keeping kids healthy - Overlook View Magazine

Transcription

keeping kids healthy - Overlook View Magazine
Health & Lifestyle Magazine
OVERLOOK
July/August 2012
KIDS FIRST
A Guide to
Pediatric Care
MEASURING UP
Is Your Child’s
Growth on Track?
WHEN SEIZURES
STRIKE
What to Know and
Where to Turn
KEEPING KIDS
HEALTHY
Goryeb Children’s Center
Leads the Way
2012
July May
10th,8th,
2012
7:007:00
PM PM
June
12th,
2012
August
14th,
2012
7:007:00
PMPM
July 10th,
2012
September
14th,
2012
7:00
PM
7:00 PM
August
14th,
2012
October
9th,
2012
7:00
PM
7:00 PM
Ovatures
OVERLOOK
View From the Top
Vo l u m e
10 ,
I s s u e
6
egg donation program
Overlook Medical Center Staff
John Rosellini
Director, Business Development
Janina Hecht
Manager, Public Relations
Joyce Passen
Manager, Community Health
Diane Fischl
Manager, Physician Relations
“What would you do if this were your child?” It’s a question pediatricians hear all
the time. And as a parent, it’s a question I have found myself asking too.
At Overlook, we treat every child as “our” child. Children like Shane Cole II, who
appears in this month’s issue. In June 2008, Shane made an unexpected entrance
into the world when he was born two months early. He was cared for in our NICU
for five weeks, until he was big enough and strong enough to go home. Today
he returns to Overlook once a year for our annual NICU reunion—a tradition his
grateful parents say they plan to continue for years to come.
Our Overlook View feature on Shane begins on page 26, but his life’s story is
representative of the thousands of children we consider our own. Goryeb Children’s
Center at Overlook Medical Center and Goryeb Children’s Hospital at Morristown
Medical Center are leading providers of pediatric healthcare services in the area.
Across the two campuses, we have more than 100 Board-certified pediatric
specialists in more than 20 concentrated areas of pediatric medical and surgical
care. We also partner with more than 250 community pediatricians in the towns
we serve.
In this issue of Overlook View, we feature some of the pediatric specialties in which
our doctors shine (cardiology, neurology, pulmonology, and adolescent medicine, to
name just a few), and, in doing so, shine light on the kids in our care. When health
concerns arise, at birth or in the years that follow, we are uniquely prepared to meet
your child’s needs and manage his or her care. As a parent, your greatest hopes
and dreams for your children include a lifetime of happiness and health. Always
remember that we’re parents, too, and our wishes for all of our children—the ones
we care for in our homes, and those entrusted to us at Overlook—match your own.
Sincerely,
Alan Lieber
President
Gina Carro
Manager, Physician Relations, Oncology
Elizabeth Newell
Manager, Physician Relations,
Cardiovascular Services
Thomas Quigley
Physician Relations & Business Development
K.M.
-Donor
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The information contained within this magazine
and Website is not intended as a substitute for
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4 | J U LY/AUG UST 2012
“I just felt it
t
was the righ
thing to do.”
Help another woman today.
It takes a special person to become an egg donor and requires
a commitment of time, energy, and compassion. While you’ll be
compensated for your time helping another woman become
a mother is the best compensation.
“There was
absolutely
never any
pressure”
M.S.
-Donor
“Everyon
e
deserves
the chan
ce
to becom
e
a parent
.”
J.F.
-Donor
Ovatures is actively seeking young, healthy females between the ages
of 21 and 31 who have a desire to help others begin a family.
Images and photographs used
are representations of actual patients.
If you, or someone you know, is interested in Ovatures
please contact us at (973) 871-1250 or
www.ovatures-eggdonation.com
Eatontown | Englewood | Morristown | Somerset | Summit | West Orange | Basking Ridge-Opening Fall 2012
“WHEN
I
WAS
DIAGNOSED
OV ERLOOK
July/August 2012
c on ten t s
WITH PANCREATIC CANCER, I
features
FIGURED IT WAS ALL OVER. BUT
AFTER MONTHS OF TREATMENT,
10Measuring Up
Is your child’s growth on track?
12A Sudden Surge
Understanding seizures.
16Don’t Miss a Beat
Heart-related symptoms often go undiagnosed in
children, but the actual causes and culprits are
surprisingly common.
20Tummy Time
THE HOSPITAL GAVE ME THE
BEST
GIFT
OF
ALL:
LIFE.”
- Theresa Petruzzi
Manchester, New Jersey
NO SURPRISE, IT’S OVERLOOK.
Theresa Petruzzi knew the story. She had a 2% chance of surviving pancreatic cancer. But she wasn’t
going down without a fight. Instead of choosing to have it treated at a well known cancer center, she chose
Overlook Medical Center. No surprise. Aside from offering unique treatment and compassionate care,
the highly skilled medical team at Overlook offered her the best long term outlook. Theresa was quickly
scheduled for a Whipple procedure, a complex surgery involving multiple organs and the reconstruction
of the digestive tract. When that went well, what followed were months of chemotherapy and radiation.
And six years later, Theresa is still here to talk about it.
When is a stomachache more than a stomachache?
When allergic GI disease is to blame.
26Celebrating Shane
www.NoSurpriseItsOverlook.org
At the Goryeb Children’s Center at Overlook Medical Center,
kids come first with an entire team of pediatric subspecialists
dedicated to preserving and protecting children’s health.
(Cover photography by Patricia Doles of patricia doles
photography: www.patdoles.com)
This summer, Shane Cole II blew out four candles
on his birthday cake—and his parents say they have
Overlook to thank for it.
28Baby’s Breath
For babies and children whose survival depends on
mechanical assistance, advancing technologies and
coordination of care are essential.
38Hanging in the Balance
Children and adolescents with eating disorders find
the tools to heal their physical and emotional wellbeing with a one-of-a-kind program at Overlook.
42Pediatric Directory
A guide to the pediatric subspecialists at Overlook’s
Goryeb Children’s Center.
50Beneath the Surface
For more surprising Overlook stories, visit
ON THE COVER
Minimally invasive treatments for varicose veins.
COLUMNS
34Community Health Calendar
46 Kaleidoscope
48OV-360º
51Culinary Corner
54Foundation Happenings
Overlookview.com | 7
Scan this tag to learn more about the
all new 2012 Mercedes-Benz CLS.
Don’t have Tag? Visit http://gettag.mobi to download it today.
Measuring Up
Is your child’s growth right on track …
or has he or she fallen off the charts?
“How long is she?” “How much does he weigh?” These are
among the first excited questions parents are asked when they
announce the birth of their newborn, and from the time a child
is born, growth becomes a focal point of each appointment with
the pediatrician. Heights and weights are plotted along curves
on a page, percentiles are noted, and measurements are carefully
monitored. Usually, a child will follow along his or her own
path, making steady gains from one checkup to the next. But it’s
not uncommon for a child to suddenly “fall” from the charts,
and when that happens, doctors need to figure out why.
“A growth chart tells a story,” says pediatric endocrinologist
Barbara Cerame, MD. “The combination of what’s happening
with weight and height can offer clues to what’s happening in
a child’s body. All pediatricians do growth monitoring during
a physical exam, and plot the child’s measurements on a
growth curve. If a child follows along at a certain percentage
and continues to track on that percentile, that’s normal growth
velocity. If a child falls off that curve, that is a concern—and
if a child drops two standard deviations in a year, that requires
further investigation. Once we’ve established that—based on
previous measurements—there has been some decline in growth,
we begin to look into other things.”
Evaluating short stature can lead to many different diagnoses,
and Cerame explains that she often collaborates with her fellow
subspecialist colleagues at Goryeb Children’s Center in order
to find the root cause of a child’s growth deficiency. A young
child who shows weight loss way ahead of a loss in height,
for example, may be suffering from an undiagnosed systemic
problem or chronic illness, like Crohn’s disease, celiac disease,
or cystic fibrosis. In other children, there may be a genetic
condition; in girls with Turner syndrome, for example, cells are
missing all or part of an X chromosome, and the first sign of this
disorder may reveal itself on a grown chart.
10 | J U LY/AUG UST 2012
A growth chart tells a story.
The combination of what’s
happening with weight and height
can offer clues to what’s
happening in a child’s body.
If the child responds appropriately to the stimulation test and
fits the criteria for GHD, he or she may be a candidate for
growth hormone injections, administered daily by the child’s
parents. Though this is a laborious undertaking, the benefits of
growth hormone extend beyond additional inches in height, says
Cerame. There are metabolic benefits as well, including normal
bone density and lipid profile. And of course there are social
norms and societal expectations too. “The world is built for
people of a certain height,” says Cerame. “If you’re four-footfive, you can’t reach the cupboard or see over the dashboard to
drive. These are all things to consider.”
Children who receive growth hormone are monitored closely—
checks of height, weight, and hormone levels every three
months—and dosing is adjusted accordingly. Injections of
growth hormone usually continue through puberty, after which
time the skeletal system’s growth plates close and there is little
to no additional growth.
“Growth seems so benign, but it’s a really complicated subject
and encompasses a lot of things,” says Cerame. “The earlier we
diagnose a problem or the earlier we treat GHD, the better the
outcome. For children who are not referred to us until puberty
or past puberty, there is very little we can do. But for children
who are diagnosed at a young age and treated and monitored
appropriately, we really can make a difference.”
For a referral to the Division of Pediatric Endocrinology at Goryeb
Children’s Center at Overlook Medical Center, call (908) 522-6619.
Once all causes unrelated to the endocrine system are ruled
out, Cerame explains, doctors begin to consider growth
hormone deficiency (GHD), a medical condition caused by
problems arising in the pituitary gland, in which the body
does not produce enough growth hormone. To test for GHD,
doctors perform a growth-hormone stimulation test—a blood
test that measures the ability of the pituitary gland to release
growth hormone over several hours, after a child has received
medication that triggers a release of growth hormone.
Overlookview.com | 11
a sudden surge
When is a seizure a symptom of epilepsy—
and when is it indicative of something else?
Flash!
In an instant, lightning slices through the
sky, splintering and spidering out in bright bolts of
white light and color. It’s electrifying—and at the same
time, terrifying.
Now imagine those same flashes in the brain, and
you get some idea of what a seizure looks like as it
unfolds. Lorraine Lazar, MD, PhD, a child neurologist
and pediatric epileptologist, explains that seizures are
actually electrical events in the brain—disruptions of
electrical communication between neurons, which leads
to the temporary release of excessive energy. “The
things commonly associated with seizures—the things
you see in front of you, like uncontrolled movements—
are expressions of a seizure, but the seizure activity all
takes place in the brain.”
Seizures are not at all uncommon. It is estimated that
ten percent of the world’s population will experience
a seizure, Lazar reports, and seizures occur more
prevalently among children. Any child suspected
of having a seizure should be evaluated, and at the
Pediatric Epilepsy Program at Overlook’s Goryeb
Children’s Center, epileptologists catering exclusively
to children work to diagnose seizure activity and
manage care. “Any child suspected of having a seizure
is seen in our program within days,” says pediatric
neurologist and epileptologist Rajeshwari Mahalingam,
MD, “and everything from top to bottom is geared
to children. Our doctors, nurses, and technicians are
specially trained in the care of children, and we receive
additional support from child life specialists. We even
have a playroom.”
12 | J U LY/AUG UST 2012
Many conditions other than
epilepsy can cause seizures or
seizure-like activity…. Epilepsy is
a life-changing diagnosis, and we
have to make sure it is diagnosed
and treated accurately.
Making the right diagnosis
Many conditions other than epilepsy can cause seizures or
seizure-like activity. Some children experience febrile seizures,
brought on by illness and fever. Children with poorly controlled
chronic conditions (like diabetes) and conditions ranging from
cerebral palsy to autism also may be more inclined to have
seizures. (Lazar notes that a recently accepted standard of care
calls for many children with autism—particularly those with a
history of losing language skills—to be evaluated for seizure
activity.) Certain tic disorders and even ADHD can present with
seizure-like activity, and some migraine sufferers experience
temporary symptoms frequently associated with seizures; none
of these conditions, however, result in the actual electrical events
indicative of a seizure.
With so many possible causes of seizures and seizure-like
activity, when a child is brought to the Epilepsy Program for
evaluation, “our first job is to distinguish whether a child actually
had a seizure, and whether a seizure is epileptic or the result of
something else,” says Mahalingam. “Epilepsy is a life-changing
diagnosis, and we have to make sure it is diagnosed and treated
accurately.”
Diagnosis begins with a thorough exam and careful history, and
usually includes an EEG to monitor brainwave activity. One
hallmark of Overlook’s Pediatric Epilepsy Program is video EEG
monitoring, which consists of the simultaneous recording of both
the EEG activity and the child’s outward physical behavior over
the course of 24 to 48 hours. MRI, CT, and PET scans also are
available. “We have the most state-of-the-art tools for diagnosis,
as well as top professionals skilled in making these diagnoses,”
says Mahalingam.
Advanced treatment protocols
If a child is diagnosed with epilepsy, doctors then classify the
types of seizures the child is having, and identify where in the
brain they are occurring. This information helps to formulate a
treatment plan. For most children, treatment comes in the form of
daily anti-seizure medication dosed specifically for each child.
Other treatment options exist as well, and these often are tried
in conjunction with medication or in place of medication when
a child does not respond to pharmaceutical treatment. In some
cases, a neurosurgeon can remove the part of the brain that
causes the seizure. “The brain is a paired organ, meaning it has
two sides and those sides are a bit redundant in their functions,”
says Lazar. “If there is a structural abnormality or a lesion, such
as a tumor, causing the seizure, we can remove that area without
much consequence—it’s like removing one kidney but leaving
the other.” Other children may be candidates for a vagus nerve
stimulator, a pacemaker-like device that sends pulses of electrical
energy to the brain via the vagus nerve in the neck; this helps to
decrease the frequency of seizures, as well as the intensity and
duration.
Most recently, the program introduced a ketogenic diet plan.
This high-fat, low-carbohydrate diet has been shown to help
control seizures in some people with epilepsy. “Most children are
candidates for this diet, as long as they don’t have any metabolic
problems,” says Mahalingam. Children on the ketogenic diet
continue to be followed by an epileptologist, as well as a
nutritionist and pharmacist. “Everything—food, liquids, and
medication—has to be measured carefully and prepared according
to very specific guidelines. It’s laborious, but a lot of children
have had very good results while following the diet.”
All patients in the Pediatric Epilepsy Program, regardless of
treatment plan, are continuously monitored for changes in
condition, side effects, learning deficits, and quality-of-life issues.
And for a number of children, epilepsy is not a lifelong concern;
some outgrow the condition. “Epilepsy can be frustrating and
challenging for patients and their families, but it is manageable,”
says Mahalingam. “Our goal is to help them manage it effectively,
and give children the best quality of life.”
For a referral to the Division of Pediatric Neurology at Goryeb
Children’s Center at Overlook Medical Center, call (908) 522-0127.
Overlookview.com | 13
Take acTion To
PrevenT cardiovascular disease
“ If it weren’t for
the expert care I
received from the
cardiologists at
AICD, I wouldn’t
be here today
playing with my
grandchildren.”
Does Your
Treatment Plan
Include
Rehabilitation?
— Jack Behr
Clark, New Jersey
Sub-Acute Rehabilitation
Associates in Cardiovascular Disease is pleased to announce a partnership with
Atlantic Health System, which enhances the coordination of care we provide to our patients.
High blood pressure? High cholesterol?
Heart disease in your family? Diabetes?
These risk factors can lead to cardiovascular disease. Protect your heart health by turning to Associates in Cardiovascular
Disease (AICD). Our physicians are experts in diagnosing, treating and preventing a wide range of cardiovascular
conditions.
Our Experienced Staff
Barry M. Cohen, MD, FACC
John P. Farry, MD, FACC
Robert D. Fishberg, MD, FACC
Steven K. Furer, MD, FACC
Sidney Glasofer, MD, FACC
Robert M. Kipperman, MD, FACC
Michael S. Lux, MD, FACC
Robert J. Mich, MD
David E. Powell, MD, FACC
Sanjiv Prasad, MD, FACC
Contact us to learn more about how our cardiologists can help you take
better care of your heart:
Springfield Office 211 Mountain Avenue, Springfield, NJ 07081
Phone: 973-467-0005
New Providence Office 29 South Street, New Providence, NJ 07974
Phone: 908-464-4200
For your convenience, we also have offices in Clark, Millburn and Warren, NJ.
Visit us online at aicdheart.com
Roberto R. Roberti, MD, FACC
Steven J. Sheris, MD, FACC
Elliott M. Stein, MD, FACC
Vance J. Weber, MD, FACC
Michael L. Weinrauch, MD, FACC
Daughters of Israel offers a relaxing, safe
environment with trained medical professionals.
Our private rehabilitation campus features:
• A Spacious, State-of-the-Art Gym, featuring Nautilus Next Generation Equipment
• Recovery Suites and Lounge with Luxury Amenities
• Fine Kosher Cuisine
• 24/7 On-Site Registered Nurses
• Comprehensive Range of Physical, Occupational and Speech Therapies
• Audiology Services
• Expert On-Site Medical Care including a Board-Certified Physiatrist,
Board-Certified Geriatricians and Nurse Practitioners
For more information or to schedule a private tour
call 973-400-3307 or visit www.DaughtersofIsrael.org
Daughters of Israel is a non-sectarian community.
The Spirit of Community.
The Traditions of Home.
Don’t Miss a Beat
Too many children have heart-related
symptoms that remain undiagnosed—
and frequently, untreated.
16 | J U LY/AUG UST 2012
Overlookview.com | 17
“ Among children
with seemingly
healthy hearts, the
cardiovascular
system can be
intimately involved
in fainting, seizure-like
activity, chest pain,
and diminished
endurance. ”
One after another, Donna Timchak, MD, recounts tales of
children she has treated over the years. There is the story
of the six-year-old boy who had seizure-like movements
in the exam room: “His eyes rolled back, he was limp, his
pulse slowed, and blood pressure was very low. I laid him
down and told his mother to hold his feet in the air,” she
recalls. Gradually, the boy recovered. Another patient missed
his sophomore year of high school. “He couldn’t stand up
without nearly fainting,” says Timchak. “His family had taken
him to several centers, from Johns Hopkins to the Mayo
Clinic to University of Michigan at Ann Arbor, and he was
on 20 different prescription medications, but no one was
overseeing his care.”
Timchak is a Board-certified pediatric cardiologist in the
Division of Pediatric Cardiology of the Goryeb Children’s
Center at Overlook Medical Center and Goryeb Children’s
Hospital at Morristown Medical Center, along with Drs.
Christine Donnelly, Stuart Kaufman, Suzanne Mone, and
Lauren Rosenthal. Each sees patients every week with the
above issues.
The symptoms described here may relate to the interaction
of the autonomic nervous system with the cardiovascular
system. Among children with seemingly healthy hearts, the
cardiovascular system can be intimately involved in fainting,
seizure-like activity, chest pain, and diminished endurance.
Orthostatic Intolerance can occur as Neurally Mediated
Syncope (fainting) or as Postural Orthostatic Tachycardia
Syndrome (fast heart rate on upright positioning).
18 | J U LY/AUG UST 2012
Fortunately, the actual cause of many of these symptoms is often
quite simple: relative volume depletion. “People don’t understand
how much fluid our bodies need,” Timchak states, “and when
we talk to our patients and families, we often find out that many
have very poor fluid and salt intake. This is especially common
in teens. They’re running out of the house unsupervised in the
morning, possibly grabbing a protein bar, but having nothing to
drink. They are busy in school all day and then out playing soccer
or field hockey until 8:00 pm, with little attention to maintenance
fluids. This can lead to a pattern of inadequate intravascular
volume repletion, which the neurologic system may not be able
to overcome by simply stimulating increased lower body tone and
by increasing heart rate.”
Adequate hydration is crucial, and the right types of fluids are
essential. Avoid caffeine, since it is a diuretic. Make sure at
least some of the fluid intake contains sodium and calcium.
Water is great to flush the kidneys, but our bodies need salts in
the circulatory system to help keep fluids in the body longer.
“When a child is exercising eight hours per week, they sweat
out their sodium, and need repletion. A thoughtful approach to a
restricted-salt diet for our youth is necessary,” says Dr. Timchak.
“Sometimes children who are exercising a lot need extra salt.”
Palpitations, dizziness, and episodic loss of hearing and/or of
vision on arising are also chief complaints. Children may not
even realize these symptoms are abnormal, until the questions
are broached. Symptoms can progress, however, to result in
prolonged school absences and, in the most severe cases, to
car accidents involving young drivers getting dizzy while
sitting, with life-altering consequences.
“When children present with these kinds of symptoms, we
don’t know if the child has Orthostatic Intolerance with
normal heart function, or if there is more serious cardiac
pathology, such as arrhythmia or cardiomyopathy,” says
Timchak. “We must also rule out thyroid disease, anorexia,
migraines, true seizure disorder, and other conditions.
As pediatric cardiologists, we coordinate our efforts with
adolescent medicine specialists and pediatric neurologists to
rule out other conditions.” This process of exclusion must be
thorough, including an extensive history of symptoms, past
medical history, and family history, as well as social history
including stressors and family interactions.
Physical examination is key. “In addition to our full cardiac
examination, we check blood pressure and heart rate after
laying flat for at least ten minutes,” says Timchak. “Keeping
the room quiet and focused, without discussion, the young
person then stands; after at least two minutes, these vitals are
taken again.”
Testing such as ECG, echocardiography, 24-hour heart-rate
monitoring, and urine analysis may be necessary. Rarely, tilttable testing and electrophysiology studies are needed.
At the severe end of the spectrum, a child cannot exercise
and must give up athletic activities. Only after appropriately
supervised fluid, salt, and medication therapy can a graduated
exercise plan start. In fact, good physical conditioning has been
shown to be important in avoiding recurrence of symptoms as
medications are eventually withdrawn.
Success invariably ensues when children or young adults can
tell their physician that they are ready to taper medications, as
they know they will be fine on their new program of adequate
fluid intake with appropriate salt intake for their level of activity.
“We work with them and with their parents,” says Timchak,
“empowering their decision-making and assuring them that only
rarely do symptoms recur.”
She acknowledges, however, that the fast pace of modern
times often affects how parents oversee their child’s day-today care—as a physician, she frequently finds herself having to
piece together subtle clues to arrive at the big picture. “We have
to be like CSI detectives,” says Timchak. “We spend so much
time talking to our patients and their parents and meticulously
trying to figure out what’s contributing to their problems. It’s
not glamorous, but it’s very important. These children are losing
precious time, not feeling their best, and it’s up to us to make sure
they don’t lose anymore.”
For a referral to the Division of Pediatric Cardiology, Children’s
Heart Center at Goryeb Children’s Center at Overlook Medical
Center, call (908) 522-6649.
Overlookview.com | 19
Tummy
Time
When is a stomachache more
than a stomachache? When
allergic GI disease is to blame. Bellyaches, stomachaches, tummy trouble … You’re
familiar with all of these terms, but what about
allergic GI disease? Could your child be suffering
from this and you don’t even know it?
Allergic GI disease, with symptoms that range
from mild food sensitivities to severe allergies, is a
widespread problem, striking as many as 8 percent
of babies by the time they reach their first birthday.
And research shows that the number of children
affected is on the rise, especially among those with
more serious cases. 20 | J U LY/AUG UST 2012
Overlookview.com | 21
Beyond bellyaches
Food allergies in overdrive
By definition, allergic GI disease is an immune reaction to a
certain food or ingredient that causes a range of unpleasant
symptoms, including irritability, gastrointestinal discomfort,
diarrhea, vomiting, bloody stools, mild eczema, and, in the
most severe cases, weight loss and malnutrition. Despite these
manifestations, allergic GI disease can be difficult to diagnose.
“Infants and very young children can’t really communicate
about what they’re experiencing, and the symptoms of allergic
GI disease are often easily written off as a number of other
issues,” says Owen Koslowe, MD, a pediatric gastroenterologist
at Goryeb Children’s Center at Overlook Medical Center. “So if
parents notice that their child is chronically ill after eating, they
should definitely share their concerns with their pediatrician.”
allergic GI disease are exploding in developed countries like
the United States,” says Koslowe. One theory is based on the
hygiene hypothesis, which suggests that parents and healthcare
professionals in developed nations may be going too far in
excluding certain foods during infancy—when the immune
system should be learning to tolerate some foreign proteins—
thereby causing the immune system to become over-reactive.
This theory is supported by research that shows that babies with
food allergies are also more likely to develop other autoimmune
conditions like asthma and eczema. “It’s possible that if we
introduce babies to new foods earlier, they may become better
desensitized to allergy triggers,” says Koslowe, “but more
research definitely needs to be done in this area.”
Over the last ten years, a condition similar to gastroesophageal
reflux disease (GERD) also has seen a rapid increase in new cases.
Eosinophilic esophagitis (EoE), or allergic esophagitis, is an allergic
inflammatory condition of the esophagus. EoE symptoms—vomiting,
difficult feedings, refusal to feed, and lack of weight gain in babies—
are often vague, leading many parents and physicians to overlook the
possibility of EoE and mistake the condition for GERD, colic, or even
behavioral issues. EoE is also frequently dismissed by parents with
such explanations as “My son just eats too fast,” or “My daughter just
doesn’t chew carefully.” Often, it is only once more serious symptoms
appear—symptoms as severe as difficulty swallowing (dysphagia) and
food impaction (food becoming lodged in the esophagus)—that doctors
finally make a diagnosis of EoE.
In infancy, the biggest allergy triggers tend to be cow’s milk
protein and soy. These usually can be easily avoided by
switching to a different formula, but as kids grow, allergies
to other foods like eggs, seafood, and nuts also can arise.
“This is why pediatricians advise parents to expand their
children’s diets slowly—one new food at a time—so if problems
arise, the culprit is clear,” explains Koslowe. In other words, a
diet that becomes too varied, too quickly, can make the process
of determining exact allergy triggers more difficult and
time-consuming.
When it comes to managing allergic GI disease, Koslowe
confirms that avoiding triggers is the best strategy, but it’s
not always that simple. “Depending on the severity of the
symptoms, other treatments may be indicated,” he says. Allergy
specialists may try to desensitize the child’s body to certain
triggers in an attempt to mitigate more severe reactions; as the
child grows, these same desensitizing techniques can be used
to determine whether a child is still allergic to specific triggers.
“By the time a patient is nine or ten, many food allergies often
are outgrown, depending on the type of trigger and how serious
the reaction,” Koslowe explains. “But parents should always
consult with their pediatrician or allergist before re-introducing
trigger foods, rather than testing them on their own.”
To diagnose EoE, Koslowe explains, pediatric gastroenterologists
perform an upper-endoscopy biopsy to look at a child’s esophageal
lining and check for elevated levels of eosinophils, a certain type of
white blood cell found in people with both EoE and GERD; a trial of
an acid-blocking medication may be prescribed to help differentiate
those two conditions. Management of EoE in infants generally involves
avoiding known dietary triggers if they can be identified, or trialing
an amino-acid formula that virtually eliminates allergic potential from
the diet.
On top of being tricky to diagnose, the root cause of allergic GI
disease is equally mysterious. “We really don’t fully understand
what causes food allergies and sensitivities and why cases of
Treating EoE in older kids is a bit more challenging, however, since their
diets and nutritional needs are far more varied. “Giving a seven- or eightyear-old nothing but an elemental amino-acid formula is not realistic,”
Koslowe acknowledges. In these cases, if no specific allergic trigger
can be identified by the allergist, doctors often suggest the “six-food
elimination diet,” which cuts out the six most common food allergens:
milk, soy, eggs, wheat, peanuts and tree nuts, and seafood. Although
this can be a difficult diet for a child to stick to (especially for schoolage kids who are surrounded by temptation), the regimen can result
in a notable resolution of the disease. “It’s also highly recommended
that parents consult with a nutritionist before introducing the six-food
elimination diet, to ensure that the child still receives adequate nutrition,”
adds Koslowe.
In addition to elimination diets, there are medical therapies available
for older children. These include swallowed steroid therapies, which
minimize EoE symptoms by decreasing the number of allergic cells
involved in an immune reaction. Originally intended to address
inflammation of the lungs and airway caused by other allergic or
inflammatory diseases, these medications also have been found to be
effective in treating inflammation in the esophagus by swallowing them
rather than inhaling them.
22 | J U LY/AUG UST 2012
“If parents notice that their child is chronically
ill after eating, they should definitely share their
concerns with their pediatrician.”
The most important thing, whether a child is facing EoE or allergic GI
disease, is to make the diagnosis. Says Koslowe, “When we do that, we
can help kids and families cope.”
For a referral to the Division of Pediatric Gastroenterology and
Nutrition at Goryeb Children’s Center at Overlook Medical Center,
call (908) 522-8714.
Overlookview.com | 23
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Celebrating
Shane
This summer, Shane Cole II blew out four candles
atop his birthday cake and dreamed of life as
a pirate, a doctor, or an astronaut. His grateful
parents say they have Overlook to thank for it.
Mother-of-three Theresa Cole calls her youngest child, Shane
Cole II, her “miracle baby,” as she and her husband Shane didn’t
know what the future would hold for their baby.
“Little Shane,” as he’s referred to with great affection, was born
two months early, on June 18, 2008. That morning, Theresa,
who had been managing gestational diabetes throughout her
pregnancy, began to experience some significant bleeding. A call
to her obstetrician led to a call to 911. As an ambulance arrived
and transported her to Overlook, Shane stayed behind with the
couple’s kids, Tyler and Sierra, until Theresa’s mother could
arrive to care for them.
Once at the hospital, events unfolded quickly: Doctors
performed an ultrasound and, fearing that Theresa might
hemorrhage—which could put both her and her baby in great
danger—determined there was no time to waste. She was
whisked to an O.R. for a cesarean delivery, and by the time her
husband arrived at Overlook, their third child had been lifted
into the world. “I’ve never been more scared,” Theresa admits,
“but I also knew that my baby and I were in very good hands.”
At just 3 pounds, 8.3 ounces, Little Shane became part of
Overlook’s Level 3 Neonatal Intensive Care Unit (NICU), where
more critical babies receive the care they need. For weeks,
Theresa would shuttle back and forth between the NICU and
her Union home. She would spend her mornings with baby
Shane, reading, singing to him, and practicing the skin-to-skin
“kangaroo care” the doctors and nurses championed for fostering
bonds. She would return to the hospital in the afternoon with
Tyler and Sierra to spend lunchtime with Little Shane. In the
evening, Theresa would return again with her husband to read
and pray with him. “Family bonding time was encouraged by
the NICU staff,” says Theresa, “and it was important for all the
kids to have time together. From the moment he was born, Little
Shane was part of our family.”
Five weeks after their baby’s birth, the Cole family took Little
Shane home. Whatever uncertainty may have surrounded his
prematurity—the questions about development and abilities
that parents of preemies often face—have erased over time.
Little Shane met all of his milestones, crawling at 10 months
and walking at 16 months. At two, he was talking and taking
swimming lessons at the local YMCA. At three, he was playing
soccer, saying good-bye to diapers, and playing the drums. His
fourth birthday was celebrated with family at Chuck E. Cheese’s,
and Theresa reports that Little Shane’s giant imagination has
him dreaming of a day when he can be a pirate or an astronaut—
maybe even a doctor.
26 | J U LY/AUG UST 2012
Shane Cole II blowing out the candles on a
birthday pancake last year.
“We owe so much to the
doctors and nurses at
Overlook—saying ‘thank
you’ doesn’t begin to
express our gratitude.”
“Wouldn’t that be something wonderful?” Theresa asks, adding
that she and her husband thank God all the time because Little
Shane is so “affectionate, polite, thoughtful, intelligent, and
sweet. Any parent would be proud to have him for a son! We
owe so much to the doctors and nurses at Overlook—saying
‘thank you’ doesn’t begin to express our gratitude.” In fact, the
Coles take every opportunity to show how grateful they are. The
NICU staff was invited to Shane’s christening, and several of the
nurses who had cared for him so lovingly were happy to attend.
Theresa sends a holiday photo of the family every year so the
staff can keep up with Shane’s progress, and she stops in from
time to time to drop off treats for the NICU team. The family
also attends Overlook’s annual NICU reunion, for all of the
babies who have “graduated” from there. “We’ll always attend,”
says Theresa. “Even when Shane goes off to college, we’ll keep
coming back. Overlook means that much to us.”
Overlookview.com | 27
Baby’s Breath
For babies and children whose survival depends on
mechanical assistance, advancing technologies and
coordination of care are essential.
They’re known as technologydependent children: babies
and children whose very
survival is dependent upon
mechanical assistance from
tracheotomy tubes, feeding
tubes, or ventilators. It’s not
an easy way to get started in
this world or navigate through
it, but thanks to advancing
technologies and integrated
care, technology-dependent
kids are able to enjoy a more
normal life.
28 | J U LY/AUG UST 2012
Overlookview.com | 29
Humble Beginnings
April Wazeka, MD, a pediatric pulmonologist at the Respiratory
Center for Children at Goryeb Children’s Center at Overlook
Medical Center, explains that many of the technology-dependent
children treated at the Respiratory Center began life as preemies
or with complications like cystic fibrosis that prevented their
lungs from developing or functioning properly. “These are
not your average babies,” she says. “We often see preemies
born as early as 24 weeks with issues like bronchopulmonary
dysplasia”—a serious condition in which an infant’s lungs are not
fully formed. “These babies typically stay in the NICU for a while
and may go home on oxygen therapy,” she says. “They often go
on to develop chronic respiratory conditions, such as asthma, later
in childhood and remain in our care.” A number of technologydependent patients at the Respiratory Center have cerebral palsy,
a nervous-system disorder that can lead to significant respiratory
problems. “Kids with cerebral palsy often require oxygen or
respirators to breathe, since their muscle tone is weak and does
not allow them to breathe properly on their own, especially during
sleep,” explains Wazeka.
The goal for all technology-dependent patients at the Respiratory
Center, regardless of diagnosis, is to help them progress to a point
where they need only the most minimal equipment or none at
all. “Over the last 20 years we’ve definitely seen more minimally
invasive ways to deliver ventilation—ways that are more comfortable
for kids and easier on their parents,” Wazeka says, citing the use of
BPAP and CPAP devices that help deliver air to the lungs via nasal
or facial masks. “This equipment used to be the size of a microwave;
now it’s the size of a laptop, which gives kids a better sense of
normalcy as well as increased mobility.”
The Best Care … From Day One
At Overlook, from the moment a baby is born with complications,
he or she is placed under the 24-hour care of a team of
neonatologists, with pediatric subspecialists from every discipline
brought in to consult on each case. “Depending on a child’s
needs,” says Wazeka, “many of us continue to treat these babies
even after they go home, so there’s real continuity of care.”
This is especially helpful, since bringing home a technologydependent child is much more challenging than bringing home
a child without such needs. However, the team at Overlook
regards this potentially frightening time as another opportunity
to serve children and their families. “There is real integrative,
multidisciplinary care within the pediatric subspecialties at
Overlook,” says Wazeka. “The family’s main pediatrician
coordinates care and manages each doctor’s notes and orders.”
By way of example, Wazeka explains that she might be treating a
patient’s respiratory issues when the child’s mother mentions that
the child also seems to be having difficulty swallowing. “I would
inform the primary pediatrician that a gastrointestinal consult
should be scheduled,” she says. “With all of our physicians
located under one roof in the pediatric subspecialty area, the
coordination of care is seamless and stress-free for patients and
their parents.”
30 | J U LY/AUG UST 2012
One Parent’s Story
Ailish Campanile (second from right), of Westfield, with her family.
Nine-year-old Ailish Campanile of Westfield certainly knows
how to make a dramatic entrance. While still in utero, she was
diagnosed with an omphalocele—a birth defect in which the
intestines or other abdominal organs protrude from the belly
button. She was delivered via C-section at a hospital in New
York City, required heart surgery immediately after her birth,
and endured an additional six surgeries in the eight months that
followed. For the first 18 months of her life, she was hospitalized
in various healthcare facilities. When Ailish finally came home to
Westfield, it was with a respirator and tracheotomy tube. Over the
years, her care has evolved to include a group of 20 subspecialists,
Wazeka among them.
With all of our physicians
located under one roof in
the pediatric subspecialty
area, the coordination of care
is seamless and stress-free
for patients and their parents.
As any parents would be, Ailish’s parents, Liz and Victor, were
anxious about caring for their medically fragile baby at home.
“My husband and I come from the music industry and had no
medical background,” Liz explains, “so it was beyond scary to
bring Ailish home on a respirator. To this day I still don’t know
how we got from there to where we are today.” The Campaniles
credit Ailish’s team at Overlook for helping them make that
transition. “Dr. Wazeka loves what she does,” says Liz, “and
her staff is amazing. They trained us on how to use all of Ailish’s
equipment”—over the years, this has also included a feeding pump
and BPAP machine—“and closely monitored Ailish’s trach tube as
she grew so she was always comfortable.”
By Ailish’s third birthday, the little girl was free of her respirator.
“Dr. Wazeka helped us so much in terms of scaling back Ailish’s
medications and getting her off the respirator,” says Liz. “She always
seemed to know just the right moment to push for progress. Now
Ailish can breathe on her own, and as she gets older and stronger, her
breathing gets even better.” Freedom from the respirator has made
a huge difference not only for Ailish but for the whole Campanile
family. “After she got off the respirator, Ailish’s whole life changed,”
says Liz. “She was able to be freely mobile and live upstairs with
her older brother, rather than in the room we initially had to set up
to accommodate the respirator downstairs. Plus, we’re able to go out
more as a family, which has been a huge blessing for all of us.”
For a referral to the Division of Pediatric Pulmonology or the
Respiratory Center for Children at Overlook Medical Center,
call (908) 522-2700.
Overlookview.com | 31
Overlook’s Emergency Department at its Union
campus is one of only 20 nationwide to receive a Lantern Award
from the Emergency Nurses Association. The award recognizes
the hospital’s culture of excellence in emergency care, including
strong leadership, practice credibility, and workplace recognition.
Atlantic Neuroscience Institute (ANI) at Overlook
Medical Center has been recognized as No. 1 in the state for the
treatment of all neurological disorders and for stroke treatment. ANI’s
Stroke Center was the first in the state to be named a Comprehensive
Stroke Center by the New Jersey Department of Health and Senior
Services, and it has maintained Disease-Specific Care Certification
by The Joint Commission as a certified Primary Stroke Center for
more than five years. The Center is the recipient of the American
Heart Association and American Stroke Association’s Get With the
Guidelines® Stroke Gold Plus Performance Achievement Award,
recognizing our commitment and success in providing excellent care
for stroke patients.
We measure our successes by patient
satisfaction—lives saved and lives shaped
every day—but our achievements also
have been recognized by some of the
most prestigious organizations on the
current healthcare landscape. Here, we
present a collection of Overlook Medical
Center’s most recent accolades.
Overlook Medical Center is accredited by The Joint Commission,
an independent, not-for-profit organization that accredits and certifies more
than 19,000 healthcare organizations and programs in the United States. Joint
Commission accreditation and certification is recognized nationwide as a symbol
of quality that reflects an organization’s commitment to meeting the highest
performance standards.
Our physicians consistently dominate Top Doctors lists from Castle Connolly
and New Jersey Monthly. Overlook Medical Center was ranked the top hospital
in the state for treatment of neurological disorders for the third consecutive
year and voted as the No.1 hospital for stroke. Overlook ranked third overall
among all hospitals in the state and therefore, ranked as the top hospital in Union
County. Overlook was also ranked among the top three hospitals in New Jersey
across several categories, including high-risk pregnancy, breast cancer, prostate
cancer, hip and knee repair, and treatment of heart failure, among others by Castle
Connolly Medical Ltd., one of the nation’s most respected health care research
and information companies.
Overlook
was recognized by U.S. News & World Report as a Best Regional
Hospital in four specialties: gastroenterology, geriatrics, nephrology, and urology.
Overlook received the Access to Quality of Care Award from the New Jersey
Hospital Association.
A
NI’s Epilepsy Center has been designated a Level 4
Epilepsy Center by the National Association of Epilepsy Centers.
It is one of only four such centers in New Jersey. Level 4 centers
are recognized for providing the most complex forms of intensive
neurodiagnostic monitoring and treatment.
O
verlook’s Spine Program received the Gold Seal of
Approval™ from The Joint Commission, achieving DiseaseSpecific Care Certification for cervical and lumbar spine
treatments—a designation held by only 13 hospitals in the United
States. This certification recognizes that our spine program is
patient-centered, comprehensive, and well developed, resulting in
better outcomes for patients. Perhaps that’s why our spine program
has performed more spine surgeries than any other hospital in
New Jersey.
Carol G. Simon Cancer Center
is a major clinical
research affiliate of The Cancer Institute of New Jersey, and
Atlantic Health is the primary academic and clinical affiliate in
New Jersey of Mount Sinai School of Medicine and The Mount
Sinai Hospital. Carol G. Simon Cancer Center has received the
Outstanding Achievement Award and Three-Year Approval
with Commendation from the American College of Surgeons
Commission on Cancer.
The Breast Center at Overlook Medical Center is accredited
by the American College of Radiology and the Mammography
Quality Standards Act. It has been named a Breast Imaging
Center of Excellence by the American College of Radiology. The
Breast Center also received the Outreach Award from BMW and
the Susan B. Komen Foundation.
Our maternity
services have been designated a Level III
Intensive Perinatal Unit by the New Jersey Department of Health
and Senior Services.
Goryeb Children’s Center at Overlook Medical Center
features nationally recognized, Board-certified pediatricians who
specialize in many pediatric specialties. Goryeb Children’s Center
is a participating member of the National Association of Children’s
Hospitals and Related Institutions (NACHRI), an organization
of children’s hospitals with more than 200 members. NACHRI
promotes the health and well-being of all children and their families
through support of children’s hospitals and health systems that are
committed to excellence in providing healthcare to children.
Gagnon Cardiovascular Institute
at Overlook Medical
Center has received Cardiac Rehabilitation Center Accreditation
from the American Association of Cardiovascular and Pulmonary
Rehabilitation; Vascular Laboratory Accreditation from the
Centers for Medicare and Medicaid Services and Intersocietal
Commission for the Accreditation of Vascular Laboratories; and
Echocardiography Laboratory Accreditation from the Intersocietal
Commission for the Accreditation of Echocardiography
Laboratories. GCI is the recipient of the ACTION Registry®GWTG™ Gold Performance Achievement Award from the
American College of Cardiology Foundation and American Heart
Association.
Overlook’s Women’s Heart Awareness Program
received the Circle of Excellence Award from the American
Association of Critical Care Nurses.
The Atlantic Health Weight & Wellness Center is
a Center of Excellence in Bariatric Surgery, as designated by the
American Society for Metabolic and Bariatric Surgery.
Overlook’s Wound Healing Program is accredited by
the Undersea & Hyperbaric Medicine Society, and received the
Gold Seal of Approval™ Disease-Specific Care Certification from
The Joint Commission.
Atlantic Health
has been selected by Fortune® Magazine
four years in a row as one of the 100 Best Companies to Work
For®. We’re proud to be the only hospital system in northern New
Jersey to earn this prestigious designation.
Overlookview.com | 33
Community Health Calendar
Children & Parenting
Cancer
Go Baby Green*
Exposure to chemicals in the home is an increasing
health risk. Learn about everyday cleaning products
and their hazards, as well as safe alternatives and
ways to create a nontoxic environment for your baby,
kids, pets, and yourself. Registration required;
call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Childbirth Mini-Class: Your Baby’s Birth at Overlook
Medical Center*
Includes information on signs of labor and when to
come to the hospital, as well as the labor, delivery,
and postpartum experience at Overlook Medical
Center. Class includes a tour of the Maternity Center.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Moms and Babies Together: Building Blocks*
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include: your baby’s
temperament, reading baby’s cues, baby bio-rhythms
and creating a schedule, information about formula
and breast-feeding, and healthy eating for babies—
baby food and beyond. Registration required;
call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
The Happiest Baby on the Block*
Based on the work of Harvey Karp, MD, parents and
caregivers learn new ways to calm crying using the five
S’s of soothing. Registration required;
call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Moms and Babies Together: Hand in Hand*
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include: keeping
baby safe and healthy, the art of infant massage,
exercise for you and baby, baby signing and emerging
language, and structured play to stimulate the senses.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Survival Skills for Feeding Your Child*
Everything you need to know about nutrition for
busy, picky, quirky kids. Learn the nutritional needs
of a toddler, receive creative menus and snack
suggestions, and understand behavior issues
associated with feeding. Registration required;
call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
ABC’s of Going Home With Your Baby*
Learn about a newborn’s appearance, capabilities,
wardrobe and equipment needs, daily care, and bottle
feeding. Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Breast-feeding Your Baby*
Breast-feeding basics and tips to help you off to a good
start. Partners welcome. Registration required;
call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
34 | J U LY/AUG UST 2012
Registration is required for all programs through Overlook
Medical Center’s Health Information Services at 800-247-9580, unless otherwise
noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic
Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
In addition to these programs, Parent Education offers
a wide variety of other classes and seminars for expectant and new families, including prepared childbirth,
grandparent, sibling, and Mommy and Me programs. A
complete listing may be found at
www.AtlanticHealth.org, or you may contact the
Parent Education office at 908-522-2946 or
overlook.parented@atlantichealth.org.
We look forward to hearing from you!
Mindful Pregnancy and Birth*
This program covers: ways to develop or enhance inner
resources for managing stress or anxiety in pregnancy,
birth, early parenting, and daily life; experiences in
breath work to tap into inner reservoirs of courage,
strength, and confidence; understanding the process
of labor; and learning coping strategies and comfort
measures to use during labor. (Combines information
from Prepared Childbirth and Calm Birth.) Includes
Calm Birth and Calm Mother audio guide CD, plus a
hospital tour. Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Calm Birth*
Complementary preparation for childbirth, based
on meditative science and mind/body medicine.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Prepared Childbirth Class*
Topics include the stages of labor, breathing and
relaxation techniques, medication options, hospital
stay, and cesarean birth. Includes a hospital tour.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Childbirth Mini-Class: Techniques and Teamwork for
Labor and Birth*
Learn breathing and relaxation techniques, as
well as ways to use visualization, music, massage,
aromatherapy, and positioning as tools in labor.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
* Indicates a fee associated with the program.
Becoming a Grandparent*
Prospective grandparents learn the latest in childbirth
and infant care. Includes a tour of the Maternity Center.
Registration required; call 908-522-2946.
Call for dates and times.
Overlook Medical Center, MAC II, Community
Classroom, 11 Overlook Rd., Summit
Post Partum Depression Group*
Coping and relaxation skills, as well as
psychoeducation and support. Registration required;
call 888-247-1400.
Every other Thursday, 11:00 am to Noon
Atlantic Behavioral Health Outpatient, 46-48 Beauvoir
Ave., Summit
Stroke
Stroke Support Group
The stroke support group provides emotional and
educational support to stroke survivors and caregivers.
This support group is a forum where stroke survivors
and their families can share experiences and concerns
related to stroke. Registration required;
call 800-247-9580
Second Thursday of the month, Noon to 1:00 pm
Overlook Medical Center, MAC II, Community
Education Room, 11 Overlook Rd., Summit
Stroke Screening
Evaluate your risk for stroke through cholesterol
and glucose lab testing, as well as a check of blood
pressure, pulse, and body-mass index. Receive strokerelated counseling from healthcare professionals.
Registration required; call 800-247-9580.
Wednesday, October 3, 11:00 am to 2:00 pm
Vauxhall Library, 123 Hilton Ave., Vauxhall
Tuesday, October 23, 10:00 am to 1:00 pm
Township of Berkeley Heights, 29 Park Ave.,
Berkeley Heights
Bereavement Group
Support group for family and friends who have lost a
loved one to cancer. Registration required;
call 908-522-5255.
Call for dates and times.
Overlook Downtown, 357 Springfield Ave., Summit
Post-Treatment Group
For patients who have completed their cancer
treatment. This open support group explores issues
and concerns related to survivorship. Registration
required; call 908-522-5349.
Second Thursday of the month, 7:00 to 8:30 pm
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Free Quarterly Educational Lecture Series
Series of free educational lectures for patients,
family members, and the general public.
Registration required; call 908-522-5349.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Gentle Yoga for Cancer Patients
Yoga can improve energy, concentration, and the
emotional well-being of cancer patients. A brief
meditation period also will be included at the end
of each class to calm, soothe, and focus the busy or
stressed mind. Class will last for 60 minutes and is
for cancer patients ONLY. Registration required;
call 908-522-6168.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Exercise Class for Breast Cancer Survivors
A comfortable, safe, and supportive exercise
environment for breast cancer patients who have
undergone chemotherapy, radiation, hormonal
therapy, breast surgery, or reconstruction. Exercises
are designed to increase flexibility and muscle mass,
decrease body fat, and help to prevent lymphedema.
Registration required; call 908-522-6210.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Scar Massage
A program for post-mastectomy patients who
have chosen not to undergo breast reconstruction,
and other oncology patients with surgical scars.
One-hour private massage with a certified massage
therapist. The purpose is to help prevent adhesions,
improve blood flow to the area, and maintain or
improve movement in the tissue post-surgery. Must
be at least 6 weeks post-surgery. Appointments
required; call 908-522-5211.
Call for dates and times.
Overlook Medical Center, Carol G. Simon Cancer
Center, 99 Beauvoir Ave., Summit
Circle of Women: A Breast Cancer Networking and
Support Group
Circle of Women combines support-group
discussion and education on relevant topics that can
help you adjust to the impact that breast cancer has
had on you and your family. Registration required;
call 908-522-6210.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Successful Surgery Program
Guided-imagery program shown to improve postsurgical outcomes and reduce anxiety. Registration
required; call 908-522-6168.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Sun Exposure Education
See the effect of sun exposure on your skin by using
our Dermaview machine, and learn how to protect
yourself from the harmful effects of the sun. Receive
free educational materials.
Wednesday, August 1, 10:00 am to Noon
Westfield YMCA, 220 Clark St., Westfield
Wednesday, August 8, 10:00 am to Noon
Jewish Community Center, 1391 Martine Ave.,
Scotch Plains
Wednesday, August 15, 10:00 am to Noon
Summit YMCA, 67 Maple St., Summit
Monday, September 10, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
I Cancer Vive
A serial program that empowers cancer patients
and their caregivers to take a mind-body approach to
healing. Registration required; call 908-522-5349.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Look Good, Feel Better
Women who are undergoing cancer treatment learn
how to look their best and manage appearancerelated side effects. Registration required;
call 908-522-5255.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Guided Imagery
A program for cancer patients, using visualization
to enhance the immune system’s ability to function
and improve one’s sense of emotional well-being.
Registration required; call 908-522-6168.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Ostomy Support Group
Professionally led group for ostomy patients and
their families. Registration required;
call 908-522-2156.
Call for dates and times.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Overlookview.com | 35
Community Health Calendar
Heart Health
Diabetes
Learn your blood sugar and risk factors for type II
diabetes, with a non-fasting fingerstick that gives
immediate results. Registration required;
call 800-247-9580.
Monday, August 13, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Wednesday, August 15, 5:00 to 7:00 pm
Westfield YMCA, 220 Clark St., Westfield
Tuesday, September 25, Noon to 2:00 pm
Shoprite Clark, 76 Central Ave., Clark
Hemoglobin A1C
The Hemoglobin A1C is a non-fasting fingerstick
that determines blood-sugar levels over the past 2
to 3 months. This test is available only to previously
diagnosed diabetics, those with risk factors for
diabetes, or those with a family history of diabetes.
Registration required; call 800-247-9580. Fee: $10
Monday, August 13, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Tuesday, September 11, Noon to 2:00 pm
Shoprite Clark, 76 Central Ave., Clark
Blood Pressure
Make sure you are at or below 120/80, the national
guideline for blood pressure. Receive counseling and
educational materials. Registration required; call
800-247-9580.
Monday, August 6, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Thursday, August 9, 10:00 am to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Thursday, August 16, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Thursday, September 6, 10:00 am to Noon
Wellness Center, Union Medical Park,
1000 Galloping Hill Rd., Union
Monday, September 24, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI affect
your heart health. Receive individual counseling and
educational materials. Registration required; call
800-247-9580.
Monday, August 6, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Thursday, August 9, 10:00 am to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Thursday, August 16, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Thursday, September 6, 10:00 am to Noon
Wellness Center, Union Medical Park,
1000 Galloping Hill Rd., Union
Monday, September 24, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Taking Steps to Control Diabetes
Self-management education designed to help patients
and their families plan meals, monitor blood sugar,
prevent complications, and implement healthy lifestyle
habits. Individual and group classes available. Covered
by Medicare and most major insurers. Registration
required. Call the Diabetes Center for schedule and
more information: 908-522-5277.
Call for dates and times.
Overlook Medical Center, 99 Beauvoir Ave., Summit
36 | J U LY/AUG UST 2012
Women’s Health
Cholesterol
Total cholesterol, HDL, and TC/HDL ratio are measured
using a simple fingerstick. Education and counseling
are offered, based on results. Fasting is not required.
Registration required; call 800-247-9580. Fee: $10
Tuesday, August 14, Noon to 2:00 pm
Shoprite Clark, 76 Central Ave., Clark
Monday, August 20, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Tuesday, September 4, 10:00 am to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Wednesday, September 19, 10:00 am to Noon
Summit YMCA, 67 Maple St., Summit
Wednesday, September 19, 5:00 to 7:00 pm
Westfield YMCA, 220 Clark St., Westfield
Bariatric Medicine & Surgery Seminars and Bariatric
Support Group
After bariatric surgery, people experience new
challenges both physically and emotionally. Lectures
on exercise, nutrition, and image changes, as well
as guest speakers and time for sharing information.
There is also a support group for those who have
already had bariatric surgery. Registration required.
To find out dates and times for upcoming lectures and
seminars and to register, call 908-522-5794.
Call for dates and times.
Overlook Medical Center, 99 Beauvoir Avenue, Summit
BLS for the Healthcare Provider (full course)
This course is designed to meet the needs of
healthcare professionals who respond to cardiac and
respiratory emergencies. Registration required; call
908-522-2365. Fee: $85
Call for dates and times.
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
BLS for the Healthcare Provider (renewal)
This course is designed to renew the skills taught
in the full Basic Life Support course. Registration
required; call 908-522-2365. Fee: $55
Call for dates and times.
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
American Heart Association First Aid
Covers basic First Aid for common medical and
traumatic emergencies. Prior knowledge of CPR is
recommended. Registration required; call
908-522-2365. Fee: $55
Call for dates and times.
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Heartsaver AED
A program to teach CPR, AED, and relief of foreignbody obstruction for adults. Registration required;
call 908-9522-2365. Fee: $45
Call for dates and times.
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Heartsaver Pediatric
A program to teach CPR and relief of foreign-body
obstruction for the infant and child. Registration
required; call 908-522-2365. Fee: $40
Call for dates and times.
Overlook Medical Center, Wallace Auditorium,
99 Beauvoir Ave., Summit
Speakers Bureau for Women’s Heart Health
If you would like to have one of our cardiac nurses
speak to your group or organization about the signs
and symptoms related to women and heart disease,
please call 908-522-5355.
Health & Wellness
Bone Density
Find out if you are at risk for developing osteoporosis,
through a noninvasive ultrasound that provides
immediate results. Counseling and educational
materials are provided. Registration required; call
800-247-9580. Fee: $10
Monday, July 30, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Thursday, August 2, 10:00 am to Noon
Wellness Center, 1000 Galloping Hill Rd., Union
Tuesday, August 7, 10:00 am to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Monday, September 17, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Thursday, September 20, 10:00 am to Noon
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Thursday, September 27, 11:00 am to 1:00 pm
Long Hill Library, 917 Valley Rd., Gillette
Registration is required for all programs through Overlook
Medical Center’s Health Information Services at 800-247-9580, unless otherwise
noted. Overlook Medical Center is located at 99 Beauvoir Ave., Summit. Atlantic
Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
Hearing Screening
Have your hearing tested for potential problems.
Registration required; call 800-247-9580.
Thursday, August 23, 11:00 am to 1:00 pm
Long Hill Library, 917 Valley Rd., Gillette
Monday, August 27, 10:00 am to 3:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Wednesday, September 5, 10:00 am to Noon
Westfield YMCA, 220 Clark St., Westfield
Tuesday, September 19, 10:00 am to Noon
Chatham Family Practice, 492 Main St., Chatham
Thursday, September 20, 10:00 am to Noon
Westfield Board of Health, 425 East Broad St.,
Westfield
Respiratory Screening
Learn your breathing capacity. This screening is for
those who have NOT been previously diagnosed with
a respiratory condition. Registration required; call
800-247-9580.
Wednesday, September 12, 10:00 am to Noon
Jewish Community Center, Martine Ave., Scotch Plains
Thursday, September 13, 10:00 am to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
HIV Support Group
This support group offers support and information
regarding HIV. Meet others with HIV who face the same
fears and questions, and find solutions. Meetings are
held in a confidential and private environment. To leave
a confidential message, call 973-971-8936.
Second and fourth Thursdays, 7:00 to 9:00 pm
Overlook Medical Center, Case Management Office,
99 Beauvoir Ave., Summit
Substance Abuse Family Support Group
Learn ways to cope with substance-abusing family
members.
Tuesdays, 6:30 to 8:00 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Therapeutic Gambling Group
Individual sessions are available for individuals who
are concerned about their level of gambling. For
information, call 888-247-1400.
Call for dates and times.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Women’s Group
Learn coping skills through the examination of
thoughts and behaviors. Registration required; call
888-247-1400.
Thursdays, 11:00 am to 12:30 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Chemical Dependency Intensive Outpatient Program
Three 1-hour groups, 3 nights weekly, for those trying
to remain abstinent from all substances. Registration
required; call 888-247-1400.
Monday, Wednesday, and Thursday, 6:00 to 9:30 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Mental Health Intensive Outpatient Program
Group, individual, and family counseling as well as
medication management for those who need an
intense, time-limited treatment to improve their
emotional health. Participants attend 3 out of 5 days
per week. Registration required; call 888-247-1400.
Monday through Friday, 10:30 am to 2:00 pm
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Neuropathy Patients Support Group
Discuss various options in the support and
treatment of neuropathy. For additional information,
call 908-233-9709.
First Tuesday of the month, 7:00 to 8:30 pm.
No meetings in July and August. Next meeting
September 4.
Overlook Medical Center, Neuroscience Community
Conference Room, 99 Beauvoir Ave., Summit
Mindfulness Group
Men and women will learn mindfulness techniques and
how to apply them to better cope with their illnesses.
Registration required. Call 888-247-1400 for dates,
times, and registration.
Call for dates and times.
Atlantic Behavioral Health Outpatient, 46-48 Beauvoir
Ave., Summit
Hypnosis for Weight Loss
Learn how to permanently lose weight using hypnotic
suggestions and proven behavior-modification
techniques. Presented by Barbara Van Duyne,
certified hypnotherapist. Registration required;
call 800-247-9580. Fee: $70
Tuesday, August 21, 7:00 to 9:00 pm
Overlook Medical Center, Conference Room 2,
99 Beauvoir Ave., Summit
Thursday, September 20, 7:00 to 9:00 pm
Overlook Medical Center, Conference Room 2,
99 Beauvoir Ave., Summit
Hypnosis for Smoking Cessation
Quit smoking for good using hypnosis and behaviormodification techniques. Presented by Barbara Van
Duyne, certified hypnotherapist. Registration required;
call 800-247-9580. Fee: $70
Thursday, September 27, 7:00 to 9:00 pm
Overlook Medical Center, Conference Room 3,
99 Beauvoir Ave., Summit
Men’s Health
Join urologist Marc Greenstein, MD, for an informal
discussion about low testosterone for men and
alternatives for erectile dysfunction when medications
do not work. To register, please call 973-530-9300.
Thursday, September 27, 7:00 to 8:00 pm
Overlook Medical Center, Conference Room 4,
99 Beauvoir Ave., Summit
Varicose Veins
Are varicose veins causing you pain or discomfort, or
making you feel self-conscious about showing your
legs? Women 30 to 55 are invited to join Clifford Sales,
MD, Chief, Division of Vascular Surgery at Overlook
Medical Center, for a 20-minute information session
about the causes of and treatments for varicose veins.
The lecture will be followed by painless, noninvasive
screenings to detect and assess these often
problematic veins. Registration recommended;
call 800-247-9580.
Monday, October 15, 11:00 am to 2:00 pm
and 4:00 pm to 8:00 pm
* Indicates a fee associated with the program.
Downtown Summit
Community Health: Overlook Downtown
357 Springfield Ave., Summit
To register, please call 1-800-247-9580.
Diabetes
Learn your blood sugar and risk factors for type II diabetes,
with a non-fasting fingerstick that gives immediate results.
Registration recommended; call 800-247-9580.
Monday, August 13, 10:00 am to 3:00 pm
Hemoglobin A1C
The Hemoglobin A1C is a non-fasting fingerstick that determines
blood-sugar levels over the past 2 to 3 months. This test is
available only to previously diagnosed diabetics, those with risk
factors for diabetes, or those with a family history of diabetes.
Registration recommended; call 800-247-9580. Fee: $10
Monday, August 13, 10:00 am to 3:00 pm
Sun Exposure Education
See the effect of sun exposure on your skin by using our
Dermaview machine, and learn how to protect yourself from
the harmful effects of the sun. Receive free educational
materials. Registration recommended; call 800-247-9580.
Monday, September 10, 10:00 am to 3:00 pm
Cholesterol
Total cholesterol, HDL, and TC/HDL ratio are measured
using a simple fingerstick. Education and counseling
are offered, based on results. Fasting is not required.
Registration recommended; call 800-247-9580. Fee: $10
Monday, August 20, 10:00 am to 3:00 pm
Hearing Screening
Have your hearing tested for potential problems.
Registration recommended; call 800-247-9580.
Monday, August 27, 10:00 am to 3:00 pm
Bone Density
Find out if you are at risk for developing osteoporosis,
through a noninvasive ultrasound that provides immediate
results. Counseling and educational materials are provided.
Registration recommended; call 800-247-9580. Fee: $10
Monday, July 30, 10:00 am to 3:00 pm
Monday, September 17, 10:00 am to 3:00 pm
Blood Pressure
Make sure you are at or below 120/80, the national guideline
for blood pressure. Receive counseling and educational
materials. Registration recommended; call 800-247-9580.
Monday, August 6, 10:00 am to 3:00 pm
Monday, September 24, 10:00 am to 3:00 pm
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI affect your
heart health. Receive individual counseling and educational
materials. Registration recommended; call 800-247-9580.
Monday, August 6, 10:00 am to 3:00 pm
Monday, September 24, 10:00 am to 3:00 pm
Varicose Veins
Are varicose veins causing you pain or discomfort, or
making you feel self-conscious about showing your legs?
Women 30 to 55 are invited to join Clifford Sales, MD, Chief,
Division of Vascular Surgery at Overlook Medical Center, for
a 20-minute information session about the causes of and
treatments for varicose veins. The lecture will be followed by
painless, noninvasive screenings to detect and assess these
often problematic veins. Registration recommended;
call 800-247-9580.
Monday, October 15, 11:00 am to 2:00 pm and
4:00 pm to 8:00 pm
Overlookview.com | 37
Hanging in
the Balance
No child or adolescent should be losing weight as
long as he or she is still in the process of growing.
If there is weight loss, a parent should be asking why.
Eating disorders can be difficult
to spot among children and
adolescents and even more
difficult to treat, but an Overlook
program—one-of-its-kind in the
state—provides patients with the
tools to heal their physical and
emotional well-being.
Could your child be suffering from an eating disorder and you
aren’t aware of it? It’s entirely possible. The truth is, most children
with anorexia or bulimia go to great lengths to keep their disorder
hidden. But as the pounds drop, the secrecy swells, often to great
detriment.
“With eating disorders, it’s like a hostile force takes over the
young person’s brain,” says psychiatrist Omar Canosa, MD.
“The person is then driven by a compulsion to expend more
calories than he or she takes in.” Here, Canosa draws a parallel to
obsessive compulsive disorder (OCD), noting a similarity in the
manner in which strong thoughts “get stuck” in a person’s head
and lead to restrictive behaviors. He notes, too, that like OCD,
an eating disorder is a biological mental illness. This distinction
is important. “It helps parents understand that they shouldn’t
be angry or frustrated with their child,” he says. “It reduces the
amount of blame. We don’t yet fully understand the biological
mechanism behind eating disorders, but evidence suggests that a
person does not ‘choose’ to have an eating disorder, any more than
he or she chooses to have OCD.”
team of healthcare professionals that includes Board-certified
adolescent medicine physicians, psychologists, a psychiatrist,
nurse practitioner, child life specialist/certified art therapist,
nurses, social workers, and nutritionists, all trained in providing
comprehensive assessments and treatments for eating disorders
and related problems.
There are varying levels of care, depending on each patient’s needs.
•
Inpatient services are available for patients who are medically
unstable and require hospitalization, explains Clark-Hamilton.
Treatment includes medical stabilization, meal supervision,
nutrition, and mental health evaluation.
•
The partial hospitalization program includes 40 hours of
outpatient care weekly. In addition to medical monitoring,
patients receive psychiatric care, individual and group
psychotherapy, nutritional counseling, therapeutic supervised
meals, family therapy, and participation in a multi-family
therapeutic group, along with a weekly series of parent
skills groups.
•
The intensive outpatient program meets after school for eight
hours a week. Patients receive many of the same therapeutic
services as in the partial hospitalization program, in a less
restrictive care environment.
•
Through outpatient care, patients are fully integrated within
their community and family environments, and return to
the program for therapy, as well as nutritional and medical
follow-up.
The right level of care for every patient
The Eating Disorders Program of the Goryeb Children’s Center
at Overlook Medical Center is the only multidisciplinary program
in New Jersey exclusively for children and adolescents, ages 12
to 21. Because eating disorders typically involve not only medical
issues but nutritional, social, and psychological issues as well,
explains adolescent medicine physician Jill Clark-Hamilton, MD,
Goryeb’s multidisciplinary program provides patients with a
38 | J U LY/AUG UST 2012
Overlookview.com | 39
A common thread through all of Goryeb’s Eating Disorders
treatment options is family involvement. “It is essential to successful
treatment,” says Clark-Hamilton. Recently, the program introduced
another outpatient option, known as Family-Based Treatment. This
technique focuses on family involvement in the nutritional and
emotional restoration of their child’s health. Standard outpatient
family-based treatment is administered over approximately 20
sessions; this includes a supervised familial meal, as well as medical
monitoring as needed. “Parents take responsibility for their child’s
nutrition and eating,” says Clark-Hamilton. “Parents make and plate
foods, and the child is gradually transitioned back to independent
eating, with a focus on relapse prevention. There is a lot of research
to support that Family-Based Treatment is very effective.”
Regardless of which level of care is best for a patient, the goal is
to return each child to physical and emotional wellness. “Eating
disorders encompass the entire body and the mind too,” says ClarkHamilton. “There is not any system that is not affected, and that’s
why treatment is so crucial. Parents always want to know why their
child has an eating disorder, and there are no easy answers. But the
most important thing is for the child to receive treatment. For any
parent who suspects their child might have an eating disorder, they
can call us at any time and ask to speak to someone. We’re here to get
their child the help they need.”
Adds Canosa, “No child or adolescent should be losing weight
as long as he or she is still in the process of growing. If there is
weight loss, a parent should be asking why.”
For more information about the Eating Disorders Program
of the Goryeb Children’s Center at Overlook Medical Center,
call (908) 522-5757.
40 | J U LY/AUG UST 2012
advanced surgical associates
Referred by Doctors
Preferred by Patients
I firmly believe that delivery of optimal health
care is a blend of superior diagnostic and
clinical skills, dedicated and talented team
member efforts, state-of-the-art technology
and materials, continuing education, and
old-fashioned, five-star personalized and
compassionate care.
GIVE
Ronald Pallant, MD
Muhammad Feteiha, MD
James Frost, MD
Joao Lopes, MD
James Lopes, MD
Advanced Surgical Associates performs a wide range of surgical procedures, including:
US A CALL FOR YOUR
NEXT APPOINTMENT.
L A PA RO S C O P I C S U R G E RY
B R E A S T S U R G E RY
229 Charles Street • Westfield, NJ 07090
Blog: www.dentalchronicles.com
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Advanced Surgical Associates
First in care. First in caring.
155 Morris Avenue, 2nd Fl., Springfield, NJ 07081-1225
Phone 973 232-2300
Fax 973 232-2301 www.advancedsurgicalnj.com
Overlookview.com | 41
Pediatric Directory
At Goryeb Children’s Center at Overlook Medical Center and Goryeb Children’s Hospital at Morristown Medical
Center, we have more than 100 Board-certified pediatric specialists in more than 20 concentrated areas of
pediatric medical and surgical care.
PEDIATRICS
Agathis, Allyson, MD
(908) 719-2626
395 Main St.
Bedminster, NJ 07921
Barasch, Susan A., MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Batra, Chhaya, MD
(973) 912-0155
Millburn Pediatrics
159 Millburn Ave.
Millburn, NJ 07041
Baxley, Maureen, MD
(908) 273-1112
33 Overlook Rd., Ste. 101
Summit, NJ 07901
Behbakht, Mojgan, MD
(973) 410-0422
Short Hills Pediatrics
29 Columbia Tpk., Ste. 201
Florham Park, NJ 07932
Bender, Michelle A., MD
(973) 379-2488
Summit Medical Group
85 Woodland Rd.
Short Hills, NJ 07878
42 | J U LY/AUG UST 2012
Cotler, Donald N., MD
(973) 912-0400
171 Millburn Ave.
Millburn, NJ 07041
Eibschutz, Ghitta, MD
(908) 228-3620
560 Springfield Ave.
Westfield, NJ 07090
Cerdena, Maria C., MD
(908) 277-4480
11 Overlook Rd., Ste. 170
Summit, NJ 07901
Cucolo, Patricia A., MD
(973) 822-0003
Madison Pediatrics
435 South Street Suite 200
Morristown, NJ 07960
Eng, Jeffrey, MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Bourne, Jeffrey A., MD
(973) 822-2900
The Washington Building
466 Southern Blvd.
Chatham, NJ 07928
Cessario, Alison G., MD
(908) 273-5866
Maple Pediatric Associates, LLC
47 Maple St., #107
Summit, NJ 07901
Cuddihy, Kathleen M., MD
(908) 771-9824
Summit Medical Group
180 South St.
New Providence, NJ 07974
Esquerre, Rene B., MD
(973) 483-4702
Springfield Pediatrics
190 Meisel Ave.
Springfield, NJ 07081
Brandstaedter, Karen H., MD
(973) 376-7337
Watchung Pediatrics
225 Millburn Ave., Ste. 301
Millburn, NJ 07041
Chen, Margaret, MD
(908) 232-3445
Westfield Pediatrics
532 E. Broad St.
Westfield, NJ 07090
Davis, Kenneth J., MD
(908) 354-9500
Elizabeth Pediatric Group
701 Newark Ave., Ste. 212
Elizabeth, NJ 07208
Estrada, Elsie C., MD
(973) 635-4511
12 Parrot Mill Rd.
Chatham, NJ 07928
Brittman, Jaclyn, MD
(908) 766-0034
Sinatra & Peng Pediatrics
169 Mine Brook Rd.
Bernardsville, NJ 07924
Chin, Kathleen L., MD
(908) 508-0400
556 Central Ave.
New Providence, NJ 07974
Diaz, Julio C., MD
(973) 379-2488
Summit Medical Group
85 Woodland Rd.
Short Hills, NJ 07078
Bernstein, Stacy L., MD
(908) 233-8860
592B Springfield Ave.
Westfield, NJ 07090
Boodish, Wesley, MD
(973) 912-0155
Millburn Pediatrics
159 Millburn Ave.
Millburn, NJ 07041
Cambria Dardanello,
Marnie J., MD
(908) 228-3620
Summit Medical Group
560 Springfield Ave.
Westfield, NJ 07090
Cavuto, John N., MD
(908) 232-3445
Westfield Pediatrics
532 E. Broad St.
Westfield, NJ 07090
Corbo, Emanuel, MD
(908) 245-2442
Park Pediatrics
443 E. Westfield Ave.
Roselle Park, NJ 07204
Dorneo, Aurora B., MD
(201) 823-0313
850 Ave. C
Bayonne, NJ 07002
Flanzman, Ellen S., MD
(908) 232-3445
Westfield Pediatrics
532 E. Broad St.
Westfield, NJ 07090
Frenda, Frank P., MD
(973) 822-2900
The Washington Building
466 Southern Blvd.
Chatham, NJ 07928
In addition, we partner with more than 250 community pediatricians in the towns we serve. Together, our doctors treat more
than 50,000 infants, children, adolescents, and young adults per year in a child-friendly and family-centered environment.
Here, we provide a comprehensive list of our pediatric physicians.
Gillard, Bonita D., MD
(908) 889-8687
Watchung Pediatrics
346 South Ave., Ste. 3
Fanwood, NJ 07023
Grundy, Kia C., MD
(908) 810-8551
Trinity Pediatrics, LLC
2333 Morris Ave., B218
Union, NJ 07083
Gurey Wasserstein,
Allison P., MD
(908) 219-3055
Summit Medical Group
33 Overlook Rd., Ste. 103
Summit, NJ 07901
Hall, Dahlia A., MD
(973) 376-9000
Pediatric Eden
241B Millburn Ave.
Millburn, NJ 07041
Haymond, Jean R., MD
(908) 232-3445
Westfield Pediatrics
532 E. Broad St.
Westfield, NJ 07090
Hermann, Daniel, MD
(908) 228-3620
Summit Medical Group
560 Springfield Ave.
Westfield, NJ 07090
Hoelzel, Donald W., MD
(973) 889-6805
200 South St.
Morristown, NJ 07960
Kharkover, Mark Y., MD
(908) 322-6000
1608 E. 2nd St.
Scotch Plains, NJ 07076
Lam, Jennifer, MD
(973) 971-6727
Morristown Medical Center
Morristown, NJ 07960
Jessel, Nele, MD
(908) 766-0034
169 Mine Brook Rd.
Bernardsville, NJ 07924
Knowles, Kelly P., MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Lavaia, Maria A., MD
(973) 822-0003
Madison Pediatrics
435 South Street Suite 200
Morristown, NJ 07960
Kornfeld, Howard N., MD
(908) 277-8601
Summit Medical Group
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Levin, Lorin M., MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Kowalczyk, Matthew A., MD
(908) 232-2310
Westfield Pediatrics
532 E. Broad St.
Westfield, NJ 07090
Levine, David B., MD
(973) 912-0155
Millburn Pediatrics
159 Millburn Ave.
Millburn, NJ 07041
Koward, Donna M., MD
(908) 889-8687
Watchung Pediatrics
346 South Ave., Ste. 3
Fanwood, NJ 07023
Lodish, Stephanie R., MD
(973) 822-0003
Madison Pediatrics
435 South Street Suite 200
Morristown, NJ 07960
Kramer, Sarah R., MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Lon, Richard G., MD
(908) 598-0190
Hilltop Pediatrics
33 Overlook Rd, Ste. 304
Summit, NJ 07901
Kairam, Hemant, MD
(908) 273-1112
33 Overlook Rd., Ste. 101
Summit, NJ 07901
Katz, Andrea G., MD
(908) 755-5437
Watchung Pediatrics
76 Stirling Rd., Ste. 201
Warren, NJ 07059
Kemeny, Alexa C., MD
(908) 277-8601
Summit Medical Group
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Kerrigan, Margot, MD
(973) 665-0900
Touchpoint Pediatrics, PA
17 Watchung Ave.
Chatham, NJ 07928
Lovenheim, Jay A., MD
(973) 762-0400
South Orange Pediatrics
173 South Orange Ave., Ste. 1B
South Orange, NJ 07079
Lozano, Rolando, MD
(973) 467-1009
190 Meisel Ave.
Springfield, NJ 07081
Lubin, Alan B., MD
(973) 762-0400
173 South Orange Ave.
South Orange, NJ 07079
Luke, Steven, MD
(908) 688-9900
Union Pediatric
Medical Group, PA
1050 Galloping Hill Rd.,
Ste. 200
Union, NJ 07083
Lupski, Donna L., MD
(908) 277-8601
Summit Medical Group
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Lurie, Brian, MD
(908) 522-5800
Goryeb Children’s Center
at Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Overlookview.com | 43
Pediatric Directory
Mangru, Subita S., MD
(973) 912-0155
Millburn Pediatrics
159 Millburn Ave.
Millburn, NJ 07041
Manocchio, Teresa, DO
(908) 273-1112
Summit Pediatric Associates
33 Overlook Rd., Ste. 101
Summit, NJ 07901
Mathew, Seema, MD
(973) 325-1115
101 Old Short Hills Road
Ste. 105
West Orange, NJ 07052 Meltzer, Alan J., MD
(973) 822-0003
Madison Pediatrics
435 South Street Suite 200
Morristown, NJ 07960
Mendelson, Joel S., MD
(908) 233-4477
1124 Springfield Ave.
Mountainside, NJ 07092
Miguelino, Ida A., MD
(908) 769-0100
34 Mountain Blvd.
Warren, NJ 07059
Moskowitz, Steven, MD
(908) 508-0400
The Pediatric Center
556 Central Ave.
New Providence, NJ 07974
Mullick, Bharati S., MD
(201) 602-0126
295 Baltusrol Way
Springfield, NJ 07081
Nikodijevic, Vesna, MD
(908) 766-5960
Bernardsville Pediatrics
40 Morristown Rd., Ste. 2D
Bernardsville, NJ 07924
Ohri-Govil, Ranjana, MD
(908) 688-9900
Union Pediatric
Medical Group, PA
1050 Galloping Hill Rd.,
Ste. 200
Union, NJ 07083
Oxman, David J., MD
(908) 688-9900
Union Pediatric
Medical Group, PA
1050 Galloping Hill Rd.,
Ste. 200
Union, NJ 07083
Panza, Robert A., MD
(908) 233-7171
Pediatric Associates of
Westfield
566 Westfield Ave.
Westfield, NJ 07090
44 | J U LY/AUG UST 2012
Panzner, Elizabeth A., MD
(908) 688-9900
Union Pediatric Medical
Group, PA
1050 Galloping Hill Rd.,
Ste. 200
Union, NJ 07083
Parikh, Vasavi, MD
(908) 273-1112
Summit Pediatrics
33 Overlook Rd., Ste. 101
Summit, NJ 07901
Peng, Patricia E., DO
(908) 766-0034
Sinatra & Peng Pediatrics
169 Mine Brook Rd.
Bernardsville, NJ 07924
Percy, John O., MD
(908) 233-8860
592B Springfield Ave.
Westfield, NJ 07090
Petruzzino, Vito V., MD
(973) 992-3666
349 E. Northfield Rd., #LL2
Livingston, NJ 07039
Pinho, Paulo B., MD
(973) 912-7273
PASE Healthcare
225 Millburn Ave., Ste. 303
Millburn, NJ 07041
Ploshnik, Andrea G., MD
(973) 376-7337
Watchung Pediatrics
225 Millburn Ave., Ste. 301
Millburn, NJ 07041
Pogany, Ursula, MD
(908) 276-6598
19 Holly St.
Cranford, NJ 07016
Polisin, Michael J., MD
(908) 273-5866
47 Maple St., Ste. 107
Summit, NJ 07901
Poon, Chiu-Man, MD
(908) 687-3300
New Jersey Health Care
Services
2780 Morris Ave., Ste. 2A
Union, NJ 07083
Powell, Kerri, MD
(908) 810-8551
Trinity Pediatrics
2333 Morris Ave., Ste. B218
Union, NJ 07083
Scherer, Susan D., MD
(973) 822-0003
Madison Pediatrics
435 South Street Suite 200
Morristown, NJ 07960
Shah, Arvind P., MD
(908) 654-3525
1272 Central Ave.
Westfield, NJ 07090
Thomas, Jolly, MD
(973) 379-4300
18 Morris Ave., Ste. 2A
Springfield, NJ 07081
Shapren, Kristen M., MD
(908) 233-8860
592B Springfield Ave.
Westfield, NJ 07090
Thomas, Pauline A., MD
(908) 277-8601
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Shaw-Brachfeld,
Jennifer L., MD
(973) 665-0900
Touchpoint Pediatrics
17 Watchung Ave.
Chatham, NJ 07928
Tom, Valerie, MD
(973) 665-0900
Touchpoint Pediatrics
17 Watchung Ave.
Chatham, NJ 07928
Shih, Eunhee E., MD
(908) 508-0400
The Pediatric Center
556 Central Ave.
New Providence, NJ 07974
Sinatra, Frank A., MD
(908) 766-0034
Sinatra & Peng Pediatrics
169 Mine Brook Rd.
Bernardsville, NJ 07924
Singer, Beth C., MD
(908) 769-0100
Summit Medical Group
34 Mountain Blvd.
Warren, NJ 07059
Slavin, Stuart F., MD
(973) 665-0900
Touchpoint Pediatrics
17 Watchung Ave.
Chatham, NJ 07928
Vergano, Scott T., MD
(973) 625-5090
140 E. Main St.
Denville, NJ 07834
Vigorita, John F., MD
(908) 273-1112
33 Overlook Rd., Ste. 101
Summit, NJ 07901-0220
Vinnakota, Rao V., MD
(908) 753-2662
27 Mountain Blvd., Ste. 1
Warren, NJ 07059
Visci, Denise, MD
(908) 508-0400
556 Central Ave.
New Providence, NJ 07974
Visci, John J. MD
(908) 766-0034
169 Mine Brook Rd.
Bernardsville, NJ 07924
Straw, Simone A., MD
(908) 688-9900
Union Pediatric Medical
Group, PA
1050 Galloping Hill Rd.,
Ste. 200
Union, NJ 07083
Voremberg, Sandra R., MD
(973) 218-0707
120 Millburn Ave., Ste. M1
Millburn, NJ 07041
Summa, Geraldine M., MD
(908) 769-0100
34 Mountain Blvd.
Warren, NJ 07059
Canosa, Omar, MD
(Psychiatrist)
Clark-Hamilton, Jill, MD
Rosenfeld, Walter D., MD
Sanders, Leslie A., MD
(908) 522-5757
The Adolescent and Young
Adult Center
at Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Symms, Monika, MD
(201) 706-7175
Tribeca Pediatrics
21 McWilliams St.
Jersey City, NJ 07302
Tavel, Stacey C., MD
(973) 379-2488
Summit Medical Group
85 Woodland Rd.
Short Hills, NJ 07078
Thomas, Alan E., MD
(908) 277-8601
Summit Medical Group
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
ADOLESCENT MEDICINE
ALLERGY
Pien, Gary C., MD
(908) 273-4300
Summit Medical Group
1 Diamond Hill Rd.
Berkeley Heights, NJ 07922
Pediatric Directory
ANESTHESIOLOGY
EATING DISORDERS
George, Tony, MD
(908) 598-1500
33 Overlook Rd., Ste. 311
Summit, NJ 07901
Canosa, Omar, MD
(Psychiatrist)
Clark-Hamilton, Jill, MD
Rosenfeld, Walter D., MD
Sanders, Leslie A., MD
(908) 522-5757
The Eating Disorders Program
at Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 200
Summit, NJ 07901
CARDIOLOGY
Donnelly, Christine M., MD
Kaufman, Stuart, MD
Mone, Suzanne M., MD
Prasad, Aparna, MD
Rosenthal, Lauren B., MD
Timchak, Donna M., MD
(908) 522-6649
The Children’s Heart Center at
Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Leichter, Donald A., MD
(908) 522-5566
47 Maple St., Ste. 206
Summit, NJ 07901
CRITICAL CARE
Gutierrez, Juan A., MD
Hauk, Lisanne
Thomas, Melissa, MD
O’Reilly, Colin, DO
(973) 971-7550
Pediatric Critical Care
Goryeb Children’s Hospital
100 Madison Ave.
Morristown, NJ 07962
DEVELOPMENTAL
PEDIATRICS
Lanzkowsy, Shelley, MD
Livingstone, Tosan, MD
Selvaggi Fadden,
Kathleen, MD
(908) 522-6659
The Child Development Center
at Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Developmental
Disabilities (Adults)
Feigelman, Theodor, MD
Grigaux, Claire, MD
Kolarov, Sanja, MD
Haller, Kate, MD (Psychiatry)
(908) 598-6655
The Developmental Disabilities
Center
Overlook Medical Center at
Union Campus
1000 Galloping Hill Rd.
Union, NJ 07083
EMERGENCY MEDICINE
Books, Heather L., MD
Devli, Aynur A., MD
Jawaharani, Shobha, MD
Kest, Helen, MD
Lucciola, Pompeo A., MD
Mehta, Sanjay, DO
Purewal, Amarpal K., MD
Reichard, Kathleen, DO
Sheth, Manoj I., MD
Tasneem, Afser, MD
(908) 522-5664
The Gordon E. Reeves Pediatric
Emergency Department
Overlook Medical Center
99 Beauvoir Ave.
Summit, NJ 07901
ENDOCRINOLOGY
Berry, Tymara, MD
Cerame, Barbara I., MD
Chin, Daisy, MD
Guevarra, Frances M., MD
Silverman, Lawrence A., MD
Starkman, Harold S., MD
(908) 522-6619
The Division of Pediatric
Endocrinology at Goryeb
Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
GASTROENTEROLOGY
Feldman, Tamara L., MD
Koslowe, Oren L., MD
Leiby, Alycia A., MD
Perez, Maria E., DO
Rosh, Joel R., MD
Verga, Barbara J., MD
Wilmot, Peter C., DO
(908) 522-8714
The Division of Pediatric
Gastroenterology and Nutrition
at Goryeb Children’s Center at
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Kazlow, Philip G., MD
(212) 305-5903
3959 Broadway, Rm. 726N
New York, NY 10032
Tyshkov, Michael (Misha), MD
(908) 273-7745
33 Overlook Rd., Ste. 208
Summit, NJ 07901
HOSPITALISTS
Lam, Jennifer, MD
LoFrumento, MaryAnn, MD
(nursery)
Marx, Julie, MD
Nativ, Simona
Nwaobasi-Iwuh, Eberechi, MD
Vassallo, Sheryl, MD
(908) 522-4679
The Pediatric Hospitalist
Service at Goryeb Children’s
Center
Overlook Medical Center
99 Beauvoir Ave.
Summit, NJ 07901
INFECTIOUS DISEASE
Baorto, Elizabeth, MD
Nwaobasi-Iwuh, Eberechi, MD
(973) 971-6329
The Division of Pediatric
Infectious Disease at Goryeb
Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
NEONATOLOGY
Mid Atlantic Neonatology
Associates
(908) 522-3569
Overlook Medical Center
99 Beauvoir Ave., Box #259
Summit, NJ 07902
Crowley, Kathryn A., MD
Federico, Cheryl L., MD
Goil, Sunita, MD
Hassinger, Denise C., MD
Ladino, John F., MD
Lee, Ben H., MD
Mimms, Gaines M., MD
Orsini, Anthony J., MD
Presti, Amy L., MD
Rogido, Marta R., MD
Schenkman, Andrew C., MD
Shen, Calvin T., MD
Skolnick, Lawrence M., MD
NEUROLOGY
Bennett, Harvey, MD
Lazar, Lorraine M., MD
Mahalingam,
Rajeshwari S., MD
(908) 522-0127
The Division of Pediatric
Neurology at Goryeb
Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
DeSouza, Trevor G., MD
Topper, Leonid L., MD
Waran, Sandy P., MD
(973) 993-8777
Advocare Pediatric Neurology
Associates, LLC
25 Lindsley Drive, Ste. 205
Morristown, NJ 07960
Cargan, Abba L., MD
(908) 233-5000
1122 Route 22 West
Mountainside, NJ 07902
Kubichek, Marilyn A., MD
(973) 635-2832
200 South Orange Ave.
Livingston, NJ 07039
NEUROSURGERY
Mazzola, Catherine, MD
Schwartz, Lauren, MD
(973) 326-9000
New Jersey Pediatric
Neurological Associates
310 Madison Ave., Ste 205
Morristown, NJ 07960
ONCOLOGY/
HEMATOLOGY
Fritz, Melinda D., MD
Gregory, John J., MD
Halpern, Steven, MD
Neier, Michelle, MD
(908) 522-2353
The Valerie Fund
Children’s Center
at Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 220
Summit, NJ 07901
NEPHROLOGY
Corey, Howard E., MD
(973) 971-5649
The Children’s Kidney Center
at Goryeb Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Bernstein, Jay M., MD
(973) 326-8895
Pediatric Ophthalmology
Associates, PA
218 Ridgedale Ave., Ste. 100
Cedar Knolls, NJ 07927
OPHTHALMOLOGY
Chen, Lucy L., MD
(973) 540-8814
95 Madison Ave., Ste. 301
Morristown, NJ 07960
Morgan, Charles F., MD
(973) 540-8814
95 Madison Ave., Ste. 301
Morristown, NJ 07960
Mori, Mayumi, MD
(973) 326-8895
Pediatric Ophthalmology
Associates, PA
218 Ridgedale Ave., Ste. 100
Cedar Knolls, NJ 07927
ORTHOPEDICS
Bloom, Tamir, MD
(973) 972-0246
90 Bergen St. DOC, Ste. 7300
Newark, NJ 07101
Friedman, Samara, MD
(973) 206-1033
Children’s Orthopaedics
& Sports Med. Center
261 James St., Ste. 3C
Morristown, NJ 07960
Liggio, Frank J., MD
(973) 258-1010
194 Main St.
Millburn, NJ 07041
Lin, David Y., MD
(973) 538-7700
The Orthopedic Center, PA
218 Ridgedale Ave., Ste. 104
Cedar Knolls, NJ 07927
Minkowitz, Barbara, MD
(973) 206-1033
Children’s Orthopaedics
& Sports Med. Center
261 James St., Ste. 3C
Morristown, NJ 07960
Nuzzo, Roy M., MD
(908) 522-5801
Overlook Medical Center
99 Beauvoir Ave., Ste. 750
Summit, NJ 07901
Rieger, Mark A., MD
(973) 538-7700
The Orthopedic Center, PA
218 Ridgedale Ave., Ste. 104
Cedar Knolls, NJ 07927
Sabharwal, Sanjeev, MD
(908) 522-5895
33 Overlook Road, Ste. L-02
Summit, NJ 07901
Strassberg, Joshua, MD
(973) 538-7700
The Orthopedic Center, PA
218 Ridgedale Ave., Ste. 104
Cedar Knolls, NJ 07927
PULMONOLOGY
Assefa, Dagnachew, MD
Atlas, Arthur B., MD
Bieler, Harvey P., MD
Cooper, David Michael, MD
Shah, Ashish R., MD
Wazeka, April N., MD
(908) 522-8706
The Respiratory Center for
Children at Goryeb Children’s
Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
Kohn, Gary L., MD
(973) 267-6292
Pulmonary and Allergy
Associates, PA
8 Saddle Rd.
Cedar Knolls, NJ 07927
Kottler, William, MD
(973) 218-0900
48 Essex St
Millburn, NJ 07041
RHEUMATOLOGY
Lapidus, Sivia K., MD
(973) 971-4096
The Division of Pediatric
Rheumatology at Goryeb
Children’s Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 230
Summit, NJ 07901
SURGERY
Bergman, Kerry S., MD
Jacir, Nabil N., MD
Lazar, Eric L., MD
(908) 522-3523
The Division of Pediatric
Surgery at Goryeb Children’s
Center
Overlook Medical Center
11 Overlook Rd.
MAC II, Ste. 220
Summit, NJ 07901
UROLOGY
Clement, Michelle, MD
(973) 539-1050
261 James St., Ste. 1A
Morristown, NJ 07960
Connor, John P., MD
(973) 539-0333
Adult and Pediatric Urology
Group
261 James St., Ste. 3A
Morristown, NJ 07960
Overlookview.com | 45
Kaleidoscope
:: A New View on Kids, From the Goryeb Children’s
Center at Overlook Medical Center
Check it out
In the weeks that remain before school starts,
don’t forget to adhere to this checklist of
summer-safety tips and reminders
Back-to-school is still weeks away, so there is still plenty of time
left to enjoy the summer—if you keep safety top of mind. More
families are involved in outdoor activities and travel at this time of
the year, and it pays to be prepared.
•
•
Now is the time to schedule an appointment for a school
physical or sports physical for your child. It’s also a good
time to review immunization requirements for school,
monitor growth charts, and discuss the physical and
developmental changes that will occur for your child in the
coming year. Create a note in your smartphone or download
an app to help document a brief medical history for each
child. Many times, parents come to the E.D. under stressful
conditions and cannot recall what antibiotic the child is
allergic to, whether the child has ever been admitted to the
hospital, or if immunizations are up to date. Having all of this
information at your fingertips is especially helpful when you
are traveling out of the area.
Whether you are walking around town, riding your bike,
or driving your car, safety is always a priority. Walking is
great exercise, promotes a sense of community, and allows
you and your child to have a great conversation with few
distractions. Unfortunately, New Jersey has a high rate of
pedestrian injuries. To avoid these, remain aware of your
surroundings, use crosswalks, and hold your child’s hand.
Riding a bicycle is a milestone for most children and can
provide lifelong joy, so plan on buying a proper-size bike
and visiting your local park for some fun this summer.
Always make sure your child wears appropriate footwear
when cycling; in the E.D., we see many injuries caused by
flip-flops caught in pedals or wheel spokes. When biking,
remember that state law mandates helmets for those under 17
years of age (the same law applies for those who are roller
skating, in-line skating, or skateboarding). When traveling
by car, car seats and booster seats are a must and should be
properly fitted—and remember that older children and adults
need to wear their seat belts properly. To reduce the stress of
road trips, be prepared with healthy snacks, bottles of water,
and fun sing-along music or a favorite video.
•
When making use of the wonderful playgrounds in our area,
note handicap accessibility and be mindful of age indicators
when applicable. Children should be clothed properly, in
appropriate footwear and in garments free of any loose cords,
strings, or ribbons that could become caught on equipment
and cause serious harm. Check slides to make sure they are
not hot, as this can burn a child’s legs. Also, recent studies
have suggested that parents might cause more playground
injuries if they ride down the slides with their children, so
you might want to stand to the side and assist your child
down the slide rather than sailing down with him or her.
Remember, too, that children younger than eight years old
should avoid the monkey bars.
•
Sunscreen and sunglasses are necessities of summer—and
please set a good example! Sunscreen should be worn
by anyone above six months of age. A broad-spectrum
sunscreen, which screens out both UVA and UVB rays, is
recommended. Zinc oxide, now available in a rainbow of
colors to make wearing it fun, is especially helpful for faces
and ears.
•
Pool safety is always a concern for pediatric E.R. doctors
when the weather is warm. In any body of water, whether it’s
an in-ground or above-ground pool or even an inflatable pool,
children must always be watched by an adult. The same rule
applies in oceans and lakes.
•
The easy ebb and flow of summer makes this a good time
to inspect your home for safety issues. Is the medicine
cabinet secured? (If there are relatives visiting, make sure
their medications are not accessible to the children.) Are
household cleaners locked away? (A warning was issued
recently in regard to the new “pod” laundry detergents, which
have caused very serious illness in toddlers who ingested the
colorful packets.) Are batteries and magnets—abundant in
our age of technology—out of reach? Are safety latches and
door locks in place, are electrical cords secured, and are stair
gates appropriate?
Though it may seem as though the potential for danger lurks
everywhere, remember that with a careful eye and some proactive
planning, you can help to protect your children in every season.
­—By Kathleen Reichard, MD, pediatric Emergency Room physician
46 | J U LY/AUG UST 2012
To learn about services and specialists at Goryeb Children’s Center at Overlook Medical Center, visit www.atlantichealth.org/Goryeb.
OVERLOOK MEDICAL CENTER
Overlook Medical Center:
Follow us in the news, online, and more!
In the News:
On the Web:
OV-360°
› Alan Lieber, President of Overlook Medical Center and Vice
President of Atlantic Health System, was interviewed by The
Independent Press about key developments in healthcare.
In June, The Independent Press turned to Lieber as a local
authority on the Affordable Care Act, following the Supreme
Court’s decision to uphold most of President Obama’s
healthcare reform legislation. Stressing a need to “reduce the
cost of care, take inefficiencies out of the system, and at the
same time improve the quality of care,” Lieber cited Atlantic
Health’s own Atlantic Accountable Care Organization, a
network of 1,300 physicians that have partnered to provide a
greater coordination of care and share in the resulting savings.
In July, Lieber again was featured in The Independent Press,
this time about upcoming changes in laws governing Medicare
reimbursement for hospitals with high readmission rates. Lieber
said he does not believe this will affect Overlook at all: “All the
data points indicate that we’re in the top half of performance.”
Like Us:
OV ERLOOK
TELEVISION
www.atlantichealth.org/overlook/
www.facebook.com/OverlookMedicalCenterNJ
Follow Us:
› The Overlook Summer Internship Program, led by vascular
surgeon Clifford Sales, MD, was featured in The Scotch Plains–
Fanwood Times, The Item, The Courier-News, The Westfield
Leader, The Independent Press, and WarrenPatch. Through
this innovative program, undergraduates interested in pursuing
a career in medicine shadow medical professionals—mostly
physicians, but also therapists, nurses, administrators, and
more—for an up-close look at real lives in medicine.
› The Center for Concussion Care and Physical Rehabilitation
at Overlook Medical Center was recognized in The Daily
Record as a “prototype” for similar facilities nationwide. In the
article, physiatrist Joseph Rempson, MD, the Center’s Medical
Director, cited the widespread and critical need for proper
concussion care. “There are enough of these injuries throughout
the state and country that people need the support,” he said. The
Center treated more than 700 youngsters with new concussions
last year.
“Innovations in Spine Treatment”
(through August 31)
Guests include Jay Chun, MD, Neurosurgery,
on minimally invasive surgery for cervical
(neck) disorders; John Knightly, MD, Chair,
Neurosurgery, on minimally invasive laminectomy;
and Scott Meyer, MD, Neurosurgery, on minimally
invasive spinal fusion
www.atlantichealthblog.org/
Watch Us:
www.NoSurpriseItsOverlook.com. In Print:
Shows can be viewed on
HomeTowne Television:
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Health & Lifestyle
OVER LOOK
Magazine
October 2010
Magazine
November 2010
Preparing for
the Holidays
Tips on Selecting the
Best Food and Wine
Atlantic Neuroscien
A Comprehensive Resource
Care
for New Jersey’s Best
OVER LOOK
Magazine
SPECIAL ISSUE
ce
FIGHT
BACK!
Health & Lifestyle
48 | J U LY/AUG UST 2012
www.overlookview.com
Health & Lifestyle
› Pediatrician Hemant Kairam, MD, President of Summit
Pediatric Associates P.A., has been selected by Overlook’s
Medical Center Advisory Board to receive the 2012 Clinical
Excellence Award for Pediatrics. This prestigious honor is
presented to outstanding physicians who exemplify clinical
excellence, good citizenship, and collaboration at Overlook
Medical Center. Kairam is an active member of the Overlook
Medical Center medical staff and serves on many committees,
including Patient Safety and Quality, Pediatric Care Review. He
is a member of the Pediatric Advisory Committee, and in 2007
was named Overlook’s Vice Chair of Pediatrics.
On Television:
TAKE HEART
Cutting-Edge
Cardiac Researc
h,
Imaging & Treatme
nt
www.youtube.com/user/OverlookMedicalNJ/videos
DON’T MISS
A BEAT!
Integrative Options
for Healthier
Hearts
Advance
BREAST CANCERs in
AT
OVERLOOK
PREVENTION, HOSPITAL:
DIAGNOSIS & DETECTION,
TREATMENT
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Overlookview.com | 49
Beneath the Surface
With Overlook’s
Chef Mike
If varicose veins force you to hide your legs or—worse—
knock you off your feet, it’s time to do something about it.
Michael Atanasio is the manager of Food & Nutrition for Overlook
Hospital. He has more than 25 years of experience in the restaurant
and healthcare industries and has competed in and won numerous
culinary competitions. In 2000, he was named Chef of the Year.
Are varicose veins dragging you down? They might be, if they’re causing you pain
or discomfort, or making you feel self-conscious about showing your legs.
Too many people dismiss varicose veins—the darkened, rope-like veins that you
can see and touch—as an unsightly nuisance they can’t do anything about. In fact,
says Clifford Sales, MD, Chief of the Division of Vascular Surgery at Overlook
Medical Center, if left untreated, varicose veins can be quite painful and a constant
source of concern.
Sales explains that the veins of the vascular system have a series of one-way valves
that allow blood to travel up from the feet to the heart. “Gravity works to pull blood
down to the toes, but well-functioing valves prevent that,” he says. When valves
become weak or incompetent, however, blood does not move forward as efficiently.
Over time, this “backed-up blood” can make veins larger and they can become
dilated; over more time, they can go on to become a venous disease called chronic
venous insufficiency (CVI).
Although there is little anyone can do to prevent varicose veins—they are primarily
genetic, says Sales, and more common among people who stand on their feet for
long stretches of time (other factors, including pregnancy, overweight or obesity,
and age, also make a person prone to developing varicose veins)—there is much
that can be done to eliminate varicose veins.
Sales explains that with noninvasive ultrasound, he is able to analyze the competency
of the valves in the underlying veins to gauge the extent of the problem. From that
information, he is able to determine the best course of treatment. With sclerotherapy,
doctors inject the affected vein with a chemical that causes the vein to contract;
it is then absorbed naturally by the body. When there is an underlying problem
with the valves, it is important to address that problem before attacking varicose
veins. Ultrasound technology directs therapy appropriately, so that the veins with
the incompetent valves are eliminated. This has traditionally been performed
surgically using a technique called “vein stripping.” The past decade, however, has
seen the use of laser and radiofrequency technology to eliminate these veins with
incompetent valves in a minimally invasive manner. As for the varicose and spider
veins, several techniques can be used to get rid of these veins. These techniques
employ microinjections, laser treatment, or, in the most severe cases, surgical
removal of the large varicose veins. With all of these procedures, blood that would
normally return toward the heart through the treated veins simply routes through
other veins.
“Varicose veins are a very treatable concern,” says Sales. “I hear all the time from
patients that their legs hurt, and their veins are often the reason why. Many women
are conscious about the appearance of their legs—they often feel that their legs look
and feel like their mother’s legs! But with our minimally invasive treatments, we
can change all of that.”
50 | J U LY/AUG UST 2012
Mark Your Calendar
Are varicose veins causing you pain
or discomfort, or making you feel
self-conscious about showing your
legs? Women 30 to 55 are invited to
join vascular surgeon Clifford Sales,
MD, for a 20-minute information
session about the causes of and
treatments for varicose veins. The
lecture will be followed by painless,
noninvasive screenings to detect and
assess these often problematic veins.
Registration recommended; call
800-247-9580.
Overlook Downtown
357 Springfield Ave., Summit
(park in the rear lot)
Monday, October 15
11:00 am to 2:00 pm and
4:00 pm to 8:00 pm
Mix it Up!
Turkey Sliders (serves 6)
For a family-friendly summer meal, try this
alternative to the standard burger.
Ingredients
PREPARATION
1 cup cooked Quinoa
¾ teaspoon canola oil
1½ tablespoons yellow onion, chopped
1 medium-size stalk of celery, finely chopped
1 clove garlic, minced
1 pound ground turkey, extra lean
1 large egg
1½ tablespoons dried cranberries
¾ cup spinach leaves
¾ teaspoon Worcestershire sauce
½ teaspoon black pepper
1 pinch ground red pepper
Small wheat rolls
1. Preheat oven to 350°F.
Nutrition analysis
2. Add canola oil to heated skillet. Add
onion, celery, and garlic; sauté until soft
(about 5 minutes). Cool completely.
Calories: 260
Total fat: 10 g
Saturated fat: 2.5 g
3. In a large mixing bowl, combine
turkey, egg, cranberries, spinach,
Worcestershire sauce, black pepper,
and red pepper. Mix well.
Cholesterol: 100 mg
4. Add Quinoa and vegetable mixture to
turkey mixture.
Protein: 22.4 g
5. Form into 6 patties. Place on sheet pan.
Sodium: 240 mg
Fiber: 5.1 g
Carbohydrates: 59.6 g
6. Bake in preheated oven for 25 minutes
until turkey reaches an internal
temperature of 165°F.
7. Serve on whole-wheat rolls with optional
lettuce, tomato, and red onion.
Helpf
ul
Hints
The cost of beef has risen to an all-time high, which makes ground
beef more expensive than it used to be. Adding ground turkey to
meatloaf, meatballs, chili, and casseroles is a great way to reduce
cost and increase health. When using turkey, remember to cook it
to the proper internal temp of 165°F.
Slider:
A slider is a small sandwich, typically 3 inches across,
served in a bun. The term primarily refers to small hamburgers,
but can also cover any small sandwich served on a slider roll.
Overlookview.com | 51
“FOOD
Start
turning heads.
POISONING WAS
THE
BEST
THING THAT EVER HAPPENED TO ME.
OTHERWISE, THE HOSPITAL WOULDN’T
We know that it all comes down to how you feel about how you look.
When correcting vein problems, a woman wants the absolute best! The best
doctors…the best treatments…the best surroundings…That is what The Vein
Center is all about.
The Vein Center is the only facility of its kind staffed exclusively by Vascular
Surgeons…the doctors most qualified to treat vein problems. All of our
physicians are Board Certified Vascular Surgeons and nationally recognized as
experts in the field of venous disease.
Our physicians have been included in New York and New Jersey magazines’
BEST DOCTORS list since 1999!
Our facility is fully equipped to provide a personalized treatment plan
for you:
• Sclerotherapy (injections for spider veins)
• Laser treatment
• Surgical removal (depending on your needs)
And, the environment created is a comfortable, caring one that our
patients appreciate.
HAVE
FOUND
THAT
CYST.
AND
I
WOULDN’T HAVE MET VIKY, THE ROBOT
THAT HELPED MY DOCTOR REMOVE IT.”
- Kimberly Rodrigues
Rest assured…no matter what your vein problem is…there is no better place
for treatment than The Vein Center.
Union, New Jersey
NO SURPRISE, IT’S OVERLOOK.
T H E
V E I N
C E N T E R
Clifford Sales, MD | Jonathan Levison, MD | Salvador Cuadra, MD
Westfield • Clifton • Springfield
973-740-1400 • theveincenternj.com
It was bad enough when Kim Rodrigues went to the emergency department with food poisoning
and found that she also had a pre-cancerous cyst on her bile duct. And worse when she was told by a
New York City surgeon that she’d need an incision all the way from her breast bone to belly button
to remove it. But it got better when Overlook Medical Center offered a minimally invasive solution,
performed by a highly skilled physician and his assistant ViKY, a voice-activated robotic camera. No
surprise. Overlook surgeons are skilled in advanced laparoscopic procedures as well as robotic surgery.
For Kim, that meant three little incisions, a quicker recovery, and meeting her first robot.
For more surprising Overlook stories, visit
www.NoSurpriseItsO verlook.org
Foundation Happenings
Golfers Raise Funds for Cancer
Patient Support Programs
Foundation Grant to Help Fund
Autism Study at Overlook
Join us for an evening of
The Investors Foundation, which supports non-profit organizations that
enhance the communities served by Investors Bank, has announced a
$50,000 grant award to the Overlook Foundation.
The funds will help personnel at Overlook Medical Center carry out a
study designed to identify genetic patterns that may distinguish children
with autism from children without the condition. Partnering with Overlook
are the Morris-Union Jointure Commission, the Developmental Learning
Centers in Warren and New Providence, and researchers from Morristown
Medical Center and the Georgetown University School of Medicine.
Among the foursomes enjoying the 22nd Annual Overlook Foundation Golf
Tournament were: Alan Lieber, President, Overlook Medical Center; Steve
Stone, Chairman, Overlook Foundation; Jack Mann, Trustee, Overlook
Foundation; and Norbert W. Weldon of Weldon Materials, Inc.
More than 150 golfers converged on Canoe Brook Country Club in Summit
on June 11 to take part in the Overlook Foundation Golf Tournament. Now
in its 22nd year and sponsored by Bank of America Merrill Lynch, the
event raised nearly $105,000 to benefit patient support programs at Carol
G. Simon Cancer Center at Overlook Medical Center.
A generous lineup of golf prizes was awarded to the top half of registered
foursomes with the lowest net scores, as well as individuals with the
longest drive and closest to the pin. Top-finishing foursomes on the North
and South courses respectively were: Frank Ciufo, Joe Fitzpatrick, Mark
Voorhees, and Dave Pires; and Dan Colucci, Ken and Nancy Kaminski,
and Ken Loforte. In addition, the Anthony F. Coppola, MD Memorial
Award was presented to Jonathan Kessler for the lowest individual
gross score.
We extend special thanks not only to our golfers, but to the many
organizations and individuals who donated items to the silent auction
and raffle:
Adare Manor
Anna’s Ristorante
Bank of America
Basilico
Canoe Brook Country
Club
Dave and Kitty
Hartman
New Jersey
Symphony Orchestra
Jones Lang and
LaSalle
New York Jets
Knight Equity
Markets LP
Stage House Tavern
“We’re tremendously grateful for the friendship of the Investors
Foundation,” said Beth Searing, Director of Corporate and Foundation
Relations at Overlook. “The generosity of our funders and corporate
partners is vital to ensuring that this type of groundbreaking research can
be conducted.”
Overlook Foundation 2012 Gala
Saturday, September 29, 2012 • 6:00 pm
New Jersey Performing Arts Center
Festive Black Tie
Longtime Donors Thanked
Benefiting ovarian cancer research at Overlook Medical Center
in partnership with MD Anderson Cancer Center
For more information, log onto
www.overlookfoundation.org or call 908-522-5330
Terra Sky
C. R. Bard
Fiorino
Madison Hotel
food.
Marco Polo
Frederic Goodman
Fine Jewelers
Walter Bauman
Jewelers
New Jersey Devils
Winberie’s
New Jersey
Performing Arts
Center
Wm. Blanchard
Company
54 | J U LY/AUG UST 2012
Participants in the $400,000 study — the first of its kind — will include
a set of children with typical autism and a control group of children with
no known neurodevelopmental impairments. Blood samples obtained
from both groups will be studied in a state-of-the-art genetics laboratory to
analyze the approximately 100,000 genes known to be active in the brain.
The project is now under way, and the first phase of research is expected to
take about a year.
with Patti LuPone & Mandy Patinkin
Safilo USA
Liberty Science
Center
Greg Norman
Collection
“We don’t know a great deal about autism, but growing evidence suggests
that genetics plays a major role,” said Dr. Roger Kurlan, a neurologist who
is leading the study. “If we can identify the genetic factors at the root of
certain types of autism, we can develop a blood test to diagnose autism and
create new pathways for treatment.”
Trump National Golf
Club
Overlook Foundation Executive Director Ann Oliva (left center) was on hand
for a recent Donor Tea that featured a brief hospital update from Overlook
Medical Director Norm Luka, MD. Among the guests enjoying a tour of the
on-site Caregivers Center were Joan Spanarkel, Lottie Geoghegan, and Rachel
Burdeau, longtime supporters of the hospital.
Overlookview.com | 55
Atlantic Health System
99 Beauvoir Avenue
P.O. Box 220
Summit, NJ 07902-0220
Nonprofit
Organization
U.S. POSTAGE
PAID
Strasburg, VA
PERMIT #167
Getting exceptional, timely care is so important…
That’s why the
Summit Medical Group
Breast Care Center
was created.
The only New Jersey breast care center accredited by both the National Accreditation Program for Breast Centers
and the National Consortium of Breast Centers, our center offers screenings and comprehensive care for benign
conditions and all stages of breast cancer. Our top-rated breast
surgeons Diana Addis, MD, John Cunningham, MD, Jerrold Lozner, MD,
and Winnie Polen, DO, are available for immediate consultations.
Contact us to schedule a screening or consultation at 908-277-8770
Certified Breast Health Nurse Navigators
State-of-the-art Diagnostic Imaging
Minimally Invasive Image-guided Biopsies
On-site Outpatient Surgery Center
Most Major Insurance Plans Accepted
Berkeley Heights
summitmedicalgroup.com
Bayonne • Millburn • Morristown • New Providence
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