View this PDF - Meridian Health

healthviews
a health publication from
Arthritis Relief
that Lasts
page 17
A Double Blessing:
NICU Specialists Save
the Lives of Twins
page 6
Save the Date for Our
First Community Day
page 20
Look Inside for Your
Summertime
Safety Guide!
page 24
Jersey Shore University Medical Center
www.JerseyShoreUniversityMedicalCenter.com | July/August 2010
Free e-NeWSLeTTerS
Sign up today!
See page 15.

HV-Peds Neuro7.375x9.875_Layout 1 4/20/10 10:22 AM Page 1
© Meridian Health
• research
& education
• prevention
& wellness
• diagnosis
• treatment
• recovery
• home
Rest easy, advanced neurological care for your child is close to home.
Our philosophy: It’s not just the ability to do a single thing well, but the unique ability to do everything better.
If it’s anything affecting the brain, spinal cord or the nervous system, it’s comforting to know that Meridian Pediatric
Network is home to the finest pediatric neurologists and the area’s only pediatric neurosurgery program. At its
heart is K. Hovnanian Children’s Hospital at Jersey Shore University Medical Center in Neptune through which we
offer Monmouth and Ocean counties’ most complete, most coordinated pediatric services. And across our Network
we give you and your child access to pediatric specialists specifically trained in epilepsy, trauma recovery, brain
tumors, and multiple sclerosis. And our Autism and Child Evaluation Center helps families struggling with an array
of learning, behavioral and developmental disabilities. When it comes to your child’s health,
this is where you want to be.
Taking Care of
New Jersey
Meridian Pediatric Network
K. Hovnanian Children’s Hospital at Jersey Shore University Medical Center
Ocean Medical Center
Riverview Medical Center
Meridian Network of Physicians
Meridian At Home
Meridian Behavioral Health
Meridian Rehabilitation Centers
For a referral to a pediatric neurology specialist, call 1-800-DOCTORS. ® Or visit MeridianHealth.com.

inside this issue
July/August 2010
4-5
• Critical Cardiac Care:
The Heart of Riverview
• High Blood Pressure
Carries Real Risks
6-7
• Hospitals Work Together to
Save the Lives of Infants
• Surviving the NICU —
and After
8
• Coordinated Care Stops
Cardiac Problem Quickly
9
• Athletes: Train Pain-Free with
Help from Our Podiatrists
10
• Coming Back from a
Car Accident
11
• A Grateful Family Puts
Transforming Care Over
the $20 Million Mark
12
• Vitamin D: It Does More
than Build Strong Bones
13
• Grandparents as Babysitters:
Finding a Balance
14
• Should You Participate in
a Clinical Trial?
15
• Ask the Health Experts:
Aspirin Updates
16
• Weight-Loss Surgery
Changes Lives
• Could Weight-Loss Surgery
Save Your Life?
17
• Relieving Ankle Pain
Restores Hope
18
• Our Patient-Centered
Approach Makes MRIs
Seamless and Stress-Free
19
• Daytime Drowsiness May
Signal a Sleep Disorder
20-23
• Calendar of Events
24-26
• Summer Safety Tips from
Our Emergency Experts
• Recipe: Grilled Vegetables
• Word Jumble
On the cover: Eleanor Havanki
loves being outside. But when
her ankle pain became so
intense she could no longer
enjoy her walks, she turned to
the experts at Jersey Shore.
Today she is pain-free. Read
her story on page 17.
3
Meridian HealthViews July/August 2010
John K. Lloyd, FACHE
President,
Meridian Health
A Message to the Community
There’s no doubt summer is a special time at the
Jersey Shore. The area teems with activities for the
whole family. At Meridian, we want to make sure you
all have a safe and fun-filled summer, so we’ve enlisted
the help of a few of our emergency experts to provide
helpful safety tips. You’ll find them on page 24.
While many assume heart disease is mainly a
concern for men, it remains the number one cause of
death for women. To help New Jersey women take good
care of their hearts, we’ve launched Meridian Women’s
Heart Connection. As part of Meridian CardioVascular
Network, Meridian Women’s Heart Connection offers the
resources and support you need to take important steps
toward preventing heart disease, ensuring your heart’s
future health, and raising awareness about the risks you
may face. Turn to page 20 to read about some upcoming
events or visit www.Meridianhealth.com/Womensheart
to learn about the benefits of becoming a member of this
interactive program.
And whether you are trying to conceive, expecting
a new bundle of joy, or just looking for help in
bringing up baby, we are also pleased to introduce
www.MeridianMomtourage.com, your destination for
information on having a healthy pregnancy, with lifestyle
tips for new and veteran moms alike. This new Web site
can help you connect with other moms in your area,
find a physician, and learn about the many childbirth
education classes offered at Meridian. Start your journey
today and become a member of the Meridian Momtourage!
Sincerely,
attention moms and moms-to-be!
Join the Meridian Momtourage to connect with local
women, get health news, research doctors, and more.
Get started at www.meridianmomtourage.com.

iverview Medical center
Critical Cardiac Care: The Heart of Riverview
Chris Morano, 52, grew up in Boston but has called Red Bank home for the past 11 years.
He lives less than four blocks from Riverview Medical Center but had never needed to use its
services — until one chilly December morning in 2009.
Chris Morano is happy and healthy once again, thanks to his quick realization that the chest pain and
shortness of breath he was experiencing was serious. Quick attention from the staff of Riverview Medical
Center — plus cardiac rehab and participation in a clinical trial — helped him get on the mend soon.
4
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS®
A
longtime athlete, Chris is a black
belt in karate, moderately active,
and in good health overall. But he’s
also about 30 pounds overweight, which
caused him to develop high cholesterol
and intermittent high blood pressure.
While working on a home renovation
project on December 15, Chris started
experiencing severe chest pain and
shortness of breath. He tried to collect
himself through meditative deep breathing,
but within minutes an overwhelming
feeling of nausea and vertigo came
over him.
He knew he needed medical attention
and called his friend Paul Harrington. Paul
arrived in minutes and rushed Chris to the
emergency department (ED) at Riverview.
A QuiCk DiAgnOsis
As Chris entered the ED, he immediately
let the medical staff know he was in
cardiac distress. “Before I knew it, I
was whisked away to a treatment room,”
he says. “A swarm of nurses descended
upon me, and within moments they were
performing lifesaving procedures.”
He particularly remembers Jamie
Higgins, R.N., who he says was instrumental
in decreasing his anxiety level by talking
with him and reassuring him that he was in
good hands.
After he was stabilized, Chris was taken
up to Riverview’s recently revitalized
cardiac catheterization lab. Aristotelis
Vlahos, M.D., co-director of the primary
angioplasty program at Riverview,
performed an angioplasty to improve
blood flow to the heart. He placed two
stents in the artery on the left side of
Chris’ heart to keep it open.
There was also a blockage on the right
side of his heart, but opening it at the
same time would have been too risky.
“A delay in fixing the second blockage is
preferred following an unstable event such
as Chris had,” says Dr. Vlahos.

about the doctor
Aristotelis e. Vlahos, M.d.
Board certified in
Internal Medicine,
Interventional Cardiology, and
Cardiovascular Diseases
tinton Falls | 732-741-7400
The left side of Chris’ heart presented
the true emergency, so that procedure
took priority. “We’ve been performing
emergency stent procedures at Riverview
since 2004,” explains Dr. Vlahos. “It’s
the optimal way to treat the type of heart
attack that Chris was having.”
After the successful procedure,
Chris spent three nights in the cardiac
intensive care unit (ICU). While in the
ICU, Chris met Arthur O’Keefe, M.D.,
a clinical cardiologist who guided him
through his recovery.
Much to his delight, Chris was
discharged on December 19, only four
days after being admitted.
Trying A CliniCAl TriAl
After about a month and several follow-up
visits to Dr. Vlahos’ office, Chris decided to
participate in a clinical trial. “The C-port
trial is a study to evaluate the safety of
performing stent procedures at nonsurgical
hospitals,” explains Dr. Vlahos. “The
characteristics of Chris’ second blockage
allowed his participation.”
He was admitted to Riverview on
January 13 to have his second cardiac
HV-RMC_IBD_7.375x2.75-10_Layout 1 4/20/10 10:22 AM Page 1
procedure done at the catheterization lab
as part of the clinical trial.
Upon entering the lab, Chris was glad
to see so many familiar faces. Dr. Vlahos
discussed the procedure with Chris and
what to expect from it. Another stent was
successfully inserted into an artery on
the right side of Chris’ heart, and he was
discharged the following day.
geTTing BACk in shApe
Then it was time to begin cardiac
rehabilitation. “Cardiac rehab gives
patients the structure and motivation they
need to begin a gradual exercise regimen
and teaches them what not to do early
on,” explains Dr. Vlahos.
Chris spent 12 weeks in cardiac rehab
at Riverview. Today he is looking forward to
getting back into karate and finally finishing
the renovation project on his home.
“The heart attack was the most
terrifying event in my life, and through it
I developed a continued faith and trust
in Riverview and its staff,” Chris says. “I
was continually astounded at the cohesive
teamwork of the staff at the hospital, and
I experienced the staff’s commitment to
providing the highest caliber of customer
care and service.” n — Tom Paolella
HigH BlOOD PRESSuRE
CARRiES REAl RiSkS
Whenever you visit your doctor, chances
are, someone wraps a cuff around
your upper arm and checks your blood
pressure. if your blood pressure is high
and you don’t know it, or don’t control
it, you may be at greater risk for heart
attack, heart failure, stroke, kidney
disease, and other serious conditions.
blood pressure tends to rise with age.
in addition, people who are obese, have
medical problems such as diabetes, or
take certain medications are at higher
risk. here’s what you can do to prevent
or control high blood pressure:
• Don’t smoke.
• eat a heart-healthy diet. choose
a variety of foods that are
low in fat and include
lots of fruits, vegetables,
and whole grains.
• Be physically active.
Get at least 30 minutes
of moderate-intensity activity,
such as brisk walking, every day.
• Watch your salt and sodium intake.
aim for no more than 2,400 milligrams,
or about 1 teaspoon, a day.
A Clinical Trial Was Right for Chris
Could it be right for you, too? Turn to page 14 to find out what clinical trials
are all about — and why they might benefit you. Then call the Meridian Health
Office of Clinical Research at 732-776-2953.
The Crohn’s and Colitis Management Center at Riverview
Our Center serves as a comprehensive site for patients with Crohn’s disease and ulcerative colitis.
Here, a team of surgeons, enterostomal therapists, nurses, dietitians, radiologists, pathologists,
pain management specialists, and gastroenterologists strives to collaborate seamlessly with your
health care team to offer:
• Laparoscopic and conventional surgery for ulcerative colitis and Crohn’s disease
• Care of complex anorectal disease
• Nutritional assessment and optimization
• Consultations on pain medication and wound and stoma care
• Second opinions and entry into research trials
Taking Care of
New Jersey
For more information about the Center, please call
1-800-DOCTORS® or visit www.RiverviewMedicalCenter.com/IBD

K. Hovnanian cHildren’s Hospital
at Jersey Shore university Medical center
Hospitals Work Together to Save the Lives of Infants
Twins Kyle and Kaitlyn Braunstein weighed less than 4 pounds each when they were born. Mom Marisa
credits the K. Hovnanian Children’s Hospital team of NICU specialists with their good health today.
6
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
From the time they found out
two embryos had successfully
implanted through in vitro
fertilization, Marisa Braunstein and
her husband, Roger, knew they were
going from one child, Ashtyn, to three
in a hurry.
Based on the positive experience
she had with OB/GYN Marilyn
Loh Collado, M.D., from Riverview
Medical Center, Marisa was comforted
by Dr. Loh Collado and the team of
high-risk specialists from the Perinatal
Institute — and she knew twins would
be an exciting journey.
But in week 27 of her pregnancy, it
became clear it wouldn’t be routine.
Marisa woke up bleeding and went
to Riverview, where she was given
medication to slow her contractions.
She was released but put on bed rest.
A home monitoring system ensured
that vital information — such as
contractions and blood pressure
level — was immediately available
for her check-in calls.
When she was at just 32 weeks,
Marisa went back to the hospital after
“The nurses were so
supportive, and the
doctors were always
available and answered
all our questions.”
Marisa Braunstein
Moms and Moms-to-Be: Join the Meridian Momtourage
Whether you’re thinking of having a baby or you’re a mother of three, it’s nice to have resources
at your fingertips. Meridian Health is pleased to introduce www.MeridianMomtourage.com, a FREE
community connection where you can chat with local moms, find healthy recipes, sign up for
classes, and learn more about our doctors.

about the doctor
Avinash Purohit, M.d.
Board certified in Neonatology
neptune | 732-776-4283
experiencing pain all night. An ultrasound
revealed that her twins needed to be
delivered right away.
She was given a minute to call her
husband, who was nearby making a
surprise new-car purchase to be able
to fit three baby car seats.
An eArly Delivery
The delivery went smoothly, but her
babies — Kyle and Kaitlyn — each
weighed less than 4 pounds. The twins
were stabilized and taken care of at
Riverview under the care of Dr. Loh
Collado and her pediatric colleagues.
Based on additional ongoing pulmonary
and infant management needs, the babies
were then transported to the neonatal
intensive care unit (NICU) at K. Hovnanian
Children’s Hospital at Jersey Shore
University Medical Center.
Marisa stayed at Riverview for four
days, and Kyle and Kaitlyn were never far
from her mind. “The nurses were so nice,
and Dr. Loh Collado is the best, but I just
wanted to get to my babies,” she says. “I
felt guilty not being with them.”
From Riverview, Marisa called the
NICU at Jersey Shore every day. The nurses
gave her updates and explained how
the babies were getting stronger while
in critical care the first week. As soon as
she was released, Marisa headed to Jersey
Shore, where a wheelchair awaited her.
She was taken straight to the NICU.
experT niCu CAre sAves lives
During the month they were in the
NICU, a team of neonatologists and
nurses was involved in the care of
the two babies.
“During this critical juncture, we
monitor the babies, including vital
signs, oxygen saturation, and how
hard babies are working to breathe,”
explains Avinash Purohit, M.D., a board
certified neonatologist at K. Hovnanian
Children’s Hospital. “Kyle needed a
breathing tube to help his lungs function.
Once he was breathing on his own, he
needed a CPAP device to help keep his
airways open and ensure he was getting
enough oxygen.”
“The nurses were so supportive of
me,” says Marisa. “They knew how to
keep me calm. And the doctors were
always available and answered all
our questions.”
In the NICU, Dr. Purohit talked with
Marisa and Roger often and included
the twins in an investigational study to
determine lung maturity.
Kyle was in the NICU four weeks and
Kaitlyn for three. Both were released with
heart and lung monitors, which sound an
alarm when readings do not fall within
normal limits.
FOllOw-up CAre
In July, the babies were taken off the
monitors. Marisa continues to take
Kyle and Kaitlyn to K. Hovnanian
Children’s Hospital on a regular basis,
where they receive physical therapy for
torticollis, or involuntary muscle spasms
in the neck.
They also visit the Infant Apnea
Center, where neonatologists provide
diagnostic testing and clinical followup
evaluation. The babies have received
vaccinations that may help prevent
respiratory syncytial virus, which can
cause a lung infection and can be
serious in premature infants.
By the time they were 10 months
old, Kyle and Kaitlyn each weighed
more than 20 pounds. They will continue
to be seen every month in the Infant
Apnea Center and Infant/Toddler
Assessment Program, where progress
is closely monitored and followup
screenings are performed with
developmental neurologists.
Marisa is confident in the team
at K. Hovnanian Children’s Hospital.
“I don’t think there’s anything they can’t
handle,” she says. “They have a specialist
for everything.” n — Ryan Younger
7
Meridian HealthViews July/August 2010
SuRviving THE niCu —
AnD AFTER
if your little bundle of joy arrives too early
or has health problems, such as low birth
weight, birth defects, or pneumonia, he or
she may spend some time in the neonatal
intensive care unit (nicu). the nicu can
be overwhelming. but you can still be a
mom and bond with your little one.
“ask a doctor or nurse to explain what
everything is and how you can safely
interact with your baby,” says marilyn
loh collado, m.D., of riverview medical
center. You might be able to:
n breast-feed or bottle-feed
n help your baby suck on a pacifier
n Do “kangaroo care” — hold him or
her skin-to-skin
n hold your baby in a tucked position,
to instill security
n touch him or her — a gentle,
massage-like touch is best
n talk or sing to him or her
“babies usually go home from the
nicu when they are gaining weight
consistently, can be fed by mouth, and
can stay warm on their own,” explains
Dr. loh collado. “they may still require
extra care, so ask your doctor about future
tests or treatments your baby might need,
how to give him or her medicine, and
when to get medical help.”
about the doctor
Marilyn Loh Collado, M.d.
Board certified in
Obstetrics/Gynecology
tinton Falls | 732-530-5550
don’t Miss Meridian KidViews
Visit www.Meridianhealth.com/
KidViews or call 1-800-dOCtORs
today to make sure you don’t
miss the next issue
of this FREE quarterly
publication dedicated to
health information for
you and your family.

ocean Medical center
Coordinated Care Stops Cardiac Problem Quickly
No matter the time of year,
Manasquan resident Jack Kane,
47, can be found navigating the
bike trails in Allaire State Park at least three
times a week. Even this past New Year’s
Eve, he and some friends took to the snowy
paths on their mountain bikes for one of
their regular 6- to 10-mile adventures.
But Jack started feeling different during
this ride. First there was pressure in his
chest, which he wrote off as the cold
air hitting his lungs. Then he started to
experience uncomfortable pressure in his
wrist. He decided to break from the group
and head home.
The discomfort came and went over
the next four days. It became especially
bothersome at night, and he eventually
heeded his girlfriend’s requests to get
medical help.
Jack had previously been to Ocean Care
Center, a satellite emergency department
(ED) in Point Pleasant that is run by Ocean
Medical Center. He decided to go there
again for care, and once he arrived and
described his symptoms, he was seen
immediately by Santos Gonzales, M.D.
An electrocardiogram (EKG) was
performed, which shows how electrical
impulses pass through heart muscle.
During a heart attack, damaged heart
muscle prevents the electrical impulse
from passing through. Jack’s EKG did
not show an active heart attack, but the
doctor was still suspicious.
“Jack had elevated blood pressure, arm
pain, and chest pain,” says Dr. Gonzales.
“Because of these symptoms, plus his
about the doctorS
santos O. Gonzales, M.d.
Emergency Medicine
Brick | 732-840-3380
david J. Pinnelas, M.d.
Board certified in Internal Medicine,
Interventional Cardiology, and
Cardiovascular Diseases
Brick | 732-262-4262
A life-threatening heart attack gave cyclist Jack Kane some food for thought. He was already active but
now recognizes the importance of eating right, too. As owner of Harpoon Willy’s in Manasquan, he
brought that increased awareness to the restaurant’s chefs and servers.
family history of heart disease, I knew it
was important to get him to the main ED for
more extensive evaluation and treatment.”
An ambulance transported Jack to
Ocean Medical Center. Shortly after
arriving, Jack’s symptoms intensified.
Dr. Gonzales’ instincts were right. A
second EKG showed life-threatening
damage to Jack’s heart muscle.
Jack was prepared for emergency
angioplasty, a minimally invasive
procedure in which a catheter is inserted
into the artery at the groin and threaded
to the heart. The blocked artery is then
opened with a balloonlike device, and a
stent is inserted to keep the artery open.
Cardiologist David Pinnelas, M.D., spoke
with Jack while performing the procedure,
and in just 81 minutes, Jack was in recovery.
“I was awake the whole time,” recalls Jack.
“It was a painless and amazingly easy
Dine Out and Take In Heart-Healthy Info!
Attend a special lunch or dinner this summer in the name of heart health.
Delicious meal choices are on the menu, sprinkled with valuable heart health
information from a clinical expert. See page 20 for details.
8
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
procedure. As soon as the blockage was
removed, I felt better. If I had been allowed, I
felt well enough to get up and go home.”
“It’s so important to recognize symptoms
and get medical help immediately,” advises
Dr. Pinnelas. “Time lost is damage to the
heart tissue.”
Jack went home a few days later and
was back to mountain biking in two
weeks. He continues to have an active
lifestyle but is now more selective with
food choices to further help his heart.
And as an owner of Harpoon Willy’s
restaurant in Manasquan, Jack has taken
his health awareness one step further.
“We’ve always offered flexibility with our
menu, but we are now more aware of
altering ingredients or cooking styles to
accommodate the health needs of patrons,”
says Jack. “The bottom line is that this can
happen to anybody.” n — Donna Sellmann

Athletes: Train Pain-Free with Help from Our Podiatrists
Leonard Nerbetski isn’t used to
sitting down. The 45-year-old New
Jersey state trooper vigorously trains
to be at the top of his form. But then he
began to experience pain while walking
and running.
“For two years the back of my heel
hurt and I just sucked up the pain,”
says Leonard. “It was especially stiff the
morning after a run.”
Leonard had developed retrocalcaneal
exostosis: a bony growth, or spur, on
the back of his heel. This condition is
commonly found in very active people
as well as overweight individuals: Both
groups tend to put excess strain on the
Achilles tendon, weakening it. The body
tries to regain strength by creating new
bone in and around the tendon.
“Retrocalcaneal exostosis leads to
significant pain at the point where the
Achilles tendon inserts at the heel,”
explains Allen Atheras, DPM, chief of
Podiatric Medicine and Surgery at Ocean
Medical Center. “It causes an inflamed,
thickened, bulbous area on the posterior
heel that is tender to the touch. There is no
quick fix for the condition, but treatment
can control the symptoms.”
Leonard was referred to Dr. Atheras,
an American College of Foot and Ankle
Surgeons fellow and American Board of
Podiatric Surgery diplomate who is known
for his expert treatment of this problem.
Dr. Atheras first focuses on conservative
treatment approaches such as:
Not even a painful bony growth on the back
of his heel could slow down state trooper
Leonard Nerbetski. He’s happy to be running
once again — and pain-free — after a successful
outpatient surgery at Ocean Medical Center.
n Orthotics that reduce the pull on the
Achilles tendon
n Anti-inflammatory medicine
n A reduction in physical activity to allow
the tendon to rest
n Physical therapy
HV_OMC_Imaging_7.375x2.75-09:Layout 1 1/8/09
n
9:26
A one-time
AM Page
corticosteroid
1
injection
Imaging Services Pavilion —
The latest technology in the hands of experts.
If these approaches are not successful,
outpatient surgery may be an option.
This was the case for Leonard. “Some
other therapies were helpful, but only
temporarily. I wanted a long-term
solution,” Leonard explains.
During the surgery, which takes just
60 minutes, Dr. Atheras uses a special
type of incision that minimizes damage to
the tendon while allowing him to remove
the painful growth as well as calcification
inside the tendon.
“The results of the surgery have
been excellent — I have not yet seen a
reoccurrence,” says Dr. Atheras. “However,
it isn’t for everyone. Patients must not put
any weight on the foot for four weeks.
Complete recovery takes several months.”
Leonard had the surgery in November
2009. Today, he’s back to running and
training again. n
Put Your Best Foot Forward
Attend our Kickin’ Grass Boot
Camp on Saturday mornings to
get your weekend off to a healthy
start. See page 22 for details.
about the doctor
Allen Atheras, dPM
Board certified in Podiatric Surgery
Brick | 732-899-0015
TAKING CARE OF
NEW JERSEY
At Ocean Medical Center we constantly look to enhance our services. We have a team of highly trained
and experienced imaging professionals, extended hours for convenience, and advanced technology.
• PET/CT
• 64-Slice CT for faster scan times and cardiac studies
• Open MRI and MRI with specialized coils for breast, prostate, and endorectal exams
• Women’s Imaging Pavilion with the full array of procedures — digital mammography, ultrasound, and bone density
° And a dedicated radiologist who specializes in breast imaging
• State-of-the-art nuclear camera in a newly renovated space
To schedule an appointment call 732.836.4025. For more
information call 732.836.4000 or visit OceanMedicalCenter.com

MERIDIAN SUBACUTE
REHABILITATION AT WALL
Coming Back from a Car Accident
After a devastating car accident, Betty Kaminski was
unable to move or speak. But mere months later, she
walked — unassisted — out of the rehab facility, just in
time for Christmas.
about the doctorS
Lori L. Christensen, M.d.
Board certified in General Surgery
Manasquan | 732-223-3320
Michael dambeck, d.O.
Board certified in Physical Medicine
and Rehabilitation
sea Girt | 732-974-8100
For Bayville residents Betty and Richard Kaminski, taking a leisurely
drive was not out of the norm. But on August 31, 2009, what started
out as a relaxing ride for the couple, married 46 years, turned into a
devastating tragedy.
While traveling in Brick, they were hit head-on by a pickup truck.
Betty, 66, and Richard, 72, were rushed to Jersey Shore University
Medical Center, where Betty spent the next 51 days in the intensive
care unit with severe injuries, including multiple fractures to all her
extremities. Richard did not survive the accident.
Due to the severity of her injuries, Betty was put in a medically
induced coma for a month in order to help her heal. She was not able
to move or speak. “I remember at one point my kids asked me how long
I thought I was at the hospital and I wrote on a board two days,” Betty
recalls. “It really had been a month.”
In October, when she regained her strength, Betty was transferred to
Meridian Subacute Rehabilitation at Wall, a facility that goes beyond
traditional rehab, to start physical therapy. “Injuries as extensive as
Betty’s need constant medical care along with extensive rehab,” says Lori
Christensen, M.D., Betty’s attending physician during rehab. “She needed
to relearn how to walk and perform other simple tasks, but couldn’t do
that in a traditional rehab environment.”
Dianne Martin, director of nursing at the facility, explains, “For the
most part, our patients need a higher level of medical care in addition to
their required rehab needs. We take a team approach, which includes an
attending physician, a physiatrist, a social worker, a nutritionist, and rehab
and nursing staff all working together to get the patient back home.”
Betty’s progress came in baby steps. “Her various fractures didn’t allow
her to put weight on any of her extremities, so she was limited in her
therapy in the beginning,” explains Michael Dambeck, D.O., director of
rehabilitation at Meridian Subacute. “Once she was allowed to put weight
on her legs, she stood up and started to improve on a daily basis.”
As part of her treatment, Betty received both physical and occupational
therapy daily. “She is an amazing woman,” says Dr. Dambeck. “She was
determined to get better and walk out of rehab. In fact, she told us she
would be leaving by Christmas.”
That’s just what she did. On Christmas Eve, Betty walked out of rehab
and into the waiting arms of her family.
Although Betty was able to leave rehab, she still needed to continue
her therapy at home. She chose Meridian At Home for these services.
“I can’t say enough about Meridian,” she says. “Everyone was so caring
and helpful.” n — Robin Krippa
PeRsOnALized CARe deLiVeRed With
LOVinG suPPORt
to learn more about Meridian Subacute rehabilitation at
Wall or our other nursing and rehabilitation locations, call
732-312-1800.
10
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS

FOUNDATION
A Grateful Family Puts transforming Care
Over the $20 Million Mark
When Fiona Gill’s 104-degree
fever wouldn’t break in the
summer of 2007, Sorca and
Robert Gill knew they had to get their
5-year-old daughter to her pediatrician’s
office. What they didn’t know was that
hours later she’d be admitted to the
emergency department at K. Hovnanian
Children’s Hospital at Jersey Shore
University Medical Center — or that today
they’d be involved at such an important
time in the life of the Children’s Hospital.
‘They reAlly CAreD’
Several of the hospital’s skilled pediatric
subspecialists met the family at the ED door,
including pediatric cardiologist Vincent
Zales, M.D., and pediatric infectious disease
specialist Aswine Bal, M.D. Fiona was
diagnosed with Kawasaki disease, a rare
and serious illness that affects the mucous
membranes, lymph nodes, blood vessels,
and, if left untreated, the heart.
Sorca was understandably nervous.
“Everyone worked to make us comfortable,”
she recalls. “They answered my repeated
questions. You could sense they really cared
about what was going on with us.”
Fortunately, Fiona’s treatment was
successful. Today she is a healthy first-grader.
A speCiAl DOnATiOn
As Fiona was finishing up her treatment for
Kawasaki disease, the Gills’ involvement
with Jersey Shore and K. Hovnanian
Children’s Hospital was just beginning.
Later that year, the grateful Gills made a
donation to the hospital’s Transforming Care
expansion project.
Their involvement goes beyond donations.
Today, Sorca serves on the Children’s
Advisory Board, where her experiences as a
mother of three offer a unique perspective.
In May, she cochaired the annual Runway on
the River fashion benefit. “The money raised
from this event goes directly to K. Hovnanian
Children’s Hospital,” she says. “Our ultimate
goal is for the Children’s Hospital to grow
to its maximum potential in the community
and continue to provide the best possible
care for children and their families. With
The Gill family, shown above at Spring Lake, a favorite spot, has been happy to help support K. Hovnanian
Children’s Hospital after Fiona (bottom left) experienced their expert care firsthand. Pictured with Fiona
above are (clockwise from top left): mom Sorca, dad Robert, sister Kiera, and brother Robert.
generous community support, I know we
will get there.”
And in December 2009, Robert’s business
made another very generous donation —
one that nudged the Transforming Care
fund-raising campaign over the $20 million
milestone. “We were preparing a meal for
our family and friends when we heard the
news,” says Robert. “We were thrilled.”
OFFering suppOrT
Even before the pediatric portion of
Transforming Care was in full swing, Robert
noticed the way K. Hovnanian Children’s
Hospital catered to the needs of little ones.
“They had books, movies, and DVD
players,” he says. “They also had the
❯ LEND
A HAND
For more information on how to support K. Hovnanian Children’s
Hospital, please call Jennifer Smith at 732-751-5134.
11
Meridian HealthViews July/August 2010
experience to help Fiona through her first
IV. The nurse gave her a special stuffed
animal she named Saki after Kawasaki
disease. She still has it.”
Sorca adds, “Everyone knows we have
a hospital nearby, but a lot of people
don’t understand how many pediatric
subspecialties we have in our backyard.
We tell everyone we can and hope more
people get involved.”
“The support can come in many ways.”
Robert states. “In addition to fund-raising,
you can give your time or even donate funds
to purchase new toys, books, and movies.
You have no idea how much the little things
can help a sick child feel comfortable until
you’re here and experience it for yourself.” n

& WISE&WELL
Vitamin D: It Does More than
Build strong Bones
You probably already know that
vitamin D helps your body
use calcium and phosphorus.
These minerals keep bones strong.
But recent studies show there’s even
more to the D story.
Vitamin D also does your heart
good. Not getting enough can lead to
high blood pressure, heart disease, and
heart failure, concluded a review in
Circulation. Other research suggests
that adequate blood levels of vitamin D
help prevent colon cancer, other forms
of cancer, and cardiovascular disease.
“This key vitamin also may protect
against diabetes and autoimmune
diseases, such as multiple sclerosis,”
says Kenneth Kronhaus, M.D., a
family medicine physician affiliated
with Ocean Medical Center.
HEAlTH nEwS AnD inFORMATiOn FOR THE ACTivE ADulT
hOw MuCh is enOugh?
Vitamin D is measured in both
micrograms (mcg) and International
Units (IU). One mcg of vitamin D
equals 40 IU. Recommendations for
vitamin D intake are given in IUs.
These recommendations vary by
age. Experts currently recommend
men and women get at least the
following daily vitamin D amounts:
n Ages 51 to 70: 400 IU
n Ages 71 and older: 600 IU
viTAMin D:
FOr grAnDkiDs, TOO
Vitamin D helps keep kids
healthy, too. In fact, the American
Academy of Pediatrics (AAP) recently
doubled the amount of vitamin D
it recommends for infants, children,
12
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
about the doctor
Kenneth e. Kronhaus, M.d.
Board certified in Family Medicine
Brick | 732-458-8000
and adolescents. According to this
expert group, children need 400 IU
of vitamin D per day, beginning in
the first few days of life. Its previous
recommendation, issued in 2003,
called for 200 IU per day.
Why the change? “Americans now
spend 93 percent of their time indoors,
and cloudy skies, clothing, sunscreen,
and even air pollution limit how
much sunlight reaches the skin,” says
Dr. Kronhaus. “According to the AAP,
vitamin D deficiency is turning up in
infants, children, and adolescents, so it
raised the recommendations.”
severAl rOADs leAD TO D
You can get vitamin D from food,
supplements, and the sun. Ten to
15 minutes of sun three times a week
may meet your body’s quota, but
many people require some form of
supplement. Use caution in the sun,
however, as its ultraviolet rays can age
your skin and cause skin cancer.
“Plan to get your daily dose
from food or supplements. Look for
supplements with vitamin D3, not D2,”
recommends Dr. Kronhaus. “Vitamin
D–rich foods include low-fat milk,
cheese, and yogurt; fortified cereals;
and oily fish, such as tuna, wild
salmon, mackerel, and sardines.” n
ARe hORMOnes sAFe?
Find out at a free seminar at
Ocean Medical Center on July 15.
Dr. Kronhaus will discuss the latest
information on these supplements
and will take your questions, too.
See page 22 for more information.

Grandparents as Babysitters: Finding a Balance
There’s no question about it: You
love your children, adore your
grandchildren, and cherish the
strong bond among the three generations
of your family. But what happens when
requests to babysit the grandchildren
impose on your daily routine?
According to some estimates,
almost half of all grandparents
routinely babysit for their grandkids.
“As a grandparent, it’s important to
set clear boundaries when it comes
to babysitting and to communicate
openly and honestly with your adult
children,” says Mary Witkowski, M.D.,
an OB/GYN at Riverview Medical
Center. “It’s OK to let your children
know that, while you love spending
time with your grandkids, you also
have interests and activities that fall
outside of the grandparent role.”
evAluATe whAT yOu CAn —
AnD CAnnOT — DO
With babysitting, there are many
circumstances and arrangements to
consider. Can you help a single parent
by caring for the grandchildren every
weekday from 8:00 a.m. to 6:00 p.m.?
Can you aid an ill parent by taking the
grandchildren overnight? Decide what
you can realistically handle. Set up a
face-to-face conversation with your
adult child to discuss these things. A
sit-down meeting enables you to have
a frank, open discussion about your
child’s babysitting expectations and
needs as well as your own.
Sometimes it’s a good idea to write
down what you can and can’t handle
so that there’s no confusion. Writing
about the doctor
Mary e. Witkowski, M.d.
Board certified in
Obstetrics/Gynecology
holmdel | 732-739-2500
out a schedule keeps everyone on the
same page. Taking care of little ones
can be exhausting — if your babysitting
workload is becoming too much,
acknowledge it. “Avoid bottling up your
feelings,” advises Dr. Witkowski. “Not
being up-front with your adult child
may result in a flood of emotions later.”
BABysiTTing AlTernATives
Plan to offer babysitting alternatives
that work for all members of the
family. For example, offer to take
the grandchildren to the park every
Sunday morning or host a family
dinner every Wednesday night.
seT A gOOD exAMple FOr grAnDkiDs: vOlunTeer!
teach your grandchildren how to give back to their community by
volunteering. Meridian Health has a wide variety of opportunities,
and we would love your help. the hours are flexible, and we provide
training as needed. call 1-800-doCtoRs for more details.
13
Meridian HealthViews July/August 2010
These types of arrangements are
fun for the kids, and they provide the
parents with a much-needed break
during the week.
enjOy yOur grAnDChilDren!
Above all, savor the unique
bond between grandparents and
grandchildren. “Grandparents are an
integral part of their grandchildren’s
lives,” says Dr. Witkowski. “The time you
devote to them is incredibly valuable.”
Honor that special connection with
your grandchildren — but just be sure
to honor your own babysitting comfort
zone, too. n

& WISE&WELL
HEAlTH nEwS AnD inFORMATiOn FOR THE ACTivE ADulT
Should You Participate in a Clinical trial?
Clinical trials are scientific
studies involving patient
volunteers. They are designed
to find better ways to detect, treat,
and prevent diseases. Using these
studies, doctors can develop the best
approaches to manage our most
pressing health problems, such as
heart disease.
The prOs AnD COns
OF pArTiCipATing
Many patients join clinical trials
because they want access to the latest
therapies — often before they are
widely available.
“The greatest benefit to
participating in a trial is the close
monitoring that patients receive
from doctors and nurses,” says
Maurice Weiss, M.D., a board
certified interventional cardiologist
and researcher at Jersey Shore
University Medical Center. “Patients
receive a lot of attention, sometimes
for years after their treatment.”
Another advantage of clinical
trials is that treatment may be
free, says Dr. Weiss. This can be
hugely helpful for patients since
medicines and other treatments
are often expensive.
iF YOu WAnt tO JOin
Are you interested in learning more
about clinical trials at Jersey Shore
University Medical Center, Ocean Medical
Center, and Riverview Medical Center?
Contact the Meridian Health Office of
Clinical Research at 732-776-2953 or
clinicaltrials@meridianhealth.com.
14
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
However, joining a clinical trial
does carry some risk. Patients in
a trial may benefit the same or
more than their peers who choose
traditional treatment, but this is not
always the case. And, like patients
having traditional treatment, those in
a clinical trial may face side effects.
But at Meridian Health, patients can
rest assured that any clinical trial they
enroll in is safe. Safety is monitored by
an Institutional Review Board, which
includes doctors, nurses, pharmacists,
and community members.
OppOrTuniTies FOr
heArT pATienTs
“Heart-related studies are an active
area of research at Jersey Shore,” says
Linda Murphy, R.N., cardiovascular
research coordinator at the Medical
Center. “Since 2002, 275 patients have
enrolled in our heart research studies.”
Doctors have tested treatments
for conditions including acute heart
attacks and congestive heart failure.
In recent years, Jersey Shore has been
involved in research that led to FDA
approval of an anticlotting medicine
used after stent placement for blocked
arteries. The hospital is currently
seeking patients for a related study on
the ideal duration for stent patients to
take anticlotting medicines.
Ultimately, joining a clinical trial
is a personal decision. “It is often
helpful to talk with a physician, family
member, or friend before deciding to
take part in one,” Murphy says. n
about the doctor
Maurice d. Weiss, M.d.
Board certified in Internal Medicine,
Interventional Cardiology, and
Cardiovascular Diseases
neptune | 732-776-8500

Ask the health experts: Aspirin Updates
Q: iT seeMs Aspirin hAs Been
in The news A lOT lATely.
whAT Are iTs DiFFerenT uses?
Aspirin is an anti-inflammatory
A: drug. “It can reduce fever and
relieve pain caused by conditions
including arthritis, strains, and
sprains,” explains Elena Pappas, M.D.,
of Ocean Medical Center.
Dr. Pappas notes that aspirin
may also be prescribed for these
conditions:
n Heart attack. The FDA states that
half a regular-strength aspirin
tablet reduces the risk for death by
up to 23 percent if taken as soon
as a heart attack is suspected, and
continued for 30 days thereafter.
n Recurrent heart attack. People who
have had a heart attack can reduce
their chance for another by taking
aspirin.
n Stroke prevention. Regular aspirin
use can prevent a stroke in people
who have had a transient ischemic
attack — a ministroke.
elena C. Pappas, M.d.
Family Medicine
toms River | 732-551-2003
Q: shOulD i Be TAking
Aspirin TO prOTeCT My
heArT? Are There Any risks?
While doctors sometimes
A: prescribe aspirin to lower
a patient’s risk for heart events,
the United States Preventive
Services Task Force (USPSTF)
recently issued revised guidelines
for the use of aspirin in this way.
A review found that aspirin may
lower the risk for heart attack
in men and stroke in women,
but it also can raise the risk for
stomach bleeding.
“The USPSTF recommends
aspirin use for men ages 45 to 79
to help prevent heart attack and for
women ages 55 to 79 to help prevent
stroke when the benefits exceed
the harms,” says Elaine Bacci, D.O.,
of Riverview Medical Center. “It’s
important that patients discuss the
benefits and harms of aspirin with
their doctors before making any
treatment decisions.”
elaine Bacci, d.O.
Board certified in
Family Medicine
Red Bank | 732-219-7140
Get the Latest Health News Delivered to Your Computer!
Meridian Health is now offering FREE monthly e-newsletters on two hot topic areas: children’s
health and cardiovascular health. They feature tips for maintaining a healthier lifestyle, plus
information on the latest procedures, screenings, and classes at Meridian Health. To sign up
today for Your Health-e Child, Your Health-e Heart, or both of these free e-newsletters, visit
www.Meridianhealth.com/enewsletters.
15
Meridian HealthViews July/August 2010
Q: Aspirin upseTs My
sTOMACh. whAT Are My
OTher OpTiOns FOr relieF?
“There are a lot of pain
A: relievers to choose from,
although aspirin is the one physicians
prescribe to prevent dangerous heart
events,” says Surekha Dwivedi, M.D.,
who is affiliated with Jersey Shore
University Medical Center.
Here are two other popular types:
Acetaminophen: This drug offers
effective relief for pain such as that of
a migraine, cold, or muscle ache. It
can also lower fever. Compared with
aspirin and other anti-inflammatory
drugs, acetaminophen is considered
easier on the stomach. However, Dr.
Dwivedi cautions that it can cause liver
damage in people who consume three
or more alcoholic drinks per day.
Ibuprofen: This drug works like
aspirin but, like acetaminophen, it’s
easier on the stomach. It may offer
better relief than aspirin for menstrual
cramps, toothaches, minor arthritis
pain, and inflammatory injuries, such
as tendonitis. It also lowers fever.
surekha dwivedi, M.d.
Board certified in
Family Medicine
Freehold | 732-625-3166

Jersey sHore University Medical center
Weight-Loss surgery Changes Lives
Shown above in April, three months after having Lap-Band surgery at
Jersey Shore, Sandra Masino-Kalinowski has started down the path to
weight loss.
about the doctor
seth Kipnis, M.d.
Board certified in General Surgery
neptune | 732-775-5005
COulD wEigHT-lOSS SuRgERy
SAvE yOuR liFE?
the benefits of weight-loss surgery go beyond what the eye
can see. if you are obese, surgery to lose weight may be safer
than carrying around those extra pounds
a study by the national institutes of health found that
10 to 15 years after having weight-loss surgery, obese patients
were less likely to develop — and more likely to recover
from — diabetes and other heart disease risk factors.
Weight-loss surgery appears to improve the body’s ability to
control blood sugar levels. it may even reverse type 2 diabetes.
by helping you lose weight, it may also lower your risk for
serious conditions, such as heart disease and stroke.
For the past eight years, weight was an issue for Sandra
Masino-Kalinowski. She tried a variety of diets and exercises —
even hypnosis — but had trouble controlling her appetite. While
still young at 37, Sandra wanted to take control of her health to ensure
she lived many more years. And an echocardiogram from a recent trip
to her cardiologist, Virendra Patel, M.D., who is affiliated with Ocean
Medical Center, revealed that she had high blood pressure.
After much thoughtful consideration and research, she decided in
November 2009 to have Lap-Band ® surgery.
As a nurse in Meridian’s subacute nursing facility in her
hometown of Brick, Sandra knows the complexities of health care,
but she says she was amazed at the ease of getting ready for surgery.
Insurance requirements for Lap-Band guided her through a series of
tests that needed to be performed.
“These tests ensure that surgery is the right approach and that
we can achieve the desired outcome,” says Seth Kipnis, M.D.,
Sandra’s surgeon at Jersey Shore University Medical Center.
She did a sleep apnea study, nutrition consultation, and upper
GI test at Ocean Medical Center to gain clearance. She also
completed a psychological consultation. “In just one month, I
scheduled all these appointments. The office staff made it easy,
and the nurses, doctors, and technicians treated me with great
care,” Sandra explains.
The tests cleared Sandra for surgery, which was scheduled
for January.
“We made four small incisions and placed an inflatable band
around the upper part of the stomach,” explains Dr. Kipnis. “It
restricts how much food can fit in the person’s stomach. There is
also a band connected to a port under the skin. Through this port,
we can inflate or loosen the band as needed to control weight loss
and side effects.”
He adds, “This is the safest form of weight-loss surgery.”
The surgery was a success, and Sandra went home the same day.
Sandra says she was amazed by how little pain there was, though
the two-week liquid diet was a bit challenging. She was back to
work February 8, just two weeks after the surgery.
“I am now eating a third of the amount I used to, and I’m going
to the gym,” she says. “My long-term goal is to lose 80 to 100
pounds.” n — Ryan Younger
When OtheR WeiGht-LOss OPtiOns
hAVen’t WORKed
Jersey Shore University Medical Center might be
able to help. Learn more about weight-loss surgery.
Call 1-800-dOCtORs today.
16
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS

Relieving Ankle Pain Restores Hope
Facing the possibility of ankle pain for the rest of her life, Eleanor Havanki is now looking forward to
her future, thanks to a Jersey Shore surgeon and his innovative total ankle replacement surgery.
Activities that most of us take for
granted — going to the grocery
store, moving from room to room
at home — had become almost unbearable
for Eleanor. “I enjoy walking outside, but
over the last two years, my ankle pain and
arthritis got so severe, it became difficult
to do the simple things in life,” says the
78-year-old Ocean resident.
Her arthritis began after she broke her
left ankle and leg. After a few years of living
in pain and trying cortisone shots, Eleanor
knew something else needed to be done.
She was referred to Aron Green, M.D.,
an orthopedic surgeon at Jersey Shore
University Medical Center, who
recommended total ankle replacement.
“I was really surprised,” says Eleanor. “I
had heard of total hip replacement but
never total ankle replacement.”
Total ankle replacement is a new
technology that has only recently been
approved by the FDA. It is a brand-new
treatment available at Jersey Shore and
may be a good option for people who
want something more functional than an
ankle fusion, which has traditionally been
the gold standard for ankle arthritis.
The righT CAnDiDATe
“Pain is the main problem with arthritis
of any joint,” explains Dr. Green. “Early
on, ankle joint pain may occur only at the
beginning of an activity, but after a while
the pain becomes constant and makes
daily activities difficult.”
That pain can be debilitating, as it
was for Eleanor. Total ankle replacement
might be the next step to living an active,
pain-free life. But it’s a decision to make
after careful consideration.
“This surgery is recommended for
patients older than 50 with ankle arthritis
who have the ability to perform a rigorous
postoperative therapy program,” says
Dr. Green. “Before considering total
ankle replacement, patients should
have completed several months of more
No one should live in pain, but it can be difficult for arthritis sufferers to find relief. Eleanor Havanki’s
ankle arthritis was so bad that she could barely go for walks with her dog, Holly. But a new surgery
restored her to a pain-free life at home with Holly and her cat, Mischief.
conservative treatment, such as cortisone
shots like Eleanor received, physical
therapy, bracing, and activity modification.”
surgery AnD reCOvery
Eleanor had her surgery in April 2009. It took
just two-and-a-half hours and went well.
“After the surgery, I fitted Eleanor with
a protective boot, and we discussed in
more detail the next steps in recovery,” says
Dr. Green. “This plan included the goals for
getting her back to her daily activities.”
After she was discharged, Eleanor
participated in rigorous physical therapy for
about three months. She achieved her goal
of walking without pain in a regular shoe.
Save September 19 for Food, Fitness, and Fun
That’s when Jersey Shore University Medical Center is holding its first
Community Day and 5K Run/Walk! See page 20 for details.
17
Meridian HealthViews July/August 2010
“Today I feel like a new person,” says
Eleanor. “After two years of crying because
of the pain in my ankle, I cannot believe I
am back to everything I was doing before
and completely pain-free. I owe everything
to Dr. Green and his team. They were
simply amazing.” n — Rob Cavanaugh
about the doctor
Aron Green, M.d.
Orthopedic Surgery
Ocean | 732-660-6200

iverview Medical center
Our Patient-Centered Approach Makes MRIs
seamless and stress-Free about the doctor
Mary Ann Kilduff can offer plenty of advice for getting over the fear of an
MRI. Like many patients, she was nervous before her first scan, but, she
says, it was “easy and completely painless.”
If your doctor has recently told you that you need an MRI
(magnetic resonance imaging), you may be wondering what
it is and what happens during one. You may also have a few
concerns about it: How long does it last? Am I going to feel
claustrophobic? Will it hurt?
“I was really nervous before my first MRI,” says Navesink
resident Mary Ann Kilduff, 55, who has had eight MRIs in the past
10 years, many of them at Riverview Medical Center. “But it’s so
easy and completely painless.”
why yOu MighT neeD One
An MRI is a diagnostic procedure, which means doctors use it
to see if something is wrong. It uses a combination of a large
magnet, radio waves, and a computer to produce detailed images
of organs and structures within the body. Doctors can use it to
identify a variety of conditions, from torn ligaments to tumors.
MRI differs from X-rays and computed tomography (CT) scans
because it uses powerful magnets instead of radiation. “MRI is
one of the most useful tests we have,” says Robert Wold, M.D.,
Robert e. Wold, M.d.
Board certified in Radiology
Red Bank | 732-747-1429
18
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
chairman of radiology at Riverview. “It provides us with a lot of
information and can answer many questions.”
whAT hAppens During An Mri
Like Mary Ann, you might feel nervous before your first MRI.
Knowing what to expect may help:
n Because of the strong magnetic field, you will be asked to
remove all jewelry and metal objects before the procedure.
n You will lie comfortably on a table, which will then slide into a
tube-shaped scanner.
n Speakers inside the scanner will enable you to communicate
with the MRI technologists.
n During the scanning process, a clicking noise will sound as the
magnetic field is created and pulses of radio waves are sent
from the scanner.
n You will have several scans done, each taking two to five
minutes. Most MRIs take between 20 and 30 minutes.
why COMe TO riverview?
When you get an MRI done at Riverview’s Diagnostic Imaging
Center, you can count on a seamless experience. “We take a
completely patient-centered approach,” says Eric Steinweiss, a
Riverview MRI technologist.
That approach includes offering several different procedures
within the Center so that patients needing more than one test can
have them done during a single visit.
Eric and his brother Mike both live in New York but choose to
practice at Riverview because of the Center’s focus on the patient.
“We know that when patients come for an MRI, they are often
scared,” adds Mike Steinweiss. “We do everything we can to
make them feel at ease.”
For example, patients can use earplugs or headphones and
music to drown out the noise. “Every time I have an MRI at
Riverview, everyone is so pleasant and reassuring,” Mary Ann
says. It’s why Riverview is always her first choice for MRIs. n
Take a Tour of Riverview from Home
Explore Riverview Medical Center and learn more
about our comprehensive services with this interactive
slide show. Visit www.RiverviewMedicalCenter.com and
click on “Hospital Photo Tour.”

ocean Medical center
daytime drowsiness May Signal a Sleep Disorder
Ten years ago, Brick resident William Kelty was driving a
forklift as part of his job for a major soft drink manufacturer
when he nodded off behind the wheel. Two hundred cases
of soda cans came crashing to the ground. For William, who hadn’t
had a good night’s sleep in months, it was a wake-up call.
He went to his primary care physician, who recommended a
sleep test.
sleep sTuDies CAn pinpOinT prOBleMs
During a sleep test, you spend a night in a private bedroom at
a sleep lab. A sleep technician applies sensors to your skin that
track activity in your heart, lungs, brain, and other areas while you
sleep. A video camera records your movement, and a technician
observes from another room.
Doctors refer patients to sleep labs when they’re concerned
the patient may have a sleep disorder, explains Jeffrey Miskoff,
D.O., a pulmonologist and director of the SleepCare Center at
Ocean Medical Center. Experts at the SleepCare Center diagnose
and treat conditions including insomnia, narcolepsy, restless legs
syndrome — and obstructive sleep apnea (OSA), which is what
William was diagnosed with.
A COMMOn AnD seriOus COnDiTiOn
Left untreated, OSA can increase your risk for heart attack and stroke,
as well as affect your work performance and personal relationships.
With OSA, you stop breathing — sometimes for 10 to
20 seconds or more at a time. This can occur dozens of times
per hour. Patients with OSA often feel excessively tired during
the day and may doze off at inappropriate times, as William did.
“It’s the most common sleep disorder we see,” says Dr. Miskoff.
TreATing sleep DisOrDers suCCessFully
William, now 70, recently underwent another nighttime study at
Ocean’s SleepCare Center.
“We recommend patients have a follow-up sleep test from time
to time, especially if they experience changes with their health,”
says Ocean pulmonologist Eric Costanzo, D.O., whom William
has seen since 2009. “William had had valve replacement surgery
about the doctorS
eric Costanzo, d.O.
Board certified in Internal Medicine and Pulmonology
Ocean | 732-775-9075
Jeffrey A. Miskoff, d.O.
Board certified in Internal Medicine, Sleep Medicine,
Critical Care Medicine, and Pulmonology
Brick | 732-575-1100
19
Meridian HealthViews July/August 2010
William Kelty is sleeping easy once again, thanks to sleep test he had done
at the SleepCare Center at Ocean Medical Center. That test helped his
doctor update the treatment he was receiving for obstructive sleep apnea.
on his heart and his body mass index had increased since his first
sleep test, so we wanted a more current one.”
A follow-up test can help make sure a treatment method is still
working. William had been using a continuous positive airway
pressure, or CPAP, machine, which helps keep the airways open
during sleep.
Following the study, Dr. Costanzo gave William a prescription
for a newer machine that turns on automatically and comes with
a tiny card that monitors how often William uses the machine.
This information can be downloaded for his doctor to see.
“I used to have to wake him up because he would stop
breathing,” says William’s wife, Theresa. “Since getting treated
for his sleep disorder, we both sleep in peace now.” n
Could a sleep study help you?
Do you have problems falling
Find out with our FrEE asleep brochure,
at night and staying awake
during the day?
Putting Your Sleep Problems to Rest.
Do you wake up frequently
Directions
during the night?
call 1-800-doCtoRs today Are you repeatedly tired in the to order
morning, even after a full night’s sleep?
Does your spouse tell you that you
snore, gasp, talk, or thrash around in
your copy today.
you sleep?
If so you may have a sleep disorder.
Over 65 million American adults, more than
one-third of the population, have trouble with their
sleep. To date, more than 100 sleep disorders have
been identified, affecting both sexes and all races
and age groups.
The effects of sleep disorders range from irritating
to life threatening. Sleep disorders can contribute
to high blood pressure, heart disease, and negatively
influence aspects of your personal life like work
performance and relationships. If left untreated,
certain sleep disorders can have harmful effects
on your brain, heart, and lungs.
As serious as some sleep disorders can be,
treatment is available and easily accessible at
Ocean Medical Center, where we offer the latest
technology to effectively study, identify and take
care of a range of sleep-related disorders.
From the North
Take the Garden State Parkway South to Exit 91.
Bear left after toll. Turn right at the light. At next
light turn right onto Burrsville Road. Turn left at next
light onto Jack Martin Boulevard. Ocean Medical
Center is approximately 1/2 mile on your right.
From the South
Take the Garden State Parkway North to Exit 90.
At the light, make a jug handle and turn left at the
same light. Go to the second traffic light and make
a right onto Route 88 East. At the next light, turn
left onto Jack Martin Boulevard. Pass first light
Ocean Medical Center is on the right.
East and West:
Easily accessible from Rte. 70 and Rte. 88.
If you would like to schedule a consultation, please
call us today: 800.753.3779 and ask to be referred
to Ocean Medical Center.
425 Jack Martin Blvd.
Brick, NJ 08724
OceanMedicalCenter.com
02.10-3M CS-IP
SLEEP CENTER
Putting your
sleeping problems to rest

CALENDAR of EVENTS
Community health events from Meridian health
Call 1-800-DOCTORS (1-800-362-8677) to register. Or register online at www.MeridianHealth.com.
All classes are FREE unless otherwise noted.
Meridian Women’s Heart
Connection
WALK YOUR WAY TO BETTER
HEART HEALTH
Join experts from Meridian Women’s
Heart Connection for an invigorating
educational program. The program
will start with a 30-minute walk, followed
by a discussion about heart-healthy
Jersey-fresh foods. Fresh fruit will
be provided.
July 10
8:30 – 10:00 a.m.
The Cooper Environmental Center
at Cattus Island County Park
Toms River
July 31
8:30 – 10:00 a.m.
Asbury Park Boardwalk and
Berkeley Oceanfront Hotel, Oval Ballroom
August 14
8:30 – 10:00 a.m.
The Program Building at
Huber Woods Park & Lodge
Middletown
July And August 2010
FESTIVAL OF LIFE
COMMUNITY DAY AND 5K RUN/WALK
September 19
5K: 10:00 a.m.
Kids’ races: 11:00 a.m.
Community Day activities: 11:00 a.m. – 2:00 p.m.
Join us at Jersey Shore University Medical Center’s inaugural
Community Day and 5K Run/Walk! Come with your family
and enjoy kids’ races, games, an inflatable play area, a children’s
health fair, food, music, and more.
A 5K run/walk through Neptune will kick off the day. Go
to www.JerseyShoreUniversityMedicalCenter.com/5krace to
register. Prizes will be awarded in several categories, and the kids’
races will be set by age groups. The first 200 to register for the 5K
will receive a long-sleeved T-shirt. All children who participate
in the races will receive a medal.
DINE OUT AND TAKE IN HEART-HEALTHY INFO!
Whether you prefer a lunch out with the gals
or dinner with family or friends, these two
events will delight the taste buds and stimulate
your heart knowledge. A physician will join
guests at Tuscany Restaurant & Bar for a
casual, intimate discussion about heart health.
Lunch is $15 per person (includes soup, choice
of entrée, dessert, and soda). Dinner is $26
per person (includes soup or salad, choice of
entrée, dessert, and coffee, tea, or soda). Cost
includes meal, tax, and gratuity. Reservations
required. Please call 1-800-DOCTORS.
20
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
Ladies Luncheon
July 20
12:30 p.m.
An Evening Out for Dinner
August 10
5:30 p.m.
Tuscany Restaurant & Bar
1490 Route 88 West
Brick

SERVICES | EVENTS | LECTURES | SCREENINGS | 1-800-DOCTORS
CANCER PROGRAMS
Life Fitness Fights Fatigue
This group exercise class helps cancer patients
maintain strength and cardiovascular endurance,
which may decrease nausea and fatigue. Call
732-836-4007 to register.
Meridian Life Fitness (Brick)
MERIDIAN CARDIOVASCULAR
NETWORK
Mended Hearts Support Group
A support group for those living with heart
disease or recovering from surgery. Call for
dates, times, and locations.
CHILDBIRTH/MATERNITY
Childbirth Education Series
Meridian Health offers classes and seminars
for first-time and experienced parents, as
well as tours, classes for siblings, and more!
Registration required. Please register before
your third trimester. To learn more about our
fun and informative classes like Daddy Boot
Camp, visit www.MeridianMomtourage.com.
Prenatal and Postnatal Yoga
Learn gentle postures and breathing
techniques to prepare for childbirth or recover
afterward. Call 732-295-1778 to register.
Meridian Life Fitness (Point Pleasant)
COUNSELING AND
BEHAVIORAL HEALTH
ADULT PROGRAMS
Addiction Recovery Services
For adult family members of addicted
individuals. Call for information.
Freshstart Smoking Cessation
This American Cancer Society program
includes four one-hour sessions to help you
quit. Registration required. Call for dates
and times.
CHILDREN’S PROGRAMS
Children’s Art Therapy
Meridian Behavioral Health offers art
therapy for children ages 4½ to 13 who
have experienced a loss or are dealing with
a chronically or terminally ill loved one.
Registration required. Call 732-530-2382.
Children’s Group Counseling
Meridian Behavioral Health offers intensive
therapy in age-specific groups for children
facing emotional or behavioral difficulties.
Call 732-869-2790, ext. 2, for registration,
schedules, and fees.
DIABETES PROGRAMS
Comprehensive Diabetes Management
Meridian offers educational and support
programs on an individual or group basis for
people with diabetes. Call the Meridian Center
for Diabetes Management at 732-530-2555
to learn more.
ORTHOPEDICS AND
SPORTS MEDICINE
Preoperative Orthopedic
Surgery Session
This session provides an overview of what
to expect from your hospital stay and recovery.
Registration required. Call for dates, times,
and locations.
MERIDIAN PEDIATRIC NETWORK
2010 Christie Rampone and
K. Hovnanian Children’s Hospital
Girls Soccer Camp
Several of soccer’s most elite players, with the
region’s leading children’s hospital, are again
offering an exciting opportunity for players of
different ages and skill levels to sharpen their
edge on the field and learn the importance of
an active, healthy lifestyle. This year’s camp
includes two two-week programs for girls in
AnY PROGRAM may be canceled as late as an hour before the program’s start time if there are severe weather conditions. Please call
1-800-dOCtORs (1-800-362-8677) or the hospital’s information desk (after 5:00 p.m. and on weekends) for confirmation.
21
Meridian HealthViews July/August 2010
grades 2 to 8, and a one-week high school
preseason training camp. Each camp is $199
and will run from 5:00 to 8:00 p.m. every day
at Sunshine Village Park Fields in Neptune. To
register or for more information, please visit
www.KHovnanianChildrensHospital.com/
christieramponecamp.
• July 5, 6, 8, and 9, grades 2 to 8:
Campers receive a free ticket to the
Sky Blue FC vs. Saint Louis Athletica
game on July 7 at Rutgers University.
• July 19 – 22, grades 2 to 8:
Position-specific camp
• August 2 – 5:
High school preseason training
Move 4 Life:
A Fitness Program for Kids
This five-week series for elementary-schoolage
children promotes healthy weight loss
and an active lifestyle. Call 732-836-4007
to register.
Meridian Life Fitness (Brick)
Pediatric Preoperative Tour
This tour runs every Tuesday and helps
children ages 1 to 12 prepare for a stay
at K. Hovnanian Children’s Hospital.
Registration required.
SafeSitter ®
This program teaches 11- to 13-year-olds
babysitting basics, such as safety and behavior
management. Everyone receives a student
manual. Fee: $50. Registration required.
Call for dates, times, and locations.
SCREENINGS
Meridian Health offers free screenings
year-round for blood pressure, cholesterol,
BMI, bone density, stroke risk, and more.
Registration required. Call for dates, times,
and locations.

MERIDIAN HEALTH | JulY anD auGuSt 2010 | CALENDAR OF EVENTS
Meridian health–sponsored events are free unless noted
otherwise. Please register to reserve a space as classes and
seminars can fill up quickly. To register for any event or for
more information, please call 1-800-dOCtORs (1-800-
362-8677). Register online at www.Meridianhealth.com.
Free Health Screenings
Join us at Ocean Care Center in Point Pleasant to
take advantage of heart and health screenings for
blood pressure, cholesterol, and bone density.
July 20
4:00 – 7:00 p.m.
Ocean Care Center
Routes 88 and 35 South, Point Pleasant
SENIOR PROGRAMS
Advance Directives and Living Wills
Join a social worker from Meridian At Home’s
Hospice program for a discussion on advance
directives and living wills. Learn what they are,
whether you or your family members should
have one, and how to access them.
July 19
10:00 – 11:30 a.m.
Riverview Medical Center
Blaisdell Auditorium
July 26
10:00 – 11:30 a.m.
Jersey Shore
University Medical Center
Rooms B104 – 105
August 3
10:00 – 11:30 a.m.
Ocean Medical Center
East Wing Conference Room A
AARP Defensive Driving
This two-day classroom presentation can reduce
your car insurance costs! Fee: $12 for AARP
members; $14 for nonmembers. Registration
required. Call for dates, times, and locations.
Exercise Programs from the Arthritis
Foundation and Meridian Life Fitness
Meridian Life Fitness in Point Pleasant offers
these Arthritis Foundation programs. Dates
and times vary. Call 732-295-1778 for more
information.
• Aquatic Program — Warm-water exercises
help reduce pain and stiffness and increase
range of motion.
• Tai Chi — This class uses higher stances,
making it easy and comfortable to learn.
Ocean County Cholesterol and
Blood Pressure Screenings for
Low-Income Seniors
The Ocean County Board of Chosen
Freeholders gave Ocean Medical Center a
grant to perform annual cholesterol and
glucose screenings for qualified residents of
Ocean County ages 60 and older. Registration
required. Call for dates and locations.
WELLNESS, NUTRITION,
AND FITNESS
Hormones and Anti-Aging
Can hormones impact the aging process? Are
they safe to use? Will they really work? Join
Kenneth Kronhaus, M.D., as he discusses the
latest information on these supplements and
answers many of your questions and concerns.
July 15
7:00 – 8:00 p.m.
Ocean Medical Center
Community Room
Better Health Now and for Life
Would you like to look younger and feel
better? Learn how functional medicine and
lifestyle education can improve your life and
help fight chronic disease and fatigue with
Lori Christensen, M.D. Regain your vitality
and energy now!
July 22
6:00 – 7:00 p.m.
Ocean Medical Center
Community Room
Health Information on the Internet:
The Good, the Bad, and the
Don’t Go There
A librarian from Jersey Shore University Medical
Center’s award-winning Booker Health Sciences
Library will present a program on how to find
reliable and credible health information on the
Internet. Learn how you can become a health
information sleuth.
22
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
August 2
10:00 – 11:30 a.m.
Riverview Medical Center
Blaisdell Auditorium
August 9
10:00 – 11:30 a.m.
Jersey Shore
University Medical Center
Rooms B104 – 105
August 16
10:00 – 11:30 a.m.
Ocean Medical Center
Conference Room A
CPR Training
All Meridian hospitals are American Heart
Association CPR Training Centers. Call for
dates, times, locations, and classes offered.
Express Yourself —
Group Speech Therapy
If you suffered a head injury or stroke and
have completed speech therapy, use this class
to continue working on your communication
skills. Held once a month for six months. For
pricing and registration, call Meridian Life
Fitness at 732-836-4007.
Kickin’ Grass Boot Camp
This fun and unique total body conditioning class
provides a challenge to exercisers at all levels.
Classes held Saturday mornings outside at Ocean
Medical Center from May 29 through September 4.
Call 732-836-4007 for times, location, and fees.
Lose for Life
Lose weight while still enjoying food. Call
Meridian Life Fitness for fees and to register.
• 732-295-1778 (Point Pleasant)
• 732-836-4007 (Brick)
Medical Weight-Loss Program
Work with a health care team to achieve your
weight-loss goals. Call Meridian Life Fitness at
732-295-1778 for more information.

SERVICES | EVENTS | LECTURES | SCREENINGS | 1-800-DOCTORS
Meet with a Wellness Advisor
Learn how medical fitness membership or
wellness coaching can help you stay motivated
and manage conditions such as diabetes,
cardiovascular disease, osteoporosis, and
fibromyalgia. Call Meridian Life Fitness.
• 732-295-1778 (Point Pleasant)
• 732-836-4007 (Brick)
Nutrition Counseling
Consult a registered dietician to design a food
plan that meets your weight-management
and medical nutrition needs. Call Riverview
Medical Center at 732-530-2555 or Meridian
Life Fitness at 732-295-1778 to register.
Parkinson’s Life Enrichment
This program helps people with Parkinson’s
disease improve flexibility, balance, and strength.
Call Meridian Life Fitness for fees and to register.
• 732-295-1778 (Point Pleasant)
• 732-836-4007 (Brick)
Therapeutic Yoga
If you’re living with chronic disease or cancer, try
this form of yoga to improve sleep, mood, and
quality of life. Call 732-295-1778 to register.
Meridian Life Fitness (Point Pleasant)
Yoga on the Green
Start your day with this one-hour yoga class,
May 29 through September 4. Classes are held
Saturday mornings outside at Ocean Medical
Center. Call 732-836-4007 for times, location,
and fees.
MERIDIAN PROGRAMS AND
SERVICES
Booker Health Sciences Library
Home Delivery
The Booker Health Sciences Library at
Jersey Shore University Medical Center accepts
requests from anyone looking to learn more
about a medical topic, disease, or condition.
The library sends a packet of reliable information
to you at no cost. Contact the library by:
• Phone: 732-776-4265
• Fax: 732-776-4530
• E-mail: jsumclibrary@meridianhealth.com
Clinical Trials
Choosing to participate in a clinical trial is
an important personal decision. For more
information about clinical trials at Meridian,
please see the information below or visit
www.MeridianHealth.com:
• Jersey Shore University Medical Center: Contact
the Office of Clinical Affairs at 732-776-2952.
• Ocean Medical Center: Contact the Office of
Clinical Research at 732-836-4190.
• Riverview Medical Center: Contact the
Clinical Trials Coordinator at 732-530-2382.
Infectious Disease Clinic
Exams, testing, and treatment of sexually
transmitted and other infectious diseases are
available at this clinic, located at Jersey Shore
University Medical Center. Call 732-774-0151
to schedule a free, confidential appointment.
Speaking Engagements
Meridian Health is happy to arrange custom
health education programs to meet the needs
of your community group, organization, or
school. Call 732-751-7590 to learn more.
Support Groups
Meridian offers support groups for bereavement,
anorexia and bulimia, cancer, Alzheimer’s disease,
stroke, Parkinson’s disease, sleep disorders, celiac
disease, and more. For information, dates, and
times, please call 1-800-DOCTORS or visit
www.MeridianHealth.com for a complete list.
Volunteer Opportunities
Meridian Health welcomes enthusiastic
volunteers at all our hospitals and facilities.
Flexible hours and a variety of positions
23
Meridian HealthViews July/August 2010
are available. Training is required for some
volunteer positions. Registration is required.
Call today to learn more.
What to Expect Before and
After Surgery
In this class you will review the expectations
of the postoperative phase, with an emphasis
on women’s health. Registration required.
Manage Your Health with
the Click of a Mouse
Visit www.MyMeridianHealth.com
to find tools to help you better
manage your health. This health
portal includes a personal health
record, a drug reference library,
access to health information,
and the ability to find a Meridian
physician, search upcoming
classes, preregister for a Meridian
service, and even pay a bill.
My Personal Health Record, powered
by www.NoMoreClipboard.com, is
an easy and secure way to manage
medication, surgery, allergy, and
insurance information for everyone
you care for — including your kids
and aging parents. Before a medical
appointment, simply print out a
copy to share with your physician.
Important documents like living
wills can even be scanned and stored
here so that they are available to
family members.
Visit www.MyMeridianHealth.com
today and become a more active
participant in your own health care.
AnY PROGRAM may be canceled as late as an hour before the program’s start time if there are severe weather conditions. Please call
1-800-dOCtORs (1-800-362-8677) or the hospital’s information desk (after 5:00 p.m. and on weekends) for confirmation.

keep your water Baby Safe
MERIDIAN HEALTH
summer safety tips from Our emergency experts
Summer is the time to make memories of sunshine, walks along the Shore, and dips in the ocean
to get you through those cold winter months. All of us here at Meridian want to make sure your
memories don’t include going to the emergency department. we’ve enlisted the help of some of
our trauma and emergency experts to give you tips for a safe, happy, and healthy season.
summer fun activity: Splish, splash — as summer heats up, cool
pools and beautiful beaches beckon. In fact, nine of 10 families
with small children will enjoy aquatic activities this summer.
hidden dangers: Some less-happy statistics: One in four
adults knows someone who has drowned, and more than
a quarter of fatal drowning victims are children. Other
swimming risks include brain and spinal cord injuries from
diving into shallow water.
emergency warning signs: “Call for help if you can’t get a child
out of the water alone,” says Matthew MacCarrick, M.D., a
pediatric critical care specialist at K. Hovnanian Children’s
Hospital at Jersey Shore University Medical Center. “If he or
she has stopped breathing, administer rescue breathing or
CPR if you’re trained.”
Watch for the following signs of near drowning:
• Chest pain or difficulty breathing
• Confusion
Unparalleled ED Care
Matthew MacCarrick, M.d.
Board certified in Pediatrics
neptune | 732-776-4267
24
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
• Cough with pink, frothy mucus
• Bluish skin on the face
“Even if the child revives quickly, call 911,” Dr. MacCarrick adds.
“Lung problems and other complications may still have occurred.”
safety secrets: Never let children swim alone. Stay within reach
at all times. Don’t use toys such as water wings in place of life
jackets. Allow diving only in designated areas, where the depth
of the water is known.
Another tip from Dr. MacCarrick: “Learn CPR and consider
enrolling your child in formal swimming classes, even as
early as 1 year old. But never forget that close supervision is
necessary whenever children have access to water.”
If you or a loved one does get injured, Meridian Health offers the best emergency and trauma care in the area.
The doors never close at our EDs, and, for the most serious cases, Jersey Shore University Medical Center’s level 2
trauma center — the only one in the region — serves all adults and children.

Stay Cool to Beat Heat illness
summer fun activity: Hiking, biking, jogging — anything to be
in the great outdoors.
hidden dangers: If the temperature is higher than 70 degrees
and the humidity more than 70 percent, your body’s cooling
system doesn’t work as well, which puts you at risk for
dehydration, heat exhaustion, and heatstroke.
emergency warning signs: “Stomach, arm, and leg cramps are
often the first sign of heat illness, followed by thirst, fatigue, and
weakness,” says James Marlys, M.D., of Ocean Medical Center.
“Stop your activity, drink water, and move to the shade to gently
stretch. If you don’t feel better within 30 minutes, call your doctor.”
Seek immediate help if you or a family member has the
following symptoms:
• Skin that’s hot and dry, but not sweating
• Confusion
• Fainting
• Vomiting
• Trouble breathing
safety secrets: “Drink plenty of fluids before, during, and after
outdoor exercise,” says Dr. Marlys. “And avoid caffeine, which
contributes to dehydration.”
Also, wear loose-fitting, light-colored clothing and schedule
outdoor activities for early morning or after sunset.
James P. Marlys, M.d.
Board certified in Internal Medicine
Point Pleasant | 732-892-2114
MERIDIAN HEALTH
25
Meridian HealthViews July/August 2010
Sail Out of Harm’s way
summer fun activity: Whether it’s a motorboat, sailboat, or canoe,
there’s nothing like hitting the open water in your own vessel.
hidden dangers: The U.S. Coast Guard reported nearly 5,000
boating accidents and more than 700 deaths in 2008 alone.
Most of these victims drowned. Carbon monoxide from a
boat’s engine, generator, or space heater also poses a risk.
emergency warning signs: “Like children, adults who nearly
drowned should probably be brought to the emergency
department right away,” says Howard Rubinstein, M.D.,
of Riverview Medical Center. “Brain damage and other
neurological problems may have occurred.”
Also, seek emergency help if you or someone on your boat
has these signs of carbon monoxide poisoning:
• Headache
• Nausea
• Weakness
• Irritated eyes
safety secrets: Learn proper boating skills. “Human error causes
most accidents,” says Dr. Rubinstein. “Avoid alcohol; it contributes
to one in five boating deaths. And always wear a life jacket.”
To reduce the dangers of carbon monoxide, know the
sources of carbon monoxide on your boat and be sure
they’re well-ventilated.
howard A. Rubinstein, M.d.
Board certified in Emergency Medicine and
Internal Medicine
Red Bank | 732-530-2551
continued on next page

continued from page 25
Fire up the grill — Safely
summer fun activity: What’s a summer
weekend without a picnic, barbecue, or
campfire dinner?
hidden dangers: Every year, nearly 5,000
Americans hurt themselves in fires started
by charcoal, wood, or propane grills. And
bacteria are often unwanted guests at outdoor
meals, causing food-borne illness.
emergency warning signs: If a burn is the
size of your palm or larger, charred, white,
or numb, call 911.
John Vitali, M.d.
Board certified in Internal Medicine
sea Girt | 732-974-1980
O L D O B R E P R E S U S A LT O N A N E
MERIDIAN HEALTH
D R O P A I T T I S A N I C C I L L I R L A T
PRIANIS A T H E K E T R O S
“Signs of food-related illness often
resemble the flu,” says John Vitali, M.D.,
an internist affiliated with Jersey Shore
University Medical Center. “Increasing fluid
intake often brings relief.”
But get help if you have diarrhea and:
• Blood in the stool
• Confusion
• A fever higher than 101.5 degrees
safety secrets: To prevent fires, Dr. Vitali
offers these tips: “Don’t overfill a grill’s propane
tank. Don’t pour lighter fluid on already-lit
charcoal. And after your food is cooked, douse
hot coals in water until embers are extinguished.”
Beat bacteria by keeping hot foods hot and
cold foods cold. Wash your hands often and
don’t use the same plates and utensils for raw
and cooked dishes.
stAY tuned
Look for the solution to this issue’s Word Jumble in the next issue of HealthViews!
26
Meridian Health | www.MeridianHealth.com | 1-800-DOCTORS
Grilled
VeGetableS
add some color to your next
cookout with this flavorful
array of grilled veggies. and
don’t forget to follow the
safety tips to the left!
INGREDIENTS
2 tbsp. vegetable oil
2 cloves garlic, finely chopped
3 sweet potatoes, cut into
1-inch slices
3 cobs of corn, cut into
2-inch sections
1 eggplant, cut into
½-inch slices
12 green onions, trimmed
DIRECTIONS
mix oil and garlic in a large
bowl. add vegetables and
toss. place vegetables on
broiler pan or grill. cook
10 minutes, turning twice,
until vegetables are tender.
place vegetables on a
platter. Serve.
Serves six.
Each serving provides:
calories 190, total fat 6 g
(Saturated fat 1 g), cholesterol
0 mg, Sodium 55 mg, total
carbohydrate 34 g, Dietary fiber
8 g, Sugars 8 g, protein 5 g
word jumble
How many of the health-related words below do you know? (Hint: You can find them all in this issue of HealthViews!)
Solution to laSt
iSSue’S word jumble
BREAST CONFERENCE MIGRAINE
SHIN SPLINTS DIVERTICULITIS
HEADACHE EPILEPSY

HV-JSUMC-FestivalAd-10_Layout 1 4/30/10 1:50 PM Page 1
Registration Form
Sunday, September 19, 2010
Location: Jersey Shore University Medical Center
Race Day Registration and Check in: 8:30 a.m.
5k Start Time: 10:00 a.m.
Kids’ races: 11:00 a.m.
Join us from 11:00 a.m. – 2:00 p.m.
Awards, food, games, health screenings,
children’s health fair, and more.
Register online at
www.JerseyShoreUniversityMedicalCenter.com/5krace
First 200 registrants receive a long sleeved t-shirt. Before September 3, 2010, race fee is $20 and $25 after. Kids races are free
and everyone wins a medal. Proceeds to Benefit Jersey Shore University Medical Center and K. Hovnanian Children’s Hospital
First Name: __________________________________________________ Last Name: __________________________________________
Address: ________________________________________________________________________________________________________
City: ____________________________________________________ State: ______________ Zip: ____________________________________________
Phone: __________________________________________________ Age on Race Day: __________________________________________
E-mail: __________________________________________________________________________________________________________
Male Female Neptune Resident Meridian Health Team Member Shirt Size: S M L XL (Please circle one)
Waiver/Release: In consideration of this entry being accepted, I hereby for myself, heirs, executors, & administrators waive and release any claims I may have
against Jersey Shore University Medical Center, the event organizers, volunteers, sponsors and (or) any representatives involved in the 5k Run/Walk for any and
all injuries suffered by me. I certify that I am physically able to compete in this event.
Signature: __________________________________________________________Date: ______________________________________________________
Parent/Guardian Signature (if under 18): ________________________________Date: ______________________________________________________
For information e-mail JSUMCrace@meridianhealth.com.
Make checks payable to:
Jersey Shore University Medical Center
Att. Jersey Shore University Medical Center 5k
Mail:
Jersey Shore University Medical Center
Community Day/5K
PO Box 923
Neptune, NJ 07753
!
Taking Care of
New Jersey

1945 Route 33
Neptune, NJ 07753
Steven G. Littleson, FACHE
President
1945 Route 33
Neptune, NJ 07753
Steven G. Littleson, FACHE
President
One Riverview Plaza
Red Bank, NJ 07701
Timothy J. Hogan, FACHE
President
425 Jack Martin Blvd.
Brick, NJ 08724
W. Peter Daniels, FACHE
President
This free bimonthly magazine
is prepared by the Marketing
and Communications Team of
Meridian Health. Please call
732-751-7530 with any questions
or comments. Inquiries or ideas
can also be addressed in writing to:
Gabriella Heizler
Meridian Health
1350 Campus Parkway
Neptune, NJ 07753
Peter Wegener, Esq., Chairman
John K. Lloyd, FACHE, President
Chrisie Scott, Vice President
Communications and Marketing
Elliot Frank, M.D., Medical Advisor
Photography: Chris Gahler, Russ Seuffert,
and Tom VanDyke
© 2010 Meridian Health
The material provided in this newsletter
is intended to be used as general
information only and should not replace
the advice of your physician. Always
consult your physician for individual care.
printed on recyclable paper 6116m-c
Visit us on the Web at www.MeridianHealth.com.
www.JerseyShoreUniversityMedicalCenter.com
HV_JSUMC_Heart_7.375x9.875-09:Layout 1 1/12/09 2:14 PM Page 1
TAKING CARE OF
NEW JERSEY
Leaders in Heart.
Experience that sets us apart
• Jersey Shore cardiologists have developed
one of the busiest cardiac catheterization labs
in the New York Metropolitan area.
• Interventional cardiologists perform more
than 10 times the number of angioplasties
and stents than all other hospitals in
Monmouth and Ocean counties combined.
• Cardiac surgeons are recognized for high
quality outcomes that rival the best in the
country, performing open heart surgery and
other complex aortic and valve surgeries.
• Sub-specialists in electrophysiology provide
the most comprehensive treatment options
for complex heart rhythm disorders.
• Clinicians, who are also researchers,
participate in numerous clinical trials.
With nearly 100 cardiologists, there is simply
no other hospital in the region with this level
of expertise in treating heart disease. This is
important since heart disease is the leading
cause of death in men and women.
To find a cardiologist please
call us at or visit
JerseyShoreUniversityMedicalCenter.com.
non-profit org.
u.S. postage
paiD
meridian
health