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. 2 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. 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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