National Minority Donor Awareness Week August 1-7

National Minority Donor Awareness Week is a nationwide observance to honor the generosity of multicultural donors and their families, while also emphasizing the critical need for people from diverse communities to register their decision to donate life as organ, eye and tissue donors.

Nationally:

  • Minorities make up 36 percent of the U.S. population and comprise 57 percent of individuals currently on the U.S. transplant waiting list.
  • African-Americans are four times more likely than Caucasians to be on dialysis because of kidney failure, which must often be treated by kidney transplantation.
  • Diabetes, a leading cause of kidney failure in the U.S., is estimated to be four to six times more common in Latinos/Hispanic-Americans.
  • 18 percent of all patients awaiting organ transplants in the U.S. are of Latino heritage.

In North Carolina:

  • African-Americans make up 21.4 percent of North Carolina’s overall population, but represent nearly 51 percent of North Carolinians waiting for an organ transplant.
  • Of the more than 1,600 African-Americans waiting for transplants in North Carolina, 95 percent are waiting for a kidney transplant.
  • The majority of Latino patients are waiting for kidney transplants. Here in North Carolina, 85 percent of Latinos waiting need a kidney transplant.

Did you know?

  • Anyone can be a potential donor, regardless of age or medical history. A single donor can save or heal the lives of more than 50 people.
  • Every major religion in the United States supports organ, eye and tissue donation as one of the highest expressions of compassion and generosity.
  • There is no cost to the donor’s family or estate.
  • An open casket funeral is possible for organ, eye and tissue donors.

To learn more, visit DonateLifeNC.org.

Recipe: Annie’s Fruit Salsa and Cinnamon Chips

 

Cut KiwiEnjoy this delicious and versatile recipe from Allrecipes.com.

Ingredients
Recipe makes 10 servings

  •    2 kiwis, peeled and diced
  •    2 Golden Delicious apples – peeled, cored and diced
  •    8 ounces raspberries
  •    1 pound strawberries
  •    2 tablespoons white sugar
  •    1 tablespoon brown sugar
  •    3 tablespoons fruit preserves, any flavor
  •    10 (10 inch) flour tortillas
  •    butter flavored cooking spray
  •    2 tablespoons cinnamon sugar


Directions
In a large bowl, thoroughly mix kiwis, Golden Delicious apples, raspberries, strawberries, white sugar, brown sugar and fruit preserves. Cover and chill in the refrigerator at least 15 minutes.

Preheat oven to 350 degrees.

Coat one side of each flour tortilla with butter flavored cooking spray. Cut into wedges and arrange in a single layer on a large baking sheet. Sprinkle wedges with desired amount of cinnamon sugar. Spray again with cooking spray.

Bake in the preheated oven 8 to 10 minutes. Repeat with any remaining tortilla wedges. Allow to cool approximately 15 minutes. Serve with chilled fruit mixture.

Your Nutrition Label is Likely to Change for the Better

Ellen MichalBy Ellen Michal, RD, CDE, Lifestyle and Disease Management Center at Duke Raleigh

Do you find nutrition labels a conundrum–a difficult riddle to solve? Well, you aren’t alone. The Food and Drug Administration (FDA) is proposing to update the Nutrition Facts label (found on most food packaging in the United States) to help consumers make more informed food choices.

Suggested changes include:

  • Require information about Added Sugars. Many experts recommend consuming fewer calories from added sugar because they can decrease the intake of nutrient-rich foods while increasing calorie intake.
  • Update daily values for nutrients like sodium, dietary fiber and vitamin D and require manufacturers to declare the amount of potassium and vitamin D as they are new nutrients of public health significance.
  • Continue to require Total Fat, Saturated Fat and Trans Fat, but remove Calories from Fat because research shows the type of fat is more important than the amount.
  • Change the serving size requirements to reflect how people eat and drink today, which has changed since serving sizes were first established 20 years ago. By law, the label information on serving sizes must be based on what people actually eat, not on what they should be eating.
  • Require packaged foods (including drinks) that are typically eaten in one sitting be labeled as a single serving and that calorie and nutrient information be declared for the entire package. For example, a 20-ounce bottle of soda, typically consumed in a single sitting, would be labeled as one serving rather than as more than one serving.
    • For larger packages (24-ounce bottle of soda or a pint of ice cream) that could be consumed in one sitting or multiple sittings, manufacturers would have to provide dual column labels to indicate both per serving and per package calories and nutrient information. This way, people would be able to easily understand how many calories and nutrients they are getting if they eat or drink the entire package at one time.
  • Make calories and serving sizes more prominent.
  • Shift the Percent Daily Value to the left of the label so it comes first. This is important because this value tells you how much of certain nutrients you are getting from a particular food in the context of a total daily diet.

If adopted, the proposed changes would look like this.

Original vs. Proposed

Nutrition Facts

From our President: What our U.S. News Ranking Means for Patients

Katie Galbraith, MBA, president

Katie Galbraith, MBA, president

As you may have heard, Duke Regional was recently honored by U.S. News and World Report as one of the top hospitals in North Carolina. Duke Regional tied as the sixth best hospital in North Carolina and third best in the Raleigh-Durham Metro Area that includes Raleigh, Durham, Cary and Chapel Hill. Duke Regional was also named a high performer in 10 specialties, including cancer, diabetes and endocrinology, gastroenterology and GI surgery, geriatrics, gynecology, nephrology, neurology and neurosurgery, orthopaedics, pulmonology and urology.

But what does this ranking mean?

U.S. News determines how hospitals place on this list by analyzing measures such as patient survival and safety data, nurse staffing levels, reputation among physicians, patient outcomes and more.

To us, the ranking means we are keeping our commitment to provide the safest, highest quality care for the community we serve. Here are just a few examples of what makes Duke Regional Hospital one of the best.

Committing to quality. Duke Regional has received recognition for clinical expertise and patient safety. Our Hip Fracture Program and Forward Motion Total Joint Replacement Program are Joint Commission Certified and our hospital has been designated as a Primary Stroke Center by The Joint Commission in conjunction with The American Heart Association/American Stroke Association. Year after year, we have earned an “A” score for hospital safety through The Leapfrog Group, an independent national nonprofit group focused on patient safety.

Delivering tomorrow’s care today. Duke Regional implemented Duke Maestro Care, a new electronic medical record, in March. This state-of-the-art technology created a single electronic medical record of patients’ personal health and healthcare history within Duke Medicine. Using Maestro Care streamlines our ability to provide care, which means our patients enjoy even better, faster service.

Partnering with patients and their loved ones. We provide patient-and family-centered care to our patients and their loved ones by practicing “family presence.” Family presence means patients have the right to designate support persons including, but not limited to, their spouse, domestic partner, family member or friend. This designated loved one can be involved in the patient’s care (decisions, notifications, etc.) as much as the patient wishes.

While we would love to be number one, we are proud of our standing in this super competitive market. Our mission is to be the best community hospital in North Carolina and as shown by these rankings, we are well on our way.

To view the full report, click here.

Local College Baseball Coach Undergoes Surgery to Get Back in the Game

Mike Kennedy, head baseball coach at Elon University

Mike Kennedy, head baseball coach at Elon University. Photo courtesy of Elon Sports Information Department.

Over the course of two years Mike Kennedy of Burlington, NC, experienced constant pain in his right hip. As the head baseball coach at Elon University he was having trouble doing his job. Simple things like getting into various positions he was trying to show his players were difficult and painful. Mike decided he needed to make a change before the start of his eighteenth season as coach.

Mike, being only 45 years old, thought he was too young to need a hip replacement. However, his active past playing baseball, including time as a minor-league catcher, running for exercise and maintaining an active lifestyle, in combination with his size (6’-2”, 210 pounds), may have led to his hip’s early deterioration.

Mike visited Scott Kelley, MD, orthopaedic surgeon with North Carolina Orthopaedic Clinic, to find out what his options were for managing his hip pain. Dr. Kelley explained he needed surgery, but that Mike would know when it was time. He had tried Cortisone shots with some relief, but his hip finally told him it was time andMike had it replaced June 9, 2014. “It started restricting my everyday life because I’m active on the baseball field. If I had a desk job I might have waited longer, but for what I do I need to be able to move.”

While a hip replacement is a serious procedure Mike wasn’t uneasy before his surgery because Dr. Kelley came highly recommended. “I knew a couple people who had surgery by him before so I wasn’t nervous coming in.”

According to Mike, “Pre-op went fine. Dr. Kelley and his physician’s assistant Jamey (Messersmith) came in to check on me, Anesthesia came and then I woke up on the unit. The people at Duke Regional were nice, and the care was outstanding. I had surgery at 8 a.m., finished around 10 a.m. and was up walking by 1:30 p.m. The next day I had physical therapy, passed the test for discharge and was sent home. I only spent a little over 24 hours in the hospital.”

Mike’s first week after surgery was admittedly rough and included pain and stiffness. But since then, he has been getting better and better. He has been back to work watching games and feels close to normal. He’s also participating in outpatient physical therapy to help with his recovery.

Mike hopes to be back to his old self in eight months to a year. Just in time to add another winning season for the Elon University baseball team to the record books.

BlueCross BlueShield Policy Change for Bariatric Surgery Patients

BlueCross BlueShield North Carolina has eliminated their requirement that weight loss surgery patients complete six months of documented weight loss before being approved for surgery.

Both future patients and patients who are currently undergoing medical weight loss visits will now become immediately eligible for surgery, provided they have completed the other requirements in the bariatric surgery process, including psychological and nutritional evaluations, chest X-ray, electrocardiogram test, endoscopy, lab work, and sleep study.

Duke Medicine’s Ranjan Sudan, MD, serves as president of the Carolinas Bariatric Society. He and colleagues led the effort to unite bariatric surgeons in the Carolinas in support of this change. “What we have accomplished will positively influence all our patients,” he says. With this change, patients will be able to move to the surgery stage quicker than before.

Current patients at the Duke Center for Metabolic and Weight Loss Surgery are encouraged to call the clinic (Durham 919-470-7000; Raleigh 919-862-2715) to check their status and to ensure they have completed the requirements as set by the new policy.

To learn more about weight loss surgery at Duke, please visit www.dukewls.org.

Spotlight on hernias

Jin Yoo, MD

Jin Yoo, MD

Hernias are common conditions that general surgeons see and treat on a daily basis. Surprisingly, they are often misunderstood from what they are and how they are treated from a public’s eye. A hernia is essentially a defect some place in the body where there shouldn’t be a defect. A defect may be a hole that shouldn’t be there (ventral/incisional hernias) or a hole that is naturally present but enlarged (hiatal, inguinal and parastomal hernias). Internal organs and intestines can traverse the defect and get partially or completely stuck, which can cause pain, or worse yet, strangulation of the internal organs that can lead to serious complications and even death. Therefore, if someone is diagnosed with a hernia, the general medical recommendation is to get it fixed unless the surgeon provides a compelling reason NOT to fix it. A common misunderstanding of hernias is that patients (and even some physicians) believe the hernia is the actual bulge the patient sees on the body, and they want this removed or cut out. Unfortunately, the bulge is actually the internal organ(s) that are bulging across the hernia defect, and therefore, that is not how hernias are treated. Hernias are fixed by correcting the defect.

What makes hernias even more complicated is that there are many types and they have their own special names. Here are some common hernias:

1) Inguinal hernia – this is a defect that arises from three potential sites in a person’s groin. Depending on the site, they are classified as indirect, direct or femoral.

2) Ventral hernia – this is a defect that arises on a person’s abdominal wall. Again, depending on the actual site and/or their cause, they are classified by names such as spigelian, incisional, epigastric and umbilical, to name a few.

3) Hiatal hernia – this is an enlargement of a naturally occurring hole in the diaphragm where the esophagus traverses from the chest into the abdomen before it turns into the stomach. The enlargement leads to the protrusion of the stomach up into the chest cavity resulting in reflux and obstructive symptoms when eating.

Again, the management of hernias is to surgically fix them as soon as a person is diagnosed with this condition UNLESS there is a compelling medical reason not to by the surgeon. Therefore, a surgical consultation is always recommended. The techniques by which hernias are fixed may drastically differ, but the general approach is to (1) put the “bulging” content back to its original location and to (2) fix the defect by closing up the hole or closing it down to its normal size.

To learn more about hernia surgery at Duke Regional, click here.