Feeling lucky - Emerson Hospital

With help from his Emerson speech-language pathologist, Art Lazarus made impressive progress in his ability to eat and speak after treatment for oral cancer.After cancer:a steady path to recoveryCancer can be devastating tobody and mind, especially whensurgery affects the ability tofunction, including to speak andeat. Some individuals find a wayto remain strong, even as theyface unremitting challenges.at a glance: oral cancer• Oral cancer accounts for approximately3 to 5 percent of all US cancer cases.• Cancer can affect any part of the oralcavity, including the lip, tongue, mouthand tonsils.• Symptoms may include a sore in themouth or throat, a lump in the neck, aswell as persistent ear pain.• Known risk factors include using allforms of tobacco products and alcoholconsumption.• Approximately 70 percent of oral cancersare caused by human papillomavirus(HPV).littleton resident benefits from emerson rehabilitation servicesWhen Arthur Lazarus came to Emerson Hospital in 2009, he had been through two surgeries for treatmentof a rare form of oral cancer that left him disfigured. The second surgery, which was 11 hourslong, removed many of the structures required for speaking and eating. “They took half the roof andthe floor of my mouth, the teeth on the right side and part of my jaw and tongue,” says Mr. Lazarus,who is 76. “I could hardly speak, and I had to be fed by tube. It was very difficult.”Setting goals and meeting themLife continued to be difficult for the Littleton resident, a retired geologist. He still faced radiationtherapy and chemotherapy, which took place at Emerson’s Bethke Cancer Center in Concord. Beforethose treatments began, he took an important step in his recovery by attending regular sessions withspeech-language pathologists at the hospital’s Center for Sports Rehabilitation and Specialty Services.They encouraged Mr. Lazarus to set goals and, with their help, he made impressive progress in hisability to eat and speak.“Although I could understand Art, his speech was impaired,” recalls Joy Walsh, who worked with himfor more than a year. “As speech therapists, we’re good at listening. But I wanted to be sure he wasintelligible to others, so we worked on that, including his speech over the phone.”“I looked forward to the sessions,” says Mr. Lazarus, who wears a prosthesis in his mouth. “Joy gave meexercises to do, techniques for eating and asked that I keep a food log. She not only helped me physically;she became almost a cheerleader who always encouraged me. I told her ‘it’s a joy to be with Joy.’”In terms of eating, Mr. Lazarus had a goal. “Early on, Art told me he wanted to be able to eat ahamburger,” says Ms. Walsh. “But swallowing was difficult for him — and still is. We adjusted hisgoal to getting off his feeding tube. Last year, he and his wife were planning to spend Thanksgivingin Minnesota with their daughter. Art wanted to progress to pureed food by then.”4

Losing weighttogetherlife improves for coupleafter gastric bypass surgeryRoger and Laurie Orcutt knew how to lose weight; they’d each doneso — again and again. Always, there was the challenge of keeping itoff. “If you get lazy, the weight starts coming back, and it’s like anavalanche,” says Mr. Orcutt. “You can’t stop it.”But those predictable weight gains have stopped, thanks to gastric bypasssurgery at Emerson. Mr. Orcutt went first — in November 2010— and Mrs. Orcutt followed four months later. During the past year,they have encouraged, worried about and supported each other. Mostimportantly, they have adjusted to life after weight-loss surgery and, asa result, together have lost more than 300 pounds.The Gardner couple know that, before proceeding with the surgery,you need to be ready. Mrs. Orcutt discovered she was not ready inearly 2010, when a friend asked if she wanted to attend an informationsession held by the Emerson weight loss surgery staff in nearbyFitchburg. “I went along, and I liked the whole idea of it,” she recalls.“My friend called Emerson the next day to make an appointment andget started, but I said ‘no way.’ I was chicken, but I also felt like havingthe surgery was cheating. It was the easy way out.”Mr. Orcutt, 39, whose mother and brother each underwent gastricbypass surgery, didn’t feel that way. He was ready to proceed. “Iweighed 460 pounds and knew I wasn’t going to live very long at thatweight,” he says. “Amazingly, I didn’t have any medical problems.”Neither did his wife, although she was warned regularly by her doctorthat, at 367 pounds, she was inching toward trouble. “My blood pressurewas borderline,” says Mrs. Orcutt, who is 42. “Also, there is a historyof diabetes in my family, so we were watching that. For both of us,the surgery would be preventive medicine.”(Above) Life is good for Roger andLaurie Orcutt, who each had gastricbypass surgery at Emerson.(Below) Together, they have lostmore than 300 pounds to date.emerson program now collaborateswith mass generalEmerson Hospital’s successful and popular Surgical Weight Loss Program hasformed a new collaboration with Massachusetts General Hospital. The goalis to bring the most advanced care to the community served by Emerson.Earlier this winter, Ozanan Meireles, MD, a surgeon on staff at the MassGeneral Weight Center, began seeing patients at Emerson for surgical evaluationsand post-operative care.Emerson’s Surgical Weight Loss Program, established more than six years ago,provides laparoscopic bariatric surgery and gastric banding. It has receivedthe highest level of accreditation by the American College of Surgeons and haspositively changed the lives of hundreds of area residents.For more information on Emerson’s Surgical Weight Loss Program, please call978-287-3532.6

There was another, very real issue that losing weight would address:the quality of their lives. As they gained weight, the couple becameincreasingly isolated. “Being that heavy has an impact on every partof your life,” says Mr. Orcutt. “Laurie and I became withdrawn.We went to work, but while friends went on trips and cruises, westayed home.”Support — from Emerson staff and each otherThere are obvious benefits when a couple goes through weight-losssurgery together, notes Melissa Packin, RD, dietitian at Emerson’sSurgical Weight Loss Program. “In a way, they have a built-insupport system,” she says. “Surgical weight loss is a continuousjourney, and you need motivation. Couples can give that to eachother.” On a practical level, couples who are on their own — notcooking for other family members — have an easier time keepingproblematic foods out of the house.But successful weight loss is hardly a slam-dunk, adds Ms. Packin.Those who adjust well to the required post-surgical nutrition protocol,which is largely comprised of protein, vegetables and fruit, stillface predictable challenges. “Dining out, holidays, vacations, worktravel and special occasions, such as weddings, all may present problems,”says Ms. Packin. “Socializing typically involves food, andpeople who are following a specific nutrition protocol don’t wantto draw attention to themselves. As I tell our patients, they have toplan ahead. I help them figure out what that means.”The Orcutts are grateful to Ms. Packin, who they continue to seeevery three months. “In my opinion, she’s the most importantperson in the Emerson program,” says Mr. Orcutt. Starting beforetheir surgery and well after it, patients maintain food logs that Ms.Packin reviews.“We ask that patients lose at least 5 percent of their body weightprior to surgery,” Ms. Packin explains, “so they start on the nutritionprotocol before they’re even scheduled for the operation. Theyneed to know what they’re getting into and that it is a lifetimecommitment.”It takes discipline, and the path is not always smooth. “Sometimespatients get into a rut, especially when they’re not losing weight asquickly as they’d like,” she notes. “That’s when I ask them to takea look at their success so far. I also remind them what the diet isreally about: their good health and longevity.”Life after weight loss surgeryIn addition to losing a certain amount of weight, patients have twoother requirements before surgery can be scheduled. First, they mustattend an information session that features members of the SurgicalWeight Loss Program staff. One of the surgeons provides an overviewof the surgical options — gastric bypass, a permanent alteration,and lap-band surgery, which is adjustable — followed by a questionand answer period. Patients also must attend at least two supportgroups. After surgery, they are encouraged to continue coming forongoing support. The Orcutts attend Emerson’s monthly supportgroups when they can.“I love hearing all the success stories, and I like getting the differentrecipes that people bring to the meetings,” says Mrs. Orcutt. “Plainand simple, I like the support. The Emerson program supports youcompletely. That includes the staff, the doctors and everythingabout it.”The Orcutts have more weight to lose. In time, they will accomplishthat together. They both agree that their quality of life hasimproved. “Just going out and being with people is great,” says Mr.Orcutt. “We went whitewater rafting last summer. We couldn’thave done that before we lost weight.”“I underestimated how great it feels to be normal — to walk intoa place and feel like I belong there, like everyone else,” says Mrs.Orcutt. “I didn’t realize how limited I was. Having the surgery isthe best decision I ever made.”It is a comment that program staff are used to hearing. “For manyof our patients who lose a lot of weight, we see how happy they become,”says Ms. Packin. “They start to live again.”dietitian plays an essential roleMelissa Packin, RD, dietitian at Emerson’sSurgical Weight Loss Program, helpspatients face predictable challenges.The weight-loss surgery itself is important,but the steps leading to the surgeryand coming after it are key. That iswhere the program’s dietitian — anessential member of the entire Emersonteam — comes in. For many patientsof Emerson’s Surgical Weight LossProgram, Melissa Packin, RD, representsthe ongoing support that characterizes the program and that is necessaryfor success.• At the weight loss surgery information sessions, the dietitian answersquestions and describes the nutrition protocol that individuals will needto follow in order to safely lose weight.• At the initial consultation, the dietitian is one of the staff, along with thesurgeon and mental health practitioner, who assesses individuals for thesurgery.• Once surgery is scheduled, the dietitian assists patients as they adoptthe nutrition protocol they will follow after the surgery. Patients bring intheir food logs, which the dietitian reviews.• After surgery, patients see the dietitian at regular intervals for ongoingteaching and support.For more information on Emerson’s Surgical Weight Loss Program,please call 978-287-3532.7

Emerson’s strategy:an overviewEmerson Hospital is beginning its second century with a clear vision,says Christine Schuster, president and CEO. “We intend to be theregional provider of choice for those living in the 25 towns we serve,”says Ms. Schuster.Growth is a theme in 2012. This has been the case since Emersonwas established in 1911. “Emerson will continue to expand beyondits current service area,” Ms. Schuster notes. “Our biggest growthin patients is west of the hospital, where several Emerson-affiliatedpractices recently have expanded.”The rest of the vision for Emerson includes remaining independent.“At least in the short term, our goal is to remain independent,” saysMs. Schuster. “Given the changes in the marketplace and the environment,we will continue to evaluate that, in conjunction with ourmedical staff, board and management team.”Clinical collaborations will expandIndeed, the healthcare marketplace is being redefined as a result ofconsolidation; no hospital can remain independent without a carefullyconsidered strategy. Emerson’s strategy includes a commitment tostrengthening the hospital’s clinical collaborations with partners suchas Massachusetts General Hospital, Brigham and Women’s Hospitaland Lahey Clinic.For example, the longstanding relationship with Mass General toprovide radiation oncology at Emerson’s Bethke Cancer Center recentlyexpanded. “This successful relationship has evolved to becomea comprehensive Mass General Cancer Center that includes medicaloncology,” says Ms. Schuster. “This is another example of how webring the best of Boston right here, into the community.”In addition, Emerson’s Surgical Weight Loss Program recently broughtMass General surgical expertise to Emerson. Mass General physiciansalso provide pediatric specialty care at Emerson’s Center for SpecialtyCare in Concord, and a Mass General neonatologist directs Emerson’sSpecial Care Nursery. Three Brigham and Women’s maternal-fetalmedicine specialists consult on all high-risk pregnancies. Joint programswith Lahey Clinic include neurosurgery, urology and pain management.“We consider it a huge compliment, as well as a reflectionon Emerson’s overall quality, that places like Mass General, Brighamand Women’s and Lahey want to come here,” Ms. Schuster adds.Preparations are underway for national healthcare reformNational healthcare reform requires that physicians and hospitals worktogether to coordinate care. “Throughout last summer and fall, weheld planning summits with each of our major primary care groups andspecialists to plan how we can most effectively work together,” saysMs. Schuster. “This includes the transitions of care when individualsleave the hospital and either go home or to a rehabilitation center.”“I believe most people understand that they need to have a high-quality hospitalclose to home,” says Christine Schuster, president and CEO.Changes in reimbursement will continue for hospitals and physicians.“Working together, we will continue the legacy of delivering quality,compassionate care to our patients. Our strategy will include participatingin an accountable care organization — where providers coordinatecare for a defined population of patients — and bundled paymentapproaches to managing care delivery. The hospital’s success and thatof our affiliated physicians are inextricably tied.”Emerson also is installing software and other tools that will assist cliniciansin making care more efficient, such as following up with patientswho are newly diagnosed with diabetes. “This allows us to makeongoing clinical changes, which is essential to being successful in thenew world order,” Ms. Schuster explains. So are quality, patientsafety and efficiency. In 2011, Emerson staff reduced the hospital’salready low infection rates and adopted Lean methodology — a wayto streamline processes — to speed up admissions for those who comethrough the hospital’s Emergency Department.Information technology supports all of these processes. Emerson hasinvested in impressive electronic systems that enable prescribing,ordering and administering medications. “Coming next is the healthinformation exchange, which will allow the sharing of confidentialinformation among an individual’s primary care physician, specialistand Emerson,” Ms. Schuster explains. “This will help us provide themost comprehensive, collaborative care possible while avoiding theduplication of tests — a proven way to address healthcare costs.”As with any systemic change, there are challenges ahead, she notes.“I believe most people understand that they need to have a high-qualityhospital close to home. The community’s continued support willensure that Emerson thrives well into its second century.”8

health & wellness classesVisit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.Some classes are ongoing; you can join in at any time.Classes are located at Emerson Hospital’s new Integrative Health & Wellness Center, 310 Baker Ave Ext, Concord(unless otherwise noted).PREPARE FOR SURGERY, HEAL FASTER WORKSHOPPrepare for an upcoming surgical or medicalprocedure: feel calmer, have less pain and fewercomplications and recover sooner. Please callto arrange a convenient, private workshop.$95 includes book/relaxation CDOne surgery companion may attend for free.PRENATAL YOGA for a healthier pregnancyMixed-level yoga class teaches posturalstrengthening, safe stretching, breathing andrelaxation techniques. No previous yoga experiencerequired. Led by Michele O’Toole, RN,certified prenatal yoga instructor.$85 for a six-week session beginning January16, March 12 or May 7; classes are Monday7:00-8:30 pmYOGA & MEDITATIONReduce stress and tension, improve flexibility and strength and learnbreathing techniques for emotional balance. Wear loose, comfortableclothing and bring a yoga mat and a sturdy blanket. Not for expectantmothers. Taught by Pam Vlahakis, registered yoga teacher.$98 for a seven-week session beginning January 16, March 12 or May 7;classes are Monday 5:30-6:45 pmGENTLE YOGAFor beginners and experienced practitionerswho wish to review postures with a beginner’smind. Stretch and tone muscles, releasechronic tension and improve balance and flexibility.Bring a yoga mat. Not suitable for expectantmothers. Taught by Nancy Dorenfeld,RYT, Kripalu-certified instructor.$98 for each seven-week session beginningJanuary 20, March 9 or April 27; classes areFriday, 9:30-10:45 amTAI CHITai chi, an ancient Chinese martial art, is practiced to achieve therapeuticbenefits such as reduced pain and to promote balance and overallstrength. The instructor is Ming Wu, PhD.$98 for an eight-week sessionBeginner Level: Thursdays, 6:00-7:00 pmSession begins January 19, March 15 or May 10Intermediate/Advanced Level: Wednesdays 9:30-10:30 amSession begins January 18, March 14 or May 9Classes continued on next page

health & wellness classes continuedVisit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.Some classes are ongoing; you can join in at any time.QI GONGQi gong integrates physical postures, breathing techniques and focusedintentions. The gentle, rhythmic movements of qi gong reduce stress,build stamina and increase vitality. The instructor is Ming Wu, PhD.$98 for an eight-week sessionNEW! Beginner Level: Tuesdays, 6:00-7:00 pmSession begins January 17, March 13 or May 8Intermediate/Advanced Level: Wednesdays 10:30-11:30 amSession begins January 18, March 14 or May 9NEW! PILATES – Mixed levelThis exercise program focuses on improvingflexibility, strength and body awareness.Pilates helps develop proper postural alignmentand increases core muscle strength in the abdomen,pelvis and hips for more uniform andlonger, leaner muscles. Presented by TiarraBentley, IM=X pilates certified instructor.$98 for each six-week sessionChoose a session: Wednesdays evenings, 6:00-7:00 pm. BeginningFebruary 1 or March 14.NEW! FUSION FITNESS starting your day healthyThis fusion class incorporates strength trainingwith weights, pilates and yoga. Class beginswith a warm up of low- and moderate-impactaerobics, followed by strength training, andends with ten minutes of stretching. Taught byFitting Fitness In TM certified personal trainers.$180 for six-week sessions Mondays andWednesdays 7:15-8:15 amSession 1: February 6 – March 14Session 2: March 19 – May 2; Session 3: May 7 – June 13Sample a free class on Wednesday, February 1, 7:15-8:15 amSELF-DEFENSE for adults, teens and childrenLearn physical and verbal techniques for self-defense in these ongoingJapanese martial arts classes. For returning students, each sessionbuilds on the prior one; beginners can start at any session. Taught byinstructors from The Concord Self-Defense Academy.Seirenkai jujitsu: January 15 – March 25 and April 15 – June 24Children’s jujitsu (grades 1-5): Sunday, 2:00-3:00 pmMiddle school through adult jujitsu: Sunday, 3:00-4:30 pmInstructors: Len and Johanna Glazer, third-degree black beltEvening Seirenkai Karate: January 19 – March 22 and April 5 – June 7and June 14 – July 19High school to adult: Thursday, 7:30-9:00 pmAttend one free sample class; call for details.Instructor: Stephen Lisauskas, fourth-degree black belt$150 for an individual student, weekly class$200 for two classes per week (for returning students only)(20% discount for additional family members)MINDFULNESS-BASED STRESS REDUCTIONThis highly effective eight-week program was developed by Jon Kabat-Zinn at University of Massachusetts Medical Center for the treatment ofstress-related disorders. Participants will learn how to develop their ownpractice of centering, grounding and living life in the present moment.Presented by Patricia Howard, who has completed teacher training at theCenter for Mindfulness at UMass.Attend introductory lecture: Tuesday, Jan. 17 10:00 am-12:00 pm or Sunday,Jan. 15, 9:00-11:00 am. $25 (cost will be applied to full program).Eight-week program begins Sunday, January 22, 9:00-11:00 am orTuesday, January 24, 10:00 am-12:00 pm (plus all day March 3, 9:00am-2:30 pm)$540 plus $45 for required course materials/CD setNEW! THE GATHERING – dealing with life changesWhether it is a new stage in life brought about by illness, children leavingthe home, divorce or job change, this cognitive and experientialprogram will help you learn to transition gracefully, facing your fearsand resistance from a place of groundedness and trust. Presented byPatricia Howard, who has completed teacher training at the Center forMindfulness at UMass.Attend an introductory talk: Sunday, January 15, 6:30-8:00 pm $15Full program begins Sundays, January 22 – April 29 (13 weeks)$50 per week or $600 for seriesWEIGHT LOSS with HYPNOSISThe natural and safe process of hypnosis uncovers the underlying emotions,feelings, thoughts and attitudes and guides you toward healthy eatingpatterns. Presented by Joseph Packard, board-certified hypnotherapist.$100 for 3 sessions. All classes are Thursdays, 5:00-7:00 pmJanuary 26, February 2, February 9 or March 29, April 5, April 12SMOKING cessation WITH HYPNOSISHypnosis can be a solid tool to help you quit smokingby taking away the cravings and withdrawal. Presentedby Joseph Packard, board-certified hypnotherapist.$100 for 3 sessions. All classes are Thursdays,7:00-9:00 pmJanuary 26, February 2, February 9 or March 29,April 5, April 12All Health & Wellness classes must be paid for in full 48 hours in advance of the class. Refunds for cancellations will not be issued after10 this time.

health & wellness classes continuedVisit www.emersonhealthyliving.org to register online. Call 978-287-3777 to register or for more information.Some classes are ongoing; you can join in at any time.NEW! ENLIGHTEN UP - Eating for optimal healthWhether your intention is to become fit, lose weight or simply find balanceand harmony in eating, this mind-body practice of yoga postures,breathing and relaxation will help you cultivate awareness and gain toolsfor managing stress and emotional eating. Presented by Pam Vlahakis,MEd, RD, registered dietitian and registered yoga teacher.$150 for each six-week sessionChoose a session:Wednesday mornings, 11:00 am-12:30 pmBeginning: February 1 or March 14Or Tuesday evenings, 6:30-8:00 pmBeginning: February 7 or March 20NEW! FINDING FOCUS: ADULT ADD/ADHDThis workshop will address facts and myths about adult attention deficitdisorder, including the impact of attention deficits on productivity, relationshipsand life success. Assessment, diagnosis and treatment will becovered. Participants will receive information on various resources andsupport for adults with ADD/ADHD. Presented by Alexandra Watkins,LMHC, psychotherapist.$35 Friday, February 3, 7:00-9:00 pmRESISTANCE BANDS FOR STRENGTH AND MOBILITYResistance bands are a fun and versatile way to improve your strength,posture and joint health by utilizing a full range of motion and fully workingthe muscles. Presented by Nicki Barker, CPT, from Personal TrainingInternational. Each participant will take home a resistance band kit touse at home or while traveling. Suitable for all ages and fitness levels.$40 Tuesday, February 7, 9:30-11:30 amWEIGHT LOSS CAMP for kids - February vacation weekThis one-week weight loss day camp for childrenand adolescents ages 8-14 years includesstrength-training, cardio exercises, fun groupgames, nutrition education, music and more.The camp is held at Fitting Fitness In studioin Boxborough.$175 Classes are Monday-Friday 9:00-11:30 am,February 20-24. Parent orientation on Monday, Feb 20, 6:30 pm.REIKIDiscover this hands-on energy therapy that can be used to encouragerelaxation, manage pain, provide comfort and promote overall wellness.Learn to give reiki to yourself, others and pets. Receive reiki practitionercertification. Approved for five contact hours for nursing for each fullday of attendance. Contact hours for massage therapy and social workalso are available. Presented by Libby Barnett, MSW, reiki masterteacher at the Reiki Healing Connection.REIKI-Level I Training:$145 Saturday, March 10, 9:00 am-3:00 pmREIKI-Level II Training:$160 Sunday, March 11, 9:00 am-3:00 pmreiki: advanced techniquesPractice techniques to balance your energy field, raise vibration, increasefocus and intuition and provide protection. Learn meridian tapping toneutralize pain and stress and learn the reiki resolution technique todissolve emotional blocks. Review reiki II symbols and learn new applications.Receive a booster attunement and exchange reiki. Presentedby Libby Barnett, MSW, reiki master teacher at the Reiki HealingConnection.Prerequisite: Reiki Level I and II with any reiki teacher$155 Saturday, April 28, 9:00 am-3:00 pmSLEEP 101This workshop covers the importance of each stage of sleep for physical,emotional and cognitive wellbeing and includes tips and strategiesfor falling asleep, staying asleep and improving your sleep hygiene.Presented by Catherine Collins, RN, MS; Gary Stanton, MD, EmersonHospital neurologist, will discuss common sleep problems, such as insomniaand sleep apnea, and the use of traditional and ear acupunctureas integrative therapies for these problems.$35 Monday, March 12, 7:00-9:00 pmNEW! ORGANIZINGWORKS!Learn the secrets to organizing big projectssuch as home downsizing and moving, cleaningout a garage or basement and everydayways to help reduce the stress that comes withthe clutter in your home or office. Presented byKaren L. Kenney, a professional organizer fromOrganizingWorks!$35 Saturday, March 3, 10:00-11:30 amNEW! HOW TO EAT MEDITERRANEANIn this workshop, Bill Bradley, registered dietitianand cookbook author, will lead you ona journey to eating the healthiest diet in theworld. A cooking demo, taste testing and aMediterranean diet instruction manual (withrecipes) are included.$10 Wednesday, March 21, 7:30-9:00 pm12

on callemerson hospital is pleased tointroduce the following new clinicians.Bariatric surgeryOzanan Meireles, MDEmerson Surgical Weight Loss ProgramEmerson Hospital Center for Specialty Care54 Baker Avenue Extension, Suite 101Concord, 978-287-3532Dr. Meireles earned his medical degree from Universityof São Paulo in Brazil and completed an internshipin general surgery at Santa Casa de Sao Pauloand at Michigan State University. He completeda clinical fellowship at the University of California,San Diego. Dr. Meireles is board-certified in surgery,and his clinical interests include bariatric and metabolicsurgery, laparoscopic surgery, gastroesophagealreflux disease, paraesophageal hernias, upper GIendoscopy and endoluminal procedures.Internal medicineTania Bandak, MD, MPHConcord Hillside Medical Associates86 Baker Avenue ExtensionConcord, 978-287-9300Dr. Bandak earned her medical degree and master’sin public health at Tufts University School ofMedicine. She completed an internship in obstetrics/gynecologyat Baystate Medical Center and aresidency in family medicine at Memorial Hospitalof Rhode Island. She completed a fellowship in maternaland child health at Johns Hopkins School ofPublic Health. Dr. Bandak is board-certified in familymedicine, and her clinical interests include preventivehealth, women’s health and health communication.Ana Luisa Jacobellis, DOWestford Internal MedicineEmerson Health Center133 Littleton Road, Suite 202Westford, 978-577-1946Dr. Jacobellis earned her medical degree at PhiladelphiaCollege of Osteopathic Medicine. Shecompleted a residency in family medicine throughthe UMass Fitchburg family medicine program. Sheis board-certified in family medicine, and her clinicalinterests include women’s health and preventivemedicine.Nancy Naguib, MDAlpha Medical Associates747 Main Street, Suite 201Concord, 978-369-7772Dr. Naguib earned her medical degree from AinShams University School of Medicine in Egypt, whereshe also completed an internship and dermatologyresidency and earned her master’s degree indermatology and venereology (the study of sexuallytransmitted diseases). She completed a residency ininternal medicine at Wilkes-Barre VA Medical Center/Hahnemann University Hospital in Pennsylvania.Dr. Naguib is board-certified in internal medicine,and her clinical interests include preventive medicine,skin health and primary care.Alireza Toossi, MDAlpha Medical Associates747 Main Street, Suite 201Concord, 978-369-7772Dr. Toossi earned his medical degree from UniversidadCentral Del Este in the Dominican Republic. Hecompleted a residency in internal medicine at WoodhullMedical and Mental Health Center in New York.He has published multiple research papers in thefield of endocrinology. Dr. Toossi focuses on caringfor the elderly, and his clinical interests include geriatrics,primary care and internal medicine.Maternal-fetal medicineNicole Smith, MD, MPHEmerson Hospital133 Old Road to Nine Acre CornerConcord, 978-287-3180Dr. Smith earned her medical degree from TuftsUniversity School of Medicine, where she also completedher master’s degree in public health. Shecompleted an internship in obstetrics and gynecologyat Yale-New Haven Hospital, a residency in OB/GYN at Brigham and Women’s Hospital (BWH) andMassachusetts General Hospital, and a fellowship inmaternal-fetal medicine at BWH. Dr. Smith is boardcertifiedin obstetrics and gynecology, and her clinicalinterests include prenatal diagnosis, ultrasound, multiplegestation and high-risk pregnancy.14

Having anImpactpatient and family advisory councilgets things doneWhen it comes to information, “a little bit goes a long way,” according to MollyCutler, a member of Emerson’s Patient and Family Advisory Council. She helpeddetermine that the Emergency Department would benefit from a patient liaison.They discuss a range of issues that have an impact on how patients andfamilies experience Emerson Hospital. Then they go to work, makingconcrete improvements. The Patient and Family Advisory Council(PFAC), less than two years old, is already a success.The 16-member group is comprised of community residents andEmerson staff who meet quarterly. “The community members allhave a good foundation in terms of understanding what Emerson isabout,” says Christine Combs, RN, MA, manager of patient safety,who serves as PFAC coordinator. “They made it clear they want tobe engaged and provide meaningful input. We agree to use theirfeedback and keep it confidential. Most importantly, we use thatfeedback to make Emerson better.”One of the ways PFAC members help is by offering suggestions oneffective communication. “We’ve been asked to review materials thatare written for patients to make sure they are easy to read and providethe right amount of detail,” explains Walter Birge, PFAC memberand corporator from Concord. “Before the hospital’s new websitelaunched in 2010, we spent a lot of time looking at it and providedsome practical suggestions.”PFAC meetings cover a broad array of topics. Members have discussedthe quality of the meals served to patients and the need to make visitorsaware of preventing infections. New signs encourage visitors tobe vigilant in using hand sanitizers as they move around the hospital.In order to guarantee a smooth visit, PFAC members suggested thathospital directions to common destinations, such as lab and radiologyservices, be produced and distributed at the lobby information desk.Improving communication in the Emergency DepartmentThe group is especially proud of an initiative that is aimed at improvingtime spent in the Emerson Emergency Department (ED) waiting area.“Based on patient survey data, we knew that communication neededimprovement,” says Ms. Combs. Fortunately, one PFAC member wasin a perfect position to assess the situation. Molly Cutler, a corporatorfrom Harvard, has experience working in the hospital’s ED.“I volunteered in the ED for a couple of years and loved being there,”says Ms. Cutler. “So I offered to spend time there in order to learnmore about the need for a patient liaison, and we formed a pilotsubcommittee.”During five visits, Ms. Cutler observed, helped and determined thata patient liaison — someone who is there to answer questions, checkin with the physicians and offer assurance — can make a world of differenceto anxious patients and family members. “Mainly, they wantinformation,” she says. “A little bit goes a long way in the ED. Ifpeople know what’s going on — that is, why they’re waiting — ittakes the tension out of the room. We want them to know they’rebeing cared for.”She chronicled everything she did during busy times and slow times. Itincluded assisting with registration; escorting a patient to the CT scanarea; bringing blankets, pillows and ice to patients; communicating withtriage staff; validating parking; and answering many, many questions.After Ms. Cutler filed the report on her ED liaison experience,Ms. Combs took it from there. “We’ve recommended to the hospitaladministration that the ED liaison position continue,” says Ms. Combs.“The PFAC feels this person will be an important addition to theED staff.“Working with the PFAC is one of my favorite parts of my job. It’sgreat to have their interest and involvement.”For more information, please contact Christine Combs, RN, MA, managerof patient safety, at 978-287-3385 or ccombs@emersonhosp.org.the patient and family advisory councilThe Patient and Family Advisory Council (PFAC) serves as the“patient’s voice.” PFACs typically:• Provide information to hospitalleaders and staff about patientneeds and concerns.• Help plan patient care areas andnew programs.• Make changes that affectpatients and family members.• Encourage patients and familiesto be more involved and tospeak up.• Strengthen communicationamong patients, family members,caregivers and staff.18

emerson hospitalSupport Groups& Special Services NEWSf r o m emersonSupport GroupsAlcohol and Substance Abuse Support 978-287-3520Breast Cancer Support Group-Virginia ThurstonHealing Garden 978-456-3532Diabetes Support 978-287-3054Melanoma Support 1-800-557-6352M.O.M.S (Mothers Offering Mothers Support) 978-287-3176New Mothers Group 978-287-3176Oral, Head and Neck Cancer Support 978-287-3189Parkinson’s Support 978-443-5742Sleep Disorders Support 978-287-3735Surgical Weight Loss Support 978-287-3532Widowed Outreach Support 1-800-696-6424Special ServicesAlzheimer’s Information 978-287-3170Body Composition Analysis 978-287-3782CPR 978-287-3050Cardiac Rehabilitation 978-287-3732Chronic Lung Disease Program 978-287-8300Gambling Problems 978-287-3520Heart Failure Program 978-287-8300Home Health Service 978-287-8300Hospice & Palliative Care Federation of Mass. 1-800-962-2973Lifeline 1-800-543-3546Look Good…Feel Better 978-287-3788Nutritional Counseling 978-287-3782Pastoral Care 978-287-3015Pediatric Bereavement Workshop 978-287-3422Pediatric Pre-Admission Program 978-287-3420Pelvic Health/Bladder Control 978-287-8200Physician Referral 1-877-9-EMERSON or 1-877-936-3776Pulmonary — Better Breathers Club 978-287-3715REACH (hotline for domestic violence) 1-800-899-4000SHINE Program 781-272-7177Speech and Language Screening for Preschoolers 978-287-8200Sports Rehabilitation 978-287-8200Volunteer Program 978-287-3200Wound Care Center 978-287-8550Centennial Ball marks Emerson’s “birthday”On November 12, 500 people attended Emerson’sCentennial Ball: A Big Party to BenefitLittle Patients, which was held at the RenaissanceBoston Waterfront Hotel. The date is significant;it marked the actual anniversary whenarea residents gathered along the Sudbury River100 years ago to dedicate the hospital. The CentennialBall raised more than $400,000, whichis being used to upgrade the hospital’s PediatricCenter. The evening featured a silent auction,a champagne toast to Emerson and a magnificent birthday cake. Accompaniedby the Friends of Broadway, a group of talented girls from Sudbury,guests and emcee David Robichaud joined in to sing “Happy Birthday.”Annual Appeal breaks a recordEmerson’s 2011 Annual Appeal took on a centennialtheme in the form of a challenge presented by agenerous hospital board member. The challenge—toraise $925,000 by September 30—was met, and thecapping donation of $75,000 brought the final tally to$1,070,000. Loyal Emerson donors, including membersof the hospital board, medical staff and corporators, increased theirsupport for the Annual Appeal, which provides immediate funding formany specialized programs, such as the Polo Emergency Department andthe Bethke Cancer Center. Thank you to everyone who contributed to Emerson’sAnnual Appeal!Fitchburg residents have a new location for blood testsEmerson has opened a lab in Fitchburg for theconvenience of patients who live in the area.The lab is located in the Pediatrics West buildingon South Street in Fitchburg. The new siteis open Monday through Friday from 9:00 amto 5:30 pm. Please call 978-577-0437 and selectoption 3 for more information.Spring session: metabolic syndrome programEmerson Hospital’s cardiac rehabilitation programwill offer its metabolic syndrome programagain this spring. The metabolic syndrome isa group of risk factors that increases one’s riskof developing coronary heart disease, stroke,peripheral vascular disease and diabetes. The12-week program combines supervised exerciseand diet education to help people make healthy lifestyle changes. The costof the program is $400. Please call 978-287-3732 for more information.19

133 ORNAC, Concord, MA 01742978-369-1400www.emersonhospital.orgEmerson Hospital is is an an acute care care medical center centerlocated in Concord with health centers in in Bedford,Groton, Sudbury and Westford. It It is is well well known for forits medical and surgical specialists, outstandingnursing care and patient-centered services, includ-includingthe Clough Birthing Center, the the Bethke Cancer CancerCenter, the Polo Emergency Center, the the Clough CloughSurgical Center and the the Center for for Specialty Care. Care.www.emersonhospital.orgHealthWorks, published by Emerson Hospital, ismailed to residents in the hospital’s service areaand is distributed to the employees and physicians’offices affiliated with Emerson Hospital.If you would prefer not to receive such mailings inthe future, please let us know by calling 978-287-3408 or send an email to pr@emersonhosp.org.Emerson Hospital President and CEOChristine C. SchusterHealthWorks Magazine editorial staffChristine Gallery, Bonnie Goldsmith,Naomi FunkhouserWritersLaura Duffy, Ralph FullerPhotographyTony RinaldoDesign and PrintingFassino/Design and Signature Printing & ConsultingThe information included here is intended to educatereaders about health issues, but it is not a substitutefor consultation with a personal physician.The mission of Emerson Hospital is to deliverhigh-quality care to our community that is safe,compassionate, accessible, appropriate, efficientand coordinated.Healthy Living – it’s a click awayEmerson’s new Healthy Living Program offers a wide variety of classes for you and your family.Better yet, it is growing, with additional classes being offered all the time. Please visit theprogram’s new, dedicated web site, where you can register for classes online, see biographicalinformation and photographs of our faculty and easily search the directory for specific classes.The Healthy Living Program is Emerson’s way of showing our commitment to the health andwellbeing of our patients and our community. The program is full of benefits, tips, ideas andmore. Staying healthy is the goal, so we are making every effort to help you achieve and maintainyour optimal health.We have joined forces with some of your favorite local stores, restaurants, attractions andhealth care providers to offer you and your family benefits that support a healthy lifestyle. Jointoday for FREE and receive:• Discounts to retail stores, restaurants and more• Nutrition and fitness tips, recipes and other healthy living suggestions• Savings on local events and attractions.Visit www.emersonhealthyliving.org to learn more!FPOFront cover: With his pain under control, John Silva enjoys busy days at Lowell High School, wherehe is a college and career counselor.