A Publication of WINTER 2020 NEWARK BETH ISRAEL MEDICAL CENTER AND CHILDREN’S HOSPITAL OF NEW JERSEY together healthy4 SIMPLE EXERCISES FOR A STRONG HEART COMFORT FOOD: MAKE IT HEALTHY! HAVING A BABY AFTER CANCER
CRITICAL CARE WHEN EVERY MOMENT COUNTS
NBI_Cover_Winter20_final.indd 1 12/12/19 2:59 PM A MESSAGE FROM LEADERSHIP HEALTH NEWS SAVING LIVES IS OUR NEWARK BETH ISRAEL MEDICAL CENTER LIFE’S WORK EARNS ACCOLADES t arnabas ealth e take the trust people place in us to heart t’s the bedrock o our commitment to your care rom preventive services DIAGNOSTIC IMAGING: The to li e saving emergency treatment Radiology Department has been A designated a Diagnostic Imaging or urgent situations e have t o orld class trauma centers one in ersey Center of Excellence (DICOE), ity and one in e runs ick as ell as the only burn center in the state located the highest award for Quality in ivingston n addition e have expanded our emergency response capabilities and Safety that the American and have ac uired an advanced emergency helicopter call sign i e light e uipped College of Radiology provides and sta ed to provide critical care hile transporting badly in ured patients to qualifi ed facilities. Only 120 radiology imaging facilities in New o help people stay healthy and sa e e reach out ith education and Jersey have won the DICOE Award. prevention programs or people o all ages e’ve also invested in creating the ne secure and convenient arnabas ealth onnect app available at your ORGAN, EYE AND TISSUE app store ealth onnect lets you access your records store your insurance DONATION: The U.S. Department in ormation search or doctors and make real time appointments that are of Health and Human Services has automatically added to your phone calendar awarded Newark Beth Israel Medical Center Platinum recognition for its ealth onnect along ith the arnabas ealth ele ed app hich efforts to increase enrollment in o ers online access or a physician visit are integral parts o e orts to create a the New Jersey state donor registry truly tech or ard healthcare organi ation ese e orts led to all arnabas and spread the lifesaving message ealth hospitals earning the ost ired” designation rom the ollege o of organ and tissue donation. ealthcare n ormation anagement xecutives this year Advocates at NBI worked with NJ t e ark eth srael technological innovations are trans orming the ay Sharing Network and Donate Life New Jersey to create outreach and e practice medicine arlier this year e began using the most advanced state o registry campaigns to educate staff, the art technology to per orm cardiac vascular neurological and even breast patients and the community. imaging to detect and diagnose conditions earlier ur robotic surgery program is the most mature program in northern e ersey ith more than surgeons and RESUSCITATION AFTER more than robotic surgeries per ormed n addition e are expanding our CARDIAC ARREST: NBI has earned the Get With The Guidelines cardiac procedure rooms e ardiovascular atheteri ation aboratory ath Resuscitation Gold Award for ab ill include multidisciplinary suites allo ing surgeons and cardiologists to implementing specifi c quality ork together to per orm innovative minimally invasive procedures improvement measures outlined by hether you ace an emergency or have an everyday health uestion e’re the American Heart Association and committed to providing convenient access to the highest uality care henever the American Stroke Association for and herever you need it the treatment of patients who suffer cardiac arrests in the hospital. ours in good health
BARRY H. OSTROWSKY DARRELL K. TERRY, SR. PRESIDENT AND CHIEF EXECUTIVE OFFICER PRESIDENT AND CHIEF EXECUTIVE OFFICER RWJBARNABAS HEALTH NEWARK BETH ISRAEL MEDICAL CENTER AND CHILDREN’S HOSPITAL OF NEW JERSEY 201 Lyons Ave. at Osborne Terrace, Newark, NJ 07112 973.926.7000 | www.rwjbh.org/newarkbeth
CONNECT WITH US ON @NewarkBethIsraelMedicalCenter @Newark_Beth RWJBarnabas Health Newark Beth Israel Medical Center
Newark Beth Israel Medical Center complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. For more information, see link on our home page at www.rwjbh.org/newarkbeth. NBI cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. ATENCIÓN: Si usted habla español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llame al 973.926.7000. NBI konfòm ak lwa sou dwa sivil federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfi mite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 973.926.7000.
Healthy Together | 2 | Winter 2020
NBIMC_Memo_Winter20_REV1.indd 2 12/16/19 9:35 AM healthytogether contents WINTER 2020
2. WELCOME LETTER. 13. LEARNING TO CRAWL 19. A BATTLE FOR TIME. A community update AGAIN. A baby Talent and technology from our CEOs. rebounds from a kept a woman alive as traumatic brain injury. she waited for a lung 4. BIGGER, BETTER, NEWER. donation. A transformational 14. A STRANGER’S GIFT. renovation will reflect A blood stem cell 20. 4 SIMPLE MOVES FOR Newark Beth Israel’s 9. HOW TO SAVE A LIFE. Is it donation—and a A HEALTHY HEART. commitment to the a heart attack or cardiac powerful medical Exercises can help you community. arrest—and what can a partnership—save the recover from a heart bystander do? 6. A BABY AFTER CANCER. life of a Toms River problem, or prevent one A Maplewood woman’s 10. TRAUMA WITHOUT DRAMA. woman. from happening. medical team has seen Top RWJBarnabas Health her through it all, from trauma and burn centers 16. YOU CAN BEAT THE 22. EAT FOOD YOU LOVE, serious illness to a stand ready to save severely WINTER BLUES. Seasonal THE HEALTHY WAY. healthy birth. injured patients. depression is a struggle, Handy tips, plus an but help is available. irresistible recipe. 8. GIVING TO DO GOOD. 12. MAKING MATERNITY SAFER. Friends and neighbors A strong focus on women’s 18. NEW HEART VALVE, 23. THE MAGIC OF FRESH honor loved ones through health before, during and RENEWED LIFE. An FOOD. A superstar meaningful donations to after pregnancy aims to innovative alternative to drops by to promote Newark Beth Israel. save lives. open-heart surgery. healthy habits.
PB | Healthy Together | Fall 2018 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 3
NBI_TOC_Winter20_final.indd 3 12/12/19 3:08 PM 1
BIGGER, BETTER, NEWER A TRANSFORMATIONAL RENOVATION WILL REFLECT NEWARK BETH ISRAEL’S DEEP COMMITMENT TO THE COMMUNITY.
n ambitious $100 million renovation project 2 by Newark Beth Israel Medical Center A (NBI) will literally change the face of the medical center and the Lyons Avenue landscape, as the renderings on these pages show. “We are an anchor institution in Newark that is providing world-class care to the residents of the South Ward, the greater Newark area and beyond. t is important that our appearance re ect our commitment to the communities we serve,” says Darrell K. Terry, Sr., MHA, MPH, FACHE, President and hie xecutive fficer o and hildren’s Hospital of New Jersey. “Our patients and the general public will be able to see the progress we are making as they travel along Lyons Avenue.” In addition to the images shown here, the renovation will include continued remodeling of the Maternity Unit, renovated Intensive Care Units and new Advanced Heart Failure Treatment and ransplant acilities e groundbreaking ill take place this spring.
Healthy Together | 4 | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 5
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1. e hospital’s ne main lobby ill be a s uare oot glass enclosed space that includes modern seating areas, community meeting spaces, 4 an expansive registration area and ca s is trans ormation ill create a more elcoming space lled ith transparency and natural light. It will invoke a sense of wellness and renewal for our patients, their families and our community,” says Terry.
2. e lobby interior ill have a signature wall with a prismatic acrylic panel system and color-changing LED lights.
3. e mergency epartment ill increase by s uare eet including a new fast-track treatment area. A TRANSFORMATIONAL RENOVATION WILL REFLECT NEWARK BETH ISRAEL’S DEEP COMMITMENT TO THE COMMUNITY. 4. e ediatric mergency epartment 5 will have a separate entrance and waiting room for young patients and their families.
5. The reimagined Emergency Department entrance on Lyons Avenue will have new exterior signage. “For many of our patients, the Emergency Department may be their first experience ith our acility and we want them to know we value that experience,” Terry says.
6. e medical center campus as it ill appear from the corner of Lyons Avenue and Schuyler Avenue.
To learn about ways to support Newark Beth Israel Medical Center, visit www.newarkbethgiving.org.
Healthy Together | 4 | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 5
NBI_Expansion_Winter20_final.indd 5 12/12/19 3:09 PM Nefertiti Jackson and baby Kalahia visit Yvonne Wright-Cadet, MD.
ast year, when Nefertiti Jackson A BABY discovered she was pregnant at age L 37, she was floored. And ecstatic. The Maplewood resident had been through extensive treatments for a life- threatening cancer scare as a child, and AFTER then for cancer again as a young adult. “I was shocked,” she says with a laugh. “We weren’t necessarily trying to have a baby. And after all I’d been through, I didn’t even know I could!” CANCER Nefertiti and her longtime partner, Daniel Plaisimond, were excited to start A MAPLEWOOD WOMAN’S MEDICAL TEAM AT NEWARK BETH a family. But she knew she needed the ISRAEL HAS SEEN HER THROUGH IT ALL—FROM CANCER best healthcare available—and she knew exactly where to go. TREATMENT TO THE BIRTH OF A HEALTHY BABY. “Newark Beth Israel Medical Center
Healthy Together | 6 | Winter 2020 is like a second home to me,” she says. years, and she had regular visits at NBI “I’ve spent many, many days in treatment with Dr. Wright-Cadet. and recovery there since I was a child. I “I’ve seen Dr. Wright-Cadet since 2008 RWJBarnabas Health and even have lifelong friends from Newark for regular exams,” Nefertiti says. “And Newark Beth Israel Medical Center Beth—patients and staff members who many of my relatives now go to her. She’s and Children’s Hospital of New Jersey, have shown me and my family so much become our family’s doctor of choice.” in partnership with Rutgers Cancer compassion through the years.” Institute of New Jersey—the state’s only “At Newark Beth, we take care of FIGHTING LEUKEMIA NCI-Designated Comprehensive Cancer women from a young age and through At age 25, when Nefertiti developed Center—provide close-to-home access to older age,” says OB-GYN and surgeon familiar symptoms—some that reminded the most advanced treatment options. To learn more, call 844.CANCERNJ or visit Yvonne Wright-Cadet, MD. “With either her of her childhood illness—she turned www.rwjbh.org/beatcancer. simple exams or with serious health once again to her physicians at NBI for issues like Nefertiti’s, I have confidence answers. in telling my patients that I know they’ll “They knew me, and they had all my get the very best care here. We have deep records,” Nefertiti says. “Dr. Wright- relationships with each other, and our Cadet called in specialists to figure out JOYFUL NEWS specialists are able to blend our skills what was wrong.” The answer: leukemia, This past fall, three years after fibroid together to care for mothers and for another type of blood cancer. Nefertiti’s treatment, Nefertiti, Daniel, her babies.” care was overseen by Maya Shah, MD, physician and her mother learned that Section Chief, Leukemia/Lymphoma the verdict regarding fertility was in: She CANCER AND CARING Service, at NBI. was pregnant. Nefertiti’s first visit to Newark Beth “They talked with me about my Nefertiti had a few more hurdles, Israel Medical Center (NBI) and options, and they told me what I needed however. Dr. Wright-Cadet told her Children’s Hospital of New Jersey came to know,” Nefertiti says. “It was a tough additional fibroids could affect the at age 7, when she and her mother year, but they saw me through.” Nefertiti growing baby. In addition, her age put learned Nefertiti had non-Hodgkin’s recovered from that treatment, with the her and her unborn baby in a high-risk lymphoma, a type of blood cancer that help of her team at NBI, her family and category. Dr. Wright-Cadet brought in affects the body’s immune system. During prayer, she says. maternal fetal medicine specialists, who the monthslong treatment, staff at NBI Just a few years later, she learned she focus on the care of mothers and their cared as much for her mother as they did would continue to need all that support. unborn babies, to make sure they caught for her, Nefertiti recalls. In her early 30s, she developed severe any symptoms early. “The support came from nurses and fibroids. Dr. Wright-Cadet found a large This spring, the diligence of her team doctors, and also from social workers one in the back of the uterus. at NBI paid off. Fibroids never became and nutritionists,” she recalls. “They even “It was the size of a grapefruit, and an issue for the baby, and Nefertiti had a brought us groceries, just to take some of it needed to be removed,” she says. “Dr. very healthy pregnancy. In April, she and those day-to-day tasks off of my mother. Wright-Cadet told me the effect of Daniel welcomed little Kalahia into the I so appreciate that they always extended surgery on my ability to have a child world. their care to both of us.” was uncertain, but I trusted her to do It has been over 30 years since During this time, Nefertiti was also everything possible.” Nefertiti began relying on the expertise thrilled to learn she could go to summer And as they had done many times and compassion of the team at NBI, and camp, all expenses paid, thanks to The before, she and Dr. Wright-Cadet prayed she wants to share something with others. Valerie Fund Children’s Center for together in the office. “Everyone I encountered during all Cancer and Blood Disorders at NBI. “Throughout every diagnosis I’ve my experiences at NBI was genuine and Over the course of eight summers, she gotten at NBI, my family, my doctors and encouraging,” Nefertiti says. “I want met people there who remain her friends I have prayed that God would use these everyone to know that serious health today. “My mom grew her support system specialists for the healing to happen,” she issues like I had are not the end of the through camp, too, after meeting other says. “Dr. Wright-Cadet did a phenomenal world. We have a team of awesome parents in similar situations,” she says. job. I had absolutely smooth healing.” doctors here to help us.” Remaining healthy and clear of cancer through her teens and early 20s, Nefertiti went off to college and then to teaching To learn about maternity services or find an OB-GYN at Newark Beth jobs in local schools. She still checked in Israel, call 888.724.7123 or visit www.rwjbh.org/maternity. with her cancer team at NBI every two
Healthy Together | 6 | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 7 GIVING TO DO GOOD FRIENDS AND NEIGHBORS HONOR LOVED ONES THROUGH MEANINGFUL DONATIONS TO THE MEDICAL CENTER.
COMMEMORATING A MAN WHO LOVED CHILDREN The Scott Hazelcorn Memorial Children’s Foundation recently made a generous donation to renovate the Metropolitan Regional Diagnostic and Treatment Center (Metro RDTC) at Newark Beth Israel Medical Center. The gift was given in memory of Scott Hazelcorn, who died on 9/11. He loved children and had wanted to return to school to become a teacher. After the tragedy, his family established the foundation as a way to honor his memory. memorial pla ue in the aiting area eatures one o cott’s memorable uotes lay and listen to every child you meet, they have so much to teach.” The Metro RDTC focuses on the trauma of child abuse and neglect and provides trauma-informed medical and mental health services to child victims of maltreatment and their families. At the ribbon-cutting, from left to right: Christine Baker, PhD, Clinical Director, Metro RDTC; Karyn C. Smarz, PhD, Metro RDTC Supervising Psychologist; Eric Hazelcorn, Janice Hazelcorn and Charles Hazelcorn of the Scott Hazelcorn Memorial Children’s Foundation; Beth Tepper, Vice President of Development at Newark Beth Israel Medical Center; and Sheila Stephan, Program Director, Metro RDTC.
A GENEROUS DONATION IN HONOR OF A SPOUSE Robert J. Benedetto, Executive ice resident at rinceton nternational roperties nc recently honored by the Torch Foundation of New York as ro essional o the ear as allowed to donate $10,000 to the charity of his choice. He chose to direct the money to the Newark Beth Israel Medical Center Neonatal Intensive Care Unit in honor o his i e at enedetto eonatal From left, Beth Tepper, Vice President of Development, Newark Beth Israel Medical Center; Stacie Perry, RN, Outreach Coordinator, who BSN, CLC, Director of Patient Care Services, Neonatal Intensive Care Unit; Joseph Rutigliano of the Torch Foundation; Pat Benedetto, RNC-NIC, BSN, MPA, Neonatal Outreach Coordinator (retired); Robert J. Benedetto, recently retired after 34 years. Executive Vice President, Princeton International Properties; Morris Cohen, MD, Director, Neonatal Intensive Care The Torch Foundation supports Unit, Children’s Hospital of New Jersey at Newark Beth Israel Medical Center; Darrell K. Terry, Sr., MHA, MPH, programs that assist children FACHE, FHELA, President and Chief Executive Officer, Newark Beth Israel Medical Center and Children’s Hospital of New Jersey; Suzanne Cinquemani, BSN, RN, CBC, Nurse Manager, Labor and Delivery; Joshua Rosenblatt, MD, experiencing social, economic and Chair, Department of Pediatrics and Chief Academic Officer; and Douglas A. Zehner, CPA, MSHA, Newark and medical issues. Union Regional Chief Financial Officer.
To learn about ways you can support Newark Beth Israel Medical Center and Children’s Hospital of New Jersey, call 973.322.4302 or visit www.newarkbethgiving.org.
Healthy Together | 8 | Winter 2020
NBI_Foundation_Winter20_final.indd 8 12/12/19 3:12 PM HOW TO SAVE A LIFE
IS IT A HEART ATTACK OR CARDIAC ARREST—AND WHAT SHOULD A BYSTANDER DO?
eart attack” and “cardiac arrest” may sound like similar HEART ATTACK CARDIAC ARREST (CA) “Hconditions, but they’re not the same—and one is potentially much more life-threatening. “With a heart attack, WHAT IT IS WHAT IT IS an artery is clo ed and the ma ority circulation problem lood o Usually, an electrical problem that of patients have 100 percent closure of stops because of a blockage in an causes the heart to stop pumping. an artery,” explains Jay H. Stone, MD, artery e part o the heart muscle can be tri ered by a heart attack Director of the Cardiac Catheterization and that is deprived of oxygen-rich but can have other causes, such as an Interventional Lab at Community Medical blood begins to die. undiagnosed heart abnormality or Center in Toms River and a member of the SYMPTOMS cocaine or amphetamine use. arnabas ealth medical group n a ese may begin hours days or SYMPTOMS cardiac arrest, the heart stops completely eeks in advance • Possibly racing heart or dizziness, and no blood at all is circulating.” Death can • Chest pain or feeling of pressure but may occur ithout arning be instantaneous. in the chest, possibly spreading to person su ering ill become e t o things that determine survival arms neck a back or stomach unconscious and ill not breathe Dr. Stone explains, are the underlying eeling sick s eaty or short o normally, or breathe at all. pathology and the o o blood to the brain breath. WHAT TO DO “If someone passes out in front of you, take e person having a heart attack • Immediately call 911, or have action immediately,” ill usually remain conscious he urges e patient someone else make the call hile WHAT TO DO can’t a ord to lose you per orm the steps belo the time that it may If you are having these symptoms, • If an AED (automated external take for professional don’t hesitate to contact your de brillator is available begin use medical help to doctor or call 911. If someone you ollo ing the prompts arrive ” uick action are ith appears to be having a • Do CPR (cardiopulmonary can double or even heart attack, call 911 immediately. resuscitation you don’t kno triple a cardiac arrest it the person do n and keep them conventional CPR, do hands-only victim’s chance for calm hile you ait or help see belo JAY H. STONE, MD survival.
HANDS-ONLY CPR GET IT Hands-only CPR can be done successfully even by someone CHECKED who’s not a professional. The idea is to push hard and fast in the center of the victim’s chest to the beat of a familiar song that has Your heart doesn’t beat just for 100 to 120 beats per minute. Think of the song “Stayin’ Alive” you. Get it checked. To make by the Bee Gees to help keep compressions in a regular rhythm. an appointment with one of New If disco doesn’t do it for you, push along to one of these: Jersey’s top cardiac specialists, • “Crazy in Love” by Beyoncé call 888.724.7123 or visit • “Hips Don’t Lie” by Shakira www.rwjbh.org/heart. • “I Walk the Line” by Johnny Cash
Healthy Together | PB | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 9
System_Cardiac_Winter20_final.indd 9 12/11/19 2:40 PM TRAUMA WITHOUT DRAMA TOP RWJBARNABAS HEALTH TRAUMA AND BURN CENTERS STAND AT THE READY TO DO WHAT’S NEEDED FOR THE MOST SEVERELY INJURED PATIENTS.
aramedics are running through care surgeon Rajan Gupta, MD, Director center’s job is to bring all these aspects the mergency epartment of the Level I Trauma Center and Pediatric together to help prioritize decisions and get Pentrance lood is all over octors Trauma Center at Robert Wood Johnson the best possible long-term outcome for the are shouting et me a clamp stat!” niversity ospital in e patient ” nd cut! nd scene at chaotic runs ick e more e mitigate chaos ogether experts at the rauma enter scenario a staple o medical sho s happens the safer the environment, and the better at the evel rauma enter at on sho sets but not in real li e trauma the patient ill do ” ersey ity edical enter and experts say Another common misconception, says e urn enter at aint arnabas edical n a true trauma situation e have r upta is that trauma treatment ends enter in ivingston each an uiet controlled conditions ” says critical a er the critical rst to minutes o arnabas ealth acility provide a care n act our critical sa ety net or thousands o e system spans the ersey residents entire gamut of care—emergency TRAUMA OR ED? services, acute ospital s take care o emergencies o care centers, rehab course like heart attacks and breathing facilities, radiology, problems s also deal ith a broad range blood banks clinical o noncritical conditions such as the u or labs, data registry broken bones and more ” explains trauma center ho ever has a larger RAJAN GUPTA, MD MICHAEL MARANO, MD BRUNO MOLINO, MD r upta trauma scope than an irst responders or
Healthy Together | 10 | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 11
System_Trauma_Winter20_final.indd 10 12/11/19 2:50 PM From left, fl ight paramedic Michael Brown, FP–C; fl ight nurse Robert Maiullo, CFRN; and situations: falls by elderly people, blunt- THE NEED lead pilot Joe Gilbert with the RWJBarnabas orce assault or penetrating ounds such FOR SPEED Health Airbus 135 helicopter. as gunshots and motor vehicle crashes “In trauma care, timing is says r upta ur cars are getting much everything,” says Jim Smith, Vice safer, so traumatic injuries from crashes are President, Mobile Health Services and decreasing ” he explains ean hile or Patient Transport at RWJBarnabas Health the elderly, even a minor fall can result in (RWJBH). “The gold standard is to have devastating in uries s the population ages no more than 60 minutes from the time a this has become an ever gro ing issue or patient has a traumatic emergency to the health systems ” time he or she is in the OR.” Trauma centers also routinely drill to Depending on location and time of day, a be prepared for mass casualties in a disaster trip that takes 45 minutes by road could be situation is training includes close done by helicopter in 20 minutes. That’s coordination ith other trauma centers in why RWJBH has partnered with Med-Trans aviation to provide a state-of-the-art Airbus case backup is needed ere are state 135 helicopter and two dispatch centers for certi ed trauma centers in e ersey live satellite tracking. Known as LifeFlight, the service includes on-scene and in-air HELP FOR SEVERE BURNS emergency treatment and transportation Trauma centers across the state coordinate to the closest appropriate state-certifi ed closely ith e urn enter at trauma center. The crew includes RWJBH e ersey’s only state certi ed burn Emergency Medical Services fl ight nurses treatment acility n addition to burns and paramedics who have had extensive from home accidents, industrial incidents training in emergency, air medical and and motor-vehicle crashes, one of the most trauma protocols. common in uries the center sees up to In addition to providing time-critical percent of cases—is scalding in children transportation from emergency events, under age ho have been splashed the LifeFlight system transports patients accidentally by a hot li uid as needed among RWJBH’s 11 hospitals pecialists including burn technicians (and other health systems as appropriate). “The service assists with continuity of care nurses and respiratory therapists as ell as within the same network,” Smith says. the most advanced technology, are available “And although it can seem dramatic and at the center at all times someone scary for patients to hear they are being comes in ith a sur ace burn or example transported by helicopter, sometimes the e’re able to immediately treat them ith issue is not so much medical acuity as it is hydrotherapy ater piped through special timing and traffi c.” spigots that removes dead skin and bacteria In either case, he says, “It’s important for to minimi e the chance o in ection ” New Jersey residents to know that, barring physicians make the decision as to hether a explains ichael arano edical any weather issues, air medical services in patient needs the services o a trauma center irector of e urn enter the state are robust and coordinate closely trauma center is designed to e center has intensive care beds with ground providers. Very few states have immediately treat critically injured patients for the most critically injured patients and the availability of resources and capabilities ho have li e or limb threatening in uries ” an bed recovery unit t also runs e that we do.” explains acute care surgeon runo olino utpatient enter or ound and urn rauma irector at and a ealing hich orks ith more than member o arnabas ealth medical patients each year bicycle sa ety sports sa ety yard ork group hen seconds count to make the sa ety and distracted driving education di erence bet een li e and death a hole AN OUNCE OF PREVENTION tell my Injury Prevention Coordinator that team is aiting around a stretcher even In the hope of minimizing the need for it’s her ob to put me out o business ” says be ore the patient arrives their services, the trauma and burn centers r upta o be certi ed as a trauma center put considerable resources into community nevitably accidents ill happen a acility must have extensive resources education, covering the age spectrum hen they do e ersey residents are in available to care for severely injured patients from infants and car seats to geriatric fall the fortunate position of having a nearby at all times ” says r olino eurosurgery prevention as ell as pedestrian sa ety trauma center ready and able to serve maxillo acial surgery orthopedic surgery cardiac surgery—all these specialties and more have to be there at our disposal ” To learn more about safety education and training at e most common types o in uries RWJBarnabas Health hospitals, visit www rw bh org cpr seen in trauma centers come from three
Healthy Together | 10 | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 11
System_Trauma_Winter20_final.indd 11 12/11/19 2:50 PM ALERT IN THE ED mergency epartments s have created a system to ensure that any oman coming to an ho has given birth ithin the previous days is identi ed and a note made in her electronic health record are management or certain conditions or arnabas ealth can be uite di erent or a oman ho e’re collectively looking at the entire has recently given birth compared to a continuum o healthcare to see hat oman in the general population ” pernal omen ant and need to be healthy says is alert system uickly identi es A FOCUS ON WOMEN’S HEALTH be ore during and a er pregnancy ” postpartum omen and hen minutes BEFORE, DURING AND AFTER matter it can save lives ” PREGNANCY AIMS TO SAVE LIVES. EMPOWERING WOMEN ther aspects o ’s roviding education is a priority e comprehensive approach to maternal ma ority o maternal adverse events don’t health include don’t feel well,” said Tara Hansen, happen on the day a oman gives birth ” Promoting equality in healthcare of anamassa shortly a er pernal says ey occur in the days and to improve pregnancy outcomes ur “I giving birth to her son in ut eeks that ollo the birth hen mom is hospitals are exploring the speci c needs her healthcare providers considered her back at home and the arning signs o a and challenges o omen in their uni ue a healthy postpartum patient and sent serious complication may not be immediately communities ” pernal says her home ix days later she died rom an recogni ed ” Providing reproductive planning so in ection that occurred during the birth o increase a areness ara’s husband omen particularly those ith medical regnancy related deaths are yan partnered ith utgers obert conditions can plan sa er pregnancies relatively rare about occur each ood ohnson edical chool and obert Co-designing initiatives with year in the but are on the rise o ood ohnson niversity ospital an community groups that address issues such is the rate o delivery related severe acility to create the ara ansen as housing domestic violence obesity maternal morbidity ” hich is defined as oundation’s top ook isten!” program diabetes and substance abuse all o hich significant short or long term e ects to is initiative empo ers omen to voice can negatively a ect pregnancy outcomes a oman’s health any concerns they have and reminds Focusing on maternal mental health. n e ersey healthcare systems providers to pay close attention rather than onmouth edical enter an community based organi ations and assuming a symptom is a typical complaint acility has the state’s only perinatal mood government agencies are tackling this o pregnancy or the postpartum period e and anxiety disorder program issue head on ” says u anne pernal program has been embraced by acilities Participating in Maternal Health ice resident of omen’s ervices throughout Awareness Day this year on anuary his is ne attention to maternity care that is so long overdue ” pernal says ealthcare providers policy advocates omen’s advocates together e’re really going to change the landscape over the next e years ”
To nd world class aternit care near ou, call 888.724.7123 or visit www rw bh org aternit
Health Together | 12 | Winter 2020
System_Maternal_Winter20_final.indd 12 12/11/19 2:51 PM From left to right, LJ Lopes in the playroom at Children’s Specialized Hospital; snuggling with his cousin Auggie; getting a boost from visiting Rutgers University football players. SKILLS REGAINED returned to on ebruary to CRAWL AGAIN continue his rehabilitation ourney e uickly bonded ith his inpatient team A BABY REBOUNDS FROM A particularly en oying a uatic therapy nce TRAUMATIC BRAIN INJURY they got into the pool there as no stopping him ” says livia e loved it and WITH THE HELP OF CHILDREN’S the resistance o the ater orced him to SPECIALIZED HOSPITAL. start using his right arm more ” spent another t o months at n the a ernoon o anuary An RWJBarnabas Health facility hildren’s peciali ed orking ith livia opes got a rightening physical occupational speech language O phone call er mother nephe and recreational therapists e progress and month old son had been in an accident in e runs ick here a team he made at hildren’s peciali ed as hile the three ere alking home rom her o specialists developed a customi ed ama ing ” says livia er the accident nephe ’s school a vehicle had umped the rehabilitation program to address he lost all o his muscle memory e team curb and struck them rom behind his medical physical cognitive and orked ith him day in and day out livia’s mother and nephe su ered psychosocial needs helping him to learn ho to roll cra l multiple ractures n ant ho had ithin a eek ho ever his amily stand and alk ” ent home on pril been in his car seat in a agon being and team reali ed something asn’t e is no attending outpatient therapy pulled by his grandmother su ered the right ith e as trans erred to the sessions three days a eek at the most extensive in uries as the car seat mergency epartment at obert ood location in amilton orking hard to became dislodged and soared eet ohnson niversity ospital in e build strength in his right arm and learn a ay hen e finally got in to see runs ick here a scan led to a ho to suck and s allo properly he as on li e support ” livia recalls diagnosis o hydrocephalus ith this e still keep in touch ith the e had multiple skull ractures orbital condition excess cerebrospinal fluid remarkable therapists and care team at ractures severe brain trauma and a builds up in the ventricles cavities o hildren’s peciali ed updating them on broken leg and as having difficulty the brain and increases pressure ithin ’s progress ” livia says e’re orever moving his right arm ” the head causing head enlargement grate ul or the care that hildren’s spent days in a ediatric headaches impaired vision cognitive peciali ed provided to our son ” ntensive are nit be ore being difficulties and loss o coordination o learn more about hildren’s trans erred to the rain n ury rogram shunt as surgically inserted into a peciali ed ospital call 888.244.5373 or at hildren’s peciali ed ospital ventricle to drain the excess fluid visit www.childrens-specialized.org.
At Children’s Specialized Hospital, we provide world-class care for children and young adults who face special health challenges across the state of New Jersey and beyond. Our locations in Bayonne, Clifton, East Brunswick, Egg Harbor Township, Hamilton, Jersey City, Mountainside, New Brunswick, Newark, Toms River and Warren treat everything from chronic illnesses and complex physical disabilities like brain and spinal cord injuries, to developmental and behavioral issues like autism and mental health.
Healthy Together | PB | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 13
System_CSH_Winter2020_final.indd 13 12/11/19 2:52 PM A STRANGER’S A BLOOD STEM CELL DONATION— AND A POWERFUL MEDICAL PARTNERSHIP—SAVE THE LIFE OF GIFT A TOMS RIVER WOMAN. t’s a gorgeous day on the boardwalk “To have a donor and patient together made an appointment with an infectious in Bradley Beach and to look at like this is truly remarkable,” says Vimal disease specialist, and his phlebotomist I the two smiling women, you would Patel, MD, a hematologist/oncologist took blood samples,” she recalls. never guess that they had met in person in the Blood and Marrow Transplant Within 24 hours, the doctor called or the very first time ust three days Program at Rutgers Cancer Institute of back to explain that he had sent the before. They exhibit a strong physical New Jersey and Robert Wood Johnson blood test results to a hematologist who and emotional connection—a bond worth niversity ospital e anted her in his office that day think life itself. Brunswick. “This is the reason I went you have leukemia,” the hematologist “I feel as if I’m with my daughter or into my field to see moments like this ” told her. “And I think you need to go to my niece,” Lael McGrath, 68, admits. Rutgers Cancer Institute of New Jersey She owes her life to Wiebke Rudolph, a AN UNEXPECTED DIAGNOSIS in New Brunswick. Today.” 21-year-old recent college graduate from In August 2016, Lael was not well. She Lael’s immune system was so Kassel, Germany. Wiebke donated her had been a runner for more than 40 suppressed that she was in a life- stem cells anonymously to Lael after years, but that summer she couldn’t threatening situation. Within three days the retired second-grade teacher from run more than a block without having she ould be admitted to here Toms River was diagnosed with life- to stop to walk. She had fevers, night she would spend the next seven weeks threatening acute myeloid leukemia in sweats and a rash on her back. “A friend undergoing chemotherapy. Dr. Patel has 2016. Both had looked forward to this was diagnosed with Lyme disease and been by her side since then, along with meeting for more than two years. her symptoms sounded like mine, so I a vast team of specialists from both
Healthy Together | 14 | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 15
System_BMTPatient_Winter20_final.indd 14 12/11/19 2:53 PM Opposite page, top, Lael and Wiebke with Vimal Patel, MD; this page, with members of the Blood and Marrow Transplant Program at Rutgers Cancer Institute and Robert Wood Johnson University Hospital.
NOT ALL DONORS AND PATIENTS MEET. BUT THERE WAS NEVER ANY DOUBT FOR EITHER OF THESE TWO WOMEN. IN FACT, THE PAIR STARTED EMAILING, and utgers ancer nstitute Four thousand In the hospital, Lael’s treatment miles away in TEXTING AND involved the use of combination Germany, Wiebke THEN TALKING chemotherapy designed to get her as notified that she into remission o ever the specific matched a patient in dire TO EACH OTHER ON mutations that e identified in her need. “Not that many people FACETIME RIGHT AFTER leukemia were high-risk in nature, so we in Germany do this and certainly no knew that chemotherapy alone would one in my family or among my friends,” BEING GIVEN EACH OTHER’S not keep her in remission,” says Dr. Patel. she says ut hen first heard about CONTACT INFORMATION. “We needed immune therapy in the form this, I said yes, I’m going to do it. I was of an allogeneic stem cell transplant.” determined.” Wiebke underwent peripheral blood SEARCHING FOR A DONOR stem cell donation, a procedure called was female and 19 years old.” In a bone marrow transplant, cells can be apheresis, in which blood is removed Lael did so well post-transplant that used from your own body, known as an through a needle in one arm and passed she was able to go home on New Year’s autologous transplant. When cells are taken through a machine that collects only Day 2017. Over in Germany, Wiebke was from a donor, the transplant is called blood-forming cells. (The remaining blood told that the transplant had gone well. allogeneic. “In this procedure, the patient’s is returned to the donor through a needle rotocol and confidentiality policies diseased marrow is replaced with a donor’s in the other arm he procedure took don’t permit donors and patients to have blood stem cells,” says Dr. Patel. “It allows six hours. All the logistics of harvesting direct contact with each other until at for normal blood formation and provides Wiebke’s stem cells and then transporting least one year has passed. In this case, the a new immune system to help eliminate them to the U.S. were handled by wait lasted more than two years, until the leukemia. It also has the potential for NMDP. Meanwhile, Lael’s repeat blood test results showed that Lael’s blood cells a cure.” transfusions were made possible by the were 100 percent “donor.” t bone marro transplant lood ervices team Not all donors and patients meet. coordinator Mary Kate McGrath, MSN, Lael spent weeks in the hospital But there was never any doubt for RN, APN, BMTCN, OCN (no relation during the fall and winter of 2016, waiting either of these two women. In fact, the to ael ran the results o ael’s for the transplant and being closely pair started emailing, texting and then testing through the National monitored by her healthcare team. talking to each other on FaceTime right Marrow Donor Program Finally, in December 2016, after being given each other’s contact registry she as notified that her information. “Within two months RWJBarnabas Health and transplant was imminent. Recently, at a celebration hosted by of Lael’s diagnosis, Robert Wood Johnson University “On December 16th, it both omen held bou uets o e identified three Hospital, in partnership with Rutgers happened,” she recalls. o ers and stood happily alongside one Cancer Institute of New Jersey— potential matches “A team walked in another. “If it weren’t for Wiebke, I don’t the state’s only NCI-Designated on the registry— Comprehensive Cancer Center— carrying a small know what would have happened,” Lael says. but Wiebke turned provide close-to-home access to the cooler and within an With the breeze blowing off the out to be the most advanced treatment options. Call hour, the transfusion Atlantic Ocean, these two women look perfect match,” she 844.CANCERNJ or visit was over. All I actually knowingly at one another, smile and explains. www.rwjbh.org/beatcancer. knew was that the donor agree, “It was a miracle.”
Healthy Together | 14 | Winter 2020 RWJBarnabas Health | RWJBH.ORG | 15
System_BMTPatient_Winter20_final.indd 15 12/11/19 2:53 PM sunlight tends to boost serotonin. A lack of light causes the brain to release less serotonin, which can lead to depression. “We’re not sure what makes some people vulnerable to SAD while others aren’t greatly affected by less exposure to sunlight,” says Dr. Kaplan. “The theory is that people with SAD may have some form of imbalance in the regulation of these two hormones. Genetic factors may play a role in this.”
WHAT TO DO “If you think you may have SAD, consult with a professional to determine whether your condition relates to that or to something else,” advises Dr. Kaplan. “Depression can be due to many different things, so it’s better not to self- diagnose and possibly waste time on the wrong treatments.” YOU CAN BEAT THE Having a healthy diet and regular exercise have been shown to improve symptoms of depression. Other possible treatments for SAD include: Light therapy e patient sits or orks near a device called a light therapy box, SEASONAL DEPRESSION IS A STRUGGLE, BUT HELP IS AVAILABLE. hich gives o a bright light that mimics natural outdoor light. “For some people, n winter, the short hours of daylight as feelings of hopelessness, anxiety and this treatment is very e ective but it’s best can lead to dark moods. It’s a problems with appetite. “A couple of to consult your physician about the type of Icommon syndrome—thought to affect symptoms seem to be more common with device to use,” says Dr. Kaplan. up to 10 million people in the U.S—known SAD, however,” says Dr. Kaplan. “People Cognitive behavioral therapy. This as Seasonal Affective Disorder, or SAD. with SAD often crave sweets more, and kind of psychotherapy, or “talk therapy,” “SAD is a kind of depression that happens are more tired and sleep more.” focuses on changing inaccurate or negative at a specific time o year usually in the As with regular depression, there is thinking in order to create new behaviors. winter,” explains help for those who suffer from SAD. Antidepressant medication. “Generally psychiatrist Gabriel speaking, antidepressants don’t start Kaplan, MD, Chief WHY WINTER? working for four to six weeks,” says Dr. edical fficer o While the exact cause of SAD is unknown, Kaplan. “If your depression is seasonal, the arnabas two hormones are implicated: melatonin, you may choose to take them for several ealth ehavioral the hormone that regulates sleep, and months and then go off them when Health Network. serotonin, a key hormone for mood winter is over, or continue to take them Symptoms of stabilization. “Melatonin tends to be for the rest of the year to prevent the SAD are similar produced when there’s no sunlight,” reappearance of depression. It’s the to those of clinical explains Dr. Kaplan. “More melatonin combined job of the doctor and patient to GABRIEL KAPLAN, MD depression, such means people feel sleepier.” Conversely, decide the best course.”
To learn about options for getting help for depression, call the RWJBarnabas Health Behavioral Health Network Access line at 800.300.0628.
Healthy Together | 16 | Winter 2020
System_SAD_Winter20_final.indd 16 12/11/19 2:54 PM Create a healthy tomorrow by leaving a lasting legacy today.
Help ensure that the next generation has easy access to extraordinary health care by including Newark Beth Israel Medical Center or Children’s Hospital of New Jersey in your estate plans. You can create your legacy today by including the medical center as a partial benefi ciary of your will or retirement account. It’s simple. It’s impactful. It’s lasting.
For more information, please contact Greg Ellmer at 973-322-4302 or [email protected]. Information is also available online by visiting newarkbethgiving.org
NBI_AD_Winter20_final.indd22132976 RWJBH-CORP Planned 17 Giving Print Ads NBI_8.375x10.875_m1.indd 1 12/12/195/15/19 2:353:17 PM John Artale, 90, of Lakewood had his heart valve successfully replaced through TAVR surgery at Newark Beth Israel Medical Center.
which involves cutting the chest open and is followed by about a week in the hospital and a lengthy recovery at home or people like John, who was just months away from his 90th birthday, TAVR—which is done through very small incisions—is less risky. r axman explained everything to me, and I had complete faith and trust in everyone there ” he says sta also made all the transportation arrangements for him and Evelyn, his wife of 63 years, from their home in Lakewood to Newark, 60 miles away.
“A POSITIVE EXPERIENCE” TAVR specialists at NBI thread a thin tube, the catheter, from an artery in the groin up to the heart. Using tiny tools and speciali ed techni ues the physician team replaces the faulty valve with a new one. “It’s a one-hour procedure, and patients are usually home the next day,” r axman says any eel better NEW HEART VALVE, immediately and are back to normal activity in about 10 days.” at as true or ohn “I had the procedure at about 9 in the RENEWED LIFE morning, was back in my room by 10:30 AN ALTERNATIVE TO OPEN-HEART SURGERY BROUGHT and walking around by 2 p.m.,” he says, still impressed by the experience. “I attribute NEW ENERGY TO A MAN WITH AORTIC STENOSIS. my care and recovery to the people at NBI, and to divine help, of course.” y cardiologist told me last Newark Beth Israel Medical Center (NBI) He was home the next day and June that if I didn’t get care that o ers an innovative treatment t’s a soon discovered that symptoms were “Msoon for my faulty heart newer procedure called transcatheter aortic disappearing or example he could nally valve, it could close up within weeks,” valve replacement (TAVR). sleep like a baby ” here be ore he o en says John Artale of e approved years ago woke up breathless, which had been a Lakewood. “My life for people who were not healthy enough symptom of his aortic stenosis. And instead was at risk.” for major heart surgery,” says Sergio of feeling fatigue, he now goes to rehab John had axman ivision irector o three days a week at Monmouth Medical aortic stenosis, Cardiology at NBI. “Recently, our center enter outhern ampus an arnabas or narrowing of was part of a clinical trial to study whether Health facility near his home. one of the major this approach is comparable to open-heart “I was very impressed with everyone, heart valves. His surgery in healthier patients e study everything at NBI,” says the retired physician connected con rmed that it is ” engineer, who until this procedure had very him immediately e traditional method o replacing a little experience with hospital stays. “It was SERGIO WAXMAN, MD to a special team at faulty aortic valve is open-heart surgery, a very positive experience.”
Your heart doesn’t beat just for you. Get it checked. To reach a Newark Beth Israel Medical Center cardiac specialist, call 888.724.7123 or visit www.rwjbh.org/heart.
Healthy Together | 18 | Winter 2020
NBI_TAVR_Winter20_final.indd 18 12/12/19 3:13 PM At left, lung transplant patient Dawn Burke is now doing pulmonary rehabilitation and is training to walk a 5K. Above, Dawn shortly before she received her lung transplant with her care team, including Advanced Mobilization Team members and, to her left, her doctor Harpreet Grewal, MD, and Thomas Kaleekal, MD, Medical Director of the Advanced Lung Diseases and Transplant Program.
A month into her hospital stay and A BATTLE FOR TIME despite everyone’s e orts respiratory ailure was imminent. In many other hospitals, TOP TALENT AND TECHNOLOGY ALLOWED A WOMAN TO patients at this stage would need advanced SURVIVE UNTIL A LUNG DONATION WAS AVAILABLE. e uipment that re uires them to be sedated and in intensive care. But at NBI, the entire learned in 2016 that I would specialist in pulmonary critical care and transplant team has the skills and training eventually need a lung transplant,” Medical Director of NBI’s Advanced Lung to use the same e uipment and still allo a “Isays Dawn Burke, 60, of Keyport. iseases and ransplant rogram e’re patient to remain mobile he had idiopathic pulmonary brosis part of a group of more than a hundred t day o her stay a n as able a disease that scars the lungs diopathic” professionals working to make each to walk down the hall with this advanced means the reason is unclear. Dawn had never transplant possible ” e uipment kno n as a ake ” smoked or to her kno ledge been exposed extracorporeal membrane oxygenation to anything to cause the condition SUPPORT WHILE WAITING in to iterally by her side helping Her earliest treatments involved regular Dawn’s team at NBI needed to give her her ith this exercise ere dvanced monitoring by transplant physicians at increasing amounts o oxygen in the obili ation eam members e e ark eth srael edical enter ollo ing eeks ey also orked to e ort by her helped her to maintain and portable oxygen tanks at home ut by help her to remain physically active, so her strength while waiting for her organ. 2019, that was no longer enough. she ould be as strong as possible hen our days later all re oiced to learn “In May, I went into the hospital a donor lung as available ur patients that a suitable organ had become available knowing my condition was very advanced,” are o en in a battle against time so or a n e transplant as a success he she says ith scarring o the lungs we’ve put steps in place to make sure they as home t o eeks later no more oxygen cannot be stopped urther hether have as much time as possible to ait or tanks needed. or hen a lung ould be available or transplant,” says Harpreet Grewal, MD, a ’m at a loss or ords to explain hat transplant could not be predicted pulmonary-critical care specialist and part it feels like to have this second chance at Both she and her lung transplant team at of the lung transplant team at NBI. life,” she says. NBI were up for the challenges ahead. “My doctor asked every day how t one point a n couldn’t alk ve “Last year, physicians from some of the many laps I made around the nursing feet. Today, she’s training to walk a 5K to country’s top lung transplant programs floor ” a n says ith a laugh ut her support transplant programs. oined the experienced team already in condition orsened and alking became ays r re al eople like a n are place here ” says omas aleekal too difficult the reason we do what we do.”
To learn more about the Advanced Lung Diseases and Transplant Program at Newark Beth Israel Medical Center, call 1.888.NJLung1 or visit www.rwjbh.org/lungtransplant.
Healthy Together | PB | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 19
NBI_LungTransplant_Winter20_final.indd 19 12/12/19 3:13 PM SIMPLE MOVES FOR A HEALTHY HEART HEART-PUMPING EXERCISE CAN HELP YOU RECOVER FROM A HEART PROBLEM— OR HELP PREVENT ONE FROM HAPPENING.
eep moving.” That’s the simple increase heart rate and strength. They will tolerance,” Wise says. “Fifteen to 20 message for people who want give you the ability to sustain activity for minutes is a great start. With moderate “K to maintain or improve their a lifetime.” intensity exercise, you want to elevate heart health, says Andre Wise, senior “We can treat a patient’s heart disease, your breathing but still be able to hold exercise physiologist and Manager of but what happens after treatment is just a conversation. You will develop a light Physical Medicine and Rehabilitation in as important,” says Navin Rajagopalan, sweat after about 10 minutes, but will the Cardiac Rehabilitation Department at MD, Interim Medical Director, Heart not feel exhausted.” Newark Beth Israel Failure and Transplant Cardiology at Wise cites a recent experience with Medical Center NBI. “Cardiac rehabilitation is not only a heart-transplant patient he worked (NBI). instrumental in improving recovery of with 13 years ago. “This person said to “People take patients who suffer from cardiovascular me, ‘You picked me up out of bed and that ability—to disease, but also in enhancing their ability made me walk. You don’t know how much move without to perform daily activities and improving you’ve changed my life. If it weren’t for effort—for granted,” their uality o li e ” you, I would not be doing as well as I am he says, “but that’s Heart-healthy exercise means now.’ But that’s exactly why we’re here,” what we all want getting in 30 to 45 minutes of aerobic says Wise. “We’re here to make sure our to be able to do. training at moderate intensity several patients are able to live the life they want NAVIN RAJAGOPALAN, MD Repetitive exercises times a week. “For beginners, go to your to live.”
Healthy Together | 20 | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 21
NBI_CardiacRehab_Winter20_final.indd 20 12/12/19 3:15 PM GET A MOVE ON Senior exercise physiologist Andre Wise, at right, and a client demonstrate heart-healthy exercise.
START WITH WALK OR RUN ADD WEIGHT A STRETCH AT THE GYM: Time on a treadmill is AT THE GYM: Use a medicine ball. A fi ve-minute core stretch good for the cardiovascular system Raise it above your head 10 times, or encompassing the lower extremities, and strengthens the heart. For a more push the ball out directly in front of back and upper body increases blood vigorous workout, try a stair-stepper. you. To improve posture and balance, hold the ball in a fi xed position and fl ow and temperature to muscle tissue, AT HOME: When weather permits, walk which helps to prevent injury. Stretches around the neighborhood at a pace that raise one knee at a time, or squat should be static, Wise advises. Stretch elevates your heart above its resting rate. while holding the ball. to farthest point and hold that position Try bouncing a ball as you walk; this AT HOME: Improvise with a soccer ball, for 15 to 30 seconds; don’t pull or improves coordination, takes the focus basketball or kickball, or grab a bottle pulse the muscle. off walking and gives the activity a sport- of water or a canned good. like feel. If you can’t get outside, walk the perimeter of your largest room. Walk up and down the steps for one to three minutes, a few times a day.
JUMP IN! AT THE GYM: Walk or jog in place on a trampoline for a couple of minutes. This exercise challenges the cardiovascular system and the muscles that help stabilize you, while placing minimal stress on the joints. AT HOME: Try jumping rope. If that’s not for you, modify by taking a rope or broomstick and moving it back and forth like a wheel while alternately raising legs to simulate jumping, or do the same activity from a sitting position and raise both legs at the same time.
Your heart doesn’t beat just for you. Get it checked. To reach a Newark Beth Israel Medical Center cardiac specialist, call 888.724.7123 or visit www.rwjbh.org/heart.
Healthy Together | 20 | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 21
NBI_CardiacRehab_Winter20_final.indd 21 12/12/19 3:15 PM EAT FOOD YOU LOVE, THE HEALTHY WAY A FEW SIMPLE CHANGES—IN RECIPES AND HABITS— LET YOU HAVE YOUR COMFORT FOOD AND STAY HEALTHY, TOO.
he two keys to happy but “When you’re giving comfort food out,” advises Fallon Dixon. “Focus on the healthier eating are rethinking classics a healthy recipe makeover, the goal foods you know you tend to go overboard T recipes and resizing portions, is to preserve the traditional flavors your on. For me, that’s pasta! Use your hand to according to Molly Fallon Dixon, MSD, family loves,” she says. “So try easy, healthy estimate a portion and then fill the rest RDN, Community Wellness Coordinator swaps, like using low-fat dairy products; of your plate with salad, roasted veggies at Newark Beth Israel Medical Center’s choosing skinless, boneless chicken or and fresh fruit.” Put snacks like pretzels or Reverend Dr. Ronald B. Christian turkey breast instead of dark meat; and trail mix into snack-size bags. Community Health and Wellness Center. choosing lean cuts of beef or pork.” “You can also preportion casseroles And while recommended portion sizes and baked pasta dishes into muffi n cups to may be less than you’re used to, “don’t avoid mindless eating,” she says. “Our mac let the idea of portion control stress you ’n’ cheese muffi n cups are a great example!”
MAC ’N’ CHEESE HANDS-ON PORTION MUFFIN CUPS CONTROL 12 servings (1 muffi n cup per serving) CUPPED HAND: You can dig into these healthy Mac ’n’ Serving of uncooked Cheese Muffi n Cups and feel good about whole-wheat pasta it—even if you’re watching the fat and salt in or brown rice your diet. These treats cut back on fat by using low-fat and fat-free dairy products. Vitamin A-rich THUMB: Peanut butternut squash enhances the creamy texture of the butter, nuts sauce. A bonus: When mac ’n’ cheese is baked in muffi n POINTER FINGER: 3 cups, it’s easier to control portion size. oz. serving of cheese Grilled INGREDIENTS: DIRECTIONS: PALM: chicken, beef, fi sh • ½ pound whole-grain elbow • Cook macaroni according to package or pork macaroni (½ box) directions. Drain and set aside. FIST: A serving of • 1 12-ounce package frozen • Preheat oven to 400° F. Using a muffi n pan, fruit, vegetables, dry pureed butternut squash line 12 muffi n cups with foil liners and spray cereal, oatmeal, grits • 1 cup fat-free milk the liners with cooking spray. Set aside. or a cup of milk • 1 cup low-fat shredded cheddar • Add frozen squash and milk to a large cheese saucepan and cook over low heat, stirring occasionally, until squash is defrosted and • ¼ cup part-skim ricotta cheese smooth. Bring sauce to a simmer. LEARN MORE ABOUT • ¾ teaspoon mustard powder • Remove sauce from heat and stir in HEALTHY EATING • ½ teaspoon paprika cheddar, ricotta, mustard powder, paprika, The Healthy Lifestyles program black and cayenne pepper and salt. Add • ¼ teaspoon black pepper meets every Thursday from in cooked macaroni and stir to combine. 1 to 2 p.m. at the Reverend Dr. 1 • /8 teaspoon cayenne pepper Portion into muffi n cups. Ronald B. Christian Community • 1/8 teaspoon salt • In a small bowl, combine breadcrumbs, Health and Wellness Center at 208 Lyons Avenue. To learn more • 2 tablespoons panko breadcrumbs Parmesan cheese and parsley. Sprinkle mixture over macaroni and cheese. Bake about this and other classes, • 2 tablespoons Parmesan cheese for 12–15 minutes, then broil for 2 minutes call 973.926.7371 or visit • 1 tablespoon parsley, chopped until tops are golden brown. www.rwjbh.org/events.
Healthy Together | 22 | Winter 2020
NBI_Recipe_Winter20_final.indd 22 12/12/19 3:16 PM FORMER NBA SUPERSTAR THE MAGIC OF SHARES NEWARK BETH ISRAEL’S MISSION TO PROMOTE NUTRITIOUS FOOD FRESH FOOD AND HEALTHY HABITS. asketball great Earvin “Magic” Johnson recently B visited Newark Beth Israel Medical Center (NBI) to shine a spotlight on NBI’s efforts to promote healthy eating in the community. The former Los Angeles Lakers star is the Chairman and CEO of food management company SodexoMAGIC, a joint venture with Sodexo, one of the nation’s largest food service companies. The company uses fresh vegetables and greens from The Beth Greenhouse to provide healthy entr es and more in the employee cafeteria. On his visit, Johnson toured The Beth Greenhouse, which grows vegetables in nutrient-rich water instead of soil and distributes about 100 pounds of produce each week to local food pantries and to the Farmers Market held at NBI every Thursday. “I’ve been to a lot of hospitals, but I’ve never seen fresh produce that’s grown and that people can pick up right here,” he said. “That’s been amazing to see.” Johnson shares NBI’s mission to bring healthy eating to urban areas known as “food deserts,” where fresh produce isn’t readily available. NBI provides healthy living education at the Rev. Dr. Ronald B. Christian Community Health and Wellness Center, and sponsors The Clockwise from top: Johnson at The Beth Greenhouse with Community Wellness Coordinator Lorraine Beth Challenge, a wellness program, Gibbons; visiting the Beth Fitness Center; making a new friend; with Darrell K. Terry, Sr., President and CEO of NBI, Barbara Mintz, MS, RD, Senior Vice President, Healthy Living and Community for NBI employees and various Engagement, RWJBarnabas Health and members of the SodexoMAGIC and RWJBH Wellness teams. community groups.
To learn more about Healthy Living classes at Newark Beth Israel Medical Center’s Rev. Dr. Ronald B. Christian Community Health and Wellness Center at 208 Lyons Avenue, call 973.926.7371 or visit www.rwjbh.org/events.
Healthy Together | PB | Winter 2020 Newark Beth Israel Medical Center | RWJBH.ORG/NEWARKBETH 23
NBI_CommunityEvent_Winter20_final.indd 23 12/12/19 3:17 PM NONPROFIT U.S. POSTAGE PAID Lebanon Junction, KY PERMIT #799
201 Lyons Ave., Newark, NJ 07112
Getting Healthy Together! CHECK OUT SUPPORT GROUPS, HEALTHY LIVING PROGRAMS AND MORE AT NEWARK BETH ISRAEL MEDICAL CENTER.
FOR MOMS AND EDUCATION AND Heart Transplant MOMS-TO-BE PREVENTION Support Group 6:30–8 p.m., fi rst Thursday of Maternity Unit Tours Diabetes Prevention Program the month We invite you to visit our 1–2 p.m., Wednesdays Newark Beth Israel facility and experience our Discuss ways to help prevent/ Medical Center commitment to the overall birth delay Type 2 diabetes. 201 Lyons Avenue experience for our patients. To Rev. Dr. Ronald B. Christian For information: 973.926.7205 THE BETH schedule your tour, please call Community Health and Wellness GREENHOUSE 973.926.7108 or visit Center, 208 Lyons Avenue www.rwjbh.org/maternity. To register: 973.926.7371 Learning to Live with Cancer FARMERS MARKET 1:30–2:30 p.m., third Thursday of Thursdays, the month Tobacco Cessation Program 11 a.m.–4 p.m. Breastfeeding & Infant A general cancer support group. 10 a.m.–3 p.m., Wednesdays Newark Beth Israel Care Basics Frederick B. Cohen, MD, FREE nicotine patches, gum Medical Center, ABC 3–4:30 p.m., Mondays Comprehensive Cancer and and lozenges provided. Rev. Dr. Discharge Lobby Newark Beth Israel Blood Disorders Center, Ronald B. Christian Community 201 Lyons Avenue Medical Center 201 Lyons Avenue. For Health and Wellness Center 973.926.7371 201 Lyons Avenue information: 973.926.7565 To register: 973.926.8022 208 Lyons Avenue To register: 973.926.7371 Childbirth Education ESPECIALLY FOR Caring for You, Caring for (4-week series) Heart-Healthy Cooking SENIORS Me—Caregivers Support 6–8 p.m. Mondays, Jan. 13–Feb. Tasty recipes low in fat, Senior Health and 11 a.m.–12:30 p.m. 3; Feb. 10–March 2; March 9–30 cholesterol and sodium. Wellness Center at James C. Weds., Jan. 22, Feb. 26 Newark Beth Israel 1–2 p.m., Tues., Jan. 14 and White Manor Caring for others presents Medical Center Tues., Feb. 11 Primary care and health and challenges. Join the discussion 201 Lyons Avenue Rev. Dr. Ronald B. Christian wellness programs for senior and gain information and To register: 973.926.8022 Community Health and Wellness residents of the Newark Housing support for you as a caregiver. Center. 208 Lyons Avenue Authority and the greater The Center for Geriatric Health Breastfeeding Support Group To register: 973.926.7371 Newark community. Care, Lower Level 11 a.m.–1 p.m., Jan. 28, Feb. 24 516 Bergen Street 156 Lyons Avenue Rev. Dr. Ronald B. Christian SUPPORT GROUPS For information: 973.622.2703 To register: 973.926.6771 Community Health and Lung Transplant Support Group Wellness Center For pre-lung transplant patients, 208 Lyons Avenue transplant recipients and JOIN OUR EMAIL LIST! To register: 973.926.7371 or caregivers. Newark Beth Israel If you would like to receive In Good Health, our monthly e-newsletter, [email protected] Medical Center please send an email to [email protected] to join. The information 201 Lyons Avenue provided will be used exclusively for this purpose and will not be For information: 973.926.3178 shared with any third party.
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