A Publication of Winter 2021 COMMUNITY MEDICAL CENTER healthytogether A SAFE AND PERSONALIZED BIRTH STATE-OF-THE-ART VASCULAR CARE A NEW EMERGENCY DEPARTMENT

FINDING THE BEST CANCER CARE

CMC_Cover_Winter20_Final.indd 1 12/10/20 8:55 AM A MESSAGE FROM LEADERSHIP HEALTH NEWS Stronger Together AN UNSUNG HERO Adam Tart, Director of Plant he past year has been one of unprecedented challenges for Operations at Community our communities and for our healthcare system. The onset Medical Center (CMC), was and spread of COVID-19 tested our hearts and minds as named an “ROI Influencer: T Health Care 2020 Unsung never before, all against a backdrop of national social, political and economic turmoil. Hero” by ROI-NJ, a publisher Each day, we’ve learned more about this new virus and how to treat of local business news. During it. We’ve also learned that the pandemic’s impact is falling drastically the COVID-19 pandemic, “Adam and his team did whatever it took to ensure a safe environment for physicians, nurses harder on communities already struggling against economic and social and other clinical team members to treat their patients,” disadvantages. the nomination stated. He collaborated with construction Throughout this crisis, our medical professionals and staff have vendors on changes to the hospital’s air circulation system been compassionate and expert while caring for patients inside our and drilled holes in Intensive Care Unit walls so staff walls, and innovative in creating ways to provide virtual care. They’ve members could monitor IVs and other equipment for COVID- risen magnificently to the challenge of keeping our facilities safe and positive patients with minimal exposure. sanitized. And many throughout our system have been working hard in a wide range of programs to help our communities stay healthier RECOGNITION and to eliminate healthcare disparities. FOR HONORING At Community Medical Center (CMC), our dedication to safe, high-quality care extends past our doors and into the community VETERANS through multiple efforts to protect the health of our neighbors. Many CMC and RWJBarnabas programs have initiated virtual meetings to safely connect patients Health were recognized for the with clinical experts, as well as to one another for support groups. hospital’s ongoing efforts to CMC has provided vulnerable groups in the Ocean County area with thank veterans for their service to the country at The Commerce much-needed personal protective equipment. Masks, face shields and and Industry Association of gloves have been donated to local first responders, school systems and New Jersey’s “Companies organizations dedicated to helping veterans and homeless individuals. That Care” event, which honors businesses that give back At RWJBarnabas Health, we’ve learned something else this year: to their communities. CMC honors veterans by recognizing how strong and encouraging the communities we serve are. We can those who have been admitted to the hospital, hosting an never thank you enough for your ongoing generosity. annual luncheon and providing reserved parking spaces. Staff While we continue to battle the COVID-19 pandemic together, we members have participated in creating care kits for veterans want you to be as healthy and strong as you can, and we pledge to do and active military members. Raymond Howard, PT, DPT, everything possible to help you achieve that goal. OCS, Regional Director of Rehabilitation Services at CMC and Monmouth Medical Center Southern Campus, chairs Yours in good health, the Veterans Engaging Through Service Business Resource Group at CMC. He accepted the award on behalf of CMC and RWJBarnabas Health.

BARRY H. OSTROWSKY PATRICK AHEARN PRESIDENT AND CHIEF EXECUTIVE OFFICER CHIEF EXECUTIVE OFFICER RWJBARNABAS HEALTH COMMUNITY MEDICAL CENTER 99 Highway 37 West, Toms River, NJ 08755 732.557.8000

CONNECT WITH US ON @CommunityMedical RWJBarnabas Health @CommunityMedNJ

Community 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/community. Community Medical Center 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 732.557.8000. Community Medical Center konfòm ak lwa sou dwa sivil Federal ki aplikab yo e li pa fè diskriminasyon sou baz ras, koulè, peyi orijin, laj, enfimite oswa sèks. ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 732.557.8000.

Healthy Together | 2 | Winter 2021

CMC_Memo_Winter21_Final.indd 2 12/10/20 8:12 AM healthytogether contents WINTER 2021 6

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2. WELCOME LETTER. 10. CANCER SURGERY: 17. MORE THAN JUST A community update PART OF A PLAN. What MEMORY LOSS. A from our CEOs. to consider when you’re geriatrician explains the deciding where to be surprising symptoms of

4. “I FELT SUPPORTED treated. Alzheimer’s disease. EVERY STEP OF THE WAY.” Despite the 12. WHAT A HOSPITALIST 18. FIGHTING HUNGER. pandemic, a fi rst-time CAN DO FOR YOU. This 2020 was a record year mom had the birth 10 doctor’s specialized skills for CMC’s annual food experience she wanted. can get you feeling better drive. faster and home sooner. 6. TEACHING THE NEXT 20. CONVENIENT CARDIAC GENERATION OF DOCTORS. 14. THE TRUTH ABOUT CARE. A new Community Medical DEPRESSION AND OLDER outpatient location Center is becoming a ADULTS. Symptoms to improves access to teaching hospital. watch for, and how to cardiovascular testing get help. and treatment. 8. A FAMILY ROOM AWAY 9. FAST FACTS ABOUT FROM HOME. A new CARDIAC STRESS TESTS. 16. ONE STEP AT A TIME. 22. STATE-OF-THE-ART space helps parents of Monitoring your heart Intensive physical EMERGENCY CARE. seriously ill newborns while you exercise therapy allows a little A new Emergency relax, recharge and gives doctors important boy to overcome a rare Department will provide connect. information. condition. high-quality treatment.

We’ve taken every precaution to keep you safe. So if you’ve put off care due to COVID-19, please don’t delay it any longer.

PB | Healthy Together | Fall 2018 Community Medical Center | RWJBH.ORG/COMMUNITY 3

CMC_TOC_Winter21_Final.indd 3 12/10/20 8:29 AM Chelsea Martin-Burkhardt and her husband, Brandon, with their daughter, August.

“I FELT SUPPORTED EVERY STEP OF THE WAY”

DESPITE THE hen Chelsea Martin- COVID-19 pandemic. “I wasn’t able Burkhardt, 31, and her to prepare by taking a hospital tour PANDEMIC, THIS W husband, Brandon, of Toms or going to Lamaze class and meeting FIRST-TIME MOM River discovered they were expecting other moms,” says Chelsea. “But I felt their fi rst child, they were excited. But, supported every step of the way.” HAD THE BIRTH like many soon- Chelsea was in the delivery room EXPERIENCE SHE’D to-be parents, when her best friend gave birth with they were also the help of a midwife, so she knew she ALWAYS HOPED FOR. nervous. On top of wanted a midwife-assisted birth, too. the usual stressors She turned to Ocean Gynecological of pregnancy, and Obstetrical Associates, an Chelsea’s RWJBarnabas Health Medical Group pregnancy practice affiliated with Community coincided with Medical Center (CMC). “We’re the only STEVEN CULBERT, MD the peak of the practice in the area that has a combined

Healthy Together | 4 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 5

CMC_Maternity_Winter21_Final.indd 4 12/10/20 8:36 AM VIRTUAL CHILDBIRTH EDUCATION Community Medical Center is offering childbirth education classes virtually. The childbirth series provides tips on nutrition during pregnancy, labor and delivery virtually, but I always chose to go in care for newborns who are born as early and newborn care. The person,” she says. “It made my pregnancy as 32 weeks. Patient rooms are private breastfeeding class offers feel more normal, and the emotional and equipped with jacuzzi tubs, birthing information about techniques, support of the staff helped to ease my balls, squat bars and other amenities. positions and day-to-day fears. The staff always took the time to CMC also offers childbirth preparation management. To register for answer all of my questions.” courses (see “Virtual Childbirth one of these classes, which In addition to honoring the choices Education”) and certified lactation are offered once a month, call 732.557.8034. of the patient, the practice’s physicians consultants. and midwives work together to reduce the need for Cesarean sections. They do A SUCCESSFUL DELIVERY this by ensuring that a caregiver is with In late June, two days past her due date, the patient at all times during labor. Chelsea noticed that she wasn’t feeling “Our approach offers a safety net and the baby’s usual movement. Worried, she makes patients feel comfortable,” says called her healthcare provider and was certified nurse midwife Lori Sherman, told to go to the hospital immediately. MPH, MSN, CNM. “Even when a patient Fetal monitoring confirmed that the opts for a midwife, she has access to baby was moving normally, but Chelsea’s a physician if an emergency situation amniotic fluid was low and labor would arises.” CMC ob/gyns are experienced in need to be induced. delivering twins as well as performing After the induction, Chelsea versions (manually turning babies that labored with the support of nurses are in the breech position) and vaginal and midwives, including Sherman. births after Cesarean. They helped Chelsea get into different positions to keep her comfortable. COMPREHENSIVE CARE She used a squat bar and birthing ball One day, at 28 weeks, Chelsea began during labor. “I felt like I had so many experiencing sharp pains and feared her options,” says Chelsea. “The equipment baby was in danger. She rushed to CMC made my labor faster and easier.” and learned that she had a kidney stone, Shortly after midnight on July which was unrelated to the pregnancy. 1, August “Auggie” Hope Burkhardt Since she was entering her third came into the world, weighing 7 lbs., trimester, she was cared for in the Labor 4 oz. Chelsea and her husband were and Delivery unit as a precaution. “It not allowed to leave the hospital room obstetrician/gynecologist and midwife gave me a chance to meet the Labor and due to COVID-19, but they found service,” said Steven Culbert, MD, an Delivery nurses at CMC,” says Chelsea. the nursing staff to be very helpful. ob/gyn who was involved in Chelsea’s “It made me feel comfortable with the The nurses taught the couple how to care. “Our goal is to provide a safe and birth experience I was going to have.” swaddle, burp and bathe the baby— personalized experience and ensure that At CMC, board-certified and distinguish among different types each patient is able to have the birth obstetricians, anesthesiologists and of cries. “As a first-time mom, it was she wants.” neonatologists are available 24 hours per important for me to feel comfortable, The team of obstetricians and day, seven days a week. Nurses specialize safe and respected,” says Chelsea. “I certified nurse midwives­—who provide in both maternity and newborn care. A found that at Community Medical the full spectrum of obstetric and Level II Special Care Nursery provides Center.” gynecologic care—uses a collaborative approach to patient care, so Chelsea alternated prenatal appointments with To learn more about maternity services at Community physicians and midwives. “I had the Medical Center, visit www.rwjbh.org/cmcmaternity. option to attend my appointments

Healthy Together | 4 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 5

CMC_Maternity_Winter21_Final.indd 5 12/10/20 8:36 AM COMMUNITY MEDICAL CENTER TEACHING THE IS BECOMING A TEACHING HOSPITAL, ELEVATING THE LEVEL NEXT GENERATION OF PATIENT CARE. OF DOCTORS

Healthy Together | 6 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 7

CMC_NewResidency_Winter21_Final.indd 6 12/10/20 8:38 AM Medical Center (CMC) has embarked elective foot and ankle surgery, on a journey to become a teaching reconstructive procedures and wound hospital. “A teaching program will care. benefit patients because it will elevate The hospital also must have a place the level of care we provide,” says for the residents to study, learn and Patrick Ahearn, Chief Executive live. It had to create a wellness program Officer at CMC. “All of our healthcare for residents and a faculty development providers will be working at the top of program, which shows attending their game.” physicians how to teach. CMC’s current Four years ago, when Ahearn joined physicians are back in the classroom, CMC, he wanted to determine if there learning how to teach and train was an appetite among staff members residents in a program conducted by for becoming a teaching hospital. Rutgers Medical School faculty. “You need an environment where healthcare providers are enthusiastic INVESTING IN about teaching, and I felt this was COMMUNITY HEALTH embraced,” he says. Currently, CMC has In September, the ACGME approved a nurse residency program, which helps CMC’s residency program. Residents transition new graduates of registered began having virtual interviews for the nursing programs into practice. The residency program in October, and hospital also educates pharmacy, social “matching”—in which students and work, nutrition, rehabilitation and hospitals rank their top choices—will radiology students. take place in March. Twelve positions are available for the emergency A PLAN FOR MEDICAL medicine and internal medicine EDUCATION programs, and three positions are open In 2019, the hospital began the process for the podiatry program. of developing the program. Staff The goal is to start the program in members chose specialties based June. CMC plans to train residents in From left to right: Nicole on the patient population, which surgery and obstetrics starting in 2022. Maguire, DO, FACEP, skews older (about 70 percent are “It will be exciting to watch residents Program Director for Emergency Medicine; Medicare patients). They chose to infuse themselves in the collaborative Vinod Nookala, MD, FACP, focus on emergency medicine, internal environment of CMC,” says Meika Program Director for Internal medicine and podiatry, each of which Neblett, MD, Chief Medical Officer. Medicine; and Vincent J. involves three years of training. “We’re proud of the medical staff, who Migliori, DPM, FACFAS, Program Director for Podiatry The next step was to apply to the have built a great foundation for the Accreditation Council for Graduate residency program. We’re excited to Medical Education (ACGME) and invest in the future medical staff and demonstrate that CMC had a plan our community.” The ultimate goal, of for educating medical students. The course, is for residents to practice in hospital had to show that it had a the community. “This is a chance for residency program director and a the medical staff to train their future hen you go to your local rotation schedule for residents. For partners and colleagues,” says Neblett. hospital for an emergency, instance, emergency medicine residents Patients will benefit from having W surgery or to have a baby, must spend a certain amount of time a teaching hospital close to home. you expect high-quality care. If you in the Emergency Department, trauma, “They deserve access to the best care choose an academic medical center, sonography and toxicology. Internal without having to travel to New York you’ll not only receive high-quality medicine residents must learn about or Philadelphia,” says Ahearn. “We’ll be care, but you’ll also have access to the various subspecialties, including able to improve the quality of care for latest treatments and tests as well as cardiology and gastroenterology. the more than 600,000 people who live clinical trials. That’s why Community Podiatry residents will learn about near the hospital.”

To learn more about Community Medical Center and its residency program, visit www.rwjbh.org/community.

Healthy Together | 6 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 7

CMC_NewResidency_Winter21_Final.indd 7 12/10/20 8:38 AM From left: Philip Brilliant, CHMM, PSRP, board member, Michael’s Feat; Dana Puharic, co- founder, Michael’s Feat; Patrick Ahearn, Chief Executive Officer, CMC; Lisa Schlesinger, MSN, A FAMILY ROOM RN, Administrative Director, Nursing, CMC; and Jennifer Shufran, Vice President, CMC Foundation, toured the Michael’s Feat resource AWAY FROM HOME room during its construction. A NEW SPACE HELPS PARENTS OF SERIOUSLY ILL NEWBORNS RELAX, RECHARGE AND CONNECT.

very year, up to 200 babies are dedicated to helping families of for recharging computers, a TV and admitted to Community Medical seriously ill newborns in Ocean and lockers for belongings. There are also ECenter’s Level II Special Care Monmouth counties. “When your baby books about babies who need special Nursery. These infants are born early is in the hospital, your whole family care. Pictures of NICU babies are or have health problems, and they may is disrupted,” says Adam Puharic, co- featured on the walls, and there’s a spend weeks or months at the hospital. founder of the organization. His son, butterfly mural. “Yellow butterflies Until recently, “there was nowhere for Michael, was born with a chromosome had a significant meaning because parents to go to relax,” says Alexander disorder in 2000 and passed away. they would show up at random times Feldman, MD, Director of Neonatology Over the past 20 years, Michael’s and remind us of our son,” says Dana at CMC and assistant professor of Feat has raised more than $2 million to Puharic, Michael’s mom. Parents can pediatrics at Rutgers Robert Wood help local families of ill newborns. The now take a break, have a meal and Johnson Medical organization has provided parents with regroup in the family room and still be School. Now gas cards and food vouchers and has within earshot of their baby. families can donated funds to hospitals for special The family room was finished recharge in a equipment. in the fall of 2020. “It’s a great family room away community area for families of babies from home, thanks A COMFORTABLE SPACE in the Special Care Nursery,” says Dr. to a generous gift CMC’s new family room, which is Feldman. “It’s important for them to from Michael’s located near the Special Care Nursery, be able to share their experiences so Feat, a non-profit has couches, tables, magazines, they can get through this difficult time ALEXANDER FELDMAN, MD organization children’s toys, a refrigerator, outlets together.”

For more information about the Community Medical Center Foundation, call 732.557.8131 or visit www.cmcgiving.org.

Healthy Together | 8 | Winter 2021

CMC_Foundation_Winter21_Final.indd 8 12/10/20 8:44 AM WHAT HAPPENS DURING AN EXERCISE STRESS TEST? • Most stress tests are done in a cardiologist’s offi ce. Patients should wear comfortable clothes and refrain from eating or smoking for four hours in advance. • The patient is connected to heart- monitoring equipment, then walks on a treadmill under the supervision of a doctor or healthcare professional. FAST • At fi rst, the pace is a gentle 1.7 miles per hour. The pace will gradually be increased FACTS to a brisk walk or light jog. • At the same time, the incline of the treadmill is increased by two degrees every ABOUT three minutes. It begins at 10 degrees and progresses to 16 degrees. CARDIAC • The patient’s heart rate, blood pressure and breathing are monitored throughout the test, which can last up to 15 minutes. STRESS TESTS The patient can stop at any time if needed. • After the stress test, the patient will be MONITORING YOUR HEART WHILE YOU EXERCISE observed for fi ve minutes during cooldown. IS SAFE AND CAN GIVE YOUR DOCTORS IMPORTANT INFORMATION. STRESS TESTS ARE PRESCRIBED WHEN SYMPTOMS EXIST. stress test is a way to detect heart disease while the body is Unlike a colonoscopy or mammography, there’s no recommended age for a A in motion. person to begin having stress tests. “People need a stress test if they’re having “We have several noninvasive tests, symptoms, usually chest pain or shortness of breath with activity, or unexplained passing such as electrocardiogram (ECT) out,” says Dr. Mahal. “In the absence of symptoms, you might also want to do a stress or echocardiogram, to help detect test if a patient has a family history of cardiac disease, or as a precautionary measure if a coronary artery disease as well as heart patient who has been sedentary wants to start an exercise program.” disease,” explains Sharan Mahal, MD, an interventional cardiologist at Robert THERE’S NO NEED TO BE AFRAID OF A STRESS TEST. Wood Johnson University Hospital Somerset and a member of RWJBarnabas “It’s a simple, cost-eff ective and low-risk procedure,” says Dr. Mahal. Health Medical Group. “Th ose tests are “You’ll be carefully monitored the whole time, and if there’s any problem at done when the patient is sitting or lying all—which only about one in 10,000 patients will experience—be reassured that your down. However, some people are not cardiologist is prepared and will be able to take care of you.” symptomatic until they are exercising.” Th ink of the heart as an engine, he THERE ARE DIFFERENT KINDS OF STRESS TESTS. sugg ests. “You can only get so much Th e most common is the exercise stress test as described in “What Happens information when the engine is at rest; During an Exercise Stress Test?” above. Depending on your risk factors, your to really see how physician may prescribe a nuclear stress test, which is the same as an exercise stress test, it’s working, you except that a safe radioactive dye is injected and an imaging machine is used to take have to rev it up pictures. If for some reason you can’t handle the physical activity of a stress test, your and take it for a doctor can prescribe a medication that will mimic the eff ects of exercise. drive. A stress test lets us see how the heart acts and Your heart doesn’t beat just for you. Get it checked. To how blood fl ows through the body connect with one of New Jersey’s top cardiac specialists, SHARAN MAHAL, MD while it’s moving.” call 888.724.7123 or visit www.rwjbh.org/heart.

Healthy Together | PB | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 9

System_CardiacStress_Winter_Final.indd 9 12/9/20 3:08 PM CANCER SURGERY: PART OF A PLAN WHAT TO CONSIDER WHEN YOU’RE DECIDING WHERE TO BE TREATED FOR CANCER

urgery has been a mainstay of at Rutgers Cancer Institute of New counseling and more—have weekly cancer treatment for millennia—in Jersey, the state’s only National Cancer conferences to assess individual patient Sfact, the use of surgery to treat Institute-Designated Comprehensive cases and make recommendations. cancer appears in Egyptian papyri dating Cancer Center. “Th ese discussions aren’t about back as far as 2500 BC. Today, medical “Th e best outcome for surgery doesn’t deciding whether to do surgery versus breakthroughs have opened exciting new just depend on what happens in the some other treatment,” explains Dr. possibilities for the successful surgical operating room,” says Dr. Alexander. Alexander. “Instead, because we treatment of cancer. “Th e best outcome happens when surgery understand cancer so much better now, As critical as surgical advances are, is integrated into a comprehensive, these discussions are about fi nding the however, they’re individualized plan of care for a patient best ways to use surgery to complement most eff ective who has a new diagnosis of cancer.” the latest chemotherapy, immunotherapy when they’re part or biologic treatments.” of a continuum COMPLEMENTARY All treatments offered by Rutgers of cancer care, TREATMENTS Cancer Institute and RWJBH are says H. Richard As part of the robust partnership available to any patients being treated Alexander Jr., between RWJBarnabas Health (RWJBH) within the system, regardless of the MD, FACS, and Rutgers Cancer Institute, experts facility at which the patient’s treatment Chief Surgical from a wide range of specialties—surgical originated. Among those treatments are Offi cer and Chief, oncology, radiation oncology, medical advanced and complex surgeries, some H. RICHARD ALEXANDER JR., MD Surgical Oncology oncology, gastroenterology, genetics of which are only available at Rutgers

Healthy Together | 10 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 11

System_SurgicalOnc_Winter21_Final.indd 10 12/9/20 3:16 PM RWJBarnabas Health,” he says. “We have the experience and technology to recognize potential complications early on and intervene as necessary.” CANCER CAN’T WAIT NEXT STEPS Because of the pandemic, cancer When a patient is told that cancer patients may have concerns about surgery is needed, how should he or she scheduling surgery. However, cancer care shouldn’t be delayed. Rutgers decide what to do next? Cancer Institute and RWJBarnabas The first step, says Dr. Alexander, Health facilities have taken every is to do further research. “Every doctor precaution to keep patients, visitors wants the best outcome for their and care-team members safe, patients, and no doctor should object to including: a patient asking for a referral for another • COVID-19 screening and testing of all opinion,” he says. patients and staff prior to working in Patients also have the option an operating room or being involved of calling the RWJBH Oncology in a surgical procedure Access Center at 844.CANCERNJ • Rigorous cleaning and disinfecting (844.226.2376). “The call will be taken practices in recovery room spaces, by a specialist who is trained to frequently touched surfaces, exam gather information about the patient rooms and terminals. and identify the appropriate experts to evaluate and potentially provide treatment for them,” explains Dr. Alexander. abdominal cavity, which is designed Be sure to consider the continuum to obliterate the remaining invisible of care in the place where you will cancer cells that may be present in receive treatment. “Treatment that is the tissues. fragmented, or administered in different •Preventive, or prophylactic, locations without proper coordination, surgery, in which sophisticated testing becomes more challenging,” he says. and analysis is used to identify high-risk “To me, it’s always best for a patient patients and remove an organ or gland to get cancer treatment from a before cancer can develop. This may multidisciplinary team of specialists be recommended for people at risk of who have good communication and developing breast, colon, endometrial, coordination, from diagnosis through gastric, ovarian, thyroid and many other treatment, discharge and survivorship.” Cancer Institute or RWJBH facilities, types of cancer. To help keep communication flowing including: Experience counts when it comes smoothly among all experts treating a •Robotic surgery and laparoscopic to cancer surgery. “There’s a large body cancer patient at RWJBH facilities and surgery. These are minimally invasive of literature showing a relationship Rutgers Cancer Institute, an oncology and very precise, and are performed between the volume of operative nurse navigator assists each patient with the most up-to-date technology on procedures done and how successful throughout the cancer journey. the market. the outcomes are,” says Dr. Alexander. “When it comes to cancer treatment, •HIPEC (hyperthermic “The more experience surgeons and patients shouldn’t move forward until intraperitoneal chemotherapy) surgery, hospitals have, the better patients do they’re absolutely certain the best care used for cancers that have spread to in terms of a shorter length of stay, plan has been presented to them,” the abdominal cavity. This treatment fewer complications and the return to a says Dr. Alexander. “We’re uniquely strategy involves the surgical removal normal life more quickly. positioned to provide that plan through of metastatic cancer, followed by “That’s something we do especially the partnership between Rutgers Cancer heated chemotherapy given within the well at Rutgers Cancer Institute and Institute and RWJBarnabas Health.”

RWJBarnabas Health, together with Rutgers Cancer Institute—the state’s only NCI-Designated Comprehensive Cancer Center—provides close-to-home access to the latest treatment options. For more information, call 844.CANCERNJ or visit www.rwjbh.org/beatcancer.

Healthy Together | 10 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 11

System_SurgicalOnc_Winter21_Final.indd 11 12/9/20 3:16 PM WHAT A HOSPITALIST CAN DO FOR YOU

THIS DOCTOR’S SPECIALIZED SKILLS CAN GET YOU FEELING BETTER FASTER AND HOME SOONER.

f you’re admitted to a hospital, hospitalist for 18 years and was recently that patient’s care during the time the you’ll be cared for by a specialist named Chief of Hospitalist Medicine patient is in the hospital. Iphysician known as a hospitalist. at RWJBarnabas Health. Here, she Though the specialty has been growing explains what patients should know. How does the hospitalist fast for more than manage a patient’s care? 20 years, many What is a hospitalist? Th e hospitalist will see the patient patients and A hospitalist is usually an internal every day during the hospital stay, family members medicine-trained physician who has sometimes more than once. In addition may not be undergone a residency training and is to evaluating the patient, they will spend familiar with what dedicated to and skilled at inpatient care. a large amount of time coordinating a hospitalist does. Whether a patient is admitted their care. Th is means making sure Maninder to the hospital from the Emergency all consultants and specialists are on “Dolly” Abraham, Department or as part of a planned the same page, keeping the primary MANINDER ABRAHAM, MD MD, has been a admission, the hospitalist will manage care physician in the loop and

Healthy Together | 12 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 13

System_Hospitalist_Winter21_Final.indd 12 12/9/20 3:18 PM FAST FACTS ABOUT HOSPITALISTS

1996 60,000 30%/20% March 4 IT’S A RELATIVELY NEW FIELD IT’S GROWING FAST THEY SAVE TIME AND MONEY NATIONAL HOSPITALIST DAY The term “hospitalist” was More than 60,000 Studies show that hospitalists is held on the first Thursday coined in 1996. physicians practice hospital can reduce patient lengths of in March every year medicine, up from just a few stay by up to 30 percent and (this year, March 4). hundred 20 years ago. reduce hospital costs by up to 20 percent. Sources: Staffcare.com, Society of Hospital Medicine

to be those who are very sick. They train new hospitalists on how to talk require a lot of time and attention, with them in layman’s terms and not use “A HOSPITALIST which hospitalists are able to provide. medical jargon. IS LIKE A STAR Primary care providers entrust their We ask families to designate one patients to us. We become an extension person to be our contact, and we make QUARTERBACK WHO of that primary care physician. every effort to communicate with the KNOWS HOW TO patient’s family every day. How does a hospitalist get up CALL THE PLAYS to speed on a patient’s history What advantages does a AND NAVIGATE and condition? hospitalist have when it comes YOU THROUGH THE There is a steep learning curve on day to treating a patient? one. The primary care or referring Hospitalists have broad knowledge SYSTEM TO GET YOU physician sends over a patient’s file of most illnesses and how to manage HOME AS QUICKLY AS and has a phone conversation with the cases, including surgery patients, hospitalist. At the first encounter with diabetes and cancer patients and more. POSSIBLE.” the patient, the hospitalist will do a We are specialists in inpatient detailed history and physical exam on care. We organize care throughout the the patient, getting to know him or her hospital. We’re there to order tests, as well as possible. track the results and order follow-up Electronic sharing of medical tests promptly. We can clear a patient records has made this process much for surgery and manage him or her post- communicating with nurses, social easier and faster. We have access to the operatively. workers, case managers and discharge patient’s history and to all the doctors We’re also available to explain test planners, as well as the patient’s family. involved. In addition, we have HIPAA- results to patients and family members Schedules are usually in blocks of days compliant, secure text messaging, so we and respond to any medical crises. to ensure continuity of care for patients. can communicate with other physicians Then, at discharge time, we have all the efficiently. tools needed for a smooth handoff to Why doesn’t a patient’s the next step of the healthcare plan. “regular doctor” see him or her How does a hospitalist A hospitalist is like a star in the hospital? communicate with the patient’s quarterback who knows how to call As medicine has evolved, primary care family members? the plays and navigate you through the doctors need to dedicate more time to Hospitalists spend a lot of time talking system to get you home as quickly as seeing patients in an outpatient setting. In with patients and family members. We possible. addition, as treatments have become more sophisticated, doctors are able to treat more patients on an outpatient basis. To find a physician at an RWJBarnabas Health facility, As a result, patients who are call 888.724.7123 or visit www.rwjbh.org/doctors. admitted to the hospital these days tend

Healthy Together | 12 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 13

System_Hospitalist_Winter21_Final.indd 13 12/9/20 3:18 PM THE TRUTH ABOUT DEPRESSION AND OLDER ADULTS SYMPTOMS TO WATCH FOR, AND HOW TO GET HELP

o old age and depression and Palliative Care, at RWJBarnabas or eight who are doing very well as they go together—especially in Health, and Frank Ghinassi, PhD, transition to the later stages of their D a pandemic? We asked two ABPP, Senior Vice President of career and life. people who know: Jessica Israel, MD, Behavioral Health and Addictions at DR. ISRAEL: Th at expectation is a Senior Vice President, Geriatrics RWJBarnabas Health and President stereotype and needs to change. In fact, and Chief Executive Officer of Rutgers chances are that someone who has had University Behavioral Health Care. 80 years to develop strategies to deal with stresses in life is, in many ways, Many people expect older adults better at coping than a younger person. to be depressed, or at least unhappy. Is that fair? How does social isolation affect DR. GHINASSI: Seniors get a bad rap seniors? about that. In fact, the age 40 to age DR. ISRAEL: In my experience, people 58 group is more likely to be prone to of any age who were already prone to depression. For every older person who depression have seen their symptoms FRANK GHINASSI, PHD JESSICA ISRAEL, MD is strugg ling, there are probably seven magnifi ed since the pandemic began. Of

Healthy Together | 14 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 15

System_SeniorsDepression_Winter21_Final.indd 14 12/9/20 3:25 PM course, COVID-19 struck older adults in disproportionate ways. I would say that a signifi cant number of my patients were able to stay safe at home and fi nd new resources to help them stay connected, although some of them needed extra help to fi nd those connections and services. DR. GHINASSI: Th e folks we worry most about have a troubling package of circumstances—for example, they live alone, their children have moved away HOW TO THRIVE WHILE SOCIAL DISTANCING or they never had children, friends are Seven research-backed ideas to promote physical and mental health. beginning to die off , or they’ve moved to a community where they don’t have an existing network. Some may begin to • KEEP TO A CONSISTENT ROUTINE. Studies show that a regular daily show cognitive decline. If that’s combined routine, especially a consistent pattern of sleeping and waking, with a history of depression or anxiety, has distinct benefi ts for mental health. Create new routines for daily and weekly activities, including time for self-care, such as that’s when we get most concerned. exercise or meditation. What are signs of depression? • SPEND TIME WITH CRAFTS AND HOBBIES. People who take part in DR. GHINASSI: At any age, changes creative activities feel higher levels of positive emotion, according in baseline behavior are concerning: to recent studies. Creativity includes not only hobbies such as somebody who had a good sense of humor drawing, knitting or woodworking, but even simple activities like no longer laughs, somebody who had a coloring or keeping a diary. healthy appetite isn’t eating, somebody • TAKE A DAILY WALK. Walking helps maintain a healthy weight, who was a good sleeper now has sleep improves heart health and elevates your mood by increasing your disturbances. Have they stopped doing body’s levels of endorphins, the feel-good hormones. If you can things they enjoy? Are they saying things get outside, so much the better: Numerous studies have shown like, “What’s the point of going on?” that time in nature is an antidote for stress. If weather or slippery DR. ISRAEL: Th ese days, it may be conditions prevent going outside, put on your sneakers, put on some music and walk in place at home. harder to pinpoint these changes because people have less contact with other • READ BOOKS. Reading books reduces stress, decreases blood people—they haven’t been going to the pressure and lowers heart rate. Reading actually strengthens gym, or they no longer get together with the brain by promoting the development of neurons. Moreover, their knitting circle. studies show that reading fi ction books increases the ability to empathize. If you use an e-reader, turn to a print book at How can loved ones help? bedtime. The blue light from screens can interfere with sleep. DR. ISRAEL: It’s so important to reach • LISTEN TO PODCASTS. Podcasts are mini-radio shows created on out to someone who may be isolated every topic you can imagine, and they’re available free online or and depressed—to learn more about the through apps for iPhone or Android. A 2016 study found that situation surrounding the person, and listening to podcasts activates multiple parts of the brain and can what’s happening inside that situation. soothe, excite or make you laugh. If you see signs of depression, know that • LISTEN TO YOUR FAVORITE MUSIC. Music is an effective form of it’s treatable. Th e fi rst step, the critical mood regulation, helping us to calm down, feel pleasure or even one, is to reach out. indulge in a good cry. One study found that adults with chronic DR. GHINASSI: Th is is the time to osteoarthritis who listened to music daily for two weeks reported connect with seniors more frequently less pain. than usual. Options range from phone • KEEP AND BUILD YOUR SOCIAL NETWORK. A range of studies has and video calls to screen porch visits and shown that meaningful social connections increase longevity and talking through windows—even providing feelings of well-being. Stay connected by reaching out to friends iPads. Visual contact can be a godsend for and family, whether it’s via your phone or laptop, or the “old- both the senior and his or her family. fashioned” pen-and-paper way.

To reach the physician referral service at RWJBarnabas Health, call 888.724.7123. To learn about mental health services, call the RWJBarnabas Health Behavioral Health hotline at 800.300.0628.

Healthy Together | 14 | Winter 2021 RWJBarnabas Health | RWJBH.ORG | 15

System_SeniorsDepression_Winter21_Final.indd 15 12/9/20 3:25 PM Jen Fecowycz and her son, Oscar; far right, Oscar shortly after he was born with the congenital condition arthrogryposis.

ONE STEP AT A TIME INTENSIVE PHYSICAL THERAPY ALLOWS A LITTLE BOY TO where his legs needed the most support and creating bracing options for his OVERCOME A RARE CONDITION. unique needs,” Jen says. Just before An RWJBarnabas Health facility Oscar’s second birthday, Deshefy helped ennifer Fecowycz was only 13 weeks him take his fi rst independent steps. pregnant when she learned her Today, Oscar is a typical 5-year-old Jbaby wasn’t developing normally in were needed to increase the ability of his boy who loves to spend time outside utero. Doctors could see that he wasn’t arms to bend. He had casts on his legs hiking, swimming and throwing rocks bending at his wrists, knees, ankles or from the age of fi ve weeks to six months, into the creek. He also enjoys coloring, elbows, and diagnosed a rare condition which made rolling over a big challenge. building with Legos and playing with called arthrogryposis—a congenital joint Oscar and his therapist Diana trucks, cars and dinosaurs. Oscar contracture (stiff ness) in two or more Deshefy, PT, DPT, PCS, worked on continues to see Deshefy weekly and areas of the body. exercise modifi cations. When the leg interact with all of his friends at CSH. When Jen’s baby, Oscar, was born he casts were removed, Deshefy taught him “My advice for parents going faced a myriad of complications: club how to roll over. Deshefy also served as through a similar situation is to take a feet, hyperextended knees and elbows, a friend and confi dant to Jen and made deep breath, be patient and trust your and wrists that hooked under the wrong sure Oscar's entire care team had the therapists and the process,” Jen says. way. All necessary healthcare services, most up-to-date information on his case. “It can be overwhelming to hear the including surgery and casting, began “When Oscar was born, we were told therapists set goals for three, six and 12 right aft er birth. Th en, when he was just that the only way he’d ever walk would months and worry that your child isn’t six weeks old, he began weekly physical be if we amputated his legs at his knees,” going to hit them. But your therapists therapy sessions at Children’s Specialized says Jen. “Children’s Specialized made work with you and your child, adjusting Hospital (CSH) in Mountainside. sure that was a decision we never had the plan as needed. I’m so grateful to to make.” Because Oscar couldn’t bend Children’s Specialized for all they’ve TRUSTING THE PROCESS his knees, physical therapists began by done for Oscar and our entire family.” Because Oscar couldn’t bend his elbows, having him stand and put pressure on his To learn more about Children’s “tummy time" to strengthen the neck legs. “Th e team at Children’s continued Specialized Hospital, call 888.244.5373 was very diffi cult. Nighttime splints to work with us each week, fi guring out or 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. We 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 conditions. We have convenient locations throughout the state: Bayonne, Clifton, East Brunswick, Egg Harbor Township, Hamilton, Jersey City, Mountainside, New Brunswick, Newark, Toms River and Warren.

Healthy Together | 16 | Winter 2021

System_CSH_Winter21_Final.indd 16 12/9/20 3:28 PM Q&A ASK THE DOCTOR

MORE THAN JUST MEMORY LOSS JOSHUA SHUA-HAIM, MD A GERIATRICIAN EXPLAINS THE SURPRISING SYMPTOMS OF ALZHEIMER’S DISEASE.

ore than 5 million Americans to 75 percent of patients are brought to behavioral symptoms, such as anxiety ages 65 and older are living me because of behavior problems. They and depression. Mwith Alzheimer’s disease, blame people for stealing their jewelry which affects memory, thinking and and hiding the keys to their car. Their What’s the best way to care for behavior, according to the Alzheimer’s caregiver and family might dismiss their someone with Alzheimer’s? Association. Unfortunately, the number memory loss in the beginning stages It depends on the stage of the disease. of cases is expected to nearly triple by of the disease because denial is a very In the mild stage, patients can function 2050. Here, Joshua Shua-Haim, MD, common problem. well at home, especially if they have a a geriatrician at Community Medical spouse or caregiver living with them. Center, explains common symptoms What types of medications are In the moderate stage, patients benefit and how the disease is treated. available to treat Alzheimer’s? from adult day care programs, which There’s no cure yet, but several provide socialization and activities What are the symptoms of medications can help stabilize mental in a safe environment. This also gives Alzheimer’s disease? function for a short time—about six caregivers a much-needed break In the early (mild) stage of the disease, months to a year—in some patients. and time to take care of their own patients may forget names, misplace These drugs regulate neurotransmitters, needs. By the advanced stage, the vast objects, have trouble finding words and chemicals that carry messages between majority of patients require round-the- ask the same questions over and over. nerve cells in the brain. Other clock care and medical treatment in a Later, in the “moderate” stage, memory medications are prescribed to manage nursing home. loss and confusion worsen, and patients may wander or have trouble recognizing family members and friends. They may be less aware of their condition and blame others for hiding things they misplace. They may also appear agitated and aggressive. By the advanced stage of the disease, patients have trouble communicating, walking and sitting and require assistance with personal care.

What might people be surprised to learn about the disease? Memory loss isn’t the only symptom. Up

For a referral to a physician, call 888.724.7123 or visit www.rwjbh.org/doctors.

Healthy Together | PB | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 17

CMC_AlzheimersQ&A_Winter21_Final.indd 17 12/10/20 8:46 AM FIGHTING HUNGER 2020 WAS A RECORD YEAR FOR COMMUNITY MEDICAL CENTER’S ANNUAL FOOD DRIVE, WHICH BENEFITS COMMUNITY MEMBERS IN NEED.

Healthy Together | 18 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 19

CMC_Heroes_Winter21_Final.indd 18 12/10/20 8:48 AM Community Medical Center recently held its 14th Annual Healthcare Harvest and brought mployees of Community Medical school lets out. “A lot of kids don’t have in 17,000 pounds of food and an additional Center (CMC) rely on the access to meals during the summer, so $17,000 in cash and gift cards. E cafeteria for tasty and nourishing we thought it would be a good time to meals. But on August 20, the scenario replenish local food pantries,” he says. was flipped: Employees and medical The coronavirus put this year’s plans staff members brought groceries to on hold, but CMC was determined to Comeback Claret is for the department the cafeteria instead. The occasion was hold the drive. “A lot of people couldn’t that has the biggest increase from the the 14th annual Healthcare Harvest work because of social distancing, so previous year.” Food Drive, which is aimed at helping the community was in need of food,” Then there’s the “Wheel of Wack,” community members in need. he says. “We thought it was more which is awarded to the department Donations were weighed and readied important than ever to hold the drive.” that creates the most festive entrance to for pickup by the People’s Pantry of The decision was made to wait until the cafeteria. “This year, the cardiology Toms River. By day’s end, 17,000 pounds things settled down, then reschedule the department dressed up as a bunch of of food had been collected. In addition, date to late August. nuns and came in singing ‘The Sound of $17,000 in cash and gift cards arrived CMC’s employees and medical Music,’” says Yanisko. courtesy of CMC’s physicians’ group, staff members were ready and eager to food vendors and others—enough to participate. “Everyone tends to look A LABOR OF LOVE buy another 17,000 pounds of food. forward to the event,” says Yanisko. All joking aside, Yanisko and the CMC The food drive is organized by “It’s become part of our culture. As staff members have made great strides Thomas Yanisko, Administrative the date of the drive approaches, each in fighting hunger in the area. “This Director of Hospitality Services at department starts thinking of ways they year, we donated the largest amount CMC. “I always thought that as one of can collect food. Many employees shop of food in the history of the program,” the larger employers in Ocean County, at nearby stores like Costco and Aldi, he says. Since the food drive began, we had an obligation to give back to which boosts our local economy.” staff members have collected more the community,” he says. “Our chefs’ One of the reasons the drive is than 250,000 pounds of food for Ocean FIGHTING association did a lot of work with food so well loved is because of Yanisko’s County residents. banks and feeding areas throughout creativity. “After the first year we The food drive may be a massive the county, and I saw how these collected food, I wanted to make undertaking, but it’s a labor of love for organizations benefited the community. it more fun and festive,” he says. Yanisko. “At the beginning of a drive, I I wanted to try to make a difference for Departments enter into friendly might be pessimistic because I feel like HUNGER people in need in Ocean County.” In rivalries to win one of several awards. we’re underachieving,” he says. “But 2007, he launched the first drive. “There’s the Caring Can trophy, which Community Medical Center employees goes to the department that collects have always exceeded my expectations. THE CHALLENGES OF THE the largest amount of food by weight One of the most exciting parts of the CORONAVIRUS per team member,” says Yanisko. “We drive is seeing our cafeteria at the end Yanisko starts planning each year’s also have the Silver Spatula award of weigh-in day. It’s filled with food that food drive in January, and the event for the department that donates the will be given to those in need within 24 is traditionally held in early June, as largest amount of food by weight. The hours. For me, it’s incredibly satisfying.”

Healthy Together | 18 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 19

CMC_Heroes_Winter21_Final.indd 19 12/10/20 8:48 AM CONVENIENT CARDIAC CARE THANKS TO A NEW OUTPATIENT LOCATION, PATIENTS HAVE

EASIER ACCESS TO VASCULAR TESTING AND TREATMENT. Top: Patrick Ahearn, CEO, Community Medical Center, and team celebrate the opening of the new Cardio Vascular Lab. Bottom: The lab offers state-of-the-art technology to care for patients.

Healthy Together | 20 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 21

CMC_VascularLab_Winter21_Final.indd 20 12/10/20 8:50 AM t Community Medical Center THE POWER OF TEAMWORK (CMC), patients benefit from George Schermond, 75, of Ocean has always been active, even though he has a collaborative approach to A chronic obstructive pulmonary disease, also known as COPD. Several years vascular care. Now they will also benefit ago, he helped his daughter redo her kitchen. But after his wife passed away from a convenient outpatient location at the end of 2017, he noticed he didn’t have the energy he once had. He also for testing and treatment. “Patients noticed he had chest pain and swelling in his ankles. In 2018, he saw his family don’t have to worry about parking at the physician, who referred him to Lynne Einbinder, MD, a cardiologist at Community hospital, registering at the front desk or Medical Center (CMC), for vascular testing, including an ultrasound of his heart. sitting in a hospital waiting room,” says The results showed that he was at risk for a heart attack and needed cardiac Randy Shafritz, MD, RPVI, FACS, a stenting, in which a small, mesh tube is placed inside a narrowed or blocked board-certified vascular and endovascular artery to keep it open and improve blood flow to the heart. Dr. Einbinder referred surgeon and Regional Director of George to her colleague, Haris Usman, MD, an interventional cardiologist at Vascular Services for Community Medical CMC. Three days later, Dr. Usman placed two stents in George’s cardiac arteries. George participated in cardiac rehabilitation and regained his energy, but about a Center (CMC), Monmouth Medical year later he developed an aortic aneurysm, in which there’s a bulge in the aorta, Center and Monmouth Medical Center the large artery that carries blood from the heart through the chest and abdomen. Southern Campus. He is also a member This required another stent. “I feel good now,” he says. “I’m very pleased with my of RWJBarnabas Health Medical Group. care. Dr. Einbinder and Dr. Usman saved my life.” That means patients will be able to receive high-quality care more quickly. “The testing and waiting times will be much shorter,” says Samir Jain, MD, FACC, a blood flow to the extremities is reduced. ENSURING CONTINUITY cardiologist at CMC and a member of Other vascular tests include nuclear OF CARE RWJBarnabas Health Medical Group. stress testing, in which a radioactive At the new vascular lab, cardiologists, The new vascular lab, which is housed substance is injected into the bloodstream a vascular surgeon and an in the Riverwood Building on the CMC and a state-of-the-art camera takes interventional radiologist collaborate campus, offers evaluation, imaging and pictures of the heart while a patient to care for patients with a variety of treatment services under one roof. The exercises. With an echocardiogram, vascular problems, such as peripheral physician offices are located on the ultrasound is used to examine the heart. artery disease, diabetic foot ulcers, second floor, and procedures and imaging Staff members, including the lab’s venous insufficiency, abdominal aortic services are on the first. Patients can technicians, have special training in aneurysms and carotid artery disease. undergo outpatient vascular procedures, vascular ultrasound. Lynne Einbinder, After a patient has an imaging test, such as vein ablation, in which varicose MD, a cardiologist at CMC and a member the physicians develop a treatment veins are closed; phlebectomies, in which of RWJBarnabas Health Medical Group, plan and coordinate his or her care. varicose veins are removed; and removal holds a Registered Physician in Vascular “We confer with each other,” says of catheters. In addition, patients can Interpretation certification, which means Haris Usman, MD, an interventional have sophisticated tests, such as duplex she has advanced training and expertise cardiologist and a member of ultrasound, which is used to evaluate in evaluating these scans. Since the RWJBarnabas Health Medical Group. how well blood moves through arteries physicians and technicians work in the “This streamlines the process of testing and veins, and venous reflux testing, same building, a technician can call one of and treatment.” which determines whether blood flows the physicians into the exam room during The physicians meet on a weekly backward when a person stands or an imaging test if he or she is concerned. basis to discuss challenging cases. sits. The lab also offers screening for “We can provide real-time patient care,” If, for instance, Dr. Einbinder is peripheral artery disease (PAD), in which says Dr. Einbinder. concerned that a patient might be at risk for a heart attack, she can refer the patient to Dr. Usman. (See “The Power of Teamwork.”) The vascular team also refers patients with foot- related problems, such as diabetic foot ulcers, to CMC’s podiatrists. “We ensure continuity of care and long- term follow-up,” says Dr. Einbinder. “We concentrate on improving patient LYNNE EINBINDER, MD SAMIR JAIN, MD, FACC RANDY SHAFRITZ, MD, RPVI, FACS HARIS USMAN, MD outcomes.”

Your heart doesn’t beat just for you. Get it checked. To reach a Community Medical Center cardiovascular specialist, call 888.724.7123 or visit www.rwjbh.org/heart.

Healthy Together | 20 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 21

CMC_VascularLab_Winter21_Final.indd 21 12/10/20 8:50 AM STATE-OF-THE-ART EMERGENCY CARE

A NEW EMERGENCY DEPARTMENT WILL PROVIDE SAFE, HIGH-QUALITY AND EFFICIENT TREATMENT.

hen you visit the Emergency renovation is now complete. “We’re providers were learning about Department (ED), you want committed to becoming the best ED in infection prevention and safety. Wthe right diagnosis—and you the region,” says William Dalsey, MD, The heating and air system has been want to go home as quickly as possible. Chair of the Department of Emergency modified to provide additional areas With that in mind, Community Medical Medicine. Here’s how patients will with negative pressure, which helps to Center (CMC) has redesigned the ED benefit: prevent germs from spreading. “This “from the patient’s • There will be individual rooms with significantly reduces the transmission point of view,” glass walls, which will help reduce of respiratory-borne illnesses like says Neil Bryant, the chance of infection. When the COVID-19,” says Dr. Dalsey. Vice President of renovation is complete, the ED will • The space will be more open. Support Services. have a total of 99 beds. Physicians, nurses and other “The idea is to • The air in the ED will be fi ltered healthcare providers will be assigned bring care to the to protect against infection. In to certain care areas, but they will be patient.” response to the COVID-19 pandemic, able to see patients from anywhere The first phase the hospital’s construction plans were in the ED. “All of the providers will WILLIAM DALSEY, MD of the three-year updated to reflect what healthcare be connected visually, so if a patient

Healthy Together | 22 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 23

CMC_EmergencyDept_Winter21_Final.indd 22 12/10/20 8:52 AM A NEW HELIPAD Critically ill pediatric patients or adults who need heart surgery or neurological intervention or have suffered burns are transported to a tertiary center, such as Robert Wood Johnson University Hospital (RWJUH), Saint Barnabas Medical Center or Newark Beth-Israel Medical Center. Until recently, patients were driven to a helipad in a baseball fi eld near Community Medical Center (CMC). Now they can simply get into an ED elevator and take a ride to the roof of the hospital. There, they will board a helicopter, which will take them to the appropriate facility. It’s a 14- to 15-minute fl ight to RWJUH, which can save a life. “Being able to move people rapidly to other facilities improves our ability to care for the community,” says Neil Bryant, Vice President of Support Services. Likewise, the helipad will allow patients at other facilities to be more easily transported to CMC.

• There will be specialized areas of care for patients. There will be separate areas for critically ill, Left: The new helipad located on the roof of Community Medical Center (CMC) will cut the amount of time it takes for a patient psychiatric and pediatric patients. to be transferred to another hospital. Above: CMC recently “We will have resuscitation areas, opened Phase 1 of its new Emergency Department, which which will allow us to take better includes 35 new private rooms. care of seriously ill patients,” says Dr. Dalsey. needs additional care, they can and one for an ambulance. All of • Sensory rooms will keep the help,” says Bryant. The open space these patients will come to one youngest patients calm. There will encourages teamwork and integration area, improving patient flow and be two sensory rooms, which will of care, says Dr. Dalsey. efficiency, says Bryant. feature lights that change colors • The waiting room won’t be crowded. • Radiology will be located in the to help soothe anxious pediatric The open space will help ensure ED. The hospital has purchased a new patients. efficiency, says Bryant. “People CT machine, digital X-ray machines • There will be a care initiation area. will be triaged and treated, then and ultrasound units. The equipment Providers will take a patient’s vital moved into the results waiting will be located in a convenient area signs, such as blood pressure, and area and discharged,” says Bryant. so patients don’t have to travel far begin care in a special area before “Few patients will be sitting in the for testing. moving him or her to a room. waiting room because there will be continuous patient flow.” • Patients will come to a single To learn more about Community Medical Center, triage area. There are two visit www.rwjbh.org/community. entrances—one for walk-in patients

Healthy Together | 22 | Winter 2021 Community Medical Center | RWJBH.ORG/COMMUNITY 23

CMC_EmergencyDept_Winter21_Final.indd 23 12/10/20 8:52 AM NONPROFIT U.S. POSTAGE PAID Lebanon Junction, KY 99 Highway 37 West, Toms River, NJ 08755 PERMIT #799

With a single sentence, you can impact the future of health care.

By adding as little as one sentence to your will, you can impact the future of Community Medical Center. Designating the medical center as a partial benefi ciary of your estate will help ensure that the next generation has access to extraordinary care, right in their local community.

For simple bequest language or further information, please contact Jennifer Shufran at 732-557-8134 or [email protected]. Information is also available online by visiting cmcgiving.org

CMC_BackCover_Winter21_Final.indd 24 12/10/20 6:53 AM