Winter 2009

Transcription

Winter 2009
WINTER 2009
2 0 0 8 A N N U A L R E P O RT A N D D O N O R L I S T I N G S — PA G E S 7 - 1 0
GETTING
IT DONE
Still giving 100% for
hospital, patients
Pages 2 & 3
How a dog
lit up a little
boy’s life
Page 4
INTERACTIONS
Some drugs
don’t get along
well with others
Page 13
KEY TO
SURVIVAL
Simple screening
can prevent
colorectal cancer
Page 12
Health News
& Information
for Healthy
Living
WINTER 2009
‘Sister,
Healthy
Living
Altoona Regional’s
Healthy Living
Magazine is published
After more
than 30 years,
she’s still getting
it done for hospital
staff, doctors
and patients
four times a year by
the Marketing and
Communications
department.
Chief Operating Officer
Ronald J. McConnell
Director, Marketing and
Communications
Dave Cuzzolina
In modern culture, an icon
is a symbol or a person of
well-known significance
embodying certain qualities
of an institution.
Staff Writers
Patt Frank
Jay Knarr
Anne Stoltz
Designer
Chip Mock
Mock Creations LLC
Traditionally, an icon, from
- or
the Greek word eikon,
image, was a religious work
of art.
For more information, please contact:
Altoona Regional Health System
Marketing and Communications
620 Howard Ave.
Altoona, PA 16601-4804
889.2271
[email protected]
In rare instances, it’s both.
For more than three
decades, Sister Mary
Aquinas Tolusciak, a
sister of the Holy Family
of Nazareth, has been
synonymous with the health
care institution once known
as Mercy Hospital, then
Bon Secours-Holy Family
Hospital and now Bon
Secours Hospital Campus.
PLEASE
NOTE:
Acting
President
and CEO
Jerry Murray’s
column appears
on Page 7 as
part of the
system’s
annual
report.
“So much
has changed,
but I thank
God for the
grace and
endurance
to undertake
it all.”
If you are not receiving
Healthy Living Magazine in
the mail and would like to,
you need to join the
Healthy Living Club.
It’s FREE, and the
magazine is just one of
the many benefits!
Join online at
www.altoonaregional.org
or call 889.2630 or
1.888.313.4665.
While the name has
changed, two things remain
the same — a dedication to
community health care and
Sister Mary Aquinas.
“So much has changed,
but I thank God for the
grace and endurance to
undertake it all,” she says.
Title is no indication
Officially, she oversees
inventory and equipment
control for Bon Secours
Hospital Campus, but to
see her traversing the halls
in her trademark white habit
is to understand that her
administrative assistant title
doesn’t scratch the surface
of her actual duties.
On an average day, she
arrives around 7:30 a.m.
and doesn’t eat, sleep or
become distracted until
she has satisfied the needs
2
you did it again!’
of every single patient and
employee who has sought
her help.
“The job becomes part of
me; it doesn’t matter what it
is,” she said. “To me, every
human being is of great
value and has something
to give us, so I listen to
them and treat them with
respect.”
Hospitals are places of
great healing, but also
places of great heartbreak
and disappointment,
and in those times the
“administrative assistant”
truly becomes Sister Mary
Aquinas.
“It would be easy to create
a division between the
work and my religious life,”
she said. “But I am still
a member of a religious
order and I’m aware of my
obligations.”
She has ‘incredible gift’
Sister Cynthia Meyer, also
a member of the Sisters of
the Holy Family of Nazareth
and executive director
of St. Leonard’s Home
in Hollidaysburg, says
Sister Mary Aquinas has
an incredible gift to make
others feel welcomed.
“Part of our mission as
Sisters of the Holy Family
of Nazareth is family, and
Sister Mary Aquinas treats
everyone as part of her
family,” Sister Cynthia
said. “It makes me proud
that she has become such
an embodiment of that
institution.”
She is so much a part of
the hospital that in 2004,
when the Sisters of the
Holy Family ended their
sponsorship, she stayed.
And through times of
transition, such as the
merger with Altoona
Hospital, she has been a
reassuring presence for
employees, medical staff
and volunteers.
both in Pittsburgh. She
did graduate work at the
University of Notre Dame,
“I tell everyone, ‘Smile … it
goes a long way,’” she joked. Ohio University and the
“I tell them if you can change University of Rochester.
something, expend all the
She gained guidance
effort you can to make it
counselor certification in
better, and if you can’t, try to Pennsylvania, Ohio and
reconcile with whatever you Michigan, and served
have.”
at Bishop Guilfoyle High
School as guidance
Advice from experience
counselor and assistant
principal. In September
Her advice comes from
1974, Sister Mary Aquinas
experience, as seemingly
became part of Mercy
everything about her life,
Hospital in both literal and
training and service led her
figurative terms.
to a career in education.
“I never thought I would
work in a hospital,” she said.
“Education was always my
profession.”
Raised in Pittsburgh, she
attended the Immaculate
Heart of Mary School and
was a member of the historic
parish on Polish Hill, one of
the city’s oldest and largest
churches, before graduating
from Mount Nazareth
Academy and entering the
Sisters of the Holy Family.
As a young athlete, excelling
at basketball and tennis,
she developed a teamwork
principle that would guide
her life.
“My greatest pleasure is
when an employee or patient
comes to me and says,
‘Sister, you did it again!’,” she
said. “That the people I work
with and work for know that
I get things done, that I can
be counted on — that’s my
greatest joy.”
Has master’s
from Duquesne
She began preparing
herself for a life of service
in education, earning a
bachelor’s degree at Villa
Maria College, now a part
of Gannon University in Erie;
a theology degree at Carlow
College, and a master’s
from Duquesne University,
“It makes me proud
that she has become
such an embodiment
of that institution.”
— Sister Cynthia Meyer,
Sisters of the Holy Family
of Nazareth
Jerry Murray, system acting
president and CEO, joined
Mercy Hospital in 1985 and
says Sister Mary Aquinas
is today much as she was
back then.
“She’s so committed; that
hasn’t changed in all the
years, and neither has her
energy level,” he said. “She
still gives 100 percent to
everything she does.”
Making new friends
She’s made impressions on
new friends, too, including
Ron McConnell, the
system’s chief operating
officer, who met her after
the 2004 merger.
“She’s always able to make
you smile, make you laugh,
no matter what,” Ron
said. “She brings a level of
spirituality and caring to our
environment that no one
else brings. It’s refreshing.”
Beneath the iconic stature,
boundless energy and frank
talk is a humble servant of
God, who works tirelessly
in the service of others.
Above: Always on the move, Sister Mary Aquinas performs one
of her trademark walk-and-talks with Carla Johnsonbaugh,
supervisor, Central Processing, through the Wound Care and
Ostomy unit at Bon Secours Hospital Campus.
Below: Over the past 34 years, Sister has formed many close
friendships with employees, volunteers and physicians,
like general and vascular surgeon Dr. Shuba Maitra.
“My time is limited, so
while I’m here, I’ll work,”
she said. “And when I die,
I hope God will greet me
with, ‘Well done, good and
faithful servant! Enter into
my kingdom.’”
3
Visit the Fulton home in
Altoona and you will
meet Justin, a 5-year-old
autistic boy who shares
an amazing bond with
his pet dog, Dale. Their
connection is made
even more special
when you hear the story
of how Dale, a beagle/
spaniel mix, transformed Justin’s life.
When he was first
diagnosed three years
ago, Justin rarely
communicated with his
family. In addition to trying
other treatment methods,
a psychologist suggested
the family get a pet dog
as a friend for Justin.
SMART
Pet
TRICK:
Bringing joy to an
autistic boy
and his family
“Among other things,
training Dale helps Justin
learn patience,” his
mother, Dawn, said. “This
dog has gotten Justin
on his feet and out of his
shell. Dale has truly
made all the difference
in Justin’s life.”
Today, Justin attends
kindergarten with no
family-based or therapeutic staff support.
“If it weren’t for Dale,
Justin wouldn’t be the
child he is today,” Dawn
said. “We used to hear
very little from Justin, and
now he talks and talks and
talks! He’s made incredible
progress, and we couldn’t
be more pleased.”
’t
n
e
r
e
w
t
i
“If
for Dale, ouldn’t
Justin w ild he
be the ch
is today.”
If you’re a pet owner, you probably have a similar story to tell
about your cuddly companion. Pet enthusiasts have long
sung the praises of animals’ abilities to enhance well-being.
“Animals can provide physical and emotional benefits for
people of all ages,” said Jacque Markle, resource coordinator
for children and adolescents at Altoona Regional’s
Center for Behavioral Health Services. “For
instance, recent studies found that when people
hold a purring cat or pet a dog, their blood
pressure goes down.”
Additionally, Jacque says caring for animals helps
people battling loneliness and depression.
“Pets can provide the unconditional love and
companionship needed to help people get through
these challenging times,” she said. “Pet owners also gain an
important sense of responsibility.”
RECOGNIZED BENEFITS
According to the Centers for Disease Control and Prevention
Web site, pets can increase your opportunities for exercise
and socialization. As an example, walking a dog gets owners
outside regularly.
“Playing with a pet, like any enjoyable activity, can elevate
levels of nerve transmitters that are known to have
pleasurable and calming properties,” Jacque said. “Other
studies suggest that fish, birds and reptiles can have a
soothing effect on people.”
Geoff Geesey, chief of therapeutic recreation in Altoona
Regional’s Physical Medicine and Rehabilitation
department, says the use of animals in health
care settings is a proven emotionally therapeutic
intervention for patients.
“Pets can provide the motivation patients need
to work toward a goal,” he said. “We always look
to produce positive change in our patients by
invoking a reaction or having an interaction. Pets
can help with this process by relieving stress and
providing sensory stimulation through touch.”
PATIENT’S CAT A ‘COMFORT’
A local woman, who wishes to remain anonymous, says her
“laid back” male orange tabby cat helped her through two
rounds of chemotherapy treatment.
“When I first got my cat, I was bald from treatments,” she
said. “I didn’t wear my wig to bed at night. He would crawl up
and wrap himself around my head to keep me warm.
“He is very in tune with my needs,” she added. “If I’m stressed
out, he’ll jump up on my lap purring and just let me pet him for
awhile to calm me down and relieve my anxiety.”
She can also recall times when her cat stayed by her side to
make sure she was OK after some treatments left her very
sick and exhausted.
“It’s a real comfort having him around,” she said. “I’m so
blessed to have such a loving cat. He’s proof that pets can
help people feel better.”
To adopt an animal, the Central Pennsylvania Humane Society
is one place to call, at 942.5402.
Therapeutic horseback riding is available locally at Dreams Go On.
For more information, contact 943.4767.
HOSPITAL VISITS CAN BE ARRANGED
4
If you come to Altoona Regional for an extended stay, a friend or family member can bring
your domestic companion animal or household pet for therapeutic visits.
Pet pals are welcome, as long as owners can provide up-to-date veterinary records with all
necessary vaccines and obtain their physicians’ and roommates’ approvals.
There are some restrictions for allowing animals inside the hospital. The person responsible
for handling the animal must contact the nurse in charge of the unit to schedule the animal
visit and complete a previsit checklist of requirements.
Making it through menopause
Treatment
options are
varied and
tailored for
each patient
MOST WOMEN start experiencing some perimenopausal symptoms in their early and mid-40s.
For Amy, now 47, the first
symptoms of the “change
of life” were subtle and
appeared in her early 40s:
restless sleep, period
irregularity and mood
instability.
She educated herself
on her symptoms, went
through counseling for
depression, exercised,
took vitamins and flax
seed oil and was able
to cope on her own until
several months ago
when the hot flashes
progressively worsened,
leaving her severely
sleep-deprived. That’s
when she sought the help
of M. Ann Wetzel, M.D.,
an OB/gynecologist.
When Amy (who did not
want Healthy Living Magazine to use her full name)
saw Dr. Wetzel, she’d not
had a period for seven
months. Menopause is the
absence of menstruation
for 12 months. The time
until that point and its
collection of symptoms is
defined as perimenopause.
These symptoms can also
include vaginal dryness,
difficulty concentrating,
anxiety, crying spells and
heart palpitations.
some perimenopausal
symptoms in their early and
mid-40s.
Dr. Patricia M. Hoyne, who
practices with Altoona OB/
GYN Associates, said 20 to
30 percent of her patients
have no symptoms during
perimenopause, and their
periods simply end without
any specific complaints.
Each woman’s
perimenopausal experience
is different, the doctors
said. And treatment is
individualized for the
patient, her symptoms
and unique health history.
Options abound.
“Perimenopause can be
described as that time of
a woman’s life when she
has periods but there is an
irregularity to her cycle,”
Dr. Wetzel said. “It can go
in either direction. They
can become more frequent
and lighter. Or, they can be
infrequent and heavier. It
can be compared to a rusty
wheel — it still turns, but it
turns unevenly.”
“For patients who wish to
avoid hormone replacement
therapy,” Dr. Hoyne said,
“we advise them to dress
in layers, avoid stimulants
such as caffeine, drink
plenty of water, try
relaxation techniques, use
personal fans, increase soy
in their diet and try herbal
remedies.”
Age of onset
varies widely
The age of menopause
and, thus, perimenopause varies widely,
she said. Most
women start
experiencing
Herbals are
not fully safe
But, she said, herbal
remedies are not 100
percent safe. You have
to make sure you are not
Contact:
Patricia Hoyne, M.D.
Altoona OB/GYN Associates
1701 12th Ave., Altoona
944.5062
5
taking too much and they
aren’t causing side effects.
“Herbal remedies are
difficult to study because
sometimes the hot flashes
stop on their own and you
don’t know whether to
attribute it to the herbals,”
she said. “Some women
respond to herbals and
some don’t.”
Some that have shown the
potential to help are dong
quoi, black cohosh and
red clover, she said.
Hormone replacement
therapy (HRT) fell out of
favor a few years ago,
but more recent research
has shown it still has its
place, the doctors agreed.
Women with no history
of breast cancer or blood
clots who have intolerable
perimenopausal symptoms
may be candidates for
short-term (less than five
years) therapy.
Don’t fear
estrogen therapy
“We now realize we can
reduce the dose and still
alleviate the symptoms
to get them through the
worst part of it,” Dr. Wetzel
said. “If you are having
M. Ann Wetzel, M.D.
501 Howard Ave., Bldg E-1, Altoona
946.0429
and
1101 5th Ave., Patton
674.8530
unlivable symptoms,
you shouldn’t be afraid
of estrogen. If you are
having hot flashes that are
interfering with your life,
then estrogen is still the
best thing.”
When Amy could no longer
tolerate her symptoms,
Dr. Wetzel prescribed
a low dose of hormone
replacement therapy.
“You have to weigh it out,”
Amy said of the risks and
benefits. “It alleviated
the physical and mental
symptoms for me. I’ve
been on it for three and a
half months and I’m feeling
like myself again.”
Foundation’s
first
HEALTH
CARE
HONORS
event
‘enormous
success’
A MESSAGE FROM THE PRESIDENT
Throughout their history,
Altoona Regional’s hospitals
have provided quality, compassionate
care to our families, friends and
neighbors. Whether our patients have
come to us via horse-drawn buggy
or helicopter, our dedication to them
remains steadfast.
Despite facing the same financial
challenges that many hospitals across the country
face, Altoona Regional remains committed to meeting
community health care needs without regard to level of
payment, and to expanding health care access, reducing
disparities and helping those who face obstacles in their
daily lives.
The Altoona Regional Foundation for Life was established
to assist with these meaningful responsibilities. As the
nonprofit fund-raising arm of the health system, the
Foundation for Life is charged with garnering support for
the preservation of health care for the well-being of the
people of Central Pennsylvania.
The health of our organization is vital to the health of our
community. By supporting the Foundation for Life, you are
making an investment in the good health of all around you.
Gifts of all sizes ensure that Altoona Regional can continue
to provide essential near-to-home programs and services
to help all people lead safer, healthier, happier lives and to
care for them in times of crisis.
The Foundation for Life strives to maintain the traditions
of both Altoona and Bon Secours-Holy Family hospitals
and to uphold the philosophy of caring on which the
former Altoona Hospital was founded — “Our great
responsibilities: To prolong individual life; To restore health
to those in need of medical and surgical care; To promote
the well-being of the community at large; To grow up and
on a pace with the world.”
Together, we can help, we can heal and
we can provide hope.
Together, we can make the critical difference
for today, tomorrow and our region’s future.
Together, a Healthy Community!
The Altoona Regional Health System Foundation for Life raised $400,000 from 102
generous sponsors at its inaugural charitable event, Health Care Honors, held in
October of last year at the Blair County Convention Center.
“We are so very pleased with the support we have received from private donors and
corporate sponsors who realize how important it is to have high quality health care
services in our own community,” said Ann Benzel, chair, Foundation for Life Board
of Directors. “Their generosity speaks volumes in regard to Altoona Regional’s
significance to our families, friends and neighbors in this region.”
The Foundation for Life presented its 2008 Health Care Honors Award to James
W. Barner, retired president/CEO of Altoona Regional Health System, in honor
of his dedication to the preservation and advancement of health care for Central
Pennsylvania.
M&T Bank was the event’s title sponsor, contributing $100,000. Blair Companies
and Highmark Blue Cross Blue Shield contributed $25,000 each as platinum sponsors.
Additional donors included several community members and more than 60 other local
businesses.
Thanks to the generosity of the Altoona Regional Medical Staff, guests were treated to
the humorous Tom Ryan, a comedian who has appeared on The Late Show with David
Letterman.
“Our sponsors’ generosity and willingness to support the Foundation for Life made
Health Care Honors an enormous success,” said Valerie L. Brumbaugh, president.
“On behalf of the Foundation, I extend to all Health Care Honors sponsors and
attendees my sincerest gratitude and admiration. You truly made our first event
an amazing experience.”
From left: John Anastasi, M.D., delivers a
light-hearted testimonial; Ann Benzel, chair,
Foundation for Life Board of Directors,
visits with Altoona Regional board
member Vince Turiano, with Bill
Rossman, Central Pennsylvania
Health Services Corporation board
member, in the
background;
Jim Barner’s
family looks
on as he
addresses
the audience.
Altoona Regional is a
significant part of the area’s
past and future — a future that heralds progress and healthful
living for all. As stated in our hospital history: “Neither man nor his
institutions can stand still, he must either go forward or backward,
and with the cooperation of all concerned, we know that the future
of our hospital is bright indeed.”
Sincerely,
Valerie L. Brumbaugh
For more information about how
the Altoona Regional Foundation
for Life can help you fulfill your
philanthropic wishes, or to make
a donation, call 889.6406.
6
Valerie L. Brumbaugh, Altoona Regional
Foundation for Life president, presents
Jim Barner with the Health Care Honors award.
6
2007-2008
2
0
0
8
A
N
N
U
A
L
R
E
Quality care,
patient safety define the year
A message from Gerald E. Murray, acting president and CEO
Our latest fiscal year* was rewarding for everyone involved
in Altoona Regional’s continuous efforts to enhance the
quality of the health care experience for our patients. We
have seen gratifying positive results.
A quality enhancement program such as ours requires
a top-down commitment to clinical excellence with a
personal touch. Our goal is to treat people the way we
would want to be treated from the time they reach our
hospitals until they are discharged.
Determining whether we are keeping that commitment
is simple: just ask. So we survey former patients
methodically and consistently to find out what we did
right during their stay and how we can improve. Using
their feedback, we build on the positives and meet any
challenges.
In our third full year as Altoona Regional Health System,
our efforts are bearing fruit. Patient satisfaction numbers
were higher nearly across the board at the end of fiscal
2008 vs. the end of fiscal ’07.
Our patients aren’t the only ones noticing. In this last
fiscal year, prominent organizations recognized our quality
enhancement program, including:
VHA Pennsylvania, which honored us with five APEX
Awards for demonstrating extraordinary levels of
clinical performance. VHA Pennsylvania is part of
a national health care alliance that helps members
improve their clinical and economic performance.
The Hospital and Healthsystem Association of
Pennsylvania and the Pennsylvania Institute for
Healthcare Improvement, which commended our
reduction of infection rates under the national quality
effort known as the 5 Million Lives Campaign.
* July 1, 2007, to June 30, 2008
Also during the year, we were able to add technology
that allowed us to enhance patient safety and
outcomes. Among the highlights were:
A state-of-the-art upgrade to our MRI testing that
adds speed and comfort while enhancing the
diagnosis of disease.
A computerized system that reduces the possibility
of medication errors.
An automated medical supply inventory system on
nursing units that affords caregivers more time for
direct patient care.
We were able to accomplish all of this in spite of
an extremely challenging year financially.
We continue to cope with seriously
inadequate reimbursement from
Medicare; a Medicaid system that
pays us less than the cost of providing
care; high prices for new technology
and pharmaceuticals; difficulty
finding some vital health care
professionals; sagging investment
performance in our stock and
fixed-income investments, and
many other issues.
Those same challenges will
continue in fiscal 2009, but
they will never dampen our
enthusiasm for — and
commitment to — continually
improving the health care
experience we offer.
Sincerely,
7
PROGRAM ALERT! Meet the New CEO See Page 15 for details, date and time.
P
O
R
T
KEY HOSPITAL
STATISTICS
ADMISSIONS
21,375
Highlights:
Clinical and community service
July 1, 2007, to June 30, 2008
(includes newborns)
INPATIENT DAYS
AVERAGE
LENGTH OF STAY
98,004
4.6
OUTPATIENT
VISITS
411,933
EMERGENCY
ROOM VISITS
63,909
INPATIENT
SURGICAL
PROCEDURES
6,745
OUTPATIENT
SURGICAL
PROCEDURES
17,447
2
0
0
7
AUGUST
Altoona Regional begins
implementation of a
computerized system
(PAR Excellence)
that streamlines
the replenishing of
medical supplies on
nursing floors, allowing
caregivers more time to
devote to direct patient
care.
SEPTEMBER
OUR PATIENT
CARE REVENUES
COME FROM:
Imaging Services
introduces a new,
state-of-the-art
magnetic resonance
imaging scanner
(MRI) enhancement
that shortens the test
and makes it more
comfortable for patients.
The new technology is a
breakthrough tool for the
diagnosis of disease.
OCTOBER
Medicare
48.34%
Medicaid
13.21%
Commercial
insurances
9.631%
Managed care
24.48%
Self-pay
1.64%
Other
2.70%
WHERE WE SPEND
OUR DOLLARS:
The Quality
Management
department begins a
program to improve
patient outcomes
through research-based
nursing practice. The
program includes nurse
collaboration on a
research committee and
as partners involved in
research studies.
Safe Kids Blair County,
for which Altoona
Regional is the lead
agency, supplies free
smoke detectors to
families who welcomed
a newborn during Fire
Prevention Week.
During International
Infection Prevention
Week, the health system’s
Infection Prevention
& Control department
proactively provides
important facts to area
schools and daycares on
MRSA before it becomes
a public concern fueled
by media coverage and
misinformation.
NOVEMBER
The health system
receives an APEX Award
(Achieving Patient Care
Excellence) from VHA
Pennsylvania for its
extraordinary clinical
performance in treating
heart attack patients.
VHA is a national health
care alliance that helps
members improve their
clinical and economic
performance.
DECEMBER
Altoona Regional
receives its third
consecutive National
Organ Donation Medal
of Honor for increasing
organ donation rates.
The system is one of only
seven in the state to hit
a 75 percent or higher
organ donation consent
rate.
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0
0
8
JANUARY
James W. Barner,
president and CEO
for the past 16 years,
Hospital
Salaries and wages
36%
Employee benefits
10%
Professional fees,
supplies & others
43%
Depreciation and
amortization
5%
Financial
Information
7/1/07 to 6/30/08
The system debuts
its online Physician
Finder service to
connect people with
the primary care or
specialty physician for
their needs. The online
service complements
the system’s Physician
Finder phone line.
MARCH
A new Medication
Administration Check
System is introduced
that reduces the
possibility of medication
errors through a series
of electronic safeguards
that back up a nurse’s
bedside expertise.
The Community Benefit
Annual Report, being
distributed to the public
this month, details the
system’s multimillion-
APRIL
The Foundation for
Life, the system’s
nonprofit fund-raising
arm, announces it will
pay tribute to retiring
President and CEO
James W. Barner at
its inaugural Health
Care Honors signature
event fund-raiser. The
foundation supports
the preservation of
health care for Central
Pennsylvania residents.
MAY
VHA Pennsylvania
presents another APEX
Award to Altoona
Regional for having an
inpatient fall rate below
national benchmarks.
All told, the system
earns five APEX Awards
for demonstrating
extraordinary levels of
clinical performance.
The Hospital and
Healthsystem
Association of
Pennsylvania and the
Pennsylvania Institute for
Healthcare Improvement
recognize Altoona
Regional for reducing
infection rates under the
national 5 Million Lives
Campaign.
BAL ANCE SHEET
Assets
Current assets
63,096,280
Assets whose use is limited
71,004,508
Other assets
97,634,803
231,735,591
Total operating revenues
304,261,694
Liabilities
Total operating expenses
308,061,792
Current and other liabilities
58,030,362
Long-term debt
36,506,021
Income from operations
Nonoperating gains
Interest
Excess of expenses over revenue
8
FEBRUARY
dollar contributions
in the form of charity
care and programs and
services whose costs are
absorbed to help people
lead safer, healthier,
happier lives.
Total assets
INCOME STATEMENT
Provision for bad debt 5%
1%
announces he will retire
at the end of October.
The system’s board
accepts his resignation
with regret.
For the sixth time in six
years, the health system
sponsors Health-ORama with the Allegheny
Mountains Convention
and Visitors Bureau. The
health fair — the largest
in Blair County — helps
Altoona Regional fulfill
its mission of reaching
beyond the walls of its
hospitals to bring health
and wellness information
to community residents.
(3,755,098)
3,455,640
299,458
Fund balance
Total liabilities and fund balance
137,199,208
231,735,591
Report
of charitable giving
C
ARING HEARTS
CARING
HEARTS
Caring
Hearts is a fund-raising campaign coordinated by Altoona
Regional Health System Foundation for Life. The appeal invites
individuals and organizations to make monetary contributions in honor
of living or in memory of deceased medical professionals, support staff
and volunteers who have provided an “extra dose of caring.”
Proceeds from the 2007 Caring Hearts campaign, conducted on both
campuses of Altoona Regional Health System, were directed toward
the purchase of a new security system for the Maternity department.
General
Anonymous (7)
Ms. Andrea Cohen
Dr. and Mrs. David L. Cowger
Mr. David M. Cuzzolina
Mr. and Mrs. Donald Devorris
Ms. Mary D. Fabbri (2)
Mr. and Mrs. Thomas S. Gutshall
Mr. and Mrs. John Hawksworth
Mr. and Mrs. Paul F. Hite
Mr. and Mrs. R. Lee Hite
Ms. Edna M. Holland
Mrs. Elaine S. Kilgore
Mrs. Yvonne M. Madey
Mr. and Mrs. M. W. Ostrum (2)
Debra S. Pike, M.D.
Mr. and Mrs. Stephen Port
Mrs. Carolyn R. Reed
Mr. and Mrs. Clayton C. Rickens
Attorney James S. Routch
Ms. Ruth A. Slippey
Mr. and Mrs. James D. Stuart Sr.
Mr. and Mrs. Robert M. Suckling
Ms. Kathryn Terlinsky
Ms. Kathy Wagner
Mr. and Mrs. Gary Zuckerman
In Honor Of
In honor of All Babies Born at
Altoona Regional Health System
Mrs. Pamela O’Donnell
In honor of Altoona Regional Health
System Administration and Board
of Directors
Mrs. Betina A. Marcaurelle
In honor of Altoona Regional Health
System Anesthesia Department
Mrs. Carolyn Lapierre
In honor of Altoona Regional Health
System Behavioral Health
The Honorable Jolene Grubb Kopriva
In honor of Altoona Regional Health
System Board of Directors
Ms. Monica Morroni-McMahon
In honor of Altoona Regional Health
System Employees & Physicians
Mrs. Valerie L. Brumbaugh
In honor of Altoona Regional Health
System Employees, Medical Staff &
Volunteers
Mrs. Janet Ellis
Mrs. Betty J. Hoover
Mr. and Mrs. Joseph Shellenberger
Mrs. Sheri L. Simpson
In honor of Altoona Regional Health
System Labor, Delivery, Recovery,
Post Partum
Mrs. Katie Brouse
In honor of Altoona Regional Health
System Laboratory
Mr. and Mrs. Joseph M. Pufka
Mr. and Mrs. Dan Rebar
In honor of Altoona Regional Health
System Marketing/Communications/
Volunteers/Corporate Development
Mrs. Judith M. Hollern
In honor of Altoona Regional Health
System Oncology Department
Mrs. Betty J. Robison
In honor of Altoona Regional Health
System Pastoral Care
Mrs. Judith M. Hollern
In honor of Altoona Regional Health
System Physical Medicine
Mr. and Mrs. Donald Squillario
In honor of Altoona Regional Health
System Physicians
Mr. and Mrs. Ronald J. McConnell
In honor of Altoona Regional Health
System Supply Chain
Mr. Karl E. Fenster
In honor of Altoona Regional Health
System TCU Staff
Ms. Alice M. Hershberger
In honor of Altoona Regional Health
System Volunteers & Friends
Mrs. Valerie L. Brumbaugh
In honor of Kay Adams
Ms. Patricia S. Frank
In honor of John S. Anastasi, M.D.
Mr. and Mrs. Charles W. Russell
In honor of Joseph L. Antonowicz, M.D.
Mrs. Nancy J. Bergstein
In honor of Bon Secours Hospital
Campus Same Day Surgery
Mrs. Judith M. Hollern
In honor of Wen M. Chuu, M.D.
Mr. and Mrs. Charles W. Russell
In honor of Arthur J. DeMarsico, D.O.
Mr. and Mrs. Ronald J. McConnell
In honor of Neil A. Kaneshiki, M.D.
Mrs. Judith M. Hollern
In honor of Carolyn S. Lampard, D.D.S.
Ms. Anne T. Stoltz
In honor of Simon D. Lampard, M.D.
Ms. Anne T. Stoltz
In honor of Jane K. Lower
Mr. T. Dean Lower
In honor of Anthony Maniglia, M.D.
Mrs. Betina A. Marcaurelle
Ms. Monica Morroni-McMahon
In honor of Jim and the late Carolyn
Routch
Mr. and Mrs. James W. Barner
In honor of Karee Saylor
Mr. William R. Saylor
In honor of Jack Schocker, M.D.
Families of Roberta Runk
In honor of Robert Singer, D.O.
Ms. Mary J. Campolong
In honor of Cindy L. Skupien
Ms. Donna M. Evangelisto
Mrs. Carol A. Graham
Mrs. Mary R. Hibernik
In honor of Weise Children and
Grandchildren
Mr. and Mrs. Les M. Weise
In honor of Robert E. Wertz, M.D.
Mrs. Betina A. Marcaurelle
Mr. and Mrs. Ronald J. McConnell
Ms. Monica Morroni-McMahon
In honor of George Zlupko, M.D.
Mr. Samuel L. McClure Sr.
In Memory Of
In memory of Theresa M. Alexander
Mr. Ralph H. Alexander
In memory of Marion R. Erb
Mr. and Mrs. Bruce Erb
In memory of Daniel and Thomas Fanelli
Mrs. Mary C. Fanelli
In memory of Charles and
Edwarda Hess
Mr. David S. Hess
In memory of Robert M. Jones
Ms. Carol M. Makdad
In memory of Pearl Ketner
Ms. Kimberly J. Corle
In memory of Chester Kimmel
Anonymous
In memory of Jeanne F. Kunes,
my dear wife
Mr. Robert L. Kunes
In memory of Robert S. McDowell
Mrs. Arlene McDowell
In memory of Gerard Navarro
Anonymous
In memory of Eugene M. Sneff
Altoona Regional Health System
Laboratory
In memory of James Taylor
Ms. Virginia Wible (2)
D E PA R T M E N TA L G I F T S
Area of Greatest Need
Anonymous
Ms. Carol Corle
Mrs. Sharon L. Helsel
Ms. Ruth A. Hill
Mr. and Mrs. T. Dean Lower
Mrs. Yvonne M. Madey
Mr. and Mrs. Gary Naugle
Ms. Darlene J. Pounds
Mr. Timothy F. Reilly
Ms. Ellen R. Wilson (Bequest)
Bariatrics
Friends of Altoona Regional
Health System
Donna Jean Hospitality House
Mrs. Cynthia A. Cohenour
Kamalji T. Sehmbi
Following is a list of those who generously extended financial support to Altoona Regional Health System
during fiscal 2008 (July 1, 2007, through June 30, 2008).
As a nonprofit charitable organization, Altoona Regional is grateful to every donor for helping us strengthen
and enhance health care in our community.
Drug & Alcohol Services
The EADS Group Employee Charity Fund
Education Department
Friends of Altoona Regional Health
System
Laboratory/Blood Bank
Friends of Altoona Regional
Health System
Education/Emergency Services
Employee Catastrophic
Relief Fund
Partnering for Health Services
Dental Clinic
Engineering
Pastoral Care, Bon Secours
Hospital Campus
Friends of Altoona Regional
Health System
Ms. Vicki L. Wertz, Esq.
Friends of Altoona Regional
Health System
Anonymous
Glover Memorial Library
Blair Bedford Builders Association
Miss Angela Collier
Miss Rachel Collier
Miss Tracy Collier
Friends of Altoona Regional
Health System
Ira B. Kron Dialysis Unit
Anonymous
Mr. and Mrs. William P. Benzel
Mrs. Evelyn Bernatowicz
Mrs. Gretchen Bernatowicz
Mrs. Mary A. Fozard
The Samuel and Rose Port
Philanthropic Fund
Labor, Delivery, Recovery,
Postpartum
Verizon Pioneers/Horseshoe Curve Club
Ward Ave. United Presbyterian Church
Revealing the Angels is a holiday
fund-raising campaign coordinated in
part by Friends of Altoona Regional
Health System and Altoona Regional
Foundation for Life. The holiday
appeal invites individuals and
organizations to make monetary
contributions in honor of living or in
memory of deceased family members,
friends, neighbors, health care
providers and business associates
who have touched their lives.
Proceeds from the 2007 campaign,
conducted on both campuses of
Altoona Regional Health System,
were directed to Partnering for
Health Services free medical clinic.
This clinic provides health care to the
working uninsured. The free clinic
operates through the help of generous
volunteer physicians, nurses and
clerical support and relies on the
community for financial support.
Neonatal Bereavement Fund
Boscov’s Department Stores LLC
Friends of Altoona Regional
Health System (2)
Your Jewelry Box
Friends of Altoona Regional
Health System (4)
REVEALING
THE ANGELS
Pediatrics
Radiation Oncology
The Bob Perks Cancer Assistance Fund
Friends of Altoona Regional
Health System
Respiratory Care
Friends of Altoona Regional
Health System
Trauma Services
Mr. Robert Holt
Juniata United Methodist Church
Bear Makers
General
TRIBUTE GIFTS
Altoona Regional Foundation for Life
In memory of the 50th Wedding
Anniversary of Robert and
Lenora Booth
Mr. Wayne Booth
Area of Greatest Need
In memory of Ross H. Clark
Mr. and Mrs. Christopher W. Reed
In memory of Betty Glunt
Mr. E. Merle Glunt
In memory of Mary Jane Laird
Anonymous
In memory of John Morgan
Mrs. Mae W. Morgan
In memory of Phyllis Shade
Captain Jack High School Class of 1957
Behavioral Health
In memory of Edith M. Antonowicz
Anonymous
In memory of Richard Wirick
Order of Ecumenical Franciscans
Bernard A. Rosch Palliative Care
In loving memory of June Baum
Cathy and Raymond Osmolinski
In loving memory of John F. Coleman
Mr. and Mrs. Patrick E. Dean
In loving memory of Karen Grigg
Eckenrode
Ms. Renee Grigg
In loving memory of Janet Frye
Mr. Terry L. Frye
In loving memory of Althea Grove
Mrs. Brenda Kenjora
In loving memory of Michael J. Parrish
Mr. and Mrs. John Bendick
Mr. Allan Diehl
Mr. and Mrs. Ronald E. Hord
Keystone Country Postmasters
Mr. and Mrs. Bryon J. Mazzocco
Mr. and Mrs. Jack Paladino
Mrs. Kathleen Parrish
Spence, Custer, Saylor, Wolfe & Rose LLC
Mr. and Mrs. Joseph M. Tokarsky
Westmont Hilltop Middle School
Mr. and Mrs. Jeff J. Wild
In memory of John F. Coleman
Mrs. Ann E. Coleman
Mr. and Mrs. Christopher J. Coleman
Mr. and Mrs. John F. Coleman
Mr. and Mrs. Kevin J. Coleman
In memory of Emily Deoskey
Mrs. Dolores J. Magulick
In memory of Margaret Healy
Atlas Realty Management Co. Inc.
Friends of Peggy & Leo
Ms. Maryrose Keeley
Ms. Amy J. Long
Quintiles Laboratories - QA Department
Rails to Trails of Central PA
Mrs. Joan E. Rimbeck
Ms. Deborah A. Shepard
In memory of Mary Jane Horton
AFSCME Local 3157 from Bedford Co. Jail
American Legion Auxiliary - Post 556
Ms. Robin M. Henry
Roaring Spring Paper Products Floral
Association
USW Local 10-488
In memory of Frank L. Picano
Ms. Debra Tomasetti
Ralph J. Albarano & Sons Inc.
Anonymous (3)
Ms. Linda Bickford
Burgmeier’s Hauling Inc.
Dolores and Jack Burtnette
Mrs. Rozella M. Chestney
Dembert & Hoyne, CPA
Ms. Mary D. Fabbri
Mrs. Renee K. Fijalkowski
Hayes Large Architects
Ms. Pearl Helmer
The Hite Company
N. M. Karanjia, D.O.
Ms. Janice R. Kennedy
Mr. Samuel L. McClure Sr.
Mr. Denis J. Navarro
Drs. Matthew and Laura Newlin
The Honorable Thomas G. Peoples Jr.
Reilly, Creppage & Co. Inc.
Mr. and Mrs. Clayton C. Rickens
Mrs. Connie L. Shultz
Smithmyer’s Electronics Inc.
Mrs. Emily G. Yeatts
In memory of George H. Richards
Ms. Bonnie Gill
Lena and Larry Louder
Mr. Randy Richards
Mrs. Nancy E. Saxe
In memory of William R. Shiffler
Evangelical Methodist Church
United Way of Central Virginia Inc.
Cardiology
In honor of Jane D. Myers
Mr. Richard B. Bunevitch
In memory of Thomas Fabbri
Ms. Mary D. Fabbri
Donna Jean Hospitality House
In memory of Elena Falcone
Altoona Regional Health System
Medical Staff
In memory of Ronald Gore
Altoona Regional Health System
Medical Staff
In memory of Michael Hochrein
Glover Memorial Library
Mrs. S. D. Hochrein
In memory of Eugene M. Sneff
Altoona Regional Health System
Medical Staff
In Honor Of
In honor of All Health Care Workers
Ms. Beverly L. West
In honor of All Heroic Soldiers
Miles Financial Services Inc.
In honor of All Living Members of the
Cecchine/Miller Family
Mr. and Mrs. R. A. Cecchine
In honor of Altoona Regional
Administration, Medical Staff,
Employees and Volunteers
Mrs. Janet Ellis
In honor of American Cancer Society
Mrs. Paula D. Ridenour
In honor of An Angel of Your Choice
Anonymous
In honor of James W. Barner
Anonymous
In honor of Aaron J. Brumbaugh
Mr. and Mrs. Byron E. Brumbaugh Jr.
In honor of Ian B. Brumbaugh
Mr. and Mrs. Byron E. Brumbaugh Jr.
In honor of Emma G. Burk
Mr. Donald F. Burk
In honor of Cancer Survivors
Mr. and Mrs. Robert T. Griffin
In honor of Christina Claar
Mrs. Brenda J. Marriner
In honor of Lucy A. Cogan
Domenic J. Catton, M.D.
In honor of Erin Dodson
Mr. and Mrs. Byron E. Brumbaugh Jr.
Mrs. Michelle A. Dodson
In honor of Patricia E. Elliott
Ms. Sharon A. McDowell
In honor of Albert Evangelisto
Mrs. Flora L. Evangelisto
In honor of Elaine Evangelisto
Mrs. Flora L. Evangelisto
In honor of Jack and Phyllis Freas
Mr. and Mrs. Robert C. Wray
In honor of Almerinda E. Frezza
Mr. and Mrs. Mark L. Hoover
In honor of Herbert Fries
Ms. Edna M. Holland
In honor of Dr. Zane Gates and Staff
Mrs. Constance E. James
In honor of Allen M. Hoover
Mrs. Betty J. Hoover
Ira B. Kron Dialysis Unit
In memory of Dolly Bidoli
Ms. Donna M. Evangelisto
In memory of Walter I. Bigelow
Ms. Eleanor R. Zindler
In memory of Ross H. Clark
Blair Candy Company
Mrs. Margaret Clark
Mr. and Mrs. J. Michael Dorezas
Mrs. Deborah A. Grover
Mr. and Mrs. John L. Grover
Mr. and Mrs. Gary Rizza
In memory of David W. Dugan
Mr. Richard D. Brown
Mrs. Joanne Dugan
Mr. Bill Firment
Ms. Anna M. Keller
Mr. George Keller
Ms. Margery Miller
Ms. Helen Walters
In memory of Lynette Kenny
Mrs. Gretchen Bernatowicz
Lower Merion School District Penn Wynne Sunshine
Mrs. Donna K. Mickel
Frances and Webster Pringle
Neonatal Bereavement Fund
In memory of Stillborn Babies in
Heaven
Sandra and Rodney Dively
Partnering for Health Services
Medical Clinic
In honor of Zane H. Gates, M.D.
Ryan R. Ridenour, M.D.
Radiation Oncology
In honor of Friends of Altoona
Regional Health System
Mrs. Sally L. Jackson
In memory of Verna Johnnie
Mr. and Mrs. Robert C. Miller
Mr. and Mrs. Jerry Ritchey
In memory of Alvin L. McCall
Mrs. Delores J. McCall
9
In honor of Mark M. Keating
Mrs. Margaret D. Campbell
In honor of Elaine S. Kilgore
Mrs. Nancy J. Bergstein
In honor of Winfield Kilgore
Mrs. Nancy J. Bergstein
In honor of Anna Matthew
Altoona Regional Health System
Behavioral Health
In honor of Pete & Shirley McConnell
Mr. and Mrs. Ronald J. McConnell
In honor of Francis Musselman
Ms. Tempie E. Musselman
In honor of Our Armed Forces
Credit Control Collections
In honor of Paul A. Reagan
Mrs. Michelle A. Dodson
In honor of Brenda Reeder
Mr. and Mrs. William E. Reeder
In honor of Richard A. Rydbom
Mrs. Sharon A. Rydbom
In honor of Lori Shelow
MOPS - Bon Secours Hospital Campus
In honor of Ian Jeff Sherwood-Godson
Mr. and Mrs. Drew M. Appleman Jr.
In honor of Sallie Smith
Mrs. Marcia S. Stultz
In honor of Those Who Care
NPC, Inc.
In honor of Brian-Colleen Weise
Mr. and Mrs. Les M. Weise
In honor of Weise Children
Mr. and Mrs. Les M. Weise
In honor of Mary Lou Weller
Mrs. Janet B. Weller
In honor of Robert E. Wertz, M.D.
Mr. and Mrs. William C. Chestney
In honor of Vicki Wertz
The Honorable Jolene Grubb Kopriva
In honor of Catherine A. Wilt
Mrs. Cindy L. Skupien
In memory of Amerigo Caporuscio
Mrs. Linda A. Harshberger
In memory of John G. Carnila
Mrs. S. T. Carnila
In memory of George Cassarly
Mrs. Shirley M. Cassarly
In memory of Thomas Chamberlain
Mrs. Donna M. Chamberlain
In memory of Herman L. Chandler
Ms. Erin L. Chandler
In memory of Karen Charles
Ms. Jo A. Langemann
In memory of Michael A. Chestney
Mr. and Mrs. William C. Chestney
In memory of June M. Cicero
Mr. Joseph D. Cicero
In memory of Jason Colabove
Mr. and Mrs. Louis C. Colabove
In memory of Carolyn and Joe Conley
Ms. Michelle McMullen
In memory of Harold and
Catherine Conley
Ms. Judith Wolfe
In memory of Phyllis Connelly
Mr. Jerry Connelly
Mr. and Mrs. Donald Squillario
In memory of Lois R. Conrad
Anonymous
In memory of Barbara Cuff
Dr. and Mrs. Zane H. Gates
In memory of David A. Cumming
Cumming Motors Inc.
In memory of Curve Family,
Friends and Fans
Curve Baseball LP
In memory of Ike & Fran Cuzzolina
Mr. and Mrs. David M. Cuzzolina
In memory of Deceased Family Members
Mr. Albert E. Lemme
In memory of Edith Detrick
Ms. Peggy Trexler
In memory of Chalmer S. Detwiler
Ms. Erin L. Chandler
In memory of The Dietrick Family
Dr. and Mrs. Ronald A. Dietrick
In memory of Russell & Pierre Dignan
Ms. Michelle Dignan
In memory of Nicholas,
Jacqueline & David DiMemmo
Mrs. Kathy J. Vincent
In memory of Carl Dionis
Ms. Heather A. Gides
In memory of Glenn Dodson
Mrs. Michelle A. Dodson
In memory of Helen G. Dodson
Ms. Susan A. Dodson
In memory of Catherine Eakins
Mrs. Lois M. Eakins
In memory of Ernest E. Eakins
Mrs. Lois M. Eakins
In memory of Orville and Ruth Ebersole
Ms. and Mr. Nancy S. Glass
In memory of Karen Grigg Eckenrode
Mr. and Mrs. John N. Grigg
In memory of Scott D. Edwards
Mrs. Paula D. Ridenour
In memory of Mary Elder
Mrs. Kay Adams
In memory of Fritz Elvey
Ms. Deborah E. McDougal
In memory of Padey Elvey
Ms. Deborah E. McDougal
In memory of Ralph and Ruth Fink
Ms. Virginia L. Dively
In memory of Leonard & Mary Fiore
Leonard S. Fiore Inc.
Mr. and Mrs. Richard F. Fiore Sr.
In memory of Linda Flaherty
Anonymous
In memory of Mary Foreso
Mrs. Cindy L. Skupien
In memory of Fozard Family
Mrs. Mary A. Fozard
In memory of William Frederick
Frederick Lock & Key Inc.
In memory of Marion D. Frezza
Mr. and Mrs. Mark L. Hoover
In memory of Steve Frye
Mrs. Valerie L. Brumbaugh
In memory of Stella Gallagher
Ms. Karen Brady
In memory of Harold G. Gampe
Ms. Charleen Beichler
In memory of Chester Garlick
Mrs. Rhoda Garlick
In memory of Charles F. George
Ms. Terra D. George
In memory of Frank A. Gerhart
Mr. Gregory Gerhart
In memory of Annie Getz
Mr. and Mrs. Mark L. Hoover
In memory of Gloria, Mother of
Dr. Zane Gates
Mr. and Mrs. James J. Klueg
In memory of Guillian Gority
Ms. Karen Parvin
In memory of Nellie Gunsalus
Mrs. Norma L. Knouse
In memory of Catherine M. Gutwald
Mrs. and Mr. Mary M. Klesius
In memory of Richard Halbritter
Mr. and Mrs. Robert Halbritter
In memory of Lavernia Hall
Mrs. Florence A. Lane
In memory of Ruth Z. Hall
Mrs. and Mr. Barbara A. Bowers
In memory of Helen M. Haller
Ms. Terra D. George
In Memory Of
In loving memory of LeRoy M. Riley
Ms. Shirley F. Riley
In loving memory of Debbie Trude
Anonymous
In memory of Betty J. Adams
Mr. John C. Adams
In memory of Francis (Shung) Agosta
Ms. Betty Ann Agosta
In memory of Ralph J. Albarano
Ralph J. Albarano & Sons Inc.
In memory of Theresa M. Alexander
Mr. Ralph H. Alexander
Mrs. Vicki Baughman
In memory of All Deceased Members
of the Cecchine/Miller Family
Mr. and Mrs. R. A. Cecchine
In memory of All Who Had Cancer
Mrs. Dorothy L. Marchetti
In memory of Lynette Allen-Martin
Bellwood Antis Cheerleaders
In memory of Shirley Asper
Mr. and Mrs. Donald L. Burket
In memory of Parents of Robert &
Marian Auker
Mr. and Mrs. Robert W. Auker Sr.
In memory of Donald W. Ayers
Mr. Stanley N. Ayers
In memory of Sharon Becker
Mr. Ronald Becker
In memory of Earl Beldin
Ms. Eileen Rabish
In memory of Ruth Beldin
Ms. Eileen Rabish
In memory of Sherman Benton
Anonymous
In memory of Mr. & Mrs. Guido F.
Berardinelli
Dr. and Mrs. John L. Berardinelli
In memory of C. Grace Beyer
Mr. and Mrs. John R. Beyer
In memory of Thomas & Edith Bidoli
Ms. Grace Steinbugl
In memory of Ryan Bishop
Ms. Anne T. Stoltz
In memory of Bogart
Amy and Jack Metzger
In memory of Theo Bolan
Mr. and Mrs. Vance C. Bolan
In memory of Robert and Lenora Booth
Mr. Wayne Booth
In memory of Eric Bordell
Mr. and Mrs. Duane P. Bordell
In memory of Heather Bouch
Ms. Amy J. Vinglish
In memory of Paul V. Bower
Ms. Miriam Bower
In memory of Ruth M. Boyer
Mr. and Mrs. William C. Chestney
In memory of S. Harold Boyer
Mrs. Janet B. Weller
In memory of Bonnie Brannigan
Ms. Gail Thompson
In memory of Lora L. Brashears
Mrs. Valerie L. Brumbaugh
Mrs. Judith M. Hollern
In memory of Bernice Breon
Mrs. Lois M. Eakins
In memory of Paul Breon
Mrs. Lois M. Eakins
In memory of Angela E. Brumbaugh
Mr. and Mrs. Byron E. Brumbaugh Jr.
In memory of Frank Bunnell
Anonymous
In memory of Francis and Bertha Burk
Anonymous
10
In memory of Esther M. Hanlon
Mr. Robert L. Hanlon
In memory of Our Nephew,
Tyler Harrington
Mrs. Gina M. Kirby
In memory of Alan Harshberger
Mrs. Linda A. Harshberger
In memory of William L. Harshberger
Mrs. Linda A. Harshberger
In memory of John Hawksworth
Mr. and Mrs. John Hawksworth
In memory of Mary Hawksworth
Mr. and Mrs. John Hawksworth
In memory of Joshua Hayes
Bellwood-Antis Cheerleaders
In memory of Cameron L. Hazard
Mr. and Mrs. James W. Barner
In memory of Sprague C. Hazard
Mr. and Mrs. James W. Barner
In memory of Margaret Healy
Mrs. Valerie L. Brumbaugh
In memory of Elmer and Pearl Helsel
Mr. and Mrs. Les M. Weise
In memory of Frank and Loretta Hensler
Donald J. Hensler, D.M.D.
In memory of Charles B. &
Edwards S. Hess
Mr. David S. Hess
In memory of Josephine Hicks
Ms. Jacqueline M. Hicks
In memory of Bill & Evie Hilling
North American Communications
In memory of Mary and Ferd Hite
Mr. and Mrs. Paul F. Hite
In memory of Mother Dorothy Hoff
Mrs. Geraldine F. Mix
In memory of Sheila Hoffman
Mrs. Lilia J. Sprankle
In memory of Mike Hook
Ms. Deborah A. Dodson
In memory of Allen M. Hoover
Mrs. Betty J. Hoover
In memory of Bill Hoover
Mrs. Elinor N. Bardell
In memory of Lillian J. Hoover
Mr. and Mrs. Mark L. Hoover
In memory of Roger Hoover
Mr. and Mrs. Mark L. Hoover
In memory of John B. Hopfl
Ms. Lynne M. Hopfl
Mrs. Margaret C. Hopfl
In memory of Catherine Hromnak
Dr. George Hromnak
In memory of Charles Humm
Mrs. Shirley A. Humm
In memory of John W. Humm
Mrs. Shirley A. Humm
In memory of Ingrid
Amy and Jack Metzger
In memory of Charles Johnston
Ms. Phyllis J. Heverly
In memory of Wayne Keller
Ms. Madeleine L. Keller
In memory of Malcolm E. Kenner
Mrs. Sandra L. Pritts
In memory of Loved Ones of
Kent & Maurie
Mrs. Margaret Martin
In memory of James Kepner
Dr. and Mrs. John L. Berardinelli
In memory of Janet Frederick &
Genevieve & Bob King
Ms. Jennifer Dennis
In memory of The King Family
Dr. and Mrs. Ronald A. Dietrick
In memory of Parents of
Patrick & Gina Kirby
Mrs. Gina M. Kirby
In memory of Mel Koch
Ms. Karen Brady
In memory of Brooke (Kuhnlein) Krug
Ms. Anne T. Stoltz
In memory of Norman Kulig
Dr. Donald Beckstead
In memory of Rosalie Kunstbeck
Mrs. Cathy M. Guida
In memory of Nema Labriola
Ms. Janice Gjurich
In memory of Fred Lakner
Mrs. Betty B. Lakner
In memory of Ralph Lamagna
Mrs. Valerie L. Brumbaugh
In memory of Helen Laraia
Mrs. Donna L. Long
In memory of James E. Ledford
Ms. Dianne J. Ledford
In memory of Paul Leighty
Mrs. Vernice E. Leighty
In memory of Geraldine M. Lingenfelter
Mr. David E. Lingenfelter
In memory of Hayden Link
Ms. Ramona F. Shrift
In memory of Frank & Mary Livoti
Mr. and Mrs. Anthony Ciccarella
In memory of Alice Luksik
Mr. and Mrs. John Hawksworth
In memory of Beryl MacDonald
Ms. Colleen Becker
In memory of Donald MacDonald
Ms. Colleen Becker
In memory of Richard B. Magee
Mrs. Louise Magee
In memory of Shirley Maier
Mr. and Mrs. Donald L. Burket
In memory of Ann Malloy
Ms. Merlann Malloy
In memory of Merle Malloy
Ms. Merlann Malloy
In memory of Thomas Marlett
Mrs. Rose M. Marlett
In memory of Ed and
Elizabeth Matthews
Ms. Rosemary R. McCoy
In memory of Harriet McCarty
Mrs. Jacqueline Nedimyer
In memory of Liam S. McCaulley
Mrs. Norma A. Smith
In memory of Betty McConnell
Ms. Julie Fochler
In memory of Dennis McCusker,
my beloved husband
Mrs. Julia A. McCusker
In memory of James McDowell
Ms. Sharon A. McDowell
In memory of Joel McElhinney
Mrs. Paula J. Kenepp
Ms. Carole A. McElhinney
In memory of Andrew and
Phyllis McHugh
Dr. and Mrs. Clifford J. Neal
In memory of Tom McIntire
Mrs. Valerie L. Brumbaugh
Mr. and Mrs. William M. Shaffer
In memory of David Metzger
Ms. Colleen Becker
In memory of Randy Miller
Bellwood-Antis Cheerleaders
In memory of Shelly Marvich Mills
Mr. and Mrs. Drew M. Appleman Jr.
In memory of Irene Mirkowski
Ms. and Mr. Amy K. Metzger
In memory of Emma Monahen
Mr. and Mrs. Donald Ruggery Jr.
In memory of R. Jack Morgan
Mrs. and Mr. Patricia J. Ingham
In memory of Andy Moser
Mrs. Rita Kibler
In memory of Mary L. Nagle
Linda and Ronald Ferguson
In memory of Sharon Meintel Oakes
Mr. and Mrs. Richard J. Meintel
In memory of Norb and Hilda O’Connor
Donald J. Hensler, D.M.D.
In memory of James O’Leary
Ms. Patricia O’Leary
In memory of our patients
who have passed on
Drs. Anthony J. and Liang R. Bartkowiak
In memory of Parents of the Ostrums
Mrs. Mary A. Ostrum
In memory of Stella Palochak
Ms. Brigid Palochak
In memory of Edward J. Perell
Mr. and Mrs. William C. Chestney
In memory of Sis Pike
Anonymous
In memory of David R. Pine
Myschel Mauer
In memory of Charles Piper
Blair and Bedford Central Labor Council
In memory of Edie Pry
Mr. and Mrs. John A. Frederick
In memory of Harold Pry
Mr. and Mrs. John A. Frederick
In memory of Elder & Esther Ramsey
Mrs. Patricia E. Edevane
In memory of Mary Reid
Mrs. Linda A. Harshberger
In memory of Dorothy Reilly
Ms. Mary L. Reilly
In memory of Leonard & Nellie Rhodes
Ms. Lois A. Cline
Mr. Gary Norris
In memory of John Ricche
Mrs. Margaret A. Yasulitis
In memory of Virginia Ricche
Mrs. Margaret A. Yasulitis
In memory of Patrick Michael Riley
Mrs. Valerie L. Brumbaugh
In memory of Phyllis J. Riling
Mr. and Mrs. William C. Chestney
In memory of Anthony Roberts
Mrs. Mary A. Roberts
In memory of Nancy Robison
Ms. Janice L. Penrod
Ms. Dana J. Shade
In memory of John A. Robuck
Mr. and Mrs. Byron E. Brumbaugh Jr.
In memory of Franklin D. Roesch
Ms. Mary M. Turnbaugh
In memory of Stephen P. Romerowicz
Mrs. Olga Romerowicz
In memory of James Rosenbaum
Mrs. Jody Petrunak
In memory of Eva Ruggery
Mr. and Mrs. Donald Ruggery Jr.
How
In memory of Andrew Runk
Mrs. Valerie L. Brumbaugh
In memory of Donald & Roberta Runk
Mr. and Mrs. Byron E. Brumbaugh Jr.
In memory of Rinaldo Russo
Mr. and Mrs. Anthony Russo
In memory of Alex Sagaities
Mrs. Dorothy J. Sagaities
In memory of William D. Sands Jr.
Mrs. Lisa J. Degol
In memory of Jim & Marie Schirf
Ms. Janine Schirf
In memory of Margaret (Peg)
Schmidhamer
Ms. Catherine Prescott
In memory of John and Velma Servinsky
Monsignor Michael Servinsky
In memory of C.V. and A.M. Sheehan
Ms. Ruth A. Slippey
In memory of Patricia A. Shellenberger
Mr. and Mrs. Joseph Shellenberger
In memory of Margaret Sickles
Mr. and Mrs. Charles H. Sickles Jr.
In memory of David Skupien
Mrs. Cindy L. Skupien
Mrs. Ruth Skupien
In memory of Julius Skupien
Mrs. Cindy L. Skupien
Mrs. Ruth Skupien
In memory of Robert C. Slutzker
Mr. Richard C. Slutzker
In memory of Art and Rhoda Smith
Ms. Stephanie Mills
In memory of George Smith
SAC Computer Solutions Inc.
In memory of Cherrie Snyder
Mrs. Valerie L. Brumbaugh
In memory of D. Snyder
Mr. Gary W. Snyder
In memory of Edna Speacht
Ms. Edna M. Holland
In memory of Harry Sprankle
Mrs. Lilia J. Sprankle
In memory of Edward & Mary Squillario
Mr. and Mrs. Donald Squillario
In memory of Robert and Elizabeth Stoltz
Ms. Anne T. Stoltz
In memory of Wayne Strawser
Mrs. Valerie L. Brumbaugh
In memory of Gertrude Streightiff
Mr. and Mrs. Donald L. Burket
In memory of Jeff Strittmatter
Ms. Anne T. Stoltz
In memory of Betty Stuck
Ms. Jolene Stuck
In memory of Woodrow and Audrey
Stultz
Mrs. Marcia S. Stultz
In memory of Michael Susick
Mrs. Angela L. Lubert
In memory of Arthur Taylor
Mr. and Mrs. Charles H. Sickles Jr.
In memory of Maude Taylor
Mr. and Mrs. Charles H. Sickles Jr.
In memory of Nancy Thayer
Mr. and Mrs. Fred P. Fraundorfer
In memory of Anna M. Thompson
Mrs. Linda A. Harshberger
In memory of Lester Thompson
Mrs. Valerie L. Brumbaugh
Dr. and Mrs. Ryan Zlupko
In memory of Loretta Thompson
Anonymous
In memory of Lula Thompson
Dr. and Mrs. Ryan Zlupko
In memory of Zachary Topper
Ms. D. Gail Boyles
In memory of Mr. and Mrs. Russell Tower
Ms. Beverly L. West
In memory of Ron Ullery
Mrs. Linda A. Harshberger
In memory of John and Edna Vincent
Mrs. Kathy J. Vincent
In memory of Vizzari Family
Mrs. Julia A. Scarfone
In memory of Todd Wachter
Dental Designs Inc.
In memory of Paul F. Webster
Ms. Sally B. Webster
In memory of Isiah Williams
Mrs. Valerie L. Brumbaugh
In memory of Raymond H. Willnecker
Ms. Linda P. Willnecker
In memory of Richard A., Rosemary &
Robert Yohn
Mrs. Nancy Newkirk
In memory of Joseph Zang
Ms. Mary M. Zang
to give
Through a variety of tax-deductible options, donors are encouraged
to make unrestricted gifts for programs and services where the need is
most urgent. Gifts to Altoona Regional Health System are tax-deductible
as allowed by law and directly impact the well-being of the thousands
of patients and families we touch each year. As a donor to Altoona
Regional, you have the opportunity to make a difference for your
friends, neighbors and family in the community.
If you would like to make a gift to Altoona Regional Health System,
please contact the Foundation for Life at 814.889.6406, visit
www.altoonaregional.org or use the donor envelope provided.
Breath THIEF
COPD’s
killer status is growing:
what you need to know
The test measures airway obstruction and is used to
diagnose COPD even in patients without symptoms.
Other imaging studies, such as a chest X-ray or CT scan,
are sometimes needed to support the diagnosis.
Shortness of breath and a persistent cough may signal
a serious lung disease that is expected to be the thirdleading cause of death by the year 2020.
It’s chronic obstructive pulmonary disease (COPD). Like
most other conditions, the earlier it is detected, the more
effective treatment can be. Unfortunately, according to
the World Health Organization, up to half of people with
clinically significant COPD don’t know they have it.
“Many people understand the importance of monitoring
cholesterol levels,” Dr. Zlupko said. “If you have risk
factors for COPD, getting a pulmonary function test is
just as important.”
Two of Altoona Regional’s lung experts — George M.
Zlupko, M.D., chief of Pulmonary Medicine, and Mehrdad
Ghaffari, M.D. — offer this lifesaving crash course on
prevention, detection and treatment of COPD.
TOPIC 4: Treating every breath
“The first and foremost step in treating COPD is to stop
smoking and avoid any secondhand smoke exposure,”
Dr. Ghaffari said. “This is true regardless of the duration
or severity of the COPD. Studies have shown that
progression of COPD is slowed in patients who stop
smoking.”
TOPIC 1: Understanding COPD
“COPD is an irreversible condition of the lungs in which
the airways become narrowed,” Dr. Zlupko explained.
“It progressively robs sufferers of breath due to a
limitation of air flow to and from the lungs.”
There is no cure. Most patients require ongoing treatment
to keep symptoms under control and slow its progress.
Treatments include, but are not limited to:
The most common causes are chronic bronchitis (airflow
obstruction associated with chronic cough and increased
mucus production) and emphysema (airflow obstruction
associated with damage to the lung air sacs). The
majority of COPD patients suffer from both.
• short- and long-acting bronchodilators
(inhalers to keep airways open)
According to Dr. Zlupko, cigarette smoking is the principle
risk factor for developing COPD, and, therefore, both
active smokers and those who breathe secondhand
smoke are at greatest risk.
• increased mucus production
TOPIC 6: Preventing the problem
• shortness of breath, especially during
physical activities
Dr. Ghaffari said preliminary steps to
prevent COPD and other lung and
cardiovascular diseases include smoking
cessation and restriction of minors’ access
to tobacco products. He urges smoking
parents to quit and remind their children,
especially teenagers, that there is nothing
“cool” about smoking.
• wheezing
• chest tightness
• frequent respiratory infections
Dr. Ghaffari notes that in patients between ages 40
and 50, family members are frequently more aware of
early COPD symptoms — chronic cough with mucus
production only in the mornings — than the patient.
“There is nothing ‘cool’ about carrying an
oxygen tank around because of COPD,”
he said, “and there is especially nothing
‘cool’ about lung cancer. Smoking is not a
habit; it’s a disease. If you cannot quit by
yourself, seek help from your medical care
providers.”
TOPIC 3: Detecting the problem
“If a person has shortness of breath, wheezing, chronic
bronchitis or a smoker’s cough, it might be COPD,”
Dr. Zlupko said. “A simple pulmonary function test can
confirm this.”
11
For those found to
be at risk, Altoona
Regional’s respiratory
technicians will offer a free
screening that includes a
spirometry measurement
(measurement of the
amount and/or speed of
air that can be inhaled
and exhaled) and a
comprehensive review of
the following risks:
• Exposure to radon
• Exposure to asbestos
Patients may be able to slow or stop the progress
by reducing their risk factor exposure.
Maintaining daily activity and regular
exercise can also have a significant positive
effect on lung function.
• persistent cough
The assessment only takes
about seven minutes to
complete, and results
are kept completely
confidential.
• intermittent antibiotics
“Living with COPD can be difficult, especially as it
becomes more and more difficult to catch your breath,”
Dr. Zlupko said. “Medicines for COPD help alleviate
symptoms of breathlessness so patients can participate
more fully in daily life.”
COPD symptoms may include:
The LungAware risk
assessment can be
accessed on the Internet at
www.altoonaregional.org/
checkmyhealth.
• Smoking history
TOPIC 5: Living with COPD
“COPD is a progressive illness, which means symptoms
are usually mild at first, but become worse over time,” Dr.
Ghaffari explained. “At first, the disease may be silent,
although measurements of lung function may indicate its
presence.”
The overwhelming response
to Altoona Regional’s
HeartAware program has
led to a new program called
LungAware, a free online
survey that helps assess
risk of developing lung
cancer or other respiratory
diseases.
• anti-inflammatory drugs
• oxygen if needed
TOPIC 2: Spotting the symptoms
How
HEALTHY are
your LUNGS?
• Environmental factors
For more information
about LungAware, contact
Christine Bossi, R.N.,
at 899.2853.
For more information,
contact our experts:
George Zlupko, M.D.,
FCCP, CWS, FCCWS
Altoona Lung Specialists
801 Howard Ave.,
Altoona, Pa.
946.2846
Chief, Clinical Service of
Pulmonary Medicine
Director, Respiratory Care
Director, Hyperbaric
Medicine
Altoona Regional
Health System
Mehrdad Ghaffari, M.D.
Pulmonary/Critical Care &
Sleep Department
Blair Medical Associates
1414 Ninth Ave.,
Altoona, Pa.
946.1655
PROGRAM ALERTS! GI Disorders and the Older Adult and A Word About Colon Cancer: Screening! See Page 15 for details, dates and times.
Catch itEARLY
By the time symptoms of
colorectal cancer appear,
it could be too late
It’s perplexing.
Colorectal cancer claims
50,000 Americans each
year, trailing only lung
cancer as the secondleading cause of cancerrelated deaths.
Dick Reeder (left)
and Dick Nedimyer, members of
the Jaffa Roadrunners, have been
volunteering to deliver daffodils
as part of the American Cancer
Society’s Daffodil Days each
March for the past 12 years.
Yet, because the disease
almost always starts with
a polyp, which can be
removed before becoming
cancerous, colorectal
cancer is one of the few
cancers that can be
prevented. Furthermore,
the disease is very slowgrowing and highly treatable
in early stages.
Despite the simplicity with
which the disease is prevented, 150,000 new cases are
discovered each year, and our region of Pennsylvania has
a higher than average rate of the disease.
Dr. Jonathan F. Grier, a board certified gastroenterologist
in Altoona, says there are three rules for preventing
colorectal cancer — screening, screening and screening.
Screening needs to be routine
“It can’t be overstated,” he said. “Articles like this one will
help — there will be a slight increase of patients seeking
colonoscopy screenings and physicians assigning them,
but it will lessen with time. It needs to become routine.”
Altoona Regional is a major
sponsor of the American
Cancer Society’s Daffodil
Days (March 16-22).
The annual campaign raises
funds for cancer prevention,
research, education and
support through the sale
of daffodils and a special
edition Boyds Bear. For
more information, call
1.800.ACS.2345 or visit the
American Cancer Society on
the Web at www.cancer.org.
Colonoscopy screening is recommended every 10 years
beginning at age 50, but if you’re younger with risk factors
such as a family history of cancer, obesity, smoking,
ulcerative colitis or Crohn’s disease, talk to your doctor
about screening at an earlier age. An annual fecal occult
blood test and a sigmoidoscopy every five years may be
recommended.
Unfortunately, taboos surrounding the disease and
screening deter many.
“One hundred percent of my patients tell me it wasn’t as
bad as they thought it would be, and 100 percent agree
to a second screening (when the time comes) without
discussion,” Dr. Grier added.
During the actual test, patients are sedated to eliminate
discomfort, pain and unpleasantness through the 15-30
minute procedure.
‘Small price to pay …’
If anything, Dr. Grier said, patients claim preparation,
which involves cleansing the colon through fasting and
laxatives, was inconvenient. “But they all agree it’s a small
price to pay to save their lives,” he said.
Dr. Grier says the key to prevention — and possibly
survival — is to act before warning signs appear.
In his 60s before showing signs and being diagnosed with
colon cancer, Dick Reeder, 86, of Duncansville knows
exactly how lucky he is to be alive today.
Dick, like many others, wrote off obvious signs —
a change in bowel habits, blood in his stool and rectal
bleeding — as hemorrhoids or the strain of physical work,
until they became too much to ignore.
“It was eight months between when I first had signs until
I called my doctor,” Dick recalls. “He sent me for the
colonoscopy right away. There’s no easy way to hear that
you have cancer.”
Usually no symptoms
Usually there are no symptoms, Dr. Grier said, and by
the time signs appear, the cancer may be in an advanced
stage.
“When colorectal cancer is caught early, most people
are cured,” he said. “However, like other cancers,
when detected at later stages, the chances
for a cure lower.”
Dr. Grier suggests paying close
attention to age and personal or family
history, especially now that genetics
plays a greater role in early detection.
Researchers have identified two inherited
conditions — familial adenomatous
polyposis, or FAP, and hereditary
nonpolyposis colorectal cancer,
or HNPCC — as precursors to
the disease.
But because almost 75
percent of colorectal cancer
cases occur in people with
no prior family history and
no symptoms, Dr. Grier
urges patients to ask their
doctors about screening
for colorectal cancer.
“There’s simply no good
reason not to get screened,”
he said.
Contact: Jonathan F. Grier, M.D. • Digestive Disorders Inc.
Puritan Park Medical Center, 2525 9th Ave., Suite 2A, Altoona • 941.7170
12
12
Possible
T
C
I
L
F
CON
Drugs, foods and herbs don’t always get along
Each year,
thousands
of people
experience
potentially
harmful interactions
involving prescription
medications. An open
dialogue with your
pharmacist and knowing
the difference between
side effects and drug
interactions can help keep
you and your family safe.
Drug interactions occur
when a drug reacts to or
interferes with another
prescription medication or
over-the-counter medicine,
altering the way the drugs
act in the body.
Interactions can also exist
between drugs and certain
foods, called a drug-food
interaction, as well as drugs
and herbal medicine, called
a drug-herb interaction.
Jill Breton, Pharm.D.,
a clinical pharmacist at
Altoona Regional, says the
severity of a drug interaction
can range from a drug
simply not working as
expected to an increased
risk for side effects.
Greater risk
for side effects
if the benefit of the drug is
worth the annoyance.”
of them to stay in your
bloodstream longer.
In some cases, she adds,
side effects can be serious
enough to require a
dosage change or a
medication change.
Fortunately, the potential
for a harmful food-drug
interaction is small, with a
few notable exceptions.
A list of potential side
effects is included with
the medication, and you
can discuss with your
pharmacist the severity of
the side effects and when
to be concerned.
Food can also interact with
medication in many ways,
Jill said, including making
a drug less powerful and
sabotaging an intended
treatment.
Calcium, for example, in
milk and other dairy foods,
interferes with certain
antibiotics by preventing
their proper absorption.
Grapefruit juice
can be a culprit
Grapefruit juice can
interfere with an enzyme
in your body that helps
metabolize cholesterollowering medication,
blood thinners, blood
pressure medicine and
antidepressants,
causing more
Alcohol can intensify the
sedating effects for many
medications, including
those for depression and
anxiety and other drugs
that affect the brain and
nervous system.
Foods containing tyramine,
such as aged cheeses
like Parmesan and blue
cheese, react with MAO
inhibitors (one type of
antidepressant) and
may cause an extremely
dangerous rise in blood
pressure.
Not all food-drug
interactions are bad;
some actually improve the
effectiveness of a drug.
For example, orange juice,
high in vitamin C, increases
the absorption of iron,
maximizing your intake
from an iron supplement.
• Talk to your pharmacist.
Whenever possible, go
to the same pharmacy
so the pharmacists get
to know you and all your
medication information.
• Maintain a current list
of all medications,
including over-the-counter
and herbal medications,
which tells your doctor
and pharmacist what
drug you are taking and
how you are taking it.
• Educate yourself
about your medication.
Anytime you start a
new medication, ask
questions: what side
effects to expect; what
medications, foods or
herbal products should
be avoided; what to do if
serious side effects occur.
You should also have a
clear understanding of
why you’re taking the
medication.
Tips for safe use
Jill offers three tips to help
you and your family avoid
a drug interaction:
“A drug interaction can lead
to one of the medications
having a more powerful
effect, causing a greater
risk for side effects,” Jill
said. “Alternatively, some
drug interactions lead to
one medication becoming
less powerful or losing
efficacy all together.
“Side effects are expected
reactions to a drug, but not
the desired effect. Most
side effects can be tolerated
PROGRAM ALERT! Managing Your Medications See Page 15 for details, date and time.
13
MAKE A
MEDICATIONS
LIST
Whether talking to a
pharmacist or your family
doctor, being admitted
directly to the hospital, or
going to the emergency
room, you will likely be asked
the very important question,
“Do you have your current
medications list?”
Having an updated list will
allow the physician to order
your medications correctly,
preventing errors.
Here are some tips for preparing your medications list:
• Include the name, dose
and time you take the
medication (example:
Lantus insulin, 10 units,
bedtime)
• Document all changes in
medication on your list
• Keep several copies for
easy access
• Give your family a copy
of the list
When you are discharged,
you are given a copy of your
current medications. Take
that copy with you when you
follow up with your primary
care physician so he or she
can make changes.
YOUR
NEW YEAR OFF
Health-O-Rama
offers abundance of health
and wellness information
SCHEDULE OF PHYSICIAN PROGRAMS
9:30 to 11 a.m.
Knees and Shoulders: Is
There Relief From the Pain?
surgery, a tissue-sparing skin surgery used to remove skin cancer
with a “98-99 percent cure rate.”
Rooms 202-204
Rooms 202-204
Jack Rocco, M.D., and
Christopher McClellan, D.O.,
orthopedic surgeons, University
Orthopedics
Health-O-Rama
Join Drs. Rocco and McClellan
for this presentation on the latest
in minimally invasive options
for the treatment of knee and
shoulder pain. This discussion
will include the risks and benefits
of total joint replacement as well
as arthroscopic options and
advances. If joint pain is keeping
you from doing the things you
enjoy, don’t miss this presentation!
10 to 11 a.m.
Don’t Let Heel Pain Limit
Your Life
Health-O-Rama 2009 features a blockbuster lineup of
ways to jump-start your journey to better health.
Rooms 205-206
Join Altoona Regional staff and physicians and more
than 50 other exhibitors at Health-O-Rama on Saturday,
Jan. 17, from 9 a.m. to 4 p.m. at the Blair County
Convention Center, Altoona. Parking is free.
Bert Altmanshofer, D.P.M.,
board certified podiatric surgeon,
Foot & Ankle Care
We’ve all heard the saying, “If
your feet hurt, you hurt all over.”
If heel pain is limiting your activity,
this presentation is for you! Join
Dr. Altmanshofer as he discusses
the more common causes of heel
pain, including plantar fascitis,
heel spurs, Achilles tendonitis
and tarsal tunnel syndrome, and
their prevention, diagnosis and
proper treatment.
For the seventh consecutive year, Altoona Regional is
the major sponsor of this region’s largest health fair,
which features informative and entertaining exhibits,
interactive demonstrations, screenings and hands-on
product displays.
Also for the seventh straight year, Altoona Regional
physicians will present informative and helpful seminars
on several medical conditions and procedures
(see schedule at right).
10 to 11 a.m.
Diabetes and
Cardiovascular Disease:
Wellness and Prevention
“This day provides an excellent way to take control
of your health and well-being,” said Dana Shade,
Community Education coordinator at Altoona
Regional. “We will do screenings for body mass index,
osteoporosis, blood pressures; risk assessments for
breast cancer and cardiovascular disease, and provide
information on urinary tract infections, stroke prevention,
diabetes and more.
Rooms 207-208
Michael Humphrey, D.O.,
endocrinologist, Blair Medical
Associates
Do diabetes and cardiovascular
disease run in your family? Do
lifestyle factors put you at risk for
these diseases? Have you already
been diagnosed? What can you
do to prevent or control these
debilitating diseases before they
take control of you? Dr. Humphrey
will answer these questions and
discuss ways to put you on the
road to wellness.
“And, it can all be done in one day, in one convenient
location.”
INFO TO GO
WHO: Allegheny Mountains Convention and Visitors
Bureau and Altoona Regional Health System.
WHAT: Health-O-Rama 2009 — Meet the doctors.
Hear the experts. See the hands-on demonstrations
and get life-enhancing information.
WHEN: 9 a.m. to 4 p.m. Saturday, Jan. 17
ADMISSION: Adults and children $2
WHERE: Blair County Convention Center — Turn onto
Convention Center Boulevard from either Plank Road
(Route 220) or Logan Boulevard (Route 36) and watch
for the Convention Center entrance.
FOR INFORMATION: Call the Allegheny Mountains
Convention and Visitors Bureau at 943.4183 or
800.842.5866.
11 a.m. to noon
Skin Cancer: Diagnosis
and Treatment
Rooms 202-204
Gregory Fulchiero Jr., M.D.,
dermatologic surgeon,
Keystone Dermatology and
Center for Skin Surgery
One in six Americans will develop
skin cancer in their lifetime.
Dr. Fulchiero will discuss how to
recognize the signs and symptoms of skin cancer; prevention,
diagnosis and treatment options,
including Mohs micrographic
14
1 to 2 p.m.
Chronic Pelvic Pain
in Females
John D. Paulson, M.D.,
urogynecologist/obstetrician,
Blair Medical Associates
11 a.m. to noon
Get Moving Again With
Minimally Invasive Hip
and Spine Surgery
Rooms 205-206
Charles J. Harvey, D.O.,
orthopedic surgeon, Blair
Orthopedic Associates and
Sports Medicine
Hip and spine pain can limit
your mobility and activity. Join
Dr. Harvey as he discusses
minimally invasive hip replacement
and minimally invasive spinal
surgery that can get you up and
moving again.
11:30 a.m. to 12:30 p.m.
The Latest on Colon Cancer
Screening
Rooms 207-208
Ralph D. McKibbin, M.D.,
gastroenterologist, Blair
Gastroenterology Associates
When diagnosed early, the majority
of colon cancers are completely
curable, yet colon cancer is the
third-leading cause of cancer
death in the U.S. Don’t make the
mistake of waiting to see your
doctor until you have symptoms!
Join Dr. McKibbin as he discusses
prevention and detection of colon
cancer; the latest on screening
technology, including virtual
colonoscopy; the latest age
guidelines for screening, and new
guidelines for hereditary cancer.
1 to 2 p.m.
MRSA: What Is It and
How Can You Avoid It?
Rooms 205-206
Robert D. Sullivan, M.D.,
internal medicine and infectious
disease specialist
MRSA (methicillin-resistant
Staphylococcus aureus) has been
in the news a lot lately. It has
been found in schools, among
athletes, in health care settings
and in homes. The CDC reports
that Americans visit the doctor
approximately 12 million times
each year to get checked for
suspected staph or MRSA skin
infections. Join Dr. Sullivan as he
explains how to recognize staph
and MRSA infections; what you can
do to prevent them, and how they
are diagnosed and treated.
The pain may be steady or it
may come and go. It may be a
dull ache or it may be sharp. It
may be mild or bad enough to
interfere with daily activities. Join
Dr. Paulson as he discusses the
causes, diagnosis and treatment
of chronic pelvic pain, including
pelvic inflammatory disease,
endometriosis, fibroids and
interstitial cystitis.
1:30 to 2:30 p.m.
Complex Shoulder
Problems: What to Do
When Told Nothing More
Can Be Done
Rooms 207-208
Joshua Port, M.D., orthopedic
surgeon, Blair Orthopedic
Associates and Sports Medicine
Dr. Port will discuss the
latest advances in shoulder
replacement surgery, including
reverse shoulder and resurfacing
of the humerus. He will review
his clinical experiences as an
investigator in an international
shoulder study over the last five
years and discuss other solutions
for complex and massive rotator
cuff repairs that have failed initial
treatment. If you have been told
nothing more can be done for
you, come and see if a solution
may exist!
2 to 3 p.m.
Autistic Spectrum
Disorders
Rooms 205-206
George Hromnak, M.D.,
child psychiatrist,
Behavioral Health Services,
Altoona Regional
Autistic disorders have
received a lot of media attention.
Dr. Hromnak will discuss autistic
disorder, Asperger’s syndrome,
Rett’s disorder, childhood disintegrative disorders and PDD/
NOS (pervasive developmental
disorder/not otherwise specified).
This presentation will include
information on diagnosis and
treatment options and will touch
on concerns regarding mercury
and childhood immunizations.
PROGRAMS
Healthy
Living
drugs, food and herbals. In
addition, she will explain why it is
important to follow directions and
heed warnings on labels. Ample
time will be allotted for questions.
Meet the New CEO
January, February,
March 2009
Programs are open to all
adult age groups unless
otherwise specified.
In the event of inclement
weather, please listen
to your local radio and
television stations for
program cancellations.
We will also leave a
message regarding
program cancellation on
the 889-2630 phone line.
Altoona Hospital Campus
is at 620 Howard Ave.
Bon Secours
Hospital Campus
is at 2500 7th Ave.
DAYTIME
PROGRAMS
Healthy Steps In
Motion Exercise
Classes (the new
PEPPI)
Every Monday,
Wednesday and Friday
at 8:15 a.m. or 10 a.m.
Fourth Lutheran Church
231 Howard Ave.,
Altoona
No fee. Registration
required. Call 889.2630
or 1.888.313.4665.
Ready to get in shape
for the new year? Are
you 55 or older and
looking to improve
your strength, flexibility
and balance? Want to
start toning up? Our
classes can help you do all
this while combating chronic
conditions such as arthritis and
osteoporosis. Healthy Steps In
Motion is a fun, peer-led, weight
resistance/strength training
program designed with your good
health in mind.
Child Safety Seat
Checkup Station
Fridays, Jan. 9, Feb. 13 and
March 13, 9:30-11 a.m.
Altoona Hospital Campus
parking garage, Blue Level.
Look for the Safe Kids van.
No fee. By appointment only.
Call Safe Kids Blair County at
889.7802.
Find out if your child’s safety seat
is installed properly. Your child’s
life may depend on it.
Friday, Feb. 20. Lunch at 11 a.m.
followed by program until 1 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
No fee. Registration required.
Call 889.2630 or 1.888.313.4665
After a diligent search involving
more than 20 candidates, Jerry
Murray was named the acting
president and CEO of Altoona
Regional, effective Nov. 1, 2008.
Join Jerry as he discusses his
goals for your community hospital,
the many challenges facing
today’s health care institutions,
and his vision for making Altoona
Regional a world-class health
care system. Ample time will be
allotted for questions.
Free Osteoporosis
Screening: Heel Scans
By appointment only on Friday,
Jan. 16, 12:30-3 p.m.
For men and women
Kaufman Dining Room,
Bon Secours Hospital Campus.
By appointment only on
Friday, Feb. 6, 12:30-3 p.m.
For women only
Allegheny Room, 6th floor,
Outpatient Center,
Altoona Hospital Campus.
By appointment only on
Friday, March 6, 12:30-3 p.m.
For men and women
Kaufman Dining Room,
Bon Secours Hospital Campus.
Please call 889.2630 or
1.888.313.4665 to make your
appointment.
Find out if you are at risk for
osteoporosis. This bone mineral
density screen is a noninvasive,
painless tool that can help
determine bone health and your
risk for fractures. It can also
monitor your response to various
osteoporosis treatments.
GI Disorders and the
Older Adult
Friday, March 20. Lunch at
11 a.m. followed by program
until 1 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
No fee. Registration required.
Call 889.2630 or 1.888.313.4665.
Join Dr. Jonathan
Grier of Digestive
Disorders Inc. as
he discusses how
aging affects the
gastrointestinal
system and
some of the
more common
gastrointestinal
conditions of older adults.
Ample time will be allotted for
your questions.
Peripheral Artery Disease
(PAD) Screening
By appointment only.
Tuesdays, Jan. 13, Feb. 10 or
March 10, 8 a.m. to 2:30 p.m.
Vascular Institute, 6th floor,
Outpatient Center,
Altoona Hospital Campus
No fee. Call 889.2630 or
1.888.313.4665 to schedule
your appointment.
Peripheral artery disease occurs
when plaque clogs leg arteries or
vessels and restricts blood flow.
Untreated PAD can not only make
walking difficult but may increase
your risk of heart attack or stroke.
Kay Adams, nurse practitioner
and manager of the Vascular
Institute, will perform an ABI
(ankle-brachial index) screen,
a painless screening in which
blood pressure is measured in
legs and arms to determine
blood flow. Please be prepared
to remove shoes and socks.
EVENING
PROGRAMS
AARP Driver Safety
Program
All classes from 6-10 p.m.
Logan Room, 6th floor,
Outpatient Center,
Altoona Hospital Campus.
Tuesday, Jan. 13, and
Wednesday, Jan. 14
Or Tuesday, Feb. 10, and
Wednesday, Feb. 11
Or Tuesday, March 10, and
Wednesday, March 11
Fee: AARP member (bring AARP
ID) $12; non-AARP member
$14. Registration required. Call
889.2630 or 1.888.313.4665.
This classroom refresher course
covers age-related physical
changes, perceptual skills, rules
of the road and more. All automobile insurance companies in
Pennsylvania provide a premium
discount to graduates age 55
and older. Most require both
spouses insured under the same
policy to take the class to receive
a discount.
Managing Your
Medications
Friday, Jan 23. Lunch at 11 a.m.
followed by program until 1 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
No fee. Registration required.
Call 889.2630 or 1.888.313.4665.
Managing your meds can be
tricky business. Jill Breton, clinical
pharmacist at Altoona Regional,
will discuss interactions among
prescription and over-the-counter
15
Yoga
Six-week series
Rotunda, 6th floor, Outpatient
Center, Altoona Hospital Campus.
Tuesdays, Jan. 13 through
Feb. 17. Fee $30 for both
beginner and intermediate class.
Tuesdays, March 3 through
April 7. Fee $30 for both beginner and intermediate class.
Beginners: 5:30-6:40 p.m.
Intermediate: 6:50-8 p.m.
Thursdays, Jan. 15 through
Feb. 19. Fee $30.
Thursdays, March 5 through
April 9. Fee $30.
Beginner classes only:
5-6:10 p.m.
Register now as classes are
limited to 25. Call 889.2630 or
1.888.313.4665.
Gail Murphy, registered instructor
in Hatha Yoga, leads this program,
which offers mind/body exercise,
breath control, stretching and
strengthening to promote mental,
physical and spiritual well-being.
Experiencing God
13-week series
Wednesdays, Jan. 21 through
April 15, 6:30-8:30 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
Fee $30, covers cost of
workbook and Spiritual Journal.
Registration required. Class
size limited. Register by calling
889.2630 or 1.888.313.4665.
Facilitated by the Rev. Robert
J. Smith of our Pastoral Care
team, who says: “Over the years,
Experiencing God has awakened
believers to a radically Godcentered way of life. As a result,
millions have come to know God
intimately, to recognize his voice
and to understand his will for
their lives. Through the biblical
principles in this course,
God can teach you how to:
• Know when he is speaking to you
• Recognize his activity around you
• Adjust your life to him and his
ways • Identify what he wants to
do through you • Respond to his
activity in your life.”
Participants can expect to spend
approximately 30 minutes a day,
five days a week completing
individual study assignments.
Food Tips to Help You
Keep Your Resolutions
Wednesday, Jan. 14, 6:30-8 p.m.
Rotunda, 6th floor, Outpatient
Center, Altoona Hospital Campus.
No fee. Registration required.
Call 889.2630 or 1.888.313.4665.
Class size limited. Healthy
refreshments will be served.
Whether one of your New Year’s
resolutions is to lose weight or just
to maintain a healthy diet, start
off the year right. Learn about
making sensible choices at the
grocery store and at your dinner
table. Join the ever-popular Randy
Grabill, clinical dietitian at Altoona
Regional, as he provides us with
good food tips for a healthier,
happier, new you!
Winter Craft:
Country Wreath
Friday, Feb. 6, 6:30-8 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
Fee $14. Registration required.
Call 889.2630 or 1.888.313.4665.
Class size limited to 25. Deadline
to register is Friday, Jan. 30.
Join Sharon Rydbom as she
guides you in making a decorative
grapevine wreath to add a country
touch to your door or wall.
Materials needed include: scissors,
glue gun and glue sticks (don’t
special purchase), ruler or tape
measure, one-quarter yard each of
two different homespun fabrics
(e.g. small gingham check and
larger plaid in your choice of color).
Fabric will not be provided.
A Word About Colon
Cancer: Screening!
Wednesday, March 11,
6:30-8 p.m.
Rotunda, 6th floor, Outpatient
Center, Altoona Hospital Campus.
No fee. Registration required.
Call 889.2630 or 1.888.313.4665.
Class size limited. Healthy
refreshments will be served.
March is Colorectal Cancer
Awareness Month. Join Dr. Jonathan Grier of Digestive Disorders
Inc. as he discusses the myths
and fears that prevent us from
seeking the proper screening,
care and treatment for this
preventable disease. Ample time
will be allotted for questions.
Conflict and Healing
Emotional Wounds
Six-week series
Mondays, March 9 through
April 13, 6-7:30 p.m.
Bon Secours Hospital Campus
Education Center, Trzeciak
Conference Suite, 2621 8th Ave.
Fee $35. Registration required.
Class size limited. Call
889.2630 or 1.888.313.4665.
Conflict causes emotional
wounds and pain that
need to be healed, not just
managed. Healing brings
wholeness, peace, restoration
and good health. Dr. MlenToo Wesley, a conflict
management specialist, a
faculty member at Penn State
Altoona and member of Altoona
Regional’s Pastoral Care team,
will help people with healing and
building healthy interpersonal
relationships.
2009
Women’s
Night Out
Ladies! Mark your calendar and watch your mail!
Women’s Night Out is scheduled for May 7, 2009. Details and
registration information will be mailed to you in the near future.
Non-Profit
Organization
U.S. Postage
PAID
Altoona Regional
Health System
Roland Crevecoeur Jr.,
M.D., FAAP, MACP,
is a board certified
pediatrician and a
pediatric cardiologist.
ASK THE SPECIALIST
Complications from
acquired heart diseases
— such as endocarditis,
an inflammation of the
heart valves and lining, and
rheumatic heart disease,
The earliest age
recommended
for screening is 2 years in
children with a strong family
history of high cholesterol.
Others recommend
screening at age 5 or 6. The
problem is that the accuracy
of the test at those ages is
somewhat controversial.
I do start documenting
through testing if there is
a significant family history
of high cholesterol. By age
10, I consider medication
therapy but that is in very
few cases because the main
push should be diet and
lifestyle changes. That’s a
very daunting task because
this population wants to
change neither. You are
dealing with children; you
really have to get the
whole family involved.
A greater and more
P
R
O
If weight loss fails to bring
the blood pressure under
control, then we do use
medications as a last resort
as they have been tested
and approved for children.
What’s the best
advice you can
offer parents?
I would stress a
healthy lifestyle for
their children, with daily
exercise, a healthy diet
and plenty of sleep. Also,
the American Academy of
Pediatrics recommends no
more than two hours a day
of television or the Internet
as sedentary behaviors can
lead to obesity.
I would also say take
advantage of the many
routine and preventive
vaccinations available.
For example, children with
cardiac problems and
premature infants who
qualify should receive
Synagis, a vaccine that
protects against RSV, a
severe respiratory illness.
F
I
L
Change Service Requested
Early detection, advances
in surgical techniques
and better materials
all contribute to better
outcomes, higher quality of
life and increased longevity.
Various agencies
and boards
recommend
different ages
for cholesterol
screening.
What do you
recommend for
your patients?
common concern is the
link between obesity and
high blood pressure, which
I see in 20-30 percent of
my patients. It is proven
that if the weight comes off,
the blood pressure comes
down. If nothing is done,
it’s been shown in the long
term that these children
will develop asymptomatic
cardiac disease at an earlier
age than their same-age
counterparts.
E
A nonprofit community health care system
Two general types
of heart disease are
congenital and acquired.
In congenital heart disease,
a child’s heart is damaged
from birth due to multiple
causes. Heart disease can
also be associated with
chromosomal abnormalities,
such as Down’s syndrome.
caused by rheumatic
fever — are on the wane
because of more aggressive
interventions. However,
acquired cardiovascular
disease such as high
cholesterol and high blood
pressure are rising due
to the higher incidence of
obesity.
Altoona Hospital Campus
620 Howard Avenue
Altoona, PA 16601-4804
As a pediatric
cardiologist for 10
years, what types
of heart disease
do you see and
what advances in
treatment have
been made?
Dr. Crevecoeur graduated from New York University
Medical School and completed a combined internal
medicine/pediatric residency program and a pediatric
cardiology fellowship program.
He was attracted to the area’s high quality of life and
quieter pace that he came to know while visiting his
sister, Dr. Carline Crevecoeur, who was an OB/GYN
in the area. He and his wife have three children.
He practices at Pediatric Cardiology and
Other Medical Consultations, 5 N. Juniata St.,
Hollidaysburg, Pa.; phone 695.0632.
16