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Checklist confersA Letter fromChristine Schustersurgical team members pauseand focus as they care for patients2Dear Friends:I am pleased to report that Emerson Hospitalwas recently recognized for the quality andsafety of the care we provide to our patients.First, Emerson received an “A” Hospital SafetyScore SM from The Leapfrog Group, an independentnational organization that provides qualityand safety reports. The Hospital Safety Scoreuses 26 measures of hospital safety data to producea single score that represents a hospital’soverall capacity to keep patients safe. Emersonreceived the highest possible score. In theAugust issue of Consumer Reports, Emersonwas ranked among the top 4 hospitals inMassachusetts for patient safety. The rankingcompared 1,159 U.S. hospitals in several categoriesof safety, including infections, readmissions,CT scanning and complications.We are working hard to ensure the safety of allour patients, to install the latest diagnostic technologyand to deepen our clinical affiliationswith Boston’s best medical centers. Our patientsare the focus of every decision we make.Thanks to our exceptional physicians, staff andvolunteers, we continue to provide PremiumCare with a Personal Touch. I am very proudof our accomplishments. Of course, we are notresting on our laurels. You will continue tohear more about new and ongoing initiativesthat will bring Emerson to even higher levels ofquality and patient safety. Enjoy the Fall.Christine C. Schuster, President and CEOEmerson Hospital is an acute care medical centerlocated in Concord with health centers in Bedford,Groton, Sudbury and Westford. It is well known forits medical and surgical specialists, outstanding nursingcare and patient-centered services, including theClough Birthing Center, the Mass General CancerCenter at Emerson Hospital-Bethke, the Polo EmergencyCenter and the Clough Surgical Center.www.emersonhospital.orgBefore coming to Emerson for surgery, people often have a checklist of things to do.Standard items include not eating for six to eight hours and arranging for a ride homeafter surgery.Behind the scenes, Emerson surgical teams are guided by a much longer, carefully definedlist. Before, during and after surgery, they follow a 19-point surgical safety checklist– the result of exhaustive research sponsored by the World Health Organization(WHO) – that is proven to reduce complications (see box on page 3). It incorporatessafety steps that were already being followed but puts them into a logical format so thatnothing is left out.“We don’t want anything to be so routine that we don’t think carefully about what we’redoing,” says Richard Rubin, MD, an obstetrician-gynecologist at Emerson. “The valueof the checklist is its direct impact on patient safety. Everyone on the surgical team seesthe benefit of using it.”A recent case highlights how the surgical checklist leaves nothing to chance and requiresthat members of the surgical team pause and focus at regular intervals. Ann Abbott,55, of Westford had experienced pain in her lower left abdomen; a pelvic ultrasoundrevealed a 10-centimeter mass. The concern was that Ms. Abbott had potential ovariancancer, so laparoscopic surgery was scheduled with Dr. Rubin.Before anesthesiaBefore the incision was made3 In the pre-surgical area, her left side 3 The team gathered in the operating roomwas marked as the surgical site.and paused to discuss several items on“However, Ms. Abbott thought her left the checklist, which Chris Hall, RN, circulatingnurse, held on a clipboard. Heovary had been removed during a priorsurgery,” notes Dr. Rubin, “so we explainedto her that we might have to re-of birth, described the plan for the pro-confirmed the patient’s name and datemove both ovaries if we found abnormal cedure and confirmed that the necessarytissue. Ms. Abbott consented to having equipment was in the room.more extensive surgery if we found malignanttissue.” Dr. Rubin arranged to3 Team members introduced themselves –a step aimed at assuring good communicationin case of an emergency.have a gynecologic oncologist fromBrigham and Women’s Hospital standingby at Emerson in case that was true. 3 Because of the potential for more extensivesurgery, Ms. Abbott had been given3 David Kagle, MD, her anesthesiologist,an antibiotic to prevent infection andasked her about allergies and assessedwore compression boots to preventher airway for problems. He explainedblood clots.the kind of anesthesia that would beused.3 Dr. Rubin stated that he anticipated thesurgery to last one to two hours.3 Pauline Dolan, RN, first assistant, reviewedthe preoperative orders for anHowever, depending on what he found,a more extensive surgery may be required.“We all voiced our potentialantibiotic and blood thinner. She confirmedthat Ms. Abbott’s allergies andconcerns for safety twice – prior to themedications were accurately noted inadministration of anesthesia and beforethe chart.

safetyin the operating roommaking the incision,” he notes. “It isbetter to reiterate the plan with the entireteam present.”3 Before Ms. Abbott’s surgery began, KarinLamarre, the scrub tech, confirmed thateverything related to the surgery wassterile. The patient’s CT scan and ultrasoundimages, which showed the ovarianmass, were nearby in case they wereneeded.During Ms. Abbott’s surgery, Dr. Rubinremoved the 10-centimeter mass laparoscopicallythrough a small incision in hernavel, which would result in a shorter recovery.The specimen was sent for analysisby a pathologist; 20 minutes later, theteam was told that the specimen was noncancerous.Dr. Rubin could now removeall of his instruments and begin closingthe small incisions.Before leaving the operating room3 Mr. Hall confirmed the performedprocedure with the surgeon and documentedit in the patient’s chart. Beforethe incisions were closed, Mr. Hall andMs. Lamarre tallied the number ofinstruments, sponges and needles thatwere used and accounted for. Thespecimens removed by Dr. Rubin werelabeled and documented in the chart.3 The class of surgical wound was assessedto determine the chance that Ms.Abbott would develop a post-surgicalinfection.3 The team members agreed that noequipment or technical problems hadoccurred during the case that neededattention or repair.3 As a final step, the team reviewed anyconcerns related to Ms. Abbott’s careduring recovery. There were none.Before surgery begins, Richard Rubin, MD, the surgeon (red cap), reviews a detail on the surgical checklist withChris Hall, RN, the circulating nurse, while David Kagle, MD, the anesthesiologist, tends to the patient at thehead of the table. Karin Lamarre, the scrub tech (blue bonnet), and Pauline Dolan, RN, first assistant, look on.Ms. Abbott spent a few hours in the recoveryarea before going home with a prescriptionfor pain medication andinstructions to take it easy. She came for afollow-up appointment with Dr. Rubin tendays later. Her recovery went well, andher small surgical incisions healedsuccessfully.The fact is, use of the surgical checklist bythe Emerson team added assurance thatMs. Abbott’s surgery – the actual procedure,as well as the more extensive surgerythat could potentially have been needed –was free of complications.“We all know our roles, which we explicitlystate for the purpose of safety,” Dr.Rubin explains. “Each patient and everysurgery is different. The checklist forcesthe team to pause and summarize keypoints about the case. It helps us protectthe patient by making sure everyone is onthe same page.”the surgical checklist:all about patient safety2007-2008: The World Health Organizationpilot study, performed in 2007-2008, was carriedout at hospitals in eight different countries, includingthe U.S. The study found that consistentuse of the surgical checklist resulted in a reductionin complications, including death, of aboutone-third.2009: After the findings were reported inThe New England Journal of Medicine in January2009, a round of additional studies reconfirmedthe checklist’s effectiveness.2010-2011: Emerson Hospital surgical staffadapted the checklist and began using it in 2010.By February 2011, all surgical teams were using itconsistently.3

Cover feature | Living with diabetesLiving with diabetes:knowledge & motivationmake thedifferenceEmerson Hospital providesthe expertise and supportThe goal is to make diabetes fit into your life,not let your life be about diabetes.”Cheryl Laundry, RN (left), certified diabetes educator, discusses food labels in Emerson’s mock grocery store.If diabetes lasted only a week or two, itwouldn’t present a problem. As those withdiabetes know, it’s not like that. Once theyare diagnosed, individuals begin a lifelongquest to control the level of their glucose –that is, blood sugar.“Diabetes is a tough disease precisely becauseit is chronic,” says Anca Goller, MD, an endocrinologistat Emerson Hospital. “You have itfor the rest of your life. And it keeps youbusy, because you need to check your bloodsugar. People who are on insulin need to injectthemselves throughout the day.”The quest for glucose control is well worth it,Dr. Goller adds. “I tell my patients that all thestudies show the same thing: good glucosecontrol prevents or delays complications, includingdiabetic retinopathy, kidney problems,nerve damage and cardiovasculardisease. In some cases, good control can partiallyreverse complications.“It doesn’t matter how we go about achievinggood control; we just need to get there.Lifestyle becomes important, especially with4type 2 diabetes. That is why diabetes needsto be treated by a team.”Diagnosis: an opportunity to get healthyDr. Goller refers newly diagnosed patients toCheryl Laundry, RN, certified diabetes educator,and Ena Sandler, RD, dietitian, for advice.“We provide patient-centered care,”says Ms. Laundry. “That’s the bottom line.Pre-diabetes:you can turn it aroundBeing told that you have pre-diabetes – a conditionwhere your blood sugar level is higherthan normal – is a wake-up call. Fortunately,you can do something about it:• Lose 7 percent of your body weight;make healthy eating choices• Engage in moderate physical activity(achieve 50-70 percent of your maximumheart rate) at least 2.5hours per week• Don’t go more than twodays without exercisingIn addition to providing support groups fortype 1 and type 2 diabetes, as well as amonthly educational forum, Ms. Laundryworks one-on-one with individuals.“Initially, there’s a lot to learn, but we breakit into manageable bites – diet, exercise, medication,etc. Everyone learns a little bit differently.I’m always looking for that ‘lightbulb’moment that helps someone understand thatthey have an opportunity. A diabetes diagnosiscan be the start of a new, healthier you.”Patients benefit from having a strategy, Ms.Sandler notes. “I saw a new patient who hadalready cut out soda, sweets and ice cream,and his blood sugar had improved,” she says.“His question to me was: what’s the nextstep? We worked on that together. I don’tuse the word ‘diet;’ we’re simply talkingabout a healthy way of eating.”Emerson’s on-site mock grocery store helpspatients compare products. “Spending timein the store is mainly about creating carbohydrateawareness,” says Ms. Sandler, referringto the food component that affects glucosethe most. “We look at labels and discusshow to make good selections.”Exercise goes hand-in-hand with healthy eating.“In general, I suggest that people take ahalf-hour walk after dinner,” says Ms.Laundry, noting that some individuals needmore personalized help. “People call uswhen they become concerned they’re fallingoff the track. We know how to help them.”

Eric J. Sax, MD, MBA, director ofnuclear medicine, says that SPECT-CT,a new hybrid scanning test, provides aprecise “anatomical roadmap.”SPECT-CT unitoffers a range of diagnostic benefitsHybrid scanning testarrives at Emerson this fallAbnormalities, such as the spread of cancerto the spine, “light up” and are localized withSPECT-CT imaging.Some imaging technology captures exquisite pictures of the anatomy,while others reveal physiological function. Hybrid scanningtests, such as PET-CT, combine both. At Emerson, PET-CT,which fuses positron-emission tomography (PET) with CT scans,has been used since 2007 to make a more accurate cancer diagnosisand to monitor a patient’s response to chemotherapy.SPECT-CT, a new hybrid test that debuts at Emerson this fall,takes a well-established test – single-photon emission computedtomography (SPECT) – and marries it with low-dose CT scans.The result is a highly precise imaging test, says Eric J. Sax, MD,MBA, director of nuclear medicine, that uses nuclear physiologictracers for diagnostic purposes. “SPECT, which we’ve usedsince the 1980s, provides a 3D picture of the body,” he explains.“By fusing it with a low-dose CT scan, we get precise clarity inlocating an abnormality. It’s like an anatomical roadmap.”The new test is particularly safe, Dr. Sax adds. “The CT side ofthe test uses low-dose CT scanning. For the SPECT part of thetest, we use tracers that expose the patient to less radiation andrisk than many other tests.”Patient comfort is another benefit. “Those who are familiar withnuclear medicine studies will be happy to know that SPECT-CTis an easier test for the patient,” says Dr. Sax. “It only requiresthat you lie still for about five or six minutes on each side.“© Siemensof its own tracers that are more effectiveat “lighting up” specific tumors andother maladies than PET-CT.The new test will have an impact in cardiology,where traditional SPECT oftenis used to perform cardiac perfusionstudies – tests that measure the amountof blood in the heart during rest and exercise. However, cardiologistshave to “read around” soft tissue structures, such as thediaphragm or breast tissue, that can obscure heart anatomy andlimit diagnostic accuracy, says Benjamin Tillinger, MD, anEmerson cardiologist. That won’t be necessary with SPECT-CT.“The CT scan corrects this problem so that we can be more confidentin interpreting a heart study,” says Dr. Tillinger, noting thatSPECT-CT’s accuracy will save some patients from needing cardiaccatheterization. “Also, some patients are uncomfortablelying still for 20 to 25 minutes on each side – required with traditionalSPECT. They will find SPECT-CT to be an easier test.”Elsewhere, neurologists are enthusiastic about a new tracer forSPECT-CT that differentiates Parkinson’s disease from essentialtremor. An even newer compound for use with SPECT-CT candetect the presence of amyloid plaque in the brain – a distinctivesign of Alzheimer’s disease.A role to play in cancer, cardiology and neurologyDr. Sax anticipates that SPECT-CT will have an immediate impacton care in three broad areas: cancer, cardiology and neurology.“The sentinel node studies that we perform for patientswith breast cancer or melanoma, which check to see if cancerhas spread to the lymph nodes, will now be performed withSPECT-CT,” he says. “Bone scanning also will be done this way.”PET-CT will continue to be used to determine the stage of cancerand monitor treatment. However, SPECT technology has someBecause the test is fairly easy to perform, safe and cost-effective,it will play a diverse role, adds Dr. Sax. “We’ll use SPECT-CT tolook for infections in both soft tissue and bone,” he says. “In patientswho have ‘fever of unknown origin’ we can perform awhole-body white cell scan that will show inflammation.“With SPECT-CT now available at Emerson, we have an additionaloption for making an efficient, accurate diagnosis in a waythat is safe and easy on patients,” says Dr. Sax.6

New leadershipfor Weight Loss ProgramDavid Lautz, MD, brings impressive background and expertiseDavid Lautz, MD, medical director of the Emerson-Mass General Weight Loss Program, is experiencedin performing the sleeve gastrectomy, a new surgical option.David Lautz, MD, a respected bariatric surgeon whohas played a national role in making weight loss surgeryincreasingly safe and successful, recentlyjoined Emerson Hospital as medical director of theEmerson-Mass General Weight Loss Program. Earlierthis year, the program formed a collaboration withMassachusetts General Hospital with the goal ofbringing the most advanced care to the community.Dr. Lautz served as director of bariatric surgery atBrigham and Women’s Hospital from 2003 to 2011.In addition to the well-known laparoscopic gastricbypass and lap-band procedures, he is experiencedin performing the sleeve gastrectomy – a new surgicaloption in which the stomach is shaped into anarrow pouch (see sidebar). “Each operation has itsown personality, as well as risks and benefits,” saysDr. Lautz. “Our job is to describe all of that to patients,answer their questions and let them decide ifbariatric surgery will fit into their life.”He understands what brings an individual to concludethat it is time to consider surgery. “Most patientsare well-motivated, because they have triedeverything they can to lose weight,” says Dr. Lautz.“They know this is not a quick fix, and they arecommitted to making the necessary changes in theirlives. Weight loss surgery is not like having yourgallbladder removed; it’s much more personal.”After surgery, it can take the mind a while to catchup to how much the body has changed, he notes.“Many of my patients were obese their entire lives,and it became part of their persona. It is not uncommonfor someone to go shopping and, despite havinglost 100 pounds, still walk to the size 20 rack. Itcan take a person a year or two to realize they arenot heavy anymore.”Once they lose weight, patients will often lose manyof their medical problems, including hypertension,sleep apnea and diabetes. “Weight loss surgery deliversa one-two punch at type 2 diabetes,” saysDr. Lautz, who is the co-principal investigator on aNational Institutes of Health clinical trial comparingbariatric surgery with intensive medical weight lossand diabetes management at the Joslin DiabetesCenter. “Many studies show that 80 percent of individualswith diabetes can stop taking medicationafter having weight loss surgery.”He has worked, locally and nationally, on effortsto lower the rate of complications that can followweight loss surgery. “Today the complication ratefor bariatric surgery is a fraction of what it used tobe,” he says. “The field is considered to be a modelfor how to improve clinical outcomes.” In 2005,Dr. Lautz was one of 12 surgeons asked to join theGoverning Committee of the American College ofSurgeons Bariatric Surgery Center Network, whichaccredits bariatric surgery centers of excellenceacross the U.S. Emerson achieved Level 1A accreditationin 2010.Despite his national prominence, Dr. Lautz says henever loses sight of his connection with his patients.“I believe the surgeon must play a role throughoutthe course of an individual’s care,” he says. “Mygoal is to provide high-quality care in a supportiveenvironment.”sleeve gastrectomyis new to emersonThe sleeve gastrectomy accomplishestwo things at once: it reshapesthe stomach into a long,narrow pouch, and it affects thesecretion of ghrelin, a hormoneknown to cause hunger. “Thesleeve gastrectomy restricts howmuch you can eat at a given time,and it keeps food in the stomachpouch long enough that you aresatisfied by eating a much smallermeal,” Dr. Lautz explains. “It alsosuppresses hunger, likely throughchanging gut hormone secretion,most notably ghrelin.”Unlike a gastric bypass, the sleevegastrectomy does not reroute thegastrointestinal tract. “It’s a simpler,easier operation,” notes Dr.Lautz. The sleeve gastrectomy canbe performed as a standalone surgery.For heavier patients, whoneed to lose much more weight, itcan serve as step one, to be followedlater by a gastric bypass.How does it compare with otherprocedures? “Lap-band patientscan expect to lose 40-50 percent oftheir excess weight, on average,”Dr. Lautz says. “Gastric bypass patientstypically lose about 60-70percent of their excess weight.Sleeve gastrectomy patients, basedon the current data, are somewherein the middle.”7

“Every week, I sit across the desk from kidsand their parents who have their lives changedbecause of post-concussion issues,” saysRobert Cantu, MD, a neurosurgeon andchairman of surgery at Emerson.8For many people, the fall seasonmeans lots of football, soccerand other collision sports.Across the U.S., millions of kidsand adults are back on the fieldand taking hits. According toRobert Cantu, MD, chairmanof surgery at Emerson Hospital,some will pay the price in theform of a concussion. Withpublic awareness of concussionat an all-time high, Dr. Cantu,a neurosurgeon and co-directorof the Center for the Study ofTraumatic Encephalopathy atBoston University School ofMedicine, has written a book,“Concussions and Our Kids,”that presents the science behindhis main concern: kids are especiallyvulnerable to head trauma.Kids are vulnerableRobert Cantu, MD, presents the factsQ. What brought concussions to publicattention?A. In 2007, Ted Johnson, former New England Patriotslinebacker and a patient of mine, went public with theproblems that resulted from his post-concussion syndrome.Ted was not looking to initiate a lawsuit; he honestlywanted to raise awareness among fellow footballplayers. The New York Times followed that with nearly 50additional articles on concussion in athletes. At the sametime, interest built in chronic traumatic encephalopathy(CTE), a neurodegenerative process that may result fromsub-concussive blows – not just concussions – over time.Q. How is a concussion diagnosed?A. In one of two ways: either there is an alteration in thelevel of consciousness or there are one or more post-concussionsymptoms that develop soon after head traumahas occurred. We look for 26 different symptoms, whichfall into four categories: cognitive, such as problems withmemory and attention; sleep problems; emotionalchange, such as irritability, anxiety or depression; and somaticsymptoms, such as headache, balance problems,lightheadedness and visual issues. Head trauma doesn’trequire a blow to the head; it can be caused by whiplash,where the head snaps backward or forward. More than90 percent of concussions occur without loss ofconsciousness.Q. Is it possible for people to miss the symptomsof concussion?A. Yes, because those symptoms don’t necessarily happensoon after a concussion and may not be recognized.Cognitive symptoms may not show up until a studentattempts intense homework or goes to take a test. It isalso true that, if you ask either an adult or a youngsterhow they feel, they will usually say “fine.” As a physician,I know I have to go through every one of the 26 post-concussionsymptoms to be sure.> Continued on page 13

Healthy Living| Health & Wellness ClassesRegister online at www.emersonhealthyliving.org. Call 978-287-3777 for more information. Some classes are ongoing;you can join in at any time. Classes are located at Emerson Hospital’s Integrative Health & Wellness Center, 310 BakerAvenue Extension, 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 call toarrange a convenient, private workshop.$95. Includes book/relaxation CD. One surgerycompanion may attend for free.YOGA & MEDITATIONReduce stressand tension, improveflexibilityand strength,and learn breathingtechniquesfor emotionalbalance. Pleasewear loose, comfortable clothing and bring a yogamat and sturdy blanket. Not for expectant mothers.Taught by Pam Vlahakis, registered yogateacher.$98. Classes are Monday 5:30-6:45 pm. Sevenweeksession begins September 10 or November 5.GENTLE YOGAFor beginners and experienced practitioners whowish to review postures with a beginner’s mind.Invite inner peace, stretch and tone muscles,release chronic tension, improve balance and flexibility.Please bring a yoga mat. Not suitable forexpectant mothers. Taught by Nancy Dorenfeld,RYT, Kripalu-certified instructor.$98. Classes are Fridays, 9:30-10:45 am. Sevenweeksession begins September 14 or November 2.YOGA AT LUNCH TIME -Yoga for afternoon energy and focusDe-stress from your workday and tap into yourinner energy and serenity. Experience the unionof breath and movement, strength and balancethrough a series of postures. All levels are welcome.Please bring a yoga mat. Taught by NancyWolfe, Kripalu-certified instructor.$60. Classes are Thursdays, 12:00-1:00 pm.Six-week session beginning September 20 orNovember 1.PRENATAL YOGA for a healthier pregnancyMixed-level yoga class teaches postural strengtheningand increases flexibility. Learn to relax deeplyand focus your mind. Please bring a yoga mat,water bottle and signed permission form from yourobstetrician or midwife. No previous yoga experienceis required. Taught by Michele O’Toole, RN,RYT, certified prenatal yoga instructor.$85 for a six-week session begins: Monday,September 17, or November 12, 7:00-8:30 pm.BABYSITTING TRAININGOne-day class for ages10-13 covers everythingyou need to know tobe a great babysitter! Acertificate of participationis awarded uponcompletion. Taught byBecky Patterson, educator.Pre-registration is required. Please bring alunch, snack and baby-sized doll or stuffed animalto learn diapering. Classes meet on the mainhospital campus.$45 per person. Classes are held 9:00 am-2:00pm. Choose a Saturday: September 15, October27, November 17 or December 15.TAI CHITai chi, an ancient Chinese martial art, is practicedto achieve therapeutic benefits, such aspain relief and to promote balance and overallstrength. The instructor is Ming Wu, PhD.$98 for an eight-week session.Intermediate/Advanced Level: Wednesdays9:30-10:30 am. Session begins September 19 orNovember 14.Beginner Level: Thursdays, 6:00-7:00 pm.Session begins September 20 or November 15.Classes continued on next page9

Register online at www.emersonhealthyliving.org. Call 978-287-3777 for more information.Some classes are ongoing; you can join in at any time.NEW THE DIFFERENCE BETWEENNORMAL AGING AND DEMENTIALearn to recognize thedifference between normalaging and dementia,in yourself or a lovedone, which can assistyou in determining whenadditional help or evaluationis needed. Varioushealth care options will be explored. Presented bySunita Hanjura, MD, Emerson Hospital geriatricianand internist at Bedford-Lexington InternalMedicine, and Anne Marie Rowse, CMC, certifiedcare manager and principal, Senior CareAdvisors, LLC, based in Harvard.$35. Thursday, October 4, 7:00-9:00 pm.ARTHRITIS FOUNDATION EXERCISEPROGRAM SMThis low-impact, joint-safe exercise programhelps decrease arthritis pain and relieve stiffnesswhile improving balance, your ability to performdaily activities and your general health. Taughtby Linda May Sieck, certified personal trainer andArthritis Foundation-certified instructor.Participate in a FREE class on Saturday, October13, 10:00-11:00 am. Call 978-287-3777 to attend.$75 for an eight-week session beginning October15. All classes are Monday, 2:00-3:00 pm.HYPNOSIS FOR WEIGHT LOSSThe natural and safe processof hypnosis uncoversunderlying emotions,feelings, thoughts andattitudes and guides youtoward healthy eatingpatterns. Presented byJoseph Packard, boardcertifiedhypnotherapist.$100 for 3 sessions. Classes are Thursday,5:00-7:00 pm. Session begins October 11 orDecember 6.QUIT SMOKING WITH HYPNOSISHypnosis canbe a solid toolto help youquit smokingby reducingthe symptomsof withdrawaland cravings.Come to class with a mindset to give up the habittonight. Presented by Joseph Packard, boardcertifiedhypnotherapist.$100 for 3 sessions. Classes are Thursday,7:00-9:00 pm. Session begins October 11 orDecember 6.POWER OF THE MIND for TEENS,PARENTS, TEACHERS, ADULTSUnderstand the mind-body connection and theeffect thoughts have on your health and physicalstrength. Combat the negative effects of angerwhile creating calm and confidence and strengtheningfriendships. Presented by Fran Spayne, MA,holistic therapist, life coach and reiki master.$40. Saturday, October 27, 2:00-4:30 pm.NEW NATURAL DIGESTIVE HEALTHLearn how digestive, emotional and immunologichealth can be improved with dietary changes thateliminate sources of toxicity, as well as simplelifestyle changes and a unique stress-reducingsound technology called Hemi-Sync TM . Presentedby Judy Tsafrir, MD, holistic psychiatrist andcertified GAPS (gut and psychology syndrome)practitioner.$35. Saturday, October 27, 10:00 am-12:00 noon.NEW SIMPLE STRETCH AND SELF-MASSAGELearn stretch and self-massage techniques that canimprove your flexibility, posture and circulation,reduce your risk of injury and relieve muscular tensionand fatigue. Please wear comfortable clothingand bring a mat or blanket. Taught by NicoleKosersky-Meyer, LMT, licensed massage therapist.$35. Tuesday, October 16, 7:00-9:00 pm.NEW HEALTHY NECK AND SHOULDERSLearn exercises and stretches that relieve tension,stiffness and pain, and mobilize and strengthenthe muscles of your neck and shoulders. Commoncauses and simple prevention strategies also willbe covered. Please bring an exercise mat. Taughtby Nicki Barker, CPT, from Personal TrainingInternational.$35. Wednesday, October 17, 6:30-8:00 pm.REIKI Training ClassesDiscover this hands-on energy therapy that can beused to encourage relaxation, manage pain, providecomfort and promote overall wellness. Learnto give reiki to yourself, others and pets. Receivereiki practitioner certification. This class is approvedfor five contact hours for nursing for eachfull day of attendance. Contact hours for massagetherapy and social work also are available.Presented by Libby Barnett, MSW, reiki masterteacher at the Reiki Healing Connection. You mayregister for one or both levels. Please bring a baglunch and water for each day.REIKI-LEVEL I Training: $145. Saturday,October 20, 9:00 am-3:00 pm.REIKI-LEVEL II Training: $160. Sunday,October 21, 9:00 am-3:00 pm.NEW THERAPEUTIC KNITTINGThe skill of knittingcan be a relaxingand enjoyable toolthat complementsmedical treatments.The techniques andrhythmic motionscan help you regaincognitive and motorskills after brain injury or stroke, reduce chronicpain and stress and improve wellbeing and outlookon life. Students will receive instruction andmaterials. Care partners are welcome to attend.The class is taught by Janet Hampson, knitting instructorand owner of The Woolpack in Acton.$75 for a six-week session beginning Monday,October 22, 11:00-12:00 noon. Materials aredonated by The Woolpack and its generouscustomers.Emerson Hospital reserves the right to cancel any program due to insufficient enrollment or inclement weather. There is no tuitionreduction if a student is unable to attend all classes.11

| Health & Wellness ClassesRegister online at www.emersonhealthyliving.org. Call 978-287-3777 for moreinformation. Some classes are ongoing; you can join in at any time.NEW ACUPRESSURE FOR HIP ANDKNEEThis hands-on workshop will focus on improvingmobility and decreasing pain in the hips andknees. Learn how to reorganize muscle groups towork more effectively and regain strength aroundjoints. Common problems after joint replacement,improper gait and muscle balance will beaddressed. Presented by Loocie Brown, NewEngland School of Acupuncture professor andlicensed acupuncturist.$35. Tuesday, October 23, 6:00-8:00 pm.TOTAL BODY RESISTANCE BANDWORKOUTJust as effective asa workout with freeweights, this class willteach you how to maximizeyour time and stillget a complete workout– anytime, anywhere.You will learn a varietyof exercises for the major muscle groups andstretch with bands to cool down. Taught by NickiBarker, CPT, from Personal Training International.Participants will take home a resistance band kit.Suitable for all ages and fitness levels. Pleasebring an exercise mat.$65 for a four-week session beginning Wednesday,October 24, 7:00-8:00 pm.ACUPRESSURE POINTS FOR HAND,WRIST AND ELBOWLearn how the Chinesemeridian system worksand experience handsonhow simple pressureon specific points canalleviate common conditions,such as arthritis ofthe thumb and fingers,carpal tunnel syndrome, trigger finger and elbowtendonitis (tennis and golfer’s elbow). Presentedby Loocie Brown, New England School ofAcupuncture professor and licensed acupuncturist.$35. Tuesday, November 6, 6:00-8:00 pm.NEW ANGER MANAGEMENT 101Anger is normal, butwhen left unchecked,it can destroy relationships,peace of mindand your health. Thissession explores thebest ways to recognizetriggers and interruptanger-producing spirals so that you can act andfeel more effective in challenging situations.Presented by Frances Bigda-Peyton, EdD, certifiedpsychoanalyst.$35. Monday, November 12, 7:00-9:00 pm.See you at the Verrill Farm Harvest FestivalSaturday, October 13, 12:00 noon to 4:00 pmThe annual Verrill Farm Harvest Festival is scheduled for Saturday, October 13, from 12:00 noonto 4:00 pm. The popular event, which benefits pediatric care at Emerson, will feature pony rides,pick-your-own-pumpkins, refreshments, live music, games and prizes, a hay treasure hunt andmore. Proceeds are used to purchase coping kits, colorful bags of toys distributed by the hospital’sPediatric Intervention Team to children who come to theEmerson Emergency Department or are admitted to thepediatric unit. Verrill Farm is located at 11 Wheeler Roadin Concord. See you there!BACK TO SCHOOLIS NOT JUST FOR KIDSNEW CERTIFIED BIRTH DOULATRAININGWhen you become a DONA Internationalcertifiedbirth doula, you earn a respectedcredential that means you have met a highstandard. It ensures expectant parentsand their medical team that you adhere tothe highest standards of conduct and ethics.In this two-day program, you will learnnon-medical skills to provide physical,emotional and informational support andassistance to women and their partnersduring labor and birth. Please bring lunch,snack and water for both days. Space islimited. Presented by Tara Powe Poulin,CD(DONA), BDT(DONA), founder ofBirthing Gently.$450. Includes DONA manual and classmaterials. Saturday, November 17, andSunday, November 18, 8:00 am-5:00 pm.NEW QIGONG CERTIFIEDASSOCIATE INSTRUCTORTRAINING PROGRAMBased on an ancient Taoist tai chi system,this program was developed by Ming Wu,PhD, through his 40 years of study andpractice of Chuang Tzu’s teachings. WuWay qigong focuses on how to incorporateqigong into daily life and to remain presentin the moment. In this 16-hour training,you will be trained to teach Wu Healingqigong. Please bring lunch, snack andwater for both days. Presented by MingWu, PhD.Two-day program: $400. Saturday,September 15, and Sunday, September 16,9:00 am-5:00 pm.Requirements for certification: You mustprovide documented proof of 50 hoursof previous qigong training or attend acurrent qigong class weekly for one year.(Enroll in qigong beginner or advancedprogram, Wednesdays, 10:30-11:30 am or6:00-7:00 pm, $98 per session.) Performself-practice a minimum of 30 minutesdaily for 100 days.12

OnHospital is pleased to introduce the following new physicians.CallEmersonBARIATRIC SURGERY (Weight Loss Surgery)HOSPITAL MEDICINEDavid Lautz, MD, FACSEmerson-Mass General Weight Loss ProgramEmerson Hospital Center for Specialty Care54 Baker Avenue Extension, Suite 101Concord, 978-287-35323 Accepting new patientsDr. Lautz earned his medical degree from the Universityof Chicago Pritzker School of Medicine and completedan internship and residency in general surgery atBrigham and Women’s Hospital. He served as directorof bariatric surgery at Brigham and Women’s for thelast eight years and has participated in numerous local,regional and national quality initiatives in the field ofbariatric surgery. Dr. Lautz is board-certified in surgery.Clinical Interests: bariatric and metabolic surgery,laparoscopic surgery, sleeve gastrectomy and revisionalbariatric surgeryDiana Suris, DOEmerson Hospital133 ORNACConcord, 978-369-1400Dr. Suris earned her medical degree at New YorkCollege of Osteopathic Medicine and completed aresidency in internal medicine at the University of Massachusetts.Dr. Suris is board-certified in internal medicine.She is a hospital-based internist who treats adultinpatients and does not have a private office practice.ORTHOPEDIC SURGERYPEDIATRIC PULMONOLOGYGavin Bishop, MDOrthopedic Affiliates54 Baker Avenue Extension, Suite 200Concord, 978-369-53913 Accepting new patientsDr. Bishop earned his medical degree from GeorgeWashington University School of Medicine and HealthSciences. He completed an orthopedic surgery residencyat Boston University School of Medicine and asports medicine fellowship at New England Baptist Hospital.Dr. Bishop is board-eligible in orthopedic surgery.Clinical Interests: Sports medicine and treating conditionsinvolving the upper extremityBenjamin Nelson, MDMassGeneral for ChildrenEmerson Hospital Center for Specialty Care54 Baker Avenue Extension, Suite 302Concord, 888-644-32483 Accepting new patientsDr. Nelson earned his medical degree from GeorgetownUniversity School of Medicine and completed apediatric residency and pediatric pulmonology fellowshipat Massachusetts General Hospital. Dr. Nelsonis board-certified in pediatrics.Clinical Interests: General pulmonary disorders,asthma, chronic cough, shortness of breath, bronchopulmonarydysplasia and bronchoscopyOTOLARYNGOLOGY (Ear, nose and throat)UROLOGY14Michael Fattal, MDMass Eye and Ear-Concord54 Baker Avenue Extension, Suite 303Concord, 978-369-87803 Accepting new patientsDr. Fattal earned his medical degree from SUNY UpstateMedical University. He completed an internshipand residency in otolaryngology-head and neck surgery(ENT) at Yale-New Haven Hospital, followed by a fellowshipin facial plastic and reconstructive surgery atBoston Medical Center. Dr. Fattal is board-certified inotolaryngology and board-eligible in facial plastic andreconstructive surgery.Clinical Interests: Pediatric and adult general ENT, includingsinus, sleep apnea, thyroid/parathyroid, head/neckcancer and facial cosmetic and reconstructive surgeryRichard Salerno, MDLahey Urology Program at Emerson HospitalJohn Cuming Building131 Old Road to Nine Acre Corner, Suite 740Concord, 978-369-55513 Accepting new patientsDr. Salerno earned his medical degree from New YorkMedical College. He completed a residency in generalsurgery at Bellevue Hospital Center and a residency inurology at Lahey Clinic. Dr. Salerno is board-certifiedin urology.Clinical Interests: General urology

Special ProgramsCardiac health programsPrevention for those at risk for heart disease or type 2 diabetesEmerson’s Cardiac Rehabilitation Program will again offer a 12-week preventioncourse for individuals with cardiac metabolic syndrome, which puts themat risk for developing heart disease and/or type 2 diabetes. Program participantsmust have at least three of the following risk factors: waist circumferencegreater than 40 inches for men and 35 inches for women; blood pressurehigher than 130/85; cholesterol levels that are out of the normal range (HDLlower than 40 for men and 50 for women with triglycerides greater than 150);and fasting blood sugar level greater than 100.The program, which will begin on Thursday, September 27, 5:00-7:00 pm,focuses on nutrition and exercise education, behavior modification and stressmanagement and also offers a weekly support group. The program is staffedby a nurse, physical therapist, dietitian and social worker. The cost of theprogram is $400.Yoga of the Heart ® for optimal health and wellbeingYoga of the Heart ® is an easy, gentle meditative yoga that is designed to promoteoptimal health and wellbeing, tranquility and stress reduction. The programis designed for cardiac patients and uses mats, chairs and pillowsupports. The class is led by Esther Burchinal, MS, CES, RCEP, Yoga of theHeart ® certified instructor. The cost is $150 for a ten-week session. The nextsession begins on Monday, September 17, from 11:15 am to 12:30 pm.Upcoming sessions will be held in January and April.Both classes will be held in the cardiac rehab and prevention department,located on the ground floor of the White House at Emerson. For more information,please call 978-287-3732.Cancer programsBe Strong cancer exercise programThis exercise program of low to moderate intensity can reduce cancer-relatedfatigue and improve quality of life. It is staffed by physical therapists with abackground in lymphedema and cancer-related problems. The eight-week programhas a rolling admission; join at any time. Classes are held on Tuesdayand Thursday from 12:00 noon-1:00 pm at the Center for Sports Rehabilitationand Specialty Services in Concord. The cost is $120. Please check with yourphysician to be sure you are able to participate.To register, please call 978-287-8200.Acupressure: self-help during cancer treatmentAcupressure techniques can reduce the side effects – nausea, pain, fatigueand memory loss – that can occur as a result of treatment. This 90-minutesession includes identifying relevant acupressure points and practicing simpletechniques. The free class will be presented by Loocie Brown, licensedacupuncturist and director of the Center for Acupuncture in Lexington, onSunday, September 9, from 6:00-7:30 pm and on Thursday, October 4,from 3:00-4:00 pm. It will be held at Emerson Hospital in the DonaldsonConference Room, located in the John Cuming Building, first floor.To register, please call 978-287-3349.Restorative yoga for patients and caregiversRestorative yoga involves yoga postures, supported by bolsters and blankets,that release muscular tension, lower blood pressure and heart rate, reduceanxiety and depression, stimulate restful sleep and lower stress. The free,eight-week session, presented by James Gotz, certified yoga teacher, beginson Monday, September 10. Classes are from 10:00 to 11:00 am at theEmerson Integrative Health and Wellness Center, 310 Baker Avenue Ext.Please bring a yoga mat.To register, please call 978-287-3349.15

“My primary care physician, Dr. Scott Paparello, reminded me a few timesthat I was overdue for a colonoscopy. Being a busy physician, I alwaysfound an excuse to put it off. At 60 years old, I’m an active person, I feelgreat, and I had no symptoms.“In my own mind, I had overblown the difficulty of having a colonoscopy,but it turned out to be a piece of cake. The sedatives we use these days areterrific. But when I woke up afterwards, Dr. Raj Devarajan, my gastroenterologist,gave me the bad news: he found a mass in my large intestine. Hesaid this kind of mass turns out to be cancer in the vast majority of cases.I would need to have surgery.“It was devastating. I couldn’t believe it was happening to me; I didn’t feellike a cancer patient. I felt really well.“Over the next couple of days, my attitude changed from disbelief to ‘let’sget this thing done.’ I briefly considered having surgery elsewhere because,in the past, I worked at Brigham and Women’s and Mount Auburn, and Iknow good general surgeons in both places.“However, I wanted to have the procedure done at Emerson. All the generalsurgeons here are excellent, and I have enormous respect for them. I selectedDr. Atif Khan because he has specific interest in minimally invasivelaparoscopic surgery. I’ve worked with Dr. Khan in the operating room soI’ve seen the quality of his work.“On the day of my surgery, I arrived at the pre-op area to find a little partywaiting to greet me. Mallory Harrison from the Pediatric Intervention Team– with whom I work regularly – had decked out my room with a sign thatsaid ‘Welcome, James.’ She knows I’m a Star Wars geek, so she had a StarWars poster on the wall and Star Wars toys to distract me, as we do withour pediatric patients. It was quite heart-warming.‘‘could tell, the lesion looked fairly well-contained, which was promising.In myOWNvoiceJames Street, PhD, MDColonoscopy ScreeningThe idea behind a screening test is that you’re probably healthy,but if that isn’t the case, better to find out early. Like many people,James Street, PhD, MD, chief of anesthesia at Emerson Hospital,didn’t have a baseline colonoscopy when he turned 50. But withencouragement from his primary care physician and his girlfriend,Dr. Street recently had the screening test, which checks the largeintestine for abnormalities, including colorectal cancer. He receiveda wake-up call; now, he is encouraging others to schedule acolonoscopy.James Street, PhD, MD, recently found out what it is like to be a patient atEmerson.‘‘“As chief of the department, I was able to select my anesthesia team. Icould have picked anybody, because they are all very good, but I requestedDr. Gregory Gardner and Michael Altieri, a nurse-anesthetist. I remembernothing until I woke up in the recovery room. Dr. Khan said, as far as he“From there, I went to North 6, where I stayed for three days. The nursingcare was fantastic, and everyone was great. It was interesting for me toobserve the teamwork at Emerson – how everyone plays their own uniquerole while working together to provide outstanding patient care.“I benefited from having integrative medicine. Acupuncturists Judy andKerry Weinstein, who have worked in our department for several years,came each day to give me a treatment. I also experienced the hospital’swonderful volunteers; I received a reiki treatment from a volunteer.“Fortunately, the pathology report on the specimen showed no invasion intoother areas, which meant no need for chemotherapy, but I’ll need periodicfollow-up. My story has served as a wake-up call – for me and other people.I know probably a half-dozen people who had colonoscopies after hearingabout my experience.“Several of my physician colleagues have asked me what it was like being apatient at Emerson. I think I received the best care possible. And I receivedtremendous support and a great outpouring of affection.“Finally, the experience has given me a much deeper insight and betterappreciation for what patients go through. I definitely think it has made mea better physician.”16

Home care:the choice is yoursConcord resident sees the benefits of Emerson Hospital Home CareHow to select ahome care providerIf you know you will requirehome care after an upcomingsurgery or procedure, you mightwish to plan ahead. Here aresuggestions:• Ask your physician and speakwith family and friends to hearabout their experiences withhome care providers.• Visit www.Medicare.gov/HomeHealthCompare/search.aspx, which compares providersin your area based onpatient outcomes and patientsatisfaction.• Consider interviewing providersto determine if theywill meet your needs underyour health plan’s home carebenefit.• Consider selecting a homecare provider that is affiliatedwith your hospital, which willsupport continuity of care,sharing of information anda successful transition fromhospital to home.• Consider selecting a localagency whose staff knowsyour community well.For more information on EmersonHospital Home Care, please call978-287-8300.18As their hospital stay winds down, most people focuson making a smooth transition to life at home. Whenthat will include regular visits from a home care provider,there are a few things to consider, says BrianHailey, MSPT, director of Emerson Hospital HomeCare. “Many people don’t realize that they are entitledto choose their home care provider. If you are apatient at Emerson, it makes sense to select EmersonHospital Home Care. That way, you remain under oneumbrella of care.”One of the most important items under that umbrellais your medical record. “With access to a patient’srelevant information, including their health history,our home care staff can provide good continuity ofcare,” Mr. Hailey explains. “For example, we cancheck on someone’s medications and recent test results.This leads to high-quality care.”That is what Marianne Zasa required after being diagnosedwith a staph infection that originated in hershoulder. It is unclear how she developed the infection.Ms. Zasa is vulnerable to infections because herimmune system is suppressed by medications shetakes for rheumatoid arthritis.Paul Re, MD, an orthopedic surgeon at Emerson, performedsurgery to clean out the infection in May,which was followed by three weeks of intravenous antibiotictherapy. “I had a pump that delivered antibioticsaround the clock,” says Ms. Zasa, a psychotherapistwho lives in Concord. “The nurse from Emersonhome care hooked up the antibiotic to the pump everyother day.” She had 24-hour access to help if thepump malfunctioned.Ms. Zasa also needed to have a nurse regularly checkher surgical incision and change the dressing. “A numberof different nurses came to the house,” she says.“They were all great – not just really professional, butthey conveyed a sense of calm and reassurance. Theirvisits were an important part of the day for me.”A few weeks after her surgery, Ms. Zasa developedsymptoms indicating that the infection was reappearing,so she made an appointment with Dr. Re, whowas concerned. “It was the Friday before MemorialDay weekend,” she recalls. “Dr. Re warned me that, ifthe situation got worse, I should get to the EmergencyDepartment.”Several different nurses from Emerson Hospital Home Carevisited Marianne Zasa at her Concord home this spring. “Theywere all great,” she says. “Their visits were an important partof the day for me.”The nurse from Emerson home care was made awareof the situation and came on Saturday, Sunday andMonday to keep a close watch on Ms. Zasa. “I reallyappreciated that,” she says. Ultimately, Dr. Re andScott Paparello, MD, Emerson’s chief of infectious disease,decided that a second surgery was needed.After that, Ms. Zasa was home again for three moreweeks of IV antibiotics. “This time, the nursing stafftaught me how to change the pump and how tochange my own dressings,” she says. She was back towork and healing nicely by mid-June, when she sent anote to Emerson Hospital Home Care, thanking thestaff for the outstanding care she received.Such notes are not out of the ordinary, says Mr.Hailey. “Our patient satisfaction ranking is very high,and our re-hospitalization rate is below the state andnational averages. That means our nursing, rehabilitationand other staff are vigilant. They watch for problemsand exhibit good clinical judgment on behalf ofour patients.”He adds that Emerson Hospital Home Care now seespatients in 28 towns. “We’ve grown quite a bit in 52years,” he says. “You don’t have to be an Emerson patientto choose Emerson home care; we work with allthe major teaching hospitals. You just have to wanthigh-quality home care from people who are in yourcommunity.”

emerson hospitalSupport Groups & Special Servicessupport groupsAlcohol and Substance Abuse Support978-287-3520Breast Cancer Support Group– Virginia Thurston, Healing Garden978-456-3532Cancer Caregivers Support Group978-287-3349Diabetes Support978-287-3054Melanoma Support800-557-6352New Mothers Group978-287-3176Oral, Head and Neck Cancer Support978-287-3349Parkinson’s Support978-369-0419Sleep Disorders Support978-287-3735Surgical Weight Loss Support978-287-3532Widowed Outreach Support800-696-6424special servicesAlzheimer’s Information800-272-3900Body Composition Analysis978-287-3782CPR978-287-3050Cardiac Rehabilitation978-287-3732Chronic Lung Disease Program978-287-8300Gambling Problems978-287-3520Heart Failure Program978-287-8300Home Health Service978-287-8300Hospice of the North Shore & Greater Boston888-283-1722Lifeline800-543-3546Look Good…Feel Better978-287-3462Nutritional Counseling978-287-3782Pastoral Care978-287-3015Pediatric Bereavement Workshop978-287-3422Pediatric Pre-Admission Program978-287-3420Pelvic Health/Bladder Control978-287-8200Physician Referral877-9-EMERSON or 877-936-3776Pulmonary – Better Breathers Club978-287-3715REACH (hotline for domestic violence)800-899-4000SHINE Program781-272-7177Speech and Language Screening for Preschoolers978-287-8200Sports Rehabilitation978-287-8200Volunteer Program978-287-3200Wound Care Center978-287-8550News from EmersonEmerson’s “Main Street” is being transformedThose who enter Emerson’s main lobby can seethe difference: the reception desk, waiting areaand entrance to the gift shop all have been completelyredesigned. Those upgrades are part ofa larger project to transform Emerson’s centralhallway, from the main entrance to the radiologyreception desk. Other work includes painting, adding new ceilings andlight fixtures and replacing carpeting. Thanks to significant donations fromthe DiGiovanni Family and the Emerson Hospital Auxiliary and Gift Shop, thehospital’s most public area will match the technological sophistication andtop-notch care provided every day.Image Gently campaign is underway at EmersonThis spring, Emerson Hospital joined the“Image Gently” campaign, an initiative byThe Alliance for Radiation Safety in PediatricImaging that endorses always using a childsizedradiation dose, regardless of the imagingtest. Cumulative radiation dose has become an area of increasing concern– especially in children, who are more sensitive to radiation than adults. Thecampaign’s main focus is awareness; radiologists and radiology technologistsare encouraged to take a pledge to follow recommended protocols forimaging children, communicate openly with parents about the safety effortand emphasize the campaign to colleagues. More than 70 Emerson radiologydepartment staff, including clinical and non-clinical staff, have taken thepledge to image gently.Frenulotomy clinic provides easy treatment for infantsWhen an infant has trouble feeding, the frenulum– the membrane that attaches the tongue tothe floor of the mouth – may be too short. Thiscommon problem, also known as tongue-tie, iseasily treated with a simple clipping procedurethat causes little or no bleeding or pain. Theprocedure, known as a frenulotomy, is performed by either Anne Light, MD,or Flora Pirquet, MD, Emerson pediatric hospitalists. Afterward, infants typicallybegin feeding normally right away. If not corrected, the condition mayresult in speech problems later. Emerson’s frenulotomy clinic is held onWednesdays between 1:00 and 4:00 pm in the Endoscopy Center, locatedon the hospital’s third floor. To schedule an appointment, pediatricians orparents should call the patient registration line at 978-287-3062. A physicianreferral is not required, but parents should check with their health plan toconfirm that frenulotomy is a covered benefit.19

133 ORNAC, Concord, MA 01742978-369-1400www.emersonhospital.orgEmerson Hospital is an acute care medical centerlocatedHealthWorks,in Concordpublishedwith healthby EmersoncentersHospital,in Bedford,ismailedGroton,toSudburyresidentsandinWestford.the hospital’sIt isservicewell knownareaforandits medicalis distributedand surgicalto the employeesspecialists,andoutstandingphysicians’nursingcareoffices affiliatedand patient-centeredwith Emersonservices,Hospital.including theClough Birthing Center, the Mass General CancerIf you would prefer not to receive such mailings in theCenter at Emerson Hospital-Bethke, the Polo EmergencyCenter and the Clough Surgical Center.future, please let us know by calling 978-287-3458 orsend an email to pr@emersonhosp.org.www.emersonhospital.orgEmerson Hospital President and CEOHealthWorks,Christine C. Schusterpublished by Emerson Hospital, isHealthWorks mailed to residents Magazine the hospital’s editorial staff service areaChristine and distributed Gallery, Bonnie to the employees Goldsmithand physicians’ officesaffiliated with Emerson Hospital.WritersIf you would prefer not to receive such mailings in theLaura Duffy, Ralph Fullerfuture, please let us know by calling 978-287-3458 orPhotographysend an email to pr@emersonhosp.org.Tony RinaldoEmerson Hospital President and CEOChristine Design and C. Schuster PrintingFassino/Design and Signature Printing & ConsultingHealthWorks Magazine editorial staffChristine The information Gallery, included Bonnie here Goldsmith is intended to educatereaders about health issues, but it is not a substitute forWriters consultation with a personal physician.LauraThe missionDuffy,ofRalphEmersonFullerHospital is to deliverPhotographyhigh-quality care to our community that is safe,Tony compassionate, Rinaldo accessible, appropriate, efficientand coordinated.Design and PrintingFassino/Design and Signature Printing & ConsultingJoin our online community atThe information included here is intended to educatereaders about health issues, but it is not a substitute forconsultation with a personal physician.and www.emersonhospital.orgThe mission of Emerson Hospital is to deliverhigh-quality care to our community that is safe,compassionate, accessible, appropriate, efficientand coordinated.Join us for three free evenings of fun and information about health topics that matter to you.Bring a friend and enjoy appetizers and cocktails while you relax and listen to our medical experts.Space is limited, and preregistration is required. All sessions are held at Nashawtuc Country Club,1861 Sudbury Road, Concord. Please call 877-936-3776 to reserve your spot.Diabetes management: the journey for controlThursday, September 20, 7:00 – 9:00 pmGet advice and counsel from the physician, nurse and patient perspectiveto help you better understand and manage diabetes and livewell. Our team will arm you with information, encouragement andmotivation. Enjoy a cooking demo from our chef.Breast cancer: this Girls’ Night Out could save your lifeWednesday, October 17, 7:00–9:00 pmAm I at risk for developing breast cancer? How can I take chargeof my breast health? What’s new in detection and treatment? Let’stalk about the things you need to know in a sensitive and supportiveenvironment. Makeup tips will also be on the menu.Preventing and managing colon cancerWednesday, November 7, 7:00-9:00 pmBecause of early detection and treatment, more than a million Americanshave survived colon or rectal cancer. Whether you’re worriedabout developing colorectal cancer, making decisions about yourtreatment or trying to stay well after treatment, our experts are herefor you. Sara Campbell will present a festive fashion show.Aldona Finkle, MDEndocrinologistCheryl Laundry, RNCertified Diabetes EducatorSusan Sajer, MDHematologist-OncologistRobin Schoenthaler, MDRadiation OncologistMaureen Daye, MDGastroenterologistAtif Khan, MDGeneral SurgeonFPOFront cover: Before Kalila Zullo left for college, her endocrinologist at Emerson reviewed all aspects ofmanaging her type 1 diabetes.