Mary McCurdy - PinnacleHealth
Mary McCurdy - PinnacleHealth
Mary McCurdy - PinnacleHealth
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S P R I N G 2 0 1 2<br />
contents<br />
3 A Message from Our<br />
President & CEO<br />
12 Classes, Programs<br />
and Upcoming Events<br />
15 My <strong>PinnacleHealth</strong><br />
19 Take An Active Role<br />
in Your Healthcare<br />
mind<br />
16 Staying Calm: Preventing<br />
Shaken Baby Syndrome<br />
body<br />
6 All Vein Treatments<br />
Are Not Done in Vain<br />
7 Vitamin D and You<br />
8 The New Approach<br />
on the Maternity Unit<br />
for In-room Care<br />
10 What Women Are Saying<br />
About Acupuncture<br />
20 Physician Focus:<br />
<strong>PinnacleHealth</strong> and the<br />
da Vinci ® SI Surgical System<br />
22 Specialized Rehabilitation<br />
Services at <strong>PinnacleHealth</strong><br />
spirit<br />
4 From NICU to Ninth<br />
Grade: A Tale of<br />
Triumph + Gratitude<br />
18 What’s Your Favorite<br />
Springtime Activity<br />
or Tradition<br />
dear ,<br />
What does springtime signify to you For many, it’s an awakening of sorts. Trees and flowers<br />
bloom, people find themselves spending more time outdoors and even begin to think about warm<br />
weather attire.<br />
Whether we feel the transition of the<br />
season inside or outside, spring is in fact,<br />
a time for transformations. We abandon<br />
the monotonous, dark days of winter with<br />
an eagerness to put our best foot forward.<br />
In our industry, <strong>PinnacleHealth</strong> also is<br />
entering a new phase of its own with<br />
healthcare reform. We continue to grow to<br />
meet the needs of our community through<br />
new partnerships, additional services and<br />
providers, as well as infrastructure changes<br />
to better accommodate our patients.<br />
Health and wellness is something we need<br />
to think about each day of our lives. While<br />
we’ve experienced our share of emergencies and miracles within our system (one of which you will<br />
read about on page 4), there is an equal amount of individuals seeking information and support on<br />
general health, disease management and preventative medicine. All of these topics are addressed<br />
in this publication.<br />
Today’s “EveryWoman” often is at the center of her family unit. Whether they are caring for a<br />
spouse, children, friends or aging parents, every female could use additional resources to get<br />
the job done. It’s also important for those caregivers to not forget how to care for themselves.<br />
From pedicures to planting gardens—we all have our springtime traditions. So, too, does<br />
<strong>PinnacleHealth</strong> as it continues to honor its tradition of patient-centered care. Our health system<br />
is doing great things and providing many choices along the way to help you find—or put back—<br />
a spring in your step.<br />
Sincerely,<br />
Kendra Ferguson, Editor<br />
EveryWoman is published two times a year and focuses on the issues every<br />
woman faces during her lifetime. Whether a young adult, professional,<br />
parent, grandparent, caregiver, spouse or friend, our magazine is for you.<br />
<strong>PinnacleHealth</strong> is a non-profit healthcare system serving Central Pennsylvania.<br />
The healthcare network includes four campuses (Community, Cumberland,<br />
Harrisburg and Polyclinic), FamilyCare physician and specialty practices,<br />
home health services, outpatient surgery and imaging centers, inpatient and<br />
outpatient care and an array of other healthcare services. For a complete list<br />
of services, visit our website at pinnaclehealth.org/everywoman.<br />
Michael A. Young<br />
<strong>PinnacleHealth</strong><br />
<strong>PinnacleHealth</strong> President & CEO<br />
Cheryl Key, MS, RN<br />
<strong>PinnacleHealth</strong><br />
Vice President,<br />
Women & Children's Services<br />
Marian Lefevre, RN, BSN<br />
WomanCare Resource Center<br />
Manager<br />
Kendra Ferguson<br />
Marketing & Public Relations<br />
Editor<br />
Marketing & PR<br />
Harrisburg Campus<br />
Southgate Building<br />
409 South 2nd Street, Suite 1A<br />
Harrisburg, PA 17104<br />
Phone: (717) 231-8900<br />
Hours<br />
Monday–Friday 9 a.m. to 5 p.m.<br />
2 (717) 231-8900
A MESSAGE FROM OUR president & ceo<br />
Our extended families are unique parts of our lives. We may not see them often and may not<br />
always agree or get along, but we remain connected. Cousins, aunts, uncles, nieces, nephews and<br />
other family members once or twice removed are part of our history and experiences. Physical<br />
encounters may occur only at occasions like weddings, baby showers, relocation, or funerals, but<br />
technology and social networking allow us to keep in touch.<br />
In some ways, <strong>PinnacleHealth</strong> System is like<br />
an extended family. Within our organization,<br />
we use technology to stay connected—<br />
to each other and with our patients.<br />
We encompass a wide range of medical specialties<br />
and experience. And first and foremost at the heart of<br />
our relationship with you is concern for the well-being<br />
of you and your loved ones.<br />
Trusting your health care to a health system allows<br />
for a greater range of referral options when needed.<br />
Our family includes surgeons, therapists,<br />
primary care providers, oncologists, and<br />
so many more experts in their fields. Like your<br />
family, we know each other, and that promotes better<br />
care. It gives our patients access to a full continuum<br />
of care across family care, prevention, diagnostics, and<br />
treatment—all with coordination and communication.<br />
One way we communicate: we use technology to stay engaged with each other. Our electronic<br />
medical records (EMR) enable us to stay connected to you during your lifetime<br />
and communicate with all your doctors and specialists. And our patient portal promotes<br />
your patient satisfaction. Patients can send e-mails, schedule appointments, and access test results<br />
with this secure feature. Within our system, we stay connected to each other to ensure that you can<br />
stay connected to us.<br />
We hope you will consider <strong>PinnacleHealth</strong> System as another member of your family. You may not<br />
always need or want us, but we’re here for you if and when that time arrives. It is our privilege<br />
to participate in your healthcare and serve as bridge which connects you and your<br />
loved ones to quality, comprehensive, and coordinated care.<br />
Sincerely,<br />
Michael A. Young<br />
<strong>PinnacleHealth</strong> President & CEO<br />
pinnaclehealth.org 3
from NICU to ninth grade…<br />
triumph+<br />
ATale OF<br />
gratitude<br />
For many of us, turning 16 is about learning to drive a car, passing tests in school and all the other<br />
interests of being a teenager. For <strong>Mary</strong> <strong>McCurdy</strong>, the view is a little bit different. For <strong>Mary</strong>, life is<br />
about appreciation, survival and miracles.<br />
Born in 1996 at<br />
24 weeks’ gestation,<br />
<strong>Mary</strong> <strong>McCurdy</strong><br />
was the smallest<br />
newborn her doctors<br />
had ever seen.<br />
In the <strong>PinnacleHealth</strong> community, <strong>Mary</strong> <strong>McCurdy</strong>, age 16, is known as the “soda can” baby.<br />
Weighing a little over 14 ounces at birth, she compared in size to a can of soda. Her astonishingly<br />
small weight underscores just what a miracle her survival has signified. Born in 1996 at 24 weeks’<br />
gestation, she was the smallest newborn her doctors had ever seen. Her size along with other<br />
complications kept her in the Neonatal Intensive Care Unit (NICU) for the first seven months of<br />
her life. Had her birth occurred over a century ago, she would not have survived.<br />
Dr. Domingo Alvear, Chief of Pediatric Surgery at <strong>PinnacleHealth</strong> remembers <strong>Mary</strong> very well.<br />
Dr. Alvear performed several difficult, yet critical surgeries on her during the first few months of<br />
<strong>Mary</strong>’s life. “She is a survivor. <strong>Mary</strong> was one of the tiniest babies who survived such major surgical<br />
procedures at that time,” explains Dr. Alvear. “We can no longer give up in caring for tiny babies<br />
because of our experience with <strong>Mary</strong>. The care given by the <strong>PinnacleHealth</strong> NICU doctors and<br />
nurses is the best, bar none,” Dr. Alvear states. The connection between <strong>Mary</strong> and Dr. Alvear still<br />
stands today. The <strong>McCurdy</strong> family visits the NICU every year and keeps in touch with Dr. Alvear.<br />
“I had three children in the <strong>PinnacleHealth</strong> NICU. We have been very involved with the nurses and<br />
doctors and it’s important to us to comfort families with the comfort we received,” says Beverly<br />
<strong>McCurdy</strong>, <strong>Mary</strong>’s Mother.<br />
Thanks to modern day technology and the services of <strong>PinnacleHealth</strong>, <strong>Mary</strong> has not only survived<br />
the battle for her life, but she is a vibrant and healthy ninth-grader with a keen interest in writing and<br />
has been recognized for her talent. “I want to be a fiction writer when I grow up,” explains <strong>Mary</strong>.<br />
4 (717) 231-8900
Encouraged through a chance encounter with her favorite author, she has been submitting her<br />
writing for professional critique. Being a young-woman with an inspirational story of life and her<br />
experiences, <strong>Mary</strong> certainly has a story to be told. She recently began a writing project inspired by<br />
her experiences at <strong>PinnacleHealth</strong>. <strong>Mary</strong>’s story tells a fascinating tale of triumph in the form of an<br />
allegory set in the imaginary world of “Pinnacle: The Realm of Rescue.” Traveling to a place called<br />
“Ribth” (an intentional misspelling of the word birth) she arrives too early and falls victim to the evil<br />
“Necrotizer”; a representation of the Necrotizing Enterocolitis from which she suffered during her<br />
first days. Battling strong in the fight for her life, <strong>Mary</strong>’s parents; the Duke and Dutchess of Constant<br />
Faith as well as her knights in shining armor (her doctors) are able to rescue her.<br />
<strong>Mary</strong> got her inspiration for the story from what she’s heard her parents tell her as well as the<br />
doctors and nurses. “My mom and dad help me remember what I went through while I was here,”<br />
says <strong>Mary</strong>. “I think of different things in my head, and I created my own fairytale. Oddly enough,<br />
the hardest part right now is thinking of a beginning to the story. I still want to meet everyone who<br />
helped me.” <strong>Mary</strong>’s real life journey is transformed into an uplifting tale of hope and gratitude;<br />
testimony to the invaluable work of the <strong>PinnacleHealth</strong> children’s comprehensive services.<br />
Every mother wants a smooth delivery and a healthy baby, but sometimes<br />
life has other plans. If a baby, like <strong>Mary</strong>, requires specialized care, the NICU<br />
at <strong>PinnacleHealth</strong> is equipped with the technology and experienced staff to<br />
provide the best care possible. Level III NICUs offer the highest level of care<br />
for premature newborns. The 32-bed NICU at <strong>PinnacleHealth</strong> is comprised of<br />
seven board-certified neonatologists, three neonatal nurse practitioners and<br />
registered nurses with years of NICU experience.<br />
“It’s imperative to consider the level of care available when choosing where to give birth because<br />
there’s always a change the baby may need specialized care,” says Cheryl Key, MS, RN, Vice<br />
President of Women’s and Children’s Services at <strong>PinnacleHealth</strong>. “Parents find it comforting to<br />
know that if their baby needs specialty services, they can receive care close to home instead of<br />
being transported elsewhere.” Most parents who have a baby that required care in the NICU feel<br />
nervous about bringing him or her home. At <strong>PinnacleHealth</strong>, parents can “room-in” with their<br />
baby prior to being discharged. A nurse is available to answer questions or concerns. Free infant<br />
CPR classes are also offered to all parents and relatives who have a baby in the NICU.<br />
Now turning 16, <strong>Mary</strong> <strong>McCurdy</strong> has come a long way from her first months in the NICU. “She’s<br />
excited to start driving soon,” Beverly <strong>McCurdy</strong> points out. Thanks to Dr. Alvear and Dr. Margaret<br />
Donahue of the NICU, along with all the <strong>PinnacleHealth</strong> staff that assisted in her survival, dreams<br />
like this are coming true for <strong>Mary</strong>.<br />
In attendance and honor with her knights in shining armor, Drs. Domingo and Veneranda Alvear,<br />
<strong>Mary</strong> has been invited to share the spotlight with them on April 21, 2012 at <strong>PinnacleHealth</strong> Auxiliary’s<br />
annual “Club PHantastic” fundraiser. This year’s theme is “Star Light, Star Bright, Shine for a Child<br />
Tonight” and promises to be a spectacular event. As a special contribution to such a special woman,<br />
Taylored for You Bridal Boutique of Mechanicsburg has donated a dress for <strong>Mary</strong> to wear to this<br />
PHantastic event.<br />
All proceeds will go to <strong>PinnacleHealth</strong> Children’s Fund, making it possible for more fairytales to<br />
come true.<br />
If you are interested in attending the <strong>PinnacleHealth</strong> Auxiliary event or want more information,<br />
please call (717) 657-7124. For information about <strong>PinnacleHealth</strong>’s children’s services, visit<br />
pinnaclehealth.org or call (717) 231-8900.<br />
about<br />
Domingo T. Alvear, MD<br />
Since 1965, Dr. Alvear has been<br />
helping children overcome<br />
unbelievable odds with his<br />
delicate surgical skills. His<br />
surgical work has been featured<br />
in newspaper articles, books<br />
and even on an episode of<br />
“Amazing Medical Stories” on<br />
The Learning Channel (TLC).<br />
Dr. Alvear is the founder<br />
and chair of the World<br />
Surgical Foundation, a ream<br />
of surgeons and other<br />
healthcare professionals that<br />
serve people in developing<br />
or impoverished countries<br />
where modern healthcare is<br />
not available or is too costly.<br />
Each year, Dr. Alvear dedicates<br />
himself to at least one mission<br />
trip as well as fundraising<br />
and other support roles.<br />
Patients, and their parents,<br />
find Dr. Alvear to be readily<br />
available for questions and<br />
value his ability to speak to<br />
them in terms they understand.<br />
pinnaclehealth.org 5
ALL vein treatments ARE NOT DONE IN VAIN<br />
Whether multiple pregnancies or a family history of spider and varicose veins have created an<br />
unsightly appearance, or you suffer from discomfort due to a lifestyle or trauma, there is hope in<br />
treating cosmetic and physical venous ailments.<br />
The Capital Region Vein Center (CRVC) offers women and men options in<br />
both inpatient and outpatient treatments for those experiencing leg aching,<br />
heaviness, swelling, physical changes such as skin color, ulcers and restless<br />
leg syndrome. Typical candidates include men and women ages 40–60<br />
(patients can be both younger and older) who find themselves with venous<br />
insufficiency, red spider veins and varicose veins, as well as anyone who must<br />
stand or sit for a lengthy period of time due to a job.<br />
Stuart Pink, MD, medical director for the Capital Region Vein Center, is a<br />
Cardiologist who can diagnose and treat both arterial and venous disease.<br />
Compared to 20 years ago, the latest treatments<br />
for venous disease cause less scaring, pain, and<br />
recovery time.<br />
This also translates to less time required in having to take off work. Common<br />
outpatient procedures include:<br />
• Radio Frequency Ablation (RFA)<br />
• Sclerotherapy<br />
• Phlebectomy<br />
RFA is a medical procedure where heat generated from the high frequency alternating current is<br />
used to treat varicose veins. RFA replaced vein stripping, which had a 3–4 week recovery time. It’s<br />
the most common and preferred treatment at the CRVC. The patient only is restricted the day of the<br />
procedure and does not require general anesthesia. His or her recovery time is less than 24 hours,<br />
and the chance of a complication is less than four percent. Patients are able to return to work the<br />
next day.<br />
CRVC also performs sclerotherapy and phlebectomy to treat varicose veins and spider veins.<br />
Sclerotherapy is a medical procedure used to eliminate varicose veins and spider veins. It involves<br />
an injection of a solution (generally a salt solution) directly into the vein. The solution irritates the<br />
lining of the blood vessel, causing it to swell and stick together, and the blood to clot. Over time,<br />
the vessel turns into scar tissue that fades from view.<br />
Phlebectomy is a treatment for superficial varicose veins. The procedure involves the removal of the<br />
varicose veins through small 2–3mm incisions in the skin overlying the veins. The procedure may be<br />
performed in hospital or outpatient settings.<br />
Based on the individual patient’s complaints and an accurate ultrasound study, Dr. Pink can determine<br />
the root of the problem—whether arterial or venous—and treat the disease with today’s latest<br />
technology.<br />
A referral is only required for RFA or when the individual’s insurance company requires it. Patients<br />
can self refer, but they need to contact their insurance provider prior to scheduling a visit for specific<br />
instructions. Most sclerotherapy and phlebectomies are an out-of-pocket expense; therefore, no<br />
referral required.<br />
If you would like to learn more about the CRVC, visit pacrvc.com or call (717) 920-4500.<br />
6 (717) 231-8900
vitamin D and you<br />
Vitamins are essential nutrients for optimal health. Many times we<br />
think of a vitamin as a daily supplement; however, extra “boosts”<br />
aren’t necessary if proper nutrition is consumed through daily<br />
diet. One essential vitamin that is often overlooked is vitamin D.<br />
Vitamin D is critical in helping to build strong bones and teeth,<br />
and absorb calcium. Without it, bones can become thin, brittle<br />
or misshapen. A deficiency has been associated with an increased<br />
risk of osteoporosis. Sitting in direct sunlight without sunscreen<br />
for twenty minutes is enough to meet the daily requirement.<br />
Sunscreen blocks out UV rays—the same UV rays that your skin<br />
needs to absorb vitamin D.<br />
“Twenty minutes without sunscreen will not lead to sunburn for<br />
most people,” explained Renu Josh MD, Chief Endocrinologist<br />
at <strong>PinnacleHealth</strong>, adding that the benefits it provides such as<br />
improved muscle strength, dental health and cancer prevention<br />
(especially colorectal cancer), are significant.<br />
The normal blood levels of vitamin D are defined as at least<br />
a value. These values differ between summer and winter and<br />
therefore, it is advisable to check levels at winter time when<br />
they may be at their lowest. According to research, people<br />
up to age 50 should take 200 IU, while anyone age 51–70,<br />
400 IU is important. People over 70 should take 600 IU daily.<br />
• mild deficiency is considered 20–30 ng/ml<br />
• moderate deficiency is 10–20 ng/ml<br />
• less than 10 ng/ml is considered severe<br />
• toxicity is usually considered with blood levels greater than<br />
100 mg/gl<br />
Remember, too much of a good thing is not good. Nausea,<br />
constipation, confusion, abnormal heart rhythm and kidney<br />
stones can result in overdoses. It is important to be aware of<br />
your levels so you can be conscious of maintaining your food<br />
intake properly and your need for supplements.<br />
S O U R C E S O F V I TA M I N D<br />
• Sunlight (best source)<br />
• Cod liver oil<br />
• Salmon<br />
• Mackerel<br />
• Tuna or sardines<br />
canned in oil<br />
• Cheese<br />
• Milk, regardless of whether<br />
it’s whole, nonfat, or<br />
reduced fat (nearly all<br />
milk in the U.S. is fortified<br />
with the vitamin)<br />
• Egg yolks<br />
• Beef or calf liver<br />
<strong>PinnacleHealth</strong> offers free screenings for osteoporosis, and<br />
programs to help educate the community how to prevent a<br />
deficiency. Nutritionists are also available to help with diet and<br />
exercise maintenance. The osteoporosis clinic is designed to treat<br />
osteoporosis through comprehensive clinical care, medication<br />
administration and education. The clinic is staffed by an<br />
endocrinologist, nurse practitioner and a nurse educator.<br />
Good vitamin D and calcium intake to maintain bone health is<br />
important at all ages—at a young age for preventative measures<br />
and at an older age for maintenance Osteoporosis affects over<br />
10 million Americans, with women four times more likely to<br />
develop it than men. Studies have also linked vitamin D<br />
deficiency with depression and fatigue, often present in the<br />
winter months, when sun exposure is decreased.<br />
Talk to your physician about your need for calcium and vitamin D.<br />
Also discuss any medications you may be taking to see if they<br />
interfere with the absorption of the these supplements.<br />
<strong>PinnacleHealth</strong> Osteoporosis Clinic<br />
• Treats osteoporosis through comprehensive clinical care<br />
• Diagnoses osteoporosis by use of a DXA scan<br />
• Prescribes oral medication<br />
• Administers IV medication<br />
• Educates patients on the disease, treatment plans, nutrition<br />
and exercise guidelines and fall prevention<br />
• New treatments for people on Bisphosphonates<br />
To learn more about our Osteoporosis Clinic, call (717) 791-2540.<br />
You can also visit pinnaclehealth.org to find more resources.<br />
pinnaclehealth.org 7
family centered maternity care<br />
the new approach<br />
on the maternity unit<br />
for in-room care<br />
After nine months of pregnancy<br />
and preparation, the birth of your<br />
baby can be an exciting time.<br />
At <strong>PinnacleHealth</strong>, we believe<br />
that the first few hours after birth<br />
are an important time for bonding.<br />
From the moment your baby is<br />
born, you will be encouraged<br />
to be involved in his or her care<br />
throughout your hospital stay.<br />
In 2011, <strong>PinnacleHealth</strong> took steps to<br />
advance its goal of excellence in maternity<br />
care. Focusing on the birth of the family,<br />
Family Centered Maternity Care became the<br />
standard practice. Family Centered Maternity<br />
Care is the patient and family experience<br />
throughout the continuum of care that<br />
includes antepartum, intrapartum, postpartum<br />
and post-discharge services. From the<br />
moment your baby is born, mothers and<br />
babies stay together. The baby’s first baths<br />
as well as initial assessments are done<br />
in the mother’s room. “The objective of<br />
Family Centered Maternity Care is to deliver<br />
personalized care that focuses on the needs<br />
of the mother-baby dyad, supports the<br />
birth of a family, and fosters the parent-child<br />
relationship,” explains Marianne Allen MN,<br />
RNC-OB, CNS Clinical Nurse Specialist at<br />
<strong>PinnacleHealth</strong>.<br />
8 (717) 231-8900
Studies show that mothers<br />
and babies being cared for<br />
together during transition<br />
and throughout their<br />
hospital stay results in<br />
best outcomes related to<br />
transition to extrauterine life,<br />
breastfeeding, regulation<br />
of glucose and temperature,<br />
bonding, maternal and<br />
paternal role and identity<br />
development as well as<br />
enhanced learning to care for you and your baby's needs.<br />
Skin-to-skin contact is essential in the healthy<br />
development of the baby and mother<br />
relationship, especially to begin breastfeeding.<br />
<strong>PinnacleHealth</strong> is currently encouraging<br />
exclusive breast milk feeding for all babies<br />
as outlined by The Joint Commission of<br />
Accreditation of Healthcare Organizations<br />
(JCAHO). JCAHO defines exclusive breast milk<br />
feeding as a newborn receiving only breast milk<br />
and no other liquids or solids except for drops<br />
or syrups consisting of vitamins, minerals,<br />
or medicines. Breast milk feeding includes<br />
expressed mother’s milk as well as donor<br />
human milk, which may be fed to the baby by<br />
nursing at the breast or by bottle. JCAHO also<br />
acknowledges although breastfeeding is the<br />
goal for optimal health for your baby, human<br />
milk provided indirectly is still better for baby<br />
than formula. Studies show that breastfeeding<br />
decreases the risk of Sudden Infant Death<br />
Syndrome, allergies, asthma and obesity.<br />
At <strong>PinnacleHealth</strong>, education and support for<br />
breastfeeding is a priority. Skilled nurses on<br />
the Maternity Unit and the Neonatal Intensive<br />
Care Unit assist mothers and babies to learn<br />
to breastfeed. Lactation consultants provide<br />
additional education and support, both in the<br />
REST IS IMPORTANT<br />
for new mothers to help physical<br />
and emotional recovery after<br />
delivery. Some tips to help recovery<br />
and promote breastfeeding while<br />
supporting Family Centered<br />
Maternity Care include:<br />
• Sleep when your baby sleeps<br />
• Place signs on the hospital room<br />
door to remind visitors that it is<br />
quiet time<br />
• Visiting from family and friends<br />
should be balanced with private<br />
time for mother and baby to rest.<br />
(Visiting hours are 12–8 for public;<br />
10–8 for grandparents, 1 support<br />
person for 24 hours)<br />
• Lactation consultants to assist you<br />
and your baby with breastfeeding<br />
education<br />
• Childbirth classes prior to your<br />
baby’s birth<br />
• Physicians and nurses to assist<br />
you during your stay<br />
hospital and after discharge through phone calls and appointments at the <strong>PinnacleHealth</strong><br />
Lactation Clinic. Currently, 75% of mother’s who have their baby at <strong>PinnacleHealth</strong> initiate<br />
breastfeeding during their stay. The goal is to continue exclusive breastfeeding while at home.<br />
After discharge from the hospital, every mother is called by a <strong>PinnacleHealth</strong> nurse within<br />
24-48 hours to provide any additional information as well as reassurance. The partnership<br />
of Pinnacle Health and each new family continues beyond the birth of the baby.<br />
FAMILY CENTERED<br />
MATERNITY CARE<br />
Philosophy +<br />
Core Values<br />
• Each family is unique,<br />
and we recognize<br />
the significance<br />
of a baby's birth.<br />
• Through a family<br />
centered care<br />
approach, we strive<br />
to provide the best<br />
care possible to meet<br />
your expectations<br />
and to promote<br />
well-being.<br />
• We offer an<br />
environment that<br />
supports the birth<br />
of a family and fosters<br />
the parent-child<br />
relationship.<br />
• To meet the needs of<br />
your family, our core<br />
values will guide us to:<br />
Demonstrate our belief<br />
in the dignity and worth<br />
of each person<br />
Deliver personalized<br />
care that is focused<br />
on the physical,<br />
emotional and<br />
spiritual needs<br />
of each family<br />
Encourage families<br />
to be partners in<br />
their care and<br />
decision making<br />
Provide individualized<br />
education to support<br />
the new and growing<br />
family<br />
Nurture healing<br />
environments through<br />
respect, empathy and<br />
compassion<br />
pinnaclehealth.org 9
WHAT WOMEN ARE SAYING<br />
about acupuncture<br />
Today, most women have heard of acupuncture, one of the many modalities of Oriental Medicine (OM). Research has shown that<br />
acupuncture stimulates the release of endorphins and enkephalins, the body’s natural pain-killing chemicals; and this makes acupuncture<br />
a worthy alternative to conventional pain-relieving medication. Additionally, when used in conjunction with the prescription of Chinese<br />
herbs, acupuncture is known to improve a woman’s immune response by balancing the flow of vital energy, Qi, throughout her body.<br />
Through all her stages—menstruation, prenatal, postnatal, menopause—OM can be a woman’s best friend.<br />
“I began seeing Linda for infertility. Within months,<br />
I became pregnant, and she continued to treat<br />
me for the issues that arose during my pregnancy.<br />
I continue to see Linda on a regular basis. She is<br />
incredibly knowledgeable, patient-focused and<br />
Now more than ever, women are expected to take care of<br />
children, spouses, pets, and aging parents, all while she holds<br />
a full-time job, no less. Now, deep into the so-called recession,<br />
any given woman might be the only wage-earner in the family.<br />
At some point, this everyday stress has to take its toll.<br />
cares about my health and well-being.” — KRISTIE B.<br />
One very important yet often-overlooked<br />
indicator of a woman’s health<br />
is her menstrual cycle. Irregular cycles<br />
often indicate something is out of<br />
balance in the body. While this may<br />
be considered normal, the fact is OM<br />
has been used for thousands of years<br />
to regulate the woman’s menstrual<br />
cycle. A regulated cycle will generally<br />
lessen the severity or frequency of<br />
fatigue, pelvic cramps, back pain,<br />
bloating, irritability, depression,<br />
nausea, constipation and headaches.<br />
“When I decided to try<br />
acupuncture with Linda in<br />
2008, I didn’t know what to<br />
expect. I was looking for relief<br />
from depression and anxiety,<br />
irritable bowel syndrome and endometriosis.<br />
Linda’s great care has made all the difference<br />
for me. Acupuncture is now an integral part<br />
of my routine to take care of myself … something<br />
I won’t do without!” — CONNIE B.<br />
10 (717) 231-8900
“My sciatica gave me problems for a number of<br />
years. I started going to Linda about four years ago<br />
and haven't had a problem since. During one of my<br />
regular visits, I had a terrible headache and within<br />
moments of the treatment’s start, the pain was<br />
gone. These are just two of the wonderful benefits<br />
I’ve experienced with my acupuncture treatments.”<br />
“I had one knee replaced about 10 years ago,<br />
and the other knee was giving me problems.<br />
In the short time I’ve been seeing Linda, I<br />
believe the treatments have been a big help<br />
in controlling the pain in that knee.” — HELEN B.<br />
— DEBBIE S.<br />
If there’s only one thing a<br />
woman will notice about another<br />
woman, it’s the other woman’s<br />
shoes. Aside from a poor fit,<br />
what those shoes are walking<br />
on matters. Today, most working<br />
women spend most of their<br />
time on concrete or hardwood<br />
floors, which is certainly bad<br />
for her joints. Wear and tear<br />
is inevitable. For the woman<br />
who prefers not to use<br />
pharmaceutical pain-killers<br />
or wishes to bypass surgery,<br />
acupuncture and Chinese<br />
herbs are viable options,<br />
options free of adverse or<br />
harmful side-effects.<br />
When it comes to “de-stressing” or “balancing,” OM offers<br />
a time-tested remedy: acupuncture. Most stress that a woman<br />
can experience is caused by motion—too much. She is in<br />
the constant mode of “go and do,” forgetting to relax or<br />
re-energize. Acupuncture treatments are excellent vehicles for<br />
transporting her back to “stillness.” For at least thirty minutes<br />
during treatment, there will be stillness; there will be nothing<br />
“inner” moving in relation to the “outer,” because they<br />
become one.<br />
If you have any questions about Oriental Medicine or acupuncture,<br />
or you would like to schedule an appointment, please contact<br />
<strong>PinnacleHealth</strong>’s acupuncturist and certified Wu Ming Qigong<br />
instructor, Linda D’Agostino, LAc, Dipl OM. Linda can offer an<br />
individualized treatment plan to assist you or any member of<br />
your family. Linda treats patients at the Cumberland Campus<br />
at the Fredricksen Outpatient Center, 2025 Technology Parkway,<br />
Suite 211, Mechanicsburg, PA., and at Medical Sciences Pavilion,<br />
Community Campus, 4300 Londonderry Road, Harrisburg, PA.<br />
She can be reached at (717) 319-1259.<br />
pinnaclehealth.org 11
support groups<br />
For information about other support<br />
groups offered by <strong>PinnacleHealth</strong>,<br />
please call PHoneLine at (717) 231-8900.<br />
Anorexia Nervosa and<br />
Associated Disorders<br />
(A.N.A.D.)<br />
Every Wednesday<br />
7–8:30 p.m.<br />
Polyclinic Campus, 6 Landis Building,<br />
2501 North Third Street, Harrisburg<br />
Anxiety: Coping with<br />
Anxiety and Panic (CAP)<br />
2nd Tuesday/month<br />
7–8:30 p.m.<br />
Cumberland Campus,<br />
Fredricksen Outpatient Center<br />
Depression<br />
1st and 3rd Tuesday/month<br />
7–9 p.m.<br />
Trinity Lutheran Church<br />
2000 Chestnut St., Camp Hill<br />
2nd and 4th Tuesday/month<br />
7–9 p.m.<br />
Polyclinic Campus, 6 Landis<br />
Friends of the Heart<br />
<strong>PinnacleHealth</strong> invites you to learn<br />
more about heart failure and share ideas<br />
with others. Each month there is a new<br />
educational topic and guest speaker<br />
followed by an interactive discussion.<br />
Our experienced healthcare professionals<br />
attend each session. Free parking is<br />
available in the visitor’s parking garage.<br />
Simply bring your ticket to the meeting<br />
for validation. Friends and family members<br />
are welcome. Please call (717) 231-8445 to<br />
reserve your spot or for more information.<br />
4th Thursday/month<br />
2–3 p.m.<br />
<strong>PinnacleHealth</strong> Community Campus<br />
Rehab Hospital, Conference Room 1<br />
4300 Londonderry Road, Harrisburg<br />
Heartstrings<br />
A perinatal bereavement support<br />
group for those who have experienced<br />
a pregnancy loss or newborn death.<br />
Two registered nurses, who are also<br />
perinatal bereavement counselors,<br />
facilitate meetings. No registration<br />
required. Call (717) 782-5906 or<br />
(717) 221-6268 for more information.<br />
4th Tuesday/month<br />
7–8:30 p.m. FREE<br />
<strong>PinnacleHealth</strong> Community Campus<br />
I Can Cope<br />
A free educational support group for<br />
adults facing cancer—either personally, or<br />
as a friend or family caregiver. Upcoming<br />
topics include Managing Effects of Illness<br />
and Treatment, Nutrition, Mobilizing<br />
Support and Keeping Well in Mind and<br />
Body. Choose to attend a single session<br />
or the full series. Call PHoneLine at<br />
(717) 231-8900 to register.<br />
Tuesdays beginning March 13<br />
through June 2012<br />
6–7:30 p.m.<br />
<strong>PinnacleHealth</strong>-Fox Chase<br />
Regional Cancer Center<br />
Community Campus,<br />
4300 Londonderry Road, Harrisburg<br />
Infertility Journey<br />
A general infertility, peer-led support<br />
group sponsored through RESOLVE, a<br />
national non-profit organization designed<br />
to support and educate women and<br />
couples struggling with infertility. This<br />
support group is open for women and<br />
couples who would like the opportunity<br />
to connect with other individuals going<br />
through infertility. A topic within infertility<br />
will be presented at each meeting to help<br />
facilitate discussion.<br />
4th Monday beginning October 24<br />
6–8 p.m.<br />
Linglestown GIANT Community Center<br />
Moms Navigating<br />
Through Life<br />
A therapy group dealing with the<br />
transition into and through all stages<br />
of motherhood. Children are welcome.<br />
Most insurances cover the cost of<br />
group therapy. To register or for more<br />
information, please call <strong>PinnacleHealth</strong><br />
Psychological Associates at (717) 231-8360.<br />
Thursdays<br />
Noon–1 p.m.<br />
$45/session<br />
Stroke<br />
2nd Wednesday/month<br />
10–11:30 a.m.<br />
Conference Room 1, Second Floor,<br />
<strong>PinnacleHealth</strong> Community Campus<br />
new mom<br />
networks<br />
An informal time of sharing and support<br />
for new mothers. These groups are<br />
facilitated by an experienced nurse in<br />
maternal/child health, infant massage<br />
and lactation. Join other new moms<br />
and parents for one of these groups.<br />
No older children please.<br />
New Mom Network I<br />
For new moms and their<br />
0–9 month-olds<br />
1–2:30 p.m. FREE<br />
Every Monday: Linglestown GIANT<br />
Super Food Store Community Center<br />
Every Tuesday: Camp Hill GIANT<br />
Super Food Store Community Center<br />
11 a.m.–12:30 p.m. FREE<br />
New Mom Network II<br />
For new moms and their<br />
10–16 month-olds<br />
1–2:30 p.m. FREE<br />
Every Monday: Linglestown GIANT<br />
Super Food Store Community Center<br />
WomanCare lifetime members will receive early notification. For more information about <strong>PinnacleHealth</strong> classes,<br />
programs and upcoming events, please call PHoneLine at (717) 231-8900 or visit pinnaclehealth.org.<br />
12 (717) 231-8900
New Mom Network III<br />
For new moms and their<br />
18–24 month-olds<br />
10–11:30 a.m. FREE<br />
Mondays: Linglestown GIANT Super<br />
Food Store Community Center<br />
Working Moms Network<br />
(Evenings)<br />
Informally discuss the challenges of<br />
returning to the workplace, along with<br />
some tips on how to adjust. For moms<br />
who work outside the home and their<br />
babies. Facilitated by working moms.<br />
2nd and 4th Wednesday/month<br />
6–7 p.m. FREE<br />
Linglestown GIANT Super Food Store<br />
Community Center and Camp Hill<br />
GIANT Super Food Store Community<br />
Center<br />
classes<br />
and events<br />
Total Joint Replacement*<br />
Whether it's a knee, hip or shoulder,<br />
<strong>PinnacleHealth</strong>’s orthopedic physicians<br />
and specialists have the expertise to<br />
identify the most effective treatment for<br />
your condition. If you think a joint<br />
replacement is on your horizon, please<br />
attend this seminar and learn more from<br />
Ronald Lippe, MD, orthopedic surgeon.<br />
May 2<br />
7 p.m. FREE<br />
Camp Hill GIANT Super Food Store<br />
Vitamin D & Supplements—<br />
How Much is Enough*<br />
Get the facts on vitamins you may need<br />
and how to meet those needs through<br />
nutrition and supplements from by<br />
Renu Joshi, MD, Chief of Endocrinology<br />
at <strong>PinnacleHealth</strong>, and Ashlee Hughes,<br />
RN, LDN.<br />
May 10<br />
7 p.m. FREE<br />
Camp Hill GIANT Super Food Store<br />
*Registration required. To register,<br />
call PHoneLine at (717) 231-8900<br />
or call toll-free 877-499-3299.<br />
Expert Advice On<br />
Weight Management*<br />
Learn more about how you can<br />
improve your quality of life and resolve<br />
obesity-related medical illnesses from<br />
Anuj Prashar, DO, Bariatric Surgeon,<br />
<strong>PinnacleHealth</strong> Weight Loss Center.<br />
April 19<br />
7 p.m. FREE<br />
Camp Hill GIANT Super Food Store<br />
May 24<br />
7 p.m. FREE<br />
Linglestown GIANT Super Food Store<br />
Capital Area<br />
Girls on the Run ® 5K NEW!<br />
Girls on the Run ® is a life-changing,<br />
character development program<br />
for girls in 3rd through 8th grade.<br />
This is a family, friendly event. All<br />
are invited to run! Register online at<br />
capareagirlsontherun.org. To learn<br />
more, visit pinnaclehealth.org.<br />
Saturday, May 19<br />
Registration at 9 a.m.<br />
Run begins at 10 a.m.<br />
<strong>PinnacleHealth</strong> Fredricksen Outpatient<br />
Center, Mechanicsburg<br />
Rainbows: Pregnancy After<br />
Loss Support Group<br />
Provides parent support to families<br />
who have had pregnancy losses and<br />
are considering becoming pregnant<br />
again, are currently pregnant, or have<br />
recently given birth. No registration<br />
or fee is required to attend. For more<br />
information, please contact Marianne<br />
Allen at (717) 782-5906 or Carole Brtalik<br />
at (717) 231-8916.<br />
2nd Thursday/month<br />
March 8–December 13<br />
7:00–8:30 p.m.<br />
Rehab Building<br />
<strong>PinnacleHealth</strong> Community Campus,<br />
second floor Conference Room<br />
May 14<br />
Women’s Check-Up Day*<br />
Schedule your annual physical today! For<br />
information about physicians, call PHoneLine<br />
at (717) 231-8900. Space is limited.<br />
Twins, Triplets, & More*<br />
This two-evening class, for parents<br />
expecting multiples, is recommended<br />
for the second trimester. The class is<br />
intended to supplement a regular<br />
childbirth class, with information specific<br />
to your family’s unique needs. It is also<br />
for parents who already have children<br />
and are now expecting multiples. Class<br />
includes information about the different<br />
types of twinning, the process of labor<br />
and birth with multiples, what you need<br />
“two or more” of, feeding multiple<br />
babies, and ways of supporting the<br />
new family postpartum. A tour of the<br />
Neonatal Intensive Care Unit (NICU)<br />
and Newborn Nursery is included.<br />
Registration fee: $50 (includes partner).<br />
Tuesdays, 6:30 – 8:30 p.m.<br />
May 8 and May 15<br />
August 7 and August 14<br />
<strong>PinnacleHealth</strong> Harrisburg Campus,<br />
Brady Building<br />
206 S. Front Street, Harrisburg<br />
The Happiest Baby*<br />
Join the growing number of parents<br />
using Dr. Harvey Karp’s method to calm<br />
their crying babies. In a single class you<br />
will learn Dr. Karp’s secrets for making<br />
babies happy. Practice the 5 S’s used<br />
to engage your baby’s “calming reflex.”<br />
These techniques are most beneficial<br />
for babies birth to two months of age.<br />
Childbirth and lactation educators<br />
teaching this class have completed the<br />
Happiest Baby Certification Program.<br />
Class fee includes “The Happiest Baby<br />
on the Block” DVD and “Soothing<br />
Sounds” CD. Registration fee: $35.<br />
Wednesdays, 6:30 – 8:30 p.m.<br />
May 16<br />
July 18<br />
September 19<br />
Camp Hill GIANT Super Food Store<br />
may is women’s health month!<br />
May 23<br />
Third Annual Tea for Mammograms*<br />
2–4 p.m., West Shore Country Club, Camp<br />
Hill. Call PHoneLine at (717) 231-8900 for<br />
more information. Space is limited.<br />
pinnaclehealth.org 13
HAVE YOU REGISTERED for<br />
My <strong>PinnacleHealth</strong> today<br />
Did you know that <strong>PinnacleHealth</strong> has created a new website with personalized features just for<br />
you In fact, when you join “My <strong>PinnacleHealth</strong>” you can create your own personalized homepage<br />
with information that interests you.<br />
Here are just a few of the benefits of creating a My <strong>PinnacleHealth</strong> account:<br />
What Interests You<br />
Select only information that interests you from 12 interests<br />
Channels:<br />
• Pregnancy & Childbirth<br />
• Weight Loss & Nutrition Orthopedics<br />
• Heart, Vascular & Lung Care<br />
• Women’s Health<br />
• Children’s Health<br />
• Cancer Care<br />
• Family & Specialty Care<br />
• Wellness & Prevention<br />
• Back & Spine Care<br />
• Neurological Care<br />
• Diabetes Care<br />
• Around <strong>PinnacleHealth</strong><br />
Information and tools relative to your interests in<br />
My <strong>PinnacleHealth</strong> updates every two weeks. You’ll also have<br />
regular health e-newsletters emailed to you on a monthly basis.<br />
Do you have your doctor’s information<br />
all in one place<br />
When you customize your own homepage you can add your<br />
doctors from our doctor database so you have easy access to<br />
their information when you need it. You can also:<br />
• Keep track of your appointments<br />
• Add notes for your doctors<br />
• Save health articles and information to share with your doctor<br />
What’s your BMI Are you at risk for a heart attack<br />
When you join My <strong>PinnacleHealth</strong>, you’ll have access to regular<br />
tools, quizzes, health trackers and videos that can help you manage<br />
your health.<br />
Are you getting your daily dose<br />
Sign up for My <strong>PinnacleHealth</strong> and get a “Daily Spoonful”—<br />
a daily health tip to keep you thinking about making the right<br />
choices for living a healthy life.<br />
Have a health-related question<br />
Join a discussion board and connect with others going through<br />
the same health issue you are. Look for opportunities to ask a<br />
doctor a question and share on social media with your friends.<br />
Join today at pinnaclehealth.org/registration<br />
Join “My <strong>PinnacleHealth</strong>”<br />
for a personal experience.<br />
pinnaclehealth.org 15
staying calm: PREVENTING SHAKEN BABY SYNDROME<br />
Parenthood is both exciting<br />
and challenging! From the<br />
time your baby first opens<br />
its eyes, to its first step and<br />
even first date, later in life;<br />
parenthood is a continual<br />
learning process. As many of<br />
us know, being a parent is the<br />
hardest job you will ever have,<br />
but also the most rewarding.<br />
Understanding Your Baby<br />
The first few weeks being home from the<br />
hospital with your newborn baby can be<br />
a scary time. With so much to learn and<br />
do, it can be overwhelming. The most<br />
important thing to know and to remember<br />
is that you are not alone. Along with the<br />
joy of parenting, there will be moments<br />
of frustration, sadness and possibly even<br />
anger. A fleeting feeling of anger can<br />
be normal, but you must have a support<br />
plan to help you stay balanced. Staying<br />
balanced will help you manage emotions<br />
and decrease the incident of Shaken<br />
Baby Syndrome (SBS). SBS, also known<br />
as abusive head trauma (AHT) is caused<br />
by the violent shaking of an infant or<br />
young child. Shaking a baby can result in<br />
brain damage, paralysis, seizures, loss of<br />
hearing, learning disabilities or death.<br />
<strong>PinnacleHealth</strong> System was one of the<br />
first hospitals to partner with Pennsylvania<br />
Shaken Baby Syndrome Prevention<br />
& Awareness Program in 2004. The<br />
project promotes the ability of medical<br />
professionals to recognize cases of SBS.<br />
Raising awareness of the issue is the first<br />
step towards making a difference.<br />
16 (717) 231-8900
In the first two to three months, crying is at a peak in the baby’s<br />
development Crying is absolutely normal, even for a prolonged<br />
period. Being aware that parenthood is going to be hard is the<br />
first step to preventing SBS. “Many parents get home after<br />
having help from medical staff and feel completely overwhelmed,”<br />
says Norine Tamborino RN, Performance Improvement at<br />
<strong>PinnacleHealth</strong>. “Have a support plan even before going into<br />
the hospital.”<br />
baby. While it is important to accept help or take a break when<br />
you are stressed, it’s also important to remember as parents you<br />
are the ‘A-Team’ for the baby’s care,” says Tamborino. The “B”<br />
team, made up of grandparents and friends, are responsible for<br />
the household basics. There are many “mommy and me” and<br />
play groups you can get involved in. This way, you can spend time<br />
with your baby while socializing with other parents going through<br />
the same things you are.<br />
Support Plan<br />
Before going to the hospital<br />
to have your baby, it will be<br />
helpful to have a phone list of<br />
people you trust and can call<br />
for support. If you cannot reach<br />
a friend and you’re feeling<br />
overwhelmed, put your baby<br />
in a safe place, like a crib,<br />
and step outside and take a<br />
deep breath, rebalance your<br />
emotions and remember: it<br />
gets easier. No one is an expert<br />
of your babies. Within relatively<br />
a short time you will become<br />
the expert of your child.<br />
“Nurses should advise new<br />
parents on how to comfort a<br />
crying baby. Sharing personal<br />
experiences helps parents<br />
realize that even professionals<br />
caring for babies have the same<br />
issues and deal with the same<br />
stresses,” explains Tamborino.<br />
Don’t ever leave the baby with someone you do not trust. Even<br />
a close friend or relative can lose their patience when stressed,<br />
especially if they are normally known to have a hot temper. Asking<br />
someone for help whom you trust is key. Even as a parent, you<br />
must be able to walk away for twenty to thirty minutes when you<br />
are feeling overwhelmed. Take a deep breath to regain a sense<br />
of peace. You must take care of yourself in order to take proper<br />
care of your baby. Relationships can suffer during this time as<br />
well. Schedule a date night with your partner to help keep your<br />
marriage balanced as well.<br />
While accepting help is recommended, it is also crucial not to<br />
accept too much help. During the first few months of your baby’s<br />
life, you and your baby are learning to work together. The baby<br />
is establishing a schedule while you are learning their cues to<br />
meet their needs. This process is critical in strengthening your<br />
confidence. “Don't let well meaning family and friends hog the<br />
Even as a parent,<br />
you must be able to<br />
walk away for twenty<br />
to thirty minutes<br />
when you are feeling<br />
overwhelmed. Take a<br />
deep breath to regain<br />
a sense of peace.<br />
Team Work<br />
Raising your baby takes a<br />
team approach. Whether the<br />
mom is at home during the<br />
first few months, while the<br />
dad is at work or vice versa,<br />
sharing responsibility is a<br />
must. Work as a team to care<br />
for your baby. Schedule time<br />
for lunch with friends and<br />
have the other parent do<br />
housework and take care of<br />
the baby. Don’t feel guilty for<br />
being out and enjoying some<br />
quiet time. Responsibility is<br />
shared and the time will help<br />
relieve stress and make you<br />
a better parent. Make sure<br />
to take turns; teamwork is<br />
the best approach to a<br />
healthy family.<br />
<strong>PinnacleHealth</strong> is committed<br />
to building strong families.<br />
There are about 4,200 infants<br />
delivered at Harrisburg<br />
Hospital each year. Since 2006, every new family is provided<br />
with education from a Registered Nurse, pamphlets explaining<br />
methods to comfort a crying baby, a DVD entitled, “Portrait of<br />
Promise,” which illustrates personal stories, consequences of<br />
violent shaking, and positive parenting techniques for prevention.<br />
Parents are asked to sign a voluntary commitment statement by<br />
the Registered Nurse. The form validates that the parents have<br />
received, read and understand the information given about SBS.<br />
A copy is given to the parents and a copy is placed in the infant<br />
birth record.<br />
For more information about SBS or <strong>PinnacleHealth</strong> services,<br />
visit pinnaclehealth.org. If you or someone you know need help<br />
managing stress or anger to prevent any harm to your/their<br />
baby, call the Pennsylvania Department of Health CONNECT<br />
line at 1-800-692-7288.<br />
pinnaclehealth.org 17
WHAT’S YOUR FAVORITE<br />
springtime activity OR tradition<br />
18 (717) 231-8900
take an active role IN YOUR HEALTHCARE!<br />
Now you can securely access<br />
portions of your medical record<br />
electronically.<br />
The Health Information Exchange (HIE) Patient<br />
Portal assists <strong>PinnacleHealth</strong> in providing the<br />
highest quality care to better serve your needs.<br />
The Patient Portal contains documents and<br />
information that will assist you in continuing<br />
your healthcare needs and knowledge outside<br />
of the doctor’s office. Participating physician<br />
offices also have the capability to receive<br />
requests for refills through the Patient Portal.<br />
“The Patient Portal provides a new aspect of<br />
integrated care to our patients,” explains Joel<br />
Arker, Director of Strategic Tech Services at<br />
<strong>PinnacleHealth</strong>. “Patients can view, print and store portions of their<br />
electronic medical record. As technology continues to evolve and the<br />
industry grows at a rapid pace, it makes sense for us to be serving our<br />
patients not only in person, but electronically as well.”<br />
Registration is being accepted at your participating FamilyCare offices,<br />
as well as any <strong>PinnacleHealth</strong> outpatient laboratory draw sites. All<br />
you need is a valid government issued photo ID and email address.<br />
For more information, visit pinnaclehealth.org and click on<br />
My Medical Records.<br />
FREE!<br />
Easy to use!<br />
pinnaclehealth.org 19
physician focus:<br />
<strong>PinnacleHealth</strong> and the da Vinci ®<br />
A Q&A with Robert DelRosario, MD,<br />
and Gregory S. Willis, DO<br />
Just as both of these doctors are committed to providing the best care for their patients,<br />
<strong>PinnacleHealth</strong> is committed to providing the latest technology and training for the doctors<br />
working to get them back to optimal health. That’s exactly what the da Vinci ® Surgical System<br />
can do. Minimally invasive surgery with the da Vinci allows a patient to get back on her feet<br />
faster, reduces the risk for infection and complications, and provides the freedom to return<br />
to her family or daily routine faster than ever before.<br />
Below, Dr. Robert DelRosario, Obstetrics & Gynecology (left), and Dr. Gregory S. Willis,<br />
Gynecologic Oncologist, <strong>PinnacleHealth</strong> Women’s Cancer Center, explain the technology,<br />
who is eligible, how it works and what it means both to women and the surgeons who<br />
help them.<br />
Describe what “minimally invasive” means when using the da Vinci SI<br />
Surgical System.<br />
Unlike traditional surgery, which involves making a large incision in order to operate,<br />
minimally invasive surgery means doing the same procedures through small incisions with<br />
less pain, less blood loss, shorter hospital stays, fewer complications and better accuracy. The<br />
da Vinci robotic technology offers improved precision and less abdominal wall trauma. This<br />
translates into more complete surgeries with less pain and fewer complications. – DR. WILLIS<br />
The instruments are able to move in many directions simulating all those of a human hand<br />
when using the da Vinci robot. Doctors gain the “minimal” incision of laparoscopy, with<br />
the “hand-movement” capability of traditional “open” surgery. In laparoscopic<br />
surgery, doctors place instruments through small incisions allowing for some<br />
rotational type capabilities; but, in a “left-to-right” direction, move<br />
somewhat akin to chopsticks. Their movements are visible via a small<br />
camera also placed through a small incision. – DR. DELROSARIO<br />
What kinds of procedures are possible with the da Vinci<br />
In Gynecologic Oncology, the da Vinci technology has been a game<br />
changer. We are routinely performing cancer staging hysterectomies,<br />
radical hysterectomy, lymph node dissections, appendectomy,<br />
ovarian cancer staging and restaging. We are using da Vinci for<br />
difficult endometriosis, obese patients and uterine fibroids. These<br />
are all done traditionally by open surgery, but da Vinci offers a<br />
distinct advantage. – DR. WILLIS<br />
In my field, some of my most common procedures that can<br />
be done with da Vinci include hysterectomies, myomectomies<br />
(removal of fibroids of the uterus), surgery for pelvic floor prolapse<br />
and endometriosis. I feel it can replace nearly every gynecologic<br />
surgery where a large incision would be otherwise required and<br />
offers improved dissection and visualization in many cases where<br />
traditional laparoscopy would be used. – DR. DELROSARIO<br />
Who is a candidate for these procedures<br />
In gynecology, if surgery is indicated and the approach would have required<br />
a large incision, many of these patients are excellent candidates for robotic<br />
surgery. In many laparoscopic surgical cases, the da Vinci offers a better surgical<br />
access than the traditional approach. – DR. DELROSARIO<br />
20 (717) 231-8900
SI Surgical System Provide Women with Options<br />
Women who are not medically contraindicated to high<br />
abdominal pressure, have reasonable cardiac and lung function<br />
and are not overly complex in regards to adhesions from previous<br />
surgeries and tumor or uterine size are good candidates for<br />
robotic surgery. – DR. WILLIS<br />
How do you maneuver the machine Is the surgeon<br />
really operating the machine<br />
The da Vinci is “docked” by the surgeon who places the small<br />
ports in the abdomen. The surgeon then sits down at a console<br />
with a 3D view of the abdomen. In real time, the surgeon uses<br />
the robotic instruments to perform the operation. The robot does<br />
not move without the surgeon in complete control. This is kind<br />
of like a high tech video game, but far superior to the surgeon’s<br />
hands and eyes. The robot does not fatigue, and the vision is<br />
magnified to ten times the magnification of the naked eye.<br />
We can even see the blood circulate in capillaries! – DR. WILLIS<br />
What benefits do the patients receive in having<br />
minimally invasive surgery<br />
For me, reduction in a woman’s recovery time has<br />
been the most rewarding aspect of robotic surgery.<br />
Compared to the woman who is healing from a large<br />
incision, I have had many da Vinci patients return to<br />
work within 1–2 weeks with full recovery by 3–4 weeks,<br />
as opposed to a full six weeks for both with traditional<br />
surgery. I greatly appreciate the burden of surgery and<br />
the patient’s recovery can place upon a person and her<br />
family. Having minimally invasive options reduce this<br />
burden dramatically. Many women wear several hats—<br />
mother, wife, employee and friend. When one woman<br />
is “down” due to surgery, we need to replace the<br />
responsibilities of four people! I always say<br />
bringing the “captain back to her crew”<br />
will benefit the entire ship. This means<br />
being back to 100% by 2–3 weeks, not<br />
beginning to ease into your life at six<br />
weeks (as we had with traditional open<br />
surgery.) – DR. DELROSARIO<br />
The benefits of minimally invasive surgery<br />
are: smaller incisions, far less pain, fewer<br />
wound related complications, shorter hospital<br />
stays, less time off of work, and more<br />
thorough cancer staging operations. In our<br />
practice, 60% of women who have radical<br />
cancer surgeries with the da Vinci require<br />
zero narcotic pain medications after discharge.<br />
Ninety plus percent of these women are<br />
discharged after a single night’s hospital stay.<br />
Those who stay longer are usually kept for<br />
medical (non-surgical) indications. – DR. WILLIS<br />
Historically, what used to be done gynecologically<br />
when women needed a hysterectomy, for instance<br />
In comparing today’s hysterectomies with those from many years<br />
ago, I must say that hysterectomies are now the final stop, when<br />
a multitude of more conservative measures have failed. Robotic<br />
surgery has helped reduce the pain, blood loss, infection rate,<br />
scarring, and recovery time compared with the older approach.<br />
The da Vinci platform is the state-of-the-art robotic device for<br />
surgery of both benign and malignant gynecologic conditions.<br />
Nearly every surgery we would have performed with a large<br />
incision can be formed with the use of this device. Many surgeries<br />
we performed with traditional laparoscopic instrumentation, we<br />
can perform more precisely with this technology. – DR. DELROSARIO<br />
In the good old days of gynecologic oncology, the surgical<br />
needs of our patients were accomplished with the use of large<br />
abdominal incisions. This usually required a three-to-four day<br />
plus hospital stay and significant level of pain, blood loss and<br />
related infection and complication rate. Particularly<br />
for obese women, the open approach<br />
represented a significant challenge and<br />
sometimes very protracted recovery. We are<br />
constantly increasing the type and complexity<br />
of patient that we are able to safely offer<br />
the benefits of da Vinci. – DR. WILLIS<br />
For more information about the<br />
da Vinci Surgical System, visit<br />
pinnaclehealth.org/robotic.aspx.<br />
pinnaclehealth.org 21
specialized rehabilitation services<br />
A T<br />
P I N N A C L E H E A L T H<br />
“There is a place for you anywhere at <strong>PinnacleHealth</strong>,” says Ted Yanchuleff, PT, ATC, MPA,<br />
Manager, Outpatient Rehab Services. “Regardless of setting—whether it's acute care, rehabilitation,<br />
occupational therapy, or home care—we are a full-fledged entity providing leading services in<br />
the area.”<br />
Whether you need relief from carpel tunnel syndrome, aching joints felt in every day activity or<br />
you’ve suffered a stroke or other traumatic injury, our team is committed to return you to good<br />
health and a functional lifestyle. While treatments range from medication or therapy to surgery,<br />
the focus remains the same—patient-focused care.<br />
Patient-focused care means meeting the needs of every patient during every stage of their<br />
rehabilitation process. At <strong>PinnacleHealth</strong>, we provide a full range of advanced rehabilitative care,<br />
using the latest technology and techniques. We also offer specialized services for core programs<br />
including Brain or Nerve Injury/Disorders, Cancer/Lymphedema, Cardiac Rehabilitation, Hand<br />
and Upper Extremity Disorders, Orthopedic Rehabilitation and McKenzie Method Spine Center<br />
Program.<br />
Three Hydroworx pools (like those used by the Philadelphia<br />
Eagles) can be found at three convenient locations: Dillsburg,<br />
Fredricksen Outpatient Center, and at the Helen M. Simpson<br />
Community Campus location.<br />
“Our vision is simple—we want to meet the needs of the<br />
community. We have the most qualified and convenient<br />
rehabilitation program just 10 minutes or 10 miles from your<br />
home or work,” Yanchuleff says.<br />
Whether you live on the East or West Shore, the goal with every<br />
patient, every time is producing excellent outcomes, increasing<br />
patient satisfaction, and providing unsurpassed, leading<br />
rehabilitation care—in both traditional and specialty services.<br />
Our two acute care facilities (on the Community Campus and<br />
at Harrisburg Hospital) offer patients a full range of rehabilitative<br />
services on site including physical, occupational, and speech<br />
therapy. What is particularly special about <strong>PinnacleHealth</strong> and its therapy services are the specialty<br />
programs—many of which people do not know about until they find they or a loved one needs it.<br />
<strong>PinnacleHealth</strong> Spine Centers are two of less than 30 Certified McKenzie Clinics in the U.S. This<br />
comprehensive therapeutic program is based on the cause and effect relationship between pain<br />
and pain response, often resulting in a reduced number of physical therapy visits for the patient.<br />
For patients with hand and upper extremity pain, simple tasks such as carrying groceries, driving,<br />
working at a computer or gardening can become impossible. Whether your situation is postoperative<br />
or injury-related, our hand/wrist orthopedic treatments on the Fredricksen and Community<br />
Campuses can get you back to self-sufficiency.<br />
From assessments and diagnosis to traditional and post-surgical therapies, the high level of<br />
core care and one-on-one individual treatment given to each patient is both special and unique<br />
according to Yanchuleff, “Once you’re in the system, you generally will see the same therapist and<br />
receive that continuity of care.”<br />
We want the community to know us before they need us. In doing so, people should know<br />
about the breadth and depth of rehabilitation and therapeutic services in their own backyards.<br />
<strong>PinnacleHealth</strong> is with every patient through their recovery process.<br />
Whether you’re recovering<br />
from a broken bone<br />
or complex surgery,<br />
<strong>PinnacleHealth</strong> Physical<br />
Medicine and Rehabilitative<br />
Services offer seven core<br />
programs to support a<br />
wide range of care, including<br />
treatment for brain or<br />
nerve injury, cancer, cardiac<br />
conditions, hand and upper<br />
extremity problems, spine<br />
conditions, and orthopedic<br />
injuries.<br />
Our comprehensive<br />
rehabilitation services are<br />
listed below and vary from<br />
location to location. Visit<br />
pinnaclehealth.org/rehab<br />
for details and locations.<br />
• Amputee<br />
• Aquatics<br />
• Arthritis<br />
• Balance & Vestibular Center<br />
• Body Mechanics/<br />
Postural Evaluation<br />
• Chronic Pain Management<br />
• Cognitive Rehabilitation<br />
• Dizziness<br />
• Hand therapy<br />
• Horticultural Therapy<br />
• Musculoskeletal Disorders<br />
• Neurological Evaluation<br />
and Treatment<br />
• Neurological Aquatics<br />
• Neurological Disease<br />
• Occupational Therapy<br />
• Physical Therapy<br />
• Prosthetic/Orthotic<br />
• Pulmonary Rehab<br />
• Speech, Hearing and<br />
Swallowing, Adult<br />
• Spinal Mobilization<br />
• Sports Medicine<br />
• Stroke Rehabilitation<br />
• Wheelchair Seating<br />
and Sizing<br />
22 (717) 231-8900
<strong>PinnacleHealth</strong> System<br />
P.O. Box 8700<br />
Harrisburg, PA 17105-8700<br />
Non-Profit Org.<br />
U.S. Postage<br />
PAID<br />
Harrisburg, PA<br />
Permit No. 600<br />
FREE Lifetime WomanCare Connection<br />
B E N E F I T S A N D P R I V I L E G E S<br />
• Subscription to EveryWoman<br />
magazine, published twice a<br />
year which includes a calendar<br />
of events, list of services and<br />
support groups<br />
• Free health counseling with nurse<br />
educator by phone or in person<br />
• Access to speaker’s bureau for<br />
businesses or community groups<br />
• Priority notice about special<br />
membership events held<br />
throughout the year<br />
• Connection to <strong>PinnacleHealth</strong><br />
physician and service referrals<br />
• Fifty percent discount annual<br />
cardiac risk assessment includes<br />
a bone density screening<br />
(usually $20)<br />
• Discount on select services<br />
and women’s midlife health<br />
assessment<br />
Join online at pinnaclehealth.org/wcmembership or call (717) 231-8900.