A Good Lesson
Transcription
A Good Lesson
WINTER 2007 2006 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 Computer addiction How much time is too much? Page 11 Page 2 A Good Lesson “ Not being able to teach again would have been the most devastating effect.” Child care changes A refresher course for grandparents Page 13 Health-O-Rama Check out the offerings for this mega-health fair Page 14 Health News & Information for Healthy Living WINTER 2007 Healthy Living Altoona Regional Health System’s Healthy Living Magazine is published four times a year by the Marketing and Communications Department. Senior Vice President, Corporate Development Ronald J. McConnell Director, Marketing and Communications Dave Cuzzolina On the cover: Vicky leads a class discussion at Glendale Junior-Senior High School in Flinton, Cambria County. Staff Writers Patt Frank Jay Knarr Anne Stoltz Vicky reunites with speech-language pathologist Christa Kozminski at Altoona Regional’s Mallery Speech and Hearing Clinic. Design Barash Advertising, State College, PA Quick action after onset of stroke symptoms saves woman from destructive effects PLEASE NOTE: President and CEO Jim Barner’s column appears on Page 7 as part of the system’s annual report. What started out as a routine day of work on April 3, 2006, became a nightmare for 59-year-old Vicky Zeoli of Altoona. For more information, please call or write to: Altoona Regional Health System Marketing and Communications Dept. Altoona Hospital Campus 620 Howard Ave. Altoona, PA 16601-4899 814.889.2271 814.889.3115 FAX [email protected] A nonprofit community health care system www.altoonaregional.org 2 That morning, Vicky had a slight headache when she was called in as a substitute English teacher at Bellwood-Antis High School. She has no recollection of the events that occurred between the time she left for school and when she awoke in the emergency department at the Altoona Hospital Campus. Vicky arrived at the emergency department at 9:20 a.m., unable to speak and with a severe headache. She also was staring off to her left and had difficulty looking to the right. In response to her symptoms, the ER immediately activated a “Code Gray” — the pager system code for a stroke patient. Within an hour, she had been evaluated and physicians had her CT scan results in hand so they could begin treatment. “People told me that I had difficulty understanding a seating chart, so I went to the school nurse,” Vicky said. “Since I’m a diabetic, the nurse tested my sugar, but that wasn’t the problem. I was having a stroke, and the nurse called 911 right away.” “Time is of great importance for stroke patients,” according to Christi Wimer, R.N., B.S.N., C.N.R.N., clinical coordinator of neurosciences at Altoona Regional. “A clot buster medication known as tPA can lessen the effects of stroke if administered within three hours of the onset of symptoms.” For Vicky, the tPA was given quickly enough to break up the problematic blood clot in her brain. No lifestyle changes or physical therapy were required for her recovery. She needed some therapy for speech and to recover short-term memory, and she completed that in four months at Altoona Regional’s Mallery Speech and Hearing Clinic. Vicky has had a remarkable recovery. She never lost her passion for teaching and returned to the classroom the following school year. “When you think about stroke, you think about people who can’t use their arms, or who can’t talk, or who can’t walk,” Vicky said. “Not being able to teach again would have been the most devastating effect. I’m so fortunate to have received the wonderful care that I did at Altoona Regional.” In September, Altoona Regional earned certification from the Joint Commission on Accreditation of Healthcare Organizations, making it the only certified Primary Stroke Center between Pittsburgh and Lancaster. Each year, about 700,000 people experience a new or recurrent stroke, which is the nation’s third leading cause of death. On average, someone suffers a stroke every 45 seconds and someone dies of a stroke every 3.1 minutes. Stroke is a leading cause of serious, long-term disability in the “We looked at the fact that the stroke death rate in Blair County was significantly higher than the state average and knew it was a health problem we needed to address.” — James W. Barner, Altoona Regional president and CEO KNOW the signs and symptoms of a STROKE Stroke has been upgraded to a priority ambulance dispatch in Blair County — the same level as a heart attack. It is imperative that patients who are experiencing symptoms of a stroke, or “brain attack,” receive urgent medical attention. Stroke symptoms usually come on suddenly and for no apparent reason. Call 911 immediately if you or someone you’re with experiences any of the following: • • • • • • • Feelings of weakness or tingling on one side of the body Facial numbness (mouth may droop to one side) PROGRAM ALERT: Stroke Alert! See Page 15 for date, time “We live in an area where stroke risk factors . . . are very prevalent.” — Dr. Mark Lipitz Inability to speak or understand someone else Trouble walking, dizziness, loss of balance Severe headache without known cause Blurred vision in one or both eyes Sudden confusion “Any of the above symptoms may be temporary and last only a few minutes. This may be due to a ‘ministroke,’ called a ‘transient ischemic attack’ (TIA),” explained James Burke, M.D., Ph.D., chief of Neurosurgery at Altoona Regional. “TIAs are extremely important indicators of an impending stroke. Don’t ignore them! If symptoms appear, call 911 to get medical attention immediately.” REDUCING YOUR RISK OF STROKE United States, with about 4.7 million stroke survivors alive today. minimizing the damage. “We looked at the fact that the stroke death rate in Blair County was significantly higher than the state average and knew it was a health problem we needed to address,” said James W. Barner, Altoona Regional president and CEO. “As a certified stroke center we are able to provide patients with rapid emergency care upon arrival that ultimately improves their outcomes.” “Certain medications can be given, depending upon what type of stroke it is, and procedures are in place that help us immediately identify what is taking place in the patient’s brain, which is literally under attack,” explained Mark Lipitz, D.O., medical director of the Regional Stroke Center. “The sooner patients get to the hospital, the better. They should always come as soon as symptoms appear.” Along with aggressive diagnosis and treatment, and early rehabilitation therapy, an important aspect of the regional stroke center is increasing awareness of the signs of a stroke. Recognizing the signs early and getting treatment is key to The stroke center is part of the neuroscience services offered at Altoona Regional, which include many different medical and surgical specialties. A special team has been established to respond swiftly to patients both in the emergency department and elsewhere in the hospital who have stroke symptoms less than six hours old. The “Code Gray” pager system alerts team members to rush to the patient’s bedside. The neurologist is only one component of the stroke care team. Others include an emergency physician, emergency nurse, stroke nurse, critical care nurse, CT scan technician, lab technician, radiologist, respiratory therapist and a chaplain. Radiologists are available 24 hours a day, and Altoona Regional recently welcomed neuroradiologists to the stroke team. They are specifically trained in stroke and brain imaging techniques. Technologically, Altoona Regional offers the latest generation of testing that allow physicians to quickly determine what type of treatment would be best for each patient. “We live in an area where stroke risk factors — such as hypertension, diabetes and heart disease — are very prevalent,” Dr. Lipitz said. “Our community is very fortunate to have the various specialists and cutting-edge technologies available at Altoona Regional for treating stroke.” Vicky’s students at Glendale Junior-Senior High School are happy about whatever it took to bring her back to them. “I like being in her class and I’m glad she’s back,” Jon “Mike” Hommer said. “She is one of our best substitutes,” Gary Walstrom Jr. added. 3 While a stroke can’t be prevented, modifying and/or treating certain risk factors will help reduce your stroke risk. Risk factors you can control or treat: • Obesity or being overweight • Diabetes mellitus • Tobacco use • High blood pressure • High cholesterol • Heart disease • Physical inactivity alcohol intake or • Excessive illegal drug use or other artery • Carotid disease • High red blood cell count Risk factors you can’t change: • Age • Heredity • Gender • Prior stroke or heart attack For more information, please call Altoona Regional’s Stroke Center at 814.889.3249. IN THE U.S., MORE THAN 500,000 WOMEN DIE EACH YEAR OF HEART DISEASE — ONE EVERY MINUTE. HEART DISEASE IS THE LEADING CAUSE OF DEATH IN WOMEN OVER 40, ACCORDING TO THE AMERICAN HEART ASSOCIATION. Women’s symptoms are different Women need to be aware that they may experience different symptoms than those traditionally described and experienced by men, Dr. Gattuso said. Often women experience a sense of heaviness or heartburn-like sensation accompanied by anxiety when having a heart attack. “The anxiety may be misconstrued as nothing more than anxiety,” Dr. Gattuso said. Other symptoms sometimes experienced by a woman include shortness of breath, an isolated pain in the midback and an isolated pain in the jaw or elbow. She may have one or more of these symptoms. Connie Hartman’s heart attack manifested itself with shortness of breath and a pain in her neck. “It was like I had a kink in my neck from sleeping wrong on it and I just couldn’t work it out,” the 58-year-old Duncansville woman said. “I didn’t recognize it as a heart attack. I thought I just needed my diabetes medicine.” Connie and Dixie exhibited some of the risk factors for coronary artery disease, Dr. Gattuso said. Family history, diabetes, hypertension, stress and smoking are major risk factors. Heart of a woman It can display unexpected symptoms when under attack PROGRAM ALERT: Looking for a lifestyle change? Try yoga! See Page 15 for date, time Connie Hartman prepares a heart-healthy vegetable stir fry. 4 The pain ripped into the center of Dixie Claar’s chest like a knife, waking her from a sound sleep. It couldn’t have been a heart attack, she told herself, because the pain only lasted about five minutes. Cardiologist Joseph W. Gattuso Jr., M.D., F.A.C.C., diagnosed Dixie, 53, of Claysburg, with coronary artery disease. Her pain was caused by a 90 percent blockage in one of her heart’s main arteries. Dr. Gattuso’s associates, Hany F. Shanoudy, M.D., F.A.C.C., and Ziad Khoury, M.D., F.A.C.C., performed a heart catheterization and inserted a stent, an appliance that props open the walls of the clogged vessel, much like spokes open an umbrella. “I can’t believe the difference in my energy level,” Dixie said recently. “I’m amazed at the way I feel. And everyone was wonderful during my treatment and showed me so much kindness.” Dixie said she considers the chest pain she suffered a “blessing because it got me to go to the doctor right away.” Dixie’s family history includes three uncles in their 50s who died of heart attacks; her mother had coronary artery disease and heart bypass surgery at age 60. Dixie suffers from hypertension, which she controls with medication. Connie’s family history includes type 2 diabetes and high cholesterol, and she has both. Her mother, sister and brother also have heart disease. Controllable risk factors Stress is one of the risk factors associated with heart disease, along with smoking, that a person can control. “A family history of heart disease makes the need for a healthy lifestyle that much greater,” Dr. Gattuso said, and consists of a diet low in fat and starchy foods, combined with regular, moderate exercise. “With these healthy habits, women can reduce the risk of developing diabetes, hypertension and coronary artery disease. By maintaining a healthy lifestyle, they diminish the likelihood of blocked arteries.” Both women say they have changed the way they eat: few sweets, a lot more vegetables, chicken, fish and fruit. “I try a lot of different recipes,” Connie said. “My husband has been terrific because I don’t cook two different meals — he eats what I eat. That support is so important.” She’s lost weight and her cholesterol levels have improved, too. “Some days I really screw up,” she admits. “You have to forget that day and start again tomorrow. You have to. If you dwell on it too much, it gets too frustrating.” Drs. Gattuso, Shanoudy and Khoury practice at Cardiology Associates of Altoona, 1321 11th Ave., Altoona; phone 942.2411. They are specialists in cardiovascular diseases and preventive cardiology. s p i T FOR SELFDIAGNOSIS Call in or go to work? Some tips to help you decide You awake to the alarm clock’s buzz feeling tired, and before you even sit up in bed you realize something’s not right. Your sinuses are congested; your mouth and throat are dry; you’re sweating, and you have the chills. Yeah, you’re probably sick. Now you have a decision to make. On one hand, it could just be allergies and not worth using those precious and limited sick days you’ve been saving. On the other, if you drag yourself to work with a bad cold or the flu, you’ll surely be unproductive and may infect coworkers. While that achy feeling, stuffiness, coughing, sneezing and even a fever may be present for both, Robert D. Sullivan, M.D., an infectious disease specialist, says you don’t need a medical degree to tell a cold from the flu. contagious just “Usually, influenza hits you quickly and hard enough that you’re down and out,” Dr. Sullivan explained. “I always say a cold is like a smack in the face, but the flu is like being knocked to the ground.” (the flu) Still not sure which you have? Ask yourself these questions: • Am I sniffling, maybe a headache, but not achy, feverish or coughing? If so, maybe you have allergies and can go to work. • Are my sniffles accompanied with sneezing, an achy, tired feeling and a fever? If so, you probably have a cold and could go to work, but remember you won’t be your productive self and can still infect people, Dr. Sullivan noted. • Do you have everything — body aches, chills, a dry cough, extreme fatigue and/or weakness, a fever (101 degrees), headache, sore throat and stuffy nose? You have the flu. Call in sick, then call your doctor. AVOIDING “You are most By November, warnings of the impending flu season, which can run from December to March, scream from newspaper headlines and fill the broadcast airways. before your symptoms hit. That’s how Because of the stealthy nature of influenza, an ounce of prevention — or in this case, a minute of hand-washing — truly is worth a pound of cure. spreads so “You are most contagious just before your symptoms hit,” Dr. Sullivan said. “That’s how it spreads so effectively. Twentyfour to 48 hours prior to coming down with fullblown flu symptoms, you have probably unwittingly already spread the germ.” effectively.” TAKE Your best bet in any situation is to see your doctor, but if your schedule and that of your doctor don’t jibe, you may turn to an over-the-counter medication or a trusted home remedy. Remember these tips: • Wash your hands! And often! And with hot, soapy water for the length of time it takes you to sing “Happy Birthday!” • Rest! If you lay low for a day, you’ll likely recover more quickly. • Try to limit your exposure to coworkers’ personal items, such as phone, computer keyboard or mouse. • Hydrate! Drink lots of fluids. • Tylenol works well to keep your fever down. • Get a flu shot. It’s your best defense. And while the flu may only be a few unpleasant days for healthy adults, it is dangerous for the very young, the very old and those with medical conditions. If you do get to see your doctor, you may be given an antiviral medication, but Dr. Sullivan said those are most effective within the first 48 hours. Even then they may shorten your illness only by one or one and a half days. And do your part not to spread the germs. Cover your mouth when you cough by burying your face in the inside of your elbow. Coughing in your hand just transports the germs to the next thing you touch. Usually, viral infections like the flu last three or four days, Dr. Sullivan said, and if your symptoms don’t improve after that, get to a doctor. Effective Dr. Sullivan practices at 2323 Broad Ave., Altoona; phone 814.944.2015. Handwashing 7 Steps to Prevent the Spread of Germs To call in sick or not to call in sick — that’s the question. 1 Turn on water to a comfortable temperature and moisten hands and wrists. 2 Apply a generous portion of liquid soap. 3 Generate a heavy lather and wash well for approx. 15 seconds. Clean between fingers, nail beds, under fingernails and backs of hands. 4 Rinse well under running water, keeping hands low in sink to prevent splashing. 5 Hold hands so that water flows from the wrist to fingertips. 6 Dry hands completely with clean paper towels. 7 Use the paper towel to turn off the faucet so your hands remain clean. 5 PROGRAM ALERT: Free osteoporosis screening! T H E I N S I D E See Page 15 for date, time S T O R Y your health Invest some time in — the payoff could be priceless An important part of staying healthy is preventing problems. Monitoring one’s body takes an investment of time, but the payoff can be a longer, more active, healthier life. One Hollidaysburg couple makes such an investment. Ray Mills, 80, of Hollidaysburg tracks the results of annual blood screening tests. Ray and his wife get a 36-test blood screening at a yearly event sponsored by Altoona Regional and the Hollidaysburg Rotary Club at the Hollidaysburg YMCA. The event also features a colorectal screening kit and optional prostate cancer test. “It keeps us up to date. We’ve been doing it for healthful living,” Ray said. They share the results with their primary care physician. Ray even keeps a chart so he can see the trend of the various levels, such as his cholesterol, over the years. The body typically requires such preventive care, said Patrick K. Lenz, M.D., of Mainline Medical Associates in Cresson. How much care you require often depends upon heredity. If you have a family history of heart disease, diabetes or colon cancer, you are at a higher risk. RECOMMENDED SCREENINGS GENERAL PHYSICALS Children: 2 weeks after birth, then at 2 months, 4 months, 6 months, 9 months, 12 months, 15 months and 18 months; yearly from 2 to 6 years, then at 8 years and 10 years; once from 11 to 14 years, and once from 15 to 17 years. Men and women 18-40 should have a physical every two years, then yearly after 40 or at the discretion of your physician. EYE EXAMINATIONS Children screened at general exam by physician Age 18-40 — every two to three years. 40-60 — every two years. 61 and older — annually. HEARING Children up to age 6 at general exam, then at discretion of physician. TEETH/MOUTH SKIN CANCER Dental exam beginning at age 3-5, twice a year. Age of starting dental exams may vary by recommendation of dentist. At discretion of physician. CHOLESTEROL Men and women 20 and older — every five years if in desirable range. May screen earlier at discretion of physician if family history of heart disease, high cholesterol and obesity. DIABETES Men and women age 40 with no symptoms — every three years. If family history of type 2 diabetes or obesity, may start screening earlier and screen annually. HIGH BLOOD PRESSURE Under 18 — at general exams. 18-40 — every two years. 40 and older — annually. “The purpose of screening is to find conditions early — before the condition results in a problem,” he said. “There are several screening guideline recommendations from many medical societies and committees. Please be sure to discuss screenings with your physician.” Dr. Lenz practices at 792 Gallitzin Road, Cresson; phone 814.886.8161. Mainline Medical Associates also has offices at Station Medical Center, 9th Avenue, Altoona; phone 814.941.8811. 6 Women over 35 — annual screening mammogram, annual CBE, monthly SBE. Screen younger with family history of breast cancer at discretion of physician. At 50, men and women of average risk should have a screening colonoscopy every 10 years. If family history of polyps or colon cancer, start at age 40 or 10 years younger than the age of diagnosis of your family member. Other screening strategies can be done, including barium enemas, flexible sigmoidoscopies, in conjunction with fecal occult blood tests. PROSTATE EXAM Men over 50 — annually. Age 40 if family history or other risks. FECAL OCCULT BLOOD TEST (checks for blood in the stool) Men and women 40 and over — annually. Take cholesterol levels. A person can exercise, eat a diet high in vegetables and low in fat and red meat, Dr. Lenz said, and be shocked to find out they have high cholesterol. Careful questioning may reveal that he or she has a family member with high cholesterol. Fortunately, if the cholesterol screening has been performed when the person is in his or her 20s before too much plaque has built up in the arteries, cholesterol-lowering drugs can be used to keep the arteries clear. Sometimes patients resist being tested out of fear of what the tests will reveal. Dr. Lenz estimates that two out of every 10 patients who undergo screening tests are found to have a silent condition that can be helped with treatment. Women 20-35 — clinical breast exam (CBE) every three years and self-breast exam (SBE) monthly. COLONOSCOPY (not pregnant) While everyone should be screened for these diseases, people at higher risk should receive tests at earlier ages than those without risk factors, he said. “Waiting until you are 40 to have this test performed is often too late,” Dr. Lenz said. “You’ve lost precious time.” BREAST EXAMINATION CERVICAL CANCER Women 21 or who have been sexually active for three years should be screened annually. H Beginning at 30, women who have had three normal Pap test results in a row may get screened every two to three years, plus the HPV DNA test. Women with certain risk factors should continue annual screenings. Women 70 and older who have had three or more normal Pap tests in a row and no abnormal Pap tests in the last 10 years may choose to stop having cervical cancer screening. Women with risk factors should continue to have annual screenings as long as they are in good health. 2005-2006 ANNUAL REPORT A year of achievement and challenge A message from Jim Barner, President/CEO Our first full fiscal year (July 1, 2005 to June 30, 2006) as Altoona Regional Health System, while replete with successes, was not without its challenges. The rising costs of medical supplies and technology, unfair competition from for-profit services, and persistently inadequate payments for our care to patients, weakened our bottom line. Although Altoona Regional remains financially strong and continues to be an economic catalyst for the region, these external pressures come at a time when we look to consolidate services for optimum efficiency and patient convenience. It is, therefore, imperative that we aggressively address these concerns. For fiscal 2007, we have set a goal of a 2 percent operating margin and adopted a three-pronged strategy for achieving it: 1 Maintaining prudent staffing levels that preserve high quality patient care while being mindful of personnel costs. 2 Paying less for supplies by maximizing what we buy in bulk and negotiating lower prices for those purchases. 3 Negotiating with insurance companies for sufficient reimbursement to cover the costs of providing high quality tertiary care. We left fiscal 2006 with much to look forward to in fiscal ’07, including the installation of a revolutionary new imaging technology, a proactive program to save the lives of people at risk for heart disease, and the accreditation of a Regional Stroke Center. We have every confidence in our plan and our ability to achieve our goal for the coming year. Looking back on fiscal 2006, we see a year marked by many accomplishments. Here is just a sampling: • A health care research company named our Regional Surgery Center No. 1 in the nation for “excellent” quality of care. We installed a digital system that gives physicians secure access to all radiology images, such as X-rays, CT scans, etc. • We received high praise and a three-year accreditation from the Joint Commission on Accreditation of Healthcare Organizations during its first quality and safety survey since our merger. • We brought to our region PET/CT scanning technology, which is especially useful in cancer care. We left fiscal 2006 with much to look forward to in fiscal ’07, including the installation of a revolutionary new imaging technology, a proactive program to save the lives of people at risk for heart disease, and the accreditation of a Regional Stroke Center (see story on Pages 2 and 3). In everything we do, our purpose is to keep Altoona Regional on the cutting edge of health care technology while employing skilled, compassionate people who will provide exceptional care to our patients. In doing so, we will achieve our vision of becoming a world-class health care organization. Sincerely, • We began our journey to becoming a worldclass health care organization through our service and excellence operational initiative. Launched in August, we now build our infrastructure with quarterly educational programs for employees; quarterly Leadership Development Institutes to educate and engage leaders, and surveys of patient, physician and employee satisfaction. • We merged our two medical clinics that provide free care to the uninsured in our region. Adopting the Partnering for Health Services name, the merged clinics improve access to care by making more physicians available to patients and providing more people with lifesaving medication. • We initiated Rapid Response Teams so an inpatient’s nurse, along with a critical care nurse and a respiratory therapist, can intervene quickly when that patient’s condition is declining. 7 Highlights: KEY HOSPITAL STATISTICS ADMISSIONS 22,229 Clinical and community service (includes newborns) INPATIENT DAYS AVERAGE LENGTH OF STAY 102,983 4.63 OUTPATIENT VISITS 473,451 EMERGENCY ROOM VISITS 58,838 INPATIENT SURGICAL PROCEDURES 7,266 OUTPATIENT SURGICAL PROCEDURES 21,382 2006 JULY JANUARY The system begins offering PET/CT scanning technology, especially useful for accurately detecting cancer and pinpointing its location in the body. of service excellence initiative to keep employees informed of health system endeavors and accomplishments. Pharmacy begins installation of automated technology designed to significantly reduce the possibility of medication errors. First quarterly Leadership Development Institute is held to educate and engage leaders in the service excellence initiative process. AUGUST System launches the Healthy Living Club, a health and wellness program, to help adults of all ages achieve and maintain better health. The club will end the fiscal year with nearly 20,000 members. Phase one of a Web site redesign and content enrichment is completed. Pastoral Care expands its schedule of Masses and services to better provide for the spiritual needs of patients. OUR PATIENT CARE REVENUES COME FROM: Medicare 50.16% Medicaid 9.14% Commercial insurances 13.5% Managed care 2005 1.74% Other 6.43% Altoona Regional Health System celebrates its first birthday (Nov. 1). System conducts first physician and employee satisfaction surveys on its road to a culture of service excellence. Rapid Response Teams, a new lifesaving quality initiative, offer fast intervention by an inpatient’s nurse, a critical care nurse and a respiratory therapist when that patient’s condition is declining. SEPTEMBER The Joint Commission on Accreditation of Healthcare Organizations offers high praise during its first quality and safety survey since the merger, awarding a three-year accreditation. Local fire companies receive $18,000 in federal bioterrorism grants through Altoona Regional. 19.03% Self-pay NOVEMBER WHERE WE SPEND OUR DOLLARS: PACS (picture archiving and communication systems) is launched, allowing physicians secure digital access to all radiology images, such as X-rays, CT scans, etc. Quarterly Educational Forums begin as part Hospital Salaries and wages 37% Financial Employee benefits 11% INCOME STATEMENT Professional fees, supplies & others 43% Depreciation and amortization 5% 7/1/05 to 6/30/06 The Master Facility Planning Process, an exciting and ambitious plan to improve community health care by exploring clinical redistribution and service options, begins. APRIL Occupational Medicine programs, serving hundreds of employers in the region, are combined on the Bon Secours Hospital Campus. JUNE Our Regional Surgery Center wins two national awards for excellence in customer service from a health care research company, including No. 1 in the nation for “excellent” quality of care. The health system laboratory acquires new instruments that will mean faster results for patients and physicians on 16 tests that previously had to be sent out of town. BALANCE SHEET Assets Current assets 57,596,291 Assets whose use is limited 78,943,257 Other assets Total assets 125,303,849 261,843,397 284,638,638 Liabilities Total operating expenses 287,083,191 Current and other liabilities 55,376,431 Long-term debt 46,928,715 (2,444,553) Provision for bad debt 3% Nonoperating gains 4,849,377 Interest Excess of revenue over expenses 2,404,824 8 FEBRUARY In a continuing effort to increase patient satisfaction, Altoona Regional expands the Altoona Hospital Campus Emergency Department by adding eight beds. The expansion will help staff see patients faster and treat and discharge them sooner. Total operating revenues Loss from operations 1% Altoona Regional sponsors and participates in the Health-O-Rama at the Blair County Convention Center. The health fair attracts about 1,000 people each year. DECEMBER OCTOBER Information Two medical clinics, formerly associated with each hospital and providing free care to the uninsured in our region, merge under Partnering for Health Services. By combining, the clinics improve access to care by making more physicians available to patients and providing more people with lifesaving medication. MARCH Fund balance Total liabilities and fund balance 159,538,251 261,843,397 Report REVEALING THE ANGELS of charitable giving Following is a list of those who generously extended financial support to Altoona Regional Health System during fiscal 2006 (July 1, 2005, through June 30, 2006). As a nonprofit charitable organization, Altoona Regional is grateful to every donor for helping us strengthen and enhance health care in our community. DEPARTMENTAL GIFTS Behavioral Health Department Compassionate Friends Center for Cancer Care Anonymous Ira B. Kron Dialysis Unit The Samuel and Rose Port Philanthropic Fund Donna Jean Hospitality House Anonymous Drug & Alcohol The EADS Group Hyperbaric Lab Pediatrics Department Maternity Radiology Department Neonatal Bereavement Fund Trauma Orthopedics Victor Organek Scholarship Fund Paul E. Grabill Weis Markets Inc. Mrs. Judith M. Hollern, R.N. Your Jewelry Box Friends of Altoona Regional Health System Emergency Department General Pastoral Care, Bon Secours Hospital Campus Altoona Area High School Class of 1985 Mrs. Dorothy Karns Ms. Ruthanna Vogel Mrs. Vicki L. Wertz Weis Markets Inc. Friends of Altoona Regional Health System Mr. Richard and Dr. Elissa Palmer Partnership for Medical Services Blair County Chamber BASICS Project M&T Charitable Foundation Curves Coalport Members Curves Coalport Members In honor of Martha A. Szczerba Mr. and Mrs. Timothy McIntyre Center for Cancer Care In honor of Floyd Mitchell Anonymous In loving memory of James A. Van Ormer Atlas Realty Management Co. Inc. Critical Care Unit In memory of Charles Eboch Clearfield Post Office Dialysis Fund In memory of Michael Hencherick Mr. and Mrs. Chris Caretti Ms. Agnes M. Marco Mr. and Mrs. Ron Muffie In memory of Lawrence LaVelle J.E. Van Zandt VA Med Center Executive Affairs Office Mr. and Mrs. Ralph F. Weyant Robert Weyant Donna Jean Hospitality House In memory of Margaret Brice Koontz Mr. and Mrs. Charles Koontz Proceeds from the 2005 campaign, conducted on both campuses of Altoona Regional Health System, were directed to Partnering for Health Services. This free medical 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. General In memory of Paul Breon Ernie and Lois Eakins Anonymous (7) Blair Electric Service Co. Century Business Services Inc. Ms. Cora Conte The Hite Company Mrs. Judith M. Hollern Judge Thomas G. Peoples Jr. Mr. and Mrs. Neil M. Port Sam’s Club Ms. Wendy S. Schultz V-Force Inc. DBA Christian Ride & Courier Mrs. Dorothy L. Westwood In memory of Paul and Ann Brubaker Sonya Black In honor of Aaron Joseph Brumbaugh Mr. and Mrs. Byron Brumbaugh Jr. In memory of Angela Elizabeth Brumbaugh Mr. and Mrs. Byron Brumbaugh Jr. In honor of Ian Byron Brumbaugh Mr. and Mrs. Byron Brumbaugh Jr. In memory of Byrne Family Jo Ann Byrne Honor/Memorial Mr. and Mrs. David Detar In memory of Allen W. “Pete” Family In memory of Palma Buchanan Kathy Walls In memory of Betty J. Adams John C. Adams In loving memory of wife Emma G. Burk Husband Don Burk In memory of Francis (Shung) Agosta Betty Ann Agosta In honor of Terry Byer Kenneth and Carol Graham In honor of Dick Byrne Wife Jo Ann Byrne In honor of Altoona Regional Health System Tower 10 Staff Josephine Neugebauer General Fund In honor of Howard Black Mr. and Mrs. Hiram C. Koons In memory of Margaret Brice Koontz Ms. Anna M. Koontz In memory of Patricia Daloisio Weis Markets Inc. In memory of Charles Eboch Mr. and Mrs. Ronald A. Oros On behalf of Ronald J. McConnell WordWrite Communications Glover Memorial Library Fund In memory of Mr. George Zlupko Altoona Regional Health System Medical Staff Palliative Care Suite In memory of Hung-Tzi An Blair Medical Oncology In loving memory of Elizabeth R. Carruthers Mr. and Mrs. John H. Carruthers In memory of Russell (Jack) Counsman Mrs. Linda M. Settle In memory of John C. Gauntner Family of John Gauntner In memory of John L. Glunt Connie Glunt In memory of Joe Campolong Jr. Mary Jo Campolong In memory of James Astore Mrs. Maria M. Astore HONOR/MEMORIAL GIFTS Transitional Care, Bon Secours Hospital Campus Revealing the Angels is a holiday fund-raising campaign coordinated by Friends of Altoona Regional Health System. 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. In memory of Gertrude Canole Deborah Canole In memory of Harry Auker Robert and Marian Auker In memory of Helen Klausman Ms. Patricia J. Klausman In memory of Carole Kowalczyk Friends of Carole Kowalczyk In memory of Owen Canole Deborah Canole In memory of Lola Auker Robert and Marian Auker In memory of George Cassarly Shirley Cassarly In memory of Matthew Barton Rosemary Barton In memory of Earl Beldin Daughter Eileen Rabish In memory of Cecchine Family deceased Kathy and Allen Cecchine In memory of Ruth Beldin Daughter Eileen Rabish In memory of Travis Chuff Ernie Podrasky In memory of Gene Bell Bonnie Bell In loving memory of June M. Cicero Husband Joe Cicero In honor of Berry Family members Mr. and Mrs. Gene B. Berry In memory of Mary G. Clapper Daughter Viola Clapper In memory of Edith J. Bidoli Grace Steinbugl and Thomas Bidoli In memory of Walter L. Clapper Daughter Viola Clapper In memory of Barb Myers Ms. Deb Semanchik In memory of Ralph and Sara Black Sonya Black In memory of Bill Clemens Kathleen Clemens In memory of Helen Nickum Anonymous In memory of Theo Bolan Andrea and Vance Bolan In memory of Thelma Cohn-Wolf Anonymous In memory of Leo and Clare Noll Anonymous In memory of Mark Bookman Tom Hoyne, Dembert & Hoyne, CPA In memory of Cheryl Porter Ms. Becky Diggins In memory of Eric Bordell Renney’s, Rodkey’s and Wherry’s In loving memory of Truman A. Rafferty Gary L. Rafferty In memory of Lauren Bower Grandma Miriam Bower In memory of Al Colello Daughter Loretta Wyland In memory of Phyllis Connelly Jerry Connelly Don and Sharon Squillario In loving memory of John A. Lloyd Richard W. Lloyd In memory of Anna May Martin Ed Martin Mrs. Dee R. Martin-Spallone Mrs. Joyce Wertz In loving memory of Clara (Bonsell) Miller Mrs. and Mr. Marian J. Nagle In memory of Joseph P. Rosenhamer J.A. Rosenhamer In memory of Becky Welsh Ms. Kelly C. Wike In memory of Frank Corrado Diane and Ozz Osgood In memory of Paul V. Bower Miriam Bower In memory of Robert Cramer Anonymous Helen Cramer In memory of Ruth M. Boyer Jeanine Chestney In memory of Blanche Crum Crum’s Auto Body, Duncansville In memory of Jean Brenner Shirley F. Riley In memory of Antonio D. Cruz Wilhelmina P. Cruz-Vetrano, M.D. In memory of Bernice Breon Ernie and Lois Eakins 9 In memory of Dawn Betsy Kline and Family In memory of Edith M. Hollen Rick Hollen In memory of Joseph Masic Mary Masic In memory of LeRoy M. Riley Shirley F. Riley In honor of children of Bea Depp Bea Depp In memory of Wesley L. Hollen Rick Hollen In memory of Phyllis J. Riling Jeanine Chestney In honor of grandchildren of Bea Depp Bea Depp In memory of Lillian J. Hoover Mark, Mary and Eric Hoover In memory of Rose Maurer Daughter Theresa Murray and Family In memory of Roger Hoover Mark, Mary and Eric Hoover In memory of DiMemmo Family deceased members Paul and Kathy Vincent In memory of Dean Hostetler Mike and Carol Vladic In honor of Erin Dodson The Dodson Family In memory of Tim Hostetler Mike and Carol Vladic In memory of Helen G. Dodson Susan Ann Dodson In memory of Donna J. Hostler ARHS Monday Greeter Volunteers: Mona, Janet, Tim, Ann, Betty Ann, Max, Les, Joe, Dave, Ron ARHS Wednesday Greeter Volunteers Husband Glenn and children Mona L. Greco In memory of Paul S. Downing Daughter Debbie McClellan In memory of Kitty A. Duganne Family In memory of Joe Durbin Bill and Linda Harshberger In memory of Charles Humm Shirley Humm and Family In memory of Catherine Eakins Ernie and Lois Eakins In memory of John W. Humm Shirley Humm and Family In memory of Ernest E. Eakins Ernie and Lois Eakins In honor of George R. Ickes Wife Pat Ickes In memory of Robert E. Edwards Altoona Regional Health System Tuesday Greeter Volunteers In memory of Floretta Johnston Dave Shellenberger In memory of Mary Elder Kay Adams In honor of Janet Ellis Old friends from Admissions/ Outpatients/Preadmissions Bldg C In memory of Albert C. Evangelisto Flora L. Evangelisto In memory of Grandmother Mary Jones Vickie Jones In memory of Dad Sam Jones Vickie Jones In memory of Dr. Karu’s brother Tom Hoyne, Dembert & Hoyne, CPA In memory of Elaine Evangelisto Flora L. Evangelisto In memory of Kauffman Family Jo Ann Byrne In memory of Daniel D. Fanelli Mary Fanelli In memory of Ralph Keefe Tish Keefe In memory of Robert Fanelli Elfrieda Fanelli In memory of John Keller Shirley Ullery In memory of Tom Fanelli Mary Fanelli In memory of Patrick Kenney Sr. Anonymous In memory of Bernard Fifer Marian Fifer In honor of Dr. Kline Anonymous In memory of Linda Flaherty Anonymous In memory of Nema Labriola Daughter Janice In honor of Fozard Family Mary Ann Fozard In memory of Bekah Lampenfeld Jayne, PeeWee, Marlaina and Mitch In memory of Almerinda E. Frezza Mark, Mary and Eric Hoover In honor of Laureen, Aurora and Kylie Dr. Abraham T. Appleton, M.D., and Laureen P. Golden In memory of Marion D. Frezza Mark, Mary and Eric Hoover In memory of Richard Halbritter Diane and Ozz Osgood In memory of Alan Harshberger Linda and Bill Harshberger Shirley Ullery In memory of William L. Harshberger Bill and Linda Harshberger In memory of Sprague Carter Hazard Jim and Louise Barner In memory of David Heininger Mom and Dad In memory of Betty Manley Pat Shellenberger In memory of Bill and Evie Hilling North American Communications In memory of Thomas Marlett Rose M. Marlett, wife In memory of Ferdinand J. Hite Dianne and Paul Hite In memory of E.H. Holland Anonymous 10 In memory of Steve J. Rozick Wife Rose Rozick In memory of Sharon Meintel Dick and Marian Meintel In memory of Donald and Roberta Runk Mr. and Mrs. Byron E. Brumbaugh Jr. In memory of Lynwood (husband) Teufel Wife Christine Teufel In memory of Doris Merritts Becky and Ben Levine In memory of Miller Family deceased members Kathy and Allen Cecchine In honor of My New Environment of Care Family at Altoona Regional Tonya Smarsh In memory of Rinaldo Russo Anthony and Phyllis Russo In memory of James Salmond Jean Johnstone In memory of Sandy and Dee Duane and Carolyn Bordell In memory of Ed Neugebauer Josephine Neugebauer In memory of John W. Savage Jr. Pat Savage In honor of Nursing Staff, Altoona Regional Health System Judy and Dave Boerger In memory of Robert Schreiber Wife Barbara Schreiber In memory of Nancy Thayer Anonymous In memory of Anna Mae Thompson Linda and Bill Harshberger Shirley Ullery In memory of Lula Thompson Loving husband Lester In honor of Rose Turchan Gregory A. Demetrick In memory of Ron Ullery Shirley Ullery In memory of J. Thomas Shaffer Dave and Monty Smouse In memory of Vincent Family deceased members Paul and Kathy Vincent In honor of sick children Ms. Deborah Kapustka In memory of Leona Watkins Niece In memory of our parents Robert Aiken In memory of Sickles’ loved ones Charles and Barbara Sickles In memory of our parents Pat, Gina and Patrick Kirby In memory of Butch Skupien Tom Skupien Wife Ruth Skupien In honor of the Weise children and grandchildren Hazel L. Weise In memory of Our Brave Soldiers Who Defended Our Country Anonymous In memory of parents Duane and Carolyn Bordell In memory of Edward J. Perrell Jeanine Chestney In memory of Kathryn Pfeffer Bill and Bonnie Pfeffer In memory of Margaret E. Werner Pat Savage In memory of David Skupien Wife Cindy and son Tom In memory of Billie Lou Whetstine Charles W. Whetstine In memory of son David Skupien Mother Ruth Skupien In memory of Raymond H. Willnecker Linda Willnecker In memory of William G. Pfeffer Bill and Bonnie Pfeffer In memory of Robert Craine Slutzker Richard C. Slutzker In memory of Sis Pike Anonymous In memory of Mary Jo Smith Anonymous In memory of Esther Wolfe Crum’s Auto Body, Duncansville In memory of Anthony R. Pirozzola Sandy Young In memory of Verna M. Smith Altoona Regional Health System Environment of Care Department In memory of Norm Young Sally Young In memory of Edward Plewa Carolyn J. Plewa In memory of Joseph J. Pufka Janet L. Pufka In honor of Savannah Quick Drew and Annie Appleman In memory of Merle Malloy Merlann Malloy In memory of Charles B. Hess David S. Hess In memory of James McDowell Sharon and Family In memory of Geraldine M. Lingenfelter Son David Lingenfelter In memory of Ann Malloy Merlann Malloy In memory of Mina Herman North American Communications In memory of Carolyn Talko Carolyn J. Plewa In honor of Lainey Grace Quick Drew and Annie Appleman In memory of Edward Maillard Your Daughter Carole In memory of Robert Henshaw Diane and Ozz Osgood In memory of Chester Rogal Jean Johnstone In memory of Philomena McConnell Ron and Lauren McConnell In memory of Elizabeth Levine Becky and Ben Levine In memory of Dr. Richard B. Magee Louise Magee In memory of Nancy Robison Dana Shade and Janice Penrod In memory of Jeff Strittmatter Anne Stoltz In memory of Franklin D. Roesch Mary Turnbaugh In honor of Daryn Quick Drew and Annie Appleman In honor of Don MacDonald Helen MacDonald In memory of Anthony Roberts Wife Mary Roberts In honor of Ronald E. Strasser Kathy and Allen Cecchine In memory of John W. Sweeney, Esq. Kathleen E. Sweeney, D.O., and Family In memory of Dick McConnell Ron and Lauren McConnell In memory of Jane Lear Niece Erica Kaurudar In memory of Kevin Lucas M&T Bank, 301 West Plank Road In memory of Cameron Louise Hazard Jim and Louise Barner In memory of Liam Sean Patrick McCaulley Norma Smith (Grammy) In memory of Joseph F. Strasser Daughter JoAnn Langemann and Family In honor of Dennis E. Rapp, father Rick, Shelly and Joyce Hettinger In honor of Marsha L. Rapp, mother Rick, Shelly and Joyce Hettinger In honor of Henry Rawls Robert and Marian Auker In honor of Lessie Rawls Robert and Marian Auker In honor of Paul A. Reagan The Dodson Family In memory of Mary Reed Shirley Ullery In memory of Foster Rhian Kenneth and Carol Graham In memory of Anna S. Rhodes Susan Ann Dodson In memory of Nicole Martin Ernie Podrasky In memory of Lynne G. Rice Doug, Julie, Katherine and Gregory Decker In memory of Emma Masic Mary Masic In memory of Nina Rickens Kay Adams In memory of Justine Smouse Dave and Monty Smouse In memory of Wm. D. Snyder Kenneth and Carol Graham In memory of Edna Speacht Anonymous In memory of Edward and Mary Squillario Don and Sharon Squillario In memory of Scott Stevens Sonya Saive In memory of Robert and Elizabeth Stoltz Anne Stoltz How In honor of Catherine A. Wilt Cindy Skupien In memory of Rose Marie Zerbee Altoona Regional Health System nursing supervisors and their director In memory of Christen Zorger Linda and Charlie Zorger Please note: We have tried to ensure the accuracy of this list of donors. If we have misspelled or omitted your name, please accept our apologies and contact our Development Office at 814.889.6406. to give Through a variety of tax-deductible options, donors are able to support specific programs or make unrestricted gifts for programs and services where the need is most urgent. Gifts to Altoona Regional Health System are tax-deductible 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 Development Office at 814.889.6406, or visit www.altoonaregional.org. Healthy computing habits Is your CHILD computeraddicted? Most parents will agree that it’s difficult to maintain a healthy balance between physical activity and entertainment media in their children’s lives. Thanks to the Internet, that challenge has grown into more than just worrying about television habits. Instead of doing homework or research, kids spend hours online instant messaging with friends, playing games and talking in chat rooms. And when they finally step away from the computer, kids can head toward the television to play video games. You probably wonder how much is too much. Children use computers for educational purposes almost daily. Why not add a few more hours for computer-related leisure? When time spent on the computer reaches a point that it harms a child’s family and social relationships, or disrupts school life, that child may be caught in a cycle of addiction, according to Steve Cartun, M.D., Altoona Regional psychiatrist. “For the child, a fantasy world online or in a game has replaced the ‘real world,’” he explains. “Exploring that fantasy is more appealing than the everyday world of family, friends or school.” Dr. Cartun encourages parents to monitor their children’s computer time and to look for symptoms of compulsive Internet use. “Ask yourself if your child’s Internet use affects his or her school performance, health and relationships with family and friends,” he suggested. “Does your child skip meals or showers? Are your child’s grades dropping due to incomplete assignments?” As children continue to spend longer hours on computers — both at school and at home — they need to learn healthy computing habits to protect them from physical injury. Too much plugged-in time can have unhealthy side effects “Children can develop repetitive stress injuries, like carpal tunnel syndrome, or chronic pain in the hands, back, neck or shoulders,” says Altoona Regional occupational therapist Nancy Forshey. “These are all harmful side effects of excessive computer use that can last a lifetime.” OTHER SYMPTOMS OF COMPUTER ADDICTION INCLUDE: • Inability to stop and/or craving more time on computer. • Choosing the computer over family and friends. • Feeling empty, depressed and irritable when not at the computer. • Lying to family and friends about computer use. • Falling asleep at school. • Dropping out of other social groups (clubs or sports). • Having a sense of well-being or euphoria while at the computer. Although millions of children use the Internet regularly, only 10 to 15 percent develop problems, according to Computer-Addiction Services at Harvard Medical School, which recognizes the most vulnerable children as those who are lonely and bored or from families where nobody is home to relate to after school. TO ESTABLISH THAT HEALTHY BALANCE ALL PARENTS STRIVE FOR, DR. CARTUN OFFERS THE FOLLOWING ADVICE: • Speak with your child about your concerns. • Examine your own online habits. Remember, you are your child’s most important role model. • Don’t ban the Internet. It’s an important part of kids’ social lives. • Help your child socialize offline. Children need to interact with others in person to develop necessary social skills. • Establish family Internet rules about when your children can get online, how much time they can spend and what they can do there — and stick to them. • Keep the computer in a family room. • Encourage and support your child’s daily participation in physical activities. • Suggest alternatives. If your child enjoys fantasy role-playing computer games, encourage him or her to read fantasy books instead. “It’s normal for your child to want to play games and chat with friends online — within limits,” Dr. Cartun reminded. “Parents need to be aware that social networking and instant messaging have obsessive qualities built right into them.” It is possible that your child’s compulsive Internet use is masking a more serious problem, such as depression, anxiety or low self-esteem. If you suspect deeper problems, contact Altoona Regional’s behavioral health experts at 814.889.2141. 11 To reduce the possibility of your child suffering painful computer-related injuries, Nancy offers the following advice: • Remember that it’s necessary to make adjustments to an adult-sized computer workstation for a younger child. • Position the computer so the top of the screen is at the child’s eye level. • Teach your child to sit “square in the chair,” rather than in a twisted position. • Reduce eye strain by making sure there is adequate lighting and no glare on the screen. • Keep keyboard and mouse on the same level to form a 90-degree angle from the shoulder, elbow and wrist. • Wrists should be in a neutral position while typing or using the mouse. • Follow the “20-20-20 Rule” — Every 20 minutes look 20 feet away from the computer for 20 seconds. • Your child’s knees should be positioned at a right angle. If necessary, use a footrest. • Limit your child’s time at the computer — no more than an hour without taking a break. “Repetitive strain symptoms include tingling, numbness and searing pain,” Nancy explained. “If your child complains of any of these symptoms, or excessive fatigue or stiffness in the neck or back, speak with your pediatrician.” To ease the grief for others, family revitalizes bereavement box fund The hospital elevator doors open. The kindergartner and his father walk on and press the button for the maternity floor. An older woman walks on behind them, smiles at the little boy and innocently asks, “Did you have a little sister or a little brother?” For Julia and Michael Woodling of Williamsburg and their son Maverick, seeing the grief on other people’s faces each time they had to break the news of little Daniel Mark’s stillbirth showed them how much he was loved. The boy replies matter-of-factly: “A little brother. He died.” The woman’s smile freezes. “I’m so sorry,” she stammers. The father nods, and in awkward silence they watch the numbers lighting the way to their floor. “It’s amazing how many lives this little guy touched and changed,” Julie said. “He didn’t breathe outside of me, yet he affected so many people.” “It’s amazing how many lives this little guy touched and changed.” Many of the people whose lives Daniel touched remain strangers to the Woodlings, but their hearts share the same grief. The Woodlings channeled the donations made in memory of their son to Altoona Regional’s Neonatal Bereavement Fund to help provide special keepsake memory boxes to families who experience the loss of a child through stillbirth, miscarriage or neonatal death. — Julie Woodling Called bereavement boxes, the kit contains a place for photographs, locks of hair, footprints, outfits and any other mementos the family wishes to treasure. Five days away from giving birth via C-section, Julie woke up on Saturday, Feb. 5, 2005, and didn’t feel her baby’s usual movements. “I’d just had a checkup Thursday and everything was great,” she remembers. She speaks highly of the sensitivity and compassion shown to them by her physician, Edmundo Grab of Altoona OB/GYN Associates (now retired), and the maternity staff. “It’s one of those moments that’s emblazoned on your brain,” she said. “He told me, ‘There’s no easy way to say this ... your baby has died.’ I don’t remember everything he said after that except he said all the right things. Then, he left us alone to start to call our families. He came back a while later and just sat and talked to us. That meant a lot.” Maternity nurse Cindie Huhn also provided comfort and support. It was she who explained the bereavement boxes to Julie before she left the hospital. Before returning to work as a librarian at Juniata College, Julie asked coworkers to spread the word of the family’s loss among other coworkers and associates. She also asked them to tell those This summer, Julie, Mark and Maverick Woodling placed a plaque in front of a tree in their yard. The tree was planted in memory of Daniel. COPING with the aftermath... Here are some practical suggestions on how to cope with a neonatal loss and what to say to those who experience it. Express your sympathy in the way that is comfortable for you. Don’t just avoid the couple/family. WHAT to say WHAT not to say “I’m sorry for your loss.” “You can have another child.” “I don’t know what to say.” “People who avoided us were the hardest to face,” Julie said. “There’s never going to be a ‘normal’ again nor should there be. Things are never the same. You have to find a new ‘normal.’” The couple received telephone calls, cards, letters, poems, books and cash donations. “Even an understanding or sympathetic look is fine,” Julie explained. “What you say doesn’t matter as much as your presence.” 12 “There must have been something wrong with him or her.” “You still have your other children.” Julie Woodling looks through Daniel Mark’s bereavement box, which contains his footprint cards, locks of hair and other mementos. she came in contact with in her daily routine outside the college, such as the local convenience store. It made returning to work a bit easier if she didn’t have to answer a flood of “How’s the baby?” and “What did you have?” questions from wellmeaning people who may not have heard that her baby had died. After her experience, Julie was surprised to discover how many other families have had such a loss. “What amazed us is how many people shared with us stories of their own losses that we didn’t know about,” she said. “Even though for some of these women their loss happened 20 or 30 years ago, it was obvious that it still grieved them, and our loss brought it all back.” Unlike many of them, though, Julie and her family will have Daniel Mark’s memory box to provide some comfort through the years. . . . s id k e h t s e h c t a When Grandma w , ods mes urse i h t t e e nm Som sher co r e d o re a ref ety and m af POISON ING on s od idea o g is a Times have changed, and the demands of raising a family usually mean two working parents and one huge struggle to find a suitable babysitter. Coupled with the trust factor, not having to worry about what your kids are being taught, how they’re being disciplined or what they’ll be eating makes grandma and grandpa’s house an attractive alternative to daycare. Helen Seidel, a nurse educator with Altoona Regional, teaches a program called Safe Sitter, providing adolescents ages 11-13 the confidence and skills required to care for a child. Helen says grandparents, having raised children of their own, are likely not lacking confidence or basic skills, but can always use a little brushing up on what’s changed in the past 20 or 30 years. “You can’t prevent every single emergency, but you can prepare for what to do when an emergency happens.” Helen said. “It’s good advice, no matter your age.” ATION PREPAR EY IS K First, remember to pace yourself, especially if you’re not used to chasing or continually lifting a 10to 25-pound child, Helen suggested. Then, begin baby- or toddler-proofing your home. Gates at every stairway are important. Crawl around on your hands and knees to get the child’s perspective, watching for sharp furniture edges and curtain or drape cords that could be strangulation hazards. Inspect couch cushions for paper clips, coins, small toys and pen or marker caps — anything that would pique a child’s natural inquisitive nature and cause choking. Toiletries or cleaning products should be locked away, and a plethora of safety and locking gadgets are available to help make everything from kitchen cabinets and drawers, to toilet seats and VCRs, childresistant, but not childproof. There’s no substitute for supervision, Helen added. THINK ‘AG APPRO E PRIATE ’ Houseplants are warm and inviting, but many are harmful if ingested, especially poisonous holiday plants like poinsettias and mistletoe. They should be put up and away from exploring little hands, Helen advised. Keeping grandparents’ prescription and over-the-counter medicines in an inaccessible location is extremely important. The U.S. Product Safety Commission claims such medicines are responsible for 20 percent of all child drug poisonings. Make and clearly post a list of important numbers, starting with 911, the cell phones of parents and the numbers where they are going to be, and the national poison control number, 1-800-222-1222. Despite advancements in safety, some grandparents are enticed by the nostalgia of using the same crib, bassinet, highchair, stroller and toys for a grandchild that they used for their own children 30 years ago. “Companies have spent decades doing research and improving the safety of child care products,” Helen said. “The same rule applies to cribs and highchairs, and to toys: Get rid of old ones, and follow age recommendations on new ones.” For example, if the slats on a crib are wide enough to accommodate the width of a soda can, a child’s head could also fit through and cause strangulation, Helen warned. And balloons, which seem like the perfect child’s toy, are choking hazards once deflated, whatever the child’s age. Visit the U.S. government’s product safety Web site at www.cpsc.gov to search specific products. 13 KING A CHO T EVEN More than any other accident, choking events send children and their sitters to the emergency room. Food for infants and young children, such as hot dogs, cheese or grapes, should be cut into pieces no larger than one-half inch. Insist children chew their food well, and insist they eat at the table and never while walking, lying down or playing. Never heat food in a microwave, as it cooks internally, creating deceptive “hot spots,” which can also lead to choking or burns. If a child does choke, encourage him or her to cough; it’s the body’s natural defense against choking. But never slap a child on the back while they are choking, which Helen said may cause the food or object to lodge deeper into the throat. Helen Seidel, a nurse educator with Altoona Regional, demonstrates the child and infant CPR techniques she teaches to 11- to 13-year-olds through the system-sponsored Safe Sitter babysitting classes. It is important to learn basic life support skills, such as first aid, CPR and the Heimlich maneuver. The Education Department at Altoona Regional offers local classes that teach basic first aid, CPR and emergency prevention throughout the year. Call 814.889.2731 for scheduling information. For more on choking prevention, visit the American Academy of Pediatrics (AAP) Web site at www.aap.org PROGRAM ALERT: Is your child’s car safety seat installed correctly? See Page 15 for date, time HEALTH-O-RAMA is a one-day, one-stop health happening SCHEDULE OF PHYSICIAN PROGRAMS 9:30-11 a.m. 11 a.m.-noon 1:30-2:30 p.m. Hips and Knees: What Can Be Done About the Pain? Diabetic Wounds and Leg Ulcers Diabetes: Prevention and Treatment Rooms 205-206 William Tyndall, M.D.; Jack Rocco, M.D., and Christopher McClellan, D.O., orthopedic surgeons, of University Orthopedics Join Drs. Tyndall, Rocco and McClellan for this panel presentation on the latest in nonsurgical treatment of hip and knee pain, as well as a discussion on hip and knee replacements. If hip and/or knee pain is keeping you from doing the things you enjoy, don’t miss this presentation! 10-11 a.m. Stressed Out? Identifying and Managing Stress Rooms 207-208 Dan Wilshire, Ph.D., consultation and education specialist for Altoona Regional’s Behavioral Health Services You’re invited to the region’s largest health fair — the fifth annual Health-O-Rama. This spectacular health information and screening event will take place Saturday, Jan. 20, from 9 a.m. to 4 p.m. at the Blair County Convention Center. Stress affects your immune system and, consequently, your health. Join Dr. Wilshire as he explains how to identify stress, how it affects your health, and how to cope with and manage it. Altoona Regional is the major sponsor of the event, which features informative and entertaining exhibits, interactive demonstrations, screenings and hands-on product displays. 10-11 a.m. Peripheral Vascular Disease: What’s It All About? Several members of the Altoona Regional Medical Staff will present educational seminars (see information at right). Rooms 202-204 Arthur DeMarsico, D.O., vascular surgeon, of Cardiovascular and Thoracic Surgery of Altoona Inc. “This is an opportunity for area residents to quench their thirst for health information all in one place,” said Dana Shade, Community Education coordinator at Altoona Regional. “It’s so convenient for the public to explore the very latest on health issues that affect them.” If you experience pain while walking or poor circulation, or if you have concerns about abdominal aortic aneurysm or stroke, join Dr. DeMarsico as he discusses the signs and symptoms of peripheral vascular disease, its prevention and treatment. Find out how to start on the road to wellness, beat insomnia and master migraines from some of our top physicians in their fields. Learn how to maintain a healthful diet, get plenty of exercise and sleep, and quit bad habits, like worrying excessively. 11 a.m.-noon INFO TO GO “It’s a fun and efficient way to start the new year off healthier,” said Dana, who also coordinates Altoona Regional’s Healthy Living Club. “It’s a great way to reinforce those New Year’s resolutions and find good health and happiness.” WHO: Allegheny Mountains Convention and Visitors Bureau and Altoona Regional Health System. WHAT: Health-O-Rama 2007 — Meet the doctors, hear the experts, see hands-on demonstrations and learn life-enhancing information. WHEN: 9 a.m. to 4 p.m. Saturday, Jan. 20 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. Freedom From Arthritis Pain Rooms 202-204 Michael W. Molter, D.O., physical medicine and rehabilitation specialist, of Blair Orthopedic Associates and Sports Medicine Do you have arthritis and just want to get back to living without the pain? Since many people are not candidates for surgery or simply do not want it, Dr. Molter’s job is to return you to the lifestyle you once knew, using nonsurgical methods. “A great way to . . . Rooms 207-208 Michael Humphrey, D.O., endocrinologist, of Blair Medical Associates Diabetic wounds and leg ulcers are wounds that just won’t heal and can lead to infection and complications. Dr. Penny will discuss these conditions and answer your questions regarding the prevention and treatment of open wounds, sores and leg ulcers. Does diabetes run in your family? Do lifestyle factors put you at risk for this disease? Have you already been diagnosed? What can you do to prevent or control this debilitating disease before it takes control of you? Dr. Humphrey will answer these questions and discuss ways to put you on the road to wellness. 11:30 a.m.-12:30 pm My Head Is Pounding: Migraine Types, Causes, Treatment and Prevention Rooms 205-206 Joseph Clark, M.D., neurologist, of Blair Medical Associates Do migraines impair your daily life? Do you know the difference between a migraine headache and a “regular” headache? What causes a migraine? Dr. Clark will answer these questions and discuss the diagnosis and treatment of migraine headaches. 1-2 p.m. Common Conditions of the Hand Rooms 202-204 Andrew W. Gurman, M.D., orthopedic surgeon, of Blair Orthopedic Associates and Sports Medicine Dr. Gurman will speak about common conditions affecting the wrists and hands, including carpal tunnel syndrome, trigger fingers, tendonitis and arthritis. He will discuss nonsurgical as well as surgical treatments, followed by a question-andanswer period. 1-2 p.m. The Other Side of Plastic Surgery Rooms 205-206 Roberto Gonzalez, M.D., plastic and reconstructive surgeon, of Blair Plastic Surgery Did you know plastic surgery is more than personal enhancement? Dr. Gonzalez will discuss and answer your questions regarding surgery for lower extremity deficits, breast reduction, breast reconstruction, post-gastric bypass surgery, as well as the personal enhancement services of his specialty. find good health and happiness.” 14 Rooms 207-208 Harry Penny, D.P.M., podiatrist and certified wound specialist, of Blair Medical Associates 2-3 p.m. Insomnia: Treating a National Epidemic Rooms 202-204 Steven Cartun, M.D., psychiatrist, Altoona Regional Health System Behavioral Health Services More than 40 million Americans suffer from chronic long-term sleep problems. Dr. Cartun will discuss the causes of insomnia (including daily stress and anxiety, mood disorders, sleep apnea and restless leg syndrome), treatment (ranging from medication to surgery) and prevention. 2-3 p.m. The Road to Wellness: Prevention and Education Will Get you There Rooms 205-206 Altoona Family Physicians Want to add years to your life and life to your years? What makes you at risk for disease? What steps can you take now to prevent the onset of disease later? Doctors from Altoona Family Physicians will answer these questions and more to put you on the road to wellness! 2:30-3:30 p.m. Reverse Shoulder Replacement Rooms 207-208 Joshua Port, M.D., orthopedic surgeon, of Blair Orthopedic Associates A rotator cuff injury may result suddenly from a single traumatic event, such as a fall, or develop gradually from repetitive overhead activities, such as pitching or painting a ceiling. Doctors can now repair rotator cuff injuries, including related muscles, tendons and, sometimes, bony fractures deep within the shoulder, through arthroscopic surgery. Join Dr. Port for the details. PROGRAMS Healthy Living January, February, March 2007 Programs are open to all adult age groups unless otherwise specified. In the event of inclement weather, please check local radio and television 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 PEPPI! (Peer Exercise Program Promotes Independence) Every Monday, Wednesday and Friday at 8:15 a.m. or 10 a.m. Fourth Lutheran Church, Altoona. No fee. Registration required. Call 889.2630 or 1.800.313.4665. Are you 55 or older and looking to improve your strength, flexibility and balance? Is your New Year’s resolution to meet new people, get in shape and have fun while doing it? If you answered yes to either of these questions, then PEPPI is for you! PEPPI can help you do all this while combating chronic conditions such as arthritis and osteoporosis. Child Safety Seat Installation Checkup Station Friday, Jan. 12, 9:30-11 a.m. Altoona Hospital Campus parking garage, Blue Level. Friday, Feb. 9, 9:30-11 a.m. Altoona Hospital Campus parking garage, Blue Level. Friday, March 9, 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 814.889.7802. Find out if your child’s safety seat is installed properly. Your child’s life may depend on it. Osteoporosis Screening: Free Heel Scans By appointment only on Friday, Jan. 5, 12:30-3 p.m. For women only Allegheny Room, Outpatient Center, Altoona Hospital Campus. By appointment only on Friday, Feb. 9, 12:30-3 p.m. For men and women Kaufman Dining Room, Bon Secours Hospital Campus. By appointment only on Friday, March 2, 12:30-3 p.m. For women only Allegheny Room, Outpatient Center, Altoona Hospital Campus. Depression in the Golden Years Friday, Jan. 26 Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665. Most people hope their “golden years” will be simpler and less stressful. But for many, that is not the case. When life becomes overwhelming, depression can occur. Dr. Joseph Antonowicz, a psychiatrist with Altoona Regional’s Behavioral Health Services, will discuss causes and treatments, and offer suggestions for avoiding depression. Ample time will be allotted for your questions. Telehealth: What Is It? How Does It Work? Is It for You? Friday, Feb. 16 Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665. Q: How can you check your blood pressure, pulse rate, oxygen level and more while you’re at home? A: Telehealth! Telehealth, also called telemedicine, is a rapidly advancing technology making health care in the home more effective and specialized. Telehealth has proven to be effective in helping people with chronic conditions like congestive heart failure avoid hospitalization and emergency room visits. Dotty Fazenbaker, R.N., manager of telehealth at Home Nursing Agency, will demonstrate how this new technology helps patients take an active role in managing their health conditions while working hand-in-hand with their health care provider. Ample time will be allotted for your questions. Altoona Regional Health System: Looking Forward Friday, March 23 Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665. When Altoona and Bon Secours hospitals merged in November 2004 to become Altoona Regional Health System, we set forth a vision to become a world-class health care organization. Come hear Ron McConnell, senior vice president, and others discuss initiatives, plans and our vision to move Altoona Regional toward becoming a world-class health care system with new services and the latest technology. Ample time will be allotted for your questions. Don’t Put It on the Table Until You Read the Label: Giant Eagle Store Tour Wednesday, March 28, 2-3:30 pm Giant Eagle Grocery Store, Logan Town Centre, Altoona. No fee. Registration required. Call 889.2630 or 1.888.313.4665. “Light,” “low fat,” “no cholesterol.” These terms and more bombard us while we do our grocery shopping. What do they really mean? Which are the healthiest foods to buy? Join Randy Grabill, Altoona Regional clinical dietitian, as he shows you how to read and understand food labels. Learn how to choose healthful and nutritious foods for you and your family. EVENING PROGRAMS AARP Driver Safety Program All classes from 6-10 p.m. Logan Room, sixth floor, Outpatient Center, Altoona Hospital Campus. Tuesday, Jan. 9, and Wednesday, Jan. 10 Or Tuesday, Feb. 13, and Wednesday, Feb. 14 Or Tuesday, March 13, and Wednesday, March 14 Fee $10. 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. Did you know that on average, someone suffers a stroke every 45 seconds? We live in an area where stroke risk factors are prevalent. Join Dr. Arthur DeMarsico, board certified vascular surgeon, as he discusses the warning signs of stroke, what you should do if you or a loved one has a stroke, and, most important, how to reduce your risk factors. Yoga Six-week series: Tuesdays, Jan. 16 through Feb. 20 Tuesdays, March 6 through April 10 Beginners: 5:30-6:40 p.m. Intermediate: 6:50-8 p.m. Fee $30. Rotunda, sixth floor, Outpatient Center, Altoona Hospital Campus. Register now as class is limited to 25. Call 889.2630 or 1.888.313.4665. Gail Murphy, 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. Sign Language Classes Beginners class, 12-week course. Classes on Tuesdays, March 6 through May 22 inclusive. 7-8:30 p.m. Logan Room, sixth floor, Outpatient Center, Altoona Hospital Campus. $25 fee. Registration required. Class limited to 30. Call 889.2630 or 1.888.313.4665. Pastor Robert Smith of the Pastoral Care department of Altoona Regional will be the instructor for this course in conversational sign language. There will be assignments with the lessons, and a certificate will be given upon completion of the course. A threering binder will be needed. Winter Craft: Crackled Candle Holder Friday, Jan. 26, 6:30 p.m. Juniata Room, sixth floor, Outpatient Center, Altoona Hospital Campus. Cost $7. Pre-registration required. Call 889.2630 or 1.888.313.4665. Join Sharon Rydbom, our own craft diva, as she guides us in transforming an ordinary terra cotta pot into an adorable candle holder. Choice of colors will be available. Materials needed for class include: one Styrofoam plate for paint, three paper towels, scissors, and hairdryer (if you have one). This is a quick and easy project to complete just in time for Valentine’s Day! Stroke Alert! Wednesday, Feb. 7, 6:30-8 p.m. Rotunda, sixth floor, Outpatient Center, Altoona Hospital Campus. No fee. Register by calling 889.2630 or 1.888.313.4665. Class size is limited. Healthy refreshments will be served. Not Getting Enough Z’s? Wednesday, March 21, 6:30-8 p.m. Rotunda, sixth floor, Outpatient Center, Altoona Hospital Campus. No fee. Register by calling 889.2630 or 1.888.313.4665. Class size is limited. Healthy refreshments will be served. A recent national sleep study indicated that 75 percent of all adults report a sleep problem. Are you one of them? Dr. Timothy Lucas of Altoona Lung Specialists, medical director of Altoona Regional’s Institute for Sleep Medicine, will talk about some of the reasons our sleep is disturbed. Are sleep aids a help or hindrance? Dr. Lucas will address these questions and provide us with some tips for getting a good night’s sleep. Altoona Regional has purchased new equipment with a $10,000 donation from Weis Markets. Imaging Services purchased a highresolution transducer for ultrasound imaging of the breast. The Maternity department purchased a BiliBed for newborns with jaundice. At the check presentation were (from left): front — Jerry Hatch, Weis regional director; Andrea Pyo, R.N., Maternity, and Ron McConnell, Altoona Regional senior vice president for Corporate Development; back — John Klisiewicz, store manager; Bob Klisiewicz, district manager, and John Rabold, store manager, all from Weis, and Michael Corso, director, Imaging Services. 15 Non-Profit Organization U.S. Postage PAID Altoona Regional Health System Emmanuel A. Osagiede, M.D., is a neuroradiologist who practices with Sylvan Radiology, Altoona Hospital Campus, 620 Howard Ave., Altoona. ASK THE SPECIALIST A neuroradiologist has all the training of a radiologist plus training in the structures of the brain, spinal cord, face and its structures, such as the neck, eyes, ears, nose and throat. This additional training enables us to work especially well with the trauma surgeons, neurosurgeons, ear, nose and throat specialists, and orthopedic surgeons. While it is not a new specialty, not every facility has neuroradiologists on staff. Typically, we are found at the larger facilities. Altoona Regional is fortunate to have myself and Dr. Vivek Sharma. What types of patients do you see? We see a gamut of patients — all ages and types of illnesses and injuries. We work with patients injured in accidents, those with inflammatory disease, and we may be the ones who first diagnose a cancer in someone. We work with the neurologist when a patient has a stroke or an aneurysm. We work with the orthopedist when someone has a back injury, for example. What else does a neuroradiologist do? We also see patients who have more “routine” illnesses and are diagnosed through MRIs, CTs, ultrasounds, nuclear medicine, fluoroscopy and PET/CT. At the other end of the spectrum, a neuroradiologist performs interventional procedures, which means we use imaging equipment combined with various invasive techniques to treat patients. We do kyphoplasty and vertebroplasty (two procedures used to correct spinal column problems) and we can even repair certain types of brain aneurysms. We also open narrowed arteries by using stents. Stents function like the spokes on an umbrella and prop the vessel walls open. Often stents are coated with a medicine that wards off plaque, a sticky substance that adheres to and narrows the vessel. P R O F I L E Dr. Osagiede is board certified by the American Board of Radiology. He graduated from the University of Ibadan, College of Medicine and Dentistry, and did an internship at Specialist Hospital, Benin City, Nigeria. Altoona Hospital Campus 620 Howard Avenue Altoona, PA 16601-4899 What is a neuroradiologist? He did his residency training at Cook County Hospital in Illinois in diagnostic radiology, and at Washington Hospital Center, Washington, D.C., in general surgery. He also received fellowship training in neuroradiology at Indiana University Medical School. He and his wife Uju have four children and reside in Hollidaysburg. 16