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T H E H E A L T H N E T W O R K O F T H E C H E S T E R C O U N T Y H O S P I T A L<br />

A fresh new approach to women’s health<br />

T H E P O W E R O F<br />

X-RAY<br />

VISION<br />

<strong>The</strong> Hearts<br />

of our Heroes<br />

<strong>Spring</strong> <strong>2009</strong>


H O S P I T A L P R O G R A M S & E V E N T S<br />

Throughout the year, <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> offers many types of programs, courses, support groups<br />

and social events. Here are just a few of the many opportunities that will be taking place in the coming months.<br />

Screenings<br />

U P C O M I N G<br />

■ O R A L C A N C E R * – April 29<br />

■ S T R O K E – May 26<br />

■ HE A RT T R AC K S – June 23<br />

Cardiovascular Risk Assessment<br />

■ S K IN C A N C E R * – June 24<br />

Shopping<br />

E N C O R E S H O P<br />

S C R E E N I N G S<br />

UPSCALE CONSIGNMENT SHOP<br />

SPECIALIZING IN CLOTHING,<br />

ANTIQUES AND GLASSWARE.<br />

Located at Route 52 South and Route 1,<br />

Kennett Square, 610-388-6269. Visit<br />

www.cchosp.com and search “Encore”.<br />

W O M E N ’ S AUX IL I A RY<br />

G IF T S H O P<br />

■ TRENDY FLIP-FLOPS<br />

■ UNIQUE JEWELRY<br />

■ BEAUTIFUL HANDBAGS<br />

Located within <strong>The</strong><br />

<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> –<br />

610-431-5544.<br />

Registration<br />

F O R P R O G R A M S & S C R E E N I N G S<br />

To register or to learn more about the<br />

times, locations and fees (if applicable) for<br />

any of these events, call 610-431-5644.<br />

* Free program; all others include a fee.<br />

20TH<br />

16TH<br />

May<br />

9TH<br />

MAY FESTIVAL GALA – Elegant dinnerdance<br />

(Sponsor: First National Bank)<br />

MAY<br />

FESTIVAL* –<br />

CANCER SURVIVORS’ DAY*<br />

Celebrating life<br />

21ST<br />

SENIOR SUPPER CLUB<br />

Understanding Hip<br />

& Knee Pain<br />

SENIOR SUPPER CLUB<br />

Taking Care of<br />

Your Hands<br />

DIABETES SUPPORT GROUP*<br />

16TH<br />

Inpatient Management<br />

of Diabetes<br />

2ND<br />

NO PAIN,<br />

NO GAIN?<br />

Orthopedic solutions<br />

for shoulder pain<br />

14TH<br />

14TH<br />

28TH<br />

April<br />

DIABETES SUPPORT GROUP*<br />

Diabetes and Chronic<br />

Kidney Disease<br />

8TH<br />

18TH<br />

A day for healthy<br />

family fun<br />

(Sponsor: First<br />

National Bank)<br />

HEART TO HEART WITH OUR<br />

CARDIOLOGIST: Matthew Sewell, MD<br />

Venue Partner: Ashbridge Manor<br />

31ST<br />

STOP<br />

SMOKING NOW!*<br />

( first of an 8-week series)<br />

Venue Partner: Kennett YMCA<br />

30TH<br />

CHESTER COUNTY CHALLENGE<br />

FOR CANCER BIKE RIDE<br />

(Sponsor: J&L Builders)<br />

THE CHESTER COUNTY<br />

HOSPITAL GOLF INVITATIONAL –<br />

Benefits women’s and children’s health<br />

(Sponsor: L.F. Driscoll Co.)<br />

15TH<br />

POLO CUP –<br />

Divot-stomping, family-friendly fun.<br />

(Sponsor: Endo Pharmaceuticals)<br />

STOP SMOKING<br />

NOW!*<br />

( first of an 8-week series)<br />

DIABETES SUPPORT GROUP*<br />

18TH<br />

Exercise and Diabetes<br />

16TH<br />

June<br />

17TH<br />

SENIOR SUPPER CLUB<br />

Maintain Your Balance<br />

HEART TO HEART WITH<br />

OUR CARDIOLOGIST<br />

Raghunam Mallya, MD,<br />

Venue Partner: Bellingham<br />

Retirement Community


C O N T E N T S<br />

3<br />

12<br />

Compassionate Coordinated Care<br />

In the course of one week, a woman might have five<br />

meetings, four errands, three family activities, two<br />

dinner engagements and one visit to the doctor.<br />

Life is certainly busy enough, without receiving an<br />

abnormal test result from your physician. Understanding<br />

the value of a woman’s time, the <strong>Hospital</strong><br />

has aligned harmonizing health services to expedite<br />

answers about your well-being in a setting that<br />

provides a calm and reassuring experience.<br />

X-Ray Vision<br />

<strong>The</strong> launch of an advanced radiology image-viewing<br />

system allows for greater time efficiency, easier<br />

consultations between physicians, and a better<br />

diagnostic process that will alleviate wait times<br />

throughout the Health Network.<br />

<strong>The</strong> Hearts of Our Heroes<br />

Firefighters heroically put themselves in harm’s way.<br />

<strong>The</strong>y run in while others run out. <strong>The</strong>y understand<br />

the danger involved in their line of work. <strong>The</strong><br />

<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has collaborated with<br />

several local fire companies to educate them about<br />

ways to protect their hearts.<br />

D E P A R T M E N T S<br />

2<br />

7<br />

8<br />

14<br />

16<br />

17<br />

10<br />

<strong>Hospital</strong> of Distinction<br />

Resistant Organism Reduction Taskforce<br />

Points of Pride<br />

Achievements and accolades bestowed upon<br />

various departments.<br />

Medical Staff Update<br />

Biographies of new physicians that have<br />

joined the <strong>Hospital</strong>’s team.<br />

Newsmakers<br />

A gallery of recent <strong>Hospital</strong> activities.<br />

Charitable Giving<br />

Health, Wealth and Wisdom: Donors make<br />

the Women’s Specialty Center possible.<br />

Building Update<br />

<strong>The</strong> <strong>Hospital</strong> continues to establish and to<br />

enhance its presence in the community.<br />

ON THE COVER: Cynthia Brown, Breast Care Coordinator, with Sharon DeNault,<br />

a 27-year breast cancer survivor.<br />

GR E E T I N G S F R O M T H E<br />

C H E S T E R C O U N T Y H O S P I T A L<br />

Dear Neighbors,<br />

<strong>Hospital</strong>s are usually immune from short-lived corrections in<br />

the financial market, but the magnitude and depth of current<br />

economic conditions are beginning to influence the healthcare<br />

industry. We hear from our colleagues at other hospitals<br />

that they are experiencing lower patient volumes as elective<br />

procedures are postponed, and they are seeing an increasing<br />

number of uninsured patients. While demand for our services<br />

remains strong, we have to anticipate that these trends could<br />

come to our <strong>Hospital</strong>. During these difficult times, we must<br />

stay focused on providing the best care to our patients as<br />

efficiently and as cost-effectively as possible.<br />

To weather what many experts believe will be a protracted<br />

economic downturn, we are taking proactive steps to conserve<br />

our capital, hire new staff only when absolutely necessary, and<br />

closely watch our discretionary spending. We know that the<br />

most precious asset we have is our <strong>Hospital</strong> staff, and we have<br />

a long history of protecting them as best we can.<br />

For more than 116 years, <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has<br />

weathered good times and bad, and we know that our community<br />

counts on our <strong>Hospital</strong> family to take good care<br />

of them regardless. <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has carried<br />

on through more wars than we want to remember and has<br />

faced frightening and deadly epidemics. We have found our<br />

way through economic recessions and even a Great Depression.<br />

Yet we have always marched resolutely forward driven<br />

by a singleness of purpose and a resourcefulness that has<br />

allowed us to succeed.<br />

Stay well,<br />

H.L. Perry Pepper<br />

President<br />

SYNAPSE (noun - sin-aps): e site of communication between nerve cells.<br />

<strong>Synapse</strong> is a publication of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>’s Corporate Marketing<br />

Department. <strong>The</strong> articles provided in this magazine are solely for informational<br />

purposes. It should not be relied on or used in placement of a physician’s medical<br />

advice or assessment. Always consult a physician in matters of your personal health.<br />

William W. Wylie, Jr. Chairman, Board of Directors<br />

H.L. Perry Pepper President<br />

Colleen Leonard Leyden Editor-in-Chief<br />

Lisa M. Huffman Managing Editor<br />

<strong>The</strong> Bing Group Design and Photography<br />

F E E D B AC K W E L C O M E : Email synapse@cchosp.com to let us know what<br />

you think about our magazine or to make suggestions about future topics.


<strong>Hospital</strong> of<br />

D I S T I N C T I O N<br />

THE INFECTION PREVENTIONISTS<br />

Defending our patients from Superbugs<br />

Armed with knowledge, technology and powerful cleaning supplies,<br />

the Resistant Organism Reduction Taskforce is united in purpose<br />

– to thwart the power of evil “superbugs” MRSA, VRE and C. diff and<br />

defend the health of all of our patients.<br />

In a healthcare environment, germs can spread if not treated quickly<br />

and correctly. Some infectious organisms have undergone a metamorphosis<br />

over the years, meaning the antibiotics once used to eradicate<br />

them are no longer effective. Coined “superbugs,” these organisms have<br />

been on the rise not only in healthcare – but in the community as well.<br />

<strong>The</strong>se organisms are often found in people who have been on an<br />

antibiotic for a long time. Karen Novielli, Director of Pharmacy,<br />

explains, “<strong>The</strong> antibiotic kills off sensitive germs, leaving the more<br />

resistant strains to grow. Repeated exposure to the antibiotics causes<br />

the bugs to mutate and develop resistance.” <strong>The</strong> <strong>Hospital</strong> established<br />

its Taskforce to address the management of patients who need to be<br />

isolated because of MRSA, VRE and C. diff – three drug-resistant<br />

organisms that most <strong>Hospital</strong>s monitor.<br />

• MRSA (Methicillin-resistant Staphylococcus aureus) often lives in the<br />

nose and is resistant to common antibiotics, such as those in the<br />

penicillin family.<br />

• VRE (vancomycin-resistant Enterococci), which is resistant to the antibiotic<br />

vancomycin, is found in the intestines and female genital tract.<br />

• C. DIFF (Clostridium difficile) causes diarrhea and may be the result<br />

of taking antibiotics for a different infection. Because the bug is<br />

so resilient, environmental cleaning is key to controlling its spread.<br />

INPATIENT AND OUTPATIENT<br />

SUCCESSES 2005-2008<br />

✓ MRSA infections: Down 54%<br />

✓ VRE infections: Down 21%<br />

✓ C. DIFF infections: Down 33%<br />

<strong>The</strong>se <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />

percentages are based on a “per 1000<br />

patient days” ratio to provide the most<br />

accurate comparison.<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> is more than up-to-date with the<br />

latest technology to prevent and treat antibiotic-resistant organisms.<br />

Three years ago, the <strong>Hospital</strong> earned the North American Global<br />

Excellence in Business Process Management and Workflow Award<br />

for the system it implemented to track these bugs.<br />

Ray Hess, Vice President for Corporate Information Management,<br />

says, “<strong>The</strong> computer network checks the patient’s previous admission<br />

data for any known history<br />

HEALTH TIP<br />

of MRSA or VRE. If positive, the<br />

<strong>The</strong> best way to prevent system alerts the nurses at each unit.<br />

spreading any infection is This practice has helped decrease<br />

to clean your hands often. the number of infections in the<br />

<strong>Hospital</strong>.” If a person who has been<br />

admitted previously for an antibiotic-resistant organism returns to<br />

our <strong>Hospital</strong>, a notification will be on record to check them upon arrival.<br />

Charleen Faucette, Director of Infection Prevention and Control,<br />

says, “Our goal is to quickly recognize those who have infectious<br />

organisms now or have had them in the past, manage the infection<br />

to improve our patients’ health, and reduce the risk to all those<br />

around them.”<br />

Once admitted, the patient is placed in a private room to<br />

prevent the spread of the organism. <strong>The</strong> <strong>Hospital</strong> provides ready<br />

access to special supplies, including gowns and gloves, for our<br />

staff and to those visiting the patient.<br />

Upon discharge, MRSA and VRE patient rooms are cleaned with<br />

a <strong>Hospital</strong>-approved disinfectant specific for these organisms. Because<br />

of its hardiness, C. diff patient rooms are cleaned with a special<br />

sanitizer containing bleach, proven more effective in eliminating<br />

C. diff. <strong>The</strong> <strong>Hospital</strong>’s comprehensive and strict cleaning policies<br />

have helped reduce all three of these organisms.<br />

“Our constant monitoring and the measures we have in place help<br />

prevent the spread of these resistant organisms and prepare us for any<br />

new ‘superbugs’ that may be identified in the future,” Faucette says.<br />

Antibiotic-resistant organisms may be on the rise globally but<br />

through our dedicated efforts and a few strong cleaning supplies, the<br />

<strong>Hospital</strong> is controlling “superbugs” and making it hard for them to<br />

spread here.<br />

By Kristen M. Fulmer<br />

TO LEARN ABOUT THIS TASKFORCE AND OTHER QUALITY<br />

INITIATIVES, VISIT WWW.CCHOSP.COM/QUALITY.


C O V E R<br />

S T O R Y<br />

A F R E S H N E W H E A L T H E X P E R I E N C E F O R W O M E N<br />

Here you are once again, looking at yourself in the bathroom mirror, standing in that compromised position following your<br />

shower. Both arms raised, bent at the elbows with your fingers interlaced behind your head. Having already memorized the howto<br />

instructions years ago, you know what to look for during this portion of your monthly self-breast exam – dimples or distortions.<br />

Your doctor always asks if you check yourself regularly and so you make sure that you do.<br />

In fact, you try to do everything you need to do to stay on top of your health. In addition to making a renewed effort to eat smart<br />

and move more, you see your dentist, your optometrist and your gynecologist as often as prescribed. Once you hit that 40-plus age<br />

milestone, you added mammogram to your must-do list.<br />

<strong>The</strong>se thoughts are not in your mind as you move step-by-step through the self-exam though. Instead, you are thinking about<br />

your to-do list – whip up breakfast, make a hair appointment, go to the food store, baby-sit your grandson. It is as if you are<br />

on autopilot, until something stops you in your tracks – something like a questionable lump.<br />

This month, that is exactly what you found.<br />

After you catch your breath, the medical professionals at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> suggest you first make an appointment with<br />

your primary care physician or gynecologist, or one of their nurse practitioners. You will then be provided with the necessary<br />

prescription for a diagnostic mammogram and ultrasound, which is the first step in understanding the nature of your suspicious lump.<br />

Within the past year, the <strong>Hospital</strong> has invested a significant amount of resources into its Women’s Imaging Center. With three<br />

satellite Radiology locations – West <strong>Chester</strong>, Exton and Kennett Square – and the full spectrum of technology – digital<br />

mammography, MRI (including dedicated Breast MRI), DEXA, 64-slice CT, X-Ray, and ultrasound – imaging services for <strong>Chester</strong><br />

<strong>County</strong> residents are easily accessible and the most state-of-the-art. <strong>The</strong> <strong>Hospital</strong>’s affiliation with the University of Pennsylvania’s<br />

Department of Radiology assures your images are interpreted by radiologists who are well-trained, motivated and patient oriented.<br />

<strong>The</strong> <strong>Hospital</strong>’s newest facility in West <strong>Chester</strong> is located at the Fern Hill Medical Campus. All diagnostic mammograms are<br />

continued ➔<br />

Breast Cancer Taskforce (from left): Ann Marie Siegal, MD, Radiation Oncology; Susan Chang, MD, Breast Surgery; Cynthia Brown,<br />

RN, BSN, OCN, Breast Care Coordinator; Kim Killgore, Cancer Program Coordinator; Maria Lain, Service Line Director for Women’s<br />

Health and Oncology; Fredric B. Squires, MD, Radiology; Michelle Tedeschi, MD, Hematology/Oncology; Pamela P. Scott, MD, Breast<br />

Surgery; Paul S. Kim, MD, Plastic and Reconstructive Surgery; Lisa Pinheiro, MD, Radiology; and Marge Lang, LCSW, OSW-C,<br />

Oncology Social Worker.


Angie Womack,<br />

Patient Registration<br />

Sandy McBride,<br />

Mammogram Technologist<br />

Lisa Pinheiro, MD,<br />

Director of Breast Imaging<br />

Fredric B. Squires, MD,<br />

Chair of Radiology<br />

4 S Y N A P S E<br />

performed here, which means the<br />

team sees many women throughout<br />

the day who are understandably<br />

anxious. When designing the<br />

new space, the creation of a calming<br />

health experience for women was the<br />

guiding principle.<br />

“We have tried to make it a comfortable<br />

area,” says Fredric B. Squires, MD, Chair of<br />

Radiology. “We separated the waiting room for women<br />

from the general waiting room.” Beyond the front desk, there are spacious changing rooms, a<br />

private corridor for mammography, a patient education center and Internet access. “We really<br />

want women to have a positive experience while they are here.”<br />

More than the location, the technology and the environment, the quality of care and the efficiency<br />

at which it is provided are the two greatest factors of a woman’s health experience.<br />

“In the world of radiology,” says Lisa Pinheiro, MD, Director of Breast Imaging, “breast imaging<br />

is really very unique because it is such an emotionally charged issue.” Every woman prescribed<br />

to have a diagnostic mammogram because of an abnormal screening result is a “bundle of fear,”<br />

she explains. Expediting the care for women so that conclusive answers can be drawn quickly<br />

helps eliminate the amount of time between<br />

Screening vs. Diagnostic Mammogram<br />

appointments, when worry can run rampant.<br />

While digital mammograms are offered at A screening mammogram is an x-ray of the<br />

all three locations, Pinheiro says that the breast used to detect breast changes in<br />

<strong>Hospital</strong> chose to centralize the problem-solving women who have no signs or symptoms of<br />

mammograms at the Fern Hill location to make breast cancer. It usually involves two x-rays<br />

of each breast. A diagnostic mammogram is<br />

it simpler for patients. <strong>The</strong> Exton and Kennett<br />

an x-ray of the breast that is used to check<br />

Square offices perform screening mammograms.<br />

for breast cancer after a lump or other sign<br />

<strong>The</strong> <strong>Hospital</strong> recently launched its Accelerated or symptom of breast cancer has been found.<br />

Diagnostic Breast Examination initiative so that A diagnostic mammogram involves more<br />

women who have a questionable lump can x-rays in order to obtain views of the breast<br />

be scheduled for an urgent appointment within<br />

from several angles. After a diagnostic mammogram,<br />

the Radiologist will personally<br />

24 to 48 hours of receiving a prescription from<br />

discuss the results with the patient.<br />

their doctor.<br />

(Source: National Cancer Institute)<br />

“I’ve worked with plenty of women who<br />

started with an abnormal screening mammogram,” says Pinheiro, “who came back for x-ray images,<br />

had a biopsy and then had a diagnosis within a week.” This helps quickly alleviate any misguided<br />

fears or put women with a true abnormal finding on the right path for care immediately.<br />

To accomplish this, there must be synergy between the patient, her doctor, her radiologist and<br />

her specialists, such as breast surgeons and oncologists. Since women’s health includes more than just<br />

the breast, the patient’s team may extend to a gynecologic oncologist or urogynecologist.<br />

Breast Care Coordinator Cynthia Brown, RN, BSN, and Cancer Care Coordinator January<br />

Pasquantonio, RN, BSN, MA, work with patients to help them navigate the health system so that<br />

patients are not misdirected or confused during their course of care.<br />

Brown says, “Anytime a woman has an abnormal diagnostic mammogram, the radiologist and<br />

I speak with her in our private consultation room before she leaves. Right there, I either schedule her<br />

for an ultrasound-guided biopsy, or I will make her an appointment to see a breast surgeon for a


BREAST CANCER RISK ASSESSMENT TOOL<br />

This tool helps calculate a women’s lifetime risk,<br />

consultation within 48 hours.” Gone are<br />

the days where women were left alone to<br />

as well as her yearly risk. If the lifetime risk is figure out for themselves what to do and<br />

greater than 20–25%, most health and insurance<br />

organizations will consider her“high risk.” <strong>The</strong><br />

where to go when a possible diagnosis of<br />

Breast Cancer Risk Assessment Tool is based on cancer is on the line. “I follow them along<br />

a statistical model. To take the test online, the continuum of care to make sure they<br />

search “Breast Cancer Risk Assessment Tool”<br />

are okay,” she says.<br />

at www.cancer.gov.<br />

Certified in oncology nursing, the<br />

1 Do you have a medical history of any breast scope of Brown’s role includes calling the<br />

cancer, abnormal cell growth in the milk duct,<br />

patient’s primary physician and gynecologist<br />

to share the findings and plan for in-<br />

or abnormal cell growth in the lobular ducts of<br />

the breast?<br />

2 What is your age?<br />

tervention. She secures the digital images<br />

3 What was your age at the time of your<br />

first menstrual period?<br />

for the surgeons; she follows up after the<br />

surgical visit; she meets with the patient<br />

4 What was your age at the time of your first<br />

live birth of a child?<br />

prior to the biopsy; she schedules all<br />

the subsequent appointments; and she<br />

5 How many of your first-degree relatives – mother,<br />

sisters, daughters – have had breast cancer?<br />

provides education about the <strong>Hospital</strong>’s<br />

suite of resources for wellness and support,<br />

6 Have you ever had a breast biopsy?<br />

until a clean bill of health is received.<br />

a. If yes, how many breast biopsies<br />

“I try to meet our patients at their<br />

(positive or negative) have you had?<br />

appointments when they are likely to be<br />

b. If yes, have you had at least one breast<br />

the most nervous. I meet them at their<br />

biopsy with atypical hyperplasia?<br />

7 What is your race/ethnicity?<br />

mammogram. I meet them before their<br />

biopsy. And, if it is part of their plan of<br />

care, I meet them at their first chemotherapy treatment, because that is when patients are anxiety<br />

ridden,” she adds. Some of the women she helps are still awaiting a diagnosis, but about half<br />

of the women have confirmed breast cancer.<br />

Pasquantonio, who holds a master’s degree in holistic nursing, guides patients with all<br />

types of cancer other than the breast. She supports women and men. She, too, facilitates<br />

collaboration between multiple medical specialties and bridges the communication gap between<br />

all related physicians.<br />

“As a practitioner,” she says, “I’ve seen the problems patients have going through the stress of a<br />

diagnosis like cancer. It is overwhelming for them. I handle the details, so they can focus on being<br />

well and having time to recover.” She is often asked if there is a fee for the care coordinator service.<br />

Since it is a <strong>Hospital</strong>-provided service, there is no charge to the patients or their health insurance.<br />

Pasquantonio and Brown are the links between the Women’s Imaging Center and the Women’s<br />

Specialty Center, the <strong>Hospital</strong>’s newest service. Also located at the Fern Hill Medical Campus, the<br />

Women’s Specialty Center provides medical care in a unique setting that combines the expertise<br />

of breast surgery, urogynecology and gynecologic-oncology.<br />

Breast Surgeon Pamela Scott, MD, says, “<strong>The</strong> whole concept behind the Center is to have a<br />

physical space identified as a place for women’s healthcare. <strong>The</strong> fact that Imaging is in the same<br />

building, as well as one of the <strong>Hospital</strong>’s obstetrics-gynecology practices, makes it much easier<br />

for women to pick up their studies, for the doctors to communicate between each other and for<br />

us to review things with patients.” Dr. Scott, Medical Director of the Breast Health Program, and<br />

fellowship-trained breast surgeon Susan Chang, MD, have provided clinical leadership as<br />

members of the <strong>Hospital</strong>’s Breast Health Taskforce. <strong>The</strong> Taskforce was instrumental in the<br />

establishment of the Women’s Specialty Center.<br />

continued ➔<br />

Cynthia Brown,<br />

Breast Care Coordinator<br />

Pamela Scott, MD, and Susan<br />

Chang, MD, Breast Surgeons<br />

January Pasquantonio,<br />

Cancer Care Coordinator<br />

Waleed Shalaby, MD,<br />

Gynecology Oncologist<br />

5


C O O R D I N A T I O N<br />

O F C A R E<br />

F O R W O M E N<br />

<strong>The</strong> following services of <strong>The</strong> <strong>Chester</strong><br />

<strong>County</strong> <strong>Hospital</strong> work cooperatively to<br />

ensure there is seamless integration of<br />

care and speedier time to treatment.<br />

• Women’s Imaging Center –<br />

Radiology offers the highest quality<br />

imaging equipment read by expert<br />

radiologists, all of whom are members<br />

of the University of Pennsylvania’s<br />

Department of Radiology staff.<br />

• Pathology/Laboratory – Accredited<br />

by the College of American Pathologists,<br />

the lab enjoys a reputation for excellence.<br />

• Breast Surgery<br />

• Plastic and Reconstructive Surgery<br />

• Urogynecology<br />

• Gynecologic Oncology<br />

• Hematology/Oncology and<br />

Radiation Oncology – <strong>The</strong> <strong>Chester</strong><br />

<strong>County</strong> <strong>Hospital</strong> is a member of the<br />

University of Pennsylvania Cancer Network.<br />

• Pelvic Health Program – A multidisciplinary<br />

team of clinicians work with<br />

patients with pelvic health concerns to<br />

create a personalized treatment plan.<br />

• Lymphedema Treatment Program –<br />

A short-term program, physical therapists<br />

develop an individualized plan of care to<br />

treat lymphedema.<br />

• Accelerated Diagnostic<br />

Breast Evaluation<br />

• Care Coordinators<br />

• Genetics Counseling<br />

• Integrative Pain Management<br />

• Wellness Programs and<br />

Support Groups<br />

6 S Y N A P S E<br />

<strong>The</strong> Women’s Specialty Center is the<br />

new model for women’s healthcare and<br />

revolves around the ease of access, communication<br />

and patient-centered care.<br />

Conceptualized by women for women,<br />

the new Center immerses its patients<br />

in a restorative atmosphere from the<br />

moment they step through the door.<br />

One of the <strong>Hospital</strong>’s newest attending<br />

David P. Singer, MD<br />

Plastic and Reconstructive Surgery<br />

physicians is Waleed Shalaby, Care Extends to Breast Reconstruction<br />

MD, PhD, Gynecologic Oncologist. Dr.<br />

Shalaby treats patients whose imaging<br />

“Women who have had a mastectomy need a<br />

silver lining,” says David P. Singer, MD, Plastic<br />

and Reconstructive Surgeon. Dr. Singer is one<br />

results from abdominal or pelvic ultrasounds,<br />

CT scans or MRI tests confirm<br />

of just two specially-trained physicians in the<br />

entire Philadelphia region performing the most<br />

they have cervical, ovarian or other modern options in breast reconstructive<br />

gynecologic cancer.<br />

“It’s important to give women access<br />

to an array of sub-specialists who can<br />

surgery – Deep Inferior Epigastric Perforator<br />

(DIEP) Flap and Superior Gluteal Artery Perforator<br />

(SGAP) Flap. Alternatives to traditional<br />

implants and muscle-tissue replacement, these<br />

manage their care as they make their way<br />

options use skin and fatty tissue from the<br />

through the healthcare system,” he says.<br />

tummy or the upper buttocks, respectively,<br />

“It’s not just about medical care, but also<br />

helping women with related issues they<br />

face when they get home. Women need<br />

to have access to their care providers.<br />

to rebuild the breast(s). Some patients may<br />

qualify to have a mastectomy and reconstructive<br />

surgery simultaneously. <strong>The</strong> <strong>Hospital</strong>’s<br />

breast surgeons can identify current patients<br />

who qualify for the DIEP or SGAP procedures<br />

It’s about giving them a much more<br />

based on the stage of the cancer, as well<br />

tailored approach.”<br />

as the patient’s overall health. Dr. Singer<br />

<strong>The</strong> essence of the <strong>Hospital</strong>’s and his colleagues – Paul S. Kim, MD, Gary<br />

coordinated services is that women who<br />

have a questionable breast lump or those<br />

F. Wingate, MD and Albert Harris, MD –<br />

have been performing this surgery for two<br />

who have an abnormal gynecological<br />

years at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

test result can get the diagnosis confirmation<br />

TO LEARN MORE, CALL 610–524–8244.<br />

they need in an expedited fashion. Whether a woman is receiving care from the<br />

Women’s Imaging Center or the Women’s Specialty Center, she can be assured that she will<br />

receive consultation and a synchronized plan of action from specialists within a matter of<br />

days, rather than weeks. <strong>The</strong> care coordinators will facilitate conversations across multiple<br />

specialties, make appointments, provide resources and support, and help the patient<br />

through the full continuum of their care.<br />

“I think this fresh approach will resonate with women facing cancer,” says Dr. Shalaby.<br />

“Patients bond with their care providers. <strong>The</strong>y look for compassionate experts to talk to<br />

them, hold their hand, and guide them.”<br />

Integrated care, expedited time to diagnosis and treatment, and a warm and<br />

empathetic environment conducive to healing are the goals. All of these are performed with<br />

the patient – specifically the female patient – in mind.<br />

Article by Lisa M. Huffman<br />

Research by Kristine A. Conner<br />

IF YOU NEED US, WE ARE HERE. VISIT THE WOMEN’S HEALTH<br />

SECTION OF WWW.CCHOSP.COM TO LEARN MORE.


Points <br />

P R I D E<br />

Departmental Achievements Around the House<br />

Generous Grant Broadens<br />

the Reach of NHA’s Services<br />

<strong>The</strong> Pennsylvania State Department of Health has generously<br />

granted the Neighborhood Health Agencies, Inc. $250,000<br />

\to develop a Home Visiting Nurse Practitioner program.<br />

This program provides primary healthcare to low-income populations<br />

in <strong>Chester</strong> <strong>County</strong> designated as medically underserved. <strong>The</strong> grant<br />

will be used to set up a home office base in one of the medically underserved<br />

locations, to establish the ability to make house calls, and<br />

to provide access and education to skilled nursing, assisted living and<br />

aggregate housing facilities.<strong>The</strong>se direct on-site visits will increase<br />

access to care by having the Medical Practitioner come to the home<br />

of the patient who otherwise would be unable to access a health<br />

provider, and may often end up in an Emergency Department.<br />

Cancer Data Center<br />

Recognized for Achievement<br />

<strong>The</strong> Cancer Data Center received a certificate of achievement<br />

from the Pennsylvania Cancer Registry (PCR). <strong>The</strong> PCR awarded<br />

this certificate to only 35 hospitals in the State of Pennsylvania for<br />

meeting the timeliness standard of submitting at least 90% of our<br />

cancer cases to the PCR within 180 days of discharge or outpatient<br />

treatment. <strong>The</strong> Pennsylvania Department of Health Disease Reporting<br />

Regulations mandates this standard. By meeting the benchmark,<br />

our <strong>Hospital</strong> has directly influenced the availability of more timely<br />

statewide cancer incidence data.<br />

New Physical <strong>The</strong>rapy Program<br />

Physical Rehabilitation, in conjunction with the orthopedic service line<br />

and Neighborhood Health Agencies Inc., is beginning a patient-care program<br />

called “Start Strong – Stay Strong.” It provides an integrated<br />

and intensified program of education and treatment options for patients<br />

undergoing total joint replacement. Recommended by the orthopedic<br />

surgeons, it begins with a home safety assessment by Neighborhood<br />

Health Agencies, pre-surgical outpatient rehabilitation to address physical<br />

limitations, and a pre-surgical education class. Following surgery,<br />

Physical <strong>The</strong>rapy offers more intense home care and outpatient care.<br />

Cardiac Rehab Honored<br />

as a 25-year Leader<br />

<strong>The</strong> Cardiopulmonary Rehabilitation Department received a<br />

Service Recognition Award from Nursing Enrichment Consultants,<br />

Inc. for its 25 years of Continuous Service as a Leader in<br />

Cardiac Rehabilitation.<br />

Award Received for Excellent<br />

Wound Care Treatment<br />

<br />

THE WOUND CARE AND HYPERBARIC MEDICINE CENTER<br />

EARNED THE DIVERSIFIED CLINICAL SERVICES CENTER OF<br />

DISTINCTION AWARD BY DELIVERING OUTSTANDING<br />

RESULTS DURING 2008. THE AWARD IS IN RECOGNITION OF<br />

MEETING OR EXCEEDING COMPANY BENCHMARKS IN<br />

HEALING OUTCOMES, PATIENT SATISFACTION, OUTLIER<br />

MANAGEMENT, DAYS TO HEAL, AND ACCESS TO CARE. OF THE<br />

300 ELIGIBLE FACILITIES NATIONWIDE, THE CHESTER COUNTY<br />

HOSPITAL’S WOUND CARE CENTER WAS ONE AMONG FIVE<br />

LOCATIONS TO RECEIVE THE HONOR FOR 2008,<br />

AND IT WAS THE ONLY ONE IN PENNSYLVANIA TO BE<br />

RECOGNIZED. “THIS REALLY DOES REPRESENT THE BEST OF<br />

THE BEST,” SAID JEFF NELSON, CEO OF DIVERSIFIED.<br />

T H E C H E S T E R C O U N T Y H O S P I T A L 7


Welcome<br />

N E W P H Y S I C I A N S<br />

A T T E N D I N G<br />

S T A F F<br />

Joseph Acri, DO, Department of Medicine,<br />

Section of Internal Medicine. Dr. Acri graduated<br />

from the Philadelphia College of Osteopathic<br />

Medicine, and completed an internship<br />

and residency at Community General Osteopathic<br />

<strong>Hospital</strong> in Harrisburg. Dr. Acri is Board<br />

Certified in Internal Medicine and has joined<br />

<strong>Hospital</strong> Care Specialists.<br />

Susan Chang, MD,<br />

Department of Surgery,<br />

Section of General Surgery.<br />

Dr. Chang graduated<br />

from Temple<br />

University School of<br />

Medicine, and completed<br />

an internship and residency at UMDNJ-<br />

Robert Wood Johnson Medical School and a<br />

breast surgery fellowship at John Wayne Cancer<br />

Institute in California. Dr. Chang is Board<br />

Certified in General Surgery and has joined<br />

Surgical Specialists, PC.<br />

Glenn Ereso, MD,<br />

Department of Surgery,<br />

Section of Anesthesiology.<br />

Dr. Ereso graduated<br />

from the Virginia<br />

Commonwealth University<br />

School of Medicine,<br />

completed an internship at Abington<br />

Memorial <strong>Hospital</strong> and a residency at Thomas<br />

Jefferson University <strong>Hospital</strong>. Dr. Ereso has<br />

joined West <strong>Chester</strong> Anesthesia Associates.<br />

Chad Friedman,<br />

DPM, Department of<br />

Surgery, Section of<br />

Podiatry. Dr. Friedman<br />

graduated from the<br />

Temple University<br />

School of Podiatric<br />

Medicine, and completed a residency at<br />

Washington <strong>Hospital</strong> Center in Washington,<br />

DC. Dr. Friedman has joined Podiatry Care<br />

Specialists, PC.<br />

Laura Lasley, MD,<br />

Department of Pediatrics,<br />

Section of<br />

Neonatology. Dr. Lasley<br />

graduated from Northwestern<br />

University in<br />

Chicago, completed<br />

an internship and residency at Children’s<br />

<strong>Hospital</strong> of Los Angeles and a fellowship at<br />

Women & Infant’s <strong>Hospital</strong> of Rhode Island in<br />

Providence. Dr. Lasley is Board Certified in<br />

Neonatal/Perinatal Medicine and has joined<br />

the <strong>Hospital</strong>’s neonatology practice, CHOP<br />

Newborn Care.<br />

Raghuram Mallya,<br />

MD, Department of<br />

Medicine, Section of<br />

Cardiology. Dr. Mallya<br />

graduated from<br />

UMDNJ-New Jersey<br />

Medical School and<br />

completed an internship, residency and fellowship<br />

at Thomas Jefferson University <strong>Hospital</strong>.<br />

Dr. Mallya is Board Certified in Internal<br />

Medicine and has joined <strong>Chester</strong> <strong>County</strong><br />

Cardiology Associates.<br />

Matthew Sewell,<br />

MD, Department of<br />

Medicine, Section of<br />

Cardiology. Dr. Sewell<br />

graduated from the<br />

University of Virginia<br />

School of Medicine<br />

and completed an internship and residency at<br />

the <strong>Hospital</strong> of the University of Pennsylvania<br />

and a fellowship at Thomas Jefferson University<br />

<strong>Hospital</strong>. Dr. Sewell is Board Certified in<br />

Internal Medicine and has joined <strong>Chester</strong><br />

<strong>County</strong> Cardiology Associates.<br />

Jason Tatka, DO, Department of Pediatrics,<br />

Section of Neonatology. Dr. Tatka graduated<br />

from Midwestern University in Chicago,<br />

completed an internship at the Philadelphia<br />

College of Osteopathic Medicine, a residency<br />

at Christ <strong>Hospital</strong> and Medical Center and a<br />

fellowship at Loyola University Medical Center,<br />

both in Illinois. Dr. Tatka is Board Certified<br />

in Pediatrics and has joined the <strong>Hospital</strong>’s<br />

neonatology practice, CHOP Newborn Care.<br />

Nestor Veitia, MD, Department of Surgery,<br />

Section of Plastic Surgery. Dr. Veitia graduated<br />

from Jefferson Medical College, completed<br />

an internship and residency at<br />

Pennsylvania <strong>Hospital</strong> and a fellowship at the<br />

University of Pittsburgh. Dr. Veitia’s practice is<br />

located in Chadds Ford.<br />

Susan Ward, MD,<br />

Department of Medicine,<br />

Section of<br />

Rheumatology. Dr.<br />

Ward graduated from<br />

Jefferson Medical<br />

College, completed<br />

an internship and residency at Bryn Mawr<br />

<strong>Hospital</strong> and a fellowship at Thomas Jefferson<br />

University <strong>Hospital</strong>. Dr. Ward is Board Certified<br />

in Internal Medicine and Rheumatology<br />

and has an office in Exton.<br />

8 S Y N A P S E


C O U R T E S Y<br />

S T A F F<br />

Abass Alavi, MD, Department of Radiology.<br />

Dr. Alavi graduated from the Tehran University<br />

of Medical Sciences and Health<br />

Services in Tehran, Iran, completed an internship<br />

and residency at Albert Einstein Medical<br />

Center in Philadelphia and a fellowship at the<br />

<strong>Hospital</strong> of the University of Pennsylvania. Dr.<br />

Alavi is Board Certified in Nuclear Medicine<br />

and is part of the Penn Radiology service at<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

Michelle Alonso-Basanta, MD, Department<br />

of Radiology, Section of Radiation Oncology.<br />

Dr. Alonso-Basanta graduated from<br />

New York University School of Medicine<br />

where he also completed an internship and<br />

residency, and is part of the Penn Radiology<br />

service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

Marc Awobuluyi, MD, Department of Radiology.<br />

Dr. Awobuluyi graduated from Harvard<br />

University School of Medicine,<br />

completed an internship at Massachusetts<br />

General <strong>Hospital</strong> and a residency and fellowship<br />

at the University of San Francisco School<br />

of Medicine. Dr. Awobuluyi is Board Certified<br />

in Radiology and is part of the Penn Radiology<br />

service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

Jeffrey Friedman, MD, Department of<br />

Medicine, Section of Physical Medicine. Dr.<br />

Friedman graduated from Albany Medical<br />

College in New York, completed an internship<br />

at Crozer-<strong>Chester</strong> Medical Center and a residency<br />

at Thomas Jefferson University <strong>Hospital</strong>.<br />

Dr. Friedman is Board Certified in Physical<br />

Medicine and Rehabilitation. He has an office<br />

in Malvern.<br />

Mitchell Smith, MD, Department of Radiology.<br />

Dr. Smith graduated from Tulane University<br />

School of Medicine in Louisiana,<br />

completed an internship at Carilion Health<br />

Systems in Virginia and a residency at the<br />

University of Colorado Health Sciences Center.<br />

Dr. Smith is Board Certified in Radiology<br />

and is part of the Penn Radiology service at<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

Stefan Tachev, MD, Department of Medicine,<br />

Section of Nephrology. Dr. Tachev graduated<br />

from the Medical University of Sofia in<br />

Bulgaria, and completed an internship, residency<br />

and fellowship at Drexel University<br />

College of Medicine/Hahnemann University<br />

<strong>Hospital</strong>. Dr. Tachev is Board Certified in Internal<br />

Medicine and Nephrology. He has<br />

joined Clinical Renal Associates.<br />

Rachel Montgomery, DDS for Courtesy<br />

Staff, Department of Surgery, Section of Dentistry<br />

(Pediatric). Dr. Montgomery graduated<br />

from the University of Texas Dental Branch at<br />

Houston and completed a residency at Boston<br />

University. Dr. Montgomery has joined Children’s<br />

Dental Health Associates.<br />

C O U R T E S Y<br />

for coverage only<br />

S T A F F<br />

Scott Uretsky, MD, Department of<br />

Medicine, Section of Neurology. Dr. Uretsky<br />

graduated from SUNY Downstate School of<br />

Medicine in New York, completed an internship<br />

and residency at the University of Pittsburgh<br />

Medical Center and a fellowship at<br />

Wills Eye <strong>Hospital</strong>. Dr. Uretsky has joined<br />

Neuro Care Associates.<br />

A F F I L I A T E<br />

S T A F F<br />

Martha Brinsfield, MD, Department of<br />

Family Practice. Dr. Brinsfield graduated from<br />

Jefferson Medical College, and completed an<br />

internship and residency at Thomas Jefferson<br />

University <strong>Hospital</strong>. Dr. Brinsfield is Board<br />

Certified in Family Practice and has joined<br />

Kennett Family Practice.<br />

Sam Cheng, MD, Department of Radiology.<br />

Dr. Cheng graduated from Mount Sinai<br />

School of Medicine in New York, completed<br />

an internship at St. Joseph’s <strong>Hospital</strong> and a<br />

residency at Albany Medical Center, both in<br />

New York. He also completed a fellowship at<br />

New Haven <strong>Hospital</strong> in Connecticut. Dr.<br />

Cheng is Board Certified in Radiology and is<br />

part of the Penn Radiology service at <strong>The</strong><br />

<strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

Jeffrey Citara, DO, Department of Medicine,<br />

Section of Physical Medicine. Dr. Citara<br />

graduated from the Philadelphia College of<br />

Osteopathic Medicine, completed an internship<br />

at St. Joseph’s <strong>Hospital</strong> in Philadelphia<br />

and a residency at Baylor College of Medicine<br />

in Texas. Dr. Citara has joined <strong>Chester</strong><br />

<strong>County</strong> Orthopaedic Associates, Ltd.<br />

D E N T A L S T A F F<br />

Paul Bahn, DMD for Courtesy Staff, Department<br />

of Surgery, Section of Dentistry (Pediatric).<br />

Dr. Bahn graduated from Temple<br />

University School of Dentistry where he also<br />

completed a residency. Dr. Bahn has joined<br />

<strong>Chester</strong> <strong>County</strong> Dentistry for Children.<br />

Carla Guzman, DDS for Courtesy Staff,<br />

Department of Surgery, Section of Dentistry<br />

(Pediatric). Dr. Guzman graduated from the<br />

University of Maryland Baltimore College of<br />

Dental Surgery and completed a residency at<br />

Cincinnati Children’s Medical <strong>Hospital</strong> Center.<br />

Dr. Guzman has joined Children’s Dental<br />

Health Associates.<br />

<strong>The</strong>se physicians hold Medical Staff privileges at<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> but are not necessarily<br />

employees of <strong>The</strong> Health Network of <strong>The</strong> <strong>Chester</strong><br />

<strong>County</strong> <strong>Hospital</strong> or its affiliates.<br />

Complimentary<br />

MEDICAL DIRECTORY<br />

Contact the Corporate Marketing<br />

office at jbixler@cchosp.com.<br />

T H E C H E S T E R C O U N T Y H O S P I T A L 9


F E A T U R E<br />

HIGH-TECH DIGITAL IMAGING REPLACES OLD-SCHOOL FILMS<br />

<strong>The</strong> doctors and nurses of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />

do not claim to have super powers...<br />

■ WE ARE NOT ACTUALLY FASTER THAN A SPEEDING BULLET.<br />

■ WE ARE NOT LITERALLY MORE POWERFUL THAN A LOCOMOTIVE.<br />

■ WE CANNOT TRULY LEAP TALL BUILDINGS IN A SINGLE BOUND.<br />

But, now that the <strong>Hospital</strong> is well-equipped with a super new digital<br />

imaging system, it is coming close to having one of the television hero’s<br />

most well-known capabilities.<br />

Before, we just had x-ray films; now, we have x-ray vision. Or rather,<br />

we’ve successfully implemented our vision for imaging technology to<br />

provide greater speed, power and accessibility. <strong>The</strong> Picture Archiving<br />

and Communication System (PACS) uses digital software created by<br />

Siemens® Medical to computerize the storage and viewing of new radiology<br />

films and reports.<br />

Anyone who has had x-rays taken knows how it was done the “old way.”<br />

First, you would have your x-ray taken, either at the <strong>Hospital</strong> or at an offsite<br />

location, then you’d wait. And, wait. Our average wait time was a respectable<br />

30 minutes, but with busy schedules and stressful<br />

anticipation, that half-hour could seem like eons to you.<strong>The</strong>n, after your<br />

films were ready, you became the messenger carrying your precious<br />

films with you wherever the doctor sent you next.<br />

<strong>The</strong> old way, there was just one set of films, and it could only be viewed<br />

in whatever single location it currently resided. Think of it as Kodachrome®<br />

slide film. It took a long time to develop the sole copy at the<br />

local Fotomat®; it could be viewed only when the appropriate light<br />

source was available; and it had limited detail.<br />

<strong>The</strong> old way is to slide film, as the new way is to digital photography.<br />

Faster than a speeding bullet<br />

<strong>The</strong> wait is over. Literally. <strong>The</strong> wait for your images to be ready is a thing<br />

of the past.<br />

“Like a digital picture, radiology images are now instantly available,”<br />

says Michael Ward, PACS Administrator for the <strong>Hospital</strong>. “This is going<br />

to help patients get in and get out faster.” Not only will their wait-time<br />

be reduced, but with the Radiology Department’s high-volume CT scanners<br />

that capture the digital images, the amount of time a patient needs<br />

to spend having images taken is also greatly decreased.<br />

Of all the benefits the PACS system affords, the patient will most<br />

likely notice the speed in which their images will be ready for viewing.<br />

Once the CT scanner captures the image, it is sent and stored directly<br />

in Radiology’s database, making it available to the clinical team faster<br />

than ever.<br />

Affiliations and Partnerships<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> Department of Radiology combines<br />

the capabilities of the latest technology with the international reputation<br />

of the University of Pennsylvania’s Department of Radiology.<br />

For nearly a decade, the <strong>Hospital</strong> has been a partner of<br />

Siemens to bring advanced medical technology to our patients,<br />

often before other hospitals in the area. <strong>The</strong> most notable<br />

technology is the <strong>Hospital</strong>-wide Soarian® system that allows<br />

digitized patient medical records to be accessed and maintained<br />

from all clinical workstations. In essence, your electronic medical<br />

record (EMR) travels with you throughout <strong>The</strong> Health Network of<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>. EMR is a hot topic among politicians<br />

eager to move healthcare into the digital age. <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />

<strong>Hospital</strong> has already implemented this technology.<br />

10 S Y N A P S E


More powerful than a locomotive<br />

“For our Radiologists,” says Paul Morris, Jr., Radiology Imaging<br />

System (RIS) Administrator for the <strong>Hospital</strong>, “their entire lives have<br />

been dedicated to reading film, and we’ve shaken their world.” But,<br />

the enthusiasm our Radiologists have for this new technology is<br />

inspiring, he adds, because the clarity of the digital images gives them<br />

the power to isolate more depth and detail in the x-rays. <strong>The</strong> greater<br />

the clarity; the greater the accuracy.<br />

Another strength of the PACS system is that it seamlessly integrates<br />

with the Radiology Information System (RIS) and the Voice<br />

Recognition System (VRS). RIS and VRS are both components of<br />

Siemen’s Syngo® technology, as is PACS. Physicians reading the<br />

digital x-rays can record their clinical analysis directly into the<br />

digital file while viewing the image, ensuring their verbal description<br />

is saved to the patient’s record with the image itself.<br />

Another benefit of the new system is that as old films are requested<br />

from storage, they are then scanned as well.<br />

“Once they are digitized, they are always in the system,” says<br />

Rob Smith, Consulting Project Manager for the Syngo® suite. As the<br />

<strong>Hospital</strong>’s Siemens representative, Smith worked on-site throughout<br />

Radiology’s transition to troubleshoot any technical issues with the<br />

cutting-edge system before it went live last year.<br />

“Not many community-based <strong>Hospital</strong>s have technology like this,”<br />

he shares.“<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> is among the few healthcare<br />

facilities at the forefront of this technical advancement.”<br />

<strong>The</strong> <strong>Hospital</strong> offers state-of-the art outpatient Radiology<br />

services in West <strong>Chester</strong>, Exton and Kennett Square. For<br />

locations, visit www.cchosp.com/directions. Other imaging<br />

services available include Ultrasound, CT Scanning, Digital<br />

Mammography, DEXA, MRI, 64-slice CT and Breast MRI.<br />

SEAMLESS INTEGRATION William J. Barry, MD, Radiologist,<br />

analyzes the images on the multi-panel screen while digitally<br />

recording his findings into the patient’s record.<br />

Able to leap tall buildings<br />

in a single bound<br />

From the ground floor to the top floor, the digital nature of the images<br />

will allow them to be shared and viewed at any workstation in the<br />

Health Network simultaneously. Greater accessibility also reduces<br />

wait time.<br />

For patients, the other most notable difference will be that they are<br />

no longer the film’s courier. Because the images are digital, the<br />

Radiology report should arrive to your doctor’s office before you walk<br />

through their door. This reduces the obligation on the patient to be<br />

responsible for the single set of films, and ensures the images are<br />

not misplaced during transport.<br />

<strong>The</strong> main goal of this technological innovation is to better serve the<br />

health needs of the community by eliminating unnecessary delays and<br />

by giving the clinical team greater capability to read detailed images<br />

with more accuracy. <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> has fully adopted<br />

this new vision for x-ray imaging advancement. Although it might<br />

require more technical equipment than the “man of steel” variety,<br />

our “x-ray vision” gives our Radiologists the same powerful ability<br />

to positively affect the residents of our very own “Metropolis” –<br />

<strong>Chester</strong> <strong>County</strong>.<br />

By Lisa M. Huffman<br />

THE WAIT IS OVER. CALL 610-431-5131 TO SCHEDULE AN<br />

APPOINTMENT WITH RADIOLOGY.<br />

T H E C H E S T E R C O U N T Y H O S P I T A L 11


<strong>The</strong> Hearts<br />

of our Heroes<br />

PROTECTING THE HEALTH OF THOSE WHO PROTECT US<br />

<strong>The</strong> West Whiteland Fire Company had not lost a firefighter in the “lineof-duty”<br />

since 1953, but in 2006 a member was directing traffic at the<br />

scene of a house fire when he had a fatal heart attack. It is this kind of<br />

crisis <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> hopes to prevent through outreach<br />

and cardiovascular education programs, such as Heart Tracks.<br />

Heart Tracks has been in place for five years, and works in conjunction<br />

with the <strong>Hospital</strong>’s CardioVascular Center, Cardiac Rehabilitation,<br />

and Outpatient Nutrition programs, as well as the <strong>Chester</strong> <strong>County</strong><br />

Health Department. “We wanted to expand what we were doing in<br />

the community regarding heart disease prevention,” explains Susan<br />

Pizzi, the Community Health Educator for the program.<br />

After a successful initial screening program conducted as part of<br />

the <strong>Hospital</strong>’s annual heart awareness event, Pizzi and Julie Funk,<br />

Director of Community Outreach and Education, put together a<br />

<strong>Hospital</strong> team composed of several cardiovascular professionals<br />

including nurse educators, dietitians and physicians—to offer the<br />

program both on and off campus at local YMCAs, businesses, and<br />

medical offices. In 2008, the <strong>Hospital</strong> teamed up with two local fire<br />

companies to bring Heart Tracks directly to local firefighters.<br />

“While many people are well aware of a firefighter’s job-related<br />

hazards, most do not know that nearly half of all deaths experienced<br />

by on-duty firefighters are actually caused by heart disease,” says<br />

Gregg Neithardt, MD, Cardiologist. “Studies show that the greatest<br />

risk for heart-related death is during fire suppression, followed by<br />

returning from an alarm, and then by responding to an alarm,” he says.<br />

He adds that blood pressure and cholesterol screenings are critical<br />

for emergency workers who routinely experience stressful situations,<br />

which in turn puts their heart at risk especially if they have undiagnosed<br />

coronary disease.<br />

Bud Turner, President of West Whiteland Fire Company (and Fire<br />

Chief during the 2006 tragedy), recognized that his company needed<br />

to take steps in line with the U.S. Fire Administration’s emphasis on<br />

physical fitness. “Of the 115 or so firefighter deaths in the line of<br />

duty nationally last year, some 58% were heart related,” explains<br />

Mr. Turner. When he learned about the <strong>Hospital</strong>’s Heart Tracks program,<br />

it was just what the company needed.<br />

Individuals attending Heart Tracks are assessed for their risk of<br />

heart disease and diabetes. <strong>The</strong> program components include a blood<br />

pressure screening, weight and body fat evaluations, Ankle Brachial<br />

Index (a tool to screen for heart disease), and cholesterol, HDL and<br />

blood sugar screenings. Each participant meets with a member of the<br />

professional team who reviews the screening results, discusses their<br />

risk and develops a personalized care plan to give meaning and direction<br />

to the results.<br />

It was during a screening at First West <strong>Chester</strong> Fire Company that<br />

the team saw first-hand the affect of a call on a firefighter’s heart. A 20-<br />

year-old firefighter was having his blood pressure checked—with results<br />

that were perfectly normal—when the company received an<br />

emergency call. Within seconds, the nurse saw his blood pressure spike.<br />

Assistant Fire Chief Dale McClure of First West <strong>Chester</strong> describes<br />

the ongoing stressors that volunteer firefighters face. In 2008, his<br />

company, one of three in West <strong>Chester</strong>, responded to 523 calls. As of<br />

early-March, his company already had 116 calls, each requiring at least<br />

one hour, in addition to the three-hour trainings they do each week.<br />

<strong>The</strong> time and physicality of the work are rigorous.<br />

“Since firefighters are routinely under extreme stress,” says Dr. Neithardt,<br />

“they may develop symptoms or complications from their heart<br />

disease that would remain silent in others. A heart attack may occur<br />

because the stress causes a plaque to rupture or simply because their<br />

heart cannot keep up with the demand placed on it.” Lifestyle factors<br />

such as diet, exercise, and use of tobacco products take on even more<br />

significance. “<strong>The</strong> advantage of an outreach program like Heart<br />

Tracks,” he says, “is that it gives a chance to screen early on for<br />

any risk factors so that heart disease can be prevented.”<br />

12 S Y N A P S E


More than 30 members of First West <strong>Chester</strong> took part in the Heart<br />

Tracks program. <strong>The</strong> West Whiteland station had nearly 75%<br />

participation in the voluntary program, with more than 40<br />

participants. Spouses from both stations also participated.<br />

“<strong>The</strong> program was actually fun,” says Mr. Turner. “<strong>The</strong> people<br />

from the <strong>Hospital</strong> truly became a catalyst for ongoing change in our<br />

company.” <strong>The</strong> experience led to a twice-weekly company program<br />

with a personal trainer to help our members get in better physical<br />

shape. “This has led to a leaner, healthier force,” he says.<br />

Other participants have come back to the Heart Tracks Program<br />

for re-screening and have reported significant lifestyle changes because<br />

of their prior assessment. Many report they have lost those<br />

extra pounds or have started walking regularly. “One recent attendee<br />

followed up with his doctor and soon after underwent an<br />

angioplasty to repair a blood vessel,” notes Funk. “We’re so proud<br />

to play a continuing role in helping members of our community to<br />

take better care of themselves.”<br />

McClure says, “Many of the people in our company were surprised<br />

that their overall health was better than they expected,<br />

but they were also able to learn about little changes that could<br />

make a big difference.” <strong>The</strong> <strong>Hospital</strong> plans to continue<br />

supporting the lifestyle changes of these two fire companies<br />

and to extend this effort to the other two West<br />

<strong>Chester</strong> companies in the near future.<br />

Heart Tracks is one of many outreach program<br />

offered by the <strong>Hospital</strong> with the goal of keeping<br />

our community well. Wellness education for<br />

heart health goes hand-in-hand with the<br />

<strong>Hospital</strong>’s full spectrum of cardiovascular<br />

services, which include diagnostic testing<br />

(i.e. electrocardiogram or ECG) and<br />

interventional procedures (i.e. cardiac<br />

surgery), for which it has a clinical<br />

affiliation with Cleveland Clinic.<br />

Together, these programs are supporting<br />

the heart health needs of <strong>Chester</strong><br />

<strong>County</strong> residents.<br />

By Alison Rooney<br />

Tobacco Grant Allows for Free<br />

Smoking Cessation Programs<br />

<strong>The</strong> Community Health Education Department at <strong>The</strong> <strong>Chester</strong><br />

<strong>County</strong> <strong>Hospital</strong> has been involved with the development and implementation<br />

of tobacco prevention and cessation programs for<br />

youth and adults for more than 10 years. <strong>The</strong>se programs consist<br />

of multiple interventions involving families, schools and the community<br />

at large. <strong>The</strong>re are four essential components: building<br />

strong community-based partnerships; reducing exposure to environmental<br />

tobacco smoke; reducing youth initiation to tobacco;<br />

and promoting cessation services to adults and youth. In 2008,<br />

the <strong>Hospital</strong> applied for and received a grant from the Health Promotion<br />

Council and the Pennsylvania Department of Health to<br />

fund these and new programs. <strong>The</strong> grant awarded was $180,000<br />

over a 21-month timeframe. In addition to Heart Tracks, the firefighters<br />

have also been welcomed to participate in the <strong>Hospital</strong>’s<br />

smoking cessation educational initiative – Stop Smoking Now!<br />

Because of the grant, the <strong>Hospital</strong> is able to offer Stop Smoking<br />

Now! and nicotine replacement therapies for free.<br />

WANT TO GET TO THE<br />

HEART OF THE MATTER?<br />

CALL 610.738.2300 TO LEARN MORE<br />

ABOUT OUTREACH OPPORTUNITIES<br />

WITH THE HEART TRACKS PROGRAM.<br />

Pictured: <strong>The</strong> firefighters of First West <strong>Chester</strong>.<br />

T H E C H E S T E R C O U N T Y H O S P I T A L 13


movers shakers newsmakers<br />

GEM Premier 4000<br />

Premiers in the NICU<br />

<strong>The</strong> MOMS Club of Downingtown East, the Benton family and <strong>Hospital</strong> staff<br />

celebrated the unveiling of the GEM Premier 4000 earlier this year. Purchased<br />

with proceeds from the MOMS Club cookbook – Sugar and Spice and<br />

MOMS Club Delights – and the 2nd Annual Golf Invitational, the GEM<br />

Premier 4000 conducts rapid blood testing for newborns with a fraction of<br />

the sample required for traditional testing.<br />

Fore Health Golf Classic<br />

<strong>The</strong> 23rd Annual Fore Health Golf Classic was held on September<br />

23 at the beautiful White Manor Country Club. <strong>The</strong> event paired a<br />

great day of golf with a fall beer tasting by Victory Brewing Company<br />

and raised more than $35,000.<br />

In Memoriam: Jean M. Reidnour<br />

<strong>The</strong> <strong>Hospital</strong> mourns the loss of Jean M. Reidnour, who passed away<br />

in late September. Jean had a distinguished career and lived a life of<br />

“service above self.” After 24 years of service at <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />

<strong>Hospital</strong>, she retired in 1982 as Vice President for Nursing Affairs. She<br />

was responsible for the entire Nursing Service and School of Nursing.<br />

During her career in West <strong>Chester</strong>, she served on the boards of the<br />

American Cancer Society, the American Red Cross, the Visiting Nurses<br />

Association, and local and state nursing organizations. She served a<br />

term as president of the Pennsylvania Nurses Association. She retired<br />

from the <strong>Hospital</strong>, highly respected by the Board of Directors, Medical<br />

Staff and <strong>Hospital</strong> family.<br />

<strong>The</strong> Benton’s started the Invitational to honor the life of their late son, Henry,<br />

and the outstanding care and medical expertise offered in the Neonatal<br />

Intensive Care Unit (NICU). Each year, with the help of the MOMS Club, the<br />

Benton’s raise funds to benefit Women’s and Children’s Health. <strong>The</strong> GEM<br />

Premier 4000 is an amazing piece of technology and a truly generous gift. To<br />

sponsor or participate in this year’s golf outing on June 8, call 610-431-5329.<br />

Pictured: Kelly Hornak and Jen Coughlin of the MOMS Club, joined H.L. Perry<br />

Pepper, <strong>Hospital</strong> President, and Andy Benton with the GEM Premier 4000.<br />

14 S Y N A P S E


SHiNE<br />

On October 18, the historic Winterthur Estate sparkled as the annual<br />

SHiNE dinner dance raised $150,000 to support patients of <strong>The</strong><br />

Cancer Program. SHiNE funds created the position of Cancer Care<br />

Coordinator at the Cancer Center, and it pays for prescription and<br />

transportation assistance.<br />

<strong>Chester</strong> <strong>County</strong> Day<br />

Always the first Saturday in October, the 67th <strong>Chester</strong> <strong>County</strong> Day<br />

House Tour showcased homes in the southwest quadrant of the county<br />

that ran the gamut in age, architecture, landscaping and décor. <strong>The</strong> tour<br />

truly represented the unique character of <strong>Chester</strong> <strong>County</strong>, and with more<br />

than 3,000 guests, raised an impressive $115,000 for the <strong>Hospital</strong>.<br />

Gifford Photography<br />

Pictured: Lisa Hayes celebrates with Kim Lamb when her key<br />

was drawn to win the lease for a brand new <strong>2009</strong> Jaguar XF<br />

donated by Jaguar Land Rover West <strong>Chester</strong> at last year’s SHiNE.<br />

From the Bottom<br />

of their Huggy Hearts<br />

<strong>The</strong> students of Penn State University’s Brandywine Campus<br />

donated 246 Heart Huggy Pillows to <strong>The</strong> CardioVascular Unit (CVU).<br />

<strong>The</strong> patients use the pillows for compression to stabilize their incision<br />

when they cough, sneeze or change positions. This was the Martin<br />

Luther King, Jr. Day of Service project of senior Emily Robb (pictured).<br />

Emily, who also had members of the community assisting with the<br />

pillow project, says her goal was to create awareness about the importance<br />

of the pillows and to make sure every patient in our CVU is able<br />

to have one this year. <strong>The</strong> <strong>Hospital</strong> distributes about 25 pillows each<br />

month. <strong>The</strong> quantity Penn State donated so far will last until the fall.<br />

Our gratitude goes to Emily, Penn State and everyone who shared their<br />

heart with the patients in the CVU.<br />

Dilworthtown Inn Wine Festival<br />

Perfect weather, gourmet cuisine, great shopping and delicious wine<br />

complemented the pristine scenery surrounding the Dilworthtown<br />

Inn for the 17th Annual Wine Festival on October 12. <strong>The</strong> event<br />

raised more than $46,000 to support <strong>The</strong> Cancer Program and<br />

Neighborhood Hospice.<br />

T H E C H E S T E R C O U N T Y H O S P I T A L 15


C H A R I T A B L E<br />

G I V I N G<br />

Health Wealth Wisdom<br />

16 S Y N A P S E<br />

<strong>The</strong> Women’s Specialty Center benefits<br />

from the generosity of two philanthropists<br />

ALL IN THE FAMILY: Pat and John Celii (pictured right) with daughter<br />

Jacqui and her husband, Mark Friday, and granddaughter,<br />

Ashley, at the Women’s Specialty Center dedication.<br />

<strong>The</strong> Celii’s daughter Stephanie was unable to attend.<br />

Health services for women need<br />

to complement a woman’s life. It<br />

serves women well, especially<br />

those who are facing a possible<br />

cancer diagnosis, to be scheduled<br />

for appointments quickly<br />

and to have specialists and<br />

services centrally located.<br />

<strong>The</strong> <strong>Hospital</strong> wholeheartedly<br />

believes in this comprehensive<br />

and convenient approach to<br />

healthcare. In 2008, it conceptualized<br />

a specialty center for<br />

women, with a price tag of<br />

$500,000, but knew the project<br />

would have to wait until funding<br />

was available.<br />

About the same time, the <strong>Chester</strong> <strong>County</strong> Community Foundation<br />

reached out to the <strong>Hospital</strong> to say that one of its donors<br />

was interested in supporting a medical project in the county and<br />

wanted to learn about the <strong>Hospital</strong>’s needs. <strong>The</strong> Community<br />

Foundation, whose mission is “to connect people who care with<br />

causes that matter,” introduced <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> to<br />

Patricia and John Celii.<br />

Mr. Celii says, “Knowing that we love living in <strong>Chester</strong> <strong>County</strong><br />

and that we have an interest in healthcare programs that could<br />

benefit the county, the Community Foundation recommended<br />

that we support <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.”<br />

Of the <strong>Hospital</strong>’s many worthy projects the Celii family could<br />

have supported, the Women’s Specialty Center resonated most<br />

with Mr. and Mrs. Celii and their two daughters, Jacqui and<br />

Stephanie. As a family, they have personally struggled with coordinating<br />

medical conversations between multiple specialties. Like<br />

many, they have felt the frustration of traveling from location-tolocation<br />

within one day’s time to see various doctors in the city<br />

and the suburbs.<br />

<strong>The</strong> Women’s Specialty Center provides the compassionate<br />

guidance women need in a unique medical setting that combines<br />

the expertise of breast surgery, urogynecology and gynecologiconcology<br />

in one convenient<br />

location at the Fern Hill Medical<br />

Campus in West <strong>Chester</strong>.<br />

Mrs. Celii says, “We are very<br />

excited that <strong>The</strong> <strong>Chester</strong> <strong>County</strong><br />

<strong>Hospital</strong> has placed a priority on<br />

providing an innovative and<br />

state-of-the-art environment for<br />

female patients who face various<br />

illnesses.”<br />

<strong>The</strong> commitment of $250,000<br />

from the Patricia C. and John<br />

Celii, Jr. Medical Research Fund,<br />

administered by the Community<br />

Foundation, was the first step toward<br />

fulfilling the concept of the<br />

Women’s Specialty Center. With<br />

half the amount needed for the project in hand, the Celii’s issued a<br />

challenge to find other donors that would match their gift.<br />

Within a few short weeks, a second, equally generous donor<br />

stepped forward and matched the $250,000 donation, dollar-fordollar.<br />

Requesting to remain anonymous, this long-time supporter<br />

of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong> chose to meet the challenge to<br />

fund the Center because he too believes in the fresh philosophy<br />

of care this program offers women.<br />

At the celebration of the opening of the Center in February,<br />

<strong>Hospital</strong> President H.L. Perry Pepper said, “We are very appreciative<br />

of the Celii family’s generous gift and that of our anonymous<br />

benefactor. Through their leadership, we are able to<br />

establish the Women’s Specialty Center.”<br />

Conceptualized by women for women, the Center immerses<br />

its patients in a restorative atmosphere from the moment they step<br />

through the door. From the rapport with the entire team to the<br />

décor of the facility, the Center is a place for comfort and healing.<br />

“We are happy to be able to give, and it’s really good to know<br />

that people will benefit from a coordinated care program,” says<br />

Mr. Celii.<br />

By Lisa M. Huffman<br />

TO LEARN MORE ABOUT HOW YOU TOO MAY SUPPORT<br />

THE CHESTER COUNTY HOSPITAL, CALL 610–431–5108.


B U I L D I N G U P D A T E<br />

West Pavilion Expansion<br />

THE LONG-TERM DEMAND FOR THE HOSPITAL’S SERVICES REMAINS STRONG,<br />

DRIVEN BY THE RAPIDLY GROWING POPULATION IN THE CHESTER COUNTY AREA.<br />

<strong>The</strong> need for more inpatient beds remains a top priority. <strong>The</strong> <strong>Hospital</strong> is poised to<br />

begin construction to expand its facility as soon as financing becomes economically<br />

feasible.<br />

Eventually, the financial system will move back toward equilibrium and long-term<br />

borrowing rates will rationalize. In the meantime, we are seeing much better pricing<br />

for the materials and equipment that will go into our new building. And, perhaps<br />

the best news is that we have received several large donations in recent months that<br />

have taken us ever so close to meeting our $25 million fundraising goal for the project.*<br />

So, while we need to be patient, it may be that things are actually moving in a<br />

good direction.<br />

<strong>The</strong> <strong>Hospital</strong>’s plans are for a four-story addition that will: (a) consolidate and integrate<br />

all cardiovascular services; (b) increase capacity by adding up to 72 beds;<br />

and (c) add surgical and interventional suites.<br />

By H.L. Perry Pepper, President<br />

* At the time of printing, the <strong>Hospital</strong>’s Foundation surpassed its comprehensive campaign<br />

goal of $30.0 million. Of the $25.0 million needed for the building<br />

project specifically, the <strong>Hospital</strong> has raised more than $24.0 million, with<br />

confident anticipation that it will exceed its second goal shortly.<br />

TO SUPPORT THE CAMPAIGN FOR CHESTER COUNTY HOSPITAL,<br />

VISIT WWW.CCHOSP.COM/FOUNDATION.


<strong>The</strong> Health Network of<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />

701 East Marshall Street<br />

West <strong>Chester</strong>, PA 19380<br />

cchosp.com<br />

NON-PROFIT<br />

U.S. POSTAGE<br />

PAID<br />

PERMIT #9<br />

WEST CHESTER, PA<br />

Call 610-738-2793 to update your mailing information.<br />

BEYOND GOOD CARE <br />

As part of <strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>'s mission, we are dedicated to not only healing our patients but<br />

also keeping them well. With this spring comes a full calendar of events designed to bring the<br />

family together to enjoy the outdoors and take part in fun, healthy activities that benefit the <strong>Hospital</strong>.<br />

May Festival Raffle<br />

presented by<br />

Thomas Chevrolet<br />

Available through May 16<br />

Raffle tickets for a new car and other<br />

items will be sold in the <strong>Hospital</strong> as<br />

well as at Parkway dry cleaners.<br />

May Festival Science Fair<br />

May 16 @ 10 am – Noon<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />

New to the May Festival this<br />

year is a Science Fair for<br />

students of grades 7–10.<br />

May Festival Gala<br />

presented by First National<br />

Bank of <strong>Chester</strong> <strong>County</strong><br />

May 9 @ 7:00 pm<br />

Longwood Gardens<br />

This event, supported by the Medical Staff<br />

and many local organizations, benefits<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong>.<br />

May Festival<br />

presented by First National<br />

Bank of <strong>Chester</strong> <strong>County</strong><br />

May 16 @ 10 am – 7 pm<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> <strong>Hospital</strong><br />

Join us to Think Smart,<br />

Eat Well, and Move More<br />

with food, fun, friends, and<br />

entertainment! This is a<br />

FREE one day event for<br />

the whole family!<br />

<strong>The</strong> <strong>Chester</strong> <strong>County</strong> Challenge<br />

for Cancer Bike Ride presented by J&L Builders<br />

May 31 @ 8am, <strong>The</strong> Cancer<br />

Center of <strong>Chester</strong> <strong>County</strong><br />

This bike race, which includes a 63,<br />

50, 25 mile non-competitive rides<br />

and 10, and 5 mile family rides,<br />

benefits <strong>The</strong> Cancer Program<br />

and Neighborhood Hospice.

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