SUMMER 2019 Page 3 Double HipReplacement Success Hip, Hooray for aSaferSummer Asthma Trigger? Healthy GrillingTips What’s Your

2 Summer 2019 Community Calendar • Call 1-888-973-4674 or visit The Aches and Pains of Joint Pain MountainsideHosp.com/events to Suffering from joint pain and lack of mobility? register or for more information, Join us to learn when it is appropriate to see an unless otherwise indicated. orthopedic physician and what treatments can they offer. Oscar Vazquez, M.D. SUMMER 2019 Date: Monday, August 19 Tour the Birthing Center Time: 5:30 p.m. - 6:30 p.m. Tours of the Labor & Delivery and Mother-Baby Location: Mountainside Medical Center units and Nursery. You will feel comfortable knowing your baby will be born in a Healthy Aging where the primary concern is your health, Some people assume that when you age, it’s comfort and safety. All questions and concerns time to slow down. Medical science begs to Dear Friends, will be answered during this tour. differ. Regular medical visits can help you stay Dates: Mondays, August 5 and 19; healthier and be happier into your golden years. With summer comes a season of great September 9 and 23 Kevin Berg, M.D. weather and fun activities to share with Time: 7 p.m. - 8 p.m. To register, call the Montclair Public Library at family and friends. It’s also a time when Location: Mountainside Medical Center 973-744-0500, ext. 2224. many of us focus more on our health. At Date: Tuesday, August 27 Hackensack Meridian Health Mountainside Blood Pressure and Glucose Screenings Time: 2 p.m. - 3 p.m. Medical Center, we are always here to assist Do you know what your blood pressure and Location: Montclair Public Library, you with staying healthy while enjoying the glucose readings really mean? Join us as we 50 S. Fullerton Ave., Montclair summer fun. provide these screenings and education. No need to fast. No registration required. Fall Harvest Since our last edition of Be Well, Dates: Wednesdays, August 7 and September 4 Learn about healthy local produce you can Mountainside Medical Center completed Time: 9 a.m. - 11:30 a.m. incorporate in your fall menus! Gluten-free its first successful case using the Impella Location: West Caldwell ShopRite, recipes will be available. heart pump, which supports patients by 540 W. Passaic Ave., West Caldwell Date: Thursday, September 5 temporarily assisting in moving blood Time: 5:30 p.m. - 7 p.m. through the heart and to the rest of the organs Location: Mountainside Medical Center in the body, similar to the natural pumping Baby Expo What Is a Hernia? motion of the heart. We are excited to be able Learn about everything that is baby-friendly in Mountainside Medical Center — maternity An abdominal hernia occurs when an organ or to continuously provide our community with tours, local vendors and meet our staff! other piece of tissue protrudes through one of medical technology that is beneficial to those Date: Saturday, August 10 the muscle walls that enclose the abdominal in need. Time: 9 a.m. - 11 a.m. cavity. Join us to learn about the latest We are also excited to announce that treatments. Marius Calin, M.D. Mountainside Medical Center has partnered Date: Tuesday, September 10 Blood Pressure Screenings Time: 5:30 p.m. - 6:30 p.m. with the YMCA of Montclair to greater benefit Do you know what your blood pressure Location: Mountainside Medical Center the communities we serve. Together with our reading really means? Join us as we provide Mountainside Medical Group doctors and this screening and education. No registration Bone Density Screenings other specialists, we will focus on chronic required. An ultrasound of the forearm. Registration is health management and prevention for Dates: Thursdays, August 15 and September 19 required. To register, call the Bloomfield Health conditions, such as heart disease, stroke, Time: 10 a.m. - noon Department at 973-680-4058. diabetes, obesity and others, to improve the Location: Brookdale Shop Rite, 1409 Broad St., Fee: $12 per person health and well-being of our community. Bloomfield Date: Wednesday, September 25 Time: 10 a.m. - noon As always, our goal is to help build a stronger Weight Loss Surgery: The Facts Location: Bloomfield Health and healthier community and continue our Join Karl Strom, M.D., medical director for Department,1 Municipal Plaza, #111, Bloomfield legacy of care. The Center for Advanced Bariatric Surgery at Mountainside Medical Center, to learn the Breathe Easy: Facts on Asthma benefits of weight-loss surgery. All seminars Coughing, wheezing and chest tightness begin at 7 p.m. are common in an asthma attack and can be Dates: Wednesdays, August 21 and controlled with proper treatment. Juhayna John A. Fromhold, FACHE September 18 Davis, M.D. CEO, Hackensack Meridian Health Location: Mountainside Medical Center Date: Wednesday, September 25 Mountainside Medical Center Time: 5:30 p.m. - 6:30 p.m. Location: Mountainside Medical Center

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This publication in no way seeks to serve as Mountainside Medical Center complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, a substitute for professional medical care. age, disability or sex. For more information, call 973‑429‑6000. Consult your physician before undertaking any form of medical treatment or adopting ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 973-429-6000. any exercise program or dietary guidelines. 注意：如果您使用繁體中文，您可以免費獲得語言援助服務 。請致電 973-429-6000 。

3• SUMMER 2019 A Journey of REDISCOVERY

Hip pain chipped away at the abilities that help make Annie Mueller who she is. Now pain free after two hip replacements, she’s found herself again.

For years, Annie, a 53-year-old intensive care nurse from Sicklerville, Welsh, PT, DPT, physical therapist at Mountainside Medical Center. lived with increasing pain in her hips that made working difficult “She had compensated for her right hip by overburdening the left, and forced her to give up one of her favorite pastimes — riding her which made that hip so arthritic that we had to work on both joints motorcycle. concurrently.”

“I reserved just enough energy to work and do the other things I had By April 2018, Annie was finished with PT and back at work but not to,” Annie said. “Living with the pain was horrible.” back on her Harley-Davidson. Her journey had one more chapter.

The breaking point came on Annie’s annual trip to Aruba with her EASY RIDING husband. When the discomfort was so severe she could not walk on In December 2018, nearly a year to the day after Dr. Chase replaced the beach, she knew it was time to do something. Annie’s right hip, he replaced the left.

SOLVING A LIFELONG PROBLEM “I felt more confident going into the second surgery because I knew Annie met with Mark Chase, M.D., a what to expect,” Annie said. “I was ready to feel like myself again.” board-certified orthopedic surgeon with Hackensack Meridian Health Mountainside The operation and another course of PT with Jamie went smoothly. Medical Center, in November 2017. X-rays Now, Annie is able to go on morning motorcycle rides to Cape May showed she had been living with a condition and work without pain. She feels whole again. called developmental dysplasia in both hips since birth. Living with joint pain? If you are suffering from joint pain or lack of mobility, join us for “The Aches and Pains of Joint Pain” “In developmental dysplasia, the ball of the hip Monday, August 19, and learn about when it is appropriate to is not centered in the socket, which becomes see an orthopedic physician. Visit MountainsideHosp.com/ Mark Chase, M.D. malformed, and the hip becomes arthritic over events for more information and registration. time,” Dr. Chase said. “Annie had lived with osteoarthritis of the hips all her life. We replaced the right hip first because it was the most severely affected.”

Annie underwent three months of physical It blows my mind, all therapy (PT) at Mountainside Medical Center following the December 2017 surgery. the good that came from this experience. “Annie was young, had many hobbies and needed to be on her feet 12 to 14 hours daily, so — Annie Mueller on her hip her physical therapy was more intense than is replacement surgeries typical to help her reach her goals,” said Jamie

Jamie Welsh, PT, DPT 4 • SUMMER 2019 Safer Summer Barbecues Up your grilling game to make your next cookout a delicious and incident-free success.

If you think a sizzling grill says summer, you are not alone. Seven out a minor burn, immerse the affected area in cool water for 10 to 15 of 10 adults in America owned a smoker or grill in 2017, according to minutes. If the burn is severe, go to the the Hearth, Patio & Barbecue Association. immediately.

“I think grilling is good for our souls as well as our bodies,” said WATER, WATER EVERYWHERE Elena Mills, RD, registered dietitian at Hackensack Meridian Health While things heat up by the grill, remember Mountainside Medical Center. “Barbecues give us a chance to share to keep your body cool. The outdoor heat and home-cooked meals with friends and family.” extra sweat mean your body can lose water more easily, so keep yourself and your guests For a nutritious addition to your cookout, Elena hydrated. recommends tossing fruits or vegetables on the grill as colorful sides or desserts. “When we say, ‘hydrate,’ we mean, ‘Drink more water,’” said Raghav Rastogi, M.D., internal “Personally, I love grilled pineapple or tomato medicine physician with Hackensack Meridian slices,” she said. “Grilling fruits and vegetables Health Mountainside Medical Group. “There Raghav Rastogi, M.D., makes the flavors even more delicious!” Internal Medicine are a lot of drinks with added sugar or caffeine that pull water from the body instead of putting For food safety while grilling, follow these tips: more in. Water is best for you.” Elena Mills, RD

✤ Grill by the numbers. Use a meat thermometer to make sure all Keep a water bottle by your side while grilling and serve water meats are cooked thoroughly before serving. Grilled chicken or to your guests, as well. Encourage everyone to drink when they turkey should reach an internal temperature of 165 F, and grilled feel thirsty and be alert to the signs of dehydration. Usually, mild beef or pork should reach 160 F. Fish should be cooked until the to moderate dehydration causes a dry mouth, extreme thirst skin is opaque. and a headache. In those cases, drinking more water can help, but severe dehydration symptoms are more serious and require ✤ Know when to cool it. Food cannot stay at room temperature for medical treatment. longer than two hours, or one hour if the temperature is over 90° F. Pack up any leftovers and store them in the refrigerator. “Someone who is dehydrated may become confused or lethargic, or have an altered mental state,” Dr. Rastogi said. “In those cases, ✤Practice fire safety. About 19,000 people go to the emergency drinking water will not work fast enough. Intravenous fluids need room annually for burns from a grill fire, according to the most to be administered at the Emergency Department.” recent data from the National Fire Protection Association. If your grill is on, never leave it unattended, and keep pets and Our Emergency Department is open 24 hours a day. Visit children at least three feet away from the grill. If somebody has HackensackMeridianHealth.org/emergency to learn more.

5• SUMMER 2019 Grilled Shrimp With Cantaloupe and Avocado Salsa

This recipe combines lean protein, heart-healthy avocados DIRECTIONS and fresh cantaloupe for a flavorful dinner that takes just Preheat the grill. Soak four skewers in water for 10 to 30 minutes and 30 minutes to make. set aside. Slice the lime in half. In a small bowl, squeeze juice from one half of lime. Save the other half for garnish. Add remaining salsa INGREDIENTS ingredients and mix. 1 pound large or jumbo shrimp, uncooked 1 tablespoon canola oil Peel and devein the shrimp, leaving the tails on. Skewer shrimp on 1 clove garlic, diced four skewers. Mix garlic and canola oil in a small dish, then coat the FOR THE SALSA: shrimp with the garlic-oil mixture. Grill shrimp four to five minutes, or 1 lime until cooked. Top with salsa and garnish with lime wedges. Serves 4. 1 avocado, peeled, pitted and cubed NUTRITIONAL INFORMATION 2 cups cantaloupe, diced Calories: 330 ¼ cup red onion, chopped Total fat: 14g 1 cup unsalted black beans, rinsed and drained Saturated fat: 1.5g ¼ teaspoon salt Cholesterol: 150mg teaspoon black pepper Sodium: 340mg 2 tablespoons fresh cilantro, chopped Carbohydrates: 24g Dietary fiber: 8g Protein: 29g

Recipe courtesy of Produce for Better Health Foundation, FruitsAndVeggies.org.

Ready for Anything

Compassionate, high-quality care has always been a cornerstone of Hackensack Meridian Health Mountainside Medical Center. The Emergency Department (ED) has been designated a Primary Stroke Center by the State Department of Health and Senior Services. With some of the most efficient ambulances in the state — averaging 20 minutes from door to provider — the ED at Mountainside Medical Center is well-prepared to handle patients with stroke symptoms. “When a ‘code stroke’ is called, patients are seen by a healthcare team and transported to CT quickly,” said Arthur Calise, D.O., director, Emergency Services at Mountainside Medical Center. “It’s a fast chain of events to ensure we offer lifesaving treatment in a timely manner. There is no wrong reason to come to the ED when you have a medical Arthur Calise, D.O., issue or concern that frightens you. Call 911.” Emergency Physician 6 • Gasping Learn how to recognize and SUMMER 2019 treat symptoms of asthma. FOR AIR Asthma is a chronic condition characterized by inflammation and “It is easy to be nonchalant, but people can die from asthma that narrowing of the airways. It affects nearly 10% of Americans and can is not controlled,” Dr. Davis said. “It is important to take asthma cause coughing, chest tightness, shortness of breath and wheezing. seriously and to make sure you take your medications as directed and on a regular basis — not just intermittently.” These symptoms can be triggered by allergens, such as dust, pet dander and pollen, and nonallergic irritants, such as respiratory Juhayna K. Davis, M.D., will discuss common symptoms in an infections, cold air, strong odors, perfumes or colognes, smoke, asthma attack and the treatments to control asthma at her seminar and exercise. “Breathe Easy: Facts on Asthma” on Wednesday, September 25, at 5:30 p.m. Learn more and register at MountainsideHosp.com/ “Different people have different triggers,” said events, or call 1-888-973-4674. Juhayna K. Davis, M.D., pulmonologist at Hackensack Meridian Health Mountainside Medical Center. “Part of understanding your Helping Patients Breathe Easy asthma is getting to know what your individual Respiratory therapists are trained lung specialists who provide a triggers are and how you can manage or number of respiratory care services, including: avoid them.” ••Airway management While asthma often appears in childhood, this ••Bi-level and continuous positive airway pressure (BiPAP and Juhayna K. Davis, M.D., chronic condition can develop at any age due to CPAP) therapy Pulmonologist exposure to new triggers, late-onset allergies or ••Mechanical ventilator support respiratory infections, such as bronchitis or pneumonia. For some, ••Performance of CPR symptoms can also clear up for long periods of time or disappear altogether. However, this lack of symptoms does not mean you no ••Pulmonary function tests longer have asthma. ••Pulmonary rehabilitation Additionally, respiratory therapists can help patients with lung “You cannot outgrow asthma,” said Clara ailments, such as chronic obstructive pulmonary disease (COPD) Quesada-Llopiz, RT, respiratory therapist and and asthma, improve their lung function through breathing director, Pulmonary Services at Hackensack exercises and bronchial hygiene techniques (methods of Meridian Health Mountainside Medical Center. clearing excess mucus from the airways). “However, it is sometimes possible to outgrow your asthma triggers.”

MANAGING ASTHMA DOES EXERCISE Asthma can be diagnosed by your primary TRIGGER YOUR ASTHMA? care provider, who will then refer you to a Clara Quesada-Llopiz, pulmonologist, a specialist of the lungs, for Dr. Davis recommends RT, Director, Pulmonary Services further testing and help managing symptoms. taking two to four puffs of your short-acting inhaler Asthma is most commonly treated through a combination of quick- about 15 minutes before relief bronchodilators (inhalers, for instance) and long-term control exercising. This can help medications, which help reduce inflammation of the airways. However, it is also important to treat and/or manage your triggers. open up the lungs for four If you have allergies, for example, you may need to take allergy to six hours. medication.

Water immersion therapy can help speed up labor 7•

and reduce the need for pain medication. SUMMER 2019 Making Labor Less Laborious

For two years, the Birthing Center at Hackensack Meridian Health the pelvis and helps support the mother’s body weight as well, FOR AIR Mountainside Medical Center has offered water immersion therapy creating more freedom of movement, better positioning and less for women in labor. During water immersion therapy, expectant discomfort.” mothers sit in a deep tub large enough to completely envelop their pregnant bellies in warm water. Sitting in the tub helps decrease A FLUID PROCESS pain and discomfort while also reducing the time it takes to Skipping pain medications during labor can prevent side effects, such complete the first stage of labor. as itching, fever, blood pressure changes, drowsiness and slowed labor.

“Water immersion therapy is a tool for mothers However, mothers who may eventually need pain medications during with uncomplicated pregnancies who want to labor are still welcome to begin with water immersion therapy. Once attempt an un-medicated birth,” said Michelle mothers desire medication or are ready for delivery, they move back Aristizabal, M.D., OB-GYN with Mountainside to the birthing room to welcome their new child into the world. Medical Center. “The warm water helps relax It is recommended by the American College of Obstetricians and back and pelvic muscles, which creates less Gynecologists that babies are delivered on dry land to reduce the risk friction for the baby.” of infections in the baby and perineal trauma in the mother.

The buoyancy of the mother and child within the “There’s no downside to trying water immersion therapy,” Dr. Aristizabal Michelle Aristizabal, M.D., OB-GYN water also helps make labor more comfortable. said. “It can get you through the hardest part of labor without drugs.”

“A lot of discomfort comes from the weight of the baby moving Tour the Birthing Center for free every Monday at 7 p.m. through the body,” Dr. Aristizabal said. “For tired moms to be Visit MountainsideHosp.com and click on able to float in the tub takes some of the weight of the baby off “Classes & Events” to learn more.

Safety Nets

The Birthing Center at Hackensack Meridian Health Mountainside Medical Center is committed to making your birthing experience as comfortable as possible. “We have expanded our birthing rooms and offer a comprehensive suite of maternity services to maximize the comfort and safety of you and your newborn,” said Nicole Mincey, BSN, RNC-OB, IBCLC, director, Women’s Health Nicole Mincey, BSN, Services at Mountainside Medical Center. “Our RNC-OB, IBCLC, nurses provide individualized care according to Director, Women’s your birth plan in an intimate setting. We help Health Services you birth the way you want.” You and your new arrival also have access to immediate emergency care should you experience any bumps along the way. “We have all the emergency resources that a larger center would have, including the ability to do emergency cesarean sections,” said Michelle Aristizabal, M.D., OB-GYN with Mountainside Medical Center. “We have a neonatologist present every day, and an anesthesiologist is in house 24/7.” Hackensack University Hackensack University ZIP M CO RO D PRSRT STD Medical Center and F E PRSRT STD

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Joseph M. Sanzari A 6 Joseph M. Sanzari M PAID PAID Children’s Hospital PERMIT NO. 830 Hackensack Meridian 30 ProspectChildren’s Avenue Hospital 1 Bay Ave. Health Hackensack,30 Prospect NJ 07601 Avenue Montclair, NJ 07042 IHOR S.Hackensack, SAWCZUK, M.D., NJFACS 07601 President, Hackensack University Medical Center STEPHENJersey PERCY, M.D.Shore University Interim Chairman, Joseph M. Sanzari Children’s Hospital Medical Center and JerseyK. HovnanianShore University MedicalChildren’s Center Hospital and K. Hovnanian1945 Route 33 Children’sNeptune, Hospital NJ 07753 1945 Route 33 Neptune,Ocean NJ Medical 07753 Center KENNETH N. SABLE, M.D., MBA, FACEP President425 Jack Martin Blvd. Brick, NJ 08724 425 JackRiverview Martin MedicalBlvd. Center Brick,One NJ 08724Riverview Plaza DEAN Q.Red LIN, Bank, MHA, MBA, NJ FACHE07701 Regional President

RiverviewMountainside Medical Center One RiverviewMedical Center Plaza Red Bank,One Bay NJ Avenue07701 TIMOTHYMontclair, J. HOGAN, NJ FACHE 07042 Find Your Physician with President Mountainside Medical Group. Now accepting new patients at Mountainside locations convenient for you. Medical7600 Center River Road One BayNorth Avenue Bergen, NJ 07047 Montclair, NJ 07042 Internal Medicine JOHN FROMHOLDRaritan Bay Medical PresidentCenter and CEO Perth Amboy Family Medicine 530 New Brunswick Avenue Palisades Medical Center Endocrinology Perth Amboy, NJ 08861 7600 River Road Breast Care North Bergen, NJ 07047 Southern Ocean ANTHONY PASSANNANTE, M.D. Obstetrics & Gynecology Acting PresidentMedical Center 1140 Route 72 West Pulmonology RaritanManahawkin, Bay Medical NJ 08050 Center Perth Amboy Gastroenterology 530 New Brunswick Avenue Thoracic Surgery Perth Amboy, NJ 08861 727 North Beers Street MICHAEL R. D’AGNES, FACHE PresidentHolmdel, NJ 07733 TO SCHEDULE YOUR APPOINTMENT, VISIT Southern Ocean Raritan Bay Medical www.mountainsidedocs.com MedicalCenter Center Old Bridge or call 866-999-5162. 1140 RouteOne Hospital 72 West Plaza Manahawkin, NJ 08050 Old Bridge, NJ 08857 ROBERT H. ADAMS, JR., FACHE President Pascack Valley BayshoreMedical Medical Center Center U M 727 North250 Old Beers Hook Street Road S U M Holmdel,Westwood, NJ 07733 NJ 07675 TIMOTHY J. HOGAN, FACHE 467275-Mountainside_MMG Ad-Be Well Magazine-F3.indd 1 9/27/17 11:47 AM President O M

Raritan Bay Medical R M Center Old Bridge One Hospital Plaza T Old Bridge, NJ 08857 MICHAEL R. D’AGNES, FACHE President

Pascack Valley Medical Center 250 Old Hook Road Westwood, NJ 07675 EMILY HOLLIMAN CEO

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