May 2010 - Overlook View Magazine

Transcription

Health & Lifestyle Magazine
OVerlOOK
May 2010
Inside:
Pediatric
Directory
HEART
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2 | May 2010
Overlookview.com | 3
View From the Top
OVerlOOK
Vo l u m e
6 ,
I s s u e
4
Overlook Hospital Staff
John Rosellini
Director, Business Development
Joyce Passen
Manager, Community Health
Diane Fischl
Manager, Physician Relations
Directors
David Fink
Greg Feder
Anyone who has ever raised a child can attest to how often they find themselves saying
“no.” No, don’t touch that! No, you can’t spend another minute watching television. No,
you cannot see your friends until your homework is complete.
At Overlook, we’re in the business of saying “yes” when it comes to your children:
Yes, we’ll try. Yes, we can. Yes, we will. Our drive to come from a place of “yes”—of
positivity and hope—is inspired by the children we treat and the families we serve.
Overlook’s new Pediatric Subspecialty Suite, on the second floor of the MAC II building,
serves as a testament to our unwavering commitment to our youngest and smallest
patients. The new space, which opened its doors just weeks ago, allows the Department
of Pediatrics to expand its service offerings while housing all specialties in one central
location. The doctors, nurses, and staff members are the same top-notch clinicians you’ve
always relied on, but the cohesive, expanded space has afforded us the opportunity to
add specialists, minimize appointment wait times, and make it easier than ever before for
parents to secure for their children the care they need.
Throughout our Pediatrics Department, we know, too, that the care children need comes
in the form of a partnership between doctors and patients’ families. Our Family and
Patient Centered Care initiative strives to include parents in every aspect of their child’s
treatment. At Overlook, a parent is a parent—never a visitor—and we foster a culture
of open communication to make sure every parent’s voice is heard and every child is
treated as if he or she is the only child who matters. Because we are parents too, and we
understand that in a parent’s eyes, children come first.
Sincerely,
Editor
Alyson Black
Photographer
Tom Sperduto
Designers
Tuyen Teasdale
John Glavasich
Jenna Familletti
Production
Tina Shields
Ad Sales/Marketing
Meredith Stick
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View are not necessarily the views of the publisher.
Although every effort is made to present accurate
information, schedules, hours, prices, or other
materials are subject to change and not guaranteed.
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President
The information contained within this magazine and
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medical advice, for which your physician is your best
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Cover photo by Tom Sperduto
4 | May 2010
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c on ten t s
May 2010
features
10Baby Talk
Specialists in Maternal Fetal Medicine and
Neonatology combine to keep mothers and
babies as safe as possible.
14Stat!
The do’s and don’ts of taking your child to the
Emergency Room.
18Family Matters
When parents are welcomed partners in their
children’s health, everybody benefits.
20Pediatric Directory
A guide to pediatric services.
26Road to Recovery
A unique approach to treating eating disorders.
28Changes of Heart
Advances in pediatric cardiology keep kids
heart-strong.
34Healthy Foundations
A larger-than-life heart captures kids’ imaginations
42The Entertainer
Smart, savvy, simple solutions to guide your
summer get-togethers.
48New Directions
16
ON THE COVER
Under One Roof
A new pediatric subspecialty suite creates an ideal
space for multidisciplinary care.
columns
38 Community
Health Calendar
46 Photography 101
50 Kaleidoscope
52 Culinary Corner
54 Foundation Happenings
The role of clinical trials in conquering cancer.
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The smallest patients often require the largest amounts of help—
sometimes even before they arrive.
baby tal
By Stacey Stapleton
In a roomful of pregnant women, most will have many things in
common—everything from morning sickness and food cravings to
fatigue and swollen ankles. They’re all excited, filled with anticipation—
and with worry, too. Ask any pregnant woman, and she’ll probably
admit that she holds her breath every time she sees her doctor, hoping
against all hope that everything is just fine. In fact, most of the time it
is. But when troubles arise—often even just the possibility of trouble—
specialists in the fields of maternal fetal medicine and neonatology
deliver the best chances for the best beginnings.
Maternal Fetal Medicine: Obstetrics & Beyond
“Maternal fetal medicine is a specialty that involves caring for women
whose pregnancies have encountered complications,” explains Carlos
Benito, MD, director of Maternal Fetal Medicine at Overlook Hospital.
“These complications can be maternal, fetal, or placental.”
Mothers are often referred to a maternal fetal medicine specialist by
their primary obstetrician when a problem with their health—such as
diabetes, hypertension, or an autoimmune disorder—is discovered or
anticipated. “Hypertension is one condition that puts a woman at risk for
preeclampsia, pre-term labor, or delivering a low-birth-weight baby,”
says Benito, “so in situations like this we are called in to co-manage the
patient and minimize the impact the mother’s illness will have on the
outcome of her pregnancy.”
Benito, “so we monitor these pregnancies, decide what restrictions need
to be placed on the mother’s activities, and, when necessary, intervene
with fetal therapy. Our goal is always to prolong a pregnancy as long
as possible so we can deliver either a full-term baby or the healthiest
preemie we can.”
Overlook’s Department of Maternal Fetal Medicine is special simply
because it exists at all, Benito says. “Not all hospitals have maternal
fetal medicine consultative and co-management services,” he says.
“Not only are we available to care for patients and consult with primary
obstetricians, but we also offer a full spectrum of fetal therapies.”
Which means women with complicated pregnancies can receive all their
care under one roof, eliminating the added stress of shuttling between
different physicians and hospitals.
The Maternal Fetal Medicine Department also offers genetic testing to
all expectant moms, through amniocentesis (a test of the amniotic fluid,
usually at 15 to 20 weeks’ gestation) and chorionic villus sampling
(CVS; in which placental cells are tested for abnormalities at 10 to 12
weeks’ gestation).
In other cases, it’s an issue with an unborn baby—perhaps a congenital
defect of the heart, kidney, spine, or stomach, revealed through
ultrasound—that prompts the care of a maternal fetal medicine
physician. “Women carrying multiples are also often placed under
the care of a maternal fetal specialist,” Benito adds. The good news is
that doctors are equipped with a wide variety of treatments and fetal
therapies that are possible while a baby is still in utero, to either address
the issue or prolong the pregnancy as long as possible. “For example,
sometimes a pregnant woman will develop a viral infection like Fifth
Disease that can pass through the placenta and cause fetal anemia,”
explains Benito. “In these cases we’re able to do a transfusion on the
baby in utero.”
Neonatology: Caring for the Littlest Patients
“Neonatology is a branch of pediatrics that deals with newborn
infants who are either premature or sick and cannot be in the newborn
nursery,” explains Larry Skolnick, MD, co-director of Neonatology at
Overlook Hospital. There are 14 neonatologists on staff at Overlook and
Morristown hospitals, as well as a team
of nurses and physicians’ assistants in the
neonatal intensive care unit (NICU). The
team is on call 24 hours a day, so they’re
ready for any unexpected emergency.
“This is very significant,” says
Skolnick, “since most hospitals don’t
have this 24-hour service.” Overlook
also boasts three pediatric surgeons, a
pediatric anesthesiologist, and an array of pediatric subspecialists from
cardiologists to gastroenterologists.
Sometimes it’s a problem with the placenta that is cause for concern. In
incidents where the placenta is not located properly or is dysfunctional,
or in cases where the fetus has not implanted properly, extra care often is
required. “Issues with the placenta can lead to bleeding, pre-term labor,
pre-term rupturing of the membranes, and fetal growth restriction,” says
A neonatologist is generally called in either when a woman’s primary
obstetrician or maternal fetal medicine doctor has diagnosed a problem,
or in an emergent labor situation. “Half the time we know of a problem
in advance and can meet with the mother for a prenatal consultation,”
explains Andrew Schenkman, MD, co-director of Neonatology at
10 | May 2010
talk
“Our goal is always to prolong a
pregnancy as long as possible so we
can deliver either a full-term baby or
the healthiest preemie we can.”
Overlook Hospital, “and the other half are surprises.” Neonatologists
or neonatal practitioners are also present for the majority of C-sections
performed at Overlook, or any time a primary obstetrician feels that the
baby he or she is delivering may need special care—as in cases where
vacuum or forceps assistance is necessary during delivery, or when the
baby shows signs of fetal distress.
Each year, about 10 percent of the babies born at Overlook require time
in the NICU. “Some babies are born prematurely, while others may be
full-term but have disorders like respiratory distress, unstable bloodsugar levels, or surgical problems such as intestinal obstructions or
congenital abnormalities,” explains Skolnick. But the care doesn’t
end there. Once a baby is brought to the NICU, he or she is under the
care of a neonatologist who also coordinates with any other pediatric
specialists that may be needed.
And the NICU at Overlook goes beyond the physical care of each baby.
“The NICU at Overlook is a warm, quiet environment,” says Schenkman.
“It’s a relatively new facility and we practice family-centered care, which
means we believe that parents are parents—not visitors—and can be at the
bedside 24 hours a day if they like.”
“The nursing staff at our NICU is also very experienced and stable,” adds
Skolnick. “They understand that having a baby in the NICU is one of the
scariest things that can happen to a new family.” Even after a baby goes
home, the staff remains involved in their care. “We are available 24/7 to
answer questions for new parents. We don’t close,” says Schenkman. “We
also help parents arrange all the necessary follow-up for their baby, like
blood work, eye examinations, and developmental assessments before
they leave so they feel much more in control.”
For more information on Obstetrics, Maternal Fetal Medicine, and
Neonatology at Overlook Hospital, call (888) 828-9707.
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By Stacey S
Whether it’s for a minor illness or a serious injury, taking your child
to the Emergency Room can be scary—for kids and parents alike. But
knowing what to do and what to expect can make the experience easier
on everyone.
Any parent who has ever dealt with a scraped knee, a vaccine in the
pediatrician’s office, or a trip to the Emergency Room has likely wished for
the same thing: a magic wand to “make it all better.” Alas, the wand doesn’t
exist—but having the right tools for the right patient can make a world of
difference, and that’s especially true in emergency situations. “A pediatric
Emergency Department (E.D.) has the equipment, appropriately trained staff
to care for children, and access to pediatric resources,” explains Kathleen
G. Reichard, DO, FAAP, director of the Pediatric Emergency Department at
Goryeb Children’s Center at Overlook Hospital. “For example, a pediatric
E.D. has pediatric-specific equipment that can be of the utmost importance in a
critical emergency.”
Why a Pediatric E.D.?
“A pediatric E.D. takes children out of what can be a pretty scary
environment,” says Patty Jamieson, RN, who has been a pediatric nurse at
Overlook for 30 years. “At traditional E.R.s you’ll often see adults coding,
violent injuries, and may even hear obscene language.” But a pediatric E.D.
is a friendlier place because it’s not a hardcore trauma center, and because it’s
family-oriented. “We’re a community pediatric E.D. that cares for your child
throughout their life,” says Reichard. “Whether they are having that stomach
virus that is running through the community or fell off the monkey bars, we are
ready to provide the best care.”
Pediatric E.R.s also have specially trained staff members that are rarely
available at traditional emergency facilities. “A child life specialist is
available for teaching and support during procedures, which is one of the
more frightening times for kids,” explains Reichard, “and the pediatric staff
is trained to handle both the family and the patient. They are well aware that
most children equate doctors with shots and that the parents often feel helpless
and scared for the health and welfare of their child.”
Jamieson agrees. “At Overlook we don’t dress in all white and we have TV and
movies for the kids,” she says. “Everything is designed to put them at ease.”
That includes the Pediatric Department’s initiative for Patient and Family
Centered Care. “Parents are not asked to leave in an emergency, but are
involved in every aspect of the care of their child,” explains Jamieson. “They
can hold or lay next to their child during procedures and even administer
certain medications when it’s appropriate. It surprises many parents, but we
really do need their participation.”
14 | May 2010
Making an E.R. Visit Easier—for Everyone
Even the bravest, most cooperative child can become unnerved in a medical setting, and this is especially true during an emergent situation when the
child is likely to be sick, in pain, and already very frightened. It’s a scary time for parents too, but parents can partner with doctors and nurses to make
the E.R. experience easier.
✔ Although it’s tempting to comfort a sick or injured child with candy or snacks,
avoid doing this. “If the child needs sedation for a procedure or needs to go to the
operating room, having a full belly will delay this treatment,” explains Reichard. If you
bring juice or snacks for your child, always check with the staff to be sure it’s okay
for them to have it at that point in their treatment.
✔ “Do not promise your child they won’t get a shot, a certain procedure, or blood work,
and never promise that a procedure won’t hurt,” Reichard cautions. “We never lie to
children because it just erodes their trust.” Instead, Jamieson suggests simply telling
your child that it may hurt, and their very important job is to hold still and tell the
doctor about their experiences.
✔ It is helpful to tell your child that’s it’s okay to cry. “This is especially important for
little boys,” says Jamieson. “I’ve seen so many fight back tears during uncomfortable
procedures because they thought they had to be tough.”
✔ If possible, bring your child’s favorite book or toy. “Comforting, familiar objects are
always helpful,” says Reichard. “In addition, there is always an element of waiting in
any E.R., and families that are prepared with pleasant distractions will have a much
more positive experience.”
✔ “Know your limits,” says Jamieson. “Kids pick up on your demeanor, so if you can’t
remain calm or are going to cry, it’s okay to step outside and leave your child in our
care. Parents should never feel guilty about this.”
Know When to Go
It’s 10:00 on a Wednesday night and your little one is sick. You’re not
quite sure how sick and your trusted pediatrician’s office is closed. Do
you head to the E.R.? Can it wait until morning? Or maybe your baseball
superstar made the game-winning play, but walked off the field wincing
and in pain. What do you do? These helpful hints provide a reliable
structure for knowing when to take your child to the Emergency Room.
✔ “In many cases your pediatrician’s office has a doctor or nurse on call for such
situations,” says Jamieson, “and they can be a great resource in deciding whether or
not your child needs the E.R.”
✔ “Any difficulty breathing should be evaluated by a physician right away,” says Reichard.
If you even suspect that your child is having trouble breathing, go to the hospital.
✔ A child having a seizure of any kind should be taken to the E.R.
✔ “An infant with a fever above 100.5 should be seen right away,” says Jamieson.
After a child’s first birthday, a fever alone is not a reason to rush to the E.R. Treat it
with an over-the-counter medication and speak to your doctor in the morning. But if
the fever is accompanied by a headache, rash, stiff or painful neck, severe vomiting,
convulsions, or unresponsiveness, go to the E.R.
✔ “If your child is experiencing abdominal pain, it should be looked at,” says Reichard.
Pay close attention to where the pain is and the condition of your child’s belly. A
swollen abdomen that’s tender to the touch or blood in the stool warrants a trip
to the E.R., as does severe pain in the right lower area of the abdomen; it could
be appendicitis.
✔ A head injury accompanied by a loss of consciousness, confusion, headache, or
vomiting should be evaluated immediately.
✔ If you suspect your child may have broken a bone, have it evaluated right away.
✔ “A deep laceration or cut should be looked at,” says Reichard, “especially if there is
a lot of bleeding.”
✔ “If your child is vomiting or has diarrhea and begins to show signs of dehydration,
get to the E.R.,” says Reichard. Red flags include a dry mouth, sunken eyes, not
urinating in 12 hours or not having a wet diaper in six hours, dark urine, dry skin,
lethargy, and dizziness.
✔ If your parental instincts tell you something is wrong, it’s better to be safe than
sorry. Reichard always encourages parents to trust their gut. “It’s okay to not be 100
percent sure,” she says. “Go ahead and bring them in for an evaluation anyway.”
one
Under
Roof
Overlook’s new Pediatric
Subspecialty Suite creates
an ideal setting for
multidisciplinary care.
16 | May 2010
The face-painting, costumes, activities, and snacks that
marked last month’s opening of Goryeb Children’s Center’s
new Pediatric Subspecialty Suite at Overlook Hospital say a
lot about the spirit in which the space was designed: to be a place
of health and of healing, where parents can turn to make sure their
children receive the top-tier care they deserve. This has always been
a guiding principle within Overlook’s Department of Pediatrics, but
with the new suite in the MAC II building, the hospital is able to
bring together multidisciplinary services—and more of them, too.
Here, a team of subspecialists—pediatric doctors who have
received specialized training in such various areas as cardiology,
gastroenterology, and neurology—have come together to elevate the
standards of care, comfort, and communication. “Overlook’s doctors,
nurses, therapists, and staff have always been great—we had that
element in place already,” says Walter Rosenfeld, MD, chairman of
Pediatrics for Atlantic Health’s Goryeb Children’s Center at Overlook
Hospital and Goryeb Children’s Hospital at Morristown Memorial. “But
in our old space, we were not able to provide all the services that we
wanted and we couldn’t expand our services. The new Subspecialty Suite
allows us to offer what we want and expand our services to have a greater
number of doctors here, so it’s easier to get appointments. That’s what
families and referring physicians want.”
Expanded services will include a new pediatric rheumatology division
and an on-site pediatric epilepsy program. A large two-way mirror has
been installed so that developmental pediatricians can observe children
interacting with their parents in a natural, normal manner. And pediatric
surgeons are now located in the same vicinity as other medical doctors
to foster a continuum of care across specialties.
“These comprehensive and upgraded services allow us to do what
we do best,” says Rosenfeld, “which is to work as a team and
integrate services.”
“The new Subspecialty Suite
allows us to expand our
services to have a greater
number of doctors here, so
it’s easier to get appointments.
That’s what families and
pediatricians want.”
Collaborative care between parents
and medical teams results in improved
experiences for children.
By Alyson Black
Family
matters
“Parents know their child better than anybody, and that’s why we want to make sure we’re caring for patients with the
parent, not for the parent. This experience is happening to their child. They should be part of it; it gives parents
empowerment.”
That’s how Lisa Ciarrocca, CCLS, Child Life Systems manager at Goryeb Children’s Center at Overlook
Hospital and Goryeb Children’s Hospital at Morristown Memorial, describes the concept behind Patient and
Family Centered Care, a philosophy that is changing the nature of patient care within the Department of
Pediatrics. “The concept of Patient and Family Centered Care isn’t new,” Ciarrocca continues, “but people are
practicing it in a different way. We want it to be part of our culture.”
To that end, she explains, parents are given the opportunity to participate in every aspect of their child’s care.
“The option is there, and that’s the big thing. We give them the choice,” she says. Staff members let parents
know what is happening with every procedure, and parents are asked if they want to stay—even for codes,
when a child’s life hangs in the balance. “Parents can see how hard we’re working—how hard we’re
trying to save that child, and parents then know we did all we could,” Ciarrocca says.
In addition to the choice to partner in their child’s care, parents are given a voice, too. “Parents should
never be afraid to advocate for their children,” says Liz DuBois, RN, MS, CPN, NE, BC, manager of the
Goryeb Children’s Center and Goryeb Children’s Hospital. “We created the Patient and Family Centered
Care committee and advisory board, so parents of inpatients and outpatients have a voice. Parents always
have another way of looking at things. This team of parents puts a face to what we’re doing.”
The committee and advisory board have been especially useful in spurring changes that elevate standards
of care, open lines of communication, and make the experience of having a child in the hospital as easy as
possible. One such change is a more liberal visiting policy. “We revamped the policy to be more familyfocused,” says Ciarrocca. “We’re not always dealing with nuclear families; ‘family’ can be anyone a child
has a relationship with. Now, families can decide who is able to come see their child.”
Modifications to the rounding procedure—where doctors visit
and discuss the status of each patient with residents and other
medical personnel—and staff turn-over at end of each shift have
also created more family involvement. Previously,
the Pediatric Intensive Care Unit (PICU) was a
“closed unit,” meaning parents were asked to leave
during rounds. Now that’s changed. “Parents
are invited to rounds,” explains DuBois. “The
doctor introduces the parent to the team, and
18 | May 2010
parents have a large voice in the rounding process. And when our nurses
turn over at 7 a.m. and 7 p.m., we involve the parent in the process.” If they
want to be included, that is: A simple system of red lights and green lights
affixed to each patient’s door indicates to the staff whether a parent wants to
be included in the process at that time. “We try to make everything as easy as
possible,” says DuBois.
In fact, a questionnaire called “R You Being Heard?” is circulated among
parents to make sure that things are as easy as possible—and being done
as well as possible—at every turn. The feedback has been instrumental
in creating additional changes and fostering communication, Ciarrocca
explains. “We want to know, ‘Are we listening? Are we listening the right
way? Are we responding?’ ” Also contributing to this effort are meetings
where representatives from pediatrics, the Emergency Department, the
PICU, and the Neonatal Intensive Care Unit get together to give everyone
visibility. “Everyone brings something else to the table,” she says, “and it’s
all about communication.”
In creating a culture of more open care, parents and resident physicians
engage in role-playing activities where they switch roles. “It’s eye-opening
for the residents to see things from a parent’s perspective,” says Ciarrocca.
Every effort is made to create an environment that is comfortable for the
child and for the parent. “The patient’s room is their home when they’re away
from their home,” says Ciarrocca. “They take their medication, do homework,
visit with siblings … Residents and staff need to respect that space.”
Many of the Patient and Family Centered Care initiatives began in the PICU
before expanding to other areas in pediatrics. Juan Gutierrez, MD, FAAP, director
of Pediatric Critical Care and director of Pediatric Inpatient Services at Goryeb
Children’s Hospital, praises the culture shift he has witnessed. “Patient satisfaction
has improved,” he says. “Staff satisfaction has improved. Communication has
improved. By involving the family in the patients’ care, everyone is on
the same page. If I were to try to undo these changes now, I would have a
revolution on my hands. We truly have experienced a cultural change.”
Gutierrez says that he and his staff now regard Patient and Family
Centered Care as a standard in healthcare. “What needs to be well
understood is that Patient and Family Centered Care shouldn’t be
anything new anymore; it’s a natural progression of care in our
society,” he says. “Parents should demand this kind of care. It
shouldn’t be a luxury. Parents need to be involved in the decisionmaking process—and that should be a right, not a part of a
specialized service.”
It’s no surprise, then, that other people are taking notice. Ciarrocca
explains that other departments within Overlook and Morristown
Memorial have inquired about Family and Patient Centered Care, and
in April she received a call from another New Jersey hospital that is
looking to better understand this guiding principle. “A parent wants to be
there and a child needs the parent to be there,” she says. “Kids do well here
because it’s not just about treating the child, it’s about treating the family.”
For more information about Goryeb Children’s Center at Overlook
Hospital and Goryeb Children’s Hospital at Morristown Memorial, call
(888) 812-7094.
Pediatric
2010
directory
20 | May 2010
Avondoglio, Paul B., MD
(908) 219-3055
Summit Medical Group
33 Overlook Rd., Ste. 103
Summit, NJ 07901
Cambria, Marnie J., MD
(908) 219-3055
33 Overlook Rd., Ste. 103-107
Summit, NJ 07901
Cavuto, John N., MD
(908) 232-3445
532 E. Broad St.
Westfield, NJ 07090
Barasch, Susan A., MD
(908) 755-5437
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Cerdena, Maria C., MD
(908) 277-4480
Summit, NJ 07901
Batra, Chhaya, MD
(908) 755-5437
Warren, NJ 07059
Cessario, Alison G., MD
(908) 273-5866
Maple Pediatric Associates, LLC
47 Maple St., #107
Summit, NJ 07901
Behbakht, Mojgan, MD
(973) 410-0422
Fernwood Crossing
29 Columbia Tpk., Ste. 201
Florham Park, NJ 07932
Bender, Michelle A., MD
(973) 379-2488
85 Woodland Rd.
Short Hills, NJ 07878
Bernstein, Stacy L., MD
(908) 233-8860
Paramount Medical Group
592B Springfield Ave.
Westfield, NJ 07090
Bery, Sumita, MD
(908) 522-2232
Overlook Hospital
Emergency Dept.
99 Beauvoir Ave.
Summit, NJ 07902
Boodish, Wesley, MD
(973) 912-0155
159 Millburn Ave.
Millburn, NJ 07041
Bourne, Jeffrey A., MD
(973) 822-2900
The Washington Building
466 Southern Blvd.
Chatham, NJ 07928
Brandstaedter, Karen H., MD
(908) 755-5437
Watchung Pediatrics
Warren, NJ 07059
Brown, Melissa M., MD
(973) 376-9000
241-B Millburn Ave.
Millburn, NJ 07041
Dorneo, Aurora B., MD
(201) 823-0313
850 Avenue C
Bayonne, NJ 07002
Jessel, Nele, MD
(908) 766-0034
169 Mine Brook Rd.
Bernardsville, NJ 07924
Eibschutz, Ghitta, MD
(908) 228-3620
560 Springfield Ave.
Westfield, NJ 07090
Kairam, Hemant, MD
(908) 273-1112
Summit, NJ 07901
Esquerre, Rene B., MD
(973) 467-1069
Springfield Pediatrics
190 Meisel Ave.
Springfield, NJ 07081
Katz, Andrea G., MD
(908) 755-5437
Warren, NJ 07059
Flanzman, Ellen S., MD
(908) 232-3445
532 E. Broad St.
Westfield, NJ 07090
Pediatric Directory
Agathis, Allyson, MD
(908) 719-2626
395 Main St.
Bedminster, NJ 07921
Kemeny, Alexa C., MD
(908) 277-8601
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Kharkover, Mark Y., MD
(908) 322-6000
1608 E. 2nd St.
Scotch Plains, NJ 07076
Chen, Margaret, MD
(908) 232-3445
532 E. Broad St.
Westfield, NJ 07090
Frenda, Frank P., MD
(973) 822-2900
466 Southern Blvd.
Chatham, NJ 07928
Chin, Kathleen L., MD
(908) 508-0400
556 Central Ave.
New Providence, NJ 07974
Ganek, Ellen B., MD
(908) 766-0034
169 Mine Brook Rd.
Corbo, Emanuel, MD
(908) 245-2442
443 E. Westfield Ave.
Roselle Park, NJ 07204
Gillard, Bonita D., MD
(908) 889-8687
346 South Ave., Ste. 3
Fanwood, NJ 07023
Cotler, Donald N., MD
(973) 912-0400
171 Millburn Ave.
Millburn, NJ 07041
Graffino, Donatella B., MD
(973) 267-9393
8 Saddle Rd.
Cedar Knolls, NJ 07927
Cucolo, Patricia A., MD
(973) 822-0003
Madison Pediatrics
300 Madison Ave., 3rd Fl.
Madison, NJ 07940
Gutierrez, Juan A., MD
(973) 971-7550
Morristown Memorial Hospital
100 Madison Ave.
Morristown, NJ 07962
Cuddihy, Kathleen M., MD
(908) 771-9824
New Providence Pediatrics
180 South St.
Hall, Dahlia A., MD
(973) 376-9000
Personal Care Pediatrics
241B Millburn Ave.
Millburn, NJ 07041
Koward, Donna M., MD
(908) 889-8687
Watchung Pediatrics
346 South Ave., Ste. 3
Fanwood, NJ 07023
Davis, Kenneth J., MD
(908) 354-9500
701 Newark Ave., Ste. 212
Elizabeth, NJ 07208
Haymond, Jean R., MD
(908) 232-3445
532 E. Broad St.
Westfield, NJ 07090
Diaz, Julio C., MD
(973) 379-2488
85 Woodland Rd.
Short Hills, NJ 07078
Hermann, Daniel, MD
(908) 228-3620
560 Springfield Ave.
Westfield, NJ 07090
Kramer, Sarah R., MD
(908) 755-5437
Watchung Pediatrics
Warren, NJ 07059
Estrada, Elsie C., MD
(973) 635-4511
12 Parrott Mill Rd.
Chatham, NJ 07928
Hoelzel, Donald W., MD
(973) 889-6805
200 South St.
Knowles, Kelly P., MD
(908) 755-5437
Warren, NJ 07059
Korkmazsky, Yelena, MD
(973) 467-1009
Springfield Pediatrics
190 Meisel Ave.
Kornfeld, Howard N., MD
(908) 277-8601
1 Diamond Hill Rd.
Kowalczyk, Matthew A., MD
(908) 232-2310
532 E. Broad St.
Westfield, NJ 07090
Leier, Tim U., MD
(973) 206-1033
Children’s Orthopedic and Sports
Medicine Center
261 James St., Ste. 3C
21
Pediatric Directory
Levin, Lorin, MD
(973) 665-0900
Touchpoint Pediatrics
17 Watchung Ave.
Chatham, NJ 07928
Levine, David B., MD
(973) 912-0155
Schwartz & Boodish Pediatrics
159 Millburn Ave.
Millburn, NJ 07041
Li, Yan, MD
(800) 848-3721
TeamHealth East
307 S. Evergreen Ave.
Woodbury, NJ 08096
Lissenden, Carolkay, MD
(908) 232-2935
135 Wild Hedge Ln.
Mountainside, NJ 07092
Lon, Richard G., MD
(908) 598-0190
Hilltop Pediatrics
Summit, NJ 07901
Lozano, Rolando, MD
(973) 467-1009
190 Meisel Ave.
Lubin, Alan B., MD
(973) 762-0400
173 South Orange Ave.
South Orange, NJ 07079
Luke, Steven, MD
(908) 688-9900
1050 Galloping Hill Rd., Ste. 200
Union, NJ 07083
Lupski, Donna L., MD
(908) 277-8601
1 Diamond Hill Rd.
Lurie, Brian M., MD
(908) 522-5800
Goryeb Children’s Center
at Overlook Hospital
99 Beauvoir Avenue
Summit, NJ 07901
Mangru, Subita S., MD
(973) 912-0155
159 Millburn Ave.
Millburn, NJ 07041
Manocchio, Teresa, DO
(908) 273-1112
Summit Pediatric Associates
33 Overlook Road, Ste. 101
Summit, NJ 07901
22 | May 2010
Meltzer, Alan J., MD
(973) 822-0003
300 Madison Ave.
Madison, NJ 07940
Petrozzino, Vito V., MD
(973) 992-3666
349 East Northfield Rd., #LL2
Livingston, NJ 07039
Shah, Arvind P., MD
(908) 654-3525
1272 Central Ave.
Westfield, NJ 07090
Miguelino, Ida A., MD
(908) 769-0100
34 Mountain Blvd.
Warren, NJ 07059
Pien, Gary C., MD
(908) 273-4300
1 Diamond Hill Rd.
Shapren, Kristen M., MD
(908) 233-8860
Paramount Medical Group, PC
592-B Springfield Ave.
Westfield, NJ 07090
Pinho, Paulo B., MD
(973) 912-7273
PASE Healthcare
225 Millburn Ave., Ste. 303
Millburn, NJ 07041
Shaw-Brachfeld, Jennifer L., MD
(973) 665-0900
17 Watchung Ave.
Chatham, NJ 07928
Pogany, Ursula, MD
(908) 276-6598
19 Holly St.
Cranford, NJ 07016
Shih, Eunhee E., MD
(973) 912-0155
159 Millburn Ave.
Millburn, NJ 07041
Polisin, Michael J., MD
(908) 273-5866
47 Maple St., Ste. 107
Summit, NJ 07901
Sinatra, Frank A., MD
(908) 766-0034
169 Mine Brook Rd.
Poon, Chiu-Man, MD
(908) 687-3300
New Jersey Health Care Services
2780 Morris Ave., Ste. 2A
Union, NJ 07083
Singer, Beth C., MD
(908) 769-0100
34 Mountain Blvd.
Warren, NJ 07059
Prabhuram, Nagarathna, MD
(908) 354-9500
Elizabeth Pediatric Group
701 Newark Ave., 212
Elizabeth, NJ 07208
Straw, Simone A., MD
(908) 688-9900
Union Pediatric
Medical Group, PA
Union, NJ 07083
Moskowitz, Steven, MD
(908) 508-0400
556 Central Ave.
Mullick, Bharati S., MD
(201) 602-0126
295 Baltusrol Way
Nikodijevic, Vesna, MD
(973) 635-4511
Chatham Pediatrics
12 Parrot Mill Rd.
Chatham, NJ 07928
Ohri-Govil, Ranjana, MD
(908) 688-9900
Union, NJ 07083
Oxman, David J., MD
(908) 688-9900
Union, NJ 07083
Panza, Robert A., MD
(908) 233-7171
Pediatric Associates of Westfield
566 Westfield Ave.
Westfield, NJ 07090
Panzner, Elizabeth A., MD
(908) 688-9900
Union, NJ 07083
Parikh, Vasavi, MD
(908) 273-1112
Summit Pediatrics
Summit, NJ 07901
Peng, Patricia E., DO
(908) 766-0034
169 Mine Brook Rd.
Percy, John O., MD
(908) 654-8877
592B Springfield Ave.
Westfield, NJ 07090
Petron, Alexander W., DO
(973) 971-5513
100 Madison Ave., #29
Rajkumar, Aradhana, MD
(973) 588-4280
Morris Pediatric Care
3219 Rte. 46 E., Ste. 115
Parsippany, NJ 07054
Summa, Geraldine M., MD
(908) 769-0100
34 Mountain Blvd.
Warren, NJ 07059
Rodgers, Natasha A., MD
(973) 665-0900
Touchpoint Pediatrics, PA
17 Watchung Ave.
Chatham, NJ 07928
Thomas, Alan E., MD
(908) 277-8601
1 Diamond Hill Rd.
Rosnowski, Stanislawa Z., MD
(973) 822-2900
466 Southern Blvd.
Chatham, NJ 07928
Thomas, Pauline A., MD
(908) 219-3055
33 Overlook Rd., Ste. 103-107
Summit, NJ 07901
Scherer, Susan D., MD
(973) 822-0003
300 Madison Ave.
Madison, NJ 07940
Schulhafer, Edwin P., MD
Allergy, Asthma & Sinus Center
of NJ
(908) 526-0200
712 Courtyard Dr.
Hillsborough, NJ 08844
Thomas, Jolly, MD
(973) 379-4300
18 Morris Ave., Ste. 2A
Tom, Valerie, MD
(973) 665-0900
17 Watchung Ave.
Chatham, NJ 07928
Vergano, Scott T., MD
(973) 625-5090
140 E. Main St.
Denville, NJ 07834
Vigorita, John F., MD
(908) 273-1112
Summit, NJ 07901
Vinnakota, Rao V., MD
(908) 753-2662
27 Mountain Blvd., Ste. 1
Warren, NJ 07059
Visci, Denise, MD
(908) 508-0400
556 Central Ave.
Visci, John J., MD
(908) 766-0034
169 Mine Brook Rd.
Voremberg, Sandra R., MD
(973) 218-0707
120 Millburn Ave., Ste. M1
Millburn, NJ 07041
Anesthesiology
George, Tony, MD
(908) 598-1500
Summit, NJ 07901
Adolescent Medicine
Canosa, Omar, MD (Psychiatrist)
(908) 522-5757
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07902
Clark-Hamilton, Jill, MD
(908) 522-5757
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07902
Park, Lisa, MD
(908) 522-5757
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07902
Rosenfeld, Walter D., MD
(908) 522-5757
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07902
Sanders, Leslie A., MD
(908) 522-5757
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07902
Wasser, Kerri, MD (Psychiatrist)
(973) 971-5199
Cardiology
Donnelly, Christine M., MD
(908) 522-6649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Fernandes, John, MD
(973) 533-1031
349 E. Northfield Rd., Ste. 201
Kaufman, Stuart, MD
(908) 522-6649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Leichter, Donald A., MD
(908) 522-5566
47 Maple St., Ste. 206
Summit, NJ 07901
Mone, Suzanne M., MD
(908) 522-6649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Rosenthal, Lauren B., MD
(908) 522-6649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Timchak, Donna M., MD
(908) 522-6649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Critical Care
(973) 971-7550
Goryeb Children’s Hospital
100 Madison Ave.
Gutierrez, Juan, MD
Horowitz, Ira, MD
Thomas, Melissa, MD
Developmental Pediatrics
(908) 522-6659
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Gupta, Vidya B., MD
Lanzkowsy, Shelley, MD
Livingstone, Tosan, MD
Selvaggi Fadden, Kathleen, MD
Emergency Medicine
Ahmad, Khoshnood, MD
(856) 848-3817
TeamHealth East
Woodbury, NJ 08096
Quinones, Luis M., MD
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Reichard, Kathleen, DO
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Reingold, Stephen M., MD
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Sheth, Manoj I., MD
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Wiener, Ethan S., MD
(973) 971-5044
Emergency Department
100 Madison Ave.
Endocrinology
Brooks, Heather L., MD
(908) 522-5310
Overlook Hospital Emergency
Department
99 Beauvoir Ave.
Summit, NJ 07901
(908) 522-6619
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Catrambone, Renee L., MD
(908) 522-2000
Department
99 Beauvoir Ave.
Summit, NJ 07902
Berry, Tymara, MD
Cerame, Barbara I., MD
Chin, Daisy, MD
Guevarra, Frances M., MD
Silverman, Lawrence A., MD
Starkman, Harold S., MD
Chavda, Kamal K., MD
(908) 522-2000
Department
Beauvoir Ave.
Summit, NJ 07902
Gastroenterology
Gowda, Sharada H., MD
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Lucciola, Pompeo A., MD
(908) 522-5664
Department
Beauvoir Ave.
Summit, NJ 07902
Purewal, Amarpal K., MD
(800) 848-3721
TeamHealth East
Woodbury, NJ 08096
Pediatric Directory
Trosin, Laurie E., MD
(908) 508-0400
The Pediatric Center
556 Central Ave.
Feldman, Tamara L., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Kazlow, Philip G., MD
(212) 305-5903
3959 Broadway, Rm.726N
New York, NY 10032
Koslowe, Oren L., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
23
Pediatric Directory
Leiby, Alycia A., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Nwaobasi-Iwuh, Eberechi, MD
(908) 522-2700
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Mones, Richard L., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Nephrology
Rosh, Joel R., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Tyshkov, Michael (Misha), MD
(908) 273-2300
Summit, NJ 07901
Wilmot, Peter C., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Verga, Barbara J., MD
(908) 522-8714
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Hospitalists
(908) 522-4679
99 Beauvoir Ave.
Summit, NJ 07901
LoFrumento, MaryAnn, MD
(nursery)
Nwaobasi-Iwuh, Eberechi, MD
Vassallo, Sheryl, MD
Infectious Diseases
Baorto, Elizabeth P., MD
(973) 971-6329
Corey, Howard E., MD
(973) 971-5649
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Salcedo, Jose R., MD
(973) 754-2570
Children’s Hosp., St. Joseph’s
703 Main St.
Paterson, NJ 07503
Topper, Leonid L., MD
(973) 993-8777
Pediatric Neurology Associates
111 Madison Ave., Ste. 310
Waran, Sandy P., MD
(973) 993-8777
Children’s Neurology Center
Ophthalmology
Bernstein, Jay M., MD
(973) 326-8895
218 Ridgedale Ave., Ste. 100
Chen, Lucy L., MD
(973) 540-8814
Mori, Mayumi, MD
(973) 326-8895
218 Ridgedale Ave., Ste. 100
Neurosurgery
Orthopedics
Mazzola, Catherine, MD
(973) 326-9000
310 Madison Ave.
Friedman, Samara, MD
(973) 206-1033
Children’s Orthopaedics & Sports
Med. Center
Neurology
Oncology/Hematology
Bennett, Harvey, MD
(908) 522-0127
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
(908) 522-2353
Valerie Center
Summit, NJ 07901
Fritz, Melinda D., MD
Gregory, John J., MD
Mahmoud, Hazem, MD
Miller, Michelle K., MD
Leier, Tim U., MD
(973) 206-1033
Med. Center
Neonatology
Liggio, Frank J., MD
(973) 258-1010
194 Main St.
Millburn, NJ 07041
DeSouza, Trevor G., MD
(973) 993-8777
Children’s Neurology Center
25 Lindsley Dr., Ste. 205
Mid Atlantic Neonatology
Associates
(973) 971-5488
100 Madison Ave.
Minkowitz, Barbara, MD
(973) 206-1033
Med. Center
Kubichek, Marilyn A., MD
(973) 635-2832
200 South Orange Ave.
(908) 522-3569
99 Beauvoir Ave.
Box #259
Summit, NJ 07902
Lazar, Lorraine M., MD
(908) 522-0127
11 Overlook Rd.
MAC II Suite 230
Summit, NJ 07902
Crowley, Kathryn A., MD
Federico, Cheryl L., MD
Goil, Sunita, MD
Hassinger, Denise C., MD
Ladino, John F., MD
Lee, Ben H., MD
Mimms, Gaines M., MD
Orsini, Anthony J., MD
Presti, Amy L., MD
Rogido, Marta R., MD
Schenkman, Andrew C., MD
Shen, Calvin T., MD
Skolnick, Lawrence M., MD
Swanson, Jonathan R., MD
Nuzzo, Roy M., MD
(908) 522-5801
Overlook Hospital
99 Beauvoir Ave., Ste. 750
Summit, NJ 07901
Cargan, Abba L., MD
(908) 233-5000
1122 Rte. 22 West
Mountainside, NJ 07092
Mahalingam, Rajeshwari S., MD
(908) 522-0127
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
McBrian, Danielle, MD
(914) 428-9213
Northeast Regional Epilepsy Group
99 Beauvoir Ave.
Summit, NJ 07902
24 | May 2010
Sinha, Kavita, MD
(908) 822-1030
31-A Mountain Blvd.
Warren, NJ 07059
Sabharwal, Sanjeev, MD
(908) 522-5895
33 Overlook Rd., Ste.L-02
Summit, NJ 07901
Pain Management
Leier, Tim U., MD
(973) 971-7798
Goryeb Children’s Hospital
100 Madison Avenue
Urology
Assefa, Dagnachew, MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Clement, Michelle, MD
(973) 539-1050
261 James St., Ste. 1A
Atlas, Arthur B., MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Expert pediatric specialists at the Goryeb Children’s Center at Overlook
Hospital and Goryeb Chidren’s Hospital at Morristown Memorial manage
medical emergencies, chronic health conditions, and serious illnesses.
Specialties include:
-Cardiology, through the Children’s Heart Center (908-522-6649)
-Child Development Center (908-522-6659)
-Adolescent Medicine and Eating Disorders
Program (908-522-5757)
-General Surgery and other surgical specialties including ENT,
ophthalmology, orthopedics, and urology (908-522-3523)
-Neurology and Neurosurgery (908-522-0127)
-Gastroenterology and Nutrition (908-522-8714)
-Endocrinology and Diabetes (908-522-6619)
-Hematology and Oncology (908-522-2353)
-Infectious Disease (973-971-6329)
-Pulmonology, through the Respiratory Center for Children (908-522-8706)
-Nephrology/Kidney Center (973-971-5649)
Bieler, Harvey P., MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Bye, Michael R., MD
(908) 273-2300
Summit, NJ 07901
Cooper, David Michael, MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Kohn, Gary L., MD
(973) 267-6292
Pulmonary and Allergy
Associates, PA
8 Saddle Rd.
Connor, John P., MD
(973) 539-0333
Adult and Pediatric Urology Group
261 James St., Ste. 3A
For a complete list of services,
visit www.atlantichealth.org/Goryeb/
Shah, Ashish R., MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Wazeka, April N., MD
(908) 522-8706
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07902
Surgery
(908) 522-3523
Overlook Hospital
99 Beauvoir Ave., 8th Fl.
Summit, NJ 07901
Bergman, Kerry S., MD
Jacir, Nabil N., MD
Lazar, Eric, MD
25
Pediatric Directory
Pulmonology
26 | May 2010
Road to Recovery
A new program helps kids overcome their
battles with eating disorders.
By Alyson Black
What does your inner voice tell you? It may prompt you to follow your
instincts, it may guide you to do the right thing. You can heed that
inner voice or disregard it, and then move on to something else. But for
adolescents with eating disorders, that inner voice is more sinister, more
insidious. It’s a voice that tells them—screams at them—not to eat or
that they don’t deserve to eat. Left unchecked, anorexia and bulimia rob
children of their health and even of their lives.
Key to patients’ success are the therapeutic meals and snacks and meal
processing sessions, where patients eat together and with a therapist or
nutritionist. “Each patient has an individual eating plan worked out,”
Sanders says. “Menus are structured to strike a caloric and nutritional
balance.” During and after the meal or snack, patients and therapists will
address any struggles that occurred in the context of the meal, such as
those pertaining to “fear foods” like fats and carbohydrates.
Treatment is critical and often complicated, requiring a balance of
medical intervention, talk therapy, nutritional counseling, and family
support. The Eating Disorders Program at Overlook Hospital provides
all of these things, and next month its newest component, a Partial
Hospitalization Program (PHP), opens its doors to patients who require
more than outpatient therapy but are not in need of round-the-clock
medical support.
“Eating disorders are ‘silent’ diseases—people don’t talk about them; they
hide them,” says PHP Clinical Coordinator Barbara Hale, Psy.D. “People
with eating disorders are not likely to talk about what’s going on inside
their heads—it’s a secretive language that other people don’t understand.
But during treatment, everyone is speaking the same language and
patients get so much support from each other.”
“For patients who are medically stable enough and don’t require 24-hour
support, the PHP affords them the opportunity to stay in their own home and
remain connected,” explains Leslie Sanders, MD, medical director of the
Eating Disorders Program and director of Adolescent Medicine. “Kids are
able to stay in the real world, see where they are struggling, and practice the
skills they are learning. The program is designed to troubleshoot areas the
patient has trouble with, while delivering intensive support.”
The five-day-a-week, eight-hours-a-day program is more intense than
its predecessor, the Intensive Outpatient Program (IOP), where patients
in need of less intervention meet only three times a week after school.
The IOP and PHP will operate in tandem, however, and Sanders predicts
that many patients in the Eating Disorders Program will find themselves
starting in the PHP and being downgraded to the IOP, or, in some cases,
moving up from the IOP to the PHP.
A typical day in the PHP will include psychiatric counseling, nutritional
counseling and education, art therapy, talk therapy, and movement therapy
(activities like yoga, Sanders explains, are helpful modalities for coping
with body-image issues). School-age children will have structured time
for completing schoolwork. Parents are required to participate in various
aspects of their child’s treatment, too, so that patients receive optimal
support and consistency outside of the hospital.
Hale and Sanders stress that although the public doesn’t necessarily
understand eating disorders, they are serious illnesses that require
intervention. “It’s easy to deny that there’s a problem, to put off dealing
with it,” says Hale. “But when families are educated, their children can
be helped.”
__________________________________________________________
To learn more about the Eating Disorders Program, including the Partial
Hospitalization Program and the Intensive Outpatient Program,
call (888) 308-3254.
Know the Signs
If your child is struggling with an eating disorder, he or she likely
won’t come forth to tell you about it. Instead, it’s important for
parents to be able to spot red flags.
•Physical changes, like weight loss, loss of menstruation,
irritability, headaches, or lightheadedness
•A more limited, more regimented diet, avoidance of fat, or reading
nutrition labels and measuring food to obsession
•Increased amounts of exercise, particularly immediately after eating
• Comments about feeling or looking fat, despite weight loss
Changes
of Heart
It’s not only adults who
deal with cardiac problems;
newborns and children are
affected by congenital and
acquired heart defects, too. But
with medical intervention, they
can lead thriving lives.
by Alyson Black
Think back to the first time you heard your baby’s heart beat—that
almost echo-like whooshing sound calling out through the ultrasound
equipment. Do you remember how you felt your own heart racing just
a little faster? With those rhythmic beats, your unborn baby suddenly
became less of a fantasy and more of a reality.
For some children, including those still in the process of developing as
they wait to be born, their hearts may not be healthy. In fact, congenital
heart defects are the most common birth defects, affecting nearly one
percent of newborns—but most problems can be treated successfully.
At the Children’s Heart Center at Overlook and Morristown Memorial
hospitals, a team of five cardiologists with more than 60 years of
combined experience leads a support staff of nurses, cardiovascular
technicians, and a social worker in treating thousands of children with
congenital and acquired heart problems every year—and the healthy,
happy children that thrive after treatment are as awe-inspiring as those
initial tiny heartbeats.
When Trouble Strikes
Congenital problems may be detected in utero through fetal
echocardiography, a special ultrasound test that studies the structure
of a baby’s heart before birth. In some cases a mother-to-be will be
referred to the Children’s Heart Program for additional screening if her
obstetrician detects a potential problem. Other times certain maternal
conditions like diabetes or lupus will prompt such a referral, as might a
history of congenital heart disease in parents or close relatives, which
28 | May 2010
may increase the risk for
a congenital heart defect in the fetus. “Fetal diagnosis of
congenital heart disease allows for parental education, preparation,
and development of an optimal treatment plan prior to delivery to
maximize chances for a successful outcome,” explains Christine
Donnelly, MD, director of Pediatric Cardiology for Atlantic Health. “In
some cases, certain heart problems, like abnormalities of the fetal heart
rhythm, can be treated prior to birth with maternal medications.”
Congenital heart defects may come to light after a baby is born, too. Many
congenital problems are minor, explains Donnelly, and they resolve on
their own. But for significant and potentially life-threatening defects like
hypoplastic left heart syndrome (a rare defect in which the left side of
the heart is severely underdeveloped) or transposition of the great artery
(a common cause of cyanotic heart defects, often resulting in what is
known as “blue babies”), early surgical intervention is imperative. For
patients requiring surgery or other invasive diagnostic tests and treatments
such as cardiac catheterization, the Children’s Heart Center partners
with New York–Presbyterian Hospital, which houses one of the largest
pediatric cardiology centers in the northeast. “We’ve created a network of
excellence,” explains Donnelly, “allowing for state-of-the-art care close
to home and seamless coordination of care for invasive procedures and
surgery by our cardiology staff when needed.” The Children’s Heart Center
focuses on optimizing outcomes for babies born with congenital heart
defects, but this also includes optimizing neurodevelopmental outcomes
and quality of life. The Center facilitates neurodevelopmental assessments
to make sure children are developing age-appropriately and that their
cardiac condition has not resulted in other impairments. There is access to such
services as physical therapy, speech therapy, and feeding therapy, if needed.
DVD to watch while having an echocardiogram. “We do whatever needs
to be done for our kids to make them comfortable. You should see the
things we carry in our pockets: bubbles, magic wands, toys, cars, lights.
We’ll jump up and down if we have to—whatever works.”
Of course, for many children, problems are not detected at birth or
perhaps are not even present at birth. A pediatrician may refer a child
to the Children’s Heart Center if he or she notices a heart murmur, or
if a child is exhibiting symptoms that may be cardiac-related; chest
pain, fainting, lipid abnormalities, or changes in stamina that cannot
be explained may all be indicative of cardiac problems. Noninvasive
testing—including echocardiography, electrocardiography, Holter and
event monitoring for rhythmic abnormalities, and ambulatory blood
pressure monitoring—can help doctors determine whether there is a
cardiac problem, and what kind of treatment is necessary. In instances
where there is a family history of high cholesterol, heart attacks at an
early age, or unexplained collapse, children can be evaluated for genetic
abnormalities of the heart muscle or heart rhythm.
Part of what makes the Center so successful in patient care is the
commitment to accessibility: making sure patients and their families
have the information they need to manage their cardiac care. “We
educate patients and make the process as easy as possible for them,”
says Kaminski. “I can’t truly understand what a patient or a family is
going through because I’m not going through that same experience, but I
can make sure they understand a diagnosis or treatment plan.”
“Our staff really loves children,” says Wanda Kaminski, RN, the
Center’s head nurse. Testing areas are patient-friendly, with mobiles and
televisions for patient comfort. Patients even can bring their favorite
Bridging the Gap
Social worker Margaret Micchelli, LCSW, helps children and families
navigate the course of diagnosis and treatment, and living with cardiac
disease. “The things I do for families when they are faced with a
diagnosis of a newborn or a child with heart disease are aimed at the
emotional and social aspects of the condition,” she says. Micchelli
provides counseling and support, as well as information and referrals to
special services. And she routinely works with expectant parents who
are coming to terms with the impending reality of having a baby with a
heart problem. “They’re dealing with a major life event with the birth
of a child, and then they’re dealing with this issue on top of that,” she says. “Parents have to
relinquish the ideal they had before the diagnosis, but they don’t know what’s ahead of them.
“The metaphor I use is that they’re going to be entering a new culture—a world they might not
be aware of and might not have given any thought to,” she continues. “There will be a medical
language they will have to learn, new procedures and treatments they will face, and a whole group of
professionals and other families who can guide them. It can be overwhelming at first, but it doesn’t
have to be fraught with unknowns—there is support, there are people, and there is information.”
Micchelli has been working to create hospital events where families can come together—where
they can be part of a community culture of other families who understand the experience of
living with pediatric heart disease. In February she put together an event attended by 150 people
to celebrate National Congenital Cardiac Defect Awareness Day, and she’s planning a picnic for
this summer. She facilitates a support group for parents, and says she is hoping to form one for
siblings. “Having a sick child in the family affects everyone’s life,” Micchelli says.
That’s certainly true, but it’s just as important to celebrate the fact that these children are here at
all. “Prognosis has dramatically improved for children with congenital heart disease,” says Donnelly.
“Medical and surgical innovations have resulted in children with heart disease surviving and living lives
that were not thought possible just a few decades ago.” In fact the number of adults with congenital
heart defects is now equal to the number of children with them—“and that really speaks of our success,”
Donnelly says. “There’s an emerging specialty in the care of adults with congenital heart defects. There
are more options to offer patients now, and a better quality of life than ever before.”
Says Kaminski: “It’s rewarding to watch them grow up from babies and toddlers to older children
who are able to call me up and ask me a question. It’s wonderful to see them thrive.”
To learn more about the Children’s Heart Center or for a referral to a pediatric cardiologist,
call (888) 262-6173.
“Our staff really
loves children.
We do whatever
needs to be done
for our kids.”
30 | May 2010
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32 | May 2010
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Your Hometown’s Homecare
HOMECARE
MEDICAL EQUIPMENT
& OXYGEN
Homecare
-Skilled Nursing
& Rehabilitation
Therapy
-Home Health Aide
Services & Live-Ins
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-Flexible, Trained
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Atlantic Health @ Home: It’s All Here
Whether caring for patients in our medical facilities or
in their homes, we are committed to providing a variety
of services that support the diverse healthcare needs of
our community. When it comes to homecare services,
partnering with a familiar, trusted provider can mean so
much. Atlantic Health @ Home–for all of your homecare
needs, it’s all here. For information about the full range of
services available, please call (888) 274-0695.
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A larger-than-life exhibit of the human heart strives to instill
healthy habits by capturing kids’ imaginations.
healthy
Foundations
By Alyson Black
“Your standard science and
health texts in the classroom
are literally black and white. By
having a hands-on experience,
your black-and-white
experiences become colorful.”
34 | May 2010
One by one they file in, not sure what to expect but
delighted by the catchy, up-tempo “Pump Your Blood”
song playing in the background, and intrigued—as
only children can be—by the purple and red dome
in the center of the room. The kids, fourth- and fifthgraders from local schools, know that they’ve traveled
to Overlook Hospital to learn about cardiovascular
health, but they don’t realize they’re about to be treated
to an interactive lesson designed to stay with them for
a lifetime—and that the blow-up, igloo-like dome is
actually a walk-through replica of the heart. At nine feet
tall, the heart would be large enough for the Statue of
Liberty, and is outfitted with videos and other depictions
of the heart’s anatomy, function, and some common
ailments. The aim? To educate kids about their hearts
and get them thinking about heart-disease prevention at
a young age.
“We live in a culture afflicted by childhood obesity,”
says Steven Sheris, MD, FACC, chief of Cardiology
at Overlook Hospital and a member of Associates in
Cardiovascular Disease. “Kids aren’t concerned about
heart disease. They’re concerned about computer time.
But this display gets kids to think about it. They need to
have some coaching for heart health.”
Walk in the Heart, as the program is called, is a
Community Health project supported by a charitable
donation from Sanofi-Aventis U.S. The idea was
conceived by Community Health Manager Joyce
Passen, who wanted to do something unique in
conjunction with the 20th anniversary of the hospital’s
annual Cardiac Health Fair. “I’m very passionate about
educating children about all kinds of health issues,”
says Passen, who has been touched by heart disease
in her own life; both of her parents died of cardiac
disease years ago. “I was really close with my parents.
My dad was here one day and gone the next. No one
taught him about cholesterol or about what foods to
eat. By the time kids get to adulthood, they are already
suffering the side effects of a lifetime of bad choices and
lack of information. But I thought to myself, If only there
was a way to reach people sooner, maybe this wouldn’t be
happening.”
In fact, in the few weeks since Walk in the Heart
debuted at Overlook, hundreds of children have opened
their eyes to a new way of thinking about their hearts
and their health. They are encouraged to think of their
own hearts as homes, with four chambers that are like
rooms and valves that are like doors. “Just as you’re
supposed to take care of your house,” says Passen,
“you’re supposed to take care of your heart.”
see depictions of foods’ fat content in test tubes, and can
use clay models to observe the difference in size of a
human heart versus that of various animals.
“We all need to take a larger role in educating our
children,” says Sheris. “Everything about hospitals and
the healthcare system doesn’t have to be about disease;
it can be about health. Kids need to know that it’s
important to maintain heart health as you age. For now,
what they need to know is to eat sensibly, stay active,
and have fun—that’s what childhood is about.”
Says cardiologist William Tansey, MD, FACC, “We’ve
tried to teach cardiovascular disease to adults for a long
time. Now we’re reaching out to a younger audience.
If young kids get engaged with topics they’re learning
about, they’re inspired—they want to get out and learn
more. Your standard science and health texts in the
classroom are literally black and white. By having a
hands-on experience, your black-and-white experiences
become colorful. If you have the chance to take the path
in the heart that a blood cell takes through an artery, you
will never forget the sequence of cardiac circulation.
Once you have that basic information, you can go back
to class and hang things on it: ‘Let me look a little
harder. How did that electrical impulse start in the first
place? If the heart is a pump and all pumps need fuel,
where does the heart get its fuel? How do I take care of
it so it lasts as long as possible?’ ”
Programs like Walk in the Heart give science heart and
soul and imagination, Tansey says—all the tools for
creating an interactive science education. “There is no
reason science has to be onerous,” he says. “So many
kids don’t have feelings of excitement that go along
with biology and chemistry, because they never really
had their curiosity piqued. There is a stereotype among
kids that science is dull, and for nerds. But if you can
get people past the stereotype and get them fascinated,
then they get to enjoy the exploration. The kids today
who are going to make a difference in what we eat, how
we breathe, how we drive, how we live, are going to be
the kids who got curious at a young age.”
Passen, Sheris, and Tansey are hopeful that this
curiosity will extend to adults, too. Next month the
heart will be featured in Trenton at the state’s Capitol
building. And for every child and every adult who
comes face-to-face with the larger-than-life heart,
Passen says the take-home is simple: “I hope everyone
takes this message home to their families: ‘I want you
to be with me for a very long time. Stop smoking. Eat
better foods. Come take a walk with me.’ ”
In addition to the inflatable heart, the program consists
of learning stations on topics ranging from fitness to
nutrition to CPR. Kids learn how to make a 911 call,
For information about the Gagnon Cardiovascular Institute at Overlook Hospital, call (888) 836-3975.
(908) 771 0707�
36 | May 2010
Nursing care that’s a cut above.
The outstanding nurses
of Overlook Hospital.
The nurses at Overlook Hospital both as a group and individually
are often recognized for their caring, compassion, clinical
expertise, and nursing excellence. These dedicated professionals
provide exemplary care to our patients every single day. During
Nurses Week 2010, we offer congratulations to our nurses–we are
lucky to have them. And you are, too!
For more information or to sign up for a free, personalized
e-newsletter visit atlantichealth.org.
Community Health
calendar
Registration is required for all programs
through Overlook Hospital’s Health Information Services at 888-281-5345,
unless otherwise noted. Overlook Hospital is located at 99 Beauvoir Ave., Summit.
Atlantic Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
* Indicates a fee associated with the program.
Heart Health
Cardiac Health Fair
Overlook Hospital's 20th Annual Cardiac Health Fair
celebration will be held this year at the Short Hills
Hilton. Dr. William Tansey, who is also celebrating his
20th year with the Cardiac Health Fair, will once again
be our keynote speaker. Other speakers will include
cardiologists Steven Sheris, MD; Frank Smart, MD.
Breakfast, displays and our "Walk Through the Heart"
will be from 8:00am to 8:45am. The program will
begin at 9:00am sharp.
Registration required at 888-281-5345. Saturday, June 12, 8:00 A.M. Short Hills Hilton, 41 John F. Kennedy Pkwy., Short Hills
Peripheral Vascular Disease Screening
If you experience painful leg cramps while walking
or have a foot wound that refuses to heal, you may
be showing signs of peripheral vascular disease
(PVD). PVD is most common in post-menopausal
women and men over the age of 50.
Registration required at 888-281-5345. Thursday, May 20, 6:00 P.M. to 9:00 P.M. Medical Arts Center I, Family Practice. L01, 33
Overlook Rd., Summit
Diabetes Screening Learn your blood sugar and risk factors for
Type II diabetes, with a non-fasting fingerstick
that gives immediate results.
Registration required at 888-281-5345.
Wednesday, May 5, 10:00 A.M. to Noon
Westfield YMCA, 220 Clark St., Westfield
Thursday, May 6, 10:00 A.M. to Noon
5 Pts., YMCA, Tucker Ave., Union
North Plainfield Library, 6 Rockview Ave.,
North Plainfield
Thursday, June 17, 10:00 A.M. to 1:00 P.M.
Whole Food, 225 Springfield Ave., Vauxhall
Blood Pressure
Make sure you are at or below 120/80,
the national guideline for blood pressure.
Receive counseling and educational materials.
Westfield Board of Health, 425 E. Broad St., Westfield
Monday, May 17 10:00 A.M. to Noon
The Connection, 79 Maple St., Summit
BLS for the Healthcare Provider* (full course) This course is designed to meet the needs of
healthcare professionals who respond to cardiac
and respiratory emergencies.
Registration required at 888-806-6579. Call for dates and times Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $85
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI
affect your heart health. Receive individual counseling
and educational materials.
Thursday, May 13, 10:00 A.M to Noon
Westfield Board of Health, 425 E. Broad St., Westfield
Monday, May 17, 10:00 A.M to Noon
The Connection. 79 Maple St., Summit
American Heart Association First Aid*
Covers basic First Aid for common medical
and traumatic emergencies. Prior knowledge
of CPR is recommended.
Call for dates and times
Overlook Hospital
Fee $55
Bariatric Medicine & Surgery Seminars and
Bariatric Support Group Call to find out dates and times for upcoming lectures
and seminars. There is also a support group for those
who have already had bariatric surgery. After bariatric
surgery, people experience new challenges both
physically and emotionally. Lectures on exercise,
nutrition, image changes, with guest speakers and
time for sharing information.
Overlook Hospital
BLS for the Healthcare Provider* (renewal) This course renews the skills taught in the full BLS course.
Overlook Hospital
Fee $55
Heartsaver AED* A program to teach CPR, AED, and relief of
foreign-body obstruction for adults.
Registration required at 888-806-6579. Call for dates and times
Overlook Hospital
Fee $45
Heartsaver Pediatric* A program to teach CPR and relief of foreign-body
obstruction for the infant and child.
Overlook Hospital
Fee $40
38 | May 2010
Cholesterol Screening*
Total cholesterol, HDL, and TC/HDL ratio are
measured using a simple fingerstick. Education
and counseling are offered, based on results.
Fasting is not required.
Monday, May 20, 10:00 A.M. to 1:00 P.M.
Whole Foods, 2245 Springfield Ave., Vauxhall
Tuesday. June 8, 10:00 A.M. to Noon
Summit YMCA, 67 Maple St., Summit
Fee $10
Taking Steps to Control Diabetes* Self-management education designed to help
patients and their families plan meals, monitor
blood sugar, prevent complications, and implement
healthy lifestyle habits. Individual and group
classes available. Covered by Medicare and
most major insurers.
Call Diabetes Center for times/ class schedule
Overlook Hospital
Fee varies
Advanced Carbohydrate & Counting for
People with Diabetes
Learn how to use the skills of carbohydrate counting
to help you better plan meals and discover how food
choices affect blook glucose levels. This program
is sponsored by Animas Corporation of Johnson &
Johnson and Overlook Hospital Diabetes Center.
Registration required.
Thursday, June 10, 6:30 P.M. to 8:30 P.M.
Overlook Hospital, Conference Room 4
Health & Wellness
Sun Exposure Education
See the effect of sun exposure on your skin by using our
Dermaview machine, and learn how to protect yourself
from the harmful effects of the sun. Receive free
educational materials. No registration required.
Thursday, June 3, 10:00 A.M. to Noon
5 Pts. YMCA, Tucker Ave., Union
Monday, June 7, 10:00 A.M. to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Thursday, June 10, 10:00 A.M. to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Wednesday, June 16, 10:00 A.M. to Noon
Berkeley Height YMCA, Springfield Ave., Berkeley Heights
Bone Density Screening*
Find out if you are at risk for developing osteoporosis, with
a noninvasive ultrasound that provides immediate results.
Counseling and educational materials are also provided.
Monday, May 3, 10:00 A.M. to Noon
Scotch Plains YMCA, Springfield Ave., Scotch Plains
Friday, June 11, 10:00 A.M. to Noon
Home Depot, Springfield Ave., Union
Fee $10
Taking the Pressure Off! Understanding
the Care and Treatment of Pressure Ulcers
Hear from the North Central Pressure Ulcer
Collaborative members and learn about the current
preventative and treatment options of pressure ulcers.
Wednesday, May 19, 6:30 to 8:30 P.M.
Overlook Hospital, Wallace Auditorium
For a referral to an Overlook Hospital physician, please call (800) 247-9580.
Therapeutic Gambling Group*
Weekly therapy group for individuals who are
concerned about their level of gambling.
Tuesdays, 8:00 to 9:00 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Women’s Group*
Participants will learn coping skills through
examination of thoughts and behaviors.
Thursdays, 11:00 A.M. to 12:30 P.M.
Atlantic Behavioral Healh-Mindfulness Group*
Women will learn mindfulness techniques and how
to apply them to better cope with their illnesses.
Registration required 888-247-1400.
Mondays, 2:30 to 4:30 P.M.
Atlantic Behavioral Healh-Mindfulness Group*
Men & Women will learn mindfulness techniques and
how to apply them to better cope with their illnesses.
Registration required 888-247-1400.
Chemical Dependency Intensive
Outpatient Program*
Three one-hour groups, 3 nights weekly, for those
trying to remain abstinent from all substances.
Monday, Wednesday, and Thursday nights,
6:00 to 9:30 P.M.
Mental Health Intensive Outpatient Program*
Group, individual, and family counseling as well as
medication management for those who need
an intense, time-limited treatment to improve
their emotional health. Participants attend 3
out of 5 days per week.
Mondays - Fridays 10:30 A.M. to 2:00 P.M.
Substance Abuse Family Support Group
Participants will learn ways to cope with
substance-abusing family members.
No registration required.
46-48 Beauvoir Ave., Summit Addictions Clinicians
HIV Support Group
This support group offers support and information
regarding HIV. Meet others with HIV who face the
same fears and questions, and find solutions.
Meetings are held in a confidential and private
environment. To leave a confidential message,
call 888-545-0174.
Second and fourth Thursdays of the month,
7:00 to 9:00 P.M.
Overlook Hospital, Case Management Office,
99 Beauvoir Ave., Summit
Hypnosis for Smoking*
Learn how to quit smoking for good, using
hypnosis and behavior modification techniques.
Thursday, June 17, 7:00 P.M. to 9:00 P.M.
Fee $70
Hypnosis for Weight Loss*
Learn how to permanently lose weight, using
hypnotic suggestions and proven behaviormodification techniques.
Tuesday, May 18, 7:00 to 9:00 P.M.
Tuesday, June 15, 7:00 to 9:00 P.M.
Fee $70
Neuropathy Patients Support Group
Discuss various options in the support and treatment
of neuropathy. For additional information, please call
908-233-9709. No registration required.
First Tuesday monthly: May 4, June 1, September 7,
October 5, November 2, December 7. No meetings
in July and August, 7:00 to 8:30 P.M.
Overlook Hospital, Neuroscience Community
Conference Room.
Adults with Epilepsy & Their Caretakers Support
Join us and other adults with epilepsy, or those
adults caring for family or friends with epilepsy, to
share experiences and strategies on how to best live
with this sometimes-puzzling disorder.
Second Thursday of the Month. 6:30 to 8:30 P.M.
Overlook Hospital, Atlantic Neuroscience Institute
Conference Center, 99 Beauvoir Ave., Summit
Respiratory Screening
Learn your breathing capacity. This screening
is for those who have NOT been previously
diagnosed with a respiratory condition.
Wednesday, June 2, 10:00 A.M. to Noon
Westfield YMCA, 220 Clark St., Westfield
National Anxiety Screening Day
Participants will take a short written survey
and then discuss results with a mental health
professional. Educational materials will be available.
Wednesday, May 5, 2:00 to 6:00pm
Atlantic Behavioral Health Outpatient, 46-48
Beauvoir Ave., Summit
Hearing Screening
Have your hearing tested for potential problems.
Tuesday, May 11, 10:00 A.M. to Noon
Summit YMCA, 67 Maple St., Summit
Friday, May 14, 10:00 A.M. to Noon
Home Depot, Springfield Ave., Union
Wednesday, May 19, 10:00 A.M. to Noon
Berkeley Heights YMCA, Springfield Ave., Berkeley Heights
Friday, May 28, 11:00 A.M. to 1:00 P.M.
Overlook Hospital Healthy Avenues Van, 1000
Galloping Hill Rd., Union
An Update for Women:
What You Should Know About Women's Cancers
Important screenings, treatment advances,
and general information to keep you healthy.
Program will be presented by Nana Tchabo, MD,
Gynecologic Oncologist.
Monday May 10, 7:00 to 8:30 P.M.
Preconception Counseling
Having a baby? Are you thinking about it, planning
for it or trying? Dr. Benito's specialty is helping
women to know what to do before conception.
No matter what stage you are in, if a baby is
somewhere in your future, this is an important
program for you. Program will be presented by
Carlos Benito, MD, Maternal/Fetal Medicine.
Wednesday, May 12, 7:00 to 8:00 P.M.
Common Pelvic Floor Disorders
More than one-third of women are affected
by conditions such as urinary incontinence,
overactive bladder, pelvic organ prolapse,
bowel disorders and other conditions considered
pelvic floor disorders. Learn about this rapidly
growing specialty in woman's health and the
solutions available from non-surgical to minimally
invasive surgery. Program will be presented by
Amir Shariati, MD, Urogynecologist.
Thursday May 13, 7:00 to 8:30 P.M.
Palliative Care Town Hall Meeting Series
The Palliative Care Team at Overlook welcomes
community members to join our Town Hall
discussions. We will engage in thoughtful
conversations about healthcare issues that affect us
all as we age and care for ourselves and those we love.
May 18: Understanding the New Healthcare Reform:
How Will it Affect My Family?
May 25: A Night at the Movies: The Sea Inside.
June 8: The Road to Recovery: Grief and Bereavement.
For more information on this series,
please call 908-522-2894.
Refreshments will be served. Registration is required
for each meeting: 888-281-5345.
Tuesdays, May 18, 25, June 8, 7:00 to 8:30 P.M.
except May 25, 7:00 to 9:30 P.M.
Overlook Hospital, Health Science Library, 99
Beauvoir Ave., Summit
Children & Parenting
Childbirth Mini Classes:*
Registration Required at 888-273-2084.
Call for dates, 7:00 P.M. to 9:00 P.M.
Overlook Hospital, MAC II, Community Classrom
Your Baby's Birth at Overlook Hospital*
Includes information on signs of labor and when to
come to the hospital, as well as the labor, delivery,
and postpartum experience at Overlook Hospital.
Also includes a tour of the Maternity Center.
Epidurals, C-Sections and More*
A discussion of medication options available in
labor (including epidural and spinal anesthesia),
induction of labor, and cesarean birth
(perfect for moms with a scheduled or repeat
cesarean section).
Techniques and Teamwork for Labor and Birth*
Learn breathing and relaxation techniques as well
as ways to use visualization, music, massage,
aromatherapy, and positioning as tools in labor
In addition to these programs, Parent
Education offers a wide variety of other
classes and seminars for expectant
and new families, including prepared
childbirth, grandparent, and sibling
classes, and Mommy & Me programs. A
complete listing may be found at
www.AtlanticHealth.org, or you may
contact the Parent Education office at
908-522-2946 or
[email protected].
We look forward to hearing from you!
The Happiest Baby on the Block*
Based on the work of Harvey Karp, MD, parents
and caregivers learn new ways to calm crying using
the five S's of soothing.
Registration required at 888-273-2084
Call for dates, 7:00 to 9:00 P.M. Overlook Hospital, MAC II, Community Classroom
Baby Signing: An Introductory Seminar*
Learn basic tips for using signing to communicate
with your baby. For parents, parents-to-be, adult
family members, and caregivers.
Call for dates, 7:00 to 8:30 P.M. Overlook Hospital, MAC II, Community Classroom Calm Birth* Complementary preparation for childbirth, based
on meditative science and mind/body medicine.
Overlook Hospital, MAC II, Community Classroom
Healthy Eating For Babies: Starting
Solids and Beyond*
For parents of babies 3 to 6 months old.
Understanding your infant's individual feeding
needs ...When to start feeding baby food
...Timing and portions of feedings ... Avoiding
obesity or eating issues in later life ...Setting the
climate for positive, healthy feeding for a lifetime.
Feeding Your Healthy Family*
For parents and caregivers. All you need
to know about cooking and planning meals
following our easy 5-step plan.
Early Pregnancy*
Attend before your 6th month of pregnancy. Learn
about comfort techniques, prenatal exercise, fetal
development, nutrition, physical and emotional
changes, and working during pregnancy.
Registration required at 888-273-2084. Call for dates, 7:00 to 9:00 P.M. Overlook Hospital, MAC II, Community Classroom
Toddler Nutrition I* Start healthy eating habits that will last a lifetime.
For parents of toddlers 9 to 18 months.
Call for dates, 7:00 to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom 40 | May 2010
Toddler Nutrition II* For parents of toddlers 18 to 24 months. Topics
include creative menus, snack suggestions, and
behavior issues with feeding.
Call for dates, 7:00 to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom Postpartum Group* New mothers meet every other week to
learn and implement coping strategies to
help them with their new role.
Registration required at 888-247-1400. Thursdays, every other week, 10:30 A.M. to 11:30 A.M.
Moms and Babies Together:*
Call for dates, 10:00 A.M. To Noon
Hand in Hand*
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include keeping
baby safe and healthy, the art of infant massage,
exercise for you and baby, baby signing, and
emerging language. Structured play is used to
stimulate the senses.
Building Blocks*
Network for new moms and babies 6 weeks to
5 months old. Discussion topics include your
baby's temperament, reading baby's cues, baby
bio-rhythms, and creating a schedule. Additional
information about formula and breastfeeding, and
healthy eating for babies—baby food and beyond.
Go Baby Green*
Exposure to chemicals in the home is an
increasing health risk. Learn about everyday
cleaning products, their hazards, safe alternatives,
and ways to create a non-toxic environment for
your baby, kids, pets, and yourself.
2010 Pediatric Mini-Medical School*
Experience the world of pediatric medicine. Programs
in this series will cover the following topics: reasons
for visiting your pediatrician, sport injuries and
pain management, eating disorders, pediatric
pharmacotherapy, Asperger's syndrome, and sleep
issues. Great for parents, grandparents, school nurses,
teachers, or anyone who deals with children.
For a program brochure, call 973-971-7095.
Thursday, May 6; and Monday, May 10,
7:00 P.M. to 9:00 P.M.
Overlok Hospital, 99 Beauvoir Ave., Summit
Fee: $50 for all 6 sessions, $10 for an individual session;
Atlantic Health employees discounted.
Stroke
Stroke Support Group The stroke support group provides emotional
and educational support to stroke survivors and
caregivers. The support group is a forum where
stroke survivors and their families can share
experiences and concerns related to stroke.
Registration required at 888-281-5345. Second Monday of every month, May 10, June
14, July 12, August 9, September 13, October11,
November 8, and December 13, 6:00 to 7:00 P.M. Overlook Hospital, Neuroscience Conference Room
Stroke Screening
Evaluate your risk for stroke through cholesterol
and glucose lab testing, blood pressure and pulse
check, carotid artery assessment, and stroke related
counseling from healthcare professionals.
Sunday, May 2, 11:00 A.M. to 2:00 P.M.
St. Patrick's Church, 41 Oliver St., Chatham
Tuesday, May 18, 10:00 A.M. to 1:00 P.M.
Millburn Library, 200 Glen Ave., Millburn
Cancer
Skin Cancer Screening
Overlook Dermatologists will perform free skin
cancer screenings. This is limited to those who
are currently not under the care of a Dermatologist.
Thursday, May 27, 6:00 P.M. to 9:00 P.M.
Medical Arts Center I, Family Practice, L01,
33 Overlook Rd., Summit
Sexuality Series
Presentation and opportunity to explore
issues related to sexuality after cancer.
Please Call 888-270-0373
Overlook Hospital, Conference Rooms
Hearts and Hands—Living with Cancer
An open drop-in support group that offers
patients and caregivers the opportunity to
support each other in a caring environment.
Thursdays, 1:30 P.M. to 3:00 P.M.
Qi Gong (Chinese exercise program)
Similar to Tai Chi. Meditation, breathing and
simple movement—suitable for all fitness levels.
Group Acupuncture
Ancient technique designed to balance the body's
energy. Helpful for nausea, pain and anxiety.
Successful Surgery Program
Guided imagery program shown to improve
post surgical outcomes and reduce anxiety.
Quarterly “Now What?”—Post-Treatment
Survivorship Lunch and Learn
Topics related to post-treatment issues.
Bereavement Group Support group for family and friends who
have lost a loved one to cancer.
Post-Treatment Group For patients who have completed their cancer
treatment. This open support group explores
issues and concerns related to survivorship.
Registration required at 888-270-0373. Second Thursday of the month, 7:00 to 8:30 P.M. Overlook Hospital, Conference Rooms
Free Quarterly "Talk and Share"
Educational Lecture Series
Series of free educational lectures for patients,
family members, and the general public.
Gentle Yoga for Cancer Patients Yoga can improve energy, concentration, and the
emotional well-being of cancer patients. A brief
meditation period will also be included at the end
of classes to calm, soothe, and focus the busy or
stressed mind. Class will last for 60 minutes and
is for cancer patients ONLY.
Mondays, 1:30 to 2:45 P.M. Overlook Hospital, Conference Rooms
I Cancer Vive A 6-week program that empowers cancer
patients and their caregivers to take a
mind-body approach tohealing.
Call for dates and times Overlook Hospital, Conference Rooms
Look Good, Feel Better Women who are undergoing cancer treatment
learn how to look their best and manage
appearance-related side effects.
Call for dates, 10:00 A.M. to Noon Overlook Hospital, Conference Rooms
Guided Imagery A program for cancer patients, using visualization
to enhance the immune system’s ability to function
and improve one’s sense of emotional well-being.
Registration required at 866-870-1478. Tuesdays, 2:00 to 3:00 P.M. Overlook Hospital, Conference Rooms
Ostomy Support Group Professionally led group for ostomy patients
and their families.
Call for dates and times Overlook Hospital, Conference Rooms
Exercise Class for Breast Cancer Survivors
A comfortable, safe, and supportive exercise
environment for breast cancer patients who
have undergone chemotherapy, radiation,
hormonal therapy, breast surgery, and/or
reconstruction. Exercises are designed to
increase flexibility and muscle mass, decrease
body fat, and prevent lymphedema.
Registration required at 866-851-4319. Wednesdays, 10:00 to 11:00 A.M. MAC II Breast Center Conference Room,
99 Beauvoir Ave., Summit
Scar Massage A program for post-mastectomy patients who
have chosen not to undergo breast reconstruction.
One-hour private massage with a certified massage
therapist. The purpose is to help prevent adhesions,
improve blood flow to the area, and maintain or
improve movement in the tissue post-surgery.
Must be at least six weeks post-surgery.
Registration required at 888-763-4238. Call for appointment. Call for times
Swim & Support—Post–Breast Surgery Group This program provides women with a supportive
discussion group and a post-operative pool-exercise
program. Developed to restore physical strength as
well as emotional well-being, this group will be led
by a Licensed Counselor, Oncology Nurse Specialist,
and a Certified Cancer Exercise Specialist. The
program is free and is available to women who
have undergone a lumpectomy or mastectomy
and are six weeks to eighteen months post-surgery.
Call for dates and times The Connection, 79 Maple St., Summit
Circle of Women: A Breast Cancer Networking
and Support Group
Circle of Women is a 12-week support group
created to help women connect with one another
in a warm and welcoming place. This will enable
open discussions related to diagnosis and the
journey through all treatment stages. Circle of
Women combines support-group discussion and
education on relevant topics that can help you
adjust to the impact that breast cancer has had
on you and your family.
Women’s Health
Community Health Women’s Heart
Awareness Programs* Nurses and health educators will offer screenings
that will help identify your risk for cardiovascular
disease. Screenings include risk assessment, lipid
profile, diabetes, blood pressure, BMI, and metabolic
syndrome screening. Each participant will receive
one-on-one counseling.
Call to schedule at 866-887-8780.
Overlook also offers a Women’s Heart Practice,
staffed by female nurses, a cardiologist, and a
nurse practitioner.
For an appointment, please call 908-522-7399.
Speakers Bureau for Women’s Heart Health If you would like to have one of our cardiac nurses
speak to your group or organization about the signs
and symptoms related to women and heart disease,
please call 908-522-5355. * Indicates a fee associated
with the program.
The Entertainer
By Carla Brandwein Rothberg
Memorial Day kicks off the official start of summer entertaining.
Here’s how to plan your parties with elegance and ease.
42 | May 2010
“As hosts, we’re often afraid to not have
everything available, but a nicely chosen
menu for drinks and food is a more
elegant and healthier approach.”
If you haven’t already uncovered your outdoor furniture and dusted off
your grill, what are you waiting for? Kick off the summer with friends,
family, and a healthy dose of cheer by hosting a Memorial Day gettogether. You don’t have to get bogged down in the preparation, either.
By making simple yet selective choices, you can host great parties with
little fuss and lots of style all summer long.
Best-Laid Plans
When inviting people to a gathering at your home, it’s helpful to let them
know what to expect. Whether you call them, e-mail them, or send out
an old-fashioned handwritten note (a nice, unexpected touch in today’s
digital world), feel free to include a meal time (“Dinner served at 5”),
start and end times, and a date by which you expect replies. If you don’t
hear back, it’s perfectly fine to follow up in the days before the party.
In the days leading up to your party, corral your serving dishes and
tablecloths and use Post-Its to make notes about what will go where.
It’s amazing how much time you save when you go into party day with
clean and organized platters, instead of wasting time figuring out what
bowl to use for dip and which tablecloths fit on your mother’s bridge
table. It’s also a lot more pleasant to do these things in a puttering
rhythm, and not at a frenetic pace.
Also, on the day of your gathering, make sure you have enough time to
shower and get yourself ready without racing around getting overheated
and exhausted—one of the easiest ways to ruin the fun you can have
as the hostess. Ideally, before your quests arrive, you should take a few
minutes to organize your thoughts and enjoy a few moments of quiet.
And make certain that the dishwasher is empty going into the party.
Setting the Scene
For easy entertaining, there are few conveniences that beat paper goods.
You can balance the need for convenience with an earth-friendly choice
by selecting one of the many recycled paper-good brands on the market
right now. Usually these paper goods come in neutral colors like cream
or tan, so they lend themselves well to an outdoor or summery feel and
likely match the serving pieces you’re using. For beverages, hard, clear
plastic cups in one size are best. They can be used for any of your cold
drink offerings, and look more elegant (and drip less!) than the soft,
brightly colored plastic tumblers.
To add some color and fun, choose napkins in a bold floral or a pretty
solid color, and lay out straws and stirrers in colors as well. Another little
punch of color can come from gathering plastic silverware in a napkin
and securing it with a pretty piece of raffia or ribbon (raid your supply
of gift wrap). This small touch is worth a few minutes in the days before
your party because the visual punch it packs far exceeds the effort—and
it’s a great project for the kids to help with too!
You can add to the overall décor by placing pretty flowers (still in their
plastic cell containers) in large bowls or planters at the center of the
table. This provides color and flair, and is an easy nod to the earthiness
of the season. For a smaller crowd, consider sending each guest home
with a plant to wish them a happy summer. Everyone loves unexpected
little gifts, and a plant is such a special one.
For evening décor, holiday lights or an assortment of candles add
sparkle, and there’s no such thing as too few or too many. If you only use
a few, you get a simple and spare look that is clean and fresh; if you use
many, you create an enchanted, cozy feeling. Nothing looks as ethereal
Finding the right ingredients is always
key to throwing the perfect party.
as a romantically lit outdoor space, and the same is true if your party is
inside. How lovely it is to be in the home of a friend in a dusky, glowing
room! The set-up of the lights or candles can be done even days in
advance of your party, so your décor is done before you even begin.
On the Menu
The food and drink elements of parties are where people often get
themselves into tight spots, financially and time-wise, by getting too
complicated and trying to please too many palates. The truth is, as
long as needs are met as far as restrictions and allergies, people will be
thrilled to enjoy whatever it is you’ve prepared. When food is presented
nicely and there is attention paid to detail, your guests will ooh and aah
and be well fed, and may even appreciate not having to make so many
choices. As hosts, we’re often afraid to not have everything available, but
a nicely chosen menu for drinks and food is a more elegant and healthier
approach. These ideas won’t break the bank or your entertaining spirit.
• There is no possible way to have everyone’s drink of choice, so make
one or two selections and leave it at that. If you enjoy making Sangria
and you don’t mind cutting all the fruits the day before, that’s always a
nice choice for summer and there are thousands of recipes online using
all different liquors and fruits.
• A simpler option is to have on hand some beer, some red wine,
and some Champagne or Prosecco (a well-priced type of Italian
sparkling wine). Anything sparkling makes a nice splash and makes
your guests feel special. Pop in a couple of fresh berries for an overthe-top look with very little work. Pitchers of water on the tables are
a good idea, and if yours is a soda-drinking crowd, regular and diet
cola is a good thought.
44 | May 2010
• For starters as people arrive, a fresh vegetable platter is always a nice
choice. Here, being selectively simple can work wonders; instead of
the usual mix, choose all green vegetables and you’ll be surprised how
lovely and coordinated it all looks. Green peppers, broccoli, cucumber,
endive, and celery are great choices, and will work with any dip you
like (store-bought included). In addition, use a wooden cutting board
or tray for a charcuterie platter: dried salamis, a wedge of Jarslberg,
a block of sharp cheddar, and a crusty baguette with knives for each.
Accompanied by a small bowl of spicy mustard and a bowl of olives,
the combinations are plentiful. It’s all store-bought, all easy—and
probably all gone by the end of cocktails.
•C
ooking in shifts is one of the hassles that can sap the joy out of
entertaining, so for the main meal, choose only one or two items,
including one that’s on the lighter side. A good combination is
hamburgers and veggie burgers; between them, there’s something for
everyone. An interesting fixings bar where people can dress up their
burgers raises the profile of an otherwise simple meal.
• For a non-barbecue meal, grilled chicken or sliced steak (store-bought
or cooked in advance) are both fine at room temperature or over salad.
For both meal ideas, add a green salad with grape tomatoes and some
fresh dill chopped in, and your meal is complete. Summer meals don’t
need several side dishes or courses, and your guests will thank you for
this simple abundance.
• For dessert, one of the simplest and best summer treats is angel food
cake served with sliced berries and peaches and squirt-your-own
whipped cream. It’s light, it’s sweet, and it provides a healthy option
for those who skip the cake and stick with the fruit.
details like these that guests remember and look to replicate at their
own gatherings, because they show care and thought. Everyone likes
to be treated that way.
An Extra Thought or Two
Many guests will ask what they can bring when responding to your
invitation, and it’s best if you have requests at the ready so their kind
offers can help you achieve your party goals. By having specific items
to suggest (though not so specific it becomes a chore for the guest),
you reduce your own errand list while maintaining control of the
overall event.
Lastly, there’s nothing that seals the deal on a festive feeling like
music, and with so many options available, you’re bound to find the
right mix. One way is to gather a few CDs the morning of the party (or
create a playlist on an MP3 player) and have it ready to go. If you’re
tired of your own collection, use one of the all-music channels from
your cable provider and pump up the TV!
If there will be children at your party, it’s a great idea to have bottles
of bubbles on hand for them to play with and bring home. You can
also pick up a couple of hula hoops or Frisbees at the grocery store.
These will be a sure hit with the kids—and probably the adults too!
Don’t forget to relax and enjoy the party. Gathering together to share
free time is not about dishes or the wine selection, or even the festive
meal. It’s about laughter and fun, and seeing the seasons and years in
and out with the people we love. With simple but elegant choices, we
can have our angel food cake … and eat it too.
If your party is in the evening, you might consider having a basket
of wraps and sweatshirts at the ready in case anyone gets chilly. It’s
{
}
“It’s about laughter and fun,
and seeing the seasons and
years in and out with the
people we love.”
Photographing Kids
Every time I attend a child’s birthday party, I notice the same thing:
parents and other relatives noticing moments that would make great
pictures, hustling over and asking all the kids to come together and
say “Cheese!” In these situations, I’m frequently tempted to remind
people that those kinds of opportunities will always be available.
Instead, I encourage you to look, wait, and photograph the memories
that won’t be. To improve the photo memories of the little ones in
your life, follow these suggestions.
Tip 1: Wait for the moment and think ahead
One of the beautiful things about photographing children is that if you
miss the moment, don’t worry—it likely will happen again. Children
have a wonderful ability to enjoy repetition, and if we wait for the
moment and anticipate it happening again we will often be rewarded
by the photo that we capture.
Tip 2: Choose your background wisely
I am a big fan of clean white or black backgrounds for a lot of
my portraiture. The reason for this is that I believe by eliminating
as much distraction as possible, we focus more on the subject’s
gesture, personality, and details. The same is true for children.
Choosing simple solid backgrounds allows you to focus on
capturing the moment and not having to worry about distractions.
46 | May 2010
I am also a big fan of photographing with real backgrounds that
provide a sense of place. Ask yourself: “Is there anything here
that takes away from the moment?” If so, simply moving left,
right, up, or down will eliminate it. Many of the photographers
I have mentored have placed this reminder on the back of their
cameras: “Fill your frame. Control your background.”
About the Photographer
Tom Sperduto is an award-winning editorial and commercial
photographer. He is recognized as the most published and
award-winning photographer in U.S. Coast Guard history.
Tom enjoys teaching photography and regularly leads photo
workshops for the National Photographers Press Association,
the American Society of Media Photographers, and the
Department of Defense. Tom also is a regular guest speaker at
Rutgers and Syracuse universities.
____________________________________________________
Do you have a photography question? E-mail your question
to [email protected] and look for Tom’s
answer in an upcoming issue. To see more of Tom’s work,
visit www.tomsperduto.com.
Tip 3: Get down on their level
This is perhaps the easiest yet most overlooked way to improve
your pictures of children. It’s important to remember that we
all see the world standing up. By simply dropping down to a
child’s level to photograph them, we are entering their space,
their world, and seeing them and photographing them from
their perspective. This not only improves the composition of
your photograph but also makes a child respond to you in a
way that will improve your images.
New Direction
By Alyson Black
In the war on cancer, the battle line that separates lives saved and
lives lost likely comes down to research—and yet only three percent
to five percent of cancer patients enroll in clinical trials that may save
their lives and could help to change the course of treatment for so
many others.
“The best way to treat cancer is to get patients involved in clinical
trials,” says gynecologic oncologist Brian Slomovitz, MD, FACOG, of
the Women’s Cancer Center at Overlook and Morristown Memorial
hospitals. “Our goal is to have research protocols available to all
patients with gynecologic cancer.”
In fact, for women diagnosed with cervical, ovarian, uterine, and
other gynecologic cancers, Overlook and Morristown Memorial lead
the way in joining all kinds of clinical trials—many sponsored by
government agencies, others by pharmaceutical companies, and even
some that originate at Overlook and Morristown Memorial. “Patients
no longer need to travel to cancer treatment centers in New York and
Pennsylvania,” Slomovitz says. “They can get access to the best trials
in their own backyard.” In fact, the research program here is gaining
momentum. “In the past, we had to seek out involvement in drugcompany trials for leading-edge, novel therapies,” he says. “Now, we
have drug companies coming to us because we’re such great accruers
for these trials. Oncologists throughout our area help us identify
patients, and our cancer research program is growing.” Nevertheless,
doctors worldwide report that there are hurdles to overcome.
“Research funding has lagged and declined,” Slomovitz explains. “We
rely on philanthropy and drug companies to support our program.
Also, people are reluctant, or they don’t have access, or doctors don’t
give patients good information about the trials. These are the barriers
we have to overcome.”
Still, Slomovitz joins doctors everywhere in believing that
these barriers must be overcome; lives depend on it. At Overlook
and Morristown Memorial, these trials, among others, are seeking
patient participation.
48 | May 2010
ns
Clinical trials yield better approaches
in cancer care.
•Ovarian cancer: “We’re actively participating in up to 15 trials
at any one time,” says Slomovitz. “About 12 percent to 15 percent
of our ovarian cancer patients go to clinical trials at Atlantic
Health—double to triple the national average—and we’re
really happy with that.” In one study, researchers are looking at
differences in chemotherapy delivery, whether “bathing” a tumor
in chemotherapy drugs (an intraperitoneal approach, in which
chemotherapy is delivered directly through the stomach) works
better than standard chemotherapy delivered intravascularly. In
another study, doctors are examining the benefits of Pazopanib,
an oral treatment that doesn’t require infusion as a therapy to
keep cancer away. It works by inhibiting new cell formation, and
Slomovitz reports that the Carol G. Simon Cancer Center at
Overlook and Morristown Memorial hospitals is the country’s
leading accruer of patients to this trial. “Patients are tolerating it
well—better than some other drugs—and this may be significant
in changing the standard of care,” he says. “In the past, we knew
ovarian cancer to be extremely deadly. It still is, but it’s become
more of a chronic disease like breast cancer. The median survival is
now greater than five years; a few years ago, that would have been
unheard of.”
•Uterine cancer: The Women’s Cancer Center has one of the
largest robotic gynecologic-oncology programs in New Jersey,
with robotic-assisted surgery available at both Overlook and
Morristown Memorial. In one recently completed study in which
doctors at the Women’s Cancer Center accrued patients, doctors
determined that laparoscopic surgery yields better results than
traditional open surgery in treating uterine cancer. In an ongoing
study, doctors are evaluating the benefits of pelvic radiation
versus chemotherapy. In a unique study initiated and written by
Slomovitz, patients at Overlook, Morristown Memorial, and M.D.
Anderson Cancer Center in Texas are receiving a combination
of biologic therapies to determine whether pairing the drugs
Everolimus and Letrozole offers a better option for care. And in
a trial for patients with advanced-stage uterine cancer, patients
who failed primary chemotherapy are being enrolled in a study
that couples chemotherapy with Avastin, the first FDA-approved
therapy designed to inhibit cellular growth.
•Cervical cancer: For patients with early-stage cervical cancer,
a trial is underway to evaluate the outcome of robotic surgery
versus traditional open surgery. Among patients with recurrent
disease, doctors are weighing the benefits of incorporating biologic
therapies that impair cell growth with traditional chemotherapy
protocols that destroy cells.
•Vulvar cancer: Slomovitz is a principal investigator in a National
Cancer Institute Gynecologic Oncology Group trial that looks
at whether sentinel lymph node surgery—removing only the
one node that may be involved, similar to standard treatments
in breast cancer and melanoma—is as effective as wide radical
surgery in achieving cure rates. Sentinel node surgery yields fewer
complications, Slomovitz explains, which allows patients to be
treated optimally with fewer side effects.
“While the immediate benefits of clinical trials are not always seen
over a short period of time, over a couple of years we do see that
they translate into changes in standards of care,” says Slomovitz.
We want to open more protocols that patients will be interested in and
we can recruit patients to—protocols that are unique and interesting
and that we feel are looking at novel therapies. We’re committed
to finding novel biologic therapies and advances in surgeries that
maintain or improve quality of life for patients with cancer, and
patient interest and involvement is crucial to achieving these goals.
We can’t get this done without patients and their interest.”
For a referral to a gynecologic oncologist, call (888) 383-5998.
“We want to open more protocols that are unique and interesting and that
we feel are looking at novel therapies.”
Kaleidoscope
:: A New View on Kids, From the Goryeb Children’s Center
Living a Healthy Life
Provide children with the keys to achieving
a healthier lifestyle, and they’ll reap the
benefits for a lifetime.
By David G. Scott, MS, NASM-PES, coordinator of the Exercise
Physiology and Goryeb Kid-FIT programs; and Aimee Goyette, RD
50 | May 2010
It’s no secret that our nation is facing an obesity epidemic. In fact,
more than 30 percent of today’s children and adolescents are obese.
And while obesity is among the easiest medical conditions to
recognize, it’s among the most difficult to treat. Instead, it’s easier to
prevent it entirely. To help your children achieve a healthy lifestyle, set
these tips in motion.
• Be active for at least 60 minutes per day, and strive to be vigorously
active for at least 30 minutes on most days.
• F
oster an environment that allows for the appropriate amount of
sleep every night—even if this means restricting television and
computer time.
• T
elevision and social computer time should be limited to
two hours per day.
• Choose foods and drinks that do not contain added sugar.
• Choose whole grain foods at least half of the time.
• Strive to make fruits and vegetables part of every snack and meal.
• Select lean proteins to manage appetites and build strong muscles.
To facilitate healthy lifestyles, Goryeb Children’s Hospital designed
the Kid-FIT program to provide families and children with the tools
and information they need to create healthy family food plans and plan
sufficient daily physical activity. Kid-FIT is geared toward children
ages 6 through 21 who are overweight or who may be at risk for
weight-related diseases. It is one of the only pediatric programs in
the country to utilize state-of-the-art Body Media SenseWear WMS®
technology to accurately assess every child’s needs and establish
individual goals.
“To facilitate healthy lifestyles,
Goryeb Children’s Hospital designed
the Kid-FIT program.”
The Kid-FIT program for children ages 6 to 11 is called “Family Fit”
and draws on support from the entire family to help make changes in the
home. Older kids (ages 12 to 21) can manage the program on their own
and make sensible decisions regarding their treatment plans.
Participation in Kid-FIT requires a referral from your child’s
pediatrician. Once he or she is accepted into the program, you and
your child attend a mandatory orientation and there is an assessment
of your child’s lifestyle, inclusive of eating habits and social and
emotional issues. Following this assessment, Kid-FIT’s experts—
including an exercise physiologist, nutritionist, social worker, and the
Kid-FIT medical director—create a nutrition, exercise, and counseling
treatment plan based on each child’s unique needs. Additional
evaluations occur throughout the year to assess progress and address
necessary adjustments. Along the way, parents and caregivers learn how
to make appropriate dietary changes and incorporate exercise into the
family lifestyle.
For further information about the Kid-FIT program,
please call (888) 714-0278.
To learn about the services and specialists at the
Goryeb Children’s Center at Overlook Hospital, visit
www.atlantichealth.org/Goryeb.
With Overlook’s
Chef Mike
Pacific Rim Salad
with Beef
Makes 25 five-ounce servings
Ingredients
2 pounds bean sprouts
1 pound snow peas, trimmed and blanched
8 ounces carrots, cut julienne
12 ounces water chestnuts, sliced
4 ounces scallions, chopped
4 ounces slivered almonds, toasted
1½ pounds cold roast beef
1¾ pints prepared Oriental vinaigrette
1½ pounds Chinese cabbage, shredded
50 orange wedges
1. Mix together the bean sprouts, snow peas, carrots, water chestnuts,
scallions, and almonds. Hold in the refrigerator.
Nutrition Analysis (per serving)
2. Slice the beef ¼-inch thick, then cut into thin strips.
Total Fat
Carbohydrate
Fiber
Sodium
Protein
Cholesterol
3. About 2 hours before serving, marinate the beef in the vinaigrette
for 30–60 minutes.
4. Add the mixed vegetables to the beef and vinaigrette mixture.
Toss to mix well.
5. Place a bed of shredded Chinese cabbage on salad plates.
6. Portion the salad mixture onto the plates.
7. Garnish each salad with 2 orange wedges.
Helpful
330
27g
13g
4g
200mg
11g
25mg
Michael Atanasio is the manager of Food & Nutrition for Overlook Hospital. He has
more than 25 years of experience in the restaurant and healthcare industries and has
competed in and won numerous culinary competitions. In 2000, he was named Chef
of the Year.
Hints
Julienne:
k
For variations of this recipe, substitute the beef
with chicken, turkey, ham, duck, or salmon.
52 | May 2010
Calories
to cut into long, thin, match-size strips, approximately
1/
8 inch wide and 2 inches long.
White House Holiday Decorator
to Speak at Auxiliary Luncheon
The Overlook Hospital Auxiliary is pleased to announce that Coleen Christian Burke will be this
year’s guest speaker at its annual Spring Luncheon on May 14 at the Canoe Brook Country Club.
Ms. Burke, the owner of holiday-decorating service Sugar Plums,
was part of the prestigious team of interior designers chosen to
deck the halls of the White House for the Christmas of 2008. This
experience, along with her passion for politics, fueled her interest in
the history of holiday decorating at 1600 Pennsylvania Avenue and
inspired her forthcoming book, Have a White House Christmas. The
book is a primer on bringing the decorating styles of the First Ladies
into one’s own home. It showcases exclusive, never-before-seen
photos of our First Families celebrating the Christmas season in the
White House residence.
While studying political science at Villanova University, Ms. Burke
became the youngest person in Pennsylvania history to hold elected
office, when she was voted the Township Supervisor of Upper
Makefield Township. Prior to establishing Sugar Plums, she
appeared as a news personality on CN-8, MSNBC, and NJN,
covering some of the nineties’ most captivating stories, including
the Oklahoma City Bombing, the O.J. Simpson trial, and the World
Trade Center Bombing. She lives in Glen Ridge with her husband
and three children.
The Overlook Hospital Auxiliary is a volunteer organization
committed to serving the entire hospital community through hands-on
volunteering and innovative fund-raising. If you would like additional
information about the Auxiliary or about attending the luncheon, visit
the Auxiliary Website at www.OHAux.org.
Foundation Happenings
Ambulatory Emergency
Entrance Dedicated
Physicians and executives from the Overlook Emergency
Department and Summit Medical Group recently joined with
members of the Overlook administration and Foundation to
celebrate the dedication of the William H. Lawrence Jr., M.D.
Ambulatory Emergency Entrance.
The reception brought together representatives from two
organizations indelibly linked since the early 20th century by their
common founder, Dr. William H. Lawrence. Having experienced
the need for a hospital within the growing Summit community, Dr.
Lawrence opened the doors of Overlook Hospital in the fall of 1906.
A few years later, while serving together in the Army during World
War I, Dr. Lawrence and his colleague, Dr. Maynard Bensley, came
up with the idea of a group medical practice. Formed in the 1920s,
this group has grown and evolved into Summit Medical Group, the
largest multi-specialty group practice in New Jersey.
In thanking Summit Medical Group for its generous gift of the
Ambulatory Emergency Entrance, Alan Lieber, president of
Overlook Hospital, remarked, “We are grateful for your financial
support, as well as your professional support. Whether it is working to
provide seamless transition for patients from the Urgent Care Center or
improving the quality of care for our patients, it is great having a partner
dedicated to bettering the health of the community.”
Enjoying the pre-dedication reception are Dr. Paul Mastrokyriakos and Dr.
Christopher Amalfitano, chair and vice chair of Overlook’s Emergency Medicine
Department, and Dr. Jeffrey LeBenger, chairman of the Summit Medical Group
Board of Directors.
From Summit Medical Group, Dr. Robert Brenner, President and Chief
Executive Officer Dr. Simon Samaha, and Dr. Gregory Sachs join Overlook
Hospital Foundation Chairman Gerald Glasser and Overlook Hospital President
Alan Lieber in cutting the ribbon in the William H. Lawrence Jr., M.D. Ambulatory
Emergency Entrance.
Dr. John and Alice Gregory, together with friends Barbara and Dr. Gregory
Sachs, have been supporters of Overlook Hospital for decades.
54 | May 2010
54 | May 2010
Overlook’s Pastoral Care
Department to be Honored
The Overlook Hospital Foundation and the Academy for Jewish
Religion are pleased to jointly sponsor a unique event honoring the
decades of service provided to the hospital’s patients, their families,
the staff, and the surrounding community by Rabbi William Horn
and Overlook’s entire Pastoral Care Department, led by Sister Patricia
Murphy, SSJ.
Sister Pat, manager of the Pastoral Care Department, entered the order
of the Sisters of St. Joseph in Chestnut Hill, Pennsylvania, in 1955. A
graduate of Chestnut Hill College, she received a master’s degree in
education and administration from Seton Hall University. After 25 years
as an educator, including six as a principal, she joined the Pastoral Care
Department at Overlook, which she has served since 1982. Her ministry,
she says, allows her “to help people in good times and bad, to be there
for people when they are in need.”
Rabbi Horn was ordained by the Jewish Theological Seminary in 1962,
where he also earned a master’s degree in Hebrew letters. He received
a joint bachelor’s degree in Hebrew culture and psychology from
New York University, as well as a master’s degree in counseling from
Yeshiva University, before beginning his study for the rabbinate. Rabbi
Horn served as rabbi of the Summit Jewish Community Center from
1962 until his retirement in 2005. He was the first Jewish chaplain at
Overlook, serving as a volunteer for 25 years before joining the staff
of the Pastoral Care Department. Rabbi Horn also has been chaplain
of the Summit Police Department since 1962. He considers the mitzvah
of bikkur cholim (the command that Jews visit and comfort the sick)
to be among the highest of the duties that we all share, whatever our
religious affiliation.
Sister Patricia Murphy, SSJ, and Rabbi William Horn have provided decades of
service to Overlook’s Pastoral Care Department, offering much-needed comfort
and support to patients and their families.
The Overlook Hospital Foundation assists the hospital in its mission
to promote world-class healthcare close to home. To learn more about
the Foundation or to support any of the Foundation’s many projects,
call (888) 204-0626.
A reception will be held at the hospital on Sunday, June 6, from 5:00 to
7:00 p.m. to recognize the dedicated service of Rabbi Horn and Sister
Pat, as well as the tremendous contributions of all of the members of the
hospital’s Pastoral Care Department. This department includes the oldest
and one of the largest clinical pastoral education programs in New
Jersey, led by The Reverend Dr. Cathy Bickerton.
Proceeds from the event will be equally directed to fund special projects
of Overlook’s Pastoral Care Department and the Academy for Jewish
Religion’s training of students in the areas of chaplaincy, counseling,
and spiritual care.
For more information about tickets or contributions to the event,
please contact Marianne Devlin at the Overlook Hospital Foundation
(908-522-2884; [email protected]).
Atlantic Health System
99 Beauvoir Avenue
P.O. Box 220
Summit, NJ 07902-0220
Nonprofit
Organization
U.S. POSTAGE
PAID
Strasburg, VA
PERMIT #167
Miracles do
happen.
The decision to have a baby is as wonderful and exciting as any decision you’ll ever make.
And for those experiencing fertility problems, reproductive medicine has advanced to the
point where we can offer safe and effective treatment options for many couples.
At RMA, we’re thrilled that over the past thirteen years our founding partners and staff
physicians have helped bring close to 20,000 babies to loving parents. This incredible
record of success makes us one of the largest and most experienced centers for infertility
treatment in the world.
Amr Azim, MD
Paul A. Bergh, MD
Michael K. Bohrer, MD
Michael R. Drews, MD
Rita Gulati, MD
Doreen L. Hock, MD
Thomas J. Kim, MD
Thomas A. Molinaro, MD
Jamie L. Morris, MD
Richard T. Scott, Jr., MD, HCLD
Shefali M. Shastri, MD
As a patient at RMA, you are attended to by a medical team with unmatched skills and
experience using the most effective options to treat infertility:
State-of-the-art laboratories for embryology, endocrinology, andrology
and pre-implantation genetic diagnosis (PGD). Just as important, you will be introduced to a
focus on superior care and compassion that is simply unparalleled.
So now that you’ve made the decision to have a baby, make one more: let RMA help you.
Because sometimes, it takes a little help to have a miracle.
973.656.2089 www.rmanj.com
ENGLEWOOD | MORRISTOWN | SOMERSET | SUMMIT | WEST ORANGE

May 2010 - Overlook View Magazine

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