SPRING 2011

In this issue... a whole grain hero

using MRI to detect breast cancer

livewell calendar

One Team. One Focus.

We recently established a dedicated cancer center on the fourth fl oor, centralizing cancer care and expanding treatment services.

Our new center features 19 inpatient rooms as well as a larger, more patient-friendly infusion center with greater comfort and privacy. According to board-certifi ed medical oncologist/hematologist I-Wen Chang, MD, the new center will enable special oncology-certifi ed nurses to focus exclusively on cancer patients, elevating the level of care and attention cancer patients receive.

“The Hospital’s team of oncology-certifi ed nurses are specially trained in the intricacies of caring for cancer patients. We’re fortunate to have a nursing staff that is not only competent, but kind and caring as well.”

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

“They can recognize cancer complications and appropriately react to them any time of the day or night. Concentrating

this team in the same area where they can focus solely on cancer patients makes them an even more valuable asset in cancer treatment,” she continues.

Groundbreaking ResearchAt Wayne Memorial Hospital, these treatments often take the form of groundbreaking clinical trials — the same trials currently being conducted at major academic medical centers such as Duke and UNC. “It’s very unusual for a community our size to offer these emerging treatments. We’ve seen patients from coastal North Carolina and as far away as Louisiana come to our community for care,” adds Dr. Chang.

Expert Cancer Care Right Here at HomeCancer changes lives in ways that few conditions can. This is why Wayne Memorial Hospital is changing how we treat cancer.

First LiveWell Women event a “BIG” success!Featuring everything from Zumba and chair massage to the most

current healthcare information and healthy eats, the Hospital’s fi rst event in its new health series was a huge success. Attending the “Big Fat Lie”

were women from Wayne County and beyond, who brought friends and gathered to learn how to tell fact from myth.

a pu

blic

atio

n f

rom

way

ne

mem

oria

l hos

pita

l

Lisa Weston, an instructor at Goldsboro YMCA, leads a Zumba

session

As women, we have very different health needs at every stage of our lives. But, while our actual needs may change, one thing remains constant: the need for education, information, and opportunities to enhance our personal health.

That’s why Wayne Memorial Hospital has created LiveWell Women, a new health series designed to give us the resources we need to stay healthy and well-informed.

Learn From ExpertsFeaturing exciting quarterly events, LiveWell Women focuses on the many issues we face in caring not only for ourselves, but for our loved ones as well. Learn about topics ranging from fi tness and nutrition to emotional well-being and lifestyle, as the Hospital’s top physicians and health experts share their invaluable knowledge and experitise.

So mark your calendar, grab a friend, and treat yourself to an evening devoted to you and your well-being. It’s a wonderful way to share, learn, and have fun!

A New Health Series — Just for You!

For more information on the LiveWell Women Health Series, visit our website waynehealth.org.

continued inside

“The Hospital’s team of oncology-certifi ed “The Hospital’s team of oncology-certifi ed nurses are specially trained in the intricacies of caring for cancer patients. We’re fortunate nurses are specially trained in the intricacies of caring for cancer patients. We’re fortunate

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

“They can recognize cancer complications and appropriately “They can recognize cancer complications and appropriately

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

“They can recognize cancer complications and appropriately

Trent Gass, Oncology Certifi ed RN

Mark Your Calendar

Spring Event – May 10Summer Event – August 9Autumn Event – November 8our actual needs may change, one thing remains constant: the need for education,

That’s why Wayne Memorial Hospital has created LiveWell Women, a new health series designed to give us the resources we need to stay healthy and well-informed.

Women focuses on the many issues we face in caring not only for ourselves, but for our loved ones as well. Learn about topics ranging from fi tness and nutrition to emotional well-being and lifestyle,

So mark your calendar, grab a friend, and treat yourself to an evening devoted to you and your well-being. It’s a wonderful way to share, learn,

Autumn Event – November Autumn Event – November Autumn Event – November 8

Above, left to right: Jason K. Boyd, M.D., I-Wen Chang, M.D., James Atkins, M.D., and Samer Kasbari, M.D.

More than half of North Carolinians are overweight or obese. And our state has more diabetics than the national average. If there was one simple change you could make in your daily diet to decrease your risk of both obesity and diabetes, wouldn’t you do it? Well, by simply switching from refi ned grains, such as white fl our and white rice, to whole grains, including whole wheat, brown rice, bulgur, barley, popcorn, and quinoa, you can reduce your risk of not only obesity and diabetes, but heart disease, stroke, and cancer as well.

Switch to the SuperfoodOften, refi ned grains are enriched, meaning synthetic vitamins and minerals (excluding fi ber) are added back to the grains after processing. However, without the fi ber and other native nutrients, refi ned grains can cause a rapid spike in blood sugar, followed by a “sugar crash.” Because whole grains are absorbed in the body more slowly than the processed version, the American Diabetes Association has dubbed whole grains a superfood for diabetics. The slower digestion may also help control appetite, thus lowering cholesterol and the risk of obesity.

Currently, the average American consumes fewer than one serving of whole grains daily! The USDA recommends at least half of your grains be replaced with whole grains—that’s 3-5 ounces or more daily. How do you make the switch?

Look for products with “whole grain,” “whole wheat” or “whole oats” as the fi rst ingredient, and experiment with different grains for your meals, such as millet, sorghum, buckwheat, and others. This superfood switch can be tasty as well as healthy!

Decrease Your RiskWith a Whole Grain Hero

Just AskQAQAQ

QAQAQ

QAQAQ

Should I have a breast MRI?

A breast MRI is not for everyone. You should have the exam only if you are at high risk for developing breast cancer or have already been diagnosed with the disease.

You may not qualify for a breast MRI if you have an internal defi brillator or pacemaker, cochlear (ear) implant, or have had a brain aneurism treated with a metal clip. If any of these conditions affect you, talk to your physician before having any MRI exam.

If your breast cancer risk is in the normal range, you should have regular screening mammograms beginning at age 40.

How do I know if I’m at high risk for breast cancer?

If you have had breast cancer before, your personal history of the disease places you at high risk for a recurrence. Also, if you have the genetic markers BRCA1 or BRCA2, these place you at high risk for developing breast cancer.

If you are unsure about your risk for breast cancer, talk to your physician.

How do I know if I have the genetic markers for breast cancer?

If you have a high incidence of breast cancer in your immediate family, such as having both a sister and mother who have had the disease, you should talk to your physician about being screened for the genetic markers. If you have the markers, you may benefi t from a breast MRI.

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

E-mail your questions to livewell@waynehealth.org .

J. William PaughPresident and CEOJ. William Paugh

Live Well,Live Well,

J. William PaughPresident and CEOJ. William Paugh

Total Cancer Care at Wayne Memorial Hospital

Approximately one in two American men and one in three American women will be diagnosed with cancer. As part of our continued commitment to caring for our local cancer patients, Wayne Memorial Hospital is proud to provide patients and their families a dedicated cancer center with the expert care, latest treatment options, and state-of-the-art diagnostic technologies you deserve–– right here at home.

When cancer is the diagnosis, we believe the focus should be on you and your family, not just the disease. Our cancer specialists and sub-specialists are uniquely qualifi ed to provide the most advanced care to the most complex patients, with a multidisciplinary care team consisting of dedicated physicians, nurses, radiation oncology experts, dieticians, and social workers. At Wayne Memorial Hospital, we believe when you’re fi ghting cancer, the daily support of loved ones is as important to healing as medicine. The comprehensive cancer program at Wayne Memorial Hospital keeps loved ones by your side from diagnosis to recovery.

We realize you have a choice in where you go for healthcare, and we strive to be your preferred hospital.

One in Two Americans…

page 2

Dr. Kevin Cregan is a board- certifi ed radiologist with a degree from the University

of Pittsburgh School of Medicine and a fellowship at Thomas Jefferson University

Hospital in Philadelphia.

Dr. Kevin Cregan,Radiologist,

Wayne Memorial Hospital

from the president

continued from front page

Clinical trials are just one aspect of a comprehensive cancer treatment program offered at the Hospital, which includes not only chemotherapy, but also diagnosis and surgery.

The Hospital’s advanced technologies, such as the PET scanner and daVinci TM Surgical System, aid in diagnosis and make surgery less invasive and more precise for cancer patients.

Additionally, the Hospital partners with Wayne Radiation Oncology and other area radiation oncology centers to provide radiation treatments when appropriate.

Of course, the best way to fi ght cancer is to actively take it on before it’s even diagnosed. This means taking preventive measures to catch it early or avoid it altogether.

Dr. Chang recommends that every woman age 40 and over receive an annual mammogram. She also recommends that everyone over age 50 have regular colonoscopies to screen for colon cancer.

“Early detection also means not ignoring potential cancer symptoms. Unexplained weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. Don’t wait, thinking they will just go away on their own. Catching cancer earlier can give you a major advantage in your fi ght against cancer.” – Dr. I-Wen Chang

Expert Cancer Care Right Here at Home

Dr. Chang recommends that every woman age 40 and over receive an annual mammogram. She also recommends that everyone over age 50 have regular colonoscopies to screen for colon cancer.

“Early detection also means not ignoring potential cancer symptoms. Unexplained weight loss, a persistent cough, or a lump in the breast all can signal the presence “Early detection also means not ignoring potential cancer symptoms. Unexplained weight loss, a persistent cough, or a lump in the breast all can signal the presence “Early detection also means not ignoring potential cancer symptoms. Unexplained

of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence

Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician. Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician.

Dr. Chang recommends that every woman age 40 and over receive an annual mammogram. She also recommends that everyone over age 50 have regular colonoscopies to screen for colon cancer.

weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence

Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician. Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence

– Dr. I-Wen Chang

weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence of a cancer. � ese symptoms should immediately be evaluated by a physician. weight loss, a persistent cough, or a lump in the breast all can signal the presence

Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician. Don’t wait, thinking they will just go away on their own. Catching cancer earlier of a cancer. � ese symptoms should immediately be evaluated by a physician.

– Dr. I-Wen Chang

WAYNE MEMORIAL HOSPITAL2700 Wayne Memorial Dr.

Goldsboro, NC 27534919.736.1110

www.waynehealth.org

Wayne Memorial Hospital is fi rmly committed to guiding this community to a healthier lifestyle. From countless, benefi cial 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:

livewell@waynehealth.org

Spice Up Your Health!Great for more than just stir-fry, ginger is high in potassium and low in sodium.

Studies also show ginger lowers your LDL cholesterol and is a powerful

antioxidant. Ginger up!

Source: LiveStrong.com

Source: Mayo Clinic

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

With an estimated 8,000 North Carolina women projected to have been diagnosed with breast cancer last year,* Wayne Memorial Hospital’s high-defi nition breast MRI is providing at-risk women with the latest technology for early detection and comprehensive surgical treatment.

* Source: North Carolina Central Cancer Registry

Breast Cancer: How high is your risk? Everyone, men and women alike, carries some risk for developing breast cancer in his or her lifetime. Most of us, however, will never need the advanced diagnostic capabilities of a breast MRI. Only those who are at the highest risk for developing breast cancer will receive the full benefi ts of the procedure.

You are at high-risk if:• You currently have breast cancer,• You have had a previous breast cancer, or• You have the genetic markers BRCA1 or BRCA2,

which may indicate a predisposition to developing breast cancer.

To determine if you are at risk for breast cancer, or if you would benefi t from a breast MRI, please contact your physician.

At Wayne Memorial Hospital, physicians are using a revolutionary new technique both to diagnose breast cancer in high-risk

women and also to plan surgery for those already diagnosed with the disease. It’s called the breast MRI.

� e expert team at Wayne MRI continues to set the pace for advanced imaging, diagnosis, and, intervention.

A National Certifi cation

The Pulmonary Rehabilitation Program at Wayne Memorial Hospital has been recognized with a National Certifi cation by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).

Outstanding Volunteer Coordinator—for the Entire State!Donna Archer, Director of Volunteer Services at Wayne Memorial Hospital, has been selected as the Outstanding Volunteer Coordinator for the State of North Carolina. The prestigious Medallion Award was presented to Donna at the Governor’s Award Ceremony at the State Capitol Building.

Mayor’s Youth Council Reaches Out to Pediatric PatientsThe Goldsboro Mayor’s Youth Council recently presented its “Valentine at Wayne” project to the Hospital’s Pediatrics Unit in February. The teens made individual greeting cards and purchased books, games, and toys with money received from a mini-grant from the North Carolina Youth Advisory Council of the Youth Advocacy and Involvement Offi ce.

Mayor Al King commends the Youth Council for their outreach eff orts and generosity.

page 3

For High-Risk Women Using MRI to Detect Breast Cancer

Pride Points

Grocery Myth!Fresh vegetables are always better for you than frozen

vegetables. Not true. Tufts University found that frozen veggies

are just as good as fresh; in fact, sometimes, they’re even better

because they’re fl ash frozen right after they’re picked. This

preserves their nutrients.

Source: Mayo Clinic

“Breast MRI is extremely sensitive,” explains board-certifi ed radiologist Kevin M. Cregan, MD. “Using a contrast material injected intravenously, it can reveal more than 90 percent of breast cancers, even some that may not appear on a mammogram.”

The exam, however, is not a replacement for mammography.

“Mammograms are still the preferred method for breast cancer screening,” says Dr. Cregan. “We often use the high-defi nition images of MRI after the cancer is diagnosed to help surgeons develop detailed, comprehensive plans for surgery. The sensitivity of the MRI will often help surgeons decide whether a lumpectomy, mastectomy, or other surgery is appropriate for the patient.”

The exam is also used for breast cancer detection in high-risk women. In these cases, the extra sensitivity of the MRI can reveal hidden cancers and those in their earliest stages.

“If you are genetically predisposed to have a greater risk for breast cancer, or if you have a personal history of it, we will use the MRI in concert with regular mammograms to help us identify potential cancers early,” Dr. Cregan says. “But, this test is not for everyone.”

The MRI uses a contrast agent that can be absorbed not only by cancers, but also by completely benign structures in the breast. While it’s extremely valuable in confi rming a suspected cancer, using it as a routine screening could result in a great number of false positives.

These, in turn, would lead to unnecessary biopsies and other procedures. They also could add undue stress to women who receive the false positives. For that reason, mammography is still the preferred screening method for breast cancer in the vast majority of women.

Should you be among the high-risk group who can benefi t from a breast MRI, the exam itself requires very little preparation and takes only about 30 minutes.

“The technologist administering the exam will outfi t you with a special coil that fi ts around your chest. You then lie on your stomach in the MRI machine and listen to your choice of music over the exam room’s satellite radio system while the technologist performs the scans,” explains Dr. Cregan. “It’s a relatively simple procedure from the patient’s standpoint.”

Donna Archer

LiveWell Health Calendar

Enhance Your

Mental Health – Volunteer!Helping others is scientifi cally proven to improve mental health and

increase happiness. Become involved with something you feel deeply about,

such as community health, education, the environment, pet rescue, or

disadvantaged children.

Source: Improving Member Health

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 ©

Hazelnut-Coated Salmon Steaks Makes 4 servings

directionsPreheat oven to 375 degrees. Place hazelnuts on baking sheet; bake 8 minutes or until lightly browned. Quickly transfer nuts to clean dry dish towel. Fold towel; rub vigorously to remove as much of the skins as possible. Finely chop hazelnuts using food processor, nut grinder, or chef’s knife.

Increase oven temperature to 450 degrees. Place salmon in baking dish. Combine apple butter, mustard, thyme, and pepper in small bowl. Brush on salmon; top each steak with nuts. Bake 14 to 16 minutes or until salmon fl akes easily with fork. Serve with rice and roasted asparagus if desired.

nutritional information:Per Serving: Calories: 329 (30% from fat), Total Fat: 11g, Saturated Fat: 1g, Cholesterol: 72mg, Sodium: 143mg, Carbohydrate: 26g, Dietary Fiber: 1g, Protein: 31g

Recipe Courtesy of: Healthy Recipes for the Holidays ©2004 LW Press, a division of Publications International, Ltd. ISBN: 1-4127-2141-5

ingredients1/4 cup hazelnuts

4 salmon steaks, about 5 ounces each1 tablespoon apple butter

1 tablespoon Dijon mustard1/4 teaspoon dried thyme leaves

1/8 teaspoon ground black pepper2 cups cooked brown rice

� is is just one of the delicious and nutritious recipes you can fi nd in the Healthy Kitchen section of the new Wayne Memorial Hospital website.

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

SupportCoping with Grief Support Group–FreeMeets the second Tuesday from 10 a.m. –12 p.m. in the dining rooms.

Provides support for those dealing with the loss of a loved one. Sponsored by 3HC. Call Jane at 735.1387.

Mended Hearts– FreeMeets the fi rst Tuesday at 1 p.m. in the Cardiac Rehab’s new ground-fl oor location.

Provides support and education for people and their families who have heart disease and are undergoing related procedures. Call LaRue at 689.2079 or Donna at 731.6304 for more information.

Stroke Support Group – FreeMeets quarterly at Madison’s Restaurant.

Offers support and education for people who have suffered a stroke, and their family members. Call Sam at 778.9016 or the Rehab Department at 731.6005 for more information.

Diabetes Support Group –FreeMeets the second Tuesday in the Auditorium.

Offers programs to provide support and education for people with diabetes, and their families. Call Shelda at WADEC at 731.6508 for times.

ClassesChildbirth Classes by Hospital ProsDates and times vary.

So those expecting know what to expect! Learn more about pregnancy, childbirth, and newborn care in classes led by Hospital professionals. Choose from an intensive six-week course or a one-day Saturday session. Call Gethney at 731.6492 or 731.6244 for times and dates.

Learn to be a Safe SitterClasses are April 26-27, June 23-24, and July 21-228 a.m. – 2 p.m (Two-day class.)

Wayne Memorial Hospital is pleased to announce the introduction of the nationally-acclaimed Safe Sitter Program. Program is open to 11, 12, and 13 year olds and cost $25.Call 731-6557 for more information and registration.

EventsLiveWellWomenSpring Event – May 10Summer Event – August 9

Farmers Market – Starting in May!Goldsboro Mini Farmers Marketsponsored by the Health Department.Wednesdays, 9:30 a.m. – 2:30 p.m.Behind Herman Park Center.

Fresh, locally grown fruits and vegetables are in abundance at the Goldsboro Mini Farmers Market.For more information, visit waynefoods.org.

United Way’s Day of CaringMay 13

This event is a way to volunteer with non-profi t agencies and complete a one-time service project.To browse projects and to register, visit unitedwayne.org

Healthy Kids Day at the YMCAMay 14For more information, visit goldsboroymca.org

Relay for LifeMay 20 and 21 at Wayne Community College.

Relay for Life gives everyone across the globe a chance to celebrate the lives of people who have battled cancer, remember loved ones lost, and fi ght back against the disease.For more information, visit wayneacs.org

Born Learning FestivalJune 4, 10 a.m. –12 p.m. at Herman Park.Sponsored by Wayne County Partnership for Children.

This exciting event is tailored for young children ages birth to fi ve, and will promote that children are born learning.For more information, visit crazywayno.com

PRESORTEDFirst Class Mail

US PostagePAID

Raleigh, NCPermit No. 1910