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Understand the Benefits of Laser Cataract Surgery

Thu, 01 Feb 2018 16:24:29 +0000

Treatment Terms Cataract Surgery Overview While seeing more clearly is the main goal of cataract surgery, new lasers and premium lenses have made it possible to also achieve better vision. "Now we have the ability to improve people's vision so they can see distance or up close, often without glasses," said Anupama B. Horne, MD, a Duke cataract surgeon. "The laser assists us in giving people clearer vision faster, more consistently, and very often without glasses." Content Blocks Section Header Image/Video blog_cataracts_1932x862_009.jpg Section Features Images/Media Text Content Section Header Image/Video blog_cataracts_1932x862_083.jpg Section Features Images/Media Text Content Header Should You Consider Laser Cataract Surgery? Content While laser cataract surgery has its advantages, it’s not for everyone. Because the use of the laser and the premium lenses are not covered by insurance, people will incur more out-of-pocket expenses than with traditional cataract surgery. “When we see people who need cataract surgery, we determine if they would be a candidate for a premium lens as well as the use of the laser, and educate them about the benefits. It is up to the patient to decide if they want traditional surgery or laser cataract surgery,” Dr. Horne said. Section Features Text Content CTA Button Cataract Surgery CTA Header Lean More Hero Image blog_cataracts_hero_1932x862.jpg Preview Image Featured Doctors and Providers Anupama B. Horne, MD Sidebar Box Sidebar Box Header Learn More Sidebar Links Desktop Only Do not display phone numbers Additional CTA Buttons Test Body Display in Announcement Section:  Archived [...]



Winning Senior Olympic Gold After Heart Surgery and Cardiac Rehab

Wed, 10 Jan 2018 20:47:01 +0000

Treatment Terms Heart Cardiac prevention and cardiac rehabilitation Overview Dick Mazur of Raleigh was a fit 76-year-old planning to compete in the Senior Olympics for his third year in a row when his plans got waylaid. Diagnosed with a serious heart problem, he underwent heart surgery followed by cardiac rehab at Duke Health. Mazur went on to compete in the Senior Olympics after all, where he won three medals. “I owe it all to the rehab people,” he said. Hero Image dickmazur_cardio_140.jpg Preview Image Content Blocks Header Dr. Rockman Makes a Game Plan, Assembles Heart Team Content It started one morning when Mazur noticed his ankles were swollen. He suspected a heart problem and called his primary care office. There, his nurse practitioner detected atrial fibrillation, or AFib, which means irregular heartbeats caused by abnormal electrical signals in the heart. She urged him to make an appointment at Duke Cardiology at Southpoint in nearby Durham. “He wasn’t doing well,” said Howard A. Rockman, MD, a cardiologist and leader of Mazur’s heart team. “Two of his valves were leaking, and one artery was blocked.” Dr. Rockman referred Mazur to Duke heart surgeon Donald D. Glower Jr., MD, a pioneer in valve repair. Dr. Glower repaired two valves, removed a blockage, and wired Mazur for a pacemaker. “The doctors told me it was great that I was in such good shape,” said Mazur. “It helped me recover from the lengthy surgery.” Section Features Text Content Section Header Image/Video dickmazur_cardio_037.jpg Section Features Images/Media Text Content Section Header Image/Video dickmazur_cardio_219.jpg Section Features Images/Media Text Content CTA Header Learn More CTA Button Cardiac Rehabilitation Featured Doctors Howard A. Rockman, MD Donald D. Glower Jr., MD Sidebar Box Sidebar Box Header For More Information Sidebar Box Text We offer cardiology services at locations in Durham, Raleigh and beyond the Triangle. Sidebar Links Link Heart Care at Duke Desktop Only Do not display phone numbers Body Display in Announcement Section: [...]



New Surgical Option for Serious Rotator Cuff Tears

Fri, 05 Jan 2018 17:21:05 +0000

Treatment Terms Orthopaedics Rotator Cuff Tears Shoulder pain and injuries Overview If you have a severe rotator cuff tear that can’t be mended, or if a previous repair didn’t bring relief, superior capsule reconstruction may help. Content Blocks Header About Rotator Cuff Tears and Repairs Content Your shoulder is a ball-and-socket joint. The rotator cuff is a group of tendons and muscles that help keep the ball at the top of your upper-arm bone centered in your shoulder socket. It also helps you lift and rotate your arm. When your rotator cuff tears -- either from a sudden injury or long-term wear-and-tear -- the pain and weakness can make it difficult to do simple tasks that involve reaching overhead, like washing your hair or putting away dishes. If nonsurgical treatments like medication and physical therapy don’t help, doctors can repair moderate tears surgically. Until recently, though, there were few options for repairing more severe rotator cuff tears. One option, called reverse shoulder replacement surgery, still requires you to limit your activities after surgery and may not last more than 10 to 15 years. As a result, orthopaedic surgeons typically recommend this option only if you’re older than 70 years and relatively inactive. Section Features Text Content Header Superior Capsule Reconstruction -- A New Option Content In recent years, Duke orthopaedic surgeons have begun offering a new technique, called superior capsule reconstruction, to repair severe rotator cuff tears. In this approach, the surgeon inserts a human tissue graft, attaching one end to your upper-arm bone and the other end to your shoulder socket. “The graft doesn’t replace your rotator cuff tendon, but it performs the same function: keeping the ball of your arm bone centered in your shoulder socket and helping you raise your arm,” said Grant Garrigues, MD, one of a few Duke orthopaedic surgeons who perform the technically demanding technique. Doctors perform the surgery arthroscopically, by inserting a telescope-like camera and surgical instruments through small incisions about the width of a finger. It’s done under regional anesthesia combined with sedation, and most patients go home the same day. Jocelyn Wittstein, MD, another Duke orthopaedic surgeon who performs the surgery, said most patients do well with it. “They have an immediate reduction in pain,” she said, “and they’re very happy with their increase in range of motion.” Section Features Text Content Header Recovering from Superior Capsule Reconstruction Content Dr. Wittstein notes that people who have superior capsule reconstruction generally have less pain right after surgery than if they’d had a typical rotator cuff repair. However, the timeline for physical therapy and returning to normal activities is longer and more gradual. That’s because the graft needs time to incorporate with the rest of the shoulder joint. “We protect it from really heavy lifting until about six months after surgery, to let the graft heal in,” said Dr. Wittstein. Over time, most patients are again able to raise their arm. Dr. Wittstein cautions that not everyone will regain full range of motion, but the improvement is usually significant. Section Features Text Content Header Who Is a Candidate for Superior Capsule Reconstruction? Content “This new option restores motion and relieves pain for those who may have been told that their rotator cuff tear is so severe that it can’t be repaired,” said Dr. Garrigues. You may also be a candidate if you had rotator cuff repair surgery and it didn’t heal properly. However, Dr. Wittstein noted that superior capsule reconstruction won't help if you also have significa[...]



New Duke Sports Vision Center Focuses on High-Performance Vision Rehab and Training

Thu, 04 Jan 2018 20:22:45 +0000

Treatment Terms Eye Care Author Debbe Geiger Overview A new Duke Eye Center program is helping athletes and military personnel maximize their dynamic visual abilities. Content Blocks Section Header Image/Video huthphoto-kah_4330.jpg Section Features Images/Media Text Content Section Header Image/Video huthphoto-kah_3711.jpg Section Features Images/Media Text Content Header Exciting Opportunities to Optimize Visual and Athletic Performance Content “We’re very excited to be part of the first multidisciplinary sports institute in the nation that will incorporate the latest technologies and research to help optimize the visual and athletic performance of our patients,” Dr. Kim said. Section Features Text Content Hero Image huthphoto-kah_4037.jpg Preview Image Featured Doctors and Providers Diane B. Whitaker, OD Terry Kim, MD Related Locations Duke Eye Center Body Display in Announcement Section: [...]



An Orthopaedic Family: On the Go with Drs. Jocelyn Wittstein and Tally Lassiter (Video)

Mon, 18 Dec 2017 14:44:35 +0000

Author Erin Hull Overview Jocelyn Wittstein, MD, and Tally Lassiter, MD, are orthopedic surgeons in Knightdale and Raleigh who specialize in treating knee, hip and shoulder injuries in teens and adults. Learn how their active lives influence how they treat their patients. Content Blocks Section Features Images/Media Text Content Section Header Image/Video img_5366.jpg Section Features Images/Media Text Content Header Athletic Lifestyle Leads to Better Understanding of Patients Content Being active athletes themselves helps Drs. Wittstein and Lassiter better understand their patients. Dr. Lassiter, who enjoys rowing in his spare time, said his family's participation in sports allows him to see what different types of athletes are exposed to and what they may be trying to accomplish. "I get to see it both on a personal level and a professional level," he said.  Section Features Text Content Callout My goal is to return my patients to the activities that are meaningful to them as safely as possible. Callout Image Section Features Quoted Callout Header Injury Inspires Desire to Return Athletes to Activity Content Dr. Wittstein first became interested in sports medicine when she was injured during her collegiate gymnastics career. She said she’s able to empathize with her patients when they have an injury and have an activity taken away from them. "I understand what it means to get back to activities that are important to you," she said. "My goal is to return my patients to the activities that are meaningful to them as safely as possible while minimizing risk of re-injury." Section Features Text Content Header Make an Appointment Content Dr. Jocelyn Wittstein and Tally Lassiter treat knee, hip and shoulder injuries at Duke Health Sports Medicine locations in Raleigh and Knightdale. For more information, or to make an appointment, please call 919-256-1520. Section Features Text Content CTA Button Duke Sports Medicine CTA Header Learn More Preview Image Featured Doctors and Providers Jocelyn Ross Wittstein, MD Tally E. Lassiter Jr., MD, MHA Related Locations Carolina Family Practice & Sports Medicine - Raleigh Duke Orthopaedics of Knightdale Southeastern Orthopedics Shoulder Center Sidebar Box Sidebar Appointment Phone Number 919-256-1520 Do not display phone numbers Body Display in Announcement Section: [...]



Back to Dancing After Double Ankle Replacement (Video)

Fri, 15 Dec 2017 16:25:30 +0000

Treatment Terms Ankle replacement surgery Author Erin Hull Overview Two years ago, Jim Ashwell couldn't walk without pain. Years of ankle injuries and wear-and-tear left no joint space in his ankles, causing bone to rub against bone. Today, after double total ankle replacements, Ashwell, 59, is dancing again. Preview Image Content Blocks Content allow="encrypted-media" allowfullscreen="" frameborder="0" gesture="media" height="480" src="https://www.youtube.com/embed/oJpTrxI4oKo?rel=0&showinfo=0" width="853"> Section Features Text Content Section Header Image/Video final-copy-01.00_02_02_08.still006.jpg Section Features Images/Media Text Content Section Header Image/Video ashwellxrays.jpg Section Features Images/Media Text Content Content But as you watch Ashwell twist and turn on the dance floor with his wife of 22 years, you would hardly believe he's the same man who two years ago was close to needing a wheelchair. "I have no pain in my ankles," Ashwell said. "No pain at all." Section Features Text Content CTA Header Learn More CTA Button Ankle Replacement Surgery Featured Doctors Mark E. Easley, MD Related Blog Posts Ankle Fusion or Ankle Replacement? After ankle replacement surgery, pain-free walks on the beach Body Display in Announcement Section: [...]



Heart Patients Help Doctors Determine Best Aspirin Dose in New Clinical Trial

Tue, 28 Nov 2017 15:53:50 +0000

Treatment Terms Heart Author Tim Pittman Overview Doctors have known for decades that taking aspirin can reduce the risk for future heart attacks and strokes in people with cardiovascular disease. What is less clear is which dose is best. Participants in a new kind of clinical trial are helping them find out. Content Blocks Section Header Image/Video aspirinclinicaltrial.jpg Section Features Images/Media Text Content Section Header Image/Video 2017_williamking_aspirin_080.jpg Section Features Images/Media Text Content Section Features Images/Media Text Content CTA Button The Adaptable Aspirin Study CTA Header Learn More Hero Image 2017_johnturk_aspirin_274.jpg Preview Image Featured Doctors and Providers Schuyler Jones, MD Body Display in Announcement Section: [...]



When Heart Disease Runs in the Family

Mon, 27 Nov 2017 21:27:04 +0000

Treatment Terms Cardiomyopathy Overview Anne Goodes knew her heart beat faster than normal, but it wasn’t until her local cardiologist detected a heart murmur that she discovered she was at risk for sudden cardiac death. At Duke, she learned the cause was hypertrophic cardiomyopathy, a common heart condition that can run in the family. Goodes soon discovered her children may need to take precautions as well. Hero Image 2017_anne_heart_596.jpg Preview Image Content Blocks Header Learning to Live with Hypertrophic Cardiomyopathy Content Hypertrophic cardiomyopathy affects the cells that make up the heart muscle, said Andrew Wang, MD, a Duke cardiologist who specializes in condition. It causes areas of the heart muscle wall to thicken, which makes the muscle work harder and can obstruct the flow of blood exiting the heart. Hypertrophic cardiomyopathy often goes undiagnosed because many people have no symptoms. It's notorious for causing sudden death in young athletes but can affect people of all ages. When Goodes, a 55-year-old pediatric physical therapist, first saw Dr. Wang, he recommended she wear a portable monitor to record her heart beats. It documented several episodes of arrhythmias, or irregular heartbeats, caused by her thickened heart during a 48-hour period. Because that’s a possible warning sign for sudden cardiac death, he advised that an implantable defibrillator (ICD) be placed under her skin. The battery-powered device connects thin wires to her heart muscle to pace or shock the heart back into rhythm if it beats too fast or too slow. “The ICD treats the risk of sudden death,” Dr. Wang explained. Although Goodes knew the procedure was similar to getting a pacemaker, “I was very nervous about the ICD placement,” she said. “The nurses and anesthetists understood how I felt, and it meant a lot that everyone was caring and understanding. They had a lot of positive energy and reassured me that they’d take good care of me.” In the months following the 2016 procedure, Goodes complained of shortness of breath when walking, another symptom of her thicker heart muscle. Dr. Wang helped her find the right combination of medications to improve her symptoms and quality of life. Now, Dr. Wang coordinates Goodes’ care with her local cardiologist near her home in Reidsville, NC. Section Features Text Content Header Cardiomyopathy Can Run in Families Content Cardiomyopathy is often inherited from one generation to another. Once she was diagnosed, Goodes made the connection that her mother died of cardiac arrest at 67. Her grandmother died at a young age, too. Genetic testing can identify other members of the family at risk. Genetic counseling can ensure they understand how to lower their risk. A genetic blood test showed that Goodes carries one of several genes known to cause hypertrophic cardiomyopathy. Dr. Wang suggested her family be tested, too. "Immediate family members should be screened with an EKG or echocardiogram or possibly with a genetic test, if available," he said. Goodes’ college-age daughter tested positive for the same gene. While she doesn’t have any symptoms, Goodes said, “they will follow her at Duke and check her every few years” to monitor her heart for thickening. Now Goodes is encouraging her siblings and their children to be tested as well. Knowledge is power, she said. “At Duke, they’re willing to listen and explain things. I’ve learned so much about my body and how to live my life the best way possible.”  Section Features Text Content Header A New Normal Content While it took Goodes a while to adjust to t[...]



Is Outpatient Knee Replacement for You? Know Who Benefits

Mon, 27 Nov 2017 20:04:25 +0000

Treatment Terms Knee replacement surgery Author Shawn Lake Overview Duke orthopaedic surgeons now offer some people the option to go home a few hours after knee replacement surgery. According to Michael Bolognesi, MD, a Duke orthopaedic surgeon who specializes in hip and knee replacement, the experience for patients has been “overwhelmingly positive.” Content Blocks Header Who Needs Knee Replacement Surgery? Content More than 600,000 knee replacement surgeries are performed each year, making it one of the most the most common orthopaedic surgeries in the U.S. The procedure relieves pain from osteoarthritis, which occurs when the protective cartilage in the knee breaks down with age or overuse. As a result, the bones rub together, which can eventually damage the knee joint. Traditional knee replacement includes a hospital stay of up to three days. In recent years, surgeons found that some people do well without the hospitalization, thanks to new medicines that control bleeding, better pain management techniques, and physical therapy, which gets people up and walking soon after the surgery. Section Features Text Content Header Am I a Candidate for Outpatient Knee Replacement? Content Dr. Michael Bolognesi said several factors determine who may benefit from outpatient knee replacement surgery. The most important criterion is that that the person is in overall good health. Age is less of a factor. “Someone in their 70s with no other health problems could probably do as well as someone in their 50s,” Dr. Bolognesi said. People with other medical conditions, such as high blood pressure or diabetes, are less likely to be good candidates if these diseases are not well managed.  When deciding who stays in the hospital and who goes home right away, Dr. Bolognesi said he evaluates how well the patient is doing after their surgery, including whether they will be safe at home and have someone there who can provide support. Also, their pain must be under control by the time they leave the hospital. Candidates for outpatient knee replacement also must meet another important requirement: a commitment to success. “They must ‘buy-in’ to the process,” Dr. Bolognesi said. That positive attitude can motivate them to follow post-op instructions correctly and identify problems quickly. It can also help ensure that they follow up with their caregivers for scheduled calls or visits. Section Features Text Content Header Know What to Expect Content To give people undergoing outpatient knee replacement the information and understanding they need, the surgical team spends extra time preparing them for what to expect. “They require a different level of pre-operative education,” Dr. Bolognesi said. A safety net includes quick telephone access to their caregivers and options for communicating with doctors via Duke MyChart, Duke’s electronic patient portal. Choosing the right candidate is important because there can be disadvantages to sending people home the same day, Dr. Bolognesi said. “We worry that patients may develop a complication and not let us know." The complication rate in this healthier group is low, but not zero. “It’s important to offer this procedure, but we want to do it safely,” he said. When performed on the right person, "the positive aspects greatly outweigh the risks.” Section Features Text Content CTA Button Knee Replacement Surgery CTA Header Learn More Hero Image 20170905_leetucker_knee_009.mp4_.01_42_46_36.still002.jpg Previe[...]



Fighting Neuroblastoma Like a Superhero

Mon, 06 Nov 2017 17:18:05 +0000

Treatment Terms Neuroblastoma Categories Children's health Author Aliza Inbari Overview VG stands for Vomit Girl, the superhero that Sarah Smith created in her mind when she was a young child undergoing numerous rounds of chemotherapy to treat neuroblastoma, a childhood cancer that develops in the adrenal glands. Hero Image vg_01.jpg Preview Image Content Blocks Content “Chemotherapy causes patients to vomit frequently so I came up with a superhero for myself: Vomit Girl,” explained Sarah, now a 22-year-old, cancer-free college student. Her best friend’s mom made her a large cape displaying the initials VG that she proudly wore at the hospital near her childhood home in Mooresville, NC. Her friend also created a comic book titled, “The Adventures of Vomit Girl and Barf Bucket.” Barf Bucket was Sarah’s nickname for her dog, Snowy. “That sense of humor brightened many dark days,” she said. Section Features Text Content Section Header Image/Video vg_03.jpg Section Features Images/Media Text Content Header Maintaining a Fighting Spirit After Relapse Content The good news lasted three and a half years. Then Sarah relapsed. “I felt afraid. I dreaded having to go through everything all over again,” she said. Dr. Driscoll treated 10-year-old Sarah with a different type of chemotherapy. She remained positive. One afternoon, her mother, Becky Smith, noticed an envelope with Sarah’s writing that read: “My calage and car fund. Do not touch.” “She didn’t care that once again she was given little hope of long-term survival,” said Becky Smith. “She still had dreams left to chase, like a car and college.” Sarah explained, “I already had a fighting spirit from my first battle with cancer, so I kept that mindset through the brief relapse.” She relied on the love of her family and friends and her faith to keep her going. “I eventually came to see my cancer as a way I could give glory to God, grow closer to my family, and become a stronger person overall,” she said. After six months of chemotherapy, the neuroblastoma was gone.  Section Features Text Content Section Features Images/Media Header Words of Hope, and an Unexpected Reunion Content During one of her routine follow-up visits with Dr. Driscoll, Sarah recalled that the topic of her future wedding came up. When Dr. Driscoll said he hoped he would be invited, Sarah remembered saying, "‘Of course I’ll invite you!’ Looking back, I realize he had no way of knowing if I would live to see my wedding day, or even my high school graduation or first day of middle school. But he spoke with hope that I would heal, grow, and mature into a woman.” In 2016, Sarah’s dream of a car and college came true. She enrolled at Regent University in Virginia Beach, VA. The last person she expected to see on move-in day was Dr. Driscoll who happened to be moving in his son, Sam. There were a lot of tears when the two families met. “Without him, Sarah would not have gone to college,” said Becky Smith.  “Seeing Dr. Driscoll on my first day at Regent University was so special,” Sarah said. “I look forward to seeing him at my wedding one day.” “The reunion with Sarah, who is now a beautiful young woman, was a blessing and quite rewarding,” said Dr. Driscoll. “It is events like these that keep my colleagues and I striving to improve the care and survival of children with medical needs that currently can only be addressed with a [...]