Exclusive Interview - Trinitas Hospital
Exclusive Interview - Trinitas Hospital
Exclusive Interview - Trinitas Hospital
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Winter 2009<br />
<strong>Exclusive</strong> <strong>Interview</strong><br />
Caroll Spinney<br />
Beyond Feathers and Fur<br />
Walking Tall Again<br />
Partial Implant Puts<br />
Patients on the Go<br />
HealthWise<br />
News You Can<br />
Use For Your<br />
Good Health<br />
Photo Credit: Victor DiNapoli
Welcome to…<br />
Magazine<br />
WINTER 2009<br />
<strong>Trinitas</strong> Regional Medical Center begins 2009 with a commitment to providing outstanding health care services to<br />
the community even as our organization is experiencing the stresses of the difficult economic climate. Our long history<br />
of health care services for citizens of Elizabeth, Union County and the entire Central New Jersey region continues to<br />
energize us.<br />
Our new name sends a powerful message as we move forward with a committed work force of medical, nursing and<br />
health care professionals and an array of exemplary services at our 10 Centers of Excellence. This year, our medical staff<br />
is welcoming new members in the specialities of oncology and urology. In addition, our investment in the most<br />
advanced tools for surgery — the DaVinci Robotics system and RapidArc - the newest development in radiation therapy<br />
— makes it clear that we intend to create an environment rich in cutting-edge technology. We plan to make prudent<br />
fiscal decisions to maintain our position as a thriving health care organization in a climate in which other facilities are<br />
experiencing dramatic changes and closures.<br />
In keeping with our redefined identity as a regional medical center, there will be additional exciting developments<br />
throughout 2009. We’re building on past successes of this decade and look forward with anticipation to celebrating<br />
our 10th anniversary in 2010.<br />
Enjoy this issue of HEALTHYEDGE which provides a glimpse of the novel and innovative surgical procedures and<br />
state-of-the-art treatments that we offer. There is also upbeat coverage about how we encourage and support women<br />
who are facing the challenge of cancer. And, if you’ve ever wondered about the heart and soul of Big Bird and Oscar<br />
the Grouch of Sesame Street, you'll meet the human beneath the feathers and fur in our exclusive interview.<br />
On behalf of our entire organization, I wish you good health in 2009. But rest assured that if you need medical care<br />
<strong>Trinitas</strong> Regional Medical Center is here with quality care for body, mind and spirit.<br />
Sincerely,<br />
Gary S. Horan, FACHE<br />
President & CEO<br />
WINTER 2009 1
CONTENTS<br />
WINTER 2009<br />
Victor M. Richel<br />
Chairman, <strong>Trinitas</strong> Health & <strong>Hospital</strong><br />
Board of Trustees<br />
Gary S. Horan, FACHE<br />
President & CEO, <strong>Trinitas</strong> <strong>Hospital</strong><br />
HEALTHYEDGE STAFF<br />
Executive Editor. . . . . . . . . . . . Doug Harris<br />
Director of Public Relations and Marketing<br />
Editor . . . . . . . . . . . . . Kathryn C. Salamone<br />
Manager, Public Relations and Marketing<br />
Contributing Writers . . . . . . . . Bob Badner,<br />
Julie Jacobs, Rena Sandberg, Judith Trojan<br />
Contributing Photographers . Doug Harris,<br />
Al Kruper, Kathryn C. Salamone,<br />
Paul Schneck<br />
Graphic Design . . . . . . . . . . Jama Bowman<br />
ADVERTISING INQUIRIES:<br />
Rob Rubilla<br />
(908) 337-3276<br />
LETTERS TO THE EDITOR:<br />
Healthy Edge<br />
Public Relations Department<br />
<strong>Trinitas</strong> <strong>Hospital</strong><br />
225 Williamson Street<br />
Elizabeth, New Jersey 07207<br />
If you are not interested in your copy of<br />
HEALTHYEDGE which is sent to you free of<br />
charge, please feel free to pass it along to<br />
someone else.<br />
2 HEALTHYEDGE<br />
FEATURES<br />
3 Beyond Feathers and Fur<br />
<strong>Interview</strong> with Caroll Spinney of Sesame Street<br />
10 Walking Tall Again<br />
Innovative Appliance Supplies Relief for Knee Pain<br />
13 HealthWise<br />
News You Can Use for Your Good Health<br />
26 Nursing Care in the Battle Against Addictions<br />
28 Advanced Images Help Improve Cardiac Diagnoses<br />
30 Sisters of Charity Bring Thoughtful Caring<br />
to Special Ministries<br />
33 Singing the Praises of <strong>Trinitas</strong> Regional<br />
Medical Center<br />
38 Cancer Survivors Put Best Foot Forward<br />
IN EVERY ISSUE<br />
24 Community Calendar<br />
34 Foundation Focus:<br />
News of the <strong>Trinitas</strong> Health Foundation<br />
40 <strong>Hospital</strong> Beat:<br />
People and Events of Note<br />
42 Vital Signs:<br />
<strong>Trinitas</strong> Comprehensive Cancer Center News<br />
44 News of the City of Elizabeth<br />
The HEALTHYEDGE - Winner of<br />
the 2007 NJ/IABC IRIS Award!<br />
<strong>Trinitas</strong> <strong>Hospital</strong> is a Catholic Teaching <strong>Hospital</strong> sponsored by the Sisters of Charity of Saint Elizabeth<br />
in partnership with Elizabethtown Healthcare Foundation.<br />
HEALTHYEDGE Magazine is published quarterly by <strong>Trinitas</strong> <strong>Hospital</strong> and <strong>Trinitas</strong> Comprehensive<br />
Cancer Center, 225 Williamson Street, Elizabeth, NJ, 07207.<br />
This is Volume 2, Issue 4. This material is designed for information purposes only. None of the<br />
information provided in Healthy Edge constitutes, directly or indirectly, the practice of medicine, the<br />
dispensing of medical services, a professional diagnosis or a treatment plan. The information in<br />
Healthy Edge should not be considered complete nor should it be relied on to suggest a course of<br />
treatment for a particular individual. You should not rely on information provided in Healthy Edge<br />
as a substitute for personal medical attention, diagnosis or hands-on treatment. You should never<br />
disregard medical advice or delay in seeking it because of something you have read in Healthy<br />
Edge. If you have any health care related concerns, please call or see your physician or other<br />
qualified health care provider.
HEALTHYEDGE EXCLUSIVE<br />
Beyond Feathers and Fur<br />
CAROLL SPINNEY BRINGS HUMANITY<br />
TO BIG BIRD AND OSCAR THE GROUCH by Judith Trojan<br />
Master puppeteer Caroll Spinney has been the spirit and spine of Big Bird and<br />
Oscar the Grouch since Sesame Street‘s premiere episode on November 10, 1969.<br />
But it is as Big Bird that Spinney has encouraged four generations of children to be<br />
patient and kind from the vantage point of a fellow six-year-old, and also taught<br />
them the alphabet, their numbers and what it means to be a friend.<br />
Compassionate and gracious, not unlike the Bird he cohabits, Spinney has<br />
also loved working “off the Street.” Big Bird has traded quips on 146 episodes<br />
of Hollywood Squares; hit the road to China with Bob Hope; danced with the<br />
Rockettes and prima ballerina Cynthia Gregory; and conducted 70 symphony<br />
orchestras throughout the U.S., Canada and Australia. En route, Big Bird has been<br />
fêted with a star on the Hollywood Walk of Fame and celebrated with his likeness<br />
on a U.S. postage stamp.<br />
Spinney’s prized mantelpiece, once owned by President Franklin D. Roosevelt,<br />
is also chockablock with awards of all shapes and sizes. As Big Bird, Spinney was<br />
named a “Living Legend” in 2000 by the Library of Congress and takes great<br />
pride in his 2006 Lifetime Achievement Emmy Award, his five other Emmys, two<br />
Gold Records and two Grammy Honors. He’s the 2003 recipient of the “Legacy<br />
for Children Award” and the 2004 James Keller Award, the latter from The<br />
Christophers for his lifelong contributions to the craft and spirit of children’s<br />
television and puppetry.<br />
<strong>Interview</strong>ed by phone from his country home in Connecticut, Spinney at times<br />
choked with emotion as he recounted his passion for puppetry that began at age<br />
five and continued throughout his innovative work with Muppet visionary Jim<br />
Henson on Sesame Street and beyond.<br />
A year after the debut of Sesame<br />
Street, Big Bird visited the White<br />
House and met then First Lady<br />
Pat Nixon.<br />
“I’m certain that being<br />
a bird has made me a<br />
better person.”<br />
Source: NARA<br />
INTERVIEW<br />
— Caroll Spinney<br />
Big Bird debuted on the very first<br />
installment of Sesame Street. How<br />
have you fine-tuned his character<br />
over the years<br />
CS: Big Bird is a child who never<br />
grows up, which is a delightful character<br />
to play. But he didn’t start out that<br />
way; originally, he was a country yokel<br />
and not very bright. That was Jim<br />
Henson’s original concept. Big Bird<br />
even looked terrible. He hardly had any<br />
feathers above his eyes.<br />
The scripts led me to feel that Big<br />
Bird would be more useful if he were a<br />
surrogate child, not a big goofy guy<br />
hanging around the kids. This way he<br />
could learn the alphabet along with<br />
the kids at home. I thought, ‘I won’t<br />
do it overnight, but I’m going to<br />
lighten up his voice.’ It just got higher<br />
and higher.<br />
He also couldn’t read or write at<br />
first, so I figured he’s four or four-anda-half.<br />
Within two years, Big Bird was<br />
quoting a little four-line poem,<br />
‘A Poem by Big Bird.’ At that point,<br />
I decided he was six years old because<br />
he could read pretty well.<br />
Big Bird’s compassion has endeared<br />
him to audiences of all ages. Didn’t<br />
your encounter with an old man<br />
one snowy night during Christmas<br />
season inspire that trait<br />
CS: Yes. Around 78th Street, I<br />
passed an elderly man shuffling his feet<br />
at the edge of the sidewalk, taking tiny<br />
Continued on page 4<br />
WINTER 2009 3
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4 HEALTHYEDGE<br />
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steps but not moving past the curb.<br />
Something told me to look back at<br />
him. He was still in the same place,<br />
looking bewildered and upset.<br />
I returned to ask him if he was all<br />
right. He said he was afraid of falling<br />
on the wet pavement, that he lived<br />
alone and if he got hurt no one would<br />
look after him. All he needed was a<br />
little help, and here I thought he was<br />
an old drunk. I walked him several<br />
blocks to his door and felt terrible<br />
that my first thought hadn’t been<br />
compassion for this man. That experience<br />
made me realize that compassion<br />
was something Big Bird should be<br />
teaching children on Sesame Street,<br />
and the producers agreed.<br />
Can you recall any audience feedback<br />
that reinforced your vision for<br />
Big Bird<br />
CS: A mother from Saskatchewan<br />
wrote that she heard her four-year-old<br />
whimpering as he watched Sesame<br />
Street. He told her, ‘Big Bird’s just like<br />
me—all the kids are off at school; but<br />
he’s not old enough to go, so he has<br />
no one to be with.’ I was 43 at the<br />
time and thought how neat it was<br />
that a four-year-old in Canada was<br />
identifying with what my character,<br />
Big Bird, was going through.<br />
Letter in hand,<br />
Big Bird helped to<br />
educate millions of<br />
children for four<br />
decades, providing<br />
many with their first<br />
exposure to the<br />
alphabet and set<br />
them on the road<br />
to lifelong reading.<br />
You recently turned 75. How do you<br />
manage to stay so in tune with your<br />
young audience<br />
CS: I remember my childhood very<br />
clearly. I actually remember being toilet<br />
trained, and it wasn’t just last year!<br />
Remembering my childhood has helped<br />
me live out Big Bird’s childhood. He’s<br />
kind of like my child, and I get to play<br />
my child. That’s one of the great things<br />
about playing the same character for<br />
40 years.<br />
You’ve been in physical danger several<br />
times while playing Big Bird. Is there<br />
one instance that still haunts you<br />
CS: Yes, probably when Big Bird<br />
landed on top of my wife, Debi. I was<br />
performing in Maryland on a big<br />
temporary stage raised about seven<br />
feet above the floor of an auditorium.<br />
There were curtains all around it, but<br />
nothing to stop me from walking off<br />
the side of the stage.<br />
As I left after my performance, I<br />
ended up at the edge of the stage, and<br />
there was nothing but space ahead of<br />
me. I suddenly felt myself being pulled<br />
back. My wife had raced up behind me<br />
and grabbed me by my belt. I landed<br />
on her lap. After the show, we looked<br />
down there: It was a storage area.
I would have landed head first onto<br />
metal chairs with the legs facing<br />
straight up. I could have been killed.<br />
You must need a lot of stamina to do<br />
this work. How do you stay in shape<br />
CS: I used to exercise between<br />
shows, but lately I’ve been lazy and<br />
haven’t done that very much. I try to<br />
be quite active at home in the country<br />
and work on the grounds a bit. But I<br />
think it might be genetic; I don’t seem<br />
to be wearing down too badly. My<br />
father lived to be one month short of<br />
91! What a gas it would be to do this<br />
all through my 80’s as long as it was<br />
still fun. If it ever gets to where it’s not<br />
fun, then it would be better to leave.<br />
A lot of your heart and soul has<br />
gone into Big Bird. Do you ever<br />
suffer from separation anxiety when<br />
you leave him behind at the end<br />
of the day<br />
CS: An awful thing happened to Big<br />
Bird in Georgia that let me know how I<br />
really felt about him and who he was<br />
to me. We were appearing at<br />
Georgia Tech and Big Bird was<br />
the only puppet in the show.<br />
While we were at lunch, I<br />
noticed passersby with Big Bird<br />
feathers in their hats. They were<br />
ROTC in their final year of college<br />
who had been hired to make sure<br />
that nobody bothered our equipment,<br />
including Big Bird. You’d<br />
expect better behavior!<br />
I began seeing more feathers,<br />
then dozens. So, I rushed down to<br />
the theatre and saw Big Bird on<br />
the floor. About 100 feathers had<br />
been ripped off his chest, and the<br />
netting underneath was exposed.<br />
His head was broken and his eye<br />
was hanging off.<br />
I burst into tears. It was like<br />
seeing your child torn, violated and<br />
thrown on the ground.<br />
Meanwhile, 6,000 four-year-olds<br />
were filing in to see the next show,<br />
and Big Bird was lying there dead on<br />
the floor. I never knew how I felt<br />
Continued on page 6<br />
Caroll Spinney relates his thoughts and<br />
perspectives on life as a puppeteer in<br />
his recent autobiography published by<br />
Villard/Random House, Inc. in 2003.<br />
IT’S NOT EASY BEING YELLOW<br />
Master puppeteer Caroll Spinney plays Big Bird from the<br />
inside out. With his right arm extended above his head,<br />
Spinney is literally suited up inside Big Bird’s 8-foot-2-inch<br />
feathered costume, which surprisingly only weighs 4-1/2<br />
pounds. Spinney’s right arm supports the Bird’s neck, while<br />
his right hand operates the beak.<br />
“I run his lower beak with my thumb, and my little finger<br />
operates his eyelids, which are almost always in motion<br />
and help create his expressions,” explained Spinney. “I can<br />
make him smile or look sad by simply changing the angle<br />
that I hold his head to the camera because his face is like a<br />
porpoise. He really can’t change his expression.”<br />
Spinney’s left arm functions as the left wing and, with a<br />
piece of strategically-placed monofilament, controls the<br />
right wing as well.<br />
“The right wing is just a dummy,” clarified Spinney. “If I<br />
lower my left arm, it pulls the right wing up. So when I’m<br />
walking, I pump my left arm up and down so Big Bird looks<br />
like he’s striding with his arms moving as he walks. It gives<br />
him full motion.”<br />
Spinney essentially performs “blind” since he can’t see outside<br />
of the Bird; although he can catch a glimpse of what<br />
the TV audience sees by watching a tiny TV monitor<br />
strapped to his chest inside his costume. He cuts and folds<br />
his script, via “script origami,” and secures it to the monitor.<br />
“Once in awhile, we’ll take one or two feathers off, which<br />
are on Velcro, so I can just get the sight of where a doorjamb<br />
is,” Spinney said. “If I’m doing live shows, Big Bird<br />
usually wears a tie, so I can see through the tie.” — J.T.<br />
WINTER 2009 5
SCRAM…<br />
HERE COMES<br />
THE GROUCH!<br />
The green shag bag, Oscar<br />
the Grouch, may have found his<br />
Shangri-La in a dented garbage<br />
can on Sesame Street, but snippets<br />
of his soul were originally spotted<br />
in Oscar’s seafood restaurant in<br />
Manhattan (a grouchy waiter) and<br />
his voice in the grumbles of a<br />
crabby New York cabbie.<br />
Photo by Paul Schneck<br />
Master Muppeteers Jim Henson<br />
and Caroll Spinney spun these<br />
characters together and out came<br />
Oscar the Grouch. Originally<br />
orange and scrawny, he eventually<br />
bulked up and turned green<br />
permanently…after “a vacation”<br />
in the swamp!<br />
In April 2008, Caroll Spinney graciously shared the podium with the irascible Oscar<br />
the Grouch at the 59th annual Christopher Awards gala.<br />
“Oscar is a curmudgeon,” said<br />
Spinney. “I can’t say that I admire<br />
him very much, but the thrill of<br />
playing such a strong character is<br />
a delight.” — J.T.<br />
An Oscar the Grouch puppet at the<br />
Smithsonian National Museum of<br />
American History in Washington, D.C.<br />
6 HEALTHYEDGE<br />
Photo credit commons.wikimedia.org<br />
about Big Bird until I saw this effigy<br />
all ripped apart.<br />
You’ve worked with many show business<br />
icons, world leaders and six First<br />
Ladies! Is there one encounter with a<br />
First Lady that stands out<br />
CS: I learned that you don’t put<br />
your wing on the First Lady if she’s<br />
Pat Nixon. After we did the show, she<br />
was gracious, but very formal. I was<br />
standing next to her for photos with<br />
my left arm up on her shoulder. She<br />
reached up, brought my hand down<br />
and held on to it, so I couldn’t do<br />
that again.<br />
Why choose puppetry over<br />
traditional acting<br />
CS: Puppets often have a use in<br />
education and areas where nothing<br />
else quite works as well. I started out<br />
doing puppets when I was a little boy<br />
and, for years, never thought of myself<br />
as an actor. Now I realize I am an actor<br />
because I’m not an eight-foot bird or a<br />
green, furry grouch, yet I play them<br />
and try to make them entertaining and<br />
educational. I love puppetry because<br />
you can be almost anything. I call it<br />
‘acting at the end of your arm.’<br />
You were two years older than<br />
Jim Henson, yet you consider him<br />
your mentor.<br />
CS: Even though we became<br />
friends, I never lost my awe of him: He<br />
was a true genius. He gave me a few<br />
pointers, but he encouraged us all to<br />
evolve and innovate as we went along.<br />
One of the wonderful aspects of Jim’s<br />
genius was his openness to new ideas<br />
from the people around him.<br />
Are you currently mentoring<br />
any young puppeteers<br />
CS: I’m mentoring a brilliant young<br />
man right now. He just turned 12 and<br />
is totally enamored with Big Bird, so<br />
I’ve been encouraging him a great deal.<br />
He has wonderful parents who support<br />
what he wants to do. I think that’s
Photo credits: The Associated Press<br />
great. It reminds me of what my mother<br />
did for me. By the time I was 16, she<br />
had built me 70 puppets and written<br />
all their stories. She was fantastic.<br />
Your three children and four grandchildren<br />
grew up watching Sesame<br />
Street. How have they dealt with the<br />
fact that you play Big Bird and Oscar<br />
the Grouch<br />
On the set at Sesame Street, Big Bird gets ready for a videotaping.<br />
CS: I remember the first time my<br />
grandson called up and I said, ‘Big Bird<br />
is visiting, would you like to talk to him<br />
on the phone’ His little tiny voice said,<br />
‘Yes!’ So Big Bird ‘talked’ to him. From<br />
then on, until he was almost 11, he<br />
would often call up and ask, ‘Hey,<br />
Granddad, is Big Bird there’ He usually<br />
was; but once in awhile, I would say,<br />
‘No, he’s down at Sesame Street,’ so it<br />
would be a little more realistic. He<br />
loved talking to Big Bird.<br />
Sesame Street was originally considered<br />
to be an ‘experimental’ show.<br />
After 40 years, it’s still going strong.<br />
Why has it been so successful<br />
CS: A study done in the late ’90s<br />
revealed that children watching the<br />
show at that point were much younger<br />
than our audiences in 1969. And<br />
although the original mission was to<br />
reach inner city children, the show has<br />
consistently appealed to kids from all<br />
walks of life, not just inner city kids.<br />
Certainly Sesame Street has changed<br />
education. We try to encourage children<br />
Continued on page 8<br />
WINTER 2009 7
“Swami Shreeji”<br />
Yaswant H. Patel,<br />
M.D., F.A.C.O.G.<br />
Practice Limited to<br />
Obstetrics and Gynecology<br />
Board Certified<br />
In Practice Since 1982<br />
DIPLOMATE, THE AMERICAN<br />
BOARD OF OBSTETRICS &<br />
GYNECOLOGY<br />
Fellow, The American<br />
College of Obstetricians<br />
& Gynecologists<br />
Affiliated with <strong>Trinitas</strong><br />
Regional Medical Center<br />
CAROLL SPINNEY Continued from page 7<br />
to develop the attitudes they need to<br />
live happy, productive lives. And we<br />
are constantly urging parents to read<br />
to their children, so they understand<br />
the magic of words. Part of the genius<br />
of the show is its appeal to grown-ups.<br />
If they like it, it’s more likely that they<br />
will tune in so that their children<br />
can watch.<br />
There’s a lot to be said for<br />
lifelong learning!<br />
CS: Yes, I think so. Back when<br />
Norman Rockwell was alive, I was so<br />
impressed when I read that he was<br />
72 years old and still taking art<br />
lessons on Tuesday nights. Art lessons<br />
In 1906, he did the cover of the<br />
Saturday Evening Post!<br />
It’s important to keep learning. It<br />
makes life a lot more exciting because<br />
learning is fun. It’s so much fun that<br />
often, as I’m heading for the studio,<br />
I’m giggling to myself, not like a<br />
complete fool, but because I’m looking<br />
forward to the joy of doing some of<br />
our wonderful scripts. Even at this<br />
advanced age, I’m still learning!<br />
Judith Trojan is an award-winning<br />
entertainment journalist and the director<br />
of The Christopher Awards, currently in<br />
its 60th year of honoring films, TV/cable<br />
programming and books that “affirm the<br />
highest values of the human spirit.”<br />
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SESAME STREET<br />
WELCOMES A NEW AGE<br />
Be sure to check out Sesame Street’s newly refurbished<br />
educational play site at www.sesamestreet.org for<br />
wonderful child- and parent-friendly activities, videos<br />
and games that extend the shelf-life of the TV show<br />
by engaging kids interactively. And the best part in<br />
these financially-strapped times: It’s free! — J.T.<br />
8 HEALTHYEDGE
Walking Tall Again<br />
PARTIAL IMPLANT PUTS PATIENTS ON THE GO by Julie Jacobs<br />
Arthritis of the knees had plagued<br />
John S. for decades. Despite trying an<br />
array of medications and enduring<br />
series after series of cartilage-restoring<br />
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fact, his condition worsened and was<br />
especially painful and disruptive to his<br />
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progressively bowlegged, which greatly<br />
impacted his job as an electrical engineer.<br />
“I was working out in the field,<br />
where I had to be on my feet for hours<br />
at a time,” the Kinnelon resident says.<br />
“Because of my knees, I’d have to sit<br />
down much too often.”<br />
In search of a permanent solution,<br />
John visited three surgeons, all of<br />
whom recommended a full-knee<br />
replacement. Then someone suggested<br />
he see Gregory Charko, MD, attending<br />
orthopedic surgeon at <strong>Trinitas</strong> Regional<br />
Medical Center. After taking and<br />
reviewing x-rays, Dr. Charko felt that<br />
John was a good candidate for a<br />
partial-knee replacement, utilizing the<br />
Oxford ® Partial Knee Implant. The day<br />
after surgery on his left knee this past<br />
October, John was out of the hospital<br />
using only a cane for support. Four<br />
days after the procedure, he was walking<br />
totally unassisted. And just a week<br />
afterward, he was back at work.<br />
“I have improved mobility and flexibility,<br />
and the discomfort is so minimal,<br />
nowhere near to that which I experienced<br />
24/7 for so long,” says John,<br />
who plans to have his right knee done<br />
this spring, and who remains eternally<br />
grateful to both Dr. Charko and the<br />
Oxford ® Partial Knee Implant.<br />
Construction Makes<br />
Implant Unique<br />
Developed in Oxford, England, and<br />
employed in Europe for two decades<br />
now, the Oxford ® Partial Knee Implant<br />
was approved by the Food and Drug<br />
Administration for use in the United<br />
States in 2004. It is manufactured by<br />
Biomet, a worldwide leader in the<br />
design and manufacture of products<br />
for the orthopedic, sports medicine,<br />
biologic, craniomaxillofacial and dental<br />
markets since 1977, and is unlike any<br />
other partial-knee implant.<br />
The Oxford ® is a three-part system:<br />
a partial metal cap that attaches to the<br />
femur (thigh) bone, a metal tray that<br />
attaches to the tibia (shin) bone, and a<br />
plastic bearing that sits in the middle<br />
of the two. The artificial bearing acts as<br />
a meniscus, which in a healthy knee<br />
absorbs the shock between the femur<br />
and tibia when bending the leg.<br />
“With older implants, the plastic is<br />
fixed to the tibia and, as a result, tends<br />
to wear more quickly over time,” notes<br />
Dr. Charko, who has been performing<br />
partial knee implant surgery for 17<br />
years. “”With the Oxford ® , when the<br />
knee bends, the femur rolls back on<br />
the tibia. There’s a gliding, as opposed<br />
to the pieces rubbing against one<br />
another.”<br />
During an<br />
evaluation<br />
of a potential<br />
knee problem,<br />
a physical therapist<br />
observes a<br />
patient as he or<br />
she walks. Such<br />
evaluations,<br />
part of the services<br />
offered at<br />
the <strong>Trinitas</strong> Regional Medical Center<br />
Health and Rehabilitation Center, are<br />
conducted based on a doctor’s referral.<br />
Physical<br />
Therapist<br />
Valerie Epps<br />
measures the<br />
extension of the<br />
knee of patient<br />
Maribel Guerra<br />
of Elizabeth<br />
who scheduled<br />
an evaluation<br />
at the Health<br />
and Rehabilitation Center because of<br />
knee pain she was experiencing.<br />
By explaining<br />
the position<br />
and movements<br />
of knee ligaments,<br />
Valerie<br />
Epps informed<br />
Maribel Guerra<br />
that knee pain<br />
can result<br />
simply from a<br />
sitting position<br />
that may put unnecessary stress on the<br />
knee. In such cases, several weeks of<br />
physical therapy and adjusting sitting<br />
positions normally help to eliminate the<br />
pain that may be experienced.<br />
If you need an evaluation or physical therapy, contact Health and<br />
Rehabilitation Center at (908) 994-5650 for further information.<br />
10 HEALTHYEDGE
Treatment for Long-Term<br />
Stability and Mobility of<br />
the Knee<br />
Arthritis of the knee typically occurs<br />
on the medial, or inside, part of the<br />
joint. For patients with arthritis limited<br />
to the medial area (as well as a stable<br />
anterior cruciate ligament), a partial<br />
replacement is the optimal course<br />
of surgical treatment. The procedure<br />
requires a smaller incision and preserves<br />
more of the normal structure of the<br />
knee, which includes bone, cartilage<br />
and ligaments. Patients experience less<br />
pain and greater range of motion than<br />
with a total knee replacement. They<br />
also recover more rapidly and are<br />
back to their usual routine within six<br />
to eight weeks, versus three to four<br />
months following a full replacement.<br />
Physical therapy, likewise, is shorter,<br />
taking one month to six weeks instead<br />
of two to three months.<br />
The Oxford ® system removes 75%<br />
less bone and cartilage. Due to the<br />
free-floating nature of its construction,<br />
it provides for a more natural feeling<br />
knee and more closely replicates normal<br />
movement. And while the life span<br />
of any implant depends on a variety of<br />
factors—weight, age and activity level<br />
among them—the Oxford ® offers<br />
unprecedented durability and longevity<br />
for partial-knee replacements. Not all<br />
patients are candidates for partial knee<br />
replacement. Only your orthopedic surgeon<br />
can tell you if you're a candidate<br />
for joint replacement surgery, and if so,<br />
which implant is right for your specific<br />
needs. You should discuss your condition<br />
and treatment options with your<br />
surgeon. The Oxford ® Meniscal Partial<br />
Knee is intended for use in individuals<br />
with osteoarthritis or avascular necrosis<br />
limited to the medial compartment<br />
of the knee and is intended to be<br />
implanted with bone cement. Potential<br />
The Oxford ® Meniscal Partial Knee<br />
implant.<br />
risks include, but are not limited to,<br />
loosening, dislocation, fracture, wear,<br />
and infection, any of which can require<br />
additional surgery. For additional information<br />
on the Oxford ® knee, including<br />
risks and warnings, talk to your surgeon<br />
or visit Biomet.com.<br />
Continued on page 12<br />
If you are 50 or older<br />
Are you aware<br />
COLON CANCER…<br />
• Is the second leading cause of cancer related deaths<br />
for both males and females after age 50.<br />
• Is “PREVENTABLE” with early detection through<br />
a COLONOSCOPY screening.<br />
• Is “CURABLE” with early detection through a<br />
COLONOSCOPY.<br />
…ARE YOU AT RISK<br />
More information call 1-877-Colon50 (265 6650)<br />
COLONOSCOPY CAN SAVE YOUR LIFE<br />
Colon Cancer – an “Equal Opportunity” disease.<br />
According to the American Cancer Society,<br />
150,000 Americans will be diagnosed with<br />
colorectal cancer each year and over one-third<br />
of them will die from it. Colon cancer is the<br />
second leading cause of cancer death in both<br />
men and women, killing more people than<br />
breast and prostate cancer combined. The good<br />
news is that colon cancer is 95% curable when it<br />
is detected and treated at its early stages, before<br />
and physical symptoms develop.<br />
Samiappan Muthusamy, MD, FACG<br />
Clinical Assistant Professor, Seton Hall University<br />
Dhanasekaran Ramasamy, MD<br />
695 Chestnut Street • Union, NJ 07083<br />
(908) 688-6565 • www.cddnj.com<br />
Aaron Javier, PA-C<br />
WINTER 2009 11
Knee Surgery with<br />
Remarkable Results<br />
Advanced Urology<br />
Alan P. Krieger, MD<br />
Franklin A. Morrow, MD<br />
M. Brett Opell, MD<br />
Diplomates, American Board of Urology<br />
Since becoming Oxford ® certified in<br />
January 2008, Dr. Charko has used the<br />
partial-knee implant on a half dozen<br />
patients to date, with exceptional<br />
outcomes in each case. One of his<br />
patients, Linden resident Barbara<br />
Bobenchik, recovered so well that she<br />
was able to dispense completely with<br />
physical therapy and was up and<br />
about right away.<br />
Barbara, who underwent a full<br />
replacement on her right knee in 2005,<br />
also performed by Dr. Charko, had<br />
suffered with knee pain for as far back<br />
as she can remember. “I always had a<br />
problem walking. It was terrible and<br />
very debilitating. I couldn’t even take<br />
small steps, and I lived on anti-inflammatory<br />
medications,” she recalls. “At<br />
the time I had the full knee replacement,<br />
I was working—I’m now<br />
retired—and if I sat too long, it would<br />
hurt me. So I was up and down a lot.”<br />
When the pain in her left knee grew<br />
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unbearable and she felt it was time for<br />
surgery, she first turned to the Internet<br />
where, coincidentally on her own, she<br />
found and researched the Oxford ® .<br />
She then met with Dr. Charko and<br />
asked if she was a candidate for a<br />
partial replacement with the device.<br />
Following her procedure in May 2008,<br />
Barbara began a newly mobile life.<br />
“My recovery was excellent, truly<br />
miraculous. I got out of bed the very<br />
next day and had no problems. I didn’t<br />
have to use a cane or have physical<br />
therapy. I could feel that I was doing<br />
great,” she says. “Six months later, I’m<br />
still feeling wonderful and I’m walking<br />
every day. It’s unbelievable. Dr. Charko<br />
did a marvelous job.”<br />
For his part, Dr. Charko looks<br />
forward to scheduling partial-knee<br />
replacements on an outpatient basis,<br />
doing the surgery first thing in the<br />
morning and releasing patients by<br />
nighttime, provided they are not in any<br />
pain. What will stay the same is his<br />
implant of choice. “There’s no going<br />
back,” he declares. “When I have to do<br />
a partial-knee replacement, it’s going<br />
to be with the Oxford ® system.”<br />
Julie Jacobs is a New Jersey-based<br />
freelance writer/editor. She owns Wynne<br />
Communications, an editorial consulting firm.<br />
While the patient in this story is a true recipient of<br />
the Oxford knee, his/her results are not necessarily<br />
typical, indicative, or representative of all partial knee<br />
patients. The Oxford knee has been used successfully in<br />
achieving restored mobility to many patients. However,<br />
as with any implanted device, there are factors affecting<br />
performance which ultimately result in variable outcomes,<br />
including levels of mobility and pain. These factors<br />
include, but are not limited to, the patient’s pre and<br />
post-operative health conditions, weight, activity level,<br />
and adherence to instructions regarding the use of the<br />
knee. Due to these variables, it is not possible to predict<br />
specific results or patient satisfaction.<br />
The Oxford Partial Knee is intended for use in individuals<br />
with osteoarthritis or avascular necrosis limited to<br />
the medial compartment of the knee and is intended to<br />
be implanted with bone cement. Potential risks include,<br />
but are not limited to, loosening, dislocation, fracture,<br />
wear, and infection, any of which can require additional<br />
surgery. For additional information on the Oxford knee,<br />
including risks and warnings, talk to your surgeon and<br />
see the full patient risk information on biomet.com.<br />
12 HEALTHYEDGE
HealthWise<br />
NEWS YOU CAN USE FOR YOUR GOOD HEALTH<br />
by Rena Sandberg and Kathryn Salamone<br />
EATING WELL ON A BUDGET<br />
With rising food prices, you might<br />
be wondering how you can eat healthfully<br />
without wiping out your wallet.<br />
Here are some dietary suggestions to<br />
help you stick to a healthy diet and a<br />
money-saving plan:<br />
Avoid Fast Food<br />
You’re thinking, “But fast food is<br />
cheap!” Hold your hamburger – it’s<br />
very possible that you are spending<br />
over $1,000 a year at the drivethrough!<br />
Think about it: Most people<br />
grab a meal out of their homes three<br />
times per week. Let’s say you spend<br />
$6.50 per fast-food meal. If you dish<br />
out $6.50 three times that week, you<br />
will have spent $19.50. Doesn’t seem<br />
so bad until you multiply that by 52<br />
weeks and realize that you spent<br />
$1,014! Save that cash and go on a<br />
road trip or buy your wife those earrings<br />
she has been asking for.<br />
Savor Seasonal Food<br />
Buying food in season will not only<br />
save you a buck, it offers fresh produce<br />
with the most flavor and nutritional<br />
value. In winter, choose foods such as<br />
carrots, potatoes, eggs, fish and nuts.<br />
During the summer months, opt for<br />
seasonal foods like strawberries, apples,<br />
plums, summer squash and corn.<br />
Don’t Food Shop on<br />
an Empty Stomach<br />
Your eyes tend to be<br />
bigger than your stomach<br />
when you’re hungry, so hit<br />
the grocery store after a meal to<br />
help you resist the many<br />
unhealthy, expensive<br />
temptations that lurk<br />
in supermarkets.<br />
Healthy Foods Under $1<br />
That’s right! Look for these items<br />
on your next supermarket trip; they all<br />
offer many health benefits, and best of<br />
all – they cost less than $1!<br />
• Oats<br />
• Potatoes<br />
• Apples<br />
• Nuts<br />
• Wild Rice<br />
• Butternut Squash<br />
• Spinach<br />
• Beets<br />
LOW FAT FOODS THAT CAN REDUCE HEART DISEASE<br />
First, the bad news: almost 1 million Americans die of<br />
cardiovascular disease each year. Now the good news: it<br />
is completely preventable. The American Heart Association<br />
suggests choosing nutrient-dense foods such as vegetables,<br />
fruits, whole grains and lean protein to help in your personal<br />
battle against the disease. Not smoking, participating<br />
in regular physical activities, and following the dietary<br />
guidelines below will put you one step ahead toward<br />
maintaining a healthy heart.<br />
Eat fish: Sardines, mackerel and salmon are three types of<br />
fish that are rich in omega-3 fatty acids – a substance that<br />
has the power to reduce triglyceride levels and reduce the<br />
risk of heart disease and stroke.<br />
Fill up on fiber: Fiber-rich fruits, vegetables, whole grains<br />
and legumes are all thought to block the absorption of<br />
cholesterol in the intestinal tract, thus decreasing your<br />
chances of getting heart disease. Soluble fiber has the best<br />
reputation of lowering blood cholesterol levels, so fill up<br />
on oat bran, barley, peas, oranges, apples and carrots.<br />
Decrease sodium intake: Put down your salt shaker!<br />
Using less salt can help lower blood pressure which, in<br />
Continued on page 14<br />
WINTER 2009 13
FOODS THAT<br />
CAN REDUCE<br />
HEART DISEASE<br />
Continued from page 13<br />
HEALTHWISE<br />
turn, reduces your risk of falling<br />
victim to heart disease.<br />
Eat the right fats: Not all fats<br />
are created equal. Saturated fats<br />
found in meat, milk and oils like<br />
coconut or palm oil are correlated<br />
with occurrences of coronary<br />
heart disease. Trans fats – found<br />
in margarine, fried foods and<br />
baked goods – raise LDL (“bad”)<br />
cholesterol which puts the body at<br />
increased risk for heart disease.<br />
Two types of fat – monounsaturated<br />
and polyunsaturated – are the<br />
ones to look for on the supermarket<br />
shelf. Consumed in<br />
moderation, these fats are touted<br />
to reduce heart disease risk. You<br />
can find these beneficial fats in<br />
avocados, nuts, olive and canola<br />
oil, and seafood.<br />
14 HEALTHYEDGE<br />
COMFORT FOODS<br />
WITH YOUR WAIST IN MIND<br />
Comfort foods are often looked to<br />
for nurture and satisfaction. However,<br />
the calorie-laden price tag is often<br />
what we have to pay when we consume<br />
these foods. Fortunately, there<br />
are ways to enjoy these soothing meals<br />
simply by altering a few ingredients.<br />
First, to cut fat, opt for light versions<br />
of components such as low-fat<br />
cheese, light mayonnaise or reducedfat<br />
cream.<br />
Secondly, to add sweetness without<br />
adding spoonfuls of sugar, toss in<br />
chopped or grated fruit. Not only will<br />
it add sweetness, but you’ll benefit<br />
from the vitamins as well.<br />
Third, to increase the nutritional<br />
value of the meal, add vegetables or<br />
legumes whenever possible.<br />
So, instead of throwing in the towel<br />
on your favorite comfort foods, lighten<br />
up! Here are some ways to give your<br />
favorite comfort foods a healthy kick:<br />
Meatloaf<br />
Add salsa in place of ketchup,<br />
replace the ground beef with ground<br />
turkey, and add a variety of vegetables<br />
for added fiber, vitamins and minerals.<br />
Mac and Cheese<br />
For a belt-slimming version of the<br />
all-time favorite recipe, swap whole<br />
milk for 1% or skim milk to cut fat and<br />
calories and use whole-wheat pasta<br />
when possible.<br />
Soup<br />
If you love to warm up with a brothbased<br />
soup, you’re in luck. Broth-based<br />
soups are generally less in calories and<br />
fat than cream-based soups. For those<br />
creamy soup lovers, simply swap heavy<br />
cream for light cream and your waistline<br />
will thank you.<br />
Ice Cream<br />
The next time you’re screaming for<br />
ice cream, choose a light version of<br />
your favorite brand. If Ben and Jerry’s is<br />
what you crave, look for light options<br />
like Chocolate Chip Cookie Dough and<br />
Chocolate Chip Mint & Cookies which<br />
contain 50 percent less fat and 25 percent<br />
fewer calories. Even Haggen-Dazs<br />
offers mouth-watering light flavors like<br />
Caramel Cone and Coffee. Not willing<br />
to compromise in the ice cream<br />
department Choose a sherbet in<br />
strawberry, lemon or orange; not only<br />
do they contain less calories, they generally<br />
contain minimal
BROWN BAG YOUR WAY TO HEALTHY EATING<br />
Brown-bagging your lunch is one of<br />
the simplest ways to trim both your<br />
budget and your waistline. Saving even<br />
$5 a day, just by bringing your lunch<br />
to work, can give you a monthly cost<br />
savings of at least $100. At their nutritional<br />
best, meals packed at home —<br />
which should incorporate carbohydrates,<br />
protein and fat — are also generally<br />
less in calories and fat than<br />
restaurant or fast-food eats.<br />
We’ve got all the lunch personalities<br />
covered. Look below and match the<br />
meal to your lunch personality for a<br />
week’s – or even month’s – healthy start:<br />
Sandwich Aficionado<br />
Choose among a variety of wholegrain<br />
breads and add hard-boiled eggs,<br />
lean meats, tuna fish or nut butters<br />
such as peanut, almond or cashew.<br />
Top off your sandwich with a variety of<br />
sliced vegetables, basil or light cheese.<br />
To mix things up, swap the bread for<br />
a veggie or whole-wheat wrap.<br />
Salad Fanatic<br />
Your options are endless when creating<br />
your own salad. Start with a base<br />
of lettuce, spinach or mixed greens<br />
and then let your imagination run wild!<br />
Top with several or all of the following:<br />
• Chicken<br />
• Eggs<br />
• Pears<br />
• Raisins<br />
• Cranberries<br />
• Celery<br />
• Carrots<br />
• Red and green peppers<br />
Drizzle a low-calorie dressing like<br />
Light Ranch or Light Vinaigrette over<br />
your creation. (To avoid sogginess,<br />
keep the dressing in a separate container<br />
until it’s time to chow down.)<br />
Soup Fancier<br />
For those who have access to a<br />
microwave at work, bringing in soup<br />
for lunch is a no-brainer. Not only are<br />
there countless flavors and brands of<br />
soup, but this meal fills the stomach<br />
quickly and therefore helps overeating.<br />
Although this is a quick and simple<br />
option, it is important to read the label<br />
before you head to the supermarket<br />
check-out. Many soups are loaded with<br />
sodium and calories, so pay close<br />
attention to these ingredients. Sodium<br />
should typically be less than 600 mg<br />
per cup and look for calorie content in<br />
the 150-200 calorie range. Lastly, if you<br />
spot MSG, it’s a red light to put it back<br />
on the shelf and keep looking for a<br />
more nutritious soup.<br />
Leftover Lover<br />
Cooking a nutritious meal and<br />
packing it in a zip-loc container takes<br />
little effort and ensures that you get a<br />
healthy, hearty fare the next day. Here<br />
are some nutritious, lip-smacking eats:<br />
• Spaghetti-turkey casserole with<br />
vegetables<br />
• Black beans with brown rice<br />
• Pizza topped with light shredded<br />
cheese and a variety of vegetables<br />
• Pasta salad made with cubed<br />
turkey, cheese, onions and<br />
vegetables<br />
WINTER 2009 15
HEALTHWISE<br />
DON’T LET MONEY WORRIES RUIN YOUR HEALTH<br />
2008 was an unsettling year for<br />
many Americans. From the housing<br />
market crisis to the collapse of Lehman<br />
Brothers, AIG and other financial institutions,<br />
it’s no wonder that 80 percent of<br />
Americans claim that the economy is<br />
their leading cause of stress. Although<br />
we are limited to what we can do about<br />
the Wall Street crisis, we can choose our<br />
path to stress-free, mental freedom.<br />
“Each day is a new opportunity<br />
to begin a healthy lifestyle,” notes<br />
<strong>Trinitas</strong> RMC Advanced Practice Nurse<br />
Susan E. Jackson. “In times of stress<br />
and financial crisis, this goal might<br />
take a backseat. However, without a<br />
healthy lifestyle you cannot go forward.<br />
<strong>Trinitas</strong> provides an avenue to well<br />
being with the variety of outreach<br />
services such as health screenings to<br />
the community. The diet we choose,<br />
the medications, the exercise routines<br />
we have, and the lifestyle habits that<br />
we already have can be reinforced with<br />
visits to your physician or clinic.”<br />
First, it is important to understand<br />
that stress can sometimes be useful.<br />
For example, it can help you win a<br />
50-meter dash or get you to work on<br />
time. Elevated stress levels make the<br />
body respond in a reaction called the<br />
“fight or flight stress response.” This<br />
causes a rise in breathing and heart<br />
rate and can also cause bursts of<br />
energy. However, stress can be the<br />
root of all evils when it occurs<br />
often and lasts indefinitely. It can be<br />
blamed for frequent headaches,<br />
insomnia, back aches and stomach<br />
complications. The good news is<br />
that there are steps you can take<br />
to ease your anxiety – whether you<br />
are distressed about the economy<br />
or other personal matters.<br />
Get Brainy<br />
If you are in the dark about managing<br />
your finances, educating yourself<br />
might help ease your stress. Consult<br />
with experts such as a financial advisor<br />
to help get your money on track.<br />
Ditch your Debt<br />
Slash your debt and contact a consumer<br />
credit counseling service. They<br />
can provide you with comprehensive<br />
counseling and help you rehabilitate<br />
your finances.<br />
Sell That House!<br />
Has your house been on the market<br />
for what seems like forever Contact a<br />
professional house stager – with a few<br />
rearrangements and some TLC, an<br />
expert can help you get the biggest<br />
bang for your buck in a tough market.<br />
CARDIOVASCULAR DISEASES<br />
240 Williamson Street • Elizabeth, NJ 07207<br />
908-994-5300 • Fax 908-994-5308<br />
ARTHUR E. MILLMAN, MD FACC/FSCAI<br />
ASSOCIATE PROFESSOR OF MEDICINE<br />
SETON HALL UNIVERSITY<br />
GRADUATE SCHOOL OF MEDICAL EDUCATION<br />
Get Better Zzzz’s<br />
To avoid another sleepless night,<br />
steer clear of caffeinated beverages<br />
after lunch, refrain from stressful<br />
activities such as paying bills before<br />
bed, and exercise at least four hours<br />
before settling in for the night.<br />
Avoid the Bottle<br />
to Be a Winner!<br />
Drinking alcohol can negatively<br />
effect total sleep time, so limit the<br />
amount – and how often – you<br />
choose to drink. In addition, using<br />
alcohol habitually has been shown to<br />
actually induce the stress response by<br />
stimulating certain hormones. Lastly,<br />
chronic alcohol consumption can<br />
negatively affect close friends and<br />
family which, in turn, can come right<br />
back and cause you added stress.<br />
If you are facing<br />
hard times because of<br />
the economy, see page 41<br />
for information about Economic<br />
Support Groups at TRMC.<br />
16 HEALTHYEDGE
ABC’S OF MITRAL VALVE PROLAPSE<br />
What is the mitral valve and<br />
where is it located<br />
Located between the left atrium<br />
and the left ventricle, the mitral valve<br />
in the heart contains two flaps/leaflets<br />
which protect the opening.<br />
What is the purpose of the<br />
mitral valve<br />
The American Heart Association<br />
explains that the job of the mitral valve<br />
is to prevent blood from flowing backwards.<br />
It does this by closing tightly<br />
when the left ventricle contracts.<br />
What is mitral valve prolapse<br />
Generally a benign condition, the<br />
American Heart Association points out<br />
that mitral valve prolapse involves one<br />
or both valve flaps becoming enlarged.<br />
These flaps fail to close evenly when<br />
the heart contracts, leaving one or<br />
both flaps to drop back into the left<br />
atrium. This sometimes causes blood to<br />
leak backward through the valve, causing<br />
a heart murmur.<br />
What causes mitral valve<br />
prolapse and what are its<br />
symptoms<br />
Although researchers are still unsure<br />
of the exact cause of this syndrome,<br />
mitral valve prolapse has been shown<br />
to have a strong hereditary connection.<br />
Although common symptoms include<br />
fatigue, palpitations and headaches,<br />
the majority of patients do not experience<br />
any symptoms.<br />
Are there complications associated<br />
with mitral valve prolapse<br />
Mitral valve prolapse patients generally<br />
experience mild complications<br />
and can be rest assured that the condition<br />
is rarely dangerous. However, in<br />
severe and very rare circumstances,<br />
complications can include cardiac<br />
arrest or stroke.<br />
“For those who are diagnosed<br />
with Mitral Valve<br />
Prolapse, it is wise to consult<br />
with a physician to determine if<br />
it is necessary to be prescribed<br />
antibiotics to prevent infection<br />
prior to undergoing particular<br />
medical procedures,” explains<br />
Susan Jackson, Advanced Practice<br />
Nurse at <strong>Trinitas</strong>.<br />
Are their treatment options for<br />
this condition<br />
The prognosis for most patients is<br />
positive and therefore they do not need<br />
treatment. Patients with a severe condition<br />
might require beta-blockers to<br />
lower their heart rate and blood pressure<br />
as well as relieve some symptoms.<br />
How is mitral valve prolapse<br />
diagnosed<br />
For an accurate diagnosis, an<br />
echocardiography is needed.<br />
WINTER 2009 17
HEALTHWISE<br />
AS LIGHT SLIPS AWAY,<br />
DON’T GET SAD<br />
As the temperature drops and darkness<br />
falls earlier during the winter<br />
months, many people begin to experience<br />
Seasonal Affective Disorder (SAD).<br />
This cyclic mood disorder is a type of<br />
depression that causes people to experience<br />
a healthy state of mind in the<br />
spring and summer months and then<br />
begin to feel depressed at the onset of<br />
late autumn. This disorder, which<br />
affects millions of Americans (more<br />
commonly touching women than<br />
men), is theorized to have one or several<br />
causes.<br />
Melatonin, a sleep-related hormone,<br />
is thought to increase naturally<br />
in the body during the extended nights<br />
of winter, leading to depression.<br />
Some researchers believe that lack<br />
of sunlight during the winter months<br />
can cause the levels of serotonin, a<br />
chemical in the brain that affects<br />
mood, to drop substantially.<br />
The Circadian Rhythm in the body<br />
which sends messages to the brain<br />
when it should be going to sleep and<br />
when it should wake is thought to<br />
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But, before you feel even more<br />
down in the dumps, remember that<br />
there are treatment options. Light therapy,<br />
which resembles outdoor light,<br />
alleviates symptoms of the disorder.<br />
Sitting several feet away from a light<br />
box anywhere between 15 minutes to<br />
two hours (or the length of time a<br />
health professional advises) is said to<br />
offer many benefits with few side<br />
effects. Bear in mind, however, that<br />
because of insubstantial proof about its<br />
efficacy at the moment, the Food and<br />
Drug Administration has not yet<br />
approved this treatment.<br />
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18 HEALTHYEDGE
ARE INEXPENSIVE READING GLASSES<br />
STEALING YOUR VISION<br />
As we age, our ability to see close<br />
items diminishes. Even people born<br />
with perfect vision will require eyeglasses<br />
once they reach 40 years of<br />
age. Presbyopia, a universal condition<br />
that occurs when the ciliary muscles<br />
have weakened and the ability to focus<br />
on nearby objects has become somewhat<br />
difficult, can be easily corrected<br />
with prescription eyeglasses.<br />
Because reading glasses can sometimes<br />
come with a hefty price tag,<br />
many people ask the following question:<br />
Can I Purchase Inexpensive<br />
Reading Glasses From the Drugstore<br />
You should not take a “one-size-fits-all”<br />
approach to eyewear. Here’s why:<br />
Most people require a different prescription<br />
in each eye, and “drugstore”<br />
reading glasses incorporate the same<br />
prescription in both lenses.<br />
Many individuals have astigmatism,<br />
a mild imperfection in the curvature of<br />
the eye which causes blurred vision,<br />
which over-the-counter eyeglasses do<br />
not address.<br />
Every person requires an individual<br />
prescription suitable to their specific<br />
needs. Wearing reading glasses that<br />
were not made specifically with your<br />
prescription in mind can cause<br />
headaches and eyestrain.<br />
Because over-the-counter reading<br />
glasses have not been customized to<br />
the individual’s needs, it is possible<br />
that the optical centers will not be<br />
close enough to the middle of the<br />
customer’s pupils.<br />
Professional, quality frames tend<br />
to hold their shape better than “drugstore”<br />
eyewear which means less need<br />
for adjustment.<br />
So head to an experienced optician<br />
who can help you choose a set of<br />
frames that will fit your vision needs<br />
and your budget.<br />
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WINTER 2009 19
HEALTHWISE<br />
UPDATE ON GARDASIL ®<br />
FOR CERVICAL CANCER<br />
Human papillomavirus (HPV) is a viral<br />
infection that is transmitted by having<br />
sexual relations with a partner who carries<br />
the virus. There are over 100 different<br />
strains of HPV, 30 of them which<br />
can be transmitted through sexual contact.<br />
Certain types of HPV can cause<br />
genital warts, precancerous lesions on<br />
the cervix, or cervical cancer.<br />
Gardasil to the Rescue<br />
Fortunately, in 2006, a revolutionary<br />
vaccine called Gardasil won approval<br />
from the Food and Drug Administration<br />
which prevents infections of HPV<br />
strains 16, 18, 6 and 11. HPV 16 and<br />
18 cause 70% of cervical cancer<br />
cases and types 6 and 11 cause<br />
approximately 90% of genital warts<br />
incidences. Because there are so<br />
many forms of the virus, vaccination<br />
does not keep women safe from all<br />
cancer-producing types of HPV.<br />
Therefore, annual Pap smears are<br />
still highly recommended.<br />
Who is Eligible for Vaccination<br />
Because Gardasil takes effect before<br />
contact is made with HPV types 6, 11,<br />
16, and 18, girls as young as nine<br />
are eligible for the vaccine. Young<br />
women up to the age of 26 – preferably<br />
those who have not yet been<br />
exposed to sexual activity – are<br />
advised to be vaccinated. Even those<br />
who have been sexually active for a<br />
number of years can still benefit from<br />
Gardasil because the probability that<br />
they have been exposed to all 100<br />
strains of HPV is incredibly low.<br />
However, Gardasil only prevents<br />
infections from HPV; it does not treat<br />
those already infected.<br />
Is Gardasil Safe<br />
Given in three doses over a six-month<br />
period, there have been no reported<br />
serious side effects to date. Not only<br />
has Gardasil been licensed by the<br />
FDA and approved by the CDC<br />
(Centers for Disease Control and<br />
Prevention), its safety is continuously<br />
being strictly monitored.<br />
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20 HEALTHYEDGE
THE STATUS ON STATINS FOR CARDIO HEALTH<br />
Statins, one of the world’s top-selling drugs, are prescribed to patients<br />
to lower their low-density lipoprotein (LDL) cholesterol levels. These<br />
drugs decrease cholesterol by moderating cholesterol production and<br />
helping the liver eliminate LDL (“bad”) cholesterol in the blood.<br />
Aside from slashing heart attack and stroke risk, statins now show that<br />
they have the ability to reduce heightened triglyceride levels, lower<br />
death-related pneumonia, and diminish the potential of blood<br />
clotting in the legs.<br />
Before you run to the phone to make an appointment with<br />
your doctor, consider whether or not you need to be on a statin.<br />
Besides living with high cholesterol (total cholesterol over 240 mg/dL),<br />
your other risk factors would include:<br />
• Diabetes<br />
• Being overweight<br />
• Smoking<br />
• Blood Pressure<br />
• Age<br />
• Lifestyle<br />
If you are unsure of whether or not you qualify to<br />
be the user of a statin, consult with your doctor.<br />
Lifestyle Changes<br />
Don’t underestimate the power of positive lifestyle changes. Certain<br />
improvements like eating healthfully, quitting smoking and exercising<br />
regularly might have a substantial effect on your heart disease and<br />
stroke risk. Talk to your doctor or healthcare provider first before<br />
making any changes.<br />
Side Effects and Risks<br />
There are, of course, side effects that are possible as with<br />
any medication, so consulting with your doctor and reviewing<br />
your medical history will help you decide if statins are right for<br />
you and your condition. In addition, the American Heart<br />
Association recommends that the patient should be aware of<br />
potential risks that can occur with the use of statins, so discussing<br />
them with a physician is essential before starting or stopping the<br />
use of this drug.<br />
WINTER 2009 21
HEALTHWISE<br />
DON’T LET YOUR KIDS BRUSH YOU OFF:<br />
TEACH THEM GOOD DENTAL HYGIENE<br />
Teaching your children<br />
good hygiene at an early age<br />
will keep their teeth and gums<br />
healthy and spare them from<br />
cavities, tooth decay and even<br />
periodontal disease. With just a<br />
little bit of education, you and<br />
your child can be spared from<br />
dentist melodrama!<br />
Model Behavior<br />
Because children tend to imitate<br />
their guardians, it is vital that you set a<br />
good example. Routinely brush your<br />
teeth in front of your children when rising,<br />
after meals and before bedtime.<br />
Remember to Repeat<br />
Children appreciate routines and<br />
respond well to them. Every morning<br />
and evening, supervise your tiny tot<br />
when she practices brushing and flossing<br />
her pearly whites.<br />
Fun is the Name<br />
of the Game!<br />
Instead of making dental hygiene<br />
seem like a chore, make it an activity<br />
that your child looks forward to.<br />
Purchase fun flavored toothpaste in<br />
banana or grape, offer toothbrushes<br />
decorated with their favorite movie<br />
character, or invest in puzzles, games<br />
and coloring books that educate them<br />
about good dental health.<br />
Watch the Clock<br />
Very often, children sweep their<br />
toothbrush in and out of their mouth,<br />
considering their job done. Play a<br />
familiar song that lasts at least two<br />
minutes while your tyke brushes his<br />
teeth to give him a better idea of how<br />
long the brush should be swiveling<br />
around his mouth.<br />
Friendly Foods<br />
Let’s not forget that what we eat<br />
and drink has a lot to do with our<br />
dental health. Serving soft drinks and<br />
candy promotes dental caries and<br />
decay. Opt for fluoridated water and<br />
serve natural teeth-cleaning foods like<br />
apples and carrots.<br />
Choosing a Paste<br />
When purchasing toothpaste for<br />
your child, look for one that is accredited<br />
by the American Dental Association.<br />
Also, look for a brand that contains<br />
fluoride to help combat tooth decay.<br />
22 HEALTHYEDGE
WHEN SNOW FALLS, SHOVEL WITH CARE<br />
Ahh, the joys of winter - below<br />
freezing temperatures, hazardous road<br />
conditions and best of all: a driveway<br />
and walkway to shovel. Well, look on<br />
the bright side – shoveling can be great<br />
exercise for those who are in good<br />
physical shape. 200 or more calories<br />
can be burned in just 30 minutes!<br />
Jim Dunleavy, Administrative<br />
Director of Rehabilitative Services at<br />
<strong>Trinitas</strong> Regional Medical Center, shares<br />
precautions to make your shoveling<br />
duty safe this winter.<br />
DO’s:<br />
• Consider whether or not you are in<br />
good physical health. People who<br />
have previously had a heart attack<br />
or other cardiovascular disease,<br />
those with a history of chest pain or<br />
angina, those with high blood pressure,<br />
diabetes or high cholesterol<br />
levels, smokers or those with other<br />
cardiovascular risk factors and those<br />
who do not exercise regularly are<br />
considered at risk.<br />
• Stretch before you begin to shovel.<br />
Also warm up your cardiovascular<br />
system with a light activity such as<br />
marching in place or walking before<br />
shoveling. Warming up is an important<br />
means of modifying cardiovascular<br />
strain.<br />
• Watch what you eat or drink. Eat<br />
normally and take your routine<br />
medications.<br />
• Stay hydrated. Keep hands and<br />
feet warm at all times.<br />
• Pace yourself. Start out shoveling<br />
slowly, and don’t try to clear the<br />
entire area at once. Take frequent<br />
breaks to give your heart a rest. Use<br />
the time off to drink plenty of water<br />
and stay hydrated.<br />
• Push the snow rather than lifting<br />
and throwing it. Lift the shovel<br />
properly. Spread your hands along<br />
the handle for more leverage, stand<br />
with your feet hip-width apart, and<br />
bend at the knees.<br />
• Scoop in a forward motion and<br />
step in the direction you throw the<br />
snow to avoid lower back pain the<br />
day after shoveling.<br />
DON’T’s:<br />
• Don’t eat a heavy meal or drink<br />
alcohol prior to shoveling. This is<br />
not a good way to work off a big<br />
meal! Avoid stimulants such as caffeine<br />
or nicotine, which increase<br />
heart rate and cause blood vessels<br />
to constrict.<br />
• Don’t smoke while shoveling. Blood<br />
vessels become constricted when<br />
exposed to cigarette smoke, adding<br />
to the constriction caused by the<br />
cold air. This combination can be<br />
lethal. As a matter of fact, if you<br />
smoke at all, reconsider whether or<br />
not shoveling is safe enough for<br />
you; snow blowing might be a better<br />
option.<br />
• Don’t twist your back when throwing<br />
snow; you may cause unnecessary<br />
strain.<br />
Precautions for the elderly<br />
Shoveling snow can be risky for<br />
senior citizens due to the added strain<br />
on the body from low temperatures as<br />
well as slippery conditions that heighten<br />
the risk of falling. If there is a history<br />
of heart trouble, smoking or sedentary<br />
lifestyle is present, it might be a good<br />
idea to ask for assistance. If you do<br />
decide to brave the cold and shovel<br />
anyway, be sure to rest every few minutes<br />
to avoid overexertion. Lastly, try<br />
this trick to lighten your load: apply a<br />
small amount of liquid floor wax to the<br />
shovel to help move the snow off the<br />
shovel with greater ease.<br />
“Above all, know the warning signs<br />
of a heart attack. Stop immediately and<br />
seek emergency medical help if you<br />
experience heart attack symptoms such<br />
as chest pain, shoulder, neck or arm<br />
pain, shortness of breath, dizziness,<br />
fainting, sweating or nausea. If you<br />
have any type of heart or back problem,<br />
step away from the snow shovel!<br />
Ask a neighbor or family member for<br />
help,” stresses Jim Dunleavy.<br />
Get fit this winter!<br />
Call (908) 994-5650 for information about TRMC’s Fitness Center.<br />
WINTER 2009 23
Community Calendar<br />
Seminars (Offered Free to Our Community)<br />
Check out<br />
www.<strong>Trinitas</strong>RMC.org<br />
for more information<br />
about our free<br />
Health Seminars.<br />
Professional Training Opportunities<br />
Programs for healthcare providers and first responders.<br />
CPR; ACLS & PALS (Advanced Cardiovascular Life Support) & (Pediatric Advanced<br />
Life Support); Defibrillator Training; EMT Basic Training and Renewals; PHTLS;<br />
Incident Command System; Advanced Medical Life Support<br />
<strong>Trinitas</strong> <strong>Hospital</strong> Institute of Healthcare & Community Education<br />
425 Morris Avenue, Elizabeth, NJ<br />
For further information, call (908) 527-5222, ext. 12<br />
elmora<br />
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162 Elmora Ave, Elizabeth, 07202<br />
TOLL FREE 1-800-873-9342 or 908-352-8808<br />
www.elmorahealthcare.com<br />
Special Events<br />
May 7, 2009<br />
<strong>Trinitas</strong> Health Foundation<br />
Gala Dinner Dance<br />
The Birchwood Manor<br />
111 North Jefferson Road<br />
Whippany, NJ 07981<br />
6:00pm Cocktails<br />
7:30pm Dinner & Awards<br />
Proceeds benefit the patients<br />
of <strong>Trinitas</strong> Regional Medical Center.<br />
For reservations for this event, call<br />
Laura Ciraco, (908) 994-8249 or<br />
lciraco@trinitas.org<br />
June 22, 2009<br />
First Andrew H. Campbell<br />
Memorial Sporting Clays<br />
Tournament<br />
Hudson Farm, Andover, NJ<br />
For information about event<br />
sponsorships and ticket availability,<br />
call Laura Ciraco, (908) 994-8249 or<br />
lciraco@trinitas.org<br />
Special Programs<br />
(Offered Free to Our Community)<br />
Look Good, Feel Better<br />
Thanks to a partnership of the American<br />
Cancer Society (ACS), the National<br />
Cosmetology Association, and the<br />
Cosmetic, Toiletry & Fragrance Association<br />
(CTFA) Foundation, <strong>Trinitas</strong> offers patients<br />
at its Comprehensive Cancer Center<br />
personal beauty tips and techniques<br />
that they can use everyday.<br />
Call Amparo Aguirre at (908) 994-8244<br />
for information and to register.<br />
Made For Me Boutique<br />
Appointments only.<br />
Call Amparo Aguirre at (908) 994-8244<br />
to register.<br />
Managing Your Medications:<br />
“Ask the Pharmacist”<br />
Offered the fourth Tuesday of every month,<br />
except December.<br />
February 24, March 24, April 27<br />
11:30 am - 1:00 pm<br />
Free of charge, by appointment only.<br />
Call (908) 994-5984.<br />
24 HEALTHYEDGE
All speakers, dates, times and locations were current as of press time. Readers are encouraged to call in advance if they wish<br />
to confirm any information published here about seminars, special events, classes, support groups or special programs.<br />
Support Groups (Offered Free to Our Community)<br />
Breast Cancer Support Group<br />
Meets third Monday of every month.<br />
February 16, March 16, April 20<br />
11:00 am – 12:30 pm<br />
Conference Room A<br />
<strong>Trinitas</strong> Comprehensive Cancer Center<br />
225 Williamson Street, Elizabeth<br />
Open to patients, families, friends<br />
and loved ones. Please RSVP in<br />
English to Donna Filocamo, LCSW,<br />
at (908) 994-8730; in Spanish to<br />
Griselda Hildago, (908) 994-8535.<br />
Breast Feeding Support Group<br />
Friday mornings<br />
10:00 am - 11:30 am<br />
WIC Center<br />
1124 East Jersey Street,<br />
corner of Jefferson, Elizabeth<br />
<strong>Trinitas</strong> <strong>Hospital</strong><br />
Auxiliary<br />
Continuing its tradition of volunteerism,<br />
community health education and<br />
commitment to the mission of <strong>Trinitas</strong><br />
<strong>Hospital</strong>, the Auxiliary of <strong>Trinitas</strong><br />
<strong>Hospital</strong> is a committed group of<br />
volunteers who dedicate their time<br />
and energy to a variety of events and<br />
programs. The Auxiliary fosters interest<br />
among its members and throughout<br />
the community in the work of <strong>Trinitas</strong><br />
<strong>Hospital</strong>, provides and encourages<br />
volunteer service for and in the<br />
hospital, and sponsors and conducts<br />
fundraising activities for the benefit<br />
of the hospital. The Auxiliary also<br />
offers educational programs on healthrelated<br />
subjects for the community.<br />
Coping With Cancer<br />
Support Group<br />
Meets second Tuesday of every month<br />
February 10, March 10, April 14<br />
2:00 pm – 4:00 pm<br />
Conference Room A<br />
<strong>Trinitas</strong> Comprehensive Cancer Center<br />
225 Williamson Street, Elizabeth<br />
Speakers address cancer-related topics.<br />
Economic Support Group<br />
Mondays<br />
11:00 am – 12:00 noon<br />
654 East Jersey Street, Elizabeth<br />
Call (908) 994-7559 to register.<br />
Wednesdays<br />
7:00 pm – 8:00 pm<br />
Family Resource Center<br />
300 North Avenue East, Cranford<br />
Call (908) 276-2244 to register.<br />
Sleep Disorders CPAP<br />
Support Group<br />
Quarterly meetings held on last<br />
Thursday of the month<br />
Jan. 29, April 30, July 30, Oct. 29<br />
7:00 pm – 9:00 pm<br />
Physicians Conference Room<br />
210 Williamson Street, Elizabeth<br />
Call (908) 994-8694 to register.<br />
Classes<br />
Breast Feeding Classes<br />
Tuesday and Wednesday<br />
1:30 pm - 2:30 pm<br />
WIC Center<br />
1124 East Jersey Street, Elizabeth<br />
Led by International Board<br />
Certified Lactation Specialists.<br />
Provided in English and Spanish<br />
(908) 994-5142<br />
Childhood Obesity Sessions<br />
Second Thursday of each month<br />
1:00 pm - 2:00 pm<br />
WIC Center<br />
1124 East Jersey Street, Elizabeth<br />
Led by a Registered Dietician<br />
Provided in English and Spanish<br />
(908) 994-5219<br />
Nutrition Education Program<br />
for Expectant Mothers<br />
WIC Center<br />
1124 East Jersey Street,<br />
corner of Jefferson, Elizabeth<br />
Call Claudia Lopez, (908) 994-5142,<br />
for dates and registration<br />
Baby Shower for<br />
Expectant Mothers<br />
WIC Center<br />
1124 East Jersey Street,<br />
corner of Jefferson, Elizabeth<br />
Sessions about Prenatal Nutrition<br />
will be provided.<br />
Call Claudia Lopez, (908) 994-5142,<br />
for dates and registration<br />
Fruchter & Associates, LLC<br />
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For more information about how<br />
the activities of the Auxiliary benefit<br />
<strong>Trinitas</strong> <strong>Hospital</strong>, call the Auxiliary<br />
at (908) 994-8988<br />
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WINTER 2009 25
Nursing Care in the Battle<br />
Against Addictions by Bob Badner<br />
Relatively unknown to the general<br />
public, addictions nursing is a very<br />
specialized area of the profession that<br />
provides a beacon of hope to those<br />
who suffer from serious addictions.<br />
As remarkable as it sounds, there<br />
are just 369 licensed addictions nurses<br />
nationwide, each recognized as a<br />
Certified Addictions Registered Nurse<br />
(CARN) sponsored by the International<br />
Nurses Society on Addictions (INSA).<br />
These few treat thousands of patients.<br />
At <strong>Trinitas</strong> Regional Medical Center,<br />
three addictions nurses within a 35-<br />
member department care for 1,500<br />
admissions per year. Linda Chapman,<br />
supervisor of Addictions Services, has<br />
been with <strong>Trinitas</strong> since 1984, noting<br />
that <strong>Trinitas</strong>’ Addictions program<br />
began in the early 1990s. Andrea<br />
Krasno and Lenore Achor are the other<br />
two addictions nurses in<br />
the unit.<br />
Linda Chapman says patients who<br />
remain clean and sober “give people a<br />
sense of hope. It’s great for all of us<br />
and great for incoming clients.” Two<br />
success stories stand out.<br />
Deeply addicted to alcohol and<br />
cocaine, one full-fledged addict lost her<br />
administration job on a military base<br />
and her children to Family Services.<br />
Linda Chapman explains: “She lost<br />
everything, her youngest child was<br />
taken by DYFS. After finishing treatment<br />
at <strong>Trinitas</strong> and after being<br />
reunited with her kids, this collegeeducated<br />
mother was hired to do<br />
clerical work right here in Addiction<br />
Services.”<br />
“She studied hard and became a<br />
Lenore Achor, RN, CARN, Linda Chapman, RN, CARN, and Andrea Krasno, RN, CARN,<br />
are all certified in addictions nursing, an extremely specialized niche of nursing.<br />
certified alcohol and drug counselor for<br />
<strong>Trinitas</strong> and is nine years clean to this<br />
day,” beams Chapman.<br />
After conquering her cocaine addiction<br />
at <strong>Trinitas</strong>, another patient went<br />
on to achieve her Master’s degree.<br />
Even more extraordinary, she did her<br />
Master’s degree internship at <strong>Trinitas</strong>’<br />
Addictions Services. She, too, was hired<br />
by Addictions Services as a licensed<br />
clinical social worker (LCSW). Linda<br />
Chapman says, “It’s a great story.<br />
Now 13 years clean, this former patient<br />
was hired as a clinician, who now<br />
does intakes.”<br />
Medical/surgical experience,<br />
mental-behavioral skills, and knowledge<br />
of addictive diseases and treatment<br />
therapies are among the necessary<br />
skills in the field. Addictive disorders<br />
can be very complicated to treat due<br />
to co-occurring conditions such as<br />
psychiatric illness and criminal behavior.<br />
The various types of addictions<br />
treated at <strong>Trinitas</strong> RMC include heroin<br />
(the drug of choice in Union County),<br />
alcohol, cocaine, marijuana, and<br />
gambling. Patient ages typically range<br />
26 HEALTHYEDGE
from 34 to 40 years old. <strong>Trinitas</strong> RMC<br />
treats all addictive patients on an<br />
outpatient basis and has three levels of<br />
care. Treatment includes group/individual<br />
counseling and medication where<br />
indicated.<br />
Chapman points to the Woman’s<br />
Addiction Program (WAP) as a prime<br />
example of how a supportive staff that<br />
works together effectively can achieve<br />
success and derive pride from what<br />
they do. “Women with Children” is a<br />
program tailored to meet the needs<br />
of the working mother. “A common<br />
strength among the staff is our ability<br />
to connect with the patient to create<br />
an environment where the patient feels<br />
safe,” notes Chapman.<br />
“I can’t imagine doing any other<br />
work. There’s nothing more satisfying,<br />
fulfilling or challenging. It’s most<br />
rewarding when a patient is three<br />
years clean” says Chapman.<br />
Combining Linda Chapman’s<br />
winning attitude along with skilled<br />
personnel, the Addictions Services<br />
Unit at <strong>Trinitas</strong> will continue to have a<br />
significant impact on the community<br />
its serves for years to come.<br />
Linda Chapman, RN, CARN, Andrea Krasno, RN, CARN, and Lenore Achor, RN,<br />
CARN, have worked in the field of addictions nursing for a combined total of almost<br />
60 years.<br />
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Certified, American Board<br />
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A graduate of Syracuse University,<br />
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articles, essays, profiles and a<br />
documentary on Thomas Edison.<br />
His feature writing has covered satellite<br />
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WINTER 2009 27
Advanced Images Help<br />
Improve Cardiac Diagnoses by<br />
Rena Sandberg<br />
<strong>Trinitas</strong> Regional Medical Center is<br />
committed to employing the most<br />
advanced medical technologies to benefit<br />
each patient who walks through<br />
the door. Three innovative technologies<br />
in the field of cardiology diagnosis<br />
have recently become available.<br />
T-Wave Alternans Analysis<br />
In the last year, T-Wave Alternans<br />
Analysis came into use at <strong>Trinitas</strong>. This<br />
breakthrough non-invasive technique is<br />
used to diagnose patients who are at<br />
high risk for sudden cardiac death<br />
from fatal arrhythmias. Alice Forster,<br />
Manager of Diagnostic Services at<br />
<strong>Trinitas</strong>, explains that the new tool is<br />
used in conjunction with a stress test.<br />
“T-Wave Alternans is an analysis<br />
package that detects alternating<br />
ST-T patterns from beat to beat using<br />
computerized measurement. The<br />
presence of alternating waveforms is<br />
seen as a precursor of sudden cardiac<br />
death while and absence of these alternating<br />
waves indicates minimal risk.”<br />
Through this diagnostic tool, cardiologists<br />
can distinguish at risk patients<br />
more promptly and therefore develop<br />
appropriate treatment plans more<br />
quickly.<br />
Adenosine Stress Testing<br />
Patients in poor physical condition<br />
with lower limb amputation, peripheral<br />
vascular disease, severe arthritis, and<br />
orthopedic conditions that limit<br />
physical exertion can benefit from<br />
Adenosine Stress Testing. This test,<br />
which uses the drug Adenosine to<br />
28 HEALTHYEDGE<br />
stress the heart, can help determine<br />
whether or not there is substantial<br />
blood flowing to the heart during<br />
exercise versus at rest. Since Adenosine<br />
forces the body to react as if it were<br />
participating in physical activity by<br />
dilating the blood vessels and intensifying<br />
blood flow, patients who are<br />
unable to perform on a treadmill can<br />
greatly benefit from such a test. All<br />
patients with chest pain, irregular heart<br />
rhythms and high blood pressure are<br />
candidates for this diagnostic testing.<br />
This 2.5-hour long procedure<br />
begins by inserting an IV into the arm.<br />
“While the patient is lying down, the<br />
first isotope is injected and resting<br />
images are taken,” explains Forster.<br />
A gamma camera captures images<br />
which reveal if there is adequate blood<br />
flowing through the coronary arteries<br />
which supply the heart.<br />
Alice Forster continues: “Then<br />
following the infusion of Adenosine,<br />
which takes approximately four<br />
minutes, the cardiologist and cardiac<br />
nurse constantly monitor the patient’s<br />
heart rate and blood pressure. The<br />
second isotope is injected and after a<br />
30 minute wait, a second set of images<br />
is taken.”<br />
Side effects for those who undergo<br />
Adenosine Stress Testing are resolved<br />
quickly with minimal discomfort.<br />
3-Dimensional<br />
Echocardiography<br />
A new ultrasound system technology<br />
that creates 3-D images of the heart<br />
can also be found at <strong>Trinitas</strong>.<br />
This technology provides the physi-
cian with working knowledge about<br />
the integrity of the heart’s chambers<br />
and valves as well as the size and shape<br />
of the heart. It can also detect any<br />
problem with a great vessel or chamber<br />
in the heart, including life-threatening<br />
blood clots or fluid buildup.<br />
Performed in conjunction with a<br />
traditional echocardiogram, the 3-D<br />
echocardiogram has clinical capabilities<br />
that offer enhanced image quality,<br />
more valuable clinical information and<br />
heightened diagnostic confidence.<br />
“The 3-D application provides better<br />
visualization of complex anatomical<br />
features, left ventricular function and<br />
mitral valve anatomy,” says Forster.<br />
A conductive gel is placed on the<br />
patient’s chest at the start of the 45-<br />
minute procedure. An ultrasound<br />
probe which acquires images from different<br />
angles of the heart takes measurements<br />
of wall thickness and chamber<br />
size. Lastly, calculations of blood<br />
flow through the valves are made.<br />
Patients who experience chest pain,<br />
irregular heart rhythms and high blood<br />
pressure are candidates for this type of<br />
minimally invasive procedure.<br />
Rena Sandberg is a regular contributor<br />
to HealthyEdge. She has written stories<br />
on innovative surgical procedures as<br />
well as articles on various aspects of<br />
healthy lifestyles.<br />
Arthur Millman, MD, Chief of Cardiology, Alice Forster, RN, Manager, Diagnostic<br />
Services, Ifries Joseph, Chief Clinical Specialist (Echo), Marie Galeon and Marlene<br />
Perez-Mateo, Clinical Specialists (Echo), and Nancy DiLiegro, PhD, FACHE, Vice<br />
President of Clinical Services, are shown in the department.<br />
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WINTER 2009 29
Sisters of Charity Bring Thoughtful<br />
Caring to Special Ministries<br />
by Kathryn Salamone and Rena Sandberg<br />
(Editor’s Note: This is the second article that profiles members of the Sisters of Charity of Saint Elizabeth<br />
who have devoted their lives to religious service within the community.)<br />
Sister Mary Corrigan<br />
The only girl among six brothers,<br />
Sr. Mary Corrigan was born and raised<br />
in Jersey City. Religion was always paramount<br />
in her home where her parents<br />
instilled in her and her brothers the<br />
value of a strong faith and love of God.<br />
There was an emphasis on charity, she<br />
explains. “There was always someone<br />
less fortunate than we were,” says Sr.<br />
Mary. “Service to others was encouraged.<br />
Out of this came my desire to<br />
serve God and love God more by<br />
reaching out to those in need.”<br />
As a student, she observed her<br />
teachers who were members of the<br />
Sisters of Charity. Their dedication and<br />
outreach to others appealed to her.<br />
She felt a calling to enter the Sisters of<br />
Charity of Saint Elizabeth in 1961.<br />
Sister obtained a Bachelor’s degree in<br />
Education from the College of Saint<br />
Elizabeth, a Master’s in Education from<br />
Fairfield University in Connecticut, and<br />
a Supervision in Administration<br />
Certificate from Seton Hall University as<br />
well as Certificates in Spiritual<br />
Development and Pastoral Care.<br />
For more than 30 years, Sister’s primary<br />
ministry was in education and<br />
she could be found teaching in schools<br />
in Northern and Central New Jersey as<br />
well as in Pensacola, Florida. While an<br />
educator and school administrator,<br />
Sister became involved in Social<br />
Concerns Committees, helping to<br />
house the homeless, partnering with<br />
inner city schools, serving at soup<br />
30 HEALTHYEDGE<br />
kitchens. In the mid 1990’s<br />
this led to a visit to Mexico<br />
where she saw first hand<br />
the abject poverty of<br />
one room dwellings<br />
for several families<br />
and very visible<br />
community<br />
outreach to<br />
help the poor.<br />
“People I met<br />
took pride in<br />
what they were<br />
able to accomplish<br />
and willingly<br />
shared with others<br />
the little they had,”<br />
Sister recalls.<br />
She began the next<br />
phase of her vocation —<br />
Pastoral Care — although she<br />
readily admits that she wasn’t sure who<br />
wanted to minister to the sick. Since<br />
2003, she has been the Director of<br />
Pastoral Care, where as chaplain at<br />
<strong>Trinitas</strong>, she addresses the emotional,<br />
physical and spiritual needs of the<br />
patients, family members and the staff.<br />
“While it is difficult at times, it certainly<br />
is a rewarding, enriching and spiritual<br />
experience,” says Sister Mary. “It is an<br />
honor and a privilege to be with people<br />
when they are most vulnerable.”<br />
As Vice President of Mission<br />
Effectiveness at <strong>Trinitas</strong>, Sister Mary<br />
provides leadership, guidance and<br />
direction to carry out the mission and<br />
values of <strong>Trinitas</strong> through educational<br />
Sister Mary Corrigan<br />
programs that work interdepartmentally<br />
to develop and maintain a culture<br />
that reflects the Mission of <strong>Trinitas</strong>.<br />
“There are many challenges in<br />
healthcare today — government<br />
regulations, changes in the practice of<br />
medicine, legal issues, uninsured and<br />
underinsured patients, homelessness,<br />
undocumented persons, behavioral<br />
mental health, end of life issues, the<br />
quality of life, charity care reimbursement,<br />
needs of the elderly, palliative<br />
care. All of this calls me to serve the<br />
people of God, to change hurt into<br />
hope,” concludes Sister Mary.
Sister Marcella Nolan<br />
Sister Marcella Nolan<br />
Growing up in an Irish Catholic family<br />
in Jersey City, Sister Marcella Nolan<br />
attributes her vocation to the religious<br />
life to the faith that was instilled in her<br />
at an early age. Sister Marcella didn’t<br />
have far to look for inspiration. In addition<br />
to the example of her parents,<br />
many relatives within her extended<br />
family were members of the clergy.<br />
“Love of God and neighbor were<br />
part of the earliest lessons I learned<br />
from my parents and from others in<br />
my very large family. That abiding<br />
faith was reinforced through my<br />
Catholic schooling,” she explains.<br />
Most of Sister Marcella’s 44 years<br />
as a member of the Sisters of Charity<br />
have been spent in the hospital setting.<br />
At the <strong>Hospital</strong> of St. Raphael in New<br />
Haven, Connecticut, Sister served as<br />
Assistant Director of Personnel and<br />
then Assistant Administrator after<br />
completing her Master’s degree in<br />
Health Care Administration.<br />
Following her 13 years in<br />
Connecticut, Sr. Marcella began her<br />
ministry in Elizabeth at St. Elizabeth’s<br />
<strong>Hospital</strong>, one of the precursors of<br />
<strong>Trinitas</strong> Regional Medical Center. Upon<br />
joining the staff as Vice President of<br />
General Services, she took<br />
on the responsibility<br />
of overseeing broad<br />
areas in the workings<br />
of the hospital,<br />
including the<br />
departments of<br />
Communications,<br />
Environmental<br />
Services, Food<br />
Services, Respiratory<br />
Therapy, and<br />
Women Infants and<br />
Children (WIC), to<br />
name a few. Prior to<br />
her current position as<br />
Patient Advocate/<br />
Administrative Liaison, Sister<br />
Marcella also held an administrative<br />
post as Executive Director of<br />
the Marillac Corporation which owns<br />
and manages the Medical Office<br />
Building on the Williamson Street<br />
Campus. As site manager, Sister<br />
Marcella gained insight into the field of<br />
property management and real estate.<br />
Sister believes that her administrative<br />
background has been a valuable<br />
asset as she works to assure the best<br />
possible outcomes for patients at<br />
<strong>Trinitas</strong> RMC. “The whole <strong>Trinitas</strong> family<br />
is committed to the mission of delivering<br />
the best possible care to all of<br />
our customers,” Sister stresses. As part<br />
of that commitment, Sister also serves<br />
on the Steering Committee of the<br />
Customer Satisfaction effort at <strong>Trinitas</strong><br />
where she helps to develop appropriate<br />
programs and activities to ensure<br />
customer satisfaction.<br />
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As Sister Marcella looks back on<br />
her almost five decade career as a<br />
religious, she is also reminded of the<br />
years she spent in the business world<br />
prior to entering the Sisters of Charity.<br />
“Although my life before entering<br />
the convent was rewarding, I always<br />
felt that I wanted to make a greater<br />
contribution, one on a higher level.<br />
Devoting myself to God and His people<br />
has given me personal satisfaction in a<br />
way I had not experienced before.”<br />
Sister Monica Vinges<br />
For more than three decades,<br />
Sister Monica Vinges, who is a Licensed<br />
Professional Counselor and Licensed<br />
Clinical Social Worker, has counseled<br />
parents and children and been a contributor<br />
to journals in the field. Today,<br />
she is a member of the Department of<br />
Behavioral Health & Psychiatry at<br />
<strong>Trinitas</strong> Regional Medical Center.<br />
As a young woman, Sr. Monica<br />
sensed that she was “called to something<br />
deeper.” That calling led her<br />
to the Sisters of Charity in 1960. Sr.<br />
Monica’s hunger to learn drove her<br />
to obtain her first Master’s Degree in<br />
counseling and a second in Social<br />
Work. These credentials spurred her to<br />
work as a clinical counselor for children<br />
and families who were afflicted with<br />
cancer, as a trainer to prepare caregivers<br />
to be better equipped to work<br />
with children, and later as an<br />
Outpatient Clinician and Supervisor.<br />
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Continued on page 32<br />
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WINTER 2009 31
CHIROPRACTIC<br />
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ELIZABETH<br />
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FOR ADULTS & CHILDREN<br />
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Sister Monica Vinges<br />
In her current role as a Clinical Social<br />
Worker and Supervisor in the Adult<br />
Outpatient Unit for the Department of<br />
Behavioral Health & Psychiatry, Sr. Monica<br />
conducts a variety of programs and<br />
support groups for individual and group<br />
psychotherapy. Participants in a post<br />
traumatic stress disorder group, those<br />
in a group designed to help participants<br />
live life more positively, those<br />
who are coping with death and loss,<br />
and those who are working to management<br />
symptoms of anxiety and<br />
depression all benefit from the depth<br />
and breadth of Sr. Monica’s knowledge<br />
and experience. Sister uses the wellness<br />
recovery model that she describes as<br />
“offering hope and the possibility to<br />
transform on a personal<br />
level.”<br />
Sr. Monica believes<br />
that group therapy is a<br />
significant benefit to<br />
patients. “Group<br />
therapy lets the<br />
patients get feedback<br />
from their<br />
peers. It makes<br />
them feel that they<br />
are not alone in the<br />
world,” she said.<br />
Knowing she is touching<br />
the lives of others,<br />
Sr. Monica considers her<br />
job tremendously gratifying.<br />
“I believe that God speaks<br />
through me. When someone tells<br />
me that I have helped them change<br />
their lives, it is an awesome feeling.”<br />
As a faculty member of the General<br />
Psychiatry Residency program at <strong>Trinitas</strong><br />
Regional Medical Center, Sr. Monica<br />
shares her insights and experience in<br />
monthly lectures designed to educate<br />
medical residents about spirituality,<br />
mental health, group therapy, and<br />
bereavement.<br />
Looking ahead to celebrating<br />
50 years as a Sister of Charity in 2010,<br />
Sister Monica shows no signs of slowing<br />
down. “My work has been so<br />
satisfying and rewarding that I plan to<br />
continue until my health may prevent<br />
me from keeping up with my current<br />
schedule. I am thankful that my life as<br />
a religious has enabled me to pursue<br />
my professional life in Social Work.”<br />
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32 HEALTHYEDGE
Singing the Praises of <strong>Trinitas</strong> Regional Medical Center<br />
HEALTHYEDGE is pleased to share these unsolicited letters from those<br />
who recently received care at our facilities in Elizabeth.<br />
On behalf of the B. family, I’d<br />
like to thank you and your staff for<br />
the extraordinary and caring treatment<br />
that our dad received in the<br />
3 ½ years he was under the care of<br />
<strong>Trinitas</strong> doctors. We all believe the<br />
care at <strong>Trinitas</strong> added years to his<br />
life and kept him off dialysis. The<br />
care provided by everyone, including<br />
doctors, nurses, technicians,<br />
aides, and everyone else was<br />
superior. The compassion, concern,<br />
humor and attention to our father’s<br />
care resulted in a quality of life that<br />
was far superior to the alternative.<br />
I can tell you <strong>Trinitas</strong> is in a league<br />
by itself, period.<br />
The Emergency Department,<br />
Radiology, the staff on 7 South, the<br />
Social Work Department and EMS<br />
Transport — the list goes on. The<br />
caring and empathy, the support<br />
during difficult times, the efficiency<br />
as we transitioned to hospice care<br />
are all to be applauded.<br />
We thank you, your team and<br />
everyone involved for their compassion<br />
and concern.<br />
Mr. and Mrs. I. B.<br />
Mr. and Mrs. H. B.<br />
Mrs. F.B.<br />
My Father, age 86, was recently<br />
hospitalized at <strong>Trinitas</strong>. I want to<br />
express my gratitude to the staff<br />
members who cared for him. I’d like to<br />
recognize a Nurse’s Assistant, Raphael<br />
(Raffi), who was very attentive, caring<br />
and compassionate to him and our<br />
entire family. There were other wonderful<br />
staff member on the 6th floor<br />
unit, however, I do not recall their<br />
names. At every step of the way, the<br />
staff was superb. After a horribly difficult<br />
night, I was able to leave the hospital<br />
knowing that my father was in<br />
good hands. Thank you.<br />
Mrs. M. H.<br />
I am indebted to the main campus<br />
of <strong>Trinitas</strong> and to its clinics for taking<br />
care of me for more than six years.<br />
I had the good fortune of receiving<br />
care beginning in 2001 when my<br />
health deteriorated. I believe that<br />
they gave extra years to my life. I am<br />
alive and able to say I am so grateful.<br />
I wish <strong>Trinitas</strong> Regional Medical<br />
Center the best in its efforts to serve<br />
the ill in our community.<br />
Mrs. J. P.<br />
When it was apparent that my<br />
15 year old autistic son needed<br />
specialized professional care, I<br />
brought him to the Psychiatric<br />
Unit at the New Point Campus of<br />
<strong>Trinitas</strong> in Elizabeth. This was a very<br />
traumatic episode for me but the<br />
members of the <strong>Trinitas</strong> staff who<br />
I dealt with that day were a tremendous<br />
help. They were warm, kind,<br />
understanding and extremely helpful.<br />
Our lives changed for the better.<br />
Realizing I was exhausted and<br />
extremely stressed, a staff member<br />
was caring and compassionate.<br />
This person understood my<br />
concerns about leaving my son<br />
in a strange place and assured me<br />
that D. would be okay. I’m happy<br />
to report that my son, who has<br />
difficulty relating to new people<br />
he meets, was able to bond<br />
quickly with one of the behavioral<br />
specialists in the Dually Diagnosed<br />
Disorders unit. We owe her a great<br />
debt. The social worker we met<br />
dealt with difficult situations with<br />
grace and elegance and was able<br />
to communicate tough news and<br />
made it easier to take in.<br />
This was a traumatic experience<br />
for D. but I believe that he was<br />
in the best place to fix his issues.<br />
During D.’s time at <strong>Trinitas</strong> everyone<br />
treated us as if we were family.<br />
We got hugs from just about everyone<br />
on the day D. left. I will never<br />
be able to thank everyone appropriately<br />
but want them to know that<br />
they are an amazing and caring<br />
staff and we will never forget how<br />
well we were treated.<br />
Mr. J.G.<br />
WINTER 2009 33
Foundation Focus: News of the <strong>Trinitas</strong> Health Foundation<br />
by Kathryn Salamone<br />
THE TRUSTEES OF THE TRINITAS HEALTH FOUNDATION:<br />
CHANNELING DIVERSE BACKGROUNDS INTO A COMMON GOAL<br />
Professional accomplishment<br />
coupled with a desire to strive to<br />
improve the community are qualities<br />
that define the members of the <strong>Trinitas</strong><br />
Health Foundation Board. Another<br />
quality is stamina as reflected in our<br />
spry and committed 87-year old<br />
Board member.<br />
“Serving on the <strong>Trinitas</strong> Health<br />
Foundation Board requires dedicated<br />
time and energy that our trustees give<br />
so willingly,” notes Nadine Brechner,<br />
Executive Director of the Foundation.<br />
“By drawing from their personal and<br />
professional knowledge and their depth<br />
of experience, Board members combine<br />
their talents to help establish goals<br />
and identify ways to meet the challenges<br />
that face non-profit organizations<br />
such as ours in today’s economic<br />
climate. Board participation is more<br />
than meeting on a regular basis to<br />
review current circumstances. It<br />
requires keen insight, teamwork, and<br />
dedication to the hopes and dreams<br />
that we hope to realize, even in the<br />
face of harsh economic realities.”<br />
The primary responsibilities of the<br />
<strong>Trinitas</strong> Health Foundation are to raise<br />
funds and to invest and monitor the<br />
assets of the Foundation. In addition,<br />
the Board members approve disbursements<br />
to <strong>Trinitas</strong> to meet specific<br />
equipment or program needs.<br />
In previous issues of HealthyEdge<br />
we have introduced members of the<br />
<strong>Trinitas</strong> Health Foundation Board of<br />
Trustees. We conclude these introductions<br />
in this issue.<br />
Carroll Keating<br />
Carroll Keating has been a marketing and sales<br />
professional in the metropolitan New York and<br />
Washington, DC, areas for the last 25 years. While<br />
marketing manager at Source One International in<br />
New York, NY, Ms. Keating generated business in<br />
sales and service equivalent to 25% of the company’s<br />
overall sales. She completed her bachelor’s degree<br />
in psychology in three years at Hollins University in<br />
Roanoke, Virginia. Her community work includes<br />
association with Habitat for Humanity, Susan G.<br />
Komen for the Cure, American Cancer Institute, and<br />
AmeriCare. She is enjoys golf, tennis and squash and<br />
serves as the Westfield, New Jersey Lacrosse coach.<br />
Sol Kramer<br />
A post-World War II Polish émigré, Mr. Kramer<br />
has a lifetime of varied experience in the divergent<br />
fields of dental hygiene, law enforcement, and real<br />
estate development. He is passionately devoted to<br />
fundraising for his adopted causes, the latest of<br />
which is <strong>Trinitas</strong> Regional Medical Center where he<br />
was a recent patient whose life-threatening illness<br />
was successfully treated. Mr. Kramer serves on the<br />
Board of the Jewish Educational Center in Union,<br />
the Jewish Federation, Jewish Family Service and the<br />
YMHA/YWHA located in Union. He and his wife<br />
have been married for nearly six decades.<br />
34 HEALTHYEDGE
Michael Minitelli<br />
Born and raised in Elizabeth and a graduate<br />
of Seton Hall University, Mr. Minitelli owned and<br />
operated the Hudson Discount Drug Company,<br />
a retail health and beauty aids establishment in<br />
Bayonne, New Jersey, for almost 25 years. Since<br />
1993, as Director of Economic Development in<br />
Union Township, Mr. Minitelli has been instrumental<br />
in helping to create substantial growth in the township<br />
by attracting new businesses to the community<br />
including, Home Depot, Walmart, Target, Lowes,<br />
and Whole Foods. He previously served as a Trustee<br />
of the Union <strong>Hospital</strong> Foundation.<br />
Paul D. Napoli<br />
A graduate of Stevens Institute of Technology with<br />
a Bachelor’s degree in civil engineering, Paul D. Napoli<br />
also holds a Master’s degree in finance from Seton Hall<br />
University. Mr. Napoli is Manager of the Transmission<br />
Division of Public Service Electric and Gas of New Jersey<br />
(PSE&G). He has offered his financial expertise to the<br />
community while serving on the Financial Advisory<br />
Committee of Rockaway Township in Morris County.<br />
Courtney Villani<br />
While a student at Hofstra University, Courtney<br />
Villani focused on sociology and anthropology and<br />
became a Volunteer Firefighter and Director of the<br />
After School and Summer Programs at Uniondale,<br />
NY. A member of Business and Professional Women<br />
International, she serves as a corporate officer of the<br />
Villani Bus Company in Linden where she is also a<br />
Co-Chair of the Linden Chamber of Commerce. In<br />
addition, she is also a Trustee of the New Jersey<br />
School Bus Owners Association.<br />
Sister Clare Maureen Tracy<br />
Sister Clare received her BS<br />
degree in Radiology from St. Louis<br />
University. Since then, she has served<br />
St. Elizabeth <strong>Hospital</strong> and its successor,<br />
<strong>Trinitas</strong> Regional Medical Center,<br />
for a total of 50 years which she<br />
considers her life’s work and devotion.<br />
In addition to her work on the<br />
Foundation Board, Sr. Clare Maureen<br />
is also a member of the Board of the<br />
Auxiliary of <strong>Trinitas</strong> RMC. She is a<br />
familiar face at the Information Desk<br />
of the Williamson Street Campus.<br />
Mary Patricia Keefe<br />
A graduate of Douglass College<br />
of Rutgers University with a degree<br />
in political science and psychology,<br />
Mary Patricia Keefe later received<br />
her JD degree from Seton Hall<br />
University School of Law.<br />
Following admission to the<br />
New Jersey Bar Association,<br />
Ms. Keefe was employed by the<br />
New Jersey Board of Public Utilities<br />
as a Regulatory Officer for the<br />
agency. Ms. Keefe joined the<br />
Elizabethtown Gas Company in<br />
1980 where she has served in<br />
several legal, regulatory and<br />
compliance positions. She is<br />
currently a Director of Regulatory<br />
Affairs, Mid-Atlantic Region for AGL<br />
Resources, Inc., Elizabethtown’s<br />
parent company. She is a member<br />
of the American and NJ Bar<br />
Associations and the American<br />
Gas Association.<br />
WINTER 2009 35
FOUNDATION FOCUS<br />
Tricia D. Mullaney<br />
A cum laude graduate of Georgetown University, Tricia D. Mullaney also holds<br />
Master’s degrees in Russian and Eastern European studies and Education from the<br />
University of Michigan. Her background in education has encouraged her interest<br />
in working with at-risk children. Currently employed as a financial manager in<br />
Westfield, Ms. Mullaney has a long established interest in <strong>Trinitas</strong> affairs.<br />
Debra S. Valenti<br />
A graduate of the University of South Carolina with a bachelor’s degree in<br />
journalism, Ms. Valenti is currently Vice President of Client Services at W.P. Stewart<br />
& Company, the asset management firm based in New York, New York, where<br />
she has served since 1984. Her career with that organization which specializes<br />
in client securities portfolio management, asset management and client marketing<br />
has included positions as portfolio administrator, associate portfolio manager<br />
and client support specialist which led to her current leadership role. She is a<br />
member of the American Society for the Prevention of Cruelty to Animals<br />
(ASPCA) and also serves on the Board of Trustees of Ocean Beach Surf Club,<br />
Lavalette, New Jersey.<br />
PAUL J.P. BOLANOWSKI, MD<br />
JUSTIN SAMBOL, MD<br />
Constantino Lovoulos, MD<br />
PRACTICE LIMITED TO CARDIOTHORACIC SURGERY<br />
With Staff Privileges at <strong>Trinitas</strong> <strong>Hospital</strong> and University <strong>Hospital</strong><br />
219 South Broad Street, Elizabeth, NJ<br />
908-352-8110<br />
<strong>Trinitas</strong> Health Foundation<br />
Board of Trustees<br />
Officers:<br />
John C. Gibardi, Chairman<br />
Thomas S. Kachelriess, Vice Chair<br />
Susan Head, Vice Chair<br />
Eugene J. Carmody, Treasurer<br />
Gary S. Horan, FACHE,<br />
President & CEO<br />
Jan Margolis, Secretary<br />
Elinor K. Blore<br />
Joseph Cantalupo<br />
George A. Castro<br />
Martha DeNoble<br />
Richard English<br />
Botond Farkas<br />
Catherine J. Flynn, Esq.<br />
Diane M. Francis, MPH, CCS<br />
Thomas D. Jacobson<br />
Carroll Keating<br />
Mary Patricia Keefe<br />
Sol Kramer<br />
Vito Mazza<br />
Kevin McCloskey<br />
Robin McHugh<br />
Michael Minitelli<br />
Tricia Mullaney<br />
Paul D. Napoli<br />
Sister Clare Maureen Tracy<br />
Debra S. Valenti<br />
Courtney Villani<br />
Honorary Trustees<br />
John M. Boozan, MD<br />
Jerome Eckenthal<br />
Harold Krevsky, Esq.<br />
Gloria H. Piserchia<br />
Robert Silbey, MD<br />
36 HEALTHYEDGE
WE’VE GROWN INTO A NEW NAME.<br />
<strong>Trinitas</strong> <strong>Hospital</strong> is now<br />
<strong>Trinitas</strong> Regional Medical Center<br />
Behavioral Health • Cancer • Cardiology • Maternal/Child Health • Renal • School of Nursing<br />
Senior Services • Sleep Disorders • Women’s Services • Wound Healing/Diabetes Management<br />
We’re everywhere you need us.<br />
<strong>Trinitas</strong> is growing, and that’s good news for you and your family. We believe that our new name more<br />
accurately reflects the level of care we provide as we strive to meet the healthcare needs of<br />
our region.<br />
Please visit www.<strong>Trinitas</strong>RMC.org to learn more about us and our Centers of Excellence. Join our<br />
email list and receive free e-newsletters, announcements of free health screenings, and news of free<br />
health seminars.<br />
225 WILLIAMSON STREET • ELIZABETH, NJ 07207 • 908.994.5000 • WWW.TRINITASRMC.ORG<br />
Caring for You in Every Way<br />
<strong>Trinitas</strong> Regional Medical Centeer is a Catholic Teaching <strong>Hospital</strong> sponsored by the Sisters of Charity of Saint Elizabeth in partnership with Elizabethtown Healthcare Foundation.<br />
WINTER 2009 37
Cancer Survivors Put Best Foot Forward<br />
as They Model Latest Fashions<br />
38 HEALTHYEDGE<br />
Photos by: Al Kruper
Women of Union County were educated<br />
about advancements in breast<br />
cancer treatments while also learning<br />
beauty and fashion tips at the recent<br />
Breast Cancer Luncheon that the<br />
<strong>Trinitas</strong> Comprehensive Cancer Center<br />
hosted in Union. Held during Breast<br />
Cancer Awareness Month, the luncheon,<br />
attended by more than 100<br />
women, showcased the latest in medical<br />
treatments for breast cancer and<br />
how women can safeguard their breast<br />
health through education and awareness.<br />
On a lighter side, the event<br />
featured a make up presentation by<br />
cosmeticians from the Bobbie Brown<br />
line of skin care products a display of<br />
fashion trends to make the best of a<br />
woman’s outward features.<br />
Shown here is a gallery of photos<br />
taken at the Galloping Hill Inn as models<br />
captured the feeling of the season while<br />
conveying the important messages of<br />
preventive health care and optimism<br />
while surviving cancer never go out<br />
of style.<br />
Dr. Lisa Febles<br />
Henson of<br />
<strong>Trinitas</strong> CCC<br />
shared the latest<br />
information about<br />
cancer treatments<br />
for women.<br />
Surgeon James Frost, MD, spoke about<br />
surgical options for women facing various<br />
types of cancer.<br />
Dr. Labib E. Riachi informed the<br />
audience of surgical techniques<br />
he uses for women who suffer<br />
with the embarrassment of<br />
incontinence.<br />
WINTER 2009 39
<strong>Hospital</strong> Beat: People and Events of Note<br />
DRILL DRIVES HOME THE POINT OF PREPAREDNESS<br />
Residents of Union County can rest<br />
easy knowing that first responders and<br />
the entire staff at <strong>Trinitas</strong> Regional<br />
Medical Center are exactingly prepared<br />
for crises and emergency events. As a<br />
medical center located less than 20<br />
miles from New York City in a densely<br />
populated urban center and also in the<br />
shadow of a major international airport,<br />
TRMC takes its disaster response<br />
responsibility very seriously.<br />
“In cooperation with Union County,<br />
<strong>Trinitas</strong> Regional Medical Center enacted<br />
a significant four-day crisis scenario<br />
designed to test our ability to respond<br />
at a moment’s notice to an unfolding<br />
major medical emergency,” explained<br />
Michael McIntyre, Director of Support<br />
Services and Plant Operations/<br />
Administration at <strong>Trinitas</strong>, who served<br />
as the “Incident Commander” during<br />
the mock crisis.<br />
The drill called for the activation of<br />
the <strong>Trinitas</strong> Emergency Operations<br />
Center. Throughout the four-day period,<br />
decisions were made and measures<br />
were adopted at crisis response meetings<br />
to deal with the crisis and respond<br />
to patients.<br />
Philip E. Solomon, Emergency<br />
Preparedness Coordinator at <strong>Trinitas</strong>,<br />
noted that the 96-hour exercise simulated<br />
an infectious disease event that<br />
saw the influx of more than 100 simulated<br />
patients into <strong>Trinitas</strong>. “During the<br />
crisis simulation, more than 120 staff<br />
members from departments and functions<br />
throughout the medical center<br />
actively participated,” explained<br />
Solomon. “In real-life circumstances,<br />
such an event exerts an impact on the<br />
entire hospital and in this drill we put<br />
everyone through the paces of<br />
Members of the Crisis Response team meet in the “Incident Command Center.”<br />
responding to an emergency of significant<br />
magnitude.”<br />
“Union County is very serious about<br />
emergency preparedness, and conducting<br />
crisis exercises with the health care<br />
community is a vital part of our overall<br />
plan,” said Freeholder Board Chairman<br />
Angel G. Estrada. “The County’s<br />
Division of Health coordinated this<br />
exercise with <strong>Trinitas</strong> Regional Medical<br />
Center to help ensure that medical<br />
services in our region are ready for any<br />
contingency.”<br />
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40 HEALTHYEDGE
TRINITAS HELPS COMMUNITY TO TAKE<br />
CHARGE IN A TOUGH ECONOMY<br />
At the end of 2008, <strong>Trinitas</strong><br />
Regional Medical Center realized<br />
that it could play an important part<br />
in helping people manage the stresses<br />
of the current economic situation.<br />
In response to the bleak news on the<br />
economic front, the Department of<br />
Behavioral Health & Psychiatry has<br />
taken a pro-active step to ease the<br />
mental and emotional burdens of job<br />
loss on individuals and families in<br />
Elizabeth and other Union County<br />
communities.<br />
Beginning in January, <strong>Trinitas</strong><br />
now offers free weekly support groups<br />
for those experiencing job loss or<br />
downsizing related to the deep recession.<br />
The support groups offered in<br />
Cranford and Elizabeth are designed<br />
to provide assistance in learning how<br />
to cope with the multiple challenges<br />
that the recession presents.<br />
individuals are under a great deal<br />
of stress,” says James Lape, Senior<br />
Vice President/Behavioral Health &<br />
Psychiatry and Long Term Care.<br />
“The support groups offer opportunities<br />
for people to share their concerns<br />
under the guidance of mental health<br />
professionals who can provide positive<br />
suggestions and recommendations for<br />
improving coping skills to help during<br />
these very difficult times.”<br />
Support groups are offered during<br />
the day in Elizabeth as well as the<br />
evening in Cranford. The Elizabeth<br />
location (654 East Jersey Street) hosts<br />
support groups on Mondays 11:00 am<br />
–12:00 pm. Call (908) 994-7559 to<br />
register. The Cranford location<br />
(300 North Avenue East) hosts<br />
support groups Wednesday evenings<br />
7:00-8:00 pm. Register by calling<br />
(908) 276-2244.<br />
“Many people understandably<br />
are having a very difficult time coping<br />
with paying their bills. Families and<br />
SUPPORT GROUPS:<br />
Elizabeth (654 East Jersey Street)<br />
Mondays 11:00 am - 12:00 pm<br />
(908) 994-7559<br />
Cranford (300 North Avenue East)<br />
Wednesdays 7:00 - 8:00 pm<br />
(908) 276-2244<br />
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WINTER 2009 41
Vital Signs: <strong>Trinitas</strong> Comprehensive Cancer Center News<br />
by Kathryn Salamone<br />
TCCC IS FIRST IN NEW JERSEY WITH RAPIDARC TECHNOLOGY<br />
In late 2008, <strong>Trinitas</strong> Comprehensive<br />
Cancer Center became the first cancer<br />
treatment center in the state to offer<br />
its cancer patients RapidArc radiotherapy<br />
technology, using a fast,<br />
precise form of treatment using<br />
advanced technology from Varian<br />
Medical Systems. This revolutionary<br />
radiotherapy technology, 80% faster<br />
than conventional radiation, can make<br />
a significant difference in the patient’s<br />
outcome.<br />
Comments from the first patient to<br />
receive RapidArc treatment at <strong>Trinitas</strong><br />
CCC attest to that.<br />
“I am pleased that my treatment<br />
was changed to RapidArc,” said 60-<br />
year-old Miguel Gomez of Newark,<br />
New Jersey. “This new technology is<br />
faster and lets me complete my treatment<br />
in under two minutes. Before<br />
RapidArc, I would have to lay still for<br />
close to half an hour and there were<br />
times it was uncomfortable and difficult<br />
for me. Now I am in and out<br />
quickly and back to my daily routine.”<br />
RapidArc is an image-guided<br />
intensity-modulated radiotherapy<br />
(IMRT) treatment that takes about 90<br />
seconds to deliver, which is markedly<br />
faster than other medical facilities<br />
where treatment time can last as<br />
much as 20 minutes or longer. During<br />
a RapidArc treatment, the radiation<br />
beam is continually shaped and<br />
reshaped according to the size, shape,<br />
and position of the tumor in the body.<br />
As a result, the delivery of radiation is<br />
many times faster than conventional<br />
radiotherapy, which creates another<br />
benefit of greater comfort and convenience<br />
for patients.<br />
“RapidArc makes it possible for us<br />
42 HEALTHYEDGE<br />
Clarissa Febles Henson, MD, Chairman of Radiation Oncology, explains benefits of<br />
RapidArc to a patient at <strong>Trinitas</strong> CCC.<br />
to deliver IMRT treatments quickly,”<br />
said Dr. Lisa Henson, Chair of Radiation<br />
Oncology at <strong>Trinitas</strong>. “These treatments<br />
target tumors accurately while<br />
sparing the surrounding healthy tissues.<br />
Because the treatment is fast, it is also<br />
easier on the patient. Patients who had<br />
difficulty holding still for long periods<br />
of time, are now able to receive their<br />
treatment in less time, thereby allowing<br />
us to improve quality of care while<br />
simultaneously making patients more<br />
comfortable.”<br />
This advanced treatment technique<br />
is accomplished using the Trilogy linear<br />
accelerator. <strong>Trinitas</strong> was the first in<br />
New Jersey to offer patient treatments<br />
on this state of the art equipment. The<br />
Trilogy delivers RapidArc treatments<br />
using a beam-shaping device called a<br />
multi-leaf collimator (MLC). This device<br />
has 120 computer-controlled mechanical<br />
“leaves” or “fingers” that move to<br />
create apertures of different shapes and<br />
sizes. During a RapidArc treatment,<br />
specialized software algorithms vary<br />
three parameters simultaneously: the<br />
speed of rotation around the patient,<br />
the shape of the MLC aperture, and<br />
the dose delivery rate.<br />
“We’re very pleased to offer another<br />
technological first for our patients at<br />
<strong>Trinitas</strong>,” says Gary S. Horan, FACHE,<br />
President and Chief Executive Officer.<br />
“This technology makes <strong>Trinitas</strong> a<br />
regional leader in substantially improving<br />
cancer treatment outcomes by<br />
doing a better job of protecting<br />
healthy tissue while delivering more<br />
powerful radiation doses to tumors.”
NEW ENVIRONMENT FOR HIGH DOSE RADIATION DEBUTS,<br />
THANKS TO DONOR’S LEGACY<br />
Through a generous contribution<br />
from a now deceased donor who was<br />
a resident of Elizabeth and active<br />
volunteer at Elizabeth General Medical<br />
Center, <strong>Trinitas</strong> Comprehensive Cancer<br />
Center recently re-located its High-Dose<br />
Rate (HDR) Brachytherapy to a comfortable<br />
environment at the Center.<br />
“With this generous gift, we have<br />
been able to bring the HDR service<br />
into the Cancer Center which continues<br />
to affirm our strong commitment<br />
to cancer care,” said Gary S. Horan,<br />
FACHE, President and CEO of <strong>Trinitas</strong><br />
Regional Medical Center.<br />
High-Dose Rate (HDR) Brachytherapy<br />
is a form of radiation treatment, also<br />
known as interstitial irradiation. In<br />
Brachytherapy, a radiation source is<br />
placed directly within or near the<br />
tumor site which allows for a faster<br />
and more effective delivery of radiation<br />
treatment with the maximum dose<br />
given where it is needed most.<br />
Through this technique minimal<br />
radiation reaches surrounding healthy<br />
tissue. Traditionally, HDR brachytherapy<br />
has been used to treat cancers of the<br />
cervix and endometrium, bronchus,<br />
esophagus, head and neck, and soft<br />
tissue sarcomas. Currently at <strong>Trinitas</strong><br />
CCC, HDR is used for Mammosite,<br />
endometrial and cervical cancers, and<br />
Endobronchial Radiation.<br />
“Henry Hill ‘Hank’ Carroll always<br />
helped our patients,” explained Nadine<br />
Brechner, Executive Director, <strong>Trinitas</strong><br />
Health Foundation. “This is ultimately a<br />
gift to even more patients who will<br />
benefit from being able to have all of<br />
their treatments and visits in one location.<br />
Through his gift, Hank’s legacy of<br />
caring continues.”<br />
Linda Veldkamp, MS, DABR, Chief<br />
Medical Physicist and Administrative<br />
Director of Radiation Oncology, assists<br />
with the patient setup to deliver the<br />
high dose radiation. High Dose Rate<br />
Remote Afterloading (HDR) radiation<br />
treatments are particularly useful in<br />
treating a variety of cancers including<br />
cervical, endometrial, breast, lung<br />
and prostate.<br />
TRINITAS WELCOMES PHYSICIANS IN NEW<br />
GYNECOLOGIC ONCOLOGY PROGRAM<br />
Patrick Anderson, MD, FACOG, and Gara M. Sommers, MD, both board certified<br />
Gynecologic Oncologists, now lead the Gynecologic Oncology Program at the <strong>Trinitas</strong><br />
Comprehensive Cancer Center. Drs. Anderson and Sommers bring with them tremendous<br />
experience and expertise in gynecologic oncology procedures including minimally invasive<br />
robotic surgery.<br />
Dr. Anderson completed his obstetric, gynecological residency and oncology fellowship<br />
at Albert Einstein College of Medicine and is a graduate of the University of Medicine and<br />
Dentistry of New Jersey Medical School. Dr. Sommers completed her residency at New York<br />
University School of Medicine and fellowships at Memorial Sloan-Kettering in New York,<br />
Washington University School of Medicine in St. Louis, MO, and The Beckman Institute of<br />
Hope in Duarte, CA.<br />
Drs. Gara Sommers<br />
and Patrick Anderson<br />
In their new roles at <strong>Trinitas</strong>, Drs. Anderson and Sommers will collaborate with community physicians and <strong>Trinitas</strong><br />
Comprehensive Cancer Center Medical and Radiation Oncologists to develop and expand clinical programs and support<br />
services for patients with gynecologic cancers. Their presence on the medical staff adds a new dimension of cancer care and<br />
treatment to the multidisciplinary team currently at TCCC.<br />
WINTER 2009 43
ELIZABETH AND JERSEY GARDENS MALL:<br />
PERFECT TOGETHER FOR LOCAL BUSINESS<br />
Local businesses have a chance to<br />
be better equipped to face tough<br />
economic times, thanks to a joint effort<br />
of the City of Elizabeth, Union County<br />
College and the Retail Skills Center at<br />
Jersey Gardens Mall. Here, businesses<br />
can take part in new job training and<br />
placement programs designed to help<br />
them succeed in this tough economic<br />
climate.<br />
Both the City and the Retail Skills<br />
Center recognize that finding skilled<br />
workers and keeping them properly<br />
trained are top challenges for businesses<br />
throughout Elizabeth. Two new programs<br />
to address these challenges are<br />
available at no charge to city business<br />
owners. The Retail Skills Center, operated<br />
by Union County College, provides<br />
employers with tuition-free training for<br />
their employees including, but not limited<br />
to business writing, basic skills,<br />
communication, customer service,<br />
team building, and telephone techniques<br />
as well as supervisory and management<br />
skills. This free service is made<br />
possible through a new grant from the<br />
New Jersey Department of Labor.<br />
Connecting qualified candidates<br />
with job openings in city businesses<br />
is now possible through an Urban<br />
Enterprise Zone grant made available<br />
through the City of Elizabeth. Offering<br />
assistance to the Retail Skills Center<br />
and employers, the City will provide<br />
support for a variety of initiatives,<br />
including a three-week program in<br />
customer service and career preparation<br />
leading to a Union County College<br />
certificate.<br />
Mayor J. Christian Bollwage talked with<br />
young people about skills training and<br />
job placement opportunities offered at<br />
the Retail Skills Center, a new joint partnership<br />
with the City of Elizabeth, Union<br />
County College and Jersey Gardens Mall.<br />
44 HEALTHYEDGE
225 Williamson Street<br />
Elizabeth, New Jersey 07207