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healthviews

September/October 2012

a health publication from Riverview Medical Center and Bayshore Community Hospital

Riverview:

A Part of

Our Family

A Doctor’s Novel

Approach to Aneurysms

Special Wound Care for

People with Diabetes

Poor Sleep Harms

More Than You Think

visit us online at RiverviewMedicalCenter.com and BayshoreHospital.org


A Message to the Community

At Meridian Health, there is no one-size-fits-all approach to

cancer. We know that the most effective treatment is the one

that is 100 percent personalized to you.

That’s why we offer Meridian Cancer Care, which connects

you to the oncology experts found at every Meridian Health

hospital. When you receive care at one of our facilities, you can

take comfort in the knowledge that a multi-disciplinary team

of physicians, nurses, dieticians, and others are standing behind

you, dedicated to making sure you receive compassionate,

coordinated care and a treatment plan that’s tailored

specifically to you and your health needs.

What’s more, patients who come through Meridian Cancer

Care have access to our oncology nurse navigators.

These remarkable health care professionals act as

your advocate. They are there to answer your

questions, help you understand your treatment

options, coordinate your medical appointments,

and more.

You can read how our nurse navigators

eased the burden for a wife battling

breast cancer while her husband

faced lung cancer on page 19, and

throughout this issue of Meridian

HealthViews, you’ll meet many

other community members who are

thankful they sought treatment at

Meridian Cancer Care.

Sincerely,

September/October 2012

4

6

8

9

10

12

13

Health Briefs

Coordinated Care

Gives Women the Best in

Breast Care

Stopping a Stroke Before

It Strikes

Ocean County Man Has

Innovative Heart Treatment

Close to Home

Thinking Outside the Box

A doctor’s inventive approach to

treatment helps stop an aneurysm.

Surgical Day Stay: Designed for

Comfort and Privacy

Enjoying the Sweet Life Again

After Prostate Cancer

A New Approach to

Primary Care Puts the Focus

on You

John K. Lloyd, FACHE

President, Meridian Health

Stories of Survival Hear local men and women talk about

their experiences with cancer in the inspiring videos featured on

MeridianCancerCareNJ.com. Be sure to click on the link to meet our

exceptional team of nurse navigators, too.

This free bimonthly magazine is prepared by the Marketing and Communications Team

of Meridian Health. Please call 732-751-7530 with any questions or comments. Inquiries

or ideas can be addressed to healthviews@meridianhealth.com.

Peter Wegener, Esq., Chairman

John K. Lloyd, FACHE, President

Chrisie Scott, Vice President of Marketing and Corporate Communications

Elliot Frank, M.D., Medical Advisor

HealthViews production team: Michael McCauley, Gabriella Heizler, Jacki Kronstedt

© 2012 Meridian Health

The material provided in this magazine is intended to be used as general information

only and should not replace the advice of your physician. Always consult your physician

for individual care.

Connect with Us!

e

Which nine foods should top your must-eat

list? Hint: They’re all rich in cancer-fighting

antioxidants. On August 22, get the scoop at

www.facebook.com/MeridianHealthNJ.

Meridian Health tweets hot health-related

headlines and local news pieces regularly at

www.twitter.com/MeridianNJ.

Our physicians talk about cancer topics in

videos now streaming on YouTube. Watch at

www.youtube.com/MeridianHealthNJ.

Receive free e-newsletters on pediatric

and cardiovascular health topics! Sign up at

www.MeridianHealth.com/enewsletters.


17

20

Home Hospice: The Joy

of Letting Others In

10

14

15

16

4D Technology Creates

a More Precise Cancer

Treatment

Finding the Right Doctor:

It Can Feel Like Fate

Losing Weight with

LAP-BAND®

Eva Maraspin is 135 pounds lighter

after surgery.

healthviews

September/October 2012

a health publication from Riverview Medical Center and Bayshore Community Hospital

Riverview:

A Part of

Our Family

17

18

19

16

Dealing with Diabetes? Put

Your Feet in Good Hands

Quick care saves Paul Mirfeld’s leg

after an accident at the Shore.

Teenage Twins Leading

Normal Lives Thanks to

NICU Care

Nurse Navigators Offer You

Guidance Through Cancer

21

27

28

30

Community Health Programs

The Trick to Healthy, Safe

Treats for Halloween

Recipe Spotlight:

Ready-to-Go Pizza

Rest Is Best: How Lack of

Sleep Harms Your Health

Kids Who Don’t Snooze Lose

in the Classroom

My Health Views

Cover Stories

Dawn Stout and her daughter were both born at Riverview Medical Center.

So when Dawn needed surgery to investigate a potentially cancerous mass,

she didn’t think of going anywhere else for care. Read her story on page 15.

A Doctor’s Novel Special Wound Care for Poor Sleep Harms

Approach to Aneurysms People with Diabetes More Than You Think

visit us online at RiverviewMedicalCenter.com and BayshoreHospital.org

A Doctor’s Novel

Approach to Aneurysms

page 10

Special Wound Care for

People with Diabetes

page 17

Poor Sleep Harms

More Than You Think

page 28


Even Moderate Drinking May Increase

Breast Cancer Risk

Health Briefs

Women who drink even a moderate amount of alcohol may have an increased risk for

breast cancer. That’s according to a study in the Journal of the American Medical Association.

The 30-year study of more than 100,000 women found that as little as three to six alcoholic

beverages a week can raise the risk of developing breast cancer. Women who drank earlier and

later in their lives had an elevated risk, as did those who binge drank.

“Still, women should weigh their risk for breast cancer against their risk for heart disease

when determining how much alcohol to consume,” says Debra Camal, M.D., medical director of

the breast program, Meridian Cancer Care. “Moderate alcohol use has been shown to reduce

the risk for cardiovascular disease.”

Getting together with friends this fall? Make it a healthier meet-up by skipping the cocktails

and coming to our Breast Health Awareness Tea, September 13, to discuss key health topics

such as breast cancer. See the pink event box, on page 22 of the calendar, for details.

MeridianHealth.com • 1-800-DOCTORS®

More than

one in

six

U.S. adults binge

drink an average

of four times

a month, says

the Centers for

Disease Control

and Prevention.

Binge drinking

is the third

leading cause of

preventable death

in America and is linked

to more than 80,000

deaths every year.

Older Adults Can

Take a Shot Against

Whooping Cough

You’re never too old to protect yourself

from pertussis, better known as whooping cough.

“Serious cases of this disease can lead to

pneumonia, hospitalization, and even death,” says

John Gumina, M.D., of Jersey Shore University

Medical Center. “The vaccine that’s used for

adults — Tdap — also protects against tetanus and

diphtheria.”

The current immunization guidelines for adults

state that almost everyone between ages 19 and

64 should get one Tdap shot if they haven’t had

one before. Recently, a government panel announced

that adults ages 65 and older could benefit from this

vaccine, too.

Talk with your doctor to find out if it’s time for you

to get your Tdap.

Bring your questions about Tdap and other shots to

a free doctor-led talk on September 27. Check out

“Adult Vaccines: What’s Right for Me?” on page 26.

4


Colon Screenings Save Lives in Two Ways

Many screenings spot cancer

early, when it’s most treatable. But there’s

another lifesaving benefit to colonoscopies.

“Most colorectal cancers begin as growths

called polyps,” explains Steven Koerner, D.O.,

of Southern Ocean Medical Center. “If your

doctor sees polyps during your colonoscopy, he

or she can remove them right then and there.”

And according to a new study in the New

England Journal of Medicine, this reduces your

risk of dying of the disease by half. So not only

can colonoscopies catch cancer, they also can

catch growths before they become cancer.

Most people should get colonoscopies

beginning at age 50, but some may need one

sooner. “Talk with your doctor about the right

timing for you,” says Dr. Koerner. “You may

need to start earlier if you have inflammatory

bowel disease or other risk factors.”

Join us for the 21st Annual Women’s Health

Night at Southern Ocean! This special event

includes free health screenings, giveaways,

and more. Flip to page 21 for the full scoop.

Salty Surprises: Sodium May Lurk

in Your Bread Box

Quick — what’s the biggest source

of salt in U.S. diets? If you said french

fries, chips, or popcorn, get ready for a

shocker.

Americans actually get twice as much

sodium from bread and rolls, according

to a new survey from the Centers for

Disease Control and Prevention. It

also found that the average person

consumed nearly 3,300 mg of sodium

daily. That’s far more than the 2,300 mg

recommended limit.

“Too much salt contributes to high

blood pressure and an increased

risk for heart attack and stroke,

so nearly all of us need to cut

back,” says Magda Ghabras,

D.O., of Bayshore Community

Hospital.

Beyond bread and rolls, other top

sources of sodium included cold cuts,

pizza, and poultry.

Do something nice for your heart this

fall: Sign up for Bayshore’s 5K run/

walk, taking place October 6! And

afterward, stay for Community Day,

featuring games, rides, food, and fun.

Turn to page 21 to learn more.

Meridian HealthViews • September/October 2012

5


Ocean Medical Center

MeridianHealth.com • 1-800-DOCTORS

Coordinated Care Gives

Women the Best

in Breast Care

Following a routine mammogram in February

2012, Trudee Parker received a call that every

woman dreads: Her results were abnormal.

Trudee went to another facility for an ultrasound

to confirm the findings. Those technicians also

identified a mass in Trudee’s breast, and the

mother of three was referred to another center for

additional testing, including a biopsy.

The biopsy showed Trudee’s mass contained

abnormal cells. Her physician recommended

Trudee see a breast surgeon to remove them.

Choosing the Best

Despite her worry and fear, Trudee decided

to take control of her medical care,

research her options, and choose where

she would receive treatment. Because

Trudee is a Meridian team member, she

opted for Ocean Medical Center. Not only

was Ocean close to her home in Brick,

she knew it offered world-class care by

Meridian Cancer Care physicians.

“I wanted a second opinion to feel

confident about the surgery,” says Trudee.

“And I’m so glad I got one.”

Trudee met with Paramjeet Kaur, M.D.,

a Fellowship trained breast cancer surgeon

who recently joined the Meridian team.

Dr. Kaur requested that Trudee have magnetic

resonance imaging (MRI) at Ocean’s Women’s

Imaging Pavilion prior to surgery.

“Because the initial imaging and biopsy were not

done at a Meridian facility, I wanted our own team

to take a second look before performing surgery,”

says Dr. Kaur. “This higher level of imaging also helps

plan the most effective and least invasive surgery.”

Brick resident Trudee Parker sought a second

opinion when told she needed surgery for an

abnormal mass in her breast. She’s glad she did.

The superior imaging services at Ocean revealed

another suspicious area the original scan missed.

6


Taking a Closer Look

Trudee underwent an MRI at the

Women’s Imaging Pavilion, just

one of the many imaging options

available there.

“MRI allows us to determine the

extent of the tumor and help plan

the best surgery for the patient,” says

Richard Dillon, M.D., the radiologist

at the Pavilion who read Trudee’s

results.

Dr. Dillon closely analyzed and

compared the MRI results to Trudee’s

past mammogram and ultrasound

testing. During his review, he found

another suspicious area of tissue that

was missed by the other facilities.

“It gave me tremendous

confidence that Dr. Dillon found

something that was on my old films

all along,” says Trudee. “It was small,

but other facilities missed it.”

Surgical Expertise

Dr. Kaur conducted a biopsy of the

new finding. She found that the

suspicious area contained fibrocystic

disease with irregular cell changes.

These changes increased Trudee’s

risk for breast cancer in the future,

so Dr. Kaur removed the new mass in

addition to the other lesion.

“It’s important to find a Fellowship

trained oncologic breast surgeon in

a facility that has a comprehensive

breast program,” says Dr. Kaur. “At

Ocean Medical Center, we discuss

each case across disciplines and

provide an individualized treatment

plan for each breast cancer patient.”

The goal of the breast cancer

team is to treat and eliminate

cancer using minimally invasive

approaches to care whenever

possible. The team also uses

advanced incisional planning to

conserve a woman’s appearance.

Dr. Kaur is not only an expert

in managing both benign and

malignant diseases of the breast;

she also performs minimally invasive

biopsies, including stereotacticand

ultrasound-guided biopsies;

breast conservation treatment;

sentinel lymph node biopsy; and

skin- and nipple/areola-sparing

mastectomies. She also offers

her patients information on new

treatments and improvements in

cancer care.

Along with her specialized

training, Dr. Kaur credits her success

as a breast surgeon to the close

coordination and communication

she maintains with other cancer

specialists on the Meridian team.

Team Approach to Care

“Our patients are not treated by

one doctor; they are treated by a

team,” Dr. Dillon says. “We have an

integrated team of specialists who

all work together for the benefit of

Exceptional Cancer Care, Close to Home

Richard L. Dillon, M.D.

Board certified in Radiology

Brick • 732-836-4083

Paramjeet Kaur, M.D.

Board certified in Breast Surgery

Brick • 732-836-4673

the patient, from diagnosis through

treatment. Breast surgeons, general

oncologists, radiation oncologists,

and others work side by side to

provide patients with the most

comprehensive, individualized care.”

Fortunately, Trudee did not

require radiation or chemotherapy

after surgery. She does continue to

get regular checkups every three

months.

“I am so relieved that this is

behind me. It was an extremely

difficult time,” Trudee recalls.

“When diagnosed with cancer,

you are at such a weak and

vulnerable spot. You just have to

accept it and let the experts help

you. I’m so glad I did.” •

The American College of Surgeons’ Commission on Cancer gave Ocean

V_OMC_GNO_8.375x3-12_Layout 1 5/30/12 4:04 PM Page 1Medical Center accreditation with commendation for our cancer program.

This distinction is given to less than one-third of all cancer programs in the U.S.

Take a well-deserved break and grab your best friend or mom for a night out!

Gather the gals and head to Girls’ Night Out for our annual celebration to promote women’s wellness and

pamper the spirit. Chat with physicians during the wellness lectures on the hottest topics. Participate in

health screenings, makeovers, bra fittings, massages, dance demonstrations, and on-site shopping.

Continue your Girls’ Night out in the community with our partnering

restaurants and businesses offering exclusive specials for all attendees.

The event is FREE and includes door prizes and refreshments.

Registration required. Call 1-800-DOCTORS ® or for more

information, go to www.OceanMedicalCenter.com/GirlsNightOut

Thursday, October 11, 2012

4:30 p.m. – 8:30 p.m.

Taking Care of

New Jersey


Jersey Shore University Medical Center

By taking her stroke symptoms seriously, Jackson

resident Helen Paneque may have saved her own life.

Today, she’s happy to be back serving up drafts at

Stewart’s Root Beer in Howell, a restaurant she has

run with her husband, Robert, for the past 39 years.

Peter P. Barcas, D.O.

Board certified in Neurology

Neptune • 732-774-8282

Thomas J. Rozwadowski, M.D.

Board certified in Emergency

Medicine

Neptune • 732-776-4510

MeridianHealth.com • 1-800-DOCTORS

8

Stopping a

Before It

Helen Paneque is used to

occasional aches and pains.

The 69-year-old Jackson

resident has had rheumatoid arthritis

for years. She’s also on her feet 12 hours

a day, running Stewart’s Root Beer, a

busy restaurant in Howell. But when

Helen experienced numbness in her

arm twice in one week in November

2011, she took it seriously. So did the

Meridian Neuroscience team.

“Usually, I attributed any symptom

to my arthritis. But this was different,”

Helen says. “I thought of stories my

customers had told me about the

signs of stroke. Although I had no

symptoms but numbness, I left the

restaurant and headed straight to the

Emergency Department.”

Acting on Intuition

Helen arrived at Jersey Shore University

Medical Center and saw Emergency

Department physician Thomas

Rozwadowski, M.D. He ordered lab

work to find out if she had suffered a

stroke. All tests came back inconclusive.

“Helen was an active woman who

didn’t smoke or drink, and she had

no family history of stroke,” says

Dr. Rozwadowski. “Still, it made me

uncomfortable letting her go home

without knowing more. I needed to

make a judgment call. I acted on my

gut feeling and admitted her.”

Once Helen was admitted, her

doctors ran an MRI. It showed she

had suffered two ministrokes.

Stopping Strokes in Time

“Mini-strokes are warning signs that a

major stroke is more likely to occur,”

says Peter Barcas, D.O., a neurologist

with Jersey Shore.

Dr. Barcas performed a carotid

Doppler test on Helen. This noninvasive

test helps doctors identify narrowing in

the carotid artery. Helen’s artery was

80 percent to 90 percent blocked,

putting her at very high risk for a stroke.

To remove the blockage, vascular

surgeon Robert Thompson, M.D.,

Robert M. Thompson, M.D.

Board certified in Thoracic

Surgery and General Surgery

Ocean • 732-775-9077

performed a carotid endarectomy,

which involves opening the artery

and cleaning out the plaque.

“A carotid endarectomy can greatly

reduce the risk for a stroke by removing

the clot and other debris in the artery,”

says Dr. Thompson. “Most people

do very well with the surgery and

typically can go home the next day.”

Moving Forward

Such was the case for Helen, who today

is healthy and grateful to move forward

in life. She and her husband, Robert,

continue to run their restaurant,

enjoy an active social life, and spend

time with their 10 grandchildren.

“Always listen to your body and

seek the best medical care,” advises

Helen. “I can’t say enough about

Jersey Shore University Medical

Center. They are the absolute best.” •

View Inspiring Videos from the Forefront of Neuroscience

From stroke to brain tumors to spinal injuries, the experts of Meridian

Neuroscience can handle even the most complex cases. Listen as

community members share their harrowing experiences and inspiring

recoveries in the featured videos found on MeridianNeuroscience.com.


Ocean County Man Has

Innovative Heart Treatment

Close to Home

For years, Bayville resident Ed

Bechold didn’t let heart disease

hold him back. Despite having

undergone coronary artery bypass

surgery, Ed lived an active life with his

family at the Jersey Shore. He managed

a successful real estate agency and

often went saltwater fishing.

Then, in March 2012, something

changed. Ed, 67, noticed his health

deteriorating quickly. He was short of

breath and had to limit his activities.

“I was so tired, I had to stop going to

the gym,” says Ed, who used to work

out up to five times a week.

The diagnosis? Critical aortic

stenosis, which meant his heart

valve had narrowed and his heart

had become weak from struggling

to pump blood. The traditional

treatment for this condition is

open-heart surgery. But because of

Ed’s previous operation, open-heart

surgery was not an option.

Fortunately, a new, minimally

invasive treatment was available for

Ed, close to home: transcatheter aortic

valve replacement (TAVR) at Jersey

Shore University Medical Center, part

of Meridian CardioVascular Network.

A Leading Heart Hospital

in the Tristate Area

During the TAVR procedure, a

collapsible aortic heart valve is placed

into the body through a catheter that

is inserted through an artery in the

leg. This is performed while the heart

is beating and eliminates the need

for traditional open-heart surgery.

In addition, hospital stays are usually

shorter for patients who have TAVR.

Richard M. Neibart, M.D.

Board certified in Thoracic and

General Surgery

Neptune • 732-776-4618

Unlike traditional surgery, there

are no large incisions. There is also no

need for a heart-lung machine, so the

patient’s heart remains pumping the

whole time. For patients, there are

many benefits, including:

• Less pain

• Less blood loss

• Reduced risk for infection

• A shorter recovery time

“The TAVR procedure has ushered

in a new treatment era for aortic

stenosis, the most common structural

heart problem,” says Richard Neibart,

M.D., chief of Cardiac Surgery at

Jersey Shore.

Jersey Shore is one of only a

few academic medical centers in

the country chosen to perform

this groundbreaking procedure,

confirming its position as one of

the leading cardiovascular hospitals

in the tristate area.

Quick Return to Active Life

In May 2012, Dr. Neibart; interventional

cardiologists Renato Apolito, M.D.,

Nelson LaMarche, M.D., and Tommy

Ng, M.D.; cardiac surgeon Brook

Getting the Gold for Heart Care

Ed Bechold and his wife, Nora, share a moment together

in the garden outside Jersey Shore University Medical

Center. With his heart condition under control, Ed can enjoy

spending time with his family, including his three grandsons.

DeJene, M.D.; and echocardiographers

Lance Berger, M.D., and Peter Lapman,

M.D., performed Ed’s TAVR procedure

at Jersey Shore. That same afternoon,

he was awake, talking, and resting

comfortably.

“We were able to offer him this

lifesaving device, and he returned

home only three days later,” recalls

Dr. Neibart.

Today, Ed is doing well and looking

forward to his daughter’s wedding in

August. “I wanted to ensure I could

walk her down the aisle and share a

dance with her,” he says.

Thanks to Jersey Shore’s heart

experts, he will. •

Meridian Health is proud to note that both Jersey Shore and Ocean

Medical Center recently received Gold Quality Achievement Awards for

heart failure treatment from the American Heart Association.

9Meridian HealthViews • September/October 2012


Riverview Medical Center

Outside the Box

Meridian surgeon’s skills help

Keansburg man recover

quickly from aneurysm

Just as birds of a feather flock together, great docs

are drawn to Meridian Health. Bernard “Bernie”

Rudnicky, here with parrot Purdie-girl, learned

that through his experiences at Riverview Medical

Center and Bayshore Community Hospital.

MeridianHealth.com • 1-800-DOCTORS

10


In February 2012, Bernard “Bernie”

Rudnicky finally took his loved

ones’ advice and made an

appointment with his doctor. The

68-year-old Keansburg school bus

driver had been feeling ill for months.

He’d lost 25 pounds, felt run-down,

and was having intestinal problems.

As part of his exam, Bernie’s primary

care physician, Vinutha Raj, M.D., an

internal medicine physician on staff

at Bayshore Community Hospital,

recommended he have a colonoscopy.

Bernie then saw Bonnie Robinson-

Gallaro, M.D., a gastroenterologist

on staff at Bayshore and Riverview

Medical Center.

In addition to the colonoscopy,

Dr. Robinson-Gallaro ordered a CT

scan of Bernie’s abdomen. The scan

revealed an aneurysm — a bulge in

the wall of an artery that can grow

and rupture, causing life-threatening

bleeding — in an unusual location: an

artery leading to his left kidney.

This serious problem required the

care of a vascular surgeon. A neighbor

recommended James Brock, M.D.,

on staff at Riverview and part of

Meridian CardioVascular Network.

After reviewing the CT scan, Dr. Brock

told Bernie he needed surgery.

“I was very upset about the

aneurysm,” Bernie recalls. “But

Dr. Brock talked to me straight about

what needed to be done, and his

manner was so reassuring. He really

calmed me down.”

Notable Treatment

Dr. Brock hoped to spare Bernie from

open surgery and the large incision

it would require. But because of the

anatomy of his aneurysm, Bernie

wasn’t a candidate for a less invasive

procedure called endovascular

stent grafting.

So Dr. Brock decided on a hybrid

approach. By first using laparoscopic

techniques to expose the aneurysm,

he was then able to remove the

aneurysm and stitch the artery

back together through a much

smaller incision. He was assisted in

the operating room by his partner,

vascular surgeon Joseph Cauda, M.D.,

also on staff at Riverview.

The procedure was notable for a

few reasons. In the medical literature,

Dr. Brock found only about 12 cases

in which a renal artery aneurysm was

repaired with laparoscopic surgery.

In addition, Dr. Brock cooled

Bernie’s left kidney during surgery

by infusing it with a chilled saline

solution to help prevent organ

damage. He says he hasn’t found any

published accounts of this therapy

being used during laparoscopy to

repair a renal artery aneurysm.

“When reconstructing the artery

after removing the aneurysm, the

surgeon needs to clamp the artery

to temporarily stop blood flow,”

Dr. Brock explains. “Typically, the

kidneys can handle a loss of blood

flow for about 45 minutes without

suffering irreversible damage.

“But during surgery, you can never

predict if things will go according

to plan. Cooling the kidney reduces

Tour Our New Healing Spaces — From Your Home!

Our new Surgical Day Stay, described below, offers a wide

range of traditional and minimally invasive treatments,

without the hospital stay, in a serene space. Take a virtual tour

at www.RiverviewMedicalCenter.com/surgicaldaystay.

Surgical Day Stay: Designed for Comfort and Privacy

James S. Brock, M.D.

Board certified in General

Surgery and Vascular Surgery

Shrewsbury • 732-747-4744

its need for oxygen and decreases

its demand for blood flow — and it

buys time if you need to clamp the

artery longer than anticipated.”

Back on Track

Dr. Brock’s approach was a winning

one for Bernie. He was walking the

day after his surgery and spent just

four nights at Riverview.

He still raves about the care he

received from Dr. Brock. “He’s a great

doctor,” Bernie says. “I can’t say it

enough.”

Interestingly, Bernie learned from

Dr. Brock that the fatigue and diarrhea

he’d been experiencing weren’t related

to his aneurysm. The colonoscopy Dr.

Robinson-Gallaro ordered before his

surgery showed Bernie had mild colitis,

an inflammation of the colon. Bernie

is taking medication for it and feels

terrific, he says. He has a clean bill of

health and returned to work on May 1.

“I’m eating like a horse and have

gained about 5 pounds,” Bernie says.

“I’m feeling great. There was a whole

group of people who helped to save

my life by being so thorough and

good at what they do.” •

Regardless of the type of procedure you’re having, surgery can be stressful. Riverview Medical Center

wants every patient to have the best possible experience in an optimal healing environment.

Riverview’s new Surgical Day Stay — the outpatient service for surgical patients who go home in less

than 24 hours — lets you enjoy many relaxing amenities in a homelike atmosphere.

The spacious waiting area has comfortable chairs, a flat-screen TV, and a fish tank. Inside the unit, each

healing area is equipped with a 26-inch TV, seating for visitors, and a personal storage locker. Patients

have the ability to adjust their lighting, and there’s a private consultation area for those needing to speak

with their doctor after their procedure.

Meridian HealthViews • September/October 2012

11


Southern Ocean Medical Center

Enjoying the

Sweet Life

With the support of his wife, Louise, and his cancer care team at Southern Ocean, Bob

Padovano is living the life he loves, helping his son run Big Apple Bakery, in Manahawkin.

Again After Prostate Cancer

MeridianHealth.com • 1-800-DOCTORS

Bob Padovano’s warm greeting is as sweet as the

goodies in his local bakery. After spending more

than 36 years on Wall Street, Bob left the Big Apple

in 1989 to help his son, Robert, run Big Apple Bakery,

which they started in 1983 in Surf City and which now

operates out of Manahawkin. He has continued to help

run the family business ever since.

But in 2009, things suddenly weren’t quite as sweet. As

part of an annual physical, Bob took a prostate-specific

antigen (PSA) test. The results were abnormal, so he went

to see Charles Fernicola, M.D., a urologist at Southern

Ocean Medical Center. Dr. Fernicola diagnosed him with

early prostate cancer.

“You just sit back and say ‘Whoa,’” Bob says. “But

Dr. Fernicola discussed possible treatment alternatives

with me and really helped me understand my options.”

Together they decided that Bob would see a radiation

oncologist next, and that was Joseph Lattanzi, M.D., who is

affiliated with Southern Ocean and Meridian Cancer Care.

“When I met with him, he said, ‘We can handle this,’” Bob

says. “There is not enough I can say about the fantastic

care I received in Dr. Lattanzi’s office. They are wonderful.”

“Bob was treated with the latest radiation techniques,

including intensity-modulated radiation therapy with

image guidance, which allowed us to more accurately

target the cancer and spare healthy tissue,” explains

Dr. Lattanzi. “These techniques have truly revolutionized

the treatment of prostate cancer by improving outcomes

and reducing toxicity.”

Joseph P. Lattanzi, M.D.

Board certified in Radiation Oncology

Manahawkin • 609-978-2194

It has been nearly four years since Bob completed

his 45 treatment sessions — each one took only about

15 minutes — and he is doing wonderfully.

“Bob was a great patient with a great outlook,” says

Dr. Lattanzi. “About halfway through his radiation

treatment, I learned that after the treatments, he went

back to work each day.”

“I’m a firm believer in getting a PSA test,” says Bob. “It’s

such a nominal thing to do. And I try to help others in the

same situation as mine. On occasion, Dr. Lattanzi will have

someone drop by to see me, and I can reassure them. It’s

great when they stop by a year later and let me know they

did great with their treatment as well.”

Today, Bob says, “I just love sitting on my Surf City deck

and relaxing with those close to me — my family and

friends — enjoying the sweet life.” • — Joyce McFadden

Watch More Survivors Tell Their Stories

Hear Jim Sandor, Karen Piche, and Joyce Abrams

talk about their experiences with cancer care at

Southern Ocean at MeridianCancerCareNJ.com.

12


A New Approach to Primary Care

Puts the Focus on You

Since being diagnosed with diabetes seven years

ago, 49-year-old Laurie Genzano has kept it under

control with medications and a healthy diet. But

in April 2011, the Little Egg Harbor resident suddenly

developed excessive thirst and blurry vision — warning

signs that her blood sugar had spiked. She called her

primary care physician, William Glenn, D.O., of Southern

Ocean Medical Center, who saw her right away.

Dr. Glenn not only treated Laurie’s high blood sugar

with medicine, his office offered the support, education,

and guidance she needed to prevent a spike from

happening again — above and beyond what a typical

doctor visit would provide. That’s because the office is a

Patient-Centered Medical Home (PCMH).

Care That’s Centered Around Your Needs

“A Patient-Centered Medical Home is a better way of

providing health care,” explains Dr. Glenn, whose practice

is recognized as a PCMH by the National Committee for

Quality Assurance, an independent organization dedicated

to improving the quality of health care. “It makes the

primary care physician’s office the hub of medical care for

each patient.”

As a PCMH, Dr. Glenn’s office takes steps, such as the

following, to ensure each patient receives excellent,

comprehensive care:

• Employing a full-time patient population care

coordinator — a registered nurse who is dedicated to

educating patients about their health

• Tracking patients’ preventive care needs; for example,

if you need a colonoscopy or mammogram, the office

staff will remind you and follow up to ensure the

screening was completed

• Identifying and reaching out to patients who may need

health education, such as those who have just been

discharged from the hospital or who have a chronic

health condition

• Communicating with other specialists to ensure your

medical care is coordinated

• Providing expanded office hours so that patients have

greater access to their primary care provider

“Because of our approach, patients aren’t getting sick as

often and are treated much earlier in the disease process,”

Save the Date! November 3 Is Our Diabetes Health Fair

William Glenn, D.O.

Board certified in Family Medicine, Geriatric Medicine,

and Sports Medicine

Manahawkin • 609-597-7394

Laurie Genzano’s house here in

Little Egg Harbor isn’t her only

home. She has a medical home,

too: her doctor’s office. The staff

there help her keep her diabetes

in check through ongoing

support and guidance.

says Dr. Glenn. “We believe we are reducing the need for

Emergency Department visits and hospitalizations. It truly

improves health care.”

More Than Just Medicine

Thanks to the guidance and treatment she received, Laurie’s

blood sugar is back under control. But she still stays in close

contact with Dr. Glenn’s office. If she has any questions, she

knows she can call the patient population care coordinator

or attend a diabetes management class at Southern Ocean.

“They really help me stay on top of things. Nothing falls

through the cracks,” says Laurie. “Going to the doctor

doesn’t mean just getting medicine — they really listen.

The education helps, and I feel so much better.” •

Join Southern Ocean Medical Center for our annual Diabetes Health Fair. This event takes place November 3 from

10:00 a.m. to noon on the first floor of the hospital. For details, call Eddi Nitting at 609-978-3491.

Southern Ocean Medical Center

Meridian HealthViews • September/October 2012

13


Ocean Medical Center

MeridianHealth.com • 1-800-DOCTORS

14

4D Technology Creates

a More Precise Cancer Treatment

Carl Flohs didn’t suspect

something was wrong with

his health until August 2011.

That’s when his wife noticed that the

whites of his eyes had turned yellow.

When his skin looked jaundiced the

next day, his wife rushed the active

43-year-old to Ocean Medical Center.

After seeing a team of specialists

and undergoing an initial exploratory

surgery, the Brick resident learned

he had bile duct cancer, a rare but

serious disease. His Ocean team

referred Carl to surgeons at Jersey

Shore University Medical Center.

The Meridian Cancer Care surgeons

there were able to remove the cancer,

including three lymph nodes to which

the disease had spread, in a delicate

surgical procedure that lasted 14

hours. But to help ensure the cancer

didn’t come back, Carl would also

need chemotherapy and radiation.

4D Technology Results in

Targeted Radiation

Carl’s radiation treatment required

careful planning because the cancer

was located very close to many

healthy organs, including his stomach,

intestines, and liver. If exposed to

radiation, these organs — particularly

his liver — could be permanently

harmed. Thankfully, Carl was able

to come back home to Ocean

Medical Center for treatment. Ocean

offers the most precise radiation

technology available: a fourdimensional

CT radiation simulator.

“This new CT scan technology is

the only technology that accounts for

motion in the body due to breathing

or natural movement of organs,”

says Douglas Miller, M.D., a radiation

oncologist with Ocean. “It allows

us to determine the exact location

of a tumor. This can reduce harm to

healthy tissue, improve outcomes, and

reduce side effects during treatment.”

Brick resident and active father Carl Flohs survived a

rare but serious form of cancer, thanks to Ocean,

and he is overjoyed to be healthy and home today

with his wife, Sharon, and their two daughters,

Shelby, 11, and Carly, 15.

Dr. Miller used the 4D technology

to perform imaging tests before

Carl’s radiation treatment began.

With the information he gathers, he

can conform the radiation beams to

the unique shape of the tumor so

that every patient receives the most

accurate treatment possible.

The technology allowed Dr. Miller

to determine precisely how far Carl’s

liver moved during inhalation and

exhalation so that he could avoid

harming the organ during treatment

and precisely plan each session of

Carl’s radiation therapy.

Normal Life After Treatment

Carl had radiation therapy for five

weeks and experienced no major side

Special Imaging Services Just for Women

Douglas A. Miller, M.D.

Board certified in

Radiation Oncology

Brick • 732-836-4109

effects due to the treatment. In fact,

during this time, he celebrated the

holidays at home with his family and

continued to enjoy active hobbies,

such as deer hunting on the family’s

property in Pennsylvania. His cancer

has not returned.

“It’s so strange to think that I no

longer have cancer. It’s overwhelming,”

says Carl. “My entire group of doctors

was nothing but angels. I am so lucky

to have found them.” •

The Women’s Imaging Pavilion provides the latest cancer-detecting

capabilities in a peaceful setting. Read a firsthand experience on page 6,

and learn more at www.OceanMedicalCenter.com/womensimaging.


Finding the

Right Doctor:

It Can Feel

Like Fate

Riverview Medical Center

Rumson resident Dawn Stout met an exceptional doctor during a chance encounter one Fourth of July. So when she later needed surgery, she knew exactly where to turn.

“Women in the area need to know about Dr. Manuel,” Dawn says. “He is a gifted surgeon, a sincere person, and really wants to make a difference in his patients’ lives.”

Dawn Stout, 51, has lived in Rumson most of her

adult life. She was born at Riverview Medical

Center, as was her daughter Sarah, now 25.

“Riverview has been part of our family for as long as I can

remember,” says Dawn.

On July 4, 2011, Dawn and Sarah attended the Rumson

fireworks, as they do every year. Dawn started chatting

with Michael Manuel, M.D. He explained that he was

new to the area, having just moved from the West Coast,

and had been hired as a gynecological oncologist with

Riverview Medical Center.

“From the very moment I started talking with

Dr. Manuel, I knew he was a very special man,” says Dawn.

“His demeanor and the passion with which he spoke

about his career were inspiring.”

Dawn forgot about her chance encounter with

Dr. Manuel until February 2012, when she went in for her

annual checkup with Robert Farber, M.D., an OB/GYN

affiliated with Riverview.

During the exam, Dr. Farber felt a large mass on Dawn’s

right ovary, as well as a very large uterine mass. Dr. Farber

recommended Dawn go see Dr. Manuel, who is affiliated

with Meridian Cancer Care. It wasn’t until Dawn went to the

Meridian Health Web site to research Dr. Manuel that she

realized it was the same man she had met six months earlier.

“I didn’t even need to think about researching my

options any further,” says Dawn. “I am convinced that my

An Ovarian Cancer Survivor Shares Her Story Online

Michael R. Manuel, M.D.

Board certified in Obstetrics/Gynecology

and Gynecologic Oncology

Neptune • 732-897-7944

chance encounter with Dr. Manuel happened for a reason,

and I knew I was going to be in good hands.”

Dawn met with Dr. Manuel, who scheduled a CT scan

of her pelvic region at Riverview to determine the status

of the masses. An ovarian cancer blood test revealed very

low cancerous cell levels for both masses, but couldn’t

completely rule out cancer. Surgery would be necessary.

“Growing up in the area and growing up with Riverview

as a part of my life immediately made me feel at ease

when I found out I would need surgery,” says Dawn.

In March, Dr. Manuel performed minimally invasive

laparoscopic surgery on Dawn at Riverview to remove the

masses and have them tested for cancer.

Postsurgical tests revealed that the masses on her ovary

and uterus were benign. “From the moment I walked into

Riverview to the day I went home, each and every person

I encountered went above and beyond the scope of their

jobs,” says Dawn. “I am forever grateful to Dr. Manuel and

Riverview for being a part of my life.” • — Tom Paolella

Barbara, a Rumson resident, was stunned when she was diagnosed with uterine and ovarian cancer. Like

Dawn, she turned to Dr. Manuel for care. Hear Barbara tell her story at MeridianCancerCareNJ.com.

Meridian HealthViews • September/October 2012

15


Jersey Shore University Medical Center

MeridianHealth.com • 1-800-DOCTORS

Losing Weight

with LAP-BAND ®

For as long as she can remember, Raritan resident

Eva Maraspin, 39, has struggled with her weight. She

tried every diet, from counting points to counting

carbs, but could not seem to find the right solution to

help her lose weight and, most important, keep it off.

Along with rising cholesterol and blood pressure levels,

Eva was finding it difficult to enjoy her life with her family

and friends. “I felt embarrassed about my weight and

always avoided being in photos,” she says. “I knew

I had to take action and change my life, so I

made it my New Year’s resolution.”

With a little inspiration from an unlikely source —

Rex Ryan, the head coach of her beloved New York

Jets, had recently undergone weight-loss surgery —

Eva discovered LAP-BAND®, a minimally invasive

weight-loss procedure. After researching it some more,

Eva decided to consult her primary care physician.

Her physician referred Eva to Jersey Shore University

Medical Center bariatric surgeon Seth Kipnis, M.D.

“Dr. Kipnis explained the details of the procedure in a

way that made me feel very comfortable,” she says. “I

made my decision during that first visit.”

“The LAP-BAND is an adjustable and completely

reversible procedure that is 10 times safer than any other

weight-loss procedure,” explains Dr. Kipnis. “It doesn’t require

any cutting or stapling, unlike other bariatric procedures.”

According to Dr. Kipnis, Eva made the right decision

at the right time. “When I first met Eva, she was fairly

healthy,” he says. “Rather than waiting for certain diseases

to emerge, the goal is to take action and prevent them

from developing.”

In April 2010, Dr. Kipnis performed Eva’s procedure.

Several hours after surgery, Eva was cleared to head home.

She was back at work just a week later. Now, two years have

past, and Eva has gone from 322 pounds to 187 pounds, and

she couldn’t be happier: “I’ve just become so much more

confident in myself. For once, I look forward to doing things

because I know that my weight won’t hold me back.”

She visits Dr. Kipnis a few times each year for quick

adjustments and often shares her story to encourage

others considering the procedure. “This has been one of

the greatest decisions of my life, and there’s no reason for

anyone to be fearful, especially if their surgery is with

Dr. Kipnis.” • — Kris Tranquilino

Die-hard New York Jets fan Eva Maraspin shows her team spirit in a photo taken

before she had weight-loss surgery at Jersey Shore University Medical Center

in 2010. Today, photographed in her cowboy hat outside a friend’s home, she’s

135 pounds lighter, a lot more confident — and still a Jets season ticket holder.

Seth M. Kipnis, M.D.

Board certified in General Surgery and Bariatric Surgery

Neptune • 732-775-5005

Leaning Towards LAP-BAND? Save the Date!

Don’t miss your chance to hear Dr. Kipnis

discuss this innovative procedure, as well as

other surgical weight-loss options, on September 5

or October 3. Turn to page 25 for full details.

16


Dealing with Diabetes?

Put Your Feet in Good Hands

Like anyone living along the Jersey Shore, Paul Mirfeld,

55, loves spending his summers on the beach. And

when a minor mishap on the oceanfront in July 2011

turned into a major threat to his health, the Aberdeen

resident was thankful to have the Center for Wound

Healing at Bayshore Community Hospital in his backyard.

“I was at the beach when a seashell got stuck between

my flip-flop and foot and cut me,” explains Paul. “I

have diabetes, so when the wound began to look bad, I

decided to see my doctor to get it checked out.”

Paul was aware that untreated wounds can pose a

threat to people with diabetes; however, he didn’t think

he was at risk because he was in generally good health.

But his doctor determined the wound was infected, and

Paul was admitted to Bayshore Community Hospital and

given antibiotics. His diabetes was managed by Vasantha

Perkari, M.D., who consulted with Patrick Caputo, DPM,

the podiatrist at Bayshore who treated Paul.

Paul underwent thorough testing to determine

the severity of the infection. Unfortunately, the tests

revealed that it had already spread, and Paul was

diagnosed with osteomyelitis, an infection of the bone

that can be very difficult to treat.

“Osteomyelitis can affect anyone, but conditions

or medications that weaken the immune system, like

diabetes in Paul’s case, can put a person at higher risk,”

says Dr. Caputo.

Without quick medical intervention, osteomyelitis can

result in severe damage to surrounding tissue — and even

lead to amputation.

“It was possible I was going to have to have my leg

amputated below my knee,” says Paul. “It was scary, but

the staff was friendly and sympathetic. They helped to

ease my fears.”

At Bayshore, he was in skilled hands. Dr. Caputo examined

the wound and determined that he could perform

surgery on Paul’s toe to remove the infection. A small

portion of bone was removed from Paul’s toe without

the need for amputation, and after a few weekly follow-up

visits with Dr. Caputo at the Center for Wound Healing, Paul

was able to enjoy another summer at the beach.

“I had a good experience with everyone I came in

contact with, from Dr. Caputo to the nurses to the

people working in food services,” says Paul. “It’s nice to

have access to a community hospital where the people

who work there are your own neighbors. It gives you a

warm feeling knowing you will be treated the way you

want to be treated in a hospital.” • — Caitlin Coyle

Patrick J. Caputo, DPM

Board certified in Podiatric Surgery

Holmdel • 732-739-3230

A love for the Sandy Hook lighthouse and shores compelled Paul Mirfeld and

his wife to move from Staten Island to Aberdeen 13 years ago. Recently, after a

seashell cut his foot and threatened him with the possibility of amputation, Paul

was relieved to have the Center for Wound Healing at Bayshore close to home.

Online Tips to Keep Your Toes in Tip-Top Shape

Foot wounds are the top reason people with diabetes

end up in the hospital. As Paul’s story shows, even the

smallest cut has the potential to become severely infected.

Fortunately, with daily foot exams, people with diabetes

can often prevent a wound from becoming serious. Visit

WellnessCenter.MeridianHealth.com and search

“Special Foot Care for People with Diabetes” to learn more.

To find a podiatrist, call 1-800-560-9990.

Bayshore Community Hospital

Meridian HealthViews • September/October 2012

17


K. Hovnanian Children’s Hospital

Leading Normal Lives Thanks to NICU Care

Like other kids their age, Brielle

twins Jennifer and Mary

Elizabeth Ciampi, 18, plan to

make the most of their senior year at

Manasquan High. They’re both looking

at colleges. Jennifer is considering a

career in health care, Mary Elizabeth

in fashion design or marketing.

But their story is anything but

routine. In September 1994, the sisters

were born 14 weeks premature at

Jersey Shore University Medical Center.

Mary Elizabeth and Jennifer —

weighing 2 pounds, 1 ounce, and

1 pound, 14 ounces, respectively —

spent three months in the Neonatal

Intensive Care Unit (NICU) before they

were healthy enough to go home.

The Right Place to Be

Their parents, Peter and Rossana Ciampi,

knew they picked the right hospital to

deliver their little ones. At the time,

Jersey Shore was one of the few statedesignated

level III nurseries specializing

in the care of high-risk newborns.

One in eight babies in the U.S. is

born prematurely, before 37 weeks of

pregnancy. Premature babies are at

higher risk for serious complications

and death. Fortunately, advances in

medicine have improved the chances of

survival for even the smallest babies.

“We have always had a dedicated

team that goes all out to do its

best for these medically fragile

infants,” says Elizabeth Assing, M.D., a

neonatologist on staff at K. Hovnanian

Children’s Hospital at Jersey Shore

University Medical Center. “The

technology we use in the NICU has

become more refined over time, and

it has helped us to improve care, but

the doctors and nurses and all the

ancillary staff caring for these babies

are really the heart of our program.”

That teamwork enables Jersey Shore

to consistently achieve some of the

best survival rates in the country for

premature babies, says neonatologist

Michael Graff, M.D., also on staff at

K. Hovnanian Children’s Hospital.

“The physicians who do the

developmental follow-ups on our

premature infants always tell us how

much better our babies do than

those they read about in the medical

literature,” Dr. Graff says. “And I

fervently believe that’s due to the

truly intensive care we give them.”

Elizabeth J. Assing, M.D.

Board certified in Pediatrics and

Neonatal-Perinatal Medicine

Neptune • 732-776-4283

Michael A. Graff, M.D.

Board certified in Pediatrics and

Neonatal-Perinatal Medicine

Neptune • 732-776-4283

An Encouraging Word

Because Jennifer is interested in

pursuing a career in health care, Peter

recently took her back to the NICU,

which is now part of K. Hovnanian

Children’s Hospital, so that she could

see where her life began. Jennifer

brought pictures of herself as a

newborn to share with other parents

in the unit.

“She brought them to provide

encouragement,” Peter says. “She

wanted people to see her then and

now, to see how she’s grown up —

to have hope.” •

Check Out Our New

Pediatric Site!

MeridianHealth.com • 1-800-DOCTORS

18

Watch inspiring

online videos

featuring local kids, including a set

of preterm NICU triplets, on the new

MeridianPediatricNetwork.com.

Mary Elizabeth Ciampi (left) was born at 2 pounds,

1 ounce, and her twin Jennifer at 1 pound, 14 ounces.

Thanks to the care they received in Jersey Shore’s

NICU, you would never know the challenges these

teens, now busy researching colleges with their

parents, faced at birth. “We’re very proud of them,”

says dad Peter Ciampi. “They’ve overcome a lot of

adversity in their lives and succeeded in so much.”


Nurse Navigators

Offer You Guidance Through Cancer

A

cancer diagnosis can be overwhelming, and

coordinating all the appointments and paperwork

adds another layer of complexity. To help, Meridian

Cancer Care developed an oncology nurse navigator

program, available to every cancer patient treated across

Meridian. The goal? To ease the burden of cancer care.

“Oncology nurse navigators provide patients with an

advocate, someone who is there for them through it all,”

explains Mark Krasna, M.D., corporate medical director for

Oncology Services at Meridian Health. “These oncology

navigators help patients connect the many dots that are

involved in cancer care.”

Sharing the Burden

Dawn Olesen and her husband, John, understand the value of

the oncology nurse navigator program. Dawn came to Ocean

Medical Center for radiation treatment after being diagnosed

with breast cancer. Before beginning radiation, an Ocean

technician found a suspicious mass that was missed at the

other facility. This meant Dawn would need a third surgery.

“I was relieved that the abnormality was found, but I

knew it meant I had another mountain to climb,” explains

Dawn. “Thankfully, I had a nurse navigator with me from

the beginning.”

That was Donna Colabroy, R.N. She helps cancer

patients by explaining treatment options, answering

questions, and coordinating appointments. Also,

whenever possible, she is with patients during tests or

procedures.

“Navigators strive to provide care that is individualized

to each person’s specific needs,” says Donna. “This can

be helpful in alleviating some of the fear that can be

associated with a cancer diagnosis. Patients often express

thanks and relief in having a contact person at the hospital

who can provide education and support.”

Someone to Lean On

Facing a personal battle with cancer is difficult enough,

but while Dawn underwent radiation treatment, her

husband was diagnosed with invasive lung cancer.

“Everything was going at a fast pace. I stopped focusing on

me and started focusing on him,” recalls Dawn. “We couldn’t

do it all. Thankfully, we had our nurse navigators to lean on.”

Helping You Navigate Cancer

Being hit by a car cost Stuart Manuel his leg, but it didn’t affect his spirit, his

determination, or his devotion to his 7-year-old daughter, Uhnylah.

John and Dawn Olesen, happily married for 26 years, found support to cope

with their cancer diagnoses in each other and in the oncology nurse navigators

offered to them through Meridian Cancer Care.

Joyce Cline-Blasi, R.N., served as John’s oncology nurse

navigator. “Everyone with cancer has different needs. It’s

a privilege to be that go-to person and help make the

process as smooth as possible,” she says. “For many of my

patients, I become an extension of their family. But they

give as much back to me as I give to them.”

Today, Dawn is finished with radiation treatment but is

still helping John through lung cancer. She can’t say enough

about the help of their oncology nurse navigators. “To

these women, it’s not just a job. They truly care,” Dawn says.

“I don’t know how we could have done it without them.” •

Meridian Health currently has 10 oncology nurse navigators. Each one specializes in specific cancers, such as

breast, lung, head and neck, digestive, and bladder cancers, but they are all trained to help people with any type

of cancer, and every patient at a Meridian Health hospital has access to one of these exceptional team members.

Meridian Health

Meridian HealthViews • September/October 2012

19


Meridian Health

Charlie Oliver — shown here with his son, Jay,

outside his parents’ house in Red Bank — says

his mother and father were initially reluctant to

accept home hospice care. But the Olivers soon

discovered that hospice care is about more than

letting someone into your home — it’s about

letting that person into your heart.

Home Hospice:

The Joy of Letting Others In

Denis B. Fitzgerald, M.D.

Board certified in Hematology,

Medical Oncology, and

Internal Medicine

Little Silver • 732-530-8666

MeridianHealth.com • 1-800-DOCTORS

20

Charles and Mary Oliver were

married for 63 years. They

raised a son, Charlie, and

saw each other through the joys and

challenges of a long life.

In 2009, Mary had a recurrence of

an aggressive form of cervical cancer.

She let her doctor, Riverview Medical

Center oncologist Denis Fitzgerald,

M.D., know she wanted to stop

treatment. “At that point, my then

89-year-old father was determined

to care for her himself,” says Charlie.

“My parents spent their life caring

for each other, so it wasn’t easy for

Dad to admit he couldn’t do it all

on his own.”

Dr. Fitzgerald recommended

Meridian At Home’s hospice

service. Home hospice is becoming

increasingly commonplace, and it’s

covered by insurance in cases of

end-stage cancer, cardiovascular or

pulmonary disease, Alzheimer’s, and

other conditions.

Mary was initially reluctant. “Home

hospice represented a number of

things to my folks: losing control of

my mom’s care, having strangers in

their home, and uncertainty about

if it would work,” says Charlie. “But

the thoughtful and tender care that

Mom received quickly changed their

minds. They started looking forward

to the caregiver visits. These new

friends tended to Mom’s needs with

tenderness and compassion. Just

having her hair and nails done, or

communicating with others outside

the family, was enormously helpful to

both my parents.”

According to Dr. Fitzgerald, the

emotional support of home hospice

is as valuable as the medical care and

assistance. Dr. Fitzgerald’s experience

with home hospice is both personal

and professional. “In 2009, after

battling ovarian cancer for many

years, my mother passed away,” he

says. “We used Meridian At Home

hospice services for her for almost a

year. The comfort and benefits to the

patient, as well as the entire family,

Our Hospice Services

that are delivered by dedicated

home hospice caregivers cannot be

underestimated.”

While caring for Mary, and while

she was receiving hospice care,

Charles was diagnosed with advanced

prostate cancer. After Mary passed

away in 2010, it became apparent to

both Charlie and Dr. Fitzgerald that

Charles’ condition was deteriorating.

“In late 2011, my very independent

dad was hospitalized at Riverview for

three days. Having seen the wonderful

care my mom had received, he came

to me and said, ‘Son, it’s time for

hospice,’” says Charlie.

Charles passed away in February

2012. “My family experienced the

compassion and love of these

caregivers, and it truly touched our

hearts,” Charlie says. “I cannot thank

them enough.” • — Larry Ginsberg

Meridian At Home hospice services can provide families with

registered nurses, certified home health aides, social workers,

chaplains, medications related to the terminal illness, medical equipment,

and bereavement services. For more information, call 732-751-3750 or visit

us online at www.MeridianAtHome.com/hospice.


Meridian September/October 2012

Community Health Programs

All programs are FREE unless otherwise noted. Reserve your spot

by calling 1-800-DOCTORS (1-800-362-8677) or 1-800-560-9990

or by visiting MeridianHealth.com. In cases of severe weather, a

program may be canceled as late as an hour before the start time.

Call 1-800-DOCTORS or 1-800-560-9990 to confirm.

Girls’ Night Out

Bigger and better than ever! Gather the gals and

celebrate women’s wellness. Chat with physicians

on the hottest health topics. Participate in health

screenings, makeovers, bra fittings, massages, dance demonstrations, and on-site

shopping. This event features door prizes and refreshments. Registration is required.

Visit www.OceanMedicalCenter.com/GirlsNightOut.

October 11, 4:30 – 8:30 p.m.

Ocean Medical Center

21st Annual

Women’s

Health Night

Gather your friends and spend an evening

devoted to your personal wellness. Meet

our physicians and take part in free health

screenings, interactive displays, and giveaways.

Lipid screenings will be done ahead of time,

on October 22, from 7:00 to 9:00 a.m., and

results will be provided at the fair. You must

fast for 12 hours before getting screened.

October 24, 5:00 – 9:00 p.m.

Southern Ocean

Medical Center

Volunteer Today

for a Cancer-Free

Tomorrow

This year, you can join the

movement to help create a world

with less cancer and more birthdays

by enrolling in the American

Cancer Society’s research study

called Cancer Prevention Study-3.

Meridian Health is hosting several

participation events in September.

To enroll or for more information,

visit cps3jerseyshore.org or

call 1-888-604-5888. Meridian’s

participation events run from

September 16 to 28.

Jersey Shore University Medical Center

Community Day and 5K Run/Walk

Bring the family to meet Hopscotch and Doctor Bernard from the Pawsitive Action Team,

and enjoy kids’ races, games, an inflatable play area, a children’s health fair, food, music, and

more. A 5K run/walk through Neptune — part of the Meridian Health Heart & Sole Cup —

will kick off the day. Go to www.JerseyShoreUniversityMedicalCenter.com/5Krace to

register for the 5K race today.

September 16

5K race: 10:00 a.m.

Kids’ races: 11:00 a.m.

Community Day activities:

11:00 a.m. – 2:00 p.m.

Bayshore

Community

Hospital

Community Day and 5K Run/Walk

Enjoy a fun-filled day for the whole family! The afternoon will kick off with a timed

run through Holmdel, the third and final 5K in the Heart & Sole Cup series, and we’ll

have cash prizes for different age groups and free kids’ races. Then, join us back at the

hospital for games, rides, activities, health screenings, food, entertainment, and more. For

registration information, call 732-962-7493 or visit www.BayshoreHospital.org/5Krace.

October 6

Registration opens: 8:30 a.m.

5K race: 10:00 a.m.

Kids’ races: 11:00 a.m.

Community Day activities: 11:00 a.m. – 2:00 p.m.

Meridian HealthViews • September/October 2012

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

21


Community Health Programs • Services • Events • Lectures • Screenings • 1-800-DOCTORS

OCTOBER IS BREAST HEALTH

AWARENESS MONTH

Hear from Meridian Cancer Care experts

on a variety of breast health topics, from

preventive measures and screenings to

celebrating life after breast cancer.

Breast Health Awareness Tea

Bring a friend for afternoon tea and learn

about the importance of screening and

prevention for breast health.

September 13, 2:00 – 3:00 p.m.

Meridian Nursing and Rehabilitation, Brick

October 3, 1:00 – 2:00 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

Breast Health Celebration

Come join breast cancer survivors as they

celebrate recovery and learn more about

breast health. Paramjeet Kaur, M.D., will talk

about treatment options such as surgery.

October 9, 7:00 – 8:00 p.m.

Family Resource Center at the Ocean Club

MERIDIAN CANCER CARE

Freshstart Smoking Cessation

This four-hour smoking cessation program

is offered by Meridian Cancer Care and the

American Cancer Society.

September 4, 6, 11, and 13, 9:30 a.m. – noon

Ocean Medical Center, Conference Room A

Look Good … Feel Better

Get hair and makeup tips to help you

look and feel better. The American Cancer

Society offers this program to individuals

being treated for cancer.

September 24, 1:00 – 3:00 p.m.

The Center for Health, Little Egg Harbor

October 1, 1:00 – 3:00 p.m.

Meridian Fitness and Wellness Center at Hazlet

Cancer Survivorship

Program

Join us for an informative panel discussion

on maintaining good health after cancer.

A light lunch will be provided. Registration

is required.

October 11, 10:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Inside the Physician Lounge

Join the Women’s Centers of Riverview

Medical Center and Bayshore Community

Hospital for an evening of breast health

activities, including a multi-disciplinary

panel of expert physicians, bra fittings

from Sweetest Sin Boutique in Red Bank,

refreshments, and more!

October 17, 7:00 – 9:00 p.m.

Riverview Medical Center

Joan and Robert Rechnitz Conference

and Education Center

Breast Health Update

Join Monica Bais, M.D., as she discusses

the facts on breast cancer, including its

causes, prevention, and treatment options.

October 24, 7:00 – 8:00 p.m.

Meridian Fitness and Wellness Center

at Hazlet

All About Prostate Health

Join urologist Babu Surya, M.D., as he

discusses the early warning signs of

prostate cancer and what can be done for

many urologic problems in men.

October 30, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Children’s Art Therapy

Meridian Cancer Care offers art therapy

for children ages 4½ to 13 who have

experienced a loss or are dealing with

a chronically or terminally ill loved one.

Registration required. Call 732-530-2382.

MERIDIAN

CARDIOVASCULAR

NETWORK

Congestive Heart Failure

and You

Learn about ways you can help your heart

at home. Deb Shar, R.N., will discuss the

latest research on congestive heart failure

and how to recognize symptoms.

September 12, 2:00 – 3:00 p.m.

Family Resource Center at the Ocean Club

Preventing Heart Disease at

Any Age

Join Douglas Chudzik, M.D., as he discusses

risk factors, signs and symptoms, and

prevention for all.

September 13, 10:00 – 11:00 a.m.

Meridian Fitness and Wellness Center at Hazlet

Cardiovascular Disease and

Sleep Apnea

Can sleep apnea increase the risk for heart

and vascular disease? Pulmonologist Adrian

Pristas, M.D., will discuss the relationship

between the two and explain how you

could be affected.

September 20, 11:00 a.m. – noon

Riverview Medical Center

Joan and Robert Rechnitz Conference and

Education Center

Varicose Veins: Causes and

Treatment Options

Varicose veins are dilated veins in your legs

that may cause mild to severe pain. Join

vascular surgeon Lawrence Mueller, M.D., as

he discusses what varicose veins are, their

causes, and the latest in treatment options.

Free screenings will be provided.

September 28

Lecture: 9:00 – 10:00 a.m.

Screenings: 10:00 – 11:00 a.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

October 23

Lecture: 6:00 – 7:00 p.m.

Screenings: 7:00 – 8:00 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

Controlling Your

Cholesterol

Learn about good and bad cholesterol,

treatment options, and strategies for

getting your numbers under control.

October 10, 11:00 a.m. – noon

Family Resource Center at the Ocean Club

Aortic Aneurysm

An aneurysm is an abnormal dilation in

the arterial wall. Come learn its signs and

symptoms. Jeffrey Hager, D.O., will also

review the latest testing and treatment

options.

October 17, 11:00 a.m. – noon

Family Resource Center at the Ocean Club

22

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


Meridian Women’s

Heart Connection

Women and Heart Disease

Women experience different signs and

symptoms of heart disease than men. Ellen

Nixon, R.N., will discuss a woman’s risk

factors and what lifestyle changes you can

make to prevent heart disease.

October 26, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

MERIDIAN NEUROSCIENCE

Memory Loss: Lecture and

Screening

If you or a loved one is experiencing

increased forgetfulness, trouble

concentrating, or difficulty performing

familiar tasks, you may benefit from this

informative lecture. Memory screenings

will follow the event.

September 7, noon – 3:00 p.m.

Family Resource Center at the Ocean Club

October 10, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

with Jacqueline Rondeau, Psy.D.

Coping with a Brain Injury

This program will provide an overview of

the changes that occur after a brain injury

and offer ways that patients and family

members can adjust and cope in their

daily lives. Cosponsored by the Brain Injury

Alliance of New Jersey.

September 18, 6:00 – 8:00 p.m.

Family Resource Center at the Ocean Club

Express Yourself —

Group Speech Therapy

If you suffered from a head injury or

stroke and have already completed speech

therapy, this class may be for you. For

pricing and registration, call 732-836-4007.

Parkinson’s Life Enrichment

Exercise Class

This program helps people with Parkinson’s

improve their flexibility, balance, and

strength, enabling them to perform

everyday activities with greater ease.

Call Meridian Life Fitness in Brick at

732-836-4007 for fees and to register.

MERIDIAN PEDIATRIC

NETWORK

Food Allergies and Kids

Join pediatric allergist and immunologist Tina

Zecca, D.O., as she discusses how to identify

and avoid foods your child may be allergic to.

September 12, 10:00 – 11:00 a.m.

Meridian Fitness and Wellness Center at Hazlet

Children and Asthma

Join specialists from Meridian Pediatric

Network as they explain the signs and

symptoms, diagnosis, and best practice

care guidelines for asthma in children.

September 25, 6:00 – 7:30 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

with Nader Nakhleh, D.O.

October 3, 6:30 – 7:30 p.m.

Riverview Medical Center

Joan and Robert Rechnitz Conference and

Education Center

with Tina Zecca, D.O.

Childhood Immunizations

Come hear pediatrician Raja Barakat, M.D.,

address the basics of vaccinations,

common questions, and the importance

of childhood immunizations.

October 2, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Safe Sitter

Meridian offers training for babysitters ages 11

to 14. In a fun learning environment, this class

will review safety for both the babysitters

and the children left in their care, including

information on handling emergencies, first

aid, and CPR. The fee is $40.

October 6, 9:00 a.m. – 3:30 p.m.

Family Resource Center at the Ocean Club

October 8, 9:00 a.m. – 3:30 p.m.

Ocean Medical Center, Conference Room C

Your Child and the Flu

The flu can be scary, especially in a child.

Join pediatrician Sharon Yuen, M.D., as she

discusses the causes, signs and symptoms,

and diagnosis of the flu in children.

October 17, 7:00 – 8:00 p.m.

Meridian Fitness and Wellness Center at Hazlet

Car Seat Safety Checks

Sponsored by the New Jersey State Police and

the Trauma Center at Jersey Shore University

Medical Center. No registration necessary.

First Tuesday of each month, 3:00 – 8:00 p.m.

Jersey Shore University Medical Center

CHILDBIRTH/MATERNITY

CHILDBIRTH EDUCATION SERIES

Meridian Health offers classes and seminars

for first-time and experienced parents,

as well as tours, classes for siblings, and

more! Registration required. Please register

before your third trimester. To learn more

about our fun and informative classes, visit

MeridianMomtourage.com.

STRIKE A POSE: YOGA FOR

MOMS AND MOMS-TO-BE

Classes focus on gentle postures, breathing

techniques, and relaxation to prepare for

childbirth or recover after childbirth. Call

Meridian Life Fitness in Point Pleasant at

732-295-1778 for fees and to register.

COUNSELING AND

BEHAVIORAL HEALTH

Addiction Recovery Services

Meridian Behavioral Health provides

treatment to individuals who suffer from

the multifaceted illness of alcohol and/

or drug addiction. Services available at

multiple locations. Call for information.

Children’s Group

Counseling

Meridian Behavioral Health offers

individual, family, and group therapy for

children ages 3 to 18. To schedule a firsttime

appointment, call 732-869-2784,

ext. 2. For more detailed information, call

Jim Ullman at 732-869-2759.

DIABETES

Diabetes and You

Have you been diagnosed with diabetes?

Join David Hyppolite, M.D., and learn about

risk factors, treatments, and how to control

your diabetes.

September 26, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Take Control of Your

Health

Join us for this six-week program and

learn how to cope with symptoms and

frustrations, and design your own diabetes

self-management program.

October 9, 9:30 a.m. – noon

Family Resource Center at the Ocean Club

Meridian HealthViews • September/October 2012

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

23


Community Health Programs • Services • Events • Lectures • Screenings • 1-800-DOCTORS

Prediabetes

Join us for an informal session to discuss

lifestyle changes and treatments that can

help prevent or delay the onset of diabetes.

October 22, 2:00 – 3:00 p.m.

Family Resource Center at the Ocean Club

Comprehensive Diabetes

Management

Meridian offers educational and support

programs at all our hospitals on an

individual or group basis for people with

diabetes. Call for more information.

FITNESS

Beginner Spinning Class

Join Meridian Life Fitness for a beginner

spinning class.

September 8 or October 13, 9:30 – 10:30 a.m.

Meridian Life Fitness, Point Pleasant

Pelvic Floor Dysfunction:

Can Exercise Help?

Problems with the pelvic floor muscles

can lead to urinary difficulties and bowel

dysfunction in men and women. Alison

Ankiewicz, DPT, will explain how exercise

can help and discuss causes, symptoms, and

treatments for pelvic floor dysfunction.

September 19, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Exercise for Managing Pain

Come hear physical therapist James

McCracken discuss how exercise can help

you manage pain, and learn what exercises

are right for you.

October 9, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Gentle Fitness Classes

Learn how exercise can improve your life.

We offer a variety of classes that combine

strength, flexibility, and cardiovascular

training. Call 732-206-8263 for details.

NUTRITION

Eating Healthy on a Budget

Do you find you don’t eat healthy because

you think it’s too expensive? Registered

dietician and nutritionist Dina Zamfotis will

offer tips for making healthy choices on a

limited budget.

September 6, 7:00 – 8:00 p.m.

Meridian Fitness and Wellness Center at Hazlet

Learn How to Reach Your

Weight-Loss Goals

Meridian Life Fitness will teach you how

to set realistic goals to successfully lose

weight. Registration required.

September 24, 5:30 – 6:30 p.m.

Ocean Medical Center, Community Room

Supermarket Tips for a

Healthy Heart

Join registered dietician Liz Amisson to

learn how to shop smart and read food

labels correctly so that you can follow a

heart-healthy diet.

September 27, 2:00 – 3:00 p.m.

Family Resource Center at the Ocean Club

Weight Loss with Hypnosis

Hypnosis is effective at alleviating

unwanted habits and developing positive

behaviors. The fee is $30.

October 17, 7:00 – 8:00 p.m.

Family Resource Center at the Ocean Club

Win Big Over the Holiday

Learn about the Meridian Life Fitness

holiday weight-loss challenge.

October 29, 5:30 – 6:30 p.m.

Ocean Medical Center, Community Room

Nutrition Counseling

Consult a registered dietician to design

a food plan that meets your weightmanagement

and medical nutrition needs.

To register, call Riverview Medical Center at

732-530-2555, Meridian Life Fitness at

732-295-1778, Southern Ocean Medical

Center at 609-978-3400, or Meridian

Fitness and Wellness Center at Hazlet at

732-335-4200.

ORTHOPEDICS AND

SPORTS MEDICINE

Foot Care and Screening

Podiatrist Mark Goldberg, DPM, will discuss

the importance of taking care of your feet

and general foot care. He will also provide

foot screenings after the lecture.

September 11, 11:00 a.m. – 12:30 p.m.

Meridian Fitness and Wellness Center at Hazlet

Myths About Spine Surgery

Are you a candidate for spine surgery? Find

out as orthopedic surgeons discuss the

facts and myths about spine surgery and

other, nonsurgical treatment options.

September 11, 3:00 – 4:00 p.m.

Family Resource Center at the Ocean Club

with Nader Hebela, M.D.

October 25, 7:00 – 8:00 p.m.

Meridian Fitness and Wellness Center at Hazlet

with Keith Rinkus, M.D.

A light dinner will be served.

Put Your Best Foot Forward

Learn how faulty foot mechanics can lead

to many dysfunctions — not just in the

foot but in the knee, hip, and back. Foot

screenings will be available after the lecture.

September 18, 6:30 – 7:30 p.m.

Meridian Life Rehabilitation

Point Pleasant Beach

Running and Injury

Prevention

Whether you’re just starting out or are

looking to brush up on running safely,

join John Connors, DPM, board certified

sports podiatrist, for an informative

seminar including tips and techniques

to avoid injury. Light refreshments will

be served. For more information, visit

www.BayshoreHospital.org/5KRace.

Registration is required.

September 19, 6:00 – 8:00 p.m.

RoadRunner Sports, 490 Broad St.,

Shrewsbury

New Solutions for

Shoulder Pain

Join Aman Dhawan, M.D., as he discusses

the common causes of shoulder pain.

Learn about the various treatment options

available, including shoulder arthroplasty.

September 27, 6:00 – 7:30 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

MotionXcellence Sports

Performance Lab:

Golf Lecture

Find out how the MotionXcellence Sports

Performance Lab can improve your

performance and help reduce injuries.

September 29, 11:00 a.m. – noon

Meridian Life Fitness, Point Pleasant Beach

24

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


Knee Replacement Surgery

Come hear Samuel Epstein, D.O., speak

about the latest techniques for knee

replacement surgery and who is a candidate.

October 11, 10:00 – 11:00 a.m.

Family Resource Center at the Ocean Club

New Solutions for Hip Pain

Join Aman Dhawan, M.D., as he identifies

and reviews common causes of hip pain

with a focus on cartilage injury, labral tears,

and hip impingement. Learn the various

treatment options available to resolve pain,

restore function, and improve quality of life.

October 30, 6:00 – 7:30 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

SCREENINGS

Health and Safety Fair

Healthy body, healthy mind, healthy life!

Join us at this annual fair for education,

information, and health screenings.

September 8, 9:00 – 11:30 a.m.

St. Francis Center, Long Beach Island

September 22, 8:30 a.m. – noon

Spring Lake Heights Elementary School

111 Highway 71, Spring Lake

AngioScreen®: What You

Learn Can Save Your Life

This screening identifies your risk for

abdominal aortic aneurysm and checks your

carotid artery, blood pressure, heart rhythm,

and more. You’ll receive an instant color

report of the findings, educational materials,

and consultation with a registered nurse.

The fee is $74.95. Registration is required.

September 12, 9:30 a.m. – 4:00 p.m.

Ocean Medical Center, Conference Room A

September 17, 9:30 a.m. – 4:00 p.m.

Bayshore Community Hospital

Conference Rooms A and B

September 25, 9:30 a.m. – 4:00 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

October 3, 9:00 a.m. – 3:30 p.m.

Southern Ocean Medical Center

Conference Rooms 1 and 2

October 17, 3:00 – 7:00 p.m.

Meridian Rehabilitation at Manalapan

195 Route 9 South, Suite 113, Manalapan

October 22, 9:30 a.m. – 3:30 p.m.

Meridian Fitness and Wellness Center at Hazlet

Balance Screenings

Minimize your risk for falls or episodes of

dizziness. Call 732-206-8263 to register for

a free balance screening.

September 26, 2:00 – 3:00 p.m.

Meridian Life Rehabilitation, Brick

October 17, 2:00 – 3:00 p.m.

Meridian Life Rehabilitation, Point Pleasant

Blood Pressure Screenings

First and third Wednesday of each month

9:00 – 11:00 a.m.

Family Resource Center at the Ocean Club

Diabetes Foot Screening

For an appointment, call the Wound Center

at Southern Ocean Medical Center at

609-978-3077.

First Wednesday of the month, noon – 1:00 p.m.

Ocean County Cholesterol

and Blood Pressure

Screenings for Low-Income

Seniors

Funding provided by Ocean County Board

of Chosen Freeholders for qualified

residents ages 60 and older. Call for dates,

times, and locations.

SENIOR PROGRAMS

Incontinence: Take Control

Jamie Besante, DPT, will share the latest

treatments for bladder control and urinary

function. This seminar can help you reclaim

an active and healthy lifestyle.

September 11, 11:00 a.m. – noon

Family Resource Center at the Ocean Club

Caring for the Caregiver

Join William Power, M.D., and Meridian

At Home to learn ways to handle stress,

find resources, and understand the aging

process and memory disorders. A light

dinner will be served. Registration is

required.

October 3, 6:00 – 8:00 p.m.

Southern Ocean Medical Center

Ullman Conference Center

Living Wills

Do you have a living will? The state of New

Jersey recognizes living wills and encourages

residents to have one. This workshop will

show you how to complete yours.

October 5, 10:00 – 11:00 a.m.

Family Resource Center at the Ocean Club

The Aging Eye

Ophthalmologist Larry Frieman, M.D., will

discuss the aging process of the eye and

conditions you might experience with age.

October 23, 11:30 – 12:30 p.m.

Riverview Medical Center

Joan and Robert Rechnitz Conference and

Education Center

Solutions to Balance

Problems

Learn about balance and your treatment

options for dizziness symptoms.

October 30, 10:30 – 11:30 a.m.

Ocean Medical Center, Conference Room C

AARP Driving Safety Program

This one-day class can reduce car insurance

costs! The fee is $12 for AARP members and

$14 for nonmembers. Call for details.

WEIGHT-LOSS SURGERY

OPTIONS FOR WEIGHT-LOSS

SURGERY

Join Seth Kipnis, M.D., for this program on

the benefits of weight-loss surgery.

September 5, 6:00 – 7:00 p.m.

October 3, 6:00 – 7:00 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

WEIGHT-LOSS SURGERY:

THE FACTS

Karl Strom, M.D., medical director of the

Bariatric Center of Excellence at Southern

Ocean Medical Center and Bayshore

Community Hospital, and surgeons

Jonathan Reich, M.D., and Silvia Fresco,

M.D., will host educational programs on

the benefits of weight-loss surgery.

September 6, 7:00 – 8:30 p.m.

Bayshore Community Hospital

Ground Floor Conference Room

September 11 and October 9, 7:00 – 8:30 p.m.

Ramada Inn, 2373 U.S. 9, Toms River

September 12 and October 10, 7:00 – 8:30 p.m.

Southern Ocean Medical Center

Conference Rooms 1 and 2

September 18 and October 16, 7:00 – 8:30 p.m.

Meridian Life Fitness, Point Pleasant

September 20 and October 18, 7:00 – 8:30 p.m.

Meridian Fitness and Wellness Center at Hazlet

September 24 and October 29, 7:00 – 8:30 p.m.

Ocean County Library, 10 East Lacey Road,

Forked River

Meridian HealthViews • September/October 2012

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

25


Community Health Programs • Services • Events • Lectures • Screenings • 1-800-DOCTORS

GENERAL WELLNESS

Oculofacial Surgery for

Managing Eye Conditions

Oculofacial surgery treats conditions

involving the structures around the

eyes, eyelids, and eye socket. Join Manoj

Thakker, M.D., to learn more.

September 6, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

Current Trends in Cosmetic

Surgery

Join Asaad H. Samra, M.D., board

certified plastic surgeon, as he discusses

cosmetic surgery trends, including breast

augmentation, liposuction, and cosmetic

eyelid surgery, as well as other health

and beauty tips.

September 10, 11:15 a.m. – 12:15 p.m.

Meridian Fitness and Wellness Center at Hazlet

Home Care Services: Need a

Little Extra Help?

Representatives from Meridian At Home will

answer questions, provide information, and

demonstrate the latest home technologies,

medical equipment, and more. Free blood

pressure screenings will be provided.

September 12, 5:00 – 8:00 p.m.

Meridian Fitness and Wellness Center at Hazlet

October 17, 9:00 – 11:00 a.m.

Family Resource Center at the Ocean Club

National Safety Defensive

Driving Class

Open to anyone who wants to develop

safe, defensive driving techniques and

save on their insurance policy. Certificates

awarded. The fee is $8 (additional $10 fee

for point reduction).

September 19, 8:30 a.m. – 5:00 p.m.

Family Resource Center at the Ocean Club

Thyroid Health

Join Monica Bais, M.D., as she discusses the

diagnosis and latest treatment options for

thyroid disease.

September 19, 7:00 – 8:00 p.m.

Riverview Medical Center

Joan and Robert Rechnitz Conference and

Education Center

Adult Vaccines: What’s Right

for Me?

Come hear Kavita Beri, M.D., discuss various

vaccines, such as for flu, pneumonia,

shingles, and tetanus. What do they

prevent? Who should be vaccinated?

September 27, 10:00 – 11:30 a.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

Understanding Your Lab

Results

Not sure what your lab results mean and

why you had them done? Farag Mankarios,

M.D., will go over basic testing and explain

what the numbers mean.

October 16, 11:00 a.m. – noon

Meridian Fitness and Wellness Center at Hazlet

The Latest in Lyme Disease

Learn all you need to know about Lyme

disease — including its prevention, diagnosis,

and treatment — at this informative

lecture given by Jeanmarie Chudzik, D.O.

October 17, 10:00 – 11:00 a.m.

Meridian Fitness and Wellness Center at Hazlet

Same-Day Solution for

Sinusitis

Discover a new and improved life without

sinus trouble! Join Mary Mitskavich, M.D.,

one of the first doctors in New Jersey to

perform balloon sinuplasty, for a seminar.

October 18, 6:00 – 7:30 p.m.

Jersey Shore University Medical Center

Brennan Rooms 104/105

Osteoporosis Update

Do you have osteoporosis, or are you at

risk for it? Brian Gottesman, M.D., will

review the latest research on medication,

vitamins, diet, and exercise.

October 19, 10:00 – 11:00 a.m.

Family Resource Center at the Ocean Club

Drive-Thru Flu and

Pneumonia Shots

Flu and pneumonia shots offered in

partnership with the Ocean County Health

Department. Bring your Medicare card.

Non-Medicare or HMO participants can

also receive the shots. Flu and pneumonia

shots are $20 each. If you are younger than

65, you must provide a note from your

physician. Please call 1-800-DOCTORS for

dates and times.

Magic Car Wash on Mill Creek Road in

Manahawkin

MERIDIAN PROGRAMS

AND SERVICES

Booker Health Sciences

Library Home Delivery

The Booker Health Sciences Library at

Jersey Shore University Medical Center

accepts requests from anyone looking to

learn more about a medical topic, disease,

or condition. The library sends a packet

of reliable information to you at no cost.

Contact the library by:

Phone: 732-776-4265

Fax: 732-776-4530

E-mail: jsumclibrary@meridianhealth.com

Clinical Trials

Choosing to participate in a clinical

trial is an important personal decision.

To learn more about current clinical trials

available at Meridian Health, please visit

us at MeridianHealth.com, call us at

732-776-2953, or e-mail us at

clinicaltrials@meridianhealth.com.

CPR Training

All Meridian hospitals are American Heart

Association CPR training centers. Call for

dates, times, locations, and classes offered.

Infectious Disease Clinic

Exams, testing, and treatment of sexually

transmitted and other infectious diseases

are available at this clinic, located at

Jersey Shore University Medical Center.

Call 732-774-0151 to schedule a free,

confidential appointment.

Support Groups

Meridian offers support groups for

bereavement; caregivers; diabetes; anorexia

and bulimia; breast, lung, prostate, thyroid,

and other cancers; Alzheimer’s disease;

stroke; Parkinson’s disease; sleep disorders;

celiac disease; Mended Hearts; weight loss;

and more. Call for more information, dates,

and times.

26

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



to Healthy, Safe

Treats for Halloween

Trick or treat, give me

something good to eat”

goes the childhood chant.

But the trick for many parents is

finding treats children will eat that

don’t compromise their health or

safety.

These suggestions can help you

make Halloween a bit healthier:

• Feed your children a meal or

snack before they head out. That

will help keep them from munching

on treats they collect going doorto-door.

Tell your children it’s

important for you to inspect their

goodies at home before they start

eating them.

Cool Costume? Enter Our Halloween Contest!

Post a photo of your best costume ever on

www.facebook.com/MeridianHealthNJ

by October 15, and if your photo gets the most likes

by October 31, we’ll send you a first aid kit! Be

sure to tell friends and family to vote for you. We’ll

announce the winner on Facebook on November 11.

• Discard all homemade candy and

baked goods when your kids get

home. Parents of toddlers should

remove choking hazards, such as

gum, peanuts, and hard candies.

• Inspect commercially wrapped

treats for indications of tampering.

Look for an unusual appearance or

discoloration, pinholes, or tears in

wrappers.

• Read ingredient labels with extra

care if your child has food allergies.

• Consider alternatives to candy.

Swap out some of your child’s

less-healthy treats with single-sized

packets of pretzels, trail mix, vanilla

wafers, or animal crackers. •

Ready-to-Go Pizza

This quick and easy take on

the ever-popular pizza will

help keep your little ghosts and

goblins full before they head

out for trick-or-treating.

Ingredients

1 whole wheat flatbread

(pita without the pocket,

about 8 inches in diameter)

2 tbsp. roasted red peppers

(from a jar, packed in water)

2 tbsp. thinly sliced red onion

2 tbsp. tomato paste, flavored

with pesto, roasted garlic, or

Italian seasonings

¼ cup finely shredded part-skim

mozzarella cheese

1 tbsp. chopped sun-dried

tomatoes

A sprinkle of crushed dried red

pepper, basil, garlic, or other

seasoning to taste

Instructions

Spread the toppings on the

flatbread, place it on an oven

tray, and use the “top brown”

setting. It’s ready when the

cheese bubbles — about three to

five minutes.

Servings: one

Each serving provides: Calories

367, Fat 13 g, Cholesterol 15 mg,

Sodium 905 mg, Carbohydrate

44 g, Fiber 2 g, Protein 16 g.

Healthy Highlights

Meridian HealthViews • September/October 2012

27


Rest Is Best:

How Lack of Sleep

Harms Your Health

Meridian Health

MeridianHealth.com • 1-800-DOCTORS

You might see sleep as a break from your daily

activities. But as you drift through the stages

of slumber, your body and brain carry out tasks

essential for physical and mental health. Unconsciously,

you’re storing memories, rebalancing hormones,

rearming your immune system against infections, and

repairing your heart and blood vessels.

Most adults need between seven and nine hours of rest

for good health. But more than one-fourth of those in

the U.S. don’t get it — and the consequences are severe.

More Americans than ever snooze less than six hours

per night, causing the Centers for Disease Control and

Prevention to label lack of sleep a public health epidemic.

Below, our experts explain how it’s affecting your health,

and what you can do about it.

It’s Hard on Your Heart

As sleepless nights add up, so does the harm to your

heart. “Chronic sleep deprivation contributes to

inflammation throughout your body, high cholesterol, and

high blood pressure — all risk factors for heart disease,”

explains Jeffrey Miskoff, D.O., of Jersey Shore University

Medical Center.

The effects may start as early as your teen years. By

adulthood, the danger is significant, according to a 10-year

study in the journal Sleep. People who regularly sleep less

than six hours per night have a 23 percent increased risk

for heart disease than people who sleep more. And if their

sleep is also poor quality, their risk is 80 percent greater.

“Improve both the quality and quantity of sleep by

upgrading your bedroom,” advises Dr. Miskoff. “Get rid of

TV and computer screens and keep things quiet, cool, and

dark. And head there at the same time every night, even

on the weekends. A regular sleep schedule helps ensure

you get enough rest.”

It’s Packing on Pounds

Shortened sleep may be partially to blame for America’s

obesity epidemic. “People who log less than five hours are

significantly more likely to be heavy than those who get

seven,” explains Frederic Dewil, M.D., of Southern Ocean

Medical Center. “They’re also more prone to weight gain

over time.”

Why? Tired brains actually respond to food

differently. They light up when study participants look

at food-related photos, even if they’re not hungry. One

study found sleepy shift workers noshed on more sweet

snacks. In fact, the sleep-deprived may eat up to 500

extra calories and 9 extra grams of saturated fat a day.

In turn, extra pounds make sleeping more difficult.

Obese people are much more likely to have sleep

apnea, a dangerous condition that disrupts breathing

during the night.

“Break the cycle by avoiding big meals and drinks —

especially alcohol — late at night,” says Dr. Dewil.

Getting a good night’s sleep ensures smooth, safe sailing for Daniel

Smoke, 14, of Toms River. He participates in a water sports camp every

summer at the Nelson Sailing School in Island Heights.

28


Francisco D. Cruz, M.D.

Board certified in

Endocrinology

Toms River • 732-736-1000

Frederic Dewil, M.D.

Board certified in

Pulmonary Disease,

Critical Care Medicine, and

Internal Medicine

Manahawkin • 609-597-6513

Peter McGuire, M.D.

Board certified in

Sleep Medicine and

Internal Medicine

Red Bank • 732-842-2200

Jeffrey A. Miskoff, D.O.

Board certified in Pulmonary

Disease, Internal Medicine,

Sleep Medicine, and Critical

Care Medicine

Ocean • 732-775-9075

“See your doctor if you snore loudly,

choke, or gasp during the night.”

It’s Sending Your Blood

Sugar Surging

Shortchanging your snoozing

increases your risk of getting type

2 diabetes. “If you already have the

disease, lack of sleep makes it harder

to control,” says Francisco Cruz,

M.D., of Ocean Medical Center.

A study in the journal Diabetes

Care found people with type 2

diabetes and insomnia also had:

• 23 percent higher fasting

glucose levels

• 48 percent higher fasting

insulin levels

These differences were large

enough to increase the risk for

diabetes complications, including

nerve damage, vision problems,

and kidney disease. Another recent

study helps explain the link. After

five weeks with five-and-a-half hours

of sleep per night, participants’

blood glucose spiked more sharply

after meals. Fortunately, nine days of

normal rest reversed the effect.

Having trouble drifting off? Try

exercise. Regular workouts — in

this case, walking with poles —

improved sleep in one group of study

participants with type 2 diabetes.

“Be sure to wrap up your workout

at least three hours before bedtime

to give your body time to unwind,”

Dr. Cruz advises.

It’s Impairing Your Driving

More than one-third of Americans

admit to falling asleep while driving,

with more than one in 10 doing

so once a month. Even those who

successfully struggle to stay awake

are placing themselves — and

others — at risk.

“Drowsiness slows your reaction

times, impairs your judgment, and

decreases your awareness much

like drugs or alcohol do,” explains

Peter McGuire, M.D., of Bayshore

Community Hospital.

Each year, fatigued drivers

contribute to 100,000 crashes.

And 16.5 percent of fatal collisions

involve a drowsy driver. Dr. McGuire

recommends these tips to help you

stay safe on the roadways:

• Sleep enough. Less than six hours

triples your risk for a crash.

• Travel with a passenger. Ask him

or her to sit in the front seat and

stay awake.

• Take a break every two hours, or

every 100 miles, during long trips.

If you’re sleepy, take a 20-minute

power nap in a safe place. •

Trouble Sleeping? Turn to the Experts at Meridian

All seven state-of-the-art Meridian Health Sleep Centers are staffed

by board certified sleep specialists who can evaluate, diagnose,

and treat your sleep disorder. With convenient locations throughout

Monmouth and Ocean counties, there’s no reason to endure another

sleepless night. To learn more, visit www.MeridianHealth.com/sleep.

Kids Who Don’t

Snooze Lose

in the Classroom

Lack of sleep may hit kids

where it hurts — their report

cards. A study in the journal

Sleep Medicine found healthy

children who were sleepdeprived

did worse on IQ

tests and on assessments of

academic performance.

“Children need even more

sleep than adults,” says Nader

Nakhleh, D.O., of K. Hovnanian

Children’s Hospital at Jersey

Shore University Medical

Center. “School-age kids

and teens should get at least

10 hours a night.”

To help yours reach this goal:

• Help them prepare for school

the night before. Then, allow

a little extra sleep in the

morning.

• Turn off TVs and computer

screens an hour before

bedtime. Artificial light

keeps the brain alert.

• Don’t use the bedroom

for time-outs or other

punishments.

Nader J. Nakhleh, D.O.

Board certified in Pediatrics

and Pediatric Pulmonology

Neptune • 732-776-4268

Meridian HealthViews • September/October 2012

29


Become our next featured community

member. See details below.

My

health views on …

For Marlboro resident Stuart Gleich, 59,

exercise is about much more than just the

physical health benefits. Here’s his take on

how his workouts power his life.

… scheduling “me” time

Stuart Gleich loves hitting the trail in

Holmdel Park for a brisk fall run and

always makes time for indoor crosstraining,

such as spinning and rowing.

Keeping a daily log of his exercise helps

him stay motivated on his healthy path.

I schedule my workouts for the end of the workday.

I do a lot of indoor spinning and weight lifting. For me,

exercise is a way to relieve the tension of the day.

It also allows me the opportunity to work through

things in my mind and reconnect with myself.

… creating a lifestyle

What I do physically impacts every other aspect of

my life. It helps me to be more successful at work,

enables me to stay focused, and has made me the

goal-oriented, driven person I am today. When I feel

better about myself physically, I’m mentally able to

face any challenges that come my way.

… keeping track

I’ve been logging my workouts for most of my adult life

and recently completed my 33rd workout diary. During

those years, I’ve ran, swam, biked, skated, and rowed more

than 53,600 miles. Knowing the workout will get logged

inspires me to get out there and just do it.

MeridianHealth.com • 1-800-DOCTORS

Picture This:

Your Photo and Story in Meridian HealthViews!

Have you started a new activity (snowboarding, power

walking, in-line skating, Zumba) to change up your

exercise routine? We want to hear about it! E-mail your

story to healthviews@meridianhealth.com or post it at

www.facebook.com/MeridianHealthNJ. You could be

featured in an upcoming issue! As a thank-you, everyone

who submits a story for consideration will receive a FREE

cookbook full of healthy recipes!

30


Bayshore Community Hospital

5k Run/Walk and Community Day

Saturday, October 6, 2012

Location: Bayshore Community Hospital

727 North Beers Street

Holmdel, NJ 07733

Race Day Registration and Check in: 8:30 a.m.

5k Start Time: 10:00 a.m.

Kids races: 11:00 a.m.

Join us from 11:00 a.m. – 2:00 p.m. for an awards

party, food, games, health screenings, children’s

health fair, and more.

Course: 5k Run/Walk through Holmdel

Electronic timing

Awards:

• $3,000 Prize Money

• Money awarded to Top 3 Overall — Male & Female

• Money awarded to Top 3 Male & Female Finishers

(in 5 year age groups)

• $12,000 Prize money for Heart & Sole Cup (3 races)

• Raffle Prizes and Free Kids Races

Register online at www.BayshoreHospital.org/5kRace

Registration Form

First 200 registrants receive a long sleeved t-shirt. Registration fee is $25, or $20 before September 27, 2012, and $15

for Meridian Health team members who register before September 27, 2012. Meridian Health team members must interoffice

application to Marian Haase (white house) or mail in application. Kids races are free and all participants receive medals.

First Name: ________________________________________Last Name: ________________________________________

Address: ____________________________________________________________________________________________

City: ________________________________________________State: ____________________________Zip: ________

__________________________________________________________

Phone: ______________________________________________E-mail: ________________________________________

Age on Race Day:

____________________________________________________________________________________

Male Female Meridian Health Team Member Shirt Size: S M L XL (Please circle one)

Waiver/Release: In consideration of this entry being accepted, I hereby for myself, heirs, executors, & administrators waive

and release any claims I may have against Bayshore Community Hospital, the event organizers, volunteers, sponsors

and (or) any representatives involved in the 5k Run/Walk for any and all injuries suffered by me. I certify that I am physically

able to compete in this event.

Signature: __________________________________________________________________________Date: ______________

Parent/Guardian Signature (if under 18): ________________________________________________Date: ______________

For information call 732.962.7493, visit www.BayshoreHospital.org/5kRace

or e-mail BayshoreEvents@meridianhealth.com.

Make checks payable to: Bayshore Community Hospital

Mail: Bayshore Community Hospital

att: Bayshore 5k

737 North Beers Street

Holmdel, NJ 07733

Taking Care of

New Jersey


Non-Profit Org.

U.S. Postage

PAID

Meridian

Health

One Riverview Plaza

Red Bank, NJ 07701

Timothy J. Hogan, FACHE

Regional President

727 North Beers Street

Holmdel, NJ 07733

Timothy J. Hogan, FACHE

Regional President

Visit us on the Web at RiverviewMedicalCenter.com and BayshoreHospital.org.

Inside!

Our 5K fun run is

coming up fast —

sign up today!

page 21

1945 Route 33

Neptune, NJ 07753

Steven G. Littleson, FACHE

President

1945 Route 33

Neptune, NJ 07753

Steven G. Littleson, FACHE

President

425 Jack Martin Blvd.

Brick, NJ 08724

Dean Q. Lin, MHA, MBA, FACHE

President

1140 Route 72 West

Manahawkin, NJ 08050

Joe Coyle

President

Printed on Recyclable Paper

6116A

A Panel of Pink:

October 17 at Riverview

– by Tim Hogan, Regional President

October is National Breast Cancer

Awareness Month, and Riverview

Medical Center and Bayshore

Community Hospital want to encourage

women everywhere to empower themselves

for the best breast health.

As part of that effort, we are excited

to ask you to join us for a special breast

health event, Inside the Physician Lounge,

on Wednesday, October 17, from 7:00 to

9:00 p.m., at the Joan and Robert Rechnitz

Conference and Education Center at

Riverview Medical Center.

Inside the Physician Lounge will feature a

multi-disciplinary panel of physicians who

specialize in breast and women’s health.

They will answer your questions and discuss

the latest news in breast procedures and

diagnostic tools. Plus, experts from Sweetest

Sin in Red Bank will conduct bra-fittings, and

we’ll have a number of other activities to

promote good health and fun.

The evening will be a celebration for

those who have survived breast cancer, and

a reminder to everyone that beating breast

cancer is a community effort. Let’s remind

those we love that early detection is the first

step, and encourage them to take advantage

of the information and resources available in

our communities.

The idea for Inside the Physician Lounge

came about after the success of our Pink

Panel Luncheon during Paint the Town Pink

in May 2012, which truly inspired attendees.

Health experts and guests discussed

topics such as the importance of annual

mammography, diagnostic testing, treatment

options, and plastic surgery.

Save Your Spot Today! Register for Inside the Physician Lounge at RiverviewMedicalCenter.com or

by calling 800-560-9990. Registration is required. Also, be sure to follow Paint the Town Pink on Facebook to see

highlights of this year’s campaign and a list of updates for 2013: www.facebook.com/PaintTheTownPinkNJ.

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