SPRING 2017 HealthyYOU Mary’s Surprise Weight Loss Bye-bye EYES 140-Pound WIDE

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RESTORING A BROKEN WRIST PAGE 12 Contents

COVER STORY IN THIS ISSUE 11 A Massive 6 A Curable Cancer 15 Advanced Spine Surgery for Abdominal Mass Testicular cancer doesn’t slow Back and Neck Pain Mary Clancey’s incredible down Randy Yob Microdiskectomy offered as tumor surgery outpatient surgery 8  Labor of Love Mother and daughter share 16 How Gastric Sleeve Restores passion for personalized childbirth People’s Lives DEPARTMENTS He says/She says: My gastric 10  Providing Gut-Level Relief AROUND OUR COMMUNITY sleeve success Special recovery protocol 4 Showering Moms-to-Bee helps middle school principal 18 Cardiac Ablation Offers Relief CALENDAR for Stubborn Atrial Fibrillation 12 In Good Hands 21 Classes and Support Cardiologists explain ablation Dennis Yoo’s broken wrist – Groups for You options from surgery to rehab 20 How Eyelid Surgery 14 Sleep Study Helps Hazleton Improves Vision Truck Driver It’s covered by most insurance Home test identifies sleep apnea if it’s medically necessary

PUT YOUR HEALTH FIRST lvhealthnetwork

FIND A DOCTOR READ THIS ISSUE LVHN.org/findadoc of Healthy You magazine online and read extra stories at LVHN.org/healthyyou. READ OUR BLOG Get daily health information on our ATTEND AN EVENT Lehigh Valley Health News blog. See what's happening around the network on our Get to know us. Visit LVHN.org/news. community calendar. Visit LVHN.org/calendar.

lvhealthnetwork LVHN is now on #IG! Publishers Contributing Advisers A Passion for Better Medicine drives Lehigh #LVHN #LoveLVHN #FollowUs Valley Health Network to keep you well. Edward Dougherty Jennifer Adamski Chief Business Development Officer Susan Bernhard That’s why we publish Healthy You magazine – John Marzano Kim Bevan to educate you, your family and your Vice President, Marketing and Public Affairs Ann Fatzinger community on how to enjoy a healthier life. Dan Lavelle Melissa Fitzgerald Director, CRM and Demand Generation Chelsea Gerhart We’d love to hear from you. Emily Greene Ashley Scheffler Send your comments to: Content Manager Wendy Kaiser Content Editor Jennifer Fisher Rob Stevens Healthy You Medical Editor Mark Wendling, MD Resam Tabchi ATTN: Marketing and Public Affairs Creative Manager Teressa Colbaugh For information or a referral to any of the professionals featured in Healthy You, call 888-402-LVHN or visit LVHN.org/healthyyou. P.O. Box 689, Allentown, PA 18105-1556 Designer Erin Parrish Information appearing in this publication is not intended for self-diagnosis Call: 888-402-LVHN Photographer Olaf Starorypinski Email: [email protected] and/or treatment. If you have a health problem and need help finding a Production Assistant Kathryne Keck-Harris physician, call 888-402-LVHN for further assistance. Web Production Marielle Messing TDD General Information 610-402-1995 Video Production Wendy Kaiser, First Generation © Lehigh Valley Health Network, 2017 All rights reserved.

2 LEHIGH VALLEY HEALTH NETWORK Dr. Schroeder’s Top 5 Snack Tips

Do you worry that your snack habit is undermining weight-loss efforts? Snacks have a reputation as unhealthy or even unnecessary. But Lehigh Valley Health Network (LVHN) obesity medicine physician Robin Schroeder, MD, says these mini- servings serve a purpose. “In my professional and personal opinion, snacks are not a bad thing when they are part of a mindful eating plan,” she says. Snacks don’t have to run Robin Schroeder, MD your life. You can manage them by learning your hunger patterns, planning ahead for Obesity medicine distractions and preparing snacks that hit the spot.

Do you have true hunger How can I soothe or “head hunger”? snack cravings? Is your stomach growling? Has it been Sometimes cravings need a several hours since you last ate? That is response. Here are ways to true hunger. If you are eating to soothe handle them: hurt feelings or out of boredom, then stop, because that is head hunger. CRUNCHY/SALTY When Schroeder wants something crunchy or salty, Are you a “carboholic”? she eats pork rinds. “They are crunchy, Carbs make us feel good, however if you eat too many carbohydrate-dense foods, you begin to crave carbs. salty and very airy, and Watch out for – and limit – potatoes, rice, or any fruit or soothe that crunchy/salty veggie that turns to sugar rapidly after eating. trigger,” she says. CRUNCHY Celery with peanut butter combines a crunchy and salty Do you have non-food distractions? bite, and a little bit of Especially for head hunger, have distractions handy: fat in the peanut butter • Coloring book for adults helps you feel more satisfied • Solitaire on phone than just celery alone. • Crossword puzzle Cream cheese is an • Sudoku puzzle alternative topping. • Knitting, crocheting or other craft project SWEET Go for a low-carb protein bar or fruit. Consume fruit along Are you thirsty? with some protein Often thirst is mistaken or a small amount of for hunger. fat, like cheese, to prevent • Your go-to drink: water a sugar spike. • Alternative: herbal tea

VISIT LVHN.ORG CALL 888-402-LVHN 3 Around Our Community

The new Family Birth and Newborn Center at Lehigh Valley Hospital (LVH)–Muhlenberg is nearly ready to welcome our first arrivals. To celebrate, we’re holding a free community baby shower for moms-to-bee.

Expectant mothers and their “mom squads,” as well as women planning a future pregnancy, are invited to join us for a light brunch and mocktails, plus educational displays and sessions with Lehigh Valley Health Network (LVHN) May 13 10 a.m.–1 p.m. physicians and other experts who can help you “bee” Frank Banko Educational prepared for pregnancy. Conference Center LVH–Muhlenberg Bee healthy Safe exercise during pregnancy. Bee proactive Getting your pregnancy off to a healthy start. Bee knowledgeable What to expect in each trimester. Bee ready How to choose a newborn care provider. Bring a package of diapers to enter a special raffle. Diapers will be donated to LVHN programs that help families in our community.

REGISTER ONLINE. Visit LVHN.org/babyshower.

NO HIT ZONE

Lehigh Valley Health Network (LVHN) is committed to our most Child abuse pediatrician Debra Esernio- vulnerable youth – those who suffer abuse, often caused by Jennsen, MD, medical director of the Child a person they know. At the heart of the John Van Brakle Child Advocacy Center, says violence against Advocacy Center, a program of Lehigh Valley Children's Hospital, is children is more common than many realize. the mission to provide evaluation and treatment for victims of child “In the U.S., child abuse incidents are reported abuse and to rally the community for safe and healthy children. every 10 seconds. In a day, four or five children will die,” she says. Starting in 2017, radio public service announcements and billboards focused on the theme No Hit Zone. As part of that campaign, our If you witness child abuse – or suspect abuse or Lehigh Valley hospitals and facilities are no hit zones, meaning neglect – report it. In Pennsylvania, call the PA violence against children or others will not be tolerated, and those Childline at 800-932-0313. In New Jersey, call involved in it will be escorted from the property. 877-NJ-ABUSE (877-652-2873).

4 LEHIGH VALLEY HEALTH NETWORK Merger Brings LVHN Care to Pocono Region

Not only did Jan. 1 ring in the New Year, it’s also the day Lehigh Valley Health Network (LVHN) celebrated the merger between the health network and Pocono Health System. As part of the merger, the former Pocono Medical Center became Lehigh Valley Hospital–Pocono (LVH–Pocono).

LVHN has a longstanding relationship with the former Pocono Health System, providing emergency care and radiation oncology services. Now as part of LVHN, more services will come to the people of the Pocono region, says LVHN President and Chief Got Game? Executive Officer Brian Nester, DO, MBA, FACOEP. “We are committed to further investing in services such as obstetrics, Looking for more? surgery, cardiology, neurology, stroke care, orthopedics and others Lehigh Valley Health Network that make LVH–Pocono the region’s only full-service hospital.” Sports Performance can help you build – Strength, Speed, Endurance As part of the merger announcement, Nester introduced Elizabeth Wise, RN, DrNP(c), as Acting President of LVH–Pocono. Wise formerly served as Pocono’s Chief Operating Officer and Chief REACH YOUR FULLEST Nursing Officer. ATHLETIC POTENTIAL WITH LVHN SPORTS PERFORMANCE. For training information, call 484-862-3035.

VISIT LVHN.ORG CALL 888-402-LVHN 5 A Curable Cancer MEN WITH TESTICULAR CANCER CAN LIVE A LONG LIFE IF IT’S FOUND EARLY

To say Randy Yob (pictured at left scared because at first you think you’re in photo) likes to stay active is an going to die,” Yob says. However, he was understatement. He works seven days a comforted to learn from William Scialla, week performing a physically demanding DO, with LVPG Hematology Oncol- job in a warehouse. In his free time, he ogy–Muhlenberg, that testicular cancer William Scialla, DO enjoys fishing, bowling and trainspotting is one of the most curable cancers when Hematology oncology with his dad, Randy (at right in photo). detected early. “I like to be out of the house,” the 29-year-old Northampton man says. RARE YET COMMON “I can’t sit in front of the TV.” Testicular cancer is rare, but it is the most What brought Yob to his feet in the common cancer among men ages 26 middle of the night had nothing to do to 35. Although the cause is unknown, Joseph Feliciano, MD Urologic oncology with his active lifestyle. Pain in his abdo- men with an undescended testicle (one men was so severe, it woke him up. “It that remains inside the body and doesn’t felt like I was being stabbed in my right move down into the scrotum by birth) side,” he says. are at greater risk. This wasn’t the case first indication of a problem. Initial tests performed at Lehigh for Yob, who, like many men, experi- TREATMENT Valley Hospital (LVH)–Muhlenberg enced belly and back pain as the first STEPS revealed enlarged lymph nodes. Sub- warning sign. For other men, a lump in Surgery to remove the testicle sequent tests found a mass in his right the testicle found during a self-exam or containing the cancer is almost testicle. It was cancer. “I was very physical is the always the first step. Yob’s surgery was performed by uro- logic oncologist Joseph Feli- ciano, MD, with LVPG Urology– Muhlenberg. Following surgery, MEDICAL BREAKTHROUGH Yob required nine weeks of chemotherapy because the Scialla’s father was a physician in the military in the 1970s. “He would see young cancer had traveled to his men die because testicular cancer was fatal at that time,” Scialla says. In 1978, lymph nodes. Chemotherapy an innovative chemotherapy drug called cisplatin was approved. Today, it is used for testicular cancer is likely to in combination with other chemotherapy drugs. As a result, 95 percent of men either cause – or significantly diagnosed with testicular cancer that has spread to the lymph nodes survive five increase – risk for infertility. As years or longer. a result, men may choose to preserve their sperm prior to

6 LEHIGH VALLEY HEALTH NETWORK beginning treatment. THE BEST GIFT OF ALL To Yob, the only thing more gratifying than his Steelers making the playoffs was news that he is cancer-free. With no restrictions, he’s back to work and enjoying his active lifestyle. “I feel better, stronger, and have more energy than ever,” says Yob, who will have regular checkups to ensure he remains in remission.

EARLY DETECTION IS KEY Yob’s story shows testicular cancer is curable when diag- nosed early. That’s why men should do a monthly self-exam to check for changes in size or shape of the testicles. If you find something unusual, see your doctor right away. –Rick Martuscelli

LEARN MORE ABOUT TESTICULAR CANCER. Visit LVHN.org/testicularcancer.

FORMING FRIENDSHIPS

While receiving chemotherapy at LVH–Muhlenberg, Yob developed relationships with many of his caregivers. “They made me feel at home,” Yob says. For the staff, the feeling was mutual. “Randy is a special person who finds the silver lining despite facing difficult circumstances,” says Amy LeVan, RN, director of clinical service, medical oncology. Touched by his positivity, staff members decided to do something special for Yob during the holidays. When they learned he couldn’t afford the expense of new eyeglasses, they pitched in to help. With the extra money, they bought Yob – a staunch Pittsburgh Steelers fan – team paraphernalia. “When he opened his presents, he looked as if it was the greatest gift he had ever received,” LeVan says.

VISIT LVHN.ORG CALL 888-402-LVHN 7 A PASSION FOR FAMILIES, HEALTHY PREGNANCIES AND PERSONALIZED CHILDBIRTH DRIVES A MOTHER AND HER DAUGHTER

Natalie Shisslak Krause, RN, calls her mom the parenting guru of the Lehigh Valley. Her mother, Deanna Shisslak, manages the parenting education program for Lehigh Valley Health Network Q HOW IS THE MILLENNIAL Q WHAT DOES A PERSONAL BIRTH (LVHN) – a labor of love that GENERATION CHANGING THE EXPERIENCE LOOK LIKE? connects her to thousands of PREGNANCY AND DELIVERY DEANNA: When women give birth at the expectant parents, families and EXPERIENCE? Family Birth and Newborn Center at grandparents looking for education DEANNA: Women are more informed Lehigh Valley Hospital (LVH)–Cedar and advice. and want to be active participants in Crest – and soon at our brand-new Mother and daughter both their care. They want options, and facility at LVH–Muhlenberg in Beth- share a passion for health care and their health care team is listening. lehem – they have options to manage education. Like her mom, Krause is We now have nursing support to the discomforts of labor, like using a nationally certified child passenger follow a pregnant woman’s care rocking chairs, birthing balls or simply safety technician and recently from her first prenatal visit until by walking around. Warm water also completed a course to become a after baby arrives. helps, so we’re adding hydrotherapy in clinical lactation counselor. She NATALIE: Women are developing our new Bethlehem location. is also a pediatric nurse at Lehigh personal relationships with their NATALIE: My husband, Brian, and I Valley Children’s Hospital. The pair care team, and that support is really wanted to be active participants during share their thoughts about helping welcome. They’re also discussing delivery. Cora was laid skin-to-skin families, and how the birth and options with their provider to on me directly after birth to promote parenting experience has changed create a personal birth experience bonding and support breastfeeding. over the years. when it’s medically appropriate. Some families choose delayed cord clamping. That helps the baby get more oxygen-rich blood.

8 LEHIGH VALLEY HEALTH NETWORK Deanna Shisslak (left), in her New Q WHAT DOES THE PHRASE, Tripoli, Pa., home with granddaughter “IT TAKES A VILLAGE,” MEAN Cora (20 months) and daughter Natalie TO YOU? Shisslak Krause, who is expecting her DEANNA: Grandparents are more second child this April. involved than ever. We want to support our children while respecting their parenting philosophy. We’re part of that Q HOW HAS PARENTING village too. EDUCATION CHANGED OVER NATALIE: It’s OK to accept THE YEARS? help from family and friends, DEANNA: We seek wisdom and whether that means walking support from our previous the dog, folding the wash or generation. That’s still important. making a meal. Support for Since medical evidence is constantly breastfeeding moms is really evolving, classes can reinforce what’s important too. learned from providers and help parents and grandparents stay up-to- Q DO YOU RECOMMEND ANY date in support of each other. PARTICULAR PREGNANCY OR NATALIE: Life is busy for working PARENTING BOOKS? moms and dads. Classes ensure DEANNA: LVHN gives expectant everyone has current and accurate mothers a free Baby Bundle medical information. Many people package that consists of a book, don’t realize the American Academy an e-book and a mobile app at of Pediatrics recommends children their first appointment. remain in a rear-facing car seat NATALIE: I’m expecting my second until age 2 – that cradles children child, and I’m following the Interested in and reduces the risk for spinal cord baby’s growth and development our new birthing injuries. In addition to helping on my phone through the Baby families use their car seats correctly, Bundle app. Every week, my location? our new facility in Bethlehem husband and I look to see how will offer our full line of prenatal the baby is developing and track Sign up for birthing experience classes including preparing for labor it together as a couple. I also updates. Visit LVHN.org/ HYbabyupdates. and childbirth, new baby care, seek advice from my mom. Her breastfeeding, CPR, grandparenting passion and wisdom give me and more. confidence to be a great parent. FAMILY BIRTH AND NEWBORN CENTER Opening –Sheila Caballero This Lehigh Valley Hospital–Muhlenberg Summer! Bethlehem, Pa. Lehigh Valley Hospital–Cedar Crest Allentown, Pa. ARE YOU EXPECTING? DOWNLOAD THE LVHN BABY BUNDLE. Visit LVHN.org/HYbabybundle.

LVHN.org/HYbabyupdates 888-402-LVHN VISIT LVHN.ORG CALL 888-402-LVHN 9 Providing Gut-Level Relief

ENHANCED RECOVERY PROTOCOL EASED PETER MAYES’ SURGERY FOR DIVERTICULITIS

At first, Peter Mayes of Bethlehem thought his abdominal discomfort might be a sign of aging. “I’d have LEARN MORE ABOUT coffee or certain foods and think, ‘Ugh, ENHANCED RECOVERY maybe I shouldn’t have done that,’” he AFTER SURGERY. says. As bouts got worse and triggered Pat Toselli, DO Visit LVHN.org/ERAS. fever, he figured it might be flu. But at the General surgery start of 2015, bouts became so bad he had Watch his video at to enter the hospital every few months for LVHN.org/Toselli. treatment with antibiotics or flushing of ERAS assigns one person to provide his system. “The first time I went to the information and check in with a emergency room, something told me I patient regularly after surgery. “That should get this checked out,” he says. ENHANCING RECOVERY allows continuity and a sense there’s Mayes had diverticulitis, an infection Relieving some of the stress of surgery always someone to contact if you have that can develop when small pouches is one goal of Lehigh Valley Health questions,” says nurse practitioner bulge outward through weak spots in the Network’s Enhanced Recovery After Justina Momah, CRNP, with Lehigh colon (large intestine). “Recurrent diver- Surgery (ERAS) protocol. Through Valley Hospital–Enhanced Recovery ticulitis attacks, especially if they’re com- education, innovative pain management, After Surgery. “Knowing what to expect plicated, are an indication for surgery,” clear expectations, accelerated recovery relieves unnecessary anxiety, prepares you says general surgeon Pat Toselli, DO, and close follow-up, ERAS is designed to leave the hospital as quickly as possible with LVPG General Surgery–Hausman to improve outcomes, increase patient and helps you recover at home.” Road. “His case was very complicated.” satisfaction and shorten hospital stays. “There’s a saying in education that you DIVERTICULITIS DEFUSED GUT CHECK begin with the end in mind,” Mayes says. Surgery was successful and Mayes’ colon Having surgery to remove diseased “That’s exactly what this protocol did.” was reattached – “a great relief,” he says. portions of the colon was a scary Mayes received detailed information He was walking within hours of surgery prospect for Mayes. “I had a fear of about the surgery and recovery before- and eating by the third day, when he went needing a colostomy bag to collect waste hand. “There was a postoperative plan home. “Only after surgery did I realize if remaining sections of the intestine that explained what would happen right how debilitating diverticulitis had been to couldn’t be reattached,” he says. He also down to the day,” he says. “I knew what my family and professional life,” Mayes feared how a bag might limit his work as a was going on and was invested in the says. “I feel better than I have in years.” middle school principal. recovery.” –Richard Lalliberte

10 LEHIGH VALLEY HEALTH NETWORK took out the mass, she would become unbalanced.” A Massive Abdominal Mass Boulay assembled a team of specialists A TEAM OF LVPG SURGICAL SPECIALISTS WORKED to assist him, including plastic surgeon TO REMOVE A 140-POUND OVARIAN MASS Randolph Wojcik Jr., MD, with LVPG Plastic and Reconstructive Surgery– 1243 Cedar Crest. Wojcik removed When Mary Clancey of St. Clair, VERY LARGE ABDOMINAL MASS 40 pounds of tissue in the lower Schuylkill County, was in her mid- “On the CT scan, the mass was so big it abdomen that had stretched over the 50s, she started to gain weight. didn’t fit in one image,” Boulay says. It mass. When Clancey rolled into recovery “I thought I just needed to watch my was choking off the big veins in her abdo- she was 180 pounds lighter. diet,” Clancey says. men, resulting in blood clots in her legs. Fast-forward 16 years and Clancey, “We assumed it was probably not a 180-POUND WEIGHT LOSS now 71, continued having weight issues. very aggressive ovarian cancer, which is Clancey jokes now that she’s not She also had tremendous swelling and what it turned out to be,” Boulay says. destined to be, “a short, fat, round old pain in her legs and feet. One night in Pathologist Sherry Li, MD, of Health lady,” she looks forward to a new ward- November 2016, after going to bed in Network Laboratories, confirmed a bor- robe. She’s also thankful for the team pain, she awoke unable to walk. derline carcinoma tumor confined to the that provided her care. Thinking she had a blood clot in ovary and fallopian tube. The only treat- “The doctors and nurses were so kind her leg, her son called 911. After eight ment Clancey needed was the removal of and informative. I had no fear because hours in the emergency department her ovaries, fallopian tubes and uterus. everyone was so positive and assured of and bloodwork that showed everything Because of the sheer size of the mass my outcome.” was normal, Clancey had a computed (it weighed 140 pounds), “we had to Adds Boulay, “If something doesn’t feel tomography (CT) scan. It revealed a ‘MacGyver’ a new technique to do the right with your body, follow it up. When very large abdominal mass. She was surgery,” Boulay says. “We put the patient you have a big problem, go to a team that transferred to Lehigh Valley Hospital– on her side, on two operating tables, works effectively together and can provide Cedar Crest, where gynecologic because we were worried that when we all the facets of care you need.” oncologist Richard Boulay, MD, with – Leah Ingram LVPG Gynecologic Oncology–1240 Cedar Crest, met her.

Mary Clancey’s sons, Edward and Andrew, each weigh around 180 pounds – the same as her overall weight loss. Randolph Wojcik Jr., MD This is the 140-pound Plastic surgery tumor that was Watch his video at removed. LVHN.org/Wojcik.

WATCH MARY'S STORY Richard Boulay, MD AT LVHN.ORG/TUMOR. Gynecologic oncology Watch his video at LVHN.org/Boulay.

VISIT LVHN.ORG CALL 888-402-LVHN 11 In Good Hands LVHN TEAM TAKES DENNIS YOO FROM BROKEN WRIST TO SURGERY AND REHAB

12 LEHIGH VALLEY HEALTH NETWORK The moment Dennis Yoo went HAND SPECIALIST CONSULT WRIST REHAB down in a heap in the driveway Yoo had broken the lower part of the “It’s important to get started with rehab outside his Whitehall, Pa., home, he radius at the wrist and chipped off the as soon as you can to work out swelling knew he had a problem. tip of his ulna. issues, soft tissue tightness and promote “I knew I broke something as soon “Like most people who break a hand movement again,” Green says. as I hit the ground,” says the 60-year- wrist, Dennis fell on an outstretched “Dennis had a good amount of swelling old Yoo, who had been in the process hand,” Sibley says. “The force from from the soft tissue damage, but we of changing the brakes on his pickup the hyperextension created the break. were able to get him working on truck when he walked around the Every injury of this type has a per- moving his fingers right away. This front to get a part and tripped over the sonality of its own. This one involved helped decrease the swelling.” handle of the jack. the joint, and the bone was angulated Green was able to transfer Yoo “I landed on my right wrist, and backward, so we corrected this defor- from the rigid cast he received after my right shoulder banged against the mity using specialized techniques.” surgery to a custom-molded plastic garage door track,” Yoo says. “When I Yoo says Sibley gave him several splint, which allowed for more finger went to get up, I was cursing myself. I options, including those that didn’t movement and functional hand use. couldn’t believe it happened.” involve surgery. But since this was Yoo’s It wasn’t long before he was working dominant hand, Sibley recommended on the entire wrist and forearm. Yoo DIAGNOSIS: BROKEN WRIST surgery in order to align the damaged finished his rehab sessions with Green A short time later, Yoo was in the emer- bones as closely as possible to before at the end of October. gency room at Lehigh Valley Hospital– the injury. “Betsy gave me home exercises, Muhlenberg getting X-rays on what “He was very thorough in explaining which I still do,” Yoo says. “Most of would be diagnosed as a broken wrist, as everything, and I really appreciated the mobility has already come back, well as treatment for lacerations on his that,” Yoo says. “The surgery option and I’m back to doing most everything shoulder. He scheduled an appointment required the least amount of downtime I was doing before, although I will to see Lehigh Valley Health Network for me. I could have chosen just to admit I had let my wife finish up the (LVHN) orthopedic surgeon Paul have a cast put on it, but that wouldn’t brakes on the truck.” Sibley, DO, with LVPG Orthopedics have addressed the alignment.” Yoo offered his praise for both his and Sports Medicine–1250 Cedar Crest, The procedure lasted about an surgeon and therapist. who specializes in hand surgery. hour, and Yoo was discharged the same “I had heard Dr. Sibley was one of the day. The following week, he began best in his field, and he certainly proved rehabilitation with LVHN occupa- that to me,” Yoo says. “And Betsy was so tional therapist Betsy Green with LVH helpful in getting me back so quickly. I “I saw him two days Rehabilitation Services–Cetronia Road. couldn’t have been in better hands.” after I fell, and I had –Ted Williams wrist surgery four days later,” Yoo says. DON’T LET AN INJURY SLOW “Friends of mine were YOU DOWN. MAKE AN amazed it all came APPOINTMENT WITH AN Paul Sibley, DO together so quickly.” ORTHOPEDIC SPECIALIST. Orthopedic surgery Visit LVHN.org/jointpain. Watch his video at LVHN.org/Sibley.

VISIT LVHN.ORG CALL 888-402-LVHN 13 titration study, a more calibrated analysis of how much air pressure is needed to prevent airway blockage. After that, Mar- tinez was fitted with a CPAP mask, which is connected to a machine that pumps air according to pressure specifications.

CPAP BENEFITS “I’ve heard some people have a tough time adjusting to CPAP, but I haven’t had any problems,” Martinez says. “I noticed right away how much better I felt after one night’s sleep; it was like night and day in terms of my energy.” By using CPAP at least 70 percent of the time he sleeps, as is required, Sleep Study Keeps Martinez’s commercial driver’s license was renewed. His trucking routes have Hazleton Trucker been altered so he can sleep at home most nights. on the Road Lehigh Valley Health Network has three divisions of testing services for sleep disorders: Adult Sleep Center, Pediatric When a Pennsylvania Department of license,” says Russell Gasser, Sleep Sleep Center and Home Sleep Testing. Transportation (PennDOT) medical Disorders Center supervisor. The sleep centers are located at LVH– examiner told Hazleton truck driver Hazleton, LVH–Schuylkill, LVH–17th Aneudy Martinez that he needed HOME SLEEP STUDY Street and the Health Center at Bethle- a sleep study in order to have his Some health insurers may approve an hem Township. There are also nine home commercial driver’s license (CDL) initial home sleep study to confirm a sleep-testing locations. renewed, he was confused. diagnosis of sleep apnea before approving “Our Sleep Disorders Centers have “I thought I was sleeping fine,” says an evaluation at a sleep center. Martinez served adults and children in the Lehigh the 33-year-old who went for his re- was fitted for the home sleep test – a Valley and surrounding areas for 35 quired PennDOT CDL physical in July. respiratory effort belt worn around the years,” says Stephanie Betz, clinical man- “My wife, Jasannia, tells me I snore now abdomen with wires plugged into a ager for LVHN Sleep Disorders Centers. and then, but I never thought this.” recorder – which measured his oxygen “We provide high-quality, excep- Although Martinez wasn’t previ- level, breathing effort and airflow while tional care in a comfortable home-like ously diagnosed with a sleep problem, sleeping. The home sleep study takes from environment.” the examiner noticed his blood pressure one to three nights. –Ted Williams and body mass index (BMI) indicated “His home sleep study pointed to a potential issue. Martinez wasted no classic obstructive sleep apnea – when time arranging a sleep study at Lehigh breathing repeatedly stops and starts Valley Hospital (LVH)–Hazleton Sleep during sleep. Aneudy then stayed over- FIND A SLEEP Disorders Center. night at the sleep center to make sure DISORDERS CENTER “A trucker has a short window to get there were no additional complications,” NEAR YOU. this testing done and address any issues Gasser says. Martinez underwent a con- Visit LVHN.org/sleep. or risk losing his or her commercial tinuous positive airway pressure (CPAP)

14 LEHIGH VALLEY HEALTH NETWORK Advanced Spine Surgery for Back and Neck Pain Andrew Tsen, MD Neurosurgery LEHIGH VALLEY HOSPITAL–MUHLENBERG NOW OFFERS Watch his video at LVHN.org/Tsen. MICRODISKECTOMIES AND OTHER SPINE NEUROSURGERIES

Spine disorders are among the most common – and debilitating – medical neurosurgeons trained to treat spine conditions you can suffer. In addition to causing extreme neck or back pain, they and other nervous system conditions.” also may prevent you from enjoying normal activities and favorite pastimes. “These problems fall into two categories: the sudden, acute type caused by an WHEN SURGERY IS NECESSARY injury, or those that worsen over time, such as a herniated disk that can cause debili- LVH–Muhlenberg offers a full spectrum tating pain or a degenerative problem like spinal stenosis,” says Lehigh Valley Health of leading-edge surgical options for back Network (LVHN) neurosurgeon Andrew Tsen, MD, who recently joined LVPG and neck pain. One of the most com- Neurosurgery–Muhlenberg. mon lumbar (back) surgeries is called microdiskectomy, which relieves pain YOUR CARE OPTIONS NEUROSURGERY This specialized surgery from herniated (ruptured) lumbar disks. If you are coping with spine-related focuses on the nerves and nervous This excruciating condition often shows problems, there are several pathways – system. up without prior injury, typically in all offered by LVHN – that can help you SECOND OPINION If you are uncertain patients age 40 to 60. throughout the course of your care: about a previous diagnosis or need to “Every disk contains a jelly-like PHYSIATRY This medical specialty com- know if a particular treatment path is substance that can push out and bines physical medicine (nonsurgical) best for you, our experts can provide press painfully on a nerve,” Tsen says. and rehabilitation to treat physical dis- an assessment and second opinion. “Microdiskectomy is a simple outpa- abilities caused by injury or illness. If neurosurgery is the optimal course tient procedure performed through a CHIROPRACTIC MEDICINE Chiropractors of treatment, patients now have wider small inch-and-a-half incision using a focus on treating disorders of the muscu- access to care in Northampton County. microscope to remove ruptured disk loskeletal system and nervous system. “Advanced spinal neurosurgery is now material and alleviate nerve pressure.” REHABILITATION Outpatient or inpatient available in Bethlehem at Lehigh Valley rehabilitation can help you regain strength Hospital (LVH)–Muhlenberg,” Tsen – Sidney Stevens or re-master activities of daily living. says. “Our team of specialists includes

Lasting relief Paul Bickel knows the benefits of microdiskectomy firsthand. Last August the 46-year-old from Allentown found himself unable to walk or stand for long due to shooting pain down his left leg. When an MRI revealed a herniated disk pressing on his sciatic nerve, he was referred to Tsen by physician assistant Geoffrey Carlson, PA-C, with LVPG Family Medicine–Fogelsville. Tsen recommended a microdiskectomy after nonoperative approaches didn’t relieve his pain. Bickel underwent surgery on Oct. 31 and returned home that afternoon. Within days his pain was mostly gone. Paul and his family at Disney World November 2016 “Three weeks after surgery, I went to Disney World with my family and had no trouble walking,” he says. “I’m so thankful Dr. Tsen got me in fast so I could enjoy my vacation.”

VISIT LVHN.ORG CALL 888-402-LVHN 15 Tyler’s Food Strategy Tyler Krewson follows simple rules to keep off the weight: • Interval eat (up to 10 small meals a day) • Focus on chicken and fish • Limit red meat Try Tyler’s recipe for scallops at LVHN.org/Krewson.

HE “I’m lighter SAYS on my feet.” Tyler Krewson, 26, of Pennsburg admits HE SAYS/SHE SAYS: he’s been overweight all his life. In high school, his size helped on the football field. But years later, the 5-foot-11-inch How Gastric Sleeve Krewson continued gaining weight, peaking at 440 pounds. After twin sons Restores People’s Lives Koy and Koen were born in February 2015, his size prevented him from TWO AREA RESIDENTS TALK ABOUT LOSING helping wife Krystal take care of the WEIGHT THANKS TO MINIMALLY INVASIVE boys. “I couldn’t get down on the floor to play with them or put on their shoes,” GASTRIC SLEEVE SURGERY Krewson says.

READY TO MAKE A PERMANENT CHANGE Weight-loss surgeons Richard Harrison felt Krewson was an excellent Boorse, MD, and T. Daniel candidate for gastric sleeve surgery. Harrison, DO, with LVPG General “Tyler’s young, he didn’t have any and Bariatric Surgery–1240 Cedar pre-existing health conditions, and he Richard Boorse, MD Crest, perform about 600 bariatric was motivated,” Harrison says. Bariatric surgery procedures each year. Of the Preparing for surgery, Krewson met Watch his video at weight-loss surgery options, one of with a registered dietitian and behavioral LVHN.org/Boorse. the most popular is gastric sleeve. health specialist. “I was an emotional “This surgery helps people lose weight eater. I had to learn how to control it,” by restricting the amount of food he says. Now when somebody’s upset, they can eat and by lowering the Krewson and his family start doing a silly main hunger hormone level, which dance to avoid soothing with food.

T. Daniel Harrison, DO then decreases their appetite. This The dietitian taught him a new way of Bariatric surgery combined effect leads to an average eating too. Krewson lost 35 pounds before Watch his video at weight loss of 70 to 80 percent of his January 2016 gastric sleeve surgery when LVHN.org/Harrison. excess body weight,” Boorse says. he weighed in at 405 pounds.

16 LEHIGH VALLEY HEALTH NETWORK LOSING MORE THAN HALF HIS SIZE SHE’S ACTIVE AT WORK AND AT PLAY Post-surgery weight loss was almost im- With the weight gone, Burton is back mediate – he dropped another 35 pounds on her feet, working at Cedarbrook in the first month. Once he was cleared to Nursing Home. She logs her steps, exercise, Krewson began riding his bicycle clocking between 15,000 and 25,000 year-round. In total, he lost 250 pounds steps in a shift. She also walks on the and now weighs 190 pounds. treadmill at the gym and lifts weights. Though his job as a sous chef has One of her happiest days was him around food, he’s not hungry. In attending the Schnecksville Fair with actuality, being smaller has an on-the- husband Andre, son Jesiah, 11, and job benefit. “Everyone moves quickly in daughter Mariah, 8. “I never went on the kitchen, so being light on my feet is rides because I was worried the bar a huge bonus,” he says. wouldn’t go down,” Burton says. This time around she rode with her family, and loved it. SHE “I enjoy life’s little SAYS Looking back, Burton would urge Thanks to the Outlets pleasures again.” anyone considering weight-loss surgery at the Sands Bethlehem and stylist Alison Being overweight forced Gina Burton of to go through the LVHN program. Leigh from Eskandalo! Slatington to take medical leave from her “They teach you what you need to in south Bethlehem for completing Gina’s job as a warehouse picker. Her sides, legs know to be successful.” gorgeous new look. and feet hurt too much. When foot sur- – Leah Ingram gery didn’t correct the problem, Burton, 30, figured losing weight might help.

GETTING SERIOUS ABOUT Gina’s Eating Plan HER HEALTH Gina Burton plans ahead and makes protein-packed foods: After attending a free information session where Boorse spoke about • Hard-boiled eggs • Chicken Lehigh Valley Health Network (LVHN) • Slow-cooked meats weight-loss options, Burton chose gastric sleeve surgery. The required preoperative nutrition and counseling classes helped Burton get serious about her new lifestyle. “I started cutting out soda and drinking more water,” she says. “I did research on low-carb meals and then decreased my portions of rice, pasta and starchy vegetables.” At Burton’s weight-loss surgery in December 2014, the 5-foot-2-inch mother of two weighed 260 pounds and had a 58-inch waist. In the first six months, she lost 70 pounds. By the two-year anniversary of her surgery, Burton had lost 145 pounds. Today she Before maintains her weight at 125 pounds, with a 28-inch waist.

VISIT LVHN.ORG CALL 888-402-LVHN 17 Cardiac Ablation Offers Relief for Stubborn Atrial Fibrillation

LEARN ABOUT DIFFERENT TYPES OF ABLATION AND HOW THIS LOW-RISK PROCEDURE HELPS PATIENTS GET OFF MEDICATION

If you have hard-to-manage atrial fibrillation (AFib) or another heart rhythm problem, you may qualify for cardiac ablation. Here’s everything you should know about this low-risk procedure, including types available.

Hari Joshi, MD Cardiology Watch his video at LVHN.org/Joshi.

Babak Bozorgnia, MD Cardiology Watch his video at LVHN.org/Bozorgnia.

18 LEHIGH VALLEY HEALTH NETWORK Treatment Types of Ablation

„ AFib is the most common kind of LVHN cardiologists perform 400 ablations annually on patients with heart arrhythmia, affecting 2.7 million significant AFib symptoms and offer several options. “It’s important to Americans. It occurs when the heart’s have a detailed discussion with your doctor about the pros and cons of upper chambers beat irregularly different kinds of ablations,” Joshi says. “Your doctor will or rapidly, often causing shortness help determine which is right for you.” of breath, fatigue and palpitations. Because the heart isn’t pumping Catheter ablation properly, blood can pool in the During this minimally invasive outpatient procedure, a thin tube chambers and clot. If a clot breaks (catheter) is inserted into a blood vessel through your groin. Using loose, it may lead to a stroke or X-ray technology, your physician threads the catheter up through your heart failure. body to the faulty tissue inside your heart and destroys it. Patients “AFib patients are typically typically stay in the hospital overnight and are able to return to normal prescribed medications to regulate activities within a few days. Different methods include: heart rate and rhythm, as well as a blood thinner to protect from clots,” CRYOABLATION In this procedure, your doctor uses a catheter with says Lehigh Valley Health Network an inflatable balloon at the tip. Once the defective area is located (LVHN) heart rhythm specialist Hari inside the heart, an extremely cold refrigerant called liquid nitrous Joshi, MD, with LVPG Cardiology– oxide is directed through the catheter to the balloon to freeze and Muhlenberg. “But when medication scar the tissue. doesn’t control symptoms or causes RADIOFREQUENCY (RF) ABLATION This is a similar procedure, except severe side effects, ablation can be that instead of freezing tissue an electrode on the catheter tip sends very effective.” high-heat radio waves to burn it. If AFib persists, patients may undergo FIRM (focal impulse and rotor modulation) ablation, an expanded RF Why It Helps procedure that uses an electrical mapping system to find additional „ The procedure works by destroying tough-to-locate abnormal tissue for destruction. small areas of heart tissue that contain abnormal cells causing Convergent (hybrid) ablation arrhythmia. “The scar tissue that Patients with recurrent or persistent AFib may undergo this lengthier forms isolates irregular electrical two-part procedure performed by a cardiothoracic surgeon and a signals and blocks them from heart rhythm specialist working as a team. During the first part, the traveling into surrounding healthy surgeon uses extreme heat (radiofrequency) to create scar tissue on heart muscle,” says LVHN heart the outside of the heart through a small breastbone incision. After rhythm specialist Babak Bozorgnia, MD, that, a catheter ablation is performed to destroy tissue inside the with LVPG Cardiology–1250 Cedar heart. “It takes about four hours, and patients typically stay in the Crest. “This usually restores your hospital three days,” Joshi says. regular heartbeat.” Maze surgery

This is a completely surgical way of performing an ablation, and is typically done at the same time a patient is undergoing an open-heart LEARN MORE ABOUT procedure, such as a coronary artery bypass, valve replacement or CARDIAC ABLATION repair surgery. Surgeons create lesions on the outside of the heart to SURGERY AT LVHN. interrupt the electrical misfires that are causing abnormal heart rhythm. Visit LVHN.org/ablation or call “Ablations have a high success rate and give you freedom from 888-402-LVHN. AFib without the need for medication,” Bozorgnia says. – Sidney Stevens

VISIT LVHN.ORG CALL 888-402-LVHN 19 How Eyelid Surgery Improves Vision

SOMETIMES AN EYELIFT IS MEDICALLY NECESSARY TO IMPROVE YOUR SIGHT

When you’re older and have heavy Saad conducted a vision field test with eyelids, it doesn’t mean you need a Schenk. “We can demonstrate with test nap. It means you need to see a doctor, results and photographs that a person especially if your heavy lids affect your has lost a significant part of his or her vi- ability to see well. sion,” Saad says. The test proved Schenk’s Christine Saad, MD Ophthalmology Called ptosis (toe-sis), it’s when the vision was compromised and could eyelid skin hangs too low or you have benefit from eyelid surgery. “That means excess skin in your upper eyelid. Either eyelid surgery, also known as blepharo- way, it’s like a window shade that is plasty, is functional and not cosmetic, coming down. “It’s almost like you’re and is often covered by insurance.” looking through a keyhole rather than Randolph Wojcik Jr., MD getting your full vision,” says plastic A FUNCTIONAL EYELIFT Plastic surgery surgeon Randolph Wojcik Jr., MD, Plastic surgeon Marshall Miles, DO, Watch his video at LVHN.org/Wojcik. with LVPG Plastic and Reconstructive with LVPG Plastic and Reconstructive Surgery–1243 Cedar Crest. “Drooping Surgery–1243 Cedar Crest, says outpa- eyelid skin affects the upper half of tient blepharoplasty surgery is focused on the eye and blocks the upper field of restoring visual function by removing vision,” Wojcik says. excess skin. “You make an incision in the upper eye crease, remove the excess skin, Marshall Miles, DO TEST FOR LOST VISION put in delicate sutures, and then do the Plastic surgery When ophthalmologist Christine other eye,” he says. Recovery is 10 to Watch his video at LVHN.org/Miles. Saad, MD, with LVPG Ophthalmology– 14 days. 17th Street, sees people with heavy eyelids, It’s a surgery Wojcik believes more they often don’t know that their eyelids people could benefit from. “Since this are a problem. “They say things like, ‘My surgery is needed to improve your vision, eyes look like they’re getting smaller’ or most insurance plans will cover it. And by LEARN MORE ABOUT ‘My eyes are tired all the time,’” she says. removing the droopy skin, many people EYELID AND OTHER One of Saad’s patients is Barbara tell me they look younger,” he says. Schenk of Emmaus. Schenk gave up For Schenk, daily life is better since PROCEDURES books because her droopy eyelids made her surgery. “My vision is no longer AT LVHN. reading a strain. “I couldn’t read more blurry, and I can read or watch televi- Visit LVHN.org/plasticsurgery. than a few pages at a time, so I stopped,” sion without eyestrain,” she says. she says. –Leah Ingram

20 LEHIGH VALLEY HEALTH NETWORK Calendar CLASSES AND SUPPORT GROUPS Register by calling 888-402-LVHN (5846) or visit us online at LVHN.org/calendar. Registration is required and must be received at least one week prior to class start. You’ll get a refund if a class is canceled due to low enrollment.

Sleep Disorders Rapid HIV and Hepatitis C What’s New Free! Caring for Mind Free! Annual Cancer Survivor Information Sessions and Body Testing Free! Celebration ADULT SESSIONS Aqua New Free, anonymous and confidential. For details, call 888-402-LVHN. The Importance of Getting a Water exercise for posture, balance, Mon.-Thu.: 9 a.m.-3 p.m.; June 28 Good Night’s Sleep strength and confidence. Fri. by appointment; second Wed. of month: 4-7 p.m. at Family Health Pavilion May 22: 6 p.m. at LVH–Muhlenberg Free! Massage Therapy LVH–17th Street Open House Understanding Sleep Disorders June 20: 6 p.m. at LVH–17th Street Medical therapists offer different Check out the newest addition massage options at various sites. Lung Cancer Screening at Lehigh Valley Hospital– PEDIATRIC SESSION Call 888-402-LVHN for more Muhlenberg, featuring the Family Identifying Sleep Disorders in Mindfulness-Based Stress information. Birth and Newborn Center and Children Reduction Skin Cancer Screening inpatient rehabilitation. Facility tour, June 5: 6 p.m. at LVH–17th Street Internationally recognized program Free! refreshments and giveaways. uses meditation and group support. Appointments necessary; space is limited. Call 888-402- June 19: 5-8 p.m. at LVH– Around Our Community Call 888-402-LVHN for information. Free information session LVHN. Muhlenberg Community Exchange Free! May 17, May 25, May 31 at May 2: starting 6 p.m. at LVH– March of Dimes 2017 Create a healthier community. Free! LVH–Cedar Crest Cedar Crest March for Babies Walk Volunteer time and earn time by Class session May 3: starting 6 p.m. at LVH– April 30: registration, 9:30 a.m.; exchanging services with friends Starting April 18; June 15 at Muhlenberg walk begins 10:30 a.m. at Dorney and neighbors. LVH–Cedar Crest Park and Wildwater Kingdom, Orientations first Wed. of month: Stroke Assessments Retreat Free! Allentown 6 p.m. at LVH–Muhlenberg Stroke assessments include June 3; July 22 at LVH–Cedar Crest (or scheduled on request) blood pressure screenings and Melanoma Event Free! stroke prevention information. Join us for a special Get Out Lehigh Valley Screenings Free! For more information, call discussion on updates and This healthy outdoor Clinical Breast Exams 888-402-LVHN. Free! advancements in the treatment activity program with a Wildlands and Pap Tests for May 10: 10 a.m.-2 p.m. at and management of melanoma. Conservancy guide connects you Uninsured Women LVH–Muhlenberg For more information call to parks, trails, gardens, rivers Appointment is necessary. May 17: 10 a.m.-2 p.m. at 888-402-LVHN or visit and more in your community. Call 610-969-2800. Sponsored by LVH–Cedar Crest LVHN.org/melanomaevent. To register, visit LVHN.org/getoutlv Community Health and Wellness May 24: 10 a.m.-2 p.m. at May 18: 2 p.m. at LVH–Cedar Crest or call 610-965-4397 x136. Center in collaboration with LVH–17th Street Rock Scramble and Spring Ramble Health Center Open Houses Allentown Health Bureau. Free! April 29: 10 a.m. at Lake Walk-in Mammograms Attend an open house Weekly 8:30 a.m.-4 p.m. Free! Nockamixon No appointment, no to check out new services in Find Fidgety Warblers Oral Cancer Screening prescription. Must be age 40+ your neighborhood. Free health Free! May 13: 10 a.m. at Franko Farm Exams are being offered at and have not had a mammogram screenings, refreshments, Recreation Area three locations by Lehigh Valley in last 12 months. Bring your giveaways and activities for Laurel Walk Health Network dentists. For an insurance card. For more the whole family. RSVP to May 20: 10 a.m. at Thomas appointment or more information, information, call 888-402-LVHN 888-402-LVHN. Darling Preserve call 888-402-LVHN or visit or visit LVHN.org/mammo. June 10: 10 a.m.-noon at Health Late Spring Saunter LVHN.org/oralcancerevent. At Health Center at Bangor Center at Easton June 3: 10 a.m. at South Mountain April 17: 4-6 p.m. at LVH–17th Street June 14: 5-8 p.m. at Health Center Preserve in the Mark Young Community at Palmer Township Wade at the Ford Health and Wellness Center June 17: 10 a.m. at Trexler April 25: 6-7:30 p.m. at LVH– Nature Preserve Muhlenberg Sashay Beside Slate July 8: 10 a.m. at Slate Heritage Trail

VISIT LVHN.ORG CALL 888-402-LVHN 21 We also offer: Giving Sorrow Words Raising a Family „ Insulin pump training Along a journey through grief, „ Continuous glucose monitoring nothing is more powerful than Call 888-402-LVHN or visit LVHN.org/find_a_class to register system training having thoughts and feelings for classes and tours. „ Support groups for adults and validated and understood. This Tours After-Delivery Support Free! children six-week psycho-education support Expectant Parent Tour Breastfeeding Support „ Medical nutrition therapy group meets multiples times Sibling Tour Meet other moms and babies throughout the year. For adults 18 Insulin Pumpers (0-6 months) for breastfeeding Free! and older; registration required.* Preparing for Childbirth Support and information support, education and to share Starting April 10: 1:30-3 p.m. and Baby for adults with diabetes using experiences and wisdom. Combination Class – insulin pumps and continuous Ladies Lunch Club Monday Morning Moms This supportive social club for Six-week series Free! glucose monitors. Covers labor, birth, caring for your Meets every Mon. (except adult women only is a unique Sweet Success newborn, breastfeeding and what holidays): 11 a.m.-12:30 p.m. Free! opportunity for an alternative to expect in the days after birth. LVPG Breastfeeding Monthly support group for to traditional grief groups; Free! Support Group adults with type 2 diabetes. registration required.* Preparing for Childbirth Meets first and third Thu. of month First Wed. of month: Two-week series Sugar-Free Kids (except holidays): 6-7:30 p.m. Free! 11:30 a.m.-1 p.m. Saturday or Sunday one-day Support group for children Men’s Breakfast Group Teens Only Postpartum Support with type 1 diabetes. Free! This supportive social group for men Understanding Emotions Preparing for Baby Prediabetes Self-Management meets for breakfast and fellowship; After Delivery Baby Care Classes Registration required.* Meets second Thu. of month Breastfeeding Baby Offered periodically throughout Third Tue. of month: 9-10:30 a.m. (except holidays): 6:30 p.m. the year. Staying Safe Stepping Stones Pregnancy and Infant For details on diabetes Babysitting – Safe Sitter Free! For children and adolescents, Loss Support Group programs, call 888-402-LVHN. Babysitters ages 11-13 will this group offers a combination A support group for those who learn essential life skills in one of education, arts, activities and have experienced a death Coping and Support session for safe and responsible support to help facilitate healthy through miscarriage, stillbirth Amputee Support Group babysitting. Free! grieving; Registration required.* or of an infant. Meets third Mon. of month: July 5, 12, 19, 26 CPR – Family and Friends Meets first Thu. of month: 5-6:30 p.m. (includes dinner) at Learn rescue skills for infants, Teen Peer Support Group 1-2:30 p.m. at LVH–Cedar Crest LVH–Cedar Crest children and adults, and what Feelings of anger, sadness, Baby Bundle App to do for an obstructed airway. Free! Bereavement Support withdrawal, guilt and anxiety Download our new free Free! are common effects grief has on Safe Ride – Car Seat Safety Groups Free! app at LVHN.org/HYbabybundle. teens. Bereaved teens can address Certified technicians show Camp Cocoon their loss through talking, music how to correctly install car seats Join us for a morning of activities and/or art in this support group. and secure children. and play for children ages 6-16 Registration required.* who could benefit from a safe place Meets second and fourth Wed. of to express their grief. Camp takes month: 6-7:30 p.m. Protecting Your Health Living With Diabetes place at a local church and includes lunch. Registration required.* *For registration of bereavement CPR Our team will work with you and June 3: 9 a.m.-1 p.m. groups and more information, Heartsaver CPR, Heartsaver your health care provider to design call 888-402-LVHN. First Aid and BLS for Health a program to fit your needs. Community Bereavement Groups An adult support group for Brain Injury Support Care Providers certification We provide education for: those who could benefit from Free! Group courses offered. For details, „ Prediabetes assistance in healthy coping For brain injury survivors, their call 888-402-LVHN. „ Type 1 and type 2 diabetes with grief and loss. Registration families, friends and caregivers, Monday evenings at GMI-EMI „ Gestational diabetes Training Center and at Health required.* join others with similar situations We will help you learn more about: Center at Bangor, 1337 Blue Valley Daytime: First and third Wed. and challenges. „ Healthy eating Drive, Pen Argyl of month: 11:30 a.m.-1 p.m. Meets first Tue. of month: 6-7 p.m. „ Being active Evening: First Wed. of month: at LVH–Cedar Crest „ Testing your blood sugar 6:30–8 p.m. „ Taking medication „ Reducing risks „ Problem-solving and healthy coping 22 LEHIGH VALLEY HEALTH NETWORK Brain Warriors Stroke Survivors of Suicide Mindful Eating, Part 1: Free! Free! Sports Performance Support Group Support Group Developing a Healthy Classes Share emotional and physical After losing someone to suicide, Relationship With Food Youth Program issues to help deal with life you may experience a multitude of This five-week program will help For young athletes ages 8-11, after stroke. emotions. Join fellow suicide loss you develop a healthy, balanced two sessions/week for eight weeks Meets third Mon. of month: survivors in a confidential setting. relationship with food. Learn to concentrate on proper weight- 10:45 a.m.-11:45 a.m. at Meets first Tue. of month: 7-8 p.m. fully enjoy food and to eat from lifting technique, flexibility and LVH–Cedar Crest at LVH–Muhlenberg true hunger rather than from stress movement skills. Sponsored by Greater Lehigh Valley or to manage difficult emotions. Huntington’s Support Free! Chapter, American Foundation for Ages 18 and older. Junior Varsity Program

Group Suicide Prevention Starting April 5: 5:30-7:30 p.m. at For athletes ages 12-14, two or Meets second Sat. of month 1243 S. Cedar Crest Blvd., Suite three sessions/week for eight at LVH–Cedar Crest FOR CANCER PATIENTS 2200 weeks emphasize gaining flexibility, Joint Replacement Prep Look Good... Feel Better strength and power. Free! Free! Monthly Support Group What to expect for knee Makeover to understand and Free! Support and information Varsity Program or hip replacement. care for changes to skin during on weight-loss surgery. For athletes ages 15-18, advanced cancer treatment and to boost self- April 19, May 17, June 8, June 21: two or three sessions/week for eight confidence. Support Groups Keep Us Focused 5:30-7 p.m.; May 22: 1:30-3 p.m. weeks work on proper mobility, at LVHN–Tilghman With American Cancer Society April 11: 6-7:30 p.m. at LVH– Cedar Crest stability, increased strength and May 2, June 6: 9-10:30 a.m.; Men Facing Cancer power. Free! Physical Activity: What Can I Do May 11: 5:30-7 p.m.; May 24, Meets third Mon. of month: and Where Can I Go? June 28: 1:30-3 p.m. 6:30-8 p.m. at LVH–Cedar Crest LVHN Fitness Group at LVH–Cedar Crest May 3: 6-7:30 p.m. at LVH– Classes Metastatic Breast Cancer Cedar Crest May 11: 1:30-3 p.m.; June 8: Free! Being an LVHN Fitness member Support Group Body Image and Appearance 8:30-10 a.m. at LVH–Muhlenberg allows you to partake in a variety Meets second Mon. of month: 6:30-8 June 7: 6-7:30 p.m. at LVH– of classes. Call 888-402-LVHN Kidney/Pancreas p.m. at 1240 S. Cedar Crest Blvd., Cedar Crest Free! for more information. See a list of Transplant Information Suite 110 Plastic Surgery After Weight Loss class locations and descriptions Session Nutrition Series for Cancer July 10: 6-7:30 p.m. at LVH– at LVHN.org/fitness. Classes are For details, call 888-402-LVHN. Free! Survivors Cedar Crest offered at five locations. Myasthenia Gravis For patients who have completed Weight-Loss Surgery Boot Camp Free! Free! Support Group treatment, learn the healthy eating Information Events Cardio Cross-Training April 20, July 20: 5:30-7 p.m. at information you need to know. For What to expect Chisel LVH–Cedar Crest more information call 888-402-LVHN. Evening sessions Core Synergy April, 25, May 2, May 9: 6-7:30 p.m. April 27, May 8,* May 22, June 6,* Cycling (30-, 45- and 60-minute Parkinson’s and Multiple at LVH–Cedar Crest Sclerosis Get Up and Go June 19, July 6*: 6 p.m. at classes) Balance, stability and fall Support of Survivors LVH–Cedar Crest Get Up and Go prevention exercises; group Call the breast cancer helpline, Day sessions Energizing Yoga games, lectures and more. leave a message, and your call will April 14, May 4, June 26, July 14: Exercise for Life Mon. and Thu.: 10:30-11:30 a.m. be answered within 24 hours by a Noon at LVH–Cedar Crest Kettlebells and noon-1 p.m. at 1243 S. breast cancer survivor who is also *Event also at LVH–Muhlenberg Pilates Cedar Crest Blvd. a specially trained LVHN volunteer. Relaxing Yoga Tue. and Fri.: 11 a.m.-noon at Call 610-402-4SOS (4767). Weight Management Staying Strong 1770 Bathgate, Bethlehem Services STAT Managing Your Weight INDIVIDUAL Very Gentle Yoga Parkinson’s Support Yoga Basics Free! A Taste for Mindful Eating Nutrition Counseling Group Yogalatte An introduction to Mindful Eating, Assessment, body-fat analysis Meets fourth Tue. of month Zumba an approach that helps develop a and goal-setting. at LVH–Muhlenberg Zumba Gold healthier relationship to food by Nutrition Counseling/Metabo- Preoperative Spine Class learning to tune into the body's Free! lism Body Composition Test Prepare for your elective natural hunger signals. Take-home Counseling plus personal metabo- spine surgery experience. practices provided. lism test and interpretation. April 18, May 3, May 16, June 7, May 10, July 19: 5:30-7 p.m. June 20, July 5, July 18 at 1243 S. Cedar Crest Blvd., Suite 2200

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The best possible care for your heart begins The best possible care for your heart by askingbegins the by right asking questions. the right questions.

If you’re diagnosedIf you’re with diagnosed heart with heart disease, disease, thedeciding decision where where to be treated to be may treated be the most may important be the most decision you’ll ever make in your life. That’s why it’s critical you ask the right questions, and become important decisionan expert of on youryour treatment life. That’soptions. why it’s critical you ask the right questions, and become anAs expert you make inquirieson your and researchtreatment providers, options.you’ll discover Lehigh Valley Health Network’s cardiac care is the region’s best on virtually every measurement. As you make inquiriesLVHN is the andregion’s research best according providers, to the University ask Health which Consortium program (UHC), ranking in the our region has the cardiac surgery program 5th in the nation for quality outcomes. LVHN is the region’s only cardiac most experienceprogram treating ranked amongyour “The specific Best” in the diagnosis? nation by US News How and Worldmuch Report. experience And LVHN is does your doctor the region’s most experienced program, performing more heart surgeries than anyone, ensuring have treating yourpatients condition? the highest levels Which of expertise treatment and specialization. is Includingproven a Woman’sto offer Heart you Program, the best outcome? with a specialty in heart disease during pregnancy. At Lehigh ValleySo ask, Health which program Network, in the region we’re has the always most experience working treating on your new specific ways diagnosis? to optimize your How much experience does your doctor have treating your condition? Which treatment has health. And we’reproven driven to offer you to the provide best outcome? patient-centered care at every stage of your life. Visit LVHN.org/heartAt LVHN, we’re for always more working heart on new care ways information. to optimize your health. We’re And we’re standing driven to by for questions. provide patient-centered care at every stage of your life. Visit LVHN.org for more heart care information. We’re standing by for your questions.

LVHN.org 888-402-LVHN

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