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Ocean Medical CenterNew KneesKeep Seaside Heights Womanon Her FeetBarbara Mancini coped withdebilitating knee arthritis for years.Over time, the disease wore away thecartilage cushioning her joints. By fall2011, she could barely walk along thebeach or kneel down to play withher grandchildren, and work becamedifficult — as a bartender in SeasideHeights, she’s constantly on her feet.“Both knees kept getting worse,”she says. “Eventually, the pain was sobad, I just couldn’t take it.”A little more than a year andtwo surgeries later, the 61-year-oldhas brand-new knees and a positiveoutlook for the future. The journeyhasn’t been easy, she admits. Butthanks to some hard work and theskills and guidance of her surgeon, she’seasing back into her full schedule intime for the St. Patrick’s Day holiday.“I brag about him all the time,”she says of Joel Fechisin, M.D., aphysician at Ocean Medical Center.“He’s kind and caring, but he’s alsoup-front, telling you what’s going tohappen and what to expect. BecauseI listened to him and to my therapists,now I’m good to go.”A Joint DecisionLike most other patients who undergoknee replacements, Barbara triedHV-OMC_Ortho_8.375x3-13_Layout 1 1/24/13 4:20 PM Page 1several conservative treatments first,including pain-relieving medicationsand injections.Total knee replacement oftenbecomes the best choice when thesetherapies don’t relieve pain wellenough to allow patients to lead theirnormal lives. “I’d get cortisone shots,and they’d help for a while, then theywouldn’t help anymore,” Barbara says.“It just kept progressing.”Deciding whether and whento have the surgery requires closecommunication between doctor andpatient. That’s why Dr. Fechisin andother Ocean physicians spend timegetting to know each individual. “Ibuild a relationship with my patientsso that I know what they’re doingand what’s important to them. Then,we can design a treatment plan thatworks for them,” he says.In Barbara’s case, rather thanreplacing both knees at once, shehad one surgery in January 2012 andone in October 2012. That way, shecould work the busy summer seasonin between.Preparation Is KeyThough it’s often the best treatment,knee replacement isn’t an easy fix.Patients must go through extensiveJoel Fechisin, M.D.Brick • 732-458-7866preparation, including exercisesto strengthen the muscles aroundthe knee. “Dr. Fechisin is tough. Hemade me ride the stationary bike ahalf hour a day. But I’m glad he did,because it made recovery so mucheasier,” Barbara says.During each procedure, Dr. Fechisinremoved the damaged areas of bonein Barbara’s knee. He skillfully replacedthem with metal and plastic parts,while also preserving the soft tissuesaround the knee so that the new jointwould work properly. He’s studiedwith some of the top joint surgeonsin the field, refining his approachso that his patients do as well aspossible afterward.Both of Barbara’s operationswent smoothly, in part becauseDr. Fechisin helped her prepare, shesays. Ocean also offers the latest inpain relief. For her second surgery,Barbara had a femoral nerve block, anewer pain-management techniquein which the patient is mildly sedatedduring surgery and anesthesia isinjected directly into the thigh. TheMeridianHealth.com • 1-800-DOCTORS®6Ocean Medical Center has earned The JointCommission’s Gold Seal of Approval TM for itsHip and Knee Joint Replacement Program.Orthopedic Excellence – Your path to independenceOcean Medical Center offers comprehensive orthopedic care for every bone,muscle, joint and ligament. We have the widest range of preventive techniques,diagnostic tools, treatments and rehabilitation options including:• Skilled team of orthopedic surgeons using leading-edge approaches.• Non-surgical and minimally invasive options.• Pre-surgical classes.• A dedicated orthopedic unit ensuring personalized care by our professional team.• Inpatient and outpatient rehabilitation fitness centers, plus at home optionsempowering you to reach your potential.To contact one of our surgeons and for more information about ourprograms, call 1-800-DOCTORS ® . Or visit OceanMedicalCenter.comTaking Care ofNew Jersey

Jersey Shore University Medical CenterJoint Replacement PatientIs Living Her Best LifeFor years, Patti Rankin of Toms Riverexperienced excruciating knee paindue to arthritis. Even a trip to the mallor walk around the block became toodifficult for the 54-year-old to endure.As a result of inactivity, the once-activebaby boomer’s weight began creepingup. And cortisone shots to mask thepain didn’t help.“I couldn’t do what I wanted to do,”Patti says. “I wasn’t living my best life.”Patient-Focused JointReplacementIn search of a solution, Patti wasreferred by friends to Greg Roehrig,M.D., an orthopedic surgeon at JerseyShore University Medical Center.“Right away, I knew I was in the rightplace. Dr. Roehrig is such a wonderfulman — so gentle, humble, andconfident,” Patti says. “He told me myknee joint was ready to be replaced,but my mind had to be ready as well.”Your Joints Are in Good HandsPatti took more than a year toprepare for knee replacement surgery.She lost 30 pounds and finally feltready to tackle recovery. In May 2011,Dr. Roehrig replaced Patti’s knee jointwith an artificial one using patientspecifictechnology.“Using advanced imagingtechnology, we are able to customizejoint replacement surgery for patients.We plan the surgery down to everylast angle. Even the instruments weuse are fitted specifically for eachpatient,” Dr. Roehrig explains. “Thistailored approach enables us toperform joint replacement moreaccurately and efficiently.”Attention to DetailJust like when a vehicle’s tires last longerbecause the car is properly aligned,the same is true for our joints. Whenarthritis damages or alters the tensionof the soft tissues and ligaments ofAre you considering joint replacement? Our board certifiedsurgeons have trained at the best programs in the country,learning minimally invasive techniques. For more information orto find a joint replacement specialist, call 1-800-DOCTORS.Patti Rankin enjoys an activeafternoon at a Toms River parkwith her five grandchildren.Gregory J. Roehrig, M.D.Board certified in SportsMedicineManasquan • 732-974-0404the knee, these structures must berebalanced and realigned. Failure to doso can lead to symptoms and earlierwear and tear on the new knee.“We have advanced techniquesand technology that assist us withjoint replacement,” Dr. Roehrig says.“But I firmly believe that the key toa successful surgery and recovery isattention to detail. Taking the timeto balance the muscles, tendons, andligaments around the knee leads to amore comfortable, longer-lasting jointreplacement.”A New LifeSoon after surgery, Patti began herjourney back to an active life. Shestarted power walking, taking onhills in nearby towns, and eventuallycompleted the Spring Lake Five MileRun. Today, she’s lost a total of 70pounds and enjoys playing chase withher five grandchildren.“I’m a new me, and I’ve got mylife back,” Patti says. “If I had known Icould feel like this, I would have doneit years ago. I owe it all to Dr. Roehrig.”Meridian Health Views • March/April 20139

Getting to theRiverview Medical CenterHeart of the MatterQuick Action During a HeartATTACK Saves LivesNow that Bryan Horan hasrecovered from his heart attack,he and his wife, Moira, enjoywalking together on the beach.MeridianHealth.com • 1-800-DOCTORS®10Comprehensive Care for Your HeartHeart attacks are the leading cause of deathin the United States. Luckily, top care isavailable close to home at Riverview MedicalCenter, which is an accredited Chest Pain Center.Learn what that means for you and your family atRiverviewMedicalCenter.com.

When 58-year-old Bryan Horan,a Spring Lake Heights resident,retired from his New York firefightingjob in July 2011, he didn’t picturespending his newfound free timein a hospital. But when he beganexperiencing chest pain, he knew fromhis experience as a firefighter that heneeded to get to a hospital fast. Luckilyhis wife, Moira, knew exactly where totake him: Riverview Medical Center.“I was just heading home afterrecovering from back surgery when westopped by Riverview to drop off a carwe’d borrowed from a friend,” Bryansays. “Moira had offered to take mehome first, but I decided to go along forthe ride. We picked up our car, and mywife stopped to get a cup of coffee justdown the road. While I was in the car,I started sweating and had pain in mychest, and I immediately recognized thesymptoms. I didn’t want to believe it,but I knew I was having a heart attack.”‘I Couldn’t Believe HowQuickly the Team Worked’Moira brought Bryan straight overto Riverview. When they arrivedat the Emergency Department, awheelchair was already waiting forBryan. Stephanie Reynolds, D.O., anemergency medicine physician onstaff at Riverview, sprang into action.“By the time I had parked the carand gone inside, Bryan was already ona stretcher and being monitored bymachines,” Moira says. “At that moment,I had absolute confidence in what wasgoing on. I couldn’t believe how quicklythe team had already worked.”In a matter of minutes, Bryan wason his way up to the catheterizationlab, where Aristotelis Vlahos, M.D.,medical director of invasive cardiologyat Riverview and part of MeridianCardioVascular Network, quickly beganan angioplasty procedure. Also calledpercutaneous coronary intervention,this procedure helps quickly restoreblood flow to blocked arteries.“Using a thin, soft tube called acatheter, angioplasty is emergencytreatment for a heart attack thatreopens the blocked arteries to restoreblood flow without the need foropen-heart surgery,” Dr. Vlahos says.“The balloon is moved to the narrowpart of the artery, where it is inflatedto compress fatty tissue plaque andmake more room for blood flow.”According to Dr. Vlahos, stents —which are small, metal mesh tubes —are then used to keep arteries opento prevent additional blockages ornarrowing of the arteries, and to improveblood flow to the weakened arteries.The Road to RecoveryAlthough everything moved quickly,Bryan had full faith in Dr. Vlahos. “It waskind of scary, but Dr. Vlahos reassuredme that I was going to be all right,”Bryan says. “At that point, I just wantedit to be over and hoped I wouldn’tneed additional open-heart surgery.”Soon after his procedure, Bryan andMoira could breathe a sigh of relief. Theangioplasty was successful, and just as Dr.Vlahos had said, Bryan was going to be fine.Bryan spent just three daysrecovering in the hospital. AfterAristotelis E. Vlahos, M.D.Board certified inInterventional CardiologyRed Bank • 732-741-7400he returned home, he participatedin rehabilitation through Riverview’scardiac rehabilitation program, where heand his care team worked together torestrengthen his heart and prepare himfor living a full life after his heart attack.Bryan also began regular visits withhis cardiologist, Ajay Shah, M.D., partof Meridian CardioVascular Network,who continued to monitor Bryan’scholesterol and heart function throughechocardiograms and nuclear stresstests. According to Dr. Shah, thesetests are commonly used following aheart attack to assess the heart’s stressand exercise tolerance, in order todetermine a safe activity limit.Back to a Relaxing RetirementFast-forward to a year later: Bryan hascompleted his rehabilitation and is atthe end of his follow-up cardiologyappointments. Finally able to enjoy hisretirement, he’s back to doing the thingshe loves, such as biking, fishing, playing golf,and traveling. He credits Riverview withthe best service he could have asked for.“The coordination of care was great.From the Emergency Department, to thecath lab, through my rehabilitation, itwas the best experience I could ask fordespite the scary situation,” Bryan says.“I’ve seen a lot of other people havingheart attacks, but you never think it’llhappen to you. I really couldn’t haveasked for treatment better than what Ireceived at Riverview. ”—Caitlin CoyleRun or Walk towards a healthier heart!This year’s Meridian Heart & Sole Cup consists of a series of 5K Run/Walks at OceanMedical Center, Jersey Shore University Medical Center and Bayshore Community Hospital.Whether you are a competitive runner, walking for a cause, or would like to just enjoy a stroll,don’t miss these events to keep your heart healthy with Meridian CardioVacular Network.Awards:• $12,000 in prize money• Prize money distributed to Top 3 finishers and Top 3 in five yearage groups at each race and the overall Heart & Sole CupTo learn more about the 5k/walk or to register,visit MeridianHealth.com/HeartandSoleCup.Sunday, June 9 – Ocean Medical Center 5k, Brick – 8:30 a.m.Saturday, June 29 – Bayshore Community Hospital 5k, Holmdel – 8:30 a.m.Sunday, September 15 – Jersey Shore University Medical Center 5k, Neptune – 10:00 a.m.11

Southern Ocean Medical CenterExpert SurgicalApproachHelps PreventFuture EmergenciesAudrey O’Neill has a green thumband enjoys horticulture, especiallyorchids. She also swims dailyin the summer.MeridianHealth.com • 1-800-DOCTORS®12For most people, a hernia — a bulgingof tissue or organ through a holeor weakness in the abdominal wallmuscle — involves little discomfort.But 84-year-old Audrey O’Neill’s herniaexperience was different. The ForkedRiver resident wasn’t feeling well onemorning in September 2012 when sheexperienced a sharp and excruciatingpain in her lower abdomen. Audrey’shusband called 911, and she was rushedto Southern Ocean Medical Center.“When the pain hit, it was sointense. I immediately broke out intoa cold sweat,” Audrey remembers. “Iknew something was very wrong.”Thankfully, Southern Ocean offersadvanced minimally invasive surgeryfor hernia repair. And this approachmay very well have saved Audrey fromsimilar painful attacks in the future.Getting a Better LookMost hernia repairs are conductedin open surgery — working throughan incision made in the abdomendirectly over the hernia. Audrey’ssurgeon, Emil Shakov, M.D., however,used a minimally invasive, orlaparoscopic, approach to surgery.Laparoscopic surgery involves a tinycamera and specialized instrumentsthat are manipulated through a fewsmall cuts in the skin. By avoiding alarger incision, the approach involvesless pain and bleeding and a quickerrecovery for the patient.“In addition, because we used aminimally invasive surgical approach,I was able to first examine Audrey’sentire abdominal cavity with alaparoscope,” Dr. Shakov explains. “Intraditional open surgery, the surgeonis able to see only where the incisionis made.”Dr. Shakov’s ability to examineAudrey’s abdomen before performingthe repair was crucial. In addition tolocating her painful hernia, he alsofound two additional, undetectedhernias in other areas of the abdomen.Dr. Shakov repaired all three herniasduring the same surgery by placing areinforcing meshlike material over theweak areas of the abdominal wall.“By finding and repairing theseother hernias, we prevented otherLooking for a Surgeon?Emil Shakov, M.D.Board certified in General SurgeryManahawkin • 609-978-3325potential emergency surgeries downthe line,” Dr. Shakov says.A Quicker RecoveryNot many surgeons perform minimallyinvasive hernia repair because it istechnically more difficult than opensurgery. Southern Ocean surgeons,however, have advanced training andexperience in this complex technique.Audrey went home after one nightin the hospital. And within a week,she was back to gardening, sewing,and having fun with friends.“I am so relieved that my herniaswere found and taken care of at once.I don’t want to go through that again,”Audrey says. “I can’t say enough aboutDr. Shakov or my experience. Myrecovery was very comfortable, andI’m back to being active again.”Over the past year, Southern Ocean has added talented generalsurgeons who specialize in minimally invasive procedures.To find one, visit SouthernOceanMedicalCenter.comand click on “Find a Physician.”

Creating a New Experience for Kidsat Southern Ocean’sPediatric Care CenterKathleen and Bryan Curtis, proudnatives of Southern Ocean County,enjoy raising their two children,William and Sarah, in Little EggHarbor. The Curtises are also gratefulfor the high-quality emergency careclose to home at Southern OceanMedical Center.“William and Sarah are both soactive and adventurous, it’s notsurprising that we’ve had a fewmishaps that have resulted in visitsto the Southern Ocean EmergencyDepartment,” Kathleen says. “Thechildren were so well cared for atSouthern Ocean, but I’m even morethrilled now that the Pediatric CareCenter is open in the EmergencyDepartment. We still have a lot ofyears of childhood ahead of us.”Specialized Treatmentfor ChildrenThe new Martin Truex Jr. Pediatric CareCenter opened at Southern Oceanin January and is its own distinct areawithin the Emergency Department.It has been specially designed to bekid- and family-friendly.“Our Pediatric Care Center reallyenhances our ability to care forthe children in our community,”says Adam Lazarus, M.D., chief ofemergency services at SouthernOcean. “We now have a dedicatedDedicated to ChildrenAs part of MeridianPediatric Network, theMartin Truex Jr. Pediatric CareCenter offers a team of pediatric- andemergency-care trained clinicians andphysicians focused on treating everychild in a kid-friendly environment. Thecenter also provides access to morethan 100 specialists at K. HovnanianChildren’s Hospital at Jersey ShoreUniversity Medical Center.pediatrician here eight hours a day,Monday through Friday, and 12 hoursa day on weekends. These hourscoincide with the busiest time in ourEmergency Department for kids —late afternoon and evenings duringthe week and earlier afternoon intoevenings on the weekends.”In addition, the specialized medicalteam in the Pediatric Care Center hasnurses trained in both pediatrics andemergency medicine.A Focus on FamiliesFamilies will find a calmer, more invitingenvironment for their children in brightand cheerfully decorated rooms. Akid-friendly waiting area and privateconsultation room are alsocurrently in the works. Andthree of the six pediatricrooms can be used forovernight observationwhen necessary.“Sometimes we needto watch postsurgicalkids through theevening or night, ormaybe there is anemergencyAdam Lazarus, M.D.Board certified inEmergency MedicineManahawkin • 609-978-8900,ext. 2207patient we just want to observe longer,”Dr. Lazarus says. “They can now becomfortable in a quiet room withaccommodations for their parents tospend the night right by their side.”For parents, this attention to detailand dedication to the family’s needsbrings great comfort, as does the factthat Southern Ocean is convenientlylocated. “It will make a lot of parentshappy that children can now be treatedfive or 10 minutes from home andfamilies don’t have to travel out ofthe community,” Kathleen says. “Beingable to stay close to our homes whena child needs emergencyattention is wonderfulfor everyone.”—Joyce McFaddenSouthern Ocean Medical CenterWilliam Curtis, 3, enjoysplaying with puppies,camping, fishing, andcrabbing. His sister,Sarah, 8, is involvedin volunteering,Girl Scouts, andcheerleading.Meridian Health Views • March/April 201313

Bayshore Community HospitalSurgical ExpertiseHelps WOMan OvercomeComplex Abdominal ProblemsKeyport resident Nicole Caddlehas had her fair share of medicalprocedures. Over the years, she hasundergone gallbladder surgery, ahysterectomy, a bowel resection,and a number of hernia repairsurgeries — all of which took anatural toll on her core muscles.With the added strain of deliveringher four children, Nicole’s abdominalwall was extremely weak. So whenthe 66-year-old began feeling newhernias — bulges of tissue in weakareas of the abdominal wall — inJanuary 2012, she wasn’t surprised.Thankfully, she found a solution atBayshore Community Hospital.“In the past, my body rejectedthe synthetic mesh typically used torepair hernias, which caused severeinfections and had to be removed.Because my case was so complex,my doctor referred me to a newspecialist at Bayshore,” Nicole says.“I had been dealing with hernias formore than 30 years and was ready tonip the problem in the bud.”result, she no longer had the structureto hold in the hernias. Without repair,these hernias would continue to grow.“Although we perform herniarepair surgery of all kinds, Nicolerequired a more specialized, multidisciplinaryapproach,” Dr. Fischerexplains. “In order to repair herhernias, we needed to completelyreconstruct her abdominal wall.”Dr. Fischer called on boardcertified plastic surgeon AsaadSamra, M.D., FACS, to collaborate onNicole’s surgery. During the complexoperation, Dr. Fischer reduced thehernias and Dr. Samra moved Nicole’sabdominal muscles to reconstructher abdominal wall, reinforcing herweakened muscles with biologic, notsynthetic, mesh.“This surgery was the first of its kindperformed at Bayshore,” Dr. Fischersays. “It’s an example of the types ofhighly specialized hernia repair optionswe provide. This allows our communityto have many advanced treatmentoptions closer to home.”Lauren J. Fischer, M.D.Board certified in General SurgeryHolmdel • 732-847-3300Asaad H. Samra, M.D.Board certified in Plastic SurgeryHolmdel • 732-739-2100Dr. Fischer adds that Bayshore nowalso offers minimally invasive herniarepair options and other advancedtechniques for people with all typesand severities of hernias.A Long-Term SolutionNicole’s surgery was a spectacularsuccess. Now she’s happy to beperforming everyday activities again,like playing with her grandchildren,Amelia and Dominick.“I haven’t had a problem withhernias since my surgery — the firsttime in years,” Nicole says. “I hadabsolutely wonderful surgeons.”MeridianHealth.com • 1-800-DOCTORS®14An Advanced ApproachNicole was referred to Lauren Fischer,M.D., FACS, a general surgeon whospecializes in many types of advancedhernia repair. Dr. Fischer performedimaging tests and found that Nicole’sabdominal muscles were completelydisplaced to her sides. She had nocore muscles to support the strainof everyday life, such as carryinggroceries or getting out of bed. As aRedefining Health CareBayshore CommunityHospital has added 130new physicians to our staff,expanded our emergency services,added new surgical specialties ... andthere’s more to come. Read more atBayshoreHospital.org/beginning.After a complex procedure to repair herhernias, Nicole Caddle is feeling greatand enjoying her grandchildren.

ExpertOrthopedicCareGets TrainerBack inthe GymRiverview Medical CenterAs a personal trainer and runner herself, Tara Ricciutois always moving. When hip pain threatened herdaily activity, she knew she needed a doctorwho could ease her pain once and for all. Soshe turned to Riverview Medical Center. “Itwas a smooth process, with a good doctorand nurses who made me comfortable.”Jeffrey T. Van Gelderen, M.D.Red Bank • 732-741-2313Personal trainer Tara Ricciuto was usedto having some aches and soreness andpushing her body when it comes toexercising. However, in 2011, when thediscomfort in her right hip wasn’t goingaway, the 40-year-old from Matawansought treatment locally at RiverviewMedical Center.Finding the Right Treatment“The first time I noticed any hip painwas in 2009, while I was teaching a class,”Tara says. “I went into a deep lunge andfelt pain in what I thought was my groin.When it didn’t go away, I decided tosee a doctor, who diagnosed me witha torn labrum and suggested I undergosurgery to prevent more complicatedproblems later.”Tara elected to have surgery andquickly returned to running and workingout. However, two years later, Tara’s painreturned — this time in her other hip.A good reputation in the communityand some research led Tara to JeffreyVan Gelderen, M.D., an orthopedicsurgeon on staff at Riverview. All thepraise for Dr. Van Gelderen proved tobe true during Tara’s first visit.“Dr. Van Gelderen was great fromthe first day I met him,” Tara recalls.“He wasn’t pushy at all, and heconsidered every treatment optionbefore recommending surgery again.”A Quick RecoveryAccording to Dr. Van Gelderen,femoroacetabular impingement and thelabral tears that can come with it oftenoccur in young to middle-aged adults.Left untreated, it can lead to cartilagedamage. Without early intervention,this can cause osteoarthritis, which canlead to the need for a hip replacement inthe future.“There are conservative treatmentAn Afternoon of Jazz, Dancing, Brunch, and More!Put on your dancing shoes and join us on March 2 for ThisJoint Is Jumpin’!, an event featuring live music, danceinstruction, a brunch buffet, and information about The Total JointCenter at Riverview Medical Center. Page 24 has all the details.options available, including antiinflammatorymedications and physicaltherapy,” Dr. Van Gelderen explains.“I knew Tara led a very high-demandlifestyle, and after unsuccessfulalternatives, we agreed hip arthroscopywas her best option.”Hip arthroscopy is an outpatientprocedure in which a small camerahelps the doctor visualize the hipjoint and identify any problems.Small incisions are made in order torepair damage. The procedure offersadvantages over open surgery, in thatit is less invasive and offers significantlyshorter recovery time.When the surgery was complete,Tara was anxious to begin working out.With a combination of physical therapyand hard work, she was out runningjust three months later. She credits Dr.Van Gelderen with her excellent result.“I really liked Dr. Van Gelderenbecause, although I wanted to dealwith the pain as quickly as possible,he didn’t push me to have surgery justto have it,” Tara says. “His attentionto detail was especially appreciated.Following the surgery, I had no bruisingand very little pain. It was an easyrecovery, and I am grateful to be ableto work out pain-free again.”—Caitlin CoyleMeridian Health Views • March/April 201315

Jersey Shore University Medical CenterMeridianHealth.com • 1-800-DOCTORS®16Home Away From HomeSuccessfully managing a high-riskpregnancy at Jersey ShoreAs college sweethearts who fell inlove at the University of Connecticut,Leah Vicari and her husband, Joseph,enjoyed all the best that life offersactive young couples. They oftenspent weekends sampling the shore’srestaurants; walking their beloveddogs, Duke and Barney; or traveling totheir favorite beach destinations. Asthey approached their mid-30s, theToms River couple became excitedto start a family.“We love living near the beachand knew this was a great placeto raise a family,” says Leah, a highschool physical science teacher.They were overjoyed when Leahbecame pregnant with twin girlsin the summer of 2011. Sadly, theirdream was interrupted when Leahdeveloped complications andcontracted sepsis. The twins — Hopeand Faith — were stillborn, and theVicaris were devastated by the loss.Taking ‘Every PreventiveMeasure Possible’Almost four months later, Leah becamepregnant again. She immediatelyconsulted Carlos O. Fernandez, M.D.,perinatologist at Jersey Shore UniversityMedical Center, to help manage thehigh-risk pregnancy.“During her first pregnancy, Leahwas diagnosed with an incompetentcervix — a condition in which thecervix shortens or opens too early. Inaddition, she had a history of a uterineseptum, an abnormality of the uterus.These issues made Leah’s pregnancyhigh risk,” Dr. Fernandez says.If You’re Facing a High-Risk PregnancyTo help ensure both Leah and herbaby stayed healthy, Dr. Fernandeztook early action. “In December 2011,we performed a surgical procedurecalled a cervical cerclage, in which thecervix is sewn closed. But by April, thecerclage began to open. We decidedto admit Leah to the hospital forincreased surveillance and to assure100 percent bed rest.“We took every preventive measurepossible to preserve the health ofLeah and her baby,” Dr. Fernandezexplains. Other measures includeddaily monitoring and frequentbedside visits by Dr. Fernandez. “Leahwas a very focused patient and wasdedicated to following her care plan,”adds Dr. Fernandez.Bed Rest Leads to Healthy BabyAdmitted to Jersey Shore’s maternityunit on April 13, Leah began therestricted bed rest. With helpfrom family, friends, and JerseyShore’s maternity caregivers, Leahenjoyed a warm and welcomingstay. Friends and family styled thehospital room with garden-themeddecor, Leah’s students sent notes ofencouragement, and nurses helpedher celebrate milestones as sheapproached her due date.“The hospital’s team memberscreated such a caring, nurturingenvironment. Visits from the petIf your unborn child will likely require specialized neonatalcare, take heart. K. Hovnanian Children’s Hospital offersthe region’s only Perinatal Center for critically ill infants toprovide the highest level of neonatal intensive care. Learn more atKHovnanianChildrensHospital.com.Carlos O. Fernandez, M.D.Board certified in Obstetrics/Gynecology and Maternal-Fetal MedicineToms River • 732-736-0300Steven A. Morgan, M.D.Board certified in Obstetrics/GynecologyOcean • 732-531-1136therapy dogs, my 35th birthday party,and regular countdown celebrationskept my spirits high,” Leah says.“Through the guidance she receivedfrom Dr. Fernandez, and the supportof her dedicated caregivers at JerseyShore, Leah was prepared and healthywhen it came time to deliver. It was asmooth delivery, and Leah gave birthto a healthy baby boy,” explains Leah’sOB/GYN, Steven Morgan, M.D.“I couldn’t ask for anything more,”Leah adds. “Joey makes everythingin our lives better. My family is trulygrateful to Dr. Fernandez andJersey Shore for helping us tomake our dream a reality.”—Maureen Gillespie

Leah and Joseph Vicari werethrilled to welcome baby Joeyafter a high-risk pregnancythat included restrictive bedrest. “He’s such a bundle of joy,”Leah says. “He makes ourlives feel more fulfilled.”Meridian Health Views • March/April 201317

A Generous DonationPropels Bayshore’s VisionMeridian HealthA generous gift from a Holmdelfamily is helping Bayshore CommunityHospital continue its mission toprovide the most advanced careto the community. Evaristo (Evey)and Tammi Stanziale felt stronglyabout supporting Bayshore’s visionafter several positive experienceswith Bayshore and Meridian Health,particularly this past autumn.“The Meridian Health system hasbeen there for me and my family inour times of need for the past 17 years,and we wanted to give somethingback to the community,” says Evey.“Meridian is grateful for the supportit receives from such generous donors,”says David L. Flood, president, MeridianHealth Affiliated Foundations. “AtBayshore, charitable gifts providecritical funding that enables thehospital to operate at the highestlevel. Donations like the one fromthe Stanziale family help Bayshoreto continually upgrade equipment,facilities, and services, in addition toinspiring others in the community tosupport Bayshore and its mission.”‘Truly Amazed at theLevel of Care’Evey and his family have appreciatedthe excellent level of care providedby Meridian’s facilities. At only 10years of age, Evey’s son Michaelwas diagnosed with a cyst in hisneck that requiredimmediate surgeryat K. HovnanianChildren’s Hospital,part of JerseyShore UniversityMedical Center.During LaborDay weekend of2012, Evey avoidedbeing struck by amotorist whiledriving ascooter down at the Jersey shore. Evey’swrist was crushed in the incident, andhe insisted in the ambulance that he bebrought to a Meridian facility. A skilledsurgical team, led by a hand specialist atOcean Medical Center, repaired Evey’swrist. He is back to full function, andonly a small scar reminds him of theharrowing event.Then, in October 2012, Evey arrived atthe Emergency Department at Bayshorefor treatment of an infection. “I wastruly amazed at the compassion and thelevel of care that I saw all around me,”says Evey.Gifts of Time and ExpertiseAfter lending generous financialsupport, Evey decided that a monetarydonation was simply not enough. Hewas recently brought on as a Trusteeat the Bayshore Community HospitalFoundation.“I wanted not only to support thehospital financially, but also to giveof my time, energy, and expertise,”Evey explains. “For those communitymembers who haven’t been to Bayshorein a while, you’ll be blown away by thechanges that have been made and thoseslated for the near future. This is a newday here in our community.”MeridianHealth.com • 1-800-DOCTORS®18Evey is a businessman and family man, andhis family, including son Michael, 17, has usedthe services of Meridian Health throughoutthe years. He and his wife, Tammi, arededicated to improving their communityand recently made a donation to BayshoreCommunity Hospital.Take Care of Your Friends and Loved OnesHelp ensure they always have access to highqualitycare close to home. To learn more aboutthe Bayshore Community Hospital Foundationor how to make a charitable contribution, pleasecall 732-751-5100.

Leave the RestUp to Us withConciergeCareMeridian HealthLauren Kreig and herdaughter, Madison, at homein the nursery. Laurencalls Madison “a littleblessing; she is such awonderful baby andso full of joy!”Like most women delivering theirfirst baby, Lauren Kreig, 29, came toOcean Medical Center’s MaternalChild Services Unit in August 2012with high emotions. The expectantmom had had a busy six months.Lauren worked full time in addition totaking childbirth classes and preparingfor her baby. She and her husbandalso moved homes when Lauren was37 weeks pregnant to accommodatetheir growing family. Finally, oneday after her due date, Lauren wentinto labor. The next evening theywelcomed baby girl Madison atOcean Medical Center.“As a first-time mom, havinga baby can be a nerve-wrackingexperience. Everything is new, andyou want it to go smoothly,” Laurensays. “Once the baby is born, you nolonger think of yourself. Everything isabout that little girl.”The staff at Ocean MedicalCenter understands the physical andemotional marathon that women gothrough during labor and delivery.They also know that caring for anewborn is an around-the-clock job.That’s one reason the hospital offersConcierge Care services.Attending to Every NeedConcierge Care is designed to addressthe nonclinical needs of all patientsthroughout the hospital, not justthose in the Maternal Child ServicesUnit. The goal is to help peoplerelax so they can focus on healingand recovery. Concierge Care is nowoffered systemwide at all six MeridianHealth hospitals.“I couldn’t believe the variety ofservices Concierge Care offered —from spa treatments and deliveryof favorite restaurant meals to helpcoordinating care for your pets athome,” Lauren remembers. “My nursegave me a menu of services to choosefrom. It was wonderful.”All services provided by ConciergeCare are free to patients except forgoods purchased on patients’ behalf.Other types of services offeredShare, Learn, and Grow with Other Momsinclude securing hotel reservationsfor loved ones, delivering readingmaterials, and providing notary andresearch services.Offering Quick AttentionLauren called Concierge Care fromher room and ordered a hand andfoot massage. The Concierge Carestaff then quickly coordinated theservice before Lauren was dischargedfrom the hospital the next morning.That evening, a masseuse came toLauren’s room for the hour-longtreatment.“It was so relaxing because I wasable to stay right in my own roomwith Madison beside me,” Lauren says.“I didn’t worry about my daughter,and I was able to take a little time tofocus on me before the hustle andbustle of home life began.”Whether you’re planning a pregnancy or taking preteens topractice, it helps to connect with other local parents. Jointhe conversation at MeridianMomtourage.com, whereyou’ll find a variety of videos, blogs, and active discussion boards.Meridian Health Views • March/April 201319

Ocean Medical CenterMeridianHealth.com • 1-800-DOCTORS®20Expert BreastReconstruction Gives WomanNew HopeChristine Klag is no stranger to cancer.The 42-year-old Toms River residentlost her mother and brother to thedevastating disease. She’s also spentmost of the last decade protectingherself from it. Christine has a geneticcondition called Lynch syndrome,which increases her risk for breast,colon, ovarian, uterine, and othercancers to more than 90 percent.For Christine, prevention is keyto living a healthy life. She has acolonoscopy every six months, getsregular mammograms, and recentlyhad an elective hysterectomy. Butin January 2012, a breast biopsy ofprecancerous cells caused Klag totake further action.“I was done with the poking,prodding, and cutting of my breastsfrom repeated biopsies. I knew Iwould get breast cancer eventually,”Christine explains. “I made thedecision with my surgeon to have adouble mastectomy.”A Focus on the Whole WomanChristine was relieved to learn fromher breast surgeon that she couldbegin breast reconstruction right away.Christine interviewed Russell Ashinoff,M.D., a plastic and reconstructionsurgeon at Ocean Medical Center.“As soon as I met Dr. Ashinoff,I said, ‘This is it. He’s my angel.’ Hedoesn’t care what insurance youhave or how long an appointmenttakes — he just cares about you,” saysChristine. “He is very rare.”On the Cutting EdgeOcean Medical Center’ssurgical procedures rangefrom general surgery andorthopedics to new minimallyinvasive techniques like video-assistedthorascopic surgery. Learn more atOceanMedicalCenter.com.Christine met with Dr. Ashinoffmany times before surgery to discussher options for reconstruction. ThenDr. Ashinoff worked closely with thebreast surgeon to help plan Christine’smastectomy so that it offered thebest opportunity for successfulreconstruction.“For most women, breastreconstruction after a mastectomyis more than just a restoration ofform. It helps a woman regain naturalbody image, improve self-confidence,and feel whole again,” Dr. Ashinoffexplains.Advanced ReconstructionOptionsDr. Ashinoff offers all availabletypes of breast reconstruction,including reconstructionfollowing nipple-sparingmastectomies. Thisfairly rare surgerypreserves thewoman’s ownRussell Ashinoff, M.DBoard certified in General Surgeryand Plastic SurgeryShrewsbury • 732-741-0970nipple for a more natural-lookingreconstruction. Ocean is also the onlyfacility in Ocean County and one of afew in the state to offer the DIEP flapprocedure, which uses the patient’sown abdominal tissue to form thebreast while preserving the muscleof the abdominal wall. The surgeryproduces a natural breast without theuse of synthetic material.“We have a wealth of expertiseand experience,” says Dr. Ashinoff.“But we also take the time as a teamto ensure each woman gets the bestresult possible.”Christine’s reconstruction was asuccess. Today, she is back at work asa police lieutenant in North Bergenand continues to care for her family.She’s also empowered to know thatshe won’t have to face breast cancerand is confident in her appearance.“I had a perfect team ofdoctors,” Christine says.“There is no one likethem anywhere.”Christine Klag shares alaugh with her 4-yearoldson, Joseph, at theirhome in Toms River.

MeridianCommunity Health ProgramsMarch/April 2013All programs are FREE unless otherwise noted. Reserve your spot by calling 1-800-DOCTORS (1-800-362-8677) or1-800-560-9990 or by visiting MeridianHealth.com. In cases of severe weather, a program may be canceled as lateas an hour before the start time. Call 1-800-DOCTORS or 1-800-560-9990 to confirm.Riverview KidsRockIt’s time for Riverview MedicalCenter’s annual Riverview KidsRock health and activities fair. Join us for an afternoon ofrockin’ fun and educational and health-conscious activitiesthat even parents will enjoy. Try your hand at surgery(gummy bear surgery, that is), learn the importance of handwashing with funky glow-in-the dark germs, meet membersof our Pawsitive Action Team and Meridian PediatricNetwork, and much more!April 13, noon – 2:00 p.m.Riverview Medical CenterMen’s Health NightThis program is dedicated to improving the health of men. Theevening will include physician lectures, free health screenings,and educational displays. Free health screenings include bloodpressure, blood sugar, cholesterol, colorectal, foot, pulmonaryfunction, and skin care. A free lipid screening will be offered onMarch 18, 7:00 – 9:00 a.m., at the Beach Plum Conference Centerat Southern Ocean Medical Center. A 12-hour fast is required priorto having your blood drawn, but you can have medications andwater. Results will be available at Men’s Health Night.March 20, 7:00 – 9:00 p.m.Southern Ocean Medical Center, First FloorMinority and Multicultural HealthMonth CelebrationsIn recognition of Minority and Multicultural Health Month inApril, Meridian Health is sponsoring several community-basededucational lectures and free health screenings.March 10, 1:00 – 3:00 p.m.Calvary Baptist Church23 River Street (BridgeAvenue & River Street)Red BankMarch 16, 9:00 – 11:30 a.m.Living Word Christian Fellowship81 Highway 35, NeptuneMarch 23, 9:00 – 11:00 a.m.Restoration Family WorshipCenter2 Church Road, HowellAngioScreen®:What You LearnCan Save Your LifeVascular screening to learn your risk for heartattack and stroke includes carotid arteryultrasound screening, heart rhythm screening(atrial fibrillation), blood pressure, abdominalaortic aneurysm screening, peripheral arterialdisease (PAD) screening, and body mass index.Participants receive an instant color report ofthe findings, educational material, and privateconsultation with a registered nurse.Fee: $74.95. Registration required.March 6, 2:00 – 7:00 p.m.Meridian Rehabilitation at Manalapan195 Route 9 South, Suite 113ManalapanMarch 11, 9:30 a.m. – 4:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105March 14, 1:30 – 7:00 p.m.Riverview Medical CenterNavesink River Conference SuiteMarch 23, 9:00 a.m. – 2:00 p.m.Family Resource Center at the Ocean Club,Stafford TownshipApril 10, 9:30 a.m. – 4:00 p.m.Ocean Medical CenterConference Room AApril 20, 9:30 a.m. – 4:00 p.m.Meridian Fitness and Wellness Centerat HazletApril 25, 1:30 – 7:00 p.m.Family Resource Center at the Ocean Club,Stafford TownshipApril 26, 9:30 a.m. – 4:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.21

MERIDIAN CANCER CAREStop Smoking with HypnosisHypnotherapy is effective inalleviating unwanted habits anddeveloping positive behaviors andlifestyle changes. Fee is $30.March 11 and April 8, 7:00 – 8:00 p.m.Meridian Fitness and Wellness at HazletALL ABOUT PROSTATE HEALTHJoin urologists from Meridian Healthas they discuss the early warning signsof prostate cancer and treatment fordifferent urologic problems in men.March 26, 11:00 a.m. – noonMeridian Fitness and WellnessCenter at HazletSpeaker: Babu Surya, M.D.April 16, 11:00 a.m. – noonFamily Resource Center at the OceanClub, Stafford TownshipSpeaker: Deep Trivedi, M.D.Fresh START Smoking CessationThis four-session smoking-cessationprogram is offered by MeridianCancer Care and the American CancerSociety. Learn techniques to live asmoke-free life.April 10, 18, 23, and 25, 5:00 – 7:00 p.m.Ocean Medical CenterCANCER TRANSITIONSThis six-week program is for adultswith all types of cancer who havecompleted treatment. It will addressexercise, nutrition, emotional health,and medical management aftertreatment ends. To register, call732-578-9200.Session begins April 15, 12:30 – 3:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105tHE lATEST ON Colon CancerLearn the facts about coloncancer and its causes, prevention,and treatment options at theseinformative lectures. Colon rectalscreening kits will be provided.March 12, 10:00 – 11:00 a.m.Family Resource Center at the OceanClub, Stafford TownshipMarch 14, 7:00 – 8:00 p.m.Meridian Fitness and Wellness Centerat HazletSpeaker: Howard Ross, M.D.Look Good, Feel BetterThe American Cancer Society offersthis program to individuals beingtreated for cancer. If you look good,you will feel better. Learn somemakeup and hair tricks to make youlook and feel better.March 18, 1:00 – 3:00 p.m.Meridian Fitness and Wellness Centerat HazletMarch 25, 1:00 – 3:00 p.m.Ocean Medical CenterConference Room CApril 8, 1:00 – 3:00 p.m.Jersey Shore University MedicalCenter Cancer Conference RoomChildren’s Art TherapyMeridian Cancer Care offers arttherapy for children ages 4 ½ to 13who have experienced a loss orare dealing with a chronically orterminally ill loved one. Registrationrequired. Call 732-530-2382.MERIDIAN NeuroscienceMultiple Sclerosis UpdateNeurologist Paul Kostoulakos, D.O., willdiscuss the latest in diagnosis, treatmentoptions, and coping skills while living withmultiple sclerosis.March 7, 6:00 – 7:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105HAVING TROUBLE KEEPING YOURBALANCE?Neurologist Paul Gilson, M.D., will providethis informative lecture on the causesof balance issues and what you can doto improve your symptoms. Balancescreenings will be provided after thelecture. Registration is required.March 13, 2:00 – 3:30 p.m.Ocean Medical CenterConference Room AARE YOU GETTING A GOODNIGHT’S SLEEP?Do you snore, have sleep apnea, or sufferfrom insomnia? Join Gustavo De La Luz,M.D., and learn what you can do to geta better night’s sleep.March 19, 2:00 – 3:00 p.m.Ocean Medical CenterConference Room AMemory LoSSIf you or your loved one is experiencingincreased forgetfulness, troubleconcentration, or difficulty performingfamiliar tasks, you may benefit from thisinformative lecture and screening.April 5, 11:00 a.m. – noonLecture: Robert Terranova, D.O.Screenings: noon – 1:30 p.m.Family Resource Center at the OceanClub, Stafford TownshipCounseling and Behavior HeaLthAddiction Recovery ServicesFor adult family members of addicted individuals. Call for information.Children’s CounselingMeridian Behavioral Health offers a variety of counseling services atboth our Neptune and Shrewsbury locations. We offer age-specificgroup therapy, a therapeutic after-school program for children ages 7 to13, as well as traditional individual and family therapy. Call 732-869-2784,ext. 2, for registration, schedules, and fees.Parkinson’s Life EnrichmentExercise ClassDesigned and administered by physicaltherapists and exercise specialists, thisprogram helps people with Parkinson’simprove their flexibility, balance, andstrength, enabling them to performeveryday activities with greater ease.For pricing and registration, call732-836-4007.22Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.

MERIDIAN CARDIOVASCULAR NETWORKMeridian Women’s Heart Connection❤ Joyful Heart TeaCardiologist Shaddy Younan, M.D., willdiscuss the latest information on hearthealth while you enjoy tea and hearthealthydelights!March 6, 11:00 a.m. – 12:30 p.m.Meridian Fitness and Wellness Centerat Hazlet❤ Women and Heart DiseaseLadan Ilkhani, M.D., will discuss the risksof heart disease in women and what youcan do to lower your risk and prevent aheart attack.April 17, 2:00 – 3:00 p.m.Ocean Medical CenterConference Room ASUPERMARKET TIPS FOR HEART HEALTHJoin a registered dietician and learn whatfoods to buy at the supermarket thatwill help keep your heart healthy — andwon’t break your budget!March 21, 6:30 – 7:30 p.m.Meridian Fitness and Wellness Centerat HazletMERIDIAN Pediatric NETWORKHealthy ChoicesThis program for seventh- throughninth-grade girls and their mothers willfocus on making healthy life choicesand increasing communication duringthese important teen years. Dinnerand door prizes included. Registrationrequired.March 6, 5:00 – 9:00 p.m.Sea Oaks Country ClubLittle Egg HarborCar Seat Safety CheckSSponsored by the New Jersey StatePolice and the Trauma Center at JerseyShore University Medical Center. Noregistration necessary.First Tuesday of each month3:00 – 7:00 p.m.Jersey Shore University MedicalCenterVaricOSe Veins: cAuses andTreatment OptionsVaricose veins are dilated veins in yourlegs that may cause mild to severe pain.Vascular surgeon Lawrence Mueller, M.D.,will discuss what varicose veins are,their causes, and the latest in treatmentoptions. Free screenings will be provided.March 28 and April 18, 6:30 – 8:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105Living with Congestive Heart FailureLearn about ways you can help yourheart at home. Deb Shar, R.N., will discussthe latest research on congestive heartfailure and how to recognize its signsand symptoms.April 2, 10:00 – 11:00 a.m.Family Resource Center at the OceanClub, Stafford TownshipControlling Your Blood PressureJoseph Schirripa, M.D., will discuss howto control your blood pressure and theeffects hypertension has on your body.April 17, 10:00 – 11:00 a.m.Family Resource Center at the OceanClub, Stafford TownshipSafe SitterMeridian offers training for babysittersages 11 to 14. In a fun learningenvironment, this class will reviewsafety for both babysitters andthe children in their care, includinginformation on handling emergencies,first aid, and CPR. Fee: $40.March 28, 9:00 a.m. – 3:30 p.m.Ocean Medical CenterConference Room CMarch 29, 9:00 a.m. – 3:30 p.m.Red Bank First Aid BuildingApril 6, 9:00 a.m. – 3:30 p.m.Family Resource Center at the OceanClub, Stafford TownshipApril 13, 9:00 a.m. – 3:30 p.m.Meridian Fitness and Wellness Centerat HazletCHOLESTEROL:KNOW YOUR NUMBERSLearn the difference between goodand bad cholesterol, risk factors,treatment options, and strategies forgetting your numbers under control.March 20, noon – 1:00 p.m.Riverview Medical CenterTwo Rivers Conference SuiteSpeaker: Anthony DeNoia, M.D.April 25, 11:00 a.m. – noonMeridian Fitness and WellnessCenter at HazletSpeaker: Rama Sambandan, M.D.Childbirth/MaternityChildbirth Education SeriesMeridian Health offers classesand seminars for first-time andexperienced parents, as well astours, classes for siblings, andmore! Registration required.Please register before your thirdtrimester. To learn more about ourfun and informative classes, visitMeridianMomtourage.com.STRike A Pose: Yoga fOR MOMSand Moms-To-BeClasses focus on gentle postures,breathing techniques, and overallrelaxation in order to preparefor childbirth or recover afterchildbirth. Call Meridian LifeFitness in Point Pleasant at 732-295-1778 for fees and to register.CHILDREN AND ASTHMATina Zecca, D.O., discusses signs,symptoms, and triggers as well astreatment options for asthma inchildren.March 11, 6:30 – 7:30 p.m.Middletown Library55 New Monmouth RoadMiddletownCall 1-800-DOCTORS or 1-800-560-9990 to register for programs.23

DIABETESHealthy Living with DiabetesJoin experts from Meridian Life Fitness asthey discuss lifestyle factors such as dietand exercise and how they can help youcontrol your diabetes.March 18, 5:30 – 6:30 p.m.Ocean Medical CenterCommunity RoomMetabolic SyndromeInsulin resistance is linked to obesityand is often an underlying cause of bothprediabetes and metabolic syndrome.Join Jeanmarie Chudzik, D.O., asshe discusses causes, diagnosis, andtreatment.April 24, 10:00 – 11:00 a.m.Meridian Fitness and Wellness Centerat HazletOrthopedics and sports medicineTHIS JOINT IS JUMPIN’!Enjoy an afternoon of yourfavorite live jazz and swingmusic, a brunch buffet, danceinstructions from local studioexperts, and more excitingactivities that are sure to keepyou moving! Information will beavailable about the extensiveservices The Total Joint Centerat Riverview has to offer.March 2, 11:30 a.m. – 2:00 p.m.Riverview Medical CenterJoan and Robert RechnitzConference and EducationCenterORTHOPEDIC EXCELLENCEIf you’re considering jointreplacement, you’ll want tohear from our panel of expertsincluding an orthopedic surgeon,nurse educator, and therapist.They will discuss surgicaloptions and how presurgical andrehabilitation efforts are pivotalto successful results.April 9, 2:00 – 3:00 p.m.Ocean Medical CenterConference Room ATips on Managing Your DiabetesDo you want to take control of yourdiabetes? Certified diabetes educatorEddi Nitting, R.N., will discuss what youcan do to better manage your diabetesand keep it under control.April 29, 2:00 – 3:00 p.m.Family Resource Center at the OceanClub, Stafford TownshipCOMPREHENSIVE DIABETESMANAGEMENT AND EDUCATIONMeridian offers educational and supportprograms at all our hospitals on anindividual or group basis for peoplewith diabetes. In Monmouth County,call 732-530-2555. In Ocean County, call609-978-3400.LIVING WITH ARTHRITISIs arthritis affecting your quality of life?Learn ways to protect your bones andjoints so you can perform everydayactivities with greater ease.April 10, 6:00 – 7:30 p.m.Riverview Medical CenterShrewsbury River Conference SuiteSPEAKER: Jorge Corzo, M.D.April 23, 10:00 – 11:00 a.m.Ocean Medical CenterConference Room BShoulder InjuriesPlaying sports can put undue stress onyour shoulder muscles, which can causeinjury to your shoulder and rotatorcuff. Join orthopedic surgeon NicholasJarmon, M.D., as he discusses shoulderinjuries and the latest treatment options.March 26, 11:00 a.m. – noonFamily Resource Center at theOcean Club, Stafford TownshipManaging Arthritis andFibroMYALGiaJoin rheumatologist Robert Gabel, M.D.,and learn ways to manage arthritis andfibromyalgia through a combinationof medication, exercise, rest, weightmanagement, and nutrition.FitnessSelf-Defense ExercisesLearn how to use balance andleverage over strength to help defendyourself from most street attacks andpersonal assaults. Includes joint andbalance exercises taught in a relaxedatmosphere. Fee: $3 per class.March 7 and 21, 12:30 – 1:30 p.m.April 4 and 18, 12:30 – 1:30 p.m.Family Resource Center at theOcean Club, Stafford TownshipYoga for GolfersJoin Meridian Life Fitness for thisdemo class and find out how doingyoga can improve your flexibility andyour golf game.March 12, 6:00 – 7:00 p.m.Meridian Life Fitness, Point PleasantBeachYoga for ArthritisThis demo class is ideal for those livingwith arthritis who have a limited rangeof motion. Find out if this specialtyyoga class may be right for you.April 22, 4:00 – 5:00 p.m.Riverview Medical CenterMarch 28, 11:00 a.m. – noonMeridian Fitness and Wellness Centerat HazletSpine Surgery OptionsDo you suffer from low back pain? NaderHebela, M.D., will explain the causes oflumbar stenosis, the latest surgical options,and who is a candidate for spinal surgery.April 18, 2:00 – 3:00 p.m.Family Resource Center at the OceanClub, Stafford TownshipToTAL Joint ReplacementJoin orthopedic surgeon StephenKayiaros, M.D., as he discusses whois a good candidate for total jointreplacement; what to expect before,during, and after surgery; painmanagement; and rehabilitation.April 23, 6:00 – 7:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/10524Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.

NUTRITIONEATing Healthy forCeliac DiseaseNutrition experts will discuss howto manage food choices and bestnavigate a diet for optimal wellnessfor individuals diagnosed withceliac disease.March 26, 3:30 – 4:30 p.m.Ocean Medical CenterCommunity RoomEATing for GoodiNTESTinal HealthLearn how to eat for a healthierintestinal system. Nutritionalrecommendations for conditionsincluding irritable bowel,diverticulosis, and constipation;colon rectal cancer prevention;and gluten intolerance will bediscussed by registered dieticianLiz Amisson, R.D.March 27, 2:00 – 3:00 p.m.Family Resource Center at the OceanClub, Stafford TownshipSTRATEGies to Achieve YourWeight-LoSS GoalsJoin Meridian Life Fitness for thisinformative discussion on healthystrategies to achieve long-lastingweight loss.April 15, 5:30 – 6:30 p.m.Ocean Medical CenterCommunity RoomNutrition CounselingConsult a registered dietician todesign a food plan that meetsyour weight-management andmedical nutrition needs. To register,call Riverview Medical Center at732-530-2555, Meridian Life Fitnessat 732-295-1778, Southern OceanMedical Center at 609-978-3400,or Meridian Fitness and WellnessCenter at Hazlet at 732-335-4200.Senior ProgramsAdvance Directives andLiving WillsDo you have an advance directive and/or living will? Not sure if you need one?Join us and learn why they are importantand what they can do for you.March 7, 11:00 a.m. – noonMeridian Fitness and Wellness Centerat HazletTai Chi for SeniorsJoin Meridian Life Fitness for thisdemo class to learn more about TaiChi and its many health benefits.March 18, 1:00 – 2:00 p.m.Meridian Life Fitness, Point PleasantBeachFall Prevention ExerciseLearn how exercise can help improveyour balance at this demo class.April 19, noon – 12:30 p.m.Meridian Life Fitness, Point PleasantBeachScreeningsBlood Pressure ScreeningsFirst and third Wednesday of eachmonth, 9:00 – 11:00 a.m.Family Resource Center at theOcean Club, Stafford TownshipDiabetes Foot ScreeningFor an appointment, call theWound Center at Southern OceanMedical Center at 609-978-3077.First Wednesday of each monthNoon – 1:00 p.m.Health and Safety FairHealthy body, healthy mind,healthy life! Join us at the annualfair for educational informationand health screenings.April 27, 9:00 – 11:30 a.m.St. Francis CenterLong Beach IslandAARP Driving Safety ProgramDriving program for adults ages 50and older who want to developsafe defensive-driving techniques.Certificates awarded. Fee is $12for AARP members and $14 fornonmembers. Please make checkspayable to AARP. Registration isrequired; call for dates.Forever Fit Mature Adult FitnessThis fun fitness class is designedfor mature adults. Classes includea combination of stretching, lowimpactaerobics, and strengtheningexercises. Call Meridian Life Fitness at732-295-1778 for fees and details.Mondays, Tuesdays, and Fridays8:30 – 9:30 a.m.Stafford Community CenterManahawkinTAKE CONTROL: LIVING WELL WITHCHRONIC CONDITIONSThis six-week program is designedfor people living with chronic healthconditions and their caregivers to helpthem better manage their symptomsand daily challenges.Starting March 6, 9:30 a.m. – noonFamily Resource Center at the OceanClub, Stafford TownshipWELLNESS SCREENINGSJoin us for free wellness screeningsincluding blood pressure,cholesterol, blood sugar, body massindex, and stroke risk assessments.Registration is required.March 12, 4:00 – 7:00 p.m.Ocean Care Center1517 Richmond Avenue, Point Pleasant(Intersection of Routes 35 and 88)FREE BALANCE SCREENINGMinimize your risk for fallsor episodes of dizziness. Call732-206-8263 to register.March 21 and April 1812:30 p.m.Meridian Life Rehabilitation atOcean Medical CenterCall 1-800-DOCTORS or 1-800-560-9990 to register for programs.25

General WellnessTHYROID UPDATESvetlana Shifrin-Douglas, M.D., will discussdiagnosis of and treatment options forhypo- and hyperthyroidism.March 5, 6:00 – 7:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105Anti-Aging Skin CareJoin Kavita Beri, M.D., as she discusses howyou can slow down the aging process ofyour skin.March 6, 11:00 a.m. – noonJersey Shore University Medical CenterBrennan Rooms 104/105Lasik Treatment OptionsJoin Carl Senft, M.D., and get the latestinformation on Lasik treatment optionsfor your eyes, what to expect during theprocedure, and more.March 12, 6:00 – 7:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105Technology and The Aging EyeOphthalmologist Carl Senft, M.D., willdiscuss how today’s electronic technologycan assist people with compromised visionwith their daily activities.April 9, 6:00 – 7:00 p.m.Jersey Shore University Medical CenterBrennan Rooms 104/105Meridian Programs and servicesBooker Health Sciences LibraryHome DeliveryThe Booker Health Sciences Library atJersey Shore University Medical Centeraccepts requests from anyone lookingto learn more about a medical topic,disease, or condition. The library sendsa packet of reliable information to youat no cost. Contact the library by:Phone: 732-776-4265Fax: 732-776-4530E-mail: jsumclibrary@meridianhealth.comClinical TrialsChoosing to participate in a clinicaltrial is an important personal decision.To learn more about current clinicaltrials available at Meridian Health,please visit us at MeridianHealth.com, call 732-776-2953, or e-mail us atclinicaltrials@meridianhealth.com.Is Your Body Ready for Summer?Join plastic surgeon Asaad H. Samra, M.D.,as he discusses the latest techniques incosmetic surgery.April 4, 11:00 a.m. – noonMeridian Fitness and Wellness Centerat HazletLaser Therapy For Your ToesPodiatrist Gina Lagnese will discuss lasertherapy and other treatment options foryour toes.March 19, 11:00 a.m. – noonMeridian Fitness and Wellness Centerat Hazletissues in Women Over 50As we age, our health concerns change.Join Monica Bais, M.D., and learn how tostay healthy at 50+.April 17, 11:00 a.m. – noonMeridian Fitness and WellnessCenter at HazletBrown BAG Your MedicationsBring in your medications andsupplements and have them reviewedby a registered pharmacist, who willdiscuss medication interactions.Registration is required.April 26, noon – 3:00 p.m.Jersey Shore University Medical CenterLance AuditoriumCPR TrainingAll Meridian hospitals are American HeartAssociation CPR training centers. Callfor dates, times, locations, and classesoffered.Infectious Disease ClinicLocated at Jersey Shore University MedicalCenter. Call 732-774-0151 to schedule afree, confidential appointment.Support GroupsMeridian offers support groups forbereavement; caregivers; diabetes;anorexia and bulimia; breast, lung,prostate, thyroid, and other cancers;Alzheimer’s disease; stroke; Parkinson’sdisease; sleep disorders; celiac disease;Mended Hearts; weight loss; andmore. Call for more information,dates, and times.Weight-Loss SurgeryWEIGHT-LOSS SURGERY:THE FACTSKarl Strom, M.D., medicaldirector of the Bariatric Centerof Excellence at Southern OceanMedical Center and BayshoreCommunity Hospital, andsurgeons Jonathan Reich, M.D.,and Silvia Fresco, M.D., will hosteducational programs on thebenefits of weight-loss surgery.March 7, 28 and April 2, 187:00 – 8:30 p.m.Meridian Fitness and WellnessCenter at HazletMarch 12 and April 97:00 – 8:30 p.m.Ramada Inn, 2373 U.S. 9,Toms RiverMarch 13 and April 107:00 – 8:30 p.m.Southern Ocean Medical CenterConference Rooms 1 and 2March 147:00 – 8:30 p.m.Bayshore Community HospitalGround Floor Conference RoomMarch 19 and April 157:00 – 8:30 p.m.Ocean County Library – LaceyBranch10 Lacey Rd., LaceyMarch 25 and April 227:00 – 8:30 p.m.Ocean County Library – BrickBranch301 Chambersbridge Rd., BrickApril 47:00 – 8:30 p.m.Riverview Medical CenterBoard RoomOptions for Weight-LoSS SurgeryJoin Seth Kipnis, M.D., for thisprogram on the benefits ofweight-loss surgery.March 6 and April 36:00 – 7:00 p.m.Jersey Shore University MedicalCenterBrennan Rooms 104/10526Call 1-800-DOCTORS or 1-800-560-9990 to register for programs.

FiveGood-For-You Foodsto Boost YourNutritionExperts seem to agree: Goodnutrition involves a balanced dietthat includes a variety of fruits,vegetables, grains, and other foods.Still, some foods and beverages packmore disease-fighting nutrients thanothers. When designing a varieddiet, consider moving some of these“super-nutritious” foods to the topof your pick list.Berries: Various berries,including blueberries andraspberries, are high in antioxidants,making them potent diseasefighters. And some research suggeststhat berries might even protectagainst food poisoning caused bycertain types of bacteria.Broccoli: Eating broccoli andother cruciferous vegetables hasbeen linked to a lower risk forcertain cancers, including lung andcolon cancer. The magic ingredient: aFive-Minute ‘Baked’ Fishhigh level of glucosinolates, which areantioxidants. Other vegetables in thecruciferous family include brusselssprouts, cabbage, and bok choy.Salmon and otherfatty fish: All fish are low-fatsources of protein. But fatty types— such as salmon, herring, halibut,and sardines — contain high amountsof heart-healthy omega-3 fattyacids. Omega-3s have been shownto reduce the risk for early death inpeople with heart disease.Other sources of omega 3s include:• Fish oil supplements• Flaxseed and flaxseed oil• Walnuts• Canola oilBarley: In one study, middleagedadults who consumed barleycontainingfoods for about fourmonths significantly reduced theirtotal and LDL, or “bad,” cholesterol.Another study found barleycontained more disease-fightingantioxidants than anyother cereal or grain. Otherheart-healthy whole grains includeoatmeal and whole wheat bread.Tomatoes and tomatoproducts: All red fruits andvegetables contain the pigment lycopene,which may help protect against certaintypes of cancer. But tomato products,such as ketchup and pizza sauce, arethe richest source of lycopene in theAmerican diet. Don’t like tomatoes?You can increase the levels of lycopenein your body by drinking 6 ounces ofmixed vegetable juice a day.Know Your Nutrition FactsHealthy HighlightsOur online Nutrition Factstool tells you how the foodsyou eat stack up in termsof calories, fat, protein, cholesterol,sodium, and more. To access it, visitWellnessCenter.MeridianHealth.comand click on “Library.”4 oz. fillet of white fish, such as haddock or scrod1 tsp. dry bread crumbs½ tsp. lemon pepper seasoning (no salt)1 medium red bliss potato (about 3 oz.) cut into½-inch piecesSqueeze of fresh lemonWhole string beans, washed and trimmed, equivalentto about ½ cup1 tsp. hot pepper olive oilParsley for garnish➊ Put fish to one side of pasta bowl and sprinkle with breadcrumbs. ➋ Sprinkle lemon pepper seasoning on fish andpotatoes, and lemon juice over all. Put whole string beans inthe middle of the bowl. ➌ Add potato pieces in one layer onside opposite fish. ➍ Cover with plastic wrap. ➎ Microwaveon high for five minutes. Fish will flake, while potatoes andbeans will be tender. Drizzle hot pepper olive oil on cookedwhole string beans. Garnish with parsley.One Serving ContainsApproximately:Calories ....... 238Protein ........22 gFat ..........3.5 gCarbohydrate ...24 gFiber ..........2 gSodium ......76 mgMeridian Health Views • March/April 201327

Joint Replacement SurgeryFrom making the decision to taking steps toward recoveryMeridian HealthIf you’ve been living with joint pain,you know how much it can affectyour everyday life. Activities you onceenjoyed may not be so easy anymore.Perhaps you’ve stopped doing themaltogether.If joint pain is interfering withyour quality of life, your doctormay recommend joint replacementsurgery. But is it right for you? If youdo have the surgery, what can youexpect?Understanding the Surgery —And Its BenefitsTotal joint replacement surgery is anoperation to replace an entire jointin the body with an artificial onemade of materials such as plastic ormetal. In a partial joint replacement,only part of the joint is replaced. Hipsand knees are the most commonlyreplaced joints, but elbows, shoulders,and other joints can be done as well.“Although joint replacement isconsidered major surgery, it’s alsowidely successful,” says John Tozzi,M.D., of Jersey Shore UniversityMedical Center. Today, people ofall ages undergo joint replacement.About 90 percent of them experiencedramatically less pain, greaterCecilia Jones, of Brick, had successfulknee replacement surgery. Sheteaches line and chair dancing, andshe recently created a chair-dancingclass for seniors who are interestedin movement and use assistivedevices such as walkers or canes.MeridianHealth.com • 1-800-DOCTORS®28

mobility, increased ability to doeveryday activities, and better overallquality of life.Nasser Ani, M.D.Board certified inOrthopedic SurgeryHolmdel • 732-264-8282David J. Rodricks, M.D.Board certified inOrthopedic SurgeryBrick • 732-840-7500Making the DecisionThe decision to have joint replacementsurgery is personal. Some people putit off until they can no longer endurethe pain. Others opt to have surgeryearlier to continue participating inactivities they enjoy. Keep in mind:The right choice for others may notbe the best one for you.“It’s important to discuss jointreplacement surgery at length withyour doctor,” says Nasser Ani, M.D., ofBayshore Community Hospital. “Heor she can help you identify its risksand benefits.” For example, if youhave a serious health problem,such as heart disease, yourdoctor may decide that jointreplacement is too difficult foryou to handle. Or your doctormay advise having surgerybefore your mobility becomeslimited, which may cause bonesand muscles to weaken and canlead to a more difficult surgeryand recovery in the future.Some questions to ask yourdoctor include:• What are the risks of surgery?How likely are they?• How much improvement canI expect?• What will recovery be like?• How long will the new joint last?• What will happen if I don’thave surgery?• What other treatmentscould I try besidessurgery?John M. Tozzi, M.D.Board certified inOrthopedic SurgeryManasquan • 732-974-0404Preparing for SurgeryOnce you decide to have jointreplacement surgery, ask your doctorhow best to prepare for it. You have thepower to help decrease your risk forcomplications and improve recovery.“For example, if you smoke,quitting the habit prior to surgerycan lead to much lower rates ofcomplications, including infections,”explains Samuel Epstein, D.O., ofSouthern Ocean Medical Center.In addition, shedding extra poundscan help relieve undue strain onyour joints. This can ease the pain ofrecovery and get you back to normalactivities more quickly.You’ll need to prepare your hometo make it easier to get around aftersurgery with a walker or cane. Forinstance, consider placing safety barsand a bench in the shower. Removeloose rugs. And if your bedroom isn’ton the first floor, arrange a temporarybedroom there. “Also, call on yoursupport system to help you in theweeks after surgery with shopping,cleaning, cooking, and other tasks,”adds Dr. Epstein.What to ExpectBecause every surgery is different, it’simportant to talk with your doctorabout how your specific procedurewill be performed. Joint replacementinvolves removing damaged cartilageBone Up on Orthopedic HealthSamuel Epstein, D.O.Board certified inOrthopedic SurgeryManahawkin • 609-597-6092and bone from the joint and replacingthem with artificial parts. How theseparts are attached can differ frompatient to patient based on age,activity level, and bone health.“In addition, some joint replacementsurgeries can be performed usingminimally invasive techniques,” explainsDavid Rodricks, M.D., of Ocean MedicalCenter. “This approach requires asmaller incision and can reducescarring and speed recovery.”Getting Back to LifeYou’ll probably stay in the hospitalfor several days after surgery. Oncehome, you will need to perform specialexercises to rebuild your muscles. Also,your doctor will likely send you to aphysical therapist who can help youstrengthen muscles around the newjoint and regain range of motion.Recovery from joint replacementsurgery can be lengthy, lasting from afew weeks to six months or more. “Youcan keep the process moving by activelyparticipating in your rehabilitation andfollowing your doctor’s treatment plan,”says Dr. Rodricks.Remember, joint replacementsurgery isn’t a decision to take lightly.But it can greatly improve yourindependence and quality of life.The key is to find an experiencedsurgeon who can help you make thedecision that’s right for you.Do you need a bone density exam? How can youprevent carpal tunnel syndrome? What does the insideof your knee look like? Learn your bone basics and viewanatomical illustrations at WellnessCenter.MeridianHealth.com.Just click on “Health Centers,” then “Orthopedics.”Meridian Health Views • March/April 201329

My Health Views On …Toms River resident Lori Andresen fell in love with fitness six years ago.Here’s how the 45-year-old personal trainer and mother of three —ages 15, 19, and 22 — inspires others to get fit.… getting started.When people hear that I teach boot camp classes, they often say, “I can’tdo that!” I don’t believe in the word “can’t.” I encourage everyone to startsmall. One push-up turns into two push-ups, and you build up from there.Walking turns into jogging, which eventually leads to running. The mostimportant thing is just to start.… making it a family affair.Fitness is a big part of my family’s life, too. It helpsus connect. My 15-year-old son recently ranhis first 5K with me. We’re hoping to do amud run this year. I also run with friendsfrom the gym. They’ve truly become asecond family for me.When it comes to exercise,says Lori Andresen,“the most important thingis to just start.”… thinking outside the gym.There’s nothing like getting outdoors.When it’s warm, I try to take my fitnessclasses outside. The boardwalk is anoutlet. I can hear the ocean, see otherpeople, smell the salty air. It makes mefeel happy and energized.MeridianHealth.com • 1-800-DOCTORS®30Picture This:Your Photo and Story inMeridian HealthViews!Are you part of a workout team? Do youexercise or play a sport with a friend,sibling, neighbor, or coworker? We wantto hear about it! E-mail your story tohealthviews@meridianhealth.comor post it at www.facebook.com/MeridianHealthNJ. You could befeatured in an upcoming issue!As a thank-you, everyone whosubmits a story for considerationwill receive a FREE cookbook fullof healthy recipes!

We’re changingfrom the ground up.As the newest member of the Meridian Health family,Bayshore Community Hospital in Holmdel is redefining health care in yourcommunity. Guided by a brand new leadership team, Bayshore has attractedmore than 130 new physicians to our medical staff, added new surgicalspecialties, expanded emergency care, built a new emergency room for kidsand enhanced personal service with the introduction of Concierge Care.We’ve also made significant advancements in cardiovascular services,with plans to build two new heart and vascular labs in the near future.We are committed to providing the best quality care for your family.Call 1-800-560-9990 or visit www.BayshoreHospital.org/beginningThis is only the beginning...

Non-Profit Org.U.S. PostagePAIDMeridianHealthOne Riverview PlazaRed Bank, NJ 07701Timothy J. Hogan, FACHERegional President727 North Beers StreetHolmdel, NJ 07733Timothy J. Hogan, FACHERegional PresidentA firefighter’s retirementbegins with anunexpected heart attackRead Bryan’s storyon PAGE 10.1945 Route 33Neptune, NJ 07753Steven G. Littleson, FACHEPresident1945 Route 33Neptune, NJ 07753Steven G. Littleson, FACHEPresident425 Jack Martin Blvd.Brick, NJ 08724Dean Q. Lin, MHA, MBA, FACHEPresidentThe Days ofCounting SheepAre OverBy Tim Hogan, Regional PresidentAccording to a recent Gallup Poll, more thanone-third of the population has troublesleeping. The effects of sleep disorders rangefrom simple irritation to serious conditions thatcan affect your health and disrupt daily life.Bayshore Community Hospital has beenhelping people find more restful sleep since2000, when a Sleep Care Center opened withinthe hospital. Recently, Bayshore celebratedthe opening of a brand-new Center for SleepMedicine in a renovated house just a few doorsdown from the hospital, so patients can feel asthough they’re “at home.” The six-bed Center forSleep Medicine at Bayshore provides enhancedsleep care services and testing in a largerenvironment that better meets the needs ofour patients. Our goal is to not just be a testingcenter, but rather provide comprehensive sleepdisorder care with various treatment optionsoffered to benefit our patients.The new Center was built with patientcomfort as a top priority. Each private roomRiverviewMedicalCenter.com and BayshoreHospital.orgis decorated and furnished with many of thecomforts of home, including a dedicatedbathroom, a comfortable new mattress withluxurious sheets, a flat-screen television, and acomfortable recliner. Toiletries are provided, andafter the overnight sleep test is complete, a lightbreakfast starts the day before patients leavefor work or home. In addition, the new roomshave pediatric capabilities to serve our youngerpopulation.The Center is led by Medical Director AdrianPristas, M.D., board certified in Sleep Medicine,and Carol Ash, D.O., the Corporate MedicalDirector for Sleep Medicine across MeridianHealth, also board certified in Sleep Medicine.Drs. Pristas and Ash will work together toexpand the services we offer and will developa comprehensive approach to identifying,diagnosing, and treating people with sleepdisorders. In addition, a dedicated nurse navigatoris available to guide often overwhelmed, sleepdeprivedpatients through the diagnostic testing,treatment, and education process.We look forward to helping residents ofNorthern Monmouth County so they can feelmore refreshed and get the rest they needto avoid other potential healthcomplications.Looking for a Few Good Z’s?1140 Route 72 WestManahawkin, NJ 08050Joe CoylePresidentPrinted on Recyclable Paper6116AThe new Center for Sleep Medicine atBayshore Community Hospital is located at678 North Beers Street, Holmdel, NJ. To learnmore about how our sleep services can help you,visit BayshoreHospital.org or call 1-855-267-1181.