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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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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 />

yashpatelmd.com<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 />

injections, John could not find relief. In<br />

fact, his condition worsened and was<br />

especially painful and disruptive to his<br />

life during the past 15 years. He grew<br />

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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is said to cause somber mood.<br />

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 />

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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 />

Lawyers working for you.<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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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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Elizabeth, NJ 07201<br />

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WINTER 2009 31


CHIROPRACTIC<br />

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ELIZABETH<br />

CHIROPRACTIC CARE<br />

FOR ADULTS & CHILDREN<br />

MUA<br />

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FERNANDO BARRESE, DC<br />

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• Auto Accidents<br />

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Other locations to serve you better:<br />

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Wallington<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

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