And the Emergency Chain that Saved Him. - St. Joseph Medical ...

Summer 2010 / StJosephTowson.com
A Dramatic
Emergency and
Cardiac Rescue
See page 4
A Young
Lacrosse Player
And the Emergency Chain that Saved Him.
Welcome Primary
Care Docs
Diet, Disease
and You
SRS
DestroysTumors
page 2 page 7 page 8

Primary Care
Matched
Missions
Premier Primary Care Groups
join with St. Joseph
‰Patient-centered primary care is the
foundation for good health. St. Joseph
Medical Center is proud to announce
that these prestigious primary care
providers have aligned with the hospital
and become members of the St. Joseph
Physician Enterprise.
Towson Medical Associates
“We’ve sent our patients to St. Joe’s for a long time.
Our patients get excellent care, are treated as individuals
and have a good experience there.”— Kenneth Sibila, M.D.
Dr. Timothy Herlihy
120 Sister Pierre Drive
When internist Dr. Timothy Herlihy
finished residency training in 1985, he
spent six months in India doing mission
work at a leper colony. He returned with
a renewed commitment to medicine.
“We are very blessed to live in the U.S.
and have the level of care that we do,”
he reflects.
“Towson is where my family, children
and patients are. It’s my home,” he says.
Though he has had various medical affiliations,
he recently chose to join with the
St. Joseph Physician Enterprise because,
he says, “we have matched missions.”
Not only is it beneficial for his practice
to be part of a larger, prestigious medical
facility, “St. Joseph has that sense of
community commitment that I am looking
for,” he explains. “Their hearts are in
the right place. Staff smile and greet you.
They care about their patients.”
Dr. Timothy Herlihy
Plus, there is the hospital’s wealth of
resources: “St. Joseph’s staff do excellent
work and are world-class—in orthopaedics,
heart, spine and more. There’s a
community of specialists, nurses, physical
therapists, social services and hospice for
my staff and me to turn to,” he says.
This complements his philosophy of personalized
medicine. “I believe that part of
treatment involves giving patients reassurance
and showing kindness. This begins
even before they start their medicine.”
“St. Joseph has that sense of community
commitment that I am looking for
...They care about their patients.”
Towson Medical Associates
7801 York Road
The St. Joseph Physician Enterprise
also welcomes Towson Medical Associates
(TMA) on board—a practice composed
of two internists, four family practitioners
and two nurse practitioners. The group
has a longstanding history with the hospital.
“In many ways, Towson Medical
Associates has had an unwritten affiliation
with St. Joe’s,” explains Dr. Kenneth Sibila,
one of the group’s family practitioners.
“Our doctors have trained at the best
medical schools with many of St. Joseph’s
specialists, and we have a lot of respect for
them. Many are patients of ours, and we
are patients of theirs.
“We are the largest primary care practice
in Towson, and St. Joseph needed a
large successful group. We are the most
logical personal match for each other.
We’ve sent our patients to St. Joe’s for a
long time. Our patients get excellent care,
are treated as individuals, and have a
good experience there.”
Summer 2010 / St. Joseph Medical Center

Primary Care
In This Issue
Created in the late 1980s, TMA is
embedded in the community. “We provide
a full spectrum of primary care from
birth to death, including pediatrics,
well-women care and minor procedures,”
says Dr. Sibila, who emphasizes the
group’s “like-minded
philosophy of providing
quality medical care that
is customized and right for
each person who entrusts
their care to us.”
Communication is an
important TMA value.
“Our communication with
St. Joseph has already
worked perfectly for years,” says Dr. Sibila.
“We couldn’t be happier about this affiliation.
It offers us the potential to expand
and continue thriving.”
“We like seeing ourselves as the Towson
primary care arm of St. Joseph Medical
Center,” he adds.
Owings Mills Internal Medicine
5 Park Center Drive
Owings Mills Internal Medicine, an
internal medicine and primary care
group that has been a fixture in the
Owings Mills community for 20 years,
has also joined the St. Joseph Physician
Enterprise. “St. Joseph offers a lot for our
patients. We have been impressed with
St. Joseph as a hospital entity and for
Owings Mills Internal Medicine
Need a
Physician
referral
Call our Doctors Directory
at 410-337-1337 or visit
www.StJosephTowson.com
the quality of the affiliated specialists,”
explains Dr. Joanna Saba, who adds that
her group got to know the hospital well
because her husband Dr. Mark Saba has
been an employed physician at St. Joseph
for a number of years.
Composed of four
physicians and two nurse
practitioners, Owings
Mills Internal Medicine
has “a philosophy of
total care,” says Dr. Saba.
“We develop a longstanding
provider
care relationship with
patients and encourage
them to participate in their care.
We emphasize preventive medicine.”
The affiliation with St. Joseph also “takes
the business of running a practice off our
shoulders.” Dr. Saba adds, “As health care is
changing, it’s become increasingly difficult
to run a health care practice.”
This way, the group can focus on their
brand of patient care, which they like to
describe as “boutique medicine without
the additional annual care fee.”
The other new chapter for Owings Mills
Internal Medicine is that it has traditionally
been all female physicians and providers,
but that recently changed. “We are very
excited to welcome Dr. Jeffrey Swetts,” says
Dr. Saba. “We have always seen adult men
and women patients, but he is our first
male physician.”
“St. Joseph offers a lot for our patients. We have been impressed
with St. Joseph as a hospital entity and for the quality
of the affiliated specialists.”
— Dr. Joanna Saba
Summer 2010
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COVER STORY
Chain of Survival
A dramatic emergency
and cardiac rescue
Handled with Care
Orthopaedic expertise for
hand and wrist problems
Diet, Disease and You
Meet our outpatient dietician
SRS Goes Where
Surgery Cannot
Taking precise aim at tumors
with radiation care practices
Inspired Giving: 1A–4A
A special section of the
St. Joseph Medical Center Foundation
Look & Feel Good
this Summer:
Varicose vein treatments and
putting your best feet forward
On the cover: Thomas Thibeault (far right)
with some of the EMS and St. Joseph staff who
saved him (L to R): emergency nurse Caroline
Muchunu, RN, emergency physician Dr. Neal
Frankel, EMS Lt. Kim Glaze and Chief of Cardiac
Surgery Dr. Stewart Finney.
We are an equal opportunity employer and, in conjunction with
applicable laws, do not discriminate on the basis of race, color,
religion, sex, national origin, age, or physical or mental handicap.
St. Joseph Medical Center accepts patients without regard to race,
color, national origin, disabilities, age or religion. Copyright © 2010.
housecall is published quarterly by the Marketing Communications
department at St. Joseph Medical Center, a member of Catholic
Health Initiatives. Information is intended to educate our readers
and not substitute for consultation with a physician.
Blue Distinction
St. Joseph Medical Center is proud to
announce that it has been designated a
Blue Distinction Center for Spine Surgery
and Knee and Hip Replacement by
CareFirst BlueCross BlueShield.
St. Joseph Medical Center / StJosephTowson.com

Emergency Care
WHAT MAKES A SURVIVOR
The C h a i n of
Emergency & Cardiac Care
It was winter break for college sophomore Thomas Thibeault, and he and
his sister were enjoying a workout together at a Timonium fitness club near home
when the unimaginable happened.
homas, a varsity lacrosse player in peak condition, collapsed.
His sister called 9-1-1 followed by a frantic call to
their parents who rushed over from their nearby offices.
In four minutes, Baltimore County EMS arrived and
began emergency care on Thomas, who was slipping in
and out of consciousness.
“He was extremely sweaty, and his lips and hands were blue,”
describes EMS Lt. Kim Glaze. “We put him on oxygen, gave him
IV fluids, and put him on a 12-lead heart monitor to see if he was
having a heart attack.” Thomas wasn’t having a heart attack, but
“he was really sick, and we called ahead to St. Joseph Medical
Center to be ready for him,” says Lt. Glaze.
“The EMTs did an excellent job,” recounts Thomas’ mother
Trish. “We all realized something was seriously wrong.”
“The ambulance rushed him to St. Joseph’s Emergency
Department,” continues Trish. “The nurses and doctors were waiting
at the door for us. By then, he was very much in pain.”
Soon she and her family would be hearing a heart surgeon
state, “His life is in danger. We need to operate right now!”
Upon Thomas’ arrival, emergency physician Dr. Neal Frankel
and the ER team sprang into action. Dr. Frankel quickly assessed
an apparently healthy young man with no known risk factors,
ordering an immediate CT scan. Upon seeing the results, Trish
recalls that Dr. Frankel declared, “This is bad. His aorta is bleeding.”
And, “within ten minutes, a heart surgeon was walking
through the door,” she adds.
The surgeon who rushed to their service is Dr. Stewart Finney,
chief of Cardiac Surgery at St. Joseph. “Thomas suffered a dissection
and rupture of an aortic aneurysm,” explains Dr. Finney. “He
was declining quickly.
“What happens is that the aorta quietly enlarges until the
wall gets so thin that it tears and bursts. Thomas’ aneurysm was
similar to that of actor John Ritter who succumbed when his aorta
ruptured. Aneurysms can be caused by uncontrolled high blood
pressure and weakness in the aorta wall, but in Thomas’ case it
was related to a congenital abnormality,” explains Dr. Finney.
“It’s a credit to St. Joseph’s ER, cardiac surgery, intensive care
unit and post-op recovery staff that we can handle this type of
grave situation,” he adds. “The team is very experienced.”
Following six hours of open heart surgery, during which Thomas
had his aorta and aortic valve replaced, Thomas received intensive
care and monitoring on St. Joseph’s Cardiac Surgery Unit.
The links in
the chain are:
American Heart Association
The Chain
of Survival
For the sudden cardiac arrest
patient whose heart stops.
Step 1
Early recognition
A cardiovascular emergency
exists. Activate EMS
services. Call 9-1-1.
Step 2
Early bystander CPR
Perform promptly and properly.
Stronger when bystanders know
CPR or get CPR instructions by
phone from 9-1-1.
Step 3
Early defibrillation
Use automated external
defibrillator (AED), which has
voice prompts to guide rescuer
through steps of defibrillation.
Summer 2010 / St. Joseph Medical Center

thomas thibeault
“This whole experience
has given me a much greater
appreciation for how incredible
medical care can be.”
Women’s Care
“When he awoke, he had an immediate sense of well being,”
says his mother.
“This whole experience has given me a much greater appreciation
for how incredible medical care can be,” says Thomas.
“Dr. Finney is a great doctor —he saved my life. The staff
at St. Joseph really cared for me as a person and for
the well-being of my family.”
Although Thomas will be on blood thinners
for life, he says, “I feel very lucky to have
survived a physical defect that no one knew
about. The mechanical valve I have is very
strong.” Just three months after heart surgery,
he was assisting coaching lacrosse at his
former high school, Boys Latin.
“Thomas has shown a lot of maturity and
grace through all this,” says Dr. Finney, a former
lacrosse player himself.
Innovators in Emergency Care
Recently, St. Joseph embarked on a campaign to highlight
the hospital’s innovation in ER care, “which has resulted in
decreasing treatment time by 25 percent,” explains Dr. Gail
Cunningham, head of St. Joseph’s Emergency Department. By
increasing efficiency and enhancing patient care, St. Joseph’s
ER won the “Top Innovator of the Year Award” in 2009 from
the Daily Record.
“It’s a credit
to St. Joseph’s ER,
cardiac surgery team
and intensive care unit
that we can handle
this type of grave
situation.”
Dr. Stewart Finney
chief of Cardiac
Surgery
Innovation is a St. Joseph tradition: its ER has the longest
standing group of emergency physicians in the U.S., who founded
one of the first ERs in the country in 1966. “We are always striving
to improve the care we give,” assures Dr. Cunningham.
“We have quality, experienced, specifically trained
ER physicians and nurses. We are in a unique environment,
working shoulder to shoulder daily, and
know each other so well that we can anticipate
how care is going for each patient.
“A lot of care is initiated even before the
patient sees the doctor. We are very motivated,
getting their tests started, blood work,
x-rays or CT scans and even the administration
of certain medicines done as soon as we
can,” she says.
St. Joseph’s ER is a vital partner in the Chain
of Survival advocated by the American Heart
Association. (See illustration below.)
“It begins with the lay person doing CPR and calling
9-1-1,” says Captain Steven Adelsburger of Baltimore County EMS.
“Then EMS does their part; we treat and stabilize at the scene of
the emergency and deliver the patient to the ER where the cardiac
team is waiting. With our LifeNet system, we even transmit
a picture of the patient’s heart to the ER, so the team is a couple
steps ahead before the patient arrives. We have great confidence
in the cardiac care at St. Joseph Medical Center.”
Step 4
Early advanced care
Qualified paramedics/healthcare
providers respond to cardiac
arrests with Advanced Cardiac
Life Support standards.
Step 5
ER & Cardiac Teams
Patient arrives by ambulance at the
Emergency Room, where emergency
doctors and nurses are waiting, plus
a cardiac team is prepared.
survivor.
“If any of the links in the chain
are broken, the chances for survival
and a successful outcome are
significantly diminished.”
Captain Steven Adelsburger
EMS Shift Commander, Baltimore County
St. Joseph Medical Center / StJosephTowson.com

Orthopaedics
Handled with Care
Orthopaedic expertise in hand, wrist, and upper extremities
As much as we use our hands and
arms, it’s no surprise they are prone
to overuse or injury. Summer sports,
such as tennis and golf, can stress and
injure wrists and elbows, while gardening
and outdoor work may strain hands
and fingers.
Orthopaedic hand and wrist specialists
affiliated with The Orthopaedic Institute
at St. Joseph are experienced in treating
not only severe and complex cases, but
are also up to date on the latest research
and treatments for conditions that range
from carpal tunnel syndrome to birth
defects and degenerative joints and tendons.
Among these conditions are:
Tendonitis
This common condition can cause significant
pain and discomfort. It occurs
when the tendons—the fibrous tissue
that connects your muscles to the
bones—become inflamed. Here are a
number of types of tendonitis:
De Quervain Syndrome affects movement
of the thumb. If a splint and medication
do not ease the discomfort, “a cortisone
injection may often cure the problem,”
For a referral to an orthopaedic
■ hand specialist, call our
Doctors Directory at 410-337-1337
or go to www.StJosephTowson.com
Dr. Michael Marion
Hand and Wrist Specialist
“Trigger finger can
result from repetitive
use…It’s specifically
connected with
gripping…it may
affect electricians
who use hand tools.”
Dr. Bruce Wolock
Hand, Elbow and Shoulder Specialist
“Thumb arthritis is
especially common
in women over
age 40, and can
cause severe hand
pain, swelling and
decreased strength,
making even routine
tasks difficult.”
says orthopaedic surgeon Dr. Michael
Marion, a hand and wrist specialist.
Trigger Finger, (or trigger thumb),
occurs when a swollen tendon develops
into a nodule, causing clicking and locking
of the finger so it becomes stuck in
place. “This can result from repetitive
use or anything that can cause tendonitis
in the hands. Trigger finger is specifically
connected with gripping, for example,
it may affect electricians who use hand
tools,” says Dr. Marion.
Anti-inflammatory medications, cortisone
injections and surgery—known
as “trigger finger release”—are possible
treatment options, adds Dr. Wolock.
Carpal Tunnel Syndrome, a condition
in which the median nerve of the wrist
is compressed, can cause numbness,
tingling and weakness in the hand.
“It is three times more likely to occur
in women and is often connected to
repetitive movements done in a working
environment—such as an assembly line
or cash register,” explains Dr. Marion.
Treatments may include anti-inflammatory
medications, cortisone injections,
and, occasionally, surgery.
“Thumb arthritis is especially common
in women over age 40,” says Dr. Wolock,
“and can cause severe hand pain, swelling
and decreased strength and range
of motion—making even routine tasks
difficult.” It occurs at the joint at the wrist
and the base of the thumb. Treatments
may include splints, medication, cortisone
injections or, in severe cases, surgery.
Fractures
Older women who have lost bone density
are vulnerable to a common fracture in
the radius of the forearm that frequently
occurs with a fall, cautions Dr. Marion.
Known as a distal radius fracture, this
may be treated with a cast or a splint; but
if the break is severe enough, surgery
may be needed.
Both orthopaedic surgeons, Dr. Marion
and Dr. Wolock, caution that patients
shouldn’t assume that finger fractures
are always simple. They need a doctor’s
evaluation to determine if a splint will be
sufficient to advance healing or whether
a serious break has occurred that
requires surgery.
Summer 2010 / St. Joseph Medical Center

Nutrition
Meet Our Outpatient Dietitian
Nutrition counseling for diabetes, heart disease, weight loss and more
As St. Joseph Medical Center’s new
Outpatient Clinical Dietitian, Alison
Massey, MS, RD, LDN, is on a mission
to help the community get nutritionally
fit. Whether you have diabetes, heart,
kidney or Crohn’s disease, or colitis or
food allergies—Massey specializes in
guiding patients through the right eating
choices for healthy living.
She has a rich education in nutrition
and health promotion at both Penn State
and the University of Delaware, combined
with clinical dietetic experience at Johns
Hopkins Bayview Medical Center and
Bayhealth Medical Center in Delaware.
Given her enthusiastic personality, she’s
always been interested in communications.
Her background includes working
with the Almond Council and extolling
the virtues of almonds, which can be
heart healthy.
“But I missed providing patient care,”
says Massey.
With her office located in St. Joseph’s
Diabetes Management Center, Massey
offers nutritional counseling to individuals
with types I and II diabetes, as well as
pregnant women with gestational diabetes.
“For people with diabetes, it’s more
about the total amount of carbohydrates
taken in every day, rather than simply the
grams of sugar,” says Massey.
If you have hypertension, she might
advise you on the DASH (Dietary
Approaches to Stop Hypertension) diet
which, by lowering your sodium intake,
can lower your blood pressure. “Begin by
putting away the salt shaker,” says Massey,
adding many processed foods are high
in sodium, and even some naturally low
sodium foods—like peas—once canned,
can be loaded with salt.
Massey can provide heart disease
patients with low-cholesterol diets.
To learn more about the
■ outpatient nutrition services
at St. Joseph Medical Center, please
call 410-427-2543.
Put away the mayonnaise, she advises,
and switch to mustard or to mayonnaise
made with canola or olive oil.
Need to lose some serious weight
Massey can create a weight loss plan and
menu, while educating patients on food
content. “Food labels and claims are
confusing, but we can help make sense
of that,” she says. Whole wheat bread, for
example, is not necessarily made of whole
grain—it could just be white flour colored
with molasses. She also helps with
shopping lists and counsels on vitamins
and supplements—which ones are beneficial
and which are bogus.
And she believes eating should still be
enjoyable. “A healthy eating plan takes
into account cultural differences, your
lifestyle, your food preferences and your
personality,” she says. “We customize a
plan for every patient…it’s about taking
small steps and getting you started in the
right direction.”
You’ll be happy to hear that goes for
Massey herself, who isn’t shy to admit her
sweet tooth.
“Chocolate and ice cream are important
parts of my diet,” she laughs. “But,
it’s all about portion control.”
Which means that if you think you
can’t make do with just a handful of
M&Ms and not the whole bag, Massey
will commiserate with you—and then
show you just how you can.
Heart Health Seminars
Call 410-337-1337 or register
at www.StJosephTowson.com
Fixing or Preventing a Broken Heart
—Treatments & Diet
Presented by Dr. Mahmood Alikhan,
cardiologist, and Alison Massey, MS, RD,
LDN, outpatient dietician
Wednesday, June 30, 7 p.m.
Does heart disease run in your family Do
you have high blood pressure or other heart
problems Learn to be proactive in your care
through diet, exercise and education about
the latest in prevention and treatment.
Diet, Disease and You…
Good Foods for Diabetes,
Heart Disease and Cancer
Presented by Alison Massey, MS, RD, LDN
Wednesday, June 16, 7 p.m.
Nutrition can help manage or prevent disease.
Explore what summer’s fresh bounty of fruits
and vegetables can do for you!
A healthy eating plan
takes into account…
your lifestyle…and
your personality,” says
Alison Massey, who does
one-on-one nutrition
counseling.
St. Joseph Medical Center / StJosephTowson.com

Oncology
“nicknamed
knifeless surgery…
it delivers high radiation
doses to the concentrated
area of the tumor.”
Dr. Stephen Ronson
SRS director
while avoiding normal healthy cells.
Patients simply lie down on a platform
under the SRS machine for ten to
15 minutes.
Knifeless Surgery
“SRS is completely noninvasive,
with no need for anesthesia,”
says Dr. Stephen Ronson, SRS
director at St. Joseph’s Cancer
Institute. “This technology is
nicknamed knifeless surgery
—whether it’s called Cyberknife,
Gamma Knife, Trilogy or SRS, it delivers
high radiation doses to the concentrated
area of the tumor.” Radiation is emitted
through a linear accelerator—a high-tech
machine with thin, metal, sliding panels
that direct the beam.
St. Joseph’s SRS has “specialized gating
capability that manipulates the radiation
to the tumor in sync to the patient’s
breathing,” says Dr. Mark Krasna, medical
director of The Cancer Institute. This
helps target lung tumors as well as liver
tumors near the rib cage.
SRS Goes Where
Surgery Cannot
Taking precise aim at tumors with radiation
When Helen Thornburg was treated for lung cancer six years ago, she
went through a demanding combination of surgery and chemotherapy,
which was well worth it—her cancer went into remission.
However, last fall, “excruciating pain”
in her back needed immediate
attention from her doctor. “It felt as
if a cinder block was lying on me,” she
describes. At The Cancer Institute at
St. Joseph, a CT scan revealed a malignant
tumor. Dr. Ziv Gamliel, St. Joseph’s
chief of Thoracic Surgery, and a multidisciplinary
team of cancer experts,
determined her tumor was inoperable
—but not untreatable—and created a
treatment plan.
Following five sessions of stereotatic
radiosurgery (SRS), a highly advanced
weapon against cancer, she was pain-free,
and her tumor virtually disappeared.
SRS uses pinpoint precision to aim
laser beams of radiation at cancer cells,
Brain, Lung, Liver & Spine
“SRS is a new standard of care for
numerous types of inoperable cancer—
including lung, liver and bone,” remarks
Dr. Jason Citron, head of Radiation
Oncology at St. Joseph. He and Dr. Neal
Naff, chief of Neurosurgery at St. Joseph,
have treated many inoperable brain
cancer patients with SRS.
At St. Joseph, radiation oncologists
are working in partnership with orthopaedic
specialists to use SRS for tumors
of the spine. Patients may receive SRS
plus orthopaedic surgery, or benefit
from SRS alone.
“We can shape high doses of radiation
to bend around the spinal cord and other
critical organs,” says Dr. Ronson. Bone
cancer patients benefit from longer periods
of local tumor control and symptom
relief, giving them comfort and hope.
(L to R) Dr. Stephen Ronson and Dr. Jason Citron offer
a new standard of care for inoperable tumors.
Looking for a Cancer Specialist
For a referral, call our Doctors Directory at 410-337-1337 or go to www.StJosephTowson.com
Summer 2010 / St. Joseph Medical Center

O u r
C a n c e r
S u r v i v o r
S t a r s
MELISSA ARKILLS
BREAST CANCER
SURVIVOR
L
ights…Camera…Action! All three were in full swing
Saturday, April 17th at the Marriott Waterfront as
St. Joseph Medical Center celebrated our 15th annual Gala.
This year’s gala transported a sell-out crowd of 850 guests back
in time to the magic of old Hollywood style and glamour.
The Cancer Institute at St. Joseph Medical Center is devoted
to providing patient-centered cancer care. Our mission in the
fight against cancer is sustained through continued research,
appropriate technology, essential equipment and professional
development.
Co-Chairs Michael Schultz, M.D. and his wife, Joan, worked
tirelessly for the past year, along with their respective committees,
to ensure that the evening would be a stellar event. We are
particularly grateful to our Cancer Survivor Stars, pictured on
these pages, who proved that they can more than hold their own
with anyone in Hollywood when it comes to sophisticated style.
JEANETTE ASKA
LUNG CANCER
SURVIVOR
Left to right: Steve and Susie Weintraub, Honorary Chairs, Joan and Michael Schultz,
Co-Chairs, and Phyllis and Leonard Attman, Honorary Chairs, get together before
the Gala.
GEORGE HALL
COLON CANCER
SURVIVOR
A SPECIAL THANKS TO OUR LEAD
SHOW STOPPER SPONSORS:
Leonard and Phyllis Attman • Victoria and Carmen Deyesu
MileOne Automotive
Carolyn Pass and Richard Susel Family Foundation
Joan L. Schultz and Michael J. Schultz, M.D.
A Summer 2010 / St. Joseph Medical Center FOUNDATION

To Benefit The Cancer Institute
O u r
C a n c e r
S u r v i v o r
S t a r s
Fred and Farideh Mirmiran made a gift of
$25,000 at the Gala and challenged guests
to match it, raising an additional $50,000.
Paul Mark Sandler, Esq., Chair of The Cancer
Institute Board of Visitors, responds to the
challenge with an early bid of $5,000.
LOIS HODES
STOMACH/COLON CANCER
SURVIVOR
Victoria and Carmen Deyesu, President of
FANS and Foundation Board Chair,
respectively.
Jerome and Rheda Fader, lead Gala sponsors,
enjoy the reception.
KATHY KEATON-BOWMAN
HODGKINS LYMPHOMA
SURVIVOR
Mark Krasna, M.D., Medical Director of
The Cancer Institute, and Baltimore County
Executive Jim Smith.
St. Joseph Medical Center President and
CEO Jeff Norman, and his wife, Leslie.
MIKE NELSEN
BREAST CANCER
SURVIVOR
St. Joseph Medical Center FOUNDATION / StJosephTowson.com A

I N S P I R E D giving
Patients Honor Our Doctors on
National Doctors’ Day – March 30, 2010
Judy Pickering meets with St. Joseph’s Hospitalist David Utzschneider, M.D. to “thank him for the excellent
care I received as a patient at the medical center.”
“Thank you for all the love
and care given to me during
my surgery. I will be forever
grateful,” writes one of our patients
to her physician. We have received
over 440 letters along with gifts from
patients who are honoring the 954
doctors who practice at St. Joseph on
the 77th anniversary of Doctors’ Day.
The first Doctors’ Day observance was
held on March 30, 1933 in Winder,
Georgia to recognize the initial administration
of anesthesia by Dr. Crawford
Long in Barrow County, Georgia in 1842.
In 1990 a federal law was signed, designating
March 30 as National Doctors’
Day. We are pleased and proud to
annually recognize the men and women
who take such good care of us, with
commitment, skill and compassion.
The patient comments ranged from
one poignant line: “Thank you for
saving my life” to an entire page,
highlighting every facet of care
where the physician went beyond all
expectations of the patient.
Daniel Hardesty, Head, Department
of Medicine, at St. Joseph, comments
on the recognitions: “We see those who
come to us as more than ‘just a patient’
and it is so gratifying that they see us
as more than ‘just a doctor.’ There is
simply nothing more rewarding than
seeing our patients get well. All of the
physicians at St. Joseph appreciate the
warm words from the folks we care for.”
One note sums up many of the letters
received: “In honor of your skill and
to thank you for your care and concern
in returning Leslie to good health. We
couldn’t ask for anything more.”
Neither can we. Congratulations!
Caring Spirit honoring those who make a difference
For more information,
please call the
Foundation at
410-337-1397.
Upon leaving the medical center, many of
our patients ask if there is any way they
can express their heartfelt thanks to the
physicians, nurses and staff members who
cared for them during their stay. Our
Caring Spirit program is a wonderful
way for patients to make a gift in honor
of a specific person or group of caregivers.
Support of these healthcare professionals
is deeply appreciated.
Join us for the Foundation’s
23 rd Annual Golf Tournament
Monday, September 20, 2010
Chestnut Ridge Country Club
For more information
contact Michele Distler
at 410-337-1398
A Summer 2010 / St. Joseph Medical Center FOUNDATION

All activities are FREE and held at St. Joseph Medical Center unless otherwise indicated.
Community & Family Programs
HEALTH SEMINARS
Call 410-337-1337 or register at www.StJosephTowson.com
Heart Lecture Series
In partnership with the American Heart Association.
Family Programs
Taught by registered nurses
with maternal-child health
experience, certified in
their fields. Call 410-337-1880.
Advancements in Heart Care
Presented by Dr. James Ricely, cardiologist.
What tests and treatments can diagnose heart
disease and save your life From stress tests,
EKGs, and calcium scoring to medications,
interventions, defibrillators and more. Learn
what tests are good for prevention, when
and how to seek care.
Tuesday, June 22, 7 p.m.
Fixing or Preventing a Broken Heart
—Treatments & Diet
Presented by Dr. Mahmood Alikhan, cardiologist,
and Alison Massey, MS, RD, LDN, outpatient
dietician. Does heart disease run in your family,
do you have high blood pressure or other heart
problems Learn to be proactive in your care
through diet, exercise and education about the
latest in prevention and treatment.
Wednesday, June 30, 7 p.m.
Breastfeeding Class
Taught by a certified lactation
consultant $20 per couple.
Saturday, June 12, July 10,
August 7, or Sept. 11, 1–3:30 p.m.
Childbirth Education
$60 per couple. ($75 for
non-St. Joseph patients.)
Tour included. Call for dates:
• 5-week evening series, Mondays
or Wednesdays
• 3-week evening series, Thursdays
or Saturdays
Best Feet Forward—Feet
That Look and Feel Good
Presented by podiatrist
Tina Woodburn, DPM.
Learn about treatments for
bunions, hammertoes, corns,
fungus and more.
Tuesday, July 20, 7 p.m.
Body Contouring: Plastic
Surgery after Weight Loss
Presented by plastic surgeon
Jeffrey Schreiber, M.D.
Learn about surgery to tighten
excess skin in the abdomen,
face, arms, thighs and more.
Wednesday, July 14, 6:30 p.m.
Da Vinci Bariatric
Weight Loss Surgery
Information Session
Presented by
David von Rueden, M.D.
Wednesday, August 4, 6:30 p.m.
Free Prostate
Cancer Screening
For eligible men ages
50–70 (starting at 40–45
years if African-American
or with a first-degree
relative [father, brother] diagnosed
before age 65). Includes digital
rectal exam (DRE) and PSA blood
test, which in combination, can
detect prostate cancer at an
early, potentially curable stage.
Appointment required.
Call 410-337-1479. Wednesday,
September 22, 5:30–7 p.m.
DIABETES
WELLNESS
Call the Diabetes Management
Center at 410-337-1382.
Diabetes Self-Management
Education Program
ADA nationally recognized.
Individual assessment plus
multidisciplinary-taught group
classes. Fee: May be insurance
reimbursable.
Diabetes In-Check
Two-hour annual follow-up. Fee:
May be insurance reimbursable.
Diabetes Information
Exchange
Monthly meeting—varied topics.
First Tuesday every month, 1 p.m.
July 6, August 10, September 7
Diet, Disease and You!
Good Foods for Diabetes
and Heart Disease
Presented by Alison Massey,
MS, RD, LDN, outpatient dietician.
Nutrition can help manage or
prevent disease. Explore what
summer’s fresh bounty of fruits
and vegetables can do for you!
Wednesday, June 16, 7 p.m.
SERVICES
Lymphedema
Management Program
To reduce swelling with physical
therapy and self-management
education. Fee: May be insurance
reimbursable. Call 410-337-1412.
Safe Driver Assessment
Includes vision, cognitive and
physical problems, medication
side effects and reaction times.
Fee. Call 410-337-1412.
SUPPORT GROUPS
Breast Cancer SOS
(Survivors Offering Support)
Call 410-427-2513.
Caregivers
First Thursday every month, 7 p.m.
Call 410-337-1109 to register.
LUNGS Cancer Support
Call 410-337-4543.
Pregnancy Loss Hotline
Call 410-427-5440.
TRAINING
Registration required.
Call 410-337-1479.
CPR for Health Care
Providers
Registration required. Fee $50.
Saturday, July 10, August 7, or
September 18, 9 a.m.–1 p.m.
Childbirth Review Class
$20 per couple. Call for dates.
Grandparents’ Class
For those expecting a first
grandchild at St. Joseph
—includes infant care & CPR.
$10 per person. Thursday,
June 17, or August 12, 6–8:30 p.m.
Family Ties
Safe Sitter
All-day class prepares
adolescents ages 11 to 13
to babysit. $45 per child.
Thursday, July 22,
9 a.m.– 4:30 p.m.
Kangaroo Kapers
For children
ages 3–7 that
are expecting
new siblings.
$10 per child.
Saturday:
• June12
• July10
• August 7
• Sept. 11
10:30–11:30 a.m.
Mothering Matters
Free support group for new
moms and their babies.
Meets every Thursday,
10:30 a.m.–12 noon.
Call for location.
St. Joseph Medical Center / StJosephTowson.com

orthopaedics
‰ Summer Tips to
keep your feet happy
• Limit flip-flops: They are not
supportive and can cause foot
fatigue and tendonitis.
• Don’t go barefoot: Hazards
include stepping on broken
glass and catching warts.
• New sandals with orthotics:
They resemble regular sandals
or flip-flops, and are available
through podiatrists’ offices.
Look Good, Feel Good
for
Summer
Best Feet Forward For Summer Sandals
Are corns, calluses or funky feet taking the spring out of your step
Summer is the time to wiggle your
toes and let your feet breathe.
Sandals, jellies, flip-flops and
open-toed shoes feel great. But do
your feet look great in them
Many women and men are
embarrassed by their feet, hiding them
in closed shoes in the warm weather, but
that’s not necessary. There are many ways
Orthotic sandals can provide foot support according
to Dr. Tina Woodburn.
to resolve corns, calluses, bunions and
more, so put your feet up and read on:
“Unsightly corns and calluses are areas
of thickened skin,” explains podiatrist
Dr. Tina Woodburn. “They are caused by
pressure and rubbing against bony prominences
such as hammertoes and bunions.”
Dr. Woodburn recommends sandals in
this case. “Your toes will love the open
roomy space.”
Salicylic acid pads can help reduce skin
buildup, but be careful. “The pads don’t
know the difference between good and
bad skin, and they shouldn’t be used by
people with diabetes or vascular disease.”
A pumice stone is another option.
Nail polish can trap in moisture and
encourage fungal infections. For women
prone to these stubborn infections,
Dr. Woodburn recommends a line of antifungal
polish. The active ingredient is tea
tree oil. “The polish can cover up imperfections
while preventing or controlling
fungal infections,” she says.
Some people suffer from exceptionally
sweaty feet. Try an antiperspirant spray
along with antifungal powder. “If nothing
works, Botox injections can be very effective.
They block the neurotransmitter acting on
the sweat glands,” says Dr. Woodburn.
Problems that need a doctor’s assessment
include hammertoes (one or more toes
that curl or bend abnormally), a crossover
toe (the second toe drifts and eventually
crosses over the big toe) and bunions.
These conditions can make walking
painful. When nonsurgical treatment
isn’t effective, surgery can provide a solution.
For hammertoes, the surgeon may
release the buckled joint, remove a small
FREE LECTURE:
Best Feet Forward
— Feet that Look and Feel Good
Presented by Dr. Tina Woodburn, podiatrist
Tuesday, July 20, 7 p.m.
Learn about treatments for bunions,
hammertoes, corns, fungus and more.
Register at www.StJosephTowson.com
or call 410-337-1337.
10 Summer 2010 / St. Joseph Medical Center

Sleep Disorders
‰ VARICOSE
VEIN SYMPTOMS
• Aching legs that feel heavy
and sometimes painful
• Enlarged, bulging veins
• Ankle and calf swelling
• Brown discoloration at the ankles
• Skin ulcers near ankles in severe cases
For complications such as sudden
increase in pain or swelling, redness,
fever or leg ulcers, see your doctor.
section of bone from the affected joint, or
replace the entire joint with an implant.
Bunions often run in families. Wearing
tight shoes doesn’t cause bunions, but
can make them worse. Various surgeries
are available to remove the bony bump
and straighten the bone structure.
Dr. Tina Woodburn’s Foot Soak
and Massage for Callused Feet:
1. Add to a basin of water: Fresh lemon
wedges, mint leaves and peppermint oil,
or a lavender and tea tree oil blend
2. Place smooth river rocks in the basin
and rub your feet on them
3. Pat your feet dry, use a pumice stone to
remove dead skin, and use a moisturizer
such as Aqua Glycolic.
YOU’RE NOT VEIN!
Vaporizing Achy-Breaky
Varicose Veins
a cosmetic nuisance that makes
women feel self-conscious to a
health hazard. They can cause ach-
Varicose leg veins can vary from
ing legs, chronic leg swelling and,
even, lead to leg cramps or restless
leg syndrome at night. Some very serious
conditions such as blood clots or phlebitis
occasionally result.
Although many women develop varicose
veins during pregnancy, both men and
women can be at risk for these bluish, often
bulging, veins. Risk factors include having
a job that keeps you sitting or standing
for hours—which is just plain unhealthy,
according to Dr. Wayne Reichman, vascular
surgeon with a specialty in varicose
vein treatment.
“Laser therapy vaporizes
the vein and has a very
high success rate.”
Dr. Wayne Reichman, vascular surgeon
“When you walk, your calf muscles act
like a bellow that forces blood to flow up
to your heart,” he says. Long periods of sitting
and standing can cause the blood to
pool in the legs, creating a pressure buildup
that leads to enlarged, bulging veins.
Extra abdominal weight—whether due to
pregnancy or being overweight—can be
another contributing factor.
Leaky vein valve
In normal veins, blood moves toward the
heart. A varicose vein usually indicates that
a valve is not closing properly. “The problem
occurs upstream from the varicose
veins. At the inner junction in the groin,
there’s a valve that’s leaking blood back
into the leg,” explains Dr. Reichman.
Amazing laser
One of the newest treatments to eradicate
varicose veins is called Endovenous Laser
Therapy (EVLT ® ). “Laser therapy vaporizes
the vein and has a very high success
rate,” says Dr. Reichman, who uses the
laser to seal the leaky valve so that the
varicose vein doesn’t recur.
Disappearing veins
“No harm is done by closing the valve,”
reassures Dr. Reichman. The superficial
vein system, where varicose veins
occur, carries only ten percent of the
leg’s blood flow. When the valve is shut,
the body compensates by moving all the
blood flow through the deep venous system,
where 90 percent of the blood has
flowed previously.
This outpatient procedure takes
approximately 20 minutes. Patients
return home with their leg in a compression
wrap, which stays on overnight.
Following treatment, “the varicose veins
in 70 percent of patients gradually shrink
and disappear in one to two months,”
says Dr. Reichman.
For large veins that don’t shrink, there
are two other procedures: A microphlebectomy
involves a tiny puncture though
which the doctor pulls out the vein,
barely leaving a scar. The other, called
schlerotherapy, is a vein injection with a
solution that will cause the vein to seal
and disappear.
For people with minor or cosmetic
varicose vein problems, Dr. Reichman
recommends keeping your legs elevated
while sitting and wearing support stockings
while standing.
For a Physician referraL
Call our Doctors Directory at 410-337-1337 or go to www.StJosephTowson.com
St. Joseph Medical Center / StJosephTowson.com 11

7601 Osler Drive
Towson, MD 21204-7582
Non Profit Rate
US Postage
PAID
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Permit No. 301
Heart Series see page 9.
In partnership with the American Heart Association.
Jeffrey K. Norman
President and CEO
Walter Furlong
VP of Strategy and Business Development
Vivienne Stearns-Elliott
Writing, Project Management
Patti Wells
Inspired Giving Writer
Baltimore magazine’s Custom Communications
Design and Printing
Christine Langr, Stacy Zarin
Photography
Comments, requests, change of address
Contact us at 410-337-1337
or housecall@catholichealth.net.
Discover our latest advance
in emergency care.
At St. Joseph Medical Center, we’ve re-engineered
our ER process. Now care begins in minutes. In fact,
the wait time to see a healthcare professional and
begin care is now just 14 minutes, on average. And
total time in the ER has been shortened by 25%.
You’ll find caring physicians to treat any type of
emergency, from pediatric to geriatric. We also have
heart, stroke, orthopaedic and gastroenterology
specialists available. And a recent HealthStream
survey shows that 80% of our patients would
recommend the St. Joseph ER to a friend. That
puts St. Joseph in the 96 th percentile of all hospitals
surveyed.
See how our ER care is better and faster than ever
before at ShorterERwait.com.
CheCk our Current er wait time at
ShorterERwait.com
Shorter wait times.
Winner 2009 Top Innovator of the Year Award by
The Daily Record.