour the new six-story regional referral center during a brief-but-memorable grand opening ceremony. It allowed them to be among the first to peek inside what is easily the most ambitious expansion project in the health system’s 52-year history.
  5. 5. HOUSE COMMUNITY Valley Pavilion was built to better meet the needs of the growing community by offering specialty services, all in one convenient location. It houses the health system’s Heart & Vascular Center, Bariatric Center, a Women’s Pavilion, Pavilion Imaging (Radiology), 132 inpatient and observation beds, and brand new Emergency and Children’s Emergency Departments. The new facility is so monumental and broad in scope that it will inevitably become the face of Cape Fear Valley Health System for years to come. [continued on next page]
  6. 6. [continued from previous page] With a booming surrounding population and ever-increasing Emergency Department visits each year, Cape Fear Valley simply needed the new facility. So in 2002, Cape Fear Valley’s Board of Trustees hired HDR, an architectural firm in Alexandria, Va., to come up with a plan to build upon Cape Fear Valley Medical Center’s existing structure. In January 2006, steady construction began on the project for the next two years, led by Turner Construction Co. of Charlotte. During the height of construction, Turner employed more than 350 people on site and invested more than 1 million man hours in the project. The result of their work is a six-story achievement in design that dramatically changes the medical center’s façade. Its Bauhaus design-influenced metal archways, silvery finished wall panels and expansive glass planes create an ultra-modern look that both impresses and invites. Inside, the design is just as inviting, with hallways decorated with a seemingly endless WELL OVER 1 MILLION MAN HOURS WERE INVESTED INTO THE CONSTRUCTION OF VALLEY PAVILION 6 MAKING ROUNDS FALL 2008
  7. 7. Open for business CEO Michael Nagowski warms up the crowd before a ceremonial ribbon-sutting by Cape Fear Valley officials. supply of deep cherry wood veneer, brushed aluminum metal accents and glossy marble floor tiles that would make upscale hotels envious. Bob Dispennette, a Turner Senior Project Superintendent, oversaw Valley Pavilion’s construction. He said the weather cooperated greatly during the project, but there were plenty of other hurdles. The biggest was trying to [continued on next page] FALL 2008 MAKING ROUNDS 7
  8. 8. VALLEY PAVILION EASILY REPRESENTS THE MOST AMBITIOUS EXPANSION PROJECT IN CAPE FEAR VALLEY HEALTH SYSTEM’S [continued from previous page] maneuver all of Turner’s massive finish construction on time. equipment within a tiny corner of the medical center’s The Big Move campus every day. Valley Pavilion was such a large project that all of its new “I’m building a $100 million building on a construction departments had to open in stages. The biggest occurred Sept. site the size of a postage stamp,” Dispennette says. “It was 29 when the Emergency Department opened on the ground just very tight space out here.” floor near the corner of Village and Owen drives. Turner worked through the obstacles and managed to It is nearly three times larger than the old ED, adding 21
  9. 9. 52-YEAR HISTORY beds to better handle the area’s growing population needs. The first-floor Pavilion Imaging one floor above is the The rooms are private and can accommodate up to two new hub for the health system’s Radiology and imaging family members. services. It has an extensive array of new, up-to-date The department also has a larger waiting area, dedicated equipment, including a state-of-the-art 64-slice dual source Computed Tomography (CT) scanner and imaging area, CT Scanner and new Fluoroscopy System used to take x-rays private physician workrooms and family consultation spaces, of patients and then display them automatically on a screen. all housed in a bright and contemporary setting. The Heart & Vascular Center on the [continued on next page] FALL 2008 MAKING ROUNDS 9
  10. 10. [continued from previous page] second floor houses Cape Fear Valley’s extensive cardiac program and nearly all new equipment. It has two new Cardiac Catheterization Laboratories, a third combination lab that can be used for different procedures, two new Angiography Laboratories, a Vascular Laboratory and a 36-bed Cardiovascular Observation Unit. The floor also houses a new Electrophysiology Lab that will help diagnose and treat abnormal heart rhythms in patients. Valley Pavilion’s third floor houses the health system’s Cardiac Care Step-Down (CCSD) Unit and Cardiovascular Intensive Care Unit (CVICU). Half of the 48 beds on the floor will be medical cardiac patients in the CCSD. The remaining 24 beds will constitute the CVICU. The patient rooms will not only be 50 percent larger than the medical center’s current patient rooms, but also have private upscale bathrooms, dedicated family areas and computers in every room for staff. The fourth and final floor houses a Women’s Pavilion and Surgical Pavilion. The Women’s Pavilion houses patients that were formerly housed in the medical center’s 3 South Gynecology Unit. The Surgical Pavilion is all new and is now home to the health system’s award- winning Bariatric Center. MODERN STRUCTURES NEED MODERN ART Walk the halls of Valley Pavilion and the first thing you may notice is all the vibrant artwork. It wasn’t by chance. More than 300 pieces, ranging from framed and matted photographic prints to hand-created original works of art, grace the new regional referral center. The decorative effort was spearheaded by William Avenel, Cape Fear Valley’s Chief Information Officer. More than 40 pieces are original artworks purchased by the health system through a juried art competition during Fourth Friday in July. More than 70 North Carolina artists entered roughly 240 pieces into the competition for a shot at local fame and purchase commissions. What does it take to build a state-of-the-arte regional referral center like Valley
  11. 11. WELCOME TO THE FAMILY BLADEN COUNTY HOSPITAL OFFICIALLY JOINS CAPE FEAR VALLEY HEALTH SYSTEM WITH A LITTLE SOUTHERN STYLE Bladen County Hospital officially became a member of the Cape Fear Valley Health System family June 1, ending one memorable chapter in its 56-year history and beginning another. The Elizabethtown facility agreed to let Cape Fear Valley help manage it under an exclusive five-year lease agreement. The move helps to support a neighboring county and keep a valuable community resource open to Bladen County residents, while also helping Cape Fear Valley expand its service area. To help commemorate the partnership, Bladen County Hospital held a good old fashioned pig pickin’ and invited all of its new friends from across the county line. A ceremonial key-passing was also held to celebrate the occasion. “I want everyone to know that we at Cape Fear Valley Health System are very proud to be here,” said Cape Fear Valley CEO Michael Nagowski during the ceremony. “Together we will be able to provide better healthcare to our patients.” To further celebrate, Cape Fear Valley brought Patch Adams to Bladen Community College to speak about the healing properties of joy and laughter. Patch Adams’ life was immortalized on the big screen by actor Robin Williams as a dedicated medical student who believes laughter really is the best medicine. Bladen County Hospital is a public, not-for-profit 58-bed Critical Access Hospital (CAH) that includes a 24-hour Emergency Department, 40-bed Medical/Surgical Unit, an Intensive Care Unit and an up-to-date Birthing Center.
  12. 12. Daniel Tauoa is normally an outgoing child but becomes awfully shy when he walks into his doctor’s office. He clings to his mother and stays quiet as a mouse. But ask to see his new insulin pump, and the 8-year-old’s pursed lips quickly turn into a grin worthy of a Cheshire cat. He snaps to attention and gently raises his shirt to reveal a small, bluish-gray device clipped to his shorts. The pump quietly flashes numbers in rapid succession as its owner toggles through its buttons. Daniel has Type 1 diabetes, formerly known as insulin-dependent diabetes mellitus, which forces him to wear the pump day and night, allowing him to properly maintain his body’s glucose level. But he isn’t complaining. He used to have to take four to five insulin shots a day instead. 12 MAKING ROUNDS FALL 2008
  13. 13. BY DONNIE BYERS SAY GOODBYE TO THE DRIVE Fayetteville’s first Pediatric Endocrinologist opens for business in a community in need “Can I see it?” asks his doctor, Brunilda Cordero, M.D., a Pediatric Endocrinologist. With a nod and a grin, the young patient hands her the pump and watches her operate it with equal ease. It makes his grin wider still. Most people dread going to see the doctor, but visiting with Dr. Cordero is a necessary pleasure for Daniel and his mother, Cynthia Hugho. [continued on next page] FALL 2008 MAKING ROUNDS 13
  14. 14. Most of the families that come to see me are overweight, and they’re not surprised to learn their child has become diabetic. [continued from previous page] The mother and child is a hardship most families can’t afford. He says Cape used to travel to Raleigh every three months to see a Fear Valley recruited Dr. Cordero to come work at Pediatric Endocrinologist there. Dr. Cordero’s arrival in the health system’s Diabetes & Endocrine Center in Fayetteville this summer made the 90-minute drive up downtown Fayetteville for just that reason. Interstate 40 unnecessary. “Greater access to specialty care locally is always a “This is just like Christmas,” Hugho says. “I saw that good thing,” Dr. Wright says. “We identified a need for a Dr. Cordero had come to town and I screamed: ‘There’s a Pediatric Endocrinology program here several years ago.” Peds Endo! There’s a Peds Endo!’” Identifying a need is one thing. Starting up an Hugho has good reason to celebrate. Dr. Cordero actual Pediatric Endocrinology program is another. is the first Pediatric Endocrinologist in Southeastern The competition for Pediatric Endocrinologists is fierce North Carolina, not just Fayetteville. Before she arrived, because of a national shortage. area children with endocrine and blood sugar problems Dr. Wright says Cape Fear Valley began recruiting were often referred to Raleigh, Durham or Chapel Hill Dr. Cordero while she was still in medical training. She instead to see such specialists. graduated from American University of the Caribbean Dr. Eugene Wright Jr., M.D., is the Interim Chief in St. Maarten in 2002 and completed her pediatric Medical Officer for Cape Fear Valley Health System. He internship and residency at Pitt County Memorial says having to travel out of town for medical treatment Hospital in Greenville. She was still working on her 14 MAKING ROUNDS FALL 2008
  15. 15. Few and far between usually Dr. Cordero is the first Pediatric Endocrinologist in the region. fellowship last year in Pediatric Endocrinology at Medical University of South Carolina in Charleston, S.C., when Cape Fear Valley recruiters came calling. Her first day with the Diabetes & Endocrine Center was July 21, and she has had no problem getting referrals from local primary care physicians. In addition to treating pediatric diabetes, her special interests include short stature in children and adrenalgenital disorders and obesity. She says many of her new patients are sent to her because they are clinically obese. death. “The backbone of pediatric diabetes is obesity,” Dr. “Type 2 diabetes at a young age used to be pretty Cordero says. “Most of the families that come to see me are rare,” Dr. Cordero says. “But in my first three weeks here, overweight, and they’re usually not surprised to learn their I diagnosed five new children with the onset of Type 2 child has become diabetic.” diabetes.” Nearly 24 million people in the United States, or 8 She says lack of exercise and a fast food lifestyle are percent of the population, have diabetes, and more than the main culprits. Her eventual goal is to help create a local 180,000 of them are younger than 20. About 15,000 youth youth center where diabetic children can exercise for free are newly diagnosed with Type 1 diabetes every year, and and learn proper nutrition. another 3,700 youth are diagnosed with Type 2 diabetes In the meantime, Dr. Cordero teaches her young annually, according to 2002 – 2003 data from the Centers patients and their parents how to better manage diabetes for Disease Control and Prevention. one-on-one at her new downtown office in the Medical The numbers will only grow worse in the coming Arts Center. She says her main priority is to diagnose years. Data f merican Diabetes Association shows another whether a child has diabetes as soon as possible to 2 million adolescents (or 1 in 6 overweight adolescents) minimize future complications. ages 12 -19 have pre-diabetes. Additional data and regional Symptoms include excessive drinking and thirst, studies suggest that Type 2 diabetes, although still rare, frequent urination, apparent weight loss, exhaustion or is being diagnosed more frequently in children and tiredness, poor growth, or a lack of concentration. Referred adolescents of American Indian, African American and patients are given simple blood tests to check blood sugar Hispanic/Latino descent. levels. If a patient does have diabetes, Dr. Cordero sends Type 2 diabetes was formerly known as non-insulin the patient and his or her parents to meet with a registered dependent diabetes or adult-onset diabetes. It usually dietitian before following up with a care plan. begins with insulin resistance in the body. Over time, the On this day, Daniel’s glucose readings look pretty good pancreas gradually loses its ability to produce insulin. despite his pump accidentally becoming unattached while Type 1 diabetes is an auto-immune condition which he slept the night before. Dr. Cordero asks his mother how destroys the body’s ability to create insulin at an early age. his diabetes has been since their last visit. The mother is The hormone is critical to the body’s ability to properly more than happy to respond. metabolize food. “I am so glad she is here,” she says, with a smile. If left unchecked, both forms of diabetes can lead to To request a referral, contact the Cape Fear Valley Diabetes & serious complications, such as blindness, kidney damage, Endocrine Center at (910) 615-1885. cardiovascular disease, lower-limb amputations and early FALL 2008 MAKING ROUNDS 15
  16. 16. Putting them to the test Dougald Clark regularly works out his surgically repaired knees at HealthPlex GET BACK ON YOUR FEET AGAIN MORE PEOPLE ARE OPTING FOR JOINT REPLACEMENT SURGERY SO THEY CAN START ENJOYING LIFE AGAIN BY DONNIE BYERS Watch Dougald Clark walk across a room or up a flight of stairs and you’d be hard-pressed to tell that he’s had two knee surgeries this year. His stride is so effortless and smooth that it shows little sign of the debilitating knee pain that plagued him just a year ago. The pain was so great that the retired Fayetteville judge often chose to sit rather than to walk for any real distance. The immobility was a hard pill to swallow for someone who spent his entire life playing sports and staying active. But the same competitive spirit that drove him to excel on the playing field also had a hand in wearing down his knee cartilage to the bone. His doctor finally told him this past April that he needed a total knee replacement in his right leg and a partial knee replacement in his left. Most people would have opted for two separate surgeries to lessen the pain, but not Clark. He dove right into surgery like he used to dive into the ocean while scuba diving. “I figured if I did one, I probably wouldn’t go back and do the other,” says Clark, with a broad grin. “Besides, that would have meant two hospitalizations instead of one.” His operation was on a Monday and discharge on Friday. He was walking normally again within two months and back lifting weights at HealthPlex a month after that. His friends and family were [continued on next page] 16 MAKING ROUNDS FALL 2008
  17. 17. R N FALL 2008 MAKING ROUNDS 17
  18. 18. [continued from previous page] stunned, but not Clark. He Bradley Broussard, M.D., of Cape Fear Orthopaedic credits his doctor’s surgical skill, as well as Cape Fear Clinic, performed Clark’s knee surgeries. He says business Valley’s orthopedic surgery program. is growing for hip and knee replacements among 45 to Last year, Cape Fear Valley implemented 60 year olds, but operating on a patient in his a dedicated joint replacement recovery or her 30s is becoming more common. program called the Joint Replacement Club. “When I was in training,” Dr. Broussard It encourages patients to rehab in a group says, “we wouldn’t have even considered such setting, instead of individually, to foster surgery for anyone less than 65 years old.” competition and faster recovery times. Clark Those days are long gone as Americans also credits the support of his wife, Lynda, a live longer and exercise more, causing their Cape Fear Valley Vice President and someone Bradley Broussard, joints to wear out faster. The orthopedic who knows a thing or two about healthcare. M.D. field is trying to keep up by perfecting new Orthopedic Surgeon “I just did what she told me to do,” Clark surgical techniques, such as the partial knee says with a chuckle. replacement procedure performed on Clark. Clark is among a growing number of Americans The surgery, also called unicompartmental knee opting for knee or hip replacement surgery to help arthroplasty, involves replacing just the most damaged relieve pain and disability caused by osteoarthritis. The areas of cartilage in the knee and bone surface. In condition is the “wear and tear” version of arthritis, comparison, total knee surgery replaces all the cartilage commonly associated with aging. Symptoms often with a plastic and metal implant. include joint pain and stiffness due to deteriorating Partial surgery is growing in popularity not only joints, previous injuries or obesity. because it spares more of the original bone in the knee, 18 MAKING ROUNDS FALL 2008
  19. 19. but it also requires a smaller incision. As a result, blood it is to repair hip joints. Hip arthritis is usually signaled transfusions are usually not required, and recovery times by pain in the groin area, not on the sides, and a severe are much shorter. Some patients can be discharged the decrease in leg range. The pain gets progressively worse same day. and often afflicts sufferers while sleeping, walking or For these reasons, Dr. Broussard often recommends while standing from a seated position. younger patients get a partial procedure if they want to Hip replacement, also called total hip arthroplasty, maintain an active lifestyle. can give patients back their range of motion needed to “For a 30 year old, a partial knee may last 15 go about their daily lives. It involves removing to 20 years,” Dr. Broussard says. “It’s also easier the femoral head, or “ball,” of your thighbone to change out a partial knee replacement to a and replacing it with a metal ball. That ball is full knee later if the patient needs it.” then pushed into a metal stem that fits into Partial knee surgery can only be performed your thighbone. The reconstructed thighbone if the arthritis in the knee is confined to a small is then connected to metal and plastic socket area, however. If the arthritis is widespread, implanted into your pelvic bone. The new parts then a total knee replacement is required. Total Dickson Schaefer, fit together and function like a normal hip joint. knee replacement surgery is more invasive and M.D. More than 90 percent of all hip replacement Orthopedic Surgeon requires a longer recovery, but has a proven surgeries are successful. track record. Dr. Schaefer enjoys doing both hip and knee Total knee replacement has become one of the most surgeries, but particularly hip and partial knee common orthopedic procedures in the U.S. among people replacements because patients typically recover faster. 65 years old or older. During 1979 – 2002, the rate of knee Medical advancements have helped the recovery process replacements in that age group increased eightfold, even further. Nowhere is it more evident than with according to the National Center for Health Statistics. partial knee surgery, which is the beneficiary of continual Despite the statistics, Dr. Broussard still tells his advancements in implant technology. patients that joint replacement surgery is always a final Dr. Schaefer says partial knee implants are growing option. First he tries prescribing diet and exercise, oral so popular that it now represents half of all his knee medications or injections. If those don’t work, then replacement surgeries. surgery is considered. “Realizing broader indications for partial knee “If I have a 45 year old with end-stage arthritis, then replacement has allowed me to provide that surgery for a we’ll talk about all the options,” Broussard says. “But the large number of patients,” he says. new knee that I give him probably won’t last a lifetime. If As with other types of surgery, there are complication the patient’s 65 years old, it probably will.” risks for hip or knee replacement. They include blood clots, As for bad hips, there are not as many conservative infection and loosening of the replaced joint over time. treatment options. Doctors can try prescribing oral Most all the complications can be treated successfully, medications or walking aids, but injections have proved however. to be ineffective. If the pain gets bad enough, hip Talk with your surgeon about any questions or replacement surgery is usually recommended. concerns you might have and then ask if surgery is right “You’ll know when the time comes,” says Dickson for you. If you don’t have an orthopedic surgeon, you can Schaefer, M.D., of Fayetteville Orthopaedics & Sports find a qualified physician at www.capefearvalley.com. Medicine, “because you’re very uncomfortable.” Or you can attend a monthly informational seminar on Dr. Schaefer says he is more proactive when it comes arthritis of the hip & knee on the campus of Cape Fear to hip surgery, because the longer you wait, the harder Valley Medical Center by calling 609-LINK (5465). FALL 2008 MAKING ROUNDS 19
  20. 20. 20 MAKING ROUNDS FALL 2008
  21. 21. BY DONNIE BYERS ‫׀‬ PHOTOGRAPHY BY RICHARD ELDER Richard Osenbach, M.D. GETTING INTO THE GAME How meeting the community’s needs gives rise to an all-new program Leah Huttlinger literally cried when she first met her new neurosurgeon, Richard Osenbach, M.D, to discuss surgery. The 25-year-old New Bern resident had not walked in more than two months due to the effects of Chronic Regional Pain Syndrome. The mysterious neurological disorder frequently paralyzed her arms and legs with excruciating pain, causing Leah Huttlinger her to gradually lose mobility over the years. Her physician in Wilmington recommended Dr. Osenbach perform a procedure that would place a tiny electrode in her back that could help her walk again. Huttlinger was excited over the possibility, but also overwhelmed [continued on next page] FALL 2008 MAKING ROUNDS 21
  22. 22. [continued from previous page] by the pace new in-house neurosurgery program earlier this year. The with which everything was happening. program is officially called Cape Fear Valley Neurosurgery Dr. Osenbach tried his best to and is headquartered in the Medical Arts Center in explain what surgery would be like, but downtown Fayetteville. Huttlinger was almost oblivious. With Dr. Eugene Wright, Jr. is the Interim Chief Medical tears welling up in her eyes, she asked Officer for Cape Fear Valley Health System. He says the him why he didn’t have any tissues in his budding program was created to improve neurosurgery office so she could dab her eyes. access and coverage to the surrounding community. Sensing her anxiety, Dr. Osenbach “Much of what used to leave the community can now eased into a smile before offering her his stay in the community,” Dr. Wright says. “We just want to shirt sleeve instead. The patient knew support the local community’s needs.” right then everything would be all right. Dr. Osenbach was the first neurosurgeon to join A few weeks later, Huttlinger was Cape Fear Valley Neurosurgery and brings a considerable shedding tears again – this time tears of resume and experience. His background includes 15 joy – as she took her first steps in months. years of neurosurgery experience with the U.S. military, Dr. Osenbach had placed the spinal including six years at Walter Reed Army Medical Center in cord stimulator in the small of her back Washington, D.C. just hours before. And it was working Prior to coming to Fayetteville, he taught at Duke perfectly, just like he had promised. University Medical Center in Durham as Assistant “I was just in tears,” Huttlinger says, Professor in the Department of Surgery, Division of “because I wasn’t in pain anymore.” Neurosurgery. He says he left Duke because he grew tired Cape Fear Valley envisioned such of the academic setting and wanted to do more clinical dramatic results when it launched its surgery that his academic position did not afford him. MUCH OF WHAT USED TO LEAVE THE COMMUNITY, CAN NOW STAY IN THE COMMUNITY. “There’s just more interaction here,” Dr. Osenbach says, “and more collegiality among the physicians.” Understandably, many of his former patients from Duke University Medical Center followed his practice to Fayetteville. Many more new ones seek him out everyday – some from great distances. Patients commonly fly in from all over the U.S. to consult with Dr. Osenbach about a surgery he specializes in. And there are several. John Spitalieri, M.D. He is a nationally recognized expert in the neurosurgical treatment of Neurosurgeon pain, specializing in trigeminal neuralgia and facial pain, intrathecal infusion therapy for pain and spasticity, and the use of spinal cord stimulation and other neurostimulation therapies for chronic pain and headache disorders. He also specializes in the surgical management of cancer pain. 22 MAKING ROUNDS FALL 2008
  23. 23. Joining Dr. Osenbach at Cape Fear Valley Neurosurgery is John Spitalieri, D.O., who also brings an impressive resumé and experience. Dr. Spitalieri has been practicing neurosurgery since 2005, and previously served as Chief of Surgery at Good Samaritan Hospital in Lexington, Ky. He specializes in neurosurgical trauma and degenerative disorders of the spine. One of his signature procedures is Kyphoplasty, a minimally invasive operation used to correct compression fractures of the spine caused by osteoporosis or cancer. Kyphoplasty essentially “glues” the fracture from the inside out, shoring up the spinal column and reducing the patient’s pain a lot quicker. Most new employees at a job like a little time to settle Dr. Spitalieri says he moved his into their surroundings, but Dr. Spitalieri isn’t complaining. neurosurgery practice to Fayetteville so “It’s been a smooth transition,” he says. “I’m looking he and his wife, a certified nurse midwife, forward to serving the community and making a difference.” could both actively give back to the He may have help soon. Dr. Wright says the health community they live in. That hasn’t been a system is looking to hire additional neurosurgeons in the problem for Dr. Spitalieri during his time future to meet the growing community need. Despite a here, so far. He has taken on many new nationwide shortage, more than 10 neurosurgeons have patients since his August start date and expressed interest in joining Cape Fear Valley Neurosurgery. maintains a busy operating schedule. “It all adds up to greater access for local residents to Most of his cases involve brain tumors and neurosurgery care,” Dr. Wright says. degenerative spine problems. FALL 2008 MAKING ROUNDS 23
  24. 24. NEWPHYSICIANS Brunilda Cordero, M.D., has been approved for the Associate Staff in Pediatric Endocrinology. She received her medical degree from American University of the Caribbean in St. Maarten. Dr. Cordero completed a residency in pediatrics at Pitt County Memorial Hospital/Brody School of Medicine in Greenville and a fellowship in pediatric endocrinology at Medical University of South Carolina in Charleston, S.C. She is board certified in Pediatrics. Wendell C. Danforth, M.D., has been approved for the Associate Staff in Ophthalmology and has joined Carolina Vision Center in Fayetteville. He received his medical degree from Cornell University School of Medicine in New York, N.Y. Dr. Danforth completed a residency in ophthalmology and a fellowship in retina and vitreous disorders at Washington Hospital Center in Washington, D.C. He was previously affiliated with Phillips Eye Institute in Minneapolis, Minn. and Fairview Southdale Hospital in Edina, Minn. Dr. Danforth is board certified in Ophthalmology. Anna de Ocampo-Schilling, M.D., has been approved for the Associate Staff in Pediatrics and has joined Rainbow Pediatrics of Fayetteville. She received her medical degree from New York University School of Medicine in New York, N.Y. She completed a residency in pediatrics at Montefiore Medical Center in The Bronx, N.Y. Dr. de Ocampo-Schilling is board certified in Pediatrics. Sabina P. Francis, M.D., has been approved for the Associate Staff in Otolaryngology and has joined Cape Fear Otolaryngology, P.A., in Fayetteville. She received her medical degree from the University of Southern California in Los Angeles, Ca. She completed her residency in otolaryngology from Martin Luther King/Drew Medical Center in Los Angeles, Calif. Dr. Francis was previously affiliated with Sandhills Regional Medical Center in Hamlet and Metro General Hospital at Meharry and Vanderbilt University Medical Center in Nashville, Tenn. She is board certified in Otolaryngology. Ana L. MacDowell, M.D., has been approved for the Associate Staff in Allergy and Immunology and has joined Allergy Partners of Fayetteville. Dr. MacDowell received her medical degree from Universidade Federal Fluminense in Niterói, Brazil. She completed a residency in pediatrics at Lincoln Medical and Mental Health Center in The Bronx, N.Y., and a fellowship in allergy and immunology at Washington University/Barnes-Jewish Hospital in St. Louis, Mo. Dr. McDowell was previously affiliated with Wake Forest University Baptist Hospital in Winston-Salem. She is board certified in Pediatrics and Allergy and Immunology. 24 MAKING ROUNDS FALL 2008
  25. 25. Richard K. Osenbach, M.D., has been approved for the Associate Staff in Neurosurgery and has joined Cape Fear Valley Neurosurgery. Dr. Osenbach received his medical degree from Jefferson Medical College in Philadelphia, Pa. He completed a residency in neurosurgery from the University of Iowa Hospitals and Clinics in Iowa City, Iowa, and a fellowship in Stereotactic/Functional Neurosurgery from Oregon Health Sciences University in Portland, Ore. Dr. Osenbach was previously affiliated with Walter Reed Army Medical Center in Washington D.C., the Medical University of South Carolina in Charleston, S.C., and Duke University Medical Center in Durham. He is board certified in Neurosurgery. John R. Spitalieri, D.O., has been approved for the Associate Staff in Neurosurgery and has joined Cape Fear Valley Neurosurgery. Dr. Spitalieri received his medical degree from Philadelphia College of Osteopathic Medicine in Philadelphia, Pa. He completed a residency in neurosurgery from Arrowhead Regional Medical Center in Colton, Ca. He completed fellowships in pediatric spine surgery from Philadelphia Shriners Hospital in Philadelphia, Pa., and in neurosurgery trauma and degenerative spine disorders from Cooper Hospital in Camden, N.J. Prior to joining Cape Fear Valley, he was affiliated with Good Samaritan Hospital in Lexington, Ky. Shahzad Ahmed, M.D., has been approved for of Rochester in Rochester, N.Y. Dr. Cartie completed a the Associate Staff in Internal Medicine and has residency in pediatrics at East Carolina University in joined Health Pavilion North ExpressCare. Dr. Ahmed Greenville, S.C., and a fellowship in pediatric crititcal received his medical degree from Dow Medical College care at Children’s Hospital Los Angeles in Los Angeles, in Karachi, Pakistan. He completed a residency in Calif. He was previously affiliated with Joseph M. Still internal medicine at Interfaith Medical Center in Burn Center in Augusta, Ga. Dr. Cartie is board certified Brooklyn, N.Y. He is board certified by the American in Pediatrics and Pediatric Critical Care. Board of Internal Medicine. Aaron H. Gootman, M.D., has been approved for the Radha C. Burri, M.D., has been approved for the Associate Staff in Pain Management and has joined Associate Staff in Pediatrics and has joined Hope Cape Fear Pain Treatment Center, P.A., in Fayetteville. Mills Pediatric, P.C. She received her medical degree He received his medical degree from the Medical from Osmania Medical College in Hyderabad, India. University of South Carolina in Charleston, S.C. He Dr. Burri completed a residency in pediatrics at St. completed a residency in Pediatrics at University of Joseph’s Children’s Hospital in Patterson, N.Y. Wisconsin Hospitals in Madison, Wisc., and a residency in Anesthesiology at Mercy Hospital of Pittsburgh in Richard J. Cartie, M.D., has been approved for Pittsburgh, Pa. Dr. Gootman was previously affiliated the Associate Staff in Pediatric Critical Care and with Richmond Memorial Hospital and Scotland has joined Cape Fear Valley Inpatient Pediatrics. Memorial Hospital. He is board certified in Pediatrics, He received his medical degree from the University Anesthesiology and Pain Medicine. FALL 2008 MAKING ROUNDS 25
  26. 26. NEWPHYSICIANS Rajeev K. Gopinathapillai, M.D., has been of Southern California, also in Los Angeles. Dr. Leke was approved for the Associate Staff in Cardiology and previously affiliated with Ashtabula County Medical Center, has joined Carolina Cardiology, P.A. He received his in Ashtabula, Ohio. He is board certified in General Surgery medical degree from T.D. Medical College in Alleppey, and Vascular Surgery. India. He completed a residency in internal medicine at State University of New York in Buffalo, N.Y. Dr. Habib A. Masood, M.D., has been approved for the Gopinathapillai completed a fellowship in cardiology Associate Staff in Internal Medicine and has joined Cape at State University of New York in Buffalo, N.Y., and Fear Valley Medical Associates. He earned his degree a fellowship in interventional cardiology at Newark from Dhaka Medical College in Dhaka, Bangladesh. Dr. Beth Israel Medical Center in Newark, N.J. He is board Masood completed a residency in internal medicine at St. certified in Internal Medicine and Cardiology. John’s Episcopal Hospital – South Shore in Far Rockaway, N.Y. Previously, he was affiliated with Lakeland Regional Dorrette P. Grant, M.D., has been approved for Medical Center in Lakeland, Fla., Memorial Hospital at the Associate Staff in Obstetrics & Gynecology and Gulfport in Gulfport, Miss., Hancock Medical Center in has joined All American Obstetrics & Gynecology. Bay St. Louis, Miss., and Veterans Affairs Medical Center in She received her medical degree from Wake Forest Fayetteville. University School of Medicine in Winston-Salem. Dr. Grant completed a residency in Obstetrics Ikenna C. Osuorji, M.D., has been approved for the & Gynecology at Rochester General Hospital in Associate Staff in Internal Medicine and has joined Cape Rochester, N.Y. She is board certified in Obstetrics & Fear Valley Medical Associates. He received his medical Gynecology. degree from Abia State University in Nigeria. Dr. Osuorji completed a residency at Unity Hospital in Rochester, N.Y. J. Douglas Jordan, M.D., has been approved for the Associate Staff in Psychiatry and has joined Gregory R. Renck, M.D., has been approved for the Cape Fear Valley Behavioral Health Care. He received Associate Staff in Psychiatry and has joined Cape Fear his medical degree from Marshall University in Valley Behavioral Health Care. Dr. Renck received his Huntington, W.Va., and completed a residency in medical degree from the University of Illinois in Chicago, Ill. psychiatry at the State University of New York in He completed a residency in psychiatry from the University Syracuse, N.Y. He was previously affiliated with the of North Carolina in Chapel Hill and a fellowship in child Hutchings Psychiatric Center in Syracuse, N.Y. Dr. psychiatry at the University of Colorado in Denver, Colo., Jordan is board certified in Psychiatry. and Duke University Medical Center in Durham. Dr. Renck is board certified in Psychiatry. Michael A. Leke, M.D., has been approved for the Associate Staff in General Surgery and has joined Jennifer L. Turi, M.D., has been approved for the Carolina Vascular Institute in Fayetteville. He Associate Staff in Pediatric Critical Care and has joined received his medical degree from the University of Cape Fear Valley Inpatient Pediatrics. She received her Yaounde in Yaounde, Cameroon. He completed a medical degree from the University of Massachusetts residency in general surgery at Los Angeles County/ in Worcester, Mass. She also completed her residency Charles Drew University in Los Angeles, Calif., and in pediatrics at the University of Massachusetts. Dr. a fellowship in vascular surgery at the University Turi completed a fellowship in pediatric critical care at 26 MAKING ROUNDS FALL 2008
  27. 27. Duke University Medical Center in Durham. Prior to Jersey – Robert Wood Johnson Medical School in Camden, joining Cape Fear Valley, she was affiliated with Duke N.J. He completed a residency in radiology at Yale – New University Medical Center. Dr. Turi is board certified in Haven Hospital in New Haven, Ct. and a fellowship in Pediatric Critical Care. musculoskeletal imaging at Yale University School of Medicine in New Haven, Conn. He is board certified in Alexandra Vadasz, M.D., has been approved for the Radiology. Associate Staff in Internal Medicine and has joined Cape Fear Valley Medical Associates. She received her Stephanie B. Wechsler, M.D., has been approved for medical degree from Semmelweis School of Medicine the Associate Staff in Pediatric Cardiology and has joined in Budapest, Hungary. Dr. Vadasz completed a Duke Children’s Cardiology of Fayetteville. She received residency at University of Connecticut Medical Center her medical degree from the University of Texas Medical in Farmington, Conn. She is board certified in Internal School in Houston, Texas. She completed her residency at Medicine. Johns Hopkins Hospital in Baltimore, Md., and fellowships at Children’s Hospital in Boston, Mass., and the University Adam Z. Voorhees, M.D., has been approved for the of Michigan in Ann Arbor, Mich. Dr. Wechsler is board Associate Staff in Radiology and has joined Carolina certified in Pediatric Cardiology and Medical Genetics. Regional Radiology. He received his medical degree from University of Medicine and Dentistry of New PHYSICIANBRIEFS Sasan S. Araghi, M.D., recently opened Northwood Medical Center at 116 Country Club Drive. For appointments, please call 488-0157. Leroy Roberts, Jr., M.D., FACS, has recently earned Evelyn Beal, M.D., recently relocated her practice to his Fellowship from the American College of Radiology, 3363 Village Drive, Suite 200. For appointments, please an honor that fewer than 10 percent of Radiologists call 486-7006. receive. Jagdish Lal, M.D., recently relocated his practice to Gautam Dev, M.D., recently received his certification 6977 Nexus Court, Suite 101. For appointments, please in Sleep Medicine and is now Board Certified as a call 864-7933. Diplomate in Sleep Medicine. FALL 2008 MAKING ROUNDS 27
  28. 28. BOARD OF TRUSTEE PROFILE BY DONNIE BYERS Alice Stephenson Successful Businesswoman. Loving Wife and Mother. Community Servant. Homebody. Stephenson and her husband, Shelby Stephenson, M.D., added to the pot nearly 30 years ago when they arrived to start a new life and family. Jesse Williams, M.D., and the late C. Mason Quick, M.D., recruited her husband to provide ophthalmology services to the then-burgeoning community. Stephenson worked as her husband’s office manager at first but eventually went back to school to get her optician’s license from Durham Technical Community College. With that license, she decided to open her own optical center. That facility, Family They say living in a big city can make Vision Center, was built on Owen Drive near you jaded. Good thing Alice Stephenson didn’t stick Cape Fear Valley Medical Center more than 20 around her hometown to find out. If she had, the years ago and is still there today. Dallas, Texas, native never would have discovered Things were a lot different when the all the intrinsic benefits of living in a smaller center first opened. Eyeglass prescriptions community like Fayetteville and the surrounding had to be mailed away and often took a week county. or more to be filled. Today, anyone can get What strikes Stephenson the most about her eyeglass prescriptions filled in less than a day new hometown is how much of a melting pot it is. here in town. “I love it here,” Stephenson says. “The military The industry transformation serves service brings in so many different types of people, almost like a metaphor for the change and a lot of them stay here. It’s just such a unique Fayetteville has experienced during the place to live.” 28 MAKING ROUNDS FALL 2008
  29. 29. Stephensons’ stay here. The city has grown from an almost sleepy have to travel out of town. They can just bedroom community to a mid-sized metropolitan area, bursting with stay close to home for all of their treatment non-stop housing development and the obligatory hustle and bustle of now.” a growing economy. If she’s not meeting with Cape Fear The city girl in her doesn’t miss the old days too much. The county Valley’s Board of Trustees, Stephenson is was predominantly rural for years, which posed a problem when she probably meeting with the Foundation and her husband wanted to go out to a fancy restaurant or a have a Boards at Fayetteville Technical night on the town. What sold Stephenson on Fayetteville, however, Community College and Fayetteville were her new neighbors who provided a close-knit community you State University, where she also serves. normally can’t find in the big city. If not there, then she’s probably at home “We never really had to worry about babysitters when the kids were growing up, because the community was so great with helping us.” “We never really had to worry about babysitters when the kids were catching a movie on TV or snuggling up growing up,” Stephenson says, “because the community was so great to a good book on the couch. Her hectic with helping us.” schedule doesn’t allow for much more. The older of her two children, Monica, has gone on to become Yes, the former big city girl is pretty a successful dancer with the Los Angeles Ballet. Her brother, John, is much a homebody now, even though a senior at North Carolina Central University and plans to go to law there is a lot more to do in Fayetteville school. Both children are products of the county public school system today than when she first arrived. Perhaps and, more importantly, products of the county Stephenson holds so Stephenson was meant to be a small town dear. girl after all. Stephenson’s love of the community is so great it motivated her to serve on several civic boards and committees over the years. Her work included time on the Civic Center Commission Board that led to the opening of the Cumberland County Crown Coliseum in 1997. She took a break from public service when her children entered high school, but started right back with her appointment on Cape Fear Valley Health System’s Board of Trustees in 2003. She halfheartedly jokes about how she must be a magnet for large construction projects, citing her work with the coliseum and recent high-profile additions to Cape Fear Valley. They include opening of the HealthPlex, a state-of-the-art fitness center near Skibo Road, and Health Pavilion North in Northern Cumberland County. “I was thinking, ‘Do I ever get to serve on a board and not have to be opening something?’” she says, with a chuckle. The string of grand openings continued recently with Valley Pavilion on Cape Fear Valley Medical Center’s campus. The $150 million project is the most ambitious – and important – addition in Cape Fear Valley’s history. Its mission is to serve as a regional referral center to a broad swath of Southeastern North Carolina for years to come. “It’s going to be in a central location,” she says, “so people won’t FALL 2008 MAKING ROUNDS 29
  30. 30. CHOOSING A NEW PHYSICIAN Finding the right doctor for your primary healthcare needs can go a long way toward maintaining a long and healthy life BY DONNIE BYERS Willie Jones is a pretty laid-back soul most of the time, Cape Fear Valley’s website. He then spent the rest of the but he was anything but when it came to finding a new time asking friends and family about his pared-down doctor. choices. The 69-year-old Civil Service retiree spent five “I don’t play around,” Jones says, with a chuckle. “It months actively researching Cumberland County was a pretty fair amount of research.” physicians before deciding on a doctor with Hope Mills Experts say choosing a good doctor is one of the Family Care. most important steps toward achieving good health. Five months may seem like a long time to decide A personal physician can provide regular checkups that on anything, let alone a doctor, but Jones had certain can catch serious health problems early. Having your criteria his next physician had to meet. The doctor had own physician also gives you one less thing to worry to be male, have an office close by, accept Jones’ Tricare about if you suddenly become ill. But many never get military insurance and, most importantly, make Jones around to choosing one and then have to make a rushed feel comfortable as a patient. choice after an emergency occurs. So Jones spent weeks researching doctor bios on Jones has always had regular medical care, first 30 MAKING ROUNDS FALL 2008
  31. 31. through the military and then through the Civil talking about male health problems or receiving certain Service, so he is used to seeing doctors. What he wasn’t exams, such as prostate exams, from a female physician. used to was having a personal physician. Medical clinic Language is another factor. Some doctors may speak doctors are often rotated in and out, often to the dismay a second language that benefits both the patient and of their patients. Jones wanted his new doctor to be his the caretaker. Physicians who don’t speak the patient’s regular physician for a long time. language must use an interpreter, which can slow the Jones chose Johnnie Moultrie, M.D., a relatively young patient diagnosis process down dramatically. doctor, but a lifelong Fayetteville resident and Douglas Byrd Here are some other questions that can help you High School graduate – facts that caught Jones’ attention. decide if a doctor is right for you: Moultrie’s East Carolina University medical school degree, Where is the doctor’s office? How easy is it to get relatively close office and excellent bedside manner helped there? Does public transportation have routes near it? cinch the deal. What are the office hours? Is it open weekends and Dr. Moultrie says Jones did the right thing by doing his holidays? homework before deciding, because of the sheer number of How easy is it to get an appointment? Can you be seen doctors typically in a community. the same day you call in? “It’s kind of like buying a house,” Dr. Moultrie says. Which hospital does the doctor use? Would you “There’s no one perfect fit for everyone.” be willing to be treated there if you needed to be Choosing a new doctor can be especially difficult if you hospitalized? are new to an area or your long-time personal physician Is the office staff courteous and prompt? retires. Dr. Moultrie says advice from family and friends can Who covers for your primary physician if he or she is be helpful, but there are plenty of other things to consider. on vacation? Type of practice is foremost. Does your physician often refer to specialists or does Most doctors in the U.S. are either primary care he or she handle most of the patient care himself or physicians or specialists. Primary care physicians see herself? patients on a regular basis for routine ailments, such as Is the physician’s age a concern? Is the physician in cold, flu and regular checkups. Specialists focus on one good standing? area of medicine, such as cancer, arthritis or neurology, Does the doctor’s office take your insurance? Does the and must be board certified. The certification means they office process insurance claims, or do you file the claim have completed residency training in a specific field after yourself? receiving their medical degree and passed a competency If you are seeking a new doctor and aren’t sure where exam in their chosen field. to start, you can start your search with Cape Fear Valley’s Primary care physicians can also be board certified, Find a Physician webpage just like Jones did. The page is such as for Family Medicine or Internal Medicine. By located at www.capefearvalley.com and lists physicians comparison, doctors who are General Practitioners only by name, specialty, insurance, location and if they speak have to have one year of internship experience. Spanish. “You might want to consider a Family Medicine If you do find a physician you are interested in, you can specialist,” Dr. Moultrie says, “simply because they have an often make an interview appointment to speak with the additional three years of residency. Plus, they have to pass a physician directly. There may be a small fee for the office stringent board test to practice.” visit, but the peace of mind in choosing a good personal The physician’s gender is also usually considered by physician is more than worth it. some. Women may feel uncomfortable divulging female Listen for more Take Charge of Your Health messages on health problems or receiving gynecological exams from radio stations WIDU 1600 AM, WZFX 99.1 FM, WUKS 107.7 FM, and a male doctor. Some men may feel just as uncomfortable WCCG 107.7 FM. FALL 2008 MAKING ROUNDS 31
  32. 32. FOUNDATIONNEWS Golf tournament raises more than $225,000 for a good cause Cape Fear Valley Health Foundation’s 13th Annual L.B. Floyd this event include the Pediatric Asthma Education Program, Friends of Children’s Classic was held in April and helped raise Shaken Baby Syndrome prevention training for new families $225,800 in cash and in-kind gifts. The donations will go to and support for the Diabetes & Endocrine Center. In 2008, the Friends of Children, which supports pediatric services The Friends of Children Junior Golf Classic was added as throughout the health system. The annual tournament has a way to involve our become this area’s largest golf fundraising community’s youth. event. Projects made possible through 32 MAKING ROUNDS FALL 2008
  33. 33. Friends of Cancer Center David Elliott (left) and Renee Elliott (right) of Fort Bragg Federal Credit Union present a check for $7,000 to Deanna Benson-Reed, Friends of the Cancer Center Coordinator; Kathy Verkuilen, Cape Fear Valley Health Foundation’s Administrative Director, and Jesse Byrd, Friends of the Cancer Center Advisory Council President. The donation is from the proceeds of the 13th Annual Charity Golf Tournament held on May 23. Gifts given to Friends of the Cancer Center help cancer patients in need right here at home. For more information, please call Friends of the Cancer Center Coordinator Deanna Benson-Reed at (910) 609-7618. Children Helping Children Children Helping Children – the motto adopted by Voices of the Heart and The Heart of Christmas Show a decade ago has certainly proven to be prophetic! This marks the 10th year this group of award-winning, nationally recognized performers have worked tirelessly to give back to the children in our community. To date, more than $150,000 has been donated to Friends of Children from their efforts! Voices of the Heart and The Heart of Christmas Show have also donated more than $85,000 to area schools. Marian Morgan, Coordinator for Friends of Children, recognizes and appreciates the dedication and hard work. “The choices made by these talented young people impact so many children and families in our community,” she says. “They should be so proud of all that they accomplish and give back each year. ”With all they have to do in their busy lives – schoolwork, sports, family commitments, etc. – they have placed their community service right at the top of their ‘to do’ list. It’s impressive!” Voices of the Heart began in 1998 as a teaching outlet for vocal performance coach Laura Stevens. The group decided to use the publicity they received from winning a national competition to create a Christmas show. Young adults performed in the show, raising money toward helping sick and abused children in the community. Children Helping Children… The Heart of Christmas Show was born. Together, Laura Stevens, Charles Stevens, the cast and crew, and their families, as well as local businesses and sponsors, have helped Voices of the Heart and The Heart of Christmas Show grow into a holiday staple not to be missed. Laura Stevens feels fortunate to be able to pass along her vocal and performing expertise. “These children have a determination and dedication well beyond their years,” she says. “The hours of rehearsals required is almost overwhelming. “I know that there are many other things that these teenagers could be doing. I am forever inspired by their drive to deliver a top-notch show while keeping in mind their motto – Children Helping Children.” This year, Voices of the Heart’s The Heart of Christmas Show benefiting Friends of Children of the Cape Fear Valley Health Foundation, will be held Saturday, Nov. 29, at 7 p.m., Sunday, Nov. 30, at 3 p.m., and Monday, Dec.1, at 7 p.m. Tickets go on sale in October. Group pricing is available. For more information visit www.heartofchristmasshow.com. FALL 2008 MAKING ROUNDS 33
  34. 34. NEWSBRIEFS WAYFINDING MAP Finding your way around Cape Fear Valley Medical Center just got easier Cape Fear Valley has implemented a new color-coded Patient Services Tower it connects to will be green. The wayfinding system to help visitors get to their destination South Tower will be red, while the North Tower will be grey. easier, no matter where you need to go on campus. Just The Rehabilitation Center, located behind the medical remember what color zone you enter in when you arrive at center, will have a brown color zone. Highsmith-Rainey the medical center. Then use available maps or signage to Specialty Hospital and other off-site facilities within the find your color-coded destination. If you have trouble, just health system will also have color-coded signage eventually. tell the Information Desk or a staff member your desintation Randy Goodfred, Director of Design Services at ASI and they can easily show you the right direction. Modulex, says elevator banks on campus will also be color Clinton Weaver, Director of Marketing & Outreach at coded. This will help visitors know what zone they are in Cape Fear Valley, says the signage makeover was needed, from the moment they arrive. because Cape Fear Valley Health System has expanded “You really don’t have to know the zone names,” dramatically over the years. That growth often makes it Goodfred says. “You just have to know the colors.” difficult for visitors find their way through the main Medical ASI Modulex has worked with Cape Fear Valley Health Center’s winding corridors. System for more than 10 years, installing or replacing signs “Our goal,” Weaver says, “is for visitors to locate on campus as needed. This latest project included 1,100 new buildings using the color scheme as they navigate the first signs for Valley Pavilion alone. Another 2,850 new signs will floor of the hospital. Our staff will then assist in directing be needed to replace signs inside the medical center that visitors to the correct color zone.” became obsolete once departments began moving over to For Valley Pavilion, the color zone will be blue. The Valley Pavilion. Children’s Emergency Department Entrance Emergency Department Entrance Heart & Vascular Center Emergency Department Parking Deck Valley Parking Ground Floor Heart & Vascular Center Entrance Blue Zone - Valley Pavilion Elevators 1st Floor Green Zone - Patient Services Tower Restrooms Red Zone - South Tower Cafeteria Grey Zone - North Tower Brown Zone - Rehabilitation Center 34 MAKING ROUNDS FALL 2008
  35. 35. WELL DESERVED REST Long-time Chief Financial Officer retires after 33 years Torrey Johnson, Cape Fear Valley’s Johnson also witnessed several Chief Financial Officer, retired from the monumental occasions during his career, health system in the spring after a 33-year such as the addition of the Rehabilitation career. During his tenure, he has seen Center, Cancer Center, construction of Cape Fear Valley grow into a regional Health Pavilion North and planning and health system and convert from a public financing of the new Valley Pavilion, health system to a private one. which opened in September. At the time of his retirment, Cape To send him off, Cape Fear Valley gave Fear Valley had become the 10th largest Johnson a formal retirement reception healthcare system in the state, with at Highland Country Club in Fayetteville. four main hospital facilities averaging Johnson is succeeded as CFO by Sandra 875,000 patient visits a year. Williams, who started in June. Rehabilitation Entrance Rehabilitation Center medical center Main Hospital r Entrance The Cancer Center Cancer Center Entrance FALL 2008 MAKING ROUNDS 35
  36. 36. Just for KIDS BABY on the WAY American Red Cross Swim Lessons Breastfeeding Classes Mondays & Wednesdays Nov. 5, 19; Dec. 3, 17 Nov. 3 - Dec. 3 (8 Lessons) 7 – 9 p.m. Preschool 3 – 3:30 p.m. Cape Fear Valley Rehabilitation Center Auditorium – Parent and Tot 3:30 – 4 p.m. Classroom A Level 1 4 – 4:45 p.m. FREE! Classes taught by an International Board-Certified Level 4 5 – 5:45 p.m. Lactation Consultant. Fathers are welcome and encouraged Level 2 6 – 6:45 p.m. to attend. Tuesdays & Thursdays To register, please call 609-LINK (5465). Nov. 4 - Dec. 4 (8 Lessons) Preschool 3 – 3:30 p.m. Saturday Accelerated Childbirth Classes Preschool 3:30 – 4 p.m. Nov. 1; Dec. 6 Level 1 4 – 4:45 p.m. 9 a.m. – 5 p.m. Level 2 5 – 5:45 p.m. $30 per couple Level 5 6 – 6:45 p.m. To register, please call 609-LINK (5465). Adult 7 – 7:45 p.m. Prepared Childbirth Classes Saturdays Oct. 20, 27; Nov. 10, 17, 24 Nov. 1 - 22 (4 lessons, ½ price) 6 – 9 p.m. Level 3 9:45 – 10:30 a.m. Cape Fear Valley Medical Center Parent & Tot 10:30 – 11:00 a.m. $30 per couple Preschool 1:00 – 11:30 a.m. This series of three classes will help you and your birthing Level I 11:30 a.m. – 12:15 p.m. partner prepare for your special delivery! Level 2 12:30 – 1:15 p.m. To register, please call 609-LINK (5465). Sign-ups for swim lessons begin Oct. 20 in the pool office. Fees for HealthPlex members are $50 for the first child, $40 Family Birth Center Tours per additional child. Non-members pay $65 for the first child, Nov. 5, 19; Dec. 3; 17 $55 per additional child. For more information, please call the 6 p.m. Aquatics Office at 609-7640. Nov. 17; Dec. 15 1 p.m. Mondays - Thursdays FREE! To register, please call 609-LINK (5465). Dec. 8 - Dec. 18 (2 Week Lessons) Level 1 4 – 4:45 p.m. Infant Massage Therapy Level 3 5 – 5:45 p.m. Twice a month on Thursdays Level 2 6 – 6:45 p.m. 10:30 a.m. – noon Level 4 7 – 7:45 p.m. Healthplex Classroom A Sign-ups for December swim lessons begin Nov. 17 in the pool Certified infant message instructor will teach parents and office. Fees for HealthPlex members are $50 for the first child, caregivers how to perform massage therapy on children ages $40 per additional child. Non-members pay $65 for the first 3 weeks to one year. child, $55 per additional child. No Saturday swim classes will $5 for members/month. be offered in December. For more information, please call the $10 for non-members/month. Aquatics Office at 609-7640. To register, please call 609-7500. 36 MAKING ROUNDS FALL 2008
  37. 37. Get FIT Bone Builders Exercise Class Senior Strength Monday, Wednesday, Friday Monday, Wednesday, Friday 1:15 – 2 p.m. or 2 – 2:45 p.m. 8 – 9:15 a.m. or 10 – 11:15 a.m. HealthPlex HealthPlex Free to HealthPlex Members Free to HealthPlex members. $35 for non-members $25 for non-members. This is a cardiovascular and strength training class designed Includes cardiovascular & strength training. for individuals who have osteoporosis or osteopenia, as well To register, please call 609-4465. as individuals who are at risk for osteoporosis. To register, please call 609-4465. Health Maintenance Monday, Wednesday, Friday Chair Aerobics 5:30 – 6:45 p.m. Monday, Wednesday, Friday Cape Fear Valley Rehabilitation Gymnasium 10 – 10:45 a.m. This is a cardiovascular and strength training class for all HealthPlex ages and fitness levels. Free to HealthPlex members $25 for non-members. $25 for non-members To register, please call 609-4465. This is a class for anyone with limited mobility. The class features a warm-up, 20 minutes of large muscle group Warm Water Wellness movement to a jazzy beat, 10 minutes of strength exercise Mondays & Wednesdays and five minutes of stretching and cool down. You can 4:30 – 5:30 p.m. or 5:30 – 6:30 p.m. exercise in a chair or wheelchair. Tuesdays & Thursdays To register, please call 609-4465. 11 a.m. – noon or 4 – 5 p.m. Cape Fear Valley Rehabilitation Pool T’ai Chi This is low-intensity water aerobics for all ages and fitness Tuesdays & Thursdays levels. 9 – 10 a.m., 5 – 6 p.m. or 6 – 7 p.m. $25 for non-members. Saturdays To register, please call 609-4465. 9 – 10 a.m. or 10 – 11 a.m. Cape Fear Valley Rehabilitation Center T’ai Chi is a Chinese martial art that uses slow, deliberate movements and posture holding to strengthen and relax the Community Seminars body. It improves balance and coordination. T’ai Chi is also Arthritis of the Hip & Knee a great stress reducer. This is a fantastic program for all ages Cape Fear Valley Rehabilitation Center and fitness levels. Does arthritis cause you pain and limit your mobility? An Free for HealthPlex members. orthopedic surgeon will discuss the signs and symptoms $45 for non-members. of arthritis and available treatments. To register, please call To register, please call 609-4465. 609-7996. Water Arthritis Bariatric Surgery Monday, Wednesday, Friday Considering bariatric surgery as a treatment option for 11:30 – 12:15 p.m. or 12:15 – 1 p.m. obesity? Come listen to local bariatric surgeons discuss Tuesdays & Thursdays the latest bariatric surgery techniques to help you decide 12 – 1 p.m. or 5 – 6 p.m. if bariatric surgery is right for you. For dates and locations, Cape Fear Valley Rehabilitation Pool please call 609-7996. This is a range-of-motion and stretching class in the water for all ages and fitness levels. $25 for non-members. To register, please call 609-4465. FALL 2008 MAKING ROUNDS 37
  38. 38. SUPPORT & INFORMATION Groups led by Cape Fear Valley Facing Forward, a support group for women living with A.W.A.K.E., a support group for those with sleep disorders cancer, meets the second Tuesday of each month from 7 to and their family members, meets every third Tuesday 8:30 p.m. in the conference room at the Cape Fear Valley in January, March, May, July, September and November Cancer Center. Facing Forward discusses cancer-related from 6 to 7 p.m. at Cape Fear Valley Rehabilitation Center, topics and issues dealing with women’s wellness in a Auditorium Room A, located behind Cape Fear Valley supportive group setting. For more information, please Medical Center. For more information, please call 609- call 609-6337. 6389. The Bereavement Support Group of Cape Fear Valley The Coming Together Children’s Support Group meets Home Care & Hospice meets the first and third Thursdays on the third Thursday of every month (except June. July, of every month from noon to 1:30 p.m in the Hospice August and September) from 6 to 7:30 p.m. in the Cape Department on the second floor of the Cape Fear Valley Fear Valley Cancer Center conference room. The support Education Center at 3418 Village Drive, Fayetteville. The group helps children whose family members have been group is for those who are coping with the death of a diagnosed with cancer and is open to children (ages loved one. For more information, please call 609-6740 or 5 through 18) and their family members. Parents can 609-6511. learn how they can best assist their children during this difficult time coping with cancer. Dinner is provided. The Fayetteville Brain Injury Support Group meets on Please call 609-6337 to register or for more information. the second Tuesday of each month at 6:30 p.m. in the Patient Dining Room at Cape Fear Valley Rehabilitation Compassionate Friends, a support group for families Center, located behind Cape Fear Valley Medical Center. who have experienced the death of a child, meets on the For more information, please call Ellen Morales at 486- first Tuesday of the month at 7:30 p.m. in the Cardinal 1101. Room at the Cape Fear Valley Education Center at 3418 Village Drive, Fayetteville. For more information, please Taking Charge Of Your Care meets on the fourth call Martha Lynch at 609-4481. Thursday of every month from 11:30 a.m. to 12:30 p.m. in the Health Pavilion North conference room. It is an The Defibrillator Support Group meets on the second educational group for cancer patients and their families Thursday of January, April, July and October from 6:30 or caregivers. You may bring a brown-bag lunch to enjoy to 8 p.m. in Room 101 of the Medical Arts Center at 101 during the group. For more information, please call the Robeson St., Fayetteville. For more information, please Oncology Social Worker at 609-3849. call Laurie Costello at 609-8753. Common Ground holds informative meetings for The Look Good, Feel Better program meets on the third prostate cancer patients and their families, and serves Monday of each month at 9 a.m. in the Cape Fear Valley as a forum for discussion of problems associated with Cancer Center conference room. The program also meets being a prostate cancer survivor. It meets on the second on the third Monday of each month at the Health Pavilion Thursday of each month from 6 to 7 p.m. in the Cape North Cancer Center at 6 p.m. Licensed cosmetologists Fear Valley Cancer Center conference room. For more teach cancer patients about skin care, how to apply information, please call 609-4626. make-up to enhance their appearance during cancer treatment, styling wigs and tying scarves. For more information, please call 609-7618. 38 MAKING ROUNDS FALL 2008

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