health news and events from well awaremorristown …...md, oncologist, chair of radiation oncology...
TRANSCRIPT
H e a lt H n e ws a n d e v en t s fr o m m o r r i stown m em o r i a l H o s pi ta l
Well AwareSleep BetterAt Any Age
Smart Moves For Moms-to-Be
Vol. 2 No. 5
EARlY WiNtER 2007/2008
Keeping Your FamilyHealthyThis WinterSchool NursesTake on Tummy AchesA Shot atFlu Prevention
atlantichealth.org
Protect Your Family from the Flu This Season
LETTER FROM THE CEO
Well Well W AwareDear Friend,At Atlantic Health, we continue to attract top
physicians to our medical staff and bring you the latest medical procedures and technology in the area. In this issue, you’ll read about our physicians making strides in the field of children’s orthopedics and sleep medicine. This issue will also tell you about a new medical study for children with recurrent stomachaches, an all-too-common problem that school nurses deal with in a very imaginative way.
So once again, as a new year approaches, we at Atlantic Health are here to guide you in making wiser health decisions in the years to come—from tips to quit smoking to ongoing information about nutrition and fitness. Here at Atlantic Health, we want to help you make your new year a healthy one.
Very best wishes from our family to yours,
Joseph TrunfioPresident and CEO ATLANTIC HEALTH
WE WANTYOUR FEEDBACK!What do you think of Well Aware? Do you feel Well Aware is helping you to make better health decisions for you and your family? Tell us how, and you will be eligible to win a $100 Target gift card!Send us an example of how we were able to help you:• make an educated choice• fi nd a physician or healthcare expert• explain a misunderstood medical condition• care better for a loved one
Along with your name, address and phone number, indicate which article helped you to gain better insight into the medical community and email us at [email protected] or send it to: Atlantic Health, Attn: Well AwarePO Box 1905 | Morristown, NJ 07962
Must be 18 years or older to enter. Atlantic Health employees and their immediate families are not eligible for the drawing. We welcome your comments and suggestions along with your entry.
Have you ever wondered what exactly the pancreas does? Why does your child need ear tubes and how do they work? These answers and more can be found on our website atlantichealth.org, through Human Atlas, an exciting new feature on our site, that uses video and 3-D models of the body.
Whether you’ve just been diagnosed with diabetes and want to learn more about the condition, your doctor recommends an angiogram and you want to learn more or your child is doing research for a school project, simply visit the website and click on “Health Information,” then “Human Atlas,” or the Human Atlas image in the right-hand column of the homepage.
Select from an encyclopedia list of health conditions, procedures or new technology. More than 2,000 users have already benefi ted from the easy-to-follow and easy-to-understand video demonstrations and slide presentations.
Check out atlantichealth.org today and click on Human Atlas to learn how yourbody works—in an innovative new way!
Your children leave the house in warm coats, mittens, scarves and hats. Think you’re doing your part to protect them from the fl u? Unfortunately, the fl u is highly contagious, and it’s spread through germs—not cold weather.
The best way to protect your children—and yourself —is as simple as getting a fl u shot. “As many as 36,000 people in the United States die each year from complications of
infl uenza,” says Jan Schwarz-Miller, MD, director of occupational medicine for Atlantic Health. “The fl u is highly communicable, and a person can infect others for a full day before he or she experiences any symptoms, meaning everyone around that person has been exposed to the disease.”
To prevent getting and spreading the fl u, Dr. Schwarz-Miller recommends an annual fl u shot, which is available for everyone and is a must for children 6 months to 5 years old, seniors and those who work in childcare and health care.
Dr. Schwarz-Miller leads an annual initiative to vaccinate Atlantic Health employees, medical staff and volunteers, keeping them healthy so they can help keep their patients and their families healthy. Last year, a vaccination drill was held to evaluate how Atlantic Health would respond to an epidemic. During the two, day-long clinics, more than 2,000 employees received the fl u shot.
• feelings of skin tightness• swelling in the arm(s), leg(s), face, neck,
abdomen or genitals• aching or heaviness in the involved body part• tightness in jewelry or clothing in a specifi c area
Did you know?Lymphedema is graded according to severity, and is referred to as either stage one, stage two or stage three. The signs and symptoms mentioned above depict
the early stages of lymphedema. Although lymphedema cannot be prevented, its progression into more severe stages can be controlled through early detection and management. If you notice persistent swelling, it is important to seek medical advice from your physician.
**Lymphedema is rarely painful. Pain associated with warmth or redness in the affected area may indicate infection and should be reported to your doctor immediately.
Your Body in
atlantichealth.org
We apologize for the omission of the following information in the article, Living with Lymphedema (V2N4)
2 WELL AWARE
Page 2
When ruth jAcKson, md, the first female orthopedic surgeon, started her practice in Dallas, Texas, 75 years ago, she was met with resistance and was even excluded from the American Academy of Orthopedic Surgeons for several years. Even today, fewer than 11 percent of women choose to enter an orthopedic surgery residency program, though half of all medical school graduates are women. A female pediatric orthopedic surgeon is even more rare.
Times are changing, however. Barbara Minkowitz, MD, and Samara Friedman, MD—both of whom are pediatric orthopedic surgeons—have recently joined the staff at Morristown Memorial Hospital and Overlook Hospital.
Little Kids, Big InjuriesWith more athletic options available
and at younger ages, the risk of pediatric orthopedic injuries has increased dramatically within the past 20 years. However, the number of pediatric orthopedic surgeons hasn’t increased to match that demand.
“While sports at an early age can be beneficial, children’s bodies aren’t necessarily ready for the physical impact this can create,” says Dr. Friedman. “As a result, children are sustaining more severe injuries earlier and that can impact their growth and development. Pediatricians
often want to refer their patients to pediatric orthopedic surgeons.”
From a Female’s PerspectiveParents may feel that it’s best to have
a female perspective on their daughter’s injuries. The girls in turn might feel more comfortable with female physicians.
“Being a mother affects my treatment, because I have experienced things with my kids and I can relate to the parents and children,” says Dr. Minkowitz. “You can be truly sympathetic to the child’s pain and the parents’ concerns, and it’s completely possible to empathize with any situation.”
To speak to an Atlantic Health representative about this topic, or to
obtain a physician referral, call 973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
Did you know? Because of their unique bone
structure, girls injure themselves at a rate four
times greater than that of boys.
pediatric orthopedic surgeons.”often want to refer their patients to pediatric orthopedic surgeons.”often want to refer their patients to pediatric orthopedic surgeons.”
A Woman’s World
orthopedics isn’t just a man’s game anymore. meet two women who are pioneering the field of pediatric orthopedic surgery.
Reduce the Risk
1Help keep your kids safe by ensuring they wear properly fi tting, appropriate gear for their chosen activity, including helmets, wrist guards and elbow and knee pads.
2Make sure your child is warmed up (and properly trained) before hitting the fi eld for any athletic activity.
3Talk to your child about how to recognize an injury—and not to play through the pain.
Page 3
well aware 3
The daVinci® Robotic Surgical System is helping women who suffer from incontinence.
From demystifying a mysterious condition to linking robotics with gynecological care, read about the latest in healthcare innovations for women—and how they can help you.
4 WELL AWARE
Breakthroughs in Women’s Health
A Leader in Robotic OB/GYN Surgery
Following hysterectomy, many women experience an uncomfortable side
effect: urinary incontinence, or a loss of bladder control. This condition is the result of vaginal vault prolapse, which occurs when the uppermost part of the vagina falls downward.
To help restore continence, gynecologists often recommend a sacrocolpopexy—a procedure to repair the length and shape of the vaginal canal and restore continence.
“In the past, this procedure was often performed through large, open incisions,” says Patrick J. Culligan, MD, director of urogynecolgy and pelvic reconstructive surgery for
Morristown Memorial Hospital. “However, by using the daVinci system, the surgeon has the perspective of being inside the patient’s anatomy, which means he or she has access to better angles and increased dexterity. The patients benefit with smaller incisions
and a lower risk of complications.”Morristown Memorial physicians are
leading the field in robotic surgery, using the daVinci system for a wide variety of procedures, including those for the prostate, kidneys, bladder, heart and female reproductive organs.
For years, physicians have labeled ovarian cancer as a “silent killer,”
mainly because the disease was generally identified only in later stages with symptoms such as abdominal girth, nausea and vomiting.
Today, women—and their physicians—are learning that abdominal pain (particularly in the pelvis); bloating; difficulty eating or feeling full quickly; and an increase in urinary urgency or frequency can all indicate early stage ovarian cancer.
“These symptoms are vague and will be experienced by many women during their lifetimes, and the vast majority of women with these symptoms won’t
have ovarian cancer,” says Daniel Tobias, MD, gynecological oncologist and director of the Women’s Cancer Center for Morristown Memorial Hospital. “However, if a woman comes in with these symptoms and we’re able to diagnose ovarian cancer in its earliest stages, she has a much better chance of survival.”
Awareness of these symptoms is important, because only about 20 percent of ovarian cancers are detected at an early stage. Most are found during an annual pelvic exam or a blood test, which determines if the level of CA-125—a protein produced by ovarian cancer cells—has increased in the blood.
“Women need to be aware of their risks for ovarian cancer—particularly if they have a first-degree relative with ovarian cancer or early-age breast cancer—and pay close attention to their symptoms,” Dr. Tobias says. “If they experience the symptoms, they should get them checked out immediately.”
Not So Silent ANYMORE:
To speak to an Atlantic Health representative about women’s health or to obtain a physician referral, call 973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
4 WELL AWARE
Page 4
Apopular option for patients with prostate cancer is image-guided radiation therapy (IMRT). The procedure locates a
patient’s prostate using a computed tomography (CT) scanner and notes the location with a temporary tattoo.
While IMRT is effective for most patients, those with a body mass index over 35—indicating severe obesity—experience less success. Recent studies explored what might be the cause.
“We discovered that the failure rates for IMRT due to high body mass index were often caused by movement of the prostate, which is a common problem,” says James Wong, MD, oncologist, chair of radiation oncology for Morristown Memorial Hospital. “This is exciting news, because it means that technology we have already developed to detect movement in the prostate will also improve the accuracy and success of treatment for patients with high BMI.”
Better TogetherCT image-guided radiation treatment developed by
Dr. Wong and his colleague, Minoru Uematsu, MD, combines
a CT scanner with a high-energy linear accelerator (CT Linac) to precisely locate and treat tumors of the prostate. Before each treatment, the location of the prostate is verified. Any movement is detected by the in-room CT scanner within a fraction of a millimeter and causes the target for the radiation to be recalculated.
In addition to eliminating the uncertainty of movement, the accuracy of the CT Linac spares surrounding healthy tissue.
Improving Care for All PatientsThe CT Linac has also been upgraded with a larger opening
at the CT side and a reinforced table that can accommodate patients who weigh up to 500 pounds.
“We are very sensitive to the feelings of every patient we serve. We recently had a patient who, at six foot four inches and 450 pounds, felt he was treated with dignity and respect at each radiation therapy visit,” Dr. Wong says. “In addition to the professionalism of our staff, our table is one of the few in the United States that can support patients up to 500 pounds.”
manufacturers of cell phones, laptops and cars never stop advancing their technology to provide consumers with more options to meet their individual needs. now, physicians are doing the same for patients with prostate cancer.
MEN’S CANCER UPDATEA New Technology
Leads to Improved Accuracy
To speak to an Atlantic Health representative about prostate cancer, or to obtain a physician referral, call 973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
well aware 5
Page 5
susPect Your chIld may be faking his stomachache? If he has a math test he’s been dreading, chances are the pains could be caused by anxiety. However, they could be signs of something more serious.
“A stomachache can be very real,” says Nader Youssef, MD, pediatric gastroenterologist and director of the Center for Pediatric Irritable Bowel and Motility Disorders for the Goryeb Children’s Hospital at Atlantic Health. “When I surveyed school nurses, one thing I learned was that they felt helpless. They didn’t know what to do for kids who kept coming back to them for stomach pain. I wanted to provide education that would help school nurses better care for these students.”
Defining the Condition Recurrent abdominal pain occurs when a child
suffers at least 12 weeks of abdominal discomfort in a year. The pain is usually a daily discomfort and isn’t associated with any other type of illness or symptoms, such as fever, vomiting or diarrhea.
As many as 20 percent of middle and high school students suffer from recurrent abdominal pain, so it is vital that school nurses understand how to recognize and care for the condition. Typically, if a child has episodes of pain that affect daily
function or cause him or her to want to stay in bed, it’s likely recurrent abdominal pain. However, if a child complains of pain and then goes about his or her typical activities once at home, the stomachache may just be an excuse to get out of school.
Taking Intuition ForwardAccording to Dr. Youssef, school nurses intuitively
understand that children with recurrent abdominal pain need something to correct their problem, and rest is often offered as a solution. When nurses feel other issues are playing a part in the pain, such as hunger or constipation, they offer crackers or send them to the bathroom. After recently interacting with Dr. Youssef, school nurses now have another tool available—guided imagery. With this technique, similar to self-hypnosis, children listen to compact discs designed to lead them into a relaxed state.
“Guided imagery uses the power of imagination to aid in healing. The technique helps students focus on something besides their pain,” Dr. Youssef explains. “If they aren’t hurting, they can remain in school instead of heading home, which is a better solution that keeps students from missing class and parents from missing work to care for them.”
What Else Could It Be?
Tummy aches come in all shapes and sizes. When it’s not recurrent abdominal pain, the following are a few reasons your child’s tummy may be hurting:• lactose intolerance• constipation• peptic ulcer disease• food allergies• infection
For many parents, these words are all too common. For school nurses, stomachache complaints are one of the top three reasons students come to them each day. A new program addresses this issue and helps area school nurses help your children.
“My Tummy Hurts!”
What 3 Words Does a School Nurse Hear Every Day?
To speak to an Atlantic Health representative about this health topic, or to obtain a physician referral, call 973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
6 well aware
Page 6
ZZZZZZZZZZZZZZZZZZZZZZ
“Women Are tWIce as likely as men to have difficulty sleeping,” says Federico Cerrone, MD, medical director of the Sleep Disorder Center for Overlook Hospital. “While a woman’s recommended hours of sleep stay the same as she ages, her commitments and life changes may alter her sleep schedule. It’s important for women to get the sleep they need to function during the day, especially since lack of sleep could equal weight gain.”
Here’s a look at common sleep stealers through the ages and ways to get a better night’s rest.
20sTwenty-somethings often try to balance
work, school, social life and family time, sometimes missing the recommended eight hours of sleep.
“Women in this age group should maintain a regular schedule of bedtimes and wake-up times,” says Marc Benton, MD, co-director of the Sleep Disorder Center for Morristown Memorial Hospital. “Avoiding late meals and stimulants like caffeine, alcohol and nicotine before bed also helps.”
30s and 40sWomen in their thirties and forties
generally need seven and a half to eight hours of sleep. However, work and family responsibilities may put sleep on the backburner.
While napping with the children may seem tempting, if the nap lasts longer than 20 minutes, it could interfere with the quality of sleep you get that night. Instead, Dr. Benton recommends going to bed earlier to get ample sleep.
50s and aboveThe sleep patterns you’ll have for the
remainder of your life begin to surface in your 50s. However, for many women, the arrival of menopause can disturb their sleep schedules. Menopause-related hormonal changes and hot flashes can make it difficult for women in this age group to obtain the six and a half hours of sleep they need.
“One key to more restful sleep is relaxing about an hour before bed,” Dr. Cerrone says. “Regular exercise and increasing the time spent outdoors can also help women sleep better during menopause.”
Regardless of your age, Morristown Memorial and Overlook hospitals are here to help if you have trouble sleeping. Through a consultation session, you and your doctor will sit down and evaluate your sleep patterns to help find a cure for your sleep disorder.
dozing Through the Decadesdo you toss and turn through the night or feel drained during the day? If so, you may be one of the nearly three-fourths of American women who don’t obtain the recommended hours of sleep they need.
Golf (be)Fore SleepA new study aims to help women and men sleep better using their favorite leisure activity—golf.
“Playing golf to the best of one’s ability requires concentration, an even temper and good hand and eye coordination,” says Marc Benton, MD, co-director of the Sleep Disorder Center for Morristown Memorial Hospital. “Untreated sleep apnea can negatively affect mental and physical function. Thus, tracking a golfer’s score (handicap)
before and after treatment of sleep apnea may provide insight as to whether untreated sleep apnea can negatively affect a golfer’s score.”
Dr. Benton is looking for participants in this new study. For more information on how you can become a part of the Golf Sleep study, call 973-971-4569.
For the Sleep Disorder Center at Morristown Memorial Hospital, call 973-971-4569, or for
Overlook Hospital, call 908-522-2650, Monday through Friday, 8:30 am to 4:30 pm. For additional information about this health topic or others, visit us online at atlantichealth.org.
well aware 7
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Lib
rary
Blo
od
Pre
ssu
reA
no
rmal
blo
od
pre
ssu
re is
bel
ow
120
/80.
Lea
rn y
ou
r n
um
ber
s an
d h
ow
to
red
uce
yo
ur
risk
s fo
r h
eart
att
ack
and
str
oke
. Tu
esd
ay, J
anu
ary
22, 1
0:00
am
to
No
on
Wes
t M
orr
is Y
MC
A14
Do
ver
Ch
este
r R
oad
, Ran
do
lph
Frid
ays,
Jan
uar
y 4
and
Feb
ruar
y 1,
No
on
to
3:0
0 p
mPa
rsip
pan
y Sh
op
Rit
e80
8 R
ou
te 4
6, P
arsi
pp
any
Ca
roti
d A
rter
y D
op
ple
rPa
rtic
ipan
ts w
ill r
ecei
ve a
n u
ltra
sou
nd
of
thei
r ri
gh
t an
d le
ft
caro
tid
art
erie
s to
iden
tify
ris
k fo
r st
roke
.Sa
turd
ay, F
ebru
ary
2, 1
0:30
am
to
1:0
0 p
mM
orr
isto
wn
Mem
ori
al H
osp
ital
C
on
fere
nce
ro
om
s 1
and
2, L
evel
B10
0 M
adis
on
Ave
nu
e, M
orr
isto
wn
All
scre
enin
gs
off
er in
div
idu
aliz
ed c
ou
nse
ling
an
d
edu
cati
on
al h
and
-ou
ts.
To
re
gis
ter
for
a s
cre
en
ing
ca
ll 9
73
-65
6-6
91
6.
CA
NC
ER
CA
RE
Lo
ok
Go
od
, Fee
l B
ette
rA
fre
e p
rog
ram
th
at t
each
es b
eau
ty t
ech
niq
ues
to
wo
men
ac
tive
ly r
ecei
vin
g c
ance
r tr
eatm
ent
to h
elp
th
em c
op
e w
ith
ap
pea
ran
ce-r
elat
ed s
ide
effe
cts.
Mo
nd
ays,
Jan
uar
y 14
, Mar
ch 3
1, 6
:30
to 8
:30
pm
Car
ol G
. Sim
on
Can
cer
Cen
ter,
3rd
Flo
or
Co
nfe
ren
ce R
oo
mM
orr
isto
wn
Mem
ori
al H
osp
ital
100
Mad
iso
n A
ven
ue,
Mo
rris
tow
nSp
on
sors
: Th
e A
mer
ican
Can
cer
Soci
ety,
C
osm
etic
, To
iletr
y an
d F
rag
ran
ce A
sso
ciat
ion
an
d t
he
Nat
ion
al C
osm
eto
log
y A
sso
ciat
ion
To r
egis
ter,
call
800-
AC
S-23
45.
Po
st B
rea
st S
urg
ery
Pro
gra
mA
n e
igh
t-w
eek
pro
gra
m o
ffer
ed t
o w
om
en t
wo
wee
ks t
o 1
8 m
on
ths
afte
r b
reas
t su
rger
y. P
rog
ram
incl
ud
es e
du
cati
on
al
top
ics,
dis
cuss
ion
an
d p
oo
l exe
rcis
e.Tu
esd
ays,
Feb
ruar
y 19
, 26,
Mar
ch 4
, 11,
18,
25,
Ap
ril 1
an
d 8
6:00
to
8:0
0 p
mA
tlan
tic
Reh
abili
tati
on
Inst
itu
te95
Kem
ble
Ave
nu
e, M
orr
isto
wn
Sp
on
sor:
Am
eric
an C
ance
r So
ciet
yTo
reg
iste
r, ca
ll 80
0-A
CS-
2345
.
FO
R M
OR
E I
NF
OR
MA
TIO
N A
BO
UT
SU
PP
OR
T G
RO
UP
S,
CA
LL
1-8
00-2
47-9
580.
[]
[]
HE
ALT
H A
ND
WE
LL
NE
SS
Ca
rdio
va
scu
lar
Hea
lth
Fa
irLe
arn
ab
ou
t th
e la
test
in d
iag
no
sis
and
tre
atm
ent
of
hea
rt
dis
ease
fro
m t
he
top
exp
erts
. Get
a h
eart
-hea
lth
y b
reak
fast
, ex
plo
re t
he
exh
ibit
s an
d jo
in in
th
e ra
ffle
fo
r g
reat
pri
zes.
A
free
ch
ole
ster
ol s
cree
nin
g w
ill b
e p
rovi
ded
to
th
e fi
rst
100
peo
ple
wh
o r
egis
ter.
Satu
rday
, Feb
ruar
y 2,
8:3
0 am
to
1:0
0 p
mM
orri
stow
n M
emor
ial H
ospi
tal,
Mal
colm
For
bes
Am
phit
heat
re,
Au
dit
ori
um
s A
an
d B
, Lev
el B
100
Mad
iso
n A
ven
ue,
Mo
rris
tow
nPr
esen
ters
: Ro
ber
t C
oyn
e, M
D, a
nd
Ro
ber
t H
ob
son
, MD
To r
egis
ter,
call
973-
656-
6916
.
Ea
tin
g A
dju
stm
ent
Aft
er W
eigh
t-L
oss
Su
rger
yLe
arn
to
ad
just
to
yo
ur
new
rel
atio
nsh
ip w
ith
fo
od
—h
ow
, w
hen
an
d w
hat
to
eat
to
kee
p y
ou
r w
eig
ht
loss
on
tra
ck.
Ever
y M
on
day
, 10:
00 t
o 1
1:00
am
Ever
y Th
urs
day
, 5:3
0 to
6:3
0 p
m95
Mad
iso
n A
ven
ue,
Su
ite
304,
Mo
rris
tow
nPr
esen
ters
: Bar
iatr
ic C
ente
r N
utr
itio
nis
tsTo
reg
iste
r, ca
ll 97
3-97
1-71
66.
Wei
ght-
Lo
ss S
urg
ery
fo
r S
ever
e O
bes
ity
Free
dis
cuss
ion
of
the
op
tio
ns
off
ered
fo
r th
ose
inte
rest
ed in
b
aria
tric
su
rger
y.Se
con
d T
ues
day
of
ever
y m
on
th, 7
:30
to 9
:00
pm
Mo
rris
tow
n M
emo
rial
Ho
spit
al,
Mal
colm
Fo
rbes
Am
ph
ith
eatr
e, B
Lev
el10
0 M
adis
on
Ave
nu
e, M
orr
isto
wn
To r
egis
ter,
call
973-
971-
7166
.
Wei
ght-
Lo
ss S
urg
ery
Rec
eive
su
pp
ort
an
d e
nco
ura
gem
ent
fro
m p
atie
nts
wh
o
hav
e h
ad e
xper
ien
ce w
ith
th
e su
rger
y an
d t
he
ph
ysic
al a
nd
em
oti
on
al c
han
ges
it b
rin
gs.
Seco
nd
Tu
esd
ay o
f ev
ery
mo
nth
, 5:3
0 to
6:3
0 p
mM
orr
isto
wn
Mem
ori
al H
osp
ital
, Co
nfe
ren
ce R
oo
m S
-571
100
Mad
iso
n A
ven
ue,
Mo
rris
tow
nPr
esen
ters
: Deb
ra F
resc
hl,
RD
, an
d A
nth
on
y Pa
pci
ak, P
hD
To r
egis
ter,
call
973-
971-
7166
.
ALT
ER
NA
TIV
E M
ED
ICIN
E
Wu
Ta
i C
hi
for
Kid
s Ta
i Ch
i is
kno
wn
as
the
“mo
ther
” o
f al
l mar
tial
art
s. C
hild
ren
ag
es 9
to
17
will
lear
n t
he
con
cep
ts o
f “i
nte
rnal
” m
arti
al a
rt
and
dev
elo
p s
tren
gth
fro
m w
ith
in.
Ever
y Sa
turd
ay, 1
0:00
am
to
No
on
Atl
anti
c M
ind
-Bo
dy
Cen
ter,
Seco
nd
Flo
or,
Theb
aud
Bu
ildin
g95
Mo
un
t K
emb
le A
ven
ue,
Mo
rris
tow
nPr
esen
ter:
Am
eurf
ina
H. N
azar
io, M
S, a
nd
Atl
anti
c M
ind
Bo
dy
mo
vem
ent
clin
icia
nFe
e: $
16 p
er c
lass
or
$84
for
6 w
eeks
Hy
pn
osi
s fo
r W
eigh
t R
edu
ctio
nM
ake
sub
tle
chan
ges
to
per
man
entl
y re
du
ce y
ou
r w
eig
ht
thro
ug
h g
rou
p h
ypn
osi
s an
d p
rove
n b
ehav
ior
mo
dif
icat
ion
te
chn
iqu
es. A
CD
an
d m
on
thly
su
pp
ort
will
be
avai
lab
le.
Tues
day
, Jan
uar
y 15
, 7:0
0 to
9:0
0 p
m95
Mad
iso
n A
ven
ue,
B L
evel
, Co
nfe
ren
ce R
oo
m, M
orr
isto
wn
Fee:
$70
Asp
erge
r’s
Sy
nd
rom
e:
Cre
ati
ve
Art
s S
oci
al
Gro
up
A p
rog
ram
fo
r te
ens
ages
13
to 1
7 w
ill a
dd
ress
sp
ecif
ic t
rait
s an
d s
tren
gth
s in
ind
ivid
ual
s w
ith
Asp
erg
er’s
Syn
dro
me.
Th
e fi
rst
two
ses
sio
ns
incl
ud
e vi
sual
art
act
ivit
ies
that
will
fo
ster
p
osi
tive
per
son
al d
evel
op
men
t. T
he
thir
d s
essi
on
is a
gro
up
ar
t p
roje
ct t
hat
will
aid
in d
evel
op
ing
so
cial
ski
lls a
nd
po
siti
ve
gro
up
inte
ract
ion
. Reg
istr
atio
n a
nd
pre
-pay
men
t ar
e re
qu
ired
.W
edn
esd
ays,
Jan
uar
y 16
, 23
and
30,
5:0
0 to
6:3
0 p
mA
tlan
tic
Min
d B
od
y C
ente
r95
Mo
un
t K
emb
le A
ven
ue,
Mo
rris
tow
nPr
esen
ter:
Mar
ia R
egin
aLu
po
, MFA
, art
th
erap
ist
Fee:
$12
5 fo
r th
e se
ries
Hy
pn
osi
s fo
r S
mo
kin
g C
essa
tio
nO
verc
om
e th
e d
esir
e to
sm
oke
th
rou
gh
gro
up
hyp
no
sis
and
b
ehav
ior
mo
dif
icat
ion
tec
hn
iqu
es.
Wed
nes
day
, Jan
uar
y 23
, 7:0
0 to
9:0
0 p
m95
Mad
ison
Ave
nue,
B L
evel
, Con
fere
nce
Room
B-0
6, M
orri
stow
nFe
e: $
70
Page �
Get
the
late
st h
ealt
h an
d w
elln
ess
new
s by
sig
ning
up
for
your
fre
e, p
erso
naliz
ed e
-hea
lth
new
slet
ter
at a
tlan
tich
ealt
h.or
g.
To
re
gis
ter
for
the
fo
llo
win
g A
tla
nti
c H
ea
lth
pro
gra
ms
or
to s
pe
ak
to
a r
ep
rese
nta
tiv
e,
ple
ase
ca
llth
e n
um
be
r p
rov
ide
d b
elo
w e
ach
se
cti
on
. To
ob
tain
an
Atl
an
tic
He
alt
h p
hy
sic
ian
re
ferr
al,
ple
ase
ca
ll1
-80
0-2
47
-95
80
, w
ee
kd
ay
s, 8
:30
am
to
4:3
0 p
m,
or
vis
it u
s o
nli
ne
at
atl
an
tich
ea
lth
.org
.
AD
/HD
an
d F
am
ily
Art
Th
era
py
Th
is a
rt t
her
apy
wo
rksh
op
will
hel
p b
oth
par
ents
an
d
child
ren
co
mm
un
icat
e th
rou
gh
a d
irec
ted
art
pro
ject
. It
will
ad
dre
ss t
he
man
y co
nfl
icts
th
at s
urr
ou
nd
AD
/HD
an
d h
elp
b
rid
ge
com
mu
nic
atio
n. M
ater
ials
are
incl
ud
ed.
Tues
day
, Jan
uar
y 29
A
tlan
tic
Min
d B
od
y C
ente
r95
Mo
un
t K
emb
le A
ven
ue,
Mo
rris
tow
nPr
esen
ter:
Mar
ia R
egin
aLu
po
, MFA
, art
th
erap
ist
Fee:
$45
(p
aren
t an
d o
ne
child
)
AD
D, A
DH
D a
nd
Art
Th
era
py
An
art
th
erap
y se
ssio
n f
or
child
ren
ag
es 7
to
12
that
wo
rks
to im
pro
ve s
elf-
awar
enes
s an
d s
oci
al s
kills
, bo
th a
t h
om
e an
d in
sch
oo
l. Th
e sk
ills
are
pra
ctic
ed b
y cr
eati
ng
dir
ecte
d
art
pro
ject
s w
ith
in t
he
safe
ty o
f a
gro
up
.Tu
esd
ays,
Feb
ruar
y 5,
12
and
19,
5:3
0 to
6:4
5 p
mA
tlan
tic
Min
d B
od
y C
ente
r95
Mo
un
t K
emb
le A
ven
ue,
Mo
rris
tow
nPr
esen
ter:
Mar
ia R
egin
aLu
po
, MFA
, art
th
erap
ist
Fee:
$90
fo
r se
ries
Th
e T
ou
ch o
f H
eali
ng—
Jin
Sh
in J
yu
tsu
An
an
cien
t ar
t o
f h
arm
on
izin
g li
fe e
ner
gy
in t
he
bo
dy,
Jin
Sh
in J
yuts
u b
rin
gs
bal
ance
, rel
axat
ion
an
d v
ital
izat
ion
to
th
e b
od
y, p
rom
oti
ng
op
tim
al h
ealt
h a
nd
wel
l-b
ein
g b
y m
anag
ing
on
e’s
ow
n n
atu
ral h
ealin
g c
apac
ity.
Satu
rday
, Feb
ruar
y 9,
11:
00 a
m t
o 2
:30
pm
Atl
anti
c M
ind
Bo
dy
Cen
ter,
Seco
nd
Flo
or,
Theb
aud
Bu
ildin
g95
Mo
un
t K
emb
le A
ven
ue,
Mo
rris
tow
nPr
esen
ter:
Mo
nic
a Fr
eun
d, J
SJ p
ract
itio
ner
Fee:
$60
To
re
gis
ter
for
the
Alt
ern
ativ
e M
ed
icin
e p
rog
ram
s,
call
97
3-9
71
-45
75
.
MO
RR
ISTO
WN
MEM
OR
IAL
HO
SPI
TAL
CA
LEN
DA
R O
F EV
ENTS
Dec
emb
er 2
007
thro
ugh
Mid
-Feb
rua
ry 2
008
SC
RE
EN
ING
S
Bo
ne
Den
sity
An
ult
raso
un
d o
f th
e fo
rear
m id
enti
fies
wo
men
an
d m
en
at r
isk
for
ost
eop
oro
sis.
Lea
rn y
ou
r ri
sk f
acto
rs a
nd
ho
w t
o
mai
nta
in b
on
e h
ealt
h.
Wed
nes
day
, Dec
emb
er 5
, 10:
00 a
m t
o N
oo
nW
est
Mo
rris
YM
CA
14 D
ove
r C
hes
ter
Ro
ad, R
and
olp
h
Wed
nes
day
, Jan
uar
y 9,
9:0
0 to
11:
30 a
mM
adis
on
YM
CA
111
Kin
gs
Ro
ad, M
adis
on
Wed
nes
day
, Jan
uar
y 23
, 10:
00 a
m t
o N
oo
nM
orr
is C
ente
r Y
MC
A79
Ho
rseh
ill R
oad
, Ced
ar K
no
lls
Fee
(fo
r b
on
e d
ensi
ty s
cree
nin
gs)
: $10
Bo
dy
Fa
t/B
MI
Part
icip
ants
will
lear
n t
hei
r p
erce
nta
ge
of
bo
dy
fat
and
b
od
y m
ass
ind
ex, a
nd
ho
w t
hes
e n
um
ber
s im
pac
t th
eir
hea
lth
ris
k.Tu
esd
ay, D
ecem
ber
11,
9:0
0 to
11:
00 a
mM
adis
on
YM
CA
111
Kin
gs
Ro
ad, M
adis
on
Wed
nes
day
, Dec
emb
er 1
2, 1
0:00
am
to
No
on
Mo
rris
Cen
ter
YM
CA
79 H
ors
ehill
Ro
ad, C
edar
Kn
olls
Res
pir
ato
ryIf
yo
u a
re a
sm
oke
r o
r ar
e ex
po
sed
to
sec
on
dh
and
sm
oke
o
r p
ollu
tan
ts, a
nd
hav
e ch
ron
ic a
sth
ma
or
resp
irat
ory
ill
nes
s, y
ou
may
hav
e an
air
way
ob
stru
ctio
n o
r re
stri
ctio
n.
Part
icip
ants
bre
ath
e in
to a
sp
iro
met
er t
o id
enti
fyan
y p
rob
lem
s.
Thu
rsd
ay, D
ecem
ber
13,
10:
00 a
m t
o 1
:00
pm
Tues
day
, Jan
uar
y 15
, 10:
00 a
m t
o 1
:00
pm
Lake
lan
d H
ills
YM
CA
100
Fan
ny
Ro
ad, M
ou
nta
in L
akes
Thu
rsd
ay, J
anu
ary
10, 9
:00
to 1
1:00
am
Som
erse
t H
ills
YM
CA
140
Mo
un
t A
iry
Ro
ad, B
aski
ng
Rid
ge
Str
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971-
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.
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Wu
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for
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kno
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hild
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will
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ind
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vem
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Page �
Coping with a Cancer Diagnosis
A short-term support group that meets for six to eight weeks, I Cancer Vive (I Can Survive) was created to help individuals newly diagnosed with cancer. In the meetings, attendees learn how to deal with the many aspects of a cancer diagnosis, while exploring different mind/body techniques that promote spiritual and emotional healing and wellness. Sessions include topics such as yoga, meditation, art therapy, spirituality and mindfulness. The group usually runs three times a year, and is just one of many appreciated support groups available.
“After a cancer diagnosis, you can’t go back to how you were yesterday,” says Lee Anne Caffrey, RN, MSN, oncology clinical nurse specialist for Overlook Hospital. “For many people, I Cancer Vive or another support group is the first step to learning how to live as a cancer patient and face the future with confidence.”
In the course of your life, you may have had someone suggest you attend a support group. If you didn’t go, there’s something you should know.
“People often assume support groups are depressing or upsetting, so they avoid attending,” says Catherine Owens, oncology patient services coordinator for the Carol G. Simon Cancer Center at Atlantic Health. “Many groups deal with difficult subjects, but they may also use humor, and members offer positive ways to cope with a given situation. Participation in a support group can be very beneficial.”
Here to HelpAt Atlantic Health, an array of
support groups is available to help individuals cope with conditions as well as for caregivers. Some are focused on education, while others act as a forum to discuss feelings and thoughts. From support groups that meet every week with no start or end date to those with defined beginning and end dates, Atlantic Health has a support group to meet your needs.
The following are a few conditions with support groups at Atlantic Health:• specific cancers (breast, prostate, etc.)• arthritis
• gambling addiction• diabetes• osteoporosis• chemical dependency
“Group treatment is often the treatment of choice—especially for people dealing with chemical dependency,” says Donna Hansbury, network manager of behavioral health for Atlantic Health. “However, people must be willing to participate in the group, and they may not be quite ready when first learning of a diagnosis. Once they are ready for a support or treatment group, we welcome them with open arms and help them get started quickly.”
Want a helping hand dealing with a condition or life situation? You’ll find it in the array of support groups offered through Atlantic health.Connection
The Support Group }
To speak to an Atlantic Health representative about our support groups, call 973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
10 well aware
Page 10
Think You Might Have Mild Brain Injury?
You might have MBI if you are experiencing:• attention problems and can’t seem to concentrate• difficulty with short-term memory loss• trouble finding the right words to express yourself• vision problems• a hard time processing information• difficulty with planning and time management
A few weeks ago you were in a car accident, and your airbag didn’t inflate. the doctor said you were fine, but now you’re having problems with your vision and can’t seem to concentrate at work. could you have a mild brain injury?
A mIld brAIn InjurY (mbI) occurs when the brain is disrupted physiologically in a traumatic situation like a car accident, fall, stroke or concussion. Until recently, not much attention was paid to the condition. However, soldiers returning from Iraq with MBI have brought this diagnosis to the forefront.
Initial signs of MBI include loss of consciousness, memory loss or a feeling of being dazed or confused. The long-term effects may be much more subtle, and many people may not even know they’ve been seriously injured.
“After an accident or injury, a person may go back to his or her daily activities and not know why he or she is having attention problems, short-term memory loss, trouble speaking or difficulty processing information,” says Bonnie Feldman, speech language pathologist, MACCC, coordinator for the Mild Brain Injury Program at Atlantic Rehabilitation Institute. “He or she may know something’s wrong but can’t figure out what it is. That’s where we come in.”
On the BrainAtlantic Health’s Mild Brain Injury Program provides a
multidisciplinary approach for patients with MBI. The program concentrates on educating patients regarding the topic of Mild Brain Injury and providing strategies that allow patients to function in their usual environment. Neuropsychological testing and a screening interview are provided prior to the patient beginning the MBI program. Patients then meet with a speech and occupational therapist twice a week for � to 12 weeks, learning strategies to help them return to their normal lives.
“Individuals with mild brain injury often haven’t worked in a while and may have lost self-confidence and structure in their daily lives,” Feldman says. “Patients establish structure by using daily planners and to-do lists. Writing things down can help free up space in the brain and get them through the day more easily.”
The signs of a mild brain injury may not be
obvious to the person experiencing them. If
someone you love has been in an accident and
seems fine, be on the lookout for the symptoms
of mild brain injury (see below).
Mild Brain Injury
To speak to an Atlantic Health representative about MBI, or to obtain a physician referral, call 973-656-6916,
Monday through Friday, 8:30 am to 4:30 pm.
well aware 11
Page 11
About 4 million babies are born each year in the united states, and 100,000 of these babies require special care in a neonatal intensive care unit (nIcu). With statistics like these, it’s important that parents-to-be look for a hospital that can care for their needs when the unexpected occurs, as well as provide a more comfortable setting to welcome their new baby.
A Special Place for Special Babies
fter months of great anticipation, most women deliver healthy, full-term babies. But some babies arrive early, before their
bodies are able to function on their own, or require extra care after birth due to a high-risk pregnancy. Others still may be born with health conditions that require special intervention. Sometimes these special
circumstances are known in advance. Other times, they’re unexpected.
When the unexpected happens, the NICU at Morristown Memorial Hospital provides the highest level of care in the state and is rated high by families for the quality of care.
“We have consistently ranked in the ��th and 100th
12 well aware12 well aware
Page 12
well aware 13
percentiles for patient satisfaction, and we are well-known in the community for our advanced level of care,” says Fran Drigun, RN, MSN, director of women’s and children’s health services for Morristown Memorial Hospital. “However, we recognize that the NICU is not where a family wants to be, so we are creating a more comfortable experience for our families.”
A Quieter, More Comfortable Place to GrowMorristown Memorial Hospital is planning a new NICU unit
to open by the end of next summer. “Our NICU is busy, and privacy is a concern for our staff
and families,” says Joanne Hessler, BSN, RNC, manager of the NICU for Morristown Memorial Hospital. “Although the care is outstanding, the staff is hoping to help reduce the stress for the family with the changes we have made in the new NICU.”
Those who are familiar with the recently opened Meade Pavilion will see shades of the level of comfort and amenities provided there in this new NICU.
Historically, NICUs consist of a large, open area filled with premature and sick babies. In the new NICU, more than 30 private and semi-private suites will take the place of an open unit. New lighting options with less stimulation will be available for babies, as well as a special area for parents who need to stay for extended periods. The hospital has also decided to go as “green” as possible, choosing to be environmentally conscious in many aspects of the design.
“We will be able to provide babies with a quiet, stable, private environment in which to grow healthy and strong,” says Lawrence Skolnick, MD, co-director of neonatology for Morristown Memorial Hospital. “What could sometimes be a noisy, hectic and busy place will become a quiet and developmentally supportive place for babies. Parents are also encouraged to stay at the bedside and participate more in their baby’s care.”
Designed With Families in MindCaring for such young and often fragile patients can
sometimes be a lengthy process for both babies and parents. Relieving that anxiety in even the smallest way is a top priority for Morristown Memorial, so the new NICU will evoke a very friendly atmosphere.
Focus groups of both parents and hospital staff aided in planning the new NICU, with staff visiting various NICUs and deciding which features might be a good fit for Morristown Memorial’s patients and families.
Dr. Skolnick says that one of the best advances about the new NICU will be better communication technology. In addition, improvements made to labor and delivery areas in the hospital so far, such as the Meade Pavilion suites, have received extremely good feedback.
“We’ve gotten accolades about the Meade Pavilion,” Drigun says. “People are overwhelmed and appreciative of the new rooms and spa. We’ve always provided a safe environment and the highest quality care for new moms and babies. With the new NICU, we’re making it a more family-friendly and soothing atmosphere that gives moms peace of mind.”
7777Extra Comfort for New Mothers
Each year, more than 3,500 babies are welcomed into the world at Morristown Memorial Hospital, making it the area’s leading providerof maternal care.
7 REASONS to Choose Morristown Memorial
A Special Place for Special Babies
4 Jacuzzi tub5 private bathrooms6 caring staff7 55-bed bassinette nursery
1 private, spacious postpartum rooms2 spa with complimentary massages3 overnight and guest accommodations
To speak to an Atlantic Health representative about our maternity center, or to obtain a physician referral, call973-656-6916, Monday through Friday, 8:30 am to 4:30 pm.
Nurses will wear a device that directly downloads from the monitor on the baby entrusted to their care, so they will know immediately of any changes that take place in the baby’s condition.
❝
❞
well aware 13
Page 13
mAYbe You’Ve thouGht about participating in the study of a new treatment or medication because you hope for a cure—either for yourself or for future generations of patients. Or perhaps current standard therapies have not been effective for your condition. A clinical trial may be the key to a longer life or greater relief from symptoms.
What Happens in a Clinical Trial?
Regardless of the details of the particular studies in which they participate, all volunteers receive at least the best current standard of care. Some participants also receive a new, potentially more effective therapy. Among other things, clinical trials have helped
physicians develop today’s more targeted and effective approaches to treatment of certain cancers.
What Should I Look For?It’s essential to seek a healthcare
provider with professional affiliations with leading medical organizations and academic hospitals. Atlantic Health’s partnerships with the Cancer Institute of New Jersey, Mount Sinai School of Medicine and national cooperative oncology groups provide access to the latest research from leading healthcare and academic organizations. Such relationships also enhance patients’ safety by ensuring that clinical trials have close, comprehensive oversight.
Helping Medicine
ADVANCEclinical trials are important
last steps along the path from promising laboratory
discoveries to life-changing medical advancements.
To speak to an Atlantic Health representative or to obtain a physician referral, call 1-800-247-9580 between the hours of 8:30 am and 4:30 pm. To learn more about
clinical trials, visit us online at atlantichealth.org and search “clinical trials.”
A HEALTHY WORK setting is not only good for your social life, it’s also great for your health. Why? Workplace stress can wear you down and wear your body out, possibly resulting in illness, absences, fatigue, decreased concentration and career burnout.
“When employees are happy, they have less stress and are more motivated to contribute,” says Lesley Meyer, RN, manager of human resources for Atlantic Health. “That sense of well-being helps keep them healthy.”
TAKING OUR OWN ADVICEAtlantic Health works hard to take care of its employees so they can better serve patients. On AARP’s list of top 50 companies for workers aged 50 and older, Atlantic Health recently ranked 15—up from 22 the previous year. From delivering seminars on such topics as fi nancial planning and Medicare to offering free wellness services, continuing art
education scholarships and an in-house employee pharmacy, Atlantic Health provides its associates with the tools to live healthy, well-rounded lives.
“Our employees are our most important assets,” says Andy Kovach, vice president of human resources and chief administrative offi cer for Atlantic Health. “They have made us the premier health system of New Jersey, and we appreciate their contributions.”
Happy Workplace
= Healthy Employees
To speak to an Atlantic Health representative regarding career
opportunities, call 973-660-3111 or visit us online at
atlantichealth.org.
the benefits of a positive work environment go beyond water cooler conversation.
14 well aware
Page 14
oF the 4,000 chemical compounds found in cigarette smoke, more than 60 are known or suspected carcinogens—cancer-causing agents—according to the American Cancer Society. Making the decision to quit smoking can have immediate and long-term benefits.
From the time of your last cigarette:• Blood pressure, pulse and body temperature will return to
normal within 20 minutes.• Oxygen levels in your blood will increase, and carbon
monoxide levels will drop to normal levels within eight hours.• Regrowth of nerve endings will begin within two days,
restoring your ability to smell and taste.• Lung function will increase up to 30 percent, and circulation
will improve within three months.
Clearing the AirThe Surgeon General’s 2006 report concluded there is no risk-
free level of exposure to secondhand smoke. That’s why the entire Morristown Memorial and Overlook Hospital campuses will be smoke free in January 200�.
“A smoke-free campus furthers our mission of good health for every member of our community,” says Lynn Turner, director of human resources for Morristown Memorial and Overlook Hospitals. “We have a committee made up of smokers and nonsmokers to provide resources for employees and community members during this time of transition.”
Make
smoking affects the long-term health of smokers and nonsmokers alike. As many public places in new jersey go smoke-free, you should reexamine the health benefits of quitting.
7 Natural Ways to Curb Your Craving to Smoke
1 Start your day with breakfast and eat smaller meals throughout to stabilize your blood sugar and brain chemistry.
2 Respond to food cravings, but eat only a small portion.
3 Heed smokers’ typical craving for fats, and choose healthy sources, such as olive oil, avocado or nuts.
4 Emphasize whole grains and fresh fruit in your diet.
5 Avoid alcohol, coffee and other drinks you associate with smoking.
6 Skip spicy and sugary foods that can enhance your cravingsto smoke.
7 Add a regular dose of moderate exercise. Walking briskly for as little as five minutes can help curb cigarette cravings.
a Thing of the Past
To speak to an Atlantic Health representative or to obtain a physician referral, call 973-656-6916, Monday through Friday,
8:30 am to 4:30 pm. For additional information about how to quit smoking, contact the American Cancer Society at cancer.org.
well aware 15
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Atlantic Health is proud to announce that we are the primary academic and clinical affiliate in NewJersey of Mount Sinai School of Medicine and The Mount Sinai Hospital.
This enhances our role in academic medicine and gives us the ability to offer even more advanced care to ourpatients, in New Jersey and New York. This alliance brings even more academic talent into Morristown Memorial Hospital, Overlook Hospital and ourother facilities, and gives Mount Sinai medical students the opportunity to learn from our leading specialists.This new affiliation also enables physicians from each organization to participate in more collaborativeresearch projects and clinical trials, moving medicine forward.
AtlanticHealth – MountSinai SchoolofMedicine
– The MountSinai Hospital.
Joining forces for better healthcare.Joining forces for better healthcare.
For information about Alantic Health visit atlantichealth.org and to learn about Mount Sinai School of Medicine, visit mssm.edu.