Colon Cancer: It’s a Cancer You Can Actually Prevent
Transcription
Colon Cancer: It’s a Cancer You Can Actually Prevent
Greenwich Hospital March - April 2013 Colon Cancer: It’s a Cancer You Can Actually Prevent How much do you know about colorectal cancer? That it’s one of the most commonly diagnosed cancers in the U.S.? That it’s one of the only types of cancer that can truly be prevented? Nearly 90 percent of all colorectal cancers start as precancerous polyps – abnormal growths attached to the lining of the colon, or large intestine. Fortunately, they grow slowly. But some, not all, will mutate and become cancerous. The only way to find and remove these polyps is with a colonoscopy. This preventive screening procedure, performed while the patient is sedated, enables a physician to examine the inside of the colon with an endoscope – a flexible, lighted tube that transmits images onto a computer monitor. As cancer awareness rises, “women are becoming more diligent about mammograms and men about prostate screenings, yet both men and women equally put off colon cancer screening,” notes Felice Zwas, MD, head of gastroenterology at Greenwich Hospital. The procrastination is likely due to the planning required, and until you’ve actually had one, the anxiety is usually worse than the event itself. Pregnancy Primer Fair continued on page 6... Whether you’re pregnant or planning to be, getting ready for that bundle of joy is an exciting journey – physically and emotionally. Learn more at our Pregnancy Primer Fair on April 13. Details on page 3. Know Your Body! A Message from the CEO of Greenwich Hospital latest technology to screen and treat patients. To learn more, join us at a presentation in March to commemorate national Colorectal Cancer Awareness Month. Knowledge is power, especially when it comes to gathering information that can improve your health and enhance the quality of your life. Sometimes knowledge comes from health screenings, such as a colonoscopy to check for colorectal cancer, one of the most commonly diagnosed and preventable types of cancer. Colorectal cancer has no symptoms in its early stages. That’s why it’s important to have a colonoscopy, which can reveal suspicious polyps before they become cancerous. The experienced gastroenterologists at Greenwich Hospital’s Endoscopy Center use the If you’re interested in the mysteries of the human body, you’ll enjoy our new Mini-Med Seminars, monthly sessions about groundbreaking changes in the field of medicine. Our board-certified physicians will focus on basic anatomy and physiology, along with possible cures and treatment options for common diseases. Our first two seminars will address degenerative joint disease and diabetes. Ever wonder why female athletes are more at risk for injuries than men? The answers may surprise you. Join us for a discussion in April by an orthopedic surgeon and sports medicine specialist who is also an accomplished triathlete. If you’re thinking about having a baby or preparing for childbirth, get all your questions answered by hospital experts and pediatricians at our Pregnancy Primer Fair in April. Having access to the right information can help patients and families make critical choices that affect quality of life at any state of an illness. Greenwich Hospital’s palliative care team, which includes physicians, a nurse, social worker and chaplain, can provide the knowledge and support patients and families need to make care decisions. Did you know that hyperbaric oxygen therapy is a painless, noninvasive treatment for chronic wounds and infections that have resisted conventional treatment? Contact Greenwich Hospital’s Center for Hyperbaric Medicine and Wound Healing to learn if this treatment option is right for you. For more ways to expand your knowledge about your body and how to take care of it, check out the scores of listings in this issue of Health Extensions. It’s never too late to learn! Frank A. Corvino President and Chief Executive Officer Inside this Edition Pregnancy Primer Fair Palliative Care Spotlight on Medicine 2 page 3 page 4 page 5 Women and Sports Injuries Hyperbaric Oxygen Therapy Mini-Med Seminars page 5 page 8 page 8 Program Section Online registration available page 9 Ooooh, Baby! Whether you’re pregnant or planning to be, getting ready for that bundle of joy is an exciting journey, both physically and emotionally. Preparing for your baby can begin even before you become pregnant, and Greenwich Hospital’s annual Pregnancy Primer Fair can get you off to a solid start. Make a date to join us on April 13, and learn from hospital experts what you can expect before, during and after pregnancy. In a relaxed and casual setting, you’ll meet obstetricians and pediatricians affiliated with Greenwich Hospital, take a tour of our Birthing Center, and have a chance to talk to physicians and nurses from a variety of departments. Specialists from Greenwich Fertility Center will also be on hand. Take advantage of the opportunity to get your questions answered about these and other important topics: • Infertility options • Labor and delivery routines and options • Pain management during labor • Maternity services • Prenatal care and nutrition • Breastfeeding • Tender Beginnings program The event is being coordinated by registered nurses and lactation consultants Gretchen Farrell and Michele Romano, who also teach Tender Beginnings classes. (See page 17.) “This is an ideal event for parents-to-be who want to see what Greenwich Hospital offers in maternity services,” says Farrell. “It’s a great way to meet our physicians and staff.” As one now-mom said after attending last year’s Pregnancy Primer Fair, “I found my OB through that event, and my pediatrician, too. I went on the tour. It was an amazing day.” Can’t make it? You can still learn about maternity services at Greenwich Hospital by watching our new online video. Visit greenwichhospital.org/ maternity. 7th Annual Pregnancy Primer Fair Saturday, April 13 9-11am Noble Conference Center To register, call 203-863-3627 or 888-357-2409. Or register online at greenwichhospital.org. FREE. 3 “We don’t want to inflict pain on someone who, if they had their voice, would say, ‘this isn’t me.’” Guidance for Making the Hard Decisions When faced with a serious illness, what kind of medical care do you really want? If left up to you, would you opt for the same care that your family would choose for you? If Dad could not speak for himself, or your teenager were in a car accident, would you know their wishes? If not, how do you make the right decision? Many important care decisions are based on fear, or on guilt or lack of information,” says Donna Coletti, MD. As medical director of Greenwich Hospital’s newly expanded Palliative Care Program, Dr. Coletti heads a team of caregivers trained to help patients and families make critical choices that affect quality of life at any stage of an illness. “It’s a whole person-whole family approach that addresses spiritual, physical and psychological pain,” she explains. Who was this person before he got sick? Was he independent? If he knew the position he was in, 4 would he want to be intubated? “In cases where patients can’t speak for themselves, these are the types of questions we ask their families,” says Dr. Coletti. “We don’t want to inflict pain on someone who, if they had their voice, would say, ‘this isn’t me.’” Patients who can still communicate may not want more treatment, she notes, but will agree to it to please their children. The palliative team, which includes physicians, a nurse, social worker and chaplain, helps patients and families understand the pros and cons of various treatments, including letting nature take its course. Outpatient consultations and counseling are available. “Too often, we hear families or patients say, ‘if I only knew,’” Dr. Coletti says. She’s hoping to hear less of that as more people take advantage of palliative care and opportunities to plan ahead. Palliative Care: The Right Choice for You? It might be, if you are experiencing: • Uncertainty about the prognosis and goals of care • Difficult physical and emotional symptoms related to a serious medical illness • Decline in physical health with multiple hospitalizations • Prolonged hospitalization with poor prognosis • Patient and family stress with unresolved emotional or spiritual issues • Questions or concerns about a living will and advance directives For more information on Palliative Care, call 203-863-4622. Women’s Health Initiative Lecture Why are women more at risk for injuries than men when engaged in running, skiing, swimming, soccer and other sports? Orthopedic surgeon and sports medicine specialist Katie Vadasdi, MD, will share her insights on this important issue for women of all athletic abilities at our next Women’s Health Initiative lecture. In addition to her medical practice at Orthopaedic & Neurosurgery Specialists in Greenwich, Dr. Vadasdi is an accomplished triathlete, having completed Ironman competitions in 2007 and 2009. She is also an alpine climber and has ascended Mount Kilimanjaro, Mount Rainier and the Grand Teton, among others. Join us on April 3, as Dr. Vadasdi offers her unique perspective as an athlete and a physician who treats amateur, student and professional athletes on a daily basis. Get facts and tips that can impact the quality of life for active women of all ages: • How differences in women’s anatomy, physiology and training habits may contribute to more stress fractures and ACL tears than men experience. • The role age, hormonal changes and other factors may play in injury. • Practical suggestions for keeping women athletically active and healthy at any age. Know your body! Dr. Vadasdi earned her medical degree at Dartmouth Medical School and did a residency in orthopedics at the Hospital for Special Surgery in New York. She completed fellowship training in shoulder, elbow and sports medicine at Columbia University Medical Center, during which time she served as assistant team physician to Columbia University Athletics. Spotlight on Medicine WGCH Radio (1490 AM) Greenwich Thursdays, 9-9:30am Host: Tony Savino Thursday, March 7 Mini-Med Seminars: Know How Your Body Works Kathy Carley-Spanier, RN, Director, Community Health @ Greenwich Hospital Thursday, March 14 Colonoscopy: It’s Worth the Prep! Neal Schamberg, MD, Gastroenterologist Thursday, March 21 Gender Differences in Sports Injuries Katie Vadasdi, MD, Orthopedic Surgeon Thursday, March 28 Choosing the Right Hospital for Joint Replacement Surgery Tori Kroll, RN, ONC, Coordinator, Total Joint Replacement & Spinal Fusion Program Thursday, April 4 Babies 101: Learn All You Need to Know at the Pregnancy Primer Fair Michele Romano, RN, Lactation Consultant Patricia Basciano, RN, Nurse Manager, Maternity & Pediatrics Thursday, April 11 Diagnosing and Treating Barrett’s Esophagus Neal Schamberg, MD, Gastroenterologist Gender Differences in Sports Injuries: Do Risks for Women Outweigh the Benefits? Thursday, April 18 Palliative Care: Relieving Pain, Symptoms and Stress Donna Coletti, MD, Medical Director, Palliative Care Program Noble Conference Center Thursday, April 25 Boosting Skills for Daily Living Laurie Wallace, OT, Occupational Therapist Wednesday, April 3 12Noon-1:30pm Speaker: Katie Vadasdi, MD, Orthopedic Surgeon, Sports Medicine Specialist To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. (Box lunch available: $10) Listen to past interviews on our website. Visit greenwichhospital.org and click Newsroom, then Podcasts. 5 Colon Cancer... continued from page 1 “Incidence of colon cancer peaks in a person’s 60s, which is why we suggest patients come in ten years before then, at age 50,” Dr. Zwas explains. “However, if you have an immediate family member who has had colon cancer, or multiple relatives who have had different types of cancer, it’s recommended you have your first colonoscopy ten years before the age at which your family member was diagnosed.” Are You at Risk? While genetics play a role, 80 percent of people who get colon cancer have no family history of it. Inflammatory bowel disease (not the same as irritable bowel syndrome) is another risk factor. As for eating habits, Dr. Zwas agrees with the scientific community that there is no direct evidence that certain diets cause Warning Signs Polyps and colorectal cancer don’t always cause symptoms. That’s why regular screenings are so important. Call your doctor if you experience: • Blood in or on your stool (bowel movement) • Stomach pain, aches, or cramps that don’t go away • Unexplained weight loss 6 colon cancer. Nor do smoking or alcohol. Yet health experts are taking a hard look at these same lifestyle factors, along with lack of regular exercise, to see if there is a connection. A diet low in animal fat and filled with fruits, vegetables and high-fiber whole grains is generally recommended to reduce the overall risk for chronic disease. If you don’t already have a gastroenterologist, or GI doctor, your primary care physician may recommend one to you. Savvy healthcare consumers may choose to do some research on their own. March is National Colorectal Cancer Awareness Month Risk, Screening and Prevention of Colorectal Cancer Monday, March 18 6:30-8pm Hyde Conference Room Speaker: Neal Schamberg, MD, Gastroenterologist See page 19 for details. Choosing Wisely Vigilance. Look for a boardcertified specialist who finds polyps above the national average of 15 percent. “It’s okay to ask the doctor what his or her polyp detection rate is,” encourages Dr. Zwas. “A higher detection rate means the doctor is taking a careful look behind the natural folds in the intestinal lining.” High-tech. Access to the latest technology is important, too. “The new equipment at Greenwich Hospital’s Endoscopy Center gives us extremely precise, high-definition screen and scope images,” Dr. Zwas says. “The pictures are so clear, we’re picking up subtle and flat polyps we would never have been able to see five years ago.” Even so, she cautions, “All the high-def in the world isn’t going to help if the patient’s colon isn’t clean.” The Preparation Once you have selected a GI doctor, you will have an initial consultation to discuss your medical history and ask questions. The doctor will also write a prescription for the preparation kit you must use the day before. A clean colon is the most important first step for your procedure. Preps differ: Some involve mixing a powder with liquid; others are in pill form. Either way, drinking lots of fluid, at least a half-gallon, is necessary. You will make many trips to the bathroom that day, so make sure you are at home with no obligations to go anywhere. Also, no food after midnight. At Greenwich Hospital’s Endoscopy Center, a registered nurse will have contacted you the day before your procedure to review important medical information and answer any questions you might have. The Day Of… After your arrival and check-in, your nurse will get you settled and comfortable, and an IV will be started. This allows the boardcertified anesthesiologist taking care of you that day to administer medicine and fluids so that you will sleep during the colonoscopy and stay hydrated. Your GI doctor, anesthesiologist and registered nurse will stay with you throughout the procedure. “When you wake up, you’ll feel as if you’ve slept for eight hours,” says Dr. Zwas. A nurse will offer you a warm muffin and a beverage, and once you have your aftercare instructions and are cleared for discharge, you can go home. Start to finish, a typical appointment is just a few hours. Because of the sedation, you will need someone else to drive. A nurse will call you the next day to see how you are doing. Fifteen to 30 percent of patients will have polyps removed during their colonoscopy. These are sent to a lab where a pathologist determines if they are adenomatous (precancerous, or can become cancerous) or hyperplastic (noncancerous and not the type to develop into cancer). When Polyps Are Removed The Internet is filled with information about alternatives to the traditional colonoscopy, such as sigmoidoscopy and virtual colonoscopy. Neither is as effective. A sigmoidoscopy only lets the doctor see the bottom third of the colon; and if polyps are detected during a virtual exam, the patient must then undergo a standard colonoscopy to have them removed. “Overall, patients feel more comfortable with the traditional colonoscopy,” says Dr. Zwas, “and detection rates are much better today, so it remains the gold standard.” Dr. Felice Zwas (center) and the patient care team at Greenwich Hospital’s Endoscopy Center. The Endoscopy Center of Greenwich Hospital 500 W. Putnam Ave., Greenwich Hours: Monday-Friday, 7am-4pm Greenwich Hospital’s Endoscopy Center offers advanced technology in a comfortable setting with convenient hours, prompt scheduling and minimal waiting time. A streamlined admissions and discharge process allows most patients to return home after just a few hours. In addition to colonoscopy, the Center offers procedures to diagnose and repair problems related to rectal bleeding, constipation, diarrhea and abdominal pain. Procedures such as these can prevent the need for conventional surgery. The Center is fully accredited by the Joint Commission, the nation’s leading healthcare accrediting organization. The following board-certified physicians provide colonoscopy services at the Endoscopy Center of Greenwich Hospital: Center for Gastrointestinal Medicine of Fairfield and Westchester, PC 203-863-2900 • Jennifer Barro, MD • Nelson Bonheim, MD • Neda Khaghan, MD • Neal Schamberg, MD • Alan Selkin, MD • Felice Zwas, MD • Robert Goldblatt, MD • Neil Shapiro, MD Sound Shore Gastroenterology Associates, PC 914-253-9252 If you would like to have your procedure at the Endoscopy Center of Greenwich Hospital, please let your doctor know at the time of scheduling. We will make every effort to accommodate your busy life! For more information, visit greenwichhospital.org/endoscopy-center. 77 Healing Wounds With Hyperbaric Oxygen Therapy When wounds don’t heal, a boost of oxygen often helps. Hyperbaric oxygen therapy (HBOT) is a painless, noninvasive treatment for chronic wounds and infections that have resisted conventional treatment. It can be effective in treating late effects of radiation, sometimes experienced by cancer survivors. Take, for example, a man who has completed radiation treatment for prostate cancer. The cancer is gone, but subtle pain and bleeding persist because nearby bladder tissue is still irritated. Or an oral cancer patient who experiences bone problems years after radiation treatment has ended. HBOT is used to help heal these and other stubborn wounds. HBOT entails several outpatient treatments. The patient lies in a see-through chamber where they can take a nap, watch a DVD or listen to music while breathing 100 percent oxygen under pressure. The oxygen stimulates the growth of new blood vessels, reduces swelling and inflammation, fights infection, and accelerates the body’s healing process. Greenwich Hospital’s Center for Hyperbaric Medicine and Wound Healing also offers other types of specialized wound care for people with diabetes or poor circulation. Treatments may include removal of damaged tissue or excess fluid, topical medications or compression therapy. To learn more about HBOT, call 203-863-4505. You can make your own appointment, or ask your physician for a referral. Most insurance, including Medicare, is accepted. Mini-Med Seminars: Ask the Experts Spring Semester in Session If you have an inquisitive mind and are interested in the mysteries of the human body, then join us for Greenwich Hospital’s new Mini-Med Seminars. These monthly sessions will introduce you to the world of healthcare and the groundbreaking changes taking place in the field of medicine today. 8 Presented by board-certified physicians from Greenwich Hospital, each seminar will focus on basic anatomy and physiology, common disease conditions, and possible cures and treatment options. All are welcome. No science or medical background necessary! Degenerative Joint Disease – Causes, Symptoms and Treatments Wednesday, March 13 6:30-7:30pm Noble Conference Center Speaker: Paul Sethi, MD, Orthopedic Surgeon, President/ONS Foundation for Clinical Research and Education Also known as osteoarthritis, degenerative joint disease (DJD) affects one in three Americans over age 65. In this interactive seminar, hear the latest research on DJD’s causes and get useful information on surgical and nonsurgical treatments. Diabetes: Causes, Risk Factors and Prevention Wednesday, April 10 6:30-7:30pm Noble Conference Center Speaker: Ranee Lleva, MD, Endocrinologist Diabetes affects the body’s ability to control glucose. It is a major contributor to heart disease and stroke, kidney failure, limb amputations and new cases of blindness among adults. Learn how to minimize your risk. To register for either or both sessions, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. PROGRAMS Healthy Aging Center for Healthy Aging – Enhance Your Quality of Life! Greenwich Hospital’s Center for Healthy Aging offers a wide range of programs to enhance the quality of life for older adults and their families. Professional services are available in many areas, including aging assessments, psychiatric screenings, and programs and support groups for family members in caregiver roles. The Center for Healthy Aging is located on the second floor of the Watson Pavilion, around the corner from the public elevator. For information about services and support groups, please call 203-863-4373. In addition to its outpatient services, the Center works with inpatients in Greenwich Hospital’s Carl and Dorothy Bennett Acute Care for the Elderly (ACE) Center. The ACE unit offers an interdisciplinary approach to help older adults maintain their independence and prevent physical and mental decline while receiving treatment for acute illnesses. JOIN GENERATIONS! GENERATIONS is a FREE membership program offered by Greenwich Hospital’s Center for Healthy Aging for adults age 50 and older. Members enjoy stimulating seminars ranging from the science of laughter to the joys of late-life learning. From disease prevention to caring for older relatives, GENERATIONS aims to stimulate the mind and encourage discussion. Eligibility: Any person age 50 or older who resides in the Greenwich Hospital service area can join. Among the special services offered to GENERATIONS members are: • Educational seminars and workshops • A no-cost discount prescription card: Catalyst Scripts Prescription Drug Discount benefit allows you to save 10-30% on prescription costs. • Discounts on prescription eyewear: Subscribe to Catalyst Best Benefits Plan and save 10-60% on prescription eyewear. • Lower cost dental services: Subscribe to Catalyst Best Benefits Dental Plan and save on dental care when services are rendered by a participating provider. • Hertz vehicle rental discounts GENERATIONS PLATINUM For additional benefits, choose GENERATIONS PLATINUM for a one-time fee of $65. To join GENERATIONS or GENERATIONS PLATINUM, call 877-838-4888. 9 Healthy Aging...continued SUPPORT GROUPS Support groups offered through the Center for Healthy Aging are FREE. However, we ask that you call ahead before attending to make sure the group is suitable for your needs. Please call 203-863-4375 for specific information about support groups and locations. WOMEN’S SPOUSAL SUPPORT GROUP This support group is designed for women who provide care for a chronically ill spouse. Find new friends, practical information and emotional support. The group provides a forum to address the many concerns of spousal caregivers. It also gives caregivers a muchneeded break or respite to be with others living with a similar situation. This group meets twice a month (second and fourth Thursdays) at the hospital’s Center for Healthy Aging from 1:00-2:15pm. Group size is limited to 10 members. Please call 203-863-4375 to preregister. FREE. FAMILY CAREGIVER SUPPORT GROUP Become a savvy caregiver. This group provides support for adults who care for a family member with Alzheimer’s disease or other types of dementia. Individuals meet twice a month to talk with caregiving peers about common difficulties and challenges. Group members often have some of the best advice and deepest understanding of the caregiver journey. Led by a clinical social worker with expertise in family counseling and caregiver concerns, the group meets the first and third Thursday of each month at the hospital’s Center for Healthy Aging, 1:00-2:15pm. 10 Group size is limited to 10 members, so please call 203-863-4375 to preregister. FREE. PROGRAMS FAMILY CAREGIVING CONSULTATION Families caring for a person with dementia or chronic disease meet privately with an experienced, licensed clinical social worker to discuss specific family needs and challenges related to caregiving. The goal is to enable caregivers to adequately address concerns and make knowledgeable decisions. To arrange a consultation, contact Roni Lang, LCSW, at 203-863-4375. Fee. Depression and behavioral issues that accompany memory loss or dementia are common later in life. Counseling, medication, or a combination of both, often helps patients feel better, more productive and satisfied with life. The Center for Healthy Aging’s geriatric psychiatrist is highly trained in the management of emotional and behavioral problems related to aging. PSYCHIATRIC EVALUATION For more information, call 203-863-4373. Fee. COMPREHENSIVE AGING ASSESSMENT This in-depth evaluation is for people with medical, psychological, cognitive or social problems that interfere with daily living. It provides detailed information about current health status and recommendations to help prepare for the future. The assessment is conducted by an interdisciplinary team headed by a board-certified geriatrician, a physician who specializes in aging issues. The team reviews medications, and assesses mobility and the ability to perform routine tasks. Referrals and counseling are available regarding nutrition, diabetes self-management and support services. A detailed report, including recommendations, can be forwarded to your primary care physician. Call 203-863-4373. Fee. Lecture MENTAL HEALTH AND SUBSTANCE ABUSE – UNDERSTANDING CO-OCCURRING DISORDERS Tuesday, April 9 2:30-3:30pm (Check-in begins at 2:15pm) Noble Conference Center Speaker: Jeremy Barowsky, MD, Psychiatrist Mental illness covers a range of medical conditions that can disrupt thoughts, feelings, relationships and daily function. It’s a struggle for an estimated 30 percent of Americans. Of these, nearly half have both a mental illness and a co-occurring substance use disorder (COD). In addition to COD’s emotional impact, sufferers often experience adverse financial, legal and occupational effects. There are significant societal burdens as well. Yet despite the prevalence of co-occurring disorders, relatively few people receive the appropriate dual treatment. Dr. Barowsky will highlight the basics of COD, including signs and symptoms, types of assessments and treatment. We will also discuss resources for individuals and families affected by COD. To register, call 1-877-838-4888 or register online at greenwichhospital.org. FREE. PROGRAMS CHRONIC PAIN EDUCATION FORUM Chronic pain sufferers and their caregivers are welcome to attend these informative sessions. Meets the first Tuesday of every other month. (See also Chronic Pain Support Group, page 24.) Healthy Living Lecture ACHING JOINTS? TREATING PAIN & STIFFNESS Learn about various preventive measures, diagnostics, and treatments for joint conditions. Our speaker, physiatrist Janet Freedman, MD, has 25 years of experience in physical and rehabilitative medicine, treating pain or immobility of the knees, hips, shoulders and other joints. Held Sunday, April 28, 11:20am12:30pm at First Congregational Church, 108 Sound Beach Ave., Old Greenwich. Driving directions: fccog.org. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Community Health at Greenwich Hospital provides a variety of health promotion and health education programs to the local community. Blood pressure, metabolic and blood glucose screenings, lectures, displays and many other services are available. HEALTH CHECK! For more information, call 203-863-3786. BETTER BREATHERS CLUB A program for people with lung disease, co-sponsored with the American Lung Association. Anyone with breathing difficulties or those who want to learn more about them are welcome. Staying Active with Oxygen Wednesday, April 10 12:45-2pm 55 Holly Hill Lane, Community Room Speaker: Greg Balek, Representative for J & L Medical Supplies Get the latest on using oxygen for COPD (chronic obstructive pulmonary disease). This meeting will include an equipment demonstration and Q&A on oxygen therapy. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. A four-course meal for Greenwich residents over age 55 with Senior ID in the Greenwich Hospital Cafeteria. Every Saturday and Sunday, 12noon-2pm. WEEKEND LUNCH BUNCH Call 203-863-3690 for menu information. Fee: $6.50. Coping with Chronic Pain through Mindfulness and Acceptance Tuesday, April 2 6-7pm Noble Conference Center Speaker: Joshua Hrabosky, PsyD, Psychologist Some of the most effective treatments for long-term pain relief focus more on the mind than on medications and physical interventions for the body. Learn how mindfulness and other Eastern practices are being paired with Western medicine to treat both physical and psychological pain. Dr. Hrabosky will describe the science and the experience behind this treatment and show examples to the audience. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. GREENWICH HOSPITAL LIONS LOW VISION CENTER The Greenwich Hospital Lions Low Vision Center provides services to people with low vision in Fairfield and Westchester counties. The Center helps those with moderate visual impairment to maximize their remaining vision and enhance their quality of life. By appointment with a physician referral. Call 203-863-3984. continued on page 12... 11 Healthy Living...continued Greenwich Hospital’s Department of Infectious Diseases offers malaria prophylaxis and many types of immunizations required for foreign travel, including yellow fever, typhoid, meningitis, hepatitis A, polio and Japanese encephalitis. TRAVEL IMMUNIZATIONS Our nurse will be on hand at the following sites to take your blood pressure and answer your health questions. Not available on public holidays. THE NURSE IS IN For more information, call 203-863-4444. FREE. GREENWICH Greenwich Library Health Information Center Mondays, 11:30am-1:30pm Greenwich Hospital Cafeteria Atrium Tuesdays, 10am-12noon Byram Shubert Library 1st Tuesdays, 12:15-1:15pm Perrot Library 2nd Tuesdays, 12:15-1:15pm Greenwich Hospital Thrift Shop 199 Hamilton Ave. 1st Wednesdays, 1:30-3pm Center for Healthy Living 55 Holly Hill Lane Thursdays, 9-11am 1st and 3rd Fridays, 10am-12noon Hill House, Riverside Sponsored by Community Health at Greenwich Hospital WESTCHESTER Rye YMCA Mondays, 9-11am 1st Wednesdays, 9:15-11:15am Port Chester Library Sponsored by Community Health of Fairchester, affiliated with Greenwich Hospital 12 Try to schedule six weeks prior to departure date. Call 203-863-3270 for an appointment. Fee. CPR FRIENDS & FAMILY (INFANT/CHILD) A 2-hour course that covers infant/child CPR, plus obstructed airway. Suggested for parents and caregivers. Not for those required to attend a CPR course for the workplace or a credential. Meets American Heart Association standards. Saturdays at 9am and Thursdays at 6pm, 55 Holly Hill Lane, 1st floor conference room. Call 203-863-4277 or 888-305-9253 to register. Or register online at greenwichhospital.org. Fee: $65. The American Heart Association (AHA) strongly promotes knowledge and proficiency in Basic Life Support and has developed instructional materials for this purpose. Use of these materials in an education course does not represent course sponsorship by the AHA, and any fees charged for such a course do not represent income to the Association. CORPORATE HEALTH SERVICES Our Occupational Health Services department works with companies to keep their employees healthy. Programs are tailored to meet each company’s needs. Preventive services include pre-employment and executive physicals, on-site immunizations, travel immunizations and injury risk assessment. Work-related injuries are treated at 75 Holly Hill Lane, Monday-Friday, 8am-4:15pm. No appointment necessary. The hospital’s Emergency Department treats injuries at other hours. For more information, call 203-863-3400. Fee. This health and fitness education program is offered in schools to elementary, middle school and high school students. Taught by a nurse educator, topics include nutrition, first aid, proper hygiene and the dangers of alcohol, tobacco, drugs and inhalants. BODY GUARDS For more information, call 203-863-4444. FREE. TEXT TELEPHONES FOR THOSE WITH IMPAIRED HEARING OR SPEECH Greenwich Hospital has text telephones for those with hearing or speech impairments. Call 203-863-3240 (VOICE) or 203-863-3248 (TTY) for information. FREE. AARP SAFE DRIVING COURSE Learn about current rules of the road, operating your vehicle safely in today’s challenging driving environment, and adjusting to common age-related changes in vision, hearing and reaction time. This 4-hour course is offered on Saturdays, twice a month, at Greenwich Hospital. To register, call 203-863-4277 or 888-305-9253. Fee: $12/ members, $14/nonmembers. PROGRAMS HAVING SURGERY? SCOUTS PROGRAM/ MEDICAL EXPLORING Middle and high school students get an in-depth look into various healthcare careers in this monthly after-school program. Participants will tour and learn about a variety of hospital settings and speak with professionals in the medical field. Sponsored with the Boy Scouts of America, Greenwich chapter. Role of the Pathologist Tuesday, March 12 3:30-4:30pm Cafeteria Conference Room Speaker: Richard Eisen, MD, Pathologist In the hospital setting, pathologists have the last word in diagnosing tumors. These medical specialists carefully examine tissue samples from the tumor, first with the naked eye, then under a microscope. The resulting interpretation and diagnosis can have a major impact on the patient’s choices. To register or for more information, call 203-863-4444. Or email lmargenot@gmail.com. FREE. Knowledge is power! If you’re planning to have surgery at Greenwich Hospital, find out what to expect before, during and after your stay. Please note: We have separate classes for general and orthopedic surgery. Choose the one that’s right for you. GENERAL SURGERY EDUCATION Prepare yourself and loved ones for your upcoming surgery at Greenwich Hospital and your postoperative care. Whether it’s abdominal, GYN, ear/nose/ throat or another type of general surgery, this class will answer your questions and tell you what to expect, from admission through recovery. Taught by a certified surgery nurse and a licensed case manager. Classes are held at the hospital every other Thursday, 5:30-7pm. (Adult patients only.) To register, call 203-863-3627 or 888-357-2409. Or register online at greenwichhospital.org. FREE. Feeding the Hospital Tuesday, April 9 3:30-4:30pm Cafeteria Conference Room Speaker: Joseph Isabelli, Operations Manager, Food and Nutrition Services It’s important for hospitals to provide a pleasant dining experience for patients, visitors and staff. Food prep, ordering, and planning for special meetings are the responsibilities of the dietary department. Learn about their key role. To register or for more information, call 203-863-4444. Or email lmargenot@gmail.com. FREE. VENUS CLINIC & HIV PROGRAM Confidential pregnancy testing along with screening, diagnosis and treatment of sexually transmitted diseases, including HIV. Services provided in cooperation with the Greenwich Dept. of Health, Town Hall, 101 Field Point Rd., 3rd floor. HIV services available 8:30am-4pm, MondayFriday. Pregnancy testing and STD services: Tuesdays and Thursdays, 2-5pm. Community education for schools and groups too. Call 203-622-6496. FREE. HIP AND KNEE EDUCATION Prepare yourself and family or friends for your upcoming orthopedic surgery at Greenwich Hospital and your post-operative care. Get answers to any questions you might have either before or after surgery. Your teachers will be an orthopedic nurse and a physical therapist, and you will meet with a social worker and home care coordinator to help plan for your hospital discharge. These 1½ -hour classes alternate their focus – hips one week, knees the next. Held at the hospital on Wednesdays at 12:30pm. To register, call 203-863-3627 or 888-357-2409. Or register online at greenwichhospital.org. FREE. Greenwich Hospital health experts are available to speak to corporate or private groups about a variety of topics such as Heart Attack Prevention and Alert, Women and Heart Disease, Stress Management, Dining Out the Healthy Way, Shopping Tips and Nutrition Labels, and more. SPEAKERS BUREAU For a complete list of topics or to inquire about a speaker for a group, call 203-863-4444. continued on page 14... 13 Healthy Living...continued This holistic, energy-based therapy uses physical or noncontact techniques to facilitate the health and healing of body, mind and spirit. Endorsed by the American Holistic Nurses Association, Healing Touch is offered by trained volunteers to inpatients at Greenwich Hospital. HEALING TOUCH For more information, call 203-863-3222. FREE. INTEGRATIVE MEDICINE PROGRAM Greenwich Hospital offers a variety of mind/body services for both inpatients and outpatients. For the services listed below, please call our Volunteer Office at 203-863-3222. • Healing Touch • Massage Therapy • Music Therapy • Prepare for Surgery, Heal Faster™ • Reflexology • Stress Management & Meditation Integrative Medicine specialist Henri Roca, MD, offers the following services on an outpatient basis. Call 203-863-3615. • Acupuncture & Hypnotherapy • Benchmarking Your Health – An Executive Level Service for Non-Executives • Biofeedback for Adults and Teens • Environmental Medicine and Detoxification • Functional Nutritional Counseling • Integrative Functional Medicine for Children, Adults and Elders • Medication Supplement Consultations • Stress Resiliency 14 PREPARE FOR SURGERY, HEAL FASTER® This is a 75-minute consultation with a certified registered nurse. Learn mind/body techniques that will help you relax before surgery and visualize recovery. You will also receive the book, Prepare For Surgery, Heal Faster, and a guided visualization CD. For an appointment, call 203-863-3222. Fee. Music therapist Dr. Amy Zabin leads a journey into deep relaxation using crystal singing bowls, flute, guitar and guided imagery. Held Tuesdays, 12:30-1pm in the hospital chapel. MUSIC AND MEDITATION Walk-ins welcome. No registration required. FREE. HEALTHY LIVING SINGING GROUP Love to sing? The Center for Healthy Living has a singing group that meets every Tuesday to practice and learn new songs. The “Holly Hill Tones” sing throughout the community and are available for performances. For more information, call 203-863-3756. FREE. A variety of parenting classes and support groups are available according to the age of your child, from infancy through high school. PARENTS EXCHANGE For more information, see page 18. Personalized Pilates exercise instruction in our fully equipped studio. Sign up solo or with a partner. Offered through our Weight Loss & Diabetes Center. See details on page 16. PILATES FOR YOU MEDICAL FITNESS PROGRAM This individualized exercise and nutrition program is for people with diabetes, obesity, multiple sclerosis, cancer, osteoporosis, stroke, physical impairments, Parkinson’s, and those who have had bariatric surgery. An exercise physiologist and dietitian will create a customized fitness plan to maximize your cardiovascular health and physical strength. Call 203-863-3756 for more information and reservations. Fee. VOLUNTEER AT GREENWICH HOSPITAL Greenwich Hospital volunteers are a wonderfully diverse group of professionals, retirees, empty nesters and students from Connecticut and New York. Their service and generosity of spirit make a real difference in the lives of patients and their families. The hospital offers a wide range of volunteer opportunities, from greeting visitors to transporting patients, to working in the medical units, satellite offices, and the Auxiliary’s Thrift and Gift shops. To learn more, call 203-863-3222 or visit greenwichhospital.org and click on “Volunteers.” PROGRAMS Greenwich Hospital's Weight Loss & Diabetes Center offers a team approach to treating obesity and Type 2 diabetes. For more information, call 203-863-2939. Weight Loss, Diabetes & Nutrition Healthy eating can be a challenge. Yet it’s key to maintaining good health and lowering the risk of diabetes and other types of disease. Greenwich Hospital’s services and programs help you make good nutritional choices, lose weight if you need to, and prevent or manage diabetes. Learn how to manage your diabetes in a fun, interactive group setting. This ongoing training series empowers participants to take charge of their diabetes through education and demonstrations on a variety of pertinent topics. Foot care, meal planning, exercise, cooking and “how-tos” are all addressed in a productive and relaxed environment. Open to anyone with diabetes. Held Thursdays, 12noon-1pm, at 55 Holly Hill Lane, Greenwich. DIABETES BOOT CAMP March 7 What is Diabetes?/Nutrition and Blood Glucose March 14 Physical Activity/Home Blood Glucose Monitoring March 21 Meal Planning/Food Label Reading March 28 Goals of Self-Management/Managing Acute Complications April 4 Portion Control/Timing Meals & Meds April 11 Foot Care/Reducing Risk of Chronic Complications April 18 Special Situations: Dining Out/ Celebrations April 25 Medications for Diabetes Management Check out our online calendar at greenwichhospital.org for more details. Physician referral required to register. Call 203-863-2939. May be covered by your insurance provider for up to 10 sessions. This group meets monthly to discuss a variety of diabetes topics including eye health, neuropathy, foot care, heart health, selfmanagement tools, and more. DIABETES SUPPORT GROUP Exercises for Performing Spring Activities Monday, March 11 7-8:30pm Noble Conference Center Speaker: Richard Becker, MS, Exercise Physiologist No registration necessary. For more information, call 203-863-3929. FREE. New Developments in Diabetes Care Monday, April 8 7-8:30pm Noble Conference Center Speaker: Judith Goldberg-Berman, MD, PhD, Endocrinologist No registration necessary. For more information, call 203-863-3929. FREE. continued on page 16... 15 Weight Loss, Diabetes & Nutrition...continued WEIGHT LOSS & DIABETES CENTER Greenwich Hospital is the first in the country to put together a complete team of medical professionals to treat obesity and Type 2 diabetes. In this highly personalized program, patients are thoroughly assessed to identify the root causes of their condition. Genetics, environment and lifestyle are considered in the resulting treatment plan. Each patient typically meets weekly with a psychologist/dietitian, and monthly with an endocrinologist, a chef/dietitian, and an exercise physiologist/dietitian. Participants will also undergo a sleep study directed by a pulmonologist. After six months, patients who opt for weight-loss (bariatric) surgery will have satisfied the presurgery requirement for a physiciansupervised weight-loss program. For more information, call 203-863-2939. The Center accepts all major forms of health insurance. IN THE KITCHEN: ONE-ON-ONE SESSIONS WITH THE CHEF healthy recipes and learn how to plan healthy meals – all from a registered dietitian. For a personalized culinary learning experience, consider a healthy cooking session with Chef/Dietitian Gavin Pritchard. Name your topic! Whether you’re interested in glutenfree, low-glycemic, vegetarian, or curious about sauces, snacks or spices, Chef Gavin is happy to tailor a class just for you. Held at the Weight Loss & Diabetes Center at 55 Holly Hill Lane, Greenwich, 1st floor. Times are flexible to meet your needs. For more information or an appointment, call 203-863-2939. Fee. See page 20. For more information, call 203-863-2939. Fee. Call 203-863-2939. Fee. NUTRITION AND CANCER Private counseling and nutritional advice for a variety of needs, including weight control, diabetes management, pregnancy and just healthy eating. Find out about the nutritional value of your current diet, plus get NUTRITION SERVICES Personalized Pilates instruction is now offered by appointment in our fully equipped studio. Sign up solo or with a partner. Pilates uses equipment and mat exercises to enhance core and overall body strength, flexibility and balance. Our certified exercise physiologist tailors each class to your fitness level. Appointments are available Monday-Friday and some Saturdays at 55 Holly Hill Lane. PILATES FOR YOU TAKE OFF POUNDS SENSIBLY (TOPS) The Greenwich Chapter of TOPS meets weekly for weigh-in, mutual support and education. Achieve and maintain a healthy weight through positive lifestyle choices. Held Mondays, 12:30-1:30pm, at 900 King St. (ground floor), Rye Brook, N.Y. (Take Arbor Dr. off King St., then first right.) No meetings on public holidays. Visit tops.org, or call 203-863-4444. Fee. CROHN’S & COLITIS SYMPOSIUM See page 23. FOOD ALLERGY SUPPORT GROUP See page 23. DIABETES: CAUSES, RISK FACTORS AND PREVENTION See page 8. 16 PROGRAMS Postpartum massage eases recovery from labor and birth by alleviating muscle strain and soreness and promoting healing. Nurturing touch and support to new mothers provides emotional relief, too. This inpatient service is offered by our Integrative Medicine program. Physician clearance required. POSTPARTUM MASSAGE To register, call 203-863-3222. Fee. Tender Beginnings All Tender Beginnings classes require preregistration. To register, call 203-863-3655 or email us at tenderbeginnings@greenwichhospital.org. Our office hours are weekdays from 8am-3pm. Please note: Rooms, times and classes are subject to change. FERTILITY AND IVF SERVICES A full range of state-of-the-art clinical treatments and assisted reproductive laboratory technologies (ART) is conducted by board-certified reproductive endocrinologists. Services are delivered in supportive, personalized and private office settings in Greenwich and in Tuckahoe, N.Y. High pregnancy success rates. Affiliated with Greenwich Hospital and NYU Fertility Center. For more information, visit greenwichivf.com. For an appointment, call 203-863-2990 (Greenwich) or 914-793-2990 (Westchester). Fee. BABY CARE CLASS FOR PARENTS This 2-hour class offers essential learning for expectant parents, including feeding, bathing, cord care, sleep patterns and proper car seat use. (For Infant CPR, see page 12.) *To register, please call or email. Fee. A 2-hour class for expectant parents focusing on all aspects of breastfeeding, from delivery room to postpartum. Explore breastfeeding issues such as establishing good milk supply, nutrition and pumping. Taught by a registered nurse on our maternity staff who is credentialed as an International Board Certified Lactation Consultant (IBCLC). BREASTFEEDING CLASS *To register, please call or email. Fee. This specialized massage supports the childbirth process by reducing anxiety and stress, and relaxing muscles involved in labor and birth. Massage during labor helps the mother keep calm and focused throughout labor and delivery. This inpatient service is offered by our Integrative Medicine program. Physician clearance required. MASSAGE DURING LABOR To register, call 203-863-3222. Fee. Find inspiration, comfort and wisdom in the practice of Kundalini prenatal yoga. These ancient teachings can help you achieve mind/ body/soul harmony as your body prepares for pregnancy and beyond. A certified instructor will teach you safe and effective yoga positions and thoughtful meditations to create inner strength, a strong body and a quiet mind. Physician clearance and consent form required for participation. PRENATAL YOGA *To register, please call or email. Fee. This hour-long class offers gentle exercises, meaningful poses and thoughtful meditations in the traditions of Kundalini yoga. Strengthening, stretching, toning and balancing techniques help achieve mind/body/soul harmony during this often intense, emotional and glorious postpartum period. Bond with your baby and meet other moms, too. For new moms and their babies, ages 6 weeks9 months. MOMMY AND ME YOGA *To register, please call or email. Fee. continued on page 18... 17 Tender Beginnings...continued CHILDBIRTH PREPARATION CLASSES PARENTING PROGRAMS Parents Exchange offers a variety of parenting classes that are divided according to the age of your child, from infancy through high school. Meetings are facilitated by a child development professional who helps you build on your own strengths and develop new insights from other parents with similar challenges, questions or concerns. Participants have made lifelong friendships in this safe and nurturing environment. Parents Exchange A 6-week course addressing the needs of the newborn (under 4 months of age), and the physical and emotional adjustments of parenthood. Designed for mothers who have recently given birth. Topics include: Recovering from Birth; How Do We Learn to Become Parents?; Who Was I Before I Became a Mother?; Developmental Stages; Sex, Love and Babies; Returning to Work; and Self-Esteem – Mom and Babies. Led by a member of our maternity nursing staff. A Tender Beginnings program. Newborn Mothers Group *To register, please call or email. Fee. CPR FRIENDS & FAMILY (INFANT/CHILD) See page 12. A 1-hour class that helps big brothers and sisters adjust to a new baby in the family. Includes a video about siblings and a tour of the nursery and postpartum unit. For children ages 3-8 and their parents. SIBLING CLASS *To register, please call or email. FREE. 18 • Infant/Toddler (ages 4-30 months) • Early School Years (Pre-K–Grade 4) • Later School Years (Grades 5-12) Groups meet weekly for 1½ hours, over a 14-week semester. Sponsored by Community Health at Greenwich Hospital. Call 203-863-3794 for information and registration form, plus schedule. Fee. This 1½-hour session introduces grandparents to their changing role and relationship as parents and grandparents. They will also learn about prenatal and infant care in today’s world, plus car seat and essential infant safety information. This class is for current and expecting grandparents. Held quarterly. (For Infant CPR, see page 12.) GRANDPARENTING TODAY Registration is required for all classes. Please call 203-863-3655 or email tenderbeginnings@ greenwichhospital.org. Fee. For First-Time Parents These classes offer preparation for childbirth and include a tour of the Birthing Center. Prospective parents should register as early as possible. Options are three-session, two-session, or one-session classes. Refresher Class Review of labor process, and breathing and relaxation techniques. Ideal for parents who have already delivered a baby or have had a long interval between pregnancies. Cesarean Section Class This one-session childbirth class prepares expectant parents who are scheduled for a cesarean delivery. Topics include preparing for delivery, relaxation techniques, cesarean section room procedures, pain management, postpartum recovery, and the role of the partner/support person. Mothers who deliver at Greenwich Hospital can schedule a return visit 48-72 hours after discharge for a mother/baby assessment. The visit is with a registered nurse on our maternity staff credentialed as an International Board Certified Lactation Consultant (IBCLC). POSTPARTUM VISIT Call 203-863-3569. FREE. *To register, please call or email. Fee. * Tender Beginnings Registration/Information – Phone: 203-863-3655 Email: tenderbeginnings@greenwichhospital.org PROGRAMS TENDER BRIDGES FOR NICU PARENTS A newborn’s stay in a neonatal intensive care unit can be a stressful experience for families. Through our Tender Bridges program, parents of babies in Greenwich Hospital’s NICU can reach out to other parents who have been in similar situations and can offer support. If you would like a NICU parent contact, either during or after your baby’s stay, please call or email. FREE. Tour of the hospital’s pediatric unit for school or community groups or anyone anticipating the hospitalization of a child. Short video included. Offered Monday through Friday, by appointment. PEDIATRIC ORIENTATION Call 203-863-3553. FREE. Adult Maternity Tours: Walk through the Birthing Center and visit the postpartum unit where you will be during your stay. Offered periodically throughout each month. For health and safety reasons, children are not permitted on adult tours. TOURS Please note: Tours are included in all childbirth classes. *Registration required. Please call or email for tour dates and times. FREE. Sibling Tours: Familiarize children with the nursery and postpartum unit. *Registration required. Please call or email for tour dates and times. FREE. Oncology Services Lecture RISK, SCREENING AND PREVENTION OF COLORECTAL CANCER Colorectal cancer is the third most common cause of cancer in the United States. It affects both men and women equally and often has no symptoms in its early stages. Gastroenterologist Neal Schamberg, MD, will discuss the value of colonoscopy screenings and detection and removal of polyps. Held Monday, March 18, 6:30-8pm in the Hyde Conference Room. To register, call 203-863-3627 or 888-357-2409. Or register online at greenwichhospital.org. FREE. HEALING TOUCH @ BENDHEIM CANCER CENTER This holistic, energy-based program complements the care of radiation and chemotherapy patients while they receive treatment at the Bendheim Cancer Center. Soothing techniques performed by trained volunteers facilitate healing by helping patients relax. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. To request this service, speak with your nurse when you come for treatment. FREE. GREENWICH HOSPITAL SPA NIGHT AND EYEBROW CLINIC LOOK GOOD… FEEL BETTER If you are a woman undergoing radiation and chemotherapy treatments, join us for this great evening of makeup and fun. Learn how to deal with the loss of eyebrows, and get complimentary pampering from our Healing Touch volunteers. Free eyebrow kits, too, along with stepby-step instructions. Refreshments served. Held Thursday, March 21, 5:30-7:30pm, in the Hyde Conference Room. In this hands-on program for cancer patients, you’ll learn about skin care, makeup, wigs and scarves to help you look and feel better during this transitional period of your life. Co-sponsored with the American Cancer Society. Held Thursday, March 7, 4:30-6:30pm, in the Noble Conference Center. To register, call 203-863-3627 or 888-357-2409. Or register online at greenwichhospital.org. FREE. 19 Oncology services...continued “I CAN COPE” SERIES This series, held twice a year, is designed to help cancer patients and their families best manage the disease and its treatments. Session I Managing the Effects of Illness and Treatment Tuesday, March 5 6:30-8pm Cafeteria Conference Room Speaker: Beverly Drucker, MD, Oncologist Dr. Drucker will provide specifics about cancer treatments and modalities. Conventional, investigational and alternative methods will be discussed, as well as targeted therapies. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Session II Nutrition and Cancer Tuesday, March 12 6:30-8pm Hyde Conference Room Speaker: Barry Boyd, MD, Oncologist Find out how good nutrition, weight management and exercise can reduce cancer risks and improve a diagnosis. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Session III Mobilizing Resources and Support Tuesday, March 19 6:30-8pm Cafeteria Conference Room 20 20 Speaker: Judy Holding, Oncology Chaplain The emotional impact of cancer can be just as strong as the physical concerns for both the patient and the family. At this session, you'll learn coping strategies. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Offered through our Physical Therapy Department, this 3-month program is available to patients who have completed breast cancer treatment at Greenwich Hospital. It includes a consultation with a dietitian and tailored exercises to restore strength and range of motion to the affected arm. Referral required. NEXT STEPS For information, call 203-863-4350. FREE. NEWLY DIAGNOSED WITH BREAST CANCER SUPPORT GROUP For newly diagnosed patients with breast cancer who are seeking information and support. An experienced cancer counselor facilitates this 8-week program on Mondays from 12:30-2pm at the Smilow Specialty Physician Suite on the 3rd floor of the Watson Pavilion. Initial consultation required. To register, call 203-863-3704. FREE. Greenwich Hospital’s Bendheim Cancer Center, in cooperation with Yale-New Haven Hospital and Yale School of Medicine, offers a cancer genetics program that enables patients to determine if they carry a cancer gene mutation. Staffed by Danielle Campfield, a genetics counselor from the Yale School of Medicine. CANCER GENETICS To learn more about this service, call 203-764-8400. Fee. NUTRITION AND CANCER Greenwich Hospital cancer patients and their caregivers will get helpful, healthy hints on maintaining weight during and after treatment. Monthly classes will be held on first Thursdays for breast and prostate patients, and third Thursdays for patients with GI, lung and other cancers. Held from 1-2pm at 55 Holly Hill Lane, 1st floor Community Room. Registration required. Call 203-863-2939. Or register online at greenwichhospital.org. FREE. PRE-LUMPECTOMY CONSULTATION Breast cancer patients who will undergo lumpectomy surgery can meet one-on-one with a registered nurse to ask questions and learn what to expect before and after surgery. For an appointment, call 203-863-4350. FREE. FREE MAMMOGRAM PROGRAM Free mammograms are available for eligible women through the Greenwich Hospital Partnership for Breast Health. Offered at the Greenwich Hospital Breast Center, located in the Bendheim Cancer Center, 77 Lafayette Court, across the street from the hospital. You may qualify if you are 40 or older, are low-income, and have no health insurance. Supported by the Breast Cancer Alliance in cooperation with Greenwich Hospital and the Greenwich Radiology Group. Appointment required. Please call 203-863-3031. PROGRAMS PRE-MASTECTOMY CONSULTATION Breast cancer patients who will undergo mastectomy surgery are invited to meet one-on-one with a registered nurse to ask questions and understand what to expect before and after surgery, and get information on drains and dressings. For an appointment, call 203-863-4350. FREE. PREPARE FOR SURGERY, HEAL FASTER® See page 14. This YWCA program for women who have had breast cancer surgery consists of group discussions to identify and share common concerns, as well as floor and swimming exercises. If you are three weeks or more postoperative and have your physician’s permission, join us on Mondays at 12:30pm. ENCORE AT THE YWCA If you would like a buddy for your first time or more information, please call 203-869-6501, ext. 131. FREE. POST-TREATMENT BREAST CANCER SUPPORT GROUP Patients in the post-treatment phase of breast cancer can join this group to continue to gain knowledge and support. Our experienced cancer counselor will facilitate sessions on the second and fourth Mondays of the month from 6-8pm. Initial consultation required. To register, call 203-863-3704. FREE. SELF-HYPNOSIS SKILLS FOR CANCER PATIENTS Relaxation, visualization, and imagery are ways to access the body’s capacity for healing. Self-hypnosis uses these tools for pain reduction, anxiety, side effects of treatments and general well-being. Learn more from Kathleen Conway, APRN, a nurse and cancer counselor who has advanced training in hypnosis and is a clinical member of the American Society for Clinical Hypnosis. Held Mondays from 3-4:30pm. Initial consultation required. To register, call 203-863-3704. FREE. An experienced psychotherapist offers counseling and stress management to help patients and families cope with cancer. Information on local support resources and educational programs is also available. Offered at the Smilow Specialty Physician Suite on the 3rd floor of the Watson Pavilion. A Community Health at Greenwich Hospital service. CANCER COUNSELING For an appointment or more information, call 203-863-3704. FREE. WHEN A PARENT HAS CANCER An experienced cancer counselor will discuss such topics as explaining your illness to your children, handling their questions and worries, and managing life. Learn how your children can grow from, rather than be hurt by, being part of a family affected by cancer. Monday mornings (time to be determined) at the Smilow Specialty Physician Suite on the 3rd floor of the Watson Pavilion. To register, call 203-863-3704. FREE. Parking for Cancer Patients Special permit parking is available for patients with cancer on the mid-level of the Cohen Pavilion lot. Ask your oncologist or our radiation therapy staff. FREE. PROSTATE CANCER EDUCATION FORUM Take advantage of educational programs on prostate cancer and opportunities to meet knowledgeable, supportive prostate cancer survivors. Meets first Monday of the month. Sponsored by Community Health at Greenwich Hospital. Is Robotic Surgery Right for You? Monday, March 4 6:30-8pm Noble Conference Center Speaker: Judd Boczko, MD, Urologist Robotic prostatectomy is a minimally invasive procedure to remove prostate cancer. Get the latest on this treatment and its possible side effects. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Learn and Share Monday, April 1 6:30-8pm Noble Conference Center Facilitators: Diane DeMain, RN, MS; and Stephen Corman, MS, Peer Coordinator, Prostate Cancer Education Forum, and Secretary, National Alliance of State Prostate Cancer Coalitions Ask questions about treatment options or share your treatment experiences with the group. Discussion will include complications from treatments and how to deal with them. To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. 21 Cardiovascular Services HEART FAILURE EDUCATION AND SUPPORT Greenwich Hospital provides comprehensive cardiovascular care, including treatment for coronary heart disease, cardiac arrhythmia, stroke, high blood pressure and rheumatic heart disease. Our continuum of services ranges from risk identification and prevention programs through highly advanced procedures such as emergency angioplasty, performed in conjunction with the Yale New Haven Health Heart Institute at Greenwich Hospital. STROKE EDUCATION SUPPORT GROUP Whether you’re at risk for a stroke, have a loved one who has suffered a stroke, or just want to know more, this monthly meeting will offer valuable information on related topics including nutrition and safety, emotional support and medication management. Meets the second Wednesday of every month, 5-6pm in the Pemberwick Conference Room. For more information, call 203-863-4444. FREE. For people having difficulty speaking and understanding language as a result of stroke, head trauma or other causes. Led by a speech pathologist and featuring periodic guest speakers, sessions offer opportunities to share experiences and to communicate in a supportive environment. Family members are welcome. Meets the third Thursday of every month, 11am 12:15pm in the Cafeteria Conference Room. APHASIA SUPPORT GROUP Preregistration required. Call 203-863-3240. FREE. 22 HEART HEALTH EDUCATION Presentation and discussion for people with heart disease and their loved ones, as well as anyone at risk for heart disease (high blood pressure, abnormal cholesterol, diabetes, etc.). Held Tuesdays every other month. Sponsored by Community Health at Greenwich Hospital. Exercises for a Healthy “2013” Heart Tuesday, April 9 6:30-8pm Noble Conference Center Speakers: Richard Becker, MS, Exercise Physiologist, Pulmonary and Cardiac Rehabilitation Specialist Start the New Year right with simple exercises to strengthen your heart’s muscle tone, improve sleep, lower your blood pressure and help reduce stress, anxiety and depression. Exercise can be easier than you think! To register, call 203-863-4277 or 888-305-9253. Or register online at greenwichhospital.org. FREE. Heart failure is the inability of the heart muscle to pump enough blood through the body. If you or a loved one suffers from this condition, please join us to get valuable information, support and resources. Facilitated by a healthcare professional, meetings are held the first Wednesday of every month. Sleep Apnea and the Heart Wednesday, March 6 4-5pm Cafeteria Conference Center Speakers: Dave Polaski, Director, Respiratory Care Services To register, call 203-863-4444. FREE. Exercise and Congestive Heart Failure Wednesday, April 3 4-5pm Cafeteria Conference Center Speakers: Lisa Elpi, Cardiac Rehabilitation Specialist To register, call 203-863-4444. FREE. For weather cancellations, call 203-863-3164. CARDIAC AND PULMONARY REHABILITATION Exercise, diet modification and stress management for people who have coronary artery or pulmonary disease. Day and evening classes, Monday-Friday. Call 203-863-3756 or ask your physician for a referral. Fee. (May be eligible for third-party reimbursement.) PROGRAMS Community Support Services Chronic conditions, addictions, the loss of a loved one and other burdens can be lightened with compassionate support. Greenwich Hospital offers a variety of resources to help you cope. Special Event CROHN’S & COLITIS SYMPOSIUM At this half-day event, a variety of medical experts will be on hand to give you the latest on treatments and coping strategies for these chronic GI conditions. Sponsored by the Crohn’s & Colitis Foundation, Greater New York and Fairfield/Westchester Chapters. Saturday, April 27 8:30-9am (Check-in and Breakfast) 9am-12:30pm Presentations Noble Conference Center Speakers: Gastroenterologists Nelson Bonheim, MD, and Neal Schamberg, MD; Pediatric Gastroenterologist Anthony Porto, MD, MPH To register, email sseijas@ccfa.org or call 646-430-1139. Fee: $10. SLEEP APNEA SUPPORT GROUP For patients with sleep apnea who may be having problems with their CPAP therapy or are just looking for more information. Sessions may include lectures, case discussions, vendor presentations or roundtable talks. Meets every other month, third Mondays, 7:30-9pm. Run by the Greenwich Hospital Sleep Center. Next meeting: March 18. For more information, call 203-863-3167. FREE. FOOD ALLERGY SUPPORT GROUP Support, discussion and information on celiac disease and food allergies is the format for this group, facilitated by a healthcare professional. Meets quarterly. Celiac Disease: Facts and Food Tips Tuesday, April 9 6:30-8pm 55 Holly Hill Lane, Community Room Speakers: Anthony Porto, MD, MPH, Pediatric Gastroenterologist; Gavin Pritchard, RD, CDE, Culinary Dietitian Join us for an informal discussion on celiac disease, ranging from symptoms to diagnosis and treatment. You’ll also learn about helpful consumer products, recipe modification, and cooking considerations. Culinary demonstrations, small tastings and recipes will be provided. To register or for more information, call 203-863-2939 or email valerie.pisano@ greenwichhospital.org. FREE. BEHAVIORAL HEALTH CENTER Greenwich Hospital offers a variety of programs for those who suffer from emotional distress and other behavioral health issues. Our Adult Treatment Program addresses the entire range of psychiatric disorders to enable optimal functioning. Child and Adolescent Programs help with sleep and appetite disturbances, anxiety and mood disorders, learning disabilities, family transitions and major psychiatric illnesses. We also treat after-effects of psychological and physical trauma. For more information, call 203-863-3316. Fee. MENTAL HEALTH SUPPORT GROUP These discussion and support sessions for families of individuals affected by mental illness are cosponsored with the National Alliance on Mental Illness. Held the third Thursday of every month, 6:30-8pm, in the Cafeteria Conference Room. For more information, call 203-329-0687. FREE. continued on page 24... 23 23 Community Support Services...continued Smokers who want to quit or cut back can take advantage of the nationally recognized Smoke Stoppers smoking cessation programs and a variety of program options. SMOKE STOPPERS For more information or to set up a consultation, please call Community Health at Greenwich Hospital, 203-863-4444. CHRONIC PAIN SUPPORT GROUP This 8-week program is a resource for learning and sharing skills to cope with changes caused by persistent pain. Learn how to regain positive emotional energy, reduce discomfort, and enhance the effects of prescribed medications. Facilitated by Joanne Mortimer, MS, BCIAC. New series starts Wednesday, March 6, in the Belle Haven Conference Room. Attendance from the beginning of the session is recommended. (See also Chronic Pain Education Forum, page 11.) Preregistration required. For more information, call 203-496-4574. FREE. Meet new people, hear current news on lupus and learn ways to stay healthy. Guest speakers will be announced. Meets first Tuesdays, 6:30-8pm, at 900 King St. (ground floor conference room), Rye Brook, N.Y. (Turn onto Arbor Dr. off King St.) Next meeting: Tuesday, March 5. LUPUS SUPPORT GROUP For more information, call 914-438-1997 or 914-490-2990. FREE. LYME DISEASE SUPPORT GROUP 24 24 This monthly group offers information and assistance with issues concerning tickborne diseases, as well as guidance for coping with the challenges and complications of Lyme disease. Share feelings and concerns with others suffering from Lyme’s effects. Facilitated by Angela La Manna, LCSW. Sponsored by the Greenwich Dept. of Health, Greenwich Hospital and Lyme Research Alliance, Inc. (formerly Time for Lyme). Meets first Thursdays at Greenwich Town Hall, 7-8:30pm. For more information, call 203-969-1333. FREE. MULTIPLE SCLEROSIS EDUCATION SERIES Multiple sclerosis is a chronic neurological illness that impacts everyday living. This series offers patients and caregivers an opportunity to expand their understanding of the disease and share strategies for coping with its effects. Facilitated by a healthcare professional. Nine Ways MS Impacts Your Body Tuesday, March 26 6:30-7:30pm Cafeteria Conference Room To register, call 203-863-4444. FREE. HOME HOSPICE CARE AND BEREAVEMENT PROGRAMS Greenwich Hospital’s Home Hospice Program allows patients who are in the last stages of life to receive care in the comfort of their home surrounded by loved ones. The goal is to enhance the quality of life for terminally ill patients and provide emotional support to their families. Home hospice continues after the death of a loved one, with personal bereavement visits and follow-up for family members. For information, call 203-863-3882. Individuals and families who are grieving the death of a loved one often find comfort from counseling. BEREAVEMENT COUNSELING Family and personal sessions are facilitated by an experienced psychotherapist at the Bendheim Cancer Center, 77 Lafayette Place. Call 203-863-3704. FREE. SPOUSAL LOSS BEREAVEMENT GROUP This eight-week program offers comfort and support to anyone who has lost a spouse or significant other. Learn about the symptoms of grief, what is “normal” and how to cope with the loss of a life partner. Facilitated by Andrea Raynor, Greenwich Home Hospice spiritual care counselor. Weekly sessions are held Thursdays, 4-5:30pm. Next series runs April 4-May 23. Preregistration required. For more information call 203-863-3892. FREE. PERINATAL BEREAVEMENT SUPPORT GROUP For families who have suffered a perinatal loss through miscarriage, stillbirth or neonatal death. Meets the second Wednesday of each month, 7:30-9:30pm at Greenwich Hospital. For more information, call 203-863-3417. FREE. THE DEN FOR GRIEVING KIDS A nondenominational peer support center providing a safe, caring environment to help families cope with the loss of a parent, sibling, grandparent or close friend. Children ages 3-17 and their parents or adult caregivers are grouped according to age or type of loss. Initial appointment required. A program of Family Centers, Inc., in cooperation with Greenwich Hospital. Held Monday and Wednesday evenings, twice a month, from 6:30-8:30pm. For more information, call 203-655-4693. FREE. PROGRAMS ADDICTION RECOVERY CENTER EVIDENCE-BASED TREATMENT AT GREENWICH HOSPITAL Our Addiction Recovery Center offers a variety of options to people seeking high-quality alcohol and substance abuse treatment. These include Matrix, an intensive outpatient program shown to achieve higher completion rates and significantly greater incidences of longerterm abstinence from drugs and alcohol. ARC’s continuum of care includes initial stabilization, early recovery skills, individual therapy, continuing care, family education and counseling. Program counselors are graduate-trained and licensed in substance abuse, social work, and family therapy. Intensive Outpatient Program is an ideal step down from inpatient care or stand-alone treatment for active addictions. Using the Matrix model described above, it focuses on changing behavior to prevent relapse. Meets four days a week. Morning and evening groups available. Outpatient Program offers members the opportunity to share struggles common to the recovering addict/ alcoholic. This treatment phase is crucial to maintaining long-term abstinence while dealing with real life issues. Individual treatment plans are developed to meet the needs and goals of each patient. Meets twice a week. Continuing Care Group helps develop skills that promote personal growth and continued abstinence in those who are firmly established in recovery. Meets once a week. Morning and evening groups available. Family Group supports loved ones whose lives are often placed on hold because of the patient’s illness. Meets once a week. Medication Consultations are available to help treat psychiatric and/or addictive disorders in current patients of the Addiction Recovery Center. These are fee-based programs. For more information, please call 203-863-HOPE (4673) or visit us online at greenwichhospital.org. 12-STEP PROGRAMS Greenwich Hospital’s Addiction Recovery Center and other substance abuse professionals acknowledge, appreciate and believe in the use of the 12-Step Program of Alcoholics Anonymous (AA) and other selfhelp groups based on AA principles. The following programs meet weekly at Greenwich Hospital. Held Sundays, 1pm, Cafeteria Conference Room. No registration needed. ALCOHOLICS ANONYMOUS For more information, call 203-869-5221. Or visit aa.org or ct-aa.org. FREE. Meets Thursdays, 8pm, Cafeteria Conference Room. No registration needed. AL-ANON For more information, call 888-825-2666. Or visit ctalanon.org. FREE. Meets Thursday, 8pm, Pemberwick Conference Room. No registration needed. ALATEEN For more information, call 888-825-2666 or visit al-anon.alateen.org/for-alateen. FREE. DA (DRUGS ANONYMOUS) Meets Saturdays, 6:30pm, back of Cafeteria. No registration needed. For more information, call 203-863-4673. FREE. Meets Sundays, 5pm, Cafeteria Conference Room. No registration needed. LIFERING For more information, call Mona, 917-539-9927 or visit lifering.org. FREE. continued on page 26... 25 25 PROGRAMS Community Support Services...continued Lecture MENTAL HEALTH AND SUBSTANCE ABUSE See page 10. PARKINSON’S SUPPORT GROUP Weekly education, support, exercise and social activities for people with Parkinson’s, their families and caregivers. Meets Tuesdays, 1:30-3pm, at the Eastern Greenwich Civic Center, 90 Harding Rd., Old Greenwich. Tuesday, March 5 Exercise with Miriam Shaw, RPT; Caregiver Support Tuesday, March 12 Eric Huang, Clinical Pharmacist Tuesday, March 19 Exercise with Miriam Shaw, RPT; Caregiver Support Tuesday, March 26 Learn and Share Tuesday, April 2 Exercise with Miriam Shaw, RPT; Caregiver Support Tuesday, April 9 Learn and Share Tuesday, April 16 Exercise with Miriam Shaw, RPT; Caregiver Support Tuesday, April 23 Catherine Brennan, Elder Law Attorney, Greenwich Tuesday, April 30 Exercise with Miriam Shaw, RPT; Caregiver Support 26 26 For more information, call 203-863-4444. FREE. Directions to Greenwich Hospital Merritt Parkway Southbound: Exit 31. Right onto North Street. Approximately 4 miles to Maple Avenue. Left onto Maple to stop light. Right onto Putnam Avenue (Route 1) to Lafayette Place. Turn right. Hospital campus is straight ahead on left, with Sherman and Gloria H. Cohen Pavilion to your right. Merritt Parkway Northbound: Exit 31. Left onto North Street (same as above). I-95 Southbound: Exit 3. Right onto Arch Street. Continue past Railroad Avenue to Soundview Drive. Left onto Soundview Drive. At top of hill, right onto Field Point Road. At second traffic light, bear left. Cross Putnam Avenue (Route 1) onto Dearfield Drive. At circle, bear right onto Lake Avenue. Hospital will be on left, and Sherman and Gloria H. Cohen Pavilion/Bendheim Cancer Center will be straight ahead. I-95 Northbound: Exit 3. Left onto Arch Street (same as above). Free parking is available in the hospital’s underground garage. Upon entering, follow the signs to the right for the Helmsley Medical Building, and to the left for the Watson Pavilion. Program Index HEALTHY AGING Aging Assessment p. 10 GENERATIONS p. Family Caregiver Support Group Family Caregiving Consultation Mental Health and Substance Abuse Lecture Psychiatric Evaluation p. 10 p. 10 9 p. 10 p. 10 Women’s Spousal Support Group p. 10 HEALTHY LIVING AARP Safe Driving Course Aching Joints Lecture Better Breathers Club Body Guards Chronic Pain Education Forum Corporate Health Services CPR Classes General Surgery Education Healing Touch Health Check! Hip/Knee Education Integrative Medicine Programs Lions Low Vision Center Medical Fitness Program Music and Meditation Nurse Is In Parents Exchange p. 12 p. 11 p. 11 p. 12 p. 11 p. 12 p. 12 p. 13 p. 14 p. 11 p. 13 p. 14 p. 11 p. 14 p. 14 p. 12 p. 18 Pilates for You Prepare for Surgery, Heal Faster® Scouts Program/ Medical Exploring Singing Group Speakers Bureau p. 16 p. 14 p. 13 p. 14 p. 13 Text Telephones for Hearing/Speech Impaired p. 12 Volunteering p. 14 Travel Immunizations Venus Clinic & HIV Program Weekend Lunch Bunch WEIGHT LOSS, DIABETES & NUTRITION Crohn’s & Colitis Symposium Diabetes Boot Camp p. 12 p. 13 p. 11 p. 23 p. 15 Diabetes Lecture p. In the Kitchen p. 16 Diabetes Support Group Food Allergy Support Group Nutrition and Cancer Nutrition Services Pilates for You 8 p. 15 p. 23 p. 20 p. 16 p. 16 Take Off Pounds Sensibly (TOPS) p. 16 Weight Loss & Diabetes Center p. 16 TENDER BEGINNINGS Baby Care Class Breastfeeding Class Childbirth Preparation Classes (Series, Refresher, Cesarean) CPR (Infant/Child) Fertility and IVF Services Grandparenting Today Massage During Labor Mommy and Me Yoga Parenting Programs p. 17 p. 17 p. 18 p. 12 p. 17 p. 18 p. 17 p. 17 p. 18 (Newborn Mothers, Parents Exchange) Pediatric Orientation Postpartum Massage Postpartum Visit Prenatal Yoga Sibling Class Tender Bridges for NICU Parents Tours (Adult, Sibling) ONCOLOGY SERVICES p. 19 p. 17 p. 18 p. 18 p. 18 p. 19 p. 19 Cancer Counseling p. 21 ENCORE at the YWCA p. 21 Cancer Genetics Colorectal Cancer Lecture Free Mammograms Healing Touch “I Can Cope” Series p. 20 p. 19 p. 20 p. 19 p. 20 Look Good...Feel Better p. 19 Behavioral Health Center p. 23 Next Steps p. 20 Crohn’s & Colitis Symposium p. 23 Newly Diagnosed with Breast Cancer Support Group Nutrition and Cancer Post-Treatment Breast Cancer Support Group Pre-Lumpectomy Consultation Pre-Mastectomy Consultation Prepare for Surgery, Heal Faster ® Prostate Cancer Education Forum Self-Hypnosis Skills Spa Night and Eyebrow Clinic When a Parent Has Cancer CARDIOVASCULAR SERVICES Aphasia Support Group Cardiac/Pulmonary Rehab Community Blood Pressure Screenings Heart Failure Education and Support Heart Health Education Stroke Education Support Group p. 20 p. 20 p. 21 p. 20 p. 21 p. 14 p. 21 p. 21 p. 19 p. 21 p. 22 p. 22 p. 12 p. 22 p. 22 Bereavement Counseling Chronic Pain Support Group Den for Grieving Kids p. 24 p. 24 p. 24 Food Allergy Support Group p. 23 Lupus Support Group p. 24 Home Hospice Care and Bereavement Programs Lyme Disease Support Group Mental Health and Substance Abuse Lecture Mental Health Support Group p. 24 p. 24 p. 10 p. 23 Multiple Sclerosis Education Series p. 24 Parkinson’s Support Group Perinatal Bereavement Support Group Sleep Apnea Support Group Spousal Loss Bereavement Support Group Smoke Stoppers p. 26 p. 24 p. 23 p. 24 p. 24 p. 22 COMMUNITY SUPPORT SERVICES Addiction Recovery Center (Inpatient/Outpatient Programs, 12-Step Programs) p. 25 27 27 Health Extensions NonProfit Org U.S. Postage P A I D Stamford, CT Permit No. 239 5 Perryridge Road Greenwich, Connecticut 06830-4697 203-863-3000 www.greenwichhospital.org Like us! www.facebook.com/GreenwichHospital another step closer to free. Being closer to free means being closer to the day when cancer is no longer a life-threatening disease. For those with cancer, it also means being closer to the specialized medicine and the science that are making that happen. Which is why we’re pleased to announce that the leading specialists and advanced treatment facilities of Greenwich Hospital have now joined with Yale-New Haven’s Smilow Cancer Hospital at its new Greenwich Hospital campus. For the people of this area, it means access to all the resources and pioneering treatments of Smilow Cancer Hospital and Yale Cancer Center, southern New England’s only NCI-designated cancer center. It’s another reason the world is closer to free. Greenwich Hospital Campus Smilow Cancer Hospital – Greenwich Hospital Campus Bendheim Cancer Center, 5 Perryridge Road, Greenwich, CT 06830 Medical Oncology Radiation Oncology Breast Center For more information call 203.863.3000 or visit closertofree.com