Winter 2009
Exclusive Interview Caroll Spinney Beyond Feathers and Fur
Walking Tall Again Partial Implant Puts Patients on the Go HealthWise News You Can Use For Your Good Health
Photo Credit: Victor DiNapoli
Welcome to… 2009
Magazine WINTER
Trinitas Regional Medical Center begins 2009 with a commitment to providing outstanding health care services to the community even as our organization is experiencing the stresses of the difficult economic climate. Our long history of health care services for citizens of Elizabeth, Union County and the entire Central New Jersey region continues to energize us.
Our new name sends a powerful message as we move forward with a committed work force of medical, nursing and health care professionals and an array of exemplary services at our 10 Centers of Excellence. This year, our medical staff is welcoming new members in the specialities of oncology and urology. In addition, our investment in the most advanced tools for surgery — the DaVinci Robotics system and RapidArc - the newest development in radiation therapy — makes it clear that we intend to create an environment rich in cutting-edge technology. We plan to make prudent fiscal decisions to maintain our position as a thriving health care organization in a climate in which other facilities are experiencing dramatic changes and closures.
In keeping with our redefined identity as a regional medical center, there will be additional exciting developments throughout 2009. We’re building on past successes of this decade and look forward with anticipation to celebrating our 10th anniversary in 2010.
Enjoy this issue of HEALTHYEDGE which provides a glimpse of the novel and innovative surgical procedures and state-of-the-art treatments that we offer. There is also upbeat coverage about how we encourage and support women who are facing the challenge of cancer. And, if you’ve ever wondered about the heart and soul of Big Bird and Oscar the Grouch of Sesame Street, you'll meet the human beneath the feathers and fur in our exclusive interview.
On behalf of our entire organization, I wish you good health in 2009. But rest assured that if you need medical care Trinitas Regional Medical Center is here with quality care for body, mind and spirit.
Sincerely,
Gary S. Horan, FACHE President & CEO
WINTER 2009 1 CONTENTS
WINTER 2009
FEATURES 3 Beyond Feathers and Fur Interview with Caroll Spinney of Sesame Street 10 Walking Tall Again Innovative Appliance Supplies Relief for Knee Pain 13 HealthWise News You Can Use for Your Good Health 26 Nursing Care in the Battle Against Addictions 28 Advanced Images Help Improve Cardiac Diagnoses 30 Sisters of Charity Bring Thoughtful Caring to Special Ministries 33 Singing the Praises of Trinitas Regional
Victor M. Richel Medical Center Chairman, Trinitas Health & Hospital Board of Trustees 38 Cancer Survivors Put Best Foot Forward Gary S. Horan, FACHE President & CEO, Trinitas Hospital IN EVERY ISSUE HEALTHYEDGE STAFF 24 Community Calendar Executive Editor...... Doug Harris Director of Public Relations and Marketing 34 Foundation Focus: Editor ...... Kathryn C. Salamone News of the Trinitas Health Foundation Manager, Public Relations and Marketing Contributing Writers ...... Bob Badner, 40 Hospital Beat: Julie Jacobs, Rena Sandberg, Judith Trojan People and Events of Note Contributing Photographers . Doug Harris, Al Kruper, Kathryn C. Salamone, 42 Vital Signs: Paul Schneck Trinitas Comprehensive Cancer Center News The HEALTHYEDGE - Winner of Graphic Design ...... Jama Bowman 44 News of the City of Elizabeth the 2007 NJ/IABC IRIS Award! ADVERTISING INQUIRIES: Rob Rubilla (908) 337-3276 Trinitas Hospital is a Catholic Teaching Hospital sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation. LETTERS TO THE EDITOR: Healthy Edge HEALTHYEDGE Magazine is published quarterly by Trinitas Hospital and Trinitas Comprehensive Public Relations Department Cancer Center, 225 Williamson Street, Elizabeth, NJ, 07207. Trinitas Hospital This is Volume 2, Issue 4. This material is designed for information purposes only. None of the 225 Williamson Street information provided in Healthy Edge constitutes, directly or indirectly, the practice of medicine, the Elizabeth, New Jersey 07207 dispensing of medical services, a professional diagnosis or a treatment plan. The information in Healthy Edge should not be considered complete nor should it be relied on to suggest a course of If you are not interested in your copy of treatment for a particular individual. You should not rely on information provided in Healthy Edge HEALTHYEDGE which is sent to you free of as a substitute for personal medical attention, diagnosis or hands-on treatment. You should never charge, please feel free to pass it along to disregard medical advice or delay in seeking it because of something you have read in Healthy someone else. Edge. If you have any health care related concerns, please call or see your physician or other qualified health care provider. 2 HEALTHYEDGE HEALTHYEDGE EXCLUSIVE Beyond Feathers and Fur CAROLL SPINNEY BRINGS HUMANITY TO BIG BIRD AND OSCAR THE GROUCH by Judith Trojan
Master puppeteer Caroll Spinney has been the spirit and spine of Big Bird and Oscar the Grouch since Sesame Street‘s premiere episode on November 10, 1969. But it is as Big Bird that Spinney has encouraged four generations of children to be patient and kind from the vantage point of a fellow six-year-old, and also taught
them the alphabet, their numbers and what it means to be a friend. Source: NARA Compassionate and gracious, not unlike the Bird he cohabits, Spinney has also loved working “off the Street.” Big Bird has traded quips on 146 episodes of Hollywood Squares; hit the road to China with Bob Hope; danced with the Rockettes and prima ballerina Cynthia Gregory; and conducted 70 symphony orchestras throughout the U.S., Canada and Australia. En route, Big Bird has been fêted with a star on the Hollywood Walk of Fame and celebrated with his likeness on a U.S. postage stamp. Spinney’s prized mantelpiece, once owned by President Franklin D. Roosevelt, is also chockablock with awards of all shapes and sizes. As Big Bird, Spinney was named a “Living Legend” in 2000 by the Library of Congress and takes great pride in his 2006 Lifetime Achievement Emmy Award, his five other Emmys, two A year after the debut of Sesame Gold Records and two Grammy Honors. He’s the 2003 recipient of the “Legacy Street, Big Bird visited the White for Children Award” and the 2004 James Keller Award, the latter from The House and met then First Lady Christophers for his lifelong contributions to the craft and spirit of children’s Pat Nixon. television and puppetry. Interviewed by phone from his country home in Connecticut, Spinney at times choked with emotion as he recounted his passion for puppetry that began at age “I’m certain that being five and continued throughout his innovative work with Muppet visionary Jim a bird has made me a Henson on Sesame Street and beyond. better person.”
— Caroll Spinney INTERVIEW
Big Bird debuted on the very first The scripts led me to feel that Big ‘A Poem by Big Bird.’ At that point, installment of Sesame Street. How Bird would be more useful if he were a I decided he was six years old because have you fine-tuned his character surrogate child, not a big goofy guy he could read pretty well. over the years? hanging around the kids. This way he could learn the alphabet along with Big Bird’s compassion has endeared CS: Big Bird is a child who never the kids at home. I thought, ‘I won’t him to audiences of all ages. Didn’t grows up, which is a delightful charac- do it overnight, but I’m going to your encounter with an old man ter to play. But he didn’t start out that lighten up his voice.’ It just got higher one snowy night during Christmas season inspire that trait? way; originally, he was a country yokel and higher. and not very bright. That was Jim He also couldn’t read or write at CS: Yes. Around 78th Street, I Henson’s original concept. Big Bird first, so I figured he’s four or four-and- passed an elderly man shuffling his feet even looked terrible. He hardly had any a-half. Within two years, Big Bird was at the edge of the sidewalk, taking tiny feathers above his eyes. quoting a little four-line poem, Continued on page 4 WINTER 2009 3 A New Smile… A New You!
Letter in hand, IMPLANTS & Big Bird helped to COSMETIC DENTISTRY educate millions of children for four Personal encounters decades, providing many with their first Start With a Smile… exposure to the Sometimes Nature alphabet and set them on the road Needs A Little Help to lifelong reading. • Implant Placement/Resortation • Invisalign • Veneers Photo credit: www.seedgivethtree.wordpress.com • Periodontics - Orthodontics • Bonding • Crowns/Re-Construction steps but not moving past the curb. You recently turned 75. How do you Something told me to look back at manage to stay so in tune with your All Phases of General Dentistry him. He was still in the same place, young audience? Nitrous Oxide Analgesic looking bewildered and upset. EMERGENCY SERVICE AVAILABLE CS: I remember my childhood very I returned to ask him if he was all clearly. I actually remember being toilet right. He said he was afraid of falling trained, and it wasn’t just last year! Center of on the wet pavement, that he lived Remembering my childhood has helped alone and if he got hurt no one would me live out Big Bird’s childhood. He’s DENTAL SERVICES look after him. All he needed was a kind of like my child, and I get to play little help, and here I thought he was my child. That’s one of the great things Dr. Richard J. Lukenda an old drunk. I walked him several about playing the same character for Dr. Richard L. Sufficool blocks to his door and felt terrible 40 years. Dr. Richard Lukenda that my first thought hadn’t been compassion for this man. That experi- You’ve been in physical danger several Insurance Claims Processed ence made me realize that compassion times while playing Big Bird. Is there one instance that still haunts you? Convenient Financial Arrangements was something Big Bird should be teaching children on Sesame Street, CS: Yes, probably when Big Bird and the producers agreed. FOR APPOINTMENT & CONSULTATION landed on top of my wife, Debi. I was Can you recall any audience feed- performing in Maryland on a big 908-925-8110 back that reinforced your vision for temporary stage raised about seven www.centerofdentalservices.com Big Bird? feet above the floor of an auditorium. There were curtains all around it, but CS: A mother from Saskatchewan Se Habla Español nothing to stop me from walking off wrote that she heard her four-year-old My Mowimy Po Posku the side of the stage. whimpering as he watched Sesame Fala Se Portuguese Street. He told her, ‘Big Bird’s just like As I left after my performance, I me—all the kids are off at school; but ended up at the edge of the stage, and 924 NORTH WOOD AVE. he’s not old enough to go, so he has there was nothing but space ahead of no one to be with.’ I was 43 at the me. I suddenly felt myself being pulled LINDEN time and thought how neat it was back. My wife had raced up behind me that a four-year-old in Canada was and grabbed me by my belt. I landed identifying with what my character, on her lap. After the show, we looked Hours: Monday - Saturday & Evenings Big Bird, was going through. down there: It was a storage area. 4 HEALTHYEDGE I would have landed head first onto to me. We were appearing at metal chairs with the legs facing Georgia Tech and Big Bird was straight up. I could have been killed. the only puppet in the show. While we were at lunch, I You must need a lot of stamina to do noticed passersby with Big Bird this work. How do you stay in shape? feathers in their hats. They were CS: I used to exercise between ROTC in their final year of college shows, but lately I’ve been lazy and who had been hired to make sure haven’t done that very much. I try to that nobody bothered our equip- be quite active at home in the country ment, including Big Bird. You’d and work on the grounds a bit. But I expect better behavior! think it might be genetic; I don’t seem I began seeing more feathers, to be wearing down too badly. My then dozens. So, I rushed down to father lived to be one month short of the theatre and saw Big Bird on 91! What a gas it would be to do this the floor. About 100 feathers had all through my 80’s as long as it was been ripped off his chest, and the still fun. If it ever gets to where it’s not netting underneath was exposed. fun, then it would be better to leave. His head was broken and his eye was hanging off. A lot of your heart and soul has I burst into tears. It was like gone into Big Bird. Do you ever seeing your child torn, violated and suffer from separation anxiety when thrown on the ground. Caroll Spinney relates his thoughts and you leave him behind at the end Meanwhile, 6,000 four-year-olds perspectives on life as a puppeteer in of the day? were filing in to see the next show, his recent autobiography published by CS: An awful thing happened to Big and Big Bird was lying there dead on Villard/Random House, Inc. in 2003. Bird in Georgia that let me know how I the floor. I never knew how I felt really felt about him and who he was Continued on page 6
IT’S NOT EASY BEING YELLOW
Master puppeteer Caroll Spinney plays Big Bird from the “The right wing is just a dummy,” clarified Spinney. “If I inside out. With his right arm extended above his head, lower my left arm, it pulls the right wing up. So when I’m Spinney is literally suited up inside Big Bird’s 8-foot-2-inch walking, I pump my left arm up and down so Big Bird looks feathered costume, which surprisingly only weighs 4-1/2 like he’s striding with his arms moving as he walks. It gives pounds. Spinney’s right arm supports the Bird’s neck, while him full motion.” his right hand operates the beak. Spinney essentially performs “blind” since he can’t see out- “I run his lower beak with my thumb, and my little finger side of the Bird; although he can catch a glimpse of what operates his eyelids, which are almost always in motion the TV audience sees by watching a tiny TV monitor and help create his expressions,” explained Spinney. “I can strapped to his chest inside his costume. He cuts and folds make him smile or look sad by simply changing the angle his script, via “script origami,” and secures it to the monitor. that I hold his head to the camera because his face is like a “Once in awhile, we’ll take one or two feathers off, which porpoise. He really can’t change his expression.” are on Velcro, so I can just get the sight of where a door- Spinney’s left arm functions as the left wing and, with a jamb is,” Spinney said. “If I’m doing live shows, Big Bird piece of strategically-placed monofilament, controls the usually wears a tie, so I can see through the tie.” — J.T. right wing as well.
WINTER 2009 5 SCRAM… HERE COMES THE GROUCH!
The green shag bag, Oscar Schneck Photo by Paul the Grouch, may have found his Shangri-La in a dented garbage can on Sesame Street, but snippets of his soul were originally spotted in Oscar’s seafood restaurant in Manhattan (a grouchy waiter) and his voice in the grumbles of a crabby New York cabbie.
Master Muppeteers Jim Henson and Caroll Spinney spun these characters together and out came Oscar the Grouch. Originally orange and scrawny, he eventually bulked up and turned green In April 2008, Caroll Spinney graciously shared the podium with the irascible Oscar permanently…after “a vacation” the Grouch at the 59th annual Christopher Awards gala. in the swamp!
“Oscar is a curmudgeon,” said Spinney. “I can’t say that I admire him very much, but the thrill of about Big Bird until I saw this effigy green, furry grouch, yet I play them playing such a strong character is all ripped apart. and try to make them entertaining and a delight.” — J.T. educational. I love puppetry because You’ve worked with many show busi- you can be almost anything. I call it ness icons, world leaders and six First ‘acting at the end of your arm.’ Ladies! Is there one encounter with a First Lady that stands out? You were two years older than Jim Henson, yet you consider him CS: I learned that you don’t put your mentor. your wing on the First Lady if she’s Pat Nixon. After we did the show, she CS: Even though we became was gracious, but very formal. I was friends, I never lost my awe of him: He standing next to her for photos with was a true genius. He gave me a few my left arm up on her shoulder. She pointers, but he encouraged us all to reached up, brought my hand down evolve and innovate as we went along. and held on to it, so I couldn’t do One of the wonderful aspects of Jim’s
Photo credit commons.wikimedia.org that again. genius was his openness to new ideas from the people around him. Why choose puppetry over traditional acting? Are you currently mentoring any young puppeteers? CS: Puppets often have a use in An Oscar the Grouch puppet at the education and areas where nothing CS: I’m mentoring a brilliant young Smithsonian National Museum of else quite works as well. I started out man right now. He just turned 12 and American History in Washington, D.C. doing puppets when I was a little boy is totally enamored with Big Bird, so and, for years, never thought of myself I’ve been encouraging him a great deal. as an actor. Now I realize I am an actor He has wonderful parents who support because I’m not an eight-foot bird or a what he wants to do. I think that’s 6 HEALTHYEDGE Photo credits: The Associated Press
great. It reminds me of what my mother did for me. By the time I was 16, she had built me 70 puppets and written all their stories. She was fantastic.
Your three children and four grand- children grew up watching Sesame Street. How have they dealt with the fact that you play Big Bird and Oscar On the set at Sesame Street, Big Bird gets ready for a videotaping. the Grouch? CS: I remember the first time my grandson called up and I said, ‘Big Bird is visiting, would you like to talk to him on the phone?’ His little tiny voice said, ‘Yes!’ So Big Bird ‘talked’ to him. From then on, until he was almost 11, he would often call up and ask, ‘Hey, Granddad, is Big Bird there?’ He usually was; but once in awhile, I would say, ‘No, he’s down at Sesame Street,’ so it would be a little more realistic. He loved talking to Big Bird.
Sesame Street was originally consid- ered to be an ‘experimental’ show. After 40 years, it’s still going strong. Why has it been so successful? CS: A study done in the late ’90s revealed that children watching the show at that point were much younger than our audiences in 1969. And although the original mission was to reach inner city children, the show has consistently appealed to kids from all walks of life, not just inner city kids. Certainly Sesame Street has changed education. We try to encourage children
Continued on page 8 WINTER 2009 7 “Swami Shreeji” CAROLL SPINNEY Continued from page 7
Yaswant H. Patel, to develop the attitudes they need to lessons on Tuesday nights. Art lessons? M.D., F.A.C.O.G. live happy, productive lives. And we In 1906, he did the cover of the are constantly urging parents to read Saturday Evening Post! Practice Limited to to their children, so they understand It’s important to keep learning. It Obstetrics and Gynecology the magic of words. Part of the genius makes life a lot more exciting because of the show is its appeal to grown-ups. Board Certified learning is fun. It’s so much fun that If they like it, it’s more likely that they often, as I’m heading for the studio, In Practice Since 1982 will tune in so that their children I’m giggling to myself, not like a can watch. complete fool, but because I’m looking forward to the joy of doing some of DIPLOMATE, THE AMERICAN There’s a lot to be said for our wonderful scripts. Even at this BOARD OF OBSTETRICS & lifelong learning! advanced age, I’m still learning! GYNECOLOGY CS: Yes, I think so. Back when Norman Rockwell was alive, I was so Fellow, The American impressed when I read that he was College of Obstetricians 72 years old and still taking art & Gynecologists
Affiliated with Trinitas Judith Trojan is an award-winning Regional Medical Center entertainment journalist and the director of The Christopher Awards, currently in its 60th year of honoring films, TV/cable programming and books that “affirm the highest values of the human spirit.”
yashpatelmd.com yashpatel.nsedreams.com
Akshar Women’s Clinic 822 N. Wood Ave, Ste 201 Linden, NJ 07036-4038 SESAME STREET WELCOMES A NEW AGE 908-925-1881 Office Hours by Appointment Be sure to check out Sesame Street’s newly refurbished educational play site at www.sesamestreet.org for Multilingual Staff wonderful child- and parent-friendly activities, videos and games that extend the shelf-life of the TV show by engaging kids interactively. And the best part in these financially-strapped times: It’s free! — J.T. Plenty of Free Off Street Parking Photo credit: www.berlinwallpaper.com
8 HEALTHYEDGE
Walking Tall Again
PARTIAL IMPLANT PUTS PATIENTS ON THE GO by Julie Jacobs
Arthritis of the knees had plagued Oxford® Partial Knee Implant. The day design and manufacture of products John S. for decades. Despite trying an after surgery on his left knee this past for the orthopedic, sports medicine, array of medications and enduring October, John was out of the hospital biologic, craniomaxillofacial and dental series after series of cartilage-restoring using only a cane for support. Four markets since 1977, and is unlike any injections, John could not find relief. In days after the procedure, he was walk- other partial-knee implant. fact, his condition worsened and was ing totally unassisted. And just a week The Oxford® is a three-part system: especially painful and disruptive to his afterward, he was back at work. a partial metal cap that attaches to the life during the past 15 years. He grew “I have improved mobility and flexi- femur (thigh) bone, a metal tray that progressively bowlegged, which greatly bility, and the discomfort is so minimal, attaches to the tibia (shin) bone, and a impacted his job as an electrical engi- nowhere near to that which I experi- neer. “I was working out in the field, plastic bearing that sits in the middle enced 24/7 for so long,” says John, where I had to be on my feet for hours of the two. The artificial bearing acts as who plans to have his right knee done a meniscus, which in a healthy knee at a time,” the Kinnelon resident says. this spring, and who remains eternally absorbs the shock between the femur “Because of my knees, I’d have to sit grateful to both Dr. Charko and the and tibia when bending the leg. down much too often.” Oxford® Partial Knee Implant. In search of a permanent solution, “With older implants, the plastic is John visited three surgeons, all of Construction Makes fixed to the tibia and, as a result, tends whom recommended a full-knee Implant Unique to wear more quickly over time,” notes replacement. Then someone suggested Developed in Oxford, England, and Dr. Charko, who has been performing he see Gregory Charko, MD, attending employed in Europe for two decades partial knee implant surgery for 17 orthopedic surgeon at Trinitas Regional now, the Oxford® Partial Knee Implant years. “”With the Oxford®, when the Medical Center. After taking and was approved by the Food and Drug knee bends, the femur rolls back on reviewing x-rays, Dr. Charko felt that Administration for use in the United the tibia. There’s a gliding, as opposed John was a good candidate for a States in 2004. It is manufactured by to the pieces rubbing against one partial-knee replacement, utilizing the Biomet, a worldwide leader in the another.”
During an Physical By explaining evaluation Therapist the position of a potential Valerie Epps and movements knee problem, measures the of knee liga- a physical ther- extension of the ments, Valerie apist observes a knee of patient Epps informed patient as he or Maribel Guerra Maribel Guerra she walks. Such of Elizabeth that knee pain evaluations, who scheduled can result part of the serv- an evaluation simply from a ices offered at at the Health sitting position the Trinitas Regional Medical Center and Rehabilitation Center because of that may put unnecessary stress on the Health and Rehabilitation Center, are knee pain she was experiencing. knee. In such cases, several weeks of conducted based on a doctor’s referral. physical therapy and adjusting sitting positions normally help to eliminate the pain that may be experienced.
If you need an evaluation or physical therapy, contact Health and Rehabilitation Center at (908) 994-5650 for further information. 10 HEALTHYEDGE Treatment for Long-Term The Oxford® system removes 75% Stability and Mobility of less bone and cartilage. Due to the the Knee free-floating nature of its construction, it provides for a more natural feeling Arthritis of the knee typically occurs knee and more closely replicates nor- on the medial, or inside, part of the mal movement. And while the life span joint. For patients with arthritis limited of any implant depends on a variety of to the medial area (as well as a stable factors—weight, age and activity level anterior cruciate ligament), a partial among them—the Oxford® offers replacement is the optimal course unprecedented durability and longevity of surgical treatment. The procedure for partial-knee replacements. Not all requires a smaller incision and preserves patients are candidates for partial knee more of the normal structure of the replacement. Only your orthopedic sur- ® knee, which includes bone, cartilage The Oxford Meniscal Partial Knee geon can tell you if you're a candidate implant. and ligaments. Patients experience less for joint replacement surgery, and if so, pain and greater range of motion than which implant is right for your specific with a total knee replacement. They needs. You should discuss your condi- risks include, but are not limited to, also recover more rapidly and are tion and treatment options with your loosening, dislocation, fracture, wear, back to their usual routine within six surgeon. The Oxford® Meniscal Partial and infection, any of which can require to eight weeks, versus three to four Knee is intended for use in individuals additional surgery. For additional infor- months following a full replacement. with osteoarthritis or avascular necrosis mation on the Oxford® knee, including Physical therapy, likewise, is shorter, limited to the medial compartment risks and warnings, talk to your sur- taking one month to six weeks instead of the knee and is intended to be geon or visit Biomet.com. of two to three months. implanted with bone cement. Potential Continued on page 12
If you are COLONOSCOPY CAN SAVE YOUR LIFE 50 or older Colon Cancer – an “Equal Opportunity” disease. Are you aware? According to the American Cancer Society, 150,000 Americans will be diagnosed with COLON CANCER… colorectal cancer each year and over one-third • Is the second leading cause of cancer related deaths of them will die from it. Colon cancer is the for both males and females after age 50. second leading cause of cancer death in both • Is “PREVENTABLE” with early detection through men and women, killing more people than a COLONOSCOPY screening. breast and prostate cancer combined. The good • Is “CURABLE” with early detection through a news is that colon cancer is 95% curable when it COLONOSCOPY. is detected and treated at its early stages, before …ARE YOU AT RISK? and physical symptoms develop. More information call 1-877-Colon50 (265 6650) Samiappan Muthusamy, MD, FACG Clinical Assistant Professor, Seton Hall University Dhanasekaran Ramasamy, MD Aaron Javier, PA-C 695 Chestnut Street • Union, NJ 07083 (908) 688-6565 • www.cddnj.com
WINTER 2009 11 Knee Surgery with unbearable and she felt it was time for Remarkable Results surgery, she first turned to the Internet where, coincidentally on her own, she Since becoming Oxford® certified in found and researched the Oxford®. January 2008, Dr. Charko has used the She then met with Dr. Charko and partial-knee implant on a half dozen asked if she was a candidate for a patients to date, with exceptional partial replacement with the device. outcomes in each case. One of his Following her procedure in May 2008, patients, Linden resident Barbara Barbara began a newly mobile life. Bobenchik, recovered so well that she was able to dispense completely with “My recovery was excellent, truly physical therapy and was up and miraculous. I got out of bed the very about right away. next day and had no problems. I didn’t have to use a cane or have physical Barbara, who underwent a full therapy. I could feel that I was doing replacement on her right knee in 2005, great,” she says. “Six months later, I’m also performed by Dr. Charko, had still feeling wonderful and I’m walking suffered with knee pain for as far back every day. It’s unbelievable. Dr. Charko as she can remember. “I always had a did a marvelous job.” problem walking. It was terrible and very debilitating. I couldn’t even take For his part, Dr. Charko looks small steps, and I lived on anti-inflam- forward to scheduling partial-knee matory medications,” she recalls. “At replacements on an outpatient basis, the time I had the full knee replace- doing the surgery first thing in the ment, I was working—I’m now morning and releasing patients by retired—and if I sat too long, it would nighttime, provided they are not in any hurt me. So I was up and down a lot.” pain. What will stay the same is his implant of choice. “There’s no going When the pain in her left knee grew back,” he declares. “When I have to do a partial-knee replacement, it’s going to be with the Oxford® system.”
Advanced Urology Julie Jacobs is a New Jersey-based freelance writer/editor. She owns Wynne Associates PA Communications, an editorial consulting firm.
While the patient in this story is a true recipient of the Oxford™ knee, his/her results are not necessarily typical, indicative, or representative of all partial knee patients. The Oxford™ knee has been used successfully in achieving restored mobility to many patients. However, as with any implanted device, there are factors affecting performance which ultimately result in variable outcomes, including levels of mobility and pain. These factors Alan P. Krieger, MD include, but are not limited to, the patient’s pre and Franklin A. Morrow, MD post-operative health conditions, weight, activity level, M. Brett Opell, MD and adherence to instructions regarding the use of the knee. Due to these variables, it is not possible to predict Diplomates, American Board of Urology specific results or patient satisfaction. The Oxford™ Partial Knee is intended for use in indi- Diseases of Prostate and Kidney • Kidney Stones viduals with osteoarthritis or avascular necrosis limited to Urinary Incontinence • Impotence the medial compartment of the knee and is intended to be implanted with bone cement. Potential risks include, 700 North Broad Street 1600 St. Georges Avenue but are not limited to, loosening, dislocation, fracture, wear, and infection, any of which can require additional Elizabeth Rahway surgery. For additional information on the Oxford™ knee, 908 289-3666 732 499-0111 including risks and warnings, talk to your surgeon and see the full patient risk information on biomet.com.
12 HEALTHYEDGE HealthWise NEWS YOU CAN USE FOR YOUR GOOD HEALTH by Rena Sandberg and Kathryn Salamone
EATING WELL ON A BUDGET
With rising food prices, you might Savor Seasonal Food Healthy Foods Under $1 be wondering how you can eat health- Buying food in season will not only That’s right! Look for these items fully without wiping out your wallet. save you a buck, it offers fresh produce on your next supermarket trip; they all Here are some dietary suggestions to with the most flavor and nutritional offer many health benefits, and best of help you stick to a healthy diet and a value. In winter, choose foods such as all – they cost less than $1! money-saving plan: carrots, potatoes, eggs, fish and nuts. • Oats • Wild Rice During the summer months, opt for Avoid Fast Food • Potatoes • Butternut Squash seasonal foods like strawberries, apples, You’re thinking, “But fast food is plums, summer squash and corn. • Apples • Spinach cheap!” Hold your hamburger – it’s • Nuts • Beets very possible that you are spending Don’t Food Shop on over $1,000 a year at the drive- an Empty Stomach through! Think about it: Most people Your eyes tend to be grab a meal out of their homes three bigger than your stomach times per week. Let’s say you spend when you’re hungry, so hit $6.50 per fast-food meal. If you dish the grocery store after a meal to out $6.50 three times that week, you help you resist the many will have spent $19.50. Doesn’t seem unhealthy, expensive so bad until you multiply that by 52 temptations that lurk weeks and realize that you spent in supermarkets. $1,014! Save that cash and go on a road trip or buy your wife those ear- rings she has been asking for.
LOW FAT FOODS THAT CAN REDUCE HEART DISEASE
First, the bad news: almost 1 million Americans die of has the power to reduce triglyceride levels and reduce the cardiovascular disease each year. Now the good news: it risk of heart disease and stroke. is completely preventable. The American Heart Association Fill up on fiber: Fiber-rich fruits, vegetables, whole grains suggests choosing nutrient-dense foods such as vegetables, and legumes are all thought to block the absorption of fruits, whole grains and lean protein to help in your per- cholesterol in the intestinal tract, thus decreasing your sonal battle against the disease. Not smoking, participating chances of getting heart disease. Soluble fiber has the best in regular physical activities, and following the dietary reputation of lowering blood cholesterol levels, so fill up guidelines below will put you one step ahead toward on oat bran, barley, peas, oranges, apples and carrots. maintaining a healthy heart. Decrease sodium intake: Put down your salt shaker! Eat fish: Sardines, mackerel and salmon are three types of Using less salt can help lower blood pressure which, in fish that are rich in omega-3 fatty acids – a substance that Continued on page 14
WINTER 2009 13 FOODS THAT HEALTHWISE CAN REDUCE HEART DISEASE Continued from page 13 turn, reduces your risk of falling victim to heart disease. Eat the right fats: Not all fats are created equal. Saturated fats found in meat, milk and oils like coconut or palm oil are correlated with occurrences of coronary heart disease. Trans fats – found in margarine, fried foods and baked goods – raise LDL (“bad”) cholesterol which puts the body at COMFORTCOMFORT FOODSFOODS increased risk for heart disease. Two types of fat – monounsaturated WITHWITH YOURYOUR WAISTWAIST ININ MINDMIND and polyunsaturated – are the ones to look for on the super- market shelf. Consumed in Comfort foods are often looked to Mac and Cheese moderation, these fats are touted for nurture and satisfaction. However, For a belt-slimming version of the to reduce heart disease risk. You the calorie-laden price tag is often all-time favorite recipe, swap whole can find these beneficial fats in what we have to pay when we con- milk for 1% or skim milk to cut fat and avocados, nuts, olive and canola sume these foods. Fortunately, there calories and use whole-wheat pasta oil, and seafood. are ways to enjoy these soothing meals when possible. simply by altering a few ingredients. Soup First, to cut fat, opt for light ver- If you love to warm up with a broth- sions of components such as low-fat based soup, you’re in luck. Broth-based cheese, light mayonnaise or reduced- soups are generally less in calories and fat cream. fat than cream-based soups. For those creamy soup lovers, simply swap heavy Secondly, to add sweetness without cream for light cream and your waist- adding spoonfuls of sugar, toss in line will thank you. chopped or grated fruit. Not only will it add sweetness, but you’ll benefit Ice Cream from the vitamins as well. The next time you’re screaming for Third, to increase the nutritional ice cream, choose a light version of your favorite brand. If Ben and Jerry’s is value of the meal, add vegetables or what you crave, look for light options legumes whenever possible. like Chocolate Chip Cookie Dough and So, instead of throwing in the towel Chocolate Chip Mint & Cookies which on your favorite comfort foods, lighten contain 50 percent less fat and 25 per- up! Here are some ways to give your cent fewer calories. Even Haggen-Dazs favorite comfort foods a healthy kick: offers mouth-watering light flavors like Caramel Cone and Coffee. Not willing Meatloaf to compromise in the ice cream Add salsa in place of ketchup, department? Choose a sherbet in replace the ground beef with ground strawberry, lemon or orange; not only turkey, and add a variety of vegetables do they contain less calories, they gen- for added fiber, vitamins and minerals. erally contain minimal 14 HEALTHYEDGE BROWN BAG YOUR WAY TO HEALTHY EATING
Brown-bagging your lunch is one of your creation. (To avoid sogginess, the simplest ways to trim both your keep the dressing in a separate con- budget and your waistline. Saving even tainer until it’s time to chow down.) $5 a day, just by bringing your lunch to work, can give you a monthly cost Soup Fancier savings of at least $100. At their nutri- For those who have access to a tional best, meals packed at home — microwave at work, bringing in soup which should incorporate carbohy- for lunch is a no-brainer. Not only are drates, protein and fat — are also gen- there countless flavors and brands of erally less in calories and fat than soup, but this meal fills the stomach restaurant or fast-food eats. quickly and therefore helps overeating. We’ve got all the lunch personalities Although this is a quick and simple covered. Look below and match the option, it is important to read the label meal to your lunch personality for a before you head to the supermarket week’s – or even month’s – healthy start: check-out. Many soups are loaded with sodium and calories, so pay close Sandwich Aficionado attention to these ingredients. Sodium should typically be less than 600 mg Choose among a variety of whole- per cup and look for calorie content in grain breads and add hard-boiled eggs, the 150-200 calorie range. Lastly, if you lean meats, tuna fish or nut butters spot MSG, it’s a red light to put it back such as peanut, almond or cashew. on the shelf and keep looking for a Top off your sandwich with a variety of more nutritious soup. sliced vegetables, basil or light cheese. To mix things up, swap the bread for Leftover Lover a veggie or whole-wheat wrap. Cooking a nutritious meal and • Black beans with brown rice Salad Fanatic packing it in a zip-loc container takes little effort and ensures that you get a • Pizza topped with light shredded Your options are endless when cre- healthy, hearty fare the next day. Here cheese and a variety of vegetables ating your own salad. Start with a base are some nutritious, lip-smacking eats: of lettuce, spinach or mixed greens • Pasta salad made with cubed and then let your imagination run wild! • Spaghetti-turkey casserole with turkey, cheese, onions and Top with several or all of the following: vegetables vegetables • Chicken • Eggs • Pears • Raisins • Cranberries • Celery • Carrots • Red and green peppers Drizzle a low-calorie dressing like Light Ranch or Light Vinaigrette over
WINTER 2009 15 HEALTHWISE
DON’T LET MONEY WORRIES RUIN YOUR HEALTH
2008 was an unsettling year for rate and can also cause bursts of many Americans. From the housing energy. However, stress can be the market crisis to the collapse of Lehman root of all evils when it occurs Brothers, AIG and other financial institu- often and lasts indefinitely. It can be tions, it’s no wonder that 80 percent of blamed for frequent headaches, Americans claim that the economy is insomnia, back aches and stomach their leading cause of stress. Although complications. The good news is we are limited to what we can do about that there are steps you can take the Wall Street crisis, we can choose our to ease your anxiety – whether you path to stress-free, mental freedom. are distressed about the economy “Each day is a new opportunity or other personal matters. to begin a healthy lifestyle,” notes Get Brainy Trinitas RMC Advanced Practice Nurse Susan E. Jackson. “In times of stress If you are in the dark about manag- and financial crisis, this goal might ing your finances, educating yourself take a backseat. However, without a might help ease your stress. Consult healthy lifestyle you cannot go forward. with experts such as a financial advisor Trinitas provides an avenue to well to help get your money on track. being with the variety of outreach services such as health screenings to Ditch your Debt Get Better Zzzz’s the community. The diet we choose, Slash your debt and contact a con- To avoid another sleepless night, the medications, the exercise routines sumer credit counseling service. They steer clear of caffeinated beverages we have, and the lifestyle habits that can provide you with comprehensive after lunch, refrain from stressful we already have can be reinforced with counseling and help you rehabilitate activities such as paying bills before visits to your physician or clinic.” your finances. bed, and exercise at least four hours First, it is important to understand before settling in for the night. Sell That House! that stress can sometimes be useful. Avoid the Bottle For example, it can help you win a Has your house been on the market to Be a Winner! 50-meter dash or get you to work on for what seems like forever? Contact a Drinking alcohol can negatively time. Elevated stress levels make the professional house stager – with a few effect total sleep time, so limit the body respond in a reaction called the rearrangements and some TLC, an amount – and how often – you “fight or flight stress response.” This expert can help you get the biggest choose to drink. In addition, using causes a rise in breathing and heart bang for your buck in a tough market. alcohol habitually has been shown to actually induce the stress response by stimulating certain hormones. Lastly, chronic alcohol consumption can CARDIOVASCULAR DISEASES negatively affect close friends and family which, in turn, can come right 240 Williamson Street • Elizabeth, NJ 07207 back and cause you added stress. 908-994-5300 • Fax 908-994-5308 If you are facing ARTHUR E. MILLMAN, MD FACC/FSCAI hard times because of the economy, see page 41 ASSOCIATE PROFESSOR OF MEDICINE for information about Economic SETON HALL UNIVERSITY GRADUATE SCHOOL OF MEDICAL EDUCATION Support Groups at TRMC.
16 HEALTHYEDGE ABC’S OF MITRAL VALVE PROLAPSE
What is the mitral valve and “For those who are diag- where is it located? nosed with Mitral Valve Located between the left atrium Prolapse, it is wise to consult and the left ventricle, the mitral valve with a physician to determine if in the heart contains two flaps/leaflets it is necessary to be prescribed which protect the opening. antibiotics to prevent infection prior to undergoing particular What is the purpose of the medical procedures,” explains mitral valve? Susan Jackson, Advanced Practice The American Heart Association Nurse at Trinitas. explains that the job of the mitral valve Are their treatment options for is to prevent blood from flowing back- wards. It does this by closing tightly this condition? when the left ventricle contracts. The prognosis for most patients is positive and therefore they do not need What is mitral valve prolapse? treatment. Patients with a severe condi- How is mitral valve prolapse diagnosed? Generally a benign condition, the tion might require beta-blockers to American Heart Association points out lower their heart rate and blood pres- For an accurate diagnosis, an that mitral valve prolapse involves one sure as well as relieve some symptoms. echocardiography is needed. or both valve flaps becoming enlarged. These flaps fail to close evenly when the heart contracts, leaving one or both flaps to drop back into the left atrium. This sometimes causes blood to leak backward through the valve, caus- ing a heart murmur.
What causes mitral valve prolapse and what are its symptoms? Although researchers are still unsure of the exact cause of this syndrome, mitral valve prolapse has been shown to have a strong hereditary connection. Although common symptoms include fatigue, palpitations and headaches, the majority of patients do not experi- ence any symptoms.
Are there complications associ- ated with mitral valve prolapse? Mitral valve prolapse patients gen- erally experience mild complications and can be rest assured that the condi- tion is rarely dangerous. However, in severe and very rare circumstances, complications can include cardiac arrest or stroke. WINTER 2009 17 HEALTHWISE
AS LIGHT SLIPS AWAY, DON’T GET SAD
As the temperature drops and dark- Melatonin, a sleep-related hor- become unbalanced in the winter due ness falls earlier during the winter mone, is thought to increase naturally to less hours of sunlight. This unbal- months, many people begin to experi- in the body during the extended nights ance is said to cause somber mood. ence Seasonal Affective Disorder (SAD). of winter, leading to depression. But, before you feel even more This cyclic mood disorder is a type of Some researchers believe that lack down in the dumps, remember that depression that causes people to expe- of sunlight during the winter months there are treatment options. Light ther- rience a healthy state of mind in the can cause the levels of serotonin, a apy, which resembles outdoor light, spring and summer months and then chemical in the brain that affects alleviates symptoms of the disorder. begin to feel depressed at the onset of mood, to drop substantially. Sitting several feet away from a light late autumn. This disorder, which box anywhere between 15 minutes to affects millions of Americans (more The Circadian Rhythm in the body two hours (or the length of time a commonly touching women than which sends messages to the brain health professional advises) is said to men), is theorized to have one or sev- when it should be going to sleep and offer many benefits with few side eral causes. when it should wake is thought to effects. Bear in mind, however, that because of insubstantial proof about its efficacy at the moment, the Food and Drug Administration has not yet HHCH HEALTH CARE, INC. approved this treatment. 221 WEST ST. GEORGES AVE, LINDEN, NJ 07036
24-HOUR LIVE-IN COMPANION CARE KNOWLEDGEABLE, EXPERIENCED, AT REASONABLE RATES WELL-TRAINED & CARING PERSONNEL HOURLY CERTIFIED HOME HEALTH AIDES For information or a SUPERVISED BY REGISTERED NURSES (CRIMINAL BACKGROUND CHECKS) AT NO EXTRA CHARGE TO PATIENT PRIVATE DUTY NURSING referral to a qualified clinician, FULLY ACCREDITED, BONDED AND WE SPEAK VARIOUS EUROPEAN LANGUAGES INSURED AGENCY INCLUDING RUSSIAN, POLISH, UKRAINIAN, call (908) 994-7556. MEDICAL SOCIAL WORKER SPANISH AND PORTUGUESE AS WELL AS ENGLISH CALL TODAY (908) 587-1172
18 HEALTHYEDGE ARE INEXPENSIVE READING GLASSES STEALING YOUR VISION?
As we age, our ability to see close the eye which causes blurred vision, items diminishes. Even people born which over-the-counter eyeglasses do with perfect vision will require eye- not address. glasses once they reach 40 years of Every person requires an individual age. Presbyopia, a universal condition prescription suitable to their specific that occurs when the ciliary muscles needs. Wearing reading glasses that have weakened and the ability to focus were not made specifically with your on nearby objects has become some- prescription in mind can cause what difficult, can be easily corrected headaches and eyestrain. with prescription eyeglasses. Because over-the-counter reading Because reading glasses can some- glasses have not been customized to times come with a hefty price tag, the individual’s needs, it is possible many people ask the following ques- that the optical centers will not be tion: Can I Purchase Inexpensive close enough to the middle of the Reading Glasses From the Drugstore? customer’s pupils. You should not take a “one-size-fits-all” approach to eyewear. Here’s why: Professional, quality frames tend to hold their shape better than “drug- Most people require a different pre- store” eyewear which means less need scription in each eye, and “drugstore” for adjustment. reading glasses incorporate the same prescription in both lenses. So head to an experienced optician who can help you choose a set of Many individuals have astigmatism, frames that will fit your vision needs a mild imperfection in the curvature of and your budget.
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WINTER 2009 19 HEALTHWISE
UPDATE ON GARDASIL® FOR CERVICAL CANCER
Human papillomavirus (HPV) is a viral incidences. Because there are so infection that is transmitted by having many forms of the virus, vaccination sexual relations with a partner who car- does not keep women safe from all ries the virus. There are over 100 dif- cancer-producing types of HPV. they have been exposed to all 100 ferent strains of HPV, 30 of them which Therefore, annual Pap smears are can be transmitted through sexual con- still highly recommended. strains of HPV is incredibly low. However, Gardasil only prevents tact. Certain types of HPV can cause Who is Eligible for Vaccination? genital warts, precancerous lesions on infections from HPV; it does not treat Because Gardasil takes effect before the cervix, or cervical cancer. those already infected. contact is made with HPV types 6, 11, Gardasil to the Rescue 16, and 18, girls as young as nine Is Gardasil Safe? Fortunately, in 2006, a revolutionary are eligible for the vaccine. Young Given in three doses over a six-month vaccine called Gardasil won approval women up to the age of 26 – prefer- period, there have been no reported from the Food and Drug Administration ably those who have not yet been serious side effects to date. Not only which prevents infections of HPV exposed to sexual activity – are has Gardasil been licensed by the strains 16, 18, 6 and 11. HPV 16 and advised to be vaccinated. Even those FDA and approved by the CDC 18 cause 70% of cervical cancer who have been sexually active for a (Centers for Disease Control and cases and types 6 and 11 cause number of years can still benefit from Prevention), its safety is continuously approximately 90% of genital warts Gardasil because the probability that being strictly monitored.
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20 HEALTHYEDGE THE STATUS ON STATINS FOR CARDIO HEALTH
Statins, one of the world’s top-selling drugs, are prescribed to patients to lower their low-density lipoprotein (LDL) cholesterol levels. These drugs decrease cholesterol by moderating cholesterol production and helping the liver eliminate LDL (“bad”) cholesterol in the blood. Aside from slashing heart attack and stroke risk, statins now show that they have the ability to reduce heightened triglyceride levels, lower death-related pneumonia, and diminish the potential of blood clotting in the legs. Before you run to the phone to make an appointment with your doctor, consider whether or not you need to be on a statin. Besides living with high cholesterol (total cholesterol over 240 mg/dL), your other risk factors would include: • Diabetes • Blood Pressure • Being overweight • Age • Smoking • Lifestyle If you are unsure of whether or not you qualify to be the user of a statin, consult with your doctor.
Lifestyle Changes Don’t underestimate the power of positive lifestyle changes. Certain improvements like eating healthfully, quitting smoking and exercising regularly might have a substantial effect on your heart disease and stroke risk. Talk to your doctor or healthcare provider first before making any changes.
Side Effects and Risks There are, of course, side effects that are possible as with any medication, so consulting with your doctor and reviewing your medical history will help you decide if statins are right for you and your condition. In addition, the American Heart Association recommends that the patient should be aware of potential risks that can occur with the use of statins, so discussing them with a physician is essential before starting or stopping the use of this drug.
WINTER 2009 21 HEALTHWISE DON’T LET YOUR KIDS BRUSH YOU OFF: TEACH THEM GOOD DENTAL HYGIENE
Teaching your children Remember to Repeat good hygiene at an early age Children appreciate routines and will keep their teeth and gums respond well to them. Every morning healthy and spare them from and evening, supervise your tiny tot cavities, tooth decay and even when she practices brushing and floss- periodontal disease. With just a ing her pearly whites. little bit of education, you and your child can be spared from Fun is the Name dentist melodrama! of the Game! Model Behavior Instead of making dental hygiene Because children tend to imitate seem like a chore, make it an activity their guardians, it is vital that you set a that your child looks forward to. good example. Routinely brush your Purchase fun flavored toothpaste in teeth in front of your children when ris- banana or grape, offer toothbrushes character, or invest in puzzles, games ing, after meals and before bedtime. decorated with their favorite movie and coloring books that educate them about good dental health. Watch the Clock Very often, children sweep their toothbrush in and out of their mouth, considering their job done. Play a familiar song that lasts at least two minutes while your tyke brushes his teeth to give him a better idea of how long the brush should be swiveling around his mouth. Friendly Foods Let’s not forget that what we eat and drink has a lot to do with our dental health. Serving soft drinks and candy promotes dental caries and decay. Opt for fluoridated water and serve natural teeth-cleaning foods like apples and carrots. Choosing a Paste When purchasing toothpaste for your child, look for one that is accredit- ed by the American Dental Association. Also, look for a brand that contains fluoride to help combat tooth decay.
22 HEALTHYEDGE WHEN SNOW FALLS, SHOVEL WITH CARE
Ahh, the joys of winter - below • Scoop in a forward motion and freezing temperatures, hazardous road step in the direction you throw the conditions and best of all: a driveway snow to avoid lower back pain the and walkway to shovel. Well, look on day after shoveling. the bright side – shoveling can be great DON’T’s: exercise for those who are in good physical shape. 200 or more calories • Don’t eat a heavy meal or drink alcohol prior to shoveling. This is can be burned in just 30 minutes! not a good way to work off a big Jim Dunleavy, Administrative meal! Avoid stimulants such as caf- Director of Rehabilitative Services at feine or nicotine, which increase en the risk of falling. If there is a history Trinitas Regional Medical Center, shares heart rate and cause blood vessels of heart trouble, smoking or sedentary precautions to make your shoveling to constrict. lifestyle is present, it might be a good duty safe this winter. idea to ask for assistance. If you do • Don’t smoke while shoveling. Blood decide to brave the cold and shovel DO’s: vessels become constricted when anyway, be sure to rest every few min- • Consider whether or not you are in exposed to cigarette smoke, adding utes to avoid overexertion. Lastly, try good physical health. People who to the constriction caused by the this trick to lighten your load: apply a have previously had a heart attack cold air. This combination can be small amount of liquid floor wax to the or other cardiovascular disease, lethal. As a matter of fact, if you shovel to help move the snow off the those with a history of chest pain or smoke at all, reconsider whether or shovel with greater ease. angina, those with high blood pres- not shoveling is safe enough for sure, diabetes or high cholesterol you; snow blowing might be a bet- “Above all, know the warning signs levels, smokers or those with other ter option. of a heart attack. Stop immediately and cardiovascular risk factors and those • Don’t twist your back when throw- seek emergency medical help if you who do not exercise regularly are ing snow; you may cause unneces- experience heart attack symptoms such considered at risk. sary strain. as chest pain, shoulder, neck or arm • Stretch before you begin to shovel. pain, shortness of breath, dizziness, Also warm up your cardiovascular Precautions for the elderly fainting, sweating or nausea. If you system with a light activity such as Shoveling snow can be risky for have any type of heart or back prob- marching in place or walking before senior citizens due to the added strain lem, step away from the snow shovel! shoveling. Warming up is an impor- on the body from low temperatures as Ask a neighbor or family member for tant means of modifying cardiovas- well as slippery conditions that height- help,” stresses Jim Dunleavy. cular strain. • Watch what you eat or drink. Eat normally and take your routine Get fit this winter! medications. Call (908) 994-5650 for information about TRMC’s Fitness Center. • Stay hydrated. Keep hands and feet warm at all times. • Pace yourself. Start out shoveling slowly, and don’t try to clear the entire area at once. Take frequent breaks to give your heart a rest. Use the time off to drink plenty of water and stay hydrated. • Push the snow rather than lifting and throwing it. Lift the shovel properly. Spread your hands along the handle for more leverage, stand with your feet hip-width apart, and bend at the knees. WINTER 2009 23 Community Calendar
Seminars (Offered Free to Our Community) Special Events May 7, 2009 Trinitas Health Foundation Check out Gala Dinner Dance The Birchwood Manor 111 North Jefferson Road www.TrinitasRMC.org Whippany, NJ 07981 6:00pm Cocktails 7:30pm Dinner & Awards for more information Proceeds benefit the patients of Trinitas Regional Medical Center. For reservations for this event, call about our free Laura Ciraco, (908) 994-8249 or [email protected] Health Seminars. June 22, 2009 First Andrew H. Campbell Memorial Sporting Clays Tournament Hudson Farm, Andover, NJ For information about event sponsorships and ticket availability, call Laura Ciraco, (908) 994-8249 or [email protected] Special Programs Professional Training Opportunities (Offered Free to Our Community) Programs for healthcare providers and first responders. Look Good, Feel Better CPR; ACLS & PALS (Advanced Cardiovascular Life Support) & (Pediatric Advanced Thanks to a partnership of the American Life Support); Defibrillator Training; EMT Basic Training and Renewals; PHTLS; Cancer Society (ACS), the National Cosmetology Association, and the Incident Command System; Advanced Medical Life Support Cosmetic, Toiletry & Fragrance Association Trinitas Hospital Institute of Healthcare & Community Education (CTFA) Foundation, Trinitas offers patients 425 Morris Avenue, Elizabeth, NJ at its Comprehensive Cancer Center For further information, call (908) 527-5222, ext. 12 personal beauty tips and techniques that they can use everyday. Call Amparo Aguirre at (908) 994-8244 for information and to register. elmora HEALTH CARE Made For Me Boutique Appointments only. Family owned for three generations Call Amparo Aguirre at (908) 994-8244 Prescriptions • Compounds • Medical Supplies to register. Hospital Beds • Wheelchairs • Nebulizers Managing Your Medications: Diabetic Supplies • Support Stockings “Ask the Pharmacist” Most insurances accepted Offered the fourth Tuesday of every month, Automated Refill System • Free Delivery 6 days except December. February 24, March 24, April 27 162 Elmora Ave, Elizabeth, 07202 11:30 am - 1:00 pm TOLL FREE 1-800-873-9342 or 908-352-8808 Free of charge, by appointment only. www.elmorahealthcare.com Call (908) 994-5984.
24 HEALTHYEDGE All speakers, dates, times and locations were current as of press time. Readers are encouraged to call in advance if they wish to confirm any information published here about seminars, special events, classes, support groups or special programs.
Support Groups (Offered Free to Our Community) Classes Breast Cancer Support Group Coping With Cancer Breast Feeding Classes Meets third Monday of every month. Support Group Tuesday and Wednesday 1:30 pm - 2:30 pm February 16, March 16, April 20 Meets second Tuesday of every month WIC Center 11:00 am – 12:30 pm February 10, March 10, April 14 1124 East Jersey Street, Elizabeth Conference Room A 2:00 pm – 4:00 pm Led by International Board Trinitas Comprehensive Cancer Center Conference Room A Certified Lactation Specialists. 225 Williamson Street, Elizabeth Trinitas Comprehensive Cancer Center Provided in English and Spanish Open to patients, families, friends 225 Williamson Street, Elizabeth (908) 994-5142 and loved ones. Please RSVP in Speakers address cancer-related topics. Childhood Obesity Sessions English to Donna Filocamo, LCSW, Second Thursday of each month at (908) 994-8730; in Spanish to Economic Support Group 1:00 pm - 2:00 pm Mondays Griselda Hildago, (908) 994-8535. WIC Center 11:00 am – 12:00 noon 1124 East Jersey Street, Elizabeth Breast Feeding Support Group 654 East Jersey Street, Elizabeth Led by a Registered Dietician Friday mornings Call (908) 994-7559 to register. Provided in English and Spanish 10:00 am - 11:30 am Wednesdays (908) 994-5219 WIC Center 7:00 pm – 8:00 pm 1124 East Jersey Street, Nutrition Education Program Family Resource Center corner of Jefferson, Elizabeth for Expectant Mothers 300 North Avenue East, Cranford WIC Center Call (908) 276-2244 to register. 1124 East Jersey Street, corner of Jefferson, Elizabeth Sleep Disorders CPAP Call Claudia Lopez, (908) 994-5142, Support Group for dates and registration Quarterly meetings held on last Thursday of the month Baby Shower for Trinitas Hospital Jan. 29, April 30, July 30, Oct. 29 Expectant Mothers 7:00 pm – 9:00 pm WIC Center 1124 East Jersey Street, Physicians Conference Room Auxiliary corner of Jefferson, Elizabeth 210 Williamson Street, Elizabeth Sessions about Prenatal Nutrition Call (908) 994-8694 to register. Continuing its tradition of volunteerism, will be provided. community health education and Call Claudia Lopez, (908) 994-5142, commitment to the mission of Trinitas for dates and registration Hospital, the Auxiliary of Trinitas Hospital is a committed group of volunteers who dedicate their time and energy to a variety of events and programs. The Auxiliary fosters interest among its members and throughout the community in the work of Trinitas Hospital, provides and encourages Fruchter & Associates, LLC volunteer service for and in the Lawyers working for you. hospital, and sponsors and conducts fundraising activities for the benefit of the hospital. The Auxiliary also We Make Hospital and Home Visits offers educational programs on health- related subjects for the community. Harvey Fruchter • Jared Weiss
For more information about how 726 Boulevard, Kenilworth, NJ 07033 the activities of the Auxiliary benefit p 908.241.2626 f 908.245.5800 Trinitas Hospital, call the Auxiliary Specializing in [email protected] at (908) 994-8988 Tickets • Accidents • Wills
WINTER 2009 25 Nursing Care in the Battle
Against Addictions by Bob Badner
Relatively unknown to the general public, addictions nursing is a very specialized area of the profession that provides a beacon of hope to those who suffer from serious addictions. As remarkable as it sounds, there are just 369 licensed addictions nurses nationwide, each recognized as a Certified Addictions Registered Nurse (CARN) sponsored by the International Nurses Society on Addictions (INSA). These few treat thousands of patients. At Trinitas Regional Medical Center, three addictions nurses within a 35- member department care for 1,500 admissions per year. Linda Chapman, supervisor of Addictions Services, has been with Trinitas since 1984, noting that Trinitas’ Addictions program began in the early 1990s. Andrea Krasno and Lenore Achor are the other two addictions nurses in the unit. Linda Chapman says patients who Lenore Achor, RN, CARN, Linda Chapman, RN, CARN, and Andrea Krasno, RN, CARN, remain clean and sober “give people a are all certified in addictions nursing, an extremely specialized niche of nursing. sense of hope. It’s great for all of us and great for incoming clients.” Two success stories stand out. certified alcohol and drug counselor for does intakes.” Deeply addicted to alcohol and Trinitas and is nine years clean to this Medical/surgical experience, cocaine, one full-fledged addict lost her day,” beams Chapman. mental-behavioral skills, and knowledge administration job on a military base After conquering her cocaine addic- of addictive diseases and treatment and her children to Family Services. tion at Trinitas, another patient went therapies are among the necessary Linda Chapman explains: “She lost on to achieve her Master’s degree. skills in the field. Addictive disorders everything, her youngest child was Even more extraordinary, she did her can be very complicated to treat due taken by DYFS. After finishing treat- Master’s degree internship at Trinitas’ to co-occurring conditions such as ment at Trinitas and after being Addictions Services. She, too, was hired psychiatric illness and criminal behavior. reunited with her kids, this college- by Addictions Services as a licensed The various types of addictions educated mother was hired to do clinical social worker (LCSW). Linda treated at Trinitas RMC include heroin clerical work right here in Addiction Chapman says, “It’s a great story. (the drug of choice in Union County), Services.” Now 13 years clean, this former patient alcohol, cocaine, marijuana, and “She studied hard and became a was hired as a clinician, who now gambling. Patient ages typically range
26 HEALTHYEDGE from 34 to 40 years old. Trinitas RMC treats all addictive patients on an outpatient basis and has three levels of care. Treatment includes group/individ- ual counseling and medication where indicated. Chapman points to the Woman’s Addiction Program (WAP) as a prime example of how a supportive staff that works together effectively can achieve success and derive pride from what they do. “Women with Children” is a program tailored to meet the needs of the working mother. “A common strength among the staff is our ability to connect with the patient to create an environment where the patient feels safe,” notes Chapman. “I can’t imagine doing any other work. There’s nothing more satisfying, fulfilling or challenging. It’s most Linda Chapman, RN, CARN, Andrea Krasno, RN, CARN, and Lenore Achor, RN, rewarding when a patient is three CARN, have worked in the field of addictions nursing for a combined total of almost years clean” says Chapman. 60 years. Combining Linda Chapman’s winning attitude along with skilled personnel, the Addictions Services Unit at Trinitas will continue to have a Associates in ENT & Allergy PA significant impact on the community its serves for years to come. Diego Saporta, MD Magalie Nelson, MD Certified, American Board of Otolaryngology
A graduate of Syracuse University, Bob Badner has written magazine articles, essays, profiles and a documentary on Thomas Edison. His feature writing has covered satellite communications, electronic security, the 470 North Avenue theater exhibition business and the Elizabeth, NJ 07208 Internet. He has also been involved in 908-352-6700 media arts projects for Sesame Workshop, [email protected] Nissan, Anheuser-Busch, AT&T, and the Muscular Dystrophy Association. • Ears, Nose & Throat • Complete Management of Nasal Allergies • Comprehensive Audiological Testing • Hearing Healthcare by Licensed Audiologists • Hearing Aids
WINTER 2009 27 Advanced Images Help
Improve Cardiac Diagnoses by Rena Sandberg
Trinitas Regional Medical Center is committed to employing the most advanced medical technologies to ben- efit each patient who walks through the door. Three innovative technologies in the field of cardiology diagnosis have recently become available. T-Wave Alternans Analysis In the last year, T-Wave Alternans Analysis came into use at Trinitas. This breakthrough non-invasive technique is used to diagnose patients who are at high risk for sudden cardiac death from fatal arrhythmias. Alice Forster, Manager of Diagnostic Services at Trinitas, explains that the new tool is used in conjunction with a stress test.
“T-Wave Alternans is an analysis stress the heart, can help determine which supply the heart. package that detects alternating whether or not there is substantial Alice Forster continues: “Then ST-T patterns from beat to beat using blood flowing to the heart during following the infusion of Adenosine, computerized measurement. The exercise versus at rest. Since Adenosine which takes approximately four presence of alternating waveforms is forces the body to react as if it were minutes, the cardiologist and cardiac seen as a precursor of sudden cardiac participating in physical activity by nurse constantly monitor the patient’s death while and absence of these alter- dilating the blood vessels and intensify- heart rate and blood pressure. The nating waves indicates minimal risk.” ing blood flow, patients who are second isotope is injected and after a Through this diagnostic tool, cardiolo- unable to perform on a treadmill can 30 minute wait, a second set of images gists can distinguish at risk patients greatly benefit from such a test. All is taken.” more promptly and therefore develop patients with chest pain, irregular heart appropriate treatment plans more rhythms and high blood pressure are Side effects for those who undergo quickly. candidates for this diagnostic testing. Adenosine Stress Testing are resolved quickly with minimal discomfort. Adenosine Stress Testing This 2.5-hour long procedure Patients in poor physical condition begins by inserting an IV into the arm. 3-Dimensional with lower limb amputation, peripheral “While the patient is lying down, the Echocardiography vascular disease, severe arthritis, and first isotope is injected and resting A new ultrasound system technolo- orthopedic conditions that limit images are taken,” explains Forster. gy that creates 3-D images of the heart physical exertion can benefit from A gamma camera captures images can also be found at Trinitas. Adenosine Stress Testing. This test, which reveal if there is adequate blood which uses the drug Adenosine to flowing through the coronary arteries This technology provides the physi-
28 HEALTHYEDGE cian with working knowledge about the integrity of the heart’s chambers and valves as well as the size and shape of the heart. It can also detect any problem with a great vessel or cham- ber in the heart, including life-threaten- ing blood clots or fluid buildup. Performed in conjunction with a traditional echocardiogram, the 3-D echocardiogram has clinical capabilities that offer enhanced image quality, more valuable clinical information and heightened diagnostic confidence. “The 3-D application provides better visualization of complex anatomical features, left ventricular function and mitral valve anatomy,” says Forster. A conductive gel is placed on the patient’s chest at the start of the 45- Arthur Millman, MD, Chief of Cardiology, Alice Forster, RN, Manager, Diagnostic minute procedure. An ultrasound Services, Ifries Joseph, Chief Clinical Specialist (Echo), Marie Galeon and Marlene probe which acquires images from dif- Perez-Mateo, Clinical Specialists (Echo), and Nancy DiLiegro, PhD, FACHE, Vice President of Clinical Services, are shown in the department. ferent angles of the heart takes meas- urements of wall thickness and cham- ber size. Lastly, calculations of blood flow through the valves are made. Patients who experience chest pain, irregular heart rhythms and high blood FUN FOR EVERYONE!!! pressure are candidates for this type of 732-669-9100 minimally invasive procedure. www.hyatthills.com • Challenging, Well-Maintained Nine Hole Golf Course (Par 36) Rena Sandberg is a regular contributor • Driving Range (50 Stations) to HealthyEdge. She has written stories • Practice Bunker, Chipping & Putting Greens • Golf School, Private or Group Lessons on innovative surgical procedures as • Well Stocked Pro Shop well as articles on various aspects of • Club Repairs & Fittings healthy lifestyles. Mount Hyatt Miniature Golf Open Daily 7AM to 10PM 18-Hole Course Public Welcome Birthday Party Packages Available 1300 Raritan Road (Clark/Cranford Borders)
For more information Advanced Podiatry, P.A. about cardiac imaging Dr. Glenn Davison • Dr. Robert Hutchison at Trinitas RMC, Fellow American College of Foot & Ankle Surgeons | Diplomates, American Board of Podiatric Surgery Specializing in the medical and surgical treatments of: • Bunions & Hammertoes • Ankle Arthroscopy • Biomechanic gait control with call (908) 994-5082. • Ingrown and Fungal Nails • Corns, Callouses, and wart orthotics for deformities such as • Shockwave therapy for heel pain removal flat feet and arch pain • Diabetic preventative and • Traumatic injuries to the wound care foot and ankle We participate with Medicare, Medicaid, and most major insurance plans Union Manhattan 1308 Morris Avenue 19 East 80th Street 908.688.5577 212.737.2528
WINTER 2009 29 Sisters of Charity Bring Thoughtful Caring to Special Ministries by Kathryn Salamone and Rena Sandberg (Editor’s Note: This is the second article that profiles members of the Sisters of Charity of Saint Elizabeth who have devoted their lives to religious service within the community.)
Sister Mary Corrigan kitchens. In the mid 1990’s this led to a visit to Mexico The only girl among six brothers, where she saw first hand Sr. Mary Corrigan was born and raised the abject poverty of in Jersey City. Religion was always para- one room dwellings mount in her home where her parents for several families instilled in her and her brothers the and very visible value of a strong faith and love of God. community There was an emphasis on charity, she outreach to explains. “There was always someone help the poor. less fortunate than we were,” says Sr. “People I met Mary. “Service to others was encour- took pride in aged. Out of this came my desire to what they were serve God and love God more by able to accom- reaching out to those in need.” plish and willingly As a student, she observed her shared with others teachers who were members of the the little they had,” n Sisters of Charity. Their dedication and Sister recalls. ga outreach to others appealed to her. ri She began the next or She felt a calling to enter the Sisters of C Charity of Saint Elizabeth in 1961. phase of her vocation — ary Sister obtained a Bachelor’s degree in Pastoral Care — although she Sister M Education from the College of Saint readily admits that she wasn’t sure who Elizabeth, a Master’s in Education from wanted to minister to the sick. Since Fairfield University in Connecticut, and 2003, she has been the Director of programs that work interdepartmental- a Supervision in Administration Pastoral Care, where as chaplain at ly to develop and maintain a culture Certificate from Seton Hall University as Trinitas, she addresses the emotional, that reflects the Mission of Trinitas. well as Certificates in Spiritual physical and spiritual needs of the “There are many challenges in Development and Pastoral Care. patients, family members and the staff. “While it is difficult at times, it certainly healthcare today — government For more than 30 years, Sister’s pri- is a rewarding, enriching and spiritual regulations, changes in the practice of mary ministry was in education and medicine, legal issues, uninsured and experience,” says Sister Mary. “It is an she could be found teaching in schools underinsured patients, homelessness, honor and a privilege to be with peo- in Northern and Central New Jersey as undocumented persons, behavioral ple when they are most vulnerable.” well as in Pensacola, Florida. While an mental health, end of life issues, the educator and school administrator, As Vice President of Mission quality of life, charity care reimburse- Sister became involved in Social Effectiveness at Trinitas, Sister Mary ment, needs of the elderly, palliative Concerns Committees, helping to provides leadership, guidance and care. All of this calls me to serve the house the homeless, partnering with direction to carry out the mission and people of God, to change hurt into inner city schools, serving at soup values of Trinitas through educational hope,” concludes Sister Mary. 30 HEALTHYEDGE General Services, she took As Sister Marcella looks back on on the responsibility her almost five decade career as a of overseeing broad religious, she is also reminded of the areas in the workings years she spent in the business world of the hospital, prior to entering the Sisters of Charity. including the “Although my life before entering departments of the convent was rewarding, I always Communications, felt that I wanted to make a greater Environmental contribution, one on a higher level. Services, Food Devoting myself to God and His people Services, Respiratory has given me personal satisfaction in a Therapy, and way I had not experienced before.” Women Infants and Children (WIC), to Sister Monica Vinges S name a few. Prior to i her current position as For more than three decades, st Sister Monica Vinges, who is a Licensed er Patient Advocate/ M Administrative Liaison, Sister Professional Counselor and Licensed a Marcella also held an adminis- Clinical Social Worker, has counseled rc parents and children and been a con- ella Nolan trative post as Executive Director of the Marillac Corporation which owns tributor to journals in the field. Today, and manages the Medical Office she is a member of the Department of Sister Marcella Nolan Building on the Williamson Street Behavioral Health & Psychiatry at Growing up in an Irish Catholic fam- Campus. As site manager, Sister Trinitas Regional Medical Center. ily in Jersey City, Sister Marcella Nolan Marcella gained insight into the field of As a young woman, Sr. Monica attributes her vocation to the religious property management and real estate. sensed that she was “called to some- life to the faith that was instilled in her Sister believes that her administra- thing deeper.” That calling led her at an early age. Sister Marcella didn’t tive background has been a valuable to the Sisters of Charity in 1960. Sr. have far to look for inspiration. In addi- asset as she works to assure the best Monica’s hunger to learn drove her tion to the example of her parents, possible outcomes for patients at to obtain her first Master’s Degree in many relatives within her extended Trinitas RMC. “The whole Trinitas fami- counseling and a second in Social family were members of the clergy. ly is committed to the mission of deliv- Work. These credentials spurred her to ering the best possible care to all of “Love of God and neighbor were work as a clinical counselor for children our customers,” Sister stresses. As part part of the earliest lessons I learned and families who were afflicted with of that commitment, Sister also serves from my parents and from others in cancer, as a trainer to prepare care- on the Steering Committee of the my very large family. That abiding givers to be better equipped to work Customer Satisfaction effort at Trinitas faith was reinforced through my with children, and later as an where she helps to develop appropriate Catholic schooling,” she explains. Outpatient Clinician and Supervisor. programs and activities to ensure Most of Sister Marcella’s 44 years customer satisfaction. Continued on page 32 as a member of the Sisters of Charity have been spent in the hospital setting. At the Hospital of St. Raphael in New Haven, Connecticut, Sister served as Assistant Director of Personnel and HOPE VILLAGE HOPE CHEST ACADIA HOUSE Peter M. Shields Hospice Resale Shop Bereavement and Grief then Assistant Administrator after Administrative Office 26 Prospect Street Counseling Center (908) 889-7780 Westfield, NJ 07090 175 Glenside Avenue completing her Master’s degree in (908) 233-9973 Scotch Plains, NJ 07076 Health Care Administration. (908) 654-3711 PEGGY COLONEY’S HOUSE FATHER HUDSON HOUSE Following her 13 years in Hospice Residence Hospice Residence Connecticut, Sr. Marcella began her 1900 Raritan Road 111 De Hart Place Scotch Plains, NJ 07076 Elizabeth, NJ 07201 ministry in Elizabeth at St. Elizabeth’s (908) 288-0500 (908) 353-6060 Hospital, one of the precursors of Robert J. Coloney, President & CEO Trinitas Regional Medical Center. Upon www.centerforhope.com Equal Opportunity Employer joining the staff as Vice President of WINTER 2009 31 CHIROPRACTIC transform on a personal CENTRE OF level.” Sr. Monica believes ELIZABETH that group therapy is a CHIROPRACTIC CARE significant benefit to patients. “Group FOR ADULTS & CHILDREN therapy lets the MUA patients get feed- (Manipulation Under Anesthesia) back from their As seen on Channel 2 news peers. It makes FERNANDO BARRESE, DC them feel that they CHRISTOPHER J. MONTANA, DC are not alone in the • Auto Accidents world,” she said. • Sports Injuries Knowing she is touch- ing the lives of others, • Headaches Sr. Monica considers her • Disc Problems es job tremendously gratifying. • Whiplash Si ing “I believe that God speaks • Work Related Injuries ster Monica V through me. When someone tells • Low Back Pain me that I have helped them change their lives, it is an awesome feeling.” • Leg & Arm Pain As a faculty member of the General In her current role as a Clinical Social • Neck Pain Psychiatry Residency program at Trinitas Worker and Supervisor in the Adult • Scoliosis Regional Medical Center, Sr. Monica Outpatient Unit for the Department of shares her insights and experience in Behavioral Health & Psychiatry, Sr. Monica All Injuries and monthly lectures designed to educate conducts a variety of programs and Major Medical Accepted medical residents about spirituality, support groups for individual and group mental health, group therapy, and All X-Rays Done on Premises psychotherapy. Participants in a post bereavement. traumatic stress disorder group, those New Patients Seen Same Day in a group designed to help partici- Looking ahead to celebrating Se Habla Espanol • pants live life more positively, those 50 years as a Sister of Charity in 2010, Francais • Italian • Hebrew who are coping with death and loss, Sister Monica shows no signs of slow- and those who are working to man- ing down. “My work has been so • 3 Minutes from Garden State Pkwy agement symptoms of anxiety and satisfying and rewarding that I plan to • 3 Minutes from Newark Intl Airport depression all benefit from the depth continue until my health may prevent Off Route 1 and breadth of Sr. Monica’s knowledge me from keeping up with my current and experience. Sister uses the wellness schedule. I am thankful that my life as 908-289-5336 recovery model that she describes as a religious has enabled me to pursue — Free Parking in Rear — “offering hope and the possibility to my professional life in Social Work.” 426 Morris Avenue, Elizabeth Other locations to serve you better: Jersey City Tired of Climbing Stairs? 2770 Kennedy Blvd, 1st floor 201-761-0412 Newark 509 Orange St. 973-268-2226 Since 1946 Wallington 627 PARK AVENUE • PLAINFIELD 436 Main St. 973-365-1700 CALL FOR A FREE BROCHURE 1-800-287-1793
32 HEALTHYEDGE Singing the Praises of Trinitas Regional Medical Center
HEALTHYEDGE is pleased to share these unsolicited letters from those who recently received care at our facilities in Elizabeth.
On behalf of the B. family, I’d My Father, age 86, was recently When it was apparent that my like to thank you and your staff for hospitalized at Trinitas. I want to 15 year old autistic son needed the extraordinary and caring treat- express my gratitude to the staff specialized professional care, I ment that our dad received in the members who cared for him. I’d like to brought him to the Psychiatric 3 ½ years he was under the care of recognize a Nurse’s Assistant, Raphael Unit at the New Point Campus of Trinitas doctors. We all believe the (Raffi), who was very attentive, caring Trinitas in Elizabeth. This was a very care at Trinitas added years to his and compassionate to him and our traumatic episode for me but the life and kept him off dialysis. The entire family. There were other won- members of the Trinitas staff who care provided by everyone, includ- derful staff member on the 6th floor I dealt with that day were a tremen- ing doctors, nurses, technicians, unit, however, I do not recall their dous help. They were warm, kind, aides, and everyone else was names. At every step of the way, the understanding and extremely help- superior. The compassion, concern, staff was superb. After a horribly diffi- ful. Our lives changed for the better. humor and attention to our father’s cult night, I was able to leave the hos- Realizing I was exhausted and care resulted in a quality of life that pital knowing that my father was in extremely stressed, a staff member was far superior to the alternative. good hands. Thank you. I can tell you Trinitas is in a league was caring and compassionate. by itself, period. Mrs. M. H. This person understood my concerns about leaving my son The Emergency Department, in a strange place and assured me Radiology, the staff on 7 South, the I am indebted to the main campus that D. would be okay. I’m happy Social Work Department and EMS of Trinitas and to its clinics for taking to report that my son, who has Transport — the list goes on. The care of me for more than six years. difficulty relating to new people caring and empathy, the support I had the good fortune of receiving he meets, was able to bond during difficult times, the efficiency care beginning in 2001 when my quickly with one of the behavioral as we transitioned to hospice care health deteriorated. I believe that specialists in the Dually Diagnosed are all to be applauded. they gave extra years to my life. I am Disorders unit. We owe her a great We thank you, your team and alive and able to say I am so grateful. debt. The social worker we met everyone involved for their compas- I wish Trinitas Regional Medical dealt with difficult situations with sion and concern. Center the best in its efforts to serve grace and elegance and was able Mr. and Mrs. I. B. the ill in our community. to communicate tough news and Mr. and Mrs. H. B. Mrs. J. P. made it easier to take in. Mrs. F.B. This was a traumatic experience for D. but I believe that he was in the best place to fix his issues. During D.’s time at Trinitas every- one treated us as if we were family. We got hugs from just about every- one on the day D. left. I will never be able to thank everyone appropri- ately but want them to know that they are an amazing and caring staff and we will never forget how well we were treated. Mr. J.G.
WINTER 2009 33 Foundation Focus: News of the Trinitas Health Foundation by Kathryn Salamone
THE TRUSTEES OF THE TRINITAS HEALTH FOUNDATION: CHANNELING DIVERSE BACKGROUNDS INTO A COMMON GOAL
Professional accomplishment coupled with a desire to strive to Carroll Keating improve the community are qualities that define the members of the Trinitas Carroll Keating has been a marketing and sales Health Foundation Board. Another professional in the metropolitan New York and quality is stamina as reflected in our Washington, DC, areas for the last 25 years. While spry and committed 87-year old marketing manager at Source One International in Board member. New York, NY, Ms. Keating generated business in “Serving on the Trinitas Health sales and service equivalent to 25% of the company’s Foundation Board requires dedicated overall sales. She completed her bachelor’s degree time and energy that our trustees give in psychology in three years at Hollins University in so willingly,” notes Nadine Brechner, Roanoke, Virginia. Her community work includes Executive Director of the Foundation. association with Habitat for Humanity, Susan G. “By drawing from their personal and Komen for the Cure, American Cancer Institute, and professional knowledge and their depth AmeriCare. She is enjoys golf, tennis and squash and of experience, Board members com- serves as the Westfield, New Jersey Lacrosse coach. bine their talents to help establish goals and identify ways to meet the chal- lenges that face non-profit organiza- tions such as ours in today’s economic climate. Board participation is more than meeting on a regular basis to review current circumstances. It Sol Kramer requires keen insight, teamwork, and A post-World War II Polish émigré, Mr. Kramer dedication to the hopes and dreams has a lifetime of varied experience in the divergent that we hope to realize, even in the fields of dental hygiene, law enforcement, and real face of harsh economic realities.” estate development. He is passionately devoted to The primary responsibilities of the fundraising for his adopted causes, the latest of Trinitas Health Foundation are to raise which is Trinitas Regional Medical Center where he funds and to invest and monitor the was a recent patient whose life-threatening illness assets of the Foundation. In addition, was successfully treated. Mr. Kramer serves on the the Board members approve disburse- Board of the Jewish Educational Center in Union, ments to Trinitas to meet specific the Jewish Federation, Jewish Family Service and the equipment or program needs. YMHA/YWHA located in Union. He and his wife In previous issues of HealthyEdge have been married for nearly six decades. we have introduced members of the Trinitas Health Foundation Board of Trustees. We conclude these introduc- tions in this issue.
34 HEALTHYEDGE Michael Minitelli
Born and raised in Elizabeth and a graduate of Seton Hall University, Mr. Minitelli owned and operated the Hudson Discount Drug Company, a retail health and beauty aids establishment in Bayonne, New Jersey, for almost 25 years. Since 1993, as Director of Economic Development in Union Township, Mr. Minitelli has been instrumental in helping to create substantial growth in the town- Sister Clare Maureen Tracy ship by attracting new businesses to the community including, Home Depot, Walmart, Target, Lowes, Sister Clare received her BS and Whole Foods. He previously served as a Trustee degree in Radiology from St. Louis of the Union Hospital Foundation. University. Since then, she has served St. Elizabeth Hospital and its succes- sor, Trinitas Regional Medical Center, for a total of 50 years which she considers her life’s work and devo- Paul D. Napoli tion. In addition to her work on the Foundation Board, Sr. Clare Maureen A graduate of Stevens Institute of Technology with is also a member of the Board of the a Bachelor’s degree in civil engineering, Paul D. Napoli Auxiliary of Trinitas RMC. She is a also holds a Master’s degree in finance from Seton Hall familiar face at the Information Desk University. Mr. Napoli is Manager of the Transmission of the Williamson Street Campus. Division of Public Service Electric and Gas of New Jersey (PSE&G). He has offered his financial expertise to the community while serving on the Financial Advisory Mary Patricia Keefe Committee of Rockaway Township in Morris County. A graduate of Douglass College of Rutgers University with a degree in political science and psychology, Mary Patricia Keefe later received her JD degree from Seton Hall University School of Law. Following admission to the New Jersey Bar Association, Courtney Villani Ms. Keefe was employed by the New Jersey Board of Public Utilities While a student at Hofstra University, Courtney as a Regulatory Officer for the Villani focused on sociology and anthropology and agency. Ms. Keefe joined the became a Volunteer Firefighter and Director of the Elizabethtown Gas Company in After School and Summer Programs at Uniondale, 1980 where she has served in NY. A member of Business and Professional Women several legal, regulatory and International, she serves as a corporate officer of the compliance positions. She is Villani Bus Company in Linden where she is also a currently a Director of Regulatory Co-Chair of the Linden Chamber of Commerce. In Affairs, Mid-Atlantic Region for AGL addition, she is also a Trustee of the New Jersey Resources, Inc., Elizabethtown’s School Bus Owners Association. parent company. She is a member of the American and NJ Bar Associations and the American Gas Association.
WINTER 2009 35 FOUNDATION FOCUS
Tricia D. Mullaney Trinitas Health Foundation
A cum laude graduate of Georgetown University, Tricia D. Mullaney also holds Board of Trustees Master’s degrees in Russian and Eastern European studies and Education from the University of Michigan. Her background in education has encouraged her interest Officers: in working with at-risk children. Currently employed as a financial manager in John C. Gibardi, Chairman Westfield, Ms. Mullaney has a long established interest in Trinitas affairs. Thomas S. Kachelriess, Vice Chair Susan Head, Vice Chair Eugene J. Carmody, Treasurer Debra S. Valenti Gary S. Horan, FACHE, President & CEO A graduate of the University of South Carolina with a bachelor’s degree in journalism, Ms. Valenti is currently Vice President of Client Services at W.P. Stewart Jan Margolis, Secretary & Company, the asset management firm based in New York, New York, where she has served since 1984. Her career with that organization which specializes Elinor K. Blore in client securities portfolio management, asset management and client market- Joseph Cantalupo ing has included positions as portfolio administrator, associate portfolio manager George A. Castro and client support specialist which led to her current leadership role. She is a Martha DeNoble member of the American Society for the Prevention of Cruelty to Animals (ASPCA) and also serves on the Board of Trustees of Ocean Beach Surf Club, Richard English Lavalette, New Jersey. Botond Farkas Catherine J. Flynn, Esq. Diane M. Francis, MPH, CCS Thomas D. Jacobson Carroll Keating Mary Patricia Keefe Sol Kramer Vito Mazza Kevin McCloskey Robin McHugh Michael Minitelli Tricia Mullaney Paul D. Napoli Sister Clare Maureen Tracy PAUL J.P. BOLANOWSKI, MD Debra S. Valenti JUSTIN SAMBOL, MD Courtney Villani
Constantino Lovoulos, MD Honorary Trustees PRACTICE LIMITED TO CARDIOTHORACIC SURGERY John M. Boozan, MD With Staff Privileges at Trinitas Hospital and University Hospital Jerome Eckenthal Harold Krevsky, Esq. 219 South Broad Street, Elizabeth, NJ Gloria H. Piserchia 908-352-8110 Robert Silbey, MD
36 HEALTHYEDGE WE’VE GROWN INTO A NEW NAME.
Trinitas Hospital is now Trinitas Regional Medical Center
Behavioral Health • Cancer • Cardiology • Maternal/Child Health • Renal • School of Nursing Senior Services • Sleep Disorders • Women’s Services • Wound Healing/Diabetes Management
We’re everywhere you need us.
Trinitas is growing, and that’s good news for you and your family. We believe that our new name more accurately reflects the level of care we provide as we strive to meet the healthcare needs of our region. Please visit www.TrinitasRMC.org to learn more about us and our Centers of Excellence. Join our email list and receive free e-newsletters, announcements of free health screenings, and news of free health seminars.
225 WILLIAMSON STREET • ELIZABETH, NJ 07207 • 908.994.5000 • WWW.TRINITASRMC.ORG
Caring for You in Every Way
Trinitas Regional Medical Centeer is a Catholic Teaching Hospital sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.
WINTER 2009 37 Cancer Survivors Put Best Foot Forward as They Model Latest Fashions Photos by: Al Kruper 38 HEALTHYEDGE Women of Union County were edu- ness. On a lighter side, the event cated about advancements in breast featured a make up presentation by cancer treatments while also learning cosmeticians from the Bobbie Brown beauty and fashion tips at the recent line of skin care products a display of Breast Cancer Luncheon that the fashion trends to make the best of a Trinitas Comprehensive Cancer Center woman’s outward features. hosted in Union. Held during Breast Shown here is a gallery of photos Cancer Awareness Month, the lunch- taken at the Galloping Hill Inn as models eon, attended by more than 100 captured the feeling of the season while women, showcased the latest in med- conveying the important messages of ical treatments for breast cancer and preventive health care and optimism how women can safeguard their breast while surviving cancer never go out health through education and aware- of style.
Dr. Lisa Febles Henson of Trinitas CCC shared the latest information about cancer treatments for women.
Dr. Labib E. Riachi informed the audience of surgical techniques Surgeon James Frost, MD, spoke about he uses for women who suffer surgical options for women facing vari- with the embarrassment of ous types of cancer. incontinence. WINTER 2009 39 Hospital Beat: People and Events of Note
DRILL DRIVES HOME THE POINT OF PREPAREDNESS
Residents of Union County can rest easy knowing that first responders and the entire staff at Trinitas Regional Medical Center are exactingly prepared for crises and emergency events. As a medical center located less than 20 miles from New York City in a densely populated urban center and also in the shadow of a major international air- port, TRMC takes its disaster response responsibility very seriously. “In cooperation with Union County, Trinitas Regional Medical Center enact- ed a significant four-day crisis scenario designed to test our ability to respond at a moment’s notice to an unfolding major medical emergency,” explained Michael McIntyre, Director of Support Services and Plant Operations/ Members of the Crisis Response team meet in the “Incident Command Center.” Administration at Trinitas, who served as the “Incident Commander” during the mock crisis. responding to an emergency of signifi- Angel G. Estrada. “The County’s The drill called for the activation of cant magnitude.” Division of Health coordinated this the Trinitas Emergency Operations exercise with Trinitas Regional Medical “Union County is very serious about Center. Throughout the four-day peri- Center to help ensure that medical emergency preparedness, and conduct- od, decisions were made and measures services in our region are ready for any ing crisis exercises with the health care were adopted at crisis response meet- contingency.” ings to deal with the crisis and respond community is a vital part of our overall to patients. plan,” said Freeholder Board Chairman Philip E. Solomon, Emergency Preparedness Coordinator at Trinitas, noted that the 96-hour exercise simu- lated an infectious disease event that saw the influx of more than 100 simu- VILLANI BUS COMPANY lated patients into Trinitas. “During the 1920 - Generations of Service – 2009 crisis simulation, more than 120 staff members from departments and func- tions throughout the medical center actively participated,” explained Solomon. “In real-life circumstances, Buses for All Occasions ~ Excellence In Transportation such an event exerts an impact on the Phone 908-862-3333 Fax 908-474-8058 entire hospital and in this drill we put Need a bus? Call us! everyone through the paces of 40 HEALTHYEDGE TRINITAS HELPS COMMUNITY TO TAKE CHARGE IN A TOUGH ECONOMY
At the end of 2008, Trinitas individuals are under a great deal Regional Medical Center realized of stress,” says James Lape, Senior that it could play an important part Vice President/Behavioral Health & in helping people manage the stresses Psychiatry and Long Term Care. of the current economic situation. “The support groups offer opportuni- In response to the bleak news on the ties for people to share their concerns economic front, the Department of under the guidance of mental health Behavioral Health & Psychiatry has professionals who can provide positive taken a pro-active step to ease the suggestions and recommendations for mental and emotional burdens of job improving coping skills to help during loss on individuals and families in these very difficult times.” Elizabeth and other Union County Support groups are offered during communities. the day in Elizabeth as well as the Beginning in January, Trinitas evening in Cranford. The Elizabeth now offers free weekly support groups location (654 East Jersey Street) hosts for those experiencing job loss or support groups on Mondays 11:00 am downsizing related to the deep reces- –12:00 pm. Call (908) 994-7559 to sion. The support groups offered in register. The Cranford location Cranford and Elizabeth are designed (300 North Avenue East) hosts to provide assistance in learning how support groups Wednesday evenings to cope with the multiple challenges 7:00-8:00 pm. Register by calling that the recession presents. (908) 276-2244.
“Many people understandably are having a very difficult time coping with paying their bills. Families and
SUPPORT GROUPS: Open 7 Days a Week from 7:00am to Midnight Since 1974 Elizabeth (654 East Jersey Street) 511 Elizabeth Ave. Mondays 11:00 am - 12:00 pm (908) 994-7559 Elizabeth, NJ 07206 Phone: (908) 289-4011 Cranford (300 North Avenue East) www.alvarezcafe.com Wednesdays 7:00 - 8:00 pm Seafood & Steakhouse (908) 276-2244 Trinitas Staff ID gets 10% Discount Luxury Condos for Sale FREE DELIVERY (Min. $30.00) Visit our website at www.alvarezcondos.com
WINTER 2009 41 Vital Signs: Trinitas Comprehensive Cancer Center News by Kathryn Salamone
TCCC IS FIRST IN NEW JERSEY WITH RAPIDARC TECHNOLOGY
In late 2008, Trinitas Comprehensive Cancer Center became the first cancer treatment center in the state to offer its cancer patients RapidArc™ radio- therapy technology, using a fast, precise form of treatment using advanced technology from Varian Medical Systems. This revolutionary radiotherapy technology, 80% faster than conventional radiation, can make a significant difference in the patient’s outcome. Comments from the first patient to receive RapidArc treatment at Trinitas CCC attest to that. “I am pleased that my treatment was changed to RapidArc,” said 60- year-old Miguel Gomez of Newark, New Jersey. “This new technology is faster and lets me complete my treat- ment in under two minutes. Before Clarissa Febles Henson, MD, Chairman of Radiation Oncology, explains benefits of RapidArc, I would have to lay still for RapidArc to a patient at Trinitas CCC. close to half an hour and there were times it was uncomfortable and diffi- to deliver IMRT treatments quickly,” multi-leaf collimator (MLC). This device cult for me. Now I am in and out said Dr. Lisa Henson, Chair of Radiation has 120 computer-controlled mechani- quickly and back to my daily routine.” Oncology at Trinitas. “These treat- cal “leaves” or “fingers” that move to RapidArc is an image-guided ments target tumors accurately while create apertures of different shapes and intensity-modulated radiotherapy sparing the surrounding healthy tissues. sizes. During a RapidArc treatment, (IMRT) treatment that takes about 90 Because the treatment is fast, it is also specialized software algorithms vary seconds to deliver, which is markedly easier on the patient. Patients who had three parameters simultaneously: the faster than other medical facilities difficulty holding still for long periods speed of rotation around the patient, where treatment time can last as of time, are now able to receive their the shape of the MLC aperture, and much as 20 minutes or longer. During treatment in less time, thereby allow- the dose delivery rate. a RapidArc treatment, the radiation ing us to improve quality of care while “We’re very pleased to offer anoth- beam is continually shaped and simultaneously making patients more er technological first for our patients at reshaped according to the size, shape, comfortable.” Trinitas,” says Gary S. Horan, FACHE, and position of the tumor in the body. This advanced treatment technique President and Chief Executive Officer. As a result, the delivery of radiation is is accomplished using the Trilogy linear “This technology makes Trinitas a many times faster than conventional accelerator. Trinitas was the first in regional leader in substantially improv- radiotherapy, which creates another New Jersey to offer patient treatments ing cancer treatment outcomes by benefit of greater comfort and conven- on this state of the art equipment. The doing a better job of protecting ience for patients. Trilogy delivers RapidArc treatments healthy tissue while delivering more “RapidArc makes it possible for us using a beam-shaping device called a powerful radiation doses to tumors.” 42 HEALTHYEDGE NEW ENVIRONMENT FOR HIGH DOSE RADIATION DEBUTS, THANKS TO DONOR’S LEGACY
Through a generous contribution and more effective delivery of radiation from a now deceased donor who was treatment with the maximum dose a resident of Elizabeth and active given where it is needed most. volunteer at Elizabeth General Medical Through this technique minimal Center, Trinitas Comprehensive Cancer radiation reaches surrounding healthy Center recently re-located its High-Dose tissue. Traditionally, HDR brachytherapy Rate (HDR) Brachytherapy to a comfort- has been used to treat cancers of the able environment at the Center. cervix and endometrium, bronchus, esophagus, head and neck, and soft “With this generous gift, we have tissue sarcomas. Currently at Trinitas been able to bring the HDR service CCC, HDR is used for Mammosite, into the Cancer Center which contin- endometrial and cervical cancers, and ues to affirm our strong commitment Endobronchial Radiation. to cancer care,” said Gary S. Horan, Linda Veldkamp, MS, DABR, Chief FACHE, President and CEO of Trinitas “Henry Hill ‘Hank’ Carroll always helped our patients,” explained Nadine Medical Physicist and Administrative Regional Medical Center. Director of Radiation Oncology, assists Brechner, Executive Director, Trinitas with the patient setup to deliver the High-Dose Rate (HDR) Brachytherapy Health Foundation. “This is ultimately a high dose radiation. High Dose Rate is a form of radiation treatment, also gift to even more patients who will Remote Afterloading (HDR) radiation known as interstitial irradiation. In benefit from being able to have all of treatments are particularly useful in Brachytherapy, a radiation source is their treatments and visits in one loca- treating a variety of cancers including placed directly within or near the tion. Through his gift, Hank’s legacy of cervical, endometrial, breast, lung tumor site which allows for a faster caring continues.” and prostate.
TRINITAS WELCOMES PHYSICIANS IN NEW GYNECOLOGIC ONCOLOGY PROGRAM Patrick Anderson, MD, FACOG, and Gara M. Sommers, MD, both board certified Gynecologic Oncologists, now lead the Gynecologic Oncology Program at the Trinitas Comprehensive Cancer Center. Drs. Anderson and Sommers bring with them tremendous experience and expertise in gynecologic oncology procedures including minimally invasive robotic surgery. Dr. Anderson completed his obstetric, gynecological residency and oncology fellowship at Albert Einstein College of Medicine and is a graduate of the University of Medicine and Dentistry of New Jersey Medical School. Dr. Sommers completed her residency at New York University School of Medicine and fellowships at Memorial Sloan-Kettering in New York, Drs. Gara Sommers Washington University School of Medicine in St. Louis, MO, and The Beckman Institute of and Patrick Anderson Hope in Duarte, CA. In their new roles at Trinitas, Drs. Anderson and Sommers will collaborate with community physicians and Trinitas Comprehensive Cancer Center Medical and Radiation Oncologists to develop and expand clinical programs and support services for patients with gynecologic cancers. Their presence on the medical staff adds a new dimension of cancer care and treatment to the multidisciplinary team currently at TCCC.
WINTER 2009 43 ELIZABETH AND JERSEY GARDENS MALL: PERFECT TOGETHER FOR LOCAL BUSINESS
Local businesses have a chance to their employees including, but not lim- be better equipped to face tough ited to business writing, basic skills, economic times, thanks to a joint effort communication, customer service, of the City of Elizabeth, Union County team building, and telephone tech- College and the Retail Skills Center at niques as well as supervisory and man- Jersey Gardens Mall. Here, businesses agement skills. This free service is made can take part in new job training and possible through a new grant from the placement programs designed to help New Jersey Department of Labor. them succeed in this tough economic Connecting qualified candidates climate. Mayor J. Christian Bollwage talked with with job openings in city businesses young people about skills training and Both the City and the Retail Skills is now possible through an Urban job placement opportunities offered at Center recognize that finding skilled Enterprise Zone grant made available the Retail Skills Center, a new joint part- workers and keeping them properly through the City of Elizabeth. Offering nership with the City of Elizabeth, Union trained are top challenges for business- assistance to the Retail Skills Center County College and Jersey Gardens Mall. es throughout Elizabeth. Two new pro- and employers, the City will provide grams to address these challenges are support for a variety of initiatives, available at no charge to city business including a three-week program in owners. The Retail Skills Center, operat- customer service and career prepara- ed by Union County College, provides tion leading to a Union County College employers with tuition-free training for certificate.
44 HEALTHYEDGE
225 Williamson Street Elizabeth, New Jersey 07207