fall 2016 - abington · 2016-11-01 · gynecologist, dentist, eye doctor and ... 811 sunset road,...
TRANSCRIPT
HOME O F S I D N E Y K I MM E L M ED I C A L CO L L EG E
FA L L 2 0 1 6
Celebrating Milestones after Cancer
Exciting Advances in Neuroscience
Jefferson Health: Here, There andEverywhere Near You
And Much More…
in April 2003, Beth Dougherty, of Horsham, was finalizing wedding
plans with her fiancé, Jim. The dental assistant had previously had
laser and other procedures to address abnormal PAP tests, and
thought that was all behind her.
Then she got the news. “There I was, getting ready to be married, and
I was diagnosed with cervical cancer,” she says. “I had been looking
forward to the future with my husband and having children one day.”
Beth’s gynecologist referred her to Mark S. Shahin, MD, chief of
Abington Hospital’s Hanjani Institute for Gynecologic Oncology.
Dr. Shahin explains, “Beth had a very unusual type of cervical cancer
called adenoid basal carcinoma. Fortunately, this cluster of microscopic
cancer cells tends to grow very slowly.”
The physicians at the Hanjani Institute are gynecologic surgeons
with special training in surgical and medical oncology. They are
board certified in obstetrics and gynecology, as well as in
gynecologic oncology.
Their expertise is complemented by the belief that gynecologic
cancer affects the total woman, and treatment must include careful
and compassionate attention to emotional needs. For Beth, it was
especially important that she pursue options that might allow her to
have children.
Dr. Shahin continues, “After the initial excision of cancerous cells, we
decided to do a ‘cone biopsy’ to determine if there was leftover disease.
This procedure removes just a portion of the cervix, and we found no
evidence of further spread. Our goal was to preserve Beth’s uterus.”
Beth was placed on medical surveillance, with frequent checkups
to ensure that no new lesions had developed. In August 2003,
Dr. Shahin performed a procedure to break apart natural scar
tissue that had developed over time. The procedure worked. Beth and
her husband were able to conceive in 2004.
Because of the cancer excision, she had a shorter cervix. Dr. Shahin
worked with Maternal-Fetal Medicine Specialist Marc F. Rosenn, MD
to perform an “abdominal cerclage.” Cerclage involves placing a strong
cervical stitch to help the cervix remain closed during pregnancy,
thereby decreasing the risk of miscarriage.
Beth was on bed rest for a good part of her pregnancy, but delivered
her son at almost full term at Abington Hospital. “You just can’t
imagine the joy,” she recalls fondly.
Dr. Shahin continued to monitor Beth’s gynecological health. “In women
beyond childbearing years, we would have performed a hysterectomy,
but Beth and her husband hoped to have one more child,” he said.
with all of Beth’s cervical issues,
getting pregnant again was a
long shot. Dr. Shahin says,
“By this time, she had developed cervical
stenosis, or a narrowing of the cervix.
“We were able to go in and dilate the
cervix and determine that no new
cancer was present. Once the cervix
was dilated, she was able to conceive
a second time.”
Beth adds, “Dr. Shahin is just wonderful.
He cares so much. Because of his skills
and his willingness to help women like me,
I was able to add to my family. After all I went
through, I have it all. We are the proud parents
of a son, age 11, and a daughter, age six.”
for oNE fAMilY of four,
DREAMS DO COME TRuE.
For more information about cancer care at Abington – Jefferson Health,
visit Jefferson.edu/AbingtonCancer.
In the summer of 2014, Shannon Hayes,
a nurse at Abington Hospital, was in the
best shape of her life. After losing her
mother to lung cancer in 2013, Shannon, 45,
had given herself a complete health makeover,
which included changing her diet and joining
a cardio boxing gym. She’d also scheduled
checkups with her primary care physician,
gynecologist, dentist, eye doctor and
dermatologist. There was just one thing she
kept putting off: A mammogram.
In August, she went to the Mary T. Sachs Breast
Center and checked it off her to-do list. She
mentioned a few nagging concerns to the
technician, including an odd firmness around
her right breast and some pain she’d felt while
working out. “I thought I was probably just
developing muscle,” she says.
Shannon was asked to return for a follow-
up mammogram and ultrasound. “I was
concerned,” she says. “But I knew many
women who’d been called back, and
everything turned out fine for them.”
After the tests, however, when she was
ushered into a consultation room, she knew
things were not fine. She was referred to
Breast Surgeon James T. Moore, MD, who
recommended biopsies of three areas.
The biopsies, performed by Radiologist
Lynn Lucas-Fehm, MD, a week later, revealed
invasive ductal carcinoma, the most common
type of breast cancer.
“The diagnosis was unbelievable to me,”
Shannon says. But as she struggled to absorb
the news, she realized that an entire team
was ready to support her through the
coming ordeal.
A Coordinated Plan
Dr. Moore met with Shannon and her
husband to discuss surgical options.
Shannon elected to have a bilateral
mastectomy with reconstruction, even though
there was no cancer in her left breast. “I didn’t
want to think about ever going through this
again,” she says. She also met with Plastic
Surgeon Brian R. Buinewicz, MD, who
explained her options. Reconstruction would
be a two-part process. He would place tissue
expanders at the time of the mastectomy and
replace them with permanent implants a few
months later.
As a mother of three daughters, Shannon
worried that her diagnosis might indicate an
increased breast cancer risk for them. She
was tested for the BRCA1 and BRCA2 gene
mutations with Abington’s genetic counseling
and testing service. “When the results came
back negative, it was the first bright spot I’d
had since the diagnosis,” she says.
The second bright spot came after her
mastectomy in September, when she learned
that the cancer hadn’t spread to her lymph
nodes. “That was the first question I asked
when I woke up from anesthesia,” she says.
Knowing that she was most likely in the clear
made her recovery a bit easier.’’
Targeted Treatment
In October, she met with Oncologist Mark L.
Sundermeyer, MD, to discuss her ongoing
treatment plan. Because of her relatively
young age and her unaffected lymph nodes,
Dr. Sundermeyer recommended the Oncotype
DX test, a genomic analysis that would help
determine her risk of recurrence and her
likelihood of benefiting from chemotherapy.
“The Oncotype DX test analyzes a group of
genes in the tumor and assigns a Recurrence
Score of between 0 and 100,” Dr. Sundermeyer
explains. “A score of less than 18 means that
the cancer has a low risk of coming back. It
also means that the benefit of chemotherapy
would not outweigh the side effects and might
even be detrimental.
“In the past, we probably would have
considered chemotherapy for any breast
cancer patient,” he adds. “But the Oncotype
DX test is one of the tools we’re using to
customize treatment based on the biology
of the tumor.”
The results were Shannon’s third bright spot:
Her Recurrence Score of 12 meant she could
forego chemotherapy and that her only
follow-up would be Tamoxifen, a once-a-
day pill that would reduce her chance of
recurrence. She will continue to follow up
with Dr. Sundermeyer and will likely be on
Tamoxifen for at least five years.
Healthy Again
In January 2015 – exactly a year after she
first resolved to get healthy – Shannon
had her reconstruction surgery with
Dr. Buinewicz. After that, she worked her way
back into fighting shape. “I’d been exercising
on my own throughout my treatment, but in
April I finally went back to the gym,” she says.
“That was a big step. By June, I was back to
doing military-style pushups.”
Today, she’s also back at work at Abington,
where she’s been a nurse for 20 years. “My
patients are part of my family,” she says.
“I loved all my doctors and nurses, and I’m
very happy to be part of the Abington –
Jefferson Health team.”
CANCEr CArE
a future anD a family-
HANJANi iNsTiTuTE for GYNEColoGiC oNColoGY
HElPs HorsHAM WoMAN rEAlizE HEr drEAMs
Shannon Hayes
Beth Dougherty with Olivia and Jack
THEir ExPErTisE is CoMPlEMENTEd bY THE bEliEf THAT
gynecologic cancer affects the total woman, ANd TrEATMENT MusT iNCludE CArEful ANd
CoMPAssioNATE ATTENTioN To EMoTioNAl NEEds.
2 3
In its 2016-17 survey, U.S. News &World Report has ranked
Abington Hospital – Jefferson Healthamong the region’s highest
performing hospitals for colon cancer surgery.
JEffErsoN HEAlTH loCATioNs
4 5
Abington, Aria and Jefferson are bringing greater reach to
Jefferson’s transformative model of delivering more value
to patients by providing the right care, at the right place
and the right time. Visit Jefferson.edu for more details,
including services, hours, and phone numbers.
hospitals Abington Hospital – Jefferson Health
1200 Old York Road, Abington
Abington – Lansdale Hospital – Jefferson Health100 Medical Campus Drive, Lansdale
Aria – Bucks County Hospital380 North Oxford Valley Road, Langhorne
Aria – Frankford Hospital4900 Frankford Avenue, Philadelphia
Aria – Torresdale Hospital10800 Knights Road, Philadelphia
Jefferson Hospital for Neuroscience900 Walnut Street, Philadelphia
Methodist Hospital2301 South Broad Street, Philadelphia
Rothman Orthopaedic Specialty Hospital3300 Tillman Drive, Bensalem
Thomas Jefferson University Hospital111 South 11th Street, Philadelphia
urgent care centersAbington – Urgent Care – Feasterville
1045 Bustleton Pike, Feasterville
Abington – Urgent Care – Flourtown1820 Bethlehem Pike, Flourtown
OPENING DECEMBER 2016 | Abington – Urgent Care – Willow Grove2607 Easton Road, Willow Grove
Aria – Urgent Care – Bensalem2966 Street Road, Bensalem
OPENING FALL 2016 | Aria – Urgent Care – Northern Liberties800 Delaware Avenue, Philadelphia
Aria – Urgent Care – Philadelphia2451 Grant Avenue, Philadelphia
Jefferson Urgent Care – Rittenhouse2021 Chestnut Street, Philadelphia
Jefferson Urgent Care – Smylie Times2607 Rhawn Street, Philadelphia
Jefferson Urgent Care – Washington Square700 Walnut Street, Philadelphia
Physical therapyAbington – Lansdale Hospital Pearlstine Pavilion, Suite 120, 100 Medical Campus Drive, Lansdale
Abington Health Center – Blue Bell721 Arbor Way, Blue Bell
Abington Health Center – Warminster225 Newtown Road, Warminster
Abington Health Center – Willow GroveWillowood Building, Suite 150, 2510 Maryland Road, Willow Grove
Abington – Jefferson Health Physical Therapy1380 Easton Road, Warrington
Aria – Center for Rehabilitation and Wellness 131 Lincoln Highway, Fairless Hill
Aria – Frankford Hospital Wakeling Medical Building, 5000 Frankford Avenue, Philadelphia
Aria – Torresdale Hospital 10800 Knights Road, 2nd floor, Philadelphia
JeffFIT – Center City25 South 9th Street, Philadelphia
JeffFIT – South PhiladelphiaMethodist Hospital, 2301 South Broad Street3rd Floor, Philadelphia
JeffFIT – Navy Yard4050 South 26th Street, Suite 140, Philadelphia
Rehabilitation Services at Artman – The Becoming Center 250 North Bethlehem Pike, Ambler
Abington Health Center – Blue Bell721 Arbor Way, Blue Bell
Abington Health Center – Lower Gwynedd605 N Bethlehem Pike, Lower Gwynedd
Abington Health Center – Montgomeryville1010 Horsham Road, North Wales
Abington Health Center – Warminster225 Newtown Road, Warminster
Abington Health Center – Willow Grove2701 Blair Mill Road, Willow Grove
Aria Health Center – The Annex2451 Grant Avenue, Philadelphia
Aria Health Center – The Professional CourtBustleton Avenue and Verree Road, Philadelphia
Aria – Center for Rehabilitation and Wellness131 Lincoln Highway, Fairless Hills
Jefferson Health – Bala Cynwyd225 East City Avenue, Bala Cynwyd
Jefferson Health – Bala Cynwyd401 East City Line Avenue, Bala Cynwyd
Jefferson Health – Burlington811 Sunset Road, Burlington, NJ
Jefferson Health – Navy Yard3 Crescent Drive, Philadelphia
Jefferson Health – Smylie Times2607 Rhawn Street, Suite 403, Philadelphia
Jefferson Health – Turnersville188 Fries Mill Road, Turnersville, NJ
Jefferson Health – Voorhees443 Laurel Oak Road, Voorhees, NJ
Jefferson Health – Washington Square700 Walnut Street, Philadelphia
Abington Hospital*
Abington – Lansdale Hospital*
Abington Health Center – Blue Bell*
Abington Health Center – Warminster*
Abington Health Center – Willow Grove*
Aria – Bucks County Hospital*380 North Oxford Valley Road, Langhorne
Aria – Frankford Hospital*4900 Frankford Avenue, Philadelphia
Aria – Torresdale Hospital*10800 Knights Road, Philadelphia
Aria Health Center – The Professional Court*Bustleton Avenue and Verree Road, Philadelphia
Thomas Jefferson University Hospital (Main Building) 132 South 10th Street, Philadelphia
Thomas Jefferson University Hospital(Gibbon Building) 111 South 11th Street, Philadelphia
Jefferson Health – Medical Office Building*1100 Walnut Street, Philadelphia 3rd Floor - Mammography Screening4th Floor - Diagnostic Mammography
Jefferson Health – Women’s Diagnostic Center*2301 South Broad Street, 2nd Floor, Philadelphia
Jefferson Hospital for Neuroscience900 Walnut Street, Philadelphia
Jefferson Radiology Services909 Walnut Street, Philadelphia
Methodist Hospital2301 South Broad Street, Philadelphia
*Mammography available
Jefferson health in your communityfor more information about all our locations and services, including physician directories, please visit or call us at:
JeFFerson HeALtH Jefferson.edu | 1-800-JEff-NoW (1-800-533-3669)
Abington – JeFFerson HeALtH Jefferson.edu/Abington | 215-481-MEdi (6334)
AriA – JeFFerson HeALtH Ariahealth.org | 1-877-808-AriA (2742)
radiologic imaging and mammogram locations
Abington Health Center – Blue Bell721 Arbor Way, Blue Bell
Abington Health Center – Lower Gwynedd 605 North Bethlehem Pike, Lower Gwynedd, PA
Abington Health Center – Montgomeryville1010 Horsham Road, Suite 110A, North Wales
Abington Health Center – Warminster225 Newtown Road, Warminster
Abington Health Center – Willow GroveNorthwood Building, 2729 Blair Mill Road, Suite A, Willow Grove
Abington – Jefferson Health Laboratory Services – Rockledge408A Huntingdon Pike, Rockledge
Abington – Jefferson Health Laboratory Services – Warrington1380 Easton Road, Warrington
Abington Urgent Care – Feasterville1045 Bustleton Pike, Feasterville
Abington Urgent Care – Flourtown1820 Bethlehem Pike, Flourtown
Aria – Bucks County Hospital380 North Oxford Valley Road, Langhorne
Aria – Frankford Hospital4900 Frankford Avenue, Philadelphia
Aria – Torresdale Hospital10800 Knights Road, Philadelphia
Jefferson Outpatient Lab833 Chestnut Street, 2nd Floor, Philadelphia
Methodist Hospital2301 South Broad Street, 1st Floor, Philadelphia
laboratory testing locationsAbington – Jefferson Health Laboratory Services – Chalfont1500 Horizon Drive, Suite 120, Chalfont
Abington HospitalWidener Building, ground floor, 1200 Old York Road, Abington
Abington – Lansdale Hospital – Lansdale100 Medical Campus Drive Lansdale
Abington – Jefferson Health Laboratory Services – AbingtonLevy Medical Plaza, 1235 Old York Road, Suite G13, Abington (across from Abington Hospital)
Abington – Jefferson Health Laboratory Services – JenkintownRydal Square, 500 Old York Road, Suite 103, Jenkintown
In its 2016-17 survey, U.S.News & World Report has nationally ranked Jefferson among the nation’s Best Hospitalsin 11 adult specialties. Jefferson has also been regionally ranked third in Pennsylvania, second in the Philadelphiametro area, and high performing for seven adult procedures and conditions. Also in its 2016-17 survey, U.S.News& World Report has nationally ranked Abington Hospital – Jefferson Health among the nation’s Best Hospitals inone specialty. Abington has also been regionally ranked fourth in the Philadelphia metro area, and as a high performing hospital for seven procedures and conditions. For more information, visit Jefferson.edu/Abington.
outpatient health centers
TYl: What has changed with the recent
merger of Jefferson and Abington?
dr. barrer: You and your loved ones continue
to have access to experienced medical experts,
who are backed by the most extensive and
advanced neurological resources available.
Our physicians, clinicians and researchers –
specializing in brain and spine disorders –
have joined forces in an unprecedented
collaboration to further advance everything
we do best in neuroscience. For our patients
and their families, that teamwork gives rise
to unparalleled know-how and a highly
personalized treatment plan, close to home.
TYl: How are Jefferson and Abington
collaborating to provide services in
our region?
dr. rosenwasser: I’ve known Steve Barrer for
quite a long time – almost my entire career –
and I’ve always had a great deal of respect for
him and the Abington program. The creation
of the Vickie and Jack Farber Institute for
Neuroscience is synergistic with our
colleagues at Abington. While patients from
the Philadelphia suburbs can continue to
receive the advanced neuroscience care they
have come to expect from Abington, if needed,
they now benefit from seamless access to the
additional high level resources at Jefferson.
dr. barrer: Jefferson and Abington
neurological specialists – neurosurgeons,
neurologists, interventional neurologists,
neurovascular and endovascular surgeons,
neuro-oncologists, neuroscience researchers,
interventional radiologists, psychiatrists, and
physiatrists – all work together to provide the
most comprehensive care in the region.
The diagnosis of a brain or spine disorder may bring uncertainty, confusion and worry to your
world. Whether your neurological condition is relatively mild or complex, Abington and Jefferson
offer the highest level of care throughout the delaware Valley.
Abington and Jefferson experts at the Vickie and Jack farber institute for Neuroscience are working
to expand our understanding of the human mind and uncover new ways to prevent, treat and cure
such disorders as Alzheimer’s disease, Amyotrophic lateral sclerosis (Als), brain tumor, epilepsy,
migraines, multiple sclerosis, Parkinson’s disease, spinal disorders, stroke and more.
TYl: both Jefferson and Abington are
designated as comprehensive stroke
centers. What does that mean?
dr. barrer: The Jefferson Comprehensive
Stroke Center and Abington Hospital’s
Diamond Stroke Center have each earned
advanced certification as Comprehensive
Stroke Centers from The Joint Commission
and American Heart Association/American
Stroke Association – a distinction currently
received by only seven Pennsylvania hospitals.
This certification positions them among the
most advanced centers in the United States
for the prevention, diagnosis, treatment
and research of stroke. And Abington –
Lansdale Hospital has been certified as a
primary stroke center.
TYl: What is being planned for the
expansion of neuro-oncology services at
Abington’s Asplundh Cancer Pavilion?
dr. barrer: The new, 82,000-square-foot
Asplundh Cancer Pavilion, scheduled to
open in 2018 on the campus of Abington
Health Center – Willow Grove, will feature
comprehensive, leading-edge facilities across
the full spectrum of outpatient cancer care.
At one convenient location, multidisciplinary
teams of vastly experienced professionals –
surgical specialists, oncologists, genetic
counselors, complementary medicine
providers, supportive care staff – will
collaborate to develop a personalized plan
for each patient.
Advanced technology at the Asplundh Cancer
Pavilion will include chemotherapy and
radiation therapy, featuring two new linear
accelerators for radiation oncology and Varian
EdgeTM stereotactic technology (similar to the
Cyber Knife but faster and more flexible).
Patients will also have access to strong clinical
research programs at Abington, as well as
access to the latest therapies and phase 1, 2
and 3 clinical trials through Jefferson’s Sidney
Kimmel Cancer Center, a National Cancer
Institute-Designated Cancer Center.
TYl: How does the eminent research
conducted at Jefferson benefit
Abington patients?
dr. barrer: Basic, translational, and clinical
research is designed to understand
fundamental mechanisms of the normal
and diseased brain. Our specialists translate
that understanding into treatments for
neurodegenerative and other disorders. In
addition, Jefferson Hospital for Neuroscience
partners with the National Institutes of Health
and leading pharmaceutical innovators to
develop advanced interventions and drug
treatments for acute and chronic neurologic
conditions. Patients at Abington Hospital
access these same clinical trials, benefiting
from top-tier care, close to home.
bETTEr ANd sTroNGEr ToGETHEr
From the nation’s first brain surgery to
sophisticated telemedicine systems for
real-time, emergency neuro consultation
with experts, Jefferson and Abington are
advancing the boundaries of discovery and
treatment. Now, at our Vickie and Jack Farber
Institute for Neuroscience, at both Abington
and Jefferson, we are collaborating as never
before. More brainpower. More breakthroughs.
NEurosCiENCEs
6 7
ouTsTANdiNG TrEATMENT for All NEuroloGiCAl CoNdiTioNs ANd disEAsEs
Jefferson Health and Abington – Jefferson
Health are renowned for unwavering
dedication to the ongoing research,
education, and treatment of a myriad of
neurological diseases and conditions including:
� Als� Alzheimer’s disease� balance and dizziness� brain injury� brain Tumors� Concussion and Head injuries� Epilepsy and seizures � Headache� Movement disorders
(including Parkinson’s disease)� Multiple sclerosis� sleep disorders� spine disease including degenerative disc
disease, deformity, tumors, trauma, infection
and congenital disorders� stroke
Robert H. Rosenwasser, MD and Steven J. Barrer, MD
J e F F e r s o n + A b i n g t o n : P IONE E R S AT TH E FOR E F RONT O F N Eu RO SC I E NC E
Steven J. Barrer, MD, director, Abington
Neurosciences, a division of the Vickie and
Jack Farber Institute for Neuroscience and
Robert H. Rosenwasser, MD, Jewell L.
Osterholm, MD, professor and chair of
the Department of Neurological Surgery
at Thomas Jefferson University and
president, Vickie and Jack Farber Institute
for Neuroscience at Jefferson, outline
what the collaboration of the two programs
means for our community.
For more information, visit Jefferson.edu/AbingtonBrain or Jefferson.edu. If you are looking
for a neurosurgeon, neurologist, or other specialist, call 215-481-MEDI (6334).
For more information about the new Asplundh Cancer Pavilion or to learn how you can
support the project, please visit abingtonhealth.org/campaign.
Asplundh Cancer Pavilion
uring the first few weeks after his
twin sons were born, on the days
he couldn’t be at their side, Jason Baker, MD
would grab his mobile phone or log onto his
computer in New York and watch his infants at
Abington Hospital, 90 miles away. For Jason,
and husband Jim Augustine, Abington’s new
NICVIEW Web Camera System provided
peace of mind and an opportunity to bond
and feel connected as a family during an
unexpectedly long separation at the start of
their babies’ lives.
In spring 2016, Eddie and Joey Augustine-
Baker were born 10 weeks prematurely at
Abington Hospital, close to their gestational
carrier’s home. Eddie and Joey spent five
and one-half weeks in the Special Care
Nursery (SCN), Abington’s level III neonatal
intensive care unit. There, specialty trained
physicians and nurses provided the 24-hour,
personalized, loving care the preemies needed
to grow and feed so they could go home.
NiCViEW: feeling close to your baby
when you can’t be together
alancing their professional and
personal responsibilities, along with
the stress of the prolonged
hospitalization of their newborns far
from home, was challenging for Jason and
Jim. To their delight, just three days after Eddie
and Joey were born, Abington’s SCN launched
its live NICVIEW Web Camera System. From
that moment, they could see their infants any
time, via a secure, online portal.
The SCN’s web camera system is placed at
bedsides to allow authorized parents, families
and friends to view a live video stream from
their mobile devices or personal computers.
The stream can only be accessed by
authorized users with passwords issued by
the SCN. The system does not store
recordings or images of the transmission.
“One of us was with the boys every day, but if
either of us couldn’t be at the hospital, the
technology made a non-ideal situation much
more tolerable,” said Jason. “In fact, it brought
joy to our entire family, because we were
able to share the password with relatives
across the country.”
The SCN staff works closely with parents to
position the cameras and to help them master
the log-in process. “Our family had excellent
care,” said Jason. “As a same-sex, surrogate
couple, we were never treated differently than
any other parents and felt absolutely welcome
at Abington.”
ddie and Joey went home in June.
Jim reports that the twins are
thriving and there are no signs of
complications. “They’re awesome,”
he said, “and they are even letting us sleep for
a few hours at a time!” Although they
appreciated the NICVIEW technology, Jason
and Jim are cherishing the moments they can
sit and rock their babies to sleep in their arms
in their own home.
But she doesn’t attribute her success to
the surgery alone. Rather, it’s the consistent
support of Abington Hospital – Jefferson
Health’s Institute for Metabolic and Bariatric
Surgery (IMBS) that has kept her on track for
all these years.
Peggy started learning about weight loss
surgery in 2005. “I’d been heavy all my life,
and I had a lot of medical issues, including Type
2 diabetes and pulmonary hypertension,” she
says. Encouraged by her pulmonologist,
Richard Snyder, MD, she attended a weight
loss surgery seminar at Abington Hospital
and subsequently met with Bariatric
Surgeon Fernando Bonanni, Jr., MD, director
of the IMBS.
“Dr. Bonanni was so professional, and he
took the time to answer all of my questions,”
she says. Most importantly, he helped her
understand that the surgery was anything
but a quick fix, and that she’d have to commit
to a complete lifestyle change before and
after the procedure.
“The most successful patients are those who
understand that obesity has multiple causes,
and surgery is just one part of the solution,”
Dr. Bonanni says. “Patients need to take on the
responsibility for maintaining their weight loss,
but they don’t do it alone. At Abington, we’ve
built a community, including physicians, nurses,
nutritionists, and fellow patients, who support
patients for the rest of their lives.”
Peggy prepared for her surgery for more
than a year by attending classes and
support groups at Abington Hospital.
She also changed her diet and
exercised. “I worked out even when I
had to take an oxygen tank to the
gym,” she says. By the time she had
her procedure in November 2008,
she was fully committed, educated and
ready for her life to change.
And change it did. Today, eight years after
her surgery, Peggy has dropped from her
pre-surgery weight of 305 pounds to 178.
The other changes to her health are just as
dramatic: She no longer has Type 2 diabetes,
her pulmonary hypertension and acid reflux
symptoms have disappeared, and she takes
very few medications.
But the changes haven’t come without
sustained effort on Peggy’s part. She maintains
a strict diet and exercises several times a week,
taking water aerobics classes and walking
everywhere. “I never stop moving, and I feel
like I have energy to spare,” she says.
A key part of her success is her regular
attendance at monthly IMBS support group
meetings. “It helps keep me focused,” she says.
It also gives her a chance to encourage
others, especially people considering weight
loss surgery.
“I know people are fearful about having
surgery,” she says. “So I tell them, come to the
support groups, and bring your family. Learn
everything you can. Give yourself a chance to
overcome your fears and change your life.”
To sign up for a free information session
about bariatric surgical options, visit
Jefferson.edu/AbingtonBariatrics or
call 215-481-2204.
bArATriCsMATErNiTY
8 9
YEARS AFTER WEIGHT LOSS SURGERY, SUPPORT NEVER STOPS
Parents Watch Over Their Twin Infants in Abington’s NICu
“i NEVEr sToP MoViNG,
ANd i fEEl likE i HAVE
energyTo sPArE”
n i C V i e W W e b C A m e r A s y s t e m L i V e s t r e A m s H o s p i tA L i z e d n e W b o r n s
Peggy Palmer
Jason Baker, MD, and Jim Augustine with Joey and Eddie Augustine-Baker
iN NoVEMbEr 2008, WHEN sHE WAs 60 YEArs old,
PEGGY PAlMEr of WilloW GroVE HAd GAsTriC bYPAss
surGErY. TodAY, sHE is 130 PouNds liGHTEr ANd MuCH
HEAlTHiEr ANd HAPPiEr.
sHE No loNGEr HAs TYPE 2 diAbETEs, HEr PulMoNArY
HYPErTENsioN ANd ACid rEflux sYMPToMs HAVE
disAPPEArEd, ANd sHE TAkEs VErY fEW MEdiCATioNs.
A generous gift from Kevin and Caitlin Johnson,
along with grandparents John and Sue Johnson,
in honor of Brayden and Parker, NICU graduates,
made the purchase of the cameras possible.
A textbook rescue
Aaryn Drinkwater, his BodySTEP instructor, who
also happens to be a certified registered nurse
practitioner at Abington Pulmonary and Critical Care
Associates at Abington Hospital, saw him collapse.
“He didn’t fall — he just lowered himself to the floor in
slow motion,” she recalls. Aaryn and Katie rushed to his
side and immediately realized that he had no pulse.
What followed was a textbook case of how to revive
someone in sudden cardiac arrest. Aaryn and Katie
immediately began cardiopulmonary resuscitation (CPR),
compressing Dennis’s chest and breathing air into his
lungs to keep oxygenated blood flowing throughout his
body. Other class members called 911, alerted the YMCA’s
aquatics director, who had the most knowledge of rescue
techniques, and brought the facility’s automated external
defibrillator (AED). Aaryn then used the AED to apply two
shocks. The first one had no effect, but after the second,
Dennis’s heart started beating on its own. By the time
paramedics arrived, within 15 minutes of his collapse,
he was conscious and responsive.
“I had no idea what had just happened,” Dennis recalls.
In the ambulance on his way to Abington Hospital,
he was shocked to discover that his heart had stopped
with no warning at all.
the Cause of the Collapse
The problem lay in Dennis’s abnormal aortic heart
valve, located between the left ventricle (the heart’s
main pumping chamber) and the aorta (the largest
artery in the body). The aortic valve normally has
three flaps, or leaflets, that open and close to regulate
blood flow, but Dennis was born with a bicuspid aortic
valve with only two leaflets, a condition estimated to
occur in 0.5% to 2% of the u.S. population. Over time,
normal blood flow through the heart can cause these
leaflets to stiffen and the valve to narrow. This can cause
symptoms, such as chest pain or fatigue, but in Dennis’s
case, the valve failed suddenly, temporarily cutting off
blood flow and causing his heart to stop beating.
“Dennis’s good health may have actually worked against
him, because he compensated well and had no symptoms
even though his valve was very narrow,” says Abington
Cardiothoracic Surgeon Mauricio Garrido, MD, who took
charge of Dennis’s care and immediately made him feel
at ease.
“I knew I’d have to have this surgery someday, and I’d
been scared to face it,” Dennis says. “But Dr. Garrido was
very calm and reassuring. And the entire staff at Abington
was so caring and answered every question I had.”
Dr. Garrido gave Dennis the choice of receiving a
mechanical artificial valve or an animal tissue valve. Each
has its advantages and disadvantages: Mechanical valves
may last a lifetime, but recipients must take blood
thinners to protect against clots that may form on the
surface of the valve. Tissue valves don’t require the use
of medication but aren’t as durable and may need to be
replaced in 20 years or less. Dennis chose a tissue valve
because he wanted to avoid taking medication. Also,
according to Dr. Garrido, operative techniques currently
in development may make a replacement procedure less
invasive than it is today.
Dr. Garrido replaced the valve during a nearly three-hour
procedure that involved making an incision through the
breastbone and placing Dennis on a heart-lung machine
while he cut away the old valve and replaced it with the
new one. After a four-day hospital stay Dennis went home
and continued his slow but steady recovery.
better than before
February was a rough month, but by the second week
of March, I was feeling better,” he says. A home care
nurse came by to check on him, and when he had a
question, Dr. Garrido’s staff was a phone call away.
He slowly started exercising again, easing into walking on
the treadmill. In early April, he went back to work, and later
that month, he was back in Aaryn’s class at the YMCA.
Today, he’s made a full recovery and then some. “I never
realized how much my heart had been slowing me down,”
Dennis says. “Today my stamina is actually better than it’s
ever been. Sometimes I used to hang back in BodySTEP —
now I’m at the front of the class, going as hard as I can.”
Abington and Jefferson’s cardiac services team is
working together to care for patients wherever they
live in the Delaware Valley. For more information,
visit Jefferson.edu/AbingtonHeart.
HEArT ANd VAsCulAr
10 11
Dennis and Katie Murphy
dennis murphy, 55, thought his heart would warn him.
Fifteen years ago, a routine physical exam revealed that he’d been
born with an abnormal cardiac valve, and he’d been getting regular
echocardiograms ever since. His cardiologist, Scott Shapiro, MD,
at Abington Hospital – Jefferson Health, had urged him to
immediately report any symptoms — shortness of breath, fainting,
or chest pain — as these could be signs that the valve would need to
be replaced.
but dennis never felt anything less than healthy. As a Cheltenham Township foreman, he was frequently on the move
at work, and he exercised vigorously several times a week. On a cold
January evening in 2016, he and his wife, Katie, a nurse, went to the
Hatboro YMCA for one of his favorite workouts, a BodySTEP class that
incorporates high-intensity cardio and resistance training. “I felt great
that night,” he recalls. “Then, a few minutes into class, I bent over to
pick up a weight, and suddenly I got extremely dizzy.” And then he
felt nothing at all.
F ro m s ym p t o m L e s s t o
normal tricuspid aortic valve bicuspid aortic valve
“
In its 2016-17 survey, U.S. News & World Report
has ranked Abington Hospital – Jefferson Health
among the region’s highperforming hospitals for:
•Abdominal AorticAneurysm Repair
•Heart Bypass Surgery
•Heart Failure
sPiNE surGErY
Ronald and his wife, Carolyn, consulted Guy Lee, MD, a Rothman
Institute orthopedic surgeon and spine specialist at Abington
Hospital – Jefferson Health. Dr. Lee diagnosed spinal stenosis,
a narrowing of the open spaces in the spine that results in increased
pressure on the spinal cord and nerve roots. Spinal stenosis is a common
condition that can be caused by osteoarthritis or
gradual degeneration of the spine vertebrae due
to aging. But Dr. Lee detected another issue in
Ronald’s MRI: A fracture that was just beginning
to heal but in the meantime was causing
excruciating pain and weakness.
Ronald elected to try conservative treatment
first with an epidural steroid injection in his
lower back. unfortunately, it didn’t work. Soon
after the injection, he awoke one weekend in so
much pain that he was unable to walk. A few
days later, Ronald and Carolyn saw Dr. Lee at
Abington Hospital.
In fall 2015, Lynne could barely move without severe neck pain that
radiated down her arm into her fingertips. She had spent years in a
job that required her to tilt her neck to one side, holding a phone
receiver in place while performing other tasks. Although she used a
shoulder rest to alleviate strain, over time, Lynne developed arthritis,
which eventually led to compression on the nerves in her cervical spine.
“OVER A FIVE-YEAR PERIOD, I TRIED EVERYTHING TO GET RELIEF
FROM THE PAIN,”
said Lynne. “I worked with my doctor to try self-care, physical therapy,
medication and steroid injections. Nothing worked anymore.” Lynne
woke up most nights, crying in pain. She could no longer lift her
grandchildren or her dog. “My doctor ordered a nerve test when I told
her I could hear my shoulder crunching.” After tests revealed nerve
damage, Lynne’s doctor referred her to Abington Neurosurgeon
Michael Yoon, MD, who is specialty trained in a new technique.
Just when she thought she had exhausted
her options for treatment, Lynne learned
she was a candidate for a new, minimally
invasive cervical fusion surgery neurosurgeons
are performing now at Abington – Jefferson
Health. Lynne was among the first patients at
Abington Hospital to undergo the procedure
using a new cervical spine technology.
Previously immobilized by pain, after
undergoing surgery, Lynne is now pain free.
“I was skeptical about surgery,” said Lynne, “but felt like I had exhausted
all my options and the pain and burning were so severe.” Dr. Yoon
ordered an MRI, which showed multiple levels of severe degenerative
changes – including a pinched nerve – that affected four vertebrae in
Lynne’s cervical spine. After consideration, Lynne decided to undergo
the minimally invasive fusion technique.
The technology relieves pressure on the patient’s spinal nerve by
opening the joint between vertebrae and stabilizing the area with two
titanium implants and graft material so the nerve is no longer pinched.
The implants facilitate healing and fusion of the joints, providing a more
stable spinal column.
PREVIOUSLY IMMOBILIZED BY PAIN, AFTER UNDERGOING SURGERY,
LYNNE IS NOW PAIN FREE
unlike some other cervical fusion procedures, this technology
does not require the neurosurgeon to remove any bone
or tissue from the body, does not require extensive muscle
stripping to expose bone openly, or the placement of rods or screws,”
said Dr. Yoon. The surgical incisions are small, so the patient
experiences less pain and recovers more quickly with minimal scarring.
Lynne spent just one night in the hospital and was discharged home
with no need for physical therapy. She returned to work full time
just three months after her surgery and remains pain free with no
restrictions. “Best of all, I can pick up and hold my grandkids, again,”
she said.
For information about neurosurgical and orthopaedic surgery options
for spine, call 215-481-MEDI or visit Jefferson.edu/AbingtonBone.
New Cervical Fusion Technique Transforms Churchville Woman’s Life
Lynne Ridgway with Rudy
Ronald Maurer
LAmineCtomy is A LoW-risk proCedure And tHe best option For pAtients Like ronALd,
WHo Are in so muCH pAin tHAt tHey’re unAbLe to WALk
Lynne ridgway, 58, spends 12 to 15 hours most days juggling. A full-time police dispatcher and 911 operator, she simultaneously
answers phone calls, dispatches police officers, fills out paperwork and works on the computer. Lynne never imagined this routine,
along with the aging process, would contribute to a degenerative, painful and disabling cervical (neck) spine disease.
The new facet system is a minimally invasiveapproach to cervical spinal decompression
SURGERY BRINGS RELIEF
ronALd mAurer, 76, HAd neVer FeLt AnytHing quite Like
tHe bACk pAin tHAt gripped Him in ApriL 2016.
“it WAs Like someone WAs stAbbing my tHigHs And
LoWer bACk,” tHe WArminster resident reCALLs.
FROM SEVERE BACK PAIN
“Dr. Lee took one look at me, sitting in a wheelchair, and
said, ‘We’ve got to get you into surgery’,” Ronald recalls.
The next day, Dr. Lee performed a laminectomy, removing
the back part of the affected vertebrae, as well as inflamed
cartilage and ligaments, to create more room within the
spinal canal and relieve pressure on the nerves. He also
fused two of Ronald’s vertebrae to help heal the fracture
and stabilize his spine.
“Laminectomy is a low-risk procedure and the best option
for patients like Ronald, who are in so much pain that
they’re unable to walk,” Dr. Lee says.
Over the next few months, Ronald
gradually recovered, moving
from the hospital, where he
stayed for four days, to an
inpatient rehabilitation
facility. (Patients
who have simple
laminectomies are
often discharged
the next day.)
About a week after his surgery, he came home and started
receiving in-home physical therapy. After about six weeks,
he graduated from using a walker to walking with a cane
and from taking prescription painkillers to an over-the-
counter pain medication.
His pain level has improved tremendously. “I used to struggle
to get out of bed, and now I’m walking for a half-hour every
day and doing chores around the house,” he says.
“i’m Looking ForWArd to getting
bACk to gArdening, WoodWorking,
And eVen moWing tHe LAWn.”
Ronald’s prognosis is excellent,” Dr. Lee says.
“With time and rehabilitation, he should be able
to make close to a full recovery.”
“Dr. Lee was very honest with me and told me that this
wasn’t going to be easy, but already I’d say that my pain is
80 percent better,” Ronald says. “I give him all the credit –
he’s a great doctor.”
SPINAL STENOSIS A side view shows a damaged intervertebral disc with a lossof disc height and narrowedlumbar vertebrae (top) and a normal disc (bottom)
12 13
spine surgeons At Abington – JeFFerson HeALtH
neurosurgeonsNEUROSURGICAL ASSOCIATES OF ABINGTONSteven J. Barrer, MDJonas J. Gopez, MDDouglas W. Laske, MDMichael S. Yoon, MD
ortHopediC surgeonsROTHMAN INSTITUTEMichael J. Gratch, MDVictor W. Hsu, MDGuy A. Lee, MD
For more inFormAtion,
call 215-481-BONE or visit Jefferson.edu/AbingtonBone.
sPiNE surGErY
TJuH and Abington Hospitalrecognized as leaders in lGbTHealthcare Equality
Thomas Jefferson university Hospital
and Abington Hospital were two of
a select group of 496 healthcare
facilities nationwide to be named Leaders in
LGBT Healthcare Equality by the Human Rights
Campaign Foundation. Facilities awarded
this title meet all four criteria – patient and
employee non-discrimination policies that
specifically mention sexual orientation and
gender identity, a guarantee of equal visitation
for same-sex partners and parents,
employment non-discrimination, and LGBT
health education for key staff members.
“Many LGBT patients report receiving poor
treatment or experiencing bias in healthcare
settings,” added Sabrina Harris, senior director,
Diversity and Inclusion. “This designation
acknowledges that TJuH and Abington
Hospital are inclusive environments where ALL
patients are treated with dignity and respect.”
For more information about the Healthcare
Equality Index 2016, visit www.hrc.org/hei.
Abington Cancer Center receives National Award
The Commission on Cancer (CoC) of
the American College of Surgeons
(ACS) has granted an Outstanding
Achievement Award to The Rosenfeld
Cancer Center at Abington Hospital, one of
27 programs nationwide and one of only
two in Pennsylvania to earn this award two
consecutive times. Abington Hospital has
achieved this award in 2012 and 2015. Award
criteria were based on accreditation surveys
conducted during the second half of 2015.
The award recognizes cancer treatment
programs that strive for excellence in providing
quality care to cancer patients. A facility
receives this award following an on-site
evaluation by a physician surveyor during which
the facility demonstrates a Commendation
level of compliance with seven standards that
represent the full scope of the cancer program
and receives a compliance rating for the
remaining 26 standards.
Visit Jefferson.edu/AbingtonCancer for
more information.
Helping Patients Get liver Evaluations faster at Jefferson
Timing is critical for many liver
transplant patients who could have
to endure three to four months of
evaluation and testing before qualifying to be
placed on a donor waitlist.
New methods to improve access and
increase efficiency have helped expedite the
evaluation timeline, drastically transforming the
patient experience and making it possible to
receive a transplant sooner. What used to take
three to four months to compile and process
can now be done in one week.
Since the first liver transplant in the
Delaware Valley was performed at Jefferson in
1984, Jefferson’s surgeons have performed
over 1,000 liver transplants. Patients now have
the shortest wait time to liver transplant in the
area as well as patient and graft survival rates
that continue to surpass national and
regional benchmarks.
To learn more, visit Jefferson.edu/
LiverTransplant or call 1-800-JEFF-NOW.
New surgery Chair
Orlando C. kirton, Md, has been
appointed surgeon-in-chief and
chair of the Department of Surgery
at Abington Hospital – Jefferson Health.
Dr. Kirton is a trauma surgeon with
qualifications in surgical critical care.
His career has focused on the care of
patients who have experienced
physical traumatic injury from car
accidents, assaults and falls resulting in
internal injuries, fractures, cuts, shocks
and burns.
“Dr. Kirton brings an incredible
wealth of skill and knowledge to his new role
at the helm of Abington’s Department of
Surgery,” said John J. Kelly, MD, EVP, chief
clinical officer, Jefferson and chief of staff,
Abington – Jefferson Health. “We are thrilled
to have him here and excited about what the
future will hold for our surgical program.”
For more information, visit
Jefferson.edu/AbingtonPhysicians.
New Chief, section of Thoracic surgery
Walter J. scott, Md, has been
appointed chief, Section of
Thoracic Surgery at Abington –
Jefferson Health. Dr. Scott has dedicated his
surgical career to developing minimally
invasive surgical treatments for lung
cancer. His expertise includes
treatment of esophageal and thoracic
cancers. He specializes in lung cancer
staging with PET scanning, minimally
invasive surgery and robotic surgery.
He was named one of Philadelphia’s
Top Doctors in Thoracic Surgery by
Philadelphia Magazine in 2016. Dr. Scott joins
Abington from Fox Chase Cancer Center.
For more information, call 215-481-6070 or
visit Jefferson.edu/AbingtonPhysicians.
AbiNGToN – lANsdAlE HosPiTAl
14 15
A r o u n d A b i n g t o n – J e F F e r s o n H e A Lt H
Abington – lansdale Hospital is a vital part
of the North Penn Community.
since joining Abington Hospital in 2008, then
merging with Jefferson Health in 2015, we have
expanded our services in many areas and
upgraded our facility.
Everyone at Abington – lansdale Hospital is proud
to care for our community. Visit us at
Jefferson.edu/AbingtonLansdalefor more information.
MORE GOOD NEWS F r o m A b i n g t o n – L A n s d A L e H o s p i t A L
A d m i s s i o n s
e m e r g e n C y V i s i t s
s u r g e r i e s
23,897 27,561F y 1 0 F y 1 6
3,537 4,958F y 1 0 F y 1 6
5,708 7,179F y 1 0 F y 1 6
•
•
•
Abington Health foundationpartners with generous donors and leaders
in our community to ensure that Abington –
Jefferson Health remains a premier provider
of advanced and compassionate care right
here, close to home. We recently launched
our Reimagine Cancer Care Campaign to
build the new Asplundh Cancer Pavilion on
our Willow Grove campus.
To learn more about this exciting project
that will transform the way cancer care
is delivered at Abington, please visit
abingtonhealth.org/campaign, or call
215-481-GIFT for more information.
AbiNGToN HosPiTAl – JEffErsoN HEAlTH
Nationally ranked for Ear, Nose and ThroatHigh performing in 7 procedures/conditions
Heart bypass surgery | Hip replacement | knee replacement | Chronic obstructive Pulmonary diseaseCongestive Heart failure | Abdominal Aortic Aneurysm repair | Colon Cancer surgery
215-481-medi (6334) | Jefferson.edu/Abington
FALL 2016
Published by the Public Relations and Marketing Department at Abington – Jefferson Health.
To contact us:[email protected]
or 215-481-2300.
1200 Old York Road | Abington, PA 19001
Jefferson.edu/Abington
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H o M E o f s i d N E Y k i M M E l M E d i C A l C o l l E G E