Anna Kay Duckworth, MD - Savannah River Dermatology, LLC

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Anna Kay Duckworth, MD - Savannah River Dermatology, LLC

ContentsCover StoryAnna Kay Duckworth, M.D.Home is Where the Heart isDr. Anna Kay Duckworth considers ita privilege to instruct her hometowncommunity on the importance of skinhealth.3Departments8 Practice Management10 Augusta History16 Travel19 News, Events,OpportunitiesShould We Stay or ShouldWe Move?By Roger W. Davis, RegisteredLandscape Architect,Davis Design GroupCaring for theClaustrophobic Patient714By Sherri HallumsPresident Barack Obama’s Prescriptionfor Health Care Reform:Not What the Doctor OrderedBy: Rep Paul Broun, M.D. (GA-10)13


Anna Kay Duckworth, M.D.Home is Where the Heart isMentoring NeighborsWhen Anna Kay Wiggins was enrolled at the University ofGeorgia she relied on resources of the people she had grownup around to help guide her path further in life. Anna Kay,entertaining medicine as her career path, wanted to makesure her dream of developing into a knowledgeable physiciancould balance out with her dreams of also one day becoming agreat wife and mother. Before committing to medicine AnnaKay arranged to shadow Dr. William Byars, ob/gyn, and Dr.Charles Shaefer, internal medicine. She had known themboth for several years at First Baptist Church Augusta throughher involvement in the youth department. As Dr.’s Byars andShaefer mentored Anna Kay Wiggins her medical world beganto form more concretely. She became aware of the fact thatpracticing medicine would allow her to care for people in a waythat demonstrates God’s love. In some way, even small, shecould make an impact to better their lives.Being completely confident in her medical career choice,Anna Kay also wanted a female perspective on a medical career.She enlisted the advice of Dr. Cheryl Newman who works as aphysician in infectious disease. After shadowing Dr. Byars andShaefer, and through many talks with Dr. Newman, Anna KayWiggins’ sights were set and medicine became her goal.It only seemed natural for Anna Kay to enroll in her hometownmedical school because of its exemplary reputation; she appliedto the Medical College of Georgia and was accepted for August2000.Third year is the charmAnna Kay, in her third year of medical school, knew sheloved her chosen field of medicine, but her specialty wasstill one of indecision as she worked through the rotationsrequired. One day while working with Dr. Frank Carter, afamily practitioner in Waynesboro, Georgia, he suggestedto Anna Kay the field of dermatology because of her interestin a procedural field and her desire to work with patients ofall ages.Anna Kay began to investigate dermatology. In her research,she discovered dermatology would be an avenue to work allfacets she envisioned for her medical choice. It offered her theopportunity to meet her strong desire towards pediatrics, oncea career consideration. She would be able to see patients, bothadult and children, for general check-ups in the office and stillbe able to perform procedures and basic skin surgery. The fieldlends itself to variety and each day brings new patients withvery different diagnoses. Interacting with patients in a personalway was important to her. Visually seeing the improvementin a patient’s condition was gratifying. Anna Kay’s mind wasmade up and she knew being a dermatologist was exactly herright choice.It had been while Anna Kay was at Georgia, her senior year,she happened to meet Patrick Duckworth. Patrick, a youngman from Starkville, Mississippi, was employed in Atlanta.They dated in her early years of medical school, but it was inher third year that they became engaged. They were marriedin her forth year of medical school in March 2004. In March2008, their first child, Ella Reyn, was born.May/June 2010 CSRA MD Journal • Page 3


Statistics and discussion pointswith your patients:An estimated 68, 720 cases of invasive melanomawere diagnosed in 2009, and 8,650 people diedfrom the cancer, which is the deadliest form of skincancer.Dr. Anna Katherine Duckworth says, “That’s almostone death per hour. It’s the sixth most commoncancer in the U.S. and the No. 1 cancer in Americansages 25-29.”“We as a society are equally unwise about our riskfor skin cancer. Most people don’t realize that youhave a 6-8 fold risk of melanoma just by going to atanning bed,” warns Dr. Duckworth.cancer screening. And for the residents of the Central SavannahRiver area, she writes or records basic information on warningsagainst skin cancer or other skin diseases.A Family AffairDr. Anna Kay Duckworth’s philanthropy has turned into afamily affair with her husband, Patrick. Together they are veryactive in fund raising efforts for “Cooking for Kids,” a programwhich benefits child enrichment. Patrick is also an executiveboard member of the CSRA division of the Boys Scouts ofAmerica. The compassionate heart of the Duckworth familymakes Augusta, Georgia, a place we all call home, much brighterand better.Finding Melanomas:The ABCD rule can help you tell a normal mole froman abnormal mole. A dermatologist should checkmoles that have any of these signs:➣➣Asymmetry: One half of the mole does notmatch the other half.➣➣Border Irregularity: The edges of the mole areirregular or not smooth. They may look ragged,blurred or notched.➣➣Color: The mole’s color is not the same all over.There may be shades of tan, brown, or black andsometimes patches of pink, red, blue or white.➣➣Diameter: The mole is larger than about ¼ inch– about the size of a pencil eraser – althoughsometimes melanomas can be smaller.Savannah river DERMATOLOGY493 Fury’s Ferry RoadMartinez, Georgia 30907Office: (706) 691-7079Fax: (706) 364-0416www.srderm.comAnother important sign of melanoma is a mole thatis growing or changing in shape or color. Still, somemelanomas do not fit the “Rules” above. It may behard to tell if the mole is normal or not, so referthese patients if you are unsure.Source: American Cancer SocietyMay/June 2010 CSRA MD Journal • Page 5


SHOULD WE STAY ORSHOULD WE MOVE?- MoBy Roger W. Davis, Registered Landscape Architect,Davis Design GroupOften, after twenty years or so, many home owners find themselveswith no mortgage, an empty nest, the dog is dead, a great location butwith an outdated landscape. ‘Do I move and start over or do I stay andupdate?’ Many are staying.When the house was first built, concessions were made due to budgetrestraints and other considerations. We are seeing clients tear out oldbroken concrete drives and replace with brick or stone bordered decorativepavements such as concrete with exposed pea gravel aggregate,salt pitted concrete or embossed concrete. Many times the configurationof the drive changes to accommodate guest parking, improvementof circulation or just to improve the overall aesthetics of thesite. Landscapes have been ill maintained and because of poor plantmaterial choices are simply unmanageable.Site usage is not what it once was so we remove the old amenitiesnot used such as the tree house, dog yard, play yard and equipmentand replace them with ones we will use. Additions of a swimmingpool, garden pond, outdoor kitchen or fireplace, fire pit, arbor and thelike enhance the outdoor experience for us in the Augusta area forthe spring, summer and fall seasons. Swimming pools can be small,a place to cool off, and can be treated as a garden ornament that youjust happen to swim in. Garden ponds with biological filtration canbecome the garden’s feature attraction with the sound of splashingwater, the grand children feeding the fish and chasing dragon flies.Many covered outdoor kitchens are becoming very popular featuringgrills, ovens, refrigerators, sinks, bars, fireplaces, game rooms with flatscreen TVs and outside bathroom facilities.Many old landscapes which once were in a sunny exposure are nowshaded. The grass and plantings have succumbed, become leggy andovergrown and generally look shop worn. Bed lines might need tobe reworked where grass no longer grows and replaced with groundcovers. Trees might need to be removed, thinned or the canopyelevated to allow for more light.We find in older landscapes that there are some good plants in thewrong places; plants that once were used as shrubs but now need to betreated as small trees. The landscape may be outdated with old plantvarieties which could be improved with exciting new cultivars now onthe market. Just think, azaleas that bloom twice a year, hydrangeasthat can be pruned and still bloom the same season, landscape rosesthat are almost bullet proof and not having to be sprayed every time itrains, imagine a weeping redbud, hostas that can be grown in full sunand plants you may have never heard of such as Chinese Rice PaperPlant, Purple Pixie Loropetalum, Harry Lauder’s Walking Stick orNuclear Blast Mulberry. Why would you go to your closet and chooseto wear a 20 year old outfit with the new fashions available?When I came to practice in Augusta some 40 years ago, I was amazedthat if a plant didn’t bloom the first two week of April, nobody wantedit. The local landscape was filled with azaleas, camellias and dogwoods,some forsythia and spirea and that was about it. After Masters there - Chasingwas no reason to walk around the garden to see what was bloomingbecause it was basically green. In honor of our Masters guests, ourgardens should peak at that time of year but the season of bloom canbe extended far beyond spring. A stroll through the garden can be aserendipitous experience with that morning cup of coffee discoveringwhat’s blooming today.So, what say you. SHOULD WE STAY OR SHOULD WE MOVE?Davis Design Group120 Fifth StreetAugusta, GA 30901(706) 724-4666roger@davisdesign.orgCompassionate carefor those withlife-limiting illnesses Skilled registered nurses Pain and symptom management Counseling to patients and families Spiritual care Assistance with daily living activities Volunteer services Bereavement services Covered by Medicare, Medicaid, & most insurancecarriersCare Provided Regardless of Ability to Pay620 Ponder Place, Suite 1AEvans, GA 30809www.united-hospice.comLicense #: 0360-282-H- M- ChasinbAMay/June 2010 CSRA MD Journal • Page 7Page 17


PRActice ManagEMEntGet Out of theBanking Business, Part 1by Steve CartinUncollected fees. How do you keep them from robbing your personaland professional life of a significant portion of your hard-earnedmoney? Solving the collections puzzle requires planning, disciplineand flexibility. Getting from where you are to where you want to berequires that you apply the right approach to resolving the age-olddilemma of uncollected fees. Consider these five reasons for doingso, five things you can’t do with uncollected fees:✔✔You can’t use uncollected fees for salary increases.✔✔You can’t pay expenses with uncollected fees.✔✔You can’t upgrade your office or technology with uncollected fees.✔✔You can’t invest uncollected fees into growing your practice.✔✔You can’t put away uncollected fees for retirement.Uncollected fees not only decrease your profit margin significantly,they also erode stability from under your business and future. Howcan you optimize the collections process in your practice and reducethe stress it would otherwise generate on your staff?Provide Viable Financial OptionsFinancial options abound. As options increase in leniency for thepatient they decrease in profitability for the practice. The incrementalsteps from cash to debit ca rds to credit cards to thirdpartyfinancing (such as Wells Fargo, CitiHealth, or Care Credit)to insurance also bring incremental decreases in profitability. Onerecent development gives the provider full payment up front as athird party debits the patient’s checking account at no interest withonly minimal monthly service charges. Whatever unique line-up ofoptions you choose, abide by this key consideration: Structure yourfinancial options to be sensitive to patient concerns while keepingyour practice on track from a business standpoint.Involving your entire team early in this process pays big dividends.What you decide as a group will more readily be implemented asa group. A good practice management coach can help your teamadminister the options and use the bestverbal skills to communicate them topatients. When your staff is comfortablesharing the options with patients, patientswill more readily move forward with careand accept their financial responsibility.One physician I’ve collaborated with runsa successful general/bariatric practicewithout accepting any insurance on assignment.She owes the success of eliminatingher dependence on insurance plans to whatwe’re going to talk about in the next step.Implement the Right ProtocolsToo many patients still have the idea thattheir physician offers a revolving accountwith no particular payment plan in force. Toeliminate this costly misconception, thereare three stages on which your implementationwill focus.Prior to the Appointment. Clear, concisefinancial guidelines must be communicatedwith patients from the start. Patientsphoning your practice have a right to knowwhat the fee for the appointment will be andhow you expect payment. Explain how youroffice handles insurance claims and whatresponsibilities the patient bears. Always askif the patient has any questions or concernsabout the office’s financial guidelines.At the Appointment. Clarify your financialguidelines and have patients acknowledgethem by signature as part of your new patientprocess. For anything other than a routineexamination or follow-up appointment, bothPage 8 • CSRA MD Journal May/June 2010


due respect to the good people of Chattanooga,I didn’t really get it. You canyour practice only enjoy and patients looking will out benefit over 7from states a process for that so long. gets a Give “Yes” your ineach of web three guests areas something the right to order. do onFirst, your need site. to Grab get a clinical them. “yes”. AvoidWe all the understand temptation patients to wanting overwhelm toknow them cost. with But information.until a patient They hascommitted are patients, to the next not physicians. appointment Inor procedure, addition to there appropriate are no finances content,to discuss. motivate Second, them you to need some to specific get afinancial action. “yes” once Ask the your patient practice understandsmanagement the financial consultant considerations toand is collaborate prepared to with accept your responsibility.developer. Only after Someone these two who crucial reallywebsteps do understands we want to your get the practice final “yes”, cana scheduling capitalize “yes”. on the various toolsand techniques available to yourIn our developer. next issue we’ll Together consider they After canthe Appointment, achieve an internet the third presence area offocus that for highlights implementing your strengths the right andprotocols. communicates We will refine your the intended collectionsmessage. process and The find end workable result? Bettereducatedfor unresolved patients A/R. and Getting moresolutionsstarted scheduled on the things appointments we’ve discussed andin this procedures.present article will take somestress out of both those processeswhile increasing your profitability.We can all say “yes” to that!CSRA_Pub_March_2.indd 9Offeringthe bestin woundcare tonew andreferralpatientsfromacross theSoutheast7 days aweekPage 9World ClassWound CareJoseph M. StillAdvanced Wound & BurnClinic at Doctors Hospital3675 J Dewey Gray Circle • Augusta, GA706.863.95953/3/10 9:38:09 PSteve Cartin is based in the CSRAand provides practice managementcoaching and consulting to privatepractices in the US and Europe. Hemay be contacted at (803) 335-3128,on the web at www.cartincoaching.comor by email at steve@cartincoaching.com.May/June 2010 CSRA MD Journal • Page 9


AugUSTA HiSTORYWelcome to Saint Paul’s ChurchFounded on this Site in 1750Welcome. We invite you to have a seat in the nave of the Churchand take time to pray, to meditate, and to reflect on the storytold in this building.Our ministry in the name of Jesus Christ is summarized on thispage. Notes on the building and our history are found inside.This is an active Episcopal Church, a congregation of theEpiscopal Church in the United States of America, and amember of the worldwide seventy-million member AnglicanCommunion of Churches. The Diocese of Georgia, of whichwe are a part, was begun here at a convention in 1823. SaintPaul’s is among the largest congregations in the Diocese.The mission of historic Saint Paul’s Church, a diverseChristian congregation, is to proclaim the GoodNews of God in Jesus Christ and to carry out ourLord’s ministry in the greater Augusta communityand beyond. Through our “Go into the City”ministries we support The Food Bank, The Master’sTable (soup kitchen), Augusta Area MinisterialCouncil, housing ministries, and other ministries inChrist’s name.The clergy and congregation invite you to joinus for worship: Sundays at 7:45, 9:00, and 11:00,Wednesdays at noon, as well as other times (8 and 10on summer Sundays, from Memorial Day weekendthrough Labor Day).The church building is open daily to enable personsfrom all walks of life to visit, to meditate, and topray. The clergy and congregation are pleased thatmembers of the public respect the property as wellas other visitors, allowing us to have this open doorpolicy. We hope you will enjoy your visit.Saint Paul’s is the home of The Tuesday’s Music LiveConcert Series at noonday, The Riverwalk ConcertSeries, and the Augusta Opera at Saint Paul’sDecember Concerts.Additional information, as well as cards, gift items,and tapes (including those of the Saint Paul’s Choirand of the Director of Music), are available in theParish Offices.If you would like to contribute to the cost of keeping thisbuilding open and in use ($12 an hour, 24 hours a day, everyday), we invite you to place a contribution in the box near thecenter door and the Visitors’ Register.Historical Notes:This Ansite is listedEpiscopalon the National register of Historic Places.Saint Paul’s was established in 1750 by the Church of Englandat the site of Fort Augusta. The first three church buildings onthis propertyChurchwere destroyed. The fourth building, erected inthe 19th century, was burned in the Great Augusta Fire of 1916.The present Georgian Colonial building, designed by HenrySaintPaul’sChurchPage 10 • CSRA MD Journal May/June 2010706.724.2485


Wendell, was completed in 1919. Among the furnishings savedfrom the fire is the original baptismal font, the only relic fromthe first church. The Neo-Classical bowl, brought from Englandin 1751, is in the narthex (foyer), near the southwest entrance.The flags at the chancel steps are those of the United States andthe Episcopal Church. Across the balcony are some of the flagswhich have flown over Georgia in its history, including periodflags of Spain and France, the British Flag of 1737 – 1783, theLiberty flag, American 13 star flag, Bonnie Blue flag, StainlessBanner of the Confederacy, 1865 Stars and Stripes, the presentGeorgia state flag, and the American flag. Outside the churchon many days also fly the Compassrose Flag of the AnglicanCommunion and the flag of the City of Augusta.Located in the church yard is a Celtic Cross marking thelocation of the fort. At its base is a cannon believed to have beenbrought in the 1730’s by General Oglethorpe from England tobe used at Fort Augusta. This, together with the font, are theoldest colonial artifacts in the city. A number of graves aremarked in the cemetery, including that of Col. William Few,a Signer of the United States Constitution, whose portraithangs in the narthex. A marker on the exterior of the buildingprovides information about the 1763 conference of the ColonialGovernors of Virginia, the Carolinas and Georgia, with fiveIndian nations. See also the historical markers nearby and atthe corner of Sixth and Reynolds Street.The Windows of Saint Paul’sChurch, and other Points ofInterestMany visitors find the stained glass windows of the church tobe not only beautiful, but also helpful in telling or recallingBiblical stories of the life of Christ and of his apostles anddisciples.From the nave, a visitor might enjoy a brief study of each of thewindows, with these notes as a guide:All of the stained glass windows of Saint Paul’s Church weredestroyed in the fire which burned the church and much of thedowntown neighborhood in 1916. Those windows included oneor more pieces of art designed by the great Tiffany Studio. Thewindows in the present church building were installed after thechurch was rebuilt and enlarged with an exterior plan similar tothat of the building that burned. Windows have been installedin the building from the 1920s and continuing through the late1960s. The windows represent the work of some of the finerAmerican studios, including Gorham and Payne, as well as aBritish studio.First, the “Conversion of Saint Paul” window found at theback of the nave on the right side: This window is reminiscentof Caravaggio’s painting of the Conversion of Saul. Here theyoung Saul is costumed in Roman garb, and he is blinded in aconversion experience while traveling the road to Damascus.This dramatic conversion is described in the Book of Acts of theApostles (the 9th chapter).Continuing up the nave, to the left of the Saint Paul’s window,is that depicting the Annunciation, described in the 1st chapterof Saint Luke’s Gospel. The angel Gabriel was sent from God toNazareth in Galilee with a message to a young woman betrothedto Joseph. The astonished Mary receives the angelic messengerand the message from God with wonder and obedience.The next window to the left is that of the Holy Family, describedin the 2nd chapter of Saint Luke’s Gospel.To the left is the “Charity” window, which calls to mind SaintPaul’s great teaching of the gifts of faith, hope, and charity,described in the thirteenth chapter of his First Epistle to theChurch at Corinth: “Faith, hope, love abide, these three: butthe greatest of these is love.”To the left of this window is the second window to be installedin the present building, depicting the Risen Lord’s appearanceto two disciples on the road to Emmaus. The scene is describedin the 25th chapter of Saint Luke’s Gospel. The Risen Lord Jesusopened their hearts and minds to the scriptures. (Sadly, thiswindow was not fired correctly at the time of its construction,accounting for the faded flesh tones and other washed outcolors in the window.)We move to the three windows in the chancel, all visible fromthe nave:First, the great triptych window over the high altar is thedepiction of the Risen Lord ascending into heaven andcommissioning His apostles: “Go into all the world andpreach the Gospel to all nations.” This Ascension and GreatCommission are described in the 28th Chapter of SaintMatthew’s Gospel [also Luke 24:50-53].Flanking this great window, the first to be installed in thepresent building, are the smaller windows in the chancel walls:The Nativity is depicted in the window to your left. Mary andMartha’s ministry to our Lord, described in the 10th chapterof Saint Luke’s Gospel, is featured in the window to your right.Moving down the left wall of the nave, we continue with thewindow which depicts Jesus’ healing ministry, as described inthe 4th chapter of Saint Luke’s Gospel.To the left of that window is the depiction of Jesus inviting thechildren to come to Him, “for to such belongs the Kingdomof God.” See the narrative of this scene in the 19th chapter ofSaint Matthew’s Gospel.To the left are three windows which should be viewed from theback of the church to the center:May/June 2010 CSRA MD Journal • Page 11


Near the doors is the window depicting Jesus praying in theGarden of Gethsemane on the night before His crucifixion, asdescribed in the 26th chapter of Saint Matthew’s Gospel.Across the narthex is the only known portrait of ColonelWilliam Few, who is buried in the Churchyard. See thenotation next to the portrait.- Movies, Cartoons, & Orchestra!To the right of that window is a modern depiction of thecrucifixion, as described in the 23rd chapter of Saint Luke’sGospel.To the right of that is the resurrection window, depicting theempty tomb described in the 28th chapter of Saint Matthew’sGospel.In the narthex of the church, nearthe exterior doors, please note:The Madonna and Child in one window, opposite thebaptismal window.The windows of Saint Paul’s Church move from theAnnunciation to the Virgin Mary, to the birth of the ChristChild at Christmas, through scenes from His earthly ministry,to Good Friday and Easter Day, through the Easter Season, tothe Ascension, Pentecost, and the promise of Jesus to be withHis church until the end of time.One other sainted glass window is worth note: If you are to visitthe Parish House (through the breezeway), note the skylight inthe central hallway, representing the four Gospel evangelists:Matthew, Mark, Luke and John, represented by the face of aman, emphasizing the humanity of Jesus, the lion showing theroyal dignity of Jesus, the ox denoting the sacrificial Jesus, andthe eagle stating the heavenly nature of Jesus.Other features of the interior ofCompassionate the church carebefore those departing: withlife-limiting illnessesWithin the narthex is the oldest documented colonial artifactin the city: Skilled the baptismal registered font nurses sent to the church in 1751 fromEngland by Pain the and Society symptom for the management Propagation of the Gospel (seethe inscription Counseling on the to base). patients and families Spiritual careFlanking the Assistance font are with display daily living cases activities which feature items ofinterest from Volunteer the archives services of the parish. These displays arechanged periodically.Bereavement services Covered by Medicare, Medicaid, & most insuranceAlso in the narthex are several memorial tables, as well as acarrierscopy of an original document describing the first colonialchurch, built just Care outside Provided a wall Regardless of the first of Ability Fort Augusta. to Pay620 Ponder Place, Suite 1AAlso in the narthex is a copy Evans, of a GA painting 30809 by Johann MichaelHeinrich Hofmann depicting the young Jesus in the Temple,www.united-hospice.comas described in Luke, chapter 2.License #: 0360-282-HTo continue your self-guided tour of the church, exit thechurch through the front doors, turn to your left and followthe brick walkway toward the Celtic Cross near the levee. Asyou make your way down the walkway, you will see in thewall of the church - Jabez building, S. Hardin the cornerstone PAT - Evans from the buildingbuilt in 1819, which burned in 1916. Past that is an inscribednotation of the Congress for Peace among Colonists andNative Americans. A marker tells of President Washington’s1791 visit.- Chasing Light - Georgia Premiere” Kyoko Takezawa, Violin- open to the PublicNear the levee, you will see the Celtic Cross which marks the siteof the first colonial forth here, Fort Augusta, built by GeneralJames Edward Oglethorpe of Surrey, England in the 1730’s.At the base of the cross (note the inscriptions on both sides)is a cannon believed to be original to the first fort. Althoughthe cannon cannot be dated with precision, it is believed tobe, together with the baptismal font in the church, among theearliest artifacts of the colonial settlement of Augusta.Saint Paul’s Church605 Reynolds Street, Augusta, Georgia 30901-1431(706) 724-2485 www.saintpauls.org- Movies, Cartoons, & Orchestra!- Free Outdoor Concertbailie’sArt Center- Jabez S. Hardin PAT - Evans- Chasing Light - Georgia Premiere” Kyoko Takezawa, Violin- Free Outdoor ConcertPage 17Page 12 • CSRA MD Journal May/June 2010


Caring for theClaustrophobic PatientBy Sherri HallumsThere are so many statements that I have heard over theyears during my MRI career when dealing with claustrophobicpatients. “I feel like the walls are closing in.” “I can’t stand tobe in closed places.” “I can’t catch my breath in here.” These arejust a few of the statements that come to mind. Claustrophobiais an abnormal fear of being in enclosed or narrow places.For someone that suffers from claustrophobia, the lastthing you want to tell them is that they will be going into aroom with the door closed and put “inside” of a machine. AtAugusta Open MRI, we make every effort to avoid causinga patient to feel claustrophobic. It begins with the remindercall for the appointment. If a patient is claustrophobic, thatphone call could be the determining factor whether or not theywill keep the appointment. This is the opportunity for thepatient to ask any questions about the procedure, the personperforming the procedure, the facility or the MRI scanneritself. Our knowledgeable staff will answer any and all of thosequestions for the patient. Keeping in mind, there is a sense ofanxiety, which is already building for the patient. Sometimes,along with this type of anxiety, a patient may or may not needto have something prescribed by their physician to help themrelax a little. These patients typically already know that theyare claustrophobic prior to the procedure. When caring forthese patients, we invite them into the facility knowing thechallenges that they face. We work diligently to minimizethe amount of time that they have to set in the waiting area.This does include friendly conversation while completingpaperwork and exchanging pertinent information. Talkingwith the patient, sometimes takes their mind off of whatthey are about to have done. Once the technologist gets thepatient and proceeds to the procedure room, the conversationscontinue. The technologist is usually aware at this point ofthe patient’s claustrophobia. They are reassuring the patientthat they do understand their fear and they will make everyeffort to help “comfort” them throughout the procedure. Thetechnologist will thoroughly explain the procedure. They mayeven offer a cloth for covering their eyes. In past experiences,a small wash cloth over the eyes helps relax the patient. Thisgives them a feeling that there is nothing to see, so why botherto even look. Some patients do not care to hear anythingas well, while others wish to hear and see everything. Thisagain is a patient’s preference. We only suggest. We do offerearplugs for those who choose not to hear anything. For thosepatients that refuse earplugs, it is due to their feeling of losingan additional sense.Now, the patient should be ready to proceed with theprocedure. They have already had something to help themrelax, we have minimized the amount of time that they had towait prior to the procedure, and have made every effort to makethem comfortable in the procedure room. We do recommendand offer that someone go into the procedure room with them.If the person that will be accompanying the patient in the roomdoes not have any contraindicating factors, we welcome them.The claustrophobic patient is usually more comfortable withsomeone they know and trust, although, we the staff, will behappy to stay in the room with them if they would like for us to.It is much easier caring for a patient that is already aware oftheir claustrophobia, than caring for the patient that realizesthat they are claustrophobic once they are in the scanner. Atthat moment, all of the measures or attempts to “comfort” thepatient have surpassed. The patient is in the scanner, theiranxiety has peaked, and it usually takes more time to helpthem to relax. It can still be done by proceeding with the stepsmentioned prior, but if the claustrophobia is severe enough, thepatient will need to be rescheduled after receiving somethingto help them relax.Claustrophobia is a real fear to those who suffer from it.It should not be disdain. By making every effort to controlthe factors that causes claustrophobia and comforting thepatient, we are successful at helping a patient through an MRIprocedure. For those who are still unable to complete theprocedure, it is at no fault of their own; we at Augusta OpenMRI respect and understand that.Please fill free to contact Sherri Hallums at 706-869-9000 withany questions you may have concerning Augusta Open MRI orthe services we provide.May/June 2010 CSRA MD Journal • Page 13


President Barack Obama’s Prescriptionfor Health Care Reform:Not What the Doctor OrderedBy: Rep Paul Broun, M.D. (GA-10)As a family physician with over three and a half decades of clinical experience, I understand the significant challenges facing ournation’s health care system. Unfortunately, the legislation that the President and Congressional leaders enacted does not addressthe rising costs of medical care. Through a complicated system of government mandates, regulations, increased taxes, and taxpayersubsidies, the new law will inevitably raise the cost of health care, which will result in an increase in costs for insurance premiums andpotentially decrease access and quality of care for the patient.This government takeover of one-sixth of our economy is unsustainable and ultimately will lead to reduced quality of care forpatients. The new law calls for 16 million more Americans to be enrolled into the Medicaid program — a program already headedtowards economic insolvency—at the same time when many doctors are already turning away Medicaid beneficiaries. The expansionof Medicaid, along with new entitlement subsidies for Americans earning up to 400% of the federal poverty line ($86,000 for a familyof four), will be financed with over a half a trillion dollars in Medicare benefit cuts for our Seniors and $569 billion in new taxes onbusinesses, investment income and savings, and health care goods and services.Yet, the law still fails to address the flawed Sustainable Growth Rate (SGR) formula that year after year requires legislation, knownas the “doc fix,” to prevent drastic payment cuts to Medicare providers. This is not the health care reform doctors and patients needor want.In addition to the law’s tax increases and Medicare cuts, Americans continue to oppose the taxpayer funding for abortion, thesweetheart deals to sway undecided members, the creation of over 150 new federal programs required for the law’s implementation,and the unconstitutional mandates requiring Americans to purchase health insurance coverage as a condition of citizenship. TheInternal Revenue Service is authorized by this law to determine whether taxpayers have the minimum adequate insurance coverage(defined by the federal government) and impose fines on non-complaint citizens. In fact, as many as 16,500 new IRS agents will berequired to enforce this mandate at a cost to the taxpayer of $10 billion.There is a better way to reform the health financing crisis and improve the best health care system in the world without sacrificingour freedom and expanding the authority of the federal government. More competition among health insurers would help reducehealth care costs and provide more options for patients. I introduced the “Offering Patients True Individualized Options Act of 2009”(H.R. 3889) in order to decrease costs and ensure the vital doctor/patient relationship remains intact. My bill would give Americansthe ability to shop for insurance coverage across state lines, establish a market-based Medicare Reform Voucher program for ourseniors, expand tax-free health savings accounts, remove the barriers for physicians to donate charity and pro-bono care, and allow for100% deductibility of all medical expenses for individuals and businesses. These provisions would enhance our health care deliverysystem by expanding insurance coverage for millions of uninsured Americans immediately—not in 2014, the year in which many ofthe new law’s unpopular provisions kick in.Though the new health care scheme has been signed into law, the debate is not settled and far from over. I have joined the nearlyhalf a million other American physicians who oppose this government expansion into our healthcare system, and I will continue myfight until this government takeover of health care is repealed and replaced with common sense reform.###“Congressman Paul Broun represents the 10th District of Georgia in the U.S. House of Representatives. In 1971, he received hisMedical Doctor degree from the Medical College of Georgia in Augusta. For most of his career, Dr. Broun has practiced generalmedicine and, in 2002, he established a unique practice of full-time house calls. For more information, Dr. Broun can be reached at202-225-4101 orwww.broun.house.gov.Page 14 • CSRA MD Journal May/June 2010


asInhethediedBible,(buthoneynot withis dubbedthe help“the heavenly food”. life threatening are also reported from bee venom,learn a bit with the easiest method, the ubiquitousr er of Salieri,It Walton is mentionedas depicted Foundationin thein thebooksmovieof Genesis, Exodus, but they are rare. Erika had no allergic reaction,Rosetta Stone www.rosettastone.comLeviticus, Numbers and Deuteronomy. Moses and and she has been receiving stings for over a yearof e choir Directors was Visit arrayed us in white, online the Dress: at www.csramdjournal.comTemperature in Jan. is 75-95 degrees andthe Israelites were promised by God to be led to now and is greatly improved. She said she has more— in red Rehabilitation and the men Health in black. System. Beforethe land of milk and honey.Its mission you is to can help dress rebuild casuallyenergyforandconcerts.the therapy helps with her depression.een onductor lives and of the restore hope and independence for peopleErika still takes her MS medicines but she uses BVTthe Stratford, with disabilities asked by inspiring community philanthropy forfor Honey is the only food that we eat that is created as an additional alternative form of healing.of Walton silence Rehabilitation for Health System.ion by insects.died in the HaitiHe Walton Rehabilitation Health System restores ability, hope We plan to add more hives this spring. Mr. Charliefew ash, days In and the independence earlier. production to people of honey, who need bees medical create rehabilitation another and I have been hard at work assembling, priming andranges the useful and/or from product community the - support Beeswax. following Beeswax temporary is a illness, common injury painting more hives. I have been making all natural lip8. acrimosa or a life-changing to the disability. WRHS is comprised of Waltoningredient in many beauty products, sealing wax, balms, and lotion bars using beeswax, botanical oilsremendae, air, Rehabilitation which Hospital, a specialty not-for-profit hospitalfurniturethe located inpolish,downtowncandlesAugusta;and artWaltonprojects.outpatientIn liptherapybalm, and exotic butters. I am working on the website,vens it are openingthe centers; seals Walton moisture, Medical in furniture Associates; polish Walton it Community creates a designing labels and packaging. Spring is just a fewworld. Whatevernitysmooth Services, and which protective provide independent finish, and living in candles settings throughout it burns weeks away. The bees will be happy to put this coldnce orientation, cleanly, the CSRA leaving it for is families no residue with disabilities as left and by for paraffin seniors; Walton based winter behind them and welcome a warm spring fullnd sublime candles. Wound from Care and Infusion Center; Walton Options for of flowers, nectar and pollen. I am excited to see allnd, a Independent statement Living, which provide employment assistance and the blessings that will be showered down on me and998 eath Mr. other comes Charlie services life and for those I were with selling disabilities; our and honey Walton at Foundation a local “my girls” with the changing of the season, and theeminder is marketfor Independence. For more information, visit www.wrh.org.that when the we were approached by a young journey continues…..isal music, wheelchair-bound too, is woman; Erika, who suffers withtheMultiple Sclerosis. She had seen a program on Bee You can contact Deborah at sasserfrasshill.comdistVenom Therapy and asked if we would sting her. Sherthsaid “I would do anything to be able to walk again”.intongs,ithofrilksn’sorWe told her she had to have an allergy test to makesure she was not allergic to bee Page stings. 13 After hertesting, she received just one sting to see how shewould react. There is discomfort associated with beevenom including pain, itching, swelling, inflammationand redness. Symptoms like redness, swelling anditching are desired effects of the therapy showingthe response of the patient to the venom. The moresevere the reaction, but not anaphylaxis, the fasterthe recovery. Anaphylactic reactions which can be 3/3/10 9:38:12 PM 3685 Wheeler er Professional CenterSuite 1000Augusta, GA 30909Page 16Page 20May/June 2010 CSRA MD Journal • Page 15


TRAVELThe Best Small Museumsin Los AngelesBy Scott S. Smith and Sandra WellsThe Los Angeles metro area rivals London as the world’sleader in museums, with over 300. These first-classmuseums deserve a visit if you happen to be in L.A. andhave a day free:The GRAMMY Museum at 800 W. Olympic Blvd.downtown L.A. at Figueroawww.grammymuseum.org • (213)765-6800(open every day)Much more than a museum about the GRAMMY musicawards, this is a 21st-century interactive experience. Rightat the start, you could spend an educational hour using atouch screen to listen to one of 160 genres of music, fromAfro-Cuban jazz to classical.The exhibits are heavy on priceless historic items, likea guitar Nirvana’s Kurt Cobain destroyed on stage, abusiness card with theBeatles’ original name ofThe Quarrymen, LouisArmstrong’s trumpet,and handwritten lyricscomposed by NeilDiamond. There arealso lots of videos, withthe most notable oneof the Jackson 5 and ofMichael’s extraordinaryperformance at the 1988GRAMMY awards.Some of his costumesare on display throughAug. 2010. Highlights ofGRAMMY performancesby other musicians areshown.process required to create a recording and you can also playwith the elements of a song, creating your own version. Youcould spend a whole day at this museum and never be bored.The Bowers, 2002 N. Main St., Santa Anawww.bowers.org • (714)567-3600(closed Mon.)The Bowers has been expanded enormously in the pastdecade and become a museum-world powerhouse, withgroundbreaking special exhibits from China, such as “TerraCotta Warriors” and “Treasures from Shanghai.” After 10years of negotiating, it is the first museum outside Asia tobe allowed to show several mummies from the Tarim Basinin Western China, which are unusual for being so wellpreservedand because they are of Caucasians from as farback as 1800 B.C. Accompanied by 150 art objects, “Secrets“In the Studio” showsthe complex technicalPage 16 • CSRA MD Journal May/June 2010


of the Silk Road” explores the implications for rewriting thehistory of Central Asia and will run through July 25. Thepermanent Chinese collection is excellent, as well, and themuseum covers everything from early California history tothe art of Native American shamans.Starting July 3 is a display of two centuries of Americanquilts. In Sept., the Bowers will start showing never-beforeseentreasures from its storage. In Dec., an exhibit on BenFranklin will begin.Norton Simon, 411 W. Colorado St., Pasadenawww.nortonsimon.org • (626)449-6840(closed Tues.)The Simon is known for two aspects of its collection:sculptures by Auguste Rodin (he of “The Thinker”) andpaintings by Impressionists like Monet, Van Gogh, Degas,and Renoir. Our favorites are among the 17th-18th centuryEuropeans, especially Rembrandt and Rubens. Definitelyuse the audio guide, which has very interesting commentaryon the key pieces.The floor below the main permanent collection has manyspectacular examples of Indian and Tibetan statuary madeof various materials (we say this having been throughthe National Museum in New Delhi for comparison).Some of the must-sees arethe Boddhisattva Maitreya,Vishnu as Boar, and Shiva asLord of the Dance.L.A. had its origins in the Getty Villa. Because the Villa ison the way to Malibu, most residents and visitors never getout there, but should. We were wowed by its astonishinglywell-preserved Roman, Greek, and Etruscan vases,statuary, and other antiquities (comparing these with thenational collections in Greece and Italy; we had expectedthe damaged second-rate examples we had encounteredin other U.S. museums, since even Getty money can’tnecessarily buy the best pieces, which are priceless). Ifthe subject matter sounds dull, you’ll be surprised by themany artistic masterpieces (and the excellent exhibits helpvisitors understand their cultural context).From Aug. 26, “The Art of Ancient Greek Theater” will havevases and sculptures depicting the dramas by Sophoclesand others. Starting in Nov., there will be a special exhibiton the Maya and Aztecs. Until 2014, there is a terrifictemporary exhibit of ancient artifacts of glass.Note that no one is allowed to drive a car onto the Villaproperty without an advance, timed ticket from its web siteand there is a $15 parking charge (entry to the museum isfree; you can also get there by bus).Until Aug. 23, the museumwill have “Plants, Flowersand Fruits: Ellsworth KellyLithographs,” featuringhis drawings of the naturalworld. Through Jan., it has“Hiroshige: Visions of Japan”displaying 200 of the artist’swoodblock prints of 19thcentury Japan.Getty Villa, 17985 PacificCoast Highway, PacificPalisades www.getty.edu(310)440-7300(closed Tues.)The world-famous J. Paul GettyMuseum on a hill overlookingFemale Mummy from China at Bowers MuseumMay/June 2010 CSRA MD Journal • Page 17


Dear Colleagues:Stroke Claims WomenIn our continued commitment tothe health and well-being of ouremployees, Doctors Hospital is proudto join the American Cancer Society inrecognizing National Colorectal CancerMost OftenAwareness Month this March. As oneBy Dr. David Hess, of the Chief nation’s of Neurology leading voluntary healthMCGHealth organizations, the American CancerSociety strives to provide people withAugusta, Ga. – information Many people about tend colorectal to cancer While some risk factors, such as familyby history, age and gender cannot bethink of stroke and as a prompt man’s disease. them to But take the actiontruth is more women learning than more men about will this die disease. changed, By many of the most significantfrom stroke. working with the American Cancer risk factors are controllable for women.Society, we can help our team to Making stay lifestyle changes such as stoppingagainst smoking, exercising regularly andEach year, about well 55,000 and get more well women and fight backthan men suffer cancer. a stroke. One way a controlling high blood pressure, for example,will decrease your risk for stroke.woman can improve Colorectal her odds cancer for is not the havinga stroke is common to learn about cancer the diagnosed lifestyle in boththird mostchanges that can men lower and women her stroke in risk. the US (excluding To understand and control particularskin cancers). The risk of colorectal stroke risk, talk to your patient’s. Togetherthan you can create a plan to lower yourThe major risk cancer factors increases are the same with for age; moremen and women: 90 percent of cases are diagnosed patient’s in chances for having a stroke.people 50 and older. But colorectal Getting preventive screening for stroke➣➣Family history cancer of is stroke one of the few cancers is another that way women can be proactive.➣➣High bloodcanpressureactually be prevented throughregular testing. By getting tested Because a stroke happens quickly, familiesand friends of those at risk should➣➣High cholesterol regularly – before you have symptoms,you can find colon growths (called learn the signs and symptoms of stroke➣➣Tobacco use polyps) so they can be removed so before that they can act fast in a crisis.they turn into cancer. Early screening➣➣Diabetestests can also find colon cancers Stroke when signs for women include sudden:➣➣Being overweight they are easier to treat.The American Cancer Society ➣ ➣ *Numbness, weakness or paralysis of➣➣Lack of exercise recommends screening starting at age the face, arm or leg, especially on one50 for most men and women, though side of the body.However, there some are several people risk may factors need to start earlier.that are unique to women, including:➣ ➣ *Blurred or decreasedYour doctor can help you figure outvision in one or bothwhen you should begin testing and➣ ➣ *Taking birth control pills.eyes.what test you should use.➣ ➣ *Pregnancy: For more Stroke information risk increases about colorectal ➣ ➣ *Confusion or difficultyunderstandingdue to natural cancer body and changes testing, please such as call Bethincreased Meagher, blood pressure RN, our and Cancer stress Care simple statements.on the heart. Navigator, at 706-651-4567.➣ ➣ *Difficulty speaking.➣ ➣ *Using Sincerely, Hormone ReplacementTherapy (HRT), a combined hormone ➣ ➣ *Loss of balancetherapy of progestin and estrogen, to or coordinationLancerelieve menopausal symptoms.combined withanother symptom.Lance E. Danko, MSM, RHIA, CTR➣ ➣ *Having a thick waist and high bloodDirector, Oncology Servicesfat level; post-menopausal women ➣ ➣ *Severe headacheDoctors Hospital of Augustawith a waist size larger than 35.2 with no known cause.Ph: 706.651.2283inches and a blood fat level higherFax: 706.651.2271than 128 milligrams per liter may If you suspect that someonehas had a stroke, callLance.Danko@HCAhealthcare.comhave a five-fold increased risk forwww.doctors-cancercare.comstroke.911 immediately.Page 21Stroke is the leading cause of seriouslong-term disability. But treatment isavailable to curb and even reverse astroke’s effects if appropriate care is providedwithin the first three hours afterthe stroke.May is National StrokeAwareness MonthMCG Health, Inc. (d/b/a MCGHealth) isa not-for-profit corporation operating theMCGHealth Medical Center, MCGHealthChildren’s Medical Center, MCGHealthCancer Center, Georgia Radiation TherapyCenter, and related outpatient facilitiesand services throughout the state. For moreinformation, please visit mcghealth.org.Page 18 • CSRA MD Journal May/June 2010


news, events, OPPORtunitiesMCGHealth's Annual Parkinson’sSeminar SlatedAugusta, Ga. -- More than 60,000 Americans werediagnosed with Parkinson’s Disease this year,joining the one million people living with thedisease.There is hope, however, as scientists work towardsa cure and make progress in identifying the besttreatment options for patients. You can learnmore about this neurological illness when theMCGHealth Neuroscience Center’s MovementDisorders Program presents the ninth annualParkinson’s Disease Seminar on May 21, 2010, from9 a.m. to noon at the Doubletree Hotel Augusta,2651 Perimeter Parkway. Check-in begins at 8:30a.m.The seminar is open to patients, families andothers interested in Parkinson’s Disease, and willinclude guest speaker Dr. Theresa Zesiewicz, aProfessor of Neurology at University of SouthFlorida and the Director of Clinical Research atthe University’s Parkinson Research FoundationCenter of Excellence. She will discuss “Thoughtsabout Parkinson's Disease from a Doctor and aDaughter.”In addition, neurologists from the NationalParkinson Foundation Center of Excellence atMCGHealth will discuss:"How to Diagnose Parkinson's Disease andDifferentiate It from Lookalikes," presented by Dr.John C. Morgan, Assistant Professor of Neurologyat Medical College of Georgia and neurologist withthe MCGHealth Movement Disorders Program.“Medical Treatment of Parkinson’s Disease,”presented by Dr. Shyamal Mehta, AssistantProfessor of Neurology at Medical College ofGeorgia and a Neurologist with the MCGHealthMovement Disorders Program.“Questions and Answers” with Dr. Kapil Sethi,FRCP, FAAN, Director of the MCGHealthMovement Disorders Program, and a Professor atthe Medical College of Georgia, and Drs. Morgan,Mehta and Zesiewicz.Continental breakfast will be provided. Registerearly for this free seminar by calling AmandaStefenakos, Outreach Coordinator for theMCGHealth Movement Disorders Program, at706-721-4895.MCG Health, Inc. (d/b/a MCGHealth) is a notfor-profitcorporation operating the MCGHealthMedical Center, MCGHealth Children’sMedical Center, MCGHealth Cancer Center,Georgia Radiation Therapy Center, and relatedoutpatient facilities and services throughoutthe state. For more information, please visitmcghealth.org.The CSRA MD Journalis pleased to announcethe launch of our newwebsite!Please visit us atwww.csramdjournal.com - where youcan find digital versions of this andprevious editions of the magazine, linksto advertisers, and other helpful andinfomative content.May/June 2010 CSRA MD Journal • Page 19


news, events, OPPORtunitiesNew Equipment forWalton Foundation for IndependenceThanks to community support, the Walton Foundation for Independence recently helped to provide aBalanceMaster to the Walton Outpatient Therapy Center. The state-of-the-art equipment will support Walton'svestibular and balance program to help test and train patients with balance problems.Therapists Diane Wilson, Paula Myers, Lee Wymbs, Margaret Blagg, Lindsay Chambers with the BalanceMasterAdvertiser’s IndexAllegra Printing .................................................................IFCAugusta Open MRI ................................................................15Bailies Custom Framing .......................................................12Dr. Adrienne Davis ................................................................15Elliott Sons Funeral ..............................................................6Gerald Jones Audi ................................................................BCJoseph M. Still Burn Center .................................................9KD Interactive .........................................................................9Salvation Army .....................................................................18St. Paul’s Church ...................................................................15Steve Bracci Photography .................................................IBCSutherland Mills ....................................................................6United Hospice ......................................................................7Page 20 • CSRA MD Journal May/June 2010

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