Get Back into Forward Motion!

8491 DRH_ForwardMotion_finalIf you are missing out on the things you love — walking the dog, playing golf, gardening, or playing with the kids— it may be time to consider a knee or hip replacement.

Our Forward Motion program is Joint Commission certified and tailored to your individual needs for a safe and successful recovery. This program includes:

  • A pre-operative education class that offers an overview of what to expect from pre-op testing to discharge after surgery
  • Nurses and therapists who specialize in the care of the orthopaedic patient
  • Many ways to manage your pain
  • A physical therapist to help increase your mobility and build strength
  • An occupational therapist to educate you on protecting the new joint and the use of assistive devices to get dressed and attend to your personal care
  • A discharge planner to ensure a thorough and safe discharge plan
  • Comprehensive discharge instructions

To learn more about our program check out our Resource Center, complete with our patient guide and videos.

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.

Get Back into Forward Motion with Help from Duke Regional

Couple on bikes Adults sightseeing man exercisingOsteoarthritis, rheumatoid arthritis, injury, bone tumors and other conditions may lead to the breakdown of the hip joint and the need for hip replacement surgery. If your hip pain is interfering with your everyday life, it may be time to consider hip replacement. We can help you get back into Forward Motion and doing the things you love like walking the dog, playing golf, gardening, or playing with the kids.

To ensure the best patient care, we use a team approach. You, your surgeon, nurses, aides, therapists, care manager, and discharge planner communicate on a daily basis. This communication helps guide your care plan and discharge needs. You and your team will review your needs, preferences, and insurance coverage to offer the best possible solution for you. You and your loved ones are also a big part of your care team, and your input is critical to the success of your recovery.

Patients can prepare for surgery by attending a pre-operative education class that discusses what to expect before, during, and after surgery. There is also a printed patient guide that gives additional information about preparation through recovery.

Our surgeons are some of the most talented in the area and use less invasive approaches to spare surrounding muscle and provide a quicker recovery after surgery. Your surgeon will decide what the best method will be based on your condition.

For more information about hip replacement surgery at Duke Regional Hospital, visit dukeregional.org/forwardmotion.

Google Glass in the Operating Room

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, wearing Google Glass

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, wearing Google Glass.

Selene G. Parekh, MD, MBA, Duke foot and ankle surgeon, has introduced a new tool to his operating rooms. An instrument called Google Glass that doesn’t touch the patient, but soon could have an impact on many patients on the other side of the world.

Dr. Parekh first found out about Google Glass from all the press surrounding the new product early last year. Google Glass is a pair of glasses that function as a hands-free computer complete with a built-in camera, monitor and voice command capabilities.

Since he started wearing the glasses during surgeries eight months ago, Dr. Parekh has used the technology to record and archive a few hundred cases, ranging from ankle replacements, to ankle arthroscopy, ankle fractures, bunions and hammer toes performed at Duke Regional Hospital and Duke’s Davis Ambulatory Surgical Center.

“Patients are comfortable with Google Glass being used during their procedures and intrigued by them as well,” said Dr. Parekh. “The sentiment is that it is novel and interesting.”

In about three months, once software is available, Dr. Parekh hopes to share his expertise with surgeons in India. Dr. Parekh already does a number of charitable acts focusing on education, medical research and missionary aid through the Parekh Family Foundation, a Foundation he and his wife started in honor of his parents, but Google Glass would provide additional specialized training to the surgeons in that part of the world on a much more frequent basis.

Dr. Parekh’s use of Google Glass in the operating room was also recently covered by The New York Times. Click here to read that article.

Stroke and Joint Replacement Programs Recognized

Duke Regional Hospital has been recognized as a Primary Stroke Center by The Joint Commission in conjunction with The American Heart Association/American Stroke Association. Certification as a Primary Stroke Center demonstrates the hospital’s program meets important performance standards known to improve outcomes for stroke patients.

In addition, Duke Regional’s Forward Motion Joint Replacement Program earned The Joint Commission’s Gold Seal of Approval™ by complying with The Joint Commission’s national standards for healthcare quality and safety.

Both programs were first honored with these distinctions in 2012. Certification lasts two years.

Duke Regional underwent a rigorous on-site review of both programs in January. A Joint Commission expert reviewed the stroke program’s compliance with the requirements for The Joint Commission’s Disease-Specific Care Certification program as well as primary stroke center requirements, such as collecting and using specific data to continually enhance care. An orthopedic Joint Commission surveyor evaluated the hospital for compliance with standards of care specific to the needs of joint replacement patients and families, including infection prevention and control, leadership and medication management.

“Participation in these reviews is voluntary. We take part to improve and validate the processes we follow to provide excellent care to our patients and their loved ones every day,” says Barbara Griffith, MD, chief medical officer. “Primary Stroke Center Certification and Joint Commission Certification of our Forward Motion Joint Replacement Program highlights our commitment to high quality care, and helps us improve care overall for our community.”

Hip Fracture Program Receives Joint Commission Certification

After a rigorous on-site review in January, our Hip Fracture Program has earned The Joint Commission’s Gold Seal of Approval®. During this review, a Joint Commission expert evaluated Duke Regional for compliance with standards of care specific to the needs of patients and families, including infection prevention and control, leadership and medication management.

Our Hip Fracture Program was created to enhance the care of hip fracture patients. The goal of the program is for patients to have surgery 24–48 hours after arriving in the Emergency Department so recovery can begin quickly.

The program is a combined effort between the Emergency Department physicians and staff, anesthesiologists, orthopaedic trauma surgeons, hospitalists, physical therapists, and more. Each group works together to ensure our patients experience as little pain as possible before and after surgery and leave knowing how to prevent future falls and keep their recoveries on track.

Visit dukeregional.org/hipfracture to learn more about our Hip Fracture Program.

Make Preventing Falls a Priority

Aging takes a toll on balance, vision and bone strength, increasing the risk of a fall resulting in a fracture. Most broken hips are caused by falls; for some patients, these injuries limit their ability to live independently.

Avoid falls with these tips:

magazinesClear the way: Remove area rugs, stacks of old magazines, children’s toys, power cords and other objects from the footpaths in your home to prevent tripping and slipping.

lightbulbDo some redecorating: Install more light fixtures or brighter bulbs (but ask a younger friend or family member to climb the ladder), as well as handrails and non-slip mats in the shower or tub.

chairExercise with a purpose: Get active, and incorporate exercises to improve balance into your workout. The National Institutes of Health recommend holding onto the back of a heavy chair, slowly lifting one leg and holding it behind you or to the side for one second. Repeat several times.

Keep an eye on your vision: Stay up to date with your glasses prescription.

If you missed the news about Duke Regional Hospital new Hip Fracture Program, visit our post from December 20, 2013.