mecklenburg medicine february 2015

Mecklenburg MedicineA Publication of the Mecklenburg County Medical Society | wwwmeckmedorg

February 2015 bull Vol 45 No 2

Mecklenburg County Medical Society bull Mecklenburg Medical Alliance and EndowmentFounders of Bioethics Resource Group Ltd Hospitality House of Charlotte Teen Health Connection NC MedAssist Physicians Reach Out

Turningthe Page Again on Health CareThe OnlyThing Thatis Certainis Change

2 | February 2015 bull Mecklenburg Medicine

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Learn more at NovantHealthorgheart

Novant Health Heart amp Vascular Institute

Adult cardiology

1718 E Fourth St Suite 501 Charlotte 704-343-9800

8310 University Executive Park Suite 550 Charlotte 704-384-0684

10030 Gilead Road Suite 201 Huntersville 704-887-4530

1450 Matthews Township Parkway Suite 380 Matthews 704-264-3500

1640 E Roosevelt Blvd Monroe 704-226-0500

911 W Henderson St Suite 230 Salisbury 704-633-9620

Pediatric cardiology



201 E Matthews St Suite 100 Matthews 704-316-1220

530 Corporate Circle Suite 200 Salisbury 704-316-1220

Prevention

125 Baldwin Ave Suite 200 Charlotte 704-384-5043

Cardiovascular and thoracic surgery

301 Hawthorne Lane Suite 200 Charlotte 704-316-5100

10030 Gilead Road Suite 201 Charlotte 704-316-5100

16941copy Novant Health Inc 2015

Mecklenburg Medicine bull February 2015 | 3

The sooner your patients join The Ivey the sooner they get the personalized care they need And more

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Call today to learn more about how we can help your patients

704-909-2070 | TheIveycom

The Ivey is a Memory Wellness Day Center with an innovative non-pharmacological research-based approach to caring for and treating people living with memory loss and dementia WHAT PHYSICIANS NEED TO KNOW ABOUT THE IVEY Our licensed professional caregivers work closely with each of our members They build relationships that help us recognize subtle behavioral changes and allow us to tailor care to the individual

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Start Sooner because eating delicious balanced meals Helps maintain good health Fuels the body and feeds the mind Provides social engagement at mealtime


February 2015Vol 45 No 2

OFFICERS

PresidentSimon V Ward III MD

President-ElectStephen J Ezzo MD

SecretaryElizabeth B Moran MD

TreasurerScott L Furney MD

Immediate Past President James B Hall MD

BOARD MEMBERS

John R Allbert MDRaymond E Brown PAW Frank Ingram III MD

Stephen R Keener MD MPHScott S Lindblom MDJohn P McBryde MD

Shivani P Mehta MD MPHRobert L Mittl Jr MD

Pulak D Patel MDCheryl L Walker-McGill MD MBA

EX-OFFICIO BOARD MEMBERS

Sherry Ward PresidentMecklenburg Medical Alliance amp Endowment

Sandi D Buchanan Executive DirectorMecklenburg County Medical Society

Michelle Conner DDS PresidentCharlotte Medical Society

Docia E Hickey MDNCMS President-Elect

Darlyne Menscer MDNCMS Delegate to the AMA

Marcus G Plescia MD Health DirectorMecklenburg County Health Department

Douglas R Swanson MD FACEP Medical DirectorMecklenburg EMS Agency

EXECUTIVE STAFF

Executive DirectorSandi D Buchanan

Meetings amp Special EventsTrisha G Herndon

Finance amp Database Specialist Stephanie D Smith

MECKLENBURG MEDICINE STAFF

Managing EditorSandi D Buchanan

Copy EditorsLee McCrackenStephanie Smith

AdvertisingMark Ethridge

mecklenburgmedicinegmailcom

Editorial BoardN Neil Howell MD

Jessica Schorr Saxe MDSimon V Ward III MD

Graphic Design mdash Wade Baker

Mecklenburg Medicine is published 10 times per year by the Mecklenburg County Medical Society 1112 Harding Place Suite 200 Charlotte NC 28204 Opinions expressed by authors are their own and not necessarily those of Mecklenburg Medicine or the Mecklenburg County Medical Society Mecklenburg Medicine reserves the right to edit all contributions for clarity and length as well as to reject any material submitted Mecklenburg Medicine is not responsible for unsolicited manuscripts

Non-members may subscribe to Mecklenburg Medicine at a cost of $30 per year or $350 per issue if extra copies are available

Classified Ads Open to members nonprofits and non-member individuals only advance approval of the Managing Editor and advance payment required Member rate is 0 non-members $20 for the first 30 words $75 each additional word

Display Ads Open to professional entities or commercial businesses For specifications and rate information contact Mark Ethridge at mecklenburgmedicinegmailcom Acceptance of advertising for this publication in no way constitutes professional approval or endorsement of products or services advertised herein

We welcome your comments and suggestionsCall 704-376-3688 or write Mecklenburg Medicine co Mecklenburg County Medical Society 1112 Harding Place Suite 200 Charlotte NC 28204

1112 Harding Place 200 Charlotte NC 28204704-376-3688 bull FAX 704-376-3173meckmedmeckmedorgCopyright 2015 Mecklenburg County Medical Society

Table of Contents 5 Presidentrsquos Letter The More Things Change and Change and Change By Simon V Ward III MD

6 Feature Issues Facing Children Experiencing Homelessness By Susan B Hansell

7 MedLink Update Did You Know NC MedAssist Has 3 Programs Now

8 Member News

8 Upcoming Meetings and Events

8 MCMS 2015 Election Results

8 National Health amp Wellness Observances for February

9 Charlotte AHEC Course Offerings for Spring 2015

10 Feature Fighting for Women With Fashion 2014 By Nancy L Teaff MD

10 Welcome New Residents 2014-15

13 MMAE

14 At the Hospitals

16 Independent Physicians of the Carolinas

16 Advertising Acknowledgement


The More Things Change hellip and Change hellip and Change hellipBy Simon V Ward III MD

T he environment was different in the waiting room this past December While always busy at the end of the year this one seemed more intense It wasnrsquot just excited anticipation for Aunt Mabelrsquos fruitcake Patients wanted

to be seen They wanted to have that surgery doneThere always is an increase in need as end-of-the-year insurance

changes kick in but this time the need was greater Deductibles would be higher Patients who had no or low deductibles now would face significant increases Change was coming as January 1 approached

Ask anyone from Nevada to name the worldrsquos oldest profession If they say medicine then they would be right Neurosurgery was performed in France in 6500 BCE Archeologists have found skulls that show burr holes Amazingly these surgeons performed surgery without first obtaining a CT scan That was at least partly due to the fact that the CT scanner would not be invented for another eight millennia Also amazing is that some of these patients lived The first physician known by name was Imhotep he practiced in Egypt in 2600 BCE

The legal profession could make a case that it is older A cave also found in France shows a painting on the wall carbon dated to 31000 BCE It seems the owner was fined by the neighborhood association for having the cave entrance too close to the road The owner asked a wise neighbor to represent him The neighbor pointed out that the previous owners had been a bunch of Neanderthals who did not pay attention to the location of the entrance They did not even keep the rocks neatly arranged in the front yard Furthermore he made the case that since the wheel had not yet been invented local folks simply could walk farther away from this cave entrance The road soon would move Researchers have not been able to confirm the outcome and this neighbor was no Perry Mason But either way both the legal and medical professions have been here for a long time

Big changes have occurred in medicine in the past One was the signing of the Medicare Act in 1964 With the beginning of Medicare a large number of patients were covered by a Federal insurance plan It was a wonderful help for the one in three elder Americans who had no coverage It had a huge impact on physicians who for the first time had patients covered by a large insurance plan run by the Federal Government

Many of us remember the waves of changes that occurred in the mid 80s and again in the mid 90s with the onset of managed care New rules went into effect that patients and physicians had never experienced before Even when patients were seen who had clear indications for surgery we were not free to simply schedule the case but had to send the patient across the street so a colleague could confirm the surgery was indicated Some patients who had been followed by the same physician for years suddenly could not see that physician but had to transfer care Some patients alternated between two sets of

caregivers annually depending on their coverage for that year I was called out of a wedding one day for a patient who had what sounded to be a significant toe infection Our practice was designated as her ldquogatekeeperrdquo With only four weeks of orthopedics in medical school the only thing I could remember about the lower extremity was that the toe bone was connected to the foot bone From the church parking lot I was able to arrange an appropriate referral and get the patient the care she needed As we entered the next century it became apparent which rules worked and which did not Many things that did not contribute to quality of care were dropped

Another big change is coming At 10 535 pages I must confess I have not read the Patient Protection and Affordable Care Act and may not get to it this week However like any good college student I have read the CliffsNotes There are many things in this law we all hold true accessibility to medical care guarantees of coverage even with a pre-existing condition exchanges that allow patients more choice of coverage and financial help for those who need it There will be major incentives for ensuring good outcomes increased patient safety and cost effectiveness For practitioners reimbursement will be tied more to quality than to volume

The Gettysburg Address was 272 words It was a beautifully crafted speech that in the fewest words possible gave honor to the fallen of that battle and called for the continued effort to save this wonderful nation The Affordable Care Act is 11 588 500 words That is a lot of words Any document written by Homo sapiens with that many words will lend itself to much interpretation by our legal colleagues Much of it will contain good things for our patients Some of it will not make sense Our job going forward is to ensure the new rules we live by do in fact improve the quality of care for the patients of Mecklenburg County

We have been at this profession for 8000 years There have been many changes in how we practice medicine There will be more This one coming is big We will make it through this latest round of change because we can and we must be the best we can be for our patients We also must preserve our enjoyment of what is the best and maybe the oldest profession

PS Hopefully the next law wonrsquot be 100000 pages or we will need CliffsNotes for the CliffsNotes

Presidentrsquos Letter


Feature

Issues Facing Children Experiencing HomelessnessBy Susan B Hansell Executive Director A Childrsquos Place

C hildren whose families are experiencing the crisis and chaos of homelessness are four times more likely to have respiratory infections two times more likely to have ear infections and five times more likely to have

GI problems1 But more than physical concerns one in four children experiencing homelessness has witnessed some form of family violence and is three times more likely to have undiagnosed emotional and behavioral problems and act out in school through inappropriate and sometimes aggressive behavior2

Each year several thousand children attending Charlotte-Mecklenburg Schools (CMS) qualify for Federal relief under the McKinney-Vento Homeless Education Assistance Act Last year more than 4000 children from kindergarten through 12th grade received support through this Act But the public schools canrsquot do it alone Thatrsquos where nonprofit organizations in partnership with the public school system enter the picture

For more than 25 years A Childrsquos Place has focused on thousands of children who are experiencing a crisis of homelessness Last year all of our families reported incomes of $10000 or less More than 90 percent of our students are African-American elementary school-aged and are attending public schools with the highest percentages of children qualifying for free and reduced lunch benefits These children come from not just ldquopoor but stablerdquo families and neighborhoods but are ldquotruly disadvantagedrdquo3

Our families have limited access to health care Too frequently they use the emergency room for health issues instead of having a primary care provider Without stable health care children experiencing homelessness have undiagnosed and untreated health issues that impact their ability to be in school They have unidentified mental health issues leading to inappropriate behavior too often resulting in out-of-school suspensions Every day a homeless child is absent he or she is outside the safety and physical comforts provided within school including two meals a day

The mission of A Childrsquos Place is to erase the impact of homelessness on children and their education Our vision is to provide a stable educational setting within the classroom for homeless students and at the same time strengthen their families to remove barriers that led to the homeless crisis Our strategy has two essential components 1) resolve the childrsquos immediate basic needs for food clothing and shelter while creating a case plan that supports his or her continued focus on education and 2) assess advocate and make important referrals on behalf of the studentrsquos family to address health and housing needs and further diminish issues that led to the immediate family homeless crisis

A Childrsquos Place serves as the EMT in the emergency situation of becoming homeless At the point of crisis parents are less likely to seek health care for their child unless it is of extreme emergency because they are laser-focused on food and shelter It is imperative agencies like A Childrsquos Place are there with bus passes that allow the

parent to take the child for medical care and with referrals to low-cost or free medical care

Our work occurs through these program models 1 A school-year model where A Childrsquos Place works in partnership

with the public schools to work with children and families in the crisis of homelessness as defined by Federal law

2 A summer program which provides enrichment and seeks to mitigate summer learning loss and

3 Enrichment activities like holiday assistance to help ldquonormalizerdquo studentsrsquo holiday events so they can eagerly return to school with similar experiences as their housed friends

Evaluations show A Childrsquos Place is meeting many of our childrenrsquos needs but also reveal there is important work ahead

1 A Childrsquos Place serves the neediest students mdash those experiencing homelessness In North Carolina 39 percent of African American children live in poverty More than 91 percent of the children we serve are African American

2 A Childrsquos Place improves student attendance Getting children into the school building is the first critical step to serve their needs Some 63 percent of our students improve their attendance from first to fourth quarter

3 From first to fourth quarter 84 percent of A Childrsquos Place students remain stable in the number of suspensions given However our students are suspended more than their stably housed classmates

4 More than 50 percent of A Childrsquos Place families report that by end of the school year they are in a stable home A Childrsquos Place end-of-year case assessments reflect that more than 41 percent of our clients no longer require housing subsidies and an additional 20 percent are in stable home-sharing situations

Children experiencing the crisis and chaos of homelessness need our attention our resources and our commitment Giving them a winter coat helps fight off illness and keeps them in school Snacks for long holiday weekends increase the likelihood of returning to school healthy Most important children who are homeless need our assurance that we see and hear them mdash that where we can we will make a difference for them and together we will help them stay focused on their education to develop a passion for learning and use the power of their education to change their lives

A Childrsquos Place is at 601 E 5th St Suite 230 Charlotte NC 28202

1 Homelessness and its Effects on Children by Ellen Hart-Shegos Family Housing Fund Dec 1999


3 Study Gauges lsquoRisk Loadrsquo for High-Poverty Schools by Sarah D Sparks Education Week Nov 25 2014


NC MedAssist is a statewide nonprofit pharmacy that provides free prescription and over- the-counter medicines to low-income uninsured North Carolinians NC MedAssist offers three programs that address the needs of children and adults Free Pharmacy program Over-the-Counter (OTC) Medicine program and the Senior Care program NC MedAssist dispenses more than $20 million worth of free prescription medication to 10000 low-income North Carolinians each year

Our Free Pharmacy Program provides free prescription medication to North Carolina residents who are low-income and uninsured This statewide program is the answer for those who do not have the means to obtain lifesaving prescription medication to treat chronic diseases such as heart disease diabetes and asthma A list

of available medications can be found online at wwwmedassistorg

This program is a pharmacy resource for adults 65 and older If Medicare Part D prescription benefits run out during the year seniors can use this program to learn about other prescription medicine options NC MedAssist provides free consultation services regardless of income levels

The Over-the-Counter (OTC) Medication program provides adults and children who are low-income with free over-the-counter medicine Medicine such as aspirin childrenrsquos cough syrup allergy medicine and vitamins are just a few of the items given to families who need assistance Visit wwwmedassistorg to find out when the next monthly OTC giveaway day is going to be held

There are more than 350000 uninsured low-income North Carolinians who qualify for the Free Pharmacy program yet NC MedAssist only serves about 10000 patients per year We need your help in raising awareness of the services NC MedAssist provides If you are interested in learning more about the programs we offer our staff provides educational presentations to physician practices other healthcare organizations or civic organizations For additional information about our programs or to schedule a meeting or presentation contact Susan Royster at 704-350-3570 or sroystermedassistorg

Did You Know NC MedAssist Has 3 Programs Now

MedLink Update

Ballantyne AreaMedical Suite Available

Toringdon Medical Plaza I2756 SF available for lease on the 1st floor

bull Located at intersection of Johnston Road and I-485bull Move-in ready suite bull Signage available on the building

For more information please contact

Reed Griffithreedbrackettflagshipcom 7049718908

2701 Coltsgate Road | Suite 300 | Charlotte NC 28211

wwwbrackettflagshipcom


Upcoming Meetings amp EventsMeetings are at the MCMS office unless otherwise noted

FEBRUARYn Tuesday Feb 3

Charlotte Dental Society Board meeting6 pm

n Tuesday Feb 10MedLink meetingMecklenburg County Health

Department830 am

n Monday Feb 16MCMS Executive Committee meeting545 pm

n Wednesday Feb 18MMAE Finance Committee meeting9 am

n Wednesday Feb 18MMAE Board meeting10 am

n Thursday Feb 19MMAE Community Health LuncheonSpeakers John Klimas MD J Gray

Norris MD Emily Langley MDTopic ldquoFood Allergy Hype or

HypersensitivityrdquoMyers Park Country Club9-11 am

n Thursday Feb 19CAMGMMyers Park Baptist Church Cornwell

CenterNoon

n Monday Feb 23April magazine deadline

n Saturday-Sunday Feb 28-March 1NC Society of Gastroenterology

Annual ConferencePinehurst Resort

Mecklenburg County Medical Society2015 Election Results

Terms Began on January 1

Board of DirectorsOfficers (one-year term)President Simon V Ward III MDPresident-Elect Stephen J Ezzo MDSecretary Elizabeth B Moran MDTreasurer Scott L Furney MDImmediate Past-President James B Hall MD

Directors (two-year term)John R Allbert MDStephen R Keener MD MPHScott S Lindblom MDRobert L Mittl Jr MDCheryl L Walker-McGill MD MBA

The following directors who were previously elected also will serve on the Board in 2015Raymond E Brown PA Physician Assistant Representative (elected by the Board)W Frank Ingram III MDJohn P McBryde MDShivani P Mehta MD MPHPulak D Patel MD Resident Representative (elected by the Board)

Delegation to the North Carolina Medical Society(two-year term)Sam R Fulp MD Janice E Huff MDDale R Shaw MD

The following delegates previously elected also will serve as delegates in 2015Anthony Caprio MDJohn W Foust MD NCMS Past-PresidentDocia Hickey MD NCMS President-ElectLane K Jacobs MDDarlyne Menscer MD NCMS Delegate to the AMAMichael F Miltich MDMaeve E OrsquoConnor MDKatherine J Pierce MDWilliam K Poston MDWilliam A Walker MD

The official count was 74 ballots received The vote was 71 yes1 abstained and 2 void Serving as tabulators on Nov 2 2014 were F R ldquoRustyrdquo Black CPA MCMS Accountant and Trisha Herndon MCMS Meetings amp Special Events

NATIONAL HEALTH ampWELLNESS OBSERVANCES

FEBRUARY 2015AMDLow Vision Awareness Month

American Heart MonthNational Childrenrsquos Dental Health Month

February 7 Give Kids a Smile DayFebruary 14 Congenital Heart Defect Awareness DayFebruary 14 National Donor DayFebruary 13-19 Duchenne Muscular Dystrophy Awareness WeekFebruary 23-March 1 National Eating Disorders Awareness Week

Member News


Charlotte AHEC Course OfferingsCharlotte AHEC is part of the NC Area Health Education Centers

(AHEC) Program and Carolinas HealthCare System

SPRING 2015Continuing Medical Education (CME) 220-21 Utilization of Ultrasound in OBGYN 201536 Obesity Summit (IPE)313 Robiscek Symposium 2015318-20 39th Annual Internal Medicine Conference411-12 29th Annual Meeting of the Glomerular Disease Collaboration Network (GDCN)423 SGEA Regional Conference425 2nd Annual Clinical Updates in Neurology52 UNC Pathology Conference

For more information or to register for these coursescall 704-512-6523 or visit wwwcharlotteahecorg

Care Ringrsquos Premier GalaSome 400 professionals healthcare advocates and community leaders

will celebrate Care Ringrsquos nearly 60 years of healthcare service in Mecklenburg County at its annual gala Care Ringrsquos Under the Big Top premier event promises to be ldquothe greatest show in townrdquo and takes place on Saturday April 25 at 7 pm It will be held at the Hilton Charlotte Center City and benefits Care Ringrsquos mission to empower individuals with limited resources to establish and maintain good health Throughout the evening guests will enjoy dinner and dancing to Morsquo Money creative performances and fabulous auction items

The event showcases Care Ringrsquos three service lines the Low-Cost Clinic for the working poor Physicians Reach Out for the uninsured and Nurse-Family Partnership for first-time parents Each of these programs support vulnerable neighbors in receiving access to timely affordable health care As a part of the gala evening we will highlight a clientrsquos story and show how each donation we receive changes lives every day

For ticket and sponsorship information contact Elizabeth Hyland at 704-248-3713 or ehylandcareringncorg For general information about Care Ring visit wwwcareringncorg

Introducing Our Newest Providers

Leighanne H Dorton MDbull ComprehensiveOtolaryngology

bull AllergyTreatmentbull VoiceampSwallowingDisordersbull SinusDiseaseSalisbury office

Wei Huang MD PhDbull ComprehensiveOphthalmology

bull GlaucomaSpecialist

Huntersville University amp Statesville offices

Elliot C McKee MDbull ComprehensivePediatricOphthalmology

bull PediatricampAdultStrabismus

Belmont SouthPark and Statesville offices

Call 7042953100 to schedule your referral today

WE JUST MAKE SENSE GOODSENSESCOM 7042953100 8006543368


Fighting for Women With Fashion 2014By Nancy L Teaff MD Fighting for Women with Fashion Planning Committee Co-Chair

On the first Tuesday in October last year Foundation for the Carolinas Nordstrom doctors and attorneys raised money for the Clyde and Ethel Dickson Domestic Violence Shelter The fourth annual Fighting for Women With Fashion was a great success Once again the Women Physicians Section of MCMS and the Charlotte Women Attorneys joined together to fundraise for this worthy cause helping victims of domestic violence Professionally physicians and attorneys often are adversarial in their relationships but not so for this group of motivated and committed women doctors and lawyers We started early in the year arranging the event soliciting sponsorship and silent auction items and raising public awareness of this important issue This yearrsquos event was our most successful yet

Once again Nordstrom provided the fashions for our attorney and physician models This year for the first time male doctors and lawyers walked the runway to the great delight of the crowd The MCMS models who ldquoworked itrdquo on the runway this year included Drs Jennifer Caicedo Christina Chaconas Mary Crowder Manish Damani Astrid Jain Tammy Jones Babak Mokari Jacquelyn Palmer Mark Romanoff and Richard Wing These models looked great dressed to the nines stepping out of their usual comfort zone (although one or two may have missed their true calling) and got the

crowd cheering them down the runway Best Impressions catered the food and Common Market provided the wine mdash delicious additions to the eveningrsquos festivities

The Big Reveal We raised $46000 to help fund the startup of the medical clinic at the shelter When the new shelter was built in 2012 space was allocated for a medical clinic for the residents However money wasnrsquot there to upfit the space With the funds raised this year that will change and the shelter residents will have onsite primary care Over the last four years Fighting for Women with Fashion has raised more than $120000 to support the Clyde and Ethel Dickson Domestic Violence Shelter and a common area was named for the Women Physicians Section and the Charlotte Women Attorneys This would not have been possible without the generous donations of our 2014 sponsors

This is a wonderful opportunity to give back to our community while enjoying the fellowship of other women doctors and lawyers We invite all women members of the Mecklenburg County Medical Society to join us as we plan the Fifth Annual Fighting for Women With Fashion starting this month And we encourage all members of the MCMS mdash male or female mdash to contact Stephanie Smith at ssmithmeckmedorg if they are interested in ldquostruttinrsquo their stuffrdquo in style on October 6

Feature

Welcome New Residents for 2014-15 Emergency MedicineAbena AkomeahElias AwadMohamed El-KaraAndrea GoodeAndrew JohnsonBlake JohnsonTimothy KallgrenCharlotte LawsonAshley LessmeierCatherine LounsburyPhillip LunsfordMichael MolloAndrew PuciatyNell Steed

Family MedicineSarah BeerJonisha BrownStephen CarekScott MikellKendra RichardsonCameron Simmons

Edmire SouffrantChristopher VieauJonathan Wilson

Family Medicine ndash RuralNelius MachariaEric Wilder

General SurgeryGraham BerrySatara BrownMichael FruscioneThomas GaviganDavid HobsonBenjamin Motz

Internal MedicineBrian BatasStephen BeasleyClaire EvansLuke FarmerAaron GoodwinWilliam HooverLindsey Hudson

Jasna IkanovicDaphne JonesErin LandisMegan McDonnellAnna MistrettaBenjamin MullenbachTuyche SangHaley SnadeckiChristopher StameyWalter WigginsJennifer Womack

Neurological SurgeryTyler Adkins

Obstetrics amp GynecologyKatherine CroftEmily EarlesAshley MartinezRachael McCabeChelsea MikellJennifer Mitch

Orthopaedic SurgeryVignesh AlamandaBryan BeanThomas BemenderferSamuel FordJohn Ruder

PediatricsMelinda BeaversMeredith CalcinaKeerti DantuluriNanthan FleishmanSteven HanniganBrendan KleiboerMary Elizabeth LambertKaren LeedsLaura NetzleyCamille StrachanAlison VurnakesAbigail WernerHailey Woollen

Thank You to Our 2014 Sponsors

Satin SponsorsMargaret and Smoky Bissell n McIlveen Family Law Firm

n Moore amp Van Allen PLLC n Novant Health n Ogletree Deakins Nash Smoak amp Stewart PC n Piedmont Plastic Surgery amp

Dermatology n Reproductive Endocrinology Associates of Charlotte (REACH) n RM Machinery Inc n Sodoma Law PC

Linen SponsorsCarolina Asthma amp Allergy Center n Charlotte Radiology

n Charlotte Skin amp Laser n Charlotte Women Attorneys

n Dixon Hughes Goodman Wealth Advisors LLC n Nelson Mullins Riley amp Scarborough LLP n Robinson Bradshaw amp Hinson PA

n University Pediatrics

Denim SponsorsAllergy Asthma amp Immunology Relief (AAIR) of Charlotte

n Burnett Realty Group n Carolina HealthSpan Institute

n Investor Advisory Group n Kennedy Law Associates

n Knox Brotherton Knox amp Godfrey n Mecklenburg Medical Alliance amp Endowment n Novant Health Mintview OBGYN

n Aviva Stein MD Charlotte OBGYN n Tom Bush Law Group

A special thank you to our Friends of the Event Nordstrom Foundation for the Carolinas Morgan Fogarty with WCCB News Ten Best Impressions Caterers Extravaganza Little Dreamer Productions

K1047CBS Radio Paschal Productions The Common Market Studio 130 West Quail Dry Cleaners Colette Renee with Salon 8 Sodoma

Law US Airways Doncaster Charlotte Rebecca Simmons and all our silent auction donors for making this a very successful event

Fighting for Women With Fashion 2014


Save the DateSave the Date

4th Annual Community ForumExploring Medicaid Expansion in North Carolina

Tuesday March 10 Noon-4 pm

MedLink of Mecklenburg will present a keynote speaker and panel discussion on Medicaid expansion and its possible impact in Mecklenburg County

Physicians physician assistants and other healthcare professionals social workers community members and community organization representatives

More information and registration is available at wwwMedLinkofMecklenburgorg


The 2015 Grants and Disbursements Committee of the Mecklenburg Medical Alliance amp Endowment (MMAE) is accepting applications The applications are online at mmaeonlinecom The application process including the rules and guidelines for submitting a grant request can be found on the website A hard copy of the application must be on file with the Grants and Disbursements Committee by February 28 Grants will be presented in May Mail to Pam Bullard 2015 Grants and Disbursements Chair 18501 Peninsula Cove Lane Cornelius NC 28031 If you have questions contact Pam at gwbullardbellsouthnet

MMAE

Food Allergies Hype or Hypersensitivity

Single Ticket = $25 Table for 8 = $185

Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________

Enclosed is $ __________ for _________ tickets

Mail form to

MMAE Community Health ClassroomMecklenburg Medical Alliance amp Endowment1112 Harding Place Suite 200 Charlotte NC 28204

FOOD ALLERGIESHype or Hypersensitivity

Myers Park Country Club bull Thursday Feb19 bull 9-11 amRegistration is $25 per person and wersquoll start the day with a delicious breakfast buffet that includes gluten-free selections

Three area physicians John Klimas MD J Gray Norris MD and Emily W Langley MD all board-certified allergists from the Carolina Asthma amp Allergy Center will conduct a panel discussion

Among the topics covered will be

Most Common Food AllergiesFood Allergy SymptomsOral Allergy Syndrome vs Food AllergyPeanut AllergyPeanut Allergy mdash ManagementDesensitizationGluten-Free DietsGMOrsquos mdash Why the FussThese experts in food allergy have completed a residency in internal medicine andor pediatrics plus a two- to three-year fellowship in allergyimmunology In addition to their training they have passed the American Board of AllergyImmunology certification exam

Tickets for Food Allergy Hype or Hypersensitivity are $25 per person a reserved table for 8 can be purchased for $185 Online ticket sales are available at wwwMMAEclassroomcom or wwwmmaeonlinecom

This is sure to be a popular program so donrsquot hesitate enroll in MMAErsquos Community Health Classroom today

James Gray Cannon AwardIn 1984 the Mecklenburg Medical Alliance amp Endowment (MMAE) established

the James Gray Cannon Award This award is presented to an individual who has demonstrated exceptional leadership on a voluntary basis toward the advancement of medical care and good health in the Charlotte-Mecklenburg community Past recipients include hospital volunteers organization founders and board members They are people who through their unselfish dedication to an organization or cause have made a difference in our community

MMAE is seeking nominations for such persons from appropriate organizations Nominations may be made by completing a nomination form which can be obtained from the Cannon Award Chairman Gail VanDerVeer (contact information below) Volunteers in healthcare related organizations as well as healthcare professionals volunteering outside their paid positions are eligible for the Cannon Award A nominee will remain on active file for consideration for three years Physicians their spouses and members of the Alliance are not eligible The award is an engraved plaque and a $1000 donation to the charity of the recipientrsquos choice The winner will be recognized at a special reception given in his or her honor

We look forward to receiving your organizationrsquos nomination for this humanitarian award If further information or nomination forms are needed contact Gail VanDerVeer at veer4135aolcom or 704-543-4567 The deadline is March 1


At the Hospitals

n Novant Health Cancer Care EarnsSTAR Program Certification Novant Health Cancer Care has

earned its STAR Program Certification from Oncology Rehab Partners This certification reinforces Novant Healthrsquos commitment to offer premier cancer rehab and survivorship services to patients facing life-limiting side effects caused by cancer or its treatment

To achieve this certification a multidisciplinary pool of cancer and rehab experts underwent 30 hours of training to fully understand the range of side effects survivors may face and the vital role rehab and survivorship services play in improving outcomes and quality of life

With more than 60 experts trained in recognizing symptoms like pain fatigue malnutrition and anxiety we expect more survivors will reap the benefits of custom cancer programs like physical therapy nutrition yoga massage and counseling to help them along their cancer journey

To refer your patient to one of our STAR-certified experts call 704-384-5560

n Novant Health Nurse MidwiferyAssociates-Langtree OpensIn January Novant Health Nurse

Midwifery Associates-Langtree opened in Huntersville This new practice is comprised of certified nurse-midwives who manage obstetric and gynecological care for women of all ages

Nurse Midwifery Associates-Langtree provides these servicesbull Routine gynecologic care including

annual pelvic exams breast exams pap smears and screening for sexually-transmitted infections

bull Family planning and contraceptionguidance

bull Obstetrical care including managementthroughout the course of a patientrsquos pregnancy

bull Labor management including painmanagement therapies and epidurals

bull Menopause management

Alexandria Montgomery DNP CNM Beverly Holmes MSN CNM Cindy Dellinger MSN CNM and Amanda Younger MSN CNM are the practicing nurse midwives

Novant Health Nurse Midwifery Associates-Langtree is at 10030 Gilead Road Suite 250 Huntersville To refer your patient call 704-316-5570

n Novant Health Heart amp VascularCenter Launches Chronic TotalOcclusion ProgramIn October 2014 Novant Health

Presbyterian Medical Center launched a Chronic Total Occlusion (CTO) program within its catheterization lab The CTO device allows physicians to maneuver between the blockage and the heart wall to remove hard plaque that has calcified and would otherwise not be removable in the cath lab Patients will qualify for the CTO procedure if their blockage has calcified and has been present for six months or longer Traditionally patients with these symptoms require bypass surgery

Mike Miller MD of Novant Health Heart amp Vascular Institute has been formally trained on the use of the CTO technology and will be leading the program at Presbyterian Medical Center To refer patients to Dr Miller or the CTO program call 704-343-9800

n Novant Health Behavioral HealthCertified in Mental Health First AidNovant Health Behavioral Health has

been certified in and is offering Mental Health First Aid an interactive eight-hour course to demonstrate how to assist someone experiencing a mental health crisis The program is designed to build mental health literacy as well as to help identify understand and respond to signs of mental illness

The program teaches about risk factors and warning signs of depression anxiety disorders trauma psychotic disorders eating disorders and substance use disorders Participants learn a five-step action plan to help someone in crisis and non-crisis

situations Participants also practice the action plan through role plays scenarios and activities

To learn more or register email MHFAinfonovanthealthorg or call 704-384-3195

n Four Novant Health Express CareClinics Now Open in the GreaterCharlotte MarketTo increase access to care for

common illnesses and minor injuries Novant Health opened four express care clinics in the Charlotte area in 2014 No appointments are needed and all locations offer extended and weekend hours at convenient shopping center locations Ballantyne Commons East (15235 John J Delaney Drive Suite B) ParkTowne Village (1730 E Woodlawn Road Suite D Charlotte) Davidson Commons (624 Jetton St Suite 220 Davidson) and Union Festival (622 Indian Trail Road Indian Trail) Nurse practitioners and physician assistants diagnose and treat medical conditions prescribe needed medications conduct work and sports physicals and provide wellness screenings and vaccinations Novant Health physicians provide medical supervision Additional express care locations are planned for 2015

n Novant Health Matthews MedicalCenter Womenrsquos CenterRenovationsIn December 2014 renovations of

the existing maternity rooms in Novant Health Matthews Medical Center were completed These renovations are part of the development of a new womenrsquos center with construction beginning spring 2015 The center will includebull A separate entrance for maternity

patientsbull Private suites with full bathroomsbull State-of-the-art specialty care

nurserybull Womenrsquos sub-specialty servicesbull Lactation servicesbull Coffee kiosk and gift shop

The new womenrsquos center isestimated to be complete in 2016


At the Hospitals

n System Recognized as NationalLeader in Providing HeartAttack CareCarolinas HealthCare Systemrsquos coordinated

approach to providing heart attack care was recognized recently during the American Heart Associationrsquos annual meeting in San Francisco as part of a regional effort that has resulted in expedited treatment and increased survival for patients

Results from the project called Mission Lifeline STEMI ACCELERATOR demonstrate how the collaboration between emergency services (EMS) personnel and physicians at hospitals across the nation covering nearly 30 million people can significantly reduce the amount of time it takes for a heart attack patient to receive care Currently nearly half of these patients are not treated within the recommended 90 minutes largely attributable to a lack of coordination between EMS agencies and hospitals

Hadley Wilson MD interventional cardiologist at CHSrsquo Sanger Heart amp Vascular Institute along with Lee Garvey MD director of Emergency Cardiac Care in the Department of Emergency Medicine were heavily involved with the study and visited eight of the 16 metro areas that were part of the project Wilson and Garvey helped develop standardized treatment protocols to rapidly diagnose and treat patients

As a result of these efforts Carolinas HealthCare Systemrsquos STEMI program is ranked among the top 1-2 percent of hospitals in the nation for door-to-balloon (D2B) times or from the time a patient arrives at the hospital to the time the artery blockage is cleared Additionally CHSrsquo average D2B time of 42 minutes is 28 percent less that the national average of 89 minutes

n Breast Cancer Physician ReceivesWorld-Wide RecognitionTerry Sarantou MD FACS breast cancer

surgical oncologist at Carolinas HealthCare Systemrsquos Levine Cancer Institute recently was named chair of the National Accreditation Program for Breast Centers (NAPBC) Standards and Accreditation Committee mdash an organization that is recognized for quality throughout the United States and

internationally In his position Sarantou travels across the globe to survey and accredit breast centers for providing superior care

The NAPBC is administered by the American College of Surgeons (ACS) which leads national and international efforts to improve quality in hospitals The Standards and Accreditation Committee is one of five NAPBC committees that was established to develop standards and treatment guidelines that are universally applicable across all breast cancer centers

n System Facilities Named TopPerformers on Key QualityMeasures by The Joint CommissionSixteen Carolinas HealthCare System care

locations have been named Top Performer on Key Quality Measures by The Joint Commission in recognition of their exemplary clinical performance in multiple specialties The designation released as part of the Commissionrsquos 2014 annual report ldquoAmericarsquos Hospitals Improving Quality and Safetyrdquo recognizes hospitals for attaining excellence in using evidence-based processes shown to improve care

Carolinas HealthCare System hospitals include Carolinas Medical Center Carolinas Medical Center-University Carolinas Medical Center-Union Carolinas Medical Center-Pineville Carolinas Medical Center-NorthEast Scotland Health Care System Cleveland Regional Medical Center Blue Ridge HealthCare St Lukersquos Hospital Columbus Regional Healthcare System AnMed Health The Moses H Cone Memorial Hospital Wesley Long Hospital Womenrsquos Hospital Annie Penn Hospital and Cone Health Behavioral Health Hospital

The Top Performer program recognizes hospitals for improving performance on interventions that increase the chances of

healthy outcomes for patients with certain conditions including heart attack heart failure pneumonia surgical care childrenrsquos asthma stroke venous thromboembolism and perinatal care as well as for inpatient psychiatric services and immunizations

n International Medical OutreachProgram Enhances CardiacServices in GuatemalaCarolinas HealthCare Systemrsquos International

Medical Outreach (IMO) program continues its mission to enhance cardiac services in Central America with the opening of two echocardiography laboratories (echo labs) in regional hospitals in Zacapa and Quicheacute in Guatemala System officials were joined by the First Lady of Guatemala Rosa Mariacutea Leal de Peacuterez who over the past year has worked with the IMO program to equip hospitals and clinics with medical services and supplies

The IMO program a collaboration between Carolinas HealthCare System and the Heineman Foundation of Charlotte donated echocardiography machines to these hospitals and helped train technicians to operate the machines and work with cardiologists to identify patients with heart ailments Echocardiography machines are among the most basic tools used to diagnose heart problems but are not readily available in rural areas in Central America

The echo machines were transported by Chiquita Brandsrsquo vessels to Guatemala Since May 2013 the IMO program and Chiquita have collaborated to distribute medical and computer supplies to hospitals clinics and public schools throughout Central America Together they have transported more than 20 containers providing 11 hospitals and rural clinics with medical equipment and delivering more than 7500 computers to 500 public schools

Francis Robicsek MD PhD (second from left) vice president of Carolinas HealthCare Systemrsquos International Medical Outreach Program joins Guatemalarsquos First Lady Rosa Mariacutea Leal de Peacuterez in cutting the ribbon for a new echo lab in Zacapa Guatemala


Independent Physicians of the Carolinas is a nonprofit 501(c)(6) membership organization whose mission is to create public awareness of medical doctors not employed by a network or hospital system and to provide educational programs and resources to physician members and their administration Visit us at IndependentPhysiciansorg

Matthews Internal Medicine the practice of Eugene Sangmuah MD and Eliza Sangmuah MD announced their providers and staff brought food and hygiene items to assist the Matthews Help Center These items were used in preparing

holiday baskets for the needy in December

The Pineville office of Carolina Digestive Health Associates has relocated to 10620 Park Road Suite 102 in Charlotte The phone

number remains the same at 704-543-7305 Physician members Ronnie Cyzner MD and Michael Gaspari MD see patients at the Pineville office

Darst Dermatology will hold its second annual February Open House on Thursday Feb 12 5-7 pm at its main office 1301 Golf Links Drive Suite 203 Charlotte Medical Director Marc Darst MD will focus the event on procedures for vibrant skin including skincare products injectables laser technology and skin resurfacing For more

information visit wwwdarstdermcom

Allergy Asthma amp Immunology Relief (AAIR) of Charlotte is offering programs in the community to create awareness and promote healthy lifestylesbullAAIR is pleased to sponsor ldquoYoga Fridaysrdquo at 1 pm at the mainoffice 1523 Elizabeth Ave Charlotte Call to sign up at 704-910-1402bull PANDAS Support Group meets monthly at the main office 1523Elizabeth Ave Call for more details at 704-910-1402

AAIR is conducting a research study called ldquoThe AIReal Study mdash A Fresh Look at Your Asthmardquo Participants can join if they are 18 years of age or older have been diagnosed with persistent asthma currently are non-smokers and previously used inhalers If you are interested in participating in this study call AAIR at 704-910-1402

Independent Physicians of the Carolinas

Advertising Acknowledgements

The following patrons made Mecklenburg Medicine possible

Alexander Youth Network Insert

Brackett Flagship Properties 7

Carolinas HealthCare System 19

Charlotte Eye Ear Nose amp Throat Associates 9

Charlotte Radiology 18

Hospice amp Palliative Care Charlotte Region 16

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Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion

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C

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CharRadAdR1pdf 1 12814 1101 AM

More than 25 locations across the Carolinas704-512-3963

Levine CanCer instituteWorld-class cancer care close to home

see Dr Kimrsquos full story at CarolinasHealthCareorgCancerCare

every patient is unique i learned this early in my careerfrom a patient wearing a silly hat and a determined smileHer odds were not good all the data pointed to badnews But her spirit and attitude showed me so muchmore than her statistical odds What she taught me hasstayed with me through every patient interaction sinceshe is strong today and i am a better doctor for knowingher at Levine Cancer institute we always remember thatevery patient has her own story

She walked into my office wearinga huge Dr Seuss hat and saidshe was going to beat cancer

LCI_Awareness_DrKim_MeckMedicineindd 1 1032014 71556 AM

More than 25 locations across the Carolinas 704-512-3963



every patient is unique i learned this early in my career from a patient wearing a silly hat and a determined smile Her odds were not good all the data pointed to bad news But her spirit and attitude showed me so much more than her statistical odds What she taught me has stayed with me through every patient interaction since she is strong today and i am a better doctor for knowing her at Levine Cancer institute we always remember that every patient has her own story

She walked into my office wearing a huge Dr Seuss hat and said she was going to beat cancer



Mecklenburg CountyMedical Society1112 Harding Place 200Charlotte NC 28204

CHANGE SERVICE REQUESTED

MCMS MissionTo unite serve and represent ourmembers as advocates for our patientsfor the health of the community andfor the profession of medicine

PRSRT STDUS POSTAGE

PAIDCHARLOTTE NCPERMIT NO 1494

PATIENT SERVICE CENTERShellip for all of your laboratory testing needs

Ballantyne 15830 John Delaney Drive Charlotte NC 704-540-0251Billingsley 300 Billingsley Road Suite 200A Charlotte NC 704-332-6904Carmel 5633 Blakeney Park Drive Suite 100 Charlotte NC 704-542-7061Cabarrus 478 Copperfield Blvd Concord NC 704-795-2710Charlotte 1718 E 4th Street Charlotte NC 704-372-6609Gastonia Stat Lab 660 Summitt Crossing Suite 206 Gastonia NC 704-854-9497Huntersville 14330 Oakhill Park Lane Huntersville NC 704-948-8101Huntersville 10030 Gilead Road Suite B100 Huntersville NC 704-875-9130Lake Norman 134 Medical Park Drive Suite 102 Mooresville NC 704-799-6230Matthews 1500 Matthews Township Parkway Suite 1147 Matthews NC 704-849-0154Northridge 5031-G West WT Harris Blvd Charlotte NC 704-598-6266Pineville 10410 Park Road Suite 450 Pineville NC 704-341-1145Randolph 1928 Randolph Road Suite 109 Charlotte NC 704-334-2629Rock Hill 2460 India Hook Road Suite 101 Rock Hill SC 803-328-1724Salisbury 611 Mocksville Avenue Salisbury NC 704-637-1676Salisbury 612 Mocksville Avenue Salisbury NC 704-637-1987Salisbury 514 Corporate Road Salisbury NC 704-221-4407Shelby 809 N Lafayette Street Shelby NC 704-480-7004Statesville 1710-A Davie Avenue Statesville NC 704-878-0948University 10320 Mallard Creek Road Charlotte NC 704-549-8647

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1450 Matthews Township Parkway Suite 380 Matthews 704-264-3500

1640 E Roosevelt Blvd Monroe 704-226-0500

911 W Henderson St Suite 230 Salisbury 704-633-9620

Pediatric cardiology



201 E Matthews St Suite 100 Matthews 704-316-1220

530 Corporate Circle Suite 200 Salisbury 704-316-1220

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125 Baldwin Ave Suite 200 Charlotte 704-384-5043

Cardiovascular and thoracic surgery

301 Hawthorne Lane Suite 200 Charlotte 704-316-5100

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16941copy Novant Health Inc 2015








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At the Hospitals







































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The Ivey 3

Eugene Sangmuah MD

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Eliza Sangmuah MD

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from boredom







OFFICERS






BOARD MEMBERS













EXECUTIVE STAFF





















8 Member News







13 MMAE

14 At the Hospitals



















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MedLink Update













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MMAE



Name _______________________________________

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Phone _______________________________________


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At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






C

M

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CM

MY

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CMY

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PRSRT STDUS POSTAGE








OFFICERS






BOARD MEMBERS













EXECUTIVE STAFF





















8 Member News







13 MMAE

14 At the Hospitals



















Feature
































MedLink Update













Department830 am








CenterNoon
















Member News




























Feature






































MMAE



Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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PRSRT STDUS POSTAGE






















Feature
































MedLink Update













Department830 am








CenterNoon
















Member News




























Feature






































MMAE



Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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M

Y

CM

MY

CY

CMY

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PRSRT STDUS POSTAGE














MedLink Update













Department830 am








CenterNoon
















Member News




























Feature






































MMAE



Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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M

Y

CM

MY

CY

CMY

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PRSRT STDUS POSTAGE











Department830 am








CenterNoon
















Member News




























Feature






































MMAE



Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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MY

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CMY

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Feature






































MMAE



Name _______________________________________

Address _____________________________________

Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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MMAE



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Email _______________________________________

Phone _______________________________________


Mail form to














At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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At the Hospitals
































At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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PRSRT STDUS POSTAGE







At the Hospitals







































kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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kure Network 12 18

LabCorp Back Cover

Novant Health 2

Parsec Financial 17

The Ivey 3

Eugene Sangmuah MD

Marc Darst MD

Eliza Sangmuah MD

Comfortcompassion




Choose us





parsecfinancialcom






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parsecfinancialcom






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PRSRT STDUS POSTAGE







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PRSRT STDUS POSTAGE
















PRSRT STDUS POSTAGE






mecklenburg medicine february 2015

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