keeping kids healthy - Overlook View Magazine
Transcription
keeping kids healthy - Overlook View Magazine
Health & Lifestyle Magazine OVERLOOK July/August 2012 KIDS FIRST A Guide to Pediatric Care MEASURING UP Is Your Child’s Growth on Track? WHEN SEIZURES STRIKE What to Know and Where to Turn KEEPING KIDS HEALTHY Goryeb Children’s Center Leads the Way 2012 July May 10th,8th, 2012 7:007:00 PM PM June 12th, 2012 August 14th, 2012 7:007:00 PMPM July 10th, 2012 September 14th, 2012 7:00 PM 7:00 PM August 14th, 2012 October 9th, 2012 7:00 PM 7:00 PM Ovatures OVERLOOK View From the Top Vo l u m e 10 , I s s u e 6 egg donation program Overlook Medical Center Staff John Rosellini Director, Business Development Janina Hecht Manager, Public Relations Joyce Passen Manager, Community Health Diane Fischl Manager, Physician Relations “What would you do if this were your child?” It’s a question pediatricians hear all the time. And as a parent, it’s a question I have found myself asking too. At Overlook, we treat every child as “our” child. Children like Shane Cole II, who appears in this month’s issue. In June 2008, Shane made an unexpected entrance into the world when he was born two months early. He was cared for in our NICU for five weeks, until he was big enough and strong enough to go home. Today he returns to Overlook once a year for our annual NICU reunion—a tradition his grateful parents say they plan to continue for years to come. Our Overlook View feature on Shane begins on page 26, but his life’s story is representative of the thousands of children we consider our own. Goryeb Children’s Center at Overlook Medical Center and Goryeb Children’s Hospital at Morristown Medical Center are leading providers of pediatric healthcare services in the area. Across the two campuses, we have more than 100 Board-certified pediatric specialists in more than 20 concentrated areas of pediatric medical and surgical care. We also partner with more than 250 community pediatricians in the towns we serve. In this issue of Overlook View, we feature some of the pediatric specialties in which our doctors shine (cardiology, neurology, pulmonology, and adolescent medicine, to name just a few), and, in doing so, shine light on the kids in our care. When health concerns arise, at birth or in the years that follow, we are uniquely prepared to meet your child’s needs and manage his or her care. As a parent, your greatest hopes and dreams for your children include a lifetime of happiness and health. Always remember that we’re parents, too, and our wishes for all of our children—the ones we care for in our homes, and those entrusted to us at Overlook—match your own. Sincerely, Alan Lieber President Gina Carro Manager, Physician Relations, Oncology Elizabeth Newell Manager, Physician Relations, Cardiovascular Services Thomas Quigley Physician Relations & Business Development K.M. -Donor Overlook View is mailed directly to over 90,000 homeowners in select demographic areas of Union, Essex, Morris, and Somerset counties in NJ. Overlook View is published ten times throughout the year. Editorial inquiries and calendar information can be sent to: Overlook Medical Center/Overlook View 99 Beauvoir Avenue Summit, NJ 07901 email: [email protected] To be added or removed from the mailing list, please call (908) 389-0090 x 109 or email your address with ADD or REMOVE in the subject line to: [email protected] For more information regarding advertising rates, schedules, and subscriptions: [email protected] The views expressed in columns appearing in Overlook View are not necessarily the views of the publisher. Although every effort is made to present accurate information, schedules, hours, prices, or other materials are subject to change and not guaranteed. The information contained within this magazine and Website is not intended as a substitute for professional medical advice, for which your physician is your best choice. The information in the articles, Website, or the sites to which it links should not be used as the basis for diagnosing or treating any medical condition. Reproduction of Overlook View in whole or in part without written permission from the publisher is prohibited. Copyright ©2012. All rights reserved. The DavidHenry Agency/DHA Publications 10 Prospect Street, 2nd floor Westfield, NJ 07090 (908) 389-1200 www.davidhenryagency.com www.overlookview.com 4 | J U LY/AUG UST 2012 “I just felt it t was the righ thing to do.” Help another woman today. It takes a special person to become an egg donor and requires a commitment of time, energy, and compassion. While you’ll be compensated for your time helping another woman become a mother is the best compensation. “There was absolutely never any pressure” M.S. -Donor “Everyon e deserves the chan ce to becom e a parent .” J.F. -Donor Ovatures is actively seeking young, healthy females between the ages of 21 and 31 who have a desire to help others begin a family. Images and photographs used are representations of actual patients. If you, or someone you know, is interested in Ovatures please contact us at (973) 871-1250 or www.ovatures-eggdonation.com Eatontown | Englewood | Morristown | Somerset | Summit | West Orange | Basking Ridge-Opening Fall 2012 “WHEN I WAS DIAGNOSED OV ERLOOK July/August 2012 c on ten t s WITH PANCREATIC CANCER, I features FIGURED IT WAS ALL OVER. BUT AFTER MONTHS OF TREATMENT, 10Measuring Up Is your child’s growth on track? 12A Sudden Surge Understanding seizures. 16Don’t Miss a Beat Heart-related symptoms often go undiagnosed in children, but the actual causes and culprits are surprisingly common. 20Tummy Time THE HOSPITAL GAVE ME THE BEST GIFT OF ALL: LIFE.” - Theresa Petruzzi Manchester, New Jersey NO SURPRISE, IT’S OVERLOOK. Theresa Petruzzi knew the story. She had a 2% chance of surviving pancreatic cancer. But she wasn’t going down without a fight. Instead of choosing to have it treated at a well known cancer center, she chose Overlook Medical Center. No surprise. Aside from offering unique treatment and compassionate care, the highly skilled medical team at Overlook offered her the best long term outlook. Theresa was quickly scheduled for a Whipple procedure, a complex surgery involving multiple organs and the reconstruction of the digestive tract. When that went well, what followed were months of chemotherapy and radiation. And six years later, Theresa is still here to talk about it. When is a stomachache more than a stomachache? When allergic GI disease is to blame. 26Celebrating Shane www.NoSurpriseItsOverlook.org At the Goryeb Children’s Center at Overlook Medical Center, kids come first with an entire team of pediatric subspecialists dedicated to preserving and protecting children’s health. (Cover photography by Patricia Doles of patricia doles photography: www.patdoles.com) This summer, Shane Cole II blew out four candles on his birthday cake—and his parents say they have Overlook to thank for it. 28Baby’s Breath For babies and children whose survival depends on mechanical assistance, advancing technologies and coordination of care are essential. 38Hanging in the Balance Children and adolescents with eating disorders find the tools to heal their physical and emotional wellbeing with a one-of-a-kind program at Overlook. 42Pediatric Directory A guide to the pediatric subspecialists at Overlook’s Goryeb Children’s Center. 50Beneath the Surface For more surprising Overlook stories, visit ON THE COVER Minimally invasive treatments for varicose veins. COLUMNS 34Community Health Calendar 46 Kaleidoscope 48OV-360º 51Culinary Corner 54Foundation Happenings Overlookview.com | 7 Scan this tag to learn more about the all new 2012 Mercedes-Benz CLS. Don’t have Tag? Visit http://gettag.mobi to download it today. Measuring Up Is your child’s growth right on track … or has he or she fallen off the charts? “How long is she?” “How much does he weigh?” These are among the first excited questions parents are asked when they announce the birth of their newborn, and from the time a child is born, growth becomes a focal point of each appointment with the pediatrician. Heights and weights are plotted along curves on a page, percentiles are noted, and measurements are carefully monitored. Usually, a child will follow along his or her own path, making steady gains from one checkup to the next. But it’s not uncommon for a child to suddenly “fall” from the charts, and when that happens, doctors need to figure out why. “A growth chart tells a story,” says pediatric endocrinologist Barbara Cerame, MD. “The combination of what’s happening with weight and height can offer clues to what’s happening in a child’s body. All pediatricians do growth monitoring during a physical exam, and plot the child’s measurements on a growth curve. If a child follows along at a certain percentage and continues to track on that percentile, that’s normal growth velocity. If a child falls off that curve, that is a concern—and if a child drops two standard deviations in a year, that requires further investigation. Once we’ve established that—based on previous measurements—there has been some decline in growth, we begin to look into other things.” Evaluating short stature can lead to many different diagnoses, and Cerame explains that she often collaborates with her fellow subspecialist colleagues at Goryeb Children’s Center in order to find the root cause of a child’s growth deficiency. A young child who shows weight loss way ahead of a loss in height, for example, may be suffering from an undiagnosed systemic problem or chronic illness, like Crohn’s disease, celiac disease, or cystic fibrosis. In other children, there may be a genetic condition; in girls with Turner syndrome, for example, cells are missing all or part of an X chromosome, and the first sign of this disorder may reveal itself on a grown chart. 10 | J U LY/AUG UST 2012 A growth chart tells a story. The combination of what’s happening with weight and height can offer clues to what’s happening in a child’s body. If the child responds appropriately to the stimulation test and fits the criteria for GHD, he or she may be a candidate for growth hormone injections, administered daily by the child’s parents. Though this is a laborious undertaking, the benefits of growth hormone extend beyond additional inches in height, says Cerame. There are metabolic benefits as well, including normal bone density and lipid profile. And of course there are social norms and societal expectations too. “The world is built for people of a certain height,” says Cerame. “If you’re four-footfive, you can’t reach the cupboard or see over the dashboard to drive. These are all things to consider.” Children who receive growth hormone are monitored closely— checks of height, weight, and hormone levels every three months—and dosing is adjusted accordingly. Injections of growth hormone usually continue through puberty, after which time the skeletal system’s growth plates close and there is little to no additional growth. “Growth seems so benign, but it’s a really complicated subject and encompasses a lot of things,” says Cerame. “The earlier we diagnose a problem or the earlier we treat GHD, the better the outcome. For children who are not referred to us until puberty or past puberty, there is very little we can do. But for children who are diagnosed at a young age and treated and monitored appropriately, we really can make a difference.” For a referral to the Division of Pediatric Endocrinology at Goryeb Children’s Center at Overlook Medical Center, call (908) 522-6619. Once all causes unrelated to the endocrine system are ruled out, Cerame explains, doctors begin to consider growth hormone deficiency (GHD), a medical condition caused by problems arising in the pituitary gland, in which the body does not produce enough growth hormone. To test for GHD, doctors perform a growth-hormone stimulation test—a blood test that measures the ability of the pituitary gland to release growth hormone over several hours, after a child has received medication that triggers a release of growth hormone. Overlookview.com | 11 a sudden surge When is a seizure a symptom of epilepsy— and when is it indicative of something else? Flash! In an instant, lightning slices through the sky, splintering and spidering out in bright bolts of white light and color. It’s electrifying—and at the same time, terrifying. Now imagine those same flashes in the brain, and you get some idea of what a seizure looks like as it unfolds. Lorraine Lazar, MD, PhD, a child neurologist and pediatric epileptologist, explains that seizures are actually electrical events in the brain—disruptions of electrical communication between neurons, which leads to the temporary release of excessive energy. “The things commonly associated with seizures—the things you see in front of you, like uncontrolled movements— are expressions of a seizure, but the seizure activity all takes place in the brain.” Seizures are not at all uncommon. It is estimated that ten percent of the world’s population will experience a seizure, Lazar reports, and seizures occur more prevalently among children. Any child suspected of having a seizure should be evaluated, and at the Pediatric Epilepsy Program at Overlook’s Goryeb Children’s Center, epileptologists catering exclusively to children work to diagnose seizure activity and manage care. “Any child suspected of having a seizure is seen in our program within days,” says pediatric neurologist and epileptologist Rajeshwari Mahalingam, MD, “and everything from top to bottom is geared to children. Our doctors, nurses, and technicians are specially trained in the care of children, and we receive additional support from child life specialists. We even have a playroom.” 12 | J U LY/AUG UST 2012 Many conditions other than epilepsy can cause seizures or seizure-like activity…. Epilepsy is a life-changing diagnosis, and we have to make sure it is diagnosed and treated accurately. Making the right diagnosis Many conditions other than epilepsy can cause seizures or seizure-like activity. Some children experience febrile seizures, brought on by illness and fever. Children with poorly controlled chronic conditions (like diabetes) and conditions ranging from cerebral palsy to autism also may be more inclined to have seizures. (Lazar notes that a recently accepted standard of care calls for many children with autism—particularly those with a history of losing language skills—to be evaluated for seizure activity.) Certain tic disorders and even ADHD can present with seizure-like activity, and some migraine sufferers experience temporary symptoms frequently associated with seizures; none of these conditions, however, result in the actual electrical events indicative of a seizure. With so many possible causes of seizures and seizure-like activity, when a child is brought to the Epilepsy Program for evaluation, “our first job is to distinguish whether a child actually had a seizure, and whether a seizure is epileptic or the result of something else,” says Mahalingam. “Epilepsy is a life-changing diagnosis, and we have to make sure it is diagnosed and treated accurately.” Diagnosis begins with a thorough exam and careful history, and usually includes an EEG to monitor brainwave activity. One hallmark of Overlook’s Pediatric Epilepsy Program is video EEG monitoring, which consists of the simultaneous recording of both the EEG activity and the child’s outward physical behavior over the course of 24 to 48 hours. MRI, CT, and PET scans also are available. “We have the most state-of-the-art tools for diagnosis, as well as top professionals skilled in making these diagnoses,” says Mahalingam. Advanced treatment protocols If a child is diagnosed with epilepsy, doctors then classify the types of seizures the child is having, and identify where in the brain they are occurring. This information helps to formulate a treatment plan. For most children, treatment comes in the form of daily anti-seizure medication dosed specifically for each child. Other treatment options exist as well, and these often are tried in conjunction with medication or in place of medication when a child does not respond to pharmaceutical treatment. In some cases, a neurosurgeon can remove the part of the brain that causes the seizure. “The brain is a paired organ, meaning it has two sides and those sides are a bit redundant in their functions,” says Lazar. “If there is a structural abnormality or a lesion, such as a tumor, causing the seizure, we can remove that area without much consequence—it’s like removing one kidney but leaving the other.” Other children may be candidates for a vagus nerve stimulator, a pacemaker-like device that sends pulses of electrical energy to the brain via the vagus nerve in the neck; this helps to decrease the frequency of seizures, as well as the intensity and duration. Most recently, the program introduced a ketogenic diet plan. This high-fat, low-carbohydrate diet has been shown to help control seizures in some people with epilepsy. “Most children are candidates for this diet, as long as they don’t have any metabolic problems,” says Mahalingam. Children on the ketogenic diet continue to be followed by an epileptologist, as well as a nutritionist and pharmacist. “Everything—food, liquids, and medication—has to be measured carefully and prepared according to very specific guidelines. It’s laborious, but a lot of children have had very good results while following the diet.” All patients in the Pediatric Epilepsy Program, regardless of treatment plan, are continuously monitored for changes in condition, side effects, learning deficits, and quality-of-life issues. And for a number of children, epilepsy is not a lifelong concern; some outgrow the condition. “Epilepsy can be frustrating and challenging for patients and their families, but it is manageable,” says Mahalingam. “Our goal is to help them manage it effectively, and give children the best quality of life.” For a referral to the Division of Pediatric Neurology at Goryeb Children’s Center at Overlook Medical Center, call (908) 522-0127. Overlookview.com | 13 Take acTion To PrevenT cardiovascular disease “ If it weren’t for the expert care I received from the cardiologists at AICD, I wouldn’t be here today playing with my grandchildren.” Does Your Treatment Plan Include Rehabilitation? — Jack Behr Clark, New Jersey Sub-Acute Rehabilitation Associates in Cardiovascular Disease is pleased to announce a partnership with Atlantic Health System, which enhances the coordination of care we provide to our patients. High blood pressure? High cholesterol? Heart disease in your family? Diabetes? These risk factors can lead to cardiovascular disease. Protect your heart health by turning to Associates in Cardiovascular Disease (AICD). Our physicians are experts in diagnosing, treating and preventing a wide range of cardiovascular conditions. Our Experienced Staff Barry M. Cohen, MD, FACC John P. Farry, MD, FACC Robert D. Fishberg, MD, FACC Steven K. Furer, MD, FACC Sidney Glasofer, MD, FACC Robert M. Kipperman, MD, FACC Michael S. Lux, MD, FACC Robert J. Mich, MD David E. Powell, MD, FACC Sanjiv Prasad, MD, FACC Contact us to learn more about how our cardiologists can help you take better care of your heart: Springfield Office 211 Mountain Avenue, Springfield, NJ 07081 Phone: 973-467-0005 New Providence Office 29 South Street, New Providence, NJ 07974 Phone: 908-464-4200 For your convenience, we also have offices in Clark, Millburn and Warren, NJ. Visit us online at aicdheart.com Roberto R. Roberti, MD, FACC Steven J. Sheris, MD, FACC Elliott M. Stein, MD, FACC Vance J. Weber, MD, FACC Michael L. Weinrauch, MD, FACC Daughters of Israel offers a relaxing, safe environment with trained medical professionals. Our private rehabilitation campus features: • A Spacious, State-of-the-Art Gym, featuring Nautilus Next Generation Equipment • Recovery Suites and Lounge with Luxury Amenities • Fine Kosher Cuisine • 24/7 On-Site Registered Nurses • Comprehensive Range of Physical, Occupational and Speech Therapies • Audiology Services • Expert On-Site Medical Care including a Board-Certified Physiatrist, Board-Certified Geriatricians and Nurse Practitioners For more information or to schedule a private tour call 973-400-3307 or visit www.DaughtersofIsrael.org Daughters of Israel is a non-sectarian community. The Spirit of Community. The Traditions of Home. Don’t Miss a Beat Too many children have heart-related symptoms that remain undiagnosed— and frequently, untreated. 16 | J U LY/AUG UST 2012 Overlookview.com | 17 “ Among children with seemingly healthy hearts, the cardiovascular system can be intimately involved in fainting, seizure-like activity, chest pain, and diminished endurance. ” One after another, Donna Timchak, MD, recounts tales of children she has treated over the years. There is the story of the six-year-old boy who had seizure-like movements in the exam room: “His eyes rolled back, he was limp, his pulse slowed, and blood pressure was very low. I laid him down and told his mother to hold his feet in the air,” she recalls. Gradually, the boy recovered. Another patient missed his sophomore year of high school. “He couldn’t stand up without nearly fainting,” says Timchak. “His family had taken him to several centers, from Johns Hopkins to the Mayo Clinic to University of Michigan at Ann Arbor, and he was on 20 different prescription medications, but no one was overseeing his care.” Timchak is a Board-certified pediatric cardiologist in the Division of Pediatric Cardiology of the Goryeb Children’s Center at Overlook Medical Center and Goryeb Children’s Hospital at Morristown Medical Center, along with Drs. Christine Donnelly, Stuart Kaufman, Suzanne Mone, and Lauren Rosenthal. Each sees patients every week with the above issues. The symptoms described here may relate to the interaction of the autonomic nervous system with the cardiovascular system. Among children with seemingly healthy hearts, the cardiovascular system can be intimately involved in fainting, seizure-like activity, chest pain, and diminished endurance. Orthostatic Intolerance can occur as Neurally Mediated Syncope (fainting) or as Postural Orthostatic Tachycardia Syndrome (fast heart rate on upright positioning). 18 | J U LY/AUG UST 2012 Fortunately, the actual cause of many of these symptoms is often quite simple: relative volume depletion. “People don’t understand how much fluid our bodies need,” Timchak states, “and when we talk to our patients and families, we often find out that many have very poor fluid and salt intake. This is especially common in teens. They’re running out of the house unsupervised in the morning, possibly grabbing a protein bar, but having nothing to drink. They are busy in school all day and then out playing soccer or field hockey until 8:00 pm, with little attention to maintenance fluids. This can lead to a pattern of inadequate intravascular volume repletion, which the neurologic system may not be able to overcome by simply stimulating increased lower body tone and by increasing heart rate.” Adequate hydration is crucial, and the right types of fluids are essential. Avoid caffeine, since it is a diuretic. Make sure at least some of the fluid intake contains sodium and calcium. Water is great to flush the kidneys, but our bodies need salts in the circulatory system to help keep fluids in the body longer. “When a child is exercising eight hours per week, they sweat out their sodium, and need repletion. A thoughtful approach to a restricted-salt diet for our youth is necessary,” says Dr. Timchak. “Sometimes children who are exercising a lot need extra salt.” Palpitations, dizziness, and episodic loss of hearing and/or of vision on arising are also chief complaints. Children may not even realize these symptoms are abnormal, until the questions are broached. Symptoms can progress, however, to result in prolonged school absences and, in the most severe cases, to car accidents involving young drivers getting dizzy while sitting, with life-altering consequences. “When children present with these kinds of symptoms, we don’t know if the child has Orthostatic Intolerance with normal heart function, or if there is more serious cardiac pathology, such as arrhythmia or cardiomyopathy,” says Timchak. “We must also rule out thyroid disease, anorexia, migraines, true seizure disorder, and other conditions. As pediatric cardiologists, we coordinate our efforts with adolescent medicine specialists and pediatric neurologists to rule out other conditions.” This process of exclusion must be thorough, including an extensive history of symptoms, past medical history, and family history, as well as social history including stressors and family interactions. Physical examination is key. “In addition to our full cardiac examination, we check blood pressure and heart rate after laying flat for at least ten minutes,” says Timchak. “Keeping the room quiet and focused, without discussion, the young person then stands; after at least two minutes, these vitals are taken again.” Testing such as ECG, echocardiography, 24-hour heart-rate monitoring, and urine analysis may be necessary. Rarely, tilttable testing and electrophysiology studies are needed. At the severe end of the spectrum, a child cannot exercise and must give up athletic activities. Only after appropriately supervised fluid, salt, and medication therapy can a graduated exercise plan start. In fact, good physical conditioning has been shown to be important in avoiding recurrence of symptoms as medications are eventually withdrawn. Success invariably ensues when children or young adults can tell their physician that they are ready to taper medications, as they know they will be fine on their new program of adequate fluid intake with appropriate salt intake for their level of activity. “We work with them and with their parents,” says Timchak, “empowering their decision-making and assuring them that only rarely do symptoms recur.” She acknowledges, however, that the fast pace of modern times often affects how parents oversee their child’s day-today care—as a physician, she frequently finds herself having to piece together subtle clues to arrive at the big picture. “We have to be like CSI detectives,” says Timchak. “We spend so much time talking to our patients and their parents and meticulously trying to figure out what’s contributing to their problems. It’s not glamorous, but it’s very important. These children are losing precious time, not feeling their best, and it’s up to us to make sure they don’t lose anymore.” For a referral to the Division of Pediatric Cardiology, Children’s Heart Center at Goryeb Children’s Center at Overlook Medical Center, call (908) 522-6649. Overlookview.com | 19 Tummy Time When is a stomachache more than a stomachache? When allergic GI disease is to blame. Bellyaches, stomachaches, tummy trouble … You’re familiar with all of these terms, but what about allergic GI disease? Could your child be suffering from this and you don’t even know it? Allergic GI disease, with symptoms that range from mild food sensitivities to severe allergies, is a widespread problem, striking as many as 8 percent of babies by the time they reach their first birthday. And research shows that the number of children affected is on the rise, especially among those with more serious cases. 20 | J U LY/AUG UST 2012 Overlookview.com | 21 Beyond bellyaches Food allergies in overdrive By definition, allergic GI disease is an immune reaction to a certain food or ingredient that causes a range of unpleasant symptoms, including irritability, gastrointestinal discomfort, diarrhea, vomiting, bloody stools, mild eczema, and, in the most severe cases, weight loss and malnutrition. Despite these manifestations, allergic GI disease can be difficult to diagnose. “Infants and very young children can’t really communicate about what they’re experiencing, and the symptoms of allergic GI disease are often easily written off as a number of other issues,” says Owen Koslowe, MD, a pediatric gastroenterologist at Goryeb Children’s Center at Overlook Medical Center. “So if parents notice that their child is chronically ill after eating, they should definitely share their concerns with their pediatrician.” allergic GI disease are exploding in developed countries like the United States,” says Koslowe. One theory is based on the hygiene hypothesis, which suggests that parents and healthcare professionals in developed nations may be going too far in excluding certain foods during infancy—when the immune system should be learning to tolerate some foreign proteins— thereby causing the immune system to become over-reactive. This theory is supported by research that shows that babies with food allergies are also more likely to develop other autoimmune conditions like asthma and eczema. “It’s possible that if we introduce babies to new foods earlier, they may become better desensitized to allergy triggers,” says Koslowe, “but more research definitely needs to be done in this area.” Over the last ten years, a condition similar to gastroesophageal reflux disease (GERD) also has seen a rapid increase in new cases. Eosinophilic esophagitis (EoE), or allergic esophagitis, is an allergic inflammatory condition of the esophagus. EoE symptoms—vomiting, difficult feedings, refusal to feed, and lack of weight gain in babies— are often vague, leading many parents and physicians to overlook the possibility of EoE and mistake the condition for GERD, colic, or even behavioral issues. EoE is also frequently dismissed by parents with such explanations as “My son just eats too fast,” or “My daughter just doesn’t chew carefully.” Often, it is only once more serious symptoms appear—symptoms as severe as difficulty swallowing (dysphagia) and food impaction (food becoming lodged in the esophagus)—that doctors finally make a diagnosis of EoE. In infancy, the biggest allergy triggers tend to be cow’s milk protein and soy. These usually can be easily avoided by switching to a different formula, but as kids grow, allergies to other foods like eggs, seafood, and nuts also can arise. “This is why pediatricians advise parents to expand their children’s diets slowly—one new food at a time—so if problems arise, the culprit is clear,” explains Koslowe. In other words, a diet that becomes too varied, too quickly, can make the process of determining exact allergy triggers more difficult and time-consuming. When it comes to managing allergic GI disease, Koslowe confirms that avoiding triggers is the best strategy, but it’s not always that simple. “Depending on the severity of the symptoms, other treatments may be indicated,” he says. Allergy specialists may try to desensitize the child’s body to certain triggers in an attempt to mitigate more severe reactions; as the child grows, these same desensitizing techniques can be used to determine whether a child is still allergic to specific triggers. “By the time a patient is nine or ten, many food allergies often are outgrown, depending on the type of trigger and how serious the reaction,” Koslowe explains. “But parents should always consult with their pediatrician or allergist before re-introducing trigger foods, rather than testing them on their own.” To diagnose EoE, Koslowe explains, pediatric gastroenterologists perform an upper-endoscopy biopsy to look at a child’s esophageal lining and check for elevated levels of eosinophils, a certain type of white blood cell found in people with both EoE and GERD; a trial of an acid-blocking medication may be prescribed to help differentiate those two conditions. Management of EoE in infants generally involves avoiding known dietary triggers if they can be identified, or trialing an amino-acid formula that virtually eliminates allergic potential from the diet. On top of being tricky to diagnose, the root cause of allergic GI disease is equally mysterious. “We really don’t fully understand what causes food allergies and sensitivities and why cases of Treating EoE in older kids is a bit more challenging, however, since their diets and nutritional needs are far more varied. “Giving a seven- or eightyear-old nothing but an elemental amino-acid formula is not realistic,” Koslowe acknowledges. In these cases, if no specific allergic trigger can be identified by the allergist, doctors often suggest the “six-food elimination diet,” which cuts out the six most common food allergens: milk, soy, eggs, wheat, peanuts and tree nuts, and seafood. Although this can be a difficult diet for a child to stick to (especially for schoolage kids who are surrounded by temptation), the regimen can result in a notable resolution of the disease. “It’s also highly recommended that parents consult with a nutritionist before introducing the six-food elimination diet, to ensure that the child still receives adequate nutrition,” adds Koslowe. In addition to elimination diets, there are medical therapies available for older children. These include swallowed steroid therapies, which minimize EoE symptoms by decreasing the number of allergic cells involved in an immune reaction. Originally intended to address inflammation of the lungs and airway caused by other allergic or inflammatory diseases, these medications also have been found to be effective in treating inflammation in the esophagus by swallowing them rather than inhaling them. 22 | J U LY/AUG UST 2012 “If parents notice that their child is chronically ill after eating, they should definitely share their concerns with their pediatrician.” The most important thing, whether a child is facing EoE or allergic GI disease, is to make the diagnosis. Says Koslowe, “When we do that, we can help kids and families cope.” For a referral to the Division of Pediatric Gastroenterology and Nutrition at Goryeb Children’s Center at Overlook Medical Center, call (908) 522-8714. Overlookview.com | 23 M y Miracles do happen. a r e s l cute i a t r tha g i n yours! p 85 th RY A NN IVERSA The decision to have a baby is as wonderful and exciting as any decision you’ll ever make. And for those experiencing fertility problems, reproductive medicine has advanced to the point where we can offer safe and effective treatment options for many couples. Paul A. Bergh, MD, FACOG Michael K. Bohrer, MD, FACOG Michael R. Drews, MD, FACOG Maria F. Costantini- Ferrando, MD, PhD Rita Gulati, MD, FACOG Doreen L. Hock, MD, FACOG Thomas J. Kim, MD, FACOG Marcy F. Maguire, MD Thomas A. Molinaro, MD, FACOG Jamie L. Morris, MD, FACOG Eli A. Rybak, MD, MPH, FACOG Richard T. Scott, Jr., MD, FACOG, HCLD Shefali Mavani Shastri, MD At RMANJ, we’re thrilled that over the past thirteen years our founding partners and staff physicians have helped bring close to 20,000 babies to loving parents. This incredible record of success makes us one of the largest and most experienced centers for infertility treatment in the world. As a patient at RMANJ, you are attended to by a medical team with unmatched skills and experience using the most effective options to treat infertility: State-of-the-art laboratories for embryology, endocrinology, andrology and Comprehensive Chromosome Screening (CCS). Just as important, you will be introduced to a focus on superior care and compassion that is simply unparalleled. So now that you’ve made the decision to have a baby, make one more: let RMANJ help you. Because sometimes, it takes a little help to have a miracle. 973.656.2089 www.rmanj.com EATONTOWN | ENGLEWOOD | MORRISTOWN | SOMERSET | SUMMIT | WEST ORANGE Exotic Animals Goliath the Bear www.spacefarms.com 973-875-5800 Open Daily 9-5 218 Route 519 Sussex, NJ 07461 Antique Cars Baby Animals Celebrating Shane This summer, Shane Cole II blew out four candles atop his birthday cake and dreamed of life as a pirate, a doctor, or an astronaut. His grateful parents say they have Overlook to thank for it. Mother-of-three Theresa Cole calls her youngest child, Shane Cole II, her “miracle baby,” as she and her husband Shane didn’t know what the future would hold for their baby. “Little Shane,” as he’s referred to with great affection, was born two months early, on June 18, 2008. That morning, Theresa, who had been managing gestational diabetes throughout her pregnancy, began to experience some significant bleeding. A call to her obstetrician led to a call to 911. As an ambulance arrived and transported her to Overlook, Shane stayed behind with the couple’s kids, Tyler and Sierra, until Theresa’s mother could arrive to care for them. Once at the hospital, events unfolded quickly: Doctors performed an ultrasound and, fearing that Theresa might hemorrhage—which could put both her and her baby in great danger—determined there was no time to waste. She was whisked to an O.R. for a cesarean delivery, and by the time her husband arrived at Overlook, their third child had been lifted into the world. “I’ve never been more scared,” Theresa admits, “but I also knew that my baby and I were in very good hands.” At just 3 pounds, 8.3 ounces, Little Shane became part of Overlook’s Level 3 Neonatal Intensive Care Unit (NICU), where more critical babies receive the care they need. For weeks, Theresa would shuttle back and forth between the NICU and her Union home. She would spend her mornings with baby Shane, reading, singing to him, and practicing the skin-to-skin “kangaroo care” the doctors and nurses championed for fostering bonds. She would return to the hospital in the afternoon with Tyler and Sierra to spend lunchtime with Little Shane. In the evening, Theresa would return again with her husband to read and pray with him. “Family bonding time was encouraged by the NICU staff,” says Theresa, “and it was important for all the kids to have time together. From the moment he was born, Little Shane was part of our family.” Five weeks after their baby’s birth, the Cole family took Little Shane home. Whatever uncertainty may have surrounded his prematurity—the questions about development and abilities that parents of preemies often face—have erased over time. Little Shane met all of his milestones, crawling at 10 months and walking at 16 months. At two, he was talking and taking swimming lessons at the local YMCA. At three, he was playing soccer, saying good-bye to diapers, and playing the drums. His fourth birthday was celebrated with family at Chuck E. Cheese’s, and Theresa reports that Little Shane’s giant imagination has him dreaming of a day when he can be a pirate or an astronaut— maybe even a doctor. 26 | J U LY/AUG UST 2012 Shane Cole II blowing out the candles on a birthday pancake last year. “We owe so much to the doctors and nurses at Overlook—saying ‘thank you’ doesn’t begin to express our gratitude.” “Wouldn’t that be something wonderful?” Theresa asks, adding that she and her husband thank God all the time because Little Shane is so “affectionate, polite, thoughtful, intelligent, and sweet. Any parent would be proud to have him for a son! We owe so much to the doctors and nurses at Overlook—saying ‘thank you’ doesn’t begin to express our gratitude.” In fact, the Coles take every opportunity to show how grateful they are. The NICU staff was invited to Shane’s christening, and several of the nurses who had cared for him so lovingly were happy to attend. Theresa sends a holiday photo of the family every year so the staff can keep up with Shane’s progress, and she stops in from time to time to drop off treats for the NICU team. The family also attends Overlook’s annual NICU reunion, for all of the babies who have “graduated” from there. “We’ll always attend,” says Theresa. “Even when Shane goes off to college, we’ll keep coming back. Overlook means that much to us.” Overlookview.com | 27 Baby’s Breath For babies and children whose survival depends on mechanical assistance, advancing technologies and coordination of care are essential. They’re known as technologydependent children: babies and children whose very survival is dependent upon mechanical assistance from tracheotomy tubes, feeding tubes, or ventilators. It’s not an easy way to get started in this world or navigate through it, but thanks to advancing technologies and integrated care, technology-dependent kids are able to enjoy a more normal life. 28 | J U LY/AUG UST 2012 Overlookview.com | 29 Humble Beginnings April Wazeka, MD, a pediatric pulmonologist at the Respiratory Center for Children at Goryeb Children’s Center at Overlook Medical Center, explains that many of the technology-dependent children treated at the Respiratory Center began life as preemies or with complications like cystic fibrosis that prevented their lungs from developing or functioning properly. “These are not your average babies,” she says. “We often see preemies born as early as 24 weeks with issues like bronchopulmonary dysplasia”—a serious condition in which an infant’s lungs are not fully formed. “These babies typically stay in the NICU for a while and may go home on oxygen therapy,” she says. “They often go on to develop chronic respiratory conditions, such as asthma, later in childhood and remain in our care.” A number of technologydependent patients at the Respiratory Center have cerebral palsy, a nervous-system disorder that can lead to significant respiratory problems. “Kids with cerebral palsy often require oxygen or respirators to breathe, since their muscle tone is weak and does not allow them to breathe properly on their own, especially during sleep,” explains Wazeka. The goal for all technology-dependent patients at the Respiratory Center, regardless of diagnosis, is to help them progress to a point where they need only the most minimal equipment or none at all. “Over the last 20 years we’ve definitely seen more minimally invasive ways to deliver ventilation—ways that are more comfortable for kids and easier on their parents,” Wazeka says, citing the use of BPAP and CPAP devices that help deliver air to the lungs via nasal or facial masks. “This equipment used to be the size of a microwave; now it’s the size of a laptop, which gives kids a better sense of normalcy as well as increased mobility.” The Best Care … From Day One At Overlook, from the moment a baby is born with complications, he or she is placed under the 24-hour care of a team of neonatologists, with pediatric subspecialists from every discipline brought in to consult on each case. “Depending on a child’s needs,” says Wazeka, “many of us continue to treat these babies even after they go home, so there’s real continuity of care.” This is especially helpful, since bringing home a technologydependent child is much more challenging than bringing home a child without such needs. However, the team at Overlook regards this potentially frightening time as another opportunity to serve children and their families. “There is real integrative, multidisciplinary care within the pediatric subspecialties at Overlook,” says Wazeka. “The family’s main pediatrician coordinates care and manages each doctor’s notes and orders.” By way of example, Wazeka explains that she might be treating a patient’s respiratory issues when the child’s mother mentions that the child also seems to be having difficulty swallowing. “I would inform the primary pediatrician that a gastrointestinal consult should be scheduled,” she says. “With all of our physicians located under one roof in the pediatric subspecialty area, the coordination of care is seamless and stress-free for patients and their parents.” 30 | J U LY/AUG UST 2012 One Parent’s Story Ailish Campanile (second from right), of Westfield, with her family. Nine-year-old Ailish Campanile of Westfield certainly knows how to make a dramatic entrance. While still in utero, she was diagnosed with an omphalocele—a birth defect in which the intestines or other abdominal organs protrude from the belly button. She was delivered via C-section at a hospital in New York City, required heart surgery immediately after her birth, and endured an additional six surgeries in the eight months that followed. For the first 18 months of her life, she was hospitalized in various healthcare facilities. When Ailish finally came home to Westfield, it was with a respirator and tracheotomy tube. Over the years, her care has evolved to include a group of 20 subspecialists, Wazeka among them. With all of our physicians located under one roof in the pediatric subspecialty area, the coordination of care is seamless and stress-free for patients and their parents. As any parents would be, Ailish’s parents, Liz and Victor, were anxious about caring for their medically fragile baby at home. “My husband and I come from the music industry and had no medical background,” Liz explains, “so it was beyond scary to bring Ailish home on a respirator. To this day I still don’t know how we got from there to where we are today.” The Campaniles credit Ailish’s team at Overlook for helping them make that transition. “Dr. Wazeka loves what she does,” says Liz, “and her staff is amazing. They trained us on how to use all of Ailish’s equipment”—over the years, this has also included a feeding pump and BPAP machine—“and closely monitored Ailish’s trach tube as she grew so she was always comfortable.” By Ailish’s third birthday, the little girl was free of her respirator. “Dr. Wazeka helped us so much in terms of scaling back Ailish’s medications and getting her off the respirator,” says Liz. “She always seemed to know just the right moment to push for progress. Now Ailish can breathe on her own, and as she gets older and stronger, her breathing gets even better.” Freedom from the respirator has made a huge difference not only for Ailish but for the whole Campanile family. “After she got off the respirator, Ailish’s whole life changed,” says Liz. “She was able to be freely mobile and live upstairs with her older brother, rather than in the room we initially had to set up to accommodate the respirator downstairs. Plus, we’re able to go out more as a family, which has been a huge blessing for all of us.” For a referral to the Division of Pediatric Pulmonology or the Respiratory Center for Children at Overlook Medical Center, call (908) 522-2700. Overlookview.com | 31 Overlook’s Emergency Department at its Union campus is one of only 20 nationwide to receive a Lantern Award from the Emergency Nurses Association. The award recognizes the hospital’s culture of excellence in emergency care, including strong leadership, practice credibility, and workplace recognition. Atlantic Neuroscience Institute (ANI) at Overlook Medical Center has been recognized as No. 1 in the state for the treatment of all neurological disorders and for stroke treatment. ANI’s Stroke Center was the first in the state to be named a Comprehensive Stroke Center by the New Jersey Department of Health and Senior Services, and it has maintained Disease-Specific Care Certification by The Joint Commission as a certified Primary Stroke Center for more than five years. The Center is the recipient of the American Heart Association and American Stroke Association’s Get With the Guidelines® Stroke Gold Plus Performance Achievement Award, recognizing our commitment and success in providing excellent care for stroke patients. We measure our successes by patient satisfaction—lives saved and lives shaped every day—but our achievements also have been recognized by some of the most prestigious organizations on the current healthcare landscape. Here, we present a collection of Overlook Medical Center’s most recent accolades. Overlook Medical Center is accredited by The Joint Commission, an independent, not-for-profit organization that accredits and certifies more than 19,000 healthcare organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting the highest performance standards. Our physicians consistently dominate Top Doctors lists from Castle Connolly and New Jersey Monthly. Overlook Medical Center was ranked the top hospital in the state for treatment of neurological disorders for the third consecutive year and voted as the No.1 hospital for stroke. Overlook ranked third overall among all hospitals in the state and therefore, ranked as the top hospital in Union County. Overlook was also ranked among the top three hospitals in New Jersey across several categories, including high-risk pregnancy, breast cancer, prostate cancer, hip and knee repair, and treatment of heart failure, among others by Castle Connolly Medical Ltd., one of the nation’s most respected health care research and information companies. Overlook was recognized by U.S. News & World Report as a Best Regional Hospital in four specialties: gastroenterology, geriatrics, nephrology, and urology. Overlook received the Access to Quality of Care Award from the New Jersey Hospital Association. A NI’s Epilepsy Center has been designated a Level 4 Epilepsy Center by the National Association of Epilepsy Centers. It is one of only four such centers in New Jersey. Level 4 centers are recognized for providing the most complex forms of intensive neurodiagnostic monitoring and treatment. O verlook’s Spine Program received the Gold Seal of Approval™ from The Joint Commission, achieving DiseaseSpecific Care Certification for cervical and lumbar spine treatments—a designation held by only 13 hospitals in the United States. This certification recognizes that our spine program is patient-centered, comprehensive, and well developed, resulting in better outcomes for patients. Perhaps that’s why our spine program has performed more spine surgeries than any other hospital in New Jersey. Carol G. Simon Cancer Center is a major clinical research affiliate of The Cancer Institute of New Jersey, and Atlantic Health is the primary academic and clinical affiliate in New Jersey of Mount Sinai School of Medicine and The Mount Sinai Hospital. Carol G. Simon Cancer Center has received the Outstanding Achievement Award and Three-Year Approval with Commendation from the American College of Surgeons Commission on Cancer. The Breast Center at Overlook Medical Center is accredited by the American College of Radiology and the Mammography Quality Standards Act. It has been named a Breast Imaging Center of Excellence by the American College of Radiology. The Breast Center also received the Outreach Award from BMW and the Susan B. Komen Foundation. Our maternity services have been designated a Level III Intensive Perinatal Unit by the New Jersey Department of Health and Senior Services. Goryeb Children’s Center at Overlook Medical Center features nationally recognized, Board-certified pediatricians who specialize in many pediatric specialties. Goryeb Children’s Center is a participating member of the National Association of Children’s Hospitals and Related Institutions (NACHRI), an organization of children’s hospitals with more than 200 members. NACHRI promotes the health and well-being of all children and their families through support of children’s hospitals and health systems that are committed to excellence in providing healthcare to children. Gagnon Cardiovascular Institute at Overlook Medical Center has received Cardiac Rehabilitation Center Accreditation from the American Association of Cardiovascular and Pulmonary Rehabilitation; Vascular Laboratory Accreditation from the Centers for Medicare and Medicaid Services and Intersocietal Commission for the Accreditation of Vascular Laboratories; and Echocardiography Laboratory Accreditation from the Intersocietal Commission for the Accreditation of Echocardiography Laboratories. GCI is the recipient of the ACTION Registry®GWTG™ Gold Performance Achievement Award from the American College of Cardiology Foundation and American Heart Association. Overlook’s Women’s Heart Awareness Program received the Circle of Excellence Award from the American Association of Critical Care Nurses. The Atlantic Health Weight & Wellness Center is a Center of Excellence in Bariatric Surgery, as designated by the American Society for Metabolic and Bariatric Surgery. Overlook’s Wound Healing Program is accredited by the Undersea & Hyperbaric Medicine Society, and received the Gold Seal of Approval™ Disease-Specific Care Certification from The Joint Commission. Atlantic Health has been selected by Fortune® Magazine four years in a row as one of the 100 Best Companies to Work For®. We’re proud to be the only hospital system in northern New Jersey to earn this prestigious designation. Overlookview.com | 33 Community Health Calendar Children & Parenting Cancer Go Baby Green* Exposure to chemicals in the home is an increasing health risk. Learn about everyday cleaning products and their hazards, as well as safe alternatives and ways to create a nontoxic environment for your baby, kids, pets, and yourself. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Childbirth Mini-Class: Your Baby’s Birth at Overlook Medical Center* Includes information on signs of labor and when to come to the hospital, as well as the labor, delivery, and postpartum experience at Overlook Medical Center. Class includes a tour of the Maternity Center. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Moms and Babies Together: Building Blocks* Network for new moms and babies 6 weeks to 5 months old. Discussion topics include: your baby’s temperament, reading baby’s cues, baby bio-rhythms and creating a schedule, information about formula and breast-feeding, and healthy eating for babies— baby food and beyond. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit The Happiest Baby on the Block* Based on the work of Harvey Karp, MD, parents and caregivers learn new ways to calm crying using the five S’s of soothing. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Moms and Babies Together: Hand in Hand* Network for new moms and babies 6 weeks to 5 months old. Discussion topics include: keeping baby safe and healthy, the art of infant massage, exercise for you and baby, baby signing and emerging language, and structured play to stimulate the senses. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Survival Skills for Feeding Your Child* Everything you need to know about nutrition for busy, picky, quirky kids. Learn the nutritional needs of a toddler, receive creative menus and snack suggestions, and understand behavior issues associated with feeding. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit ABC’s of Going Home With Your Baby* Learn about a newborn’s appearance, capabilities, wardrobe and equipment needs, daily care, and bottle feeding. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Breast-feeding Your Baby* Breast-feeding basics and tips to help you off to a good start. Partners welcome. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit 34 | J U LY/AUG UST 2012 Registration is required for all programs through Overlook Medical Center’s Health Information Services at 800-247-9580, unless otherwise noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit. In addition to these programs, Parent Education offers a wide variety of other classes and seminars for expectant and new families, including prepared childbirth, grandparent, sibling, and Mommy and Me programs. A complete listing may be found at www.AtlanticHealth.org, or you may contact the Parent Education office at 908-522-2946 or [email protected]. We look forward to hearing from you! Mindful Pregnancy and Birth* This program covers: ways to develop or enhance inner resources for managing stress or anxiety in pregnancy, birth, early parenting, and daily life; experiences in breath work to tap into inner reservoirs of courage, strength, and confidence; understanding the process of labor; and learning coping strategies and comfort measures to use during labor. (Combines information from Prepared Childbirth and Calm Birth.) Includes Calm Birth and Calm Mother audio guide CD, plus a hospital tour. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Calm Birth* Complementary preparation for childbirth, based on meditative science and mind/body medicine. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Prepared Childbirth Class* Topics include the stages of labor, breathing and relaxation techniques, medication options, hospital stay, and cesarean birth. Includes a hospital tour. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Childbirth Mini-Class: Techniques and Teamwork for Labor and Birth* Learn breathing and relaxation techniques, as well as ways to use visualization, music, massage, aromatherapy, and positioning as tools in labor. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit * Indicates a fee associated with the program. Becoming a Grandparent* Prospective grandparents learn the latest in childbirth and infant care. Includes a tour of the Maternity Center. Registration required; call 908-522-2946. Call for dates and times. Overlook Medical Center, MAC II, Community Classroom, 11 Overlook Rd., Summit Post Partum Depression Group* Coping and relaxation skills, as well as psychoeducation and support. Registration required; call 888-247-1400. Every other Thursday, 11:00 am to Noon Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Stroke Stroke Support Group The stroke support group provides emotional and educational support to stroke survivors and caregivers. This support group is a forum where stroke survivors and their families can share experiences and concerns related to stroke. Registration required; call 800-247-9580 Second Thursday of the month, Noon to 1:00 pm Overlook Medical Center, MAC II, Community Education Room, 11 Overlook Rd., Summit Stroke Screening Evaluate your risk for stroke through cholesterol and glucose lab testing, as well as a check of blood pressure, pulse, and body-mass index. Receive strokerelated counseling from healthcare professionals. Registration required; call 800-247-9580. Wednesday, October 3, 11:00 am to 2:00 pm Vauxhall Library, 123 Hilton Ave., Vauxhall Tuesday, October 23, 10:00 am to 1:00 pm Township of Berkeley Heights, 29 Park Ave., Berkeley Heights Bereavement Group Support group for family and friends who have lost a loved one to cancer. Registration required; call 908-522-5255. Call for dates and times. Overlook Downtown, 357 Springfield Ave., Summit Post-Treatment Group For patients who have completed their cancer treatment. This open support group explores issues and concerns related to survivorship. Registration required; call 908-522-5349. Second Thursday of the month, 7:00 to 8:30 pm Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Free Quarterly Educational Lecture Series Series of free educational lectures for patients, family members, and the general public. Registration required; call 908-522-5349. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Gentle Yoga for Cancer Patients Yoga can improve energy, concentration, and the emotional well-being of cancer patients. A brief meditation period also will be included at the end of each class to calm, soothe, and focus the busy or stressed mind. Class will last for 60 minutes and is for cancer patients ONLY. Registration required; call 908-522-6168. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Exercise Class for Breast Cancer Survivors A comfortable, safe, and supportive exercise environment for breast cancer patients who have undergone chemotherapy, radiation, hormonal therapy, breast surgery, or reconstruction. Exercises are designed to increase flexibility and muscle mass, decrease body fat, and help to prevent lymphedema. Registration required; call 908-522-6210. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Scar Massage A program for post-mastectomy patients who have chosen not to undergo breast reconstruction, and other oncology patients with surgical scars. One-hour private massage with a certified massage therapist. The purpose is to help prevent adhesions, improve blood flow to the area, and maintain or improve movement in the tissue post-surgery. Must be at least 6 weeks post-surgery. Appointments required; call 908-522-5211. Call for dates and times. Overlook Medical Center, Carol G. Simon Cancer Center, 99 Beauvoir Ave., Summit Circle of Women: A Breast Cancer Networking and Support Group Circle of Women combines support-group discussion and education on relevant topics that can help you adjust to the impact that breast cancer has had on you and your family. Registration required; call 908-522-6210. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Successful Surgery Program Guided-imagery program shown to improve postsurgical outcomes and reduce anxiety. Registration required; call 908-522-6168. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Sun Exposure Education See the effect of sun exposure on your skin by using our Dermaview machine, and learn how to protect yourself from the harmful effects of the sun. Receive free educational materials. Wednesday, August 1, 10:00 am to Noon Westfield YMCA, 220 Clark St., Westfield Wednesday, August 8, 10:00 am to Noon Jewish Community Center, 1391 Martine Ave., Scotch Plains Wednesday, August 15, 10:00 am to Noon Summit YMCA, 67 Maple St., Summit Monday, September 10, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit I Cancer Vive A serial program that empowers cancer patients and their caregivers to take a mind-body approach to healing. Registration required; call 908-522-5349. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Look Good, Feel Better Women who are undergoing cancer treatment learn how to look their best and manage appearancerelated side effects. Registration required; call 908-522-5255. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Guided Imagery A program for cancer patients, using visualization to enhance the immune system’s ability to function and improve one’s sense of emotional well-being. Registration required; call 908-522-6168. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Ostomy Support Group Professionally led group for ostomy patients and their families. Registration required; call 908-522-2156. Call for dates and times. Overlook Medical Center, Oncology Conference Room, 99 Beauvoir Ave., Summit Overlookview.com | 35 Community Health Calendar Heart Health Diabetes Learn your blood sugar and risk factors for type II diabetes, with a non-fasting fingerstick that gives immediate results. Registration required; call 800-247-9580. Monday, August 13, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Wednesday, August 15, 5:00 to 7:00 pm Westfield YMCA, 220 Clark St., Westfield Tuesday, September 25, Noon to 2:00 pm Shoprite Clark, 76 Central Ave., Clark Hemoglobin A1C The Hemoglobin A1C is a non-fasting fingerstick that determines blood-sugar levels over the past 2 to 3 months. This test is available only to previously diagnosed diabetics, those with risk factors for diabetes, or those with a family history of diabetes. Registration required; call 800-247-9580. Fee: $10 Monday, August 13, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Tuesday, September 11, Noon to 2:00 pm Shoprite Clark, 76 Central Ave., Clark Blood Pressure Make sure you are at or below 120/80, the national guideline for blood pressure. Receive counseling and educational materials. Registration required; call 800-247-9580. Monday, August 6, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Thursday, August 9, 10:00 am to Noon North Plainfield Library, 6 Rockview Ave., North Plainfield Thursday, August 16, 10:00 am to Noon Whole Foods Market, 2245 Springfield Ave., Vauxhall Thursday, September 6, 10:00 am to Noon Wellness Center, Union Medical Park, 1000 Galloping Hill Rd., Union Monday, September 24, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Body Mass Index, Body Fat Analysis Learn how your body-fat percentage and BMI affect your heart health. Receive individual counseling and educational materials. Registration required; call 800-247-9580. Monday, August 6, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Thursday, August 9, 10:00 am to Noon North Plainfield Library, 6 Rockview Ave., North Plainfield Thursday, August 16, 10:00 am to Noon Whole Foods Market, 2245 Springfield Ave., Vauxhall Thursday, September 6, 10:00 am to Noon Wellness Center, Union Medical Park, 1000 Galloping Hill Rd., Union Monday, September 24, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Taking Steps to Control Diabetes Self-management education designed to help patients and their families plan meals, monitor blood sugar, prevent complications, and implement healthy lifestyle habits. Individual and group classes available. Covered by Medicare and most major insurers. Registration required. Call the Diabetes Center for schedule and more information: 908-522-5277. Call for dates and times. Overlook Medical Center, 99 Beauvoir Ave., Summit 36 | J U LY/AUG UST 2012 Women’s Health Cholesterol Total cholesterol, HDL, and TC/HDL ratio are measured using a simple fingerstick. Education and counseling are offered, based on results. Fasting is not required. Registration required; call 800-247-9580. Fee: $10 Tuesday, August 14, Noon to 2:00 pm Shoprite Clark, 76 Central Ave., Clark Monday, August 20, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Tuesday, September 4, 10:00 am to Noon Scotch Plains YMCA, Martine Ave., Scotch Plains Wednesday, September 19, 10:00 am to Noon Summit YMCA, 67 Maple St., Summit Wednesday, September 19, 5:00 to 7:00 pm Westfield YMCA, 220 Clark St., Westfield Bariatric Medicine & Surgery Seminars and Bariatric Support Group After bariatric surgery, people experience new challenges both physically and emotionally. Lectures on exercise, nutrition, and image changes, as well as guest speakers and time for sharing information. There is also a support group for those who have already had bariatric surgery. Registration required. To find out dates and times for upcoming lectures and seminars and to register, call 908-522-5794. Call for dates and times. Overlook Medical Center, 99 Beauvoir Avenue, Summit BLS for the Healthcare Provider (full course) This course is designed to meet the needs of healthcare professionals who respond to cardiac and respiratory emergencies. Registration required; call 908-522-2365. Fee: $85 Call for dates and times. Overlook Medical Center, Wallace Auditorium, 99 Beauvoir Ave., Summit BLS for the Healthcare Provider (renewal) This course is designed to renew the skills taught in the full Basic Life Support course. Registration required; call 908-522-2365. Fee: $55 Call for dates and times. Overlook Medical Center, Wallace Auditorium, 99 Beauvoir Ave., Summit American Heart Association First Aid Covers basic First Aid for common medical and traumatic emergencies. Prior knowledge of CPR is recommended. Registration required; call 908-522-2365. Fee: $55 Call for dates and times. Overlook Medical Center, Wallace Auditorium, 99 Beauvoir Ave., Summit Heartsaver AED A program to teach CPR, AED, and relief of foreignbody obstruction for adults. Registration required; call 908-9522-2365. Fee: $45 Call for dates and times. Overlook Medical Center, Wallace Auditorium, 99 Beauvoir Ave., Summit Heartsaver Pediatric A program to teach CPR and relief of foreign-body obstruction for the infant and child. Registration required; call 908-522-2365. Fee: $40 Call for dates and times. Overlook Medical Center, Wallace Auditorium, 99 Beauvoir Ave., Summit Speakers Bureau for Women’s Heart Health If you would like to have one of our cardiac nurses speak to your group or organization about the signs and symptoms related to women and heart disease, please call 908-522-5355. Health & Wellness Bone Density Find out if you are at risk for developing osteoporosis, through a noninvasive ultrasound that provides immediate results. Counseling and educational materials are provided. Registration required; call 800-247-9580. Fee: $10 Monday, July 30, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Thursday, August 2, 10:00 am to Noon Wellness Center, 1000 Galloping Hill Rd., Union Tuesday, August 7, 10:00 am to Noon Scotch Plains YMCA, Martine Ave., Scotch Plains Monday, September 17, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Thursday, September 20, 10:00 am to Noon Whole Foods Market, 2245 Springfield Ave., Vauxhall Thursday, September 27, 11:00 am to 1:00 pm Long Hill Library, 917 Valley Rd., Gillette Registration is required for all programs through Overlook Medical Center’s Health Information Services at 800-247-9580, unless otherwise noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit. Hearing Screening Have your hearing tested for potential problems. Registration required; call 800-247-9580. Thursday, August 23, 11:00 am to 1:00 pm Long Hill Library, 917 Valley Rd., Gillette Monday, August 27, 10:00 am to 3:00 pm Overlook Downtown, 357 Springfield Ave., Summit Wednesday, September 5, 10:00 am to Noon Westfield YMCA, 220 Clark St., Westfield Tuesday, September 19, 10:00 am to Noon Chatham Family Practice, 492 Main St., Chatham Thursday, September 20, 10:00 am to Noon Westfield Board of Health, 425 East Broad St., Westfield Respiratory Screening Learn your breathing capacity. This screening is for those who have NOT been previously diagnosed with a respiratory condition. Registration required; call 800-247-9580. Wednesday, September 12, 10:00 am to Noon Jewish Community Center, Martine Ave., Scotch Plains Thursday, September 13, 10:00 am to Noon North Plainfield Library, 6 Rockview Ave., North Plainfield HIV Support Group This support group offers support and information regarding HIV. Meet others with HIV who face the same fears and questions, and find solutions. Meetings are held in a confidential and private environment. To leave a confidential message, call 973-971-8936. Second and fourth Thursdays, 7:00 to 9:00 pm Overlook Medical Center, Case Management Office, 99 Beauvoir Ave., Summit Substance Abuse Family Support Group Learn ways to cope with substance-abusing family members. Tuesdays, 6:30 to 8:00 pm Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Therapeutic Gambling Group Individual sessions are available for individuals who are concerned about their level of gambling. For information, call 888-247-1400. Call for dates and times. Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Women’s Group Learn coping skills through the examination of thoughts and behaviors. Registration required; call 888-247-1400. Thursdays, 11:00 am to 12:30 pm Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Chemical Dependency Intensive Outpatient Program Three 1-hour groups, 3 nights weekly, for those trying to remain abstinent from all substances. Registration required; call 888-247-1400. Monday, Wednesday, and Thursday, 6:00 to 9:30 pm Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Mental Health Intensive Outpatient Program Group, individual, and family counseling as well as medication management for those who need an intense, time-limited treatment to improve their emotional health. Participants attend 3 out of 5 days per week. Registration required; call 888-247-1400. Monday through Friday, 10:30 am to 2:00 pm Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Neuropathy Patients Support Group Discuss various options in the support and treatment of neuropathy. For additional information, call 908-233-9709. First Tuesday of the month, 7:00 to 8:30 pm. No meetings in July and August. Next meeting September 4. Overlook Medical Center, Neuroscience Community Conference Room, 99 Beauvoir Ave., Summit Mindfulness Group Men and women will learn mindfulness techniques and how to apply them to better cope with their illnesses. Registration required. Call 888-247-1400 for dates, times, and registration. Call for dates and times. Atlantic Behavioral Health Outpatient, 46-48 Beauvoir Ave., Summit Hypnosis for Weight Loss Learn how to permanently lose weight using hypnotic suggestions and proven behavior-modification techniques. Presented by Barbara Van Duyne, certified hypnotherapist. Registration required; call 800-247-9580. Fee: $70 Tuesday, August 21, 7:00 to 9:00 pm Overlook Medical Center, Conference Room 2, 99 Beauvoir Ave., Summit Thursday, September 20, 7:00 to 9:00 pm Overlook Medical Center, Conference Room 2, 99 Beauvoir Ave., Summit Hypnosis for Smoking Cessation Quit smoking for good using hypnosis and behaviormodification techniques. Presented by Barbara Van Duyne, certified hypnotherapist. Registration required; call 800-247-9580. Fee: $70 Thursday, September 27, 7:00 to 9:00 pm Overlook Medical Center, Conference Room 3, 99 Beauvoir Ave., Summit Men’s Health Join urologist Marc Greenstein, MD, for an informal discussion about low testosterone for men and alternatives for erectile dysfunction when medications do not work. To register, please call 973-530-9300. Thursday, September 27, 7:00 to 8:00 pm Overlook Medical Center, Conference Room 4, 99 Beauvoir Ave., Summit Varicose Veins Are varicose veins causing you pain or discomfort, or making you feel self-conscious about showing your legs? Women 30 to 55 are invited to join Clifford Sales, MD, Chief, Division of Vascular Surgery at Overlook Medical Center, for a 20-minute information session about the causes of and treatments for varicose veins. The lecture will be followed by painless, noninvasive screenings to detect and assess these often problematic veins. Registration recommended; call 800-247-9580. Monday, October 15, 11:00 am to 2:00 pm and 4:00 pm to 8:00 pm * Indicates a fee associated with the program. Downtown Summit Community Health: Overlook Downtown 357 Springfield Ave., Summit To register, please call 1-800-247-9580. Diabetes Learn your blood sugar and risk factors for type II diabetes, with a non-fasting fingerstick that gives immediate results. Registration recommended; call 800-247-9580. Monday, August 13, 10:00 am to 3:00 pm Hemoglobin A1C The Hemoglobin A1C is a non-fasting fingerstick that determines blood-sugar levels over the past 2 to 3 months. This test is available only to previously diagnosed diabetics, those with risk factors for diabetes, or those with a family history of diabetes. Registration recommended; call 800-247-9580. Fee: $10 Monday, August 13, 10:00 am to 3:00 pm Sun Exposure Education See the effect of sun exposure on your skin by using our Dermaview machine, and learn how to protect yourself from the harmful effects of the sun. Receive free educational materials. Registration recommended; call 800-247-9580. Monday, September 10, 10:00 am to 3:00 pm Cholesterol Total cholesterol, HDL, and TC/HDL ratio are measured using a simple fingerstick. Education and counseling are offered, based on results. Fasting is not required. Registration recommended; call 800-247-9580. Fee: $10 Monday, August 20, 10:00 am to 3:00 pm Hearing Screening Have your hearing tested for potential problems. Registration recommended; call 800-247-9580. Monday, August 27, 10:00 am to 3:00 pm Bone Density Find out if you are at risk for developing osteoporosis, through a noninvasive ultrasound that provides immediate results. Counseling and educational materials are provided. Registration recommended; call 800-247-9580. Fee: $10 Monday, July 30, 10:00 am to 3:00 pm Monday, September 17, 10:00 am to 3:00 pm Blood Pressure Make sure you are at or below 120/80, the national guideline for blood pressure. Receive counseling and educational materials. Registration recommended; call 800-247-9580. Monday, August 6, 10:00 am to 3:00 pm Monday, September 24, 10:00 am to 3:00 pm Body Mass Index, Body Fat Analysis Learn how your body-fat percentage and BMI affect your heart health. Receive individual counseling and educational materials. Registration recommended; call 800-247-9580. Monday, August 6, 10:00 am to 3:00 pm Monday, September 24, 10:00 am to 3:00 pm Varicose Veins Are varicose veins causing you pain or discomfort, or making you feel self-conscious about showing your legs? Women 30 to 55 are invited to join Clifford Sales, MD, Chief, Division of Vascular Surgery at Overlook Medical Center, for a 20-minute information session about the causes of and treatments for varicose veins. The lecture will be followed by painless, noninvasive screenings to detect and assess these often problematic veins. Registration recommended; call 800-247-9580. Monday, October 15, 11:00 am to 2:00 pm and 4:00 pm to 8:00 pm Overlookview.com | 37 Hanging in the Balance No child or adolescent should be losing weight as long as he or she is still in the process of growing. If there is weight loss, a parent should be asking why. Eating disorders can be difficult to spot among children and adolescents and even more difficult to treat, but an Overlook program—one-of-its-kind in the state—provides patients with the tools to heal their physical and emotional well-being. Could your child be suffering from an eating disorder and you aren’t aware of it? It’s entirely possible. The truth is, most children with anorexia or bulimia go to great lengths to keep their disorder hidden. But as the pounds drop, the secrecy swells, often to great detriment. “With eating disorders, it’s like a hostile force takes over the young person’s brain,” says psychiatrist Omar Canosa, MD. “The person is then driven by a compulsion to expend more calories than he or she takes in.” Here, Canosa draws a parallel to obsessive compulsive disorder (OCD), noting a similarity in the manner in which strong thoughts “get stuck” in a person’s head and lead to restrictive behaviors. He notes, too, that like OCD, an eating disorder is a biological mental illness. This distinction is important. “It helps parents understand that they shouldn’t be angry or frustrated with their child,” he says. “It reduces the amount of blame. We don’t yet fully understand the biological mechanism behind eating disorders, but evidence suggests that a person does not ‘choose’ to have an eating disorder, any more than he or she chooses to have OCD.” team of healthcare professionals that includes Board-certified adolescent medicine physicians, psychologists, a psychiatrist, nurse practitioner, child life specialist/certified art therapist, nurses, social workers, and nutritionists, all trained in providing comprehensive assessments and treatments for eating disorders and related problems. There are varying levels of care, depending on each patient’s needs. • Inpatient services are available for patients who are medically unstable and require hospitalization, explains Clark-Hamilton. Treatment includes medical stabilization, meal supervision, nutrition, and mental health evaluation. • The partial hospitalization program includes 40 hours of outpatient care weekly. In addition to medical monitoring, patients receive psychiatric care, individual and group psychotherapy, nutritional counseling, therapeutic supervised meals, family therapy, and participation in a multi-family therapeutic group, along with a weekly series of parent skills groups. • The intensive outpatient program meets after school for eight hours a week. Patients receive many of the same therapeutic services as in the partial hospitalization program, in a less restrictive care environment. • Through outpatient care, patients are fully integrated within their community and family environments, and return to the program for therapy, as well as nutritional and medical follow-up. The right level of care for every patient The Eating Disorders Program of the Goryeb Children’s Center at Overlook Medical Center is the only multidisciplinary program in New Jersey exclusively for children and adolescents, ages 12 to 21. Because eating disorders typically involve not only medical issues but nutritional, social, and psychological issues as well, explains adolescent medicine physician Jill Clark-Hamilton, MD, Goryeb’s multidisciplinary program provides patients with a 38 | J U LY/AUG UST 2012 Overlookview.com | 39 A common thread through all of Goryeb’s Eating Disorders treatment options is family involvement. “It is essential to successful treatment,” says Clark-Hamilton. Recently, the program introduced another outpatient option, known as Family-Based Treatment. This technique focuses on family involvement in the nutritional and emotional restoration of their child’s health. Standard outpatient family-based treatment is administered over approximately 20 sessions; this includes a supervised familial meal, as well as medical monitoring as needed. “Parents take responsibility for their child’s nutrition and eating,” says Clark-Hamilton. “Parents make and plate foods, and the child is gradually transitioned back to independent eating, with a focus on relapse prevention. There is a lot of research to support that Family-Based Treatment is very effective.” Regardless of which level of care is best for a patient, the goal is to return each child to physical and emotional wellness. “Eating disorders encompass the entire body and the mind too,” says ClarkHamilton. “There is not any system that is not affected, and that’s why treatment is so crucial. Parents always want to know why their child has an eating disorder, and there are no easy answers. But the most important thing is for the child to receive treatment. For any parent who suspects their child might have an eating disorder, they can call us at any time and ask to speak to someone. We’re here to get their child the help they need.” Adds Canosa, “No child or adolescent should be losing weight as long as he or she is still in the process of growing. If there is weight loss, a parent should be asking why.” For more information about the Eating Disorders Program of the Goryeb Children’s Center at Overlook Medical Center, call (908) 522-5757. 40 | J U LY/AUG UST 2012 advanced surgical associates Referred by Doctors Preferred by Patients I firmly believe that delivery of optimal health care is a blend of superior diagnostic and clinical skills, dedicated and talented team member efforts, state-of-the-art technology and materials, continuing education, and old-fashioned, five-star personalized and compassionate care. GIVE Ronald Pallant, MD Muhammad Feteiha, MD James Frost, MD Joao Lopes, MD James Lopes, MD Advanced Surgical Associates performs a wide range of surgical procedures, including: US A CALL FOR YOUR NEXT APPOINTMENT. L A PA RO S C O P I C S U R G E RY B R E A S T S U R G E RY 229 Charles Street • Westfield, NJ 07090 Blog: www.dentalchronicles.com Like us on & W E I G H T L O S S S U R G E RY T R E AT M E N T G E N E R A L S U R G E RY To find out more about Advanced Surgical Associates, please contact us today. Advanced Surgical Associates First in care. First in caring. 155 Morris Avenue, 2nd Fl., Springfield, NJ 07081-1225 Phone 973 232-2300 Fax 973 232-2301 www.advancedsurgicalnj.com Overlookview.com | 41 Pediatric Directory At Goryeb Children’s Center at Overlook Medical Center and Goryeb Children’s Hospital at Morristown Medical Center, we have more than 100 Board-certified pediatric specialists in more than 20 concentrated areas of pediatric medical and surgical care. PEDIATRICS Agathis, Allyson, MD (908) 719-2626 395 Main St. Bedminster, NJ 07921 Barasch, Susan A., MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Batra, Chhaya, MD (973) 912-0155 Millburn Pediatrics 159 Millburn Ave. Millburn, NJ 07041 Baxley, Maureen, MD (908) 273-1112 33 Overlook Rd., Ste. 101 Summit, NJ 07901 Behbakht, Mojgan, MD (973) 410-0422 Short Hills Pediatrics 29 Columbia Tpk., Ste. 201 Florham Park, NJ 07932 Bender, Michelle A., MD (973) 379-2488 Summit Medical Group 85 Woodland Rd. Short Hills, NJ 07878 42 | J U LY/AUG UST 2012 Cotler, Donald N., MD (973) 912-0400 171 Millburn Ave. Millburn, NJ 07041 Eibschutz, Ghitta, MD (908) 228-3620 560 Springfield Ave. Westfield, NJ 07090 Cerdena, Maria C., MD (908) 277-4480 11 Overlook Rd., Ste. 170 Summit, NJ 07901 Cucolo, Patricia A., MD (973) 822-0003 Madison Pediatrics 435 South Street Suite 200 Morristown, NJ 07960 Eng, Jeffrey, MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Bourne, Jeffrey A., MD (973) 822-2900 The Washington Building 466 Southern Blvd. Chatham, NJ 07928 Cessario, Alison G., MD (908) 273-5866 Maple Pediatric Associates, LLC 47 Maple St., #107 Summit, NJ 07901 Cuddihy, Kathleen M., MD (908) 771-9824 Summit Medical Group 180 South St. New Providence, NJ 07974 Esquerre, Rene B., MD (973) 483-4702 Springfield Pediatrics 190 Meisel Ave. Springfield, NJ 07081 Brandstaedter, Karen H., MD (973) 376-7337 Watchung Pediatrics 225 Millburn Ave., Ste. 301 Millburn, NJ 07041 Chen, Margaret, MD (908) 232-3445 Westfield Pediatrics 532 E. Broad St. Westfield, NJ 07090 Davis, Kenneth J., MD (908) 354-9500 Elizabeth Pediatric Group 701 Newark Ave., Ste. 212 Elizabeth, NJ 07208 Estrada, Elsie C., MD (973) 635-4511 12 Parrot Mill Rd. Chatham, NJ 07928 Brittman, Jaclyn, MD (908) 766-0034 Sinatra & Peng Pediatrics 169 Mine Brook Rd. Bernardsville, NJ 07924 Chin, Kathleen L., MD (908) 508-0400 556 Central Ave. New Providence, NJ 07974 Diaz, Julio C., MD (973) 379-2488 Summit Medical Group 85 Woodland Rd. Short Hills, NJ 07078 Bernstein, Stacy L., MD (908) 233-8860 592B Springfield Ave. Westfield, NJ 07090 Boodish, Wesley, MD (973) 912-0155 Millburn Pediatrics 159 Millburn Ave. Millburn, NJ 07041 Cambria Dardanello, Marnie J., MD (908) 228-3620 Summit Medical Group 560 Springfield Ave. Westfield, NJ 07090 Cavuto, John N., MD (908) 232-3445 Westfield Pediatrics 532 E. Broad St. Westfield, NJ 07090 Corbo, Emanuel, MD (908) 245-2442 Park Pediatrics 443 E. Westfield Ave. Roselle Park, NJ 07204 Dorneo, Aurora B., MD (201) 823-0313 850 Ave. C Bayonne, NJ 07002 Flanzman, Ellen S., MD (908) 232-3445 Westfield Pediatrics 532 E. Broad St. Westfield, NJ 07090 Frenda, Frank P., MD (973) 822-2900 The Washington Building 466 Southern Blvd. Chatham, NJ 07928 In addition, we partner with more than 250 community pediatricians in the towns we serve. Together, our doctors treat more than 50,000 infants, children, adolescents, and young adults per year in a child-friendly and family-centered environment. Here, we provide a comprehensive list of our pediatric physicians. Gillard, Bonita D., MD (908) 889-8687 Watchung Pediatrics 346 South Ave., Ste. 3 Fanwood, NJ 07023 Grundy, Kia C., MD (908) 810-8551 Trinity Pediatrics, LLC 2333 Morris Ave., B218 Union, NJ 07083 Gurey Wasserstein, Allison P., MD (908) 219-3055 Summit Medical Group 33 Overlook Rd., Ste. 103 Summit, NJ 07901 Hall, Dahlia A., MD (973) 376-9000 Pediatric Eden 241B Millburn Ave. Millburn, NJ 07041 Haymond, Jean R., MD (908) 232-3445 Westfield Pediatrics 532 E. Broad St. Westfield, NJ 07090 Hermann, Daniel, MD (908) 228-3620 Summit Medical Group 560 Springfield Ave. Westfield, NJ 07090 Hoelzel, Donald W., MD (973) 889-6805 200 South St. Morristown, NJ 07960 Kharkover, Mark Y., MD (908) 322-6000 1608 E. 2nd St. Scotch Plains, NJ 07076 Lam, Jennifer, MD (973) 971-6727 Morristown Medical Center Morristown, NJ 07960 Jessel, Nele, MD (908) 766-0034 169 Mine Brook Rd. Bernardsville, NJ 07924 Knowles, Kelly P., MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Lavaia, Maria A., MD (973) 822-0003 Madison Pediatrics 435 South Street Suite 200 Morristown, NJ 07960 Kornfeld, Howard N., MD (908) 277-8601 Summit Medical Group 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 Levin, Lorin M., MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Kowalczyk, Matthew A., MD (908) 232-2310 Westfield Pediatrics 532 E. Broad St. Westfield, NJ 07090 Levine, David B., MD (973) 912-0155 Millburn Pediatrics 159 Millburn Ave. Millburn, NJ 07041 Koward, Donna M., MD (908) 889-8687 Watchung Pediatrics 346 South Ave., Ste. 3 Fanwood, NJ 07023 Lodish, Stephanie R., MD (973) 822-0003 Madison Pediatrics 435 South Street Suite 200 Morristown, NJ 07960 Kramer, Sarah R., MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Lon, Richard G., MD (908) 598-0190 Hilltop Pediatrics 33 Overlook Rd, Ste. 304 Summit, NJ 07901 Kairam, Hemant, MD (908) 273-1112 33 Overlook Rd., Ste. 101 Summit, NJ 07901 Katz, Andrea G., MD (908) 755-5437 Watchung Pediatrics 76 Stirling Rd., Ste. 201 Warren, NJ 07059 Kemeny, Alexa C., MD (908) 277-8601 Summit Medical Group 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 Kerrigan, Margot, MD (973) 665-0900 Touchpoint Pediatrics, PA 17 Watchung Ave. Chatham, NJ 07928 Lovenheim, Jay A., MD (973) 762-0400 South Orange Pediatrics 173 South Orange Ave., Ste. 1B South Orange, NJ 07079 Lozano, Rolando, MD (973) 467-1009 190 Meisel Ave. Springfield, NJ 07081 Lubin, Alan B., MD (973) 762-0400 173 South Orange Ave. South Orange, NJ 07079 Luke, Steven, MD (908) 688-9900 Union Pediatric Medical Group, PA 1050 Galloping Hill Rd., Ste. 200 Union, NJ 07083 Lupski, Donna L., MD (908) 277-8601 Summit Medical Group 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 Lurie, Brian, MD (908) 522-5800 Goryeb Children’s Center at Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Overlookview.com | 43 Pediatric Directory Mangru, Subita S., MD (973) 912-0155 Millburn Pediatrics 159 Millburn Ave. Millburn, NJ 07041 Manocchio, Teresa, DO (908) 273-1112 Summit Pediatric Associates 33 Overlook Rd., Ste. 101 Summit, NJ 07901 Mathew, Seema, MD (973) 325-1115 101 Old Short Hills Road Ste. 105 West Orange, NJ 07052 Meltzer, Alan J., MD (973) 822-0003 Madison Pediatrics 435 South Street Suite 200 Morristown, NJ 07960 Mendelson, Joel S., MD (908) 233-4477 1124 Springfield Ave. Mountainside, NJ 07092 Miguelino, Ida A., MD (908) 769-0100 34 Mountain Blvd. Warren, NJ 07059 Moskowitz, Steven, MD (908) 508-0400 The Pediatric Center 556 Central Ave. New Providence, NJ 07974 Mullick, Bharati S., MD (201) 602-0126 295 Baltusrol Way Springfield, NJ 07081 Nikodijevic, Vesna, MD (908) 766-5960 Bernardsville Pediatrics 40 Morristown Rd., Ste. 2D Bernardsville, NJ 07924 Ohri-Govil, Ranjana, MD (908) 688-9900 Union Pediatric Medical Group, PA 1050 Galloping Hill Rd., Ste. 200 Union, NJ 07083 Oxman, David J., MD (908) 688-9900 Union Pediatric Medical Group, PA 1050 Galloping Hill Rd., Ste. 200 Union, NJ 07083 Panza, Robert A., MD (908) 233-7171 Pediatric Associates of Westfield 566 Westfield Ave. Westfield, NJ 07090 44 | J U LY/AUG UST 2012 Panzner, Elizabeth A., MD (908) 688-9900 Union Pediatric Medical Group, PA 1050 Galloping Hill Rd., Ste. 200 Union, NJ 07083 Parikh, Vasavi, MD (908) 273-1112 Summit Pediatrics 33 Overlook Rd., Ste. 101 Summit, NJ 07901 Peng, Patricia E., DO (908) 766-0034 Sinatra & Peng Pediatrics 169 Mine Brook Rd. Bernardsville, NJ 07924 Percy, John O., MD (908) 233-8860 592B Springfield Ave. Westfield, NJ 07090 Petruzzino, Vito V., MD (973) 992-3666 349 E. Northfield Rd., #LL2 Livingston, NJ 07039 Pinho, Paulo B., MD (973) 912-7273 PASE Healthcare 225 Millburn Ave., Ste. 303 Millburn, NJ 07041 Ploshnik, Andrea G., MD (973) 376-7337 Watchung Pediatrics 225 Millburn Ave., Ste. 301 Millburn, NJ 07041 Pogany, Ursula, MD (908) 276-6598 19 Holly St. Cranford, NJ 07016 Polisin, Michael J., MD (908) 273-5866 47 Maple St., Ste. 107 Summit, NJ 07901 Poon, Chiu-Man, MD (908) 687-3300 New Jersey Health Care Services 2780 Morris Ave., Ste. 2A Union, NJ 07083 Powell, Kerri, MD (908) 810-8551 Trinity Pediatrics 2333 Morris Ave., Ste. B218 Union, NJ 07083 Scherer, Susan D., MD (973) 822-0003 Madison Pediatrics 435 South Street Suite 200 Morristown, NJ 07960 Shah, Arvind P., MD (908) 654-3525 1272 Central Ave. Westfield, NJ 07090 Thomas, Jolly, MD (973) 379-4300 18 Morris Ave., Ste. 2A Springfield, NJ 07081 Shapren, Kristen M., MD (908) 233-8860 592B Springfield Ave. Westfield, NJ 07090 Thomas, Pauline A., MD (908) 277-8601 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 Shaw-Brachfeld, Jennifer L., MD (973) 665-0900 Touchpoint Pediatrics 17 Watchung Ave. Chatham, NJ 07928 Tom, Valerie, MD (973) 665-0900 Touchpoint Pediatrics 17 Watchung Ave. Chatham, NJ 07928 Shih, Eunhee E., MD (908) 508-0400 The Pediatric Center 556 Central Ave. New Providence, NJ 07974 Sinatra, Frank A., MD (908) 766-0034 Sinatra & Peng Pediatrics 169 Mine Brook Rd. Bernardsville, NJ 07924 Singer, Beth C., MD (908) 769-0100 Summit Medical Group 34 Mountain Blvd. Warren, NJ 07059 Slavin, Stuart F., MD (973) 665-0900 Touchpoint Pediatrics 17 Watchung Ave. Chatham, NJ 07928 Vergano, Scott T., MD (973) 625-5090 140 E. Main St. Denville, NJ 07834 Vigorita, John F., MD (908) 273-1112 33 Overlook Rd., Ste. 101 Summit, NJ 07901-0220 Vinnakota, Rao V., MD (908) 753-2662 27 Mountain Blvd., Ste. 1 Warren, NJ 07059 Visci, Denise, MD (908) 508-0400 556 Central Ave. New Providence, NJ 07974 Visci, John J. MD (908) 766-0034 169 Mine Brook Rd. Bernardsville, NJ 07924 Straw, Simone A., MD (908) 688-9900 Union Pediatric Medical Group, PA 1050 Galloping Hill Rd., Ste. 200 Union, NJ 07083 Voremberg, Sandra R., MD (973) 218-0707 120 Millburn Ave., Ste. M1 Millburn, NJ 07041 Summa, Geraldine M., MD (908) 769-0100 34 Mountain Blvd. Warren, NJ 07059 Canosa, Omar, MD (Psychiatrist) Clark-Hamilton, Jill, MD Rosenfeld, Walter D., MD Sanders, Leslie A., MD (908) 522-5757 The Adolescent and Young Adult Center at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Symms, Monika, MD (201) 706-7175 Tribeca Pediatrics 21 McWilliams St. Jersey City, NJ 07302 Tavel, Stacey C., MD (973) 379-2488 Summit Medical Group 85 Woodland Rd. Short Hills, NJ 07078 Thomas, Alan E., MD (908) 277-8601 Summit Medical Group 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 ADOLESCENT MEDICINE ALLERGY Pien, Gary C., MD (908) 273-4300 Summit Medical Group 1 Diamond Hill Rd. Berkeley Heights, NJ 07922 Pediatric Directory ANESTHESIOLOGY EATING DISORDERS George, Tony, MD (908) 598-1500 33 Overlook Rd., Ste. 311 Summit, NJ 07901 Canosa, Omar, MD (Psychiatrist) Clark-Hamilton, Jill, MD Rosenfeld, Walter D., MD Sanders, Leslie A., MD (908) 522-5757 The Eating Disorders Program at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 200 Summit, NJ 07901 CARDIOLOGY Donnelly, Christine M., MD Kaufman, Stuart, MD Mone, Suzanne M., MD Prasad, Aparna, MD Rosenthal, Lauren B., MD Timchak, Donna M., MD (908) 522-6649 The Children’s Heart Center at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Leichter, Donald A., MD (908) 522-5566 47 Maple St., Ste. 206 Summit, NJ 07901 CRITICAL CARE Gutierrez, Juan A., MD Hauk, Lisanne Thomas, Melissa, MD O’Reilly, Colin, DO (973) 971-7550 Pediatric Critical Care Goryeb Children’s Hospital 100 Madison Ave. Morristown, NJ 07962 DEVELOPMENTAL PEDIATRICS Lanzkowsy, Shelley, MD Livingstone, Tosan, MD Selvaggi Fadden, Kathleen, MD (908) 522-6659 The Child Development Center at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Developmental Disabilities (Adults) Feigelman, Theodor, MD Grigaux, Claire, MD Kolarov, Sanja, MD Haller, Kate, MD (Psychiatry) (908) 598-6655 The Developmental Disabilities Center Overlook Medical Center at Union Campus 1000 Galloping Hill Rd. Union, NJ 07083 EMERGENCY MEDICINE Books, Heather L., MD Devli, Aynur A., MD Jawaharani, Shobha, MD Kest, Helen, MD Lucciola, Pompeo A., MD Mehta, Sanjay, DO Purewal, Amarpal K., MD Reichard, Kathleen, DO Sheth, Manoj I., MD Tasneem, Afser, MD (908) 522-5664 The Gordon E. Reeves Pediatric Emergency Department Overlook Medical Center 99 Beauvoir Ave. Summit, NJ 07901 ENDOCRINOLOGY Berry, Tymara, MD Cerame, Barbara I., MD Chin, Daisy, MD Guevarra, Frances M., MD Silverman, Lawrence A., MD Starkman, Harold S., MD (908) 522-6619 The Division of Pediatric Endocrinology at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 GASTROENTEROLOGY Feldman, Tamara L., MD Koslowe, Oren L., MD Leiby, Alycia A., MD Perez, Maria E., DO Rosh, Joel R., MD Verga, Barbara J., MD Wilmot, Peter C., DO (908) 522-8714 The Division of Pediatric Gastroenterology and Nutrition at Goryeb Children’s Center at Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Kazlow, Philip G., MD (212) 305-5903 3959 Broadway, Rm. 726N New York, NY 10032 Tyshkov, Michael (Misha), MD (908) 273-7745 33 Overlook Rd., Ste. 208 Summit, NJ 07901 HOSPITALISTS Lam, Jennifer, MD LoFrumento, MaryAnn, MD (nursery) Marx, Julie, MD Nativ, Simona Nwaobasi-Iwuh, Eberechi, MD Vassallo, Sheryl, MD (908) 522-4679 The Pediatric Hospitalist Service at Goryeb Children’s Center Overlook Medical Center 99 Beauvoir Ave. Summit, NJ 07901 INFECTIOUS DISEASE Baorto, Elizabeth, MD Nwaobasi-Iwuh, Eberechi, MD (973) 971-6329 The Division of Pediatric Infectious Disease at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 NEONATOLOGY Mid Atlantic Neonatology Associates (908) 522-3569 Overlook Medical Center 99 Beauvoir Ave., Box #259 Summit, NJ 07902 Crowley, Kathryn A., MD Federico, Cheryl L., MD Goil, Sunita, MD Hassinger, Denise C., MD Ladino, John F., MD Lee, Ben H., MD Mimms, Gaines M., MD Orsini, Anthony J., MD Presti, Amy L., MD Rogido, Marta R., MD Schenkman, Andrew C., MD Shen, Calvin T., MD Skolnick, Lawrence M., MD NEUROLOGY Bennett, Harvey, MD Lazar, Lorraine M., MD Mahalingam, Rajeshwari S., MD (908) 522-0127 The Division of Pediatric Neurology at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 DeSouza, Trevor G., MD Topper, Leonid L., MD Waran, Sandy P., MD (973) 993-8777 Advocare Pediatric Neurology Associates, LLC 25 Lindsley Drive, Ste. 205 Morristown, NJ 07960 Cargan, Abba L., MD (908) 233-5000 1122 Route 22 West Mountainside, NJ 07902 Kubichek, Marilyn A., MD (973) 635-2832 200 South Orange Ave. Livingston, NJ 07039 NEUROSURGERY Mazzola, Catherine, MD Schwartz, Lauren, MD (973) 326-9000 New Jersey Pediatric Neurological Associates 310 Madison Ave., Ste 205 Morristown, NJ 07960 ONCOLOGY/ HEMATOLOGY Fritz, Melinda D., MD Gregory, John J., MD Halpern, Steven, MD Neier, Michelle, MD (908) 522-2353 The Valerie Fund Children’s Center at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 220 Summit, NJ 07901 NEPHROLOGY Corey, Howard E., MD (973) 971-5649 The Children’s Kidney Center at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Bernstein, Jay M., MD (973) 326-8895 Pediatric Ophthalmology Associates, PA 218 Ridgedale Ave., Ste. 100 Cedar Knolls, NJ 07927 OPHTHALMOLOGY Chen, Lucy L., MD (973) 540-8814 95 Madison Ave., Ste. 301 Morristown, NJ 07960 Morgan, Charles F., MD (973) 540-8814 95 Madison Ave., Ste. 301 Morristown, NJ 07960 Mori, Mayumi, MD (973) 326-8895 Pediatric Ophthalmology Associates, PA 218 Ridgedale Ave., Ste. 100 Cedar Knolls, NJ 07927 ORTHOPEDICS Bloom, Tamir, MD (973) 972-0246 90 Bergen St. DOC, Ste. 7300 Newark, NJ 07101 Friedman, Samara, MD (973) 206-1033 Children’s Orthopaedics & Sports Med. Center 261 James St., Ste. 3C Morristown, NJ 07960 Liggio, Frank J., MD (973) 258-1010 194 Main St. Millburn, NJ 07041 Lin, David Y., MD (973) 538-7700 The Orthopedic Center, PA 218 Ridgedale Ave., Ste. 104 Cedar Knolls, NJ 07927 Minkowitz, Barbara, MD (973) 206-1033 Children’s Orthopaedics & Sports Med. Center 261 James St., Ste. 3C Morristown, NJ 07960 Nuzzo, Roy M., MD (908) 522-5801 Overlook Medical Center 99 Beauvoir Ave., Ste. 750 Summit, NJ 07901 Rieger, Mark A., MD (973) 538-7700 The Orthopedic Center, PA 218 Ridgedale Ave., Ste. 104 Cedar Knolls, NJ 07927 Sabharwal, Sanjeev, MD (908) 522-5895 33 Overlook Road, Ste. L-02 Summit, NJ 07901 Strassberg, Joshua, MD (973) 538-7700 The Orthopedic Center, PA 218 Ridgedale Ave., Ste. 104 Cedar Knolls, NJ 07927 PULMONOLOGY Assefa, Dagnachew, MD Atlas, Arthur B., MD Bieler, Harvey P., MD Cooper, David Michael, MD Shah, Ashish R., MD Wazeka, April N., MD (908) 522-8706 The Respiratory Center for Children at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 Kohn, Gary L., MD (973) 267-6292 Pulmonary and Allergy Associates, PA 8 Saddle Rd. Cedar Knolls, NJ 07927 Kottler, William, MD (973) 218-0900 48 Essex St Millburn, NJ 07041 RHEUMATOLOGY Lapidus, Sivia K., MD (973) 971-4096 The Division of Pediatric Rheumatology at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 230 Summit, NJ 07901 SURGERY Bergman, Kerry S., MD Jacir, Nabil N., MD Lazar, Eric L., MD (908) 522-3523 The Division of Pediatric Surgery at Goryeb Children’s Center Overlook Medical Center 11 Overlook Rd. MAC II, Ste. 220 Summit, NJ 07901 UROLOGY Clement, Michelle, MD (973) 539-1050 261 James St., Ste. 1A Morristown, NJ 07960 Connor, John P., MD (973) 539-0333 Adult and Pediatric Urology Group 261 James St., Ste. 3A Morristown, NJ 07960 Overlookview.com | 45 Kaleidoscope :: A New View on Kids, From the Goryeb Children’s Center at Overlook Medical Center Check it out In the weeks that remain before school starts, don’t forget to adhere to this checklist of summer-safety tips and reminders Back-to-school is still weeks away, so there is still plenty of time left to enjoy the summer—if you keep safety top of mind. More families are involved in outdoor activities and travel at this time of the year, and it pays to be prepared. • • Now is the time to schedule an appointment for a school physical or sports physical for your child. It’s also a good time to review immunization requirements for school, monitor growth charts, and discuss the physical and developmental changes that will occur for your child in the coming year. Create a note in your smartphone or download an app to help document a brief medical history for each child. Many times, parents come to the E.D. under stressful conditions and cannot recall what antibiotic the child is allergic to, whether the child has ever been admitted to the hospital, or if immunizations are up to date. Having all of this information at your fingertips is especially helpful when you are traveling out of the area. Whether you are walking around town, riding your bike, or driving your car, safety is always a priority. Walking is great exercise, promotes a sense of community, and allows you and your child to have a great conversation with few distractions. Unfortunately, New Jersey has a high rate of pedestrian injuries. To avoid these, remain aware of your surroundings, use crosswalks, and hold your child’s hand. Riding a bicycle is a milestone for most children and can provide lifelong joy, so plan on buying a proper-size bike and visiting your local park for some fun this summer. Always make sure your child wears appropriate footwear when cycling; in the E.D., we see many injuries caused by flip-flops caught in pedals or wheel spokes. When biking, remember that state law mandates helmets for those under 17 years of age (the same law applies for those who are roller skating, in-line skating, or skateboarding). When traveling by car, car seats and booster seats are a must and should be properly fitted—and remember that older children and adults need to wear their seat belts properly. To reduce the stress of road trips, be prepared with healthy snacks, bottles of water, and fun sing-along music or a favorite video. • When making use of the wonderful playgrounds in our area, note handicap accessibility and be mindful of age indicators when applicable. Children should be clothed properly, in appropriate footwear and in garments free of any loose cords, strings, or ribbons that could become caught on equipment and cause serious harm. Check slides to make sure they are not hot, as this can burn a child’s legs. Also, recent studies have suggested that parents might cause more playground injuries if they ride down the slides with their children, so you might want to stand to the side and assist your child down the slide rather than sailing down with him or her. Remember, too, that children younger than eight years old should avoid the monkey bars. • Sunscreen and sunglasses are necessities of summer—and please set a good example! Sunscreen should be worn by anyone above six months of age. A broad-spectrum sunscreen, which screens out both UVA and UVB rays, is recommended. Zinc oxide, now available in a rainbow of colors to make wearing it fun, is especially helpful for faces and ears. • Pool safety is always a concern for pediatric E.R. doctors when the weather is warm. In any body of water, whether it’s an in-ground or above-ground pool or even an inflatable pool, children must always be watched by an adult. The same rule applies in oceans and lakes. • The easy ebb and flow of summer makes this a good time to inspect your home for safety issues. Is the medicine cabinet secured? (If there are relatives visiting, make sure their medications are not accessible to the children.) Are household cleaners locked away? (A warning was issued recently in regard to the new “pod” laundry detergents, which have caused very serious illness in toddlers who ingested the colorful packets.) Are batteries and magnets—abundant in our age of technology—out of reach? Are safety latches and door locks in place, are electrical cords secured, and are stair gates appropriate? Though it may seem as though the potential for danger lurks everywhere, remember that with a careful eye and some proactive planning, you can help to protect your children in every season. —By Kathleen Reichard, MD, pediatric Emergency Room physician 46 | J U LY/AUG UST 2012 To learn about services and specialists at Goryeb Children’s Center at Overlook Medical Center, visit www.atlantichealth.org/Goryeb. OVERLOOK MEDICAL CENTER Overlook Medical Center: Follow us in the news, online, and more! In the News: On the Web: OV-360° › Alan Lieber, President of Overlook Medical Center and Vice President of Atlantic Health System, was interviewed by The Independent Press about key developments in healthcare. In June, The Independent Press turned to Lieber as a local authority on the Affordable Care Act, following the Supreme Court’s decision to uphold most of President Obama’s healthcare reform legislation. Stressing a need to “reduce the cost of care, take inefficiencies out of the system, and at the same time improve the quality of care,” Lieber cited Atlantic Health’s own Atlantic Accountable Care Organization, a network of 1,300 physicians that have partnered to provide a greater coordination of care and share in the resulting savings. In July, Lieber again was featured in The Independent Press, this time about upcoming changes in laws governing Medicare reimbursement for hospitals with high readmission rates. Lieber said he does not believe this will affect Overlook at all: “All the data points indicate that we’re in the top half of performance.” Like Us: OV ERLOOK TELEVISION www.atlantichealth.org/overlook/ www.facebook.com/OverlookMedicalCenterNJ Follow Us: › The Overlook Summer Internship Program, led by vascular surgeon Clifford Sales, MD, was featured in The Scotch Plains– Fanwood Times, The Item, The Courier-News, The Westfield Leader, The Independent Press, and WarrenPatch. Through this innovative program, undergraduates interested in pursuing a career in medicine shadow medical professionals—mostly physicians, but also therapists, nurses, administrators, and more—for an up-close look at real lives in medicine. › The Center for Concussion Care and Physical Rehabilitation at Overlook Medical Center was recognized in The Daily Record as a “prototype” for similar facilities nationwide. In the article, physiatrist Joseph Rempson, MD, the Center’s Medical Director, cited the widespread and critical need for proper concussion care. “There are enough of these injuries throughout the state and country that people need the support,” he said. The Center treated more than 700 youngsters with new concussions last year. “Innovations in Spine Treatment” (through August 31) Guests include Jay Chun, MD, Neurosurgery, on minimally invasive surgery for cervical (neck) disorders; John Knightly, MD, Chair, Neurosurgery, on minimally invasive laminectomy; and Scott Meyer, MD, Neurosurgery, on minimally invasive spinal fusion www.atlantichealthblog.org/ Watch Us: www.NoSurpriseItsOverlook.com. In Print: Shows can be viewed on HomeTowne Television: CONTACT US TODAY FOR ADVERTISING Health & Lifestyle OVER LOOK Magazine October 2010 Magazine November 2010 Preparing for the Holidays Tips on Selecting the Best Food and Wine Atlantic Neuroscien A Comprehensive Resource Care for New Jersey’s Best OVER LOOK Magazine SPECIAL ISSUE ce FIGHT BACK! Health & Lifestyle 48 | J U LY/AUG UST 2012 www.overlookview.com Health & Lifestyle › Pediatrician Hemant Kairam, MD, President of Summit Pediatric Associates P.A., has been selected by Overlook’s Medical Center Advisory Board to receive the 2012 Clinical Excellence Award for Pediatrics. This prestigious honor is presented to outstanding physicians who exemplify clinical excellence, good citizenship, and collaboration at Overlook Medical Center. Kairam is an active member of the Overlook Medical Center medical staff and serves on many committees, including Patient Safety and Quality, Pediatric Care Review. He is a member of the Pediatric Advisory Committee, and in 2007 was named Overlook’s Vice Chair of Pediatrics. On Television: TAKE HEART Cutting-Edge Cardiac Researc h, Imaging & Treatme nt www.youtube.com/user/OverlookMedicalNJ/videos DON’T MISS A BEAT! Integrative Options for Healthier Hearts Advance BREAST CANCERs in AT OVERLOOK PREVENTION, HOSPITAL: DIAGNOSIS & DETECTION, TREATMENT OVERLOOK VIEW RATES Magazine [email protected] For more information please contact the Sales Office at (908) 389-0090 x. 102 channel 36 on Comcast and channel 33 on Verizon Fios Sundays at 6:00 pm Mondays at 9:00 am Wednesdays at 8:30 pm Fridays at 12:30 pm Saturdays at 8:00 pm or [email protected] For more information on OVERLOOK Communications, contact: 908.522.5907 Overlookview.com | 49 Beneath the Surface With Overlook’s Chef Mike If varicose veins force you to hide your legs or—worse— knock you off your feet, it’s time to do something about it. Michael Atanasio is the manager of Food & Nutrition for Overlook Hospital. He has more than 25 years of experience in the restaurant and healthcare industries and has competed in and won numerous culinary competitions. In 2000, he was named Chef of the Year. Are varicose veins dragging you down? They might be, if they’re causing you pain or discomfort, or making you feel self-conscious about showing your legs. Too many people dismiss varicose veins—the darkened, rope-like veins that you can see and touch—as an unsightly nuisance they can’t do anything about. In fact, says Clifford Sales, MD, Chief of the Division of Vascular Surgery at Overlook Medical Center, if left untreated, varicose veins can be quite painful and a constant source of concern. Sales explains that the veins of the vascular system have a series of one-way valves that allow blood to travel up from the feet to the heart. “Gravity works to pull blood down to the toes, but well-functioing valves prevent that,” he says. When valves become weak or incompetent, however, blood does not move forward as efficiently. Over time, this “backed-up blood” can make veins larger and they can become dilated; over more time, they can go on to become a venous disease called chronic venous insufficiency (CVI). Although there is little anyone can do to prevent varicose veins—they are primarily genetic, says Sales, and more common among people who stand on their feet for long stretches of time (other factors, including pregnancy, overweight or obesity, and age, also make a person prone to developing varicose veins)—there is much that can be done to eliminate varicose veins. Sales explains that with noninvasive ultrasound, he is able to analyze the competency of the valves in the underlying veins to gauge the extent of the problem. From that information, he is able to determine the best course of treatment. With sclerotherapy, doctors inject the affected vein with a chemical that causes the vein to contract; it is then absorbed naturally by the body. When there is an underlying problem with the valves, it is important to address that problem before attacking varicose veins. Ultrasound technology directs therapy appropriately, so that the veins with the incompetent valves are eliminated. This has traditionally been performed surgically using a technique called “vein stripping.” The past decade, however, has seen the use of laser and radiofrequency technology to eliminate these veins with incompetent valves in a minimally invasive manner. As for the varicose and spider veins, several techniques can be used to get rid of these veins. These techniques employ microinjections, laser treatment, or, in the most severe cases, surgical removal of the large varicose veins. With all of these procedures, blood that would normally return toward the heart through the treated veins simply routes through other veins. “Varicose veins are a very treatable concern,” says Sales. “I hear all the time from patients that their legs hurt, and their veins are often the reason why. Many women are conscious about the appearance of their legs—they often feel that their legs look and feel like their mother’s legs! But with our minimally invasive treatments, we can change all of that.” 50 | J U LY/AUG UST 2012 Mark Your Calendar Are varicose veins causing you pain or discomfort, or making you feel self-conscious about showing your legs? Women 30 to 55 are invited to join vascular surgeon Clifford Sales, MD, for a 20-minute information session about the causes of and treatments for varicose veins. The lecture will be followed by painless, noninvasive screenings to detect and assess these often problematic veins. Registration recommended; call 800-247-9580. Overlook Downtown 357 Springfield Ave., Summit (park in the rear lot) Monday, October 15 11:00 am to 2:00 pm and 4:00 pm to 8:00 pm Mix it Up! Turkey Sliders (serves 6) For a family-friendly summer meal, try this alternative to the standard burger. Ingredients PREPARATION 1 cup cooked Quinoa ¾ teaspoon canola oil 1½ tablespoons yellow onion, chopped 1 medium-size stalk of celery, finely chopped 1 clove garlic, minced 1 pound ground turkey, extra lean 1 large egg 1½ tablespoons dried cranberries ¾ cup spinach leaves ¾ teaspoon Worcestershire sauce ½ teaspoon black pepper 1 pinch ground red pepper Small wheat rolls 1. Preheat oven to 350°F. Nutrition analysis 2. Add canola oil to heated skillet. Add onion, celery, and garlic; sauté until soft (about 5 minutes). Cool completely. Calories: 260 Total fat: 10 g Saturated fat: 2.5 g 3. In a large mixing bowl, combine turkey, egg, cranberries, spinach, Worcestershire sauce, black pepper, and red pepper. Mix well. Cholesterol: 100 mg 4. Add Quinoa and vegetable mixture to turkey mixture. Protein: 22.4 g 5. Form into 6 patties. Place on sheet pan. Sodium: 240 mg Fiber: 5.1 g Carbohydrates: 59.6 g 6. Bake in preheated oven for 25 minutes until turkey reaches an internal temperature of 165°F. 7. Serve on whole-wheat rolls with optional lettuce, tomato, and red onion. Helpf ul Hints The cost of beef has risen to an all-time high, which makes ground beef more expensive than it used to be. Adding ground turkey to meatloaf, meatballs, chili, and casseroles is a great way to reduce cost and increase health. When using turkey, remember to cook it to the proper internal temp of 165°F. Slider: A slider is a small sandwich, typically 3 inches across, served in a bun. The term primarily refers to small hamburgers, but can also cover any small sandwich served on a slider roll. Overlookview.com | 51 “FOOD Start turning heads. POISONING WAS THE BEST THING THAT EVER HAPPENED TO ME. OTHERWISE, THE HOSPITAL WOULDN’T We know that it all comes down to how you feel about how you look. When correcting vein problems, a woman wants the absolute best! The best doctors…the best treatments…the best surroundings…That is what The Vein Center is all about. The Vein Center is the only facility of its kind staffed exclusively by Vascular Surgeons…the doctors most qualified to treat vein problems. All of our physicians are Board Certified Vascular Surgeons and nationally recognized as experts in the field of venous disease. Our physicians have been included in New York and New Jersey magazines’ BEST DOCTORS list since 1999! Our facility is fully equipped to provide a personalized treatment plan for you: • Sclerotherapy (injections for spider veins) • Laser treatment • Surgical removal (depending on your needs) And, the environment created is a comfortable, caring one that our patients appreciate. HAVE FOUND THAT CYST. AND I WOULDN’T HAVE MET VIKY, THE ROBOT THAT HELPED MY DOCTOR REMOVE IT.” - Kimberly Rodrigues Rest assured…no matter what your vein problem is…there is no better place for treatment than The Vein Center. Union, New Jersey NO SURPRISE, IT’S OVERLOOK. T H E V E I N C E N T E R Clifford Sales, MD | Jonathan Levison, MD | Salvador Cuadra, MD Westfield • Clifton • Springfield 973-740-1400 • theveincenternj.com It was bad enough when Kim Rodrigues went to the emergency department with food poisoning and found that she also had a pre-cancerous cyst on her bile duct. And worse when she was told by a New York City surgeon that she’d need an incision all the way from her breast bone to belly button to remove it. But it got better when Overlook Medical Center offered a minimally invasive solution, performed by a highly skilled physician and his assistant ViKY, a voice-activated robotic camera. No surprise. Overlook surgeons are skilled in advanced laparoscopic procedures as well as robotic surgery. For Kim, that meant three little incisions, a quicker recovery, and meeting her first robot. For more surprising Overlook stories, visit www.NoSurpriseItsO verlook.org Foundation Happenings Golfers Raise Funds for Cancer Patient Support Programs Foundation Grant to Help Fund Autism Study at Overlook Join us for an evening of The Investors Foundation, which supports non-profit organizations that enhance the communities served by Investors Bank, has announced a $50,000 grant award to the Overlook Foundation. The funds will help personnel at Overlook Medical Center carry out a study designed to identify genetic patterns that may distinguish children with autism from children without the condition. Partnering with Overlook are the Morris-Union Jointure Commission, the Developmental Learning Centers in Warren and New Providence, and researchers from Morristown Medical Center and the Georgetown University School of Medicine. Among the foursomes enjoying the 22nd Annual Overlook Foundation Golf Tournament were: Alan Lieber, President, Overlook Medical Center; Steve Stone, Chairman, Overlook Foundation; Jack Mann, Trustee, Overlook Foundation; and Norbert W. Weldon of Weldon Materials, Inc. More than 150 golfers converged on Canoe Brook Country Club in Summit on June 11 to take part in the Overlook Foundation Golf Tournament. Now in its 22nd year and sponsored by Bank of America Merrill Lynch, the event raised nearly $105,000 to benefit patient support programs at Carol G. Simon Cancer Center at Overlook Medical Center. A generous lineup of golf prizes was awarded to the top half of registered foursomes with the lowest net scores, as well as individuals with the longest drive and closest to the pin. Top-finishing foursomes on the North and South courses respectively were: Frank Ciufo, Joe Fitzpatrick, Mark Voorhees, and Dave Pires; and Dan Colucci, Ken and Nancy Kaminski, and Ken Loforte. In addition, the Anthony F. Coppola, MD Memorial Award was presented to Jonathan Kessler for the lowest individual gross score. We extend special thanks not only to our golfers, but to the many organizations and individuals who donated items to the silent auction and raffle: Adare Manor Anna’s Ristorante Bank of America Basilico Canoe Brook Country Club Dave and Kitty Hartman New Jersey Symphony Orchestra Jones Lang and LaSalle New York Jets Knight Equity Markets LP Stage House Tavern “We’re tremendously grateful for the friendship of the Investors Foundation,” said Beth Searing, Director of Corporate and Foundation Relations at Overlook. “The generosity of our funders and corporate partners is vital to ensuring that this type of groundbreaking research can be conducted.” Overlook Foundation 2012 Gala Saturday, September 29, 2012 • 6:00 pm New Jersey Performing Arts Center Festive Black Tie Longtime Donors Thanked Benefiting ovarian cancer research at Overlook Medical Center in partnership with MD Anderson Cancer Center For more information, log onto www.overlookfoundation.org or call 908-522-5330 Terra Sky C. R. Bard Fiorino Madison Hotel food. Marco Polo Frederic Goodman Fine Jewelers Walter Bauman Jewelers New Jersey Devils Winberie’s New Jersey Performing Arts Center Wm. Blanchard Company 54 | J U LY/AUG UST 2012 Participants in the $400,000 study — the first of its kind — will include a set of children with typical autism and a control group of children with no known neurodevelopmental impairments. Blood samples obtained from both groups will be studied in a state-of-the-art genetics laboratory to analyze the approximately 100,000 genes known to be active in the brain. The project is now under way, and the first phase of research is expected to take about a year. with Patti LuPone & Mandy Patinkin Safilo USA Liberty Science Center Greg Norman Collection “We don’t know a great deal about autism, but growing evidence suggests that genetics plays a major role,” said Dr. Roger Kurlan, a neurologist who is leading the study. “If we can identify the genetic factors at the root of certain types of autism, we can develop a blood test to diagnose autism and create new pathways for treatment.” Trump National Golf Club Overlook Foundation Executive Director Ann Oliva (left center) was on hand for a recent Donor Tea that featured a brief hospital update from Overlook Medical Director Norm Luka, MD. Among the guests enjoying a tour of the on-site Caregivers Center were Joan Spanarkel, Lottie Geoghegan, and Rachel Burdeau, longtime supporters of the hospital. Overlookview.com | 55 Atlantic Health System 99 Beauvoir Avenue P.O. Box 220 Summit, NJ 07902-0220 Nonprofit Organization U.S. POSTAGE PAID Strasburg, VA PERMIT #167 Getting exceptional, timely care is so important… That’s why the Summit Medical Group Breast Care Center was created. The only New Jersey breast care center accredited by both the National Accreditation Program for Breast Centers and the National Consortium of Breast Centers, our center offers screenings and comprehensive care for benign conditions and all stages of breast cancer. Our top-rated breast surgeons Diana Addis, MD, John Cunningham, MD, Jerrold Lozner, MD, and Winnie Polen, DO, are available for immediate consultations. Contact us to schedule a screening or consultation at 908-277-8770 Certified Breast Health Nurse Navigators State-of-the-art Diagnostic Imaging Minimally Invasive Image-guided Biopsies On-site Outpatient Surgery Center Most Major Insurance Plans Accepted Berkeley Heights summitmedicalgroup.com Bayonne • Millburn • Morristown • New Providence Short Hills • Springfield • Warren • West Orange • Westfield