SUMMER 2011

In This Issue ...page 2Bipolar disorderpage 3New pathologists bring special insightpage 3Turning the tables on childhood obesitypage 4Mark your calendar

Always Reaching Higher

“There are more than 100 hospitals in our state, and only 22 have earned this special designation. We are honored to be recognized for the high level of expertise and service we deliver to our joint replacement patients.”

– Shirley Harkey, RN, MN, CNAA,Hospital Vice-President of Patient Services

Several factors helped make the program so successful. These include a committed and highly credentialed team of physicians, a very low complication rate, and an organized, interdisciplinary approach. This approach helps ensure that each of the Hospital’s roughly 350 annual hip or knee replacement patients achieves the best possible results from his or her surgery.

A Unique ApproachBoard-certified Orthopaedic Surgeon L. Davis Frederick, MD, of Goldsboro Orthopaedic Associates says, “We’ve developed our system to help all of our patients get the most out of their experience and their new joint. That really separates us from other hospitals performing this procedure.”

The Wayne Memorial Hospital system begins with an interdisciplinary team of surgeons, nursing staff, physical therapists, and clinical pharmacists.

Wayne Memorial Hospital Earns Prestigious Knee and Hip Replacement DesignationWayne Memorial Hospital was recently named a Blue Distinction Center for Knee and Hip Replacement® by Blue Cross and Blue Shield of North Carolina. This places Wayne Memorial Hospital among a very elite group of North Carolina hospitals.

What Is a Blue Distinction Center for Knee and Hip Replacement®? A Blue Distinction Center for Knee and Hip Replacement® is a hospital that has a history of achieving

positive clinical outcomes for its joint replacement patients. It also must demonstrate extraordinary

nursing, safety, and anesthesia practices, as well as effective infection prevention. Wayne Memorial Hospital is one of only 22 such hospitals in North Carolina to achieve this designation.

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Wayne Memorial Hospital broke ground May 9 on an ambitious Emergency Department (ED) expansion project. Advances made possible by the project will enable the Hospital to provide a higher level of emergency care to more people than ever before.

Due to open in autumn 2012, the $18 million, 35,000-square-foot addition is designed to serve the more than 55,000 people who visit the ED each year – a number that’s expected to keep growing well into the future.

The expansion will more than triple the size of the department, double the number of beds, and provide private rooms for all patients. It will enhance the care available to heart attack,

stroke, motor-vehicle accident, and trauma victims. It will also address the growing needs of those with less-than-life-threatening emergencies, providing expanded access to appropriate treatments.

It’s all part of the Hospital’s continuing mission to provide the best possible health care, and to help the community live well.

Emergency Department to Triple in Size

continued inside

L. Davis Frederick, MD, board-certified orthopaedic surgeon

Above, left to right: Jackie Peele, LPN, L. Davis Frederick, MD, Jamie Howell, RN

Designated as a

Take a second to remember the happiest moment in your life. Then, think about your most desperate day.

Now, imagine how it would feel to repeatedly bounce between these two extremes on a monthly, weekly, or even daily basis. That’s what life feels like for someone with bipolar personality disorder.

This destructive condition can drag a person to the darkest depths of depression, then thrust him or her to the most extreme heights of mania. It can do this several times a year – or several times a day.

“Bipolar disorder can look a lot like depression,” says psychiatrist Hany Kaoud, MD. “Someone suffering from it can become hopeless, anxious, and exhausted. He or she could even develop physical symptoms like chronic, aching pain – and have no idea why.”

Unlike depression, however, bipolar disorder also forces sufferers to endure manic periods – often with painful repercussions. “For most people, feeling great, well, feels great! For someone with bipolar personality disorder, feeling great goes to such an extreme that he or she feels indestructible,” explains psychiatrist Nadir Attiah, MD. “It’s not unheard of for someone to gamble away his or her home, overdose on drugs, or bankrupt his or her family while in this state.”

This makes a whole-person treatment vital.

Treatment usually begins with medications. “We often use medications to help someone get off the roller coaster and balance his or her emotions. Then we focus on nonpharmaceutical, long-term strategies,” says Dr. Attiah.

These may include psychotherapy, as well as lifestyle changes.

Just AskQA

QA

I had my first baby last week, and we couldn’t be happier. But, now I’m having wild mood swings – screaming at my husband one minute and crying over a jewelry commercial the next! What’s going on? - Janet S., Goldsboro

Actually, that means you’re normal – you just have what we call the “baby blues.” New mothers like you often have mood swings, crying spells, irritability, and trouble sleeping or concentrating. It’s pretty common and should go away in a week or two.

If it doesn’t, or if your mood swings and anxiety get worse, make it hard for you to care for your baby, or make it hard to complete everyday tasks – call your doctor. These could all be signs of postpartum depression. Without proper treatment, those symptoms could last up to a year or more.

I’ve been told that working out is just as good for your mind as it is for your body. Is this true? - Steve G., Goldsboro

That’s 100 percent true, Steve! Exercise releases powerful mood enhancers in the brain, making you feel more energized, less stressed, and generally content.

Regular workouts also can make it easier for you to deal with life’s everyday frustrations. They can improve your self-esteem and help you feel good about the way people see you. And you don’t have to be a total gym rat to get these benefits. Just taking a walk every day can put you on the path to a happier, more relaxed self.

The expert physicians and professionals at Wayne Memorial Hospital want you to know your health and how to improve it.

Email your questions to livewell@waynehealth.org.

J. William PaughPresident and CEO

Live Well,

At Wayne Memorial Hospital, we work hard to continuously elevate the quality of care we provide our patients and their families. Our recent designation as a Blue Distinction Center for Knee and Hip Replacement® proves that these efforts are paying off, and it underscores the fact that our joint replacement program is unique among those in our area.

This prestigious distinction also provides our community, and every patient we serve, with independent assurance that Wayne Memorial Hospital and Goldsboro Orthopaedic Associates perform at the highest level and in the most advanced setting. It recognizes our expertise in the areas of knee and hip replacement, as well as our ability to produce quality outcomes for these patients. That is, after all, our ultimate goal.

Earning this national designation is a tribute to the dedication of our highly skilled orthopaedic team and the entire Wayne Memorial Hospital family.

Well done.

Recent Blue Distinction Award Is a Tribute

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Dr. Godwin is a psychiatrist at Wayne Health Psychiatric

Services, part of Wayne Health Physicians. Board-certified in internal medicine and psychiatry,

Dr. Godwin takes a whole-person approach to healing

both the body and mind.

Dr. Meredith Godwin, Psychiatrist

Wayne Memorial Hospital

from the president

continued from cover

They first make sure that any potential joint replacement candidate is healthy enough for surgery and can expect the procedure to improve the quality of his or her life.

Next, candidates attend a joint replacement seminar, where they learn what to expect and can meet others who have already completed the program.

Once all of the presurgical requirements have been met, surgeons use state-of-the-art technology to conduct the operation. “We use what we know to be effective – not experimental stuff that may or may not actually help the patient,” explains Dr. Frederick. “This includes time-tested, proven equipment and the latest joint prosthetics to give a patient a reliable, comfortable, and long-lasting new joint.”

After surgery, the team works with the patient to help him or her adjust to the new joint using advanced physical therapy techniques. If patients ever have a question – before surgery or for years after – all they have to do is call.

“We’re available to our patients around the clock, 24/7,” says Dr. Frederick. “This is one reason why we get so much positive patient feedback.”The Blue Distinction Center for Knee and Hip Replacement® designation is one more point of pride for the Hospital. It places Wayne Memorial Hospital’s knee and hip replacement program in line with some of the best in the nation. And it confirms what the staff has always believed: Wayne Memorial Hospital provides exceptional medical care.

Designation as a Blue Distinction Center® means that a facility’s overall experience and aggregate data met objective criteria established in collaboration with expert clinicians’ and leading professional organizations’ recommendations. Individual outcomes may vary. To find out which services are covered under your policy at any facilities, please contact your local Blue Cross and/or Blue Shield Plan; and call your provider, before making an appointment, to verify the most current information on its network participation and Blue Distinction status. Neither Blue Cross and Blue Shield Association nor any of its licensees are responsible for any damages, losses, or noncovered charges that may result from using Blue Distinction or other provider finder information or from receiving care from a Blue Distinction or other provider.

Hospital Earns Prestigious Designation

WAYNE MEMORIAL HOSPITAL2700 Wayne Memorial Dr.

Goldsboro, NC 27534919.736.1110

www.waynehealth.org

Wayne Memorial Hospital is firmly committed to guiding this community to a healthier lifestyle. From countless, beneficial programs on prevention and wellness, to our LiveWell Radio Show, Sunday Health Column, and community publications such as this one, we believe caring for you should go beyond medicine. And we’re

taking great strides to demonstrate our commitment to that belief.

We welcome and encourage your feedback on this publication and other LiveWell programs. Please share your questions and comments by emailing us at:

We’d love to hear from you!livewell@waynehealth.org

Wayne Memorial Hospital uses all reasonable efforts to provide accurate, up-to-date information

in this publication. Because medical science changes, the Hospital does not guarantee total

comprehensiveness of materials contained herein. This information should never be considered a

substitute for professional medical advice.

THOUGHTSfrom the president

Bipolar DisorderFinding a Natural Balance “Many patients improve when they quit drinking, eat a healthier diet, exercise more, and develop better sleep habits,” says Dr. Kaoud. “By helping them naturally balance their bodies, we can help them balance their emotions. And that’s a very sustainable approach to maintaining mental health.”

Dr. Hany Kaoud (left) and Dr. Nadir Attiah (right) are board-certified psychiatrists at Wayne Health Psychiatric Services specializing in the diagnosis, treatment, and prevention of mental illnesses, to include

substance abuse and addiction. Alongside partner Dr. Meredith Godwin, these physicians bring a unique, compassionate approach to helping

patients overcome their personal challenges.

perform high-level tests, such as fine needle aspiration (FNA). This minimally invasive test uses a needle to capture a small sample of cells from a potentially cancerous mass. The pathologist examines the cells under a microscope to determine if cancer can be identified with confidence or if further testing is required.

The expertise of these physicians will help Wayne Memorial Hospital to continue to provide excellent health care to people in our community.

on Childhood Obesity Did your parents make you sit at the kitchen table until you finished your broccoli? Now, do you do the same with your children? Most of us don’t.

Instead, we sit them in front of the TV with processed foods and prepared meals. It’s easy. It makes them happy.

And it could be killing them.

Childhood obesity has now reached epidemic proportions across our country. Here in North Carolina, one out of every three of our kids and teens is overweight or obese. This is causing our kids to have diabetes, asthma, and social problems now, and could give them heart disease – and even cancer – later.

It’s time we do something.

According to David T. Tayloe Jr., MD, of Goldsboro Pediatrics, the solution is hiding in our own kitchens. “Parents must set a good example for their kids by stressing what kinds of foods to eat and getting enough

exercise,” says Dr. Tayloe. “I’m not saying change is easy, but kids follow the example set by their parents. Just eliminating four types of beverages can make a real difference in young people. Cut out sweet tea, chocolate milk, Kool AidTM, and regular soft drinks, and you’ve made a solid start.”

Our kids’ futures are in our hands. Let’s start leading by example, and giving our children a healthy shot at a full life.

Eating our broccoli would be a good start.

Wayne Memorial Hospital recently welcomed three new board-certified pathologists to our community: Michel G. Haddad,

MD, Craig H. Steffee, MD, and D. Bruce Baird, MD.

Top: D. Bruce Baird, MD; middle: Gail Rogers, BS, MT (ASCP), Director, Laboratory Services, and Craig H. Steffee, MD; bottom: Michel G. Haddad, MD

page 3

New Physicians Bring Special Insight

Members of Pathology Associates of Kinston, they are helping area physicians diagnose and treat cancer and other disease processes.

“We’re very excited to welcome these physicians to our Hospital,” says VP of Operations Tom Bradshaw. “Their specific expertise will help us expand and enhance our ability to perform laboratory tests for our patients and physicians.”

The Pathologist’s Role

Pathologists work behind the scenes, analyzing tissue and other samples to identify and evaluate diseases. These tests help physicians make critical decisions regarding diagnosis and treatment plans.

In fact, some studies say that more than 70 percent of decisions regarding diagnosis and treatment are based on the laboratory tests performed by or under the supervision of pathologists.

“Pathologists are vital to the health care team,” explains Bradshaw. “They are the experts to whom other physicians turn for answers, information, and advice.”

“We pride ourselves on being accessible to the physicians with whom we work,” explains Dr. Haddad. “We welcome

other doctors to come look at microscopic slides with us and discuss their patients’ results. We’ll do whatever it takes to ensure that we’re making a complete, accurate diagnosis for the doctors and their patients.”

In the laboratory, this sometimes means getting a second opinion from another pathologist in the group. “We’ll consult one another on many cases, especially the complex ones. This allows us to provide doctors with multiple opinions in the same amount of time,” explains Dr. Haddad. This collaborative approach is especially useful in cases such as cancer.

New Insights into Cancer Treatment

“Diagnosing and treating cancer requires a team approach,” says Dr. Haddad. “We regularly have conferences with oncologists and radiologists, as well as surgeons and other primary care physicians, to share and discuss cancer cases. This way, we can use many perspectives, approaches, and disciplines to help determine the single best approach for each patient.”

The pathologists also may help make a diagnosis using their expert knowledge of cytopathology, a subdiscipline of pathology that studies and diagnoses diseases on a cellular level.

With their special interest in cytopathology, including cytopathology board certification in the case of Dr. Baird and Dr. Steffee, the pathologists support the Hospital’s ability to

Powerful Bones. Healthy Bones.What’s the Secret? Bone health is vital for physical activity and overall well-being, but patients often feel that bone deterioration is unavoidable. Around our mid-30s, the process of creating new bone does slow, making bones weaker, and breaks and fractures more likely.

Still, bone loss is far from inevitable. Weight-bearing or resistance-training activities like walking, stair-climbing, weight-lifting, or aerobics can strengthen bones, especially if you add more weight or force over time. Regular exercise can actually increase bone mass, and should be coupled with calcium and Vitamin D. Ask your doctor about tests to determine whether diet or supplements may help.

Powerful, healthy bones are within your grasp.

Turning the Tables

Tomatoes – a delicious way to fight cancer

Tomatoes are loaded with amazing health benefits because of their

high lycopene content. Lycopene is a vital antioxidant that is proven

to help in the fight against cancerous cell formation. This amazing

fruit – yes, fruit, not vegetable – is by far

the healthiest pick of the season!

LiveWell Health Calendar

Need Another Reason to Exercise?Dementia. Researchers at the Mayo Clinic have discovered

that we have a reduced risk of cognitive impairment if moderate

exercise, such as brisk walking, swimming, or yoga, is part of our

daily routine.

WAYNE MEMORIAL HOSPITALP.O. Box 8001, Goldsboro, NC 27533

www.waynehealth.org

TEMP-RETURN SERVICE REQUESTED

Creative development, copywriting, and production by

Sage Creative Group, Aiken, SC. 2011 ©

Roasted Asparagus Salad Makes 4 Servings

directionsPreheat the oven to 350°F.

Prepare the asparagus by cutting off the last inch or so of the woody stalk.

Place the asparagus stalks on a baking sheet. Brush them with the olive oil and sprinkle with salt and pepper.

Roast in the oven for 10 minutes, until the stalks begin to get tender on the outside. (Thin asparagus spears will take less time than thick spears.)

Toss with the vinegar and serve.

nutritional information:Per serving: calories 41, carbohydrate 4g, fat 3g, fiber 1g, protein 2g, saturated fat 0g, sodium 9mg

Recipe courtesy of: http://www.foodfit.com/recipes/recipe.asp?rid=207

ingredients1 1/2 pounds fresh asparagus

1 tablespoon olive oil

salt to taste

freshly ground black pepper

2 tablespoons vinegar

This is just one of the delicious and nutritious recipes you can find in the Healthy Kitchen section of the Wayne Memorial Hospital website.

Find more recipes at www.waynehealth.org/livewell/healthy-kitchen

PRESORTEDFirst-Class Mail

US PostagePAID

Raleigh, NCPermit No. 1910

SupportMended Hearts Tuesdays, August 2, September 6 1 p.m., Cardiac Rehab Dept.

Share your challenges and victories with fellow patients and families dealing with heart disease and related procedures. For more information, call LaRue at 689.2079 or Donna at 731.6304.

Diabetes Support Group Tuesdays, August 9 and September 13 Time TBA, Auditorium

Learn to live a healthier life in spite of diabetes using new strategies and resources from individuals and families who face the same challenges as you. For more information, call Shelda at WADEC at 731.6508.

Stroke Support GroupDate TBA 5:30 p.m., McCall’s BBQ & Seafood

Learn from, and lean on, others who have personally suffered a stroke or had a family member survive one. For more information, call Sam at 778.9016 or the Rehab Department at 731.6005.

SupportCoping with Grief Support Group Tuesdays, August 9, September 13 10 a.m. – noon, Dining RoomGain strength and support from others who are also dealing with the loss of a loved one. Sponsored by 3HC. For more information, call Kristie at 735.1387.

ClassesChildbirth Classes for Expectant Moms on the GoSaturday, August 20 10 a.m. – 4 p.m., Auditorium

Too busy for a six-week childbirth class? This single-day course has all of the same information in an accelerated format.For more information, call Gethney at 731.6233 or 731.6244.

Childbirth Classes by Hospital ProsMondays, September 5 – October 10 10 a.m. – 4 p.m., Auditorium

When you’re expecting, know what to expect! Learn about pregnancy, childbirth, and newborn care in classes led by Hospital professionals. Single-day, accelerated courses are also available. For more information, call Gethney at 731.6233 or 731.6244.

EventsLiveWellWomenAutumn Event – September 13

Run Free with K-WayneSaturday, November 12 9 a.m., American Tobacco Trail

Run Free with K-Wayne is a charity 5K run/walk with 100 percent of the proceeds going to benefit those with mental illness. Entry fees are $10 online, or $15 on-site. To learn more, visit www.Kwayne5K.com.

Find Your Farm-Fresh FavoritesEvery Monday – Saturday, 5 a.m. – 6 p.m. Sundays, 8 a.m. – 6 p.m. 1201 Agriculture St., Raleigh

More than fresh vegetables, it’s a family adventure. Enjoy 75 acres of indoor and outdoor restaurants and specialty shops, featuring a garden center with fruits, vegetables, meats, cheeses, and gift products from across our state. Free admission. To learn more, call 733.7417.