Giving Thanks - Bayshore Community Hospital

Transcription

Giving Thanks - Bayshore Community Hospital
DIVINE INTERVENTION p20
A KID AT HEART p15
ABOVE AND BEYOND p19
NOVEMBER /
DECEMBER
2014
Giving
Thanks
Riverview Medical Center
Expert care helped
Erin Milano have a
healthy baby. page 9
MORE ONLINE AT RIVERVIEWMEDICALCENTER.COM AND BAYSHOREHOSPITAL.ORG
Connect
WITH US
the National Women’s
health information center
offers 10 things you can
do today to help you live a longer,
better, and happier life. read the
full article, available on Nov. 6, at
Facebook.com/MeridianHealthNJ.
meridian tweets hot
health-related tips and
info to help create a
healthier you. visit us this winter at
Twitter.com/MeridianNJ.
Watch as plastic surgeon Negin
Griffith, m.d., discusses the
latest forms of plastic surgery
and why she practices at
riverview medical center at
YouTube.com/MeridianHealthNJ.
diviNe iNterveNtioN p20
a kid at heart p15
above aNd beyoNd p19
NOVEMBER /
DECEMBER
2014
Giving
Thanks
Riverview Medical Center
Expert care helped
Erin Milano have a
healthy baby. page 9
MORE ONLINE AT RIVERVIEWMEDICALCENTER.COM AND BAYSHOREHOSPITAL.ORG
the meridian
HealthViews app
is available for free
download from the
app Store on itunes.
once you’re in the
store, simply search
“healthviews” to
download the app.
a Message to tHe coMMunitY
Fall is a great time to enjoy outdoor
activities and get-togethers with
family and friends. As you begin to
prepare for the holidays, you can
rest assured that 365 days a year,
Meridian Health is here to take care
of you and your family.
In this issue of HealthViews, we are
highlighting many of our events and
resources tailored to women’s health
and wellness. Read about topics
ranging from how Meridian Health's
team of experts successfully guided a
young mother-to-be through a
complicated pregnancy (on page 6),
to preparing your daughter or niece
for her first visit to the OB-GYN (on
page 14).
You can also join us at the New
Jersey Women’s Expo on November 1
and 2 at Brookdale Community
College and get tuned into your
health. Stop by our Meridian Health
lounge for fitness, nutrition, and
wellness demos and information;
attend our physician panel of
Meridian “Womenologists” as they
discuss breast health and cardiac care;
get free health screenings; and more.
Visit MeridianHealth.com/
NJWomensExpo for event details.
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noVeMber/deceMber 2014
Sincerely,
John K. Lloyd, FACHE
President, Meridian Health
Engage in Some Healthy Competition
Follow the lead of NFl hall of Famer harry carson and four-time olympic medalist
christie rampone! together with a friend, set goals, get active, and start eating
better. encourage each other to stick with it. do it every day and you both win! visit
TunedintoYourHealth.com to learn how to share your story.
Health
views
Gordon N. Litwin, Esq., CHAIRMAN
meridian health is excited to provide
My Health eNews as part of our
continuing commitment to our
community’s health and wellness.
visit MeridianHealth.com/
enewsletters today to subscribe!
Lastly, come join the conversation
at Meridian Momtourage. Whether
you’re looking to socialize or share
advice, the Momtourage community
is where moms go to be heard. To
meet our mom bloggers and get
women’s health content about
staying healthy and fit, parenting
advice, and more, visit
MeridianMomtourage.com.
John K. Lloyd, FACHE, PRESIDENT
Chrisie Scott, VICE PRESIDENT OF MARKETING
AND CORPORATE COMMUNICATIONS
Elliot Frank, M.D., MEDICAL ADVISOR
Michael McCauley, Gabriella Heizler,
Jacki Kronstedt HEALTHVIEWS PRODUCTION TEAM
this free bimonthly magazine is
prepared by the marketing and
communications team of meridian
health. Please call 732-751-7530
with any questions or comments.
inquiries or ideas can be addressed to
[email protected].
© 2014 meridian health
the material provided in this magazine 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.
Contents
4 Health snapshots
Get the latest health news on a wide
range of topics — everything from
hip replacement to health screenings
to nutrition.
success stories
a mother’s heart ................................ 6
a Fearless Fight .................................. 8
counting their blessings .................... 9
a Split Second ....................................10
When Precision counts .....................11
empowering our community........... 12
your First ob-GyN visit ......................14
a kid at heart .................................... 15
19
22 events calendar
community health programs, fun
events, and support groups around
the region for adults and children.
it takes a team .................................. 16
an easier Path to the heart .............. 18
Health and Wellness
above and beyond ........................... 19
menopause risks .............................. 28
divine intervention ........................... 20
unique concierge care .................... 30
Paying it Forward .............................. 27
are you taking enough iron?............ 31
above and beyond
For Port Monmouth resident Greg
Kava, pictured above, a small act
of kindness made a big impact.
The freedom you want, the Medicare coverage you need.
Introducing the next generation of Medicare coverage from Geisinger Gold,
one of the top ten Medicare Advantage plans in the nation.*
Depending on the plan you choose, we offer
choices that give you flexibility and freedom:
• A full range of high-quality, affordable
Medicare plans
• Money-saving prescription drug coverage
• A large network of doctors & hospitals
available in Monmouth & Ocean counties
Call 1-800-514-2067 (TDD: 711)
8 a.m. to 8 p.m., 7 days a week,
or apply online, 24 hours a day at
MeridianGeisingerGold.com
*NCQA’s Medicare Health Insurance Plan Rankings 2014-2015. Geisinger Gold Medicare
Advantage HMO, PPO and MSA plans are offered by Geisinger Health Plan/Geisinger
Quality Options, Inc., health plans with a Medicare contract. Continued enrollment
in Geisinger Gold depends on annual contract renewal. Other providers are
available in our network. Y0032_14259_1 File and Use 9/21/14
Health
snapshots
Women, don’t underestimate your lung cancer risk
When you think of cancers that affect women,
which ones come to mind? For many women,
lung cancer isn’t on the list. A recent survey by
the American Lung Association
found that only 1 percent of
women said lung cancer was a
“top-of-mind” cancer.
But statistics show that lung
cancer kills more men and
women than any other kind,
comprising nearly 30 percent of
all cancer deaths, according to the Centers for
Disease Control and Prevention.
Nearly half of women in the survey said they
weren’t worried about lung cancer because they
didn’t smoke or had already quit. But lung cancer
can affect anyone, and we are seeing an increasing
number of non-smoking women with slow-growing
lung cancer says Ghulam Abbas, M.D., a
thoracic surgeon with Meridian Cancer Care
and based at Riverview Medical Center and
Bayshore Community Hospital. “About 10
percent of people with lung cancer have never
smoked, but the good news is that most early
stage lung cancers can be removed successfully
with minimally invasive and robotic surgery
techniques with greater chance of long-term
survival,” Dr. Abbas says. “If you do smoke,
quitting can decrease your lung cancer risk.
Talk with your doctor to get help quitting.”
CoME To oUR FREE EVENT
Learn how to keep your lungs healthy, risk factors for lung cancer, and
more. You can also take our lung cancer self-risk assessment. Turn to
page 22 for event details.
EXERCISE:
The Fast lane
to a Healthier
Heart
Here’s motivation to go for a walk today: Being physically inactive may
be even worse than smoking for a woman’s heart, says a new study.
Among women older than 30, inactivity is the greatest risk factor for
heart disease, the study found.
To keep your heart and body healthy, aim for 30 minutes of
moderate-intensity aerobic exercise five days per week. In addition,
do strength exercises twice a week.
“Walking is one of the easiest ways to get your aerobic
exercise,” says Lisa Kassenoff, D.O., of Southern Ocean
Medical Center. “Break it up into 10-minute chunks if
that helps you fit it into your day.”
KEEP YoUR FITNESS RoUTINE oN TRACK
Join us at our free event to learn how to plan your
fitness routine around the holidays so you can stay
on track. Go to page 24 to learn more.
4
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noVeMber/deceMber 2014
a look at Seasonal affective disorder
Due to shorter days during the winter months, your brain and body soak up fewer of the sun’s rays. As a result,
your pineal gland doesn’t produce the sleep hormone melatonin on the correct schedule, throwing off your normal
sleep routine and your mood.
Up to one in five Americans experiences winter blues. About 6 percent of the population develops a more
serious condition known as seasonal affective disorder, or SAD. “For them, winter sadness often goes hand in hand
with a craving for carbohydrates, weight gain, trouble concentrating, sleep disruptions, and a loss of interest in
activities they used to enjoy,” says Cynthia Genovese, M.D., of Ocean Medical Center.
If you have symptoms of SAD or thoughts of harming yourself, tell your doctor. He or she can assess your
condition and recommend a treatment that’s right for you.
ONE FOR WELLNESS
As part of the Meridian Health family, Meridian Life Fitness and Rehabilitation has been
providing one of the most comprehensive wellness programs in northern Ocean County
for more than 20 years. To find out what program or membership is right for you, visit
MeridianHealth.com/MeridianLifeFitness.
Insomnia linked
to Stroke in
Young Adults
Tossing and turning at night may increase
the risk for stroke, especially in young adults.
New research found that people with
insomnia were 54 percent more likely to have
a stroke than sound sleepers. The risk was
even greater in people younger than 35;
younger insomniacs had eight times the
risk for stroke as younger sound sleepers.
“Symptoms of insomnia include trouble
falling asleep, waking up frequently, and
waking up too early,” says Jeffrey Miskoff,
D.O., medical director of the Sleep Center at
Jersey Shore University Medical Center. “Talk
with your doctor if sleep problems are
affecting your life. Insomnia may be a sign of
another medical condition.” Getting
treatment for insomnia may lower your
stroke risk, the study authors say.
SEIZE THE NIGHT
National sleep expert Carol Ash, D.O.,
shares information and tips about
healthy sleep habits, sleep deprivation,
and more. To visit her blog, go to
MeridianWellRested.com.
MeridianHealth.com • 1-800-560-9990 5
A Mother’s Heart
Kristen Filipowicz relied on a team of experts
to guide her safely through her pregnancy.
Jersey Shore University Medical Center
Kristen FiLipoWicZ oF tinton FaLLs Was neWLY Married and onLY
28 years old when she learned that her heart was more fragile than she
had ever realized. But with the support of a team of specialists at Jersey
Shore University Medical Center, she was able to realize one of her
heart’s desires: becoming a mother.
During a routine physical in 2010, Kristen was surprised
to learn that her customarily below-normal blood pressure
was high, at 160/100. A subsequent echocardiogram — an
ultrasound exam of the heart — revealed that her left
ventricular ejection fraction (LVEF), a measurement of how
much blood was being pumped out of the main pumping
chamber of her heart with each contraction, was only
Dawn M.
around 30 percent. A normal LVEF ranges from 55 percent
Calderon, D.O.
Board certified
to 70 percent. Kristen’s result indicated that her heart
in Cardiovascular
was contracting much more weakly than it should.
Disease
“That really caught me off guard,” Kristen
recalls. “It was even more shocking because
I felt perfectly fine, exercised regularly,
never experienced any symptoms of heart
trouble, and have no history of heart disease
in my family.”
She was referred to Brett Sealove, M.D.,
a cardiologist at Jersey Shore and part of
Meridian CardioVascular Network. “I liked
Dr. Sealove from the moment I met him,”
says Kristen. “He spent over 45 minutes
Neptune
1-800-560-9990
Kristen Filipowicz,
who has
cardiomyopathy,
was guided safely
through her
pregnancy by the
expert team at Jersey
Shore. Today, she is
the proud mom of
daughter, Ryleigh.
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noVeMber/deceMber 2014
with me during my first visit, and he really
helped reassure me.” Dr. Sealove ordered
a battery of tests, including another
echocardiogram, extensive blood work, an
EKG, and an MRI, all of which revealed
nothing definitive. The final diagnosis was
idiopathic cardiomyopathy, a weakening of
the heart muscle with no known cause.
Kristen started a carefully tailored and
monitored regimen of medications to
strengthen her heart’s function and lower
her blood pressure. Dr. Sealove, whom
she saw every three months, was always
available to answer questions, and by
2011, she was ready to ask him a big
one: Was it safe to get pregnant?
Coordinated Care for Moms-To-Be
To answer that question, Dr. Sealove
sent her to Dawn Calderon, D.O.,
co-director of the Congenital Heart
Disease Program at Jersey Shore. The
program cares for adult patients who
were first diagnosed as children with
congenital heart conditions, including
problems with the heart chambers,
valves, or major blood vessels.
Dr. Calderon and a team of specialists also
care for patients like Kristen who were
diagnosed as young adults.
“In the recent past, many women with
cardiac issues were advised not to have
children because physicians just didn’t
know the risks, and avoiding pregnancy
seemed to be the safest alternative,”
Dr. Calderon says. “But the care we can
offer now to monitor pregnant women and
prevent complications is so much more
advanced and based on scientific research.
With a team approach, we can see our
patients through a healthy pregnancy.”
In addition to her cardiologists,
Kristen’s team included high-risk perinatal
specialist Kolawole Oyelese, M.D.,
OB-GYN Jonathan Baum, M.D., and
internist Michael Carson, M.D., who
provides specialized care and planning
for women managing medical conditions
during pregnancy.
The first step was for Kristen to gradually
switch over to cardiac medications that
would be safe to take during pregnancy.
By December 2012, her heart was doing
well, and she and her husband Ryan
learned that they were expecting.
A Heartfelt Welcome
Kristen’s prenatal care included heart
echocardiograms every trimester, as
well as regular ultrasounds and fetal
echocardiograms for the baby.
“I always felt that all my doctors were
on the same page and that my baby and
I were in good hands,” Kristen says. “In
fact, during my pregnancy my LVEF and
blood pressure were the best they’ve been
since my diagnosis.”
Kristen delivered a healthy baby girl,
Ryleigh, via a natural birth with the
help of Dr. Baum and anesthesiologist
Vincent Cirella, M.D.
Soon after her birth, Ryleigh was
seen by pediatric cardiologist Vincent
Zales, M.D., co-director of the
Congenital Heart Disease Program, for
her first echocardiogram. Her parents
were relieved to learn that her heart
appeared perfectly normal.
Kristen wants her experience to
provide hope to other women with
congenital heart conditions who are
considering having children. “Don’t
give up. I was scared and nervous, too,”
she says. “That’s why it’s so important
to find a group of doctors that you are
comfortable with and will work with
you every step of the way.”
Take Control of Your Health
Learn practical skills and strategies
for managing symptoms, working
with health care professionals, setting
weekly goals, and more. See page 25 for
event details.
MeridianHealth.com
1-800-560-9990
7
Maggie Brower’s team of specialists, a
multidisciplinary tumor board consisting of
surgeons, oncologists, nurse navigators, and
more, helped her beat colorectal cancer.
Another Patient Success Story
A Fearless Fight
Meridian Cancer Care’s team
approach helps fight cancer fiercely.
ocean Medical Center
Like Maggie Brower, pictured above,
Maryann Friewald received expert care
close to home after her cancer diagnosis. Her
care team at Ocean went above and beyond to
answer every question and put her on the road
to recovery. Hear more of Maryann’s story at
MeridianCancerCareNJ.com.
Maggie broWer, 43, oF WaretoWn, is FearLess. sHe eMbraces neW
opportunities with arms wide open and refuses to live in fear of the
unknown. In 2012, Maggie excitedly accepted an offer
to work in her company’s Virginia location for two weeks
in order to cover for a coworker who was being trained.
On her last night, she went out for dinner with a
coworker. “When we got to dinner, I felt a little woozy,”
Maggie says. “I went to sit down and the next thing
I knew I was on the floor and hemorrhaging blood.”
Thomas Lake, M.D.
Board certified in
Paramedics quickly transported her to a local Virginia
Colon and Rectal
hospital where she learned she was bleeding from her
Surgery, and General
Surgery
rectum and had lost one-fifth of her blood. The next
Brick
day, an emergency colonoscopy determined she had a
1-800-560-9990
cancerous tumor on her rectum. She was released the
following day and headed home to New Jersey in search of an
oncologist and colorectal surgeon.
A Team of Experts
Maggie’s primary care physician referred her to Thomas Lake, M.D.,
a colorectal surgeon at Ocean Medical Center and medical director of
colorectal oncology for Meridian Cancer Care, and Evan Naylor, M.D.,
an oncologist at Southern Ocean Medical Center.
“When we first see a patient like Maggie, our multidisciplinary tumor
board — consisting of surgeons, oncologists, radiation oncologists,
nurse navigators, and other medical professionals — meets to discuss
her needs and the best treatment options,” Dr. Lake says. “For Maggie,
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noVeMber/deceMber 2014
we determined preoperative chemotherapy and
radiation, surgery, and postoperative chemotherapy
would give her the best chance to fight the cancer.”
On August 27, after six weeks of chemotherapy
and radiation, Maggie had abdominal surgery to
remove her rectum and reconstruct it using her
colon. “With colorectal surgery, we strive to
protect the connection between the colon and
rectum in order to allow patients to maintain
urinary and bowel control,” Dr. Lake says.
“Maggie also received a protective ileostomy
to help support her bowel movements for three
months while she was healing from the surgery.”
A Joyful Victory
After five days in the hospital, Maggie was sent
home. She started postoperative chemotherapy
in October and completed her treatment in
January 2013. Her ileostomy was removed in
March 2013, and she hasn’t looked back since.
“I feel like I gained a family through the
entire process,” Maggie says. “Dr. Lake was
especially important to me. He was open,
honest, and made sure that I continued on
with my life, which is exactly what I did.”
by Randi Russell
Counting Their Blessings
Riverview Medical Center
Local couple gives thanks for a healthy
holiday delivery.
Marilyn Loh
Collado, M.D.
Board certified
in ObstetricsGynecology
Tinton Falls
1-800-560-9990
“I had heard great things
about Dr. Loh — she
and my gynecologist,
Dr. [Evelyn] Minaya, are
partners — and knowing she
was the head of the department was
comforting,” Erin says. “I knew I would be in
good hands, and I was.”
After Andrew’s arrival, Erin’s team in the
Childbirth Center and Dr. Loh continued to
impress her — helping her and Michael to
prepare for their return home with Andrew.
“Dr. Loh is a real person and her rapport with
the nurses makes the experience even easier,”
Erin says. “Riverview was definitely worth the
drive. The maternity ward is beautiful, and I
would recommend Dr. Loh to any woman.”
by Caitlin Coyle
Expect the Best
MeridianHealth.com
A Split Second
Southern ocean Medical Center
After a stroke, quick action saved Carol Englund’s life.
in august 2013, caroL engLund receiVed tHe sHocK oF Her LiFe.
While at the grocery store, Carol lost control of her left side and fell to
the ground as she returned her shopping cart. At that moment, a stranger
rushed over to see if she was OK.
“I knew I had fallen and that someone was speaking to me,” Carol
explains. “The woman called 911 and told me to stay on the ground.”
Paramedics transported Carol to the Emergency
Department at Southern Ocean Medical Center, where she
was met by neurologist Tommasina Papa-Rugino, M.D,
affiliated with Meridian Neuroscience. Carol’s left leg was
numb and she couldn’t move her left arm. Dr. Papa-Rugino
diagnosed Carol with a stroke, requested a computed
tomography (CT) scan of Carol’s head, and determined she
was eligible for tPA, a clot-busting medication for acute
Tommasina PapaRugino, M.D.
treatment of strokes.
Board certified in
“Patients who are eligible for tPA should receive
Neurology
Manahawkin
treatment
as soon as possible after the onset of stroke
1-800-560-9990
symptoms,” Dr. Papa-Rugino says. “This medication breaks
up clots that cause strokes, and the earlier tPA is
administered to a patient, the more likely a patient is to see improvement
in disability caused by the stroke.
“Carol was eligible for the drug and also within the three-hour window
necessary to receive it. Patients who are being considered for tPA after a
stroke must meet specific criteria regarding
blood pressure, platelet count, timing,
recent surgery, recent history of bleeding,
and possibility of seizure at onset,”
Dr. Papa-Rugino says. “These factors are
Carol Englund and her husband, Allen,
enjoy spending time in Florida in
the colder months. She also enjoys
working on her flower garden,
reading, and spending time with
her children and grandchildren.
associated with greater risks than benefits,
and depending on the outcome of tests,
some patients may not be eligible for tPA.”
Carol was admitted to the Critical Care
Unit at Southern Ocean, where Dr. PapaRugino conducted follow-up tests and a full
cardiac workup. Carol was also closely
monitored for complications and bleeding.
“Dr. Papa-Rugino and the team worked so
well together,” Carol says. “Everyone was so
professional and really wanted me to feel
comfortable and work on recovering.”
Carol was later discharged to an inpatient
rehabilitation facility, where she received
physical and occupational therapy to gain
strength back in her left side. At follow-up
visits, Dr. Papa-Rugino strongly suggested
Carol engage in mental exercises, such as
puzzles, reading, and socializing.
“It can take months for an injured brain
to fully recover, so stroke patients need to
keep their brains active and busy, just as
they would with other parts of their
bodies,” Dr. Papa-Rugino says.
Today, Carol has regained use of her left
leg and remains active through hobbies like
photography. She still participates in
monthly competitions with her
photography club.
“I am learning how to use my left side
again, and I am so thankful for Dr. PapaRugino and Southern Ocean for consistently
being there for me during this scary and
challenging process,” Carol says.
by Randi Russell
AngioScreen® Can
Save Your Life
Learn your risk for heart
attack and stroke. This
vascular workup includes carotid
artery ultrasound, heart rhythm
test, blood pressure check, and
more. Turn to page 23 for details
about this important event.
10 Meridian HealthViews
noVeMber/deceMber 2014
When Precision Counts
A team approach
helps local woman take down cervical cancer.
Jersey Shore University Medical Center
catHY cestaro KneW soMetHing Was Wrong WHen sHe began
bleeding more than a year after not getting her period. The 47-yearold went to see her gynecologist, Meridian primary care
physician Michael Sze, M.D., who performed a Pap
test. There, Cathy learned she had cervical cancer.
“When you hear the word ’cancer’ it’s very scary. But I
chose to stay positive. I listened to my doctors and
trusted them,” Cathy says.
Cathy was referred to Karim ElSawhi, M.D., a
Karim
gynecologic oncologist and part of Meridian Cancer
ElSawhi, M.D.
Care. Dr. ElSawhi performed a radical hysterectomy on
Neptune
1-800-560-9990
Cathy at the Center for Robotic Surgery at Jersey Shore
University Medical Center.
“I perform all hysterectomy cases robotically,” Dr. ElSawhi
explains. “It’s a tool or platform that allows us to perform the
surgery minimally invasively with a number of advantages to the
patient and surgeon.”
Advanced Surgical Platform
According to Dr. ElSawhi, robotic surgery allows him to treat more
complex cases because the technology provides better visualization,
improved dexterity, and greater precision. It also offers dramatic
benefits to the patient, including less blood loss, less pain after
surgery, and a quicker recovery.
“Robotic surgery is especially beneficial to patients undergoing
radical hysterectomy, which is a very involved surgery,” Dr. ElSawhi
says. “For example, with open surgery, it’s not uncommon for a
patient to lose 500 to 1,000 cc of blood. With the robotic approach,
patients lose only 50 to 200 cc. This reduces complications
including risk of infection.”
Cathy was thrilled to be offered robotic
surgery for her hysterectomy. “They made five
tiny incisions at the time of surgery and you
can’t even see the scars,” she says. “No one
would ever know.”
A Team Approach
Meridian Cancer Care works together to provide
the best overall treatment for the patient. The
team at each hospital regularly holds
multidisciplinary meetings that include
oncologists, radiation oncologists, pathologists,
and others, to discuss patient cases and
collectively decide on the right treatment plan.
“Cooperation, coordination, and collaboration
among all our highly trained cancer specialists is
easy and efficient,” says Dr. ElSawhi. “This is one
way that makes it possible.”
In addition to surgery, Cathy’s treatment plan
included chemotherapy and radiation. At
Ocean Medical Center, she underwent five
chemotherapy sessions and 28 radiation
treatments with Nathan Kaufman, M.D., a
radiation oncologist at Ocean. Five months after
treatment, Cathy was completely clear of cancer.
“My doctors and the entire staff were great.
They made the journey very easy for me,” Cathy
says. “They gave me my life back.”
MeridianHealth.com
1-800-560-9990
11
Empowering our Community
Program trains students to perform CPR to help save lives.
according to tHe aMerican Heart association, about 100 student atHLetes die
from sudden cardiac arrest in our country every year. It’s not uncommon to hear of a
young athlete collapsing on the field or following practice. Perhaps we remember
these devastating stories because they leave us feeling helpless. But Meridian Health,
in partnership with the American Heart Association, is working to change that.
In 2014, Meridian Health, in partnership with the American Heart Association,
launched a multi-year landmark initiative called Community of Life Savers. The
program focuses on training high school students in Monmouth and Ocean counties
on how to perform CPR, empowering them with the ability to fight back and save
lives. And the initiative is blossoming in unimaginable ways.
Empowering others
This year’s goal for the initiative is to train 5,000 high school students in Monmouth
and Ocean counties in CPR by the end of the calendar year. To accomplish the goal,
Steve Kairys, M.D.
Board certified in
Adolescent Medicine,
Pediatric Child Abuse,
and Pediatrics
Neptune
1-800-560-9990
Vincent R. Zales, M.D.
Board certified
in Pediatrics and
Pediatric Cardiology
Brick
1-800-560-9990
Dawn M.
Calderon, D.O.
Board certified
in Cardiovascular
Disease
Neptune
1-800-560-9990
12 Meridian HealthViews
noVeMber/deceMber 2014
Meridian Health’s community outreach
group sends teams of CPR instructors to
train students in area high schools.
Providing broad CPR training to the
community has been part of Meridian’s
educational offerings for years. In 2013,
Meridian taught 19,324 people, which
included health care workers, firefighters,
police officers, teachers, EMTs, and other
community members.
“As a regional children’s hospital, it is
critical that we respond to issues of crisis
like this one, which is a tremendous
source of anxiety and concern for our
community,” says Steve Kairys, M.D.,
medical director for K. Hovnanian
Children’s Hospital at Jersey Shore
University Medical Center and part of
Meridian Pediatric Network. “Not only
are we responsible for treating the children
who come to our facility, but also the
health of our communities’ children.”
Cardiac arrest can strike anyone at any
time. But teen athletes can be at higher
risk. “More intense workouts and exertion
can ’awaken’ congenital heart defects,
leading to cardiac arrest,” explains
Vincent Zales, M.D., codirector of the
Adult Congenital Heart Program at Jersey
Shore University Medical Center and part
of Meridian CardioVascular Network.
“Just as we have lifeguards at the beach,
our goal is to graduate lifesavers from
each and every high school class.”
Dawn Calderon, D.O., chief of
cardiology at Jersey Shore continues, “It’s
not possible to screen everyone for heart
defects,” she says. “By recognizing symptoms
and knowing how to act in an emergency,
we are building an army of lifesavers.”
parents, Charlie and Beth, now work
with Meridian to advance the program.
“Education and training are powerful.
You never know when you may be able
to use it,” says Charlie Melita. “The
community’s outpouring and support kept
us going when we lost Robert. We want to
help prevent other families from
experiencing what we did.”
Giving Back
It’s important to know that the tragedy of
cardiac arrest can happen at any time and
at any age. In fact, the first high school
students trained by the Community of
Life Savers program was Rumson-Fair
Haven High School, the school that lost
one of its recent graduates, Robert Melita,
in 2012 due to cardiac arrest. His
Since Charlie Melita and his
wife, Beth, (pictured with
daughters Lauren and Haley)
lost their son, Robert, they
have worked closely with
Meridian to support and
advance the Community of
Life Savers program.
Making a Change
In addition to teaching kids how to
perform CPR, the Community of Life
Savers program trains kids when to use
it. For example, students are taught the
signs of cardiac arrest so they can put
their training into action.
“We know that CPR by kids works.
When a bystander steps in to initiate CPR,
the rate of survival increases 200 percent
to 300 percent. The same is true for
adults,” explains Dr. Calderon. “Recently,
an area teen was successfully saved by two
peers, who recognized there was a
problem and acted. Empowering kids to
help one another can create big change.
We won’t know the real impact for a long
time, but if it saves just one family from
losing their child, it’s worth it.”
opening the Floodgates
In addition to helping spearhead the
CPR initiative, Dr. Calderon testified
with Charlie and Beth Melita at the
New Jersey Legislature in support of
a proposed law to make CPR training a
graduation requirement among students
in all New Jersey high schools. That law
recently passed.
“Just like driver’s education, training
in CPR will be introduced into the
curriculum itself,” explains Dr. Zales.
“Our program will continue on to help
these schools accomplish that goal.”
Charlie continues, “In the past, schools
were hesitant to incorporate CPR training
into their curriculum. They thought this
undertaking was too massive. When we
proved it wasn’t, the floodgates opened.”
CPR Saves Lives
Meridian Health recently partnered with the American Heart
Association in a landmark, multi-year initiative to create a
Community of Life Savers. When everyday people are equipped with the skills
to perform CPR, survival rates can double or even triple. Read more about
this valuable program at MeridianHealth.com/CommunityofLifesavers.
MeridianHealth.com
1-800-560-9990
13
Your First
oB-GYN Visit
Jersey Shore University Medical Center
The Division of Adolescent
Gynecology at Jersey Shore
emphasizes prevention and wellness.
WaLL resident VaLerie saeger Was 17 and perFectLY HeaLtHY
when she saw a gynecologist for the first time.
Valerie’s mother made the appointment with Jocelyn Carlo, M.D.,
an OB-GYN at Jersey Shore University Medical Center, so Valerie
could learn what to expect during women’s health
checkups. Dr. Carlo says another great reason to
introduce a girl to her OB-GYN early is so the two can
start building a trusting relationship.
“At the time, I was not sexually active, but we talked
about the importance of using condoms and what
gynecological exams I’ll need and when,” Valerie says.
Jocelyn A.
“I can honestly say it was the first time I had really
Carlo, M.D.
talked about those kinds of things. But Dr. Carlo was
Board certified
in Obstetricsreally considerate, and I felt comfortable talking to her.”
Gynecology
Jackson
1-800-560-9990
Not sure how to prepare your
niece or daughter for a first visit
to the OB-GYN? Watch this expert video
with Jocelyn Carlo, M.D., as she
discusses step-by-step what to expect at
MeridianHealth.com/FirstOBGYNVisit.
development and menstruation, pregnancy
prevention, and sexually transmitted diseases,”
she says.
Usually, a pelvic exam is not performed at a
patient’s first gynecologic visit, unless she is
having a specific problem, such as abnormal
bleeding, Dr. Carlo says. Patients can request
that their caregiver not be present during the
exam and that their medical information be
kept confidential.
Establishing Rapport Is Key
As director of the Division of Adolescent Gynecology at
Jersey Shore, Dr. Carlo works hard to ensure her young patients
have a “safe place” to go to ask questions and receive the information
they need to stay healthy.
“Much of the department’s focus is on prevention and wellness,”
she says. “We want to nurture responsibility and the feeling that
patients have control over their own body.”
Girls should have their first visit with a gynecologist between ages
13 and 15, Dr. Carlo says.
At these initial visits, Dr. Carlo spends at least part of the time
talking with both the patient and her caregiver. “We go over the
patient’s medical and family history and address such issues as what
vaccinations and exams teens need, behavior concerns, normal
14 Meridian HealthViews
Go Online for Pre-Visit Tips
noVeMber/deceMber 2014
Education and Guidance
At Jersey Shore’s Division of Adolescent
Gynecology, physicians like Dr. Carlo receive
specialized education to meet the medical and
emotional needs of their young patients.
As Valerie got older and became sexually
active, she says Dr. Carlo provided a lot of
guidance about birth control. “She talked
through the options with me, and we came to a
decision together,” Valerie says. “That was very
reassuring. And it’s good to know that as I get
older and my needs change, I have a doctor
who will be there for me.”
A Kid at Heart
Aberdeen woman is back to life after
the expert cardiac care she received at Bayshore.
Bayshore Community Hospital
seVentY-Year-oLd arLene scHutZer Has
owned the popular Aberdeen Township
Hobby Shop for more than 37 years, which
she says keeps her young. So when she woke
up one Sunday morning in May 2014 feeling a
burning sensation in her chest, she chalked it
up to indigestion. Shortly after she arrived at
her store, however, the burning sensation had
worsened. Arlene knew she needed to get to
the Emergency Care Center at Bayshore
Community Hospital.
“My husband drove me to Bayshore and
when I told them my symptoms they sent me
straight back for an EKG,” Arlene says. “I
remember closing my eyes for what felt like
just a few seconds, but when I opened them
the nurses were around me telling me, ‘You’re
going to be OK.’ My heart had stopped, and
they saved my life with CPR.”
Shaddy Younan, M.D., medical director of
the cardiac catheterization laboratory at
Bayshore and part of Meridian
CardioVascular Network, who had
previously treated Arlene’s husband, quickly
met Arlene in the catheterization laboratory
for an emergency angioplasty procedure.
Dr. Younan opened Arlene’s blocked arteries to restore blood
Shaddy K.
flow to the heart and inserted two stents to prevent the artery
Younan, M.D.
from narrowing or closing again.
Board certified
in Cardiovascular
According to Dr. Younan, emergency angioplasty is the
Disease, Internal
treatment of choice for people experiencing a heart attack and
Medicine and
Interventional
is an effective intervention for patients within 90 minutes of
Cardiology
arriving at the hospital.
Holmdel
1-800-560-9990
“Not all hospitals are able to perform angioplasty. In order to
be qualified as a Primary Percutaneous Coronary Intervention
(PCI) hospital, the team at Bayshore had to meet stringent requirements from
the Department of Health,” Dr. Younan says. “In October 2013, we received
that approval, which has permitted us to provide this lifesaving procedure for
our community.”
Following the procedure, Arlene spent a few days in the hospital then began
outpatient cardiac rehabilitation. Today, Arlene is feeling great and has adapted
a healthier and more active lifestyle that includes close attention to her diet and
walking frequently. Originally a resident of Aberdeen, Arlene remembers when
Bayshore was built, and feels a strong connection to her community hospital.
Many of the people on her care team recognized her and shared their stories of
visiting her shop as kids, and now they bring their kids.
“The care everyone provided me was phenomenal. Everyone was attentive
and kind,” Arlene says. “I am lucky that Bayshore is so close, and Dr. Younan
is truly a special and compassionate man who cares about his patients. As far
as I’m concerned the team at Bayshore
gave me the best Mother’s Day ever, by
Thanks to the expert cardiac care she
received at Bayshore, Arlene Schutzer is
saving my life.”
back to doing what she loves as owner
by Caitlin Coyle
of the Hobby Shop in Aberdeen.
The Heart of Bayshore Is Growing
As part of Meridian CardioVascular Network,
Bayshore will soon open its expanded
catheterization laboratory to better serve people
in the community in need of quick, expert,
cardiovascular care. The lab will feature state-of-theart cardiac equipment to provide a faster, more
accurate diagnosis than ever before. Learn more at
BayshoreHospital.org/Heart.
MeridianHealth.com
1-800-560-9990
15
It Takes a Team
Coordinated care successfully treated
Ralph Liloia’s complex condition.
ocean Medical Center
WHen 61-Year-oLd raLpH LiLoia
developed severe pain on the right side
of his stomach, he called his Meridian
Health gastroenterologist, William
Basri, M.D. Dr. Basri was concerned
gallstones — hard, rock-like deposits
that form in the gallbladder — could be
causing Ralph’s pain. He sent Ralph to
the Emergency Department at
Ocean Medical Center.
Within 10 minutes of arriving in the
Emergency Department, the Toms River
resident met emergency medicine
physician Salvatore Pepe, D.O. “Right
away, Dr. Pepe took control of my pain
and expedited all of my tests,” Ralph says.
An ultrasound confirmed Ralph’s
gallbladder was filled with gallstones. “Dr.
Pepe spoke with Dr. Basri and they agreed
I needed to be admitted and have my
gallbladder removed.”
While he knew surgery would help
his pain, Ralph was concerned about
complications due to his coronary artery
disease. “Dr. Pepe assured me he was
putting together a team that would make
sure I wasn’t going to have a cardiac issue
during surgery,” Ralph says.
Seeing Patients Through
His fears were further assuaged the
next morning when he met Francis
Kelly, M.D., a surgeon at Ocean
Medical Center who would be
performing his surgery. “Dr. Kelly made
me and my family feel very confident
in his surgical expertise and that he
was taking all precautions to avoid
any heart problems during or after
surgery,” Ralph says. That afternoon,
Dr. Kelly performed a laparoscopic
cholecystectomy, during which he
removed Ralph’s gallbladder through
several small incisions in his abdomen.
“I always say that medicine is a team
sport,” Dr. Kelly says. “There are a few
superstars, but you can’t get on base
unless you have the help of your entire
team. Physicians at Ocean Medical Center
are adept at working together as a team.
We have very good communication in
order to provide the best care for
16 Meridian HealthViews
noVeMber/deceMber 2014
patients.” Ralph’s surgery took
careful coordination among
physicians and nurses in
cardiology, gastroenterology,
surgery, and anesthesia.
Francis Kelly, M.D.
Before the procedure, Ralph
Board certified in
General Surgery
met anesthesiologist Michael
Brick
Terreri, M.D. “He said he would
1-800-560-9990
see me through the ordeal and
promised me he would be at my
side when I woke up,” Ralph says. “Sure
enough, when I woke up, he was there.”
Although Ralph experienced an unstable
heart rhythm as the anesthesia wore off,
Dr. Terreri immediately coordinated with
Thomas Komorowski, M.D., a cardiologist
at Ocean Medical Center and part of
Meridian CardioVascular Network, to
help him regain a steady beat.
Working Together at Every level of Care
Later that day, Ralph was transferred to
the Cardiac Unit at Ocean Medical Center.
“There were two nurses waiting for me.
They already knew about my heart
condition and the pain I was experiencing
after surgery,” Ralph says. “They treated
me with medication and came in
frequently throughout the night to make
sure my blood pressure was OK and I
wasn’t experiencing any issues.”
Dr. Kelly regularly visited Ralph in the
hospital. “Dr. Kelly proves that bedside
manner is alive and well,” he says. “If I
was having an issue, he’d treat it and
come back to see how I was doing later
that day.” Dr. Komorowski also regularly
checked on Ralph to make sure his heart
remained stable.
Ralph was discharged from the hospital
five days after arriving in the Emergency
Department. Less than two weeks later,
he visited Dr. Kelly and Dr. Basri for
follow-up care.
“From the Emergency Department,
to surgery, to my hospital stay, the team
made every effort to get to know me and
my condition and they worked together
as a team to make sure I had the best
outcome possible. The care and expertise
I experienced at Ocean Medical Center
is second to none.”
Toms River resident Ralph
Liloia is grateful for the expert
and coordinated care he
received at Ocean, where he
was treated for gallstones.
Convenient Care Close to Home
Ocean Care Center, located in Point
Pleasant, is open 24 hours a day, seven
days a week, providing similar capabilities as a
hospital-based emergency department. Find out
more about how Ocean Care Center is fully
equipped to treat virtually all kinds of minor
emergencies by going to OceanCareCenter.com.
MeridianHealth.com
1-800-560-9990
17
Counting Their Blessings
Riverview Medical Center
Local couple gives thanks for a healthy
holiday delivery.
noVeMber is a MontH For giVing tHanKs and eXpressing gratitude For
what’s important in life. In 2013, couple Erin and Michael Milano, both 30,
had even more to be thankful for on Thanksgiving, with the birth of their first
son, Andrew.
An Early Arrival
“My due date was not until December 1, and we were excited to be spending
Thanksgiving with our family,” Erin says.
But Erin and Michael’s plans quickly changed the day before Thanksgiving.
When Erin noticed some bleeding, she called her doctor, Marilyn Loh
Collado, M.D., an obstetrician at Riverview Medical Center and chairperson
for the Department of Obstetrics and Gynecology.
Not yet in labor, Erin arrived with Michael at Riverview to find the labor
and delivery team was ready for them. “All of the nurses were so friendly
and knowledgeable,” Erin says. “The patient care assistant and labor and
delivery nurse escorted us and explained everything that was going to
happen, which was a relief as first-time parents.”
Marilyn Loh
Collado, M.D.
Board certified
in ObstetricsGynecology
Tinton Falls
1-800-560-9990
“I had heard great things
about Dr. Loh — she
and my gynecologist,
Dr. [Evelyn] Minaya, are
partners — and knowing she
was the head of the department was
comforting,” Erin says. “I knew I would be in
good hands, and I was.”
After Andrew’s arrival, Erin’s team in the
Childbirth Center and Dr. Loh continued to
impress her — helping her and Michael to
prepare for their return home with Andrew.
“Dr. Loh is a real person and her rapport with
the nurses makes the experience even easier,”
Erin says. “Riverview was definitely worth the
drive. The maternity ward is beautiful, and I
would recommend Dr. Loh to any woman.”
by Caitlin Coyle
An Unexpected Complication
Dr. Loh and members of the maternal-fetal medicine team evaluated the bleeding.
There was no confirmed diagnosis, but the team suspected a small abruption,
in which the placenta detaches from the wall of the uterus and causes
bleeding. Dr. Loh and the team decided it was best to keep Erin overnight.
“Despite being a first-time mom, Erin did the right thing by calling me
when she realized something was not quite right,” Dr. Loh says. “Because of
this, we were able to monitor the baby through labor and avoid a fetal or
maternal loss from hemorrhage or complete abruption.”
Expect the Best
When it comes to your
childbirth experience, you
want the best doctors and exceptional
amenities, and the Childbirth Center
at Riverview delivers! Learn more at
RiverviewMedicalCenter.com.
A Happy Beginning
The next day, on Thanksgiving, Erin gave birth
to her son, Andrew, without any further
complications, thanks to the
expertise and attentiveness of
Dr. Loh and her team.
Erin and Michael Milano had much more
to be thankful for Thanksgiving Day of
2013, when they welcomed their first
son, Andrew. Thanksgiving will always
be extra special to them, Erin says.
MeridianHealth.com
1-800-560-9990
9
Above and Beyond
Alfonso
Ciervo, M.D.
Board certified in
General Surgery
Hazlet
1-800-560-9990
Weight-Loss Surgery: The Facts
Join Karl Strom, M.D., medical director of the
Bariatric Center of Excellence at Bayshore
Community Hospital and Southern Ocean Medical
Center, with surgeons Jonathan Reich, M.D., and
Silvia Fresco, M.D., as they discuss the benefits of
weight-loss surgery. Turn to page 25 for details.
MeridianHealth.com
Cathy Cestaro enjoys fishing,
biking, horseback riding, and
going to the beach. She says
her mom, Stella, has been
her greatest supporter.
Faster Recovery with Robots
When Precision Counts
A team approach
helps local woman take down cervical cancer.
Jersey Shore University Medical Center
With robot-assisted surgery, patients
can have major surgery with only a
few tiny incisions. Robotic surgery can be used
to help women with conditions like fibroids
and uterine cancer. To learn more about the
benefits of robotic surgery at Meridian Health,
including a faster recovery and less pain, visit
MeridianHealth.com/RoboticSurgery.
catHY cestaro KneW soMetHing Was Wrong WHen sHe began
bleeding more than a year after not getting her period. The 47-yearold went to see her gynecologist, Meridian primary care
physician Michael Sze, M.D., who performed a Pap
test. There, Cathy learned she had cervical cancer.
“When you hear the word ’cancer’ it’s very scary. But I
chose to stay positive. I listened to my doctors and
trusted them,” Cathy says.
Cathy was referred to Karim ElSawhi, M.D., a
Karim
gynecologic oncologist and part of Meridian Cancer
ElSawhi, M.D.
Care. Dr. ElSawhi performed a radical hysterectomy on
Neptune
1-800-560-9990
Cathy at the Center for Robotic Surgery at Jersey Shore
University Medical Center.
“I perform all hysterectomy cases robotically,” Dr. ElSawhi
explains. “It’s a tool or platform that allows us to perform the
surgery minimally invasively with a number of advantages to the
patient and surgeon.”
Advanced Surgical Platform
According to Dr. ElSawhi, robotic surgery allows him to treat more
complex cases because the technology provides better visualization,
improved dexterity, and greater precision. It also offers dramatic
benefits to the patient, including less blood loss, less pain after
surgery, and a quicker recovery.
“Robotic surgery is especially beneficial to patients undergoing
radical hysterectomy, which is a very involved surgery,” Dr. ElSawhi
says. “For example, with open surgery, it’s not uncommon for a
patient to lose 500 to 1,000 cc of blood. With the robotic approach,
patients lose only 50 to 200 cc. This reduces complications
including risk of infection.”
Cathy was thrilled to be offered robotic
surgery for her hysterectomy. “They made five
tiny incisions at the time of surgery and you
can’t even see the scars,” she says. “No one
would ever know.”
A Team Approach
Meridian Cancer Care works together to provide
the best overall treatment for the patient. The
team at each hospital regularly holds
multidisciplinary meetings that include
oncologists, radiation oncologists, pathologists,
and others, to discuss patient cases and
collectively decide on the right treatment plan.
“Cooperation, coordination, and collaboration
among all our highly trained cancer specialists is
easy and efficient,” says Dr. ElSawhi. “This is one
way that makes it possible.”
In addition to surgery, Cathy’s treatment plan
included chemotherapy and radiation. At
Ocean Medical Center, she underwent five
chemotherapy sessions and 28 radiation
treatments with Nathan Kaufman, M.D., a
radiation oncologist at Ocean. Five months after
treatment, Cathy was completely clear of cancer.
“My doctors and the entire staff were great.
They made the journey very easy for me,” Cathy
says. “They gave me my life back.”
MeridianHealth.com
1-800-560-9990
11
“i opened MY eYes, and tHere Was an angeL,”
recalls Larry Lapham of Fair Haven. The angel
said, “I’m really a doctor. I’m just not dressed
like one.”
On that December morning in 2010, Larry
experienced something like divine intervention.
For Stephanie Reynolds, D.O., it was one of the
many moments that strengthened her calling
to medicine.
An Angel in Disguise
The morning began like many others for Larry. He
left his house to attend mass at St. James Church.
At mass, he had a rather intense coughing fit,
which he brushed aside since he was recovering
from an upper respiratory infection. “Better skip
the gym today,” he thought as he left the church to
get into his car.
In what he describes as a moment of coughing
so hard his heart felt as though it would push
through the seat belt, Larry decided to take off his
seat belt to relieve the pressure. A moment later
he lost consciousness, his foot pressed on the gas,
and hit a pole so hard he knocked it down.
Stephanie Reynolds, D.O., medical director of
the Emergency Care Center at Riverview Medical
Center, happened to be at her sister’s home having
lunch when she heard a loud crash. As she has
done many times before, Dr. Reynolds ran to help.
When she arrived on the scene, she found Larry
unconscious and covered with blood from the
impact of the accident. She immediately went into
action to stabilize and assess Larry. At this point,
Larry opened his eyes. Since Dr. Reynolds was in
her gym clothes she wanted to reassure Larry that
he was in good hands and said, “I’m really a
Another Patient Success Story
At the age of 48, Jane Drucker was the
last person anyone suspected would
have a heart attack. But that all changed
during a Friday morning meeting. Thanks to
Meridian Cardiovascular Network, she is now
the picture of health. Hear Jane’s story at
MeridianCardioVascularNetwork.com.
doctor. I’m just not dressed
Stephanie
like one.”’
Reynolds, D.O.
The next few moments speak
Board certified
in Emergency
to the power of a community
Medicine
hospital that has strong ties to
Red Bank
the community. Dr. Reynolds
1-800-560-9990
asked Larry for his physician’s
name. He told her it was David Drout, M.D., a
cardiologist affiliated with Riverview and part of
Meridian CardioVascular Network. “I was just
at a meeting with him last night. I will call him
right now and ask him to meet us at the hospital,”
Dr. Reynolds replied. She then asked about his
wife, and Larry told her his wife, Nancy, was at the
YMCA working out. Again, Dr. Reynolds had the
connection. “I am a member at the YMCA, too.
I will call over there to make sure your wife gets
over to the hospital to meet us.”
A Community of Care
For Dr. Reynolds, there is great satisfaction in
working at a community-based emergency care
center. “Part of me loves old-fashioned medicine,
which includes the connection of living
and working in the same community,” says
Dr. Reynolds. “I am so fortunate that I get to see
my patients out in the community, enjoying their
life after they’ve been treated for, in many cases,
life-threatening issues.”
As promised, Dr. Drout met Larry at the hospital
and, with the emergency care team, immediately
treated him for a heart event caused
by cough syncope, a prolonged episode of
coughing. In Larry’s case, timing was everything.
The team’s quick action saved his life.
For Larry, there were many events in his life
where he felt God’s presence. As a young man in
the Navy, Larry became involved with and funded
the creation of an orphanage, which prompted him
to consider joining the priesthood. Though he did
not pursue that path, he firmly believes “God’s
mercy comes to us by way of others.” He felt that
presence through Dr. Reynolds that December
morning and decided to share his story. “Everyone
should know that Dr. Reynolds is undeniably
professional and gives our hospital a super-charged
brand of service.”
by Tria Deibert
MeridianHealth.com
1-800-560-9990
21
Events
calendar
All programs are FREE unless otherwise noted. Reserve
your spot by calling 1-800-DOCTORS (1-800-362-8677)
or 1-800-560-9990 or by visiting MeridianHealth.com.
In cases of severe weather, a program may be canceled as
late as an hour before the start time. Call 1-800-DOCTORS
or 1-800-560-9990 to confirm.
HITTING THE CURVE BALL
Mitchell Vassar Vision Awareness Day 2014
Improving Your Quality of life
Be inspired as Ed Lucas, Emmy-award-winning broadcaster, shares motivation
and funny stories from his decades as a blind sports writer covering the
Yankees, Mets, Giants, Jets, and almost every other professional sports team.
The day will also include an educational program presented by board certified
ophthalmologist Ronald Klug, M.D., as well as:
• A resource fair including Meridian Health programs and services: Monmouth
County Health Department, New Jersey Blind Citizens Association, the New
Jersey Commission for the Blind and Visually Impaired, New Jersey State
Library Talking Book and Braille Center, and the Lions Club.
• Lions Club will be collecting used glasses for its Recycle for Sight program.
Registration required. Lunch will be served. The program is made possible
by the Mitchell-Vassar Bright Future Legacy.
November 13, 11:00 a.m. – 2:00 P.m.
The Reception Center at Saint Clement
172 Freneau Ave. (Rt. 79), Matawan
look Good, Feel Better
R Mausner Conference Room
The American Cancer Society offers
this program to individuals being
treated for cancer. If you look good,
you will feel better. Learn some
makeup and hair tricks to make you
look and feel better. To register, call
1-800-227-2345.
November 4, 6, 11, aNd 13, 6:00 – 7:30 P.m.
November 10, 1:00 – 3:00 P.m.
J Cancer Conference Room
MFW Hazlet
November 11, 13, 18, aNd 20, 6:00 – 7:30 P.m.
december 1, 1:00 – 3:00 P.m.
O East Wing, Conference Room C
R Mausner Conference Room
december 1, 3, 9, aNd 11, 3:30 – 5:00 P.m.
december 8, 1:00 – 3:00 P.m.
loCATIoN KEY
B
bayshore community hospital
22 Meridian HealthViews
noVeMber/deceMber 2014
Healthy lungs
Thoracic surgeon Ghulam Abbas, M.D.,
will discuss how to keep your lungs
healthy, risk factors for lung cancer, and
the latest treatments. Take the lung
cancer self-risk assessment to see if you
qualify for a free low-dose CT screening.
Stop Smoking with Hypnosis
This four-session smoking-cessation
program is offered by Meridian Cancer
Care and the American Cancer Society.
Success in the program requires
attendance at all four sessions.
to register, call 1-800-DOCTORS or 1-800-560-9990.
S Beach Plum Conference Center
R Two River Conference Suite
Fresh Start Smoking Cessation
MFW Hazlet
November 12, 1:00 – 4:00 P.m.
November 12, 6:00 – 7:00 P.m.
Meridian Cancer Care
November 3, 7, 10, aNd 14, 10:00 – 11:30 a.m.
This program is for cancer survivors
and those living with chronic disease
and their caregivers to learn coping
strategies and techniques that can help
reduce anxiety, stress, and pain.
Hypnotherapy is effective in alleviating
unwanted habits and developing positive
behaviors and lifestyle changes.
Fee: $30.
November 12, 7:00 – 8:00 P.m.
MFW Manahawkin, Family Resource Center
Colorectal lecture and
Screening
Learn the risk factors and how early
detection can save your life. Free
colorectal take-home kits will be
distributed. Lunch will be provided.
december 10, NooN – 1:30 P.m.
MHV Jackson, Conference Center
O East Wing Conference Room C
SPeaker: briaN WolFmaN, m.d.
R
J
O
S Southern ocean medical center
MFW meridian Fitness and Wellness
MHV meridian health village
riverview medical center
Jersey Shore university medical center
ocean medical center
Meridian CardioVascular
Network
Meridian Neuroscience
Cholesterol: Know Your Numbers
Howard Landsman, D.O., will discuss causes
and treatment options for dizziness and vertigo.
Anthony DeNoia, M.D., will discuss
what your cholesterol numbers mean
and what you can do to improve them.
Bring your latest lab results with you
for review.
November 11, 7:00 – 8:00 P.m.
R Shrewsbury River Conference Suite
Varicose Veins:
Causes and Treatment options
Dizziness and Vertigo
November 12, 11:00 a.m. – NooN
O East Wing, Conference Room C
Stroke: Are You At Risk?
Jeffrey Hager, D.O., will review the signs,
symptoms, and risk factors for strokes
and what you should do if someone is
having a stroke.
November 19, 2:00 – 3:00 P.m.
MFW Manahawkin, Family Resource Center
Join Lawrence Mueller, M.D., and learn
about varicose veins, their causes, and
latest treatment options.
Solutions to Balance Problems
November 18
lecture: 9:00 – 10:00 a.m.
ScreeNiNGS: 10:00 – 11:00 a.m.
december 9, 2:00 – 3:00 P.m.
Learn some of the causes of balance
problems and what you can do about them.
MHV Jackson, Conference Center
MHV Jackson, Conference Center
November 20
lecture: 7:00 – 8:00 P.m.
ScreeNiNGS: 8:00 – 9:00 P.m.
Embracing the Holidays:
Challenges for Caregivers
J Brennan Rooms 104/105
living with Congestive
Heart Failure
Learn how to maximize your quality of life
while living with congestive heart failure.
November 21, 11:00 a.m. – NooN
MFW Manahawkin, Family Resource Center
Vascular Disease
Richard DiFiore, M.D., will discuss the
role your vascular system plays in your
health and will offer tips to prevent and
treat vascular disease.
december 11, 3:00 – 4:00 P.m.
MFW Manahawkin, Family Resource Center
Cooking
with Heart
Join Ali Moosvi,
M.D., to hear
the latest
information on
heart disease,
warning signs,
and prevention. There will be
an entertaining, heart-healthy
cooking demonstration and food
tasting. Registration is required.
This program has been made
possible by a generous grant from
Boston Scientific.
November 4, 11:00 a.m. – 1:00 P.m.
MHV Jackson, Conference Center
Caring for loved ones with Alzheimer's
can be very difficult, even more so
during the holiday season. Join us and
learn some tips to get through the
holidays. Lunch will be served.
december 10, NooN – 1:30 P.m.
AngioScreen®
Learn your risk for heart attack
and stroke. This vascular workup
includes carotid artery ultrasound,
heart rhythm (atrial fibrillation) test,
blood pressure check, screening
for abdominal aortic aneurysm and
peripheral artery disease (PAD),
and body mass index computation.
Participants receive an instant color
report of the findings, educational
material, and private consultation
with a registered nurse.
Fee: $74.95. Registration is required.
November 5, 10:30 a.m. – 5:00 P.m.
Center for Health, 279 Mathistown Road,
Little Egg Harbor
MHV Jackson, Conference Center
November 7, 9:30 a.m. – 4:00 P.m.
december 9, 1:00 – 7:30 P.m.
Parkinson’s life Enrichment
Exercise Class
J Brennan Rooms 104/105
Designed and administered by physical
therapists and exercise specialists, this
program helps people with Parkinson’s
improve their flexibility, balance, and
strength, enabling them to perform
everyday activities with greater ease.
For pricing and registration, call
732-836-4007.
Meridian Pediatric Network
Safe Sitter
Meridian offers babysitter training for
boys and girls ages 11 to 14. This class
will review safety for both babysitters
and the children left in their care in a fun
learning environment. The class includes
handling emergency, first aid, and CPR.
Fee: $40.
November 6, 9:00 a.m. – 3:30 P.m.
MHV Jackson, Conference Center
November 7, 9:00 a.m. – 3:30 P.m.
R Shrewsbury River Conference Suite
November 15, 9:00 a.m. – 3:30 P.m.
MFW Manahawkin, Family Resource Center
december 6, 9:00 a.m. – 3:30 P.m.
MFW Hazlet
december 29, 9:00 a.m. – 3:30 P.m.
O East Wing Conference Room C
November 11, 9:30 a.m. – 4:00 P.m.
St. Dominic's Church
250 Old Squan Road, Brick
November 12 aNd december 12,
9:30 a.m. – 4:00 P.m.
R Two River Conference Suite
November 17, 9:30 a.m. – 4:00 P.m.
december 15, 1:00 – 7:30 P.m.
O East Wing, Conference Room A
November 20, 1:00 – 7:30 P.m.
MFW Hazlet
december 2, 9:30 a.m. – 4:00 P.m.
MHV Jackson, Conference Center
december 5, 9:30 a.m. – 4:00 P.m.
MFW Manahawkin, Family Resource
Center
Childbirth/Maternity
Childbirth Education Series
Meridian Health offers classes and
seminars for first-time and experienced
parents as well as tours, classes
for siblings, and more! Registration
required. Please register before your
third trimester. To learn more about
our fun and informative classes, visit
MeridianMomtourage.com.
to register, call 1-800-DOCTORS or 1-800-560-9990. 23
Strike a Pose:
Yoga for Moms and Moms-to-Be
Classes focus on gentle postures,
breathing techniques, and overall
relaxation to prepare for childbirth or
recover after childbirth. Call Meridian
Life Fitness in Point Pleasant at
732-295-1778 for fees and to register.
Counseling and
Behavioral Health
Addiction and Recovery Services
For adult family members of addicted
individuals. Call for information.
Children’s Counseling
Meridian Behavioral Health offers
a variety of counseling services at
both our Neptune and Shrewsbury
locations. We offer age-specific group
therapy, a therapeutic after-school
program for children ages 7 to 13, as
well as traditional individual and family
therapy. Call 732-869-2784, ext. 2 for
registration, schedules, and fees.
Diabetes
Staying on Track During the
Holidays
Learn how to plan your fitness routine
around the holidays so that you stay
on track!
november 18, 6:00 – 7:00 p.m.
MFW Manahawkin, Family Resource Center
December 4, 3:00 – 4:00 P.M.
MHV Jackson, Conference Center
Exercise to Maintain Your
Health
Learn the benefits of proper exercise to
maintain your health.
December 11, NOON – 1:00 P.M.
R Shrewsbury River Conference Center
Nutrition
Healthy Eating for the Holidays
The holidays can be the most difficult
time of the year to eat healthy. Learn
tips on how to stay on track.
Injury Prevention for
Young Athletes
Learn the benefits that regular stretching
can have before you play sports as well
as the correct way to stretch and proper
running techniques to avoid overuse and
injuries. Program is for children ages 7 to 12.
November 13, 6:00 – 7:00 P.M.
MHV Jackson, Conference Center
Orthopedics and Sports
Medicine
Hip and Knee Replacement
Learn who is a candidate, treatment
options, and what to expect from hip and
knee replacement surgery and recovery.
November 11, 11:00 A.M. – NOON
J Medical Staff Boardroom
Speaker: Gregory Roehrig, M.D.
december 4, 3:30 – 4:30 p.m.
MFW Manahawkin, Family Resource Center
Speaker: samuel epstein, D.O.
MFW Manahawkin, Family Resource Center
Common Foot Ailments
November 19, 10:00 – 11:00 A.M.
Learn what can lead to some of the most
common foot problems and what you can
do to prevent issues, including choosing
the best footwear.
Comprehensive Diabetes
Management
Fitness
Consult a registered dietician to
design a food plan that meets your
weight-management and medical
nutrition needs. For more information,
registration, or fees, call Riverview
Medical Center at 732-530-2555,
Meridian Life Fitness in Point Pleasant
at 732-206-8263, or Southern Ocean
Medical Center at 609-978-3400.
november 18, 6:00 – 7:00 p.m.
R Navesink River Conference Suite
Individual or group educational and
support programs. To register, call Bayshore
Community Hospital at 732-888-7362,
Riverview Medical Center and Ocean
Medical Center at 732-530-2555, Jersey
Shore University Medical Center at
732-897-3980, and Southern Ocean
Medical Center at 609-978-3400.
Nutrition Counseling
November 11, 6:30 – 7:30 P.M.
Meridian Life Fitness, Point Pleasant
Diabetes Awareness Day Events
Join Meridian experts in diabetes management and nutrition and learn risk factors,
how to manage diabetes to reduce complications, and more. Vendors will be present
with the latest information and technologies. Screenings will be provided. Call or visit
MeridianHealth.com/Diabetes for more specific details. Registration is required.
November 3, 10:00 A.M. – NOON
November 17, 6:30 – 8:30 P.M.
R Shrewsbury River Conference Suite
MHV Jackson, Conference Center
Speaker: Marianna Antonopoulou, M.D.
Speaker: Scott Druckman, D.O.
November 14, 9:00 A.M. – 1:00 P.M.
November 24, 11:00 A.M. – 1:00 P.M.
J Lance Auditorium
B Conference Rooms A and B
Speaker: cristina ciorlian, M.D.
Speaker: Jennifer Zaitz, D.O.
November 15, 9:00 – 11:30 A.M.
S
Speaker: Sajjad Hussain, M.D.
Self-Defense Exercises
Learn how to use balance and leverage
strength to help defend yourself. Fee: $3
per class.
november 6 and 20 and December 4,
12:30 – 1:30 P.M.
MFW Manahawkin, Family Resource Center
location KEY
To register, call 1-800-DOCTORS or 1-800-560-9990.
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Bayshore Community Hospital
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MHV Meridian Health Village
National Memory
Screening Day
Meridian Health and the Alzheimer’s
Foundation of America are joining
forces to offer memory screenings
and lectures. If you or a loved one is
experiencing increased forgetfulness
or trouble concentrating, performing
familiar tasks, or recalling familiar
words, you may benefit from a
memory screening. Registration
is required.
November 18, 9:30 A.M. – 1:00 P.M.
Screenings
Weight-Loss Surgery
Blood Pressure
Weight-Loss Surgery: The Facts
Free blood pressure screenings.
Karl Strom, M.D., medical director of the
Bariatric Center of Excellence at Southern
Ocean Medical Center and Bayshore
Community Hospital, with surgeons
Jonathan Reich, M.D., and Silvia Fresco,
M.D., will host educational programs on
the benefits of weight-loss surgery.
first and fourth Monday of each month.
9:00 – 11:00 A.M.
MFW Hazlet
First and third Wednesday of each month.
9:00 – 11:00 A.M.
MFW Manahawkin, Family Resource Center
First and third Thursday of each month.
2:00 – 4:00 P.M.
MHV Jackson, Conference Center
November 17, 2:00 – 3:00 P.M.
Meridian Life Fitness, Point Pleasant
November 21, 1:00 – 2:00 P.M.
O Rehabilitation Department
November 4 and December 2, 7:00 – 8:30 P.M.
MFW Hazlet
November 11 and December 9, 7:00 – 8:30 P.M.
Ramada Inn
2373 Route 9, Toms River
November 12 and December 10, 2:00 – 3:30 P.M.
November 13, 7:00 – 8:30 P.M.
Middletown Public Library
55 New Monmouth Road
December 11, 11:00 A.M. – NOON
B Conference Rooms A and B
Lecture: 9:30 A.M.
Screenings: 10:30 A.M.
Speaker: Stephen Swartz, M.D.
MHV Jackson, Rehabilitation Department
November 12 and December 10, 7:00 – 8:30 P.M.
Wellness Screenings
November 17, 7:00 – 8:30 P.M.
November 18, 9:30 A.M. – 1:00 P.M.
Ocean County Library – Stafford Branch
129 North Main St., Manahawkin
Lecture: 9:30 A.M.
Screenings: 10:30 A.M.
Speaker: Tommasina Papa-Rugino, M.D.
November 18, 1:00 – 4:30 P.M.
Ocean County Library – Manchester
Branch
21 Colonial Drive
Lecture: 1:00 P.M.
Screenings: 2:00 P.M.
Speaker: Susan Rodriguez-Bostock, M.D.
November 18, 12:30 – 4:00 P.M.
Neptune Public Library
25 Neptune Blvd.
Lecture: 12:30 P.M.
Screenings: 1:30 P.M.
Speaker: Richard Rhee, M.D.
Living with Arthritis
Learn the latest in arthritis treatment
options including medications and how you
can better protect your bones and joints.
November 19, 11:00 A.M. – NOON
MHV Jackson, Conference Center
Osteoporosis Lecture and
Screening
Learn the signs, symptoms, diagnosis,
and treatment options for osteoporosis
including medications, exercise and diet.
Bone density screening to follow the lecture.
December 10, 11:00 A.M. – 1:00 P.M.
MFW Hazlet
Free blood pressure, cholesterol, blood
sugar, and bone density screenings.
Registration is required.
November 19, 4:00 – 7:00 P.M.
Ocean Care Center
1517 Richmond Ave., Point Pleasant
(Intersection of Routes 35 and 88)
Senior Programs
AARP Smart Driver
This driving program is for adults ages
50 and older who want to develop
safe defensive-driving techniques. Fee:
$15 for AARP members and $20 for
nonmembers. Make checks payable to
AARP. Call for dates and times.
S
Center for Health, 279 Mathistown Road,
Little Egg Harbor
November 18, 7:00 – 8:30 P.M.
Double Tree Hilton
700 Hope Road, Tinton Falls
December 4, 7:00 – 8:30 P.M.
R
November 24, 7:00 – 8:30 P.M.
Ocean County Library – Lacey
10 East Lacey Road, Forked River
Weight-Loss Surgery:
Explore Your Options
Anil Pahuja, M.D., and James V.
Pasquariello, M.D., will discuss the benefits
and options for weight-loss surgery.
November 6 and December 4, 7:00 – 8:00 P.M.
For Caregivers:
Coping with End of Life
Holiday Inn, 290 Route 37 East,
Toms River
This program is a guide to late-stage
and end-of-life caregiving. Receive
information on providing comfort,
following your loved ones’ wishes,
making final decisions, and handling
grief. Lunch will be provided.
November 13 and December 11, 7:00 – 8:00 P.M.
November 14, NOON – 2:00 P.M.
Seth Kipnis, M.D., medical director of
the Center for Weight Loss Surgery at
Jersey Shore University Medical Center,
an accredited metabolic and bariatric
surgery and quality improvement
program, discusses the benefits of
weight-loss surgery.
MFW Manahawkin, Family Resource Center
O Community Room
November 20, 7:00 – 8:00 P.M.
MHV Jackson, Conference Center
Options for Weight-Loss Surgery
November 12 and December 10, 6:00 – 7:00 P.M.
J Medical Staff Boardroom
To register, call 1-800-DOCTORS or 1-800-560-9990. 25
General Wellness
Holiday Stress: How Do I Handle?
Clinical Trials
Take Control of Your Health
Does the stress of the holiday season get
you down? Join Jeanmarie Chudzik, D.O.,
as she gives you tips on how to cope
with anxiety and stress of the holidays.
To learn about current clinical trials
available at Meridian Health, please
visit us at MeridianHealth.com, call
732-776-2953, or e-mail us at
[email protected].
Learn practical skills and strategies
for managing symptoms, working with
health care professionals, setting weekly
goals, problem solving, relaxing, handling
difficult emotions, eating well, and
exercising safely and easily. Six-week
program. Registration required.
StartiNG November 11, 10:00 a.m. – 12:30 P.m.
MHV Jackson, Conference Center
december 3, 10:00 – 11:00 a.m.
MFW Hazlet
GERD
Neal Winzelberg, M.D., will discuss the
symptoms, diagnosis, and treatment
options for heartburn and acid reflux.
december 3, 4:00 – 5:00 P.m.
Advanced Directives, living
Wills, and PolST
MHV Jackson, Conference Center
Learn about the important documents
that you should have for end-of-life care
including POLST (Physicians Orders for
Life-Sustaining Treatment).
November 13, 11:00 a.m. – NooN
Vitamins and Medications
Join a Meridian pharmacist and learn about
how vitamins and medications interact.
december 4, 10:00 – 11:00 a.m.
MFW Hazlet
MFW Hazlet
Are Your Ears Ringing?
Seasonal Affective Disorder
Seasonal affective disorder (SAD) is a
type of depression that occurs at the
same time every year. Learn about SAD
and find out tips on how to cope.
Tinnitus is a ringing, buzzing, or hissing
sound in your ears causing minor
irritation that can be disabling. Learn
the causes and treatment options for
tinnitus and hearing loss.
November 20, 4:00 – 5:00 P.m.
december 9, 11:00 a.m. – NooN
MFW Manahawkin, Family Resource Center
SPeaker: liSa kaSSeNoFF, d.o.
MFW Hazlet
Ralph DelNegro, D.O., will discuss vision
changes as you age and things you can
do to protect your eyes from disease. A
light lunch will be provided. This program
is made possible by the Mitchell – Vassar
Bright Future Legacy.
November 21, NooN – 1:00 P.m.
MHV Jackson, Conference Center
All Meridian hospitals are American
Heart Association CPR training centers.
Call for dates, times, locations, and
classes offered.
Infectious Disease Clinic
Located at Jersey Shore University
Medical Center. Call 732-774-0151 to
schedule a free confidential appointment.
Support Groups
Meridian offers support groups for
bereavement; caregivers; diabetes;
anorexia and bulimia; breast, lung,
prostate, thyroid, and other cancers;
Alzheimer’s disease; stroke; Parkinson’s
disease; sleep disorders; celiac disease;
heart disease; weight loss; and more. Call
for more information, dates, and times.
MFW Manahawkin, Family Resource Center
december 15, 11:00 a.m. – NooN
Vision and Aging
CPR Training
Meridian Programs
and Services
Booker Health Sciences library
Home Delivery
Looking to learn more about a medical
topic, disease, or condition? The library
sends a packet of reliable information to
you at no cost.
PhoNe: 732-776-4265
FaX: 732-776-4530
e-mail: [email protected]
Featured Support Group
Diabetes Support Group
Join others who are facing similar
challenges managing diabetes and
share information and experiences.
FirSt thurSday oF the moNth
2:00 – 3:00 P.m.
MFW Manahawkin, Family Resource
Center
SecoNd thurSday oF the moNth
6:30 – 8:00 P.m.
J Brennan Room 104
Join Us at the New Jersey Women’s Expo
and Get Tuned Into Your Health
Stop by our Meridian Health lounge for fitness, nutrition, and wellness demos and
information, attend our physician panel of Meridian “Womenologists,” get free health
screenings, and more. Whatever you’re looking for, the NJ Women’s Expo has it. For
ticket information and more, visit MeridianHealth.com/NJWomensExpo.
November 1 aNd 2, 11:00 a.m. – 5:00 P.m.
Brookdale Community College, Lincroft
loCATIoN KEY
to register, call 1-800-DOCTORS or 1-800-560-9990.
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bayshore community hospital
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Paying It Forward
Southern Ocean Foundation Trustee pays it forward through generous
donation to Southern Ocean’s ED.
Meridian Health
WHen tHe o’donneLLs Made a giFt to HeLp eXpand tHe eMergencY
Department at Southern Ocean, they had no idea how much they would
personally benefit from the services. Joe O’Donnell and his wife, Chris,
have been supporters of Southern Ocean Medical Center for many years.
As members of the community, the O’Donnells first became involved
with Southern Ocean as donors. After a few years, Joe, a former
managing director of Bankers Trust Company, then became the treasurer
of Southern Ocean Medical Center Foundation Board of Trustees. They
knew the importance of supporting their local hospital.
A Firsthand look at Great Care
“We made a donation to the Emergency Department expansion and had
a room named after us,” says Joe. “Then, last year I felt awful and
decided I needed to go to the Emergency Department myself.” After a
few hours of testing, the doctor told Joe he would need to be admitted
for treatment. He received treatment and the problem was resolved.
“The staff could not have been nicer, and I got excellent care,” Joe says.
“It’s comforting to know that this level of care is available right down the
street at the community hospital. I didn’t have to travel anywhere.”
A Rewarding Experience
Since that time, the O’Donnells have continued to support the hospital
with even greater passion. This past summer, they held a fundraising
event at their home in Barnegat Light to help spread the word to
other families.
“We want everyone in the community to
know about the great services the Medical Center
provides — and the need to help support it,” Joe says.
Joe’s wife Chris also lent a hand to help
coordinate this year’s Chrysanthemum Ball, held on
October 11 at Caesar’s Hotel and Casino in Atlantic
City — an event the O’Donnells look forward to
every year.
“I do a lot of fundraising work for many other
organizations,” Chris says. “But I can honestly
say that this feels the most rewarding. There’s
a real need for this hospital in the community and
I’m glad we can help support it — I think it’s a
terrific place.”
Want to Help?
To find out how your support of
Southern Ocean Medical Center
might benefit others in your
community, please call 609-978-3081.
Joe O’Donnell and his
wife, Chris, have been
avid supporters of
Southern Ocean Medical
Center for many years.
Joe is on the Foundation
Board of Trustees at
Southern Ocean.
MeridianHealth.com
1-800-560-9990
27
The Menopause
Risk You Might
Not Expect
Bone loss is common
as you age. Women, is osteoporosis
in your future?
Meridian Health
Your body goes through many changes during menopause — some
more obvious than others. One important change that you might not
notice happens in your bones. Women lose about 12 percent of their
bone mass during their menopausal years. And the changes don’t stop
there. “After menopause, your ovaries stop producing estrogen,” says
Brian Gottesman, M.D., of Southern Ocean Medical Center. “Estrogen
is a hormone that keeps bones strong.”
These changes can lead to osteoporosis, or bone loss. It is a serious
bone disease that affects about 10 percent of women ages 50 and older.
Osteoporosis is becoming more and more common, according to the
National Osteoporosis Foundation. In New Jersey alone, experts
predict that the number of older adults who
have osteoporosis or are at risk for the disease
will increase 18 percent by 2030. Take action
today for stronger bones tomorrow.
women older than 50
1 in 2
Steps for Stronger Bones
No matter your age, you can take measures
to strengthen and protect your bones.
Experts suggest the following:
Do bone-building activities. “Weight-bearing
exercises, such as walking, running, and
weightlifting, strengthen your bones,” says
Joseph Tauro, M.D., of Ocean Medical Center.
Aim for 30 minutes of activity on most, if not
all, days of the week. “Stick to walking if you
have arthritic joints in your legs.”
Get the nutrients you need. Calcium and
vitamin D slow bone loss. Women ages 19 to
50 should get 1,000 mg of calcium per day.
After age 50, aim for 1,200 mg calcium.
Adults also need 600 IU (International Units)
28 Meridian HealthViews
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}
While men can suffer from bone loss,
women are twice as likely as men to develop
osteoporosis. And although it can hit adults
of any age, the disease most commonly
affects people older than age 50.
Your risk also increases if:
• Either of your parents had osteoporosis
or bone fractures
• You are slim, petite, or tall
• You have broken a bone
• You smoke or drink heavily
will have a bone fracture
caused by weak bones in
their lifetime.
1 in 4
men older than 50 will
have a bone fracture
caused by weak bones
in their lifetime.
}
Are You At Risk?
Brian T.
Gottesman, M.D.
Board certified
in ObstetricsGynecology
Manahawkin
1-800-560-9990
Joseph C.
Tauro, M.D.
Board certified
in Orthopedic
Surgery
Toms River
1-800-560-9990
Michael D.
Karoly, M.D.
Board certified
in ObstetricsGynecology
Little Silver
1-800-560-9990
Deborah R.
Alpert, M.D.
Board certified in
Rheumatology and
Internal Medicine
Neptune
1-800-560-9990
of vitamin D. Dairy products, broccoli, salmon, kale, and sardines
are high in calcium and vitamin D.
Talk with your doctor. Certain medical conditions, medications,
and being overweight can affect your vitamin D levels and bone
density. If you are at high risk, testing for vitamin D levels and
osteoporosis might be recommended.
Check Your Bone Health
“There are often no symptoms of bone loss. You may not know
you have osteoporosis until you break a bone or notice that your
height is decreasing,” says Michael Karoly, M.D., of Riverview
Medical Center. This is why osteoporosis is sometimes called “the
silent disease” — and why screening is so important.
All women ages 65 and older should have an osteoporosis
screening, says the U.S. Preventive Services Task Force. You may
need a screening earlier depending on your risk factors.
The best screening tool available is called DEXA (dual energy
X-ray absorptiometry). This quick, painless test can detect bone
loss before fractures occur. Your doctor may also use it to see if an
osteoporosis treatment is working.
osteoporosis Treatment: What to Expect
“Doctors use a variety of methods to treat osteoporosis,” says
Deborah Alpert, M.D., of Jersey Shore University Medical Center.
“Your doctor may recommend changes to your diet, exercise,
medications, or a combination of these treatments.”
Adequate calcium and vitamin D intake are important.
Bisphosphonates are one type of osteoporosis medication. They
reduce the rate of bone loss and may be used to prevent or treat
osteoporosis. Many other medications are available, so talk with
your doctor about the best option for you.
If you have osteoporosis, you will need to be especially careful to
avoid falls. Falling increases your risk of fracturing a bone. Bone
fractures can cause disability and lasting pain. Balance exercises,
such as those practiced in yoga, can help you
avoid falls. Your doctor can suggest other ways
to help prevent falls.
Taking Care of the Whole Woman
Some people have low bone density that isn’t
Whether it’s diet and fitness or emotional well-being,
severe enough to be considered osteoporosis.
your needs become even more important when there are
This is known as osteopenia. In some cases of
little ones depending on you. Meridian Momtourage’s exclusive
osteopenia, your doctor may recommend
Women’s Health Center is devoted to your many health concerns.
medicine to help prevent further bone loss.
Read “Habits to Help You Look Good and Feel Terrific” and other
Talk with your doctor about your bone health.
unique content at MeridianHealth.com/Menopause.
Together, you can work to keep your bones
healthy and strong for many years to come.
MeridianHealth.com
1-800-560-9990
29
Suffering from blood clots, Marianna
Williams, pictured with her family,
almost missed her graduation.Thanks
to her concierge team, she was able
to attend via Skype.
Convenient, High-Quality
Care at Jackson
A Helping Hand
Concierge Care Program helps
Neptune student attend graduation.
Meridian Health
WHen Marianna WiLLiaMs Found
herself at Jersey Shore University Medical
Center with blood clots in her brain, all
the 18-year-old wanted to know is if
she’d make it out in time for graduation
five days later.
Her mother, Teresa Goolcharan (pictured
above), assured her that she would, but with
Marianna’s deep vein thrombosis threatening
her life, that didn’t look possible. Then
something magical happened.
Child-life specialist Sara Auerbach heard
that Marianna had missed prom and was
on the verge of missing graduation, too.
So she teamed up with the Concierge Care
program to make sure that didn’t happen.
There for Patients
Concierge Care is available at all Meridian
Health hospitals seven days a week, from
30 Meridian HealthViews
noVeMber/deceMber 2014
Meridian Health Village at Jackson
provides leading-edge heart care
and rehab. Meet our cardiovascular
experts at MeridianHealthVillage.com.
10 a.m. to 8 p.m. The Concierge Care
team assists patients with non-clinical
needs — from mailing bills and
providing toiletries to helping someone
celebrate a special occasion. They’re also
a great resource for information of any
kind. “If we are not the right people to
answer the question, we know how to
find the right people,” says Elizabeth
Trudeau, manager of Concierge Care.
For Marianna, the team set up a Skype
account that was broadcast into her
graduation. She could see all the
festivities from the comfort of her
hospital bed, where a stylist had done her
hair and makeup. When Marianna’s name
was called, she appeared on the
Jumbotron at the ceremony.
“The kids absolutely went crazy and
parents were crying,” Teresa says. “The
whole school had been backing Marianna
from the time they found out what her
condition was.”
Exceeding Expectations
Today, Marianna still regularly sees
pediatric neurologist Richard Sultan,
D.O. — who attended to her in the
hospital — but she’s doing well and
getting ready to start college in January.
Teresa couldn’t be more grateful. At a
time when she needed to focus on the
health of her daughter, Concierge Care
and other Meridian staff handled the
details that otherwise would’ve slipped
through the cracks.
“All the little things I forgot, they
filled in; everything I couldn’t do, they
did,” Teresa says. “It was beyond what
I expected.”
Are You Taking In
Enough Iron?
If you often feel tired, weak, or mentally
foggy, a low iron count could be the culprit.
Meridian Health
Young WoMen ages 19 to 50 need 18
milligrams of iron each day, and pregnancy
boosts that requirement to 27 milligrams.
“Eating wisely can help you consume
enough iron to stay healthy,” says
Mark Ende, D.O., of Southern Ocean
Medical Center. “Food contains two types
of iron: heme and nonheme iron.” The best
heme iron food sources include chicken
liver, oysters, beef, and clams. Some of the
best nonheme sources include iron-fortified
cereals, lentils, beans, and spinach.
Your body absorbs heme iron more easily
than it does the nonheme variety. But here
are some tricks to boost your body’s
absorption of nonheme iron:
• Consume at least some meat, poultry,
or fish.
• Eat plenty of foods rich in vitamin C,
such as citrus fruits.
• Cut back on coffee,
tea, egg yolks, milk,
and soy protein
when you eat ironrich food.
Mark Ende, D.O.
Board certified in
Internal Medicine
Forked River
1-800-560-9990
Try varying your
veggies by buying
the following types
of foliage:
• Kale, a descendant of wild cabbage, has a
mild cabbage taste and a delicate texture.
• Swiss chard has a beetlike taste that is
bitter and sweet at the same time.
• Mustard greens are peppery and pungent.
They’re common in Chinese, AfricanAmerican, and Southern recipes. Chop
greens right before you cook or eat
them to avoid nutrient loss due to air
exposure. Steam, microwave, or stir-fry
rather than boil, because nutrients can
also leach into water.
brussels Sprouts
with mushroom
Sauce
INGREDIENTS
1 lb. brussels sprouts or broccoli,
cabbage, kale, collards, or turnips
1 cup chicken broth, low sodium
2 tsp. lemon juice
2 tsp. spicy brown mustard
1 tsp. dried thyme
1 cup sliced mushrooms
Pumping Iron
Iron is a metal that is essential for life. It’s
an important component of your muscles
and helps regulate the growth of cells. Read more
about the benefits of iron and other drugs, herbs, and
supplements at WellnessCenter.MeridianHealth.com.
DIRECTIoNS
1. Trim brussels sprouts and cut in
half. Steam until tender — about
six to 10 minutes, or microwave
on high for three to four minutes.
2. Bring the broth to a boil in a
nonstick pot.
3. Mix in the lemon juice, mustard,
and thyme. Add the mushrooms.
4. Boil until the broth is reduced by
half, about five to eight minutes.
5. Add the brussels sprouts.
6. Toss well to coat with the sauce.
Yield: four servings.
Nutrition Facts
Calories: 70, Fat: 1 g.
MeridianHealth.com
1-800-560-9990
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Meridian
Health
One Riverview Plaza
Red Bank, NJ 07701
727 North Beers Street
Holmdel, NJ 07733
READ MARIANNA’S STORY
ON PAGE 30.
You buy the princess helmet.
You put on the training wheels.
You get ready to roll.
1945 Route 33
Neptune, NJ 07753
You get jaw pain and cold sweats.
Signs of a heart attack.
Your wife doesn’t hesitate.
She calls 911.
1945 Route 33
Neptune, NJ 07753
You get to a Meridian ER.
And expertise found only at accredited Chest Pain Centers.
You get access to Meridian CardioVascular Network.
You get rehab close to home.
425 Jack Martin Blvd.
Brick, NJ 08724
You get your heart strong again.
So you can enjoy the ride.
To get an appointment with a Meridian CardioVascular specialist, call 1-800-DOCTORS.
To get more information, visit MeridianCardioVascularNetwork.com.
1140 Route 72 West
Manahawkin, NJ 08050
Meridian Hospital Leadership
STEVEN G. LITTLESON, FACHE
Executive Vice President, Meridian Health
TIMOTHY J. HOGAN, FACHE
Regional Hospital President, Monmouth County
DEAN Q. LIN, MHA, MBA, FACHE
President, Ocean Medical Center
JOE COYLE
President, Southern Ocean Medical Center
Meridian CardioVascular Network
© 2014 Meridian Health
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