health news and events from well awaremorristown … · any time blood flow is interrupted due to...
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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 AwareVol. 3 No. 2
spriNg 2008
atlantichealth.org
Be theMan Get Smart, Get ScreenedSurgery That Fits Your ScheduleA Destination With a Difference:
Comprehensive Stroke Care
for Sunburn?A Prescription
Dear Friends,As a regional health care leader, we have a
responsibility to the community to provide the most up-to-date treatments and technology possible. As such, we have worked hard to earn state Comprehensive Stroke Center designations at both Morristown Memorial and Overlook hospitals.
You can take comfort in knowing the best care available is nearby through Atlantic Health facilities. We also hope that proper preventive medicine will keep you in the best of health. Throughout these pages, you will read about screenings and warning signs that may alert you to potential health hazards and steps you can take to stay well.
The best in health,
Joseph trunfioPresident and ceo atlantic health fro
m th
eC
Eo
Tell us how Well Aware is helping you make better health decisions, and you will be eligible to win a $100 Target gift card!
Along with your name, address and phone number, indicate which article helped you gain better insight into the best medicine for your needs. email us at [email protected] or write to:
Atlantic Health, Attn: Well AwarePO Box 1905Morristown, NJ 07962Must be 18 years or older to enter. Atlantic health employees
and their immediate families are not eligible for the drawing. Send your topic ideas in with your comments, and you may see them in a future issue of Well Aware.
Congratulations to last issue’s winner. The ebersold Family of Morristown won a $100 Target gift card!
We Want Your FEEDBACK!
If your child is on antibiotics, you might want
to think twice about sending him or her outside to play—sunscreen or
not. Some medications can make your child more prone to sunburn. Talk to your
pharmacist about every prescription your child takes to learn if it increases
his or her sunburn risk.Regardless of whether or not your
child is taking medication, sun safety is vital—skin receives �0 percent of
its sun exposure by age 1�. Protect your child by applying a broad-spectrum sunscreen
with an SPF of at least 15 and reapplying every few hours.
Dear Well Aware,As I was reading the Well Aware
early winter magazine, I came across the article on page 6—“My Tummy Hurts.” This is a great article. We saw Dr. Youssef, and with his help we discovered our son has a tendency for lactose intolerance. He has been on Zantac since he was approximately 6 months old. He is now 3. He vomits a lot less these days—now that he drinks Lactaid Milk. This article helps parents to look into why their child’s “tummy hurts.”
The guided imagery mentioned in the article will be a tool that I will implement. Anything that I can do to help him that is in his best interest I will certainly do.
Thanks for putting this valuable information in this edition. I look forward to your next one.
Sincerely,the ebersold FamilyMorristown, NJ
To read this or any previous Well
Aware articles, visit atlantichealth.org
and click on “health Information.”
WINNER’S LETTER
2 well aware
Page 2
for Sunburn?A Prescription
miLLionS oF AmericAnS suffer from circulation problems due to a narrowing or blockage in the circulatory system. These blockages can lead to vascular disease, which may be a result of family history, a poor diet or lack of exercise. Fortunately, patients have some control over personal risk factors, and screenings are available to determine the likelihood of developing vascular disease.
What Causes Vascular Disease?The circulatory system includes the arteries and veins
responsible for carrying blood to the heart and throughout the body. Any time blood flow is interrupted due to narrowed or blocked arteries, the potential for vascular disease increases.
“One common cause of vascular disease is atherosclerosis, which is the hardening of the arteries due to the build-up of plaque on the inner walls,” says Amit Patel, MD, vascular surgeon for Morristown Memorial Hospital. “This plaque consists of fat and cholesterol deposits that narrow the path for blood flow and may cause a blockage.”
As plaque forms and the artery gradually narrows, the amount of oxygen delivered to the legs and feet decreases. As a result, patients experience cramping and pain in the legs and pelvis. This condition is known as peripheral artery disease and may lead to:• heart attack due to a blockage in the coronary arteries • stroke due to a blockage in the carotid arteries• blockage in the renal arteries that lead to the kidneys
Screening and PreventionSeveral methods to detect your risk for vascular disease are
available at Morristown Memorial and Overlook hospitals, including blood pressure screenings in the arm and ankle. When these two measurements are compared—a reading called the ankle-brachial index—the physician can determine if a potential blockage is present.
“Blood cholesterol and triglyceride levels also are good indicators of a risk for vascular disease that should be monitored during regular checkups,” says Clifford Sales, MD, MBA, chief of vascular surgery for Overlook Hospital. “Other blood tests called lipoprotein profiles offer more in-depth evaluations of cholesterol levels for increased detection if problems are suspected.”
The vascular laboratory at
Gagnon heart hospital is
accredited by the Intersocietal Commission for
the Accreditation of Vascular
Laboratories (ICAVL) and
is recognized nationally for its
high standards of quality and
customer service.
On the Path to Heart Attack?if you are concerned about suffering a heart attack or stroke, vascular disease screenings may provide more insight into your risk.
“General health screenings are appropriate for patients with Type 2 diabetes, elevated cholesterol and risk factors for atherosclerosis,” says
Michael Resnikoff, MD, FACS, vascular surgeon for Morristown Memorial hospital.
You also may consider evaluation to help prevent vascular disease
if the following risk factors apply to you:•familyhistory•highbloodpressure•lackofexercise•obesity•smoking
Know Your Risk for Vascular Disease
In more advanced cases, ultrasounds may also help with detection. However, to decrease the risk for vascular disease, it is important to keep risk factors under control.
“The best treatment for vascular disease is to prevent it,” says Dr. Sales. “Even if a patient develops this problem, a regular exercise program and a well-balanced diet can improve circulation.”
For a referral to an Atlantic Health physician or to gain additional information about this health topic and others, call 888-423-5092, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
well aware 3
Page 3
A New Alternative for Arthritis Sufferers
the AmericAn cAncer Society estimates there were nearly 200,000 new cases of prostate cancer last year. Fortunately, deaths from the disease are declining as more men receive:• a yearly PSA test (measures the amount of prostate-specific
antigen in the blood)• a yearly dre (digital rectal exam)
Men with no major medical problems should begin these screenings at age 50, while those at high risk—such as African-
American men and those with a father or brother who had prostate cancer before age 65—should begin testing at age 45. Men with several close relatives who have had prostate cancer at an early age may begin testing at age 40.
“Getting guys to go to the doctor is getting easier as the message gets out that these tests are quick and painless,” says Arthur Israel, MD, medical director for the Peter B. Doherty Men’s Cancer Center at Morristown Memorial Hospital. “These 10-minute screenings are an easy step for protection against prostate cancer, the second leading cause of cancer deaths in American men.”
Be the MAN Be a role model for the men in your family and give yourself a gift that may extend your life—schedule your prostate cancer screening.
The Peter B. Doherty Men’s Cancer Center hosts New Jersey’s largest chapter of Us TOO, a national network of more than 300 support groups for prostate cancer patients and survivors, with about 100 attendees at each meeting. To learn more, call Bill Grassmyer, support group leader, at 973-895-2135 or Nancy Snook, RN for the Men’s Cancer Center, at 973-971-6175.
Get personalized reminders about important health screenings and stay updated on the health topics that matter most to you simply by checking your email. To sign up for this service, visit atlantichealth.org and click on the icon free monthly e-health newsletters.
When AdVAnced ArthritiS or wear and tear on seniors’ joints makes activities of daily life painful, total joint replacement is a proven option—but it’s not for everyone. Despite shorter recovery times and advancements in prosthesis design, people in their early 50s or 60s may be counseled to wait until their late 60s or early 70s for the procedure.
For these younger patients needing a new hip joint, resurfacing is a great option with the potential to last longer than conventional total joint replacements.
“Resurfacing preserves healthy bone and tops it with a metal cap, returning patients to their active lifestyle with less pain and a shorter recovery time,” says William Dowling, MD, chair of orthopedics for Morristown Memorial Hospital and medical director of orthopedic services for Atlantic Health. “Performing 1,500 joint replacement surgeries annually, we have an outstanding program and superb orthopedic surgeons producing results comparable to the best places in the country.”
“Our orthopedic program in total knee replacement has been nationally recognized as a Center of Excellence by The Joint Commission, we are a UnitedHealth Premium® hospital for total joint replacement services, and we hold a HealthGrades five-star accreditation in orthopedics, including joint replacement.” —William Dowling, MD, chair of orthopedics for Morristown Memorial hospital
and medical director of orthopedic services for Atlantic health
For a referral to an Atlantic Health physician or to gain additional information about this health topic and others, call 888-432-1763, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
CELEBRATE men’S heALth WeeK FROM JUNE � TO 15!
4 well aware
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For a referral to an Atlantic Health physician or to gain additional information about this health topic and others, call 888-432-1758, Monday through Friday, 8:30 am to 4:30 pm or visit us online
at atlantichealth.org.
dUring eXerciSe or extreme-environments testing, the physician safely simulates the environment causing the distress. Lung function, blood oxygen saturation levels and cardiac function are measured before, during and after the exposure, allowing a pulmonologist to observe breathing difficulties and make an accurate diagnosis.
“Despite the name, exercise and extreme-environments testing are very safe for children, as we are able to closely monitor children’s reactions during each test,” says David Cooper, MD, MPH, pediatric pulmonologist and director for the pediatric exercise and extreme-environments laboratory for Goryeb Children’s Hospital. “Once we observe how children react in these situations, we can then make treatment recommendations to help resolve the situation.”
Finding SolutionsA wide variety of tests can be performed in the exercise
and extreme-environments laboratory. Here are some of the most common. • exercise. When children’s breathing difficulties are believed
to be triggered by exercise, a variety of testing options are available, such as pedaling a stationary bicycle, running on a treadmill or simulating cold air activities.
• high altitude. Many children—especially those with lung and
heart conditions or prematurity—may have complications induced by the reduced oxygen levels that are experienced in airplanes. By having the children wear oxygen masks that simulate airplane conditions, the physician can trigger the symptoms and then determine how much oxygen supplementation—if any—the child will need during air travel.
• ScUBA tests. Before children with asthma pursue an extreme sport like SCUBA diving, they can receive a breathing test to learn if the cold, dry air delivered by the SCUBA tank may trigger an asthma attack.
• certain diseases. Specialized metabolic exercise testing may be beneficial in monitoring certain lung, pulmonary or heart conditions. This testing can also determine safe levels of exercise, which may be important in maintaining optimal health.
• improved fitness for athletes and non-athletes. Testing is available to determine the level of fitness in individuals. This can help serious athletes plan their ongoing training program and is also useful for people who have gotten away from routine exercise and want to learn how best to get started.“Our goal in these tests isn’t to trigger a dramatic attack, but
to mimic what kids are experiencing in real life,” Dr. Cooper says. “This gives us better information as to what the kids are experiencing to help devise a plan in conjunction with the children’s other doctors.”
TESTINGThrough the environment
changes in the environment caused by pollution or certain allergies may trigger asthma. exercise also may cause decreased lung function in some people. if your son or daughter experiences difficulty breathing while exercising or
riding in a plane, exercise or extreme-environments testing might be the answer.
well aware 5
Page 5
For a referral to an Atlantic Health physician or to gain additional information about this health topic and others, call 888-423-5137, Monday
through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
not eVery hoSPitAL is prepared to deliver the clot-dissolving medication (called tissue plasminogen activator or tPA) that’s needed within three hours after the onset of stroke symptoms. Of those that are, only comprehensive stroke centers can provide advanced interventional procedures, such as
Center for Stroke CareWhen a stroke occurs, every delay in treatment deprives the brain of much-needed oxygen. Surviving a stroke with minimal disability depends upon receiving the right treatment at the right place and time.
Know the Signs, Get Help in Time
If you think someone you love may be experiencing stroke, simply remember F.A.C.e.
In 2007 alone, Overlook Hospital physicians treated 40 stroke patients using tPA, and 20 patients had their stroke-causing clots removed using the Merci Retrieval SystemTM. The Merci system is utilized when the three-hour window for tPA treatment has passed.
“Primary stroke centers feed into
comprehensive stroke centers
like the spokes of a wheel feed into the
hub, and it’s important for people
to know two hospitals in the
area—Morristown Memorial
and Overlook—have been
recognized by the state
as hubs for stroke care.”
—Shalini Bansil, MD, board-
certifi ed neurologist and
medical director of the Stroke
Center for Overlook hospital
removal of the clot causing the stroke, to help reverse damage to the brain when that important three-hour window has passed.
The Center of the WheelIn New Jersey, area hospitals
form a network for stroke care with comprehensive stroke centers at the center. In addition to delivering emergency care when primary stroke centers in their network transfer stroke patients with complex conditions, comprehensive stroke centers also provide stroke education for other hospitals’ stroke teams, emergency medical services personnel and community residents.
Centers for Advanced CareTake comfort in knowing if you or a
loved one has a stroke, the right level of care may be closer than you think. The New Jersey Department of Health and Senior Services has named Morristown Memorial and Overlook hospitals comprehensive stroke centers. These two facilities are part of the Atlantic Neuroscience Institute.
“This designation signifies that extensive neurology, neuroradiology and neurosurgery capabilities are available around the clock,” says Stuart Fox, MD, director of the Stroke Center for Morristown Memorial Hospital. “It also shows that our hospitals’ staffs have undergone very advanced training to provide the best possible outcomes for stroke patients.”
ace. Can the person smile? Does his or her face droop on one side?
rms. Ask the person to raise both arms. Does he or she have diffi culty keeping both up?
peech. Ask the person to repeat a sentence. Can he or she do it correctly without slurring words?
ime. If the person is unable to do any or all of these things, call 911 and get to the emergency room FAST.
F
A
S
T
6 well aware
Page 6
the hUmAn BrAin is divided into regions that control various motor and sensory
functions. When a stroke occurs, the damage done to a specific region may affect the functions it controls, causing symptoms such as paralysis, difficulty speaking or loss of coordination.
“Rehabilitation after stroke can be difficult,” says Kathleen O’Donnell, NP, manager of inpatient rehabilitation
and continuum of care for Atlantic Rehabilitation Institute. “The brain can
make new connections and the body can relearn many functions, but it can take months
of therapy.”
Regaining Function After StrokeRecently, Bioness, Inc.™ developed new devices for the
hand and leg, and VitalStim® created a device for the throat to help stroke victims with swallowing. Using a technique called functional electrical stimulation, electrodes are placed over a target muscle group and a computerized control unit sends mild electrical currents through the electrodes to the muscles, stimulating them to contract. Over time, the therapy re-educates the brain to appropriately fire the right nerves to make the muscles work in a normal fashion.
“The key to stroke rehabilitation is constant, repetitive movement of muscles, and that’s exactly what the Bioness products do for our patients,” says O’Donnell. “They can be programmed for individual patients, and so far we’ve seen excellent results at the Institute.”
Life Advances in technology are making rehabilitation easier than ever and giving stroke victims back their lives.
HearingIs Believing
For a referral to an Atlantic Health physician or to gain additional information about this health topic and others, call
888-423-5162, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
On Thursday, May 29, 2008,
the Hearing Aid Center at
Atlantic Rehabilitation Institute
will sponsor a consumer
seminar and luncheon titled
“Three-Dimensional Hearing:
Experience the Possibilities”
from 1:30 to 3:30 pm at the
Morristown Memorial Hospital
Auditoriums A and B.
For more information, please
call 973-971-4743.
ceLL PhoneS cAn now fit into lipstick cases, and laptop computers are the size of file folders. The advanced technology that makes these improvements possible has also reached hearing aids.
Hearing aids have evolved from conventional, single-channel units to digital, multi-channel devices that help to identify and enhance speech in the presence of noise. In addition, they now provide greater awareness of where sounds are located by allowing the devices in both ears to communicate with one another, working together rather than independently. The result is a richer, more natural sound quality.
However, that’s only the beginning. Newer hearing aids also can connect wirelessly to a landline telephone, cellular phone, PDA, MP3 player or other equipment featuring Bluetooth®, all of which can stream directly to the hearing aid with excellent sound quality.
“The new technology provides a better sense of spatial awareness for the user,” says Christine Hoffman, AuD, CCC-A, lead audiologist for Atlantic Rehabilitation Institute. “Also, many sizes are available that can fit either in or discreetly behind the ear, whichever is more comfortable.”
After Stroke
well aware 7
Page 7
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MC
A, 1
40 M
ou
nt
Air
y R
oad
, Bas
kin
g R
idg
eTh
urs
day
, Ju
ne
12, 9
:00
to 1
1:00
am
Mad
iso
n A
rea
YM
CA
, 111
Kin
gs
Ro
ad, M
adis
on
Tues
day
, Ju
ne
17, 1
0:00
am
to
No
on
Mo
rris
Cen
ter
YM
CA
, 79
Ho
rseh
ill R
oad
, Ced
ar K
no
llsTu
esd
ay, J
un
e 24
, 10:
00 a
m t
o 1
:00
pm
Lake
lan
d H
ills
Fam
ily Y
MC
A, 1
00 F
ann
y R
oad
, Mo
un
tain
Lak
es
HE
ALT
H A
ND
WE
LL
NE
SS
WE
IGH
T L
OS
S
Ea
tin
g A
dju
stm
ent
Aft
er W
eigh
t-L
oss
Su
rger
yEv
ery
Mo
nd
ay,
10:0
0 to
11:
00 a
mEv
ery
Thu
rsd
ay,
5:30
to
6:3
0 p
mB
aria
tric
Su
rger
y C
ente
r, 95
Mad
iso
n A
ven
ue,
Su
ite
304
Pres
ente
rs:
Bar
iatr
ic C
ente
r N
utr
itio
nis
ts
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
.Se
con
d T
ues
day
of
ever
y m
on
th,
7:00
to
8:3
0 p
mB
aria
tric
Su
rger
y C
ente
r, 95
Mad
iso
n A
ven
ue,
Su
ite
304
All
ian
ce C
ente
r fo
r W
eigh
t M
an
age
men
tO
rien
tati
on
ab
ou
t va
rio
us
wei
gh
t-lo
ss p
rog
ram
s o
ffer
ed.
Tues
day
, Ap
ril 2
9, M
ay 6
, 13,
Ju
ne
3, 1
0 an
d 1
7, 6
:30
to 8
:00
pm
Atl
anti
c R
ehab
ilita
tio
n I
nst
itu
te,
95 M
ou
nt
Kem
ble
Ave
nu
ePr
esen
ter:
Kim
Gat
ely,
RD
Hy
pn
osi
s fo
r W
eigh
t R
edu
ctio
nC
on
tin
uin
g s
up
po
rt i
s av
aila
ble
. Tu
esd
ay,
May
13,
7:0
0 to
9:0
0 p
m95
Mad
iso
n A
ven
ue,
Co
nfe
ren
ce R
oo
m B
06Fe
e: $
70
For
mor
e in
form
ati
on o
r to
reg
iste
r fo
r th
e a
bove
w
eigh
t-lo
ss p
rogr
am
s, p
lea
se c
all
973-
971-
4555
.
Art
hri
tis
Fo
un
da
tio
n E
xer
cise
Pro
gra
mTh
is e
igh
t-w
eek
recr
eati
on
al p
rog
ram
use
s g
entl
e ac
tivi
ties
to
h
elp
in
crea
se j
oin
t fl
exib
ility
an
d r
ang
e o
f m
oti
on
. Th
urs
day
s, s
tart
ing
Ju
ne
19 (
no
cla
ss J
uly
3),
10:0
0 to
11:
00 a
mA
rth
riti
s C
ente
r, 95
Mad
iso
n A
ven
ue
Pres
ente
r: M
arie
Bar
tello
, R
N,
MS
Fee:
$25
Un
der
sta
nd
ing
Infl
am
ma
tory
Art
hri
tis
Wed
nes
day
, M
ay 7
, 6:
30 t
o 7
:30
pm
Art
hri
tis
Cen
ter
Co
nfe
ren
ce R
oo
m,
Suit
e 30
6,
95 M
adis
on
Ave
nu
ePr
esen
ter:
Van
dan
a Si
ng
h,
DO
Sec
on
d A
nn
ua
l N
euro
va
scu
lar
Hea
lth
Ev
ent
Lear
n t
he
late
st u
pd
ates
on
str
oke
hea
lth
fro
m a
pro
min
ent
ph
ysic
ian
. Fi
rst
60 p
eop
le a
re e
ligib
le f
or
a fr
ee s
tro
ke
scre
enin
g.
Thu
rsd
ay,
May
22,
1:0
0 to
4:0
0 p
mM
alco
lm F
. Fo
rbes
Am
ph
ith
eatr
e, M
orr
isto
wn
Mem
ori
al H
osp
ital
Pres
ente
r: M
ark
S. D
iam
on
d,
MD
CA
NC
ER
CA
RE
Ca
rol
G. S
imo
n C
an
cer
Cen
ter
Tu
rns
Ten
A D
eca
de
of
Lea
der
ship
in
Ca
nce
r C
are
Join
us
as w
e ce
leb
rate
10
year
s o
f p
atie
nt-
cen
tere
d
can
cer
care
. To
ur
the
Can
cer
Cen
ter
and
exh
ibit
s.
A le
ctu
re w
ill b
e h
eld
wit
h k
eyn
ote
sp
eake
r Se
an
Swar
ner
, th
e fi
rst
can
cer
surv
ivo
r to
clim
b M
t. E
vere
st.
Satu
rday
, Ap
ril 2
6, 9
:00
to 1
1:00
am
Car
ol G
. Sim
on
Can
cer
Cen
ter
Spea
ker:
Sea
n S
war
ner
, 11:
00 a
m t
o 1
:00
pm
Mal
colm
F. F
orb
es A
mp
hit
hea
tre
Ch
emo
ther
ap
y O
rien
tati
on
For
tho
se w
ho
are
pre
par
ing
to
beg
in c
hem
oth
erap
y. T
op
ics
will
in
clu
de
nu
trit
ion
, man
agem
ent
of
po
ssib
le s
ide
effe
cts,
su
pp
ort
se
rvic
es a
nd
inte
gra
tive
med
icin
e.
Mo
nd
ay, M
ay 5
, 19,
Ju
ne
2 an
d 1
6, 1
:00
to 3
:00
pm
Car
ol G
. Sim
on
Can
cer
Cen
ter
To r
egis
ter,
ple
ase
call
973-
971-
6299
.
Fig
hti
ng
Pro
sta
te C
an
cer
Wit
h R
ob
oti
csA
sm
all g
rou
p m
eeti
ng
to
lear
n a
bo
ut
the
da
Vin
ci P
rost
atec
tom
y,an
d t
o s
ee if
yo
u m
ay b
e a
can
did
ate
for
this
su
rger
y.Tu
esd
ay, M
ay 2
0, 7
:00
to 8
:00
pm
Men
’s C
ance
r C
ente
r at
th
e C
aro
l G. S
imo
n C
ance
r C
ente
rTo
reg
iste
r, p
leas
e ca
ll 88
8-66
6-11
12.
Ma
nsi
on
in
May
Hos
ted
by t
he W
omen
’s A
ssoc
iati
on o
f M
orri
stow
n M
emor
ial H
ospi
tal,
the
14th
Ann
ual D
esig
ner
Show
case
and
Gar
den
To
ur w
ill h
ighl
ight
the
tal
ents
of
prom
inen
t ar
ea d
esig
ners
in t
he e
xtra
ordi
nary
set
ting
of
a hi
stor
ic m
ansi
on.
Ope
n fo
r vi
ewin
g an
d to
urs
May
1 t
o M
ay 3
1, F
roh
Hei
m is
the
sit
e of
the
200
8 M
ansi
on in
May
. Loc
ated
at
123
Libe
rty
Corn
er R
oad,
Far
Hill
s, N
ew J
erse
y, t
he c
irca
192
3 Sp
anis
h-st
yle
ston
e an
d st
ucco
hou
se w
as d
esig
ned
by P
eabo
dy, W
ilson
an
d Br
own
of N
ew Y
ork.
Hou
rs o
f op
erat
ion:
Mon
day
thro
ugh
Satu
rday
, 10:
00 a
m t
o 3:
00 p
m a
nd S
unda
ys, 1
1:00
am
to
4:
00 p
m. T
icke
ts a
re $
20 in
adv
ance
and
$25
at
the
door
. For
mor
e in
form
atio
n vi
sit
ww
w.M
ansi
onin
May
.com
.
An
Ev
enin
g W
ith
Mel
an
ie
Blo
om
—U
nd
erst
an
din
g D
eep
V
ein
Th
rom
bo
sis
Mel
anie
Blo
om
’s li
fe c
han
ged
in
2003
wh
en h
er h
usb
and
, NB
C N
ews
corr
esp
on
den
t D
avid
Blo
om
, die
d f
rom
co
mp
licat
ion
s re
late
d t
o d
eep
vei
n
thro
mb
osi
s (D
VT)
wh
ile c
ove
rin
g t
he
war
in Ir
aq. H
ear
her
sto
ry
and
lear
n h
ow
to
red
uce
yo
ur
risk
s fr
om
a v
ascu
lar
spec
ialis
t.Th
urs
day
, M
ay 8
, 7:
00 t
o 8
:30
pm
Mal
colm
F.
Forb
es A
mp
hit
hea
tre,
B L
evel
Pres
ente
rs:
Bru
ce M
intz
, D
O,
Vas
cula
r Sp
ecia
list
and
Mel
anie
Blo
om
Sp
ecia
l S
erie
s: T
wo
O’C
lock
Tea
an
d T
alk
Oh
My
Ach
ing
Join
tsJo
in u
s fo
r te
a an
d l
iste
n t
o a
lec
ture
ab
ou
t to
tal
join
t re
pla
cem
ent,
a p
roce
du
re t
hat
rel
ieve
s p
ain
du
e to
dam
age
of
cart
ilag
e fr
om
art
hri
tis
or
dis
ease
.W
edn
esd
ay,
May
21,
2:0
0 to
3:0
0 p
mA
rth
riti
s C
ente
r C
on
fere
nce
Ro
om
, Su
ite
306
95 M
adis
on
Ave
nu
ePr
esen
ter:
Jim
Kan
ella
kos,
MD
How
to
Sta
y in
Cir
cula
tion
Lear
n a
bo
ut
per
iph
eral
vas
cula
r d
isea
se a
nd
wh
y it
is
so
imp
ort
ant
to t
ake
care
of
you
r ve
ins
and
art
erie
s.Th
urs
day
, Ju
ne
5, 2
:00
to 3
:00
pm
Mo
rris
tow
n M
emo
rial
Ho
spit
al,
Au
dit
ori
um
APr
esen
ter:
Mic
hae
l O
mb
relli
no
, M
D,
FAC
S
Hy
pn
osi
s fo
r S
mo
kin
g C
essa
tio
nC
on
tin
uin
g s
up
po
rt i
s av
aila
ble
. W
edn
esd
ay,
May
21,
7:0
0 to
9:0
0 p
m95
Mad
iso
n A
ven
ue,
Co
nfe
ren
ce R
oo
m B
06Fe
e: $
70
Th
ree-
Dim
ensi
on
al
Hea
rin
g:
Ex
per
ien
ce t
he
Po
ssib
ilit
ies
Co
me
to o
ur
lun
ch-a
nd
-lea
rn e
ven
t to
hea
r ab
ou
t th
e la
test
b
reak
thro
ug
hs
in h
eari
ng
aid
tec
hn
olo
gy.
Thu
rsd
ay,
May
29,
1:3
0 to
3:3
0 p
mM
orr
isto
wn
Mem
ori
al H
osp
ital
, A
ud
ito
riu
ms
A a
nd
BPr
esen
ters
: Tam
i Bar
th R
od
rig
uez
, MS,
CC
C-A
, Tra
iner
Oti
con
Inc.
Spo
nso
rs:
Hea
rin
g A
id C
ente
r at
th
e A
tlan
tic
Reh
abili
tati
on
In
stit
ute
an
d O
tico
n I
nc.
To r
egis
ter,
ple
ase
call
973-
971-
4743
.
AD
D, A
D/H
D a
nd
Art
Th
era
py
This
art
th
erap
y se
ssio
n f
or
child
ren
ag
es 5
th
rou
gh
7 w
ill h
elp
im
pro
ve s
elf-
awar
enes
s an
d b
uild
so
cial
ski
lls. T
hes
e sk
ills
are
pra
ctic
ed b
y cr
eati
ng
dir
ecte
d a
rt p
roje
cts
wit
hin
th
e sa
fety
of
a g
rou
p.
Wed
nes
day
, Ap
ril 3
0, M
ay 7
an
d 1
4, 4
:00
to 5
:15
pm
Fee:
$90
fo
r th
e se
ries
Asp
erge
r’s
Sy
nd
rom
e: C
rea
tiv
e A
rts
So
cia
l G
rou
pTh
is t
hre
e-w
eek
pro
gra
m f
or
teen
s ag
es 1
3 th
rou
gh
17
will
ad
dre
ss s
pec
ific
tra
its
and
str
eng
ths
in t
he
ind
ivid
ual
wit
h
Asp
erg
er’s
syn
dro
me
wh
ile s
up
po
rtin
g s
elf-
awar
enes
s an
d
con
nec
ted
nes
s.
Wed
nes
day
, May
21,
28
and
Ju
ne
4, 5
:00
to 6
:30
pm
Fee:
$12
5 fo
r th
e se
ries
AD
/HD
Fa
mil
y A
rt T
her
ap
yTh
is a
rt t
her
apy
wo
rksh
op
will
hel
p b
oth
par
ents
an
d c
hild
ren
co
mm
un
icat
e th
rou
gh
a d
irec
ted
art
pro
ject
. It
will
ad
dre
ss
the
man
y co
nfl
icts
th
at s
urr
ou
nd
AD
/HD
an
d h
elp
bri
dg
e co
mm
un
icat
ion
. Mat
eria
ls w
ill b
e in
clu
ded
. Fee
: $45
(p
aren
t an
d o
ne
child
)Tu
esd
ay, A
pri
l 29
and
May
20,
6:0
0 to
7:1
5 p
m
Hea
rt F
eeli
ngs
Loss
of
a fa
mily
mem
ber
, pet
, ho
me
or
par
ents
th
rou
gh
div
orc
e ca
n b
e a
trau
mat
ic e
ven
t at
an
y ag
e. C
hild
ren
esp
ecia
lly n
eed
su
pp
ort
du
rin
g t
his
dif
ficu
lt t
ime.
Th
rou
gh
vis
ual
art
pro
ject
s,
par
tici
pan
ts, a
ges
7 t
hro
ug
h 1
2, w
ill b
e en
cou
rag
ed t
o s
har
e th
eir
feel
ing
s an
d d
evel
op
a h
ealt
hy
cop
ing
str
ateg
y.
Tues
day
, Ap
ril 2
9, M
ay 6
, 13,
20,
27,
4:3
0 to
5:4
5 p
mFe
e: $
165
for
the
seri
es
CH
ILD
BIR
TH
AN
D P
AR
EN
TIN
G
Ch
ild
birt
h a
nd
Pa
ren
tin
g p
rogr
am
s a
re h
eld
at
Mor
rist
own
Mem
oria
l H
osp
ita
l, 10
0 M
ad
ison
Ave
nu
e,
Mor
rist
own
. To
reg
iste
r fo
r th
e cl
ass
es l
iste
d b
elow
, or
for
mor
e in
form
ati
on r
ega
rdin
g d
ate
s, t
imes
an
d
ad
dit
ion
al
cla
sses
, ple
ase
ca
ll 97
3-97
1-50
27.
– 1,
2, 3
, 4 P
aren
ts–
AB
Cs
of G
oin
g H
ome
Wit
h Y
our
Bab
y–
Bre
astf
eed
ing
You
r B
aby
– M
orn
ings
at
Mor
rist
own
for
New
Mom
s an
d B
abie
s–
Nu
trit
ion
for
In
fan
ts a
nd
Tod
dle
rs
ED
UC
AT
ION
For
all:
Ove
rlo
ok
Ho
spit
al,
Wal
lace
Au
dit
ori
um
Ba
sic
Lif
e S
up
po
rt f
or
the
Hea
lth
care
Pro
vid
er
Ren
ewa
l C
ou
rse
This
ren
ewal
co
urs
e re
fres
hes
th
e sk
ills
tau
gh
t in
th
e fu
ll B
asic
Li
fe S
up
po
rt f
or
the
Hea
lth
care
Pro
vid
er c
ou
rse.
W
edn
esd
ay,
May
21,
7:0
0 to
10:
00 p
mR
egis
trat
ion
is
req
uir
ed.
Fee:
$55
Ba
sic
Lif
e S
up
po
rt f
or
the
Hea
lth
care
Pro
vid
erTh
is c
ou
rse
is f
or
hea
lth
care
pro
fess
ion
als.
Tues
day
, Ju
ne
3, a
nd
Wed
nes
day
, Ju
ne
4, 7
:00
to 1
0:00
pm
Fee:
$85
HE
AR
TS
AV
ER
Cer
tifi
cati
on
Co
urs
eTh
is p
rog
ram
tea
ches
CPR
/Au
tom
ated
Ext
ern
al D
efib
rilla
tor
(AED
) an
d r
elie
f o
f o
bst
ruct
ed a
irw
ay.
The
firs
t se
ssio
n c
ove
rs
adu
lts
(ove
r 8
year
s o
ld);
th
e se
con
d s
essi
on
co
vers
ch
ildre
n
and
in
fan
ts (
bir
th t
o a
ge
8).
Ad
ult
Ses
sio
n:
Tues
day
, Ju
ne
17;
7:00
to
10:
00 p
mPe
dia
tric
Ses
sio
n:
Wed
nes
day
, Ju
ne
18;
7:00
to
10:
00 p
mR
egis
trat
ion
is
req
uir
ed.
Fee:
$85
fo
r b
oth
ses
sio
ns;
$45
fo
r ad
ult
ses
sio
n;
$40
for
ped
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ic s
essi
on
To r
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for
edu
cati
on a
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cer
tifi
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pro
gra
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ca
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8-52
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ALT
ER
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For
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Cen
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95 M
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Kem
ble
Ave
nu
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rese
nte
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aria
Reg
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Lup
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To
regi
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for
an
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llow
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pro
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s or
to
obta
in a
ref
erra
l to
an
Atl
anti
c H
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icia
n, p
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ll
800-
247-
9580
, Mon
day
th
rou
gh F
rid
ay, 8
:30
am t
o 4
:30
pm
, un
less
an
oth
er n
um
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list
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sit
us
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MO
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MEM
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Ap
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Mem
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Pres
ente
rs: D
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Fre
sch
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D, a
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tho
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66.
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pec
ific
ally
fo
r m
ale
care
giv
ers
to d
iscu
ss t
he
chal
len
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th
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ace.
Firs
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urs
day
of
ever
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th, 7
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:00
pm
95 M
adis
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Ave
nu
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ay 3
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Ave
nu
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Gro
un
d F
loo
r C
on
fere
nce
Ro
om
To r
egis
ter,
ple
ase
call
973-
971-
6500
.
Fibr
omya
lgia
Wed
nes
day
, May
7 a
nd
Ju
ne
4, 6
:30
to 8
:00
pm
Atl
anti
c R
ehab
ilita
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stit
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222
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Mo
un
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emb
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Pres
ente
rs: S
and
ers
Dav
is, M
D, a
nd
Car
ol C
oté
, PT
Spo
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r: N
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h J
erse
y R
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nal
Art
hri
tis
Cen
ter
Art
hri
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an
d O
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Thu
rsd
ay, M
ay 1
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un
e 19
, 1:0
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0 p
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rth
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s C
ente
r, Th
ird
Flo
or,
Suit
e 30
5, 9
5 M
adis
on
Ave
nu
ePr
esen
ter:
Mar
ie B
arte
llo, R
N, M
S
Ost
eop
oros
isTh
urs
day
, May
15
and
Ju
ne
19, 1
0:30
am
to
No
on
Mad
ison
Are
a Y
MCA
, Con
fere
nce
Room
, 111
Kin
gs R
oad,
Mad
ison
Pres
ente
r: A
ng
ele
Tho
mp
son
Get
the
late
st h
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and
wel
lnes
s ne
ws
by s
igni
ng u
p fo
r yo
ur f
ree,
per
sona
lized
e-h
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new
slet
ter
at a
tlant
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.org
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SC
RE
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Pre
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iday
, May
2 a
nd
Ju
ne
6, N
oo
n t
o 3
:00
pm
Pars
ipp
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ay 7
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00 a
mM
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iday
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9, N
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pm
Succ
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a Sh
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281-
031
Ro
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10
& C
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mer
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ucc
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aM
on
day
, May
12,
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m t
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90
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, May
15,
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11:
00 a
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set
Hill
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A, 1
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Air
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, Bas
kin
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Tues
day
, May
6, 1
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to
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mLa
kela
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Hill
s Fa
mily
YM
CA
, 100
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ay 7
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Inst
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Ave
nu
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Res
pir
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mo
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hav
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are
exp
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po
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? B
reat
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into
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met
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enti
fy if
yo
u h
ave
any
ob
stru
ctio
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stri
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yo
ur
airw
ay.
Thu
rsd
ay, M
ay 8
, 10:
00 a
m t
o N
oo
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orr
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ente
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10:
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m t
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and
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Sho
pR
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90
Bar
tley
Fla
nd
ers
Ro
ad, F
lan
der
s
Blo
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Pre
ssu
re a
nd
Dia
bet
es
Wed
nes
day
, May
14,
10:
00 a
m t
o 1
:00
pm
Pin
ch B
roo
k G
olf
Co
urs
e, 2
34 R
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00 a
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:00
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shir
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00 a
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day
, Ju
ne
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Mad
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YM
CA
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gs
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Tues
day
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17, 1
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Mo
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YM
CA
, 79
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un
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00 a
m t
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:00
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ills
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aria
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Mad
iso
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Su
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304
Pres
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rs:
Bar
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utr
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ts
Wei
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Lo
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urg
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fo
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ever
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bes
ity
Free
dis
cuss
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of
the
op
tio
ns
off
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con
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ues
day
of
ever
y m
on
th,
7:00
to
8:3
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Mad
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Su
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304
All
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men
tO
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ab
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wei
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t-lo
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rog
ram
s o
ffer
ed.
Tues
day
, Ap
ril 2
9, M
ay 6
, 13,
Ju
ne
3, 1
0 an
d 1
7, 6
:30
to 8
:00
pm
Atl
anti
c R
ehab
ilita
tio
n I
nst
itu
te,
95 M
ou
nt
Kem
ble
Ave
nu
ePr
esen
ter:
Kim
Gat
ely,
RD
Hy
pn
osi
s fo
r W
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t R
edu
ctio
nC
on
tin
uin
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up
po
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s av
aila
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. Tu
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ay,
May
13,
7:0
0 to
9:0
0 p
m95
Mad
iso
n A
ven
ue,
Co
nfe
ren
ce R
oo
m B
06Fe
e: $
70
For
mor
e in
form
ati
on o
r to
reg
iste
r fo
r th
e a
bove
w
eigh
t-lo
ss p
rogr
am
s, p
lea
se c
all
973-
971-
4555
.
Art
hri
tis
Fo
un
da
tio
n E
xer
cise
Pro
gra
mTh
is e
igh
t-w
eek
recr
eati
on
al p
rog
ram
use
s g
entl
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tivi
ties
to
h
elp
in
crea
se j
oin
t fl
exib
ility
an
d r
ang
e o
f m
oti
on
. Th
urs
day
s, s
tart
ing
Ju
ne
19 (
no
cla
ss J
uly
3),
10:0
0 to
11:
00 a
mA
rth
riti
s C
ente
r, 95
Mad
iso
n A
ven
ue
Pres
ente
r: M
arie
Bar
tello
, R
N,
MS
Fee:
$25
Un
der
sta
nd
ing
Infl
am
ma
tory
Art
hri
tis
Wed
nes
day
, M
ay 7
, 6:
30 t
o 7
:30
pm
Art
hri
tis
Cen
ter
Co
nfe
ren
ce R
oo
m,
Suit
e 30
6,
95 M
adis
on
Ave
nu
ePr
esen
ter:
Van
dan
a Si
ng
h,
DO
Sec
on
d A
nn
ua
l N
euro
va
scu
lar
Hea
lth
Ev
ent
Lear
n t
he
late
st u
pd
ates
on
str
oke
hea
lth
fro
m a
pro
min
ent
ph
ysic
ian
. Fi
rst
60 p
eop
le a
re e
ligib
le f
or
a fr
ee s
tro
ke
scre
enin
g.
Thu
rsd
ay,
May
22,
1:0
0 to
4:0
0 p
mM
alco
lm F
. Fo
rbes
Am
ph
ith
eatr
e, M
orr
isto
wn
Mem
ori
al H
osp
ital
Pres
ente
r: M
ark
S. D
iam
on
d,
MD
CA
NC
ER
CA
RE
Ca
rol
G. S
imo
n C
an
cer
Cen
ter
Tu
rns
Ten
A D
eca
de
of
Lea
der
ship
in
Ca
nce
r C
are
Join
us
as w
e ce
leb
rate
10
year
s o
f p
atie
nt-
cen
tere
d
can
cer
care
. To
ur
the
Can
cer
Cen
ter
and
exh
ibit
s.
A le
ctu
re w
ill b
e h
eld
wit
h k
eyn
ote
sp
eake
r Se
an
Swar
ner
, th
e fi
rst
can
cer
surv
ivo
r to
clim
b M
t. E
vere
st.
Satu
rday
, Ap
ril 2
6, 9
:00
to 1
1:00
am
Car
ol G
. Sim
on
Can
cer
Cen
ter
Spea
ker:
Sea
n S
war
ner
, 11:
00 a
m t
o 1
:00
pm
Mal
colm
F. F
orb
es A
mp
hit
hea
tre
Ch
emo
ther
ap
y O
rien
tati
on
For
tho
se w
ho
are
pre
par
ing
to
beg
in c
hem
oth
erap
y. T
op
ics
will
in
clu
de
nu
trit
ion
, man
agem
ent
of
po
ssib
le s
ide
effe
cts,
su
pp
ort
se
rvic
es a
nd
inte
gra
tive
med
icin
e.
Mo
nd
ay, M
ay 5
, 19,
Ju
ne
2 an
d 1
6, 1
:00
to 3
:00
pm
Car
ol G
. Sim
on
Can
cer
Cen
ter
To r
egis
ter,
ple
ase
call
973-
971-
6299
.
Fig
hti
ng
Pro
sta
te C
an
cer
Wit
h R
ob
oti
csA
sm
all g
rou
p m
eeti
ng
to
lear
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bo
ut
the
da
Vin
ci P
rost
atec
tom
y,an
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o s
ee if
yo
u m
ay b
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can
did
ate
for
this
su
rger
y.Tu
esd
ay, M
ay 2
0, 7
:00
to 8
:00
pm
Men
’s C
ance
r C
ente
r at
th
e C
aro
l G. S
imo
n C
ance
r C
ente
rTo
reg
iste
r, p
leas
e ca
ll 88
8-66
6-11
12.
Ma
nsi
on
in
May
Hos
ted
by t
he W
omen
’s A
ssoc
iati
on o
f M
orri
stow
n M
emor
ial H
ospi
tal,
the
14th
Ann
ual D
esig
ner
Show
case
and
Gar
den
To
ur w
ill h
ighl
ight
the
tal
ents
of
prom
inen
t ar
ea d
esig
ners
in t
he e
xtra
ordi
nary
set
ting
of
a hi
stor
ic m
ansi
on.
Ope
n fo
r vi
ewin
g an
d to
urs
May
1 t
o M
ay 3
1, F
roh
Hei
m is
the
sit
e of
the
200
8 M
ansi
on in
May
. Loc
ated
at
123
Libe
rty
Corn
er R
oad,
Far
Hill
s, N
ew J
erse
y, t
he c
irca
192
3 Sp
anis
h-st
yle
ston
e an
d st
ucco
hou
se w
as d
esig
ned
by P
eabo
dy, W
ilson
an
d Br
own
of N
ew Y
ork.
Hou
rs o
f op
erat
ion:
Mon
day
thro
ugh
Satu
rday
, 10:
00 a
m t
o 3:
00 p
m a
nd S
unda
ys, 1
1:00
am
to
4:
00 p
m. T
icke
ts a
re $
20 in
adv
ance
and
$25
at
the
door
. For
mor
e in
form
atio
n vi
sit
ww
w.M
ansi
onin
May
.com
.
An
Ev
enin
g W
ith
Mel
an
ie
Blo
om
—U
nd
erst
an
din
g D
eep
V
ein
Th
rom
bo
sis
Mel
anie
Blo
om
’s li
fe c
han
ged
in
2003
wh
en h
er h
usb
and
, NB
C N
ews
corr
esp
on
den
t D
avid
Blo
om
, die
d f
rom
co
mp
licat
ion
s re
late
d t
o d
eep
vei
n
thro
mb
osi
s (D
VT)
wh
ile c
ove
rin
g t
he
war
in Ir
aq. H
ear
her
sto
ry
and
lear
n h
ow
to
red
uce
yo
ur
risk
s fr
om
a v
ascu
lar
spec
ialis
t.Th
urs
day
, M
ay 8
, 7:
00 t
o 8
:30
pm
Mal
colm
F.
Forb
es A
mp
hit
hea
tre,
B L
evel
Pres
ente
rs:
Bru
ce M
intz
, D
O,
Vas
cula
r Sp
ecia
list
and
Mel
anie
Blo
om
Sp
ecia
l S
erie
s: T
wo
O’C
lock
Tea
an
d T
alk
Oh
My
Ach
ing
Join
tsJo
in u
s fo
r te
a an
d l
iste
n t
o a
lec
ture
ab
ou
t to
tal
join
t re
pla
cem
ent,
a p
roce
du
re t
hat
rel
ieve
s p
ain
du
e to
dam
age
of
cart
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e fr
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Reh
abili
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In
stit
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an
d O
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To r
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ple
ase
call
973-
971-
4743
.
AD
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D a
nd
Art
Th
era
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This
art
th
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ssio
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child
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ag
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th
rou
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7 w
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pro
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dir
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rt p
roje
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wit
hin
th
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fety
of
a g
rou
p.
Wed
nes
day
, Ap
ril 3
0, M
ay 7
an
d 1
4, 4
:00
to 5
:15
pm
Fee:
$90
fo
r th
e se
ries
Asp
erge
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Sy
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e: C
rea
tiv
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rts
So
cia
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wh
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up
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con
nec
ted
nes
s.
Wed
nes
day
, May
21,
28
and
Ju
ne
4, 5
:00
to 6
:30
pm
Fee:
$12
5 fo
r th
e se
ries
AD
/HD
Fa
mil
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rt T
her
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rt t
her
apy
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oth
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d c
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co
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un
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an
d h
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icat
ion
. Mat
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ls w
ill b
e in
clu
ded
. Fee
: $45
(p
aren
t an
d o
ne
child
)Tu
esd
ay, A
pri
l 29
and
May
20,
6:0
0 to
7:1
5 p
m
Hea
rt F
eeli
ngs
Loss
of
a fa
mily
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, ho
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an
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esp
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dif
ficu
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ime.
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vis
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par
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7 t
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str
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Tues
day
, Ap
ril 2
9, M
ay 6
, 13,
20,
27,
4:3
0 to
5:4
5 p
mFe
e: $
165
for
the
seri
es
CH
ILD
BIR
TH
AN
D P
AR
EN
TIN
G
Ch
ild
birt
h a
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Pa
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rist
own
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for
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form
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on r
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orn
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for
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Nu
trit
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for
In
fan
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nd
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AT
ION
For
all:
Ove
rlo
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spit
al,
Wal
lace
Au
dit
ori
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Ba
sic
Lif
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up
po
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care
Pro
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Ren
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care
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vid
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edn
esd
ay,
May
21,
7:0
0 to
10:
00 p
mR
egis
trat
ion
is
req
uir
ed.
Fee:
$55
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sic
Lif
e S
up
po
rt f
or
the
Hea
lth
care
Pro
vid
erTh
is c
ou
rse
is f
or
hea
lth
care
pro
fess
ion
als.
Tues
day
, Ju
ne
3, a
nd
Wed
nes
day
, Ju
ne
4, 7
:00
to 1
0:00
pm
Fee:
$85
HE
AR
TS
AV
ER
Cer
tifi
cati
on
Co
urs
eTh
is p
rog
ram
tea
ches
CPR
/Au
tom
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f o
f o
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firs
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adu
lts
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con
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and
in
fan
ts (
bir
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Ad
ult
Ses
sio
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Tues
day
, Ju
ne
17;
7:00
to
10:
00 p
mPe
dia
tric
Ses
sio
n:
Wed
nes
day
, Ju
ne
18;
7:00
to
10:
00 p
mR
egis
trat
ion
is
req
uir
ed.
Fee:
$85
fo
r b
oth
ses
sio
ns;
$45
fo
r ad
ult
ses
sio
n;
$40
for
ped
iatr
ic s
essi
on
To r
egis
ter
for
edu
cati
on a
nd
cer
tifi
cati
on
pro
gra
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ca
ll 90
8-52
2-23
65.
Page �
For a referral to an Atlantic Health physician or to gain additional information about this health topic and
others, call 888-423-5164, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
A FeW dAyS after his eighth birthday, Alex Lake was playing basketball when the hoop fell on his left hand, crushing the top joints of his middle and ring fingers.
Alex’s physician, Andrew A. Willis, MD, orthopedic surgeon for Morristown Memorial Hospital, was able to successfully repair the fractured bone and reattach the muscles and tendons needed to straighten and bend his fingers, but it took rehabilitation to get Alex back on the court.
“Minor injuries while playing or participating in sports are a part of childhood. The earlier these injuries are addressed, the better the chance for a full recovery that won’t impact the child later in life,” says Cindy Coviello, OTR-L, lead occupational therapist at the Center for Physical Therapy and Sports Rehabilitation in Morristown. “The rapid cell growth children experience as part of childhood means they can bounce back from injury twice as fast as adults, and therapy ensures they regain strength and mobility.”
Customized RecoveryOccupational therapy at the Center can help ensure your
child’s injuries heal properly. Individualized sessions of 45 minutes to one hour incorporate games to help children achieve their goals for recovery.
“For occupational therapy to be effective with children, three components must be met,” says Coviello. “Therapists must first build trust with their young patients to get a child to participate in therapy that is painful at times. Second, therapists need to overcome the repetition of therapy exercises, increasing compliance—games are great for this. Finally, parents need to be supportive and work with their children between therapy sessions.”
occupational therapy helps children build strength to get back into the game.
Creative approaches to occupational therapy keep kids engaged as they work toward recovery. Therapists at the Center for Physical Therapy and Sports Rehabilitation in Morristown keep a closet stocked with games, such as:“Theraputty”—availableinfivecolors,indicating
resistancesfromextrasofttofirm,thisoptionhelpschildrenplaytheirwaytogreaterhand-musclestrength.PatientscansqueezeTheraputtyballs,searchforitemshiddeninsideorplayGodzilla,usingtheirhandstosmashsmallfigures.
Jenga—theclassicwoodenblocktowergamehelpspatientsworkonpinchingskillsandprovideshoursoffun.
Connect 4—theverticalcheckergameisanothertooltohelpkidswiththefinemotorskillsneededtopickupcheckersandplacethemintheslots.
Marbles—patientsworktheirwholehandastheyholdahandfulofmarblesandplacethemonebyoneintoajarwithaholeinthelid.Since several of these games are available at
local toy stores, parents can help a child work at home during a fun family night.
KidPower
Recreational Recovery
With the help of occupational therapist Cindy Coviello, Alex Lake successfully rebounded from a hand injury to get back on the basketball court.
10 well aware
Page 10
According to the American Association of Colleges of Nursing, the average age of today’s nurse is 47, a statistic that rings true at both Morristown Memorial and Overlook hospitals. Rosemary Tempesta, BSN, CEN, CCRN, registered nurse, is a perfect reflection of these statistics; she has been a nurse at Overlook Hospital since 1��5. With more than 20 years of experience, she has watched the profession change for the better.
“Managers at Overlook are aware of the stresses that come with nursing and have always been supportive of us,” says Tempesta. “They provide thorough orientations, offer transition periods, update equipment and encourage nurses to advance within departments.”
Addressing the Challenges“Many of the issues that had a negative
effect on nursing in the past have
already been resolved by shifts in the profession as a whole and by changes we’ve made here at our hospitals,” says Mary Pat Sullivan, RN, MSN, CNS, chief nursing officer for Overlook. “Because we’ve implemented so many changes in recent years, Atlantic Health has a lower turnover rate than both the state of New Jersey and the country.”
In recent years, the staffs at Overlook and Morristown Memorial have made changes to both technology and the patients’ rooms to make the job of nursing less physically challenging. The hospitals have implemented Admin RX—a mobile system that helps nurses with medication administration—and now involve nurses in the planning of new units. Additionally, nursing students are offered educational help—which is encouraging Tempesta’s college-aged son to follow her footsteps and pursue a nursing career.
For additional information about employment at Atlantic Health, visit us online at atlantichealth.org.
Modern Age While a career in nursing is extremely rewarding, it’s also a job that traditionally has been associated with long hours and demanding work.
The
of NursingNew Equipment
To help create a safer work environment for all nurses, both Morristown Memorial and Overlook hospitals have purchased new equipment that enables staff members to easily adapt to heavier patients.
“Both hospitals now have ceiling track lifts in patient rooms that allow us to handle patients in a safer and more dignified manner,” says Rosemary Tempesta, BSN, CeN, CCRN, registered nurse for Overlook. “The equipment helps us transfer and reposition patients using a variety of slings with much less straining, which helps us both mentally and physically.”
In addition to the ceiling track lifts, the hospitals are adding portable lifts, larger beds and wider wheelchairs to accommodate heavier patients more comfortably and safely.
Registered nurse Rosemary Tempesta currently provides
bedside nursing care at Overlook Hospital. In her more
than 20 years at Overlook, Tempesta has seen duty in
several departments, including the intensive care unit and
emergency department.
well aware 11
Page 11
AdVAnceS in SUrgery, anesthesia and recovery methods are making surgeries more convenient with shorter recovery times. This trend is becoming more popular with patients as we all try to squeeze necessary medical procedures into an already jam-packed schedule.
Hospitals have reduced the potential for complications and minimized pain and recovery, enabling the patient to return home the same day. The benefit for patients is that they are able to recover at home with their family and rest in their own beds.
The Great EightToday, a wide range of procedures in different specialties is
offered in the ambulatory—or outpatient—setting. The most common outpatient procedures include:• Appendectomy—A minimally invasive method where the
appendix is removed through a small incision.• endometrial ablation—A small balloon is expanded in the
uterus to reduce excessive menstrual flow.• gallbladder removal—This laparoscopic procedure creates
four half-inch incisions to remove the gallbladder.
• hernia repair—A hernia is a bulging of organs or tissue pushing through the abdominal wall. A minimally invasive procedure can repair the bulge and ease the pain.
• Knee arthroscopy—This procedure is used to repair damaged knee tissue due to sports injuries, aging or arthritis.
• Lumpectomy—When breast cancer is suspected, lumpectomies remove suspicious tissue for further diagnosis.
• rhinoplasty—Commonly referred to as a nose job, rhinoplasty is a popular outpatient plastic surgery procedure.
• Sinuplasty—A thin balloon is threaded up the nostrils to open blocked sinus passages.
Surgical Advances“Minimally invasive technology is now utilized for many
procedures, allowing surgeons to perform traditional inpatient surgeries on an outpatient basis,” says Rolando Rolandelli, MD, MBA, FACS, general surgeon and department of surgery chair for Morristown Memorial Hospital. “For example, gallbladder surgery used to require an admission of two or three days in the hospital and now it’s an outpatient procedure.”
Surgeryon Your Schedule
Ambulatory surgery is a convenient way to get necessary medical procedures and return home the same day.
A nurse from the Ambulatory Surgery
Center at Morristown Memorial Hospital calls each patient the
day after the procedure to ensure all follow-up procedures and
appointments have been scheduled. Some patients opt for services from a visiting nurse, as well,
to speed along an already quick recovery.
12 well aware
Page 12
For a referral to an Atlantic Health physician or to gain additional information about this health topic
and others, call 888-432-1760, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
“Gallbladder surgery used to require an
admission of two or three days in the hospital
and now it’s an outpatient procedure.”
— Rolando Rolandelli, MD, MBA, FACS, general surgeon and
department of surgery chair for Morristown Memorial hospital
What to Expect
even though outpatient surgeries tend to be easier to schedule and more convenient, as a patient, you still have a role to play in your surgical preparation. Follow the guidelines below to ensure you are ready for your day- surgery procedure.
A FEW WEEKS PRIORq Focus on your overall health.Eathealthy,
nutritiousmealsandexerciseregularlytogetyourheartandlungsintopshape.
qStop smoking. Smokersoftenhaveahigherriskofsurgicalcomplications;quittingsmokingcanhelpreducethisrisk.
qPlan ahead. Makearrangementsforsomeonetodriveyouhomeaftertheprocedure.Also,runanynecessaryerrandsandstockupongroceriesforyourrecovery.Youalsomayneedtopreparewalkingspaceinyourhomeifyouwillusecrutcheswhenyoureturn.
qCheck on medications.Askyourphysicianwhatmedicationsyoucancontinuetakingandwhichonesyoushouldholdoffonuntilafterthesurgery.
qAttend your preoperative appointment.Atthistime,anynecessarybloodwork,x-raysorothermedicaltestswilloccur.Thenursealsowilleducateyouaboutwhattoexpectbefore,duringandafteryourprocedure.
24 HOURS BEFOREqFast.Mostproceduresrequireyounoteatordrink
anythingbetweenmidnightthemorningofandthetimeofyoursurgery.Checkwithyoursurgeontolearnyourindividualrequirements.
THE DAY OFqTake a shower.Yoursurgeonmaygiveyouspecial
soap;otherwise,batheasusual.qIfyouwearcontactlenses,leavethemathomeand
wear your glassestothehospital.qDon’t wear makeup,lotion,hairpinsorskincreams.qWear comfortable clothing.qLeave all jewelry and other valuables at home.q Be sure to bring your identifi cation,insurance
cards,listofmedicationsandadvancedirective.q Plan to arrive at least two hours before your
scheduled procedure.
Surgeons performing minimally invasive surgeries use miniature instruments and small incisions. This technique results in shorter recoveries, less postoperative pain and less scarring for the patient.
Another key to successful outpatient surgeries is due to advances in anesthesia. Previously, many patients required hospitalization because they could not take analgesics by mouth after the procedure for an extended period of time. Today, many of the anesthetic side effects are controlled, allowing patients to take painkillers by mouth a few hours after the surgery, making it easier for patients to care for themselves at home.
well aware 13
Page 13
AS She WALKS into work, Philly greets each person with a kiss before her owner, Judy Steinberg, leads her into the recreation room. Here, patients watch her perform a series of tricks—she can even sing—before they pet, feed and receive kisses from the furry pup.
“Philly loves it—I could probably drop her off and go home,” says Steinberg, a retired middle and high school teacher and pet therapy volunteer. “She’s the most docile, loving dog you could ever meet.”
Pet-Centered PartnershipThe pet therapy programs at Morristown Memorial and
Overlook hospitals partner with St. Hubert’s Animal Welfare Center, which offers a pet therapy certification program. All animals must pass a handling and temperament exam, and handlers are required to attend a training workshop.
“We have pet therapy in our pediatrics, cardiac and behavioral health departments,” says Kristen
Houghton, manager of customer and volunteer services for Overlook Hospital. “We are now looking for more volunteers to expand the service to our oncology department. The pets are very popular, and patients love the program.”
The Magic DogUpon visiting one room, Philly and Steinberg
found a man alone, shaking and crying on the bed. Steinberg set Philly on the bed, and Philly immediately
began licking the man from head to toe.“The man started chuckling,” says Steinberg. “Philly had done
a number on him. The next week I came back and the man was sitting up and doing much better. From then on, he called Philly the magic dog.”
every monday, Philly makes her rounds. dressed to the nines in a frilly outfit, the 3-year-old, five-pound yorkshire terrier offers patients a special kind of healing.
A Patient’s Best Friend
Pet therapy dogs come in all shapes, sizes and breeds. While Philly is on
the smaller side, one of her Morristown Memorial Hospital counterparts is
almost a pony compared to her.
Meet Adeline, an 11-year-old Labrador retriever. In addition to her happy
homelife with owner Letty Annis, Adeline visits the Carol G. Simon Cancer
Center at Morristown Memorial to spread her puppy love to inpatients
and outpatients receiving cancer treatment. Before moving to the
Cancer Center, Adeline worked with pediatric patients.
“People love to talk about their pets,” says Annis. “People
who are in the hospital miss their pets, so Adeline and all
the other pet therapy dogs allow patients to have a
touch of home while they are there. It’s a nice way
for people to get their ‘doggie fix.’”
For a referral to an Atlantic Health physician or to gain additional information about this health topic and
others, call 888-432-1744, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
Benefits of Puppy LoveAccording to the Centers for Disease Control and Prevention, pets can lower
cholesterol, blood pressure and triglyceride levels, in addition to providing social stimulation and boosting your mood.
“Patients with dementia often have diffi culty verbalizing their thoughts,” says Amy Mullin, CTRS, recreational therapist for Overlook hospital. “It can be diffi cult to engage these patients in therapy, but when a dog is put in their laps, their faces brighten. At times, pet therapy can unlock something other therapies cannot, as it does not require words.”
14 well aware
Page 14
For a referral to an Atlantic Health physician or to gain additional
information about this health topic and others, call 888-432-1755, Monday through Friday, 8:30 am to 4:30 pm or visit us online at atlantichealth.org.
eAch yeAr, more than 15 million cases of medical harm from medication errors occur in American hospitals, according to the Institute for Healthcare Improvement. Morristown Memorial and Overlook hospitals are committed to your safety and have implemented new policies and procedures based on an improvement model tested at the hospitals.
A big part of ensuring medical safety while in the hospital requires help from patients. Follow these steps for the safest treatment possible.
1 One of the easiest things you can do is carry a list of medications, including all over-the-counter or herbal supplements, with you at all times and give copies to your children and caregivers. This ensures emergency personnel have the information available at critical moments.
2 Make certain you understand the whens and whys of prescribed medication. Ask your physician any questions you have about your medication, including why it was prescribed and what side effects it could have. Do not hesitate to ask your physician or one of the staff to write down the instructions for you if you are still unclear. Include this information on the back of the medication list you carry along with the phone numbers of your emergency contacts.
3 Step into the age of modern medical technology by keeping a list of your medications online for family members to access in case of an emergency—out-of-town family members may need this information in an emergency situation. Visit atlantichealth.org and click on “My Health” to maintain your list of current medications. You’ll even receive an e-mail reminder of when you need to refill your prescriptions.
you arrive at the emergency department with your mom and the first thing you hear is “what is she taking?” Would you know the answer?
For Your Safety’s Sake
“We are studying what will help us have a better accounting of patients’ medications. Our physicians participated in a two-year study, and as a result, we are now asking that all patients bring in their medications so an accurate and complete medications list can be captured at each visit. We want to engage patients and family members as well as our own staff in assuring that medication lists are accessible.” —Donald E. Casey, MD, chief medical officer and
vice president for quality at Atlantic health
Why Am I Taking This?
Many patients—older ones in particular—take a large number of medications. These medicines can be confusing as well as potentially harmful if not taken properly. To avoid medication mix-ups, keep an updated list of medications that includes the following information recommended by the National Institute on Aging:• thenameofthedrug• whatit’sfor• thecolorandshapeofthepill• thedatethemedicationwasprescribed• thedoctorwhoprescribedthemedication• theappropriatedosage• whenitshouldbetaken
One of the more important aspects of managing medications is to make certain each physician you see is aware of medications prescribed for you by other doctors. This can ensure that harmful interactions do not occur.
Morristown Memorial hospital was recently
awarded a healthGrades Distinguished hospital
Award—Patient Safety. Just 249 hospitals in the nation are 2008
recipients, ranking Morristown Memorial
among the top 5 percent.
well aware 15
Page 15
Nonprofit Organization
US Postage PAIDLynchburg, VAPermit No. 830
This publication in no way seeks to serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.atlantic health SySteM
475 South StreetMorriStown, nJ 07960-6459
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Our Cancer Centers offer more treatments, more options, more hope.The Carol G. Simon Cancer Center at Morristown Memorial Hospital and the Cancer Center atOverlook Hospital are among the pioneers in treating prostate cancer. We were the first inNew Jersey to offer image guided radiation and the CyberKnife, and the first to open adedicated men’s cancer center. Our treatment options include robotic surgery, radioactiveseed implants and cryosurgery. Our physicians are board-certified in every aspect of cancer care and are part of a highly trained team of oncology nurses, social workers and radiationtherapists. Being a leader in cancer care goes beyond treatment: we offer prevention,education, early detection screening programs and clinical trials. We have all the best choices. Including the one that’s right for you.
Prostate cancer treatments that hit the mark, every time.
For a referral to an oncologist call 800-247-9580. Get the latest cancer care news by signing up for your free, personalized e-health newsletter at atlantichealth.org. A Proud Partner of the Cancer Institute of New Jersey.
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Job#: ONCO-482 Media: Mag Date: 5/11/07
Trim:9 x 8.375 Bleed: 9.5 x 8.5 Live: 8.5 x 8
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