New cath path - UPMC Altoona
Transcription
New cath path - UPMC Altoona
winter 2010 zzz zzz zz l i s t i n g s — pa g e s 5 - 9 2 0 0 9 ann u a l r e p o r t an d d o n o r z zz zz z Q&Az z New approach Program An option planner Separating for chest Pullout sleep myth aneurysms calendar from fact Page 3 inside Page 12 New cath path Woman benefits from through-the-wrist procedure Page 4 zz zz Health News zzz zz z z z z z & Information for Healthy Living winter 2010 Program Alert! Good Fats, Bad Fats: Do You Know the Difference? See calendar insert for details, date and time Healthy Living Altoona Regional’s Healthy Living Magazine is published four times a year by the Marketing and Communications department. Chief Operating Officer Ronald J. McConnell Administrative Director, Institutional Development Dave Cuzzolina Staff Writers Patt Keith Anne Stoltz Designer Chip Mock Mock Creations LLC For more information, please contact: Altoona Regional Health System Marketing and Communications 620 Howard Ave. Altoona, PA 16601-4804 889.2271 [email protected] 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. Unlocking the yogurt mystery Cruise down the yogurt aisle in any grocery store and you will surely notice the sea of options for this creamy and delicious dairy product. the nutritional label. Don’t just look at one factor and ignore the rest.” “Those are the sugars you want, as well as sugar from fruit. Try to avoid high Connie advises paying extra fructose corn syrup and other added sugars.” attention to fat, calcium, protein and sugar content. Also, remember the sugar content will be higher Fat: 4 grams or less when looking at fruitLow-fat and fat-free yogurts flavored yogurt. It’s best to are the best choices for buy plain yogurt and add most. Greek-style yogurt fresh fruits as a topping. is a great alternative for people who want the What about probiotics? creaminess of full-fat yogurt Connie said yogurt is but fewer calories and fat becoming most notable for grams. “good for you” ingredients that provide added Calcium: 20 percent of benefits, like probiotics. your daily value (about Probiotics are the “good” 200 milligrams) bacteria, or live, active Calcium is a crucial mineral cultures that research for the body, especially suggests can play a role in for children. Combined enhancing digestive health. with phosphorus, it gives To help you identify yogurt strength and firmness to that contains live, active bones. cultures, the National Protein: At least 5 grams Yogurt Association Protein is essential for developed the Live Active immune systems, as well as Culture Seal. According for every chemical reaction to the Food and Drug in the body. Greek-style Administration, in order yogurt, in particular, is an for something to be excellent source of protein. called “yogurt” it must contain at least two active Sugar: Don’t go too far cultures, specifically over 12 grams Lactobacillus bulgaricus “Yogurt has naturally and Streptococcus occurring sugar from the thermophilus in the milk,” explained Connie. United States. With its many healthful benefits — calcium, probiotics, protein, to name a few — yogurt finds itself on many people’s daily menu. But as Altoona Regional registered dietitian Connie Plowman explains, not all yogurts are the same, or therefore, healthy. “There are a number of varieties that are filled with excess fat, calories and sugar,” she said. “People generally have their favorite brand or buy whatever is cheapest. With the explosion of new products, choosing the right yogurt — or the healthiest yogurt — can be challenging.” Portion control So how do you pick the best yogurt for your body? Start by purchasing yogurt in portion-controlled containers, ideally 6-ounce servings. “You should reach for yogurt with 90 to 120 calories per serving,” Connie said. “Then be sure to study the rest of Make room for yogurt Here are some creative ways Connie shares to add yogurt to your daily diet: • Replace mayonnaise and salad dressing with yogurt • Substitute yogurt for ice cream • Use yogurt as the base for your favorite dips for vegetables and fruits • Try yogurt in your favorite baking recipes 2 “All yogurts will have the aforementioned probiotics,” Connie explained, “so you can reap the benefits of live active cultures no matter what the brand.” Bottom line: Yogurt is a very versatile food! With so many choices, Connie believes everyone can find a yogurt that’s not only perfect for their taste, but also right for their body. “Remember to look at the nutrition facts on the yogurt’s label,” she stressed. “Yogurt can definitely be considered a health food if you choose the right kind.” Connie Plowman, R.D. Choosing the healthiest kind can be challenging Program Alert! Paths to a Tobacco-Free Future See calendar insert for details, date and time About TAA options E x p a n d e d New procedure adds treatment alternative for aneurysms in chest With the new year comes yet another remarkable advancement in technology at Altoona Regional. ‘Phenomenal progress’ “This is phenomenal progress,” said Arthur J. DeMarsico, medical director of Altoona Regional’s Central Pennsylvania Cardiovascular Associates, when describing the arrival of TEVAR technology. Soon, a comprehensive team of physicians will unveil a new procedure that makes treatment easier for some patients with a dangerous condition: thoracic aortic aneurysm, or TAA. In addition to thoracic aortic aneurysm repair, Dr. DeMarsico said TEVAR can be used for aortic dissection (a tear in the wall of the aorta) and penetrating atherosclerotic ulcers (ulcerating lesion), as well as a minimally invasive option to treat traumatic aortic transaction (an injury often associated with car accidents) in trauma patients. A TAA is a blood-filled bulge or ballooning of the aorta in your chest area. Some aneurysms never burst, but others can rupture quickly in your chest or abdomen. Because the aorta is a major vessel, carrying blood away from your heart to the lower part of your body, this is an emergency situation that could result in death. Altoona Regional already offers a less invasive way to treat aortic aneurysms in the abdomen. Now, a similar approach will be used to treat the problem in the chest. It’s called thoracic endovascular aneurysm repair, or TEVAR. “Now, we can treat the entire aorta, rather than just in the abdomen,” he added. “We have expanded our capability for the benefit of our patients.” For more information on TEVAR, call Altoona Regional’s Central Pennsylvania Cardiovascular Associates at 889.2005. Minimally invasive therapy “For patients who are older or who have very high-risk conditions, this gives them an option,” said Philip L. Rice, M.D. “Anymore, for most procedures, patients tend to want a minimally invasive option rather than large-scale surgery.” “Now, we can treat the entire aorta …” Instead of surgically opening the aorta, the surgeon makes small incisions in the groin to insert catheters. Using X-ray guidance, he or she then delivers a synthetic fabric tube called a “stent-graft” into the aneurysm. “The stent-graft expands like a spring to fit against the walls of the aorta,” explained Richard A. Wertz, M.D., medical director, Imaging Services. “Once in place, blood flows through the stent-graft, avoiding the aneurysm, thus reducing pressure on the weakened part of the aorta and reducing the risk of rupture.” TEVAR is generally less painful and has a lower risk of complications than traditional surgery because the incisions are smaller, said Dr. Rice. Patients who have the new treatment usually have a two- to four-day hospital stay compared to a week to 10 days for standard surgical treatment. 3 An estimated 60,000 U.S. residents have a thoracic (chest) aortic aneurysm but only about half experience symptoms and are diagnosed. More common among smokers, the condition often results from hardening of the arteries, hypertension or congenital disorders such as Marfan’s syndrome. Preventive measures include smoking cessation, controlling blood pressure and blood lipid levels, and routine exercise. TEVAR specialists on staff at Altoona Regional Arthur J. DeMarsico, D.O., is a board-certified vascular surgeon with Cardiothoracic & Vascular Surgery of Altoona Inc., 620 Howard Ave., Altoona, 889.2328. Richard A. Wertz, M.D., is a board-certified interventional radiologist with Sylvan Radiology, 620 Howard Ave., Altoona, 889.2836. Philip L. Rice, M.D., is a board-certified cardiothoracic surgeon who also practices at Mount Nittany Medical Center and Lewistown Hospital, 717.242.7939. The road less traveled World traveler finds new route to renewed health A map showing every destination they have visited hangs in the Berrys’ stairwell. “I wasn’t sure what to think,” Louise, 75, of Altoona, recalled. “Honestly, I thought it was just my nerves. Turns out I had a possible blockage in my heart.” The way to track down the culprit was through cardiac catheterization — a procedure that examines blood flow to the heart and tests how well the heart is pumping. Louise was concerned about the procedure, though, for fear she’d have to lie on her back for an extended period of time. That was something that, as of late, caused her great pain. New procedure in this area Fortunately, George Jabbour, M.D., of Blair Medical Associates For more than 30 years, cardiac catheterizations have been performed using the femoral artery in the right groin as the point of insertion for the catheter. Dr. George Jabbour of Blair Medical Associates Cardiology and Dr. Mukul Bhatnagar of Pleasant Valley Cardiology offer an approach using the radial artery in the wrist. The tools “I was blown away [that] it could be done through the wrist.” Just days before her scheduled back surgery, travel enthusiast Louise Berry experienced a burning sensation in her chest that forced her to make an unexpected trip to the Altoona Regional ER. A different approach this specialized procedure, Dr. Jabbour said. ‘He didn’t let me down’ “I told Dr. Jabbour to be good to me, to treat me like he’d treat his own grandmother,” Louise said. “He didn’t let me down. He’s very caring, very personable. ... That’s what I liked about him.” Dr. Jabbour said transradial cardiac catheterizations benefit all patients but especially those with lowerback pain, arthritis, obesity and peripheral vascular disease. The benefits of this alternate approach include: •No scarring • Decreased risk of bleeding • Lowered risk of all complications • Less risk of trauma to adjacent nerves and blood vessels •Reduced hospital and health care costs • And perhaps most important for Louise, a shorter recovery period Cardiology, performs transradial cardiac catheterization, a new procedure in Blair County, which uses the wrist, not the groin, for catheter insertion. “This approach allows patients to sit up immediately afterward, and even walk,” said Dr. Jabbour. “Standard procedure requires that they lie flat on their backs for several hours to prevent severe bleeding.” Louise was relieved: “I was blown away when I found out it could be done through the wrist. I’d never heard of that before.” While this technique isn’t new, less than 2 percent of cardiac catheterizations in the United States use the transradial approach because only a small percentage of interventional cardiologists are trained in After her procedure, Louise was taken back to her room and was able to sit up and eat right away. “It was totally amazing to me,” she said. “No pain in my wrist or back, and I was basically able to use my arm right away. I just had some minor restrictions, like no On the cover: Louise and Gene Berry have collected countless souvenirs during their travels. The couple displays them throughout their Altoona home. 4 lifting heavy objects.” Dr. Jabbour, who recently moved to the area, is excited to perform this new technique in Blair County. An option with many benefits “People in the region and beyond have access to another cardiac catheterization option that is truly beneficial in more ways than one,” he said. Although a blockage was discovered that required Dr. Jabbour to insert a stent, Louise was able to make a full recovery and reschedule her back surgery. With both problems solved, she looks forward to more travels with her husband of 55 years, Gene, and their two children, seven grandchildren and three great-grandchildren. “We’ve been everywhere except the north and south poles,” Louise said. “Traveling is just wonderful. You should go as often as you can. See the world.” Contacts: George Jabbour, M.D. Blair Medical Associates Cardiology 1414 9th Ave., Altoona 946.1655 Also performing transradial catheterization: Mukul Bhatnagar, M.D. Pleasant Valley Cardiology 1528 Pleasant Valley Blvd., Altoona 944.4340 Sheath: A device that creates an entry into the artery on the underside of the wrist. CATHETER: Flexible tubing, about 3 feet long, inserted into blood vessels, through which doctors can diagnose and treat cardiovascular problems. WRISTBAND: Worn over the puncture wound after the catheter is removed. The wristband keeps pressure on the entry point, preventing bleeding. Pressure on the site is slowly lowered via a syringe over several hours. The process STEP 1: The cardiologist punctures the radial artery on the wrist with a syringe and inserts a guide sheath. STEP 2: The catheter is threaded into the artery via the sheath. The cardiologist slowly pushes the catheter up the radial artery as it becomes the brachial artery and then the axillary artery. The catheter stops at the ascending aorta, just above the heart. STEP 3: Diagnosis and procedures, if necessary, are performed. The cardiologist can inject contrast dye to visualize blockages in heart vessels. STEP 4: The catheter and sheath are removed, and a pressurized wristband is placed on the entry site to stop bleeding. 2008-2009 2 0 0 9 a n n u a l r e p Five years old and mature beyond our years A message from Jerry Murray, president and CEO Altoona Regional turned 5 years old on Nov. 1, 2009. Although that is young by many standards, our health system had to grow up in a hurry. In the months before the merger that created Altoona Regional, leaders of Altoona and Bon Secours-Holy Family hospitals made a promise to you to enhance health care quality, identify and meet community health care needs, offer necessary new services when practical, and eliminate waste and duplication. Our work began on the very day we merged. One of the first things we did was ask our employees, volunteers and physicians what they envisioned for our new health care system. They told us we should be a world-class health care organization. A lofty goal but, frankly, why strive for less? That goal became Altoona Regional’s Vision Statement. Striving to be exceptional Likewise, our employees, volunteers and physicians said we should strive to be exceptional every day in not only our medical but our personal treatment of everyone who walks through our doors. That became the basis of our new Mission Statement: For exceptional people to provide exceptional health care. We have achieved so much since setting those goals, especially in the key areas of technology, medical services, quality and patient safety, and patient, employee and physician satisfaction. Space does not permit me to list every accomplishment since 2004. In the area of technology, for example, we added a new nuclear medicine camera, a new angiography lab and a new linear accelerator — all in this past fiscal year (July 1, 2008, through June 30, 2009). Our Regional Stroke Center is a prime example of enhancing medical services to meet local needs. It improves outcomes and offers significant education and prevention components in a community where stroke is prevalent. patient satisfaction scores, while our employee and physician satisfaction numbers have risen significantly over the years. Our fiscal year financial performance was gratifying, as you will see on the following page. We hope to continue with a strong operating balance during fiscal 2010 in spite of the many financial challenges facing health care providers. One of the ways we hope to meet those challenges is with the economic benefits of consolidating our acute-care services (short-term treatment of patients who have a serious illness or injury or are recovering from surgery). By the end of this fiscal year, we should be close to consolidating acute care on the Altoona Hospital Campus, using additional renovated space in the former Altoona Center facility. Convenient outpatient location Our plans for relocating outpatient services to the Station Medical Center at 9th Avenue and 17th Street are also moving forward. When opened in the fall of this year, the refurbished space will include Imaging Services, an outpatient lab, HealthForce (our occupational medicine program), a sleep disorders lab, pre-anesthesia evaluation, physical therapy and cardiac rehab — with plenty of convenient parking. With the exceptional people we have at Altoona Regional, I know we will continue to make progress toward our vision, live our mission and continue to deliver on the promise we made to you five years ago. Sincerely, Altoona Regional Health System outpatient services Station Medical Center Emphasis on quality, patient safety Maybe our most comprehensive efforts have been in the areas of quality and patient safety. We have earned recognition on state, regional and national levels for extraordinary clinical performance. Similarly, we have earned national attention for many of our 5 o r t Key hospital statistics Admissions 20,437 Inpatient days 93,151 Average length of stay 4.56 (includes newborns) Outpatient visits 407,026 Emergency room visits 64,697 Inpatient surgical procedures 6,538 Outpatient surgical procedures 17,434 Our patient care revenues come from: Medicare 48.44% Medicaid 13.18% Commercial insurances 8.19% Managed care 26.54% Self-pay 1.62% Other 2.04% Where we spend our dollars: Highlights: 2 0 0 38% Employee benefits 11% Professional fees, supplies & others 40% Depreciation and amortization 5% JULY Staff members in the Neuroscience department, which includes the Primary Stroke Center Program, earn the American Stroke Association’s Get With The Guidelines — Stroke Bronze Performance Achievement Award for implementing a higher standard of stroke care. September The Board of Directors unanimously accepts the recommendation of its CEO Search Committee and names Senior Vice President/Clinical Services Jerry Murray as acting president and CEO of Altoona Regional, effective Nov. 1. The Cardiothoracic Intensive Care Unit earns a Five-Star Excellence Award based on scoring in Professional Research Consultants’ (PRC) 2008 National Patient Benchmarking Database. PRC is a national health care research provider. The unit scored in the top 10 percent nationally for responses of “excellent” in Overall Quality of Care. October The Cardiac Rehabilitation department earns its second recertification from the American Association of Cardiovascular and Pulmonary Rehabilitation, a national association promoting strict standards for the Intersocietal SPECT/CT, it aids in cardiac rehabilitation Commission for the the diagnosis of tumors programs. Accreditation of Vascular and coronary artery, Laboratories. inflammatory, bone and The Altoona Regional kidney diseases. Health System Foundation Altoona Regional for Life holds its inaugural staff earns The Joint Altoona Regional receives charitable event, Health Commission’s Gold the American Stroke Care Honors, at the Seal of Approval by Association’s Get With Blair County Convention demonstrating compliance The Guidelines — Center, drawing more with national standards Stroke Silver Performance than 400 guests and for health care quality Achievement Award, raising $400,000. The and safety. The Joint recognizing commitfirst honoree is retiring Commission is dedicated ment and success in president and CEO James to continuously improving implementing a higher W. Barner. the safety and quality of standard of stroke care the nation’s health care. by ensuring that stroke As part of its ongoing patients receive treatment quality and patient safety according to nationally initiative, the health accepted standards 2 0 0 9 system implements a and recommendations. new computer-assisted system called MAK January April (Medication AdminFor the seventh straight In keeping with its istration Check) to make year, Altoona Regional commitment to provide sure the right patient gets sponsors the area’s the highest quality the right dosage of the largest health fair — treatment available, right medication at the Health-O-Rama. The the Center for Cancer right time. event features informative Care orders the Elekta and entertaining exhibits, November Synergy® S radiation interactive demonstratreatment system. Altoona Regional earns tions, screenings and The $3 million linear three Achieving Patient hands-on product accelerator is to be Care Excellence Awards displays, as well as operational in the fall. from VHA Pennsylvania, educational seminars by the regional arm of the May physicians. VHA national health care The U.S. Department A new report from the alliance, for improving of Health and Human Pennsylvania Health Care care for patients who Services presents a Cost Containment Council have suffered from a heart Medal of Honor to shows clinical staff attack, and for preventing Altoona Regional for dramatically reduced the and reducing bloodstream achieving increased rate of hospital-acquired and MRSA infections. organ donation rates. infections by more than The Noninvasive half for the latest reportJune Laboratory staff earns ing period. recognition for their The Board of Directors commitment to a high March officially names level of patient care Jerry Murray president Local patients gain access and quality testing for and CEO of to the latest in hybrid the diagnosis of vascular Altoona Regional nuclear medicine imaging disease by achieving Health System. technology. Known as accreditation from Financial Information 7/1/08 to 6/30/09 Assets Current assets 72,367,131 Assets whose use is limited 63,044,943 Other assets 87,042,652 222,454,726 Liabilities Total operating revenues 313,456,002 Current and other liabilities 81,047,345 Total operating expenses 306,009,273 Long-term debt 30,839,469 7,446,729 Provision for bad debt 5% Nonoperating gains 496,739 Interest Excess revenues over expenses 7,943,468 6 Bal ance sheet Total assets Income statement Income from operations 1% July 1, 2008, to June 30, 2009 8 Hospital Salaries and wages Clinical and community service Fund balance Total liabilities and fund balance 110,567,912 222,454,726 Report of charitable giving General Anonymous Jack B. Barton Mr. Richard J. Donoway Mrs. Helen M. Force William H. O’Shurak Mr. Medford W. Ostrum John W. Zook In Honor Of In honor of Altoona Regional Health System Employees & Physicians Mrs. Valerie L. Brumbaugh In honor of Altoona Regional Health System Volunteers & Friends Mrs. Valerie L. Brumbaugh In honor of Altoona Regional Health System Mental Health Staff at BSHC Garth G. Moyer In honor of Joseph L. Antonowicz Anonymous In honor of Danielle Gibbons Anonymous In honor of Jack D. Schocker Mrs. Valerie L. Brumbaugh In honor of Jack Schocker and Cancer Staff The Families of the late Roberta Runk In Memory Of In memory of Sherman Benton Anonymous In memory of J. Carolyn Routch Dembert & Hoyne, CPA Departmental Gifts Alzheimer Support Group In memory of Rita Raichle Anonymous Terri R. Ulaner Center for Cancer Care Altoona Regional Health System Radiation Oncology Mr. and Mrs. William P. Benzel Mr. and Mrs. Charles E. Berkheimer Mrs. Valerie L. Brumbaugh Mrs. and Mr. Gwen Burket Janet L. Christie Friends of Altoona Regional Health System Richard S. McCoy Nancy L. Mills Mrs. Carol S. Oakes Mr. and Mrs. Gregory M. Price Mr. and Mrs. John A. Roberts, Jr. Mr. and Mrs. Steven S. Seltzer Mr. Stephen G. Sheetz Mr. William H. Singleton, III In memory of Thomas M. Bender Hollidaysburg Veterans Home Activity Department Staff In memory of Lewis Kopac Irwin Financial Inc. Ira B. Kron Dialysis Unit Chris’ Hallmark Shop In memory of Dolly Bidoli PIAA Blair County Baseball Chapter Gerald A. Spalding Basketball Chapter In memory of Harry E. Criswell Doris A. Criswell In memory of Frank DeLeo Mr. and Mrs. Joseph J. DeLeo PIAA Blair County Baseball Chapter In memory of Joseph R. Franchio Mrs. Viola A. Franchio In memory of Jean L. WisniewskiScherzinger Vivian Boyer Nikki R. Carey Paula M. Cass Central Cambria Middle School Staff Cathy R. Christian William M. Clarke Florabelle Cobaugh Mary J. Damin Davies Family Thomas L. Dixon Kenneth E. Hartland Kay Howsare Mary W. Luxbacher Antoinette L. Lyle Alissa M. Menin Rose M. Norris Mr. and Mrs. David C. Ramsey Pamela B. Rose Mr. and Mrs. Jack R. Servello, Sr. Frank W. Wisniewski Regina A. Wisniewski Donna Jean Hospitality House Anonymous In memory of Desiree A. Knechel Ms. Shirley M. Walter Drug & Alcohol Services The EADS Group Employee Charity Fund Emergency Department Alter Rock Jaycees - SCI Huntingdon In memory of Thelma G. McLaughlin Mr. Ernest G. Peterman Maternity Department Mrs. Helen L. Aikens Blair County Literacy Council Blair County Respiratory Disease Society Ms. Helen M. Butler Ms. Mary Louise Butler Karen Chappell Ms. Maxine Colyer Ms. Nancy Delozier Rosemarie Dibert Sandy Eichelberger Martha Fagan Friends of Altoona Regional Health System Mr. And Mrs. Cindy Gardner Mrs. Sheila M. Gardner Mrs. Louise C. Hampton Ms. Eleanor Hirchak Emma Kneidinger Lois Kuhn Ms. Carol E. Leonard Elsie T. Massimilla Ms. Mary G. Mauk Ms. M. Yvonne McConnell Donna Otto Janice A. Snowberger Ms. Virginia Socey Martha Stouffer Carol M. and Merwyn Trexler Ward Avenue United Presbyterian Mrs. Beverly E. Way Ms. Patricia A. Winters PA Black Lung Clinic Coalition In memory of Joseph J. Conway Gary P. Gallagher Vernon C. Laudeman Rita K. Quinlan Betty E. Wells David T. Wells Partnership for Health Free Medical Clinic Friends of Altoona Regional Health System Pediatrics Blair Bedford Builders Association Danna Cabar Christine Durbin Mrs. Pamela Gearhart Ashley Madden Colleen Sward Waldenbooks V.F.W. Ladies Auxiliary Post 4440 Radiation Oncology Miss Liliann Benzel Mrs. Julia A. Scarfone Janice A. Snowberger Bernard A. Rosch Palliative Care 1st Summit Bank Employee Foundation In loving memory of Thomas M. Bender Mrs. Anita Bender Mr. Gordon J. Bradley Saint Francis University Office of Continuing Education Following is a list of those who generously extended financial support to Altoona Regional Health System during fiscal 2009 (July 1, 2008, through June 30, 2009). As a nonprofit charitable organization, Altoona Regional is grateful to every donor for helping us strengthen and enhance health care in our community. In loving memory of Nancy Jo Black Mr. Kenneth E. Black In memory of Theresa Bruno Ms. Kathryn S. Maginnis Mageli G. Talastas In memory of Jerry Chapman Allegheny General Hospital - 9C In memory of Barbara J. Clever Jim Zubik In fond remembrance of Thomas Conrad Mr. and Mrs. Scott W. Harrison In loving memory of Thomas Conrad Mr. and Mrs. Jim J. Savina Mr. Steven Smith and Ms. Tricia O’Leary In memory of Thomas Conrad Mr. and Mrs. James K. Beasom Mr. and Mrs. Justin V. Devery Ella Gladman Mr. and Mrs. James A. Healey Mr. and Mrs. David W. Levy In memory of George DelBaggio Rodney Berkheimer Brookville Hospital - Radiology Department Carol A. Frantz Ms. Carol L. Stringer Pennsylvania Federation of Fraternal Clubs Tyrone VFW In memory of Laura M. Diviney Ms. Ronna J. Diviney In memory of Margaret Healy Barbara Latchford In memory of Amedeo N. Perretta Mrs. Catherine Perretta In memory of Maria C. Perretta Mrs. Catherine Perretta In memory of Helen Rosch Mr. and Mrs. Jordan S. Bailinger Joan R. Bergstein Mrs. Valerie L. Brumbaugh Rebecca S. Cohen Mr. and Mrs. Donald Devorris David Horowitz David M. Horowitz Mr. Michael Kaplan Dr. and Mrs. Stephen M. Kaplan Mr. and Mrs. Rex H. Kaup Toby Levin Mrs. Ida Levine Ona Lowe Mr. and Mrs. Stephen Port Mr. and Mrs. Martin A. Schulman Cindy Schwab Amy B. Seltzer Young, Oakes, Brown & Company, P.C. In memory of Carol Walters The Walters Family In memory of Thomas J. Wojcik M & T Bank Special Assets Dept SCI Forest Administrative Staff SCI Forest Employee Association Ward Truckload Express, LLC Trauma Services Juniata United Methodist Church Bear Makers Volunteer Services In memory of Theresa Bruno Mr. Anthony J. Bruno Sr. John Burket Greater Beneficial Union - District 45th Mrs. Judith M. Hollern Werner W. Mark Shirley J. Millin Connie A. Minielli Clarke Nightingale Mr. and Mrs. Saul Paikin Ms. Paula S. Roberts Ms. Maxine C. Ross Ms. Dana J. Shade Mr. and Mrs. Ted L. Swab Terri R. Ulaner Williamsburg Family Practice Altoona Regional Health System Williamsburg Office of Altoona Family Physicians Anonymous Ms. Colleen Becker Dr. Donald Beckstead Blair County Plastic Surgery, Inc. Skin Care Clearbrook Family Medicine Fiorina Family Practice, LLC Dr. Tamara L. Hoffman Dr. Curtis C. Thill 7 General Anonymous (4) Mr. and Mrs. Manuel P. Casado Mr. and Mrs. Donald Devorris Mrs. Lois M. Eakins Mr. Glenn A. Edwards Mr. and Mrs. Clayton C. Rickens Mrs. Helen F. Seidel Mrs. Emily G. Yeatts M. Zaky Youssef In Honor Of In honor of Serena Albarano Anonymous In honor of All the Loving, Caring Employees & Volunteers Mr. and Mrs. Stephen Ellis In honor of Altoona Regional Board Members, Employees, Physicians, Volunteers/ Friends Mrs. Valerie L. Brumbaugh In honor of Altoona Regional Foundation for Life Board Mrs. Valerie L. Brumbaugh In honor of Altoona Regional Health System Board of Trustees Sister Mary Aquinas Tolusciak In honor of Altoona Regional Health System Employees Sister Mary Aquinas Tolusciak In honor of Altoona Regional Health System Medical Staff Sister Mary Aquinas Tolusciak In honor of Altoona Regional Health System Nursing Staff Sister Mary Aquinas Tolusciak In honor of Altoona Regional Health System Patients Sister Mary Aquinas Tolusciak In honor of Altoona Regional Health System Senior Leaders Sister Mary Aquinas Tolusciak In honor of Amber Terrace Residents Amber Terrace Assisted Living Residence In honor of Mary Aquinas Mr. and Mrs. C. Elton Crider In honor of James W. Barner Mrs. Valerie L. Brumbaugh Mrs. Cindy L. Skupien In honor of Edward J. Belin Mr. and Mrs. Jesse S. Dodson In honor of Bon Secours Volunteers Mrs. Sally L. Jackson In honor of Aaron J. Brumbaugh Mrs. Valerie L. Brumbaugh In honor of Ian B. Brumbaugh Mrs. Valerie L. Brumbaugh In honor of All Cecchine and Miller Family Members Mr. and Mrs. Allen Cecchine In honor of Doctors & Nurses Mrs. Nancy E. Campbell In honor of Erin Dodson Mrs. Valerie L. Brumbaugh Mrs. Michelle A. Dodson In honor of Patty Elliott Ms. Sharon A. McDowell In honor of Janet Ellis Mrs. Sheri L. Simpson Ms. Allison Tyler In honor of Stephen Ellis Ms. Allison Tyler In honor of Ralph Farabaugh Family Mrs. Theresa Storm In honor of Zane H. Gates Mrs. Constance E. James In honor of Ava Nicole Gordon Mrs. Kathy Brown In honor of Grandchildren Brian-Nicole-Colleen Mr. Les M. and Mrs. Hazel Weise In honor of Cooper Hazard Mrs. Valerie L. Brumbaugh In honor of Bill Helsel Anonymous In honor of John & Wanda Horton Anonymous In honor of Inpatient Rehab Unit Workers Ms. Josephine Wenrich In honor of Paul J. Kelly Mr. and Mrs. Luke Kelly In honor of Paul & Kathleen Kozicky Ms. Nancy Edmiston In honor of Logan Marie Krug Ms. Anne T. Stoltz In honor of Jean Lucas Mrs. Sharon A. Rydbom In honor of Donald N. MacDonald Mrs. Helen R. MacDonald In honor of Debbie McClellan Mrs. Cindy L. Skupien In honor of Pete & Shirley McConnell Mr. and Mrs. Ronald J. McConnell In honor of Jorden McClure Anonymous In honor of Mike, Judy, Christine, Greg, Pat and Gregg Mr. Les M. and Mrs. Hazel Weise In honor of William H. Moses Reverend Terryann Talbot-Moses In honor of Jayce Anthony Quick Mr. and Mrs. Drew M. Appleman, Jr. In honor of Colleen Reagan Ms. Emily Reagan In honor of Paul A. Reagan Mrs. Michelle A. Dodson In honor of Brenda Reeder Mrs. Dorothy L. Reeder In honor of Mildred M. Santella Ms. Sandra R. Thompson-Colyer In honor of Cindy L. Skupien Mrs. Valerie L. Brumbaugh Mrs. Debbie McClellan Ms. Emily Reagan In honor of W. J. Veigle Reverend Terryann Talbot-Moses In honor of Vicki Wertz The Honorable Jolene Grubb Kopriva In honor of Deb, Joe & Laura Yartin Mr. and Mrs. Thomas W. Baker In honor of Stephanie Young Ms. Emily Reagan In Memory of In memory of Betty J. Adams Mr. John C. Adams In memory of Elwood Adams Mrs. Kay Adams In memory of Francis (Shung) Agosta Ms. Betty Ann Agosta In memory of Theresa M. Alexander Mr. Ralph H. Alexander In memory of June Baum Ms. Susan M. Thomas In memory of Goldie Bayer Mr. and Mrs. Donald L. Burket In memory of Earl Beldin Ms. Eileen Rabish In memory of Ruth Beldin Ms. Eileen Rabish In memory of Edward Belin Mr. and Mrs. Jesse S. Dodson In memory of William E. Bennetti Dr. and Mrs. Matthew P. Bouchard, M.D. In memory of Mario & Antonio Bertazzoli Mr. and Mrs. Joseph M. Francis In memory of C. Grace Beyer Mr. and Mrs. John R. Beyer In memory of Thomas & Edith Bidoli Ms. Grace Steinbugl In memory of Jane Bishop Mr. and Mrs. James L. Tully In memory of Ryan Bishop Ms. Anne T. Stoltz In memory of Theo Bolan Anonymous In memory of Eric Bordell Mr. and Mrs. Duane P. Bordell In memory of Heather Bouch Ms. Amy J. Vinglish In memory of Bonnie Brannigan Mrs. Gail L. Thompson In memory of Lora L. Brashears Mrs. Valerie L. Brumbaugh Mrs. Judith M. Hollern In memory of Bernice Breon Mrs. Lois M. Eakins In memory of Shirley Brower Mr. Kevin Brower In memory of Mike Brubaker Mr. and Mrs. Drew M. Appleman, Jr. In memory of Angela Elizabeth Brumbaugh Mrs. Valerie L. Brumbaugh Mrs. Judith M. Hollern In memory of Theresa Bruno Mrs. Valerie L. Brumbaugh Mr. Anthony J. Bruno, Sr. Mrs. Betty L. Stoltz In memory of Emma G. Burk Mr. Donald F. Burk In memory of Francis and Bertha Burk Anonymous In memory of Ronald E. Bush Mrs. Anna M. Bush In memory of Evelyn Caputo Mrs. Stella C. Conte In memory of Martin Caputo Mrs. Stella C. Conte In memory of Deceased Members of Cecchine/Miller Family Mr. and Mrs. Allen Cecchine In memory of Thomas Chamberlain Mrs. Donna M. Chamberlain In memory of Donald R. Chestney Mrs. Rozella M. Chestney In memory of June M. Cicero Mr. Joseph D. Cicero In memory of Joy Stevanus Clapper Mrs. Norma J. Stevanus In memory of Phyllis Connelly Mr. and Mrs. Donald Squillario In memory of Tom Conrad Mrs. Valerie L. Brumbaugh Mr. and Mrs. William M. Saylor In memory of Margaret M. Cooney Mrs. Elizabeth R. Kline In memory of Clarence and Alvoria Crider Mr. and Mrs. C. Elton Crider In memory of Herm and Melania Dambeck Mr. and Mrs. James R. Burchfield In memory of Melania Dambeck Mrs. Valerie L. Brumbaugh In memory of Dawn Mrs. Elizabeth R. Kline In memory of Glenn Dodson Mrs. Michelle A. Dodson In memory of Helen G. Dodson Ms. Susan A. Dodson In memory of Paul S. Downing Mrs. Debbie McClellan In memory of Sarah A. Dreibelbis Ms. Leanne R. Sible In memory of Edith Drenning Mr. James W. Drenning In memory of Darlene Dunmyer Mr. and Mrs. Thomas W. Baker In memory of Lois Dunmyer Mr. and Mrs. Thomas W. Baker Mrs. Valerie L. Brumbaugh In memory of Catherine Eakins Mrs. Lois M. Eakins In memory of Ernest Elmer Eakins Mrs. Lois M. Eakins In memory of Karen Grigg Eckenrode Mr. and Mrs. John N. Grigg In memory of Mary Elder Mrs. Kay Adams In memory of Fred and Petronella Elvey Ms. Deborah E. McDougal In memory of Rick Epple Mrs. Elizabeth R. Kline In memory of Henry Evangelista Ms. Mona L. Henck In memory of Albert Evangelisto Mrs. Flora L. Evangelisto In memory of Elaine Evangelisto Mrs. Flora L. Evangelisto In memory of Billie Lou Faight Blair and Bedford Central Labor Council In memory of Daniel Thomas Fanelli Mrs. Mary C. Fanelli In memory of Mary Farabaugh Mrs. Theresa Storm In memory of Ralph and Ruth Fink Ms. Virginia L. Dively In memory of Linda Flaherty Anonymous In memory of Harriet Fochler Ms. Julie Fochler In memory of Joe and Anna Francis Mr. and Mrs. Joseph M. Francis In memory of Almerinda Frezza Mrs. Mary M. Hoover In memory of Marion D. Frezza Mrs. Mary M. Hoover In memory of James Gainvors Mr. Joseph F. Samuels In memory of Harold G. Gampe Ms. Charleen Beichler In memory of John W. Gardner Ms. Pamela S. Robison In memory of Gloria Gates Mr. and Mrs. James J. Klueg In memory of Wade A. Gates Mrs. Emma J. Gates In memory of Robert M. & Genevieve N. Gildea Miss Patricia M. Gildea In memory of Oswald Girard Mrs. Mary M. Hoover In memory of Ima Gonter Mrs. Connie L. Shultz In memory of Joan Grondin Mrs. Mary M. Hoover In memory of Sylvia and Robert Gunnett Ryan R. Ridenour, M.D. In memory of Nellie Gunsalus Mrs. Norma L. Knouse In memory of Grace “Hydie” Hamilton Mrs. Laverne A. Lockard In memory of Lorrie Hample Altoona Regional Health System Neurology/Non-Invasive In memory of Alan L. Harshberger Mrs. Linda A. Harshberger In memory of William L. Harshberger Mrs. Linda A. Harshberger In memory of Emes E. Harten Ms. Carol A. Harten In memory of Harry K. Hays Mrs. Doris Hays In memory of Cameron L. Hazard Mrs. Valerie L. Brumbaugh In memory of Sprague C. Hazard Mrs. Valerie L. Brumbaugh In memory of Susan E. Heaton Mr. and Mrs. George Heaton In memory of Aaron Heer Mrs. Linda A. Harshberger In memory of David Heininger Mrs. Deborah K. Curran In memory of Elmer and Pearl Helsel Mr. Les M. Weise In memory of Edwarda S. Hess Mr. David S. Hess In memory of Mary and Ferd Hite Mr. and Mrs. Paul F. Hite In memory of Joann Hocherl Mrs. Anna M. Bush In memory of Sheila Hoffman Mrs. Lilia J. Sprankle In memory of Mike Hook Mr. and Mrs. Raymond R. Dodson In memory of Jane Hoover Mr. and Mrs. James L. Tully In memory of Lillian J. Hoover Mr. and Mrs. Timothy G. Hileman, Sr. Mrs. Mary M. Hoover In memory of Roger Hoover Mr. and Mrs. Timothy G. Hileman, Sr. Mrs. Mary M. Hoover In memory of John B. Hopfl Ms. Lynne M. Hopfl In memory of John & Mary Horgas Mrs. Carole Roman In memory of Charles Humm Mrs. Shirley A. Humm In memory of John W. Humm Mrs. Shirley A. Humm In memory of George R. Ickes Mrs. Patricia L. Ickes Mr. and Mrs. Jerry L. Ritchey In memory of Leslie Nicole Johnson Mr. and Mrs. Elvin Johnson In memory of Wayne Keller Ms. Madeleine L. Keller In memory of Chester Kimmel Anonymous In memory of Desiree A. Knechel Ms. Shirley M. Walter In memory of Dorothy Koch Anonymous In memory of Brooke (Kuhnlein) Krug Ms. Anne T. Stoltz In memory of Brooke Kuhnlein Mrs. Jill S. Blescia In memory of Krishna Kumari Anonymous In memory of Betty Lang Mrs. Kathleen L. Lenhart In memory of Dorothy & Dale Lansberry Mrs. George M. Lightner, Jr. In memory of Richard Joseph Lansberry Mrs. Barbara Wyland In memory of Dollie Lee Ms. Jaime Balsamo In memory of Bob Leipold Mrs. Connie A. Leipold In memory of Edna B. Lightner Miss Kathie A. Albarano In memory of Hayden Scott Link Mrs. and Mr. Ramona F. Shrift In memory of Frank & Mary Livoti Mrs. Sharon L. Ciccarella In memory of Freddie Long Mr. Charles W. Harter In memory of Frank Luksik Mrs. Valerie L. Brumbaugh In memory of Richard B. Magee Mrs. Louise Magee In memory of Helen March Anonymous In memory of A. Joe Martino Mrs. Josephine A. Martino In memory of Martha Mauk Mrs. Lynette M. Nelson In memory of Donnie McCabe Mrs. Joanna M. Heinsling In memory of Carol A. McCaulley Peggy Gaida In memory of Liam Sean Patrick McCaulley Mrs. Norma A. Smith In memory of Betty McConnell Ms. Julie Fochler In memory of M. Jayne McCormick Mr. and Mrs. Georgs S. Pisanick In memory of James McDowell Ms. Sharon A. McDowell In memory of Joel McElhinney Mrs. Paula J. Kenepp In memory of Andrew and Phyllis McHugh Mrs. Kathleen M. Neal In memory of Tom McIntire Mr. and Mrs. William Shaffer In memory of George Miller Mr. and Mrs. Paul F. Hite In memory of Irene Mirkowski Dr. Amy K. Metzger In memory of Alice Monanan Mr. and Mrs. Donald Ruggery, Jr. In memory of Emma Monahan Mr. and Mrs. Donald Ruggery, Jr. In memory of Evelyn Morrow Mr. and Mrs. Paul Caracciolo, II In memory of Harry E. Myers Mrs. Edythe M. Myers In memory of Sarah Myers Mr. and Mrs. Paul J. Nevel In memory of John Nardon Altoona Regional Health System HealthForce Employees In memory of A. Calvin Nedimyer Mrs. Eleanor J. Nedimyer In memory of Sarah Norris Ms. Lottie L. Burdick In memory of Bob Nowlen Ms. Betty L. Nowlen In memory of Our Parents Mrs. Gina M. Kirby In memory of Stella Palochak Ms. Brigid Palochak In memory of Kay Patton Ms. Alisha Patton In memory of Rosemarie Prevost Mrs. Michele Welchko In memory of Edie Pry Mr. and Mrs. John A. Frederick In memory of Harold Pry Mr. and Mrs. John A. Frederick In memory of Mary Reed Mrs. Linda A. Harshberger In memory of Dorothy Reilly Ms. Mary L. Reilly In memory of Lynne G. Rice Mrs. Julie Decker In memory of LeRoy M. Riley Ms. Shirley F. Riley In memory of Patrick Michael Riley Mrs. Valerie L. Brumbaugh In memory of Anthony Roberts Mrs. Mary A. Roberts In memory of Nancy Robison Ms. Dana J. Shade In memory of Franklin D. Roesch Ms. Mary M. Roesch In memory of Helen Rosch Mrs. Valerie L. Brumbaugh In memory of Norman Rose Mrs. Margaret E. Rose In memory of Carolyn Routch Mrs. Valerie L. Brumbaugh AMED AmerisourceBergen Services Corporation Dr. and Mrs. John S. Anastasi Anonymous (2) Artemis Group Drs. Anthony J. and Liang R. Bartkowiak Mr. and Mrs. Cloyd Beers Mr. and Mrs. William P. Benzel Mrs. Nancy J. Bergstein Betar Dental, PC, Inc. Blair Business Communications Blair Companies Blair County Anesthesia Blair County Plastic Surgery, Inc. Skin Care Blair Gastroenterology Associates Blair Medical Associates, Inc. Boston Scientific Dr. Janelle L. Brumbaugh Mrs. Valerie L. Brumbaugh Drs. James and Nancy Burke Mr. and Mrs. Thomas J. Butler Cambridge Medical Staffing, Inc. Mr. and Mrs. Willard Campbell CBIZ Benefits & Insurance Services, Inc. Center for Emergency Medicine of Western PA, Inc. Central Credit Audit, Inc. Mrs. Sharon L. Ciccarella Conemaugh Health System Mr. and Mrs. William M. Cooper Cornerstone Advisors Asset Management Mr. and Mrs. Michael Corso Dr. and Mrs. David L. Cowger Credit Control Collections Dr. Donald B. Crider Mr. David M. Cuzzolina Dale Oxygen, Inc. Damin Printing Company, LLC Mr. David A. DeGol DeGol Organization Mrs. Sherry DelGrosso Delta Dental of Pennsylvania Delta Health Technologies Mr. and Mrs. James V. DeStefano Mr. and Mrs. Donald L. Detwiler Dr. and Mrs. Ronald A. Dietrick Dr. and Mrs. Steven Draskoczy Drenning Delivery System Attorney John E. Eberhardt, Jr. Mrs. Flo Eberhart Senator John H. Eichelberger and Charlotte Ames Fenner Corporation Ms. Marian E. Fifer Financial Health Leonard S. Fiore, Inc. First Commonwealth Bank First Energy Corporation FIT Optimized Solutions The Honorable Michael Fleck Ms. Nancy R. Fogel Mr. and Mrs. John A. Freas Mr. and Mrs. Dale Fuller Dr. and Mrs. Zane H. Gates Mrs. Denise C. Gdula The Honorable Richard A. Geist Miss Patricia M. Gildea Mr. and Mrs. Keith Glaros Dr. Roberto Gonzalez Dr. and Mrs. Edmundo M. Grab Mr. Joseph A. Grappone, Esq. Mrs. Anita Grimes H. F. Lenz Company H.R.S.I. Dr. and Mrs. Charles Haas Mr. and Mrs. Robert Halbritter Mrs. Diane L. Harris Mr. and Mrs. John Hawksworth Hayes Large Architects HealthCare Benefits, Inc. HealthSouth Rehabilitation Hospital Mr. Ronald L. Hefner Highmark Blue Cross Blue Shield - Pittsburgh The Hite Company Mr. and Mrs. Kevin Hockenberry Mrs. Judith M. Hollern Home Health Resource Home Nursing Agency Affiliates Hospital Council of Western Pennsylvania Insight Investments Mr. and Mrs. Michael Irwin Mrs. Karen P. Isenberg Jacoby Trexler Architects Johnson Controls, Inc. Drs. John and Alice Joyce K & L Gates, LLP Dr. Kelly Kane Dr. Raj G. Kansal Mr. John R. Kepler Dr. and Mrs. Ziad Khoury Kopp Drug Store The Honorable Jolene Grubb Kopriva Mr. and Mrs. Edward Kreuz Jr. Ms. Ellen M. Lambert Drs. Simon and Carolyn Lampard In memory of J. Carolyn Routch Attorney James S. Routch In memory of Donald & Roberta Runk Mrs. Valerie L. Brumbaugh In memory of Rinaldo Russo Mr. and Mrs. Anthony J. Russo In memory of Mildred M. Santella Ms. Sandra R. Thompson-Colyer In memory of Palma Scarfone Mrs. Julia A. Scarfone In memory of Peg Schmidhammer Ms. Catherine Prescott In memory of George C. Schneider Ms. Patricia S. Frank In memory of Charles and Alice Sheehan Ms. Ruth A. Slippey In memory of Patricia A. Shellenberger Mr. and Mrs. Joseph Shellenberger In memory of Margaret Sickles Mr. and Mrs. Charles H. Sickles, Jr. In memory of Butch Skupien Mrs. Cindy L. Skupien In memory of Mack Smyers Mr. and Mrs. Drew M. Appleman, Jr. In memory of Joanne Snyder Mr. and Mrs. Kenneth E. Graham In memory of William D. Snyder Mr. and Mrs. Kenneth E. Graham In memory of Harry Sprankle Mrs. Lilia J. Sprankle In memory of Edward & Mary Squillario Mr. and Mrs. Donald Squillario In memory of Edna Steinbugl Ms. Carol A. Orr In memory of Russell Stiles Peggy Gaida In memory of Charles Stoner Mrs. Lorraine Fox In memory of Robert S. Stotler Ms. Kathy Stevens In memory of John J. Stoyanoff Mrs. Shirley M. Stoyanoff In memory of Arthur and Maude Taylor Mr. and Mrs. Charles H. Sickles, Jr. In memory of Nancy Thayer Mr. and Mrs. Fred P. Fraundorfer In memory of Ann Thompson Mrs. Linda A. Harshberger In memory of Anna Mae Thompson Mrs. Linda A. Harshberger In memory of Lester Thompson Ms. Sandra R. Thompson-Colyer Dr. and Mrs. Ryan Zlupko In memory of Lula Thompson Ms. Sandra R. Thompson-Colyer Dr. and Mrs. Ryan Zlupko In memory of Zachary Topper Ms. D. Gail Boyles In memory of Mary C. Traxler Mr. and Mrs. Duane D. Traxler In memory of Ronald J. Turek Mr. and Mrs. Michael A. Turek In memory of Ron Ullery Mrs. Linda A. Harshberger In memory of Andrew Velone Ms. Jennifer Lepore In memory of Joseph Wales Dr. and Mrs. Ryan Zlupko In memory of Lester and Ester Weise Mr. Les M. Weise In memory of Judy Wills Anonymous In memory of Richard A. Rosemary & Robert Yohn Ms. Rosemary Yohn In memory of Joseph Zang Ms. Louise Zang HEALTH CARE HONORS Adara Healthcare Staffing, Inc. Ralph J. Albarano & Sons, Inc. Allegheny Lutheran Social Ministries Altoona Blair County Development Corporation Altoona Mirror Altoona Regional Health System Medical Staff Altoona Regional Health Systems - AFSCME AFL-CIO Local 0691 8 Mrs. Carolyn Lapierre Lawruk Realty Lee Industries, Inc. Mr. Michael G. Letcher Mrs. Monica Liebal Ms. Karen Longo Lumax Industries, Inc. M & T Charitable Foundation Mr. and Mrs. Louis Mafrice Dr. and Mrs. R. Samuel Magee Mainline Medical Associates, Inc. Mr. and Mrs. Joseph Mancari Dr. and Mrs. Anthony Maniglia Martin Oil Company Dr. Gregory S. Martinek S. P. McCarl and Co. Mr. and Mrs. Ronald J. McConnell Ms. Paula McNulty Mock Creations, LLC Morefield Communications, Inc. Reverend Terryann Talbot-Moses and William H. Moses Mount Aloysius College Mountain Research, LLC Mr. Joseph F. Moxin MTS Transportation, Inc. Dr. Dennis E. Murray Mr. and Mrs. Jerry Murray Mr. and Mrs. Gary Naugle Drs. Matthew and Laura Newlin Dr. and Mrs. Carroll P. Osgood, Jr. Owens & Minor Paris Company Partnering for Health Services Free Medical Clinic Ms. Shirley Pechter Penn State Altoona Pennsylvania Networks, Inc. The Honorable Thomas G. Peoples, Jr. Mrs. Catherine Perretta Pleasant Valley Cardiology, LLP Mr. and Mrs. Neil Port Mr. and Mrs. Joseph M. Pufka Mr. and Mrs. Allan J. Rabold Reed, Smith, Shaw & McClay Reilly, Creppage & Co., Inc. Mr. and Mrs. Clayton C. Rickens Ms. Jacquie Rizzo Mr. John Rizzo Roaring Spring Paper Products Floral Association Mr. James M. Robuck Mrs. Patricia A. Ross Mr. and Mrs. William J. Rossman Attorney James S. Routch RoyalCare Medical Staffing S&T Bank Dr. Manickam Sankaran Dr. and Mrs. Jack D. Schocker Ms. Dana J. Shade Mr. and Mrs. William Shaffer Sheetz, Inc. Mr. and Mrs. Joseph Shellenberger Siemens - The Siemens Philanthropic Fund Mr. Phil Sky Mrs. Catherine Sprouse Mr. and Mrs. Donald Squillario St. Jude Medical Stelco, Inc. Ms. Anne T. Stoltz Mr. Robert W. Strawser Ms. Patti K. Sweet Ms. Kathryn Terlinsky Mr. and Mrs. Vincent Turiano University Ortho UPMC & UPMC Health Plan UPMC Health Plan - Pittsburgh Office Mrs. Kathy J. Vincent Dr. and Mrs. John T. Waibel Mr. and Mrs. William G. Wallen Dr. and Mrs. Robert E. Wertz Ms. Vicki L. Wertz, Esq. Mrs. Christi Wimer Word Processing Services, Inc. Mr. R. Thomas Zeek Dr. and Mrs. George Zlupko Dr. and Mrs. Ryan Zlupko Mr. and Mrs. Charles R. Zorger Mr. and Mrs. Gary Zuckerman General Kay Adams Linda L. Allen Altoona Regional Health System HIM Flower Fund Altoona Regional Health SystemSunshine Fund - Wound & Ostomy Program - BSHC Karen Anna Traci Anna Anonymous (11) Christina Arnsparger Desire Arthur Janet Ashurst Cheryl Bakale Pennie J. Balzano Gina Barefoot Doll Barr Drs. Anthony J. and Liang R. Bartkowiak Mary K. Baughman Janine Beard Helen Beck Grace Beere Cloyd Beers Terri Beers Charleen Beichler Sherri Bennett Edward Benson Patty L. Benton Nancy J. Bergstein Brandy Bergum Desirea Berkheimer Shirley Bickers Deborah Biddle Kari S. Biddle Vicki L. Bilka Christina Blake Jeffrey H. Blender Rona Bohner Vance C. Bolan Jessica Bonsell Karrie A. Bonsell Jennifer Bopp Polly Boring Terry L. Bow Daniel B. Boyles Karen Brady Jill D. Brantner Jacqueline D. Brooks Valerie L. Brumbaugh Jenny Buckrop Kathleen Buckrop Dr. and Mrs. Robert Budd Margie Burchfield Jennie Burket Herbert Burns Anna M. Bush Megan Buterbaugh Barbara J. Butler Jessica Cadwallader Lora Caretti Brenda Carles Cindy Carlheim Karen Carruthers Sandra Casey Catherine A. Castellucci Anna L. Cerully Donna M. Chamberlain Vickie Cherry Carla A. Cheslock Sue Chew Cathy Chirdon Mark Chuff Sharon L. Ciccarella Joseph D. Cicero Christina Claar Stacie Claar Ronna Clark Teresa Clingerman Margaret Coder Gwen Colasante Dianne M. Contreras LeeAnn Conway Marylou E. Conway Kimberly J. Corle Michael Corso Jean A. Costlow Dr. and Mrs. David L. Cowger Connie M. Cox Patricia Cox Debra M. Craig Lucille A. Crawford Beth Cree Nancy Creighton Mr. and Mrs. C. Elton Crider Lorrie Crofcheck Diane Croft Sharon S. Croft Deborah K. Curran Dave Cuzzolina Deborah J. Dambeck Cheryl A. Davis Kerri Dean Sharon A. DeGol Jennifer Dennis Darlene M. Denny Susan M. Depp James V. DeStefano Judy M. DeStefano Donna R. Detwiler Sarah Detwiler Patricia A. Deyarmin Jessica Dick Mary J. Diehl Melissa J. Diehl Michele Dignan Cathy Dillen Cathy Ditosti Constance T. Dively Sherri Dively Tangela J. Dively Virginia L. Dively John Dobson Jacqueline K. Dodson Susan A. Dodson Aimee L. Donahue Megan Donaldson Shirley A. Donnelly Charlene Dorsey Ashley Downing Barbara J. Dumm Janet M. Durbin Lois M. Eakins Joleen Earnest Rhonda Eckenrode Stephanie Eckenrode Kaly Eckenroth April Eckhard Janet Ellis Mary Emery Donna M. Evangelisto Kristin Farabaugh Paulette Farabaugh Patricia A. Fay Lori Feathers Tamera Feathers Lynn Fenchak Cindy Fickes Carol B. Field Christine Filer Christina Bratton Finkbeiner Debra J. Finochio Debbie Fisher-Mardula Julie Fochler Michelle Foor Julie Foose Anita Forlina Debbie G. Fornwalt Nancy Forshey Veronica M. Fox Mary A. Fozard Victoria J. Franks Fred P. Fraundorfer John A. Freas Jackie Frew Lori Frey Jane Friedenberger Karen Fronauer Pamela E. Frye Rebecca Frye Dale Fuller Wilma Gaida Georgia A. Gampe Gilbert Gampe Diane Garvey Denise C. Gdula Debra K. Geesey Anne L. Gehret Mary J. Geishauser Jaime Genovese Nick Genovese Kimberly A. Gilliland Keith Glaros Betty Glass Ella M. Glass Randall Grabill David Gracey, Jr. David Gracey, Sr. Kathryn Graffius Andora Grager Cornelia L. Gray Christel Grazier Carla J. Gregory-Becktent Keith Grigg Anita Grimes Catherine Grodes Catherine S. Grove Janet L. Grove Susan Guinard Annamae Guinivan Marcia Gulish Arch L. Gunnett Terry Hagerty Elizabeth Haid Kevin M. Hamilton Cynthia A. Hammaker Reverend David C. Hammerle Joyce Haney Diane L. Harris Kelly M. Harris Carol A. Harten Debbie Hawksworth John Hawksworth Sue Heininger Lisa Helsel Mona L. Henck Theresa Henry Barbara Hernandez David S. Hess James Hindinger Laura M. Hindinger Linda A. Hippo Joanne E. Hockman Jodi L. Holsinger Kimberly Hoover Georganna L. Horell Yvonne Hosterman Donna Houck Tawnya Houck Victoria L. Houseman Cynthia Hoyer Ann M. Hudak Deanna Hudson Elizabeth Hughes Nancy L. Hughes Debby Ickes Karen W. Ickes Patricia L. Ickes Charlene Imler Shanda Imler Lisa A. James Dr. V Janakiraman Carla L. Jenkins Frances Johnson Gary J. Johnson Janice Johnson Karen Julian Karen Kaczmarek Lynn M. Karlheim Jennifer Kasun Kathy Kasun Linda Kaufman Susan C. Kaye Michele L. Keagy Letitia Keefe Theresa Keefer Sue Keirn Patricia S. Keith Sarah Keith Christine L. Kelleher Luke Kelly Suzanne Kenawell Sandra L. Kensinger Ron Khoury Debbie Kielczynski Eleanor Kimberly Gina M. Kirby Anita M. Kissell Carrol A. Koch Patricia L. Koch Rebecca Koch Rosemary Korhan Jessica Kowalski Edwin Kozielec Christa L. Kozminski Dana Kratzer Edward Kreuz, Jr. Bernadette A. Krug Louise Krug Angela M. Kruis Barbara Kuhn Paula Kuhns Bonnie L. Kuny Paula Kustenbauder Judy E. Kuzupas Patricia A. Lahr Carol Laird Ellen M. Lambert Georgia Lauer Andrea Laurer Breanna Layo Lori A. Lear Diane Lechene Ann I. Lechner Robin Lefort Vicki Lego Kathleen L. Lenhart Michael G. Letcher Zhenhui Li Monica Liebal Brenda L. Lightner Mark Lipitz Kim Livingston Karen Longo Kathy Lower Angela L. Lubert Debra Lucas Jamie Luciano Tationia J. Lykens Betsy Lynch Kathleen A. Lynch Greg Madison Dolores Maher Michael J. Maiocco Merlann Malloy John Mancinelli Neal Maneval Victoria Mann Lori Manners Jacqueline G. Markle Linda E. Martin Daniel W. Mason Patricia L. Mattern Myschel Maurer Christina Mayall Carol L. Mayhue Debra Mazurak Don McCaulley Debbie McClellan Evelyn W. McClellan Maggie M. McCloskey Samuel L. McClure, Sr. Beverly McConnell Ronald J. McConnell Sherri K. McDonald Deborah E. McDougal Jennifer McGonigle Suzanne M. McGowan Karen R. McGraw Elizabeth McIntyre Nicole McKinney Monica McMahon Angie L. McMillen Bonita McMillen Brenda S. McNelis Kristen McNelis Tonya Meck Deborah L. Meese Jennifer Melbinger Rosalind Merritts Janet M. Metz Rebecca Michael Mary Ann Michaels Ann Miller Kimberly Miller Melinda Miller Nancy L. Miller Mark Mitchell Wendy M. Moore Reverend Terryann Talbot-Moses and William H. Moses Jennifer Moss Cindy L. Mueller Lynne M. Muri Jerry Murray Joyce A. Musselman Kellie Myers Marie Nale Gary Naugle Connie Navarro Denis J. Navarro Margie Navarro Bonnie A. Neal Jacqueline Nedimyer April Neff Morny Nelson Drs. Matthew and Laura Newlin Darlene Newman Victoria Noel Jeni Novak Vera Oakley Angela M. O’Donald Michelle O’Donnell Joyce Offman Michele Ofiesh Joyce M. Orner Anna Oshall Steven Ott Diane A. Ozog Malissa Packer Dr. and Mrs. Rashmikant S. Pandit Mark Paris Cheryll A. Partner Stacey Patterson Vicky R. Patterson Maureen Payne Mary J. Pearson Susan B. Penny Tessa Peterman Georgeanne Pettenati Theresa Pfeffer Anthony Phillips Sherry A. Piper Connie Plowman Patti K. Plummer Tracy D. Polmueller Rosmarie Pope Mary M. Prorok Ann Prugar Kevin L. Pruznak Camille J. Pulcino Deborah Rabenstein Sue Rabish Carole B. Rainey Naomi Rajnish Joseph G. Rapsky Faye Ray Pauline Reese Pamela J. Reilly Aurora Ressler Wendy Rettburg Mark A. Rhodes Deanna Richardson Clayton C. Rickens John Rizzo Mary A. Roberts Cindey L. Robertson Christine W. Robinson Rexenne Y. Robinson James M. Robuck Laura L. Rodriquez Elizabeth Rogers Carole Roman Lovell Roman Sharon L. Roscia Patricia Rose Patricia A. Ross Tracey Roth Attorney James S. Routch Lisa M. Ruffley Sharon A. Rydbom John Rys Debra A. Sadler Leslee Sady Dr. Manickam Sankaran Joanne K. Sassano Alma E. Scanlan Mark Schimminger Sandra L. Schirf Rosemarie M. Schmitt Sarah Schorner Ellen C. Schraff Helen F. Seidel Amy B. Seltzer Deb Semanchik Tiffany Semanchik Diana L. Seymour Don M. Sgro Dana J. Shade William Shaffer Bonnie Shaner Wendy Shaner Tina T. Sheetz Dolores Shellenberger Mary A. Shields Dianne L. Shover Linda S. Shultz Cecelia Shura Barbara A. Sickles Tammy Sigrist Debbie A. Simpson Marjorie D. Simpson Pamela K. Simpson Sheri L. Simpson Ruth A. Slippey Joanne Sloan Heather Slowik Tonya Smarsh Loretta Smearmen Brenda Smith Ellen Smith Jamie S. Smith Mary A. Smith Patricia Smith Robert J. Smith Christy Snyder Sherri Snyder Vicki Snyder Carolyn L. Sollenberger Dan Solomon Michelle Solt Denise E. Sottile Jennifer Spiridigliozzi Nancy Spradling Catherine Sprouse Jessica Sprowls Sharon Squillario Frances Stanslaw Connie A. Steinbeiser Deborah Steinbugl Grace Steinbugl Michelle Stevens Cora L. Stever Terri L. Stewart Anne T. Stoltz Gail R. Stoltz Trisha Storm Nicole Stotler Alice M. Straw Kelli Straw Robert W. Strawser Lorma Strohm Bonnie J. Sultage Suni Susko Dr. Kathleen E. Sweeney, D. O. Patti K. Sweet Cindie Taylor Cecelia Teeter Kathryn Terlinsky Maria Thomas Michele Thompson Nicole Thompson Sandra R. Thompson-Colyer Sister Mary Aquinas Tolusciak Mary E. Tyler Deanna Van Vlack Tracy Vandevander Paula Vansickel Shirley Varner Kathy J. Vincent Brenda L. Vinglish Judith Vyhonsky Debra A. Wagner Sandra Wagner Tracey Waite Karen Walker Judy Walter Linda Walters Nicole Wannett Angela Ward Stephanie M. Warmath Sheryl A. Watt Emma Weakland Judith K. Weaver Michelle Weaver Ruth B. Weaver Elisabeth Weger Cindy Weight Claudia Weise Judith Welsh Stephanie Wertz Susan Wertz Carol A. Wess Karen Westrick Diana Wicker Charlene Wilinski Cathy Wilk Don Williams Helen G. Willnecker 9 Frances M. Wilson Brittany Wilt Catherine A. Wilt Kathleen M. Winter Monica Wojno Traci Wombacher Tammy L. Worley Shawn Wyant Christine Wyland Christina Wyrwas Deborah A. Yartin Linda Yastro Courtney M. Yogus Sandy Young Mary L. Zabinsky Mike Zabinsky Carol R. Zamboni Dennis J. Zeak R. Thomas Zeek Christen Zendek Barry Zernick Tracey Zimmerman Charles R. Zorger Gary Zuckerman In Honor of In honor of Carol Carrado Karen C. Carrado-Knote In honor of Charlotte Dawson Mr. and Mrs. Drew M. Appleman, Jr. In honor of Marla Hoover Martin J. Marasco In honor of Gretchen W. Sell Deborah D. Auker In Memory of In memory of Dorothy Hoover Judith M. Hoover In memory of Judith A. Musselman Ms. Tempie E. Musselman In memory of Delores Weston Anonymous General Anonymous (4) Ms. Connie Chronister Ms. Kimberly J. Corle Dembert & Hoyne, CPA Mrs. Cindy Gardner Cindy Gates Paul Hazi Photography Dr. George Hromnak Kimberly Irwin Mary Jordan Fleck Trust Ericka L. Kalp Ms. Patricia S. Keith Ada M. Llewellyn Mrs. Yvonne M. Madey Mr. and Mrs. Ronald J. McConnell Mrs. N. K. Moyer The Bob Perks Cancer Assistance Fund Prudential Financial - Greater Allegheny Agency Mr. Richard Reeder Heather L. Roh Mrs. Caterina Rubine Starfleet Productions Mrs. Geraldine F. Stevens Ms. Vicki L. Wertz, Esq. In Honor of In honor of Charles Zorger Mr. and Mrs. Donald Devorris In Memory of In memory of Barner Children and Grandchildren Mr. and Mrs. James W. Barner In memory of Thomas Conrad Mr. and Mrs. R. Lee Hite In memory of Brenton F. Croll Lisa Steward In memory of Frank “Dutch” Elling Ms. Mary J. Campolong In memory of Daniel and Thomas Fanelli Mrs. Mary C. Fanelli In memory of Grace Feoeli Linda A. Hippo In memory of Tara M. Gabrielson Gina Zabrosky In memory of Paul J. Kelly Mrs. Valerie L. Brumbaugh In memory of Clara Kimmel Anonymous In loving memory of Lewis Kopac Annetta M. Conway In memory of Lewis Kopac Mr. Edward Anderson Garrett Coleman Mr. and Mrs. Richard L. Kalin Betty J. Katich Christopher M. Kazmaier Mr. Rick A. Lombard Jane F. Lynn Roseann Madden Mr. Felix J. Mariani ProCare Health Systems, Inc. JoEllen Steinbrunner George V. Stoffel and Family Ms. June Stroman Mr. and Mrs. Robert A. Szeyller In memory of my dear wife Jeanne F. Kunes Mr. Robert L. Kunes In memory of William Little Lucille Gehret In memory of Stephanie Lonergan John Tocarchick In memory of Thomas C. Mussleman Ms. Frances Musselman In memory of Joy K. Peters Friends of Joy Peters In memory of Helen Rosch Mr. and Mrs. Ronald J. McConnell In loving memory of J. Carolyn Routch David W. Gustafson In memory of J. Carolyn Routch Mr. and Mrs. James W. Barner Mrs. Valerie L. Brumbaugh Mr. and Mrs. David J. Davies Miss Patricia M. Gildea Heather A. Harrington Mr. and Mrs. R. Lee Hite Jubelirer, Carothers, Krier & Halpern Mr. and Mrs. Ronald J. McConnell Mr. Stephen S. Mellott Dr. and Mrs. Carroll P. Osgood, Jr. The Honorable Thomas G. Peoples, Jr. Mr. and Mrs. Neil Port Mr. and Mrs. Robert F. Schmidt Mr. and Mrs. Joseph J. Stevens In memory of Alex Sagaities Mrs. Dorothy J. Sagaities In memory of Ruth Scott Mrs. Valerie L. Brumbaugh Dr. and Mrs. Robert E. Wertz In memory of Phyllis Shade Latta Grove United Methodist Church In memory of Josephine Stein Monsignor Timothy Stein and Elizabeth Kinley In memory of Loretta Thompson Mr. William B. Thompson In memory of Gerald T. Treece Dorothy M. Treece In memory of Addie Wimer Mr. Kenneth C. Novak In memory of Tony Zsifkov Mr. David M. Cuzzolina How 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/ gift_ giving or use the donor envelope provided. Creating a loved one’s lasting legacy Over the past 24 years, the Garner-Johnson Memorial Lecture Fund has educated nurses free or at little cost on various important medical topics — all because its benefactress wanted to carry on the memories of her late husband and sister. John W. Johnson and Catherine N. Garner both died of cancer. Through their illnesses, Miriam Johnson cared for them by taking them to doctor appointments and arranging for home nursing visits. At various points, both received care at what was then Mercy Hospital. “Mercy was always our hospital,” said Miriam, whose family grew up in the area of 2nd Avenue and 22nd Street in Altoona. “If we had to be hospitalized, that is where we went.” To recognize that long relationship and her appreciation for the outstanding care her family received over the years, Miriam, now 89, established the named legacy fund honoring her sister and husband. The Altoona Regional Health System Foundation for Life acts in Miriam’s interest by ensuring that the intent of the fund is fulfilled. Garner-Johnson money offsets some of the costs of continuing education for the nursing staff. Miriam Johnson with photos of her and her husband How to leave a Legacy With a little planning, you can continue to make a difference for your loved ones, friends and neighbors beyond your own lifetime with a planned gift to benefit Altoona Regional Health System. How you can help Altoona Regional through the Foundation for Life •Prepare a will. Only half of us have one, and without a will you may lose control of your assets. •Leave us a specific dollar amount or percentage of your assets. • Consider using assets such as stocks and bonds as a charitable gift to us. They may provide estate tax savings. • Name our Foundation for Life as a beneficiary of your pension plan, IRA or life insurance policy. •Remember loved ones with memorial gifts. •Encourage family and friends to leave gifts in their wills. • Ask your financial advisor for guidance and to include charitable giving to the Foundation for Life. 10 Lasting community impact “Miriam’s very generous and selfless donation came as she sought ways to honor her loved ones while positively impacting community health care,” said Ann Benzel, foundation chairperson. “Establishing a named endowment or legacy fund is a fine example of how grateful patients and their family members may make lifelong gifts. “The Garner-Johnson fund demonstrates the positive, lasting impact a gift to the Foundation for Life can have on so many lives.” While Catherine died in 1981 from ovarian cancer and John followed in 1986 from prostate cancer, their legacy lives through this fund. Miriam and Catherine were longtime educators with the Altoona Area School District, with 70 years of service between them. With their education backgrounds, Miriam thought it would be most appropriate to endow an annual program to further educate nurses — those people who proved so helpful to her loved ones. Enhancing nursing skills “The purpose is to try and increase the skills of nurses with hospice or critically ill patients in an area where often it’s not clear-cut how to handle a particular circumstance that may arise and how to handle it with the family,” she said. “Through a program, they may learn to have a little better understanding of what a patient and family are going through.” That’s exactly what Annette Romani, R.N., BSN, learned. She provides care on the medical oncology nursing floor to cancer and end-of-life care patients and attended the Quality of Life seminar in 2009. “The seminar validated what I know in my heart: that nursing is the gentle art of caring,” Annette said. “It also energized me to continue focusing on the patient holistically and caring for the patient with respect and dignity by making sure to respect their wishes.” For more information on how to make a lasting gift to recognize a loved one, living or deceased, please contact the Foundation for Life office at 814.889.6406. 6 Surgery Joanne Edmiston of Altoona woke up one morning and discovered a small growth on the outside of her right nostril. She ignored it for two years while it grew to the size of a plump blueberry. repairs Why? Procedure required two surgeries Dr. Gonzalez decided he would need two surgeries. The first removed the tumor with a 4-inch-wide circular incision. The tissue was sent to pathology to see if a “clear margin” of only cancer-free skin remained on his scalp. The tumor removal was outpatient surgery that took 90 minutes. Six days later, Randy’s second surgery took seven hours. “I thought it would go away, but it kept getting bigger,” said the 70-year-old great-grandmother of three. extensive skin Randy Clever felt similarly about the quarter-sized raised spot on top of his balding head — until the spot began getting small holes in it. Dr. Gonzalez needed the assistance of neurosurgeon James Burke, M.D., Ph.D., to ensure a clear margin. Dr. Burke had to remove the fibrous sheath over the exposed skull that contained blood vessels and nerves and rasp down the outer part of the bone. “It wasn’t painful, but other people started to get real concerned,” he said. “My wife, Diane, was especially concerned, and that’s why I got it checked. I discovered it in March and got it checked in May.” cancer Both cases were skin cancer damage Both Randy and Joanne had skin cancer and required extensive reconstructive surgery, done by Altoona plastic surgeon Roberto Gonzalez, M.D., of Blair Medical Associates. “I required Dr. Burke’s expertise to go deeper. He specializes in surgeries of the brain, and I wanted to make sure we had removed all of the cancer,” Dr. Gonzalez said. Dr. Gonzalez then took a 10- to 12-inch long strip of tissue from Randy’s thigh and used the skin, fat and covering of the thigh muscle, called fascia, to close the scalp wound using microsurgical techniques. “These were two of the most complicated surgeries that can be done,” said Dr. Gonzalez, adding that both cases illustrate the importance of having skin changes checked by a physician sooner rather than later. “Generally, the smaller the growth, the smaller the scar. These reconstructions were very complex.” Second case followed similar path Joanne’s path to Dr. Gonzalez’s practice was strikingly similar: A visit to the dermatologist, a biopsy and a referral. She also required two surgeries. In her first, the 3-centimeter tumor and surrounding tissue were removed. Six days later, Dr. Gonzalez, using her left nostril as a pattern, cut a flap with a blood supply from her forehead to rebuild the nostril. For Joanne, it meant rebuilding half her nose; for Randy, closing a gaping, disfiguring hole in the top of his head. And, how does a flap of skin become a nostril? Randy, 51, of McConnellsburg, Fulton County, consulted with an Altoona dermatologist who suspected skin cancer and referred him to a general surgeon, Dr. Matthew Newlin, for a biopsy. “That’s the artistic part of the whole thing,” Dr. Gonzalez said, explaining that it’s done with strategic placement of stitches. The biopsy confirmed skin cancer. Because there would not be enough scalp to close the sizable incision necessary to remove all the cancer, Dr. Newlin referred Randy to Dr. Gonzalez. Joanne Edmiston “I get so many compliments,” Joanne said. “Dr. Gonzalez did such a wonderful job.” Both patients will take a year to heal fully and will be monitored closely for several years for recurrences. Both cases illustrate the importance of having skin changes checked by a physician as soon as possible Contact: Roberto Gonzalez, M.D. Plastic and Reconstructive Surgery Blair Medical Associates Station Medical Center 1414 9th Ave., Altoona 946.1655 Roberto Gonzalez, M.D. Joanne: Before 6 months After Randy: Before 11 2 weeks After Altoona Hospital Campus 620 Howard Avenue Altoona, PA 16601-4804 A nonprofit community health care system Non-Profit Organization U.S. Postage PAID Altoona Regional Health System Change Service Requested A S K T H E SPE C I A LIST Timothy A. Lucas, M.D., is medical director of the Institute for Sleep Medicine at Altoona Regional Health System. zzzzz z z the afternoon, at 1 or 2 p.m., so you are still tired at your usual bedtime. This is definitely a myth. The amount of sleep zzz z needed by anyone 18 and older doesn’t change. Is snoring normal? z zOn average, z zz most people need seven to nine hours a night. z z However, the type of sleep we get changes. z While snoring is common, loud snoring is not zaszwezage,zdisrupted. z Our sleep gets more We z get less deep sleep z normal. What qualifies as loud snoring is subjective, z z z z and have more lighter sleep periods. In zour z20s,zwe rarely but I would say it’s too zloudzif itzis disruptive to others. up during the night. In our 30s, we may occasionally z z z Ifit could you snore frequently, loudly, or have breathing pauses, z zwake z sleep z z wake up. But starting in our 40s, 50s and certainly by our be obstructive apnea. Other sleep problems, z z z 60szand 70s we wake up more and more frequently. We such as periodic limb movement central sleep apnea, z znight, thunderstorms. Certain medications, which often occurs in people withorheart hear rain at failure, can also z zmay have us up going to the bathroom. lead to sleep disruption. such as water pills, zzzzzzz Or, certain medical z conditions may keep us awake, such z z z z as back pain. z Do you have any tips for better sleep? zzz z z zzzz z z z zzzz Are naps wasteful? Sure. Keep your bedroom only for sleep. It’s not for hobbies or surfing the Internet or z z zz zzzzzz Do older people require less sleep? The attitude in the United States is that naps are not acceptable for adults. However, in Europe and south of our border, naps are perfectly accepted. People need seven to nine hours of quality sleep, and if you’re not getting that, a nap is fine, provided it’s early in the day. The problem is too many people nap late in the day, after 3 or 4 p.m. or in the evening at 7 or 8 p.m., and then it resets the circadian rhythm (your internal clock) and you can’t get to sleep at night. If you are going to nap, do it early in p r o f i l watching TV. Keep to a sleep schedule even on weekends, with maybe a one-hour variance for weekends. Also, have a bedtime ritual directed toward sleep, get exercise early in the day, every day, and get some sunlight daily. Avoid caffeine after lunch, alcohol and smoking. Create a soothing atmosphere: a dark, quiet room at a comfortable temperature. Relax before bedtime. Be mindful of things that can be disruptive, like watching TV, reading or surfing the Web. e Dr. Lucas, who is board certified in sleep medicine, specialized in the field because he trained at Hershey Medical Center, which has a renowned sleep medicine center. “I found sleep disorders to be quite interesting and different, yet sometimes related to pulmonary medicine,” he said. “Some of my formal training in sleep medicine was from Dr. Anthony Kales, who is very well known for defining the stages of sleep.” In addition to being medical director of the Institute for Sleep Medicine, Dr. Lucas practices at Altoona Lung Specialists, 801 Howard Ave., Altoona; phone 814.946.2845. 12