November 2011 - Overlook View Magazine

Transcription

Health & Lifestyle Magazine
December 2011
WEIGHTY ISSUES
Overcoming Obesity,
Managing Diabetes,
and Avoiding Extra Pounds
LIFELINES
Meeting the Needs of
Family Caregivers CELEBRATE
THE SEASON
Happy, Healthy Holidays!
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OVERLOOK
View From the Top
Vo l u m e
7 ,
I s s u e
9
Overlook Medical Center Staff
John Rosellini
Director, Business Development
Joyce Passen
Manager, Community Health
Diane Fischl
Manager, Physician Relations
Tom Woodard
Manager, Physician Relations, Imaging
Gina Carro
Manager, Physician Relations, Oncology
The end of the year always tends to inspire a period of reflection. Was 2011 the year
you achieved all that you wanted to achieve, or are you looking forward to a fresh
start in 2012? If you’re like most people, you’re feeling a mix of both.
As you exit one year and usher in another, it’s more important than ever to be
mindful of your health; it’s your most precious asset. If this was the year you
skipped a blood test or your mammogram or a colonoscopy, pick up the phone and
schedule that appointment and start the new year right. If this was the year you
promised to stop smoking but you didn’t, or vowed to drop those extra pounds
but the numbers on the scale only inched northward, don’t beat yourself up over
it. Instead, make the decision right now to make the new year the year you give
yourself the best gift of all: the gift of health.
At Overlook, we’re committed year-round to the gift of health, and to doing all we
can to ensure the health of our patients. We hope you’ll partner with us to do the
same—to do all you can do to ensure your health and your family’s health so that
you can share many more holiday seasons together. From our Overlook family to
your family, best wishes for a happy—and healthy—new year.
Elizabeth Newell
Manager, Physician Relations,
Cardiovascular Services
Thomas Quigley
Physician Relations & Business Development
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The information contained within this magazine
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4 | December 2011
www.overlookview.com
c on ten t s
December 2011
features
10
Spinning Out of Control
Understanding diabetes.
14
Fighting for the Future
The Goryeb Kid-FIT program helps kids escape
the binds of childhood obesity.
16
Overcoming Obesity
When diet, exercise, and willpower aren’t enough
to shed excess weight, bariatric surgery can be
the answer.
20More (and Less) Like
Herself These Days
An Overlook O.R. nurse shares her experience
with bariatric surgery.
24
Sensible Celebrations
How to avoid putting on the pounds this
holiday season.
40Wound Warriors
The Wound Healing Program at Overlook Medical
Center helps patients heal chronic wounds.
44Lifelines
Extending care to family caregivers.
48Toy Story
ON THE COVER
Celebrate the season with healthy tips, gift picks, and more.
Columns
30Community Health Calendar
36Kaleidoscope
52Culinary Corner
56Foundation Happenings
Top gift picks for the kids on your holiday lists.
55In the Spirit of the Season
Every person can make a difference
Overlookview.com | 7
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Spinning Out of Control
Diabetes has become a worldwide epidemic with
potentially deadly consequences, yet it remains
largely misunderstood and under-diagnosed.
What do Halle Berry, Nick Jonas, and Mary Tyler Moore have in common? From the outset, nothing.
But they all have diabetes, and every year nearly two million more people are diagnosed with the
same disease. Why has this condition reached epidemic proportions? Theories include everything
from an increase in low-nutrient foods to a decrease in physical activity—two factors that are proven
to contribute to obesity, in itself an epidemic. To learn more about diabetes and what you can do to
protect yourself, read on.
What is diabetes?
Simply stated, diabetes is a group of chronic metabolic disorders caused by the body’s lack of or
resistance to insulin, the hormone that allows glucose into the cells, where it is then converted
into the energy needed for daily life. “Although there are several types of diabetes that need to be
managed differently,” says Marie Lupo, APN, C, CDE, nurse manager and certified diabetes educator
at the Diabetes Center at Overlook Medical Center, “they are all the result of an insulin deficiency or
resistance, which allows blood sugar to rise to unhealthy levels.”
There are three distinct types of diabetes
Type 1 usually occurs in children and young adults, and was previously known as juvenile diabetes.
In type 1 diabetes, the body does not produce insulin. Only five percent of diabetics have this form of
the disease, which is managed with the help of insulin therapy and other treatments.
Type 2 is the variation typically associated with the word “diabetes,” and tends to strike adults over
40, although obesity has contributed to a rise in type 2 cases among children and adolescents.
In type 2 diabetes, the problem is a combination of insulin deficiency and insulin resistance.
10 | December
October 2011
2011
Gestational diabetes strikes expectant mothers, usually around the
24th week of their pregnancy. It resolves after the baby is born,
although if a mother remains overweight and physically inactive, she
has an increased risk of developing type 2 diabetes.
So how can you tell if you have diabetes? The truth is, it’s not so easy
to self-detect. “The majority of people with type 2 diabetes have no
clear warning signs,” explains Sharon Selinger, MD, section chief of
Endocrinology and Metabolism at Overlook Medical Center. “Therefore,
it’s important to screen individuals who may be at risk, such as people
with a family history of diabetes, a personal history of gestational
diabetes, or people who are overweight.” It’s not unusual, however,
for symptoms to manifest in patients whose blood-sugar levels rise
dangerously high, so speak to your doctor as soon as possible if you
experience chronic issues like increased thirst, urination, and appetite;
unexplained weight loss; frequent urinary tract or vaginal infections;
blurred vision; weakness; fatigue; or a sore throat that just won’t heal.
A global epidemic
There are currently 26 million diabetics in the United States (about
one in ten people), and 366 million worldwide—and these numbers
are rising rapidly, says Lupo. “At the current rate of diagnosis,
experts expect that by 2050, one in three Americans will have
diabetes,” she reports. The problem has grown so exponentially that
U.N. Secretary-General Ban Ki-moon recently referred to chronic
diseases like diabetes and heart disease as “a public health emergency
in slow motion.”
How did we get to this point? There is no singular answer. “Our
population is aging,” explains Lupo, “and as we age, our bodies
produce less insulin and become more insulin-resistant, leading to
more cases of diabetes.” But that’s only one piece of the puzzle. Adds
Selinger, “The risk of diabetes increases as body mass index (BMI)
increases, so obesity and sedentary lifestyles also are contributing to
the diabetes epidemic.”
Many experts believe the problem may be cultural as well. “As our
communities become more ethnically diverse, we are seeing more
cases of diabetes, especially among African-Americans, Hispanics,
and Asian-Americans,” says Lupo. The impact of the disease doesn’t
weigh solely on the patients and the families who love them. “The
growing diabetes epidemic stands to create a significant financial
burden for our already strapped healthcare system in years to come,”
Selinger points out.
We provide ongoing support
and coaching to help
diabetics continue to take
care of themselves.
Living with diabetes
There is no cure for diabetes, but careful management of the disease—
which typically involves diet and lifestyle changes and occasionally
medication—can ensure that patients live long, healthy lives. But
living with diabetes isn’t easy, and patients often need constant
motivation to stick to the difficult life changes and limitations they face
on a daily basis. “Unfortunately there is no quick fix for diabetes, and
it can affect every minute of a patient’s day and take the spontaneity
out of many aspects of their lives, since they need to not only diligently
monitor their diet and exercise regularly but constantly check their
blood sugar as well,” says Lupo. “So most of the work we do here at
the Diabetes Center is about encouraging patients to master the skills
they need to manage their disease.”
There is perhaps no better motivation than the laundry list of lifethreatening complications that can develop when diabetes isn’t
carefully monitored. “Since chronically elevated sugars cause injury
to large and small blood vessels, uncontrolled diabetes increases a
patient’s risk for things like stroke, heart attack, blindness, kidney
disease and dialysis, nerve damage, and amputations,” says Selinger.
Fortunately, most of these complications are avoidable—and possibly
reversible—with proper diabetes control. “We are an education
center for patients, their families, and primary care providers or
obstetricians to help them manage their condition and be prepared for
emergencies,” Lupo says of the Diabetes Center at Overlook Medical
Center. “But at the end of the day, the patient is really in the driver’s
seat, which is why we also provide ongoing support and coaching to
help diabetics continue to take care of themselves.” Not only does
Lupo work with patients to discuss every aspect of their disease,
but a registered dietician also is on hand to help with nutritional
counseling. “All of our patients see both of us at each visit,”
says Lupo, “and we collaborate to address each patient’s specific
stumbling blocks and help them meet their wellness goals.”
12 | December 2011
For more information on the Diabetes Center at Overlook Medical
Center, call (908) 522-5277.
Kids and
Diabetes
Where to turn when children are
faced with a very adult disease.
Diabetes isn’t exclusive to adults; kids are faced with the disease as
well. “The incidence of type 1 diabetes in kids has doubled in the
last ten years worldwide, with one of the biggest increases seen in
children under five,” says pediatric endocrinologist Harold Starkman,
MD, director of the BD Diabetes Center at Goryeb Children’s
Hospital, where more than 1,000 kids are treated for the disease
each year. The challenge in treating many of these kids, however, is
that type 1 diabetes (previously referred to as juvenile diabetes) is
not often considered in younger children. “Twenty-five percent of
younger children with new diabetes present with symptoms of severe
dehydration,” says Starkman. “The children often need intensive
care to get their blood-sugar levels under control.” Early symptoms
of type 1 diabetes include drinking and urinating excessively,
and bed-wetting.
Fortunately, much is known about managing type 1 diabetes, and the
majority of kids who develop the disease go on to lead long, healthy
lives. But unlike type 2 diabetes, which often can be managed with
diet and lifestyle changes, and/or oral medication, type 1 diabetes
can require more-intense forms of management, including insulin.
“In these kids, the cells in the pancreas that make insulin actually get
destroyed,” says Starkman, “so rather than struggling with obesity
like many type 2 diabetics, these kids tend to lose weight and often
require multiple insulin doses to maintain blood-sugar levels.”
What type 1 diabetes does have in common with its grown-up
counterparts is that “it’s a disease the whole family needs to manage
on a daily basis,” says Starkman, “and our job is to educate them
on how best to do so.” As part of the Atlantic Health network of
hospitals, the BD Diabetes Center at Goryeb Children’s Hospital
provides young patients and their families with an array of medical
and support services, including access to pediatric endocrinologists,
nurse practitioners who specialize in the management of diabetes,
registered dieticians, social workers, and a family therapist. Other
resources include parent and patient support groups, college
programs for adolescents preparing to leave home for the first time, a
buddy-system program where kids pair up with others with diabetes
to talk about strategies for living with their disorder, and a babysitter
network to help parents find quality caregivers who are comfortable
with diabetes. “We also participate in national research programs on
type 1 prevention and early intervention,” adds Starkman, “and we
are especially proud of our video and online educational programs
that are now being distributed worldwide.”
For more information about pediatric endocrinology services
at Goryeb Children’s Center and the BD Diabetes Center,
call (908) 522-6619.
Fighting for
the Future
Escaping the binds of childhood obesity.
Maybe it’s too much screen time. Maybe it’s too few family meals,
or too little emphasis on nutrition. It’s likely a combination of all of
these things, and more.
Whatever the reasons—and there are many—the inescapable fact
is that childhood obesity has tripled in the past 30 years, becoming
an epidemic in America. The Centers for Disease Control and
Prevention estimates that in 2008, more than one-third of our
children and adolescents were overweight or obese, placing them
at increased risk for high cholesterol and hypertension, bone and
joint problems, sleep apnea, and such social and psychological
issues as stigmatization and poor self-esteem. And the World Health
Organization has declared the current generation of kids to be the
first of the past nine generations to have a lesser life expectancy.
As a nation, as a society, it’s clear we have to do something.
Locally, Goryeb Children’s Hospital’s Kid-FIT program is helping
to transform the lives of children and adolescents by using
intervention strategies, lectures, and psychosocial support to teach
kids (and their families) how to make healthy lifestyle choices.
“We designed Goryeb Kid-FIT around other programs nationwide,
looking at what works and what doesn’t work,” explains exercise
physiologist David Scott, “but our program is tailored to the needs
of each child and each family.”
Typically, enrollment in the program is initiated by a referral from
a child’s pediatrician, and begins with a careful evaluation of the
child’s food and lifestyle choices. The Goryeb Kid-FIT Program is
one of the only pediatric programs in the country to utilize stateof-the-art Body Media SenseWear WMS® technology—essentially
an arm band that monitors sleep, activity, and sedentary time;
participants also keep a three-day food record. “This helps us to
identify where we need to strategize,” says Scott. “Some kids are
active, but eat tremendously bad foods. Other kids eat well, but are
sedentary.”
The support participants receive is unparalleled, but kids and their
families must be committed to the program in order to succeed. “We
filter out kids who are not ready to make changes, and families who
are looking for a miracle. That only creates frustration and failure,”
says Scott. “We don’t have a bag of magic dust. Participants have to
be dedicated to doing the work necessary to get out of this position
they’re in.
ome kids are active, but eat
S
tremendously bad foods. Other
kids eat well, but are sedentary.
“We’re constantly evolving to meet the needs of families,” he
continues. “When we started Goryeb Kid-FIT three years ago, there
were a lot of obese kids in the program. Now, our focus has shifted
to early intervention. Kids who haven’t yet started to gain a lot of
excess weight have greater success in the program than kids who
are already obese. Once a kid hits his or her teenage years obese,
there is an 80 percent failure rate for turnaround. The Goryeb KidFIT Program isn’t a quick fix, but part of a journey. If you think of
obesity as a map, we’re the compass to help kids get where they
need to go, but they need to have an open mind and motivation.”
For more information about the Goryeb Kid-FIT Program,
call (973) 971-8824.
Following this initial evaluation, the Goryeb Kid-FIT team (in
addition to Scott, there is a nutritionist, a social worker, and a
medical director) creates an individualized treatment plan based
on the child’s unique needs, incorporating exercise, nutrition,
and counseling. The emphasis is on education. “We teach kids
the meaning of good health, and how their bodies use food as
fuel,” explains nutritionist Aimee Goyette. “We try to change
their thinking about food—about calories and portions and what
constitutes a good snack.”
The Goryeb Kid-FIT team re-evaluates
each participant monthly to assess his
or her progress and make necessary
adjustments to the treatment plan. And each
child is eligible to use the Goryeb Kid-FIT services
and facilities until he or she reaches the age of 21.
14 | December 2011
When diet, exercise, and willpower aren’t
enough to shed excess pounds, bariatric
surgery can help.
overcoming
OBesit y
A number on a scale can tell you how much someone weighs,
but for people who are obese—defined as having a body mass
index (BMI) of 30 or more, based on individual height and
weight—the number is only part of the story. It says nothing
about the ways excess weight affects lifestyle or self-esteem.
It says nothing about health implications—everything from
sleep apnea and achy, worn-out joints to an increased risk for
stroke and heart attack.
The burden of obesity is in itself a heavy weight to carry,
and for people who are severely or morbidly obese (a BMI
of more than 35 or more than 40, respectively), there is
sometimes no amount of effort that can help them achieve a
healthy weight. For many people, bariatric surgery is the only
route to wellness. “Obesity is the end result of a combination
of genetics and eating habits, and lack of exercise,” explains
Muhammad Feteiha, MD, chief of Minimally Invasive
Surgery at Overlook Medical Center, and the founder of the
hospital’s Bariatric Program. “Once you have the disease
of obesity, it’s not easily treated with exercise and dietary
modifications. There are biochemical and hormonal effects
that you can’t necessarily change with exercise and diet.
That’s why diets fail to treat obesity.
“Try as you may, as much as you struggle, as guilty as you feel,
you cannot necessarily fix this problem on your own, and we
don’t have all the answers,” Feteiha continues. “Statistically,
surgery is the only thing known to treat obesity today.”
In fact, adds Ajay Goyal, MD, FACS, director of Bariatric
Surgery at Overlook Medical Center and founder of the New
16 | December 2011
Jersey Bariatric Center, studies have found that among morbidly
obese patients who have taken off excess weight through diet and
exercise alone, only one percent were able to keep the weight off
after five years. “Compare that with those who lost the excess
pounds through weight-loss surgery,” he says, “and you find that on
average more than 75 percent kept the weight off after five years.
That’s an amazing statistic. It really drives home the point that
bariatric surgery is the best chance for these patients to have longterm weight-loss success.”
Choosing surgery
There are three common forms of bariatric surgery. The procedures
assist patients in losing weight in a couple of different ways—either
by limiting the amount of food that one can consume, through
a reduction in the size of the stomach (known as restrictive
procedures); or by reducing the size of the stomach and reducing the
absorption of calories into the body (known as malabsorption).
Gastric bypass: The stomach is divided into two sections, creating
a small pouch (approximately the size of an egg) at the top of the
stomach. The small intestine is also divided and is connected to
the new smaller pouch. Food enters the small pouch and bypasses
the stapled-off section of the stomach and the upper portion of
the small intestine, where the majority of nutrients and calories
are absorbed, explains Goyal. Bypass is the only one of the three
procedures that affects both the amount of food a patient can eat and
the way the body absorbs it. The surgery limits the amount of food
that can be eaten at one time and also has been shown to decrease
hunger hormones, so patients feel full sooner and stay that way
longer. Bypass patients absorb fewer calories as well. This is the
most invasive of the bariatric procedures, but also results in the most
significant weight loss and is considered the gold standard among
bariatric surgeries.
Sleeve gastrectomy: With this procedure, three-quarters of the
stomach is removed, leaving a sleeve-shaped portion. The intestines
are left in place. It is less invasive than gastric bypass, but weight
loss is still significant. Feteiha reports that sleeve gastrectomy is
gaining in popularity, owing to overall patient satisfaction, lesssevere food restrictions than those necessitated by gastric bypass,
and less follow-up than is required with gastric banding.
Gastric banding: This is the least invasive procedure, but requires
the most follow-up. Here, an inflatable band (LAP-BAND or
REALIZE Band) is placed around the upper portion of the stomach,
creating a small pouch on top. Since the band creates such a small
channel between the sections, this slows down the emptying of the
upper section into the lower section, thereby restricting the amount
of food that can be consumed at one sitting. Patients feel fuller faster
and stay that way longer. The band is made tighter by inflating it
with more saline as the stomach shrinks. Weight loss is slower than
with bypass surgery or sleeve gastrectomy. In some cases, notes
Goyal, gastric banding can be done with a single incision called
SILS. He and Glenn Forrester, MD, FACS, were the first surgeons in
the state to perform a singleincision gastric-band procedure.
The bariatric surgeons at
Overlook Medical Center
perform all of the procedures
laparoscopically (and also
perform bariatric revision
surgery in the case of failed
weight loss). Deciding which
procedure is the best fit depends
on each person’s weight-loss
goals and level of commitment
to lifestyle changes, as well as
such other factors as co-morbidities (diabetes, hypertension, etc.)
and how much weight one needs to lose.
Patients with a BMI of 40 or more (about 100 pounds or more
hen you are motivated to make a
W
serious long-term change to your
lifestyle, that’s when you should think
about surgery as a serious option.
overweight) usually qualify for surgery. Patients with a BMI
between 35 and 40 and who have at least one other severe obesityrelated condition, such as high blood pressure or diabetes, also
qualify. Last year, the FDA approved LAP-BAND for people with a
BMI between 30 and 35 who have an obesity-related co-morbidity
(though insurance companies presently do not cover the procedure
for people in this category).
Not at all a quick fix
Bariatric surgery is a weight-loss solution, but one that is a serious
step that should not be considered until other weight-loss methods
have proven unsuccessful. Still, says Goyal, “if you have tried
dieting and exercising repeatedly and have failed to keep the
weight off, and you realize that your weight is holding you back
from living your life to the fullest—it could be you’re too tired or
uncomfortable to play with your kids, or you’re inhibited from doing
what you love—or you’re taking a lot of medications … when you
are motivated to make a serious long-term change to your lifestyle,
that’s when you should think about surgery as a serious option.”
Unfortunately, too many people fail to seek the kind of help that can
make a difference in their lives—even save their lives. “What keeps
people who suffer from obesity from getting the care they need is
the stigma of obesity,” says Feteiha. “We know that obese people are
more likely to develop colon cancer, and four times more likely to
develop breast cancer. To get treated, we don’t tell them to diet and
exercise. When a person is diabetic,
we are going to give them medication.
But we don’t focus on treating obesity.
Society is not geared to view obesity
that way. We’ve been trained by society
at a young age to think of people who
are obese as lazy or uninterested—not
go-getters. And the person who suffers
from obesity feels shameful and
guilty. Family and friends put pressure
on them—they’re under social and
physiological pressure.”
For those who opt for surgery, it’s not a quick fix. They must change
what they eat and how they eat (bypass patients, must be on protein
shakes for life, and vitamin supplements are required for most
patients). There also must be a commitment to wellness. “Patients
need to understand that this is a lifelong change,” says Feteiha.
“They’re making a decision for life to modify their behavior.”
Adds Goyal, “We have the ability to surgically help people who
have in the past been unable to control their weight gain, but it’s
not magic. Weight-loss surgery is just a tool; it still takes work. The
procedures are designed to help patients control their hunger, but
the reasons they overate in the first place will still be there—those
temptations are not going to go away. Patients still have to watch
what they eat, exercise, and live a healthy lifestyle to have the best
results.”
Given the lifestyle modifications associated with bariatric surgery,
insurance companies require patients to receive counseling prior to
surgery. Psychologist Erika January, PhD, of the Atlantic Health
Weight and Wellness Center at Overlook Medical Center, meets
pre-operatively with most of the patients who have bariatric surgery
at the hospital. “Bariatric surgery is an elective procedure,” says
January, “and we have to make sure patients are prepared and
understand all the follow-up beforehand in order to avoid medical
problems and help to ensure a successful weight loss. Surgery
doesn’t address the behavioral component of weight loss.”
January evaluates each patient’s food choices, patterns of eating, and
what food means to their family. “Patients benefit from talking about
their relationship with food,” she says. She counsels patients preand post-operatively, and hosts support groups. “Our patients are
dealing with patterns that have been in place for years, and it takes
a long time to change a pattern,” she says. “These supports help to
facilitate change.”
Adds Feteiha, “The weight-loss part is straightforward; it’s what
patients do in the five and ten years after that. That’s why support is
so crucial to success.”
Success, of course, comes in many forms: a healthier body, a
slimmer figure, more energy, improved self-esteem. Says Goyal,
18 | December 2011
“The majority of my patients have obesity-related health conditions,
such as diabetes, high blood pressure, or sleep apnea. After surgery,
these conditions are resolved or vastly improved; patients often are
able to come off medications. And even for those without co-morbid
conditions, their lives are greatly improved. Patients tell me about
their ‘non-scale victories’ all the time: little things like being able
to wrap a towel around themselves after getting out of the shower,
getting a haircut and having the cape fit around their necks, and
being able to ride a roller coaster with their kids—these are the
things that make a difference in people’s lives.”
For more information about bariatric surgery at Overlook Medical
Center, call (908) 522-5794.
A Solid
Support System
The Atlantic Health Weight and
Wellness Center supports patients in
their journey with bariatric surgery.
The decision to have bariatric surgery is not an easy one, but at
Overlook Medical Center experts support patients through every
stage of their weight-loss process. “We try to make this effortless
for patients,” says Jennifer Oliveira, patient navigator at the Atlantic
Health Weight and Wellness Center. “We understand the stress
of going through this decision, and that the process of surgery is
stressful. We ease patients’ stress and make the process as easy as
possible.”
Overlook offers concierge testing, which allows patients to get the
majority of pre-operative testing done in one day. Prior to surgery,
patients must undergo a battery of tests—blood work, x-rays, a sleep
study, an EKG, and more. Oliveira coordinates all of this, and makes
sure that reports are sent to referring physicians for review. Patients
also receive nutritional counseling and psychological counseling,
which are available onsite. “The fewer barriers, the smoother the
process,” says Oliveira.
Support services are available before and after surgery, and include
a free exercise program, cooking classes, counseling, and support
groups. Says Oliveira, “I tell people, ‘You’ve already decided to take
on this major lifestyle change. Why not try something new?’ We love
when patients take us up on our services!”
For more information on the Atlantic Health Weight and Wellness
Center, call (908) 522-5794.
Dramatic, Sustainable Weight Loss Is Within Your Reach
The New Jersey Bariatric Center’s approach to patient care has resulted in:
• Zero Mortality • Low Complication Rate • Increased Quality of Life
• Improvement of Diabetes, Hypertension and Sleep Apnea
Ajay Goyal, MD, FACS
Director of Bariatric Surgery,
Overlook Hospital
Glenn Forrester, MD, FACS
Board Certified Bariatric & General Surgery,
Overlook Hospital
Angela Jack, MD
Leigh Montes, MD
Overlook Hospital
Overlook Hospital
Join Us for a Free Educational Seminar at Overlook Hospital.
December 6th, 2011
7:00 PM
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7:00 PM
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7:00 PM
March 13th, 2012
7:00 PM
To register or for additional dates, call 908-378-1779 or visit NJBariatricCenter.com
700 Rahway Avenue, Union, NJ 07083
l
79 Hudson Street, Suite 301, Hoboken, NJ 07030
l
(877) NJBC-INFO
More
(and Less)
Like Herself
These Days
Like so many people who struggle
with excess weight, Overlook’s
own Lisa Diana, RN, cycled
through one diet and then
another, and still the pounds
piled on. Unlike so many others,
she decided to do something
about it once and for all, with the
help of bariatric surgery.
20 | December 2011
know that she looks good; she’s shrunk from a size 20 to a size 12,
and is wearing jeans again.
What a difference a couple of seasons can make. In June, Lisa
Diana, RN, an operating-room nurse at Overlook Medical Center,
underwent bariatric surgery, opting for a sleeve gastrectomy to
help her shed the excess pounds that had—quite literally—been
weighing her down. The procedure, in which three-quarters
of the stomach is removed, has become a standard option in
bariatric surgery; Diana’s operation went as planned, without any
complications. But what makes her story so worth telling is that it
can be any woman’s story: How she gained the weight and how it
made her feel is a tale that can be told by countless women—but
how she feels today, just six months after surgery, is a success story
all her own.
Diana’s healthy new habits are rubbing off on her husband and son,
too. “My family is more aware now. My son was already physically
active, but I didn’t want him to be heavy,” she says. “I wanted to be
a better role model, and now I am. I’m also happier, and maybe that
makes them happier, too.
“My only regret is that I didn’t have the surgery sooner,” she continues.
“When people talk to me about my surgery, I immediately tell them to
look into it. If you have even the slightest thought about bariatric surgery,
pursue the information because it really is a lifesaver. Had I not had the
surgery, I’m sure I would have had different problems down the road:
diabetes, heart disease, hypertension. I feel like I just put a lot of years
back onto my life.”
“The last few years when I would go to my gynecologist for an
annual exam, she would point out that I was putting on weight,” says
Diana. “I was aware of it, of course, but your friends don’t say, ‘Oh,
you’re getting heavy.’ My doctor, however … She said, ‘If you come
back and you’ve gained more weight, I’m going to be very upset.’ ”
For more information on Overlook Bariatric Services please call
(908) 522-5794.
Diana says she didn’t look as heavy as she was—206 pounds on her
five-foot frame—but the doctor’s words were a too-familiar reality
check. “I feel like I’ve always been on a diet,” she says. “The Atkins
Diet, the Zone Diet, Weight Watchers, the Three-Hour Diet, even
diet pills when I was younger—you name it, I’ve tried it. I didn’t
struggle with my weight as a teen, and when I got a little heavy in my
mid-twenties, I worked out, watched what I ate, and played soccer
before things got too bad.” But Diana admits she wasn’t as heavy
then—at 150, 160 pounds, she was 40 to 50 pounds less than what
she was facing as a fortysomething woman—and it was easier to be
active. “I’d become too heavy to get through any exercise that would
help me lose weight,” she says. “I was too winded or too tired to get
through a long walk, or a class, or going on the treadmill.” And so the
weight continued to creep up on her.
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22 | December
November 2011
She was glad she went. “Even though I work in a hospital and have
seen bariatric surgery up close in the O.R., there were still things I
didn’t understand about what goes into choosing bariatric surgery,
and the lifestyle changes that go with it,” she says. A few months
later, it was the O.R. nurse’s turn on the operating table—though
she decided to keep her plans mostly to herself until after she’d had
the surgery. “I told next to no one,” she says. “I didn’t even tell my
mother until two weeks before the surgery. People always have an
opinion, and I didn’t want to hear, ‘You don’t need to do that. Just go
on a diet.’ If it was that simple, I would have done it!”
November 2010
By the time she was 45 and the baby was no longer a baby but a
nine-year-old boy, Diana knew she had to do something about her
weight. She tried for six months to trim down and even sought help
from a nutritionist, but didn’t achieve much success. It was another
doctor, separate from her gynecologist, who planted the thought in
her mind about bariatric surgery, but Diana did nothing to act on it
until she ran into surgeon Muhammad Feteiha, MD, at the hospital
one day, and asked to speak with him. “I started to cry,” she recalls.
“I started telling him my story, and he told me everything would
be okay, and he suggested that I sign up to attend an information
seminar
at the hospital.”
Magazine
Decision time
Health & Lifestyle
“I got married at 32, and had my son at 36. I gained weight with my
pregnancy, and it just snowballed. I had been so focused on getting
pregnant, and you know how it is,” she says. “Your whole life gets
wrapped around your child.”
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or
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DON’T MISS
A BEAT!
Integrative Optio
ns
for Healthier
Hearts
Just six months after surgery, Diana has lost nearly 60 pounds—15
in the first week following the operation. She’s changed her eating
habits and takes three-mile walks every day with her son or with her
dog. She coached her son’s soccer team again this fall, but unlike
last year, she was able to keep up with the boys on the field. She’s
receiving compliments, too, and admits it makes her feel good to
second
to
None
At Overlook, we are driven by patient outcomes—it’s our
greatest indicator of success. But that’s not the only measuring
stick that helps to guide us. Here, we proudly present our
most recent awards and accreditations. They’re a testament
to our quality.
Overlook Hospital is accredited by The Joint Commission, an independent,
not-for-profit organization that accredits and certifies more than 18,000
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.
The 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. The Carol G. Simon Cancer Center has received
Accreditation with Commendation from the American College of Surgeons’
Commission on Cancer.
The Breast Center at Overlook Hospital is accredited by the American
College of Radiology and the Mammography Quality Standards Act. It received
the Outreach Award from BMW and the Susan B. Komen Foundation.
The Stroke Center at Overlook Hospital is a core component of the Atlantic
Neuroscience Institute (ANI). The 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.
ANI’s Epilepsy Center has been designated a Level 4 Epilepsy Center by the
National Association of Epilepsy Centers. It is one of only two such centers in
New Jersey.
Overlook’s Spine program received the Gold Seal of Approval™ in
Cervical Spine Treatment Certification and Lumbar Spine Treatment
Certification from The Joint Commission.
Goryeb Children’s Center at Overlook Hospital 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.
The Chest Pain Center, part of Gagnon Cardiovascular Institute, is
accredited by the Society of Chest Pain Centers. Additional 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.
Overlook’s Women’s Heart Awareness Program received the Circle of
Excellence Award from the American Association of Critical Care Nurses.
Our Maternity services have been designated a Level III Intensive Perinatal
Unit by the New Jersey Department of Health and Senior Services.
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 for the third year 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.
For a referral to an Overlook Hospital physician, please call
(800) 400-5680.
24 | December 2011
Sensible Celebrations
Eat,drink,and be merry: It’s the
unofficial motto of the holiday
season, but for many people, it
adds up to too many extra pounds.
If you could have more of something this holiday season, what would it be?
More time with family? Extra opportunities to see your friends? A few more
decorations in your home? For sure, one thing you probably don’t want more
of is extra pounds, and yet that’s exactly what most people find themselves
facing come the new year.
“There’s food everywhere this time of year,” says Gale Reed, RD, an
outpatient dietician at Overlook Medical Center who has been teaching
people about weight management for nearly 15 years. “It’s at parties, it’s
in your home, it’s at work—there’s no avoiding it. But you can manage it.
Remember: You’re the master of your own mouth.”
Reed is realistic about holiday eating; she understands human nature, and
she knows that people are going to reach for one more hors d’oeurves or
another bite of dessert this time of year. But by being mindful of your food
choices, you can avoid the scourge of excess weight. “Everyone splurges
sometimes—it’s a human condition,” she says. “But plan them out, and
choose indulgences well. Everything you do is a choice—don’t fall victim to
the occasion or the holiday. You’re the one who makes the decision to put the
food in your mouth, and if you stay mindful, you’ll make better choices.”
26 | December 2011
• Wear fitted clothes. It’s harder to overeat when you’re wearing
something that’s fitted, because you’re going to notice that your
clothes are feeling tighter.
• Control portions. “You can have anything you want,” says Reed.
“You just can’t have everything you want. If you go to a buffet,
have a tiny bit of whatever you want. Remember: The banquet is in
the first bite. More of it is just more calories and more of the same.”
• Watch your glass. According to the American Heart Association,
consuming one drink a day (for women) and two drinks a day (for
men) is moderate and can be considered healthy; more than that
can be considered excess. To keep yourself in check, always have
a glass of water along with your glass of wine. Drinking water
in between sips of wine will help you drink less wine, thereby
avoiding dehydration and the “morning-after blues,” says Reed.
• Have an awareness of saboteurs: We’ve all come up against
the hostess who urges us to have another piece of cake, or the
aunt who tries to guilt you into eating by pointing out how she
spent hours making your favorite dish. In these cases, Reed
recommends complimenting the hostess and having just one
small bite, or explaining that you’re trying to watch your weight.
“When you tell people what you want, they’ll usually respect your
wishes,” says Reed.
As you enjoy the holidays this year,
be mindful of these points.
• Plan ahead. Don’t go to a party hungry (you’re setting yourself
up to overeat, Reed points out), and find out ahead of time what’s
going to be served. This way, if everything is going to high in
calories, sugar, or salt, you can opt to bring a dish that isn’t. Offer
to bring a vegetable dish or a big salad, for example, or a shrimp
appetizer or fruit platter.
• When you cook, lighten your recipes. “Not only will you benefit,
but your guests will too,” says Reed. You often can cut sugar in half
without diminishing the taste (in fact, it will enhance other flavors),
and the same is true of salt. Trim the fat, too, by replacing butter
or oil with mashed bananas, unsweetened applesauce, or fat-free
condensed milk. “You can go online and find a healthier alternative
to any type of recipe,” says Reed. “A lot of times, all you taste in
a dish is its sugar and fat. What you want to look for is a lighter
version of the same dish to create life-enhancing foods that taste
awesome and give us quality of life without a food hangover the
next day.”
• Make better choices. Look for food high in nutrition and low in
calories, like lean proteins and vegetables. And make a commitment
to eat off a plate; you’ll eat less.
28 | December 2011
You can have anything you
want; you just can’t have
everything you want. The
banquet is in the first bite.
More of it is just more calories
and more of the same.
• Choose your position. At a party, stand near the fruits and
vegetables. “If you position yourself near something high in fat,
that is what you are going to grab,” Reed points out.
• Keep exercising! Exercise is something people often abandon
during the holidays, but it’s actually even more important to keep
active. Not only does it burn off extra calories, but it helps to reduce
stress, which can lead to emotional overeating.
• Have an anchor. An anchor is anything that’s going to keep you
from overeating. “If you know you’re going to be wearing a
beautiful dress, think about feeling great wearing that dress,” says
Reed.
With a little planning and willpower, you’ll find that you haven’t
sacrificed anything this holiday season—and you’ll be proud of
yourself too. “Focus on the fun, not the food,” says Reed. “When
you go to a party, rehearse it in your mind: Picture yourself having a
great time, making good choices, and leaving the party and saying, ‘I
am so proud of myself. I made good choices and I had a great time.’
Don’t fall victim to the occasion or the holiday. If you stay mindful
you’ll make better choices—and that’s the best gift you can give
yourself.”
To schedule an appointment for nutrition counseling,
call (908) 522-6114.
Coping with Diabetes
For people with diabetes, the planning that goes into
managing their disease becomes even more crucial during
the holiday season. “Most important is to keep bloodglucose levels even throughout the day,” says Gale Reed,
RD. “High-carbohydrate foods like cookies, candy, and
holiday breads are everywhere at this time of year. To
avoid hyperglycemia, be aware whenever you reach for
carbohydrate-containing foods. Eat them moderately
and in combination with a protein or a healthy fat
whenever possible.”
Alcohol also can lead to a glucose imbalance. “Heavy
alcohol consumption [three or more drinks per day] can
contribute to high blood glucose, the risk of high blood
pressure, and high triglycerides,” says Reed. For diabetics,
low blood glucose is dangerous, as it can contribute to a
hypoglycemic state. Moderate alcohol consumption can
improve insulin sensitivity; when combined with some
diabetes drugs that also improve insulin sensitivity, the
result can be a hypoglycemic state, so be aware of the
actions of your diabetes medications before choosing
to drink. And since the symptoms of hypoglycemia can
mimic the signs of intoxication, you may be mistaken for
being tipsy when you’re actually in greater danger. For
this reason, Reed recommends carrying extra glucose in
case you need it, and wearing ID to alert others to your
condition.
If you’re going to be drinking, your choice of drink should
not be overlooked. “Steer clear of drinks with mixers,
which tend to have a lot of sugar,” she says. Better choices:
dry red wine or a bloody Mary. And testing your bloodglucose level is essential, especially one to two hours after
drinking and before bed to ensure you’re not going into a
hypoglycemic state.
Overlook
Summer
Internship
Program
The internship program
lets them see what it’s
like to be a doctor and
be a person.
Do you know a college student thinking about going to medical
school to pursue a career as a physician? If so, the Overlook
Summer Internship Program (OSIP) may be just the opportunity to
set the student on a path to medicine.
A hands-on opportunity for college students
considering a career in medicine
This unique internship program, about to enter its third year,
is designed to expose college students to the healthcare field,
providing an up-close-and-personal view of what a career in
medicine is really all about, and enabling students to make betterinformed decisions about their future. “The idea is to give kids
thinking about going to medical school the chance to see what
being a doctor is about, from the non-medical side,” explains
program director Clifford Sales, MD, chief of Vascular Surgery and
director of the Vascular Program at Overlook Medical Center. “The
students get to observe our Overlook physicians in their day-to-day
routines, so they can see for themselves what it’s really like: ‘Can
I be a dermatologist and also be a mother? Can I be a cardiologist
and coach my child’s soccer team?’ Students already know that
being a doctor requires grueling hours and life-or-death situations;
the internship program lets them see what it’s like to be a doctor
and be a person.”
The four-week internship pairs students with medical professionals
(mostly physicians from a variety of specialties, but also therapists,
administrators, nurses, and social workers) who are committed
30 | December
November 2011
to teaching and sharing their experiences. During the program,
students shadow these professionals in one-day rotations to see
what life is like in each particular field. Rotations may include
anything from physician rounds and meetings to an experience in
the Emergency Department, operating room, or delivery room.
Every day in the program brings a new experience. Each day,
Monday through Thursday, begins with a one-hour breakfast
discussion led by a professional who will talk about his or her field.
Each student then reports to his or her assigned mentor for the day.
Fridays consist of a half day of mentorship, followed by a lunch
session in which students exchange ideas and thoughts on their
experiences.
“For years I’ve had young people come up to me and say, ‘I’m
thinking of going to medical school. What’s it really like to be
a doctor?’ ” says Sales. “This gives them almost 20 different
opportunities to see what it’s like, and can be extremely valuable
throughout the medical school application process.”
The OSIP application deadline is February 1, 2012.
An application can be downloaded by searching for “OSIP” at
www.atlantichealth.org. For additional information, contact the
Overlook Summer Internship Program office at (908) 522-5926, or
via e-mail at osip@atlantichealth.org.
Community Health Calendar
Children & Parenting
Go Baby Green
Exposure to chemicals in the home is an increasing
health risk. Learn about everyday cleaning products,
their hazards, safe alternatives, and ways to create a
non-toxic environment for your baby, kids, pets, and
yourself.
Registration required at 908-522-2946.
Call for dates and times.
Overlook Medical Center, Medical Arts Center (MAC) II,
Community Classroom, 11 Overlook Rd., 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 & 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!
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, as well as helpful information
about formula and breast-feeding, and healthy eating
for babiesófrom baby food and beyond.
Registration required at 908-522-2946
.
Call for dates. 10:00 am to Noon
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,
structured play, and stimulating the senses.
Registration required at 908-522-2946
.
Early Pregnancy
Attend before your 6th month of pregnancy. Learn
about comfort techniques, prenatal exercise, fetal
development, nutrition, physical and emotional
changes, and working during pregnancy.
Call for dates. 7:00 to 9:00 pm
Toddler Nutrition I
Start healthy eating habits that will last a lifetime. For
parents of toddlers 9 - 18 months.
Toddler Nutrition II
For parents of toddler 18 to 24 months. Topics include
creative menus, snack suggestions, and behavior
issues with feeding.
32 | December 2011
ABCs of Going Home With Your Baby
Learn about a newborn’s appearance, capabilities,
wardrobe and equipment needs, daily care, and bottle
feeding.
908-522-2946
Breast-feeding Your Baby
Breast-feeding basics and tips to help you off to a good
start. Partners welcome.
908-522-2946
Mindful Pregnancy and Birth
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 a
Calm Birth and Calm Mother audio guide CD, plus a
hospital tour.
908-522-2946
Calm Birth
Complementary preparation for childbirth based on
meditative science and mind/body medicine.
Prepared Childbirth Class
Topics include stages of labor, breathing and
relaxation techniques, medication options, hospital
stay, and cesarean birth. Includes a hospital tour.
908-522-2946
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.
Childbirth Mini-Class: Your Baby’s Birth at Overlook
Medical Center
Includes information on signs of labor; when to come
to the hospital; and the labor, delivery, and postpartum
experience at Overlook Medical Center. Also includes a
tour of the Maternity Center.
Childbirth Mini-Class: Epidurals, C-Sections, and More
A discussion of medication options available in labor
(including epidural and spinal anesthesia), induction
of labor, and cesarean birth (perfect for moms with a
scheduled or repeat cesarean section).
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 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.
Cancer
Bereavement Group
Support group for family and friends who have
lost a loved one to cancer.
Overlook Medical Center, Oncology Conference
Room, 99 Beauvoir Ave., Summit
Hearts and Hands: Living with Cancer
An open drop-in support group that offers
patients and caregivers the opportunity to
support one another in a caring environment.
No registration required.
Thursdays, 1:30 to 3:00 pm
908-522-5349
Becoming a Grandparent
Post-Treatment Group
Prospective grandparents learn the latest in childbirth
For patients who have completed their cancer
and infant care. Includes a tour of the Maternity Center.
treatment. This open support group explores
issues and concerns related to survivorship.
Second Thursday of the month. 7:00 to 8:30 pm
908-522-2946
Post-Partum Depression Group
This group will include coping and relaxation skills,
Gentle Yoga for Cancer Patients
psychoeducation, and support.
Yoga can improve energy, concentration, and
the emotional well-being of cancer patients. A
Thursdays, every other week. 11:00 am to Noon
brief meditation period will also be included at
Atlantic Behavioral Health Outpatient, 46-48 Beauvoir
the end of classes to calm, soothe, and focus
Ave., Summit
the busy or stressed mind. Class will last for 60
minutes and is for cancer patients ONLY.
Mondays, 1:45 to 2:45 pm
Stroke Support Group
The stroke support group provides emotional and
I Cancer Vive
educational support to stroke survivors and caregivers.
A 6-week program that empowers cancer
The support group is a forum where stroke survivors
patients and their caregivers to take a mindand their families can share experiences and concerns
body approach to healing.
related to stroke.
Second Thursday of the month. Noon to 1:00 pm
Overlook Medical Center, MAC ll, Community Education
Room, 11 Overlook Rd., Summit
Look Good, Feel Better
Women who are undergoing cancer treatment
Stroke Screening
learn how to look their best and manage
Evaluate your risk for stroke through cholesterol and
appearance-related side effects.
glucose lab testing, blood pressure and pulse check,
weight and Body Mass Index. Stroke-related counseling
by healthcare professionals is included.
Thursday, January 26, 10:00 am to 1:00 pm
Jewish Community Center, 1391 Martine Ave., Scotch Plains
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.
Tuesdays, 2:00 to 3:00 pm
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.
Stroke
Women’s Health
* Indicates a fee associated with the program.
Ostomy Support Group
Professionally led group for ostomy patients and
their families.
Exercise Class for Breast Cancer Survivors
A comfortable, safe, and supportive exercise
environment for breast cancer patients who have
undergone any of the following treatments and
procedures: chemotherapy, radiation, hormonal
therapy, breast surgery, or reconstruction.
Exercises are designed to increase flexibility and
muscle mass, decrease body fat, and work on the
prevention of lymphedema.
Scar Massage
A program for post-mastectomy patients who
have chosen not to undergo breast reconstruction.
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 postsurgery. Must be at least 6 weeks post-surgery.
Registration required at 908-522--5211.
Tai Chi/Qi Chong (Chinese exercise program)
Similar to Tai Chi. Meditation, breathing, and
simple movementósuitable for all fitness levels.
Successful Surgery Program
Guided-imagery program shown to improve postsurgical outcomes and reduce anxiety.
Group Acupuncture
An ancient technique designed to balance the
body’s energy. Helpful for nausea, pain, and
anxiety.
Coffee and Conversation With Barry Seidman, MD
One in every 6 men will be diagnosed with prostate
cancer in his lifetime. Join Overlook urologist
Barry Seidman, MD, to learn how early diagnosis
and treatment can lead to survival. Refreshments
will be served.
Registration is required at 800-247-9580.
Monday, December 12, 7:00 to 8:00 pm
Overlook Downtown, 357 Springfield Ave., Summit
Downtown Summit
Community Health:
357 Springfield Ave., Summit
To register, please call 1-800-247-9580. Please note that
Overlook Downtown will be closed on Monday, December
26, and Monday, January 2.
Coffee and Conversation With Barry Seidman, MD
One in six men will be diagnosed with prostate cancer in their lifetime.
Join Overlook urologist Barry Seidman, MD, to learn how early diagnosis
and treatment can lead to survival. Refreshments will be served.
Monday, December 12
7:00 to 8:00 pm
Bone Density
Find out if you are at risk for developing osteoporosis, with a noninvasive
ultrasound that provides immediate results. Counseling and educational
materials also are provided. Registration suggested.
10:00 am to 3:00 pm on Monday, November 28; and Monday, February 20
Blood Pressure
Make sure you are at or below 120/80, the national guideline for blood
pressure. Receive counseling and educational materials. Registration
suggested.
10:00 am to 3:00 pm Monday, January 16; Monday, January 23;
and Monday, March 5
* Note: Blood Pressure and BMI 10:00 am to 3:00 pm on Monday, December 5; Monday, January 23; and Monday, March 5
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 suggested.
10:00 am to 3:00 pm on Monday, December 19; Monday, February 13; and
Monday, March 19
* Note: No fee on Monday, December 19
Hemoglobin A1C
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, or those who have a family
history of diabetes. Fee: $10.00. Registration is required.
10:00 am to 3:00 pm on Monday, December 12; Monday, January 16; Monday, January 30; and Monday, March 12
Diabetes
Learn your blood sugar and risk factors for type II diabetes, with a nonfasting fingerstick that gives immediate results. Registration suggested.
10:00 am to 3:00 pm on Monday, December 12; Monday, January 16; and
Monday, January 30
* Note: Diabetes and HbA1C (with a fee of $10) for diagnosed diabetics
10:00 am to 3:00 pm on Monday, December 12
Hearing Screening
Have your hearing tested for potential problems. Registration suggested.
10:00 am to 3:00 pm on Monday, January 9; Monday, February 27;
and Monday, March 26
Respiratory Screening
Learn your breathing capacity. This screening is for those who have not
been previously diagnosed with a respiratory condition. 10:00 am to 3:00
pm on Monday, February 6
Community Health Calendar
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.
Heart Health
Health
Heart
Cardiac Health Fair: Heart Matters: From Prevention
to Rebound
Overlook’s annual Cardiac Health Fair will feature
informative talks by 3 distinguished cardiologists
(William Tansey, MD; Steven Sheris, MD; and Steven
Xydas, MD) from the Gagnon Cardiovascular Institute
of Atlantic Health. Breakfast will be available before
the program.
Saturday, March 17, 8:00 am to Noon
Hilton Short Hills, 41 JFK Parkway, Short Hills
800-247-9580
Diabetes
Learn your blood sugar and risk factors for type II
diabetes, with a non-fasting fingerstick that gives
immediate results.
Monday, December 5,10:00 am to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Wednesday, December 7, 10:00 am to Noon
Westfield YMCA, 220 Clark St., Westfield
Friday, December 9, 10:00 am to Noon
Home Depot, Springfield Ave., Union
Monday, December 12, 10:00 am to 3:00 pm
Thursday, December 15, 10:00 am to Noon
Longhill Library, 917 Valley Rd., Gillette
Berkeley Heights YMCA, 550 Springfield Ave., Berkeley Heights
Monday, January 9, 10:00 am to Noon
Springfield Free Public Library, 66 Mountain Ave., Springfield
Thursday, January 12, 10:00 am to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Wednesday, January 18, 5:00 to 7:00 pm
Westfield YMCA, 220 Clark Street, Westfield
Tuesday, January 24, 10:00 am to Noon
The Connection, 79 Maple St, Street, Summit
Hemaglobin A1C
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, or those
who have a family history of diabetes.
Fee $10.
The Connection, 79 Maple St., Summit
Monday, January 30, 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.
34 | December 2011
Tuesday, January 10, 9:00 to 11:00 am
Summit YMCA, 67 Maple St., Summit
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI
affect your . Receive individual counseling and
educational materials.
Tuesday, January 10, 9:00 to 11:00 am
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.
Fee $10
5 Points YMCA, 201 Tucker Ave., Union
Friday, December 16, Noon to 2:00 pm
ShopRite of Clark, 76 Central Ave., Clark
Overlook Downtown, 357 Springfiled Ave., Summit
Westfield Board of Health, 425 E. Broad St., Westfield
Monday, January 16, 1:00 to 3:00 pm
Colonial Crossroads Red Cross, 695 Springfield Ave., Summit
.
Bariatric Medicine & Surgery Seminars and Bariatric
Support Group
Call to find out dates and times for upcoming lectures
and seminars. There is also a support group for
those who have already had bariatric surgery. 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.
Call for dates and times
Overlook Medical Center, 99 Beauvoir Ave., 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 at 908 522-2365.
Fee $85
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.
Fee $55
.
American
Heart Association First Aid
Covers basic 1st Aid for common medical and
traumatic emergencies. Prior knowledge of CPR is
recommended.
Fee $55.
Heartsaver AED
A program to teach CPR, AED, and relief of foreignbody obstruction for adults.
Fee $45.
Heartsaver Pediatric
A program to teach CPR and relief of foreign-body
obstruction for the infant and child.
Fee $40.
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 are available.
Covered by Medicare and most major insurers.
Overlook Medical Center, 99 Beauvoir Ave., Summit
Health & Wellness
Bone Density
Find out if you are at risk for developing osteoporosis,
with a noninvasive ultrasound that provides immediate
results. Counseling and educational materials also
are provided.
Fee $10
Monday, November 28, 10:00 am to 3:00 pm
Wednesday, January 4., 10:00 am to Noon
Westfield YMCA, 220 Clark St., Westfield
Whole Foods Market, 2245 Springfield Ave., Vauxhall
sometimes-puzzling disorder.
First Tuesday of the month. 6:30 to 8:00 pm
Overlook Medical Center, Atlantic Neuroscience
Institute Conference Center, 99 Beauvoir Ave.,
Summit
Hearing Screening
HIV Support Group
Have your hearing tested for potential problems.
This support group offers support and information
regarding HIV. Meet others with HIV who face the
Tuesday, December 13, 10:00 am to Noon
same fears and questions, and find solutions.
Meetings are held in a confidential and private
environment. To leave a confidential message,
Whole Foods Market, 2245 Springfield Ave., Vauxhall
call 973-971-8936.
Second and fourth Thursdays of the month. 7:00
Wellness Center, Union Medical Park, 1000 Galloping
to 9:00 pm
Hill Rd., Union
Overlook Medical Center, 99 Beauvoir Ave.,
Conference Room 4, Summit
Wednesday, January 11, 10:00 am to Noon
Substance Abuse Family Support Group
Participants will learn ways to cope with
Friday, January 13, 11:00 am to 1:00 pm
substance-abusing family members.
Home Depot, Springfield Ave., Union
Wednesday, January 18, 9:00 am to 1:00 pm
Berkeley Heights YMCA, 550 Springfield Ave., Berkeley Heights
Atlantic Behavioral Health Outpatient, 46-48
Therapeutic Gambling Group
Respiratory Screening
Weekly therapy group for individuals who are
Learn your breathing capacity. This screening is for
concerned about their level of gambling.
those who have NOT been previously diagnosed with a
respiratory condition.
Westfield Board of Health, 425 E. Broad St., Westfield
Scotch Plains YMCA, Martine Ave., Scotch Plains
Women’s Group
Thursday, January 26, 11:00 to 1:00pm
Participants will learn coping skills through the
examination of thoughts and behaviors.
800-247-9580
Thursdays, 11:00 am to Noon
Hypnosis for Weight Loss
Learn how to permanently lose weight, using hypnotic
suggestions and behavior-modification techniques.
Fee $70.
Tuesday, January 24,7:00 to 9:00 pm
Overlook Medical Center, 99 Beauvoir Ave., Conference
Room 2, Summit
Chemical Dependency Intensive Outpatient Program
Three one-hour groups, 3 nights weekly, for those trying
to remain abstinent from all substances.
Monday, Wednesday, and Thursday Nights. 6:00 to 9:30 pm
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.
Monday through Friday, 10:30 am to 2:00 pm
Ave., Summit
Neuropathy Patients Support Group
Discuss various options in the support and treatment
of neuropathy. For additional information, please call
908-233-9709.
First Tuesday of the month. 7:00 to 9:00 pm
Overlook Medical Center, Neuroscience Community
Conference Room, 99 Beauvoir Ave., Summit
Atlantic Behavioral Health Mindfulness Group for
Stress Reduction
Men and women will learn mindfulness-based
interventions to better cope with stress, pain, and
illness.
Mondays, 4:30 to 5:30 pm
Outpatient Behavioral Health, 46-48 Beauvoir Ave., Summit
Alzheimer’s Association Caregiver Support Group
Community group for caregivers of individuals with
Alzheimer’s diseaase or related dementia disorders.
Fourth Thursday of the month. 7:00 to 9:00 pm
Room 3, Summit
973-586-4300 Hypnosis For Smoking Cessation
Learn how to quit smoking for good, using hypnosis
and behavior modification.
Fee $70.
Thursday, January 26, 7:00 to 9:00 pm
Room 2, Summit
800-247-9580
The Autumn Group
A weekly group designed to encourage seniors to
express their thoughts, feelings, and experiences.
Wednesdays, 2:30 to 3:30 pm
Ave., Summit
Adults with Epilepsy & Their Caretakers Group
Join us and other adults with epilepsy, or those adults
caring for family or friends with epilepsy, to share
experiences and strategies on how to best live with this
* Indicates a fee associated with the program.
Give the Gift of Care
For this holiday season, give yourself or a loved one
home care with compassion, excellence and reliability.
• Home health aide services: 24 hours,
overnight, live-in and companion
• Flexible schedules available: no
minimum hours required
WITH SO MANY PROSTATE CANCER TREATMENTS,
HOW DO YOU KNOW WHICH ONE IS RIGHT FOR YOU?
• CHAP accredited and state licensed
• Private pay and most insurance accepted
• Screened and fully insured staff
Call 908-789-1717 now to schedule a free
nursing evaluation for you or a loved one.
• RN supervision on all levels of care
Available 24 hours a day, 7 days a week.
Surveillance
®
CyberKnife
radiosurgery
IMRT with IGRT
Nerve-sparing radical prostatectomy
Robotic prostatectomy
Hormonal therapy
Chemotherapy
All your options, all at one time. All right here at Overlook.
Trying to decide on a prostate cancer treatment can be an overwhelming experience. At Overlook Medical Center, we have all the
latest treatments, from robotic surgery to CyberKnife® to image guided radiation therapy, and our focus is on helping you choose
the one that’s best for you. We’re the only hospital in the tri-state area to offer a unique, patient-centered consultation service called
Prostate Navigate Program, giving you the opportunity to discuss and evaluate every possible treatment option with a team of
specialists all in the same room, all at the same time. It’s a better, faster, easier way—and it’s what being a cancer leader is all about.
We turn cancer patients into cancer survivors.
For more information
visit atlantichealth.org/prostate
or call 1-888-4AH-DOCS.
36 | December 2011
Kaleidoscope
:: A New View on Kids, From the Goryeb Children’s
Center at Overlook Medical Center
As the winter season begins—and brings with it the usual onslaught
of viral illnesses—parents of children from six months and up are
confronted with the worrisome symptom of fever and how to handle
it. The American Academy of Pediatrics recently issued a report that
summarizes recommendations and controversies related to the use
of fever-lowering drugs in children. The first thing to realize is that
contrary to what most parents have been taught to believe, fever
is not harmful. Most pediatricians call this “fever phobia”—it’s
been with us since ancient Rome. This is a difficult myth to dispel,
especially with grandparents and other caregivers from different
cultures and generations.
To treat your child’s fever appropriately, consider these facts.
Fever does not cause damage to the brain in normal, healthy
individuals.
Every normal brain has a “thermostat” that prevents the body’s
temperature from getting high enough to cause brain damage. In
fact, fever is beneficial, as it is the body’s way of fighting infection.
Fever is known to slow the growth of bacteria and viruses and aids
the white blood cells (the body’s army of defenders) in fighting off
infection. Parents need to realize that the real enemies here are the
microbes, not the fever. Fever should be considered an ally in the
fight against disease.
The height of the fever does not determine the severity of the
illness.
Fever Pitch
When outdoor temperatures drop, fevers tend to pop
up. Here, a Goryeb pediatrician guides you through
what you need to know when fever strikes.
38 | December 2011
I have seen many happy, playful children in my office with fevers of
103 degrees F, and I have also seen listless, miserable children with
temperatures of 101 degrees. Instead of focusing on the “number,”
parents of children with fever should focus on the child’s activity,
discomfort, and most important, their ability to stay hydrated. Fever
increases the body’s demand for fluid; when a child is ill—even if
he or she isn’t eating well—it is essential for the child to continue
to drink an adequate amount of fluid. If the child is listless and not
able to tolerate fluid, the parents should contact their pediatrician
immediately, regardless of the number on the thermometer.
Use acetaminophen or ibuprofen wisely.
If a child is miserable and cranky because of a fever, it is reasonable
for a parent to use acetaminophen or ibuprofen to comfort the
child. But it is extremely important for parents to be aware that
the correct dosage is based on the child’s weight (not necessarily
his or her age). It is essential, too, to use an accurate measuring
device to deliver the medication; household spoons or measuring
spoons are not always accurate. It is estimated that 15 percent of
parents who give their children fever-reducing medicines exceed
the recommended dose. Many people will be surprised to learn
that acetaminophen is the most common reason for children’s
emergency room visits related to medication overdoses. It is crucial
“Fever should be considered an ally in
the fight against disease.”
for parents to realize that although acetaminophen is generally safe at
recommended doses, it can be toxic to the liver when given in higherthan-recommended doses. Ibuprofen has become a popular feverreducing drug because it is longer-acting. However, it too can cause
toxicity to the kidneys, particularly in children who are dehydrated.
If (and when) your child develops a fever, remember these key
points: Carefully monitor the child for changes in activity or
behavior, which might suggest serious illness; encourage fluid
consumption to prevent dehydration; and use fever reducers to keep
the child comfortable—but be sure to dose appropriately, and with an
accurate measuring device. Remember, too, that medicines always
should be stored away from the reach of children. Of course, parents
should always contact their pediatrician for any concerns regarding
their child’s illness and for instructions about how to manage fever.
— By Elizabeth Baorto, MD, division director, Pediatric Infectious
Disease, Goryeb Children’s Center at Overlook Medical Center and
Morristown Medical Center
To learn about services and specialists at the
Goryeb Children’s Center at Overlook Medical
Center, visit www.atlantichealth.org/Goryeb.
Coping with a chronic wound doesn’t have to be life sentence.
The specialists of Overlook’s Wound Healing Program can help.
Any injury has the potential to be scary, but when a wound just
won’t heal, it can be both frightening and frustrating. In fact,
although healing is often taken for granted, chronic wounds are a
major medical challenge.
All wounds are not created equal, and treating a wound begins
with understanding the wound. “There are many types of wounds,
and each patient has unique concerns,” explains Denise Brenner,
RN, BSN, CWCA, nurse manager for the Outpatient and Inpatient
Wound Healing Program at Overlook Medical Center. Although
the Wound Healing Program mainly treats patients with chronic
wounds—classified as a wound that shows no improvement with
traditional methods after four weeks—the program’s services are
available to any patient who needs help managing an open wound.
The program frequently treats patients with venous insufficiency,
arterial disease, diabetes, pressure ulcers, and many other conditions
that stall the healing process.
In addition:
wound
warriors
40 | December 2011
• p atients with acute wounds who need advanced woundhealing treatments to stimulate healing, and/or who need
their wound infections treated, or simply need appropriate
wound-drainage management;
• o ncology patients suffering from tissue damage due to
compromised circulation during or after radiation treatments
are appropriate patients for hyperbaric therapy;
• o stomy patients who need support pre- and post-surgery
(for stomal marking, trouble-shooting, appliance fitting, and
managing skin irritations);
• p atients dealing with autoimmune disorders that delay
wound healing;
• p atients taking medications that tend to suppress the immune
system; and
• a ny patient with an open wound that shows symptoms of
infection, including fever, severe pain, redness, swelling, or
drainage.
The Diabetes Connection
Healing at Overlook
People with diabetes comprise a large part of the patient population
within the Wound Healing Program, and for good reason: “Diabetes
is a metabolic disorder that impedes healing and the formation of
new, healthy tissue,” explains Brenner. Here’s what happens: high
levels of glucose (blood sugar) can damage arteries and compromise
a patient’s circulation, limiting the flow of blood and oxygen to such
extremities as the lower legs and feet. So if a diabetic develops a
diabetic ulcer or pressure ulcer, it is more difficult for blood and
oxygen to reach the afflicted area and deliver the body’s natural
healing components. Additionally, diabetes can lead to neuropathy, a
condition in which the patient loses feeling in an affected area; this
makes wounds harder to catch in the early stages. Long-term oxygen
deficiency can result in stubborn anaerobic infections in which
the affected tissue is subject to bacteria that live where oxygen is
not present. This creates a significant threat of amputation for the
patient. “Any wound, once healed, has a loss of tensile strength,
which means that the wound has approximately a 70 percent chance
of reopening at another time if that tissue is compromised again,”
adds Brenner. Another concern is that diabetes tends to occur in
conjunction with other conditions that place the arteries at risk, such
as high blood pressure, obesity, and high cholesterol.
One advanced option for healing is a bio-engineered skin substitute,
which can help close a wound while delivering targeted healing
factors right where they’re needed most. But after four weeks
of wound care, the most effective and widely used advanced
treatment probably is hyperbaric oxygen, which is delivered in a
high-pressure environment similar to an assimilated dive down
1.5 to 2 atmospheres. When patients breathe 100 percent oxygen
under pressure, the oxygen is able to circulate to parts of the
body compromised by diabetes or other complications. This ideal
condition for healing spurs the beginning of a crucial process known
as angiogenesis—the development of new blood vessels. Says
Brenner, “Hyperbaric oxygen stimulates the growth of these vessels
and can also kill some of the bacteria present in a wound, especially
in cases where the injured tissue is no longer living.” Recent
efficacy studies have shown, too, that the immense healing benefits
of hyperbaric oxygen continue well after the course of treatment is
finished, so patients remain on the road to recovery.
hen traditional methods fail,
W
we’re able to offer several advanced
modalities that have been proven to
promote healing.
It’s this confluence of potential complications that places diabetics
at an increased risk for complex, chronic wound ulcers, typically on
the lower legs and feet. Brenner reports that 15 percent of diabetics
have foot ulcers, and 84 percent of diabetic amputations begin
with an open wound on the lower leg or foot. “Controlling blood
sugar, improving circulation, and getting precious growth factors
to a wound are key,” she explains, “and when traditional methods
fail, we’re able to offer several advanced modalities that have been
proven to promote healing and minimize amputations.”
42 | December 2011
Patients come from far and wide for the wound-healing services at
Overlook, Brenner reports, and it’s easy to understand why. “Our
program employes six Wound Ostomy Continence nurses who are
certified to care for wound and ostomy patients,” she says. “Ninetyfive percent of our full-time staff is also certified by a variety of
other nationally recognized programs.
“In January 2010 we received a Joint Commission certification for
disease-specific wound care, making us the only facility in New
Jersey with this distinction,” Brenner continues. “Additionally, we’re
just one of three facilities in the state to have a hyperbaric program
accredited by the Undersea and Hyperbaric Medical Society.
Taking on this certification means we agree to maintain standards
of patient care that go above and beyond industry requirements,
and we vigilantly monitor to ensure we’re always in compliance.”
Additionally, says Brenner, “we place a great deal of emphasis on
research and are very innovative and aggressive when it comes to
improving patient outcomes.” For example, the Wound Healing
Program offers annual wound-healing and hyperbaric symposiums
to educate physicians, nurses, and wound specialists on the latest
treatment options. The program initiated nursing research related to
the development of an educational program designed specifically for
the venous ulcer patient; the idea is to decrease the time it takes for
patients’ wounds to heal and to minimize the recurrence.
The patient experience within the Wound Healing Program is
equally impressive. The program offers:
• inpatient and outpatient wound and ostomy care and
hyperbaric treatment;
• n utritional counseling with registered dieticians for diabetic
and obese patients;
• n ursing research related to the reduction of the incidence
of pressure ulcers, resulting in the use of static overlay
mattresses and stretchers equipped with redistribution
mattresses specially designed to aid in the prevention of
pressure ulcers while patients are treated in the Emergency
Department; and
• c ase management throughout their treatment, addressing
all aspects that affect patients’ ability to heal. This includes
follow-up support for caregivers at home and in nursing
facilities, communication with home care, durable medical
equipment and dressing orders, psycho-social referrals, and
home-based medical treatment arrangements.
The specialists of the Wound Healing Program at Overlook Medical
Center realize that patients are more than their wounds. The staff
takes a holistic approach to wound care, taking into consideration
a patient’s complete medical and personal profile. “We look at
the whole patient to uncover any underlying issues that may be
interfering with healing,” says Brenner. “Then we work with our
interdisciplinary panel of physicians—including representatives
from dermatology, plastic surgery, podiatry, vascular surgery, and
infectious diseases—to create a treatment plan for each patient based
on their unique needs.”
For more information on the Wound Healing Program at Overlook
Medical Center, call (908) 522-5900.
Life lines
It’s not just patients who require care;
family caregivers do,too.
In homes and hospitals across the country, people are finding
themselves having to take on a role they never imagined: caregiver.
Caring for a loved one with cancer, dementia, a debilitating injury,
or any other condition can be overwhelming. Family caregivers—
frequently spouses or grown children—generally aren’t trained for
the role; it’s thrust upon them out of necessity, and usually without
warning. For many people, it’s a 24-hour job; many more find
themselves juggling care with everyday responsibilities like work and
school and kids and chores. The job can be physically demanding;
for certain it is emotionally draining. Most caregivers tend to say the
same thing: It’s the hardest thing they have ever had to do.
“When people ask me how they can sustain their role as caregiver,
I tell them it’s because they love their family member—their
spouse, their parent, their child, their sibling—so very much,” says
Kevin McClarren, president of the Coalition on Family Caregiving.
But at this time of year, in the throes of the holiday season,
caregiving can be especially difficult. “Holidays and the change in
season bring up memories of the past, plus there’s the stress of the
holidays themselves,” McClarren says. “Caregivers are reminded of
their loss; even though their family member is still there, it’s not the
same. If you could chart caregivers’ stress, it peaks before, during,
and after the holidays, because the season puts family caregivers in
a much more vulnerable position.”
The Coalition on Family Caregiving was founded at Overlook
seven years ago, in response to a recognized need for a communitybased organization to provide services and support for family
caregivers in the Summit area. Today the hospital partners with the
44 | December 2011
coalition, which has evolved to take on an education component
as well, bringing information not only to caregivers but to the
medical and health communities. “Our original charter was to reach
out to the local community, but now it’s really to be a caregivers
support system through education,” says McClarren. “We educate
ourselves about pertinent issues like Alzheimer’s disease and
hearing impairment, so we can educate the community. We partner
closely with the hospital to get programs out to the community, and
when hospital staff members see patients and caregivers in need of
support, they reach out to us. Sometimes all people need is to know
where to go for resources.”
At Overlook Medical Center, the newest resource for caregivers
is the Thomas Glasser Caregivers Center. “Families use the
Caregivers Center in many different ways,” says Caregivers Center
Coordinator Marian Teehan, LCSW. “Most take comfort in having
the Caregivers Center available as a home away from home, so they
can be near their loved one during the initial crisis and throughout
the patient’s hospitalization.” Family caregivers are comforted by
the quiet surroundings and can enjoy a complimentary massage,
a pet-therapy visit, and warm beverage or snack to help reduce
their stress. Computers are available to check e-mail, do research,
and stay connected with friends and family and update them on a
patient’s progress.
“The Center is a wonderful resource—an oasis—where caregivers
can come and rejuvenate themselves and share a meal as a family
in the caregiver center dining area,” says Teehan, a mastered
prepared social worker who is available to meet with families,
provide emotional support and counseling, and provide information
about local resources.
As the newly opened Caregivers Center prepares for its own
first holiday season, Teehan is acutely aware of the challenges
caregivers are facing. “The expectations that we put on ourselves
are so high,” she says. “Everyone wants a perfect holiday season,
but it can’t always be perfect, especially when a loved one is
hospitalized. It is important to set realistic expectations, determine
what activities are most meaningful to family members, and focus
on those activities. Caregivers need to understand that there will
be things they don’t have time for, and they can’t let themselves be
consumed by guilt.”
Caregivers of hospice patients may find themselves in an even
more vulnerable position during the holiday season, and may
have a need for respite care. Florence McAlvanah, manager of
the Atlantic Hospice program, explains that respite care comes in
different forms. “Sometimes the family of a home-based hospice
patient needs to be away from the home for a few days, and in
those cases we can take the patient and place him or her in a facility
for up to five days, which is paid for under the Medicare hospice
benefit,” she says. “Through our respite fund, we’re also able to
place a home health aide in the home overnight. Family members
can be exhausted, and we want to allow them one or two good
nights’ sleep, and they can feel confident their loved one is being
taken care of.” In other cases, Atlantic Hospice sends volunteers to
relieve family members at a patient’s bedside for a few hours, or
even sends volunteers into the home to allow live-in help a chance
to go out and take care of personal needs.
Most caregivers tend to
say the same thing: It’s
the hardest thing they
have ever had to do.
it’s on the patient and the family. Respite is one way that we can
help meet the needs of family members.”
Adds McClarren, “Caregivers need help, and as the population
ages, more people are going to find themselves in the caregiving
role. We’re just at the beginning of this wave, and it’s going to be
a real eye-opener. We’re going to need to create resources, and
anything we can do to get out in front of the problem is a step in
the right direction. Overlook is leading the way in this area, and
hopefully it will encourage others to follow in their path.”
For more information on the Coalition on Family Caregiving, go
to www.cfcares.org or send e-mail to info@cfcares.org. For more
information on the Thomas Glasser Caregivers Center, please
contact Marian Teehan at (908) 522-6347. For more information on
Atlantic Home Care and Hospice, call (973) 379-8440; a nurse is on
call 24 hours a day.
Our Clients
Speak for Us
“Home Care Assistance has exceeded my wildest expectations.
Our caregiver, Mary, is almost like family and has helped my
Mom feel better and enjoy her life again, even though she is
homebound. We can’t recommend Home Care Assistance
highly enough.”
—Fran, Westfield, NJ
Home Care Assistance is the leading provider of non-medical,
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“In hospice,” says McAlvanah, “the focus is not just on the patient;
46 | December 2011
toy stor y
Mindflex Duel
Video Games
Games for every system are
always a hit. The hottest
titles now include Skylanders
Spyro’s Adventure, Wipeout
2, Just Dance 3, and Lego
Pirates of the Caribbean.
With this ultimate head-tohead brain-game challenge,
players wear lightweight
headsets that measure their
brainwaves to levitate a foam
ball. There are five play modes
for hours of fun!
As the owner and manager of Tons of Toys in Madison, Chris Brinkofski knows more than your average person about what kids like. He likes
to observe them interacting with the merchandise when they come into the store, and enjoys gauging their reactions. He also likes to give back
to the community, and recently wrapped up a fund-raiser, for the second year in a row, that raised more than $1,000 for the Goryeb Children’s
Center at Overlook Medical Center. “So many of our customers rely on Goryeb and so many of their kids were born at Overlook,” Brinkofski
says. “We like to make kids happy, and we like to be involved in the community. Giving to Goryeb has been a perfect fit.”
Who are the most discerning recipients on your gift list?
Kids, of course! Wrap up one of these toys, and you’ll
be sure not to disappoint.
To select a gift that’s a perfect fit for any child in your life, Brinkofski says it’s important to
consider a child’s age, gender, and interests. Angry Birds and Legos are hot right now, but so
are a bunch of other things. Here, he offers up an inside scoop on the hottest toys of the season.
LeapFrog LeapPad
Consider this the iPad for the preschool
set. It includes a five-inch touch screen,
built-in camera, video recorder, and four
apps. There is also 2GB of memory to
host additional apps—everything from
interactive books to writing tools.
Let’s Rock! Elmo
Nintendo 3DS
The latest handheld gaming
device to enter the arena is
the Nintendo 3DS—as great
as the original DS, but with
real 3-D graphics, and no
need for special glasses. This
breakthrough in portable
entertainment must be seen!
Beyblades
You might not be familiar
with Beyblades, but the
boys in your life likely love
them. This high-performance
line of spinning tops comes
in a variety of designs and
incarnations, all of which will
delight your kids.
48 | December 2011
Tonka Ricochet
Tonka trucks are a
longstanding favorite
and they’re built to
last. The Ricochet is a
remote-controlled stunt
vehicle with monster-lift
suspension, so it can be
driven up high or low
to the ground.
FIJIT Friends
Every year there’s a new Elmo toy to
capture kids’ hearts, and this year’s model
comes complete with a microphone,
tambourine, and a drum set. Your child
chooses which toy Elmo plays with, and the
furry friend responds accordingly to play
along with the child.
Willa, Serafina, Sage, and Logan are
interactive creatures with lifelike
movements and fun surprises. Each Fijit
can respond to more than 100 built-in
phrases and jokes, recognizes different
types of music, and dances too.
Cookie, My Playful Pup
Lalaloopsy Silly Hair Doll
Little girls love Lalaloopsy, a ragdoll-like
plaything for today’s tykes. The Silly Hair
Doll has wacky, wild hair that bends, curls,
twists, and straightens for hours of fun.
Includes a styling brush, hair clips, hair
beads—and inspiration for imagination.
Kids love FurReal Friends, and the
company’s newest addition—Cookie, a
fluffy white puppy that wags her tail, barks,
and crunches on a bone—is sure to delight
any pet lover.
Hot Wheels Video Racer
This Hot Wheels Racer has a hidden micro
video camera, so kids can record the car’s
action and play it back.
Barbie Designable Hair
Extensions Doll
Your child can design and create
personalized hair extensions with any ink
jet printer. Design the extensions online,
then print and wear them.
LAURIE LINDNER
Sub-acute Care
One of the area’s
most respected
providers of
Rehabilitation and
Post Acute Care.
Nursing Care
The region’s premier
provider of quality,
compassionate care
for long-term, hospice
and Alzheimer’s-type
patients. Respite
stays available.
With breathtaking views of the Watchung Mountains, this state-of-the-art
facility is staffed 24 hours-a-day by dedicated professional nurses and
daily by caring, compassionate physicians.
40 Watchung Way, Berkeley Heights, NJ 07922
Easily reached from Routes 22, 24 & 78. Just 1 mile from exit 41 off I-78.
A service of the Union County Board of Chosen Freeholders.
Call 908-771-5901
n
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Specializing in: Relationship
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Medical Arts Center
33 Overlook Road, Suite 210
Summit, New Jersey 07901
908 277-0993
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ANS OV Sept_FINAL_Layout 1 10/6/11 1:57 PM Page 1
Tumors move fast, but ANS moves faster.
The purple ribbon is the universal symbol for all cancer survivors.
Atlantic NeuroSurgical Specialists (ANS) can help you
achieve your goals by giving you access to doctors trained at the
finest institutions like Cornell, Brown and Harvard. The team of
doctors helping you through your illness are not only the most
highly respected in the medical community, but are leading the way
with new and ground-breaking vaccine trials. Where will you find
these doctors? You can find them in your own backyard.
With Overlook’s
Chef Mike
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.
ANS has offices in Morristown, Summit, Neptune, Toms River, and
Englewood. To learn more about the latest advancements in treatment or to view a listing of all hospitals we are affiliated with in
your area, visit us on the web at www.atlanticneurosurgical.com
or call 973.285.7800.
Talking Turkey
Timeless tips for
a holiday favorite
Atlantic NeuroSurgical Specialists
310 Madison Avenue, Morristown, NJ 07960
3700 Route 33, 2nd Floor, Neptune, NJ 07753
973.285.7800 | 732.455.8225
www.atlanticneurosurgical.com
If getting the turkey to the table falls on your
shoulders this holiday season, consider these
helpful hints for turning out your best bird yet.
• If you have a wild turkey, use extra caution not to overcook, as
the meat is leaner than that of domesticated birds and thus has a
tendency to dry out.
• Placing the bird breast-side down at the start of cooking and then
flipping it over for the last 30 to 40 minutes is one strategy to try to
keep breast meat moist. But let’s face it, flipping a 16-pound bird
is no easy task. Instead of flipping, try placing a piece of foil on top
of the breast for most of the cooking time. To let the skin brown,
remove the foil for the last 45 minutes of roasting.
•Don’t baste! We know now how much you want to keep subjecting
yourself to 350-degree blasts of heat, but for maximum moistness,
cook your poultry at a constant temperature. Just oil or butter the
skin and roast that bird! Don’t even begin to check on your turkey
until it’s just approaching the time when it should be done.
Helpf
ul
For a headache-free estimate of how long you need to cook your
bird, simply count backwards from when you want to serve,
figuring 20 minutes per pound (at 350 degrees F), plus a half
52 | December 2011
Ingredients
PREPARATION
1 cup kosher salt
1 cup sugar
1 gallon of water
1. C
ombine all ingredients; bring
to boil briefly to dissolve.
2. Cool completely.
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3. S
oak poultry in brine solution
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4. Cook as above.
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k
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For the ultimate holiday turkey, brine it
before cooking!
Warren
908-222-0515
We feature state-of-the-art rehabilitation
equipment and beautiful spacious facilities
that cater to your rehabilitation needs.
There’s no real way to tell exactly when your turkey will be done,
so use an instant-read thermometer. The turkey is done when the
temperature of the breast meat is 170 to 175 degrees F and the thigh
is 180 to 185 degrees F. If the bird is stuffed, the stuffing should
measure 180 degrees F.
Our experienced, caring physical
therapists, athletic trainers and
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invested in your full recovery.
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973-998-8100
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ManorCare Health Services –
Mountainside
1180 Route 22
West Mountainside, NJ 07092
908.654.0020
ManorCare Health Services –
New Providence
144 Gales Drive
New Providence, NJ
908.464.8600
www.hcr-manorcare.com
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W
hether its baseball or bowling the goal at Berkeley Heights is to get you
feeling better and back home quicly as possible. Our comprehensive
team of caregivers includes licensed physical therapists, occupational therapists,
a speech language pathologist, and a dedicated nursing staff. Patients, in
conjunction with the physician, work closely with this healthcare team to
establish individualized goals and develop a program that meets his or her
specific needs. All team members assists patients with achieving their maximum
level of functional ability so they can return to their active lifestyle as quickly
as possible.
Berkeley Heights Nursing & Rehabilitation Center
35 Cottage Street, Berkeley Heights, NJ 07922
908-464-0048
54 | December 2011
Dr. Philip Delli Santi, P.C.
Physical Therapy & Chiropractic Center
phone: 908-522-8989
447 Springfield Ave., Summit, NJ (Strand Mall)
41 Wilson Ave., Newark, NJ (Ironbound)
www.DrPDelliSanti.com
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Call today for a free
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Some Frequently Asked Questions
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The patient simply lies face up on the AccuSpina®’s comforatable bed in a soothing
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on the back and neck, herniated material
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How long are the treatments?
Patients undergo approximately 20 treatment
sessions. Each treatment lasts 25 minutes,
depending on the individual needs. After
each session, a cold pack and electric muscle
stimulation are applied assuring that the
patient feels refreshed and relaxed.
How many treatments will be needed
to stop back pain?
It is important to note that many get relief after
just a few treatments. Some after just one.
And this is not something you have to commit
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How will I know if I am a candidate for the
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You will receive a free consultation to
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So just call our office and check out this
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In
the
Spirit
of the
Season
Together , we all can make a difference in
the lives of others.
As you rush from store to store and from one party
to another this season, take a moment to slow down
and think about what matters most to you. Presents
and menus and to-do lists likely won’t come to mind;
instead, you’ll be thinking about family and friends.
The past year brought a tough economy to our area and
even delivered a hurricane to our doors. Though most
of us have much to be thankful for, many people are
in need—and together, we all can make a difference.
towns in 46 of our nation’s states. This campaign really
raised our sights about what’s possible, and showed
us what the hospital means to our community.”
Every donation, regardless of amount, truly made a
difference. Donations from the community have helped
to expand the Emergency Department, build our Carol
G. Simon Cancer Center, and attract and retain nationallevel medical leadership. Which is another way to say
that donations from the
How do we know this?
community
have helped
What we’re really doing
Because at Overlook
to change lives. Says
is asking people to be
Medical Center, we
Cole, “The Overlook
does ask
see the benefits of
significant and do something Foundation
philanthropy in countless
people for money to help
significant—to touch other
ways every day. Generous
support a great cause
donors have bestowed
that
is important to the
people’s lives, because that’s
large gifts upon our
health of the community,
what every gift does.
hospital, but smaller
but what we’re really
contributions from
doing is asking people
everyday donors are just as essential. Perhaps the
to be significant and do something significant—to
best evidence of this is the Overlook Foundation’s
touch other people’s lives, because that’s what
recently wrapped The Next Century of Healing: The
every gift does. It touches lives here. It changes
Centennial Campaign for Overlook, which exceeded
lives. In many instances, it saves lives.”
our $100 million goal and put $110 million into
This holiday season, you too can touch a life.
the hospital in the form of facilities and equipment,
Whether
you donate your money or your time
endowments, new and expanded programs, staff, and
to
our
hospital
or anywhere else—your child’s
so much more. “It took a lot of volunteers and donors
school,
a
local
animal
shelter, the Red Cross, or
to bring home a $100 million campaign,” says Kenneth
any
other
cause
near
and
dear to you—everyone
D. Cole, the Foundation’s senior director of Planned
can
use
a
little
extra
help
these days. And you’ll
Giving and Capital Campaigns. “In addition to more
feel
proud,
knowing
you
have
made a difference.
than $41 million in funds from Atlantic Health, we
were supported by 9,839 different donors from 1,104
Foundation Happenings
Overlook Foundation
Celebrates
Completion of $110
Million Campaign
Campaign Chair David Hartman, Overlook Medical Center President
Alan Lieber, Overlook Foundation Executive Director Ann Oliva,
The Honorable Thomas H. Kean, Overlook Foundation Chair Steve
Stone, and Atlantic Health President and CEO Joseph Trunfio
Thanks to these gifts, Overlook now has:
• the Breast Center at Overlook;
• the largest adolescent eating-disorders program in the state,
one that has tripled in size in the last three years;
• the J. E. Reeves chair of medicine endowment;
• the Thomas Glasser Caregivers Center and the Thomas Glasser
Board Room;
• the Schlesinger Initiative in Integrative Medicine for our oncology
and neuroscience patients;
• the Jane W. and F. Chandler Coddington Jr. Patient Care Unit;
• a remodeled and updated Meri and Sol Barer Pediatric Unit;
• Liam’s Room for chronically or terminally ill children and their
families;
• the new lobby and Centennial Life Garden in front of the hospital;
• other endowments, programs, and improvements that are
enhancing the quality of patient care throughout the hospital.
In addition, Atlantic Health President and CEO Joseph Trunfio
reported that $41.4 million was contributed by Overlook’s nonprofit
parent to fulfill its promise to match, dollar for dollar, every
gift given for construction or capital equipment purchases. This
commitment has enabled Overlook to build and equip the Carol G.
Simon Cancer Center at Overlook and the Women’s Health Center.
Other projects and purchases funded in part by Atlantic Health’s
match include:
• new or renovated units on three floors;
• a second neurointerventional biplane suite;
• the 320-slice CT scanner;
• the da Vinci surgical robotic system;
• an endoscopic suite for the latest treatment of digestive disorders;
• a linear accelerator for radiation treatments; and
• the pediatric ambulatory care center.
A towering donor wall, unveiled at the October event, now graces
the main lobby of Overlook Medical Center to commemorate the
generosity of those benefactors whose gifts have funded myriad
construction and renovation projects, innovative technology and
programs, and the recruitment of national-caliber physicians and
researchers. As the former two-term governor of New Jersey
reminded guests, “This campaign celebrated 100 years of service,
but it was really about Overlook’s future. Tonight we celebrate, but
to sustain that future we must rededicate our efforts to ensure that the
opportunity for health is available for all. We must renew a pledge to
our children and grandchildren that this medical center will remain
vital and innovative. We must rekindle that spirit of compassion and
generosity that drives people of good will to organize for the benefit
of others.”
When Overlook Hospital celebrated its centennial in 2006,
the Overlook Foundation marked the occasion by launching a
$100 million effort—The Next Century of Healing: The Centennial
Campaign for Overlook—led by Campaign Chair and Foundation
Trustee David Hartman. Today, Overlook Medical Center has been
transformed by the $110 million raised through the exceptional
generosity of individuals, companies, foundations, hospital leaders,
physicians, employees, and community organizations.
Gathering to celebrate this achievement, more than 150 donors
listened as the Honorable Thomas H. Kean, honorary campaign
chair, reminisced about announcing the campaign back in May 2008:
“When I was last with you, I announced that Overlook Foundation
would seek to raise $100 million. More than a few that night were
skeptical that we could ever come close to our goal. Overlook had
never before raised more than $15 million for any project, and this
was the fourth campaign the Foundation had launched in the decade.
Then, the worst recession in our country’s history struck. You can
see the considerable challenges the campaign faced.”
Lynn Magrane, Betsy Compton, and Pam Gumport
Dr. Gerry Glasser and Chan Coddington
New Jersey State Senator Thomas H. Kean Jr. and The Honorable
Thomas H. Kean with Dr. Sol Barer
Bart and Mary Sheehan with Betsy and Toby Wesson
Salon Hosts
Cut-a-thon
Nickel Street Salon owner Vincent Marmorato (right) and his staff
will host a cut-a-thon on December 4, 10:00 a.m. to 2:00 p.m., to
benefit the Valerie Fund at Overlook Medical Center. Located at 592
Central Avenue in New Providence, the salon will be joined by many
of its neighboring stores in offering a festive day of music, snacks,
and raffles. Last year, Nickel Street and friends raised some $3,000 to
help pediatric cancer patients and their families in our area.
The numbers, however, were encouraging as longtime donors
joined with new donors and volunteers in supporting the vision of
a major medical center that would meet the needs of those within
our communities and beyond. In the end, 9,839 donors from 1,104
towns in 46 states contributed to the campaign, illustrating the
broad range of Overlook’s reach.
56 | December 2011
Overlookview.com
Atlantic Health System
99 Beauvoir Avenue
P.O. Box 220
Summit, NJ 07902-0220
Nonprofit
Organization
U.S. POSTAGE
PAID
Strasburg, VA
PERMIT #167
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At RMANJ, we’re thrilled that over the past thirteen years our founding partners and
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EATONTOWN | ENGLEWOOD | MORRISTOWN | SOMERSET | SUMMIT | WEST ORANGE
Bayonne • Millburn • Morristown • Short Hills • Summit • Warren • Westfield

November 2011 - Overlook View Magazine

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