HeartBeat - Orange Regional Medical Center
Transcription
HeartBeat - Orange Regional Medical Center
Beat the winter cold with our heart healthy Ve getarian Chili Ingredients: 1 tbsp vegetable oil 2 cups cut carrots 1 1/2 cups onion, chopped 3 cups cooked red kidney 1 1/2 cups green, yellow or beans (if using canned red sweet pepper, cored, beans, sodium content is higher) seeded and chopped 1 tsp fresh minced garlic 1 can (14 1/2 oz) 1/2 cup chopped celery tomatoes, chopped, undrained, no salt added 1 1/2 tbsp chili powder (can use fresh tomato) 2 tsp ground cumin 1/2 cup plain fat free 2 1/2 cups white yogurt mushrooms, sliced 1 cup vegetarian broth 2 tbsp minced cilantro (no salt) Directions: In a skillet, heat oil; add onions, peppers, garlic & celery. Cook until onion is softened Stir in cumin, chili powder, carrots, mushroom, broth and tomato. Bring to boil, lower heat, cover and simmer until carrots are slightly soft. Add beans, cover and simmer for 5 to 7 minutes or until beans are heated through. Uncover skillet, cook until liquid has thickened. Top with 2 tbsp yogurt and garnish with minced cilantro for each portion. Can be served with brown rice. Nutritional information: Per serving approximately 321 calories 6 grams fat 2 forYOUR HEALTH / WINTER 2004 Serves 4 1 gram saturated fat 1 mg cholesterol 129 mg sodium CfoAr thRe I N G Caregivers Orange Regional Medical Center offers an invaluable resource, Caring for the Caregivers, which provides support and friendship for those caring for the chronically ill and disabled; a respite from daily responsibilities. Members build strong relationships and learn they are not alone. Facilitators Carol Holbert and neuropsychologist Dr. Karen Schroeder discuss: • Medical and insurance issues • Emotional needs • Emergency preparedness • Estate planning • Changes in relationship • Pain management • Lifestyle changes • Family issues The group meets the third Tuesday of every month from 3:30-5:00 p.m. at The Community Health Education Center, 110 Crystal Run Road, Middletown. For more information call The Orange Regional Health Connection, toll free at: 1-888-321-ORMC (6762). No One Does More For Your Health is published quarterly by the Public Relations & Marketing Department of Orange Regional Medical Center. For information about support groups, health screenings and hospital services, to find a physician, register for health education classes, or to be added or removed from our mailing list, call us toll free at 1-888-321-ORMC (6762). Visit us online at www.ormc.org HeartBeat Cardiac Cath Lab GRAND OPENING CELEBRATION Cardiology Center of Excellence dedicated in memory of Dr. Peter Frommer September 15th, 2004 marked the official Grand Opening of Orange County’s first diagnostic cardiac catheterization lab and the dedication of Orange Regional’s Cardiology Center of Excellence as The Peter Frommer, M.D. Heart Center. Over 300 community members and hospital family gathered at Orange Regional’s Horton campus in Middletown for refreshments, tours of the facility, and to hear comments from the Frommer family, New York State Senators John J. Bonacic and William J. Larkin, Jr., Orange County Executive Edward Diana, and hospital officials. Backed by an affiliation with NewYork-Presbyterian Hospital, Orange Regional offers the latest technology, experienced cardiologists and expert support staff. Left to right: Orange Regional CEO Jeff Hirsch, Orange Regional Board of Directors Chair Alanna Smith, Senator John J. Bonacic, Orange County Executive Edward Diana, Senator William J. Larkin, Jr., Stephen Frommer, Don Frommer, Ellen Frommer, Kathy Frommer, David Frommer, and Administrator of Cardiopulmonary and Diabetes Services, Anne Nelson. WWW. ORMC.ORG ORANGE REGIONAL MEDICAL CENTER 3 HeartBeat The Peter Frommer, M.D. Heart Center at Orange Regional Medical Center Dr. Peter Frommer 4 forYOUR A dedicated physician, the late Dr. Frommer began a distinguished career in Medical Science and Medical Science Administration in 1959 with the Public Health Service National Institutes of Health. He served that Institution in a series of appointments that progressed in responsibility and importance to the Institutes and to the science of cardiology. Dr. Frommer graduated from the University of Cincinnati, earning a degree in electrical engineering in 1954 and, four years later, a medical degree from Harvard University Medical School. In 1959 he moved to the Washington, D.C. area and joined the National Heart Lung Blood Institute (NHLBI). (How befitting that one of the first topics he worked on there was cardiac catheterization techniques.) Dr. Frommer returned to the University of Cincinnati in 1961, where he completed his residency in internal medicine at the university’s medical center. A few years later, Dr. Frommer returned to the Institute as senior investigator and attending physician in the cardiology branch. A leader in biomedical engineering, he was one of the first scientists to work in the field that led to the modern pacemaker. He was selected as Assistant Chief of the Myocardial Infarction Research Branch in 1966. This was followed in 1969 by his appointment as Chief of the Myocardial Infarction Research Branch of the NHLBI. In 1967, Dr. Frommer had designed, initiated and managed the Myocardial Infarction Research Unit Program for the diagnosis and management of patients with acute myocardial infarction. He was named Associate Director for Cardiology in the new Division of Heart and Vascular Diseases, and in 1978 he became NHLBI Deputy Director — a position he served in for nearly 20 years. He was an assistant surgeon general and rear admiral in the Public Health Services and served as acting chief of staff for the Office of the Surgeon General shortly before his retirement in 1997. Dr. Frommer participated in a great many other major programs of the NHLBI. He was a long-standing Fellow of the American College of Cardiology. Through his dedication to his fellow man, Dr. Frommer made distinguished contributions that have helped shape the study and treatment of heart disease over the past 40 years. HEALTH / WINTER 2004 Above: Stephen and David Frommer assist Orange Regional CEO Jeff Hirsch with announcing the dedication of Orange Regional’s Cardiology Center of Excellence as The Peter Frommer, M.D. Heart Center. At right:The Frommer family tours the Cardiac Cath Lab procedure room. At far right: David, Ellen, Don and Kathy Frommer. WWW. ORMC.ORG ORANGE REGIONAL MEDICAL CENTER 5 Colon surgery just got easier 6 forYOUR HEALTH / WINTER 2004 Laparoscopic colon surgery offers speedy recovery Every year, more than 600,000 Americans undergo various kinds of colon surgery. And now, doctors at Orange Regional Medical Center perform one of the newest techniques, known as laparoscopic colon surgery or laparoscopic colon resection. The procedure uses high-tech equipment that permits physicians to perform this delicate surgery with smaller incisions than those used in traditional open surgery done on the colon. “Laparoscopic surgery is minimally invasive. And because of that, it’s less traumatic to the body,” says Dr. John Peralo, M.D., F.A.C.S. of Orange Surgical Group in Middletown. “Several studies have shown that it tends to involve decreased blood loss, a shorter hospital stay and an earlier return to activity,” he adds. The laparoscopic procedure is sometimes dubbed “keyhole” surgery because of its tiny incisions. Instead of a normal large incision of about six or eight inches, laparoscopic colon surgery often uses several smaller incisions, each about two inches or less in size. Dr. Peralo explains that carbon dioxide gas is then gently pumped into the abdominal cavity to lift the abdomen away from internal organs. Tiny hollow cylinders, called ports or canulas, are then inserted, and equally small pieces of surgical equipment can then be slid through the cylinders to repair the colon. The entire procedure usually takes about two hours. An essential part of this procedure is the laparoscope, a tiny fiber-optic camera that’s hooked up to a video setup in the operating room. “It allows us to see an enlarged image of the colon on the video screen and shows us exactly where to take out the diseased areas and re-suture the remaining colon back in place,” says Dr. Peralo. Laparoscopic colon surgery may be performed to remove benign polyps, or malignant tumors (cancer), that can’t easily be removed by colonoscopy. The procedure can also be used to treat diverticular disease. Dr. Peralo adds that traditional open colon surgery is still a viable alternative for many patients and is often performed together with laparoscopic procedures. “We begin nearly all colon surgery by inserting the laparoscopic camera to evaluate whether the procedure is possible for a particular patient,” he says. “That way, there is always the option of proceeding with either laparoscopic or open surgery. It’s not difficult to go from one to the other. “It depends on the extent of the disease. If a WWW. ORMC.ORG patient has a large tumor, has had previous surgery and a lot of scar tissue remains, or if the patient is morbidly obese, traditional surgery may be a better choice for them.” Dr. Peralo says laparoscopic surgery is becoming a more common option for patients. “It’s no longer considered experimental. It’s been done since the 1980s, when it was first performed for removing the appendix and gallbladder,” he says. “Now that we can do it locally, patients no longer have to go to Manhattan for laparascopic colon surgery. That’s a real advantage.” COLORECTAL CANCER Many laparoscopic surgeries are performed to treat colorectal cancer — the third most common cancer diagnosed in both men and women in the United States, excluding skin cancer. This type of cancer affects the colon and rectum, which make up the large intestine, the long tube that carries digested food. The colon is about five to six feet long; the rectum makes up the bottom six to eight inches of the colon. Colon cancer occurs when cells in the colon grow out of control. Colon cancer is largely preventable; it’s also often curable if caught early. Most colon cancers begin as non-cancerous polyps that cause no symptoms and can easily be removed. If treated at an early stage, the cure rate is usually 80 percent or higher. REDUCING YOUR RISK Your risk of colon cancer may increase if you have a family history of the disease. According to the American Cancer Society, the best ways to lower your odds of getting colon cancer include: • Yearly screening for colon cancer after the age of 50; start younger if your doctor suggests • Get plenty of exercise • Limit intake of high-fat foods such as those from animal sources • Eat lots of fruit and vegetables • Avoid excessive alcohol • Consider taking a multivitamin containing folic acid • Take a low-dose daily aspirin if your doctor okays it ORANGE REGIONAL MEDICAL CENTER 7 Diabetes and kidney D id you know that about one-third of the 18.2 million people with diabetes in the United States are unaware they have the disease? Those suffering from diabetes often experience heart disease, blindness, kidney failure, extremity amputations, and other chronic conditions. The good news is that help is available from the experts at Orange Regional Medical Center. Diabetes is a group of diseases that are associated with high levels of blood sugar — either because the body lacks insulin or is unable to use insulin effectively. Diabetes is the leading cause of treated end stage renal disease (complete or near failure of the kidneys to excrete wastes, concentrate urine, and regulate electrolytes). Diabetic kidney damage, known medically as diabetic nephropathy, can occur in people with both insulin and non-insulin requiring diabetes. The peak onset of kidney damage is between 10-15 years after the onset of diabetes. Patients that have diabetes for 25 years with no evidence of kidney damage, have only a one percent chance per year of developing end stage renal disease. What do kidneys do? Healthy kidneys filter waste products and regulate salt and water balance. Urine production is necessary for this to occur. If urine production slows or stops, waste products can accumulate in your body. This can be life threatening, as elevated waste products can alter chemicals in the body which affect your 8 forYOUR HEALTH / WINTER 2004 heart and brain. Diabetes is the most common cause of kidney problems in the United States. High blood sugar and poorly controlled diabetes damage blood vessels and filtering units in the kidney. Once the filtering units are damaged, protein “leaks out” in the urine. Protein is a substance that we ingest in foods such as meat, fish and dairy products, and is necessary to stay healthy. As more protein leaks out, more damage is done to the kidneys. Urinary protein is the earliest clue to diabetic nephropathy. At highest risk for diabetic kidney damage are those people who have a family member with diabetic kidney disease. High blood pressure and poor sugar control both contribute to diabetic kidney disease. Prevention is the best treatment of diabetic kidney disease Strict blood glucose control is of the utmost importance when treating diabetic kidney disease. Hemoglobin A1C, the measure of how well blood sugar is controlled over a 2-3 month period, should be as low as possible. Studies show that for every one percent reduction in hemoglobin A1C there is a 25 percent decrease in microvascular (small blood vessel) disease — meaning that better sugar control leads to less risk of kidney disease, blindness and nerve damage associated with diabetes. Blood pressure control is also imperative when treating diabetic kidney disease and, the lower the blood pressure, the better. Controlling disease urine protein levels can be managed by medications and improved blood sugar control. It is also wise to avoid salt, which will raise blood pressure and cause leg swelling. Avoiding medications that are harmful to the kidneys will also help avoid kidney damage. It is recommended that people with diabetes maintain a total cholesterol of less than 170. The importance of exercise and weight control Regular exercise improves circulation and insulin sensitivity, which may result in better glucose control. Exercise and weight loss also help to decrease blood pressure, lower cholesterol and increase overall energy. Above all, if you smoke, quit. Smoking is an independent risk factor for kidney disease and will accelerate the disease if you have it. Good control of diabetes involves the proper use of lifestyle tools and medications. Regular and frequent monitoring of all aspects of diabetes is essential to good control. — Contributed by nephrologist Dr. Rachel Colvin WWW. ORMC.ORG Diabetes is tough, but we’re tougher Keeping diabetes controlled can be a tough job, but the staff of the Stanley S. Dunkelman, M.D. Diabetes Education Center is here to help. Our diabetes educators are certified by the National Certification Board of Diabetes Educators and are Certified Insulin Pump Trainers, with over 80 combined years of experience in diabetes education and management. Our team works with patients and physicians to teach essential skills for effective control of blood sugar levels. Individualized treatment plans include carbohydrate counting, self blood glucose monitoring, exercise, sick day management, stress management, and health promotion. The Stanley S. Dunkelman, M.D. Diabetes Education Center is proud to have achieved American Diabetes Association Recognition for outstanding quality in diabetes self-management education. To learn more or to schedule an appointment, please call the Diabetes Education Center at 845-342-7555. The Stanley S. Dunkelman, M.D. Diabetes Education Center Team (left to right): Program Assistant Pat Gerow, Diane Rodin, RN, CDE, Laurie Porcaro, RN, CDE, Administrator of Diabetes and Cardiopulmonary Services Anne Nelson, Kristine Bihun, RD, CDE, and Shelly DeHaan, RD, CDE. ORANGE REGIONAL MEDICAL CENTER 9 Combating kidney stones They can be excruciatingly painful, causing agony as they pass through the urinary tract. They may occur alone or in clusters. They can be as tiny as a grain of sand or as large as a golf ball. They’re kidney stones — rock-like crystals that form in the kidneys. More than a million American men and women are treated each year for stones, according to the National Kidney Foundation. Four out of five patients are male, usually between the ages of 20 and 50. Kidney stones are unpredictable. Some cause such severe pain that it’s been likened to that of childbirth. Others may develop for months or even years without causing problems. If a kidney stone has been safely passed from the body in the urine, no further treatment is usually needed. “Some patients even pass kidney stones as large as a pea without any pain,” says urologist Dr. Emmanuel Schenkman of Goshen. “Many people think it’s the moving stone ‘scraping’ along that causes the pain often associated with kidney stones,” says Dr. Schenkman. “But actually, it’s due to obstruction of the urinary tract caused by the stone.” What causes kidney stones? Among other functions, the kidneys filter extra water and waste chemicals from the blood and convert this to urine, which is then expelled from the body. They work hard, processing about 100 gallons of blood per day. If excessive levels of calcium or other chemicals build up in the kidneys, crystals or stones may form, and lodge there or elsewhere in the urinary system. Causes of this buildup include not drinking enough fluids, chronic urinary tract infections, genetic disposition, physical immobility, and diet. Interestingly, taking calcium supplements or products such as antacids that contain calcium may increase stone risk in some people. But eating foods that are high in calcium may actually help prevent kidney stones, according to the American Urological Association. Above: A cystine kidney stone, calcium oxalate monohydrate stones and a uric acid stone. Symptoms & diagnosis Symptoms often begin as sudden, intense pain in the kidney area — below the ribs and above the hips, toward the back of the torso. Pain may also focus in the abdomen and radiate to the groin. Other symptoms may include nausea, vomiting, fever, chills, cloudy or foul-smelling urine, the urge to urinate frequently, or blood in the urine. Diagnosis may involve x-rays, or an abdominal/pelvic CAT scan, which can clearly show the location and size of a stone or stones. Treatment options “With a small stone and no indication of blockage, the physician may choose to adopt a wait-and-see approach. Chances are, the patient will just pass the 10 forYOUR HEALTH / WINTER 2004 Kidney stone in their urine,” says Dr. Schenkman. “If it’s larger, we may insert a stent, which is like a tiny straw, to keep the kidney drained.” Urologists can also remove stones with lasers or other high-tech devices. One method is the ureteroscopy (URS). Ureteroscopes are small flexible or semi-rigid telescopes that are inserted up the urethra, through the bladder and into the ureter — a small tube that links the kidneys to the bladder — to pinpoint a stone’s location. Using these instruments, the physician can view a ureteral stone. Ureteroscopes also have small working channels through which various devices can be passed to remove or fragment the stone. Another treatment is extracorporeal shock wave lithotripsy (from the Greek word for “stone crushing”) or ESWL, which can be performed with equipment at Orange Regional Medical Center. ESWL involves using high-energy ultrasonic waves to break stones into tiny sand-like fragments without damaging surrounding tissue. “This is an excellent option because it is non-invasive and can be done as an outpatient procedure,” adds Dr. Schenkman. A percutaneous nephrolithotomy (PNL) is yet another treatment choice. This can be ideal for patients whose blockage is either too big for a stent or is in a location that doesn’t permit effective use of an ESWL. With a PNL procedure, a tiny incision is made in the patient’s flank and an instrument called a nephroscope is inserted to remove the stone. Recovery times vary depending upon treatment, with the less invasive procedures allowing shorter recovery periods and quicker return to activity. Recurrence & prevention Kidney stones have a high recurrence rate — about 50 percent within five years. But there are several simple steps that most patients can take to prevent more painful episodes of stones, according to Dr. Schenkman. “Diet is definitely important. We encourage patients to increase their fluid intake, especially water, to 10 or more glasses a day. We also suggest that most go on a low-sodium diet and consume reasonable amounts of protein.” Studies have found that substances in lemons may help inhibit kidney stone formation. “Drinking fresh-squeezed lemonade — just go sparingly on the sugar — may be helpful,” says Dr. Schenkman. Another citrus option is to drink four ounces of concentrated lemon juice diluted in water. In some chronic cases, medications are required. For more information about kidney stones, visit www.urologyhealth.org, the website of the American Urological Association. To find a physician, call The Orange Regional Health Connection, toll free at 1-888-321-ORMC (6762). WWW. ORMC.ORG Ureter Bladder Urethra ORANGE REGIONAL MEDICAL CENTER 11 Preventing prostate cancer: Prostate Cancer One in every six American men will develop Fortunately, some risk factors prostate cancer at some can be controlled. Here are point in life. But fortunatesome steps you can take to ly, increased awareness of help prevent prostate cancer. the disease is prompting more males to take action • Get screened. While it can’t early. prevent the disease, testing “The most important can find it at an early stage. thing a man can do about • Watch your diet. Avoid prostate cancer is simple — foods high in animal fat such get tested for it,” says Dr. as red meat; steer clear of David W. Cohen of high-fat dairy products Middletown Urologic and polyunsaturated fats Associates. “If you’re a man without symptoms and including margarine, corn have no family history of oil and safflower oil. Eat five the disease, it’s generally a or more daily servings of good idea to begin yearly fruits and vegetables. Some screening at age 45,” he research suggests the mineral adds. Some groups, such as selenium, as well as the American Cancer vitamin E and vitamin D Society, suggest that most may be beneficial. symptom-free men can wait until age 50 for their first • Exercise. It’s great for overall screening. health and may help prevent Dr. Cohen adds that prostate cancer. prostate cancer, which is the • Maintain your ideal weight. second leading cause of It’s been shown to possibly cancer death in American men, often has no sympreduce the risk of prostate toms, especially in the early cancer. stages. And, even if a man does experience symptoms such as difficulty urinating or blood in the urine, these may be caused by something other than prostate cancer. “There are several other conditions such as prostatitis, a urinary tract infection, or enlargement of the prostate (BPH or benign prostatic hyperplasia), which may cause symptoms similar to those of prostate cancer. “That’s why it can be a complicated, sometimes confusing disease for the patient. There’s also a lot of information available about prostate cancer, as well as a variety of treatment options to consider,” Dr. Cohen says. What is the prostate? The prostate is a walnut-sized gland located in front of the rectum, between the bladder and the penis. It makes up part of both 122 forYOUR HEALTH / WINTER 2004 the male reproductive and urinary systems. What is prostate cancer? Prostate cancer develops when cells in the prostate grow uncontrollably, creating tumors. These may stay confined to t prostate or spread to other areas of the body if the disease advances. According to the Prostate Cancer Foundation, prost cancer often begins with multiple, tiny tumors. If found at this early stage, 90 percent or more of patients can be cured. “Aga the problem is that, at this stage, there are usually no symptom That’s why testing is crucial,” says Dr. Cohen. What causes it? No single cause of prostate cancer has yet been identified, b various risk factors such as age and family history are linked t the disease. Testing There are two common tests for prostate cancer: the PSA blood test and the digital rectal exam. Most experts suggest th both be done at yearly screenings. The PSA test involves analysis of the patient’s blood for lev of a protein called prostate-specific antigen (PSA). The higher levels, generally the higher the possibility of prostate cancer. With the digital rectal exam (DRE), the physician performs manual probe, inserting a gloved finger into the rectum, which behind the prostate gland, to feel for bumps or enlargements that might signal the presence of tumors. Neither of these test can conclusively confirm whether or not prostate cancer is pre ent but they can indicate the need for more testing — usually with a biopsy. Tissue from the prostate is removed with a tiny needle or multiple needles. The cells are sent to the pathology lab for microscopic evaluation to determine if cancer is presen Orange Regional Medical Center sponsors a yearly prostate cancer screening. For information about this or other health screenings sponsored by Orange Regional Medical Center, please call the Orange Regional Health Connection, toll free at 1-888-321-ORMC (6762). “The so the better cancer ea r - The Simple Facts the tate s ain, ms. but to hat vels the sa h is s es- y y nt. Treatment If cancer is found, it is first categorized according to how localized or advanced the disease appears to be. Armed with this knowledge, doctor and patient can discuss the most effective treatment. “In relatively young patients, physicians tend to treat more aggressively for the best chance of a complete cure,” explains Dr. Cohen. Prostate cancer often develops and grows very slowly, especially in men in their 70s or 80s. The American Cancer Society points out that although one in every six men will develop prostate cancer, only one in 32 will die of it. Cohen points out four general treatment categories: Watchful Waiting: Since some prostate cancers take years or decades to grow, regular monitoring may be all that’s needed, at least initially. Regular PSA blood tests and digital rectal exams — and possibly occasional biopsies — may be suggested if a cancer is very low grade; if the patient is elderly; or if he has other medical conditions which might mean the side effects of treatments could outweigh the benefits. Surgery: There are two common operations for prostate cancer. In the first, known as radical prostatectomy, the prostate gland and some surrounding tissue is removed. This may be performed in cases with a high likelihood that cancer is confined to the prostate. Nerves associated with sexual function are spared as much as possible, and care is taken to reconstruct the bladder outlet to prevent the possibility of incontinence (loss of urine) after surgery. The second operation, transurethral resection of the prostate (TURP), may be suggested if the cancer has spread. It helps relieve symptoms such as urinary difficulty or blood in the urine. This procedure is performed through a tiny telescope-like camera inserted into the penis; tissue is removed using a heated knife. A TURP is not intended to be a curative procedure. Radiation: Radioactive material is used to kill cancer cells. One form, external beam radiation therapy (EBRT) involves an external series of treatments similar to x-rays. Another form of radiation is known as internal radiation or brachytherapy. This involves surgically inserting tiny pellets or “seeds” the size of a grain of rice into the prostate that emit radiation directly into the cancer site. Hormone therapy: Since most prostate cancer cells thrive on male hormones (androgens) such as testosterone, the goal of hormone therapy is to reduce the supply of these hormones in the body. Although hormone therapy won’t cure the cancer, it helps slow cancer cell growth and/or reduce tumor size. There are several types of hormone therapy; most are used when surgery or radiation might not be the best options, or in treating some advanced cancers. Hormone therapy is often given through injectable drugs or pills. Some of these treatments may be used in combination. Other treatment options exist; talk with your doctor and don’t hesitate to seek a second opinion if desired. ooner you’re tested, r the odds of catching prostate rly” — Dr. David Cohen WWW. ORMC.ORG ORANGE REGIONAL MEDICAL CENTER 13 Four Elected to Orange Regional Foundation Orange Regional Medical Center Foundation is pleased to announce that four members of the community have joined its Board of Trustees. J. Donovan Aitchison is the Branch and Relationship Manager in the Goshen office of The Bank of New York and holds the title of Vice President. Mr. Aitchison is active in the Goshen Chamber of Commerce, currently serving as President. He is a member and past President of the Goshen Rotary Club and is a member of the Board of Directors of Goshen J. Donovan Aitchison Restoration Unlimited. Paul Halpern, although “semi-retired” as a developer and owner of several manufactured housing communities, is active in a number of civic and community organizations. Halpern is currently a member of the Middletown Rotary, past member of Mamakating Lions Club and Moose Lodge, and past president and current Executive Board member of Temple Sinai in Middletown. Mr. Halpern is the current Chairman of the Board of the National Paul Halpern Academy Foundation at Middletown High School, which serves 14 forYOUR HEALTH / WINTER 2004 the Academy of Finance and Academy of Information Technology at the school. William Quackenbush, MBA, ASA, CBA, is the managing director of Advent Valuation Advisors. He has been retained by business owners and managers, attorneys and accountants in two principal disciplines: business appraisal and enterprise valuation, and economic litigation support. Mr. Quackenbush is a senior member of the American Society of Appraisers, Business Valuation; a member of the Institute of Business Appraisers, William Quackenbush Certified Business Appraiser; and a member of the Association of Certified Fraud Examiners. William Ruggles is the Director of the Academy of Finance at Middletown High School and the owner of DECAT Driving School. He is an adjunct instructor at Orange County Community College, teaching Accounting. Mr. Ruggles is a member of the Middletown Kiwanis, Benevolent and Protective Order of Elks #1097, Men’s University Club, and past member William Ruggles of the Brittany Miller Foundation. Foundation U P D AT E Patients awaiting outpatient procedures at the Arden Hill campus are now enjoying enhanced television viewing, thanks to the generous donation of a new flat screen television (photo at left) by Horizon Family Medical. Dr. John J. Dermigny and his associates wished to provide Orange Regional patients with a pleasurable pastime while awaiting their appointments. Pictured are Dr. and Mrs. Susanne Dermigny. Thank you, Horizon Family Medical. Orange Regional Medical Center Foundation has received its first donation to the 2005 Golf Classic... and, a rather large gift at that! Citizens Reunited to Overcome Cancer (CROC) has generously donated $12,500 of the proceeds generated from their 8K Run/Walk held in conjunction with General Montgomery Day in September. The Golf Classic will be held on Monday, June 20, 2005 at the Orange County Golf Club in Middletown and the Otterkill Golf and Country Club in Campbell Hall. It will benefit The Tucker Center for Cancer Care — Orange Regional’s comprehensive cancer care program. Many thanks to Dr. and Mrs. Jack LaCalamita for their gift of CD/AM/FM stereos for the operating rooms within the surgical suites at the Arden Hill and Horton campuses. Dr. LaCalamita, an anesthesiologist on Orange Regional’s Medical Staff, is acutely aware of the therapeutic benefits of music, and wished to provide it for members of the surgical teams. Thank you, Dr. and Mrs. LaCalamita, for your gift of music. Members of the Orange Regional Medical Center Foundation were saddened to learn of the passing of James T. Albert (photo at right) in August. Jim was an active member of the Horton Healthcare Foundation Board of Trustees, serving as its first president for four years. He was an integral member of the committee for Horton Medical Center’s successful capital campaign, HealthVision 2000, and remained involved with the Foundation until 1999. Our sincere condolences are extended to his wife and children. WWW. ORMC.ORG Orange Regional Physicians Honored On October 9, over 180 members of Orange Regional’s Medical Staff, Board of Directors, Board of Trustees, and guests attended the 2004 Medical Staff Appreciation Social — an annual event sponsored by the Board of Directors to applaud the Medical Staff in its entirety, and to honor two members selected by their peers for Lifetime Achievement and Leadership awards. Schuyler Newman, M.D. (left) and Allen D. Levine, M.D. Recipient of this year’s Leadership Award was Schuyler Newman, M.D., Chairman and Medical Director of the Department of Pathology, and the current Chief of Staff at Orange Regional. The Leadership Award recognizes involvement in the development of new or enhanced medical programs, promotion of staff education within the physician’s field, and professional excellence. Allen D. Levine, M.D., a member of the hospital’s Department of Obstetrics/ Gynecology since 1975, was honored with the Lifetime Achievement Award. Dr. Levine served on numerous medical staff committees including By-laws and Medical Library/Education. This award is presented to a physician who has continually improved the level of patient care, whose professional body of work has served to elevate their profession, and who, through personal example, has earned the respect of their peers and the community. ORANGE REGIONAL MEDICAL CENTER 15 Calling All Angels... Pastoral Care Program Offers Spiritual Healing R everend David W. Jenks had a mission in life — to minister to the sick. And, although Jenks passed away in 2003 after nearly three decades of service to Orange Regional, his dream lives on, fulfilled through Orange Regional’s Pastoral Care Program. “The hospital was his church and the patients were his congregants,” says Pastoral Care Coordinator Deacon Richard Trapani. “Reverend Jenks developed the in-house visitation program that now encompasses the Horton and Arden Hill campuses.” The twenty-four-hour, seven-days-a-week clergy program consists of dozens of on-call religious affiliations, including: Assembly of God, Baptist, Buddhist, Catholic, Episcopal, Greek Orthodox, Hindu, Jehovah’s Witness, Jewish, Lutheran, Methodist, Muslim, Pentecostal, and Presbyterian. “I believe there is too much emphasis on what is different among the religions — and not enough on what is the same,” explains Trapani. “We have proven that different religious denominations can work together to enrich the patient’s hospital experience. “We, as clergy, have the responsibility of visiting the sick,” adds Trapani. “Our clergy members can be called upon no matter what the time. Many often come in at night, after being woken from sleep. We want patients to receive the proper spiritual care. “The role of the minister is to also help the families — not just the patients,” adds Trapani, who likes to use humor at times to help bridge emotions that can run high during a medical crisis. “We often serve as a liaison between the family and the hospital. We try to give people encouragement and hope.” For more information about Pastoral Care at Orange Regional, please call Deacon Trapani at 845-342-7188. Vice President of Human Resources Deborah Carr, joined several members of the Pastoral Care Program at a recognition luncheon in October. Pictured are (left to right): Deborah Carr, Pastoral Care Coordinator Deacon Richard Trapani, Deaconess Terri Costello, Reverend Peter Rustico, Pastor Verdele Rudolph, Father Wayne Nicholson, Sister June Thomas, Reverend Monsignor George Valastro, Mrs. Connie Vega, Father John Warfel, Father Yesu Duraikannu, Father Roberto Perez, and Mrs.Valerie Dallio. 16 forYOUR HEALTH / WINTER 2004 HeartBeat Healthy Heart Program: Here’s how you can help. Annual Century Club Appeal to fight cardiac disease Orange Regional Medical Center has announced a commitment to eliminate existing access barriers and significantly improve the cardiac health of underserved and at-risk community members. This new primary prevention initiative, The Healthy Heart Program, is designed to annually provide access to cardiac screening and education for 1,000 low income/minority residents. Cardiac screenings to determine risk assessment will be conducted at identified sites in Orange and Sullivan Counties using our reconfigured mobile van. Century Club funds received from this year’s appeal will equip the van with the diagnostic tools necessary to perform cardiac screenings including: an echocardiogram that performs stress testing; an EKG machine, equipment for testing cholesterol and glucose levels; educational materials; and more. An automatic external defibrillator will Membership levels: Foundation Cornerstone Chairman’s Circle Vice Chairman Doctor of Philanthropy President’s Circle Vice President Director Partner Member also be purchased. Through the generous support from our community and Hospital Family to the Century Club over the last two years, Orange Regional has purchased patient care equipment for our expanding cardiology program — the Peter Frommer, M.D. Heart Center (see pages 3, 4 and 5). As a friend of Orange Regional Medical Center, we wish to invite you to join the Century Club at one of the membership levels noted below. As a member, you can take pride in the knowledge that you are helping to provide healthier and happier lives for people who live and work in our communities. In addition, you will receive an invitation to the annual Appreciation Celebration (scheduled for April 14, 2005); your name will be placed on the mem$10,000-$25,000 bership roster in the lobbies at both cam$5,000-$9,999 puses, and acknowl$2,500-$4,999 edged in various hos$1,500-$2,499 $1,000-$1,499 pital publications. $500-$999 Orange Regional $400-$499 Medical Center $300-$399 Foundation President, $100-$299 WWW. ORMC.ORG Robert J. DeValentino has announced that this year’s Century Club Honorary Chair/Community Division, is Henry Christensen, Jr., Vice Chair, Board of Trustees. The Honorary Chair/Employee Division is Anne Nelson, Administrator of Orange Regional Cardiopulmonary and Diabetes Services. To join the Century Club, complete the donor information on the enclosed envelope, note “Century Club Membership,” and make your check payable to Century Club. If you wish to discuss your membership further, please contact the Foundation Office at 845-294-2135. Your gift is taxdeductible as provided by law. ORANGE REGIONAL MEDICAL CENTER 17 Let’s talk breast cancer Recent happenings • Approximately 150 Orange Regional Family members joined the American Cancer Society’s Making Strides Against Breast Cancer Walk on October 17 at Woodbury Commons. Our commitment to fighting breast cancer helped the American Cancer Society raise over $810,000 for breast cancer research, patient services, education and advocacy. • Orange Regional held a Breast Cancer Screening program on October 29 at The Ray W. Moody, M.D. Breast Center in Middletown. The screening was open to women with or without insurance and included a clinical breast exam by surgical oncologist Dr. Howard Karpoff, a mammogram (free to those qualified through the American Cancer Society’s Healthy Women’s Partnership) and breast health education. For information about health screenings and educational programs sponsored by Orange Regional, call the Orange Regional Health Connection, toll free at 1-888-321-ORMC (6762). 18 forYOUR HEALTH / WINTER 2004 To promote Breast Cancer Awareness Month in October, Orange Regional hosted “Let’s Talk Breast Cancer,” a community forum with surgical oncologist Howard Karpoff, M.D., F.A.C.S. and Penny Lynch, RT (R) (M). Dr. Karpoff spoke about the latest treatment options for breast cancer including sentinel lymph node biopsy (removal of select lymph nodes to help determine if breast cancer has spread to the lymphatic system and the extent of spread), surgical options and advances in radiation therapy. Patients who undergo lumpectomy (surgical removal of a cancerous tumor, along with a small margin of the surrounding normal breast tissue) have survival rates equal to those of patients who undergo mastectomy (surgical removal of the breast). A recent advance in radiation therapy at Orange Regional, the MammoSite Radiation Therapy System, offers patients partial breast irradiation with an average treatment time of five days, rather than 67 weeks with traditional external beam radiation therapy. Ms. Lynch, Supervisor of Mammography and The Ray W. Moody, M.D. Breast Center, discussed breast care, risk factors and prevention of breast cancer, and strongly urged every woman to practice the three-step early detection program: selfbreast examination; yearly clinical breast exams by a trained healthcare provider; and annual mammograms beginning at age 40. Mammograms can detect 85-90 percent of breast cancers in women over age 50, and can discover a lump two years before it can be felt. Patients whose cancer is diagnosed at an early stage have a wider range of treatment options available. According to the American Cancer Society, over 200,000 women will be diagnosed with breast cancer in 2004 and over 40,000 will die from the disease. There are currently over 2 million women in the United States who have been treated for breast cancer. There has been a decline in death rates from the disease, most likely from early detection and improved treatments. Dr. Karpoff and attendees at “Let’s Talk Breast Cancer” in October. Service Excellence ... Making a difference for our staff Orange Regional Medical Center understands that employee satisfaction is vitally important to attract and keep the best qualified healthcare workers. As part of its strategic goals for 2004-2005, Orange Regional is striving to become the employer of choice in the Mid-Hudson region. Managers and employees have discussed the results of an employee satisfaction survey and identified three key areas for improvement ... employee recognition, accountability, and individual staff consideration. Here are a few highlights of actions departments are taking to make a difference for their staff: 5-Minute Stand Up Meetings: Laboratory In June, Sharon Perna, Director of Laboratory Services, and the Lab supervisors began daily huddles with their staff called 5-Minute Stand Up Meetings. These daily roundups are used to: recognize staff for doing something special, for important celebrations, to share operational news with the staff, for staff to inform the supervisor of any issues or needs they have that day (supplies, equipment issues, etc.). Employee Satisfaction Committee:Tower 5, Nursing, Horton campus Nurse Director Simone Stein’s discussions with her staff on Tower 5 led to the formation of an Employee Satisfaction Committee for that unit. The group meets regularly to discuss staff issues and devise solutions that staff can implement immediately or take to the Nursing Director for further consideration. One of many things they did was to set up a Tower 5 Star Award through which staff or patients can recognize employees who demonstrate positive attributes or those who have simply done something special. Recognition: Environmental Services Department Environmental Services Director John Roth is no stranger to employee recognition. Most recently, John instituted a log of compliments. Any written or verbal comments of appreciation about particular staff that come from patients, nursing units or other departments are logged into a book and tallied at the end of each month. The staff member on each campus with the most compliments is awarded Environmental Services Employee of the Month. At the end of the year, the staff selects one of these monthly winners to be the Environmental Services Employee of the Year. WWW. ORMC.ORG service excellence every time Celebration: Radiation Oncology Radiation Oncology, led by Director Pat Rodrigue, celebrated Customer Service Week (October 4-8) by creating a schedule for the week that included: red carpet day, hat day, pink shirt day (in honor of breast cancer awareness), international lunch day and Hawaiian day... grass skirts and all. Their patients appreciated the celebration and many of them joined in the fun. Emergency Department Redesign Orange Regional has begun an Emergency Department (ED) Redesign project that strives to streamline processes in and related to the ED. The program is designed to expedite patient flow, from the time of entry, to admission or discharge. We’re pleased to welcome Maggie Driano and Alice Walsh, our Patient Flow Coordinators. Alice and Maggie facilitate and coordinate bed assignment for all admissions and transfers by collaborating with various departments related to patient care. Maggie began her nursing career in 1968, graduating from North Edinburgh School Maggie Driano of Nursing, Edinburgh, Scotland. She furthered her experience in the Middle East and Holland, coming to the United States in 1986, working at Columbia-Presbyterian Medical Center, New York City. Alice brings over 17 years experience in various areas of nursing at Westchester Medical Center, including experience as a Patient Flow Coordinator. Alice was key in the development and impleAlice Walsh mentation of Westchester Medical Center’s Discharge and Bed Management Program. ORANGE REGIONAL MEDICAL CENTER 19 Junior Volunteers Recognized f or ser vice Debbie Linken, Volunteer Services Director, and the President Student Service Award Recipients. 20 forYOUR E ach September, Orange Regional recognizes the dedication and efforts of its junior volunteers. Between August 2003 and September 2004, 132 juniors donated over 7,350 hours at the two hospital campuses, offsite rehabilitation facilities, Community Health Education Center and the Medical Pavilion. Junior volunteers assisted staff in clerical areas, pharmacy, nutrition services, and on nursing units. The President Student Service Award (awarded to junior volunteers with at least 100 hours of service during a year) was given to 29 juniors. Additionally, special hour milestone pins were given to 27 volunteers with over 100 hours, three volunteers with 250 hours, and one volunteer for 500 hours of service. Also recognized were four juniors who received the annual scholarship award (see Fall 2004 issue). The 35 junior volunteers, who were accompanied by their families, each received a gift and a certificate of appreciation. If you are a teen (must be at least 14 years old) or an adult interested in becoming a volunteer, please call Debbie Linken, at 845-294-5441 extension 4654 (Arden Hill campus) or Lisa Ritchie at 845-342-7145 (Horton campus). HEALTH / WINTER 2004 Orange Regional All-Stars 3RD QUARTER 2004 ALL-STARS Patricia Bedford, Karen Bennett, Anna Betro, Diane Bishop,Venkateswaran Buddiga, Doris Buesing, Christine Canzoneri, Jeannette Carbone-Marsh, Cynthia Combest, Stacie Conklin, Christopher Costello, Sheri Dendanto, Jane Dever, Ricky Fairbairn, Karl Farris, Deborah Ferris, Karen Flood, Carrie Garloch, Melissa Green, Catalina Guerrero, Elsie Heller, Elizabeth Higgins, Donna Hoke, Jodi Jashembowski, Karen Keppler, Patrick Kerrigan, Deena Klaus, Kathleen Kriessler, Barbara Lindsell, Jean Lombardi, Betsy Lynch, Dawn Lyons, Diana Marroquin, Donna Martin, Natasha Mele, Erika Nadramia, Kimberly Nash, Jo Ann Noone, Lionel Oquendo, Marisol Ortiz, Liza Peereboom, Barbara Perillo, Dolores Pingotti, Daniel Quick, Jane Rappa, Bill Rauh,Theresa Reidy, Luz Ricardo-Torres, Gail Schall, John Sinnott, Barbara Sirois, Linda Skidmore, Elizabeth Steinberg,Tami Sutherland, Terry Terracino, Colleen Vitale, Kathy Vollano, Michael Weidel. WWW. ORMC.ORG Third quarter honorees Orange Regional Medical Center’s greatest asset is our complement of employees and volunteers. Their dedication, expertise, involvement and commitment enable us to provide the highest quality healthcare and services to our patients. We’re proud to announce the STAR recipients listed below, for the months of July, August and September 2004. GUIDING STAR - JULY/AUGUST John Roth, Environmental Services Director Anyone who knows John knows that he is a “people person,” who treats all with dignity and respect. John listens to staff and encourages their ideas about improving the department, all with a positive attitude that is truly contagious. “John has worked hard to make all three of his departments, Environmental Services, Patient Transport, and Laundry, feel we’re all one big happy family,” said Office Supervisor Rose Coolbeth. “When you have a team that looks forward to coming to work and wants to please their Director because of the way he treats them... I guess that says it all!” added Rose. SHOOTING STAR - JULY Frank Allison, Surgical Technician, Nursing Arden Hill campus Frank is known among his coworkers for his high standards, professionalism and dedication. Coworker Caroline Bark, who nominated Frank, said, “He is a principled employee who works at a very high standard. His commitment to quality care and his ability to put the needs of the patient above all are well known.” Frank often answers the call when an Operating Room technician is needed, even when he is not on call. SHOOTING STAR - AUGUST Brenda Whittlesey, Patient Access Management (photo not available) Orange Regional CT Scan, Maltese Drive Brenda goes beyond her required duties, giving her unique personal touch to assist patients and ensure their comfort. “Brenda truly has a heart of gold and genuine concern for our patients,” said coworker Carolyn Woods. “Brenda is a true ‘keeper’ and we should all be proud that she is on the Orange Regional team. She is a shining example of how we should all treat our patients and coworkers,” she added. SHOOTING STAR - SEPTEMBER Christina Platé, Secretary, Marketing & Public Relations Horton campus Christina exemplifies a true team player. She is the glue that binds the Marketing & Public Relations team together. Whether preparing for a special event or designing a flier, Christina is ready and able to complete the task. Always positive, professional and caring, she gives 110 percent. With her polite manner and excellent customer service skills, Christina is a tremendous asset to Orange Regional. To join an organization commited to service excellence, visit our website, www.ormc.org and click on “Careers,” or call the Recruitment Office in Human Resources at 845-342-7190. ORANGE REGIONAL MEDICAL CENTER 21 NEWS flash: Pavilion expansion begins The Goshen Patient Service Center, The 83,000 square foot expansion of the Orange Regional Medical Center Pavilion (formerly the Horton Medical Pavilion) at 75 Crystal Run Road began in November.The first step in the construction process involves additional shielding on the exterior wall of the linear accelerator vault within The Eleanor T. Snow Radiation Oncology Center, with full-scale site work to follow. The Pavilion expansion is the first step toward single site consolidation and the development of a new hospital facility for Orange Regional.The addition will allow for the expansion of outpatient diagnostic and treatment services at the Pavilion by adding or expanding the following: fixed open magnetic resonance imaging (MRI), wound care, diabetes treatment, nuclear medicine imaging, radiation oncology, and ambulatory surgery. The project will take approximately 10-12 months to complete and will ultimately provide our patients, medical staff and employees with the premier outpatient facility in Orange County. located at 70 Hatfield Lane in Goshen, recently reopened after a complete interior renovation. The entire interior structure was redesigned to accommodate filmless diagnostic imaging including the Picture Archive Communication System (PACS) and WEB PACS, which allow attending physicians to access patients’ images from a secure website immediately following an exam.This can be done either from a doctor’s home or office. A state-of-the-art, 1.5 Tesla, high field, short-bore Siemens Symphony “Maestro” magnetic resonance (MR) system was also installed.This new MR system is equipped with all the most advanced software and delivers unsurpassed diagnostic detail, allowing us to provide comprehensive MRI exams from head to toe, even on patients who are hard to scan. Gene Bernieri, C.R.A, Director of Diagnostic Imaging at Orange Regional said “There is a beautiful skylight and window in the MRI room that gives a calm and warm feeling. MRI Supervisor Sherri Greene and I created what I feel is the most attractive scanning room in the Hudson Valley.” The patient waiting room at the Goshen Patient Service Center was expanded to twice its original size and refurnished. Additional patient registration areas were also added to enhance patient privacy and reduce registration-waiting time. (Top row, left to right) MRI Technologist Helen Jacoby, Radiologist Karen Watkins, Diagnostic Imaging Lead Receptionist Carol Helmke, MRI Supervisor Sherri Greene, Registrar Caroline Pagani, Sonographer Lynnai Milton. (Bottom row, left to right) CT Technologist John Basilio, Lead MRI Technologist Ralph Donato, and CT Technologist Dave Granucci. 22 forYOUR HEALTH / WINTER 2004 We’re pleased to announce Peggy Hendricks as Director of Labor Relations. Peggy earned her Master’s in Public Administration from Marist College, a Bachelor of Science in Business Administration with a major in Industrial Relations from Ramapo College, and a Certificate in Labor Studies from Cornell University. Prior to her current position, Peggy worked with the Industrial Unemployment Insurance Service, was Human Resources Officer for Elant, Inc., and as Guest Relations Facilitator at Arden Hill Hospital. She has served as an instructor for Orange/Ulster BOCES and SUNY Orange and as a member of the Workforce Investment Board of Orange County. People Doing More Susan Heintz is our new Director of Human Resources. Susan joined Orange Regional Medical Center in 2001 after 12 years at Cornwall Hospital, where she held multiple positions in Human Resources including Manager. Over the past four years, Susan has functioned as the Coordinator of Human Resources at Orange Regional. In her new role, Susan’s responsibilities will include, among other things, management of the Human Resource Recruitment and Retention Program. Congratulations to Kevin McCormack, BS, RT(N), RDMS, CNMT on his promotion to Manager of Diagnostic Imaging. Kevin will assist Director Gene Bernieri with diagnostic imaging special projects and operations at the two hospital campuses, nine imaging modalities and eight imaging locations. Kevin previously held the position of Supervisor of Ultrasound, Nuclear Medicine, PET and Vascular Lab. Kevin’s certification in two major clinical modalities and more than thirty years of healthcare experience are a great asset as Orange Regional maintains our current level of rapid technological growth, expands imaging services and moves forward with the organization’s goal of being the healthcare provider of choice in Orange County. WWW. ORMC.ORG Simone M. Stein, RN, CMSRN has accepted the position of Manager of the planned Orange Regional Bone & Joint Center. Simone has served as Manager of Tower 5/Pediatrics at the Horton campus since 1995. Her career achievements include extensive experience in orthopedics and medical-surgical nursing in California, Vermont and New York. “I have always loved working in orthopedics and look forward to this new challenge with excitement,” says Simone. Congratulations to Lynda Holyk, who has earned the title of Certified Radiology Administrator (CRA) from the American Healthcare Radiology Administrators (AHRA), Radiology Administration Certification Commission.The AHRA is a resource and catalyst for development of professional leadership in imaging sciences. Lynda serves as Quality Assurance/Regulatory Compliance Supervisor for Diagnostic Imaging at Orange Regional. Peter Kyriakos, B.S., R.R.T. has been promoted to Director of Respiratory Services. Peter began his career at Orange Regional in January 2003 as a supervisor, and previously was Administrator of Diagnostic Cardiology and Respiratory at St. Joseph’s Hospital in Yonkers, New York. Peter holds a Bachelor of Science degree in biology and psychology and is a Registered Respiratory Therapist. Penny Lynch, RT (R) (M), has worked long distance with two of her colleagues to develop correlative physical breast assessment (CPBA), a customized program for mammographers who want to expand their role in women’s breast care.The three women launched a workshop at the American Society of Radiologic Technologists/Association of Educators in the Radiologic Sciences, Inc. Annual Conference in Dallas in June, demonstrating CPBA to more than 40 mammographers from the United States, Germany, Nigeria, Liberia and the Bahamas. Penny is Supervisor of Mammography and The Ray W. Moody, M.D. Breast Center, and serves as Vice Chairman of the ASRT Mammography Chapter. Mary Dougherty, RN, MA, MBA, Vice President for Patient Services at Orange Regional, recently participated in a panel discussion at SUNY Orange entitled “Today’s Healthcare.” The program addressed areas such as patient safety and qualtity of care, access and affordability, managed care, and the patient as a consumer. ORANGE REGIONAL MEDICAL CENTER 23 Orange Regional Medical Center’s Convenient Locations Arden Hill Campus 4 Harriman Drive, Goshen Phone: 845-294-5441 Horton Campus 60 Prospect Avenue, Middletown Phone: 845-343-2424 The Orange Regional Medical Pavilion (formerly The Horton Medical Pavilion) 75 Crystal Run Road, Middletown Orange Regional CT Scan 111 Maltese Drive, Middletown Orange Regional MRI 2 Edgewater Drive, Middletown Outpatient Rehabilitation Center 110 Crystal Run Road, Middletown Community Health Education Center 110 Crystal Run Road, Middletown Family Program For Alcoholism/Chemical Dependency 410 East Main Street, Middletown Imaging Center For Women 18 Old Monticello Road, Ferndale Orange Regional Diagnostic Imaging Center 30 Hatfield Lane, Suite 103, Goshen ORANGE REGIONAL M EDICAL CENTER HORTON CAMPUS • 60 P ROSPECT AVENUE M IDDLETOWN, NY 10940 WWW.ORMC.ORG Goshen Patient Service Center 70 Hatfield Lane, Goshen Outpatient Behavioral Health Center 2001 Route 17M, Goshen Outpatient Rehabilitation Center 2001 Route 17M, Goshen The Wound Care Center 1997 Route 17M, Goshen Monroe Patient Service Center 52 Mill Pond Parkway, Monroe Orange Regional Medical Center MRI 78 Cypress Road, Goshen Goshen Radiation Oncology 70 Hatfield Lane, Goshen Call 1-866-ORMC-TEST (1-866-676-2837) toll free, to schedule • diagnostic imaging tests including ultrasound, CT scan, LifeScan, PET scan, MRI, nuclear medicine, x-ray, bone densitometry, mammography, vascular lab, • or for cardiology services including cardiac catheterization, cardiac rehabilitation, EKG/event monitors/Holter monitors/EEG, 2D echocardiogram/stress echocardiogram, stress testing, TEE with/without cardioversion, cardiac thallium viability, tilt table testing, pacemaker clinic. For information about hospital services, support groups, to register for health education classes or health screenings, or to find a physician, call the Orange Regional Health Connection, toll free at 1-888-321-ORMC (6762). Visit us at www.ormc.org