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SPRING 2012
healthworks
magazine
Title
After cancer
treatment
Billerica couple
focuses on
enjoying life
Also in this issue:
Pediatric surgery:
Emerson excels
New treatment for
sinus infections
Expert rehab
keeps obstetricians
running
There’s an answer
for troubled sleep
New Wellness
Classes Inside

A Letter from
Christine Schuster
Dear Friends:
As you will read in our cover article, Emerson
Hospital continues to bring world-class care to
the community we serve. Our long-standing relationship
with Massachusetts General Hospital
in cancer care recently expanded to include a
collaboration with medical oncology. We are
pleased to bring all cancer services under one
umbrella, the Mass General Cancer Center at
Emerson Hospital-Bethke.
Thoughtful steps lead to a
Concord family puts their trust in surgeon’s experience
Brian Callahan, MD,
a general surgeon
at Emerson, helped
Zoé Green’s parents
with diagnosis and
treatment decisions
related to her recent
appendectomy.
This issue of HealthWorks also features a new
technology and a new program, in keeping with
Emerson’s Premium Care, Personal Touch philosophy.
Balloon catheter dilation is a premium care,
minimally invasive procedure that provides relief
to individuals who suffer from chronic sinus infections.
Our palliative care program addresses
the symptoms of serious illness by focusing on
what is known as “comfort care,” offering the
personal touch you expect to find at Emerson.
Throughout the health care industry, there is an
increasing emphasis on prevention—all the ways
that we can maintain health and prevent the development
of medical problems. If your goal is
to do something good for your health, we are
here to help. Our Health & Wellness classes
cover a range of topics and appeal to all ages.
I hope to see you at our annual 5K Run-Walk
for Cancer, sponsored by the Emerson Hospital
Auxiliary on Saturday, June 2. Proceeds benefit
cancer services at Emerson.
Christine C. Schuster
President and CEO
Emerson Hospital is an acute care medical center
located in Concord with health centers in Bedford,
Groton, Sudbury and Westford. It is well known for
its medical and surgical specialists, outstanding nursing
care and patient-centered services, including the
Clough Birthing Center, the Mass General Cancer
Center at Emerson Hospital-Bethke, the Polo Emergency
Center and the Clough Surgical Center.
Zoé Green seemed out of sorts that January afternoon. Initially, her symptoms
made her parents think she had picked up stomach flu at school. But they were soon
thinking differently.
“When she got home from school that day, Zoé complained of a stomach ache and
had a mild fever,” recalls Jared Green, her father. “That evening, she threw up several
times, which led us to assume she had norovirus.” The highly contagious stomach flu
has been pervasive during the past two winters.
The next morning, Zoé felt better. However, a new symptom appeared: pain in the
lower righthand side of her stomach. “We started thinking it was appendicitis,”
says Mr. Green, noting that an early morning call to the office of Zoé’s pediatrician,
Stephen Jenkins, MD, directed them to the Emergency Department at Emerson.
In children, diagnosing appendicitis can be a challenge
The Greens, who live in Concord, soon discovered that appendicitis can be difficult
to diagnose, especially in children. Even if a child is old enough to describe the
symptoms, such as where the pain is and what it feels like, children are not as likely
as adults to have the classic signs of appendicitis, including fever, loss of appetite and
elevated white blood cells. “You need to look at the individual situation,” says
2
www.emersonhospital.org

diagnosis
– and successful
pediatric surgery
Brian Callahan, MD, a general surgeon at Emerson, “and you need to perform the
right test at the right time.”
The right tests for a seven-year-old girl – or any child – include a blood test and ultrasound
exam. In Zoé’s case, neither one revealed the inflammation associated with
appendicitis. Although she reacted when Dr. Callahan tapped on her stomach, it
was not clear that Zoé’s problem was appendicitis. “Many kids develop enlarged
lymph nodes that produce pain in the lower right side, similar to appendicitis,”
Dr. Callahan explains.
At that point, a CT scan may well have revealed the problem. But as Dr. Callahan
told the Greens, the test should be used judiciously in children. “When children
have a CT scan performed, the radiation dose is adjusted for their age and size,” he
says. “Still, we worry about exposing children to radiation out of concern that it
may predispose them to cancer later on.”
Dr. Callahan brings perspective from having trained as a surgeon when sophisticated
imaging, such as CT scans, were not available. “Back then, surgery served as both
the diagnostic test and the treatment,” he notes. “We often operated – and still do –
to avoid missing an appendix that goes on to rupture.” A ruptured or burst appendix
can produce peritonitis, a painful and potentially life-threatening infection in the
intestinal tract. “Also, we worry about the appendix rupturing in females because
the fallopian tubes and ovaries are located nearby and can be damaged.”
“Our initial impulse was that Zoé should have a CT scan,” says Mr. Green, “but we
shared Dr. Callahan’s concern about exposing her to radiation and appreciated the
fact that he steered us away from it. He told us he was 75 percent certain that Zoé
had appendicitis, so we decided to proceed with surgery.” It wasn’t an easy decision,
he adds. “We trusted Dr. Callahan and Dr. Street, her anesthesiologist.” James
Street, PhD, MD, is chief of anesthesia at Emerson.
The next question was whether Zoé’s operation should be performed in the traditional
way, with one incision, or laparoscopically, the more minimally invasive
approach. “We expected the surgery would be performed laparoscopically,” says
Mr. Green, “but Dr. Callahan suggested the traditional surgery.”
“A laparoscopic appendectomy leaves someone with four small scars scattered
around the abdomen, rather than one scar that is hidden below the bikini line,” says
Dr. Callahan, noting that this often matters to girls and women. “Also, in children
there isn’t a significant difference in recovery time when you compare the two operations.”
When he performed Zoé’s surgery, Dr. Callahan determined that she had a
retrocecal appendix – that is, not in the usual location. The finding, not uncommon,
explained why the ultrasound exam had not revealed her inflamed appendix.
Zoé stayed two nights at Emerson, and her father stayed with her. “The nursing
care was very high-quality,” says Mr. Green.
Zoé appreciated how she was treated at Emerson. “When I first got to the hospital,
I didn’t know what was happening,” she recalls. “But by the time I went for the
surgery, I wasn’t really scared. I was nervous, but not too much because the doctors
explained what was going to happen.” Her mother is French, so Zoé made a drawing
of the Eiffel Tower and mailed it to Dr. Callahan as a way to say “thanks.”
“In hindsight, we know that we made the right decision,” says Mr. Green. “We
appreciate all the help Dr. Callahan gave us that day.”
Children often head into the operating room with Mallory
Harrison, a member of the Pediatric Intervention Team.
Emerson has pediatric surgery covered
For children having surgery, Emerson’s system of care is
designed to deliver a high-quality care experience.
Hospital staff provide all the support that the child and
the parents need.
When Zoé Green and her parents arrived at Emerson
Hospital’s Emergency Department (ED) that morning,
she was examined by ED staff who receive consistently
high marks for the care they provide to children. Soon, a
member of the Pediatric Intervention Team (PIT) – staff
whose focus is to help children and families cope with
the hospital experience – appeared with the hospital’s
famous coping kit, a bag of age-appropriate toys, something
the Greens appreciated.
Once her parents decided to proceed with surgery, a
member of the PIT explained to Zoé what would happen,
including that she would wear a mask and select an anesthesia
“flavor,” and accompanied her to the operating
room. Dr. Street spent time with Zoé and her parents to
explain anesthesia and describe the techniques and
monitoring used to ensure her safety.
“When a child has surgery, you’re taking care of the
whole family,” says Dr. Street, who oversees a staff of
board-certified anesthesiologists and certified registered
nurse-anesthetists, most with more than ten years of experience.
“We provide excellent anesthesia care; however,
parents need to be reassured that their child will be
safe. Part of my job is to take the worry off their
shoulders.”
Parents are not the only ones with questions about anesthesia.
“Even small kids will sometimes ask very
thoughtful questions, such as ‘am I going to wake up
during surgery?’ or ‘how do you know I’m really asleep?’”
says Dr. Street. “So I describe in simple terms how we
carefully monitor their vital signs and level of consciousness
throughout their surgery and adjust the level of anesthesia
accordingly.”
During her two-day stay, Zoé was cared for by experienced
pediatric hospitalists – pediatricians who are onsite
at Emerson 24 hours a day – and pediatric nursing
staff on the hospital’s newly renovated pediatric unit.
3

Ann Snow, RN,
was singled out
for an important
honor.
ann snow, rn, and radiation
oncology team are honored
The Mass General Cancer Center has a special way of
honoring those who have helped advance the fight
against cancer in a meaningful way. Each year, they
select 100 individuals, groups and organizations for
their extraordinary contributions to the cancer community
and showcase them at the annual fundraiser,
known as the one hundred, held on June 7 at the
Westin Boston Waterfront.
Those who are acquainted with Ann Snow, RN, manager
of radiation oncology nursing at the Mass
General Cancer Center at Emerson Hospital-Bethke,
weren’t surprised to hear that she was selected as a
member of the one hundred. Her colleagues, the
entire radiation oncology team at Emerson, were also
selected to be among the one hundred recognized
this year. The radiation oncology team includes physicians,
nurses, radiation therapists and technical
and administrative staff.
Ms. Snow is quick to note that her nomination is a
reflection of what they provide together every day. “I
was just blown away by it,” she says of hearing that
she would be honored. “But it’s because of the people
I work with, from the top down. For example, our
radiation therapists are outstanding; we couldn’t do
it without them.”
Ms. Snow has been there since Emerson first opened
a cancer center in 1997. “Thanks to the technology,
treatment has improved so much since then,” she
says. “We see far fewer complications, and we know
how to treat side effects with IV hydration and medications
for nausea and pain.”
Being honored as a member of the one hundred is a
thrill, she says. “Along with the other nursing staff, I
try to guide our patients through the experience by
serving as a coach and friend. I think I can speak for
all my colleagues in radiation oncology in saying that
the patients make you come back every day. We
make a difference in their lives.”
Together – that is how Donald and Paula Beardsley faced his diagnosis, treatment and recovery.
Couple faces esophageal cancer
and finds ways to enjoy life
Last summer, Donald Beardsley developed a suspicious pain near his collarbone and
decided to make an appointment with his primary care physician. Nagy Mikael, MD,
MPH, was concerned that Mr. Beardsley had lost 30 pounds since his last appointment.
Mr. Beardsley’s wife, Paula, knew that her husband, who typically has a good appetite,
had started to feel full well before he had finished a meal. The couple also wondered
why Mr. Beardsley’s long-standing gastric esophageal reflux disease (GERD) had suddenly
disappeared and shared this concern with Dr. Mikael.
Dr. Mikael referred Mr. Beardsley for testing at the office of Raj Devarajan, MD, an
Emerson gastroenterologist. “When I look back, I realize that Don and I went into that
appointment so blindly,” says Mrs. Beardsley. “I had no fear that there was anything
life-threatening going on. I just thought Don’s GERD had probably come back.”
But there was more going on. The diagnosis was stage III esophageal cancer – cancer
that had spread to the lymph nodes and adjacent structures. In Mr. Beardsley’s case,
the cancer was blocking his esophagus and had spread to the top of his stomach.
“Hearing ‘you’ve got cancer’ is a real smack upside the head,” says Mr. Beardsley. “As
time went on, and I began treatment, I accepted the fact that I had cancer. There was
nothing I could do to change it. Overall, I think that period of time was more stressful
for Paula than for me.”
4

collaboration with the mass general cancer center expands
The long-standing relationship between Emerson Hospital and Massachusetts
General Hospital recently expanded to include a collaboration with medical oncology.
Since 1997, area residents have benefited from Emerson’s joint program
with Mass General. In bringing all cancer services under one umbrella, the
Mass General Cancer Center at Emerson Hospital-Bethke is designed to achieve
highly coordinated care and incorporate a number
of important new features.
“We’re enhancing several services, including social
work, pain management and nutrition support,”
notes Jon DuBois, MD, medical director of
medical oncology. “Also, our clinical trials program
at Emerson will be strengthened by access
to the much larger one at the Mass General
Cancer Center.” Communication among clinicians
will benefit from the sharing of common
electronic medical records.
David Ryan, MD, clinical director at the Mass
General Cancer Center, who now works closely with Dr. DuBois and the other
medical oncologists, including Ewa Niemierko, MD, Humberto Rossi, MD, and
Susan Sajer, MD, cites several behind-the-scenes features. “The oncology pharmacy
is currently being upgraded, and we are developing a more collaborative
relationship on tumor boards with our Emerson colleagues,” notes Dr. Ryan in
reference to the forum where treatment plans are reviewed by a team of clinical
experts, including medical, surgical and radiation oncologists. Additionally,
Mass General surgeons who provide subspecialty care in areas not currently
offered, such as head and neck cancer, are expected to operate at Emerson in
the near future.
Mass General Cancer Center at Emerson Hospital-Bethke
physicians include (left to right): Robin Schoenthaler, MD,
Susan Sajer, MD, Humberto Rossi, MD, Ewa Niemierko,
MD, Jon DuBois, MD, and Jack McGrath, MD.
Paul Busse, MD, clinical director at Mass General, who oversees radiation oncology
at Emerson, says there are benefits to working under the same umbrella.
“The closeness among physicians leads to a common sense of mission that
patients and family members appreciate,” says Dr. Busse. “They are relieved
to see that we’re all in the room together sharing the same information about
the patient.”
The strong working bond between Dr. Busse and
Dr. McGrath benefits patients. “I am at Mass
General weekly to connect with my colleagues
and make sure the quality of care in Concord is
the same as in Boston,” says Dr. McGrath. He
cites the installation last year of a state-of-the-art
linear accelerator in collaboration with Mass
General as evidence of a strong commitment.
“Mass General is serious about investing in
Emerson in order to keep the quality of the care
very high.”
All agree that the goal is for patients to continue to receive their care in the community.
“We regularly encourage patients to receive their care close to home at
Emerson,” Dr. Ryan notes. “But our new, expanded collaboration with Emerson
provides patients with more coordinated care with clinicians at Mass General’s
main campus downtown should they need access to more specialized
services.”
According to Dr. DuBois, the new collaboration should make patients feel more
confident than ever about the cancer care that is available at Emerson. “Our
center has always been known for providing high-quality care with a personal
touch,” he says.
Decisions aimed at living well
Once the Billerica couple absorbed the news, they quickly began
discussions about treatment. After consultation with his surgeon; Jack
McGrath, MD, medical director of radiation oncology; and Susan
Sajer, MD, his medical oncologist, Mr. Beardsley elected to proceed
with a combination of chemotherapy and radiation. If he had a good
response to treatment, he would then undergo surgery.
“I explained to Mr. Beardsley that, for his type of cancer, this threepart
approach was the standard of care,” Dr. Sajer notes. “There is
likely to be a small benefit to having surgery after the initial combination
therapy.”
Dr. Sajer described the six-week treatment regimen designed to reduce
the size of his esophageal tumor. “It consists of weekly chemotherapy
and radiation five days a week,” she says. “The coordination
of that care must be perfect.” Prior to beginning treatment, Mr.
Beardsley had a feeding tube inserted in his intestine that bypassed the
stomach. It would ensure his ability to eat despite potential complications.
Also, he would need it if he chose to have surgery later.
“He’s the Energizer bunny,” says his wife of 24 years. “Don has
come back from all kinds of medical maladies. We began hoping he’d
bounce back from this one, too.”
Hitting bottom and bouncing back
Initially, Mr. Beardsley’s treatment was uneventful. Despite warnings
that he would encounter eating problems, he helped himself to anything
he wanted. “Dr. McGrath kept shaking his head and saying ‘you’re eating
what?’ when we described Don’s diet,” says Mrs. Beardsley.
Throughout the summer, the couple found ways to enjoy themselves.
“To get away from the elephant in the room – Don’s cancer – we’d take
our motor home to our favorite campground in Littleton,” Mrs.
Beardsley recalls. “We drove our RV over to Emerson, Don would run
in to have his radiation treatment, and in a few minutes we were on our
way. After escaping for the weekend, we felt like our old selves again.”
Once his treatment was over, Mr. Beardsley could no longer eat or
drink and depended entirely on the feeding tube to receive nutrition.
He became dehydrated, which necessitated regular visits to Emerson
to receive IV fluids. Ena Sandler, RD, an Emerson dietitian, worked
with Mr. Beardsley to keep him from losing weight. “She tried her
darnedest to find things like smoothies to pump me up,” says Mr.
Beardsley. “I couldn’t get any food past my nose.”
Mrs. Beardsley was sensitive to the situation. “I didn’t want to cook
and have the smell of food in the house, so I became a closet eater,”
she says. “I’d grab something on the way home and eat it in the car.”
> Continued on page 18
5

A leg injury prior to a long-awaited marathon brought Timothy Hale, MD,
to Zoltan Callaghan for a treatment plan that proved successful.
Blithen Davis worked with Rachel Kramer, MD, before and after she ran
in her third marathon in three years.
Successful Sports Rehab
keeps emerson obstetricians running
Two physicians put their trust in Emerson Center’s physical therapy
Sports injuries are tough – physically and mentally. Committed athletes, distance runners and gym addicts
know it can be devastating to sit on the sideline when you are used to being active.
Timothy Hale, MD, an obstetrician/gynecologist with Kramer
Ob/Gyn Associates, got a taste of that last fall. After many
months of training for a marathon that was just a few weeks
away, he injured his leg and was forced to a grinding halt.
“I was training for the Philadelphia Marathon, which is held at
the end of November, and pushed myself a little too hard,”
explains Dr. Hale. “I thought I had no chance of running in
the marathon.”
After Rachel Kramer, MD, had challenged her office staff and
colleagues to get in shape and choose a specific goal, Dr. Hale
did just that. “I started running in November 2010 and ran my
first race, which was a 10K, a few months later,” he says. “I love
the challenge of setting new goals and achieving them.”
So with his goal of running in Philadelphia slipping away, he
sought help from Zoltan Callaghan, a doctor of physical therapy
at Emerson’s Center for Sports Rehabilitation and Specialty
Services in Concord. Dr. Callaghan carefully diagnosed Dr.
Hale and developed a plan to prepare him for the upcoming
marathon. “He had sprained his anterior tibialis, which is near
the muscle that causes ‘shin splints,’” says Dr. Callaghan. “I told
him we would use ice and rest to reduce the inflammation, followed
by stretching and massage before beginning aggressive
strength and endurance training. We did everything we could
within the short timeframe.”
Dr. Hale was immediately impressed with Dr. Callaghan’s
knowledge and positive approach. “He was confident and reassuring,
which is what I needed,” he says, “because I had
6

“The facility is great,
the equipment is great,
and the staff is fantastic.
I feel well taken care of there.”
– Rachel Kramer, MD, Obstetrician/Gynecologist
Their medals tell the story: Timothy Hale, MD, and Rachel Kramer, MD,
are committed runners and fans of Zoltan Callaghan (left) and Blithen Davis
(right), who work at Emerson’s Center for Sports Rehabilitation and
Specialty Services in Concord.
invested many months in training. I’ve never received a more
thorough evaluation.”
He was able to run ten pain-free miles prior to the Philadelphia
Marathon, which he went on to complete with no problem.
“Everything Zolie taught me, including stretching and core
work, I now do on a daily basis,” he says. “Meeting him was a
huge wake-up call.”
Slow, steady rehab pays off
For Dr. Kramer, last fall’s Marine Corps Marathon in Arlington,
Virginia, represented her third marathon in three years. “I’ve
been running since 2006 and participate in two triathlons a
year,” she says. When sciatic nerve pain threatened to derail her
plans, Dr. Kramer went to see Blithen Davis, physical therapist.
“Dr. Kramer definitely had disc issues and back pain, but she
did her exercises to keep it under control,” says Ms. Davis,
who runs a spine rehab group at the center. “I knew what the
marathon meant to her, so I gave her the phone number for
the physiatrists at the Lahey Spine Program at Emerson Hospital
– just in case she got into trouble.”
The October marathon went well, but trouble arrived four
weeks later. “I was working out at the gym when the disc ruptured,
which left me in severe pain,” says Dr. Kramer, who used
the phone number Ms. Davis had given her to seek care from
Arthur Lee, MD, who diagnosed her problem, and James
Spinelli, MD, who administered a pain injection. “They are
outstanding; I’ve sent a lot of people to them.”
Once she was out of acute pain, Dr. Kramer’s challenge was to
function during her busy workdays. She again put her trust in
Ms. Davis. “Our goal was to get her moving without irritating
the nerve,” says Ms. Davis. “Dr. Kramer’s work is physical; she
stands during surgery and sits to perform exams. We began
with easy stretching to help her regain mobility in her spine and
then added strengthening exercises from there.”
“Blithen told me what I could and couldn’t do, and that we’d
build back my strength slowly,” says Dr. Kramer. “I saw her
twice a week for two months and did everything she told me,
which included that I would be running again.” On St.
Patrick’s Day, Dr. Kramer ran in the Shamrock Shuffle, a 5K
race in Winchendon, Massachusetts. “I felt great – no pain.”
For the two obstetricians, the Center for Sports Rehabilitation
and Specialty Services at Emerson has become a valuable
resource.
“The facility is great, the equipment is great, and the staff is fantastic,”
says Dr. Kramer. “I feel well taken care of there.”
Running tips to live by
• Replace your running shoes every 350-550 miles.
• Perform a dynamic warm-up prior to running and a static stretching
routine after your run.
• Vary your running surface and avoid concrete sidewalks.
• Avoid running on the same side of the road all the time.
• Drink at least half of your body weight in ounces of water per day to
avoid dehydration.
• Seek the advice of your healthcare provider if you have any pain that
lasts longer than two to three weeks.
7

Ayesha Khalid, MD,
an ear, nose and
throat specialist,
performs balloon
catheter dilation, a
minimally invasive
surgical procedure
that opens up the
sinuses and reestablishes
normal
airflow.
New procedure OPENS UP the sinuses
Tiny balloon reestablishes airflow in those with chronic sinus infections
Our sinuses are supposed to be filled with air. But
when they become blocked with fluid, the result
can be a sinus infection, also known as sinusitis.
For some people, the condition appears at the end
of a cold or the flu; for others, it is due to an allergy.
When it keeps happening over time, it is
called recurrent acute sinusitis.
“That is the term we now use when someone has
three or more sinus infections in a year,” explains
Ayesha Khalid, MD, an ear, nose and throat specialist
at Emerson Hospital. “Inflammation is the
problem. Whether the sinus infections are caused
by bacteria, viruses, fungus, polyps or anatomy —
such as a deviated septum — they all have inflammation
in common.” Symptoms of sinusitis
include generalized facial pain, pressure around
the eyes, pain in the upper teeth and thick drainage
through the nose and down the back of the
throat.
“Too often, antibiotics are prescribed but are only
effective for bacterial infections,” notes Dr. Khalid,
adding that there is no way to determine if the infection
is caused by bacteria. “I’ve seen patients
who have been on antibiotics for as long as a
month with no improvement, which doesn’t make
sense.” A recent study confirmed that antibiotic
treatment is largely ineffective for sinus infections.
Another concern, notes Dr. Khalid, is what can
happen when chronic inflammation goes on un-
8
treated. “In some individuals, it can lead to asthma
and bronchitis,” she says.
So what is someone with recurrent acute sinusitis
to do? Dr. Khalid performs a minimally invasive
surgical procedure called balloon catheter dilation
that debuted about three years ago. “With this
procedure, we use a balloon to carefully open up
the sinuses and reestablish normal airflow,” she
says. “Once the sinuses are open, mucus can be
effectively cleared before an infection occurs.”
It is the first sinus surgery that does not remove
tissue and can be likened to angioplasty, which
uses a balloon to clear blockages in coronary arteries.
Data show that symptom improvement may
last for two years.
Carlisle student finally finds relief
Hillary Cook, a 20-year-old Carlisle resident, had
balloon catheter dilation in December 2011, after a
year of almost non-stop sinus infections. “I got
sick with walking pneumonia and never fully recovered,”
she says. “I had a total of eight sinus infections
with a low-grade fever, even in the summer,
despite taking round after round of antibiotics.”
Ms. Cook was highly motivated to get better: during
her year off from college, she planned to spend
four months in Cambodia, beginning in February
2012, working with a Catholic charity. If she wasn’t
healthy, she couldn’t go. “Dr. Stephen Jenkins, my
Healthy again: after having balloon catheter dilation,
Hillary Cook of Carlisle was able to proceed with her
plan to work in Cambodia this past winter.
pediatrician, recommended that I see Dr. Khalid,
who described the procedure to me. I wasn’t expecting
to have surgery, but she explained everything,
including that Emerson has state-of-the-art
technology. Dr. Khalid has a great manner and
immediately put me at ease. I decided to
proceed.”
Dr. Khalid performed balloon catheter dilation,
which requires no hospital stay, as well as septuplasty
to remove cartilage and bone that were further
impeding airflow. Ms. Cook spent a couple of
days recovering and waited for the results. “Within
a week, I felt fantastic,” she says, “and I have remained
healthy and full of energy. I had no idea
> Continued on page 18

health & wellness classes
Visit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.
Some classes are ongoing; you can join in at any time.
Classes are located at Emerson Hospital’s new Integrative Health & Wellness Center, 310 Baker Ave Ext, Concord
(unless otherwise noted).
PREPARE FOR SURGERY, HEAL FASTER WORKSHOP
Prepare for an upcoming surgical or medical procedure: feel calmer,
have less pain and fewer complications and recover sooner. Please call
to arrange a convenient, private workshop.
$95 includes book/relaxation CD
One surgery companion may attend for free.
YOGA & MEDITATION
Reduce stress and tension, improve flexibility and strength and learn
breathing techniques for emotional balance. Wear loose, comfortable
clothing and bring a yoga mat and a sturdy blanket. Not for expectant
mothers. Taught by Pam Vlahakis, registered yoga teacher.
$98 for a seven-week session beginning May 7; classes are Monday
5:30-6:45 pm. Classes are ongoing; you can join in at any time.
GENTLE YOGA
For beginners and experienced practitioners who wish to review postures
with a beginner’s mind. Stretch and tone muscles, release chronic
tension and improve balance and flexibility. Bring a yoga mat. Not suitable
for expectant mothers. Taught by Nancy Dorenfeld, RYT, Kripalucertified
instructor.
$98 for each seven-week session beginning June 15;
classes are Friday, 9:30-10:45 am
NEW!
LUNCH BREAK YOGA for afternoon energy and focus
De-stress from your workday and tap into
your inner energy and serenity. Experience
the union of breath and movement, strength
and balance through a series of postures.
All levels are welcome. Bring a yoga mat.
Taught by Nancy Wolfe, Kripalu-certified
instructor.
$60 for a six-week session beginning June 6;
classes are Thursday, 12:00-1:00 pm
PRENATAL YOGA for a healthier pregnancy
Mixed-level yoga class teaches postural
strengthening, safe stretching, breathing
and relaxation techniques. Bring a yoga
mat, water bottle and signed permission
form from your obstetrician or midwife.
No previous yoga experience required. Led
by Michele O’Toole, RN, certified prenatal
yoga instructor.
$85 for a six-week session beginning:
Monday, May 7, or July 9, 7:00-8:30 pm or
NEW! Thursday, beginning May 10, or June 28, 5:30-7:00 pm
Classes continued on next page

health & wellness classes continued
Visit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.
Some classes are ongoing; you can join in at any time.
NEW! POSTNATAL MOM & BABY YOGA
Reconnect in a new way with your body, spirit and breath with other new
moms in a relaxed environment. Begin to regain your pre-baby body.
Students must be at least six weeks post-delivery. Bring a yoga mat,
water bottle and signed permission slip from your obstetrician or midwife,
as well as a soft blanket or bouncy seat for your baby. No previous
yoga experience required. Led by Michele O’ Toole, RN, certified yoga
instructor.
$85 for a six-week session beginning Thursday, May 10, or June 28,
4:00-5:30 pm
BABYSITTING TRAINING
One-day class for ages 10-13 covers everything
you need to know to be a great
babysitter! Certificate of participation
awarded upon completion. Taught by
educator Becky Patterson. Pre-registration
is required. Classes meet on the main
hospital campus.
Choose a Saturday: May 12, June 23, July 14
or August 18
All classes held 9:00 am-2:00 pm
$45 per person or 2/$80 when registering together
TAI CHI
Tai Chi, an ancient Chinese martial art, is practiced to achieve therapeutic
benefits such as reduced pain and to promote balance and overall
strength. The instructor is Ming Wu, PhD.
$98 for an eight-week session
Intermediate/Advanced Level: Wednesday 9:30-10:30 am
Session begins May 9 or July 11
Beginner Level: Thursday, 6:00-7:00 pm
Session begins May 10 or July 12
QI GONG
Qi gong integrates physical postures, breathing techniques and focused
intentions. The gentle, rhythmic movements of qi gong reduce stress,
build stamina and increase vitality. The instructor is Ming Wu, PhD.
$98 for an eight-week session
Intermediate/Advanced Level: Wednesday 10:30-11:30 am
Session begins May 9 or July 11
Beginner Level: Wednesday, 6:00-7:00 pm
Session begins May 9 or July 11
PILATES – mixed level
This exercise program focuses on improving flexibility, strength and
body awareness. Pilates helps develop proper postural alignment and
increases core muscle strength in the abdomen, pelvis and hips for more
uniform and longer, leaner muscles. Bring an exercise mat. Presented
by Tiarra Bentley, IM=X pilates certified instructor.
$98 for each six-week session; Wednesday, 6:00-7:00 pm, beginning
June 13
NEW! QUICK FIT
The class combines strength training exercises with cardio-intervals for
the maximum benefits. Focus on building your core strength, end with
stretches to help soothe your muscles and leave class feeling ready and
energized to start your day. Bring dumbbells (5- or 8-lb), mat, water
bottle and a can-do attitude! The instructor is Holly Kouvo, CPT, CNS.
$90 for each six-week session. Wednesday, 7:15-8:15 am beginning
May 23 or July 11
DANCE AND MOVEMENT FOR PARKINSONS
Based on the acclaimed Dance for PD ® program developed by the
Mark Morris Dance Group and Brooklyn Parkinson Group, this class
utilizes various dance techniques and styles to address balance, flexibility,
movement range and rhythm in a safe and enjoyable environment.
Research has found that dance techniques can be helpful to those with
Parkinson’s. Families, friends and care partners are also welcome to
participate. Taught by Susanne Liebich, who is trained as a Dance for
PD ® instructor.
$75 for a six-week session; Thursday, 10:30-11:30 am beginning May
10. Classes are ongoing; you can join in at any time.
ORGANIZING WORKS!
Our expert organizer will give you the best tips
and ideas on how to bring order to your home
this spring. Reduce the stress and clutter, and
make way for simpler summer days! Presented by
Karen L. Kenney, a professional organizer from
OrganizingWORKS.
$35 Monday, June 4, 7:00-9:00 pm
NEW! POWER OF THE MIND – mind-body connection
Learn techniques that professional and Olympic athletes use and how
your thoughts, words, emotions and intentions have an impact on
school work, relationships, sports, home life and health. This program
is for teens and adults. Presented by Fran Spayne, MA, holistic therapist/life
coach.
$35 Saturday, June 9, 10:00 am -12:30 pm
All Health & Wellness classes must be paid for in full 48 hours in advance of the class. Refunds for cancellations will not be issued after
10 this time.

Visit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.
Some classes are ongoing; you can join in at any time.
PRACTICAL AND EFFECTIVE SELF-DEFENSE
for teens and adults
Learn physical and verbal techniques for self-defense in these ongoing
Japanese martial arts classes. Each session builds on the one prior for
returning students; beginners can start at any session.
Evening Seirenkai Karate: June 14-July 19 (half-session for the summer)
Thursday, 7:30-9:00 pm
Attend one free sample class; call for details.
Instructor: Stephen Lisauskas, fourth-degree black belt
$75 for an individual student
ARTHRITIS FOUNDATION EXERCISE PROGRAM SM
This low-impact, joint-safe exercise program
helps decrease arthritis pain and relieve stiffness
while improving balance, your ability to perform
more daily activities and your general health.
Led by Linda May Sieck, certified personal trainer
and Arthritis Foundation-certified instructor.
$75 for an eight-week session beginning
Monday, June 11, 1:30-2:30 pm
HYPNOSIS FOR WEIGHT LOSS
The natural and safe process of hypnosis
uncovers underlying emotions, feelings,
thoughts and attitudes and guides you toward
healthy eating patterns. Presented by Joseph
Packard, board-certified hypnotherapist.
$100 for 3 sessions; classes are Tuesday,
5:00-7:00 pm, June 19, 26, July 3 or July 31,
August 7, August 14
QUIT SMOKING WITH HYPNOSIS
Hypnosis can be a solid tool to help you quit
smoking by reducing the symptoms of withdrawal
and cravings. Come to class with a mindset
to give up the habit tonight. Presented by
Joseph Packard, board-certified hypnotherapist.
$100 for 3 sessions. Classes are Tuesday,
7:00-9:00 pm, on June 19, 26, July 3 or July 31,
August 7, August 14
MINDFULNESS-BASED STRESS REDUCTION PROGRAM
This highly effective eight-week program was
developed by Jon Kabat-Zinn at University of
Massachusetts Medical Center for the treatment
of stress-related disorders. Participants will
learn how to develop their own practice of centering,
grounding and living life in the present
moment. Presented by Patricia Howard, who
has completed teacher training at the Center for
Mindfulness at UMass.
Attend a free introductory lecture Tuesday, June 26, 9:30–11:30 am.
Eight-week program begins Tuesday, July 10, 9:30–11:30 am (plus all
day August 18, 10:00-4:00 pm)
$540 plus $45 for required course materials/CD set
STRESS REDUCTION AND FOCUSING TOOLS FOR TEENS
The teenage years can be times of rapid change. This course will provide
your teen with a new set of skills so they can weather this journey with
more awareness. Presented by Patricia Howard, who has completed
teacher training at the Center for Mindfulness at UMass.
Attend a free introductory lecture: Tuesday, June 26, 12:00–2:00 pm.
Eight-week program begins Tuesday, July 10, 12:00–2:00 pm (plus all
day August 18, 10:00 am-4:00 pm)
$420 (discount for siblings) plus $45 for required course materials/
CD set
NEW! ENLIGHTEN UP: yoga, nutrition and wellness workshop
During this one-evening workshop, you
will learn about a unique wellness weight
management program that integrates
eastern practices, such as yoga and meditation,
and western principles of nutrition
science and psychology. Bring a yoga mat.
Presented by Pam Vlahakis, MEd, RD, a
registered dietitian and registered yoga
teacher.
$25 Tuesday, May 22, or June 12, 6:30-8:00 pm
FINDING FOCUS: ADULT ADD/ADHD
This workshop will address facts and myths about adult attention deficit
disorder, including the impact of attention deficits on productivity, relationships
and life success. Assessment, diagnosis and treatment will
be discussed. Participants will receive information on various resources
and support for adults with ADD/ADHD. Presented by Alexandra
Watkins, LMHC, psychotherapist.
$35 Friday, August 3, 7:00-9:00 pm
Emerson Hospital reserves the right to cancel any program due to insufficient enrollment or inclement weather. There is no tuition
reduction if a student is unable to attend all classes.
11

health & wellness classes continued
Visit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.
Some classes are ongoing; you can join in at any time.
NEW! GAME PLAN – injury prevention for young athletes
Help your kids to stay in the game by learning
techniques that will minimize their chance of
sports injury. Muscular tightness and weakness
increase the risk for injury and will be discussed,
along with off-season conditioning and game
day preparation. The class is appropriate for
all ages and sports. Presented by Nicki Barker,
CPT, from Personal Training International.
$35 Monday, May 21, 6:30-8:30 pm
NEW! PINK RIBBON YOGA – you can still live your life
to the fullest!
This workshop offers physical, emotional and
spiritual support for women who have experienced
breast cancer — recently diagnosed, in treatment
or a long-term survivor. The class includes
healing meditation, breathing techniques, gentle
yogic stretching and relaxation. Taught by Nancy
Dorenfeld, RYT, Kripalu-certified yoga instructor and
survivor. Please bring a yoga mat, small pillow or towel and water.
$20 Saturday, June 2, June 30 or July 21, 10:30 am-12:00 noon
Part of the proceeds from this class will be donated to the National
Breast Cancer Foundation, a non-profit organization devoted to providing
mammograms and breast care to underserved women.
NEW! TOTAL BODY RESISTANCE BAND WORKOUT
Just as effective as free weights, this class will teach you how to maximize
your time and still get a complete workout — anytime, anywhere.
You will learn a variety of exercises for the major muscle groups and
stretch with bands to cool down. Presented by Nicki Barker, CPT, from
Personal Training International. Participants will take home a resistance
band kit. Suitable for all ages and fitness levels. Bring an exercise mat.
$65 for a four-week session beginning Tuesday, May 22, 7:00-8:00 pm
NEW! KIDS FIT+FUN CAMP
This one-week weight-loss day camp for children and adolescents, age
8-14, includes strength training, cardio exercises, fun group games,
education on healthy eating habits, music and more. The instructor is
Holly Kouvo, CPT, CNS. The camp is held at the Fitting Fitness In
studio in Boxborough.
$175 Classes are Monday-Friday 9:00-11:30 am, July 23-27, or
August 6-10
Parent orientation is on Monday, July 23, or August 6, 6:30 pm
REIKI Training Classes
Discover this hands-on energy therapy that can be used to encourage
relaxation, manage pain, provide comfort and promote overall wellness.
Learn to give reiki to yourself, others and pets. Receive reiki practitioner
certification. Approved for five contact hours for nursing for each full
day of attendance. Contact hours for massage therapy and social work
also are available. Presented by Libby Barnett, MSW, reiki master and
teacher at the Reiki Healing Connection.
REIKI-Level I Training: Saturday, June 23, 9:00 am-3:00 pm $145
REIKI-Level II Training: Sunday, June 24, 9:00 am-3:00 pm $160
NEW! OLD AGE ISN’T FOR SISSIES – know your own health
care and the system that supports it
This workshop will include information on
public and private community services and support
for the caregiver. Housing and homecare
options will also be covered along with changes
in the health care system that may affect your
medical care in the future. Presented by Anne
Marie Rowse, CMC, certified care manager and
principal, Senior Care Advisors, LLC. Also presenting
is David Green, MD, critical care medicine and pulmonary
medicine, Emerson Hospital.
$35 Monday, June 11, 7:00-9:00 pm
NEW! REFLEXOLOGY – the joy of touch
Experience the positive joy of communication and touch through reflex
points on the feet to improve health, relax the mind and invite a feeling
of peacefulness. Program presented by Jane Aire Beckwith, licensed
massage therapist.
$35 Tuesday, June 5, 7:00-9:00 pm
TAMING ANXIETY
This workshop introduces ten effective strategies for managing anxiety
and obsessive thought. We will discuss the importance of addressing
your overall levels of stress and conflict with the goal of lessening anxiety
and unproductive worry. Presented by Frances Bigda-Peyton, EdD,
certified psychoanalyst.
$35 Monday, June 25, 7:00-9:00 pm
NEW! REFLEXOLOGY FOR THE RESPIRATORY AND
CIRCULATORY SYSTEMS
Learn gentle, focused compression on the hands and feet that, along
with deep breathing, can alleviate sinus headaches, allergies and hay
fever. Bring a small pillow. Presented by Jane Aire Beckwith, licensed
massage therapist.
$35 Tuesday, June 26, 7:00-9:00 pm
12

LIVING WELL WITH FIBROMYALGIA
NEW! IMPROVING THROUGH FITNESS
Exercise is the healthiest approach to fibromyalgia treatment. This
non-aerobic program, taught by an instructor with fibromyalgia, is designed
to prevent or counter the deconditioning that may result from
exercise intolerance in individuals with fibromyalgia or chronic fatigue.
Taught by Diane Gallagher, certified fitness instructor. Bring an exercise
mat and light (1-5-lb) hand weights.
$168 for a six-week session. Monday and Thursday, 3:00-4:00 pm
Beginning May 14 or June 25.
NEW! STRESS REDUCTION FOR FIBROMYALGIA AND
CHRONIC FATIGUE
Finding healthy ways to lower your stress can reduce symptoms,
including pain and sleep problems. You will learn about habits that
can interrupt circulation and produce pain and how to cultivate new
ways to respond to life’s challenges. Presented by Patricia Howard,
who has completed teacher training at the Center for Mindfulness at
UMass.
$90 Saturday, June 9, 10:00 am-4:00 pm
NEW! A DAY OF MINDFULNESS FOR THE FAMILY
In this workshop, we will take an open look at the
interpersonal dynamics of the family, how to get
along better and work through conflicts in positive
ways. You will learn practices that allow you to be
surrounded by intense emotions but not be affected
negatively. Parents, young adults and teens are
welcome.
$90 Saturday, August 4, 10:00 am-4:00 pm ($45 for children 17 and
younger)
WOMEN’S SELF-DEFENSE SEMINAR for 8th grade and up
This seminar will focus on hands-on self-defense techniques, strategies
and tips for staying safe in common situations. The topics covered may
be particularly beneficial to girls and women who are going through a
transition at home, in school or at work, but are useful to all participants.
Taught by Johanna Glazer and Len Glazer, internationally certified
third-degree black belt instructors.
$40 Wednesday, August 15, 7:30-9:30 pm
Ongoing Sunday and Thursday evening weekly classes are also
available; next session starts in September.
Tender Beginnings:
classes in preparation
for childbirth and parenting
Emerson Hospital offers tours, classes and support groups for those
who are having a baby or are at home with a newborn. For dates of
classes, to register or for other information, please call 978-287-3268.
GROUP TOURS
Free tours of the Birthing Center are given on a regular basis.
Registration is required, so call the number above.
CLASSES
• Prenatal Childbirth
Choose a five-week class, a oneday
class or a refresher course,
which covers vaginal and cesarean
deliveries. For pregnant
women and their partners.
• Natural Childbirth
Three-session course
• Sibling Preparation
For children between 2½ and 6
• Bed Rest Loaner Kit
Includes videos, books and a
home visit
• Infant Care
Learn bathing, diapering
and holding
• Breastfeeding
Covers the benefits and
challenges of breastfeeding
• Infant CPR Anytime Program
One-hour introductory
class and kit
• Getting Ready for Multiples
For parents expecting twins,
triplets or more
• The Happiest Baby on the
Block
Learn how to calm your baby
• HypnoBirthing ®
Supports a natural childbirth
experience using hypnosis
SUPPORT GROUPS
• Lactation Consultation
Emerson offers a certified lactation consultant who can help resolve
difficulty with breastfeeding. Check with your health plan to determine
coverage. For more information about Emerson’s lactation
consultation, please call 978-287-3317.
• Mothers Offering Mothers Support (MOMS)
For new mothers who may feel overwhelmed and alone, Emerson
has experienced volunteer MOMS who are available to offer support.
For more information, please call 978-287-3176.
• New Mothers Group
Bring your questions and concerns, or just come to meet and share
experiences with other mothers. Join them and their babies to
discuss the challenges of those early months. For more information,
please call 978-287-3176.
13

on call
emerson hospital is pleased to
introduce the following new physicians.
Hospital Medicine – Adult and Pediatric
Timothy W. Baba, MD, PhD
Emerson Hospital
133 ORNAC, Concord
978-369-1400
Dr. Baba earned his graduate and medical degrees
from The University of Texas, Southwestern Medical
School at Dallas and completed an internship
in pediatrics at Children’s Hospital Boston, where
he also completed a residency in pediatrics and fellowship
in neonatology. Dr. Baba is board-certified
in pediatrics and neonatal/perinatal medicine. His
clinical interests include asthma management, vaccine
development and prevention of neonatal and
pediatric infectious disease. He is a hospital-based
physician who cares for pediatric inpatients, as well
as newborns, in Emerson’s well-baby and special care
nurseries. He does not have a private office practice.
Shaolay X. Jiang, MD
Emerson Hospital
133 ORNAC, Concord
978-369-1400
Dr. Jiang graduated from St. George’s University
School of Medicine in Grenada. She completed her
residency in internal medicine at New York University
Downtown Hospital. Dr. Jiang is board-certified in
internal medicine. She is a hospital-based internist
who treats adult inpatients and does not have a
private office practice.
Emily Kung, MD
Emerson Hospital
133 ORNAC, Concord
978-369-1400
Dr. Kung earned her medical degree from University
of California, San Francisco School of Medicine. She
completed a residency in pediatrics at MassGeneral
Hospital for Children, where she served as chief resident.
Dr. Kung is board-certified in pediatrics, and
her clinical interests include health advocacy, obesity
and the care of medically complex patients. She is a
hospital-based physician who cares for pediatric inpatients
and does not have a private office practice.
Rositsa Petrova, MD
Emerson Hospital
133 ORNAC, Concord
978-369-1400
Dr. Petrova graduated from the Medical University
of Sofia in Bulgaria and completed her residency at
Lincoln Medical and Mental Health Center in New
York City. She is board-certified in internal medicine.
Dr. Petrova is a hospital-based internist who treats
adult inpatients and does not have a private office
practice.
Obstetrics and Gynecology
Christina T. Thomas, MD
Concord OB/GYN Associates
59 ORNAC, Suite 1, Concord
978-369-7627
Dr. Thomas attended State University of New York
at Buffalo School of Medicine and completed her
residency at Tufts-New England Medical Center. She
is board-certified in obstetrics and gynecology and
recently was on staff at South Shore Hospital in Weymouth,
Massachusetts. Her areas of special interest
include minimally invasive surgery, colposcopy and
obstetrics.
Palliative Care
Alyssa C. Luddy, MD
Hospice of the North Shore & Greater Boston
75 Sylvan Street, Suite B-102, Danvers
978-774-7566
Dr. Luddy graduated from New York Medical College
and completed her residency at Beth Israel Medical
Center in New York City and her fellowship in palliative
care at Oregon Health and Sciences University
in Portland. She is board-certified in family medicine
and hospice and palliative medicine. Her clinical
interests are pain management and ensuring quality
end-of-life care.
Pediatric Dentistry
Evan M. Shaw, DMD
Pediatric Dentistry, Inc.
290 Baker Avenue Extension, Suite N228, Concord
978-369-7771
Dr. Shaw graduated from the University of Pennsylvania
School of Dental Medicine in Philadelphia
and completed his residency in pediatric dentistry at
Children’s Hospital Boston. He is board-eligible in
pediatric dentistry.
14

Donating blood:
Donating blood is a
generous thing to do.
It benefits patients
who need blood, and
it saves Emerson the
expense of having
to purchase blood.
It also benefits the
donors themselves,
who often say they
feel good – even
elated – after giving
blood.
it’s generous, easy and feels good
18-year-old says it is her way of volunteering
Katie Moreau, an 18-year-old Chelmsford resident,
says that’s how she feels after making a
donation at Emerson’s Blood Donor Center.
“The nurses always say to me ‘you’re so young.’
But by donating locally, I’m helping someone in
my community. It is my way of volunteering. I
wish more young people gave blood because it
lifts your spirits.”
Katie stands out among blood donors, says
Linda Dolan, blood donation recruiter. “I’d
say the average age of those who donate is about 50,” says Ms. Dolan, who
adds that, when it comes to blood donation, the hospital faces a challenge.
“Only 60 percent of the population can give blood; health conditions or
medications prevent many people from being eligible. Of that 60 percent,
however, only 5 percent actually donate.”
Each donation potentially benefits multiple patients. “At Emerson, one unit
of whole blood collected can be used to provide red blood cells and plasma
components, thus helping two patients,” says Ms. Dolan. “Blood donated
at Emerson remains at Emerson.” Donating blood only takes about 30
minutes. Once donors are screened for eligibility, the donation itself takes
about ten minutes, after which they are served refreshments, including fluid
to replace the donated blood. “We keep an eye on donors to make sure they
feel okay before they leave.”
Katie enjoys relaxing with juice and a snack after donating blood. “The
nurses are so nice,” she says. “They take good care of me.” Parking is free
Katie Moreau relaxes while Rosemary Woitowicz, RN, draws blood.
for those who donate blood, and the staff offers a number of incentives,
from T-shirts to gift cards for coffee, ice cream and a car wash. Each month,
all donors are entered into a raffle.
Donate blood. Save a life.
The Emerson Blood Donor Center is located on the first floor of the
hospital’s John Cuming Building in Concord. Please call 978-287-3390
to schedule an appointment or to verify hours. Walk-ins are welcome.
Regular hours are:
Monday 8:00 am - 3:00 pm Wednesday 9:00 am - 2:30 pm
Tuesday 9:00 am - 5:00 pm Thursday 9:00 am - 7:30 pm
Note the blood donor center closes for lunch: 1:00-1:30 pm on Monday,
Tuesday and Thursday; and 12:00-12:30 pm on Wednesday.
New palliative care program is established
emerson is working with hospice of the north shore & greater boston
Emerson Hospital recently expanded its successful relationship with
Hospice of the North Shore & Greater Boston (HNSGB) to provide
patients with a comprehensive approach to palliative care. Palliative care
addresses the symptoms and stresses of serious illness.
“Palliative care often is referred to as ‘pain and comfort care,’” explains
Joyce Welsh, vice president and chief nursing officer at Emerson. Ms.
Welsh is on the committee that integrated a new program of palliative
care with the existing hospice care program, which HNSGB already provides.
“We have been working with them on hospice care for two years,
and it is a positive, wonderful relationship.” Hospice of the North Shore
& Greater Boston is the largest and most comprehensive hospice provider
in Massachusetts.
Unlike hospice care, which typically is provided for six months or less, palliative
care is a consultative service with no general time limit. “Patients
may continue to receive treatment and will benefit from palliative care because
of ongoing symptoms,” says Ms. Welsh. Common illnesses requiring
palliative care include heart failure, chronic obstructive pulmonary
disease (COPD), cancer and Alzheimer’s disease. For example, COPD
patients who are having difficulty breathing often benefit from having a
consultation with the Hospice of the North Shore & Greater Boston team.
“There are several situations that merit a palliative care consultation tied
to the goals of care,” says Stephanie Patel, MD, the organization’s vicepresident
and chief medical officer, who is on staff at Emerson. “They include
when patients present complex pain and symptom management
needs, are struggling with difficult decisions about care, have a chronic,
progressive illness and unclear life expectancy or are newly diagnosed with
a life-limiting illness.” Dr Patel is one of HNSGB’s five palliative care physicians;
there are also five nurse practitioners on the staff. The palliative
care team works closely with the patient’s own physician.
“Patients are benefiting from our new palliative care program,” says Ms.
Welsh. “Working with our Hospice of the North Shore & Greater Boston
colleagues, we are committed to providing our patients with the highest
quality palliative and end-of-life-care.”
15

emerson
ADVISOR
For more information on care at Emerson
Hospital, call the toll-free Physician Referral Line:
1-877-9-EMERSON (1-877-936-3776) or visit the
hospital’s web site at www.emersonhospital.org.
Haran Ramachandran, MD
Neurosurgery
Lahey Spine Program at Emerson
Ana L. Jacobellis, DO
Internal Medicine
Westford Internal Medicine
Tania Bandak, MD, MPH
Internal Medicine
Concord Hillside Medical Associates
When should I consider seeking surgery
for my back pain?
Back pain can be due to many causes, including
muscular strain, herniated discs, bony fractures
and traumatic injury. Treatment options
include anti-inflammatory medications, a short
course of oral steroids, local injections and
physical therapy. Surgery is considered if medical
treatment fails or progressive nerve damage
is suspected.
You should almost always seek medical care
within a day or two of the onset of severe back
pain. Pain shooting down the leg is usually due
to a herniated disc pressing on a nerve; consultation
with your primary care physician may be
appropriate. However, weakness in the foot,
numbness in the toes or urinary incontinence
may indicate nerve damage and warrant a visit
to the Emergency Department.
Back pain due to muscular causes or a herniated
disc usually resolves with medications and physical
therapy. Further investigations like an MRI
scan of the back is necessary if nerve damage is
suspected or if symptoms do not resolve within
six weeks. If the symptoms are severe, you
may be referred to a back specialist. Surgery is
appropriate if the MRI scan definitively shows
the causative factor.
How can I protect myself from Lyme
disease this summer?
Wearing long sleeves, keeping your pant legs
tucked into your boots and using insect repellent
are all useful in the outdoors. However,
the most important thing is to be diligent about
checking yourself for deer ticks after you have
spent time in tick-infested areas such as woods
or fields. Ticks hide in grassy areas and on
leaves, waiting for a chance to attach themselves
to potential meal tickets in the form of passing
animals – and people.
Once a tick infected with the Lyme disease
bacteria attaches itself to your skin, it aims to
feed on your blood. The danger occurs during
the tick’s larval stage, when it is the size of a
poppy seed. As it feeds, its body swells. After
a full feeding, which takes 36 to 72 hours, it
can deposit the bacteria into your bloodstream,
causing Lyme disease.
If you find a tick that has only recently become
attached to your body, you can most likely
remove it safely. If it has been there for at least
36 hours, it may be prudent to see your physician
for a preventive dose of antibiotics.
I don’t have any diagnosed medical
problems. Why should I see my
physician yearly?
Our society has traditionally defined health as
the absence of disease. However, it is possible
to be healthy from a strict medical perspective
but to not feel healthy. Many people do
not have any disease, yet they do not feel well.
Other individuals may feel fine but are silently
developing the foundations for certain diseases
to take root.
This could be due to poor lifestyle habits, such
as an unhealthy diet, not exercising or sleeping
regularly or from stress at home or at work.
It may take years – even decades – of living
“unwell” for someone to develop medical
problems like obesity, heart disease or diabetes.
Why wait until disease develops, when treatment
can be cumbersome and intrusive, to seek
medical attention? I believe that through a
strong, trusting relationship with one’s primary
care provider, individuals can discover paths
to living and feeling well in all aspects of their
lives. This is the most powerful “prescription”
for living a full and meaningful life, and it
begins with an annual appointment.
16

‘‘
karen hamlin
IN MY
OWN
VOICE
Plenty of people live with obstructive sleep apnea (OSA), which
leaves them gasping for breath, waking throughout the night and
tired the next day. Fortunately, the establishment of sleep labs like
the one at Emerson’s Sleep Disorders Center has helped reveal an
epidemic of OSA, which is estimated to affect approximately 18 million
Americans. Among those who come for overnight sleep testing,
84 percent are found to have the disorder, approximately 35 percent
with severe cases. That was true of Karen Hamlin of Boxborough,
52, who credits Dan Tilles, MD, her primary care physician, with
encouraging her to get a diagnosis, which led to successful treatment:
regular use of a continuous positive airway pressure (CPAP)
machine when she sleeps.
Karen Hamlin is sleeping well these days, thanks to being diagnosed and treated
for longstanding sleep apnea.
“I knew I had sleeping issues for a couple of years. My husband regularly
told me that I wasn’t breathing – sometimes for as long as 30 seconds –
during the middle of the night. Then I’d gasp for air.
“For many years, I always felt tired during the day, never felt rested upon
waking and wanted to take naps. I often was afraid I would fall asleep while
I was driving; there were times when I worried about making it home safely.
I chalked it up to having a stressful lifestyle – working full-time, being a
mom, staying up too late. I also blamed much of my sleep problem on my
husband’s snoring. I lived with it.
“Last October, I went for my annual physical, and Dr. Tilles asked me ‘how
are you sleeping?’ I told him my sleep was horrible; I didn’t have trouble
falling asleep, but I woke up throughout the night. He told me it sounded
like a classic case of sleep apnea and that I should be evaluated at Emerson’s
sleep lab. He told me that treatment could really change my life.
“I knew the treatment for sleep apnea was to wear a mask that was attached
to a machine, and I was sure I would never do that. On the other hand, I
didn’t feel good.
“In November, I spent a night in the sleep lab. The technician was helpful
and knowledgeable. She told me that if I stopped breathing a certain
number of times per hour, she would wake me up so that I could try the
machine. After being hooked up for the sleep test, I fell asleep without
a problem.
‘‘
“Late that night, the technician woke me up and told me that I had stopped
breathing more than 20 times every hour. I was shocked to hear that. She
fitted me with a CPAP mask, and I went back to sleep. I slept for three and a
half hours without interruption; when I woke up, I could tell that I had slept
soundly.
“I wanted to talk with Dr. Tilles about the test and what to do. At the appointment,
he told me that I have severe sleep apnea. He said there was
no question about it; I should be treated. I realized it was time to face the
problem, so Dr. Tilles wrote the prescription, and a representative from the
CPAP company came to the house to explain all the details. He also fitted
me with the right kind of mask.
“At first, it’s a real adjustment to sleeping with the mask and the CPAP
machine, but I decided to stick with it. By the fourth week, I was sleeping
better. The machine is whisper-quiet, and the air is humidified, which is
very helpful.
“The good news is that my sleep is so sound now. I’m not tired in the
afternoon, and I have more energy, so I’ve started a more strenuous exercise
program. I can handle it.
“I’ve been using the CPAP for three months now. After thinking that I
would never use the CPAP machine, now I almost look forward to putting it
on at night. As I tell my husband, I sleep so soundly that I don’t even hear
him snoring anymore.”
Emerson Hospital has several sleep specialists on the medical staff. Contact the Sleep Disorders Center at 1-800-432-8808 for more information.
17

Couple faces esophageal cancer
> Continued from page 5
By the fall, his energy was depleted. “I really hit bottom,” he says.
“The recliner and I became good friends. But I knew my team at
Emerson was behind me and wouldn’t let me down.” Just as he
was beginning to regain his strength, it was time to make a decision
about surgery.
In counseling Mr. Beardsley, Dr. Sajer considered the side effects he
experienced during his combination therapy, as well as his entire
health history, which includes having a quadruple coronary bypass,
cardiac ablation, insertion of a pacemaker and suffering a serious fall
from a ladder the previous year where he suffered major blood loss,
broken ribs and a broken wrist and required facial reconstruction.
“The surgery requires incisions in both the chest and the abdomen,”
explains Dr. Sajer, “and the associated risks are not insignificant.”
“It would involve removing all the cancer and pulling the stomach
up to create a new esophagus,” says Mr. Beardsley, now 75. “I
would then be on a very limited diet. At my age, I didn’t feel that I
would come through the surgery and still be the same person afterward.”
After hearing the pros and cons of having difficult surgery
followed by a three- to six-month recovery, he decided against it.
In November, Dr. Sajer told Mr. Beardsley that the treatment had
been successful in controlling his cancer. However, it could recur,
and she urged him to use his time wisely. When Dr. Sajer offered
additional treatment, Mr. Beardsley declined.
The couple grew close to the staff at Emerson. “Everybody there,
without exception, was positive, uplifting and made it a good experience,”
says Mr. Beardsley. “The people were tremendous, and it
really helped.”
At one point, Ann Snow, RN, nurse manager in radiation oncology,
thought the Beardsleys might each benefit from massage therapy
and arranged appointments for them, which was funded by the
Emerson Hospital Auxiliary. “That was a great thing for both of
us,” says Mr. Beardsley.
As winter approached, the couple made plans to take a cruise in the
Caribbean, where the sun and relaxation benefited Mr. Beardsley. “I
brought a new man back from that trip,” his wife says with a smile.
Once they were home again, one of Mr. Beardsley’s sons called to
announce that he had Super Bowl tickets for them. “It was Paula’s
reward for taking such good care of me,” says Mr. Beardsley. “It was
a once-in-a-lifetime opportunity, and something we’ll never forget.”
Next, Mr. Beardsley, a manufacturing engineer, was contacted
about returning to work after having been laid off from his job last
May, prior to his diagnosis. “That felt great,” he says. “I may be
75 years old, but I enjoy what I do.”
Looking back, the Beardsleys are grateful for the treatment, the care
and the support they found at Emerson. “We never questioned
whether we should go anywhere else,” says Mrs. Beardsley. “From
the start, we had a real comfort level with Dr. Sajer, who is clearly
very knowledgeable. She and her staff, Dr. McGrath and his team –
everyone at Emerson – wrapped us in comfort and total care.”
Mr. Beardsley agrees. “Everything that we needed was at
Emerson,” he says, “and Paula was always by my side. I’m feeling
fine, and we’re enjoying every day.”
New procedure opens up the sinuses
> Continued from page 8
that breathing out of one nostril had been a problem. Having the procedure
was one of the best decisions of my life.”
In Pailin, Cambodia, her days were filled with teaching English, playing sports
with local children, working in the library and helping at a feeding program. “I
know I helped make a difference in the lives of the kids and families there,”
she says.
Balloon catheter dilation is proving to be an effective treatment for individuals
with chronic sinus infections. “It is a particularly safe procedure and not associated
with any complications,” says Dr. Khalid. “I encourage patients to use
a salt water rinse after the surgery as a preventive measure to keep things
moving in the sinuses.”
In some patients, the improvement is dramatic. “Hillary’s mother told me
she hadn’t been herself for a long time,” Dr. Khalid recalls. “When I saw
Hillary after she had the procedure, I understood what her mother meant,
because I met the healthy Hillary, who was smiling.”
Balloon catheter dilation requires no hospital stay; results can be dramatic.
For more information, Dr. Khalid may be reached at 978-287-7499.
18

emerson hospital
Support Groups
& Special Services NEWS
f r o m emerson
Support Groups
Alcohol and Substance Abuse Support 978-287-3520
Breast Cancer Support Group-Virginia Thurston
Healing Garden 978-456-3532
Diabetes Support 978-287-3054
Melanoma Support 1-800-557-6352
M.O.M.S (Mothers Offering Mothers Support) 978-287-3176
New Mothers Group 978-287-3176
Oral, Head and Neck Cancer Support 978-287-3189
Parkinson’s Support 978-443-5742
Sleep Disorders Support 978-287-3735
Surgical Weight Loss Support 978-287-3532
Widowed Outreach Support 1-800-696-6424
Special Services
Alzheimer’s Information 978-287-3170
Body Composition Analysis 978-287-3782
CPR 978-287-3050
Cardiac Rehabilitation 978-287-3732
Chronic Lung Disease Program 978-287-8300
Gambling Problems 978-287-3520
Heart Failure Program 978-287-8300
Home Health Service 978-287-8300
Hospice & Palliative Care Federation of Mass. 1-800-962-2973
Lifeline 1-800-543-3546
Look Good…Feel Better 978-287-3788
Nutritional Counseling 978-287-3782
Pastoral Care 978-287-3015
Pediatric Bereavement Workshop 978-287-3422
Pediatric Pre-Admission Program 978-287-3420
Pelvic Health/Bladder Control 978-287-8200
Physician Referral 1-877-9-EMERSON or 1-877-936-3776
Pulmonary — Better Breathers Club 978-287-3715
REACH (hotline for domestic violence) 1-800-899-4000
SHINE Program 781-272-7177
Speech and Language Screening for Preschoolers 978-287-8200
Sports Rehabilitation 978-287-8200
Volunteer Program 978-287-3200
Wound Care Center 978-287-8550
Emerson’s main entrance is named for Teresa E. DiGiovanni
The hospital’s main entrance is being renovated
to modernize the area and provide a more welcoming
feel, thanks to a significant donation
from the DiGiovanni family of Concord. The
main entrance will be named for Teresa E.
DiGiovanni (shown at left with her husband,
Guy), who passed away in November 2011. The donation was made in gratitude
for the care that Mrs. DiGiovanni and other family members have received
at Emerson, as well as to honor the leadership of Christine Schuster,
president and CEO. Mrs. DiGiovanni’s son, James DiGiovanni, is a member
of the hospital’s Board of Directors.
Centennial wall display recently unveiled
In May, a permanent wall display about
Emerson’s history was installed in the
third-floor corridor of the John Cuming
Building. The display, which features
several vintage photographs, marks the hospital’s centennial and includes a
timeline of historical milestones, including clinical programs and progress
on the hospital campus. It also reflects the enduring bond between Emerson
and the community, seen through its volunteers, the Emerson Hospital
Auxiliary and the tradition of philanthropy. The hospital’s growing presence
throughout the service area is featured through the establishment of hospital-affiliated
satellites. Stop by to see the display!
New art exhibition opens at Emerson Medical at Sudbury
Emerson’s ongoing commitment to displaying
the work of talented local artists continues this
spring with an exhibition of new work by Liza
Carter at Emerson Medical at Sudbury, located
at 490 Boston Post Road (Route 20 in Chiswick
Park). Ms. Carter, a Concord resident, is showing
watercolors and nature photography. She has exhibited throughout the
region, including at Emerson Umbrella Center for the Arts in Concord. The
exhibition runs from May through October.
Safe driving assessment is available
Adults who have undergone a change in health
status may need to be evaluated before driving
again. The clinical driver assessment program
includes an evaluation by a certified occupational
therapist (fee is $300) and, for those who
pass the evaluation, an on-road test conducted by a professional driving instructor
or certified driver rehabilitation specialist (fee is $200). A physician
referral is required. Please call 978-287-8200 for more information.
19

133 ORNAC, Concord, MA 01742
978-369-1400
www.emersonhospital.org
Emerson Hospital is is an acute care medical center
located in Concord with health centers in in Bedford,
Groton, Sudbury and Westford. It It is is well well known for for
its medical and surgical specialists, outstanding
nursing care and patient-centered services, including
the Clough Birthing Center, the Bethke Mass General Cancer
Cancer Center, Center the Polo at Emerson Emergency Hospital-Bethke, Center, the Clough the Polo
Surgical Emergency Center Center and and the the Center Clough for Specialty Surgical Care. Center.
www.emersonhospital.org
HealthWorks, published by Emerson Hospital, is
mailed to residents in the hospital’s service area
and is distributed to the employees and physicians’
offices affiliated with Emerson Hospital.
If you would prefer not to receive such mailings in
the future, please let us know by calling 978-287-
3458 or send an email to pr@emersonhosp.org.
Emerson Hospital President and CEO
Christine C. Schuster
HealthWorks Magazine editorial staff
Christine Gallery, Bonnie Goldsmith
Writers
Laura Duffy, Ralph Fuller
Photography
Tony Rinaldo
Design and Printing
Fassino/Design and Signature Printing & Consulting
The information included here is intended to educate
readers about health issues, but it is not a substitute
for consultation with a personal physician.
The mission of Emerson Hospital is to deliver
high-quality care to our community that is safe,
compassionate, accessible, appropriate, efficient
and coordinated.
Emerson Hospital Auxiliary Hosts 12th Annual
5K Run ~Walk & Family Funday for Cancer on June 2
The Emerson Hospital Auxiliary will hold its 12th annual 5K Run~Walk & Family Funday for Cancer on
Saturday, June 2, at the Thoreau Club, 275 Forest Ridge Road in Concord.
The event is sponsored by Concord Mews, Thoreau Club and Marx Running & Fitness Center. Activities
will include a barbeque, tot trot for ages 5 and under, tie-dye T-shirt-making, inflatable obstacle
course, volleyball, badminton and recreational swimming. Registration begins at 8:30 am. The onemile
kids’ fun run (for ages 5-12) leaves at 9:15 am, and the 5K begins at 10:00 am.
“This is a fun-filled, multi-generational event that keeps growing in participation, business partnerships
and donations from the community,” said Karen Maines, president of the Emerson Hospital
Auxiliary. Last year’s event attracted nearly 450 participants and raised a record $42,000.
Funds raised from the 5K Run~Walk and Family Funday for Cancer will support cancer services at
Emerson Hospital. Earlier this year, the longstanding relationship in cancer care between Emerson
and Massachusetts General Hospital expanded to include a collaboration with medical oncology
(see story on page 4).
To register for the 5K Run~Walk & Family Funday for Cancer, visit www.firstgiving.com/Emerson
HospitalAuxiliary/5krunwalk. Entry fees, which include the post-race barbecue, are $25 for adults
until May 30 and $30 until the day of the event, and $12 for the kids’ fun run. To volunteer at the
event, contact Barbara Boardman at 978-371-1158 or bsboard@comcast.net.
The Emerson Hospital Auxiliary supports the hospital with community awareness, patient support
and fundraising. For more information on the auxiliary, visit www.emersonhospital.org/support.
FPO
Front cover: Donald Beardsley of Billerica, shown with his wife, Paula, found everything he needed
at Emerson.