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. 2 Meridian HealthViews 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 Meridian HealthViews 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. 6 Meridian HealthViews 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, 8 Meridian HealthViews 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. B Bayshore Community Hospital 24 Meridian HealthViews november/decemBER 2014 R J O Riverview Medical Center Jersey Shore University Medical Center Ocean Medical Center S Southern Ocean Medical Center MFW Meridian Fitness and Wellness 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. B bayshore community hospital 26 Meridian HealthViews noVeMber/deceMber 2014 R J O riverview medical center Jersey Shore university medical center ocean medical center S Southern ocean medical center MFW meridian Fitness and Wellness MHV meridian health village 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 november/decemBER 2014 } 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 31 Non-Profit Org. U.S. Postage PAID 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 Printed on Recyclable Paper 6116A