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May/JUNe 2013 - Jersey Shore Medical Center

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healthviews<br />

<strong>May</strong>/June <strong>2013</strong><br />

a health publication from <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Battling a Brain<br />

Tumor Takes<br />

Teamwork<br />

Woman Helps Fight<br />

Breast Cancer<br />

Keep High<br />

Cholesterol at Bay<br />

Restoring a Young<br />

Patient’s Confidence<br />

visit us online at <strong>Jersey</strong><strong>Shore</strong>University<strong>Medical</strong><strong>Center</strong>.com


A Message<br />

to the Community<br />

As the weather continues to warm up, excitement grows<br />

for another summer on the <strong>Jersey</strong> <strong>Shore</strong>. This summer<br />

will be especially meaningful for many families, as it is the<br />

first following Hurricane Sandy and the rebuilding efforts<br />

that followed. We have no doubt that this summer will<br />

showcase how resilient our community has been during this<br />

difficult time and will allow many opportunities to celebrate<br />

how far we have already come in restoring our hometowns.<br />

While <strong>May</strong> is the kickoff to the summer, it is also<br />

National Stroke Awareness Month, so it is a wonderful time<br />

to stop and take a moment to think about your overall<br />

health. That’s why we offer MeridianNeuroscience.com,<br />

which connects you to the neuroscience experts found<br />

throughout Meridian Health. You can also watch videos of<br />

patients telling their stories of the neurological conditions<br />

they faced — everything from stroke to brain tumors to<br />

migraines and herniated discs — and how Meridian helped<br />

them back to a healthy, comfortable life.<br />

Our commitment to good health extends beyond our<br />

hospital walls. As part of our continued effort to promote<br />

health and wellness throughout our community, Meridian<br />

has developed a program with Townsquare Media radio<br />

stations. Sign up with your favorite Townsquare radio<br />

station and visit their listener-loyalty page for an array of<br />

health content, as well as a host of games, quizzes, and<br />

surveys. When you participate, you’ll automatically earn<br />

points that can be traded in for a<br />

chance at fun Townsquare prizes.<br />

Sincerely,<br />

<strong>May</strong>/June <strong>2013</strong><br />

4<br />

6<br />

8<br />

10<br />

12<br />

13<br />

14<br />

15<br />

16<br />

Health Briefs<br />

Brain Surgery Helps<br />

Diagnose Lung Cancer<br />

Doing Her Part to Help<br />

Fight Breast Cancer<br />

Mammogram Catches<br />

Cancer Early<br />

Living Life to the Fullest<br />

Bariatric Surgery Gives<br />

Patient a New Life<br />

Battling a Tough Brain<br />

Tumor Takes Teamwork<br />

When Every Minute Counts<br />

<strong>Center</strong> for Wound Healing<br />

Saves Limbs, Lives<br />

MeridianHealth.com • 1-800-DOCTORS®<br />

2<br />

John K. Lloyd, FACHE<br />

President, Meridian Health<br />

This free bimonthly magazine is prepared by the Marketing and<br />

Communications Team of Meridian Health. Please call 732-751-7530<br />

with any questions or comments. Inquiries or ideas can be addressed<br />

to healthviews@meridianhealth.com.<br />

Gordon N. Litwin, Esq., Chairman<br />

John K. Lloyd, FACHE, President<br />

Chrisie Scott, Vice President of Marketing and Corporate Communications<br />

Elliot Frank, M.D., <strong>Medical</strong> Advisor<br />

HealthViews production team: Michael McCauley, Gabriella Heizler,<br />

Jacki Kronstedt<br />

© <strong>2013</strong> Meridian Health<br />

The material provided in this magazine is intended to be used as<br />

general information only and should not replace the advice of your<br />

physician. Always consult your physician for individual care.<br />

Interact with us!<br />

Download the Meridian HealthViews app for<br />

free from the App Store on iTunes. Simply go to<br />

the store and search “HealthViews” to download<br />

the app.<br />

What do you know about migraine headaches?<br />

Find out by taking our Migraine Quiz, available on<br />

<strong>May</strong> 7 at www.facebook.com/MeridianHealthNJ.<br />

Meridian Health tweets hot health-related<br />

headlines and local news pieces regularly at<br />

www.twitter.com/MeridianNJ.<br />

Stroke can affect anyone, anywhere. Learn<br />

how to recognize the signs of stroke at<br />

www.youtube.com/MeridianHealthNJ.<br />

Sign up for free e-newsletters on<br />

cardiovascular and pediatric health topics at<br />

www.MeridianHealth.com/enewsletters.


10<br />

15<br />

13<br />

17<br />

18<br />

Surgical Expertise<br />

Offers Life-Changing<br />

Results<br />

On the Road to Recovery<br />

from Vascular Surgery<br />

19 Playing for Pink 20<br />

healthviews<br />

<strong>May</strong>/June <strong>2013</strong><br />

a health publication from <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Battling a Brain<br />

Tumor Takes<br />

Teamwork<br />

Woman Helps Fight<br />

Breast Cancer<br />

Keep High<br />

Cholesterol at Bay<br />

visit us online at <strong>Jersey</strong><strong>Shore</strong>University<strong>Medical</strong><strong>Center</strong>.com<br />

Restoring a Young<br />

Patient’s Confidence<br />

21<br />

New Hip Gives New<br />

Energy<br />

Community Health<br />

Programs<br />

27 Cholesterol:<br />

Down with the Bad,<br />

Up with the Good<br />

cover story<br />

17<br />

Stroke Prevention and<br />

28 Treatment<br />

30 My Health Views<br />

David Jones was not alone in battling his brain tumor. Thanks to his doctors<br />

at <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>, throughout his treatment David<br />

has always felt part of a winning team. Read more on page 14.<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

3


Eat Well After<br />

a Heart Attack<br />

Health Briefs<br />

Beta-blockers, aspirin, and statins.<br />

These are the typical prescriptions you’ll receive after<br />

a heart attack or stroke. Soon, your doctor may write<br />

you an Rx for spinach, brown rice, and salmon, too.<br />

People who eat a heart-healthy diet after a heart<br />

attack or stroke are 15 percent to 20 percent<br />

less likely to die as a result of another one, a<br />

new study finds. And they’re 35 percent<br />

less likely to die of a heart problem. The<br />

findings were published in the journal<br />

Circulation.<br />

So how should you fill your grocery<br />

cart? “The healthiest diets contain more fruits,<br />

vegetables, whole grains, nuts, and fish, and less<br />

meat and eggs,” says Maurice Weiss, M.D., of<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>.<br />

Are you familiar with the risk factors, signs, and<br />

symptoms of heart disease and what steps you can<br />

take to prevent it? Learn all this and more at our June<br />

10 event at <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>.<br />

Turn to page 23 to learn more.<br />

More Kids Than Ever <strong>May</strong> Develop Diabetes<br />

MeridianHealth.com • 1-800-DOCTORS<br />

Health experts have looked into our children’s future — and<br />

it’s alarming. By 2050, the number of kids with diabetes may triple for type 1<br />

and quadruple for type 2.<br />

This mirrors the nation’s skyrocketing childhood obesity rate, now close<br />

to one in five. “Methods of preventing type 1 diabetes are unclear, but lack<br />

of exercise and poor nutrition likely play a role in both the obesity and type 2<br />

diabetes epidemics,” says Michael Bleiman, M.D., of Southern Ocean<br />

<strong>Medical</strong> <strong>Center</strong>.<br />

It’s not too late to change your child’s fate. Start by encouraging<br />

physical activity and cutting back on soda, sodium, and saturated<br />

fat. Watch for diabetes warning signs, including frequent<br />

urination, excessive thirst, and weight loss.<br />

Whether you have diabetes or know someone who does,<br />

the 12th Annual Diabetes Health Fair is the event for you.<br />

Experts in diabetes management and nutrition will be<br />

available for consultation at this <strong>May</strong> 18 event. See page 21<br />

for more details.<br />

4


Take a Stand for<br />

Your Health<br />

Your daily workout won’t save<br />

you from the health risks of being sedentary.<br />

Even women who exercise the recommended 150<br />

minutes per week spend about 64 hours per week<br />

sitting, new research shows. That’s about nine<br />

hours per day — more than most people sleep.<br />

“Sitting this much increases your risk of<br />

developing and dying of heart disease and other<br />

conditions,” says Diane Verga, M.D., of Ocean<br />

<strong>Medical</strong> <strong>Center</strong>. Protect your health by moving<br />

throughout the day, not just at the gym.<br />

Take walk breaks every 30 minutes<br />

at work, lift weights during TV<br />

commercials at home, and<br />

fidget all day long. Chewing<br />

gum, jiggling your feet, and<br />

other small movements may<br />

amount to 2.5 fewer hours of<br />

sedentary time daily.<br />

It’s time to lace<br />

up those sneakers for<br />

our Heart & Sole Cup! This<br />

5K event kicks off at Ocean<br />

<strong>Medical</strong> <strong>Center</strong><br />

on June 9 and at<br />

Bayshore Community<br />

Hospital on June 29!<br />

See page 21 for<br />

details.<br />

Many Americans Take<br />

Supplements — But<br />

Few Know Why<br />

Four in 10 Americans<br />

have taken a dietary supplement<br />

in the past two years, and one in<br />

seven does so regularly. But the<br />

reasons they do so are vague, a<br />

national survey suggests.<br />

About 40 percent of people<br />

say they take supplements to<br />

“feel better” or to have more energy.<br />

These reasons aren’t specific health goals<br />

that can be measured, nor are they backed by<br />

medical evidence, the researchers point out.<br />

Some supplements are helpful for certain<br />

people. “In many cases, it’s best to get all the<br />

nutrients you need from a healthy diet,” says<br />

Shaun Altneu, D.O., of Bayshore Community<br />

Hospital. “Talk with your doctor about whether<br />

supplements are right for you.”<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

5


Ocean <strong>Medical</strong> <strong>Center</strong><br />

Brain Surgery<br />

Helps Diagnose<br />

Lung Cancer Patient<br />

For weeks, Noreen Way tried to fight<br />

off dull headaches that never seemed<br />

to go away. Suspecting she had sinus<br />

troubles, the 68-year-old resident of<br />

Manahawkin visited her primary care<br />

physician. But when prescription sinus<br />

medication didn’t control the problem,<br />

Noreen was referred to a neurologist<br />

at Southern Ocean <strong>Medical</strong> <strong>Center</strong> for<br />

magnetic resonance imaging (MRI).<br />

There, she learned the devastating<br />

cause of her headaches.<br />

“My neurologist, Dr. [Tommasina]<br />

Papa-Rugino, explained that I had a<br />

brain tumor. It had metastasized from<br />

somewhere else,” Noreen says.<br />

A second, full-body MRI showed<br />

that the cancerous tumor on Noreen’s<br />

Aasim Kazmi, M.D.<br />

Wall • 732-974-0003<br />

cerebellum, the area of the brain at<br />

the back of the head, had spread<br />

from her lungs. She was diagnosed<br />

with stage 4 lung cancer.<br />

“I was in shock. My only symptom<br />

was a slight shortness of breath,<br />

which I thought was due to my<br />

asthma,” Noreen recalls. “My husband<br />

and I had just come back from Europe<br />

where we traveled all over without<br />

problems. I had no idea I<br />

had cancer.”<br />

Noreen Way enjoys cooking at home<br />

and tending to her garden and koi<br />

pond. She and her husband George<br />

will celebrate their 49th wedding<br />

anniversary in June.<br />

MeridianHealth.com • 1-800-DOCTORS<br />

6


Multi-Disciplinary Approach<br />

Noreen was referred immediately to<br />

Aasim Kazmi, M.D., section chief of<br />

neurosurgery at Ocean <strong>Medical</strong> <strong>Center</strong><br />

and part of Meridian Neuroscience.<br />

After conferring with Noreen’s cancer<br />

team, Dr. Kazmi recommended surgery<br />

to remove the tumor.<br />

“The tumor was causing swelling<br />

that irritated the brain cells, leading<br />

to Noreen’s headaches. By removing<br />

the tumor, the headaches would<br />

be relieved,” Dr. Kazmi explains.<br />

“However, the primary purpose of the<br />

surgery was to biopsy the tumor so<br />

that the source of the cancer could be<br />

treated appropriately.”<br />

To treat lung cancer with the most<br />

effective chemotherapy possible, it’s<br />

necessary to understand the type<br />

of cancer. This is identified through<br />

a tissue biopsy. Since the lung<br />

cancer had spread to Noreen’s brain,<br />

removing and performing a biopsy<br />

on the tumor would provide this vital<br />

treatment information.<br />

“Although brain surgery always<br />

carries risks, it was safer for us to<br />

remove the tumor in Noreen’s brain<br />

than to conduct a lung biopsy due to<br />

potential breathing complications,”<br />

Dr. Kazmi explains.<br />

Before surgery, Dr. Kazmi sat<br />

down and thoroughly explained the<br />

procedure to Noreen and her family.<br />

He listened to their concerns and<br />

answered all their questions.<br />

“Dr. Kazmi discussed everything<br />

with me — the good and the bad. I<br />

needed to know as much as I could<br />

and not have anything hidden from<br />

me,” Noreen says. “I’m glad I found a<br />

doctor who is willing to communicate<br />

openly. It made me feel much more<br />

comfortable.”<br />

Innovative Technology<br />

In October 2012, Dr. Kazmi performed<br />

surgery to remove Noreen’s brain<br />

tumor at Ocean <strong>Medical</strong> <strong>Center</strong>.<br />

During the four-hour operation,<br />

Dr. Kazmi used the <strong>Medical</strong> <strong>Center</strong>’s<br />

advanced Brainlab technology.<br />

“Brainlab technology is like an<br />

intraoperative GPS,” Dr. Kazmi explains.<br />

“It uses an advanced computerized<br />

camera system to pinpoint tumor<br />

locations in real time within the body.<br />

Ocean has one of the most advanced<br />

systems in the area. It’s a tremendous<br />

benefit to our patient community.”<br />

In the past, removing a brain tumor<br />

would require the surgeon to expose<br />

as much of the brain as possible to<br />

clearly visualize the area and ensure<br />

the cancerous tissue was removed. This<br />

typically required making a large bone<br />

opening and even larger incision. With<br />

Brainlab technology, surgeons have<br />

accurate details on where the tumor<br />

is positioned. As a result, much smaller<br />

openings are needed to access the brain<br />

in the immediate area of the tumor.<br />

“This technology reduces the risk<br />

of surgery complications and results<br />

in a much faster recovery time,” Dr.<br />

Kazmi says. “It allowed us to safely<br />

and effectively remove and biopsy<br />

Noreen’s tumor.”<br />

Life After Surgery<br />

Noreen’s surgery was a success.<br />

Dr. Kazmi completely removed<br />

the cancerous tissue using minimal<br />

incisions. The tumor was then<br />

biopsied to help plan Noreen’s<br />

chemotherapy, which she began<br />

in November. By December 2012,<br />

Noreen also began radiation therapy<br />

for other small cancerous spots that<br />

developed on her brain.<br />

“I know there is no cure for my<br />

cancer. I refuse to let it get me<br />

down. I have a wonderful support<br />

system. My husband is with me at<br />

every appointment, and the visitors,<br />

cards, and prayers I’ve received are<br />

countless,” Noreen says. “I put one<br />

foot in front of the other and focus<br />

on positive thoughts.”<br />

As a school bus aide for<br />

special-needs children prior to her<br />

diagnosis, Noreen is preparing to<br />

work again as a substitute. She also<br />

plans to continue traveling.<br />

“My chemotherapy will continue<br />

indefinitely. But my doctors are<br />

wonderful and are more concerned<br />

about my quality of life. They told<br />

me they would plan my treatment<br />

around my schedule. If I want to<br />

travel, we’ll travel,” Noreen says. “I’m<br />

going to live a pretty good life.”<br />

Meet a Patient Beating MS<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

With the help of her daily<br />

therapy at <strong>Shore</strong> Rehabilitation<br />

Institute at Ocean <strong>Medical</strong><br />

<strong>Center</strong>, Colleen O’Dell Multer is winning<br />

her battle against multiple sclerosis.<br />

Visit MeridianNeuroscience.com<br />

to learn more about Colleen’s story.<br />

Becoming vice president of a major bank.<br />

Changing careers to pursue her dream of being a chef.<br />

Graduating from culinary school…seven months after spine surgery.<br />

Just nine credits away from graduating, Georgette Thomas was diagnosed with spinal stenosis — a condition<br />

that put her spine at risk of snapping. At Ocean <strong>Medical</strong> <strong>Center</strong>…part of Meridian Neuroscience, Georgette<br />

found an amazing neurosurgeon who recognized the severity of her case and performed spinal fusion<br />

surgery three days later. Within weeks, Georgette was back at culinary school. Seven months later, she<br />

graduated and was ready to cook up a bright new future.<br />

A MOMENT CHANGES EVERYTHING<br />

Taking Care of<br />

New <strong>Jersey</strong><br />

Meridian Neuroscience<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Meridian Partner Companies<br />

Meridian Team of Physicians<br />

© 2012 Meridian Health<br />

Take a moment to learn more. Visit MeridianNeuroscience.com. For a physician, call 1-800-DOCTORS.


<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Doing Her Part<br />

to Help Fight Breast Cancer<br />

The care and treatment of cancer<br />

has improved dramatically in the<br />

past decade due, in large part, to<br />

significant advances in research.<br />

Meridian Cancer Care is actively<br />

furthering this research, helping<br />

prevent, identify, and treat cancer<br />

in new and better ways. One clinical<br />

trial currently open to participants<br />

is focused on investigating genetic<br />

markers that may be linked to the<br />

development of breast cancer.<br />

An Opportunity to Help Others<br />

Suzy West, 46, was part of this<br />

clinical trial. The Howell resident<br />

was diagnosed with stage 3 breast<br />

cancer in June 2012 after finding a<br />

lump in her breast. Suzy had a double<br />

mastectomy and then underwent<br />

chemotherapy and radiation at<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong>. During treatment, she gave a<br />

blood sample for the study, which is<br />

just one of 250 ongoing clinical trials<br />

at Meridian Health.<br />

“It didn’t take any time at all,<br />

but was something I could do to<br />

potentially help others. I have two<br />

children and anything that can further<br />

the detection and treatment of the<br />

disease, I’m going to do it,” Suzy says.<br />

Meridian Health is partnering<br />

with the Cancer Institute of New<br />

<strong>Jersey</strong> on this critical study. “The<br />

purpose [of the study] is to learn<br />

how slight differences in genes called<br />

polymorphisms can influence the<br />

risk of developing breast cancer and<br />

the patient’s response to therapy,”<br />

Kenneth D. Nahum, D.O.<br />

Board certified in Hematology,<br />

<strong>Medical</strong> Oncology and Internal<br />

Medicine<br />

Howell • 732-367-1535<br />

explains Kenneth Nahum, D.O.,<br />

oncologist and principal investigator<br />

for the study. “In the end, studies like<br />

this will help us to diagnose cancer<br />

earlier in some people and better<br />

target treatments in others.”<br />

Genetic Clues to Breast Cancer<br />

Researchers hope to enroll 10,000<br />

people in this study, who will be<br />

split into two groups: those<br />

diagnosed with breast<br />

cancer and those<br />

who are healthy.<br />

To be part of<br />

the study,<br />

MeridianHealth.com • 1-800-DOCTORS<br />

8<br />

Clinical Trials:<br />

What You Should Know<br />

The purpose of clinical research, or clinical trials, is to find a better way to<br />

detect, prevent, control, or cure a disease or disorder. Some trials test the<br />

effects of treatment on disease, some aim to prevent disease; others study<br />

the effect of the disease itself on quality of life, costs, and comfort.<br />

Participating in a clinical trial is a big decision. Before making a<br />

commitment, you’ll want to get the answers to these critical questions.<br />

• What is the purpose of the study?<br />

• Who is going to be in the study?<br />

• Have other clinical trials been done using this study’s treatment method<br />

and, if so, what were the results?<br />

• Why do researchers believe the new treatment being tested may be<br />

effective? Has it been tested before?<br />

• What kinds of tests and treatments are involved?<br />

• How do the possible risks, side effects, and benefits in the study<br />

compare with my current treatment?<br />

• How might this trial affect my daily life?<br />

• How long will the trial last?<br />

• Will hospitalization be required?<br />

• Will my insurance cover the costs of participating in the study?<br />

• How long do I have to decide about enrolling in this trial?<br />

Suzy West<br />

participated in a<br />

clinical trial as a way to help<br />

others and in hopes of finding<br />

some answers for herself.


participants need provide only<br />

a blood sample, answer some<br />

questions, and be willing to have<br />

some follow-up phone calls in the<br />

future, as Suzy West did.<br />

“Meridian has a leading clinical<br />

research program in New <strong>Jersey</strong>,”<br />

says Ernest Richards, Ph.D., corporate<br />

director of Research Services for<br />

Meridian Health. “Clinical research is a<br />

critical component of the continuum<br />

of health care because that is where<br />

the newest, most innovative tools<br />

and treatments are discovered.”<br />

There is no history of breast cancer<br />

in Suzy’s family, so one of the main<br />

reasons she participated in the study<br />

was to find answers. “I went for yearly<br />

mammograms without fail. Hopefully,<br />

research will someday explain why,”<br />

Understanding Clinical Trials<br />

Suzy says. “But I didn’t let cancer<br />

get me down or angry. I focused on<br />

ways to stay positive through my<br />

cancer experience. This study is just<br />

one example.”<br />

If you are a man or woman age 18 or older and have been<br />

diagnosed with breast cancer or are a healthy individual<br />

who wants to become involved in the research study, call<br />

732-776-2953 or e-mail Clinicaltrials@meridianhealth.com.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Meridian HealthViews •<strong>May</strong>/June <strong>2013</strong><br />

9


Mammogram Catches Cancer Early<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

MeridianHealth.com • 1-800-DOCTORS<br />

10<br />

The time after a cancer diagnosis<br />

can be frightening and filled with<br />

uncertainty. Keeping positive and<br />

having hope can be difficult, but when<br />

Anna Rodriguez, 51, of Shrewsbury was<br />

faced with a breast cancer diagnosis in<br />

January 2011, she was determined not<br />

to let it get her down.<br />

Knowing the importance of<br />

mammography, Anna always kept<br />

her appointments with the Women’s<br />

<strong>Center</strong> at Riverview <strong>Medical</strong> <strong>Center</strong>.<br />

At an appointment in early 2011, Leny<br />

Rada-Banat, M.D., a fellowship-trained<br />

breast imager at the <strong>Center</strong> and part<br />

of Meridian Cancer Care, read Anna’s<br />

films and identified a subtle change<br />

compared to prior mammograms.<br />

After a diagnostic workup and<br />

breast biopsy, a breast cancer diagnosis<br />

was made.<br />

“I have a lot of faith, so while I was<br />

nervous about my diagnosis, I also<br />

knew it wasn’t a death sentence,”<br />

Anna says. “I knew I was going to be in<br />

good hands with the physicians and<br />

staff at Riverview and was confident<br />

everything was going to be OK.”<br />

Next, Anna met with Phillipa<br />

Woodriffe, M.D., a surgeon on staff<br />

at Riverview, to discuss her treatment<br />

options. Because her cancer was<br />

found at an early stage, Anna was a<br />

candidate for a lumpectomy followed<br />

by radiation therapy.<br />

According to Dr. Woodriffe, a<br />

lumpectomy is often the preferred<br />

treatment option for women with<br />

early stages of breast cancer. “A<br />

lumpectomy allows the surgeon<br />

to remove the cancer while still<br />

maintaining the appearance of the<br />

breast. It is minimally invasive; only a<br />

small section of tissue is removed,”<br />

Dr. Woodriffe says. “Radiation<br />

therapy is sometimes paired with<br />

a lumpectomy to get rid of<br />

any remaining cancer cells<br />

Anna Rodriguez shares her<br />

story and the importance<br />

of mammograms every<br />

chance she can. She also<br />

loves to cook, especially<br />

Salvadoran foods.<br />

You’re Important<br />

Phillipa G. Woodriffe, M.D.<br />

Tinton Falls • 732-542-4228<br />

Bokran Won, M.D.<br />

Board certified in Radiology<br />

Red Bank • 732-530-2305<br />

following the procedure, and to lower<br />

the chance of the cancer returning.”<br />

In March, Anna began her treatments.<br />

During her recovery period, Anna never<br />

lost her faith in her recovery. “I like to<br />

walk a lot, and since I live so close to<br />

the hospital, when the weather was nice<br />

I walked to my appointments,” Anna<br />

says. “Walking helped me overcome my<br />

fear and reminded me that my faith was<br />

going to help me through it.”<br />

After Anna completed her<br />

treatment, she faithfully adhered to the<br />

recommended six-month follow-up<br />

mammogram appointments. Dr. Rada-<br />

Banat has closely monitored her test<br />

results for two years and today, Anna<br />

remains healthy.<br />

Anna continues to champion the<br />

importance of annual mammography,<br />

encouraging all women to make sure<br />

they schedule their appointments.“ A<br />

mammogram is really important to see<br />

everything that is happening. If cancer<br />

is detected early, you get treated early,”<br />

Anna says. “I am lucky to have Riverview<br />

and Dr. Rada-Banat so close to my<br />

home, because I know I will be treated<br />

kindly and will be in the best hands.<br />

Dr. Rada-Banat has been a blessing.”<br />

Women in Monmouth County have access to<br />

complete health care at the Women’s <strong>Center</strong>s<br />

of Riverview <strong>Medical</strong> <strong>Center</strong> and Bayshore<br />

Community Hospital. Led by Bokran Won, M.D., both<br />

centers offer fully digital mammography under the<br />

direction of a team of fellowship-trained breast radiologists.<br />

Learn more about the experiences our <strong>Center</strong>s have to<br />

offer at BayshoreHospital.org/Womens<strong>Center</strong> or<br />

Riverview<strong>Medical</strong><strong>Center</strong>.com/Womens<strong>Center</strong>.


I’m Important<br />

Anna isn’t the only woman<br />

who makes time for her annual<br />

mammogram. Just ask Camille<br />

Castiello, 50, of Hazlet.<br />

A New York native, Camille<br />

moved to Hazlet 14 years ago, and<br />

has turned to Bayshore Community<br />

Hospital for her and her family’s<br />

health needs — from colonoscopies,<br />

to a variety of diagnostic tests, to the<br />

occasional emergency department<br />

visit. So when it came time for Camille<br />

to begin having mammograms, it was<br />

only natural to turn to the Women’s<br />

<strong>Center</strong> at Bayshore.<br />

“I like how the Women’s <strong>Center</strong><br />

team makes it so easy,” Camille says.<br />

“All the years I have been going<br />

there everyone has been so nice<br />

and efficient. They make it almost<br />

effortless.”<br />

In March 2010, Camille scheduled<br />

her screening, and her appointment<br />

went as usual. That night when she<br />

got home, however, she received a<br />

call from the Women’s <strong>Center</strong> asking<br />

her to come back for an ultrasoundguided<br />

biopsy to follow up on a<br />

suspicious lump identified in the<br />

mammogram. “I was surprised by how<br />

quickly everything happened. The<br />

next day I was back at the <strong>Center</strong> for<br />

the procedure,” Camille says. “I was a<br />

little scared, but the team once again<br />

came to my side with compassion and<br />

kindness. The technologist held my<br />

hand through the whole thing.”<br />

According to Bokran Won, M.D.,<br />

medical director of both the Women’s<br />

<strong>Center</strong> at Riverview and Bayshore,<br />

in the case of an abnormal finding<br />

in a patient’s mammogram or breast<br />

ultrasound, they are called back for<br />

a needle biopsy examination to<br />

determine if the abnormality is<br />

breast cancer.<br />

“This is often a very anxious<br />

time for the patient,” Dr. Won<br />

says. “The entire team at the<br />

Women’s <strong>Center</strong> works to allay<br />

the patient’s stress by providing<br />

a comfortable and empathetic<br />

environment while maintaining<br />

the highest degree of medical<br />

professionalism.” After two of<br />

Camille’s mammograms came<br />

back normal, she was soon cleared<br />

to return to annual testing.<br />

“I was very lucky my issue turned<br />

out to be nothing,” Camille says.<br />

“But for some women their results<br />

do come back cancerous. Annual<br />

mammography is so important not<br />

just physically, but to reassure<br />

yourself mentally that<br />

everything is good, and I<br />

would recommend the<br />

Women’s <strong>Center</strong> at<br />

Bayshore to any<br />

woman.”<br />

– Caitlin Coyle<br />

Hazlet resident Camille Castiello loves to<br />

ride motorcycles and cook, hobbies she<br />

can enjoy again now that she is feeling<br />

confident about her health.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Little Things.<br />

An Evening with Giuliana and Bill Rancic<br />

When faced with a cancer diagnosis, or any life-changing event, it is often the “little things” that we treasure.<br />

A cup of coffee with a best friend, a spontaneous hug from your child, a walk on a sunny day, or side-splitting<br />

laughter, are all little things that mean a lot.<br />

A mammogram may seem like a little thing, but it can be a life-saver. It was for Giuliana Rancic. Which is why<br />

she has been a tireless advocate for annual mammography and supports the mission of Paint the Town Pink.<br />

Join us as Giuliana and Bill share how a mammogram forever changed their<br />

lives, opened them up to a new future of amazing moments—including<br />

the joy of welcoming their son—and created a future of many little things<br />

to treasure. Call 1-855-PINK411 or visit PaintTheTownPink.com<br />

to learn more about Paint the Town Pink.<br />

<strong>May</strong> 4, <strong>2013</strong><br />

Visit PaintTheTownPink.com for Event Details<br />

Taking Care of<br />

New <strong>Jersey</strong><br />

11


Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Living Life to the Fullest<br />

Proactive Care Helps<br />

Woman with Parkinson’s<br />

As an active woman in her 40s, Rosalia<br />

Passaro was shocked to learn that the<br />

tremors she had been experiencing in<br />

her right hand were early symptoms<br />

of Parkinson’s disease. “No one in my<br />

family had ever really had a significant<br />

illness,” says the Toms River resident.<br />

Attention to Detail<br />

“Rosalia was just 46 when we made<br />

the diagnosis,” says Tommasina<br />

Papa-Rugino, M.D., a neurologist<br />

affiliated with Southern Ocean<br />

<strong>Medical</strong> <strong>Center</strong> and part of Meridian<br />

Neuroscience. “Usually, this disease<br />

presents in people in their 60s. The<br />

early signs are not always obvious,<br />

and diagnostic testing is limited.<br />

There is now a new scan, however, the<br />

DaTscan, that serves to differentiate<br />

Parkinson’s disease and a disease with<br />

similar symptoms.”<br />

According to Dr. Papa-Rugino, symptoms<br />

can include motor signs, such as<br />

difficulty with movements — especially<br />

walking — and resting tremors or<br />

rigidity and stiffness. Other nonmotor<br />

symptoms may include sleep issues,<br />

depression or anxiety, and pain. “It is<br />

important to listen to your patient<br />

and be proactive in treating the<br />

nonmotor symptoms, as they can have<br />

a significant effect on quality of life if<br />

left untreated,” Dr. Papa-Rugino says.<br />

“I recently turned 50, and my care<br />

is going well. I have a challenging sales<br />

job in the computer industry, and I<br />

love to travel,” Rosalia says. “So far, I<br />

am able to keep up with everything,<br />

although sometimes I need to slow<br />

down a little due to fatigue. I live a<br />

normal life, and I don’t let this disease<br />

control my life or define who I am.”<br />

Having a physician she trusts helps<br />

Rosalia maintain her positive attitude.<br />

“I am so glad I have Dr. Papa-Rugino<br />

following me through this,” Rosalia<br />

says. “She explains everything to me.<br />

I know she tries to be conservative<br />

in the treatments because I am so<br />

young and this disease is progressive.<br />

She wants the treatments to be as<br />

effective as possible for the longest<br />

time possible before we move on to<br />

other treatments.”<br />

Dr. Papa-Rugino recognizes<br />

that a treatment plan<br />

must be tailored to each<br />

patient. “There are<br />

just a few new<br />

medications that<br />

can help treat<br />

the variations of<br />

motor symptoms<br />

of the disease. And<br />

for those patients<br />

whose symptoms<br />

no longer respond<br />

Tommasina Papa-Rugino, M.D.<br />

Board certified in Neurology<br />

Manahawkin • 609-978-8870<br />

to medications or whose symptoms<br />

fluctuate with medication, there<br />

is a technique called deep brain<br />

stimulation, a neurosurgical<br />

procedure, that has been found to be<br />

effective,” Dr. Papa-Rugino explains.<br />

Finding the Right Doctor<br />

“I have a very good relationship<br />

with Dr. Papa-Rugino,” says Rosalia.<br />

“I appreciate everything she has<br />

done for me regarding treatment<br />

and education about my condition.<br />

I feel confident that as my disease<br />

progresses, she will provide the best<br />

treatment. Her office has moved a<br />

couple of times — but I just follow<br />

her wherever she goes.”<br />

– Joyce McFadden<br />

Rosalia Passaro hasn’t let<br />

Parkinson’s disease stand<br />

in her way of pursuing a<br />

successful career and<br />

her love of travel. She<br />

is able to maintain a<br />

healthy lifestyle and<br />

feels optimistic<br />

about her future.<br />

MeridianHealth.com • 1-800-DOCTORS<br />

12<br />

A Strategic Approach<br />

to Treatment<br />

Dr. Papa-Rugino notes Rosalia’s active<br />

lifestyle is important. Parkinson’s<br />

patients benefit from remaining<br />

active, getting exercise, and having<br />

physical therapy.<br />

Hear from Our Experts<br />

Listen to Tommasina Papa-Rugino, M.D., talk about<br />

cutting-edge treatments available through Meridian<br />

Neuroscience, such as the use of Botox to treat<br />

migraines. View Dr. Papa-Rugino’s videos on this and other<br />

topics at MeridianNeuroscience.com/directory.


Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Bariatric Surgery Gives Patient<br />

an Energetic New Life<br />

India Reid, 39, battled weight problems<br />

most of her life. At 315 pounds, she<br />

tried every diet and exercise program<br />

imaginable. Nothing seemed to work.<br />

Discouraged, the Little Egg Harbor<br />

resident researched weight-loss<br />

surgery programs. She found the<br />

Bariatric <strong>Center</strong> at Southern Ocean<br />

<strong>Medical</strong> <strong>Center</strong> and scheduled a<br />

consultation with Jonathan Reich, M.D.,<br />

bariatric surgeon. For the first time,<br />

India felt there was a light at the end<br />

of the tunnel.<br />

“I needed to be healthy for my family<br />

and myself,” says India, a mother of<br />

three. “Dr. Reich explained everything<br />

to me. I was so encouraged that I<br />

was a candidate for surgery and my<br />

insurance would cover the procedure.”<br />

Weight-Loss Surgery 101<br />

Learn the facts about<br />

weight-loss surgery<br />

from Jonathan<br />

Reich, M.D., on <strong>May</strong> 8 and<br />

June 12 at Southern Ocean<br />

<strong>Medical</strong> <strong>Center</strong>. See page 24<br />

for information about other<br />

Meridian weight-loss surgery<br />

education events.<br />

Choosing Success<br />

The Bariatric <strong>Center</strong> at Southern<br />

Ocean offers three types of weightloss<br />

surgery: gastric bypass, gastric<br />

band, and sleeve gastrectomy.<br />

All three procedures help obese<br />

patients lose weight by reducing<br />

the size of the stomach in different<br />

ways. Patients are educated on each<br />

procedure and encouraged to choose<br />

the option that is right for them<br />

based on personal preferences and<br />

medical history. India chose to have<br />

sleeve gastrectomy, which involves<br />

removing 80 percent of the stomach.<br />

“The sleeve procedure, like all<br />

bariatric surgery we perform, is<br />

minimally invasive. As a result, it<br />

offers an easier recovery for patients.<br />

It’s also a very effective tool that<br />

gives patients an advantage in their<br />

efforts to lose weight,” Dr. Reich says.<br />

Dr. Reich explains that the sleeve<br />

procedure works in three ways to<br />

help patients lose weight. It reduces<br />

the volume of the stomach, so<br />

patients feel full faster with a smaller<br />

amount of food. It causes the<br />

stomach to contract more slowly,<br />

helping patients feel full longer.<br />

And it removes many stomach cells<br />

that secrete ghrelin, a hormone that<br />

Since her surgery and<br />

80-pound weight loss,<br />

India Reid (left) is able<br />

to spend more time with<br />

friends and family, including<br />

daughter <strong>May</strong>a (middle) and<br />

best friend Ruby Whitaker (right).<br />

Jonathan M. Reich, M.D.<br />

Board certified in General<br />

Surgery<br />

Manahawkin • 609-978-3325<br />

regulates hunger. This decreases the<br />

patient’s appetite.<br />

Taking Steps to a Healthier Life<br />

India met extensively with a<br />

nutritionist at the <strong>Center</strong> to prepare<br />

for the surgery and learn how to make<br />

healthier food choices. Dr. Reich then<br />

performed the sleeve procedure on<br />

India in <strong>May</strong> 2012. She was up and<br />

walking the same day.<br />

“The procedure itself was easy,<br />

and the staff was so encouraging. But<br />

having the procedure has changed<br />

my mind-set and my life,” India says.<br />

“I know my surgery is only a tool to<br />

help me lose weight — not an end<br />

solution.”<br />

Just seven months after the<br />

procedure, India has lost more than<br />

80 pounds. And she feels better than<br />

ever before.<br />

“I’m now off asthma medication<br />

and have so much more energy,” India<br />

says. “Even my job is easier. I work<br />

with people with disabilities and can<br />

do so much more with them. Instead<br />

of sitting on the sidelines, I’m up and<br />

active right alongside them.”<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

13


<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

MeridianHealth.com • 1-800-DOCTORS<br />

14<br />

Battling a Tough<br />

Brain Tumor<br />

Takes Teamwork<br />

David Jones usually does the driving<br />

in his family. So he was surprised<br />

when, after a family event in<br />

Pennsylvania last <strong>May</strong>, his wife, Alice,<br />

reached for the car keys and said,<br />

“‘I’m driving, and we’re going to the<br />

emergency room,’” the 68-yearold<br />

retired telecommunications<br />

executive recalls.<br />

No one else — not even<br />

David — recognized anything was<br />

wrong. But Alice noticed her husband<br />

was increasingly unaware of his<br />

surroundings. She took him to <strong>Jersey</strong><br />

<strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>, near<br />

their Spring Lake home, where an MRI<br />

scan revealed a 6-centimeter mass on<br />

the right side of his brain.<br />

It was a glioblastoma multiforme,<br />

an aggressive and life-threatening<br />

primary brain tumor that typically<br />

causes symptoms such as headaches,<br />

weakness, and personality shifts,<br />

says Joseph Landolfi, D.O.,<br />

medical director<br />

of neurooncology<br />

for Meridian<br />

Health.<br />

A Collaborative Approach<br />

Fortunately, Dr. Landolfi has treated<br />

many patients with these tumors<br />

and became an integral part of<br />

David’s “dream team” — including<br />

experts from oncology, radiology,<br />

pathology, and neurosurgery at<br />

Meridian Neuroscience and Meridian<br />

Cancer Care — who came together to<br />

recommend an inclusive and multidisciplinary<br />

approach.<br />

“I feel accepted as part of the<br />

team by the professionals, and that’s<br />

made a huge difference to me,” David<br />

says. “Together, we’ve focused on<br />

figuring out a plan, not just accepting<br />

the inevitable.”<br />

Cutting-Edge Treatment<br />

David’s treatment began with two<br />

surgeries in <strong>May</strong> to remove as much<br />

of the tumor as possible. <strong>Jersey</strong><br />

<strong>Shore</strong> has the most advanced<br />

technology available in the operating<br />

room, says Aasim Kazmi, M.D., staff<br />

neurosurgeon at <strong>Jersey</strong> <strong>Shore</strong>, using<br />

a navigation system to map out the<br />

operation to avoid critical<br />

areas of the brain. Then, an<br />

Throughout his treatment for<br />

glioblastoma multiforme, David<br />

Jones’ doctors have remained in<br />

constant communication, and made<br />

him feel part of the team. David<br />

enjoys golf, the beach, and spending<br />

time with his family.<br />

Patient Story: Awake Brain Surgery<br />

Maggie Santos had a brain tumor<br />

located near key functions of<br />

speech, movement, and vision.<br />

Using awake brain surgery, William Maggio,<br />

M.D., was able to remove her tumor with<br />

pinpoint accuracy. To hear Maggie’s story,<br />

go to MeridianNeuroscience.com.<br />

Joseph C. Landolfi, D.O.<br />

Board certified in Neurology<br />

Neptune • 732-321-7010<br />

ultrasonic tool destroys and removes<br />

the tumor without harming healthy<br />

brain tissue.<br />

David then began six weeks<br />

of chemotherapy and radiation,<br />

followed by about a year of monthly<br />

chemotherapy. Through Meridian<br />

Neuroscience, he also participated in<br />

a promising clinical trial that uses a<br />

vaccine made from his own blood to<br />

further attack the tumor.<br />

Open Communication<br />

David’s doctors continue to be in<br />

close communication. “We have<br />

regular meetings and are always in<br />

touch by text or phone,” Dr. Landolfi<br />

says. And the entire Meridian staff<br />

worked to make David feel cared for<br />

and comfortable. “I never felt alone.<br />

Everyone treated me and my family<br />

with respect and compassion,” he says.<br />

Now, David is doing well with only a<br />

few symptoms, and although his brain<br />

scans have shown an area of concern,<br />

he continues his battle with an<br />

innovative gene therapy trial.<br />

“My goal from day one was<br />

to be a part of a team that<br />

could beat the odds — and<br />

I think that’s where we’re<br />

at,” David says.


Just four days after Peter Roesner<br />

(left) suffered a stroke, he and<br />

partner Ron Tedeschi were<br />

relieved to learn he was well<br />

enough to move to Riverview’s<br />

rehabilitation center to<br />

begin his recovery.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

When Every Minute Counts<br />

It was three days after the hurricane,<br />

and with the power out at home, Peter<br />

Roesner and Ron Tedeschi went to their<br />

retail business on West Front Street to<br />

stay warm and work. When Peter, 75,<br />

climbed the stairs, Ron immediately<br />

knew something was wrong.<br />

“Peter had a dazed look and the<br />

left side of his face was drooping,” Ron<br />

recalls. “He couldn’t talk or respond to<br />

me. I thought, ‘He’s having a stroke.’”<br />

Ron rushed Peter to nearby<br />

Riverview <strong>Medical</strong> <strong>Center</strong>, home to<br />

a designated Primary Stroke <strong>Center</strong>.<br />

Peter was quickly assessed by the<br />

stroke team. Tests showed he suffered<br />

a hemorrhagic stroke, which occurs<br />

when a blood vessel in the brain bursts,<br />

spilling blood into surrounding tissues.<br />

Fast Care, Better Outcomes<br />

“Time lost is brain lost when it<br />

comes to a stroke, which makes<br />

rapid assessment critical in order to<br />

determine appropriate treatment<br />

quickly,” says Stephen Bruno, M.D., an<br />

internal medicine physician at Riverview<br />

who first evaluated Peter.<br />

According to Dr. Bruno, treatment<br />

for a hemorrhagic stroke focuses on<br />

controlling bleeding and reducing<br />

pressure in the brain.<br />

Once the bleeding stopped,<br />

neurologist Joshua Mendelson, M.D.,<br />

part of Meridian Neuroscience, met<br />

Peter to discuss his care plan.<br />

“Treatment following a stroke<br />

requires care from a multi-disciplinary<br />

team,” Dr. Mendelson says. “The goal<br />

is to help patients regain strength<br />

and function as much as possible so<br />

they may return to their routine.”<br />

Peter’s primary care physician Jeanne<br />

Tomaino, M.D., and cardiologist Julie<br />

Master, D.O., also played a significant<br />

role in Peter’s recovery plan.<br />

Four days later, Peter began<br />

inpatient rehabilitation at Riverview<br />

Rehabilitation <strong>Center</strong>. There, Jorge<br />

Corzo, M.D., medical director of<br />

rehabilitation services at Riverview,<br />

worked with Peter and his<br />

therapists to develop a personalized<br />

rehabilitation plan.<br />

“Rehabilitation plans are tailored<br />

to each patient, based on age, overall<br />

health, and the severity of the stroke<br />

damage,” Dr. Corzo says. “In Peter’s<br />

case, his care included speech,<br />

occupational, and physical therapy.”<br />

According to Dr. Corzo, some<br />

stroke patients require additional<br />

support upon leaving the hospital.<br />

“We work closely with home care<br />

agencies and outpatient facilities<br />

within Meridian Health to ensure<br />

patients have a smooth transition<br />

home and the follow-up care they<br />

need to keep healthy.”<br />

Protect Yourself and Loved Ones from a Stroke<br />

Stephen F. Bruno, M.D.<br />

Board certified in Internal<br />

Medicine<br />

Red Bank • 732-530-2204<br />

Jorge F. Corzo, M.D.<br />

Board certified in Physical<br />

Medicine and Rehabilitation<br />

Tinton Falls • 732-264-1132<br />

Joshua T. Mendelson, M.D.<br />

Board certified in Neurology<br />

West Long Branch • 732-935-1850<br />

The Path to Wellness<br />

Three days after Christmas, Peter<br />

returned home. He is talking again,<br />

slowly gaining strength, and walking<br />

with a cane. The partners are taking<br />

Peter’s recovery slowly. Both are<br />

grateful for the exceptional care<br />

Peter received.<br />

“The hospital provides the kind of<br />

services you find in the bigger cities,<br />

but you don’t get lost in the shuffle.<br />

There’s a real sense of community and<br />

cohesiveness,” Ron says.<br />

Strokes are the third leading cause of death in the U.S. Learn<br />

what to do if someone is having a stroke at the Stroke: Are You<br />

at Risk? event on <strong>May</strong> 15. Turn to page 23 for details.<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

15


Ocean <strong>Medical</strong> <strong>Center</strong><br />

When a stubborn wound on Joe<br />

Whelan’s foot wouldn’t heal, his<br />

doctor prescribed hyperbaric oxygen<br />

therapy at Ocean <strong>Medical</strong> <strong>Center</strong>’s<br />

<strong>Center</strong> for Wound Healing. Thanks to<br />

the treatment, Joe is back on his feet and<br />

back to playing golf, a hobby he loves.<br />

Saving Limbs, Lives<br />

MeridianHealth.com • 1-800-DOCTORS<br />

16<br />

For 20 years, Toms River resident Joe<br />

Whelan successfully managed his<br />

diabetes. As part of his routine, he<br />

regularly inspected his feet for sores.<br />

He noticed a spot on one of his toes<br />

that wasn’t healing, so the 70-year-old<br />

sought treatment. Thankfully, Ocean<br />

<strong>Medical</strong> <strong>Center</strong>’s <strong>Center</strong> for Wound<br />

Healing opened in 2012, offering<br />

advanced therapies close to home.<br />

Joe learned from his podiatrist,<br />

Frederick Rothberg, DPM, that<br />

his wound was infected. Joe was<br />

admitted to Ocean for intravenous<br />

antibiotics, but these didn’t heal the<br />

infection, which had spread to the<br />

bone. Dr. Rothberg referred him for<br />

hyperbaric oxygen therapy.<br />

“It was very important we<br />

treated Joe’s wound aggressively,”<br />

A Healing Place<br />

A podiatrist will discuss<br />

how to care for your feet and<br />

explain how a wound care center<br />

can help foot and other sores on <strong>May</strong><br />

24. See page 26 for details. Or, call<br />

1-800-DOCTORS ® to find a Meridian<br />

wound care center near you.<br />

Dr. Rothberg says. “Without effective<br />

treatment, the infection would have<br />

progressively gotten worse and<br />

potentially lead to amputation.”<br />

Hyperbaric oxygen therapy heals<br />

hard-to-treat wounds by boosting<br />

the body’s natural healing abilities.<br />

The treatment involves breathing<br />

100 percent oxygen while in a pressurized<br />

chamber. Under pressure, oxygen is<br />

better absorbed into the body.<br />

“Because bone does not have<br />

blood supply, it’s difficult to get<br />

antibiotics to the infection. As<br />

a result, chronic bone infections<br />

like Joe’s are very difficult to heal,”<br />

explains Kenneth Kronhaus, M.D.,<br />

a physician at the Wound Care<br />

<strong>Center</strong>. “However, increasing oxygen<br />

levels in the body with this therapy<br />

helps destroy bad bacteria<br />

that thrive in low-oxygen<br />

environments like bone.”<br />

In addition, the therapy<br />

works to heal wounds by<br />

increasing the growth of<br />

blood vessels that circulate to<br />

the area.<br />

Joe began hyperbaric<br />

oxygen therapy in<br />

November 2012.<br />

Kenneth E. Kronhaus, M.D.<br />

Board certified in Family<br />

Medicine<br />

Brick • 732-458-8000<br />

Frederick J. Rothberg, DPM<br />

Board certified in Podiatric<br />

Surgery<br />

Toms River • 732-840-5196<br />

“The therapy felt a little like I<br />

was going down in a submarine or<br />

taking off in an airplane, but didn’t<br />

bother me a bit,” says Joe, who<br />

attended the two-hour therapy once<br />

a day. “The chamber is like a capsule<br />

with Plexiglas at the top, so it’s not<br />

confining at all. It also has a built-in<br />

TV, so I brought DVDs of my favorite<br />

shows to watch. Some people used<br />

the time to nap.”<br />

Before Joe’s prescribed sessions<br />

were complete, his wound and<br />

infection had healed completely.<br />

“Statistics show that if people<br />

lose a limb, they have decreased<br />

quality of life and tend to die earlier,”<br />

Dr. Rothberg says. “However, the<br />

healing rate with hyperbaric oxygen<br />

therapy is more than 90 percent. Not<br />

only does this therapy preserve limbs,<br />

it preserves life.”


Surgical Expertise Offers<br />

Life-Changing Results<br />

As a young boy living in Sea Girt,<br />

Charlie Thoma was used to spending<br />

time at the beach. But around<br />

age 9, his parents began noticing<br />

visible signs that his chest was not<br />

developing normally. And Charlie was<br />

beginning to become self-conscious<br />

about it.<br />

Charlie’s family made an<br />

appointment with Saad Saad, M.D.,<br />

pediatric surgeon-in-chief at K.<br />

Hovnanian Children’s Hospital at<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong> and a part of Meridian<br />

Pediatric Network.<br />

Dr. Saad diagnosed Charlie with a<br />

rare congenital defect called pectus<br />

carinatum — an excessive growth<br />

of cartilage that causes the sternum<br />

to protrude.<br />

“At the beginning, Charlie’s<br />

condition was subtle and we decided<br />

to wait until he was completely<br />

ready for surgery to treat it,” explains<br />

Charlie’s mother, Laura Thoma.<br />

“But by the time Charlie was 14,<br />

his condition had become very<br />

pronounced. One side of his chest<br />

was sticking out much farther than<br />

the other.”<br />

Not only did Charlie no longer<br />

take off his shirt to play at the beach,<br />

he was beginning to experience<br />

physical side effects of the condition.<br />

“Children with pectus carinatum<br />

often experience shortness<br />

of breath and decreased stamina.<br />

They may also have pain around the<br />

breast bone,” Dr. Saad explains.<br />

Surgical Excellence<br />

Although apprehensive, Charlie<br />

decided to move forward with the<br />

surgery in December 2012. Dr. Saad<br />

performed the four-hour procedure<br />

at K. Hovnanian Children’s Hospital,<br />

meticulously removing diseased<br />

cartilage and reshaping his breast bone.<br />

“The surgery is just as much an<br />

art as a science,” says Dr. Saad. “And<br />

although it is a difficult surgery,<br />

the rewards are great. It makes a<br />

tremendous difference in a child’s life.”<br />

Dr. Saad is the only surgeon in the<br />

area who treats pectus carinatum,<br />

performing one to two corrective<br />

surgeries for the defect about every<br />

month. However, he credits a multidisciplinary<br />

team for surgical success.<br />

“From the anesthesiologists to<br />

the staff in the operating room, the<br />

Intensive Care Unit, and the pediatric<br />

floor, the teams ensure each child<br />

gets the very best comfort and<br />

care,” he says.<br />

Saad A. Saad, M.D.<br />

Board certified in Pediatric<br />

Surgery<br />

Eatontown • 732-935-0407<br />

A New Beginning<br />

Four days after surgery, Charlie was<br />

back at home recovering, and proud<br />

to flaunt his new physique.<br />

“The surgery has given Charlie so<br />

much self-confidence. We’re really<br />

proud of him and how strong he’s<br />

been through recovery,” says Laura.<br />

“We couldn’t be happier with Dr. Saad<br />

and his staff. Our hospital stay and<br />

experience went very smoothly.”<br />

Dr. Saad was equally pleased with<br />

Charlie’s results. “I watched Charlie<br />

get his photo taken in the hospital<br />

just days after surgery. He was so<br />

happy, outspoken, and relaxed,” says<br />

Dr. Saad. “It brings me joy to help<br />

children like Charlie. I love to see<br />

him smile.”<br />

K. Hovnanian Children’s Hospital<br />

In Good Hands<br />

No matter your age, surgery can be<br />

scary. You can rest easy knowing that<br />

K. Hovnanian Children’s Hospital offers<br />

pediatric specialists who provide round-the-clock<br />

surgical services. Hear more patient stories at<br />

MeridianPediatricNetwork.com.<br />

Fourteen-year-old Charlie<br />

Thoma, diagnosed with a rare<br />

congenital defect, underwent<br />

surgery to repair his breast bone. The<br />

successful procedure also went a long way<br />

to restoring Charlie’s confidence.<br />

Meridian Health Views • <strong>May</strong>/June <strong>2013</strong><br />

17


Riverview <strong>Medical</strong> <strong>Center</strong><br />

On the Road to Recovery:<br />

Vascular Surgery Restores Man to a Healthier Life<br />

For years following an accident at<br />

work, John Bolsch, 56, of Hazlet<br />

had limited range of motion and<br />

pain in his foot. So when his leg<br />

began bothering him in July 2012,<br />

he attributed it to his earlier injury.<br />

As the pain became more intense,<br />

however, he went to see a doctor.<br />

“I started with my orthopedist<br />

since I figured the pain had something<br />

to do with my injury,” John says. “He<br />

instructed me to try using a walker<br />

for a while to relieve my ankle to see<br />

if that helped.”<br />

Much to John’s dismay, the walker<br />

did not help, and soon walking even<br />

three blocks was unbearably painful.<br />

Finding the Root of the Problem<br />

John was referred to Lon Weiner,<br />

M.D., a foot specialist affiliated<br />

with Riverview <strong>Medical</strong> <strong>Center</strong>,<br />

who sensed his pain was actually a<br />

symptom of a vascular problem. He<br />

sent John to see Joseph Cauda, M.D., a<br />

vascular surgeon on staff at Riverview<br />

<strong>Medical</strong> <strong>Center</strong> and a part of<br />

Meridian CardioVascular Network.<br />

“Dr. Cauda ran a series of tests on<br />

me that revealed peripheral artery<br />

disease and the blockage of 95<br />

percent of my right leg,” John says.<br />

According to Dr. Cauda, peripheral<br />

artery disease (PAD) occurs when the<br />

leg is not receiving enough blood or<br />

oxygen. If left untreated, it could lead<br />

to heart attack, stroke, or amputation.<br />

In December 2012, John underwent an<br />

atherectomy.<br />

“Atherectomy removes the buildup<br />

of plaque in the arteries, therefore<br />

improving the downstream healing of<br />

the leg to reduce the pain,” Dr. Cauda<br />

says. “Thanks to the minimally invasive<br />

nature of the procedure, the treatment<br />

provides a number of advantages<br />

to patients, including a shorter<br />

procedure time, faster recovery, and<br />

no insertion of any foreign objects<br />

(such as wire or mesh) into the body.”<br />

Reassuring Results<br />

When John woke up in the recovery<br />

room, he immediately knew the<br />

procedure was successful.<br />

He could once again<br />

feel warmth in<br />

his leg. He<br />

returned home<br />

that day.<br />

Joseph F. Cauda, M.D.<br />

Board certified in General Surgery<br />

Shrewsbury • 732-747-4744<br />

Although John did not need any formal<br />

rehabilitation, he slowly began exercising<br />

again. For the next few weeks, he found<br />

himself walking longer distances and<br />

even began jogging with his son as he did<br />

before his injury. The biggest reward of<br />

all, though, was when he was able to<br />

get back to riding his motorcycle.<br />

“My entire experience at Riverview<br />

was nothing but positive,” John says.<br />

“Surgery is never a happy experience,<br />

but the staff and Dr. Cauda were<br />

phenomenal from the time I checked in<br />

for preoperative testing through surgery<br />

and my return home. It was a real<br />

wake-up call for me to take better care<br />

of my health, and thanks to the entire<br />

Riverview staff, I have done just that.”<br />

– Caitlin Coyle<br />

MeridianHealth.com • 1-800-DOCTORS<br />

18<br />

Comprehensive Services<br />

When John Bolsch’s leg pain<br />

turned out to be the result<br />

of vascular disease, he turned<br />

to the expertise of Meridian<br />

CardioVascular Network and<br />

Riverview <strong>Medical</strong> <strong>Center</strong>. Now,<br />

he’s able to get back to his<br />

favorite hobby,<br />

riding his motorcycle.<br />

Heart and vascular disease can become<br />

apparent through various, sometimes<br />

subtle symptoms. To learn more<br />

about the range of heart and vascular services<br />

Meridian CardioVascular Network offers, go to<br />

MeridianCardioVascularNetwork.com.


Lora Campbell was determined to increase<br />

breast cancer awareness by giving her son’s<br />

lacrosse team pink jerseys to wear at games<br />

and asking them to encourage their<br />

moms to get mammograms.<br />

Lora enjoys oil painting and<br />

her art hangs in her home.<br />

Meridian Health<br />

Playing<br />

for Pink<br />

When Lora Campbell was diagnosed<br />

with and treated for breast cancer in<br />

2009, she knew she wanted to help<br />

increase breast cancer awareness.<br />

“While going through treatment, I<br />

noticed the entire town of Fair Haven<br />

had embraced the Paint the Town<br />

Pink campaign, but Rumson wasn’t<br />

involved at all,” Lora says.<br />

Paint the Town Pink (Pink) is a<br />

campaign to raise awareness of the<br />

importance of annual mammograms<br />

and to raise money for women who<br />

cannot afford them. Lora knows the<br />

importance of this message firsthand.<br />

“There’s no question my mammogram<br />

saved my life,” Lora says.<br />

Getting the Word Out<br />

Lora, who has two sons who were<br />

students at Rumson-Fair Haven High<br />

School at the time, had an idea. “My<br />

younger son was on the lacrosse team,<br />

and I thought how great would it be if<br />

we could get pink pinnies for them to<br />

wear before the games?” Lora says.<br />

As soon as she suggested the<br />

idea to Dale Oehler, president<br />

of the Rumson-Fair Haven Youth<br />

Lacrosse program,<br />

he immediately ran<br />

with it. Shortly after,<br />

Lora was handing out<br />

70 pink pinnies — or<br />

sleeveless jerseys — to the<br />

teenage lacrosse players.<br />

“I shared the mission of Pink<br />

with them and asked they do me a<br />

favor: Go home and ask your moms<br />

if they’ve had a mammogram this<br />

year,” Lora says. The feedback she<br />

received was tremendous. Women<br />

thanked her for opening the dialogue<br />

between them and their sons. One<br />

mom said she had the order for her<br />

mammogram in her purse for nearly<br />

a year, but once her son asked her to<br />

go, she made the appointment.<br />

Paint New <strong>Jersey</strong> Pink<br />

The team donned the pink pinnies<br />

before every game throughout their<br />

successful 19-1 season and will be<br />

sporting them again this year.<br />

“The kids took such pride in their<br />

pinnies,” Lora says. “Those pinnies<br />

traveled with them throughout the<br />

state of New <strong>Jersey</strong>. Thanks to the<br />

players, the Pink message reached so<br />

many more people than I ever could<br />

have imagined.”<br />

We Need Your Support! Attend a Pink Event!<br />

The Rumson-Fair Haven lacrosse<br />

team and the community proudly<br />

support Paint the Town Pink.<br />

Paint the Town Pink’s goal is to raise awareness about the<br />

importance of annual mammography. Meridian Health is<br />

pleased to bring this community-wide effort to more than<br />

20 towns in Monmouth and Ocean counties! To learn more about<br />

upcoming events and how to support Paint the Town Pink, go to<br />

PaintTheTownPink.com.<br />

Meridian Health Views • <strong>May</strong>/June <strong>2013</strong><br />

19


Playground Aide Returns to School with<br />

New Hip and New Energy<br />

Meridian Health<br />

MeridianHealth.com • 1-800-DOCTORS<br />

20<br />

When Ocean Township resident Gail<br />

Caruso visited a friend recovering<br />

from a hip replacement at Meridian<br />

Nursing & Rehabilitation at<br />

Shrewsbury, she was impressed by the<br />

beautiful facility and the quality of<br />

care her friend received. So two years<br />

later, when Gail herself had a hip<br />

replaced and needed rehabilitation,<br />

she knew just where to go.<br />

“My friend raved about the<br />

physical therapy at Meridian Nursing &<br />

Rehabilitation at Shrewsbury,” says Gail,<br />

69. “After my surgery, I thought, ‘Gee,<br />

I’d like to go there — it’s not that far.’<br />

It’s about a 20-minute drive from my<br />

home and only 10 if there’s no traffic.<br />

“There are closer facilities — there<br />

is one about five minutes away,”<br />

she adds. “But I couldn’t have been<br />

happier with my decision.”<br />

Road to Wellness<br />

Anthony Costa, M.D., an orthopedic<br />

surgeon on staff at Riverview <strong>Medical</strong><br />

<strong>Center</strong>, replaced Gail’s left hip on<br />

August 10, 2012. Three days later, she<br />

checked into Meridian Nursing &<br />

Rehabilitation at Shrewsbury. With<br />

both the hospital and rehab facility<br />

part of Meridian Health, Gail enjoyed<br />

a seamless coordination of care after<br />

her surgery.<br />

“Gail was pretty sick the first<br />

four days with a lot of nausea and<br />

vomiting,” recalls Stacey Curtis,<br />

Gail’s physical therapist. “Doctors<br />

quickly discovered her medications<br />

needed to be changed. After that,<br />

she returned to the rehab facility and<br />

then aced through her therapy.”<br />

Gail worked diligently with Stacey<br />

and occupational therapist Melynda<br />

Eastman to strengthen her hip<br />

joint, increase her range of motion,<br />

and improve her balance, gradually<br />

regaining daily living skills. “Like all hip<br />

replacement patients, Gail once<br />

again had to learn everything<br />

from how to get in and out of<br />

the shower safely and dressing<br />

independently to walking<br />

normally and climbing stairs,”<br />

Melynda says.<br />

Since her hip replacement<br />

two years ago, Gail Caruso is<br />

able to keep up with the kids<br />

she works with as an aide at a<br />

nearby elementary school.<br />

Anthony J. Costa, M.D.<br />

Board certified in Orthopedic<br />

Surgery<br />

Red Bank • 732-741-2313<br />

Safe and Secure<br />

Gail says the trust she had in her<br />

therapists made a big difference in<br />

her recovery. “Both Melynda and<br />

Stacey are so caring and committed<br />

to all their patients,” Gail says. “They<br />

watched us so closely and were<br />

always so encouraging, and it really<br />

helped make me feel secure.”<br />

Gail returned home 19 days later.<br />

She then continued with outpatient<br />

physical therapy for two months at<br />

a facility in Little Silver. In November<br />

2012, strong and sure on her feet, she<br />

returned to her job as a playground<br />

aide at Ocean Township Elementary<br />

School.<br />

Lasting Relationship<br />

The family continues its relationship<br />

with Meridian Nursing & Rehabilitation<br />

at Shrewsbury. When Gail’s 95-yearold<br />

mother-in-law fell during<br />

Hurricane Sandy and needed nursing<br />

care, the family chose the same<br />

facility that has served them so well.<br />

“In my job, I need to be on my feet<br />

at least three hours a day, walking<br />

and guiding children,” Gail says.<br />

“Thanks to the great care I received at<br />

Meridian Nursing & Rehabilitation at<br />

Shrewsbury, I’m able to keep up with<br />

the kids and get back to a normal<br />

lifestyle.”<br />

A Home Away from Home<br />

In a comfortable setting, Meridian<br />

Health’s subacute rehabilitation<br />

and skilled nursing facilities offer<br />

long-term care, short-term rehabilitation,<br />

and much more. To learn more about our<br />

nursing and rehabilitation centers, visit<br />

www.MeridianHealth.com/subacute.


Meridian<br />

Community Health Programs<br />

<strong>May</strong>/June <strong>2013</strong><br />

All programs are FREE unless otherwise noted. Reserve your spot by calling 1-800-DOCTORS (1-800-362-8677) or<br />

1-800-560-9990 or by visiting MeridianHealth.com. In cases of severe weather, a program may be canceled as late<br />

as an hour before the start time. Call 1-800-DOCTORS or 1-800-560-9990 to confirm.<br />

CELEBRATE<br />

Life<br />

Meridian Neuroscience invites stroke<br />

survivors and their families to join us to<br />

celebrate life. Hear from Meridian experts on how to<br />

maximize the quality of life after having a stroke. Meet<br />

other survivors and share your stories, challenges, and<br />

inspirations. Refreshments will be provided. Seating is<br />

limited and registration is required.<br />

<strong>May</strong> 18, 10:00 a.m. – noon<br />

Jumping Brook Country Club<br />

210 Jumping Brook Road, Neptune<br />

12th Annual Diabetes Health Fair<br />

If you have diabetes or know someone who does, this event<br />

is for you. Experts in diabetes management and nutrition will<br />

be available for consultation. Screenings for cholesterol, blood<br />

glucose, and blood pressure will be provided. Vendors will display<br />

the latest information and technology and be available to assist<br />

with diabetes supplies and related questions. Light refreshments<br />

will be served.<br />

<strong>May</strong> 18, 10:00 a.m. – noon<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong> Lobby<br />

Run or Walk Toward<br />

a Healthier Heart!<br />

Whether you are a competitive runner, walking for a cause, or just<br />

like to take a leisurely stroll, don’t miss out on taking part in the<br />

Meridian Health Heart & Sole Cup. To learn more about prizes and<br />

to register visit www.MeridianHealth.com/HeartandSoleCup.<br />

June 9, 8:30 a.m. 5K, Ocean <strong>Medical</strong> <strong>Center</strong><br />

June 29, 8:30 a.m. 5K, 10:00 a.m. Community Day<br />

Bayshore Community Hospital<br />

September 15, 10:00 a.m. 5K and Community Day<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

AngioScreen®:<br />

What You Learn<br />

Can Save Your Life<br />

Vascular screening to learn your risk for<br />

heart attack and stroke includes carotid<br />

artery ultrasound screening, heart rhythm<br />

screening (atrial fibrillation), blood pressure,<br />

abdominal aortic aneurysm screening,<br />

peripheral arterial disease (PAD) screening,<br />

and body mass index. Participants<br />

receive an instant color report of the<br />

findings, educational material, and private<br />

consultation with a registered nurse. Fee:<br />

$74.95. Registration required.<br />

<strong>May</strong> 7, 1:30 – 7:00 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

East Wing, Conference Room A<br />

<strong>May</strong> 14, 1:30 – 7:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Navesink River Conference Suite<br />

<strong>May</strong> 16, 9:30 a.m. – 3:30 p.m.<br />

Geisinger Gold Headquarters<br />

550 Route 530, Suite 20, Whiting<br />

<strong>May</strong> 30, 1:30 – 7:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan Rooms 104/105<br />

June 4, 1:00 – 7:00 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

June 6, 11:00 a.m. – 6:00 p.m.<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Room 1<br />

June 12, 9:30 a.m. – 4:00 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

East Wing, Conference Room A<br />

June 27, 9:30 a.m. – 4:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan Rooms 104/105<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.<br />

21


MERIDIAN CANCER CARE<br />

Improve Your quality of life<br />

Develop strategies to cope with the<br />

impact of a cancer diagnosis using<br />

integrative medicine. This program is for<br />

patients suffering with cancer or other<br />

chronic illnesses and for caregivers. To<br />

register, call 609-978-8900, ext. 2708.<br />

<strong>May</strong> 1, 10:00 a.m. – noon<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Beach Plum Conference Room<br />

Stop Smoking with Hypnosis<br />

Hypnotherapy is effective in alleviating<br />

unwanted habits and developing<br />

positive behaviors and lifestyle changes.<br />

The fee is $30.<br />

<strong>May</strong> 13 and June 10, 7:00 – 8:00 p.m.<br />

Meridian Fitness and Wellness<br />

at Hazlet<br />

BREAST CANCER UPDATE<br />

Evan Naylor, M.D., will provide the most<br />

up-to-date information on prevention<br />

and treatment of breast cancer. The<br />

lecture will be followed by a questionand-answer<br />

period.<br />

June 11, 7:00 – 9:00 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

Look Good, Feel Better<br />

The American Cancer Society offers<br />

this program to individuals being<br />

treated for cancer. Learn makeup and<br />

hair tricks to help make you look and<br />

feel better.<br />

<strong>May</strong> 21, 1:00 – 3:00 p.m.<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Beach Plum Conference Room<br />

June 3, 11:00 a.m. – 1:00 p.m.<br />

Bayshore Community Hospital,<br />

Infusion Suite, 4th Floor<br />

SURVIVORSHIP GARDEN — ANNUAL<br />

CEREMONIAL PLANTING<br />

In honor of National Cancer Survivors<br />

Day, survivors, friends, and family are<br />

invited to garden with representatives<br />

from the Kaleidoscope of Hope.<br />

June 1, 10:00 a.m. – noon<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Amdur Pavilion<br />

NOVEL CHEMOTHERAPIES FOR<br />

PATIENTS WITH METASTATIC DISEASE<br />

<strong>Medical</strong> oncologist Peter Mencel, M.D.,<br />

discusses the latest information about<br />

chemotherapy for metastatic cancer of<br />

the thyroid.<br />

June 3, 6:00 – 7:30 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

<strong>Medical</strong> Staff Board Room<br />

FATHER’S DAY: MEN’S HEALTH SPECIAL<br />

Bring that special man in your life and<br />

join Rama Sambandan, M.D., as he<br />

discusses prostate and colon health as<br />

well as other men’s health issues. Each<br />

attendee will receive a free guest pass<br />

to the Fitness <strong>Center</strong>. A free colonrectal<br />

screening kit will be provided.<br />

June 12, 7:00 – 8:00 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

COLON-RECTAL CANCER: Preventive<br />

Measures You Can Take<br />

Howard Ross, M.D., will discuss risks,<br />

prevention, and the latest treatment<br />

options. A free colon-rectal screening<br />

kit will be provided.<br />

June 25, 6:00 – 7:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Navesink River Conference Room<br />

CHILDREN’S ART THERAPY<br />

Meridian Cancer Care offers art therapy<br />

for children ages 4½ to 13 who have<br />

experienced a loss or are dealing with<br />

a chronically or terminally ill loved one.<br />

Registration required. Call 732-530-2382.<br />

Childbirth/Maternity<br />

MERIDIAN Pediatric NETWORK<br />

SAFE SITTER<br />

Meridian offers babysitting training<br />

for boys and girls ages 11 to 14. This<br />

class will review safety for both the<br />

babysitters and children left in their<br />

care in a fun learning environment. The<br />

class includes handling emergencies,<br />

first aid, and CPR. The fee is $40.<br />

<strong>May</strong> 4, 9:00 a.m. – 3:30 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Room A<br />

<strong>May</strong> 18 and June 8, 9:00 a.m. – 3:30 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

June 28, 9:00 a.m. – 3:30 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

CAR SEAT SAFETY CHECK<br />

Sponsored by the New <strong>Jersey</strong> State<br />

Police and the Trauma <strong>Center</strong> at<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong>. No registration necessary.<br />

First Tuesday of each month<br />

3:00 – 7:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong><br />

CHILDBIRTH EDUCATION SERIES<br />

Meridian Health offers classes<br />

and seminars for first-time and<br />

experienced parents, as well as<br />

tours, classes for siblings, and<br />

more! Registration required.<br />

Please register before your third<br />

trimester. To learn more about our<br />

fun and informative classes, visit<br />

MeridianMomtourage.com.<br />

STRIKE A POSE: YOGA FOR MOMS<br />

AND MOMS-TO-BE<br />

Classes focus on gentle postures,<br />

breathing techniques, and overall<br />

relaxation to prepare for childbirth<br />

or recover after childbirth. Call<br />

Meridian Life Fitness in Point<br />

Pleasant at 732-295-1778 for fees<br />

and to register.<br />

22<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.


MERIDIAN CARDIOVASCULAR NETWORK<br />

Meridian Women’s Heart<br />

Connection<br />

❤ Joyful Heart Tea<br />

Learn the latest heart health<br />

information while enjoying tea and<br />

heart-healthy delights! Registration<br />

required.<br />

June 11, 11:00 a.m. – 12:30 p.m.<br />

Neptune Library<br />

25 Neptune Blvd., Neptune<br />

❤ Women and Heart Disease<br />

Netrali Patel, M.D., will discuss risk<br />

factors, signs, and symptoms as well<br />

as lifestyle changes to help prevent<br />

heart disease.<br />

June 4, 2:00 – 3:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong>, Navesink<br />

River Conference Suite<br />

MERIDIAN Neuroscience<br />

STROKE: ARE YOU AT RISK?<br />

Learn the risk factors, signs, and<br />

symptoms, as well as what you should<br />

do if someone is having a stroke.<br />

<strong>May</strong> 3, 11:00 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

Speaker: Tommasina Papa-Rugino, M.D.<br />

<strong>May</strong> 7, 11:00 a.m. – noon<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

Speaker: Shirley Shook, R.N.<br />

<strong>May</strong> 15, 11:00 a.m. – 1:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong>, Two River<br />

Conference Suite<br />

A light lunch will be served.<br />

Speaker: Noah Gilson, M.D.<br />

PARKINSON’S DISEASE UPDATE<br />

Alan Deutsch, M.D., will discuss early<br />

detection as well as treatment options<br />

to maintain strength and function.<br />

<strong>May</strong> 8, 10:00 a.m. – 11:00 a.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Room A<br />

ALZHEIMER’S: IS IT IN YOUR GENES?<br />

John Fitzpatrick, M.D., will discuss the<br />

stages of Alzheimer’s, signs, symptoms,<br />

and its connection to genetics.<br />

<strong>May</strong> 13, 6:00 – 7:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan 104/105<br />

DEEP VEIN THROMBOSIS<br />

Owano Pennycooke, M.D., will<br />

discuss the signs, symptoms, and<br />

causes of deep vein thrombosis<br />

(DVT).<br />

<strong>May</strong> 1, 2:00 – 3:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Two River Conference Suite<br />

HEART HEALTY EATING<br />

Jeanne Jacobus, R.N., will<br />

discuss how to eat smart for a<br />

healthy heart.<br />

<strong>May</strong> 2, 2:00 – 3:00 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Room A<br />

TROUBLE KEEPING YOUR BALANCE?<br />

Learn the causes of balance issues and<br />

solutions.<br />

<strong>May</strong> 20, 11:00 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean Club,<br />

Stafford Township<br />

PREVENTION AND TREATMENT<br />

OF CONCUSSIONS<br />

Kristine Keane, PsyD, will discuss prevention<br />

and treatment options for concussions.<br />

<strong>May</strong> 21, 7:00-8:00 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong>, Conference Room A<br />

PARKINSON’S disease:<br />

IMPROVING YOUR QUALITY OF LIFE<br />

In partnership with the Parkinson’s Disease<br />

Foundation, this program is for people living<br />

with Parkinson’s and their family members<br />

and will focus on exercise, nutrition, and<br />

medication. Lunch will be served. To<br />

register, call Carol Schulte at 908-461-5339.<br />

June 5, 9:00 a.m. – 2:00 p.m.<br />

Tower Hill Church<br />

255 Harding Road, Red Bank<br />

LIVING WITH HEADACHES?<br />

Join Anthony Bruno, M.D., as he discusses<br />

causes and the latest treatment options for<br />

headaches.<br />

June 5, 11:00 a.m. – noon<br />

Riverview <strong>Medical</strong> <strong>Center</strong>, Two River<br />

Conference Suite<br />

HYPERTENSION AND YOU<br />

Jeanne Jacobus, R.N., will discuss how to<br />

manage hypertension, including tips on<br />

weight loss, quitting smoking, dietary<br />

changes, and more.<br />

<strong>May</strong> 7, 6:00 – 7:30 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan 104/105<br />

HEART DISEASE PREVENTION<br />

Taking care of your heart can have<br />

lifelong benefits. Learn the risk factors,<br />

signs, symptoms, and steps you can<br />

take to prevent heart disease.<br />

<strong>May</strong> 7, 2:00 – 3:30 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong>, Conference<br />

Room C<br />

Speaker: Aari Patel, M.D.<br />

<strong>May</strong> 22, 11:00 a.m. – noon<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

Speaker: Nagdy Nasra, M.D.<br />

June 10, 11:00 a.m. – noon<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan 104/105<br />

LIVING WITH CONGESTIVE HEART<br />

FAILURE<br />

Praveen Uppal, M.D., will discuss risk<br />

factors, signs and symptoms, and how<br />

to manage heart failure.<br />

<strong>May</strong> 16, 11:00 a.m. – noon<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

EXERCISE FOR CARDIAC AND STROKE<br />

PATIENTS<br />

Learn how exercise can make a positive<br />

impact on those who have had a stroke<br />

or been diagnosed with cardiovascular<br />

disease.<br />

<strong>May</strong> 23, 1:00 – 2:00 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Community Room<br />

CONTROLLING YOUR CHOLESTEROL<br />

Do you know what your cholesterol<br />

level is and what it means? Find out<br />

about good and bad cholesterol and<br />

treatment options.<br />

June 7, 11:00 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.<br />

23


Weight-Loss Surgery<br />

WEIGHT-LOSS SURGERY: THE FACTS<br />

Karl Strom, M.D., medical director<br />

of the Bariatric <strong>Center</strong> of Excellence<br />

at Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

and Bayshore Community Hospital,<br />

and surgeons Jonathan Reich, M.D.,<br />

and Silvia Fresco, M.D., will host<br />

educational programs on the benefits<br />

of weight-loss surgery.<br />

<strong>May</strong> 7; <strong>May</strong> 23; and June 20<br />

7:00 – 8:30 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

<strong>May</strong> 9, 7:00 – 8:30 p.m.<br />

Bayshore Community Hospital<br />

Ground Floor Conference Room<br />

<strong>May</strong> 7 and June 11, 7:00 – 8:30 p.m.<br />

Ramada Inn, 2373 U.S. 9, Toms River<br />

<strong>May</strong> 8 and June 12, 7:00 – 8:30 p.m.<br />

<strong>May</strong> 16, 10:30 a.m. – noon<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Rooms 1 and 2<br />

<strong>May</strong> 13 and June 18, 7:00-8:30 p.m.<br />

Ocean County Library – Lacey<br />

10 East Lacey Road<br />

<strong>May</strong> 21, 7:00-8:30 p.m.<br />

Ocean County Library – Brick<br />

301 Chambersbridge Road<br />

OPTIONS FOR WEIGHT-LOSS<br />

SURGERY<br />

Seth Kipnis, M.D., discusses the<br />

benefits of weight-loss surgery.<br />

<strong>May</strong> 1 and June 5, 6:00 – 7:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong><br />

Brennan Rooms 104/105<br />

Orthopedics and sports medicine<br />

SHOULDER DYSFUNCTION<br />

Learn the most common shoulder<br />

dysfunctions and how to prevent<br />

them.<br />

June 11, 6:30 – 7:30 p.m.<br />

Meridian Life Fitness, Point<br />

Pleasant<br />

COMMON FOOT AILMENTS<br />

Podiatrist Ian Hersh, DPM, discusses<br />

bunions, corns, and other foot<br />

ailments. Foot screening to follow.<br />

June 19, 11:00 a.m. – noon<br />

Meridian Fitness and Wellness<br />

at Hazlet<br />

Screenings<br />

BLOOD PRESSURE SCREENING<br />

First and third Wednesday of the<br />

month, 9:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the<br />

Ocean Club<br />

BALANCE SCREENING<br />

Call 732-206-8263 to register.<br />

<strong>May</strong> 16, 12:30 – 1:30 p.m.<br />

Meridian Life Fitness, Brick<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

June 6, 12:30 – 1:30 p.m.<br />

Meridian Life Fitness,<br />

Point Pleasant<br />

DIABETES FOOT SCREENING<br />

Call the Wound <strong>Center</strong> at<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong> at<br />

609-978-3077.<br />

First Wednesday of each month<br />

Noon – 1:00 p.m.<br />

SKIN CANCER SCREENING<br />

<strong>May</strong> 21, 6:00 - 8:00 p.m.<br />

Meridian Fitness and Wellness<br />

<strong>Center</strong> at Hazlet<br />

June 6, 5:00 – 7:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong>, Outpatient Infusion Suite<br />

ACHILLES TENDINITIS<br />

Matthew Wolenski, M.D., will<br />

discuss tips on prevention and<br />

treatment.<br />

June 12, 2:00 – 3:00 p.m.<br />

Family Resource <strong>Center</strong> at the<br />

Ocean Club, Stafford Township<br />

Fitness<br />

SELF-DEFENSE EXERCISES<br />

Learn how to use balance and<br />

leverage over strength to help defend<br />

yourself. $3 per class.<br />

<strong>May</strong> 2 and 16, 12:30 – 1:30 p.m.<br />

June 6 and 20, 12:30 – 1:30 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

TRAIN FOR A 5K<br />

Learn everything you need to know<br />

to train for a 5K.<br />

<strong>May</strong> 6, 5:30 – 6:30 p.m.<br />

Meridian Life Fitness, Point Pleasant<br />

AQUATIC DEMO FOR THOSE WITH<br />

ARTHRITIS<br />

Find out whether this specialty<br />

class may be right for you! <strong>Medical</strong><br />

clearance may be required. Call<br />

732-206-8263 for more details and to<br />

register.<br />

June 6, 11:00 a.m. – noon<br />

Meridian Life Fitness, Point Pleasant<br />

YOGA FOR ARTHRITIS<br />

Find out whether this specialty<br />

yoga class may be right for you. Call<br />

732-206-8263 for more details and to<br />

register.<br />

June 10, 4:00 – 5:00 p.m.<br />

Riverview <strong>Medical</strong> <strong>Center</strong><br />

Counseling and Behavioral HeaLth<br />

Addiction Recovery Services<br />

For adult family members of addicted individuals. Call for information.<br />

Children’s Counseling<br />

Meridian’s Behavioral Health offers age-specific group therapy, a<br />

therapeutic after-school program for children ages 7 to 13, as well as<br />

traditional individual and family therapy. Call 732-869-2784, ext. 2,<br />

for registration, schedules, and fees.<br />

DIABETES<br />

Individual or group educational and<br />

support programs. To register, call<br />

Riverview <strong>Medical</strong> <strong>Center</strong> and Ocean<br />

<strong>Medical</strong> <strong>Center</strong> at 732-530-2555,<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong> at 732-897-3980, and<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong> at<br />

609-978-3400.<br />

24<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.


NUTRITION<br />

EATING FOR ENERGY — HOW TO<br />

FEEL YOUR BEST<br />

Maria Choy, M.D., will discuss how<br />

you can change your eating style to<br />

increase your total health and feel<br />

your best.<br />

<strong>May</strong> 20, 7:00 – 8:00 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

WEIGHT-LOSS STRATEGIES FOR THE<br />

SUMMER<br />

Healthy strategies to achieving weight<br />

loss this summer.<br />

<strong>May</strong> 20, 5:30 – 6:30 p.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Community Room<br />

WEIGHT LOSS WITH HYPNOSIS<br />

Jaime Pitner, R.N., will lead a session<br />

to help you lose weight with<br />

hypnotherapy. Fee: $30<br />

June 12, 7:00 – 8:00 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

HEALTHY FATS FOR YOUR HEART<br />

Liz Amisson, R.D., will discuss healthy<br />

and nonhealthy fats.<br />

June 20, 11:00 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

NUTRITION COUNSELING<br />

Consult a registered dietician to<br />

design a food plan that meets<br />

your weight management and<br />

medical nutrition needs. To register,<br />

call Riverview <strong>Medical</strong> <strong>Center</strong> at<br />

732-530-2555, Meridian Life Fitness<br />

at 732-206-8263, or Southern Ocean<br />

<strong>Medical</strong> <strong>Center</strong> at 609-978-3400.<br />

WEIGHT-LOSS AND WELLNESS<br />

PROGRAMS<br />

Meridian Life Fitness offers a variety<br />

of weight-loss and wellness programs<br />

to suit your lifestyle, including the<br />

ability to meet with a wellness<br />

adviser. Call 732-206-8263 for<br />

information, fees, and registration.<br />

Senior Programs<br />

AARP DRIVING SAFETY PROGRAM<br />

Driving program for adults 50 and<br />

older who want to develop safe<br />

defensive driving techniques. The fee<br />

is $12 for AARP members and $14 for<br />

nonmembers. Please make checks<br />

payable to AARP. Call for dates.<br />

UNDERSTANDING MEDICARE<br />

Meridian Geisinger Gold’s Medicare<br />

GPS is an educational seminar<br />

designed to provide clear, simple,<br />

unbiased information to help you<br />

choose the best route when it comes<br />

to Medicare. The most up-to-date<br />

information from the <strong>Center</strong>s for<br />

Medicare and Medicaid Services’<br />

National Medicare Training Program<br />

will be provided.<br />

<strong>May</strong> 2, 10:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

<strong>May</strong> 14, 10:00– 11:00 a.m.<br />

Meridian Fitness and Wellness<br />

<strong>Center</strong> at Hazlet<br />

June 5, 10:00 – 11:00 a.m.<br />

June 19, 1:00 – 2:00 p.m.<br />

Geisinger Gold Headquarters<br />

4900 Route 33, Suite 200, 2nd Floor,<br />

Neptune<br />

June 12, 10:00 – 11:00 a.m.<br />

June 26, 1:00 – 2:00 p.m.<br />

Geisinger Gold Headquarters<br />

550 Route 530, Suite 20, Whiting<br />

GENEALOGY<br />

Interested in tracing your family<br />

history?<br />

<strong>May</strong> 7 and June 11, 10:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

iPAD, FACEBOOK, AND TWITTER<br />

See an iPad demonstration and learn<br />

how to set up Facebook and Twitter<br />

in this two-day class. Fee: $10<br />

<strong>May</strong> 13 and <strong>May</strong> 15, 9:30 – 11:30 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

CAREGIVER LUNCHEON<br />

Join us for this informative luncheon<br />

and find out what community<br />

resources are available to help you<br />

and your loved one.<br />

<strong>May</strong> 14, noon – 2:00 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

THE POWER OF AGING<br />

Geriatrician William Power, M.D., will<br />

discuss the landmark moments in time<br />

regarding aging and the treatments<br />

that can help us age successfully.<br />

<strong>May</strong> 16, 10:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

FALL PREVENTION EXERCISE DEMO<br />

Learn how to improve your balance<br />

through exercise.<br />

<strong>May</strong> 17, noon – 12:30 p.m.<br />

Meridian Life Fitness, Point Pleasant<br />

TAI CHI FOR SENIORS<br />

Learn more about Tai Chi and the<br />

many health benefits of this exercise.<br />

June 10, 1:00 – 2:00 p.m.<br />

Meridian Life Fitness, Point Pleasant<br />

BALANCE SOLUTIONS<br />

Treatment options for balance<br />

and dizziness.<br />

June 13, 10:30 – 11:30 a.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

East Wing, Conference Room B<br />

LIVING WILLS<br />

The state of New <strong>Jersey</strong> recognizes<br />

living wills and encourages you to<br />

have one. This workshop will show<br />

you how to complete a living will.<br />

June 17, 10:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

HEALTH FAIR<br />

Free health screenings: blood<br />

pressure, cholesterol, glucose, BMI,<br />

stroke risk assessments; health<br />

information and more.<br />

June 21, 10:00 a.m. – 1:00 p.m.<br />

Brick Senior <strong>Center</strong><br />

373 Adamston Road<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.<br />

25


General Wellness<br />

STRIVE TO THRIVE WITH DIABETES<br />

Experts from Meridian, ShopRite, and<br />

Geisinger Gold will discuss how to control<br />

your diabetes with medication and diet,<br />

and how to manage out-of-pocket costs<br />

associated with diabetes. Free health<br />

screenings will be provided.<br />

April 30, 10:00 – 11:30 a.m.<br />

ShopRite, 668 Route 70, Brick<br />

<strong>May</strong> 18, 10:00 – 11:30 a.m.<br />

ShopRite, 2 Route 37, Toms River<br />

TAKE CONTROL: LIVING WELL WITH<br />

CHRONIC CONDITIONS<br />

Six-week program for people living with<br />

chronic health conditions and their<br />

caregivers to help manage symptoms<br />

and daily challenges.<br />

Starting <strong>May</strong> 8, 9:30 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

Starting <strong>May</strong> 23, 1:00 – 3:30 p.m.<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

VARICOSE VEINS: CAUSES AND<br />

TREATMENT OPTIONS<br />

Lawrence Mueller, M.D., will discuss<br />

varicose veins, their causes, and the<br />

latest treatment options.<br />

<strong>May</strong> 23<br />

Lecture: 9:00 – 10:00 a.m.<br />

Screenings: 10:00 – 11:00 a.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong><br />

Brennan Rooms 104/105<br />

A Step Toward Wound Healing<br />

Podiatrist RoseAnn Caruso, DPM,<br />

will discuss proper foot care. Learn<br />

how wound care and hyperbaric<br />

treatment can help heal wounds. A<br />

continental breakfast will be served.<br />

<strong>May</strong> 24, 9:00 – 10:00 a.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong> Conference<br />

Rooms A and B<br />

ALL ABOUT HERNIAS<br />

Surgeon Lauren Fischer, M.D., will<br />

discuss diagnosis and treatment<br />

options.<br />

<strong>May</strong> 29, 7:00 – 8:00 p.m.<br />

Meridian Fitness and Wellness<br />

<strong>Center</strong> at Hazlet<br />

PELVIC FLOOR DYSFUNCTION AND<br />

PILATES DEMO<br />

Pelvic floor dysfunction can lead to<br />

incontinence, and Pilates or physical<br />

therapy can help.<br />

<strong>May</strong> 30, 10:30 – 11:30 a.m.<br />

Ocean <strong>Medical</strong> <strong>Center</strong><br />

Conference Room A<br />

SUMMER SKIN SAFETY<br />

Join Kavita Beri, M.D., and learn tips<br />

on maintaining healthy skin.<br />

June 4, 2:00 – 3:00 p.m.<br />

<strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong><br />

<strong>Center</strong><br />

Brennan 104/105<br />

LYMPHEDEMA UPDATE<br />

Stacey Reese, P.T. will share the latest<br />

physical therapy treatments and basic<br />

care guidelines.<br />

June 11, 11:00 a.m. – noon<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

NATIONAL SAFETY DEFENSIVE<br />

DRIVING<br />

Open to anyone who wants to<br />

develop safe, defensive driving<br />

techniques and save on car insurance.<br />

Call for fees and to register.<br />

June 19, 8:30 a.m. – 5:00 p.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

BROWN BAG YOUR MEDICATIONS<br />

Have your medication and supplements<br />

reviewed by a registered pharmacist<br />

who will discuss medication<br />

interactions. Registration is required.<br />

June 26, 10:00 a.m. – noon<br />

Meridian Fitness and Wellness <strong>Center</strong><br />

at Hazlet<br />

FOCUS ON OSTEOPOROSIS<br />

Gynecologist Alma Bustamante, M.D.,<br />

will discuss the latest research on<br />

medication, vitamins, diet, and exercise.<br />

June 26, 10:00 – 11:00 a.m.<br />

Family Resource <strong>Center</strong> at the Ocean<br />

Club, Stafford Township<br />

Meridian Programs and services<br />

Booker Health Sciences Library<br />

Home Delivery<br />

Looking to learn more about a<br />

medical topic, disease, or condition?<br />

The library sends a packet of reliable<br />

information to you at no cost.<br />

Phone: 732-776-4265<br />

Fax: 732-776-4530<br />

E-mail: jsumclibrary@meridianhealth.com<br />

Clinical Trials<br />

To learn more about current clinical<br />

trials available at Meridian Health,<br />

please visit us at MeridianHealth.com,<br />

call 732-776-2953, or e-mail us at<br />

clinicaltrials@meridianhealth.com.<br />

CPR Training<br />

All Meridian hospitals are American<br />

Heart Association CPR training<br />

centers. Call for dates, times,<br />

locations, and classes.<br />

Infectious Disease Clinic<br />

Located at <strong>Jersey</strong> <strong>Shore</strong> University<br />

<strong>Medical</strong> <strong>Center</strong>. Call 732-774-0151<br />

to schedule a free, confidential<br />

appointment.<br />

Support Groups<br />

Meridian offers support groups for<br />

bereavement; caregivers; diabetes;<br />

anorexia and bulimia; breast,<br />

lung, prostate, thyroid, and other<br />

cancers; Alzheimer’s disease; stroke;<br />

Parkinson’s disease; sleep disorders;<br />

celiac disease; heart disease; weight<br />

loss; and more. Call for more<br />

information, dates, and times.<br />

26<br />

Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.


Cholesterol:<br />

Down with the Bad,<br />

Up with the Good<br />

Talk about a love-hate relationship.<br />

Your body needs cholesterol to<br />

make essential hormones, cell<br />

membranes, and brain and nerve<br />

tissues. To transport this fat through<br />

your bloodstream, your body<br />

turns cholesterol into high-density,<br />

or “good,” lipoprotein (HDL) and<br />

low-density, or “bad,” lipoprotein<br />

(LDL). HDL cholesterol gets rid<br />

of excess cholesterol, and LDL<br />

cholesterol promotes fatty buildup<br />

in your arteries.<br />

Even so, your liver manufactures<br />

all the cholesterol your body needs.<br />

The cholesterol from your diet<br />

is all excess. High blood levels of<br />

cholesterol can clog blood vessels<br />

and cause heart disease, one of<br />

America’s top killers.<br />

Your cholesterol profile results<br />

partly from heredity and age. But<br />

physical activity counts, too. And so<br />

does diet. Here’s how to lower your<br />

total cholesterol and LDL levels, and<br />

raise your HDL levels.<br />

Tico Stuffed Peppers<br />

• Compare labels<br />

to choose foods<br />

with less cholesterol<br />

and saturated fat.<br />

Saturated fat is an even<br />

worse culprit than dietary<br />

cholesterol in raising blood<br />

cholesterol levels. Less than 10<br />

percent of your daily calories<br />

should be from saturated fat.<br />

• If you are overweight, your diet<br />

should consist mainly of fruits,<br />

vegetables, beans, and whole<br />

grains. Choose lean cuts of meat<br />

with the fat trimmed. If you are<br />

not overweight, you may add<br />

monounsaturated fats, such as<br />

olive oil, canola oil, avocados, and<br />

nuts, to your diet.<br />

• Choose a tub margarine with<br />

liquid vegetable oil as the first<br />

ingredient in place of butter or<br />

stick margarine. High levels of<br />

trans-fatty acids in hydrogenated<br />

oils — found in stick margarine,<br />

baked goods, fried foods, and<br />

snack foods — lower healthy<br />

HDL levels.<br />

• Maintain a healthy weight. Excess<br />

weight can increase your LDL levels<br />

and lower your HDL levels.<br />

• Exercise for at least 30 minutes on<br />

most days of the week. A recent<br />

study showed that exercising<br />

longer boosted HDL levels more<br />

than exercising harder did.<br />

ABCs of HDL: Online Quiz<br />

Healthy Highlights<br />

Did you know that excess<br />

cholesterol in the arteries<br />

can block blood flow to vital<br />

organs? Take our cholesterol quiz at<br />

Wellness<strong>Center</strong>.MeridianHealth.com.<br />

4 large, square bell peppers — red, yellow, or green<br />

1 tbsp. olive oil<br />

1 large clove garlic, minced<br />

2 tbsp. minced onion<br />

2 dried red chilies<br />

½ cup diced tomatoes, peeled and seeded<br />

1 15.5-oz. can black beans, drained and rinsed<br />

2 cups cooked brown rice<br />

½ cup water<br />

Preheat oven to 375 degrees. Wash peppers and<br />

cut off tops a quarter-inch to half-inch down. Remove<br />

seeds; set tops aside. Put peppers in a baking<br />

dish. Heat oil in a skillet. Sauté garlic and onion<br />

with dried red chilies until onion is soft, about five<br />

minutes. Add tomatoes, beans, and brown rice. Mix<br />

thoroughly. Spoon mixture into prepared peppers<br />

and put tops back on. Add water to pan. Cover and<br />

bake until peppers are soft, about 45 minutes to an<br />

hour. Makes four servings.<br />

One Serving Contains<br />

Approximately:<br />

Calories ....... 289<br />

Fat ...........5 g<br />

Calories from fat 16%<br />

Cholesterol .....0 mg<br />

Sodium .......8 mg<br />

Carbohydrates ..53 g<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

27


Stroke Prevention and Treatment:<br />

What You Need to Know<br />

Meridian Health<br />

MeridianHealth.com • 1-800-DOCTORS<br />

28<br />

There are about 6 million stroke<br />

survivors alive today. Even so,<br />

stroke — a blood clot that blocks<br />

an artery or a blood vessel to the<br />

brain — remains the fourth leading<br />

cause of death in the U.S. Both<br />

women and men are at risk for<br />

stroke, so it’s important to know<br />

the symptoms and what you can do<br />

to protect against stroke, as well as<br />

treatment and rehabilitation options<br />

if you suffer a stroke.<br />

Lower Your Risk<br />

There are some well-established risk<br />

factors for stroke, including smoking,<br />

high blood pressure, heart disease,<br />

and diabetes.<br />

In addition to these risk factors, for<br />

men with a body mass index (BMI) of<br />

30 or higher, their risk of suffering a<br />

stroke doubles compared with those<br />

who are at a healthy weight. Other<br />

research has explored the association<br />

between obesity and stroke risk in<br />

women. Some studies have found a<br />

potential connection, while others<br />

have not.<br />

There are some strategies you can<br />

incorporate into your lifestyle today<br />

that can help protect against stroke.<br />

These include:<br />

• Maintaining a healthy weight<br />

• Following your doctor’s<br />

recommendations for managing<br />

chronic diseases<br />

• Not smoking<br />

• Limiting alcohol to one drink a day<br />

• Exercising at a moderate pace for<br />

at least 30 minutes on most days<br />

of the week<br />

• Choosing whole grains<br />

• Aiming for at least five to six servings<br />

of fruits and vegetables a day<br />

• Getting at least 600 mg of calcium<br />

daily from dairy products. “Some<br />

studies suggest women who<br />

consume adequate amounts<br />

of calcium have a lower risk for<br />

stroke,” says Robert Terranova,<br />

D.O., board certified in neurology,<br />

Southern Ocean <strong>Medical</strong> <strong>Center</strong>.<br />

“Calcium also has the added<br />

benefit of improving bone density.”<br />

Recognizing, Acting on<br />

Stroke Symptoms<br />

One of the ways a transient ischemic<br />

attack (TIA) — sometimes called<br />

a ministroke — differs from a<br />

stroke in that it usually doesn’t<br />

cause permanent brain damage.<br />

A TIA occurs when blood flow<br />

is interrupted by a blood clot or<br />

cholesterol embolus to a portion<br />

of the brain, arising from the heart,<br />

carotid, or intracranial vessel to vessel.<br />

Also known as “warning strokes,”<br />

TIAs often predict the occurrence of<br />

a major stroke, so it’s critical to pay<br />

attention to the signs.<br />

Symptoms of a TIA or stroke can<br />

include:<br />

• Numbness in your face, arms, or<br />

legs — especially on one side of<br />

the body<br />

• Dizziness or loss of coordination<br />

• Loss of vision or double vision<br />

• Confusion or language difficulties<br />

“These signs can be difficult to<br />

recognize, because they come on<br />

Get in the Game: Read Harry Carson’s Blog<br />

As the spokesperson for Meridian Neuroscience, Harry<br />

Carson, pro football Hall of Famer and former captain of the<br />

New York Giants, is an advocate for concussion and stroke<br />

awareness. In his “Get in the Game” blog, he talks about physical and<br />

emotional wellness, and loving yourself. To learn more about Harry’s<br />

experiences with sports injuries and living a healthy life, go to<br />

www.MeridianHealth.com/HarryCarson.<br />

suddenly and usually last a short<br />

period of time,” says Paul Gilson, M.D.,<br />

of Ocean <strong>Medical</strong> <strong>Center</strong>. If<br />

you experience any of these<br />

symptoms — even if they last only<br />

a few minutes — it’s critical to seek<br />

emergency medical help right away.<br />

By doing so, you may be able to<br />

prevent a devastating stroke.<br />

Treating Stroke<br />

Although there is no cure for stroke,<br />

advanced medical and surgical<br />

treatments are now available, giving<br />

many stroke victims hope for optimal<br />

recovery. “Stroke treatment is most<br />

effective when started immediately,”<br />

says Stephen Martino, M.D., medical<br />

director of the Stroke Program for<br />

Meridian Neuroscience at <strong>Jersey</strong><br />

<strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>.<br />

“Emergency treatment following a<br />

stroke may include medications to<br />

dissolve blood clots; medications and<br />

therapy to reduce or control brain<br />

swelling; and medications that help<br />

protect the brain from damage and<br />

lack of oxygen.” There are also life<br />

support measures, such as ventilators<br />

and intravenous fluids, that can be<br />

used as needed.<br />

Numerous medications are<br />

available to help with recovery<br />

following a stroke or help prevent<br />

a stroke from occurring. These<br />

medications are given to help prevent<br />

additional blood clots from forming,<br />

for example, or to treat existing<br />

medical conditions, such as diabetes,<br />

heart, or blood pressure problems.<br />

In some cases, surgery will be an<br />

option to prevent a stroke, such as<br />

a carotid endarterectomy, which<br />

removes plaque and clots from<br />

arteries located in the neck. Specific<br />

treatments for stroke are determined<br />

by your doctor based on several<br />

factors, such as your age, overall<br />

health, and medical history; severity<br />

of the stroke; and the location and<br />

cause of the stroke.


Steps Toward Rehabilitation<br />

Participating in stroke rehabilitation<br />

can help people regain their<br />

independence and relearn skills lost<br />

when a stroke damages part of the<br />

brain. Rehab can involve physical and<br />

occupational therapy and exercises to<br />

help the person control movements<br />

and relearn how to walk, eat, and<br />

dress. After a stroke, many people<br />

may experience problems speaking,<br />

listening, writing, or comprehending<br />

speech, so rehab could entail therapy<br />

for communication disorders.<br />

Speech-language pathologists also<br />

help stroke survivors improve their<br />

ability to swallow.<br />

Rehab can also involve physical<br />

therapy. Therapists can help improve<br />

strength and function in strokeimpaired<br />

limbs, as well as coordination<br />

and balance. Range-of-motion<br />

exercises help patients regain mobility,<br />

but early rehab is essential to recovery.<br />

An occupational therapist can<br />

help stroke survivors relearn everyday<br />

activities, such as eating, going to<br />

Paul J. Gilson, M.D.<br />

Brick • 732-840-4666<br />

Robert J. Terranova, D.O.<br />

Board certified in Neurology<br />

Manahawkin • 609-978-8870<br />

the bathroom, and getting dressed.<br />

And rehabilitation can include<br />

psychological therapy. Depression is<br />

common after a stroke. Talking with a<br />

counselor and participating in support<br />

groups can help.<br />

Keys to Recovery<br />

If you have suffered a stroke, the<br />

degree of recovery varies widely<br />

from person to person, depending<br />

on the amount of damage the stroke<br />

caused and to which part of the<br />

brain. It also depends on the skill<br />

of the rehabilitation team and the<br />

cooperation of friends and family.<br />

“The most important element in<br />

Stephen J. Martino, M.D.<br />

Board certified in<br />

Neurology<br />

Neptune • 732-774-8282<br />

Glenn Forman, M.D.<br />

Board certified in Physical<br />

Medicine and Rehabilitation<br />

Red Bank • 732-741-2313<br />

a stroke rehabilitation program is<br />

focused, repetitive practice that is<br />

carefully directed by a therapist or<br />

therapists,” says Glenn Forman, M.D.,<br />

of Riverview <strong>Medical</strong> <strong>Center</strong>.<br />

Caregivers can best help<br />

stroke patients by meeting them<br />

halfway — allowing them to do as<br />

much as they can on their own before<br />

stepping in. It’s imperative for a<br />

person to work toward independence,<br />

and the only way to relearn the tasks<br />

of daily living is to try to do them.<br />

Grady’s love for bowling — and a<br />

remarkable care team — helped<br />

him fight his way back to<br />

the lanes after a stroke.<br />

Know the Warning<br />

Signs of Stroke<br />

• Sudden numbness or weakness of<br />

the face, arm or leg, especially on<br />

one side of the body<br />

• Sudden confusion, trouble<br />

speaking or understanding<br />

• Sudden trouble seeing in one or<br />

both eyes<br />

• Sudden trouble walking, dizziness,<br />

loss of balance or coordination<br />

• Sudden severe headache with no<br />

known cause<br />

To hear more from our experts, go to<br />

MeridianNeuroscience.com.<br />

Meridian HealthViews • <strong>May</strong>/June <strong>2013</strong><br />

29


My Health Views On …<br />

Island Heights resident Greg Heizler is a successful attorney, husband,<br />

and father of a boy and girl — both younger than age 3. But he doesn’t<br />

let his schedule get in the way of fitness. Here’s how Greg does it.<br />

… making fitness fun.<br />

Working out is the easiest thing to let go of when you’re busy. But it’s easier<br />

to stay active if you find your passion. I play on two hockey leagues and surf<br />

year-round — sometimes two or three times a day. For my 45th birthday, I<br />

tackled my first Tough Mudder event, which involved 12 miles of mud and<br />

25 obstacles. Having a goal keeps me going, and I’m crazy enough to be<br />

thinking about the next one.<br />

… finding motivation.<br />

Both of my parents passed away at a young age. And I decided a long<br />

time ago to take care of myself. I don’t go to the extreme. I just try to stay<br />

active, eat healthy foods, and enjoy life. I may never have washboard<br />

abs, but at age 45 I can do a lot more than many 30-year-olds.<br />

… keeping perspective.<br />

Sometimes people have an “all or nothing” attitude about<br />

fitness. But I don’t let little upsets get me down. I’m<br />

not perfect — I still eat doughnuts now and<br />

again. It’s the overall goal that matters.<br />

MeridianHealth.com • 1-800-DOCTORS<br />

30<br />

Greg Heizler maintains his fitness while<br />

keeping his goals in perspective. He stays<br />

active by playing hockey, surfing, and he<br />

also enjoys spending time<br />

at the beach.<br />

Picture This!<br />

Are you part of a father/son or mother/<br />

daughter workout team? E-mail your story<br />

to healthviews@meridianhealth.com or post<br />

it at www.facebook.com MeridianHealthNJ.<br />

Everyone who submits a story will receive a FREE<br />

cookbook full of healthy recipes!


Sunday, June 9 – Ocean <strong>Medical</strong> <strong>Center</strong> 5k, Brick – 8:30 a.m.<br />

Saturday, June 29 – Bayshore Community Hospital 5k, Holmdel – 8:30 a.m.<br />

Sunday, September 15 – <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong> 5k, Neptune – 10:00 a.m.<br />

Run or Walk towards a healthier heart!<br />

This year’s Meridian Heart & Sole Cup consists of a series of 5k Run/Walks at Ocean<br />

<strong>Medical</strong> <strong>Center</strong>, <strong>Jersey</strong> <strong>Shore</strong> University <strong>Medical</strong> <strong>Center</strong>, and Bayshore Community Hospital.<br />

Whether you are a competitive runner, walking for a cause, or would like to just enjoy a stroll,<br />

don’t miss these events to keep your heart healthy with Meridian CardioVascular Network.<br />

Awards:<br />

• $12,000 in prize money (overall and age group prize money at each race)<br />

• Series points awarded to overall and age groups<br />

• Special gift for those who complete all three races<br />

• Free Kids’ Races<br />

To learn more about the 5k/walk or to register,<br />

visit www.MeridianHealth.com/HeartandSoleCup


Non-Profit Org.<br />

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1945 Route 33<br />

Neptune, NJ 07753<br />

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President<br />

Suzy West was determined<br />

to help others through<br />

her cancer experience.<br />

Read Suzy’s story<br />

on page 8.<br />

425 Jack Martin Blvd.<br />

Brick, NJ 08724<br />

Dean Q. Lin, MHA, MBA, FACHE<br />

President<br />

HV-MT2H-5.8x7.5-13_Layout 1 3/14/13 9:10 PM Page 1<br />

Meridian<br />

wants you to<br />

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Receive 1000<br />

bonus points. Enter<br />

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One Riverview Plaza<br />

Red Bank, NJ 07701<br />

Timothy J. Hogan, FACHE<br />

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727 North Beers Street<br />

Holmdel, NJ 07733<br />

Timothy J. Hogan, FACHE<br />

Regional President<br />

Meridian Health has developed a program with your favorite local radio stations to<br />

introduce a new way for you to stay healthy and win some prizes along the way. The<br />

more you take control of your health, the more points you earn, and the greater your<br />

chances of winning prizes — from gift cards to electronics and even concert tickets,<br />

courtesy of Townsquare Media.<br />

A sweet sounding way to get healthy and stay healthy don’t you think?!<br />

Sign-up by visiting any of the radio station Web sites listed below.<br />

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