the July/August 2009 issue
Transcription
the July/August 2009 issue
healthviews a health publicati o n f r o m Jersey Shore University Medical Center Join Us for the Grand Opening of The NEW Jersey Shore! page 6 Team Effort Saves Teen’s Kidney page 19 How to Choose a Hearing Aid page 13 Learn How the Meridian CardioVascular Network Works! See Brochure Inside! JerseyShoreUniversityMedicalCenter.com | September/October 2009 inside this issue September/October 2009 4-5 • Ocean Medical Center Celebrates Its Silver Anniversary • Ocean Medical Center: By the Numbers • Fun Facts from 1984 6-7 • Step Inside The New Jersey Shore 8-9 • Deadly Clots Are No Match for Riverview’s Endovascular Suite • Know Your Risk for ‘Triple A’ 10 • After Surgery, Meridian At Home Helps You Heal 11 16 • We’ve Got the Beat: Repairing the Rhythm of a Heart • Three Heart Health Warning Signs You Shouldn’t Ignore • Cervical Cancer Patient Spreads Message of Prevention • When the World Spins: Dealing with Vertigo 15 • Ask the Health Experts: All About Sleep Ocean Is Celebrating Its Silver Anniversary Since its official dedication in 1984, Ocean Medical Center has become a tremendous health and wellness resource for the residents of Ocean and southern Monmouth counties. In fact, it’s ranked as the number one hospital in Ocean County for the treatment of heart attack, congestive heart failure, and surgical care improvement. Learn about Ocean’s history and evolution on page 4. 19 • Team Effort Helps Save a Child’s Kidney 20-23 • Calendar of Events 24-25 26 14 The New Jersey Shore Is Opening! The much-anticipated New Jersey Shore University Medical Center will open on July 18! I hope you will come and help us celebrate at our Grand Opening event. You’ll find details about this fun-filled day on page 20. Turn to page 6 to learn how the Transforming Care project will enhance our ability to provide you with better access to our state-of-the-art care. 18 12 • Make a Sound Decision on Hearing Aids • Protect Yourself from Harmful Sounds It’s an exciting time to be at Meridian Health for three very important reasons. 17 • When You Need Surgery, Quality Counts • Checklist: Are You Ready for Surgery? 13 A Message to the Community • Kidney Stones Lead to Life-Threatening Illness • An Act of Generosity Brightens Ocean’s Future • Be Like Mike’s — Keep It Healthy! • The ‘Eyes’ Have It: New Technology Helps Clear Cataracts John K. Lloyd, FACHE President, Meridian Health Riverview just had twins! Riverview Medical Center is the proud parent of two J.D. Power and Associates Outstanding Patient Experience awards for its outpatient and maternity services. Fewer than 40 hospitals nationwide hold this distinction. J.D. Power and Associates bestows the awards after surveying our patients — so the awards are a direct reflection of our patients’ positive experiences. • Pick Bell Peppers to Punch Up Your Diet • Recipe: Savory Potato and Pepper Salad • Word Jumble We hope you enjoy all of the articles in this issue of Meridian HealthViews and wish you and your family a safe, healthy summer! Sincerely, On the cover: Julieanne Robinson, pictured here with Howie, is back to being active as the vice president of her school’s Future Farmers of America. Read how the team at K. Hovnanian Children’s Hospital saved her kidney on page 19. We’ve Got Heart Turn to page 14 for your FREE reference brochure that shows all that Meridian CardioVascular Network does to keep your heart healthy. The way we look at heart care changes everything. 3 Meridian HealthViews September/October 2009 OCEAN medical center Ocean Medical Center Celebrates Its Silver Anniversary “Today in Brick Township, a hospital is born …” Hospital officials and fund-raisers gather to review plans at the hospital construction site. Left to right: Douglas Johnson, Richard Leone, Roy Basso, and Alan Cohen. T After a two-year construction project, the new hospital stands ready to receive its first patients in July 1984. hese were the words shared by because it’s real, ladies and gentlemen. It’s John Paul Doyle, then assembly here, and we did it.” majority leader, during the dedication What they did was create a five-story, ceremony of Brick Hospital on July 4, 1984. $34 million structure that held 120 beds, His words brought smiles to the faces of three operating suites, outpatient services, the more than 1,000 people who gathered and 24-hour emergency department services. in sweltering temperatures to see the dedication of what many called a dream. Remembering the Beginning The event marked the culmination of In the late 1960s, Norma Pols met Alan. a 24-year effort by those who sought to He told her about his dream for a hospital bring a hospital to the township. Volunteers in Brick. She, too, felt there was a need worked tirelessly to raise money for the for patient beds in the area and offered new hospital, organizing fairs, balls, a to help with the initiative. She became thrift shop, and even cake sales. involved with fund-raising, lobbying, and Alan H. Cohen, then president of recruiting support in the community. the Brick Hospital Fund, said during the More than 30 years later, Norma remains HV_OMC_Imaging_7.375x2.75-09:Layout 1 2/6/09 12:05 PM Page 1 dedication ceremony, “Pinch yourselves, actively involved with the Medical Center. She remembers the early years and what seemed like an impossible dream. “I can remember being at a trustee meeting in 1982 when the blueprints for the hospital were shared for the first time. I could feel the tears coming down my face,” recalls Norma. “We worked so hard, and here it was, ready to go.” Lynne Cosgrove is currently a volunteer in Ocean Medical Center’s Same-Day Surgery area. Twenty-five years ago, she was the nurse who opened the hospital’s first four-bed same-day surgery unit. “Things started out slow, with just me and one aide,” says Lynne. Today, the 26-bed patient care area is bustling with activity. Lynne reflects on how far the hospital has come. “Patients’ well-being, safety, and privacy have moved in a better direction. Computer systems have improved efficiency, and the technology to do minimally invasive procedures has resulted in shorter patient stays, decreased pain, and feeling better, sooner.” Mary Jane Fendl, R.N., helped open the first medical/surgical floor. “We started from scratch to get the medication room ready. We even went shopping to get bedding supplies for the rooms. It was an exciting time, and I was so glad to be part of it,” says Mary Jane. A Vision for the Future “This is just the beginning,” said Roy Basso, then chairman of the board of directors, Imaging Services Pavilion — The latest technology in the hands of experts. TAKING CARE OF NEW JERSEY At Ocean Medical Center we constantly look to enhance our services. We have a team of highly trained and experienced imaging professionals, extended hours for convenience, and advanced technology. • PET/CT • 64-Slice CT for faster scan times and cardiac studies • Open MRI and MRI with specialized coils for breast, prostate, and endorectal exams • Women’s Imaging Pavilion with the full array of procedures — digital mammography, ultrasound, and bone density ° And a dedicated radiologist who specializes in breast imaging • State-of-the-art nuclear camera in a newly renovated space To schedule an appointment call 732.836.4025. For more information call 732.836.4000 or visit OceanMedicalCenter.com during the dedication. “Expansion will be needed. Our service area is growing 15 times faster than the growth rate of New Jersey.” Roy’s words would hold true. Since its opening, the hospital has undergone several major transformations, including an evolution of its name from Brick Hospital to Ocean Medical Center. In 1993, the west wing was added, and 2000 saw the addition of the Ambulatory Care Center for outpatient services and the addition of a sixth floor on the west wing. The east wing was constructed in 2004. “The hospital has progressed with time and technology, and the expanded specialties allow patients the option to get specialty treatment locally,” says David Cheli, M.D., a family practice physician and member of the original medical staff. “The technical expertise, coupled with a personal touch that has continued over the years, leads to more personal care.” Today, the campus boasts a 281-bed hospital and 40-bed rehabilitation center and is a full-service facility providing top-rated quality care for the residents of Ocean and Monmouth counties. (See sidebar at right for more Ocean numbers.) “Ocean Medical Center has grown to become one of the premier medical centers in the area,” says Joseph Nitti, M.D., an internal medicine physician who also has been on the medical staff since its inception. “The transformation is truly magnificent. We are more effectively and efficiently treating diseases, we have technology within our walls that we could only have dreamed about being at our fingertips years ago, and we have the broader expertise and expansion of services that the expanded staffing and facilities have brought us.” n — Donna Sellmann Share Your Story In celebration of Ocean’s 25th anniversary, we’d like to hear from our patients as they share their favorite Ocean Medical Center memory. How has Ocean touched your life? You can keep it short and sweet. Send your story to [email protected] or mail it to: Meridian Health Attn.: Maura McBride 1350 Campus Pkwy. Neptune, NJ 07753 Ocean Medical Center: By the Numbers #1 Hospital in Ocean County for the treatment of heart attack, congestive heart failure, and surgical care improvement 500 Physicians at Ocean 14,500+ Patients admitted each year 1 of 5 New Jersey hospitals to make the list of “America’s Safest Hospitals” in Forbes magazine 321 Beds 1,400 Employees 340 Volunteers 60,000+ Patients treated in the Emergency Department and Ocean Care Center satellite Emergency Department in Point Pleasant annually Fun Facts fro m 1984 y g nolo The first A pple Ma cint osh c omputer was sold. s Gho tbusters, I ndia na m r e i T n a tor, an he Jon T , dA es an om o ma d the Temple of D deu s hit the Artists such as Tin silver screen. a Tu rne ran, Kenny Rog r, W ers, n Du a r ham!, a u n dP Stevie Wonder, D hil C . ollins r were tuning in waves r i u e a l e e l d h t p to T Peo Vp T , h s r e e A e -Team rog Ch , s rams , e D u y including Hill Street nas Bl ty, a nd M agnum, P.I. tech ma e n i c ic s u m tv 5 Meridian HealthViews July/August 2009 Jersey Shore University Medical Center Step Inside The New Jersey Shore This summer, Shore area residents will welcome a “new” and improved neighbor: Jersey Shore University Medical Center. J ersey Shore University Medical Center is inviting you to step inside its newly renovated patient care areas, which have been under construction since 2006. Dubbed the Transforming Care expansion project, the $300 million initiative has transformed the hospital into a more welcoming, healing environment for patients and their families. “We knew with this transformation that we needed to provide our patients and families with better access from the minute they enter the campus to the minute they leave,” says Steve Littleson, president of Jersey Shore University Medical Center. “Jersey Shore is growing in size, and this improved access will provide quicker and more efficient treatment for our patients.” Read All About It! Watch for more In the new Northwest Pavilion, patient room “neighborhoods” circle nursing stations, giving nurses quick access and lines of sight to their patients. better access to more amenities In addition to the new Emergency Department (ED), Jersey information in the Shore’s new Northwest Pavilion includes 108 new private rooms. July 12 edition of the The rooms offer comfortable, homelike furnishings and plenty of Asbury Park Press! natural light to create a warm, inviting environment for patients and their families. The rooms are grouped into “neighborhoods,” each of which circles a nursing station close by. This design allows nurses to manage a smaller number of patients — so patients have more individual attention. Besides increasing patients’ comfort, the hospital has made it more convenient for patients and their guests to visit Jersey Shore. The hospital has opened a new parking garage with patient and guest parking on the second floor. This provides direct access to the new Northwest Pavilion. If patients and guests choose to park outside the garage, they can park for free in any of the surface parking lots. Valet parking also is available for any visitor, Monday through Friday, in three locations: the main entrance of the hospital, the Ambulatory Care Center, and the Emergency Department. An all-glass atrium welcomes patients to the brand-new Northwest Pavilion at Jersey Shore University Medical Center. 6 Meridian Health | MeridianHealth.com | 1-800-DOCTORS Continue the Tour ... Live! Please join us on Saturday, July 18, for the grand opening of the new facilities at Jersey Shore University Medical Center. Our grand opening celebration will include a tour of the Transforming Care expansion. Turn to page 20 for more information! A Bigger, Better Emergency Department Among the improved patient care areas at Jersey Shore is the new state-of-the-art ED, which is double the size of the original ED. Located on the first floor of the new Northwest Pavilion, the new ED was designed from the ground up to grow with the area’s changing needs. Currently, Jersey Shore University Medical Center is the first stop for emergency care for nearly 65,000 residents and visitors to the Shore each year. The ED is the region’s only level II trauma center, serving an area of more than 1.8 million people in Monmouth and Ocean counties. “It also houses one of the New operating rooms, part of the Transforming Care expansion project, give doctors access to technology that makes it easier for them to provide you with the best treatment. region’s only pediatric EDs, with dedicated areas for treating emergencies in children,” says Khoshnood Ahmad, M.D., medical director of the Pediatric Emergency Department. With more space for patient care, the new ED will be able to State-of-the-Art Operating Rooms handle about 50 percent more emergency visits. Complementing the renovations in the Northwest Pavilion, six “The new Emergency Department is the largest and best- new high-tech operating rooms (ORs) also have been opened as equipped in the region,” says Patricia Wesch, R.N., manager of part of the Transforming Care expansion. The new ORs, located in the new Rosa Diagnostic and Treatment Building just north of the Mehandru Pavilion, enhance the hospi- Jersey Shore’s ED. “These improvements will facilitate patient treatment and reduce wait times.” tal’s capabilities for cardiac, orthopedic, and general surgeries. A ‘Green’ Commitment “These ORs were built to provide patients with the best possible care and to provide the surgical team with the ultimate As part of its pledge to the community, Jersey Shore has in ease and convenience,” says John Tozzi, M.D., chairman of designed its Transforming Care expansion to follow the latest Orthopedic Surgery at Jersey Shore. ecofriendly building practices. The new facilities offer: Advanced technology is wired into the ORs, helping doctors • More outside ventilation to improve air quality for patients, perform laparoscopic and other minimally invasive procedures. visitors, and staff Special cameras allow doctors to record their procedures to share • Reduced water use by more than 1 million gallons a year with colleagues, which helps facilitate teamwork on complex • Lower energy costs by 35 percent cases. LCD monitors in the ORs are connected to the hospital’s • Reduced exposure to hazardous chemicals by using electronic medical record system so doctors can view a patient’s “green” cleaning products X-rays, MRIs, or CT scans during a procedure. • Expanded recycling, which saves 648 tons of garbage For patients with cardiovascular problems, the new hybrid OR from landfills includes a custom-designed imaging system called biplane digi- Together, these ecofriendly efforts — combined with tal imaging. This cutting-edge imaging system allows doctors to other patient-friendly renovations and new technology — diagnose and treat cardiovascular diseases using advanced, mini- make The New Jersey Shore one of the most innovative mally invasive techniques. hospitals around. 7 Meridian HealthViews July/August 2009 Riverview Medical Center Deadly Clots Are No Match for Riverview’s Endovascular Suite An Aberdeen resident survived two life-threatening blood clots, thanks to the excellent care provided by a team of physicians at Riverview Medical Center. F or weeks, Betty DeGennaro had been suffering from an intense pain in her leg. “I couldn’t even walk all the way through the supermarket,” Betty recalls. “It was that painful.” Betty thought she was suffering from sciatica. But through what she calls “the excellent work of my team of doctors,” she found out that a clot was the culprit. When Betty developed a virus that left her completely dehydrated, she was taken to an emergency department at another hospital. At the time, Betty was also experiencing intense leg pain. However, a venous Doppler ultrasound provided a negative result. Finding the Answer When Betty continued to experience leg pain, she knew she had to go see her own doctor, Stephen Jurewicz, M.D., who is affiliated with Riverview Medical Center. “When Dr. Jurewicz examined both of my legs, he told me he hardly felt a pulse in one of my legs,” Betty says. “He called a vascular surgeon on the spot.” Dr. Jurewicz called Stephen Kolakowski, M.D., a fellowship-trained vascular surgeon also affiliated with Riverview. “I was immediately comfortable and confident when I went to Dr. K.’s office,” Betty recalls. “His entire staff was personable, compassionate, and, more importantly, extremely competent. I am so happy with the care I received.” A noninvasive vascular study performed in Dr. Kolakowski’s office demonstrated a Severe leg pain, like Betty experienced, can be a symptom of a blood clot. Betty had not one but two clots in her leg, both treated at Riverview’s Endovascular Suite. She recalls her time at Riverview Medical Center as “the absolute best health care experience.” 8 Meridian Health | MeridianHealth.com | 1-800-DOCTORS about the doctors Stephen S. Jurewicz, M.D. Board certified in Internal Medicine and Geriatric Medicine Tinton Falls | 732-741-3600 Stephen Kolakowski, M.D. Board certified in Vascular Surgery and General Surgery West Long Branch | 732-403-2075 severe arterial blockage, so Dr. Kolakowski immediately sent Betty to Riverview. There she was examined and treated in the Medical Center’s new Endovascular Suite. “My first course of action was doing an arteriogram to locate the clot and determine if there were any additional vascular issues,” explains Dr. Kolakowski. “When the arteriogram showed a second clot, I was able to immediately perform an embolectomy to remove both clots.” Suite Treatments Doctors on the vascular team use the Endovascular Suite to treat problems including stroke, carotid artery disease, abdominal aortic aneurysms, and peripheral vascular disease. They are able to perform minimally invasive procedures such as diagnostic catheterizations, stenting, balloon angioplasty, and embolizations. These procedures offer less radiation exposure for the patient, reduced recovery time without the pain of a large incision, and less visible surgical scarring. “I was so impressed with the Endovascular Suite and all of the doctors and nurses who treated me,” says Betty. “From the preoperative care I received from Dr. Mosca, my anesthesiologist, to my postoperative care with Drs. Jurewicz, Kolakowski, Pierson, Scher, and Boak, I was completely at ease through the entire experience.” According to Dr. Jurewicz, “Betty is doing well today and is benefiting from the care of Richard Scher, D.O., who is treating her with an anticoagulant commonly used to thin the blood so new clots do not develop.” “I feel so fortunate that Dr. Jurewicz is my doctor,” Betty explains. “He provided exceptional care and connected me to the best team of doctors and the absolute best health care experience.” n — Tria Deibert Every Little Bit Counts Regular exercise helps you stay fit — but did you know that it also promotes good vascular health? Visit WellnessCenter.MeridianHealth.com and search “lose weight” to read about easy ways you can work fitness into your routine every day. Know Your Risk for ‘Triple A’ “Triple A” refers to a medical condition known as abdominal aortic aneurysm. This occurs when the aorta, the body’s largest blood vessel, balloons outward and ruptures. “If the aneurysm is caught before it ruptures, a surgeon can repair it,” says Joseph Cauda, M.D., of Riverview Medical Center. “However, the survival rate for ruptured AAAs is less than 40 percent.” This type of aneurysm is most common in males 60 and older who have a family history of the condition, or more than one risk factor. Risk factors include: • Smoking • High cholesterol • Emphysema • Obesity • High blood pressure “If you have any symptoms of a AAA, such as an abdominal mass or pain in your abdomen, talk with your doctor,” says Dr. Cauda, who specializes in vascular surgery. You can reduce your risk for AAAs by exercising regularly, eating healthy, not smoking, and controlling high blood pressure. about the doctor Joseph E. Cauda, M.D. Board certified in General Surgery Shrewsbury | 732-747-4744 HV_RMC_Legs_7.375x2.75-09:Layout 1 4/6/09 1:47 PM Page 1 Love your legs! TAKING CARE OF NEW JERSEY The new VNUS Closure® offers a minimally invasive option for varicose veins so you can love your legs again! Approximately 25 million Americans suffer from venous disease, a condition which often results in varicose veins and other painful symptoms. In fact, for many, this is not just an aesthetic issue. Venous disease frequently forces people to change their lifestyle, especially when they have a profession that requires them to stand all day. But now doctors can use a minimally invasive procedure that treats the underlying cause of varicose veins and associated symptoms. The VNUS Closure procedure offers many patients with superficial venous reflux a minimally invasive alternative to traditional vein stripping. And, the option is available locally at Riverview Medical Center. Love your legs once again, call or visit RiverviewMedicalCenter.com meridian at home After Surgery, Meridian At Home Helps You Heal A fter you’ve had a surgical procedure, it’s a relief to get home. But your journey toward healing has just begun. Depending on your procedure, you may need weeks or months of specialized care to recover fully. For thousands of patients in the Shore area each year, a healthy, safe postoperative recovery means help from Meridian At Home. Meridian At Home provides the compassionate help you need to return to your highest level of function and independence — all in the comfort of familiar surroundings. Meridian At Home nurses and physical and occupational therapists provide skilled care, while personal aides can assist with important tasks like bathing, dressing, and food preparation. Care may be needed after surgeries such as: n Joint replacement or repair n Invasive surgeries with incisions that need special wound care n Procedures that require ongoing oxygen care or medication infusion The Meridian At Home team will ensure you have all necessary medications and equipment, such as walkers, wheelchairs, or other assistance devices. They also will schedule personal care, nursing, or rehabilitation therapy visits with you based on your physician’s instructions. Howell resident Elizabeth Cartagena, 65, underwent a hernia repair at Jersey Shore University Medical Center. Afterward, her abdominal wound needed daily attention for three months. Her nurse’s skill impressed her. “To help my wound heal, she created a special drain,” Elizabeth says. “It worked very well. My doctor even commented on the quality care I received.” Meridian At Home is one of the only area agencies to offer specialized colostomy and wound care. “Dedicated care helps ensure a patient’s colostomy is functioning, and patients are healing and adjusting,” explains Cathy McCudden, R.N., Meridian At Home’s director of intake and sales. McCudden notes other forms of specialized care Meridian At Home professionals provide include pain management, palliative care, and hospice care. Elizabeth has seen Meridian At Home’s compassionate hospice care at work. Before his passing in 2005, her father, Walter, received hospice care from Meridian At Home. She was very impressed by the level of attention and care he received. “I would highly recommend Meridian At Home services to anybody,” she says. n HV_AtHome_09-Off_7.375x2.75:MH 12/30/08 8:48 AM Page 1 Meridian At Home offers a full range of home care services. Call today: 1-800-655-2555. Hourly and Live-In Certified Home Health Aide Care. ! Customized Personal Assistance Solutions: > Need help with bathing, dressing and other personal care > Assistance with Meal Preparation and Medication Compliance > Companionship and light housekeeping. Quality you can count on: > All caregivers are experienced and certified > Passed a rigorous screening process, including skills validation, criminal background checks and drug testing > Bonded and Insured. 800.655.2555 or visit MeridianAtHome.com Affiliated with: Jersey Shore University Medical Center, K. Hovnanian Children’s Hospital, Ocean Medical Center, Riverview Medical Center First Month of Live-In Services 200 Off $ 800.655.2555 or visit MeridianAtHome.com This HealthViews coupon expires 12/31/2009 FOUNDATION An Act of Generosity Brightens Ocean’s Future be like mike’s — Keep it Healthy! Peter Cancro, CEO of Jersey Mike’s Subs, offers tips for building a healthy sandwich, whether you stop in or make your own at home. Insist on Fresh. Cook and slice your own meats for best results. Prepackaged and processed meats often contain potentially harmful chemicals, Cancro says. Jersey Mike’s roasts its certified Angus beef in-house and slices to order. Veggies are sliced fresh in-house, too. Pizza is new on the menu at Ocean Medical Center’s Shore Grille. Peter Cancro, who owns the Shore Grille, as well as Jersey Mike’s Subs, still jumps behind the counter to test his skills and demonstrate his passion for his products and customers. F or Peter Cancro, CEO of Jersey Mike’s Subs, giving back is a way of life. And the hospitals of Meridian Health have benefited from the Point Pleasant native’s generosity for decades. It comes naturally for Cancro. He’s been helping with operations and fundraising at local hospitals since the late 1970s. Today he sits on Jersey Shore University Medical Center’s board, where he helps guide current operations and helps plan for the future. And in January 2009, he gave $100,000 to Ocean Medical Center’s Emergency Department, in memory of his mother, Sheila Cancro. She was the one who first suggested that he buy the original Mike’s Subs, his thencurrent employer, in 1975 at age 17, when he was a senior in high school. Cancro began franchising the chain in the 1980s. Needless to say, Cancro wouldn’t be where he is today without her. And the lasting tribute to Ocean in honor of her will provide much-needed facility and equipment upgrades. Cancro, who today oversees more than 400 Jersey Mike’s stores nationwide, is quick to credit mentors in the local business community who taught him the importance of giving back. He names Bob Hoffman of Hoffman’s Ice Cream and Jack Baker of Jack Baker’s Lobster Shanty among them. After seeing the impact volunteer time and effort have made at Meridian Health hospitals, Cancro encourages others to get involved, too. “Take a tour,” he says. “See what the staff does for people, how lives are changed. You’ll be moved to contribute, whether it’s with your time or money.” n Spice Things Up. Use healthy additions like olive oil, red wine vinegar, and oregano to add “kick” to your creation. “When Mike’s opened in the ’50s, no one knew these things were healthy. They tasted good!” Cancro says. Keep It Light. Try a lean meat like turkey — Jersey Mike’s biggest seller nationwide. And skip the mayo and cheese. With a traditional blend of oil and spices, Cancro says you won’t even miss them. It’s easy to build a healthy sandwich at Jersey Mike’s, where subs like the one shown above can be made healthier using fresh veggies, olive oil, and spices. Make a Difference To learn more about donating to Ocean’s Emergency Department or other projects supported by the Ocean Medical Center Foundation, call Jim Petillo, senior development officer, at 732-751-5116. 11 Meridian HealthViews July/August 2009 & wise&well health news and information for the active adult The ‘Eyes’ Have It: New Technology Helps Clear Cataracts about the doctor Lawrence Frieman, M.D., FACS Board certified in Ophthalmology Red Bank | 732-741-4242 see inside the eye more clearly, making it easier to efficiently remove the clouded lens. The new technology also gives the surgeon better control. “With conventional phaco, the probe vibrates back and forth, pushing the lens material away from the device,” explains Dr. Frieman. “The side-to-side movement of the new phaco technology doesn’t do that, so it’s easier to remove lens pieces from the eye. This results in a clearer cornea.” C loudy vision from a cataract can make everyday activities such as cooking, driving, and watching TV more difficult. But it doesn’t have to: You can have clear vision again. Cataracts can be treated with a simple, effective outpatient surgery. About 90 percent of people who have this cataract surgery — called phacoemulsification, or “phaco” — enjoy better vision afterward. Now, Riverview Medical Center offers new phaco technology that improves cataract surgery even further. “Our patients are amazed at what a difference cataract surgery can make in their life,” says Lawrence Frieman, M.D., a board certified ophthalmologist on staff at Riverview Medical Center. “And the evolving technology is enabling us to provide this service more safely and effectively than ever before.” How Phaco Is Performed During phaco, the surgeon makes a tiny incision on the side of the cornea, the clear surface that covers the front of the eye. A probe is then inserted. The probe vibrates gently at a high frequency to break up the cloudy lens. The old lens is carefully removed, and a new artificial lens is put in. Riverview’s new phaco technology includes a state-of-the-art surgical microscope. It allows the surgeon to Shorter Surgery, Faster Healing The new technology reduces the operating time by as much as half, from 30 minutes to 15, so there is less chance for complications, Dr. Frieman says. “Patients wear a protective shield for a day,” Dr. Frieman says. Though vision improves very quickly, it takes about a month for the eye to completely heal. “With this new technology, we’re able to perform cataract surgery with less trauma to the eye,” says Dr. Frieman. “After surgery, there is less inflammation, less redness, and less pain, which means patients are more comfortable — and many have much better vision almost immediately.” n Eat for Eye Health Can bell peppers help prevent cataracts? Read about the latest research — and get the recipe for our veggie-loaded version of potato salad — on page 26. 12 Meridian Health | MeridianHealth.com | 1-800-DOCTORS Make a Sound Decision on Hearing Aids H earing loss is very common among older adults, affecting one-third of people older than 60. If you suspect you’re one of those people, see your doctor. “Today, there are more options in style, comfort, and performance of hearing aids than ever before,” says Melanie Holzberg, an audiologist with Jersey Shore University Medical Center. An audiologist can help you choose a hearing aid that fits your needs. Here are the main types: nR eceiver-in-the-ear (RITE): The newest technology, RITE provides an ultrathin sound wire and small, soft, open dome that is invisible when worn. It connects to a small device that sits behind the ear. Modern design and technology make this a comfortable and easyto-use option. n I n-the-canal (ITC) and completelyin-the-canal (CIC): The ITC aid rests just inside the ear canal and is barely visible. And the CIC aid fits deep inside and is virtually invisible. They both offer some listening benefits, but some people find them difficult to use because of their small size. n I n-the-ear (ITE): ITE aids fit completely in the outer ear. Because they’re larger than in-canal aids, they are somewhat easier to use. They also can hold more accessories, such as a telecoil — a device that improves a person’s ability to hear over the phone. nB ehind-the-ear (BTE): BTE aids rest behind the ear. They’re often chosen for children because they’re easier to manage and still can be worn as the child grows. Digital technology offers the most flexibility in adjusting to fit your specific needs. A microchip in the hearing aid analyzes your environment and self-adjusts to give the clearest signal. Most changes can be performed in the audiologist’s office and are customized to your needs. Sophisticated improvements include pairing the hearing aids with wireless technology. Keep in mind that it might take weeks or even months to get used to them. Make sure you’re given a trial period. It’s worth the time and efforts to find hearing aids that are right for you. n Protect Yourself from Harmful Sounds Hearing loss is common in older adults, but there are steps you can take to protect your ears and help preserve your hearing, says Melanie Holzberg, an audiologist with Jersey Shore University Medical Center. “Noise-induced hearing loss happens when the sounds we hear are so loud that they damage sensitive structures in the inner ear,” she says. Research shows that avoiding exposure to dangerous noise levels — and taking “rest periods” between hazardous noise exposures — can help prevent or lessen noise-related hearing damage. This includes whenever you mow your lawn, ride a snowmobile, or operate power tools. Ready for a ‘Tune’-Up? And we don’t just mean your ears! Tune up your driving with the AARP Defensive Driving course. It’s easy on your wallet and can even save you money on car insurance! Turn to page 23 to find out more. 13 Meridian HealthViews July/August 2009 & wise&well health news and information for the active adult When the World Spins: Dealing with Vertigo R emember the days when you were a kid, spinning around and around until everything felt topsy-turvy? What was a game then is no fun as an adult when the spinning won’t stop. That sensation of spinning dizziness is called vertigo — from the Latin verb “to turn.” Millions of people experience it at some point in their lives. Vertigo is not a disease. It is usually a symptom of a problem with your inner ear, which senses movement and controls balance. Vertigo also can come from a problem in your brain, which uses different body signals to maintain your balance. Fortunately, vertigo often goes away on its own or can be easily treated. Exploring Common Causes A common type of vertigo is benign positional vertigo. This occurs when tiny particles in the inner ear break loose and float around, disturbing the brain’s ability to maintain balance. Vertigo also may be caused by anxiety, a virus, chronic illness, or a head injury, among other things. Most people have felt lightheaded after standing up suddenly. “With vertigo, some people are dizzy for a few seconds when they move their head a certain way,” says Hitesh Patel, M.D., a board certified internal medicine physician at Ocean Medical Center. “Others can’t stand or move without severe spinning and dizziness. Some may have vertigo without moving at all.” Vertigo also may cause nausea or vomiting. Vertigo may last for several hours, days, or weeks, depending on the cause. If you have symptoms, it’s important to contact your doctor immediately. “Sometimes vertigo can be a symptom of a serious condition, such about the doctor Hitesh B. Patel, M.D. Board certified in Internal Medicine Brick | 732-202-7456 as a stroke,” explains Dr. Patel. “Your doctor may refer you to a specialist for testing.” Getting Back in Balance Treatment depends on the cause of your vertigo. It ranges from physical therapy to medications and surgery. “If you have a viral infection in the inner ear, for example, medications called vestibular suppressants may help you feel less dizzy by making you less aware of it,” says Dr. Patel. “Physical therapy can help your brain and body adjust to certain eye, head, or body movements.” In the meantime, remember that vertigo can put you and others at risk for injury. Sit or lie down immediately when you feel dizzy. Avoid driving a car or operating heavy machinery. Also steer clear of caffeine, alcohol, and tobacco, which can increase symptoms. Try to be patient. You may find your brain needs some time to adjust. With good care, you’ll find yourself on steady feet again soon. n FREE Balance Screening Do you need help staying steady? If you suffer from balance or vertigo problems, a FREE balance screening could help. Call the Balance and Vestibular Program at Meridian Life Rehabilitation at 732-836-4368. 14 Meridian Health | MeridianHealth.com | 1-800-DOCTORS Ask the Health Experts: All About Sleep Q: I seem to be sleeping less these days. How much sleep should I be getting? A: Adults need about seven to nine hours of sleep per night. As we age, however, our sleep patterns usually change. “Older adults often have a harder time falling asleep,” says Martin Riss, D.O., of Ocean Medical Center. “They may also wake up more often throughout the night.” At any age, Dr. Riss says these tips can help you sleep better: 1. Stick to a schedule: Go to sleep and wake up at the same time every day. 2. Limit nap time: Napping can make you less sleepy at night. 3. Get moving: Regular exercise can improve the quality of your sleep. Talk with your doctor if fatigue makes it hard to do everyday activities and your tiredness lasts for more than two or three weeks. Q: I have sleep apnea. How can I make sure I am using my CPAP machine correctly? How long do I have to use it? A: CPAP (continuous positive airway pressure) treats sleep apnea; it doesn’t cure it. “The CPAP machine helps you breathe by blowing slightly pressurized air into your airway to keep it open,” says Peter McGuire, M.D., of Riverview Medical Center. “If you stop using it, your sleep apnea symptoms — shallow breathing or breathing that stops while you rest — will most likely come back.” There are a few important things to remember when choosing or using a CPAP machine: 1. A mask that doesn’t fit well can be uncomfortable. Ask a sleep specialist to check yours for the right fit. 2. Don’t overtighten the mask. If your skin is red or sore, your mask may be too tight. 3. I f you have a stuffy or dry nose, try using a humidifier as well. Many CPAP machines come with one. Martin Riss, D.O. Board certified in Family Practice and Geriatric Medicine Brick | 732-458-0300 ❯ Peter McGuire, M.D. Board certified in Internal Medicine Red Bank | 732-219-7177 Q: I have a lot of congestion at night. What could be causing it? A: “Congestion happens when the tissues inside your nose become swollen from irritated blood vessels,” says Michael Carson, M.D., of Jersey Shore University Medical Center. It can be caused by many of the same things that cause a runny nose, including the common cold, allergies, the flu, sinus infections, or overuse of nasal sprays. “Congestion often becomes worse when you lie down,” says Dr. Carson. “Elevating your head at night may help relieve stuffiness.” If a virus — like the flu — is the cause of your congestion, it will typically go away on its own within a week. Call your doctor if you have a stuffy nose that lasts longer than two weeks and significantly affects your day-to-day activities. Michael Carson, M.D. Board certified in Internal Medicine Neptune | 732-897-3990 Special thanks to Joseph from Red Bank for helping to inspire these sleep-related questions. We want to hear from you! Do you have a question about a neurological condition, such as e-mail to [email protected] or by mail to: Alzheimer’s disease, headaches, or stroke? Meridian Health, Attn.: Maura McBride You’re probably not the only one. The best health questions come 1350 Campus Pkwy., Neptune, NJ 07753 from you — and by asking them, you will be helping all our read- Please include your full name and mailing address so we can send ers. Send us your question, and it may appear in an upcoming you your brochure. We will use only your first name and city of issue of HealthViews, answered by one of the experts at Meridian residence in the publication. Health.* When you submit a question, you will receive a FREE copy *If you need personal advice, please consult your own of our brochure, Being Active for Life. Submit your question by general practitioner, consultant, or nurse. Riverview medical center Kidney Stones Lead to Life-Threatening Illness about the doctors Arthur P. Christiano, M.D. Board certified in Urology Red Bank | 732-741-5923 Pranav N. Shah, M.D. Board certified in Radiology and Vascular and Interventional Radiology Red Bank | 732-747-1429 Lynn Carroll was determined to get to the bottom of her viruslike symptoms. She found the medical support she needed — and an accurate diagnosis — at Riverview Medical Center. I n April 2008, Brick resident Lynn Carroll, 55, began experiencing flulike symptoms, including night sweats and high fevers, shortness of breath, and stomach pains. Lynn went to see her primary care doctor, who thought Lynn may have an infection or a virus. But when her symptoms continued for weeks, she knew it was time to get checked again. “My instincts told me there was something else going on with my body,” she explains. “I was determined to be my healthy, vibrant self once again.” Lynn began to worry that her symptoms and abnormal blood work signaled something more critical, possibly cancer. In August, at the advice of her brother and a coworker, Lynn sought care from Dennis Fitzgerald, M.D., a hematologist and medical oncologist affiliated with Riverview Medical Center. Dr. Fitzgerald found no cancerous tumors. But he did find two kidney stones and a rupture in her left kidney caused by one of the stones. “I was at the beach when Dr. Fitzgerald called me and insisted I see Dr. Christiano right away,” Lynn says. Arthur Christiano, M.D., a urologist at Riverview, also had received a call from Dr. Fitzgerald and was awaiting Lynn’s arrival. Upon meeting Lynn and reviewing her file, Dr. Christiano immediately transferred Lynn to Riverview’s Diagnostic Imaging Center for a CT (computed tomography) scan of her abdomen. After an initial review of Lynn’s CT scan, the radiology technician called in Pranav N. Shah, M.D., a Riverview radiologist, to take a closer look. Dr. Shah immediately recognized what was wrong. “One of Lynn’s kidney stones had perforated her left kidney. It had become infected,” explains Dr. Shah. “The infection had also spread throughout her body, causing many of Lynn’s severe symptoms, such as high fever.” To treat Lynn’s condition, Dr. Shah used a minimally invasive procedure to drain the abscess with a catheter. He then admitted her to the intensive care unit (ICU) at Riverview so doctors could get her infection under control. “This was clearly a routine case that had the potential to be life-threatening,” explains Dr. Christiano. “Fortunately, we recognized it right away, and the entire team really came together.” Lynn’s recovery was successful, and she was released from the hospital. Today, she’s back at work and enjoying time with her 17-year-old son. “The level of care was outstanding,” Lynn says. “If it weren’t for these two doctors and their team, I wouldn’t be sharing my story with you. I’m sure of it.” n — Sara Scipioni Take Care of Your Kidneys A condition like Lynn’s is routine but can become serious. Visit the Wellness Center at WellnessCenter.MeridianHealth.com and search “Keep Your Kidneys Working Well” to help keep your kidneys in good shape. 16 Meridian Health | MeridianHealth.com | 1-800-DOCTORS JERSEY SHORE UNIVERSITY MEDICAL CENTER We’ve Got the Beat: Repairing the Rhythm of a Heart I t was a typical spring afternoon for 28year-old Debra Katcher as she finished up at a Gymboree class with her 2-year-old daughter. Out of nowhere, the Tinton Falls resident started to feel strange. “My heart started racing, and I became extremely light-headed and dizzy,” Debra says. “I’ve never experienced anything like that before, but the feeling eventually passed and I was able to get home safely.” Still, the episode made Debra uneasy. She immediately made an appointment to see her doctor. She was told if the symptoms occurred again, she should head directly to the emergency department. Not long after the first episode, the symptoms did return. Debra and her husband rushed to the Emergency Department at Jersey Shore University Medical Center. Once there, the emergency team determined the problem had to do with an electrical abnormality in Debra’s heart. Debra was sent to a cardiologist who referred her to Ihab Girgis, M.D., who heads the new Electrophysiology Lab at Jersey Shore. At the Electrophysiology Lab, physicians like Dr. Girgis, a top specialist in the field, have access to state-of-the-art equipment to help them diagnose and treat serious heart conditions. Dr. Girgis first had Debra wear a monitor to keep track of her heart’s activity for a few weeks. After analyzing the reports, Dr. Girgis determined that Debra had an extra electrical pathway in the heart — something she had been born with. This led her to have a cardiac arrhythmia, which was causing her heart to race out of control. Left untreated, these arrhythmias could have caused Debra’s heart to stop. She needed to have surgery right away. “Using catheters threaded through veins in the groin leading to the heart, I removed the extra pathway inside her heart so that she would no longer have the arrhythmia,” says Dr. Girgis. Three Heart Health Warning Signs You Shouldn’t Ignore Your heart health is too important to risk. These warning signs could point to a cardiovascular problem that may need immediate treatment. 1. C hest Pain Pressing, squeezing pain in the center of the chest could be a sign of a heart attack. The pain may come and go, or it may last more than a few minutes at a time. Fast action on Debra Katcher’s part meant her arrhythmia was diagnosed and treated quickly and successfully. If you experience symptoms like hers, seek help right away. Debra had a quick and successful recovery and suffers no problems with her heart today. “Dr. Girgis was confident he could repair my heart, and he put me completely at ease,” she says. “I truly received the best possible care.” n — Elizabeth Dobis about the doctor Ihab Girgis, M.D. Board certified in Internal Medicine, Cardiovascular Diseases, and Clinical Cardiac Electrophysiology Neptune | 732-776-8500 2. S hortness of Breath You may feel like you can’t get enough air right before, or during, the chest pain caused by a heart attack. Trouble breathing also could mean a heart valve problem. 3. A Rapid Heartbeat Feeling your heart race or “flutter” could be the sign of an arrhythmia. A quick heartbeat could be serious if you have other symptoms, such as dizziness or shortness of breath. Be on the Lookout Are you suffering from symptoms like Debra’s? If so, see a doctor right away. You can start heart health early on with Move 4 Life, a FREE class for kids. See page 22 for details. 17 Meridian HealthViews July/August 2009 Ocean medical center Cervical Cancer Patient Spreads Message of Prevention Brick resident Victoria Remondelli, 57, has been given a second chance at life. Diagnosed with and treated for stage 4 cervical cancer, she had less than a 10 percent chance of living another five years. Usually, the cancer returns shortly after treatment. Yet now, more than four years later, Victoria is still cancer-free. Here’s what you can learn from her story. Victoria Remondelli, a school bus driver, has a clear message to stop the spread of cervical cancer: See your doctor regularly for screenings. V ictoria had been feeling ill for months. Her back hurt and she felt like she was battling a cold. She brushed off her aches and pains to “just not feeling right.” After all, her yearly physical for work as a school bus driver hadn’t shown any problems. However, one night she woke in severe pain and was rushed to Ocean Medical Center. Only then did she learn that her backache was actually a lifethreatening kidney problem. “I was literally dying of kidney failure,” says Victoria. “But the grace of God and great doctors saved my life.” Thomas Hackett, D.O., a gynecologic oncologist on staff at Ocean Medical Center, was one of those doctors. He explained that a very advanced, cancerous tumor had grown out of Victoria’s cervix and into her bladder. As a result, one of her kidneys stopped functioning. Once Victoria’s kidney problem was controlled, Dr. Hackett treated her cancerous tumor with radiation and chemotherapy. “Victoria’s response to treatment was excellent, but also uncommon,” says Dr. Hackett. “That’s why preventing cervical cancer from progressing to this point is so important.” A Quiet Killer As is common with people who have cervical cancer, Victoria did not experience any symptoms until one of her kidneys failed. The cancer progressed to an advanced stage without detection because she had not had a Pap test for years. This test can find the earliest signs of cervical cancer. “I can’t stress enough the importance of seeing your gynecologist regularly for Pap tests,” urges Dr. Hackett. “Talk with your doctor about how often you should be screened.” Dr. Hackett also strongly suggests that anyone who is eligible should get the human papillomavirus (HPV) vaccine. HPV is a virus that spreads easily through sexual intercourse and can lead to cervical cancer. The vaccine protects women from acquiring the virus in the first place. It’s approved for females ages 9 to 26. A Clear Message As a result of her ordeal, Victoria wears a urostomy bag, which collects her urine. But she doesn’t let it affect her outlook or appreciation for life — an attitude she’s carried since diagnosis. “People feel bad for me, but they shouldn’t. You have to make the best of what’s dealt to you,” says Victoria. “If my experience can save one person’s life, it’s worth it.” n about the doctor Thomas E. Hackett, D.O. Board certified in Obstetrics/Gynecology and Gynecologic Oncology Wall | 732-280-5464 hpv: what every parent needs to know Join us for a special educational presentation for parents on human papillomavirus (HPV), the number one cause of cervical cancer. Turn to page 21 to find out more! 18 Meridian Health | MeridianHealth.com | 1-800-DOCTORS K. HOVNANIAN CHILDREN’S HOSPITAL Team Effort Helps Save a Child’s Kidney J ulieanne Robinson, 16, of North Hanover had suffered from kidney stones on and off since 2007. After undergoing a procedure to treat her kidney stones at a hospital outside the area, her condition deteriorated. Her doctors consulted with Thomas Vates, M.D., director of pediatric urology at K. Hovnanian Children’s Hospital (KHCH). Dr. Vates recommended transporting Julieanne to the pediatric intensive care unit at KHCH. When Julieanne arrived at KHCH, a team of specialists had already assembled to further diagnose and treat her. Julieanne needed quick, skilled attention. Otherwise she risked losing a kidney. Dan Flynn, M.D., interventional radiologist, explains, “There can be bleeding after the type of procedure she had done at the other hospital. On rare occasions an artery within the kidney may be injured.” Unfortunately, that was the case for Julieanne, but her KHCH doctors were ready. “We did an arteriogram to identify the injured artery and then did a procedure called an embolization to block blood flow to it,” says Dr. Flynn. “At the same time, we maintained the needed blood flow in the other dozen or so arteries that supply blood to the kidney.” Julieanne’s father, Ed Robinson, recalls the next few days. “Dr. Vates took over from there. His professionalism was amazing. You put your trust in doctors, but you need to know the right ones. There are so many people at Jersey Shore at your side. The nurses are caring. The residents are always checking on you. They even had a pet therapy dog that made Julieanne quite happy.” After the initial stay in pediatric intensive care, Julieanne’s condition steadily improved and she was released from the hospital. She came back to Dr. Vates for removal of a stent that had been placed in her kidney as part of an earlier procedure and was quickly on the road to recovery. “Despite the severity of the case and how close she came to needing a kidney removed, this was fairly routine for us,” says Dr. Vates. “By taking a multidisciplinary approach, working with radiology, we made a quick evaluation and decided on a course of treatment. The intensivists provided essential monitoring prior to and immediately after her procedure in the hospital. “The postprocedure ultrasound showed her kidney looked good. Julieanne is free to go back to high school and enjoy being a teenager again,” says Dr. Vates. n — Ryan Younger about the doctors Future Farmers of America member Julieanne Robinson particularly enjoyed the pet therapy dog who visited her at K. Hovnanian Children’s Hospital. She’s now back at home with her furry friends there, such as Eddie the rabbit. Meet doctor bernard on july 18! He’ll be at the grand opening of The New Jersey Shore University Medical Center on July 18! We’ll also have a soccer clinic there! Turn to page 20 for more details on all the festivities. 19 Meridian HealthViews July/August 2009 Daniel E. Flynn, M.D. Board certified in Diagnostic Radiology and Interventional Radiology Neptune | 732-776-4121 Thomas S. Vates III, M.D. Board certified in Urology East Brunswick | 732-613-9144 calendar of EVENTS july and august 2009 Featured Events from Meridian Health Call 1-800-DOCTORS (1-800-362-8677) to register. Or, register online at MeridianHealth.com. Grand Opening of The New Jersey Shore Bring your whole family for a FREE day of music, food, and fun! Star athlete Christie Rampone, captain of the U.S. Women’s Soccer Team, will help us “kick off ” the grand opening of our new Northwest Pavilion and will run a soccer clinic. But she isn’t the only special guest scheduled to appear. Furry physician Doctor Bernard, from the Pawsitive Action Team at K. Hovnanian Children’s Hospital, will be here to teach kids fun ways to stay healthy. July 18 10:30 a.m. – 3:00 p.m. Jersey Shore University Medical Center Taking Control of Incontinence If you suffer from urinary incontinence, you’re not alone. Millions nationwide suffer from the condition. The good news is that in most cases the problem can be improved, if not cured. Join a panel of Ocean Medical Center experts as they discuss some of the underlying causes of urinary incontinence and available treatment options. Two seminars will be held the same day at Ocean Medical Center. Light refreshments will be served. July 13 2:00 – 4:00 p.m. or 5:00 – 7:00 p.m. Ocean Medical Center, East Wing Conference Center, Rooms A and B 20 Meridian Health | MeridianHealth.com | 1-800-DOCTORS The Power of Choice Riverview Medical Center is proud to once again host this nutrition camp designed just for kids! Giving your children the knowledge and tools they need to make healthy choices could be one of the best gifts you’ll ever give them. This four-day program for 8- to 11-year-olds is led by registered dietitians. It is designed to help kids understand the importance of good nutrition and the benefits of physical activity. We’re offering two four-day sessions this year. $50 per child. A healthy continental breakfast will be served each day. Please call 1-800-DOCTORS by July 10 to register. Session 1 July 27 – 31 9:00 – 11:00 a.m. Riverview Medical Center, Blaisdell Auditorium Session 2 August 10 – 14 9:00 – 11:00 a.m. Riverview Medical Center, Blaisdell Auditorium services | events | lectures | screenings | 1-800-doctors Cancer Services Fight Fatigue Through Exercise Exercise programs can help patients meet their goals of maintaining cardiovascular endurance and muscular strength. They also can help decrease nausea and fatigue while improving a patient’s quality of life. Call 732-836-4007 for dates, times, and to register. Classes are held at Meridian Life Fitness at Ocean Medical Center in Brick. Therapeutic Yoga This class is appropriate for anyone living with cancer, whether just diagnosed, receiving treatment, or in remission. Therapeutic yoga can help improve sleep, mood, and overall quality of life. Call 732-295-1778 for dates, times, and to register for a class. Classes are held at Meridian Life Fitness in Point Pleasant. CARDIAC SERVICES Mended Hearts Support Group The Mended Hearts support group brings together all who face the realities of heart disease in a network of caring individuals. Join us for support, to share experiences, and to learn the latest on living with and preventing heart disease. Call 1-800-DOCTORS to register for this FREE session. July 23 Riverview Medical Center Blaisdell Auditorium, Front Childbirth/Maternity Services Childbirth Education Series Meridian Health offers a full range of educational classes and seminars for both first-time and experienced parents who want to learn more about specific topics and familiarize themselves with their delivery hospital before the birth. Topics include: • Baby Care • Baby Makes Three: New Parent Education • Breastfeeding • Childbirth Series and Childbirth Refresher • Maternity Tour and Tiny Tots Tour • Sibling Class • Vaginal Birth After Cesarean (VBAC) Please register before your third trimester. Sessions and class details vary among our three hospitals, but all are scheduled on the basis of expected delivery date. Counseling and Behavioral Health Addiction Recovery Services For adult family members of addicted individuals. Children’s Art Therapy Program Kids have a special way of coping with tragic events. They benefit from age-appropriate counseling and therapeutic techniques. That’s why Meridian offers a multisession program exclusively for youngsters (ages 4½ to 13) who have experienced a loss or are dealing with a chronically or terminally ill loved one. Participants are interviewed prior to attendance. Registration required. Call 732-530-2382. Children’s Group Counseling Meridian Health offers intensive therapy through three different programs at two hospitals for children who are experiencing all types of emotional and/or behavioral difficulties: • Adolescent Intensive Program (ages 13 to 18) • Children’s After-School Program (ages 7 to 13) • Children’s Therapeutic Nursery Group (ages 3 to 6) Age-specific groups address such issues as coping techniques, anger management, and social skills. Call for registration, scheduling/ appointment details, insurance information, and fees. Support Group for Children with Chronic Illness Come join this children’s support group to address issues associated with coping with chronic illness. Children between ages 8 and 16 only. Contact the Children’s Day Program at Meridian Behavioral Health at 732-869-2790, ext. 2, for registration, scheduling/appointment details, insurance information, and fees. Registration required. Thursdays, 4:30 – 5:30 p.m. Meridian Behavioral Health 402 Highway 35 N, Neptune Diabetes Services Comprehensive Diabetes Management Meridian offers educational and support programs for those with diabetes on an individual or group basis. Learn more about this disease and how to manage it, from the basics to the more complex facets. Physician referral required. Call for dates, times, and fees. Diet and Nutrition Nutrition Counseling Through this ongoing service, community members consult with a registered dietitian who custom-designs a food plan that will help you meet your weight management and medical nutrition needs. Offered by Meridian Life Fitness. Call 732-776-4485 for fee and registration. Family Services HPV: What Every Parent Needs to Know Join us for a special educational presentation for parents on human papillomavirus (HPV), the number one cause of cervical cancer. This educational opportunity will provide parents with the essentials of HPV, including how it’s contracted and what can be done to prevent it. July 22 5:30 – 6:30 p.m. Ocean Medical Center, Conference Room A Any program may be canceled as late as an hour before the program’s start time if there are severe weather conditions. Please call 1-800-DOCTORS (1-800-362-8677) or the hospital’s information desk (after 5:00 p.m. and on weekends) for confirmation. 21 Meridian HealthViews July/August 2009 meridian health | july and august 2009 | calendar of events Meridian Health–sponsored events are free unless noted otherwise. Please register to reserve a space as classes and seminars can fill up quickly. To register for any event or for more information, please call 1-800-DOCTORS (1-800-362-8677). Register online at MeridianHealth.com. Pediatric Preoperative Tour Help your child (ages 1 to 12) prepare for hospital admission to K. Hovnanian Children’s Hospital by accompanying him or her on a FREE tour, which runs each Tuesday. Registration required. Safe Sitter® Join Meridian Health and Safe Sitter certified nurse educators for this babysitting preparation program designed for 11- to 13-year-olds. The course curriculum, written by a pediatrician, includes babysitting as a business, personal safety, how to care for children, injury prevention, basic first aid, and more. All students receive a Safe Sitter Student Manual. Bring lunch and a snack to this full-day class. Fee: $50. Registration required. Call for dates and times. Offered at all three Meridian Health hospitals. General Fitness and Wellness FreshStart Smoking Cessation Program Research proves that smokers who combine a structured quitting program with support are more likely to quit for good. The clinical advocates of the FreshStart Program at Ocean Medical Center are here to help. The program, developed by the American Cancer Society, includes four one-hour sessions. Registration is required. Call 1-800-DOCTORS for more information. Children’s Programs Children’s Yoga This five-week yoga class, designed for children ages 8 to 13, teaches proper yoga positioning, increases flexibility, and develops core muscle stabilization. Registration required. Fee: $50. Call 732-776-4485 to register. Fridays, 3:30 – 4:15 p.m. Meridian Life Fitness (Neptune) Fit Kids Kids ages 2½ to 6 can learn the importance of good health during this lively fitness and tumbling program offered by Meridian Life Fitness. Call 732-280-8118 for fee and registration. Move 4 Life Perfect for your elementary school-age child, this exercise class is held in a circuit-training format and is designed to be fun and challenging. Each child will be able to adapt his or her skill level to enhance motor skills, overall strength, balance, and core stability. FREE. Call Meridian Life Fitness (Wall) at 732-280-8118 to register. Preadolescent Exercise Program Lose for Life This weight-loss/-management program, created by health professionals, helps you lose weight while still enjoying food. Available at all Meridian Life Fitness locations. Call for fees and more information: • 732-776-4485 (Neptune) • 732-295-1778 (Point Pleasant) • 732-280-8118 (Wall) • 732-836-4007 (Brick) Parkinson’s Life Enrichment This five-week series of exercise classes promotes healthy weight loss and an active lifestyle in preadolescent children with cardiovascular activities, weight training, and nutritional education. Offered by Meridian Life Fitness (Neptune). Medical clearance from a pediatrician and registration required. Call 732-776-4485 for fee and registration. This two-step program, designed and administered by physical therapists and exercise specialists at Meridian Life Fitness (Brick), helps people with Parkinson’s improve their flexibility, balance, and strength, enabling them to perform everyday activities with greater ease. Call 732-295-1778 (Point Pleasant) or 732-836-4007 (Brick) for fee and registration. Adult Programs MISCELLANEOUS If you are age 55 or older, have suffered from a head injury or stroke, and have already completed speech therapy, this class may be for you. Continue to work on your communication skills! This course meets once a month for six months. Fee: $30 per class. Registration required. Call 732-836-4007 to register. Third Wednesday of each month Now through November 2:00 – 3:00 p.m. Ocean Medical Center Come shop and enjoy baked goods at our annual Holiday in July sale! Vendors will be selling products such as handbags, jewelry, toys, books, homemade body creams, and more. The event is sponsored by the James F. Ackerman Federation. Proceeds support Jersey Shore University Medical Center. July 10 Jersey Shore University Medical Center Lance Auditorium 8:00 a.m. – 5:00 p.m. Express Yourself Fibromyalgia and Chronic Pain Life Enhancement This two-step program, designed and administered by physical therapists and exercise specialists, is aimed at helping individuals whose pain is limiting their daily functions. Sponsored by Meridian Life Fitness (Point Pleasant). Call 732-295-1778 for registration. 22 Meridian Health | MeridianHealth.com | 1-800-DOCTORS Holiday in July Toy and Bake Sale Booker Library Home Delivery The Booker Health Sciences Library at Jersey Shore University Medical Center accepts inquiries and requests for materials from anyone looking to learn more about a medical topic or a specific disease or condition. Consumer health information materials can be requested via telephone, fax, or e-mail. In response, the services | events | lectures | screenings | 1-800-doctors library sends a packet of credible, reliable information directly to the individual, at no cost. Contact the library by: Phone: 732-776-4265 Fax: 732-776-4530 E-mail: [email protected] CPR Training All Meridian hospitals are American Heart Association (AHA) CPR Training Centers. The AHA strongly promotes knowledge and proficiency in CPR and has developed instructional materials for this purpose. Dates, times, and locations for the classes vary. For further information, please call 1-800-DOCTORS. • Adult HeartSaver AED • Health Care Provider CPR • Health Care Provider CPR Renewal • HeartSaver First Aid • Pediatric CPR for Friends and Family • Pediatric HeartSaver CPR Orthopedics and Sports Medicine Preoperative Orthopedic Surgery Session For all patients undergoing orthopedic surgery, Meridian offers an orientation session that provides an overview of your complete hospital stay through rehabilitation and nursing. Topics covered include functional status, mobility, pain management, and exercise. Registration required. SCREENINGS Health Screenings Meridian Health offers screenings yearround, including screenings for blood pressure, cholesterol, body composition, bone density, stroke risk assessment, and more. Registration required. Call 1-800-DOCTORS for more information, dates, and locations. Senior Services/ Wise & Well AARP Defensive Driving Taking this two-day course — a classroom presentation with no behind-the-wheel driving — can reduce your car insurance costs! Fee: $14 per person or $12 for AARP members. Registration required. Call for dates, times, and locations. Exercise Programs from the Arthritis Foundation and Meridian Life Fitness Meridian Life Fitness in Point Pleasant proudly offers two exercise programs developed by the Arthritis Foundation. Dates and times vary. Call 732-295-1778 for more information: •A rthritis Foundation Aquatic Program (AFAP) — This warm-water exercise class can reduce pain and stiffness while helping to increase range of motion. • Tai Chi — Reduce pain and stiffness while improving balance and flexibility. This class uses higher stances, making it easy and comfortable to learn. Ocean County FREE Cholesterol and Blood Pressure Screenings for Low-Income Seniors The Ocean County Board of Chosen Freeholders has provided Ocean Medical Center with a grant to perform once-ayear cholesterol and glucose screenings for qualified residents of Ocean County who are older than age 60. Call for dates and locations. Registration required. Understanding Your Medicare Coverage: Home Care and Hospice Benefits Navigating your benefits under Medicare can be overwhelming. Learn what you are covered for and the different benefits available to you for home care and hospice. Registration required at 1-800-DOCTORS. July 28 11:00 a.m. Keyport Senior Center 110 2nd Ave., Keyport Support Groups Meridian offers a variety of support groups addressing concerns such as bereavement, anorexia and bulimia, cancer, Alzheimer’s disease, stroke, Parkinson’s disease, sleep disorders, and many other medical conditions. For information, dates, and times, please call 1-800-DOCTORS or log on to Meridian’s Web site at MeridianHealth.com for a complete listing. Calling All Transplant Patients This new support group offers support and vital information to help educate and relieve concerns about receiving a transplant. It’s open to both transplant recipients and their families. We meet on the first Thursday of each month. FREE. July 2 and August 6 7:00 p.m. Ocean Medical Center Conference Room B Volunteer Opportunities Get Up, Get Out, and Volunteer! Meridian Health always welcomes enthusiastic volunteers at any of our hospitals and facilities. Please call us to explore how both you and others can benefit from your generous donation of time. Flexible hours and a wide variety of positions are available, including hospice volunteers, who are specifically equipped to provide invaluable companionship and support for terminally ill patients, as well as respite for family members. Training is required for some volunteer positions. Registration required. Any program may be canceled as late as an hour before the program’s start time if there are severe weather conditions. Please call 1-800-DOCTORS (1-800-362-8677) or the hospital’s information desk (after 5:00 p.m. and on weekends) for confirmation. 23 Meridian HealthViews July/August 2009 meridian health When You Need Surgery, Quality Counts H aving surgery is not something you take lightly. If you need surgery, you want to know that your hospital takes your operation as seriously as you do. That’s why so many patients and families choose a Meridian Health hospital for surgical procedures. are given antibiotics within an hour of their operation, they’re less likely to get infections,” says Dr. Scott. “And, in many cases, antibiotics should be stopped within 24 hours of surgery. Otherwise there could be more risk for side effects from the antibiotic.” Quality Is a Top Priority Patient care at Meridian Health hospitals is among the best in the state, according to the 2008 Hospital Performance Report from the New Jersey Department of Health and Senior Services. The report measures a hospital’s treatment in four areas, including surgery. “At Meridian, our surgical teams work together to make sure that patients receive the highest-quality care,” says Richard Scott, M.D., acting senior vice president of Clinical Effectiveness and Medical Affairs for Meridian Health and an orthopedic surgeon. Surgical teams generally include surgeons, nurses, and anesthesiologists. The Hospital Performance Report measures a hospital’s effectiveness at preventing infection among surgery patients. The use of antibiotics before and after surgery plays a big role. “When surgery patients Joining Forces Across the Nation The preventive use of antibiotics is backed by evidence-based practice recommendations and promoted by the Surgical Care Improvement Project (SCIP), in which Meridian plays a role. This national quality partnership is designed to improve the safety and effectiveness of surgery and aims to reduce complications during surgery by 25 percent nationally by 2010. “One reason Meridian is ranked so highly in the state’s Hospital Performance Report is because our surgeons embraced the Surgical Care Improvement Project as early adopters,” says Dr. Scott. In 2008, Meridian hospitals were among the best for many SCIP measures, Dr. Scott adds. “In our most recent assessment, all Meridian hospitals performed at What is Evidence-Based Care? Evidence-based care refers to using the most current research and clinical guidelines to provide the best patient care. Meridian Health’s commitment to using an evidence-based care approach ties directly to our strong marks for quality care. above a 97 percent level for all three measures of antibiotic use related to preventing surgical infection.” Technology’s Role in Surgical Care Computers can help many aspects of hospital care, including surgery. Meridian, named one of the “most wired” health systems for eight years by Hospitals & Health Networks magazine, understands this. how do computers help doctors work? Meridian Health was among the first hospital systems in the U.S. to use a computer-based physician order entry (CPOE) system. The system allows physicians to enter orders for patient tests, medications, and procedures via computer. The system automatically checks a physician’s orders against the patient’s personal health information. It also allows physicians to double-check their decisions against scientifically proven best practice guidelines. meridian health In fact, Meridian has always placed a premium on technology. Seventy-six percent of all surgical orders completed at Meridian are done by computer. “This minimizes the mistakes that can occur when a physician handwrites an order after surgery,” Dr. Scott says. “It also gives doctors a checklist to follow so all surgical patients receive the same high level of care.” Checklist: Are You Ready for Surgery? Before you schedule surgery, you may need to do a little “prep” work. You can use this handy checklist to make sure you’re all set before your operation. Mark off the box when you’ve completed the item on the list. ☐ I’ve discussed with my doctor the surgery I need and why. A Team Approach to Surgical Care Patients who choose a Meridian hospital for their surgery benefit from the highest level of care from our surgical care teams. In fact, Meridian was the very first health system in the nation to receive the prestigious Magnet Recognition for Nursing Excellence at each of its hospitals. What does magnet status mean? Going to a hospital with Magnet status means that you’ll be getting the best nursing care from the most qualified nurses. The three hospitals of Meridian Health have each received the Magnet Award for Nursing Excellence three times in a row. Given by the American Nurses Credentialing Center, the award is nursing’s highest honor. ☐ I understand my insurance coverage. I have my current policy numbers. ☐ I’ve finished any presurgery tests I may need, such as blood tests. # cut out and save “Across the Meridian Health system, our surgeons agree that there are no finer nurses anywhere,” Dr. Scott says. “A high percentage of our nurses have advanced certification in their area of practice. So patients can be sure that no matter which hospital or floor they’re on, they’re going to get the best care.” n ☐ I’ve gotten or considered getting a second opinion. ☐ I’ve arranged a ride to and from the hospital. ☐ I’ve written down all prescription and over-the-counter medicines I take so that I can bring the list to the hospital with me. ☐ I’ve written down the phone numbers of friends and family to call from the hospital, if needed. Accessing Care After Surgery Our caring commitment continues even after patients leave a Meridian Health hospital. Patients who need extra help at home after surgery can get the services they need through Meridian At Home. Our home care services include help with personal care, nursing care, and full-time, live-in assistance. See page 10 for more information on Meridian At Home’s postsurgical care options. 25 Meridian HealthViews July/August 2009 Healthy highlights recipe: Savory Potato and Pepper Salad Red peppers are vitamin A superstars, while green peppers serve up an abundance of lutein and zeaxanthin — nutrients that may help prevent cataracts. This healthy take on a picnic staple lets you pepper in both. Ingredients 6 medium potatoes (about 2 lbs.) 2 stalks celery, finely chopped 2 stalks scallion, finely chopped ¼ cup red bell pepper, coarsely chopped ¼ cup green bell pepper, coarsely chopped 1 tbsp. onion, finely chopped 1 egg, hard-boiled, chopped 6 tbsp. light mayonnaise 1 tsp. mustard ½ tsp. salt ¼ tsp. black pepper ¼ tsp. dried dill weed Directions 1. Wash potatoes, cut in half, and place in cold water in a saucepan. 2. Cook covered over medium heat for 25 to 30 minutes or until tender. 3. Drain and dice potatoes when cool. 4. Add vegetables and egg to potatoes and toss. 5. Blend together mayonnaise, mustard, salt, pepper, and dill weed. 6. Pour dressing over potato mixing and stir gently to coat evenly. 7. Chill for at least 1 hour before serving. Yield: 10 servings. Serving size: ½ cup. Each serving provides: 98 calories, 2 g fat, less than 1 g saturated fat, 21 mg cholesterol, and 212 mg sodium. Pick Bell Peppers to Punch Up Your Diet Bell peppers don’t heat up like their spicy cousins, but they add their own sweet taste and satisfying crunch to meals. Plus, they’re packed with plenty of nutrients and come in a rainbow of colors. Bell peppers start out green, then they ripen into yellow, orange, and eventually red. “All peppers, no matter the color, are a good source of essential vitamins,” says Mary Higgins, R.D., of Riverview Medical Center’s Diabetes Management Program. “For example, they provide beta-carotene and other nutrients that are important for eye health.” She notes that ripening does affect a pepper’s nutritional value. “A half-cup of chopped green peppers provides more than half the daily requirement of vitamin C,” she explains. “But the same amount of yellow or red peppers offers more than twice the daily vitamin C requirement.” As peppers turn color from green to red, they also become sweeter. Keep this in mind when selecting a pepper, and look for these characteristics: • Taut, unwrinkled skin free of soft spots, blemishes, or darkened areas • Fresh, green stem • Heavy-feeling weight for its size • Firmness to the touch Word Jumble How many of the health-related words below do you know? (Hint: You can find them all in this issue of HealthViews!) MNORRNGAFITS REAC S A C C R TATA A C C I T I S A P E L E S PA A E N R I V E O G T DY E N I K OT E S S N Stay Tuned Look for the solution to this issue’s Word Jumble in the next issue of HealthViews. 26 Meridian Health | MeridianHealth.com | 1-800-DOCTORS HV_JSUMC_Jackie_7.375x9.875:Layout 1 11/14/08 3:26 PM Page 1 > MEET JACKIE FROM WALL “My heart was failing.” Jackie simply collapsed. Little did she know she was in heart failure. When she arrived at Jersey Shore University Medical Center in Neptune, the ER team found Jackie’s heart was extremely damaged—and too weak to undergo the surgery she desperately needed. Over four anxious days, her family watched as the region’s finest heart team worked to save her failing heart…and her life. See Jackie’s story at JerseyShoreUniversityMedicalCenter.com Taking Care of New Jersey For physician and service referrals, call ( 362-8677 ) Non-Profit Org. U.S. Postage PAID Meridian Health 1945 Route 33 Neptune, NJ 07753 Steven G. Littleson, FACHE President 1945 Route 33 Neptune, NJ 07753 Steven G. Littleson, FACHE President Visit us on the Web at MeridianHealth.com HV_JSUMC_invite_5.8x7.5:Layout 1 5/21/09 4:02 PM Page 1 JerseyShoreUniversityMedicalCenter.com One Riverview Plaza Red Bank, NJ 07701 Timothy J. Hogan, FACHE President 425 Jack Martin Blvd. Brick, NJ 08724 W. Peter Daniels, FACHE President This free bimonthly magazine is prepared by the Communications Team of Meridian Health. Please call 1-800-DOCTORS (1-800-362-8677) with any questions or comments. Inquiries or ideas can also be addressed in writing to: Maura McBride Publications Manager Meridian Health 1350 Campus Parkway Neptune, NJ 07753 Peter Wegener, Esq., Chairman John K. Lloyd, FACHE, President Chrisie Scott, Vice President Communications and Marketing Elliot Frank, M.D., Medical Advisor Photography: Chris Gahler, Russ Seuffert, and Tom VanDyke © 2009 Meridian Health The material provided in this newsletter is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care. Printed on Recyclable Paper 6116M-C You’re invited to a Grand Opening. in ld Medal winner and capta Go pic ym Ol , ne po m Ra • Meet Christie er Team of the women’s U.S. Socc ber and guests you will remem • Take a tour with video ces, including an for activities and perform ne Zo ly mi Fa the at op St • inting moonbounce and face pa r first 1,000 guests who tou to t hir t-s e tiv ora em mm • Free co vehicles • View inside emergency by a day t at 8:30 a.m. followed ar st s ce ra d be ity un m , 2009 Com p.m., Saturday, July 18 0 3:0 – . a.m :30 10 m of fun fro enter.com For more information go to JerseyShoreUnivers ityMedicalC All events are free.