F o r w o m e n w h o w a n t t o l i v e w e l l

Continued on inside front cover...

FALL 2018 | VOL. 11, NO. 2

You discover a new bump on your body and you ask yourself three things: What is that? Could it be cancer? How fast can I get rid of it? Before panic sets in, remember that most of these seemingly mysteriously occurring lumps are not cause for concern. Numerous medical conditions can cause lumps and bumps to appear on the surface or below the skin.

Not-so-serious lumps are usually soft, grow in size and pain with activity and diminish with rest, are located in the fat layer of the skin and are mobile—move or change when touched.

Bumps that are cancerous are typically large, hard, painless and appear spontaneously. These masses typically grow in size steadily over time. Cancerous lumps that can be felt from the outside of your body can appear in the breast, or neck, but also in the arms and legs.

Let’s review the most common lumps and bumps and better understand when you should seek medical advice.

C H E S T N U T H I L L H O S P I T A L

HEALTHY WOMAN

LUMPS & BUMPS

Mark LiBassi, MDChestnut Hill Surgical Associates

What’s Cause for Concern?

PHYSICAL THERAPY

OUR THERAPISTSn All therapists have a master’s or doctorate

degrees and are state licensed.n One-on-one evaluationn Therapist to patient ratio of 1:1 or 1:2

PERSONALIZED CARE PLANYour plan of care is personalized for maximum benefit and may include:

CONDITIONS TREATEDOur interdisciplinary team of therapists is specially trained to treat people with disabling physical conditions including, but not limited to:

LOCATIONSAppointments may be scheduled at one of our convenient locations. Parking is FREE.

Top of the Hill Plaza | 215-242-7571 Physical and Occupational Therapy 35 Bethlehem Pike, Philadelphia

Chestnut Hill Hospital | 215-248-8559 Physical and Speech Therapy 8835 Germantown Avenue, Philadelphia

n Arthritisn Back and neck injuriesn Balance or vestibular

problemsn Hand therapyn Joint replacement

n Functional trainingn Manual therapy

techniques

n Joint surgeryn Sports injuriesn Speech and swallow

disordersn Stroke or head injury

n Custom splinting and bracing

n Therapeutic exercise

Chestnut Hill Hospital’s rehabilitation services program can help you regain control of your life by restoring movement and function that occurred from an injury or disabling condition.

2 | HEALTHY WOMAN

BREAST LUMPS can be caused by infections, injuries, non-cancerous growths, and cancer. Breast cancer usually causes no pain. The symptoms of breast cancer include painless breast lumps, nipple discharge, and inflammation of the skin of the breast. In young, fit and healthy women, 80% of lumps are benign. A fibroadenoma is a small harmless lump made from glandular tissue, which feels quite firm and moves around. The cause is unknown, but they’re common in 20- to 30-something women. Breast cysts, on the other hand, feel more jelly-like and tender and often affect women in their 30s and 40s. They can appear almost overnight, often prior to menstruation when breast tissue tends to be lumpier.

Always get breast lumps checked. If you notice a change in the size, shape or feel of your breasts that’s unusual for you, or you have some puckering, dimpling or redness of the skin, or nipple discharge, see your doctor. The same goes if you have pain and discomfort in just one breast.

BOTTOM BUMPS are often hemorrhoids. You may feel a sore lump, or notice blood on toilet paper. Constipation and straining are common causes and women tend to get hemorrhoids during pregnancy. Over-the-counter creams resolve most hemorrhoids, but if they’re persistent, problematic or protruding seek clinical advice. Your doctor may refer you to a surgeon to get them removed.

VAGINAL CYSTS are firm lumps on the wall of the vagina. They are normally about the size of a pea or smaller. Vaginal inclusion cysts are most common and sometimes form after childbirth or injury to the vagina. Vaginal cysts usually aren’t painful. They’re rarely a cause for concern unless they result in discomfort during sex. Occasionally, vaginal cysts need to be drained or removed surgically.

As we age, more lumps and bumps seem to appear. It’s a good idea to see a doctor if you’re unsure about any changes to your body. It’s time to make an appointment if you have a new lump that doesn’t go away in a few weeks, that is larger than two inches (about the size of a golf ball), grows larger, or is painful. Your doctor will recommend the most appropriate treatments including rest, medicine, or surgery.

LUMPS & BUMPS Continued from front cover...

C H E S T N U T H I L L H O S P I T A L

HEALTHY WOMAN

Welcome Mark LiBassi, MD, general surgeon, to Chestnut Hill Surgical Associates.

Please join Dr. LiBassi for Lumps and Bumps on November 19. See inside for details.

FALL 2018 | 3

Maintaining and enhancing health, well-being and personal growth through every phase of a woman’s lifePROGRAMS

REGISTRATION REQUIRED FOR ALL HEALTHY WOMAN PROGRAMS. CALL 215-753-2000.

STRATEGIES TO MANAGE YOUR PAINMonday, September 1712:30 to 1:30 p.m.Center on the HillPain management is designed to treat chronic pain and allow people to live full, enjoyable lives. All the options for pain relief require dedication, commitment and knowledge to achieve the best results. Pain management specialist Mathew Abraham, MD, PM&R, Chestnut Hill Hospital, will explain the differences between non-invasive, non-drug pain management; pain management (medications); and invasive pain management (injections). Find out what may be the best treatment for you. Registration required. Call 215-753-2000. FREE!

HEALTH AND WELLNESSFALL ALLERGIES AND HOW TO MANAGE Thursday, September 20 10 to 11 a.m.Center in the ParkFall can be an especially hard time for people who are sensitive to mold and ragweed pollen, but these seasonal allergens aren’t the only triggers that can make symptoms worse at this time of year. Learn more about what can be making your nose run and eyes itch from Ammar Shahid, MD, family medicine, Chestnut Hill Family Practice. Find out the fastest and safest ways to get relief and know when you might need to seek care from a professional. Registration required. Call 215-753-2000. FREE!

SCHEDULE:SATURDAYS September 22; October 20; November 17; and December 22BLS CPR for Health Care Providers 9 a.m. to 12 p.m.Friends & Family CPR 1 to 4 p.m.Heart Saver First Aid 4 to 6:30 p.m.

WEDNESDAYS September 1; November 3 Become a CPR Instructor 10 a.m. to 6 p.m.

CPR CLASSES Through Warp Speed COP, Chestnut Hill Hospital offers classes to both health care professionals and the general public. Select a Saturday that works in your schedule and then register for the programs that best meet your needs. All classes are held at Chestnut Hill Hospital. For course details and to register, email contact@warpspeed.cpr.com, or call 267-538-0277.

Ammar Shahid, MDMathew Abraham, MD

VITAMIN D AND FALL PREVENTION Thursday, October 1810 to 11 a.m.Center in the ParkWe know that vitamin D helps the body use calcium to support bone health and older adults are often encouraged to take vitamin D as part of a daily regimen. Has enthusiasm for vitamin D and other supplements for fracture and fall prevention outpaced the evidence of what’s truly helping? Chestnut Hill Hospital family medicine physician Jaquelyn Yeh, MD, will review the new guidelines for vitamin D and discuss alternative ways to prevent falls. Registration required. Call 215-753-2000. FREE!

PROGRAMSC H E S T N U T H I L L H O S P I T A L

HEALTHY WOMAN

4 | HEALTHY WOMAN

KEEPING A HEALTHY HEART Monday, September 2412:30 to 1:30 p.m.Roxborough YMCAJoin Lauren Solomon,Temple Cardiology, CRNP, for an update on heart health. Learn the latest tips to ensure your heart doesn’t skip a beat. Know what tests are best for the early detection of heart disease and what you can be doing now to reduce your risk of heart problems later. Registration required. Call 215-753-2000. FREE!

IS SUGAR TOXIC? Thursday, October 1812:30 to 1:30 p.m.Center on the HillHow is sugar impacting your health? The research evidence on sugar’s contribution to health problems may be mixed, but there is no doubt that cutting added sweeteners out of your diet most often results in improvements in fasting insulin, fasting blood sugar, triglycerides and liver enzymes. Jennifer Flom, DO, internal medicine, Chestnut Hill Hospital, will discuss other ways sugar is influencing your wellbeing. Registration required. Call 215-753-2000. FREE!

FREE SCREENINGS FOR UNINSURED OR UNDERINSURED WOMEN. Call 215-564-3700 for eligibility and scheduling information. Screening program includes; Free mammogram; physical breast exam; instruction in breast self-examination; questions and answer session; and a comfortable atmosphere.

Sponsored by Linda Creed Foundation.

Thursday, October 254 to 7 p.m.Chestnut Hill Hospital Women’s Center

LINDA CREED BREAST SCREENING

Jaquelyn Yeh, MD

Jennifer Flom, DO

HEALTH AND WELLNESS (continued)

Sometimes, diet and exercise aren’t enough to help you lose the weight. Chestnut Hill Hospital clinicians understand the difficulties that come with losing weight and keeping it off for good. Whether you need nonsurgical weight management assistance or are considering minimally invasive weight loss surgery, we’re here to help.

WEIGHT LOSS SURGERY If your attempts to lose weight have been unsuccessful, surgery may be the best option. Our experienced surgeons can help you enjoy a healthier life. To learn if weight-loss surgery is the right choice for you, schedule a private consultation today. Call 215-248-8520.

CONGRATULATIONS!Chestnut Hill Hospital’s Weight Loss Surgery program has demonstrated an uncompromising commitment to quality

that has earned the confidence, respect, and trust of patients making a lifetime commitment to healthier living.

Active but can’t lose the weight?We can help.

JOIN IN.

REGISTRATION REQUIRED FOR ALL HEALTHY WOMAN PROGRAMS. CALL 215-753-2000.

Maintaining and enhancing health, well-being and personal growth through every phase of a woman’s life

FALL 2018 | 5

TREAT YOURSELF to a

THERAPEUTIC MASSAGE

One per person. Not valid with other discounts. EXPIRES DECEMBER 31, 2018.

10% OFF MASSAGE

WOMEN’S CENTER: Chestnut Hill | Blue BellCALL FOR AN APPOINTMENT: 610.630.1514

WORLD STROKE DAY Monday, October 2912 to 3 p.m.Main Lobby, CHH

BLOOD PRESSURE SCREENINGS AND STROKE RISK ASSESSMENTSChestnut Hill Hospital is a Primary Stroke Center and has been awarded by the American Heart Association/American Stroke Association with the Get with the Guidelines: Stroke Gold Plus Performance Award and Target: Stroke Honor Roll Elite. The awards signify Chestnut Hill Hospital’s commitment and success ensuring that stroke patients receive the most appropriate treatment according to national recognized, research-based guidelines based on the latest scientific evidence. FREE!

Bariatric Surgery

Designated

BlueDistinction®

Center

PROGRAMSC H E S T N U T H I L L H O S P I T A L

HEALTHY WOMAN

6 | HEALTHY WOMAN

HEALTH AND WELLNESS (continued)

HEALTHY BONES FOR LIFE Thursday, November 1510 to 11 a.m.Center in the ParkDid you know that your bones store minerals such as calcium and phosphorous, which help keep bones strong, and release them into the body when we need them for other uses? Nishi Elangbam, MD, family medicine, Chestnut Hill Family Practice, will join us to talk about why it’s so important to keep bones healthy. Learn what you can be doing now to maintain bone health in the future. Registration required. Call 215-753-2000. FREE!

LUMPS AND BUMPS Monday, November 19 12:30 to 1:30 p.m.Center on the HillLumps and bumps are part of life, but when should you worry? Is a cancer lump soft or hard? What’s this bump behind my knee? Get answers to these and your own questions from Mark LiBassi, MD, general surgeon, Chestnut Hill Surgical Associates. Learn about cysts – the most common cause of bumps—and where they are likely to show up. Find out the characteristics of not-so-serious lumps and what signs may indicate a problem. Registration required. Call 215-753-2000. FREE!

Mark LiBassi, MD

Nishi Elangbam, MD

DINE WITH A DOCTOR

CARDIAC 101: BE A HEART CHAMPION!

Wednesday, November 76 to 7:30 p.m.

Main Level Conference Room, CHHEnjoy dining with community members and a Penn Cardiologist as we provide you with the knowledge to be a heart champion and to raise awareness of the prevention and recognition of a heart attack, to help save a life.

YOU WILL LEARN:n The basics of a heart attackn How to reduce risk factors for a heart attackn How to recognize the symptoms of a heart attack

REGISTRATION REQUIRED! To register call Chestnut Hill Hospital Chest Pain Coordinator Melissa Leach

at 215-248-8294. FREE! Space is limited to the first 75 guests.

REGISTRATION REQUIRED FOR ALL HEALTHY WOMAN PROGRAMS. CALL 215-753-2000.

Maintaining and enhancing health, well-being and personal growth through every phase of a woman’s life

FALL 2018 | 7

WEIGHT LOSS SUPPORT GROUPFirst Wednesday of each month5:30 to 6:30 p.m.Main Level Conference Room, CHHJoin us each month for an evening of education, support and lively exchange of information and ideas to help achieve your weight loss goals. Topics include life style modification, nutrition and exercise. Guest speakers provide expert advice on related topics. Call 215-753-2060 with questions. FREE!

MAMMOGRAPHY

Get appropriate screening and timely follow up for breast concerns in a supportive, convenient, and caring environment at the Women’s Center. Extended evening and Saturday hours for mammography make staying well even easier.

BREAST IMAGING Same- and Next-Day AppointmentsCall 215-248-8400 to schedule.

Women’s Center – Chestnut Hill(3D Mammography)8811 Germantown Avenue215-248-6102

Women’s Center – Blue Bell1777 Sentry Parkway WestVe Va Building 17, Suite 120215-646-7795

Free Parking

SUPPORT GROUPS

CHESTNUT HILL HOSPITAL (CHH): 8835 Germantown Ave, Philadelphia, PA 19118 Park in garage

CHESTNUT HILL HOSPITAL WOMEN’S CENTER (WOMEN’S CENTER): 8811 Germantown Ave, Philadelphia, PA 19118 Park behind center

CENTER ON THE HILL: THE PRESBYTERIAN CHURCH OF CHESTNUT HILL (adjacent to Chestnut Hill Hospital)8855 Germantown Ave, Philadelphia, PA 19118 Plenty of free parking. Easy access.

CENTER IN THE PARK: 5818 Germantown Avenue, Philadelphia, PA 19144

ROXBOROUGH YMCA: 7201 Ridge Avenue, Philadelphia, PA 19128

The abbreviations shown in the calendar listings refer to the following health care facilities:

LOCATOR KEY

Presort StandardU.S. PostagePAIDPhiladelphia, PAPermit No. 1356

NEED A DOCTOR? MORE INFORMATION?Contact the Chestnut Hill Hospital physician referral center. CALL: 215.753.2000 VISIT: ChestnutHill.TowerHealth.org

This facility has agreed to comply with the provisions of the Federal Civil Rights Acts of 1964 and the Pennsylvania Human Relations Act and all requirements imposed pursuant thereto to the end that no person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed or disability, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any care service.

8835 Germantown AvenuePhiladelphia, PA 19118

SUPPORTOur bodies change as we age, and so do our minds. Seniors face an increased risk of mental challenges, including clinical depression and memory impairment. But there’s good news – in most cases, these conditions can be successfully treated and managed with specialized care. The skilled staff at Chestnut Hill Hospital provides hope and healing.

The Senior Behavioral Health Program offers:n Individual and Family Therapyn Group and Activity Therapyn Anger and Stress Coping Skillsn Medication Educationn Family Education

Don’t wait to get your loved ones the care they need.

FOR MORE INFORMATION CALL: 215-248-8117 VISIT: ChestnutHill.TowerHealth.org