Better Sleep Health from A to Zzz

Sleep Disorders Center at Trinitas Hospital

Memoirs of a “Sleep-Less” Beauty

Cold Weather Comforts

Winter 2008

WINTER 2008 1

As I write this message, I am reminded that Trinitas Hospital celebrates its eighth anniversary in 2008. In less than a

decade, the hospital has made great strides in providing the residents of Union County and beyond with high quality health

care at each of our 10 Centers of Excellence.

Oncology patients and others who suffer from serious chronic diseases now receive extraordinary care in the Oncology

Patient Care Unit. It complements the outpatient services of the Trinitas Comprehensive Cancer Center located on our

Williamson Street campus in the Andrew H. Campbell Pavilion. Our Diagnostic Services area has witnessed an upgrading

and enhancing of its services in the last year that brings to our patients the finest tools for detection and treatment.

Our reputation for exemplary customer service continues to be recognized, particularly among our patients surveyed

following their experiences at our Cancer Center. The Trinitas name is increasingly known for our dedication to patients from

throughout Elizabeth and its neighboring communities. We express community commitment and compassion in programs

and services that educate, inform and encourage the public to live more healthful lives.

We hope that you find HEALTHYEDGE a valuable health resource. We have created it to help you better understand the

assets that are available to you for improved health care at Trinitas Hospital. Enjoy the feature articles in this issue that discuss

the importance of quality sleep for a productive, healthful life. Read about the full range of services that are found at the fully

accredited Sleep Disorders Center and a complementary story that is a personal glimpse into how sleep issues can have a dra-

matic, sometimes negative, impact on daily life.

Gary S. Horan, FACHE President & CEO

Welcome to…

Magazine WIN

TER

2008

2007 marked the introduction of Healthy Edge Magazine whichreaches more than 125,000 readers in our region.

CONTENTS

FEATURES3 Better Sleep Health from A to Zzz

Sleep Disorders Center at Trinitas Hospital

13 Memoirs of a “Sleep-Less” Beauty

22 Cold Weather ComfortsBe “Winter Wise” in Eating and Exercise

IN EVERY ISSUE

20 Community Calendar

26 Vital Signs:Trinitas Comprehensive Cancer Center News

31 Foundation Focus:News of the Trinitas Health Foundation

34 Hospital Beat:People and Events of Note

WINTER 2008

Victor M. RichelChairman, Trinitas Health & HospitalBoard of Trustees

Gary S. Horan, FACHEPresident & CEO, Trinitas Hospital

HEALTHYEDGE STAFFExecutive Editor. . . . . . . . . . . . Doug Harris

Director of Public Relations and Marketing

Editor . . . . . . . . . . . . . Kathryn C. SalamoneManager, Public Relations and Marketing

Contributing Writers . Rena Kotik-SandbergJennifer Salamone

Contributing Photographers . Doug Harris, Kathryn C. Salamone, Theresa Thomas

Graphic Design . . . . . . . . . . Jama Bowman

ADVERTISING INQUIRIES:Rob Rubilla(908) 337-3276

LETTERS TO THE EDITOR:Healthy EdgePublic Relations DepartmentTrinitas Hospital225 Williamson StreetElizabeth, New Jersey 07207

Trinitas Hospital is a Catholic Teaching Hospital sponsored by the Sisters of Charity of Saint Elizabethin partnership with Elizabethtown Healthcare Foundation.

HEALTHYEDGE Magazine is published quarterly by Trinitas Hospital and Trinitas ComprehensiveCancer Center, 225 Williamson Street, Elizabeth, NJ, 07207.

This is Volume 1, Issue 4. This material is designed for information purposes only. None of the information provided in Healthy Edge constitutes, directly or indirectly, the practice of medicine, thedispensing of medical services, a professional diagnosis or a treatment plan. The information inHealthy Edge should not be considered complete nor should it be relied on to suggest a course oftreatment for a particular individual. You should not rely on information provided in Healthy Edge as a substitute for personal medical attention, diagnosis or hands-on treatment. You should neverdisregard medical advice or delay in seeking it because of something you have read in HealthyEdge. If you have any health care related concerns, please call or see your physician or other qualified health care provider.

2 HEALTHYEDGE

WINTER 2008 3

Better Sleep Health from A to ZzzSleep Disorders Center at Trinitas Hospital

A few generations ago, more people

were engaged in physical labor than today.

Daily work was back-breaking, a far cry

from today’s occupations. Decades ago,

people were exhausted because they

worked hard physically every day. Most

likely, sheer exhaustion prompted restful

sleep that prepared our ancestors for the

day ahead.

Work has indeed changed. But, has our

need for quality sleep changed? The

human body still needs productive sleep

that can help it function effectively, and

healthfully, every day.

How many of us don’t get the right

amount of sleep or the most productive

sleep that occurs in the deepest stages of

sleep called the REM cycle? How many

have suffered with fatigue during the day,

poor productivity on the job, and other

serious health consequences because of the

lack of quality sleep?

Beyond simple fatigue and lack of

alertness, there are even greater health con-

cerns that can result from poor sleep.

Sleep apnea, with symptoms including

episodes of obstructed breathing during

which the sleeper may gasp for air, can put

undue stress on the heart and also create

the potential for a stroke. Also in the realm

of sleep disorders is narcolepsy that unex-

pectedly propels the wide awake individual

into a deep sleep in the middle of normal

activity during the day.

Thousands of patients over the past 10

years have sought out the diagnosis and

treatment of sleep disorders at the Sleep

Disorders Center at Trinitas Hospital,

accredited by the American Academy of

Sleep Medicine, and only one of a handful

of sleep centers in our region. Opening in

1998, the Center provides services for both

adult and pediatric patients.

“With accreditation by the American

Academy of Sleep Medicine, the gold

standard in Sleep Medicine, our patients

are assured of superior care,” notes Nancy

DiLiegro, PhD, FACHE, Director,

Clinical Serives. “We take pride in looking

at each individual patient who comes to us

to evaluate their needs and determine the

best way to approach their particular sleep

problem.”

Maintaining excellence in diagnosisand treatment are the shared responsibilityof Vipin Garg, MD, Medical Director ofthe Center, and Navin Verma, MD, whorecently joined the staff. In addition to his certification by the Academy of SleepMedicine, Dr. Garg is also a highly-regarded specialist who is board certified in the three complementary fields of pulmonary medicine, critical care andinternal medicine. Dr. Verma is a boardcertified neurologist and a sleep specialist.

Kim Shafer, MS/RRT, RegisteredRespiratory Care Practitioner, who isalso Director of the Sleep DisordersCenter and the Respiratory CareDepartment, displays the central monitoring unit to which leads are connected during the course of a sleep study.

All the comforts of home await SleepDisorders Center patients.

Continued on page 4

4 HEALTHYEDGE

Poor Sleep Can Take its Toll

The National Sleep Foundation reportsthat drowsy driving causes more than100,000 police reported crashes. Moreover,71,000 injuries and 1,550 deaths areattributed to drowsy driving each year.“Among those most at risk for travel-relat-ed crashes, fatalities and injuries are thosewith untreated sleep problems or disorderssuch as sleep apnea,” notes Dr. Garg.

“The importance of quality sleep cannever be overlooked since it affects allaspects of our lives,” explains Dr. Garg.

“Without proper sleep, we run the risk offatigue during the day that can compro-mise our ability to do our best while alsohaving a negative impact on our level ofalertness, especially when driving or oper-ating machinery.”

Drivers who do cross-country trips are those who are most likely to sufferfrom fatigue while driving. On long haultrips when drivers rack up hours behindthe wheel, they run the risk of becomingless and less alert. If they haven’t gottenproper sleep, they become a danger notonly to themselves but to other drivers and pedestrians.

But even a trip of much shorter mileage

or one that is routine, for example, a daily

commute to work and back, can possibly

pose risk if the driver is not fully alert and

rested. Even non-professional drivers who

are making long distance trips run the risk

of personal injury if they are not fully rest-

ed before getting behind the wheel.

Testing for Drivers at Risk

As part of its services, the Sleep

Disorders Center works in tandem

with the New Jersey Department of

Transportation to conduct testing for

clearances among those who drive tractor

trailers and school buses or who operate

heavy equipment.

“The testing is geared to ensure that

drivers can maintain wakefulness,”

explains Nancy Gonzalez, Registered

Polysomnographer/Registered Respiratory

Care Practitioner. She notes that Trinitas

Hospital is one of a group of select hospi-

tals in the region that do this type of test-

ing. Approximately 100 drivers voluntarily

submit to this testing each year at the

Sleep Disorders Center.

“Currently, we’re only able to screen

those drivers who are honest enough to

admit that they experience problems sleep-

ing,” continues Nancy. “The testing is not

designed to penalize these drivers, but

instead, to offer them the opportunity to

receive a diagnosis and then treatment, if

necessary. By doing so, more people are

safe on the roads.”

Good Rest Spells Good Health

Sleep disorders can have extremely nega-

tive effects on general health and can lead to

medical problems that need attention. Sleep

studies reveal that patients with sleep apnea

can experience numerous episodes during

which they stop breathing while asleep.

During these apneas, reduced oxygen levels

in their bodies can lead to stroke and also

exert stress upon the heart.

Sandra Land, Registered Polysomnographer/Registered Respiratory Care Practitioner,shown here with Vipin Garg, MD, works closely with patients by setting up appoint-ments and conducting follow-up as needed about insurance issues and equipmentplacement.

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“Productive healthy sleep is an importantelement of healthy living throughout a per-son’s life,” Dr. Verma, neurologist and sleepspecialist, points out. “Helping to diagnose,educate and treat adults as well as children sothat they reap the benefits of healthy sleep isan important part of our mission.”

Wake Up Call for Teenagers

With the many distractions and activi-ties of life today, children are not gettingenough sleep. After school activities,parental work schedules, computers, videogames and TV can all disrupt neededsleep. A tired child can have trouble inschool and may also have behavioral problems. Lack of adequate, quality sleepmay often result in hyperactivity and/or a potential misdiagnosis of a behavioraldisorder. Circadian rhythms during adoles-cence often contribute to teen wakefulnessinto the late night and the need for themto sleep until mid morning. In fact, 90%of teens report sleeping less than eighthours on school nights.

“Usually teenagers outgrow this sched-ule by the time they reach their mid to late20’s,” notes Dr. Garg, “but, unfortunatelynot before their parents lose a lot of sleepworrying about them.”

To counteract their fatigue during theday, teenagers frequently drink excessivequantities of heavily caffeinated beverages.Reliance upon caffeine has negative effects.Studies have shown that the consumptionof these beverages during the day adverselyaffects the amount of nighttime sleep.

Age Dictates Sleep Needs

So how much sleep do children need?

Infants require the most sleep, more than

half a day. Toddlers need anywhere

between 12 – 14 hours, preschoolers 11 –

13 hours. Children under the age of 13

function best when they get 10 – 11 hours

of sleep while teens need eight to nine

hours each night.

Children often wake up from “bad

dreams” or noise or light that intrudes

upon their sleep. If parents rush to help

the child to get back to sleep, they may

WINTER 2008 5

WISE EATING: The Recipe for Better Sleep

A good night’s sleep can be hard tofind. Many of us are aware of theimportance of avoiding caffeinewhich can cause us to stay awake.Coffee, some teas, sodas, andchocolate all contain caffeine.

There may also be another reasonindividuals may be kept up at night.Heartburn and GERD(GastroEsophageal Reflux Disease)can also keep us up at night. Eitheracid from the stomach or the con-tents of the stomach itself back upinto the esophagus causing burningand discomfort. Many individualsnotice these symptoms increase atnight after lying down. When activeand standing during wakeninghours, gravity plays a role in keep-ing the contents in the stomach.

Here are some hints to avoid night-time heartburn or GERD:

• Eat 2-3 hours prior to bedtime.This will allow the stomach timeto digest the meal.

• Eat small meals. The stomach willnot become distended or full,which can aggravate the symp-toms. Eating slowly can helpensure that your body can tell youwhen you are satisfied.

• Foods that cause reflux in manypatients include alcohol, pepper-mint, onions, fatty foods, spicyfoods, citrus juices, tomato juicesand carbonated beverages.

• Keep a food diary to monitorwhich foods cause you to havereflux.

Lastly, weight loss has also beenshown to help decrease the symp-toms of acid reflux and help lead toa better night’s sleep.

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Nancy DiLiegro, PhD, FACHE, Director,Clinical Services, reviews recent data fromSleep Disorders Center patient visits withVipin Garg, MD, medical director of theCenter. The Center is one of numerousclinical units that report to Dr. DiLiegro.

create a dependency issue as the child may

develop the need to have the parent nearby

to fall back to sleep or to stay asleep.

Therefore, parents should give the child

time to get back to sleep on their own.

If the child needs reassurance, it is recom-

mended that parents get them settled again

without lingering in the bedroom.

Another helpful habit for good sleep is

for adults and children to observe a consis-

tent bedtime, even on weekends or days

off. Children may delay bedtime with

requests for a glass of water or asking to

stay up a little later. Parents should be firm

in limiting this kind of behavior.

Snoring… It’s Not Just for Grown-Ups

“Once asleep, even children may experi-

ence snoring. Accompanied by interrupted

breathing, snoring always needs to be

evaluated either by the pediatrician or an

ear, nose and throat specialist,” stresses Dr.

Garg. “Snoring with breathing stoppages, or

apneas, can disrupt the quality of sleep even

in children. If left uncorrected, snoring and

sleep apnea may contribute to more serious

problems as the child develops.”

“Sleep disordered breathing can result in

learning problems and excessive daytime

sleepiness,” explains Dr. Verma, adding,

“Adenotonsillectomy, the surgical removal of

the tonsils and adenoids, is often an effective

treatment for sleep apnea in children.”

Choose a Sleep CenterRather than a Sleep Lab

As knowledge about sleep has expand-

ed in the past few decades, centers for

the diagnosis of sleep problems have

become more common. However, Kim

Shafer, MS/RRT, Registered Respiratory

Care Practioner, who is also Director of

the Respiratory Care Department and the

Sleep Disorders Center, notes that patients

who experience sleep-related problems

should do their homework.

6 HEALTHYEDGE

Carol Birritteri, Registered Polysomno-grapher/Registered Respiratory CarePractitioner, often presents informationto elementary and middle school students about the importance of quality sleep. Here, Carol explains asomnograph that depicts brain activityand other vital functions during sleep.

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“Free-standing sleep labs offer testing

but often not much beyond that,” she says.

“Frequently, sleep labs diagnose sleep prob-

lems but don’t necessarily offer treatment.

Patients are left on their own to find where

they can receive treatment.”

The Sleep Disorders Center at Trinitas

Hospital has all the distinctions of a fully-

accredited sleep center. Patients of the

Sleep Disorder Center obtain treatment

based on thorough and precise analysis.

“Testing is just the beginning for

our patients,” stresses Kim Shafer.

“Polysomnographic data obtained during a

sleep study is then reviewed by registered

polysomnographers who have undergone

rigorous testing for certification. The med-

ical specialists then analyze the data and,

based on what is revealed, confirm the

diagnosis and recommend treatment.”

“Following testing, analysis and consul-

tation with our sleep specialists who discuss

the diagnosis with each patient, our goal is

to help patients achieve optimum compli-

ance,” notes Nancy Gonzalez. “We areavailable to our patients to assist with awide range of issues from proper use oftheir equipment, and/or upgrading thatsame equipment as new models comealong, to helping them deal with insurancecompany questions. After all, we don’twant them to lose sleep over problems thatwe can help them solve.”

Information to Sleep on

As the Sleep Disorders Center hasgrown, it continues to take its mission seriously. Diagnosis of sleep disorders issimply one part of the equation when solving sleep issues for patients of any age.

“A significant part of what distinguish-es our center from others is that we areextremely highly-regarded on the nationallevel — as attested by our continuingaccreditation by the Academy of SleepMedicine — as well as the increase in thenumber of referrals from pediatricians and

Continued on page 8

210 Williamson StreetElizabeth, New Jersey 07202(908) 994-8694www.njsleepdisorderscenter.com

Vipin Garg, MD, FCCP, FAASMBoard Certified inInternal Medicine, Critical Care Pulmonary and Sleep Medicine

Medical DirectorSleep Disorders Center at Trinitas Hospital

Navin Verma, MDBoard Certified inNeurologySleep Medicine Specialist

SLEEP DISORDERS240 Williamson Street, Suite 300

Elizabeth, New Jersey 07202(908) 994-8880

SLEEP DISORDERS

PREPARING YOURCHILD FOR ASLEEP STUDY

If your child’s physician deter-mines that an overnight sleepstudy is necessary to diagnoseyour child’s sleep disorder, thereare steps you can take to make ita less stressful experience.

An explanation of the procedurecan be very helpful to minimizethe child/family’s concerns. Talk toyour child in terms he or she willunderstand about what the sleepstudy will try to find out and whatthey can expect to happen. A tourof the sleep center is recommend-ed prior to the scheduled date oftesting.

At Trinitas Sleep Disorders Center,children will have their own room,private bathroom and cable TV.On the night of testing, they canbring their favorite DVD/VCRtape, if desired. Children maybring their own toys, pillows, andblankets to make the bedroomfeel more like home.

As much as possible, daytimenaps should be avoided on thestudy date so that it will be easierfor the child to fall asleep.

The child/family may participatein some of the setup procedure tohelp reduce anxiety and appre-hension. A parent/guardian mayspend some time with the childuntil they feel comfortable enoughto fall asleep. Each room has acompanion bed so that the par-ent/guardian can comfortablyspend the night with the child.

8 HEALTHYEDGE

primary care physicians in the area,” says

Dr. DiLiegro. In the pediatrics area alone,

she continues, the Center has seen a

tripling in the number of young patients

in the past year.

Although technology has advanced

enough that computers are capable of

reviewing and analyzing sleep study data,

the true integrity of a Sleep Center is its

commitment to the human element in

validating sleep study data.

“We occasionally see patients who have

had studies previously done elsewhere.

They may advise us that they have either

not received their sleep study report or that

it has not been fully explained to them,”

cautions Carol Birritteri, Registered

Polysomnogarapher/Registered Respiratory

Care Practitioner. “All of the registered

polysomnographers on our staff spend

hours each day reviewing the computer-

generated data. We personally validate all of

the information so that each patient is

assured that the data is verified for accuracy.

Each study is thoroughly reviewed and eval-

uated by either Dr. Garg or Dr. Verma who

then present the findings to each patient.”

Living up to its commitment to excel-

lence has resulted in the decision of the

Sleep Disorders Center to enhance its exist-

Nancy Gonzalez, Registered Polysomnographer/Registered Respiratory CarePractitioner, proudly displays the Center’s Accreditation.

WINTER 2008 9

ing services. With the increase in bedsavailable and as more patients use its servic-es, the Center’s profile has been raised. Thefuture may eventually hold opportunitiesfor the Center to participate in researchstudies that will help to contribute to a better understanding of sleep medicine.

“The presence of Dr. Verma on theCenter’s staff now adds the dimension ofneurology to our diagnostic and treatmentcapabilities,” explains Dr. DiLiegro. “Thecombined medical disciplines as practicedby Dr. Garg as a pulmonologist/internist/critical care specialist/sleep specialist andby Dr. Verma as a neurologist/sleep spe-cialist give us a much greater scope andcapability in the realms of diagnosis andpatient treatment.”

For more information on the Trinitas Sleep Disorders Center

or to make an appointment, call (908) 994-8694.

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Years of sleeplessness plagued JohnGratacos of Elizabeth. He often strug-gled with nightmares about his serviceduring the Vietnam War’s TetOffensive in 1967 – 1968.

In 2000, more than 30 years after hismilitary service, John sought reliefafter experiencing persistent breathingproblems while sleeping.

John was one of the first patients toundergo a sleep study at the TrinitasSleep Disorders Center and sevenyears later he swears by the diagnosisand treatment he received.

“Like many Vietnam vets, I left thewar with a number of medical issues,including exposure to Agent Orangeand post traumatic stress syndrome,”John said in a recent interview. “Mysleep was often disturbed by vividnightmares of the death of my buddyright at my side during guard dutyone night.”

In 2000, John consulted with VipinGarg, MD and underwent a diagnos-tic sleep study that showed that he

had both snoring and breathingproblems that could be remedied with a Continuous Positive AirPressure, or CPAP, machine. Onemonth later, during a follow-up sleepstudy, polysomnographic data provid-ed the information needed to pre-scribe CPAP for optimal treatment ofJohn’s sleep apnea.

“At first, I had to get used to the mask

that I wear while I sleep,” explains

John, “but now, seven years later, I

find that I’m assured of a good

night’s sleep every night. Even though

there is a newer, high-tech version of

the CPAP machine with a battery

pack, I prefer the original model.”

John explains that the CPAP contains

a water reservoir that constantly pro-

vides humidified air as the pressure

keeps the airway open and eliminates

snoring and breathing stoppages.

John and his wife keep a busy sched-ule of activities associated with theirwork as board members of the NewJersey Chapter of Vietnam Veterans of

America. Irene handles much of theoffice and administrative duties of theorganization. John, who works fulltime with a company in Mountainside,helps with arrangements for specialevents, fundraising and communityservice activities that help other vets.So, both of them need a good night’ssleep.

John reports an increased energylevel since he began life with CPAPand Irene is enjoying her husband’sreturn to normal activity. She, too,gets a better night’s sleep since sheno longer has to worry about her hus-band’s breathing stoppages andsnoring.

“I have the settings on the CPAPmachine down to a science now. Idon’t know what I would do without it.When I’m traveling and don’t havethe CPAP unit with me, I really missthe relief, and the good night’s sleepit brings,” John says.

COUNTING SHEEP NEVER WORKED

John Gratocos of Elizabeth enjoys hismorning coffee after a good night’s sleep.

John and Irene Gratacos both appre-icate the better sleep he gets eachnight, thanks to the CPAP machine he uses.

10 HEALTHYEDGE

VIPIN GARG, MD AND NAVIN VERMA, MDThe Medical Team Behind Better Sleep

Author of more than a dozen schol-arly papers, Vipin Garg, MD, cur-rently holds positions as assistantprofessor of Medicine at Seton HallUniversity and Ross UniversitySchool of Medicine in Dominica inthe West Indies. He is also academicchief of the Pulmonary Division ofTrinitas Hospital. Following comple-tion of his studies at the UniversityCollege of Medical Sciences inDelhi, India.

Dr. Garg completed his residency ininternal medicine at Coney IslandHospital in Brooklyn, New York.Between 1999 and 2002, he held fellowships in pulmonary medicine,critical care medicine and sleep medicine at Coney Island Hospital,Mount Sinai Medical Center and the Sleep Disorders Institute in NewYork. He is board certified in all ofthese four medical specialties. Dr.Garg is licensed in New York andNew Jersey and is a member of local, state and national medicalassociations.

Board certified in neurology and

board eligible in sleep medicine,Navin Verma, MD, is affiliated withTrinitas Hospital as a sleep medicinespecialist as well as an attendingneurologist in inpatient and outpa-tient settings. Educated at theUniversity of California at Berkeley inmolecular and cell biology, Dr.Verma continued his studies andreceived his Doctor of Medicinedegree with honors from RossUniversity in Dominica, West Indies.

His post-graduate training includeda sleep medicine fellowship at theSleep Disorders Institute at RooseveltHospital in New York and a neurol-ogy residency at the University ofMedicine and Dentistry of NewJersey in Newark where he waschief resident 2005 - 2006.Licensed in both New York and NewJersey, Dr. Verma has co-authoredtwo scholarly papers and holdsmemberships in the AmericanAcademy of Neurology and theAcademy’s Sleep Medicine Section.He is also currently in the medicalpractice of University MedicalProfessionals with Vipin Garg, MD.

Vipin Garg, MD, seated, and Navin Verma, MD, review a polsomnograph, thecomputer-generated results of a sleep study, in advance of a post-study consulta-tion with a Sleep Disorders Center patient. The Center has expanded its servicesto include sleep studies for pediatric patients.

WINTER 2008 11

12 HEALTHYEDGE

To keep the body running effectively,some type of physical activity cancontribute to general well being. It’sdifficult to deny that being physicallyactive contributes to overall fitness.

Research shows that those who expe-rience insomnia can trace their inabil-ity to stay asleepto their lifestyle.Insomniacs havebeen shown tobe more seden-tary and as aresult don’t getthe kind ofuninterrupted,quality sleepthat those whoare more activeare likely to geteach night.Without a bit ofphysical activityduring the day, the body does notexperience a daily rise and fall of thebody-temperature rhythm that con-tributes to good sleep patterns. Acycle of insomnia, with reduced ener-gy and physical activity can develop

and go on and on.

However, if people incorporate exer-cise into their everyday routine theycan achieve better sleep. Exercise canproduce a rise in body temperaturefollowed by a drop in temperature afew hours later. That drop usually

continues for two tofour hours afterexercise and canmake it as easy asABC to catch yourZZZ’s and, betteryet, stay asleep.

Jim Dunleavy, PT,MS, Director ofRehabilitationServices and theTrinitas HospitalFitness Center, saysthat a lot dependson the type of exercise chosen.

For example, vigorous exercise usingthe legs can help with sleep.

“The use of leg muscles produces aspecial brand of fatigue that acts toincrease tiredness and readiness for

sleep,” he notes. Aerobic exerciseshave been shown to be the best activities to combat sleeplessness.“Jogging, swimming, riding a bicycle, jumping rope, dancing, riding a stationary bike, using atreadmill, and walking for 15 – 20minutes a day, four times a week may be enough for people to beginfeeling a benefit,” Jim continues.Whenever you engage in even a mild workout, Jim stresses that it isimportant to stretch before and aftervigorous activity and don’t forget apost-exercise cool-down period.

Early morning exercise seems to beideal for most people. But, to get themost benefits from exercise to combatinsomnia, shift your workout time-frame to late afternoon or earlyevening. However, if you exercise too close to bed time, you run the risk of giving your body too muchstimulation and it may then take moretime for your muscles and circulatorysystem to settle down again.

GET PHYSICAL… TO GET YOUR ZZZ’S!

Jogging, swimming, riding a bicycle, jumpingrope, dancing, riding astationary bike, using atreadmill, and walking for 15 – 20 minutes aday, four times a weekmay be enough for people to begin feeling a benefit…

WINTER 2008 13

At my first consultation with the Sleep

Disorders Center staff, I received a general

over view of the Center at the hospital’s

main campus on Williamson Street.

Beyond the offices are bedrooms outfitted

with all the comforts of a hotel room,

complete with a television. But more

importantly, I learned that the Center

has a highly qualified medical staff that

includes a pulmonary medicine specialist

and a neurologist, both of whom are also

sleep specialists. The Center also has

Registered Polysomnographers who have

undergone rigorous training that qualifies

them to review data generated during a

sleep study.

The staff offered information about

various sleep disorders such as sleep apnea,

narcolepsy and insomnia, and how gastroe-

sophageal disease (GERD), also known as

acid reflux, can have a negative impact on

sleep. I also learned that unproductive

sleep can cause people with sleep problems

to experience low productivity during the

day. The staff also encourages me to visit

the Center’s website.

Later that day, I visited the Sleep

Disorders Center’s user-friendly website,

http://www.NJSleepDisordersCenter.com

and took the Sleep Quiz.

As I take the Quiz, I identified with

the symptoms.

✓ I’ve been told that I snore

✓ I’ve been told that I stop breathing

while sleeping

✓ I feel tired or sleepy during the day

even if I slept all night

According to the website, if any of theabove symptoms were identified, I shouldbe evaluated for sleep apnea, a potentiallylife threatening disorder which causes theperson to stop breathing properly duringsleep. Snoring is a symptom of obstructedbreathing.

As I continued with the Quiz, addi-tional information further described mysymptoms:

✓ I wake up with heartburn

✓ I wake up with a bitter or bile tastein my mouth

Memoirs of a “Sleep-Less” Beautyby Kathryn Salamone

Editor’s Note: For more than 15 years, I’ve suffered from daytime fatigue, often struggling to stay awake while driving. I’ve even resorted topulling off the road in shopping center parking lots and rest areas just to catch a “cat nap”, fearful that I might be in an accident. I usually haveno trouble falling asleep but frequently find myself wakeful in the middle of the night. It is not uncommon for me to be awake for 90 minutesovernight. My husband claims that as soon as my head hits the pillow, I begin snoring and it persists through the night. However, I am totallyunaware of my snoring. On very rare occasions, I may find myself suddenly struggling for breath, startled into momentary wakefulness, until I fallback to sleep again. Frequently, my husband says that within moments I lapse into snoring again.

What I merely considered a nuisance may have very serious health consequences for me.

Being tired all the time makes it difficult for me to get through the day at work and, worse, difficult to remain alert while driving during myhour-long commute. In addition, I have little energy for other activities that might be beneficial to my overall health.

I’m tired of hearing my husband complain that my snoring disturbs his sleep. I think that it’s time to stop ignoring this health issue and getsome answers.

I decided to undergo a Sleep Study at the Sleep Disorders Center of Trinitas Hospital to learn first hand what a sleep study can reveal.

SLEEP DIARYOctober 16

✓ I wake up at night coughing or

wheezing

I was recently diagnosed with gastroe-

sophageal reflux, which can cause a “back

up” of stomach acid into the esophagus

during the night. I couldn’t recall being

disturbed that much overnight. Instead,

I’ve often felt as if I’ve had something

caught in my throat. And I’m constantly

coughing during the day.

Could all of these symptoms be tied to

my sleeplessness?

Since the diagnosis of acid reflux, I

have been taking a prescription medication

to relieve my symptoms. I have also been

following a new diet and been avoidingfoods that can produce excess acid. (Seesidebar in Sleep Center story.)

Since I was on the internet, I visited thewebsite of the National Sleep Foundation(NSF), www.SleepFoundation.org, where I learned about the NSF campaign to call public attention to the hazards ofdrowsy driving. According to the NSF,sleepiness, similar to the effects of alcohol,can slow reaction time, decrease awareness,impair judgment and increase your risk ofcrashing.

Based on this preliminary information,I make an appointment to discuss a sleepstudy.

October 18

I do further research on ways to pro-

mote sleep. Certainly, I knew I had to

avoid caffeine.

Since I don’t drink coffee after 7 PM

and avoid carbonated soft drinks with caf-

feine, it was not a big issue. I learned that

by avoiding eating late in the evening, I

could reduce the risk of acid reflux and

interrupted sleep.

I also became aware that certain herbal

supplements, most notably melatonin,

could help induce sleep. I’ve decided to try

melatonin before bedtime to see if it pro-

motes better sleep, especially REM stage

sleep during which most dreaming occurs.

My husband recounts both dreams and

nightmares with vivid detail. Usually, I can

recall neither. I’m convinced that this may

be simply because I don’t experience the

deepest level of sleep that is characterized

by rapid eye movement (REM).

October 19

My internet research continues as I

learn that there are 12 types of intrinsic

sleep disorders, such as narcolepsy and

obstructive sleep apnea, that originate or

develop within the body. Extrinsic sleep

disorders, such as food allergy insomnia or

stimulant dependant sleep disorder, result

from environmental or behavioral factors.

Shift-work sleep disorder and jet lag are

among the circadian rhythm sleep disor-

ders. Disorders such as night terrors,

sleepwalking and sleep bruxism (the grind-

ing or clenching of teeth while sleeping)

are categorized as parasomnias. A few years

ago, I was fitted with a dental appliance

designed to assist my breathing but found

it brought no relief. I also visited a dentist

recently since I was experiencing pain in

my jaw that I thought might be the result

of grinding my teeth during the night.

Finally, I learn that medical disorders

such as alcoholism and asthma, neurologi-

cal disorders such as Parkinson’s disease

and Alzheimer’s disease, and mood, panic

and anxiety disorders can all effect normal

sleep patterns.

14 HEALTHYEDGE

During my visit to the Sleep Disorders Center, I enjoyed television viewing before theplacement of leads used to obtain data during my sleep study.

CARDIOVASCULAR DISEASES240 Williamson Street • Elizabeth, NJ 07207

908-994-5300 • Fax 908-994-5308

ARTHUR E. MILLMAN, MD FACC/FSCAI

ASSOCIATE PROFESSOR OF MECICINESETON HALL UNIVERSITY

GRADUATE SCHOOL OF MEDICAL EDUCATION

WINTER 2008 15

October 24

I arrange for a sleep study and com-

plete preliminary paperwork.

November 7

I interview one of the first patients at

the Trinitas Sleep Disorders Center who

shares his experience with me. (See

Sidebar: Counting Sheep Never Worked

on page 10).

I’ve also learned that my 63-year old

brother has undergone a sleep study and is

diagnosed with severe sleep apnea. His

study reveals that every other minute his

throat closes and he stops breathing. Such

symptoms, he is told, can cause a heart

attack or stroke because of stress on the

body during such episodes. A Continuous

Positive Air Pressure (CPAP) machine is

recommended to regulate his breathing. My

brother undergoes a follow-up study to

gather the necessary data for the proper cali-

bration of the CPAP machine. Perhaps

there is an anatomical similarity that causes

the two of us to experience these symptoms.

November 10

I’ve noticed that changes in my diet

have begun to reduce the acid reflux symp-

toms. A wedge pillow also helps to elevate

my head and upper torso so that there is a

reduction in the back-up of acid in my

esophagus. The melotonin that I take just

before bed has been helping, too. I’ve also

received confirmation that my sleep study

has been scheduled.

November 11

I’ve completed the Sleep Disorder

Center questionnaire. I can bring my

own pillow with me from home. The

study will take place at the facility during

my regular hours of sleep with a wake-up

time of 5:30 am.

November 13

I report to the Sleep Disorders

Center at 8:30 PM. Diana Figueroa,

Polysomnographer/Sleep Disorders

Center Technician, informs me that three

other patients will undergo sleep studies in

other private bedroom suites on this same

evening. She and another technician,

Frank Pablo, Polysomnographer/Certified

Respiratory Care Practitioner, will monitor

the four patients throughout the night.

I am escorted to one of the private,

fully furnished bedrooms that I saw during

my first visit to the Center. An extended

period of preparation occurs before the

start of the study.

A 17-minute video from the American

Academy of Sleep Medicine presents infor-

mation on the various types of sleep disor-

ders that are diagnosed through sleep studies.

The video also describes what I can expect

during the study. A typical sleep study, I

learn, can result in 800 pages of data.

The painless process of placing leads

on parts of my body begins. Diana takes

great care as she measures the precise dis-

tance between each lead for accurate data

collection during the study. The leads are

gently applied with a special adhesive to

make sure that they are secure throughout

the night. They will track brain activity,

Aaron Hoffer of MD Respiratory Services Inc. familiarizes me with the special maskthat Dr. Vipin Garg recommended for my use with the CPAP machine.

16 HEALTHYEDGE

eye movement, heart rate, breathing andmuscle tone in my legs. The process takesabout 45 minutes. An additional 30 min-utes is required to make sure the adhesiveis dry so that the leads remain secure whileI sleep.

After all is said and done, the leads arethen connected to a single unit that ishung around my neck. Even with all ofthese electronics that I’m wearing, I’m sureI will have no trouble falling asleep.

I have 15 more minutes before “lightsout.” At 11 PM, the television, set on anautomatic timer, turns off. A night visioncamera and a video camera will record my sleep.

An overhead intercom allows me tospeak with Diana and Frank who put methrough the paces of final steps prior tothe start of the study. I state my name andbirth date and count from 1 to 10. Amongother instructions, I am asked to move myeyes from left to right and then up anddown, without moving my head. I’m alsoinstructed to blink rapidly several timesand to move my feet.

Finally, I can close my eyes. The moni-toring devices, although there are many,are not cumbersome. I am aware of them but they are not a problem as I drift off to sleep on one of the mostcomfortable mattresses I have ever slept on anywhere, even at home. I think I fell asleep within 10 – 12 minutes. Iremember waking up two or three timesovernight but that wakefulness was brief.

The next thing I know it is 6:30 AMas Diana wakes me to begin the 30 minuteprocess of removing all of the leads.

Diana tells me that a registeredpolysomnographer will review the datafrom the study for the sleep specialist toanalyze and then someone from the SleepDisorders Center will contact me.

November 16

The Sleep Disorders Center informs

me that the results of my sleep study are

available.

My study reveals that I suffer from

moderate sleep apnea.

I discuss the results of my study with

Vipin Garg, MD, medical director of

the Center.

I was relieved to have a diagnosis that

identified the seriousness of my sleep dis-

order. The data show that I stopped

breathing or had “shallow” breathing 34

times an hour and on average I awakened

gasping for air 16.8 times per hour.

Anything above 30 is considered severe

sleep apnea. This was startling for me to

hear since I had no idea that I was experi-

encing such frequent apnea episodes.

During the sleep study, Dr. Garg

Diana Figueroa, Polysomnographer/Sleep Disorders Center Technician, prepares forthe start of my sleep study by gathering together all of the materials she needs toapply the leads to various parts of my body.

PETER J. MLYNARCZYK, M.D., F.A.C.S.Diplomate American Board of Surgery

Former Medical Director of Trinitas Center forWound Healing & Hyperbaric Medicine

General Surgery - Vascular SurgeryWound Care Specialist

240 WILLIAMSON STREET, SUITE 302, ELIZABETH, NJ 07202TEL: (908) 355-3600 FAX: (908) 355-9490

WINTER 2008 17

explains that I was in the deepest level ofsleep about 20% of the night, well withinthe normal range. I also experienced someperiodic limb movement. These two reve-lations surprised me — I seldom feel as if I fall into deep sleep and I’m not regularlyaware of moving my legs very muchovernight.

Although I snored more than 50% ofthe night, I had an 83% sleep efficiency,which means I was asleep for most of thenight, completely unaware of any prob-lems. A sleep efficiency percentage below90%, however, is considered detrimentalto overall health.

Dr. Garg explains that there are severaloptions available to me. I can be fittedwith a Continuous Positive Air Pressure(CPAP) machine that can help keep theairways open so that my snoring is reducedand I get better sleep. I can undergo sur-gery to minimize the effects of my snoringand clear the passageway at the back of mythroat, or I can have a dental appliancemade that will adjust the position of myjaw while I sleep.

He also explains that sleep apnea candevelop in women in their 50’s and 60’s asthey move through menopause. Sincewomen my age no longer produce highlevels of estrogen, they may have a greaterlikelihood of developing sleep apnea.

I’ve also learned that some sleep disor-der tendencies can be shared among familymembers. Science has shown that theoccurrence of sleep disorders among familymembers can be attributed to anatomicalsimilarities. Therefore, it is not unusualthat my brother and I should exhibit simi-lar sleep apnea symptoms. He is not a can-didate for a CPAP machine but for aBIPAP machine which is a much moresophisticated device to control air flowwhile he sleeps.

Armed with all of this information, Ican now make an informed decision abouthow I want to be treated for my condition.With this knowledge, I now understandwhy during my commute to the office oron the way home, I have a difficult timestaying awake. Some days are certainly

worse than others as I struggle to stayawake and alert. I am also concernedabout the reduced oxygen levels that canpossibly lead to a stroke or heart failurethat can be brought on by sleep apnea.

November 21

I have arranged to undergo a follow-up

study during which my breathing patterns

will be studied while I sleep with a CPAP

machine. After so many years of unpro-

ductive sleep and almost daily fatigue, I’m

relieved that there is a treatment for this

condition that can help improve my sleep

and my overall health.

I have also noted a slight improvement

in my ability to stay asleep as result of

taking the herbal supplement melotonin

before I go to bed.

November 29

During my follow-up sleep study, the

procedure of lead placement is repeated.

This time, Carmen Falvo, Registered

Polysomnographer/Certified Respiratory

Care Practitioner, and Lucy Marquez,

Registered Polysomnographer/Certified

Respiratory Care Practitioner, join Frank

Pablo to monitor my study.

Following this monitor placement pro-

cedure, I am allowed to demonstrate three

separate CPAP devices to determine which

one is most comfortable for me.

One is a Nasal Pillow. This device fits

snugly beneath my nose and is the least

cumbersome. The second is a partial nasal

mask that covers my face from the bridge of

my nose to just above my upper lip but does

not offer much comfort. The final, a full

face mask, covers my nose and my mouth.

Of all three, the full face mask offers

me the greatest degree of comfort and ease

of breathing. I select this one for use dur-

ing the study. Frank sets the machine with

an air pressure level that can be adjusted

18 HEALTHYEDGE

during the course of the study as my

breathing needs dictate.

The study begins after I am asked tostate my name and to perform simple tasksthat again are used as benchmarks for thestudy. The only other mental note I makeis that there is a “burning” sensation in myesophagus.

During this study, it seems that it takesme longer to drift off to sleep. I am alsoaware of being awake more often duringthe night. I spend most of the night on myback so that the best reading can beobtained during the study.

I awake before the technicianannounces that it is 6 AM. I feel restedafter spending the night on the very comfortable mattress I had slept on duringmy initial study. I am thankful that theburning sensation that was so uncomfort-able at bedtime is completely gone.

November 30

Preliminary findings in my sleep studyreveal that compared with the first study, Islept about 30 minutes less. The data showsome brief periods of wakefulness and“lighter” sleep.

But, more significantly, with the CPAPmachine, I do not snore and my sleepapnea episodes are eliminated.

During the day following the sleepstudy I felt much more rested than I havein quite some time. Although I was awareof being awake occasionally overnight, mysleep was deeper and more restorative. Iwas better able to get through the day anddid not feel the fatigue that usually sets inat mid afternoon.

Once the sleep specialist has reviewedthe data, he will discuss the findings withme. He will provide a prescription so thatI can arrange for a CPAP machine for usein my home.

December 7

I meet with Dr. Garg to discuss theresults of my study. He informs me thatwith the use of the CPAP machine Iachieve a 97% oxygen level, a distinctimprovement over the 83% level noted inthe study conducted without benefit of theCPAP. Dr. Garg also recommends a CPAPmask that he believes will offer me themost effective treatment while I sleep. Headvises that I will receive a call from aCPAP machine supplier.

December 27

I receive the CPAP machine from oneof the Sleep Disorders Center’s primarysuppliers.

January 2, 2008

I’ve been sleeping with the CPAPmacine for about a week. There is nodoubt that sleeping with the mask requiresgetting used to. But, there is also no doubtthat my snoring has disappeared. My husband reports that I don’t make a sound.Since I began using the CPAP machine, I wake up feeling much more rested than I have in quite some time. What a greatway to start the New Year!

Knowing that I can get better sleep by watching my diet to reduce acid refluxand also by using a CPAP machine, I amoptimistic that I’ll be feeling better andmore energetic very soon. With theprospect of being “sleepless” no more, I look forward to nights of much bettersleep and years of much better health.

Surrounded by my son Joe, my husband, John, and my son, Chuck, I’m happy tohave the energy to enjoy them ‘jamming’ in our home music studio.

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WINTER 2008 19

Physicians & SurgeonsHEALTHYEDGE is grateful to the following physicians and surgeons for their support of our publication as a vital health information resource for our community.

UNION COUNTY ORTHOPAEDIC GROUPIf you have an injury, why wait in an emergency room

when you can see us the same day - Just call.• We have orthopaedic specialists in Sports Injuries, Shoulder, Hand, Foot, Ankle, Hip and Knee

• We treat Neck and Back Pain without Open Surgery

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• DEXA (bone density) Scanning • X-Ray • MRI • Physical Therapy • EMG’sIN PRACTICE FOR 30 YEARS

210 ST. GEORGES AVE., LINDEN • 908-486-1111

CARDIOLOGY/INTERVENTIONAL

Peter Lenchur, MD776 E. Third Avenue, Roselle(908) 241-5545

INTERNAL MEDICINEUnion Square Medical Associates449 Elmora Avenue, Elizabeth(908) 282-6474

NEPHROLOGYPremier Nephrology and Hypertension 240 Williamson St., Suite 405, Elizabeth(908) 353-2064

George V. Thalody, MD240 Williamson St., Suite 400, Elizabeth(908) 352-0560

OB/GYNPreferred Women’s Health Care240 Williamson St., Suite 405, Elizabeth(908) 353-5551

OTOLARYNGOLOGYRaimundo Obregon, MD1308 Morris Avenue, Union(908) 688-8855

PEDIATRICSUnion County Pediatrics GroupRaghunandan Sundaram, MDNarenda Saraiya, MDAmita Patel, MD817 Rahway Avenue, Elizabeth(908) 353-5750

Middlesex PediatricsRaghunandan Sundaram, MD102 James Street, Suite 303, Edison(908) 353-5750

PULMONOLOGYCarlos Remolina, MD515 North Wood Avenue, Linden(908) 241-2030

LONG TERM CAREPLANNING

Remember the game from the early‘90’s “Six Degrees of Kevin Bacon?”

In its original version, every actorwas connected in some way to KevinBacon six times (or less) removed.

Using that concept, how many of usknow someone or knows someonewho knows someone who experi-enced a debilitating accident, achronic disease, a stroke, or even amotorcycle accident all culminatingwith a need for long term care?

These things happen. It’s not agame. It’s the reality that most of uspush to the back of our mindsbecause we don’t want to deal withthe possibility that we or someone inour own family might experience anyone of these life changing events.

People need long term care whenthey cannot perform at least 2 of 6activities of daily living (bathing, toi-leting, transferring, dressing, eating,continence) either for a little while orindefinitely.

Are you or your family members prepared to handle long term careneeds? How will it change familydynamics emotionally, physically and financially? If you have parentsin their 50’s-70‘s (or YOU and yourspouse are in your 50’s-70’s), youshould learn all you can now andplan accordingly. You may become a caregiver or finance the care.

Learn how to protect your assets,investments, college and retirementfunds. Learn what payment optionsare available. Whether you are acandidate for Medicaid, can affordto private pay, or are eligible forlong-term care insurance, the critical aspect is to plan in advanceof the need.

– Bonnie Busler, BGB SERVICES

20 HEALTHYEDGE

Community CalendarSeminars (Offered Free to Our Community) Special Events

February 1, 200811:30 am – 1:00 pm“Women and Cardiology”Wear Red Day in support ofAmerican Heart MonthArthur Millman, MD, Cardiologist

February 5, 200811:30 am – 1:00 pm“Physical Activity & Arthritis: You Can Do It!”Peggy Lotkowictz,Vice President, Mission DeliveryArthritis Foundation, NJ Chapter

March 13, 200811:30 am – 1:00 pm“Reverse Mortgage: Is It for You?”Carol Ramer, New Jersey Lenders

March 19, 200811:30 am – 1:00 pm“Diabetes and the Risk to Vision”Michael Landolfi, DOOpthalmolgist

March 27, 20086:30 pm – 8:00 pm“Always Tired?: Rest Assured”Vipin Garg, MDMedical Director, Sleep Disorders Center

April 3, 20085:30 pm – 1:00 pm “The Hormone Treatment Dilemma”Cesar Holgado, MD, OB/GYN

April 22, 200811:30 am – 1:00 pm“Causes, Treatment and Management of Lymphedema”James Dunleavy, PT, MSAdministrative Director Rehabilitation Services

May 6, 200811:30 am – 1:00 pm“All About Strokes”Debbie Milkosky, RN, BSNStroke Program Coordinator

Professional Training OpportunitiesPrograms for healthcare providers and first responders.

CPR; ACLS & PALS (AdvancedCardiovascular Life Support) & (Pediatric Advanced Life Support);Defibrillator Training; EMT Basic Training and Renewals; PHTLS; IncidentCommand System; Advanced MedicalLife Support

Trinitas Hospital Institute of Healthcare& Community Education425 Morris Avenue, Elizabeth, NJFor further information, call (908) 527-5222, ext. 12

All seminars take place in the Physicians Conference Room, 210 Williamson Street, Elizabeth, except where noted. To register for any seminar, call (908) 994-5138 or register online at www.TrinitasHospital.org.

May 8, 2008Trinitas Health Foundation Gala Dinner Dance The Palace Somerset Park 333 Davidson Avenue Somerset, NJ 08873 6:00 pm Cocktails7:30 pm Dinner & AwardsProceeds benefit the patients at Trinitas Hospital.

September 15, 2008Annual Golf Classic &Day at the Spa Shackamaxon Golf & Country ClubScotch Plains, NJ2 Shotguns, 8:00 am & 1:00 pm Proceeds benefit the patients at Trinitas Hospital.

For reservations, call Laura Ciraco, (908) 994-8249 or lciraco@trinitas.org

Special Programs(Offered Free to Our Community)

Look Good, Feel BetterMarch 11Thanks to a partnership of the AmericanCancer Society (ACS), the NationalCosmetology Association, and theCosmetic, Toiletry & Fragrance Association(CTFA) Foundation, Trinitas offers patientsat its Comprehensive Cancer Center per-sonal beauty tips and techniques that theycan use everyday.Location to be announcedCall (908) 994-8244 to register.

Made For Me BoutiqueFebruary 7, March 6, April TBAAppointments only.Call Amparo Aguirre at (908) 994-8244

Managing Your Medications:“Ask the Pharmacist”Offered the fourth Tuesday of every month.February 26, March 25, April 2211:30 am - 1:00 pmFree of charge, by appointment only.Call (908) 994-5984.

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Support Groups (Offered Free to Our Community) ClassesBreast Feeding ClassesEvery TuesdayFebruary 5, 15, 19 and 26March 4, 11,18 and 25April 8, 15, 22 and 291:30 pm - 2:30 pmWIC Center65 Jefferson Street, ElizabethBreast Feeding Warmline: 800-994-5142

Childhood Obesity PreventionSecond Friday of each monthFebruary 8, March 14, April 11 2:00 pmWIC Center65 Jefferson Street, ElizabethInstructor: Rosa Tamayo, MPA, RD Call (908) 994-5141 to register

Nutrition Education Program for Expectant MothersMarch 3 and March 17 2:00 pmWIC Center65 Jefferson Street, Elizabeth

Baby Shower for Expectant MothersMarch 31 12:30 pm - 1:30 pmWIC Center65 Jefferson Street, ElizabethSessions about Prenatal Nutrition willbe provided. To register, call DoraWade, (908) 994-8856

Alzheimer’s Support GroupFirst Wednesday of every monthFebruary 6, March 5, April 27:00 pm – 8:30 pmFamily Resource Center300 North Avenue, Cranford, NJOpen to anyone caring for a person who suffers from Alzheimer Disease(908) 994-7313

Breast Cancer Support GroupMeets third Monday of every month.February 18, March 17, April 2111:00 am – 12:30 pm Conference Room A Trinitas Comprehensive Cancer Center 225 Williamson Street, ElizabethOpen to patients, families, friends and loved ones. Please RSVP in English to Donna Filocamo, LCSW, at (908) 994-8730; in Spanish toGriselda Hildago, (908) 994-8535.

Breast Feeding Support GroupFriday mornings10:00 am - 11:30 amWIC Center65 Jefferson Avenue, Elizabeth

Cardiac Support Group (Open to cardiac patients only)April 175:00 pm – 6:00 pmCall (908) 994-5082 to register.

Coping With Cancer Support GroupMeets second Tuesday of every monthFebruary 12, March 11, April 82:00 pm – 4:00 pm Conference Room A Trinitas Comprehensive Cancer Center 225 Williamson Street, ElizabethSpeakers address cancer-related topics.

Diabetes Support GroupFirst Wednesday of the monthFebruary 6, March 5, April 22:00 pm - 3:00 pmMedical Office Building, Suite 202240 Williamson Street, ElizabethPart of the Certified Diabetes EducationProgram of the American DiabetesAssociation; (908) 994-5490

Sleep Disorders CPAPSupport GroupQuarterly meetings held on lastWednesday of the monthJanuary 30, April 30, July 30, October 297:00 pm – 9:00 pmCall (908) 994-8694 to register.

All speakers, dates, times and locations were current as of press time. Readers are encouraged to call in advance if they wishto confirm any information published here about seminars, special events, classes, support groups or special programs.

Trinitas HospitalAuxiliaryThe community is invited to join in the following activities:

Seminar on Senior Safety Tuesday, March 11Speaker: Ralph Froelich,

Union County Sheriff 11:15 am Physicians Conference Room210 Williamson Street, Elizabeth

For more information about this or other events that benefit TrinitasHospital, call the Auxiliary at (908) 994-8988.

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Cold Weather Comforts:BE “WINTER WISE” IN EATING AND EXERCISEby Rena Kotik-Sandberg

22 HEALTHYEDGE

It’s cold outside. Your teeth are chatter-

ing, your nose is running and your toes are

numb. All you can think about is going

home, getting into comfy clothes, and

escaping the blasts of Old Man Winter.

You can’t wait to sit at the table with a

bowl or plate of your favorite comfort food

before you.

What makes “comfort food” so desir-

able, especially when we’re cold and worn

out from winter’s chill? Simply because it

provides emotional comfort. Depending

on each person’s experience, comfort food

can be a slice of luscious chocolate cake to

the old stand-by macaroni and cheese to

fried chicken. We enjoy these food so

much because they are associated with

times and places in our lives that remind us

of safety, happiness or warmth. Chicken

soup, for example, evokes a warm, secure

feeling because so many of us remember

the bowls of soup Mom brought us when

we were sick with a bad cold.

“Turning to ‘comfort food’ can be a

way people ground themselves during

stressful, hectic situations,” says Kerry

Cowart, Clinical Nutrition Manager at

Trinitas Hospital. “Because we cannot go

back to these exact moments in time, we

compensate by eating foods that bring out

the feelings of love and peace and help us

relive those moments and memories.”

At some point, we all give in and

indulge in these foods for the comfort they

bring. However, surrendering frequently

can lead to expanding waistlines and disap-

pointing numbers on the scale.

To avoid weight gain without sacrific-

ing your desire to enjoy these foods, keep

one thing in mind: “When you tell yourself

you cannot eat something, that food then

becomes the first thing you want,” explains

Cowart. “Instead of splurging on it, it’s bet-ter to eat a small portion of what you want.This way, you’re not depriving yourself.”

Nutritious Winter Fuel

To urge your child to eat the nutritiouslunch you packed, think outside the lunch-box. Green salads with elegant dressings don’tappeal to kids. Neither do humdrum, every-day sandwiches. Children love simple, funpresentations. Slide cubed fruit chunks on atoothpick to make a petite kebob, or slicetheir favorite sandwich in bite-sized squaresor triangles. For those who don’t like vegeta-bles, offer cherry tomatoes or baby carrotswith a dip on the side in a small container.For sweet alternatives, try spreading creamcheese on celery stalks and sprinkling withhoney or raisins.

If you do decide to pack goodies likepotato chips in your child’s lunch, stick tosmall portion sizes. “Use the 25 cent half-ounce package instead of the 99 centgrab-bag size,” says Luciele White,Registered Dietician and Food Service120 Chestnut St., Roselle Park • (908) 241-1131 / (908) 245-2611

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WINTER 2008 23

Manager, at Trinitas Hospital. She also

suggests packing this type of snack only on

rare occasions, so your child views it as a

treat and not something that should be

eaten every day. It’s important and surpris-

ingly simple to cover the major food

groups—fruit, vegetable, dairy, bread and

protein—in just one meal. (See Sidebar.)

The Allure of Chocolate

Throughout history, legend has sur-

rounded chocolate. The Mayans of Central

America believed that chocolate had

romantic powers. They enjoyed chocolate

beverages from gold cups during wedding

celebrations. Even the legendary Casanova

called hot chocolate “the elixir

of love.”

No wonder chocolate enjoys center

stage as Valentine’s Day arrives in mid-

winter. Today, many people still enjoy

chocolate for its taste that triggers feelings

of pleasure. The reason for this, researchers

claim, is that chocolate has psychoactive

tendencies. It contains both theobromine

and caffeine which provide a mental boost,

as well as phenylethylamine, which stimu-

lates the nervous system and is thought to

produce the same feelings as when a per-

son is in love.

But, before you sit down to a candle-

light dinner and top it off with beautifully-

boxed chocolates, make sure you’re giving

your sweetheart the very best for Valentine’s

Day. Show your love with dark chocolate.

Dark chocolate packs more antioxi-

dants, chemical compounds that protect

the body from aging, than most berries! It’s

also rich in flavonoids which act as anti-

inflammatory and antiviral agents. People

with high levels of flavonoids in their

bloodstream are thought to be at lower risk

for heart disease, lung and prostate cancer

and asthma. Dark chocolate also contains

cocoa phenols which are known to lower

blood pressure. White chocolate, on the

other hand, doesn’t contain cocoa at all and

therefore does not have any health benefits.

Sorry to disappoint milk-chocolate lovers

but many findings indicate that milk may

prevent antioxidants found in chocolate

from being absorbed in the body.

Regardless of its health benefits, dark

chocolate is still a high-calorie, high-fat

treat. Consume it in moderation —

approximately three ounces per day is

acceptable — along with a nutritious diet

rich in fruit and vegetables. Want another

chocolate alternative? Enjoy a fun-size

chocolate bar like Snickers or Butterfinger

that packs only 70-100 calories per piece

and range from three to six grams of fat.

Miniature bars add up to only 40-65 calo-

ries and two to three grams of fat per bite-

size piece. For a warm, sweet treat, sip a

cup of hot chocolate that ranges from 50

to 150 calories per packet.

Exercise Works

Comfort food and chocolate can lead

to a few extra pounds and in winter there’s

no reason why you can’t burn off those

calories with exercise. All you need is some

space and you’re ready to get started.

Get on the floor and do 100 crunches.

If you’re experienced, do 100 situps. These

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H E A LT H & S A F E T Y P R O D U C T S

NEARBY WINTER FUN

Ice Skating, Ice Hockeyand Winter Fitness

Warinanco Ice Skating Center

Warinanco Park Thompson Avenue, Roselle(908) 298-7850 for hours and admission prices.

Public Skating daily except MondayFamily sessions every Friday eveningYouth, Senior Citizen and Group dis-count rates. Frequent visitors eligiblefor discount on admission to thisfamily-friendly rink that’s within minutes of home.

Throughout Union County

Locations in Cranford, Garwood,Springfield, Summit and Westfield areopen to the public for sledding andsnowboarding. Cross country skiingcan be enjoyed at the Oak Ridge andAsh Brook Golf Courses and in theWatchung Reservation, weather conditions permitting. Ice skating onnatural waterways in Cranford,Kenilworth, Mountainside, Plainfield,Rahway, Roselle and Summit is permitted. Ice conditon updatesavailable through County Police(908) 654-9800. Visit the county’swebsite, www.UnionCountynj.org/parks/facilitieswinter.html, for all policies, regulations and hours of operation.

Skiing andSnowboarding

Mountain Creek Resort

200 Route 94Vernon, NJ973-864-8128www.mountaincreek.com

With 46 trails and 11 lifts, you and your family will be entertainedfor hours!

24 HEALTHYEDGE

Peanut Butter & Jelly Oatmeal

Ingredients:1 cup water1/2 cup quick cooking oatmeal2 tablespoons smooth

peanut butter1 tablespoon grape jelly2 teaspoons sugar/

Splenda if you prefer1/2 teaspoon vanilla

Method:Bring water to a boil in sauce pot.Add oatmeal. Stir well and allow tocook for 1- 2 minutes. Add sugar andvanilla. Stir well. Stir in peanut butter.Once fully mixed, swirl in the jelly.

Strawberry CheesecakeOatmeal

Ingredients:1 cup water1/2 cup quick cooking oatmeal3 tablespoons low fat cream cheese1 tablespoon strawberry preserves2 teaspoons sugar/

Splenda if you prefer1/2 teaspoon vanilla1 fresh strawberry

Method:Bring water to a boil in sauce pot.Add oatmeal. Stir well and allow tocook for 1- 2 minutes. Add sugar and vanilla. Stir well. Stir in creamcheese. Once fully mixed, swirl in the preserves. Garnish with a freshstrawberry.

exercies can be done during commercial

breaks while watching your favorite show!

Calories burned: 150 lb person in 5 min-

utes: 32-35 calories

Take the steps at home. Run or walk up

and down the staircase, skipping each step.

Your legs and glutes will enjoy a great work-

out! Start with two minutes and increase by

one minute every day. Calories burned: 150

lb person in 5 minutes: 60-65 calories

Strengthen your lower body with this

move: Lean against the wall and squat

down until your legs are in a 90 degree

angle, as though you are sitting in a chair.

Hold this position as long as you can.

Calories burned: 150 lb person in 5 min-

utes: 15-20 calories

Shape your upper body while watching

the news! Do as many pushups as you can

(with or without your knees touching the

floor), take a 60-second break and try

again, this time shooting for a higher

number. Calories burned: 150 lb person in

5 minutes: 26-32 calories

Bone Up on Winter Safety

Those who suffer from arthritis or

osteoporosis may experience increasing dis-

comfort in bones and joints during winter

and should take precautions to stay safe

and pain-free. “For those with arthritic

conditions,” explains Jim Dunleavy, PT,

MS, Director of Rehabilitation Services at

Trinitas Hospital, “joint motion may be

restricted and their strength is decreased.

These individuals need to determine if the

weather will make them exceed the move-

ment ability of their bodies.” If this is the

case, bringing a chaperone to assist in out-

door chores or activities is advisable.

For the approximate 10 million

Americans who live with osteoporisis,

winter is a time to be extremely careful.

Dunleavy explains that they have a greater

possibility of fracture if they fall than those

without this condition. “Additional care

should be taken to avoid situations where

the potential for falling can occur,” he

says, “as these individuals could have much

more serious fractures than the general

population.”

It is thought that those with osteoporosis

can possibly slow down the progression of

the disease by taking supplements such as

calcium, Vitamin D and Vitamin K. “It’s

always wise to consult your doctor or

health care professional before taking any

supplement,” stresses Jim.

Pita, Pear and Pretzel Power!• Turkey ham with honey mustard

in a whole grain pita pocket withlettuce and tomato and Swiss orprovolone cheese

• Pear slices with low fat fruitedyogurt for dipping

• Home made snack mix: craisins,raisins, apple chips and pretzels

• Milk box of low fat chocolate milk.

This lunch captures the basic foodgroups — protein, dairy, vegetable,fruit, and whole grain. This will givethe child a feeling of fullness, thanksto fiber from the whole grain and fruitand protein from the turkey ham, milkand yogurt.

They’ll Rave for Roll-ups! • Turkey rollups and sliced cheese

• Small handful of multigrain crackers

• Baby carrots with ranch dressing

• 1/2 cup of apple slices withcaramel sauce for dipping

• 100% Juicy Juice box

• Snack-size pack of Goldfish crackers

REV-UP WINTER BREAKFAST, LIVEN UP LUNCH!Send your son or daughter out to face Old Man Winter with a piping hot bowlof oatmeal! They’ll love the twist on the traditional breakfast food with thetwo recipes below. Kids need nutritious lunches year round but even more soin the cold winter months. Here are tips for making fun lunches that are fullof nutrition for your child.

WINTER 2008 25

Activity How to prevent injury What to do if injured

Skiing Wear a helmet; inspect equipment to ensure itis in good condition; stay hydrated; choose skiruns that are not too difficult for your level ofexpertise; stretch upper and lower body beforeand after activity.

For knee or leg injuries, use Rest, Ice,Compression, Elevation; immediately call for help.

Snowboarding Wear wrist guards and helmet, dress in layers;test bindings; sharpen edges of snowboard tomake turning easier; wax board for smoothriding; stay hydrated; warm up and cool down.

For wrist fractures, immediately call for help;common treatment usually involves a cast,splint or brace. For shoulder injuries or anyother common upper-body injuries, use Rest,Ice, Compression, Elevation and call for help.

Shoveling Use a shovel with a smaller blade to avoidback strain; wear layered clothing; squat whenlifting snow to avoid back injury; avoid exces-sive twisting and forward bending; warm up bystretching or taking a brisk walk before youbegin.

To relax painful muscle spasms, apply a heating pad for 20 minutes at a time, takepressure off lower back when lying down withpillows placed under the knees; after 24-48hours rest, walk around every few minutesevery hour to avoid letting muscles weaken. For frostbite or hypothermia, call for help,move to a warm area and remove all constrictive jewelry and clothing to avoid blocking additional blood flow.

Ice skating Wear skates that provide plenty of ankle support; have blades professionally sharpened;learn how to properly stop and fall safelybefore attempting to skate; warm up and cool down.

For upper or lower body injuries, call for helpand apply Rest, Ice, Compression, Elevation.

A lifelong fitness enthusiast, Rena Kotik-Sandbergis a certified personal trainer and fitness coach. In addition to her passion for health and fitness, Rena is on the staff of a national women’s magazine and also a freelance journalist.

OUTDOOR SAFETYAlthough most injuries are preventable, thousands of people will seek medicaltreatment this winter due to injuries. Before you head outdoors, follow severalgeneral precautions to minimize your risk for injury:

26 HEALTHYEDGE

Vital Signs: Trinitas Comprehensive Cancer Center News

Frederick Steinbaum, DO, AssociateMedical Director of Trinitas Hospital’sComprehensive Cancer Center, is confi-dent of the future of cancer diagnosis and treatment at the Center housed in the Andrew H. Campbell Pavilion. Dr.Steinbaum’s vision for the TrinitasComprehensive Cancer Center celebrateswhat he believes can be achieved through amultidisciplinary approach to patient care.

“My goal is that every patient’s initialconsultation with the staff at the CancerCenter will involve each of the disciplines,that is, radiation oncology, surgical oncolo-gy and medical oncology, from the verybeginning,” he explains, “and we currentlydo that with many of the most challengingcancer diagnoses. By bringing all thesespecialties together to meet with thepatient, we can collaboratively direct ourattention to providing the necessary multi-disciplinary care and treatment of thatpatient.” This, he contends, sets theTrinitas Comprehensive Cancer Centerapart from other cancer care centers.

As a doctor of osteopathy, with a holistic approach to patient care, Dr.Steinbaum asserts that he brings a different

perspective to medical oncology. The sonof an osteopathic physician, Dr. Steinbaumproudly reports that 19 members of hisfamily over four generations are in thatfield of medicine. Beginning with observ-ing his father treat patients in the medicaloffice connected to the family home, Dr. Steinbaum knew he was destined topractice medicine in a more holistic man-ner, with a focus on cancer care.

“Over the years, I have incorporatedinto my patient care approach the beliefthat cancer is truly a disease in which thepatient’s family should be involved for support,” he shares from his office at theCancer Center. He believes that all aspectsof the patient’s well being —- the body,mind and spirit —- must be taken intoaccount when cancer treatment is under-taken.

“It is well-documented that cancerpatients can better cope with pain andfatigue commonly experienced if they canincrease their level of physical fitness,” hecontinues.

In addition, the value of better nutri-tion, an improved mental outlook, andmore positive emotional health can all

work together to help the patient facediagnosis and treatment more effectively.

He also notes that certain aspects ofthe fight against cancer can be heightenedby being more conscious of the body:

“Even something as simple as the sound offamiliar footsteps or the tone of a loved-one’s voice can help to reinforce the mind-body-spirit connection for patients.”

Dr. Steinbaum is creating a frameworkfor a fatigue and physical fitness programthat he contends will help patients to dealwith the debilitating effects of cancer.“Unfortunately, the body gets used tobeing in a ‘run-down’ state. If we can helppatients to attain a better level of fitness,they can face their illness better. Improvedmental health and good nutrition helppatients to handle their treatments betterand to survive.”

Cancer care in the community where

DECADES OF EXPERIENCE BENEFIT PATIENTS

by Kathryn Salamone

Fred Steinbaum, DO, brings more than40 years of experience to the patientshe cares for at the TrinitasComprehensive Cancer Center.

”

“I firmly believe that patients are better served with care in

their own community… Given all the aspects of patient care

that are already in place here, I chose to become part of this

facility because I believe this is the way cancer care should

be practiced.

WINTER 2008 27

patients live is vitally important, accordingto Dr. Steinbaum. “Even though world-renowned cancer centers are not that faraway, patients are better served with carein their own community. That’s the pri-mary reason why I chose to become a partof this Center. Given all the aspects ofpatient care that are already in place here, Ichose to become part of this facilitybecause I believe providing outstandingquality care to the patient and their familyclose to where they live is the way cancercare should be practiced.”

Other aspects of the environmentfound at the facility contribute to itsstrengths. For instance, the Social ServicesDepartment offers reassurance and supportto all patients, well-insured, under-insuredor un-insured. From the clinical stand-point, the Trinitas Comprehensive CancerCenter holds itself to the highest qualitystandards and increasingly participates inclinical trials. In addition, its affiliationwith Trinitas Hospital as a teaching institu-tion elevates the cancer program as well.And there is no doubt that the state-of-the-art radiation therapy that patients findhere makes it a destination of choice fortreatment.

“As we begin another year, we look for-ward to new treatments almost daily thathelp us to stay at the cutting edge,” Dr.Steinbaum observes. “As an intern 40 yearsago, cancer was something people rarelydiscussed. It wasn’t until the 1970s, whenHappy Rockefeller and Betty Ford revealedtheir battles with breast cancer, that the dis-cussion of cancer and its treatment wasmore widely accepted. Today, many typesof cancer are treated as chronic conditionsinstead of fatal illnesses. In the 40 years Ihave been in practice, I tell patients I canhelp them, and that advanced care can pro-vide them with hope.”

Dr. Steinbaum is a life-long athletewho derives great satisfaction from bare-foot water skiing and has competed in theover-45 age group in world-class champi-onship events in Florida where he rankedsixth in endurance in a recent competition.

“Such physical activity releases hor-mones in the brain that help elevate feel-ings of well being. Over my years of car-ing for cancer patients, I have never foundit depressing to be an oncologist. On thecontrary, I have found it to be exhilaratingsince I can help patients to overcome theirdisease, guide them in their decisions, andoffer palliative care when necessary.”

For more information on the Trinitas Comprehensive

Cancer Center, or to speak with Dr. Steinbaum,

call (908) 994-8000.

Seni

ors

and

Stud

ents

• Hospitality• Public Relations and Marketing• Arts & Crafts• Patients Escort and Transport• Clerical/Computer Assistants• Flexible hours

CONTACT US TODAY!Call Lisa Liss, Director, Volunteer Services 908-994-5137

225 Williamson StreetElizabeth, New Jersey

VOLUNTEERS NEEDEDat state-of-the-art Cancer CenterAre you warm, courteous, and considerate? Would you like tomake a difference in the lives of people affected by cancer?

You can by becoming a Volunteer in our state-of-the-artComprehensive Cancer Center.

Volunteers are needed to lend an ear, offer refreshments, provide supplemental patient care and help on community out-reach projects:

28 HEALTHYEDGE

VITAL SIGNS

Trinitas Hospital’s ComprehensiveCancer Center (Trinitas CCC) recentlyadded a program, made possible throughthe generous funding of QualCare, to offerextensive and wide-ranging treatmentoptions. Additional support of theComplementary Therapies Program pro-vides relief for many of the symptoms thataccompany cancer and the common treat-ments used to battle the disease, includingchemotherapy and radiation therapy.

As a result of many types of treatmentmethods, including surgery, chemotherapyand radiation, patients experience a widearray of stressful side effects including nau-sea, pain, anxiety, constipation, and insom-nia. It is perfectly natural for a patient toface increased anxiety associated with theirhealth, making it difficult for them to assesstheir situation rationally and confidently.

This is where the ComplementaryTherapies Program steps in.

Sharon Kurtz, RN, with over 20 yearsof experience in complementary and alter-native therapies, brings the ComplementaryTherapies Program to life. Sharon holdsseveral degrees, including a Bachelor ofScience in Nursing from Thomas EdisonState College, an advanced level certifica-tion in IGM® therapeutic acupressure fromWilliam Paterson University in Wayne,NJ, and training in hypnotherapy from theInstitute for Hypnotherapy in Edison.These credential are just the beginning ofSharon’s specialties, which also includechair massage, guided imagery, aromather-apy and certification as a Reiki Master.During her career in nursing, Sharon hasbecome well-versed in these various meth-ods of treatment, making her a valuableaddition to the Cancer Center staff.

The treatments Sharon uses during hertreatment sessions are based on the beliefthat the mind, body and spirit are inti-

mately connected to one another. Bytreating them together as a whole entity,Sharon works to restore balance within aperson’s entire being.

“The restoration of that balance oftenbrings them strength, energy and hope,”explains Sharon, adding, “Since these ther-apies are not often used within the tradi-tional practice of medicine, the availabilityof these complementary therapies to ourpatients makes the Trinitas ComprehensiveCancer Center one of the few hospitals tointegrate the two.”

One of the techniques Sharon employsis acupressure which uses the same theoriesand principles as its more well-knowncompanion therapy, acupuncture.Acupressure is an ancient Chinese practicebased on the concept of the existence ofpoints called “meridians” along the bodywhich, when stimulated through pressure,can bring balance and harmony to the per-son receiving the treatment.

As Sharon explains, “The practitionerapplies pressure to several points along thebody’s energy meridians, releasing theblocked energy, or ‘chi’. Therefore, thistechnique presents a whole-body approachto healing.” Sharon also educates andinstructs patients in acupressure exercisesthat they can do on their own between ses-sions, allowing them to take an importantand influential role in their own treatment.

Another technique offered through theComplementary Therapies Program atTrinitas CCC is Aromatherapy, which hasbeen shown to be a simple and accessibletreatment for anxiety and stress. Sharonuses various scents during her sessions thatare known for their rejuvenating and calm-ing properties. She finds lavender to beone of the most effective scents to use withthe patients she treats. “As with acupres-

COMPLEMENTARY THERAPIES INFUSE CANCER PATIENTS WITH ADDITIONAL RELIEF By Jennifer Salamone

Sharon Kurtz, RN, uses Reiki during a complementary therapy session with patientRaymond Velez. Such sessions are conducted in a serene atmosphere of muted lightingand relaxing music designed to create a stress-free environment.

WINTER 2008 29

sure, patients leave aromatherapy therapysessions with information on how to sup-port themselves throughout the week byintegrating positive scents into their homeor work environments,” she notes.

Yet another complementary therapythat Sharon integrates into each session isReiki (pronounced ray-key). This form of spiritual healing originated in Japan and is similar to the laying on of hands.Among those who practice Reiki, it isbelieved that energy is able to flowthrough the hands of the Reiki Master into the body of the person being treated.When properly administered, Reiki is atechnique for stress reduction and relax-ation that also promotes healing. Whiledelivering treatments through acupressureand chair massage, Sharon can simultane-ously infuse Reiki energy into the session,adding to the treatment’s overall effective-ness for the patient.

After an appointment with Sharon,

Trinitas CCC patients have reported

noticeable improvements in their overall

well being, returning them to a general

level of comfort while also giving them the

peace of mind that allows for rational,

calm thinking. Through the techniques

associated with acupressure, Reiki and aro-

matherapy, many patients are able to expe-

rience much needed relief from many

common physical and emotional ailments.

Sharon’s attention to the mind-body-spirit

connection can restore a state of calm and

empower the individual with a level of

control of their treatment.

Sharon believes in the importance ofoffering patients further options and

encouraging them to take an active role intheir course of treatment. “As a comple-mentary therapist, I am grateful to be a partof the medical profession through which Ican give patients the option to feel that theyare a part of their treatment. I am happy toshare a vision that encourages patients toseek other therapies that may often not betotally understood or advocated within thetraditional practice of medicine.”

By using these therapies in conjunctionwith standard treatment methods, patientshave found a unique combination ofmethodologies that caters to all aspects oftheir health. Those patients who sufferfrom stress find a peaceful calm in Sharon’scare, while those who connect with spiritu-al practices find familiarity in the nature ofthese metaphysical approaches. Somepatients have benefited from the comple-mentary therapies so much that they havebeen able to reduce their reliance on med-ications for anxiety and constipation.

Sharon’s work has not only brought asense of balance into the lives of manypatients, but also to the TrinitasComprehensive Cancer Center.

Jennifer Salamone is an editor andabstractor for EBSCO, the national internet

database firm, where she generates sum-maries of articles in the fields of the

humanities and general interest. She isalso a freelance writer whose work has

appeared in local newspapers in NorthernMassachusetts where she lives.

Sharon works silently and says that patients often drift into a restful slumber duringtheir sessions.

Clarissa Febles-Henson, MD, is the newChair of Radiation Oncology at the TrinitasComprehensive Cancer Center. With expe-rience in all aspects of radiation therapy, Dr.Henson brings a highly-regarded reputationand expanded radiotherapy capabilities tothe radiation oncology program.

“I feel privileged to be part of theTrinitas team where I can work with talent-ed physicians and staff, and take full advan-tage of some of the most advanced radio-therapy equipment available for the benefitof our patients,” said Dr. Henson, whointends to expand the clinical applicationof Intensity Modulated Radiation Therapy(IMRT), Image-Guided Radiotherapy, andStereotactic Radiosurgery.

Dr. Henson’s clinical experience, com-bined with the Center’s Trilogy linear

accelerator’s extraordinary power and ultra-precise dynamic targeting capabilities, willbring several new services and radiotherapytechniques to the department. Amongthem are: Stereotactic Radiosurgery,expanded implementation of ImageGuided Radiation Therapy (IGRT),Intensity Modulated Radiation Therapy(IMRT), and High Dose Rate (HDR)brachytherapy to provide clinical advan-tages to patients with prostate, breast,lung, gynecological, liver, head & neck,and brain cancers.

As a proponent and practitioner of a

multidisciplinary approach to patient care,

advocating close collaborations with sur-

geons, Dr. Henson has earned a stellar rep-

utation among family physicians and other

treating physicians. In short, her efforts

will be directed toward offering patients

the best and most appropriate treatment

possible.

Dr. Henson is board certified inRadiation Oncology and previously servedas the Director of Women’s Services atCooper University Hospital’s Departmentof Radiation Oncology. She graduatedfrom UMDNJ Robert Wood JohnsonMedical School, interned at St. Vincent’sMedical Center in New York City, servedas Chief Resident at the Thomas JeffersonUniversity Medical Center in Philadelphia,and was awarded the A. Robert KaganFellowship in Palliative Care from theAmerican College of Radiation Oncology.

Dr. Henson was also awarded theHispanic American Medical AssociationAward for highest academic achievementin the State of New Jersey and can offerpatients outstanding care in both Englishand Spanish. She has an outstandingresume of clinical accomplishments, publi-cations and presentations, with specializedtraining and experience in the latest radio-therapy technologies.

30 HEALTHYEDGE

VITAL SIGNS

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Foundation Focus: News of the Trinitas Health Foundationby Kathryn Salamone

WINTER 2008 31

PLANS MOVING FORWARD ON FOUNDATION GALA IN MAY

Although still several months away,planning is already well underway for theTrinitas Health Foundation’s annual Galafundraiser. Slated for Thursday, May 8,2008 at The Palace Somerset Park, theannual event is expected to draw morethan 500 people who will enjoy an eveningof dinner, dancing and socializing at oneof the premier banquet halls in the state.

Back by popular demand, NJ Burkettwill again reprise his role as Master ofCeremonies which he held in 2005.Burkett, a broadcast journalist associatedwith WABC Eyewitness News who coversNew York, New Jersey and InternationalNews, was born and raised in Elizabeth. He will again take to the podium to helpthis year’s guests acknowledge the extraor-dinary community commitment demon-strated by Elizabethtown Gas Companywhich will be honored at this year’s Galawith the Foundation’s “CelebratingPhilanthropy” award.

The 2008 Humanitarian Award winneris expected to be announced soon. Past

Humanitarian Award recipients haveincluded New Jersey Senator Raymond J.Lesniak, the late Ann M. Baran, formerSenior Vice President/External Affairs &Hospital Services at Trinitas Hospital, andGloria Pischeria, former Chairwoman ofthe Trinitas Hospital Auxiliary.

Co-chairs of the 2008 Gala are WilliamJ. McHugh, MD, Medical Director atTrinitas Hospital, Michael J. Keating, Esq.,Partner, Dughi & Hewit, and HelderMendonca, Partner, Mendonca and Suarez,as well as member of the Board of TrinitasHealth.

“In the short time that Trinitas Hospitalhas been in existence, the community’sresponse to the Gala has resulted in morethan $1 million to support the full range ofhospital equipment and expenditure needsthat ultimately benefit all of our patients,”says Nadine Brechner, Executive Directorof the Trinitas Health Foundation. “We

certainly look forward to another record-breaking year of fundraising at this year’sevent. In addition to the raffles and50/50s that are planned, the Gala commit-tee expects to coordinate another highly-successful Silent Auction which was a bighit at last year’s Gala.”

Past luminaries whose appearances atthe Gala have made the events memorableare international recording star GloriaGaynor, broadcast journalist Rita Cosby,and comedian and entertainer Joe Piscopo,another New Jersey native.

The public is invited to attend thisgrand evening that supports the hospitaland its commitment to the community.Information about reservations, sponsor-ships and committee involvement is avail-able by contacting Nadine Brechner,Executive Director, or Laura Ciraco,Director of Fund Raising Events, at (908) 994-8249.

Guests took to the dance floor at the 2007 Gala for a lively conga line.

Gary S. Horan, President & CEO, NJBurkett, reporter for WABC-TVEyewitness News, and Nadine Brechner,Executive Director of the Trinitas HealthFoundation, photographed in 2005prior to Burkett’s first appearance asGala Emcee.

32 HEALTHYEDGE

FOUNDATION FOCUS

888-272-0002Tel: 732-602-8939Fax: 732-602-8940

• Radiology• Dialysis• Hospital

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YOU CAN MAKE 2008 A SPECIAL YEAR OF GIVING!

Why not make 2008 the year that you

give the gift of health by contributing to

the Trinitas Health Foundation?

As Ellie Blore, Foundation Trustee,

says, “I get great pleasure from giving to

Trinitas and seeing how my support helps

bring life into the world, heal people, and

makes the Union County population

stronger and healthier.”

You can feel that same joy by making a

gift that can help Trinitas upgrade facili-

ties, expand services, and provide the best

care available to our patients. You may

designate your gift for a specific area/

population of the hospital including

Cancer Care, Cardiac Services, or Children.

You may also be part of the Buy-A-Bed

Campaign and help to purchase brand

new beds for every room in our hospital to

ensure the comfort of our patients.

To send a gift, please make your check

payable to the Trinitas Health Foundation

and mail to P.O. Box 259, Elizabeth, NJ

07207. To make a gift of appreciated

stock, or for information on the any of the

Foundation’s giving programs, please call

(908) 994-8249 and ask for Nadine

Brechner or Florence Ruvolo.

Here are ways you canbecome a member of theTrinitas Hospital family of supporters:

• You can make a generalcontribution which will be used in the area ofgreatest need.

• You can make a tribute gift for any individual, family or group.

• You may become a memberof our Cornerstone Club by making a bequest, creating a trust, donatingproperty, or designinganother type of planned gift. This form of givinghelps you maximize taxadvantages and/or protectcurrent or future income.Establishing a CharitableGift Annuity is very popularbecause both the donor and the charity benefit.

• You may create an endow-ment where you help shapethe future of health care atTrinitas. With the interestearned on your endowedfund you choose the pro-gram or area of the hospitalto be funded. This is a greatway to honor or memorial-ize a loved one.

Foundation Trustee Ellie Blore ofElizabeth is active with the Auxiliary of Trinitas Hospital and as a volunteer with the hospital. She also believes insupporting the hospital financially.

reaches over 55,000 householdsand over 5,000 physicians, healthcare professionals and decision-makers throughoutEastern and Central Union County!Start reaching the right people - call our knowledgeable salesstaff today.

Call 908-337-3276 and askfor Robert Rubilla.

WINTER 2008 33

Since it opened its doors inSeptember 2005, the $28 millionComprehensive Cancer Center

remains the only place in the state that provides patients with the state-of-the-art Trilogy linearaccelerator. Trinitas Hospital recently unveiled the state’s newestinpatient Cancer Care Unit, complete with 23 private patientrooms, specialized staff and equipment, and patient amenitiessuch as plasma screen televisions. For more information call (908) 994-8000.

Trinitas maintains a full-service cardiac facility for the intensivecare of patients with heart disease. Patients in need of

elective angioplasty services can now undergo this procedure at Trinitas. The hospital has provided emergency angioplastysurgery for several years with superior outcomes. For more information call (908) 994-5695.

Our spacious 20-bed Mother/Babypostpartum unit features privaterooms and showers, and modern

Labor/Delivery/Recovery rooms. A Level II Intermediate Care Nursery,presence of a 24 hour in-house neonatologist and obstetrician, and a24 hour midwife are hallmarks of our care. Our Pediatric Unit offers11 beds, centralized monitoring and 24 hour in-house physician cov-erage. For information, call Maternal Health (908) 994-5294 and(908) 994-5760 for Pediatrics.

Home to the End Stage RenalProgram for Eastern Union County,Trinitas is committed to patients

experiencing kidney failure. Recently, the Hospital was recognizedas having among the best clinical outcomes out of the 1,600 hospitals and dialysis centers in the Premier network. For information call (908) 994-5127.

RENAL CARE

The Sleep Disorders Center providesmonitored, fully-attended diagnos-tic sleep studies designed to ruleout physical, non-stress related

symptoms that may prevent restful sleep. A team of trainedsleep specialists supervise each study in a spacious new facility.For information call (908) 994-8694.

Innovative diagnostic services include digitalmammography, breast biopsy, bone densityscreening and ultrasound. Women can visitthe hospital for these latest modalities aswell as cosmetic and reconstructive surgery

and innovative surgical care for female incontinence. For informa-tion, call the Women’s Imaging Center (908) 994-5984, or forother services, (908) 994-5138.

With a 98% success rate in heal-ing problem wounds, the Trinitas

Hospital Center for Wound Healing & Hyperbaric Medicine isone of the best wound centers in the nation. Specially-trainednurses and highly-skilled doctors provide superior patient care.For information call (908) 994-5480.

The Trinitas School of Nursing, affiliatedwith Union County College, has been supply-ing the community with highly qualifiednurses since 1891. This innovative programalso boasts one of the state’s highest suc-

cess rates among its graduates who take the NCLEX registerednurse licensing exam and a faculty that is first in the U.S. to be 100% certified in Nursing Education. For information call(908) 659-5200.

SLEEP DISORDERS

WOUND HEALING &HYPERBARIC MEDICINE

BEHAVIORAL HEALTH & PSYCHIATRY

CANCER CARE

TRINITASHOSPITALWe’re Here for You!

225 Williamson StreetElizabeth, NJ 07207(908) 994-5000

Trinitas Hospital is a Catholic TeachingHospital sponsored by the Sisters ofCharity of Saint Elizabeth in partnershipwith Elizabethtown Healthcare Foundation.

SCHOOL OF NURSING

WOMEN’S SERVICES

Trinitas Hospital’s BehavioralHealth services are among the

most comprehensive in the state. Trinitas provides a full range of inpatient and outpatient psychiatric care for seniors, adults,adolescents and children. Pictured are staff members of theDually Diagnosed Inpatient Unit, which is unique in New Jersey.For information call: (908) 994-7556.

Trinitas Hospital’s commitment to seniorstakes many forms, including the establish-ment of the Acute Care for the Elderly(ACE) nursing unit, The BrotherBonaventure Extended Care Center and

the Seniors First Program that offers free valet parking at theHospital, discounts in the gift shop and cafeteria, and specialevents. For information call 1-888-8TRINITAS.

SENIORS SERVICES

CARDIOLOGY

MATERNAL & CHILD HEALTH

Serving OurCommunity With Ten Centersof Excellence.

www.TrinitasHospital.org

“Never volunteer” was a credo thatHarold Krevsky learned the hard way dur-ing service in the US Army Signal Corpsin Europe during the Second World War.Even without volunteering, Harold sawmore than enough dangerous duty duringa number of encounters with the enemy,including the Battle of the Bulge.

The Elizabeth native has since reversedhis “no volunteer” stand, as evidenced bythe large number of organizations thatbenefit today from his generosity. TheBoy Scouts of America, the Elizabeth HostLions Club, the Masons, the Jewish WarVeterans, the Eastern Union CountyChapter of the American Red Cross,Temple B’nai Israel in Elizabeth andTrinitas Hospital all benefit from his manyvolunteer activities.

Harold began his hospital volunteerduties in 1982 by becoming one of thefirst trustees of the Elizabeth GeneralMedical Center Foundation and itsFinance Committee. He continues thattradition to this day as an honorary mem-ber of the Board of Trustees of TrinitasHealth Foundation – an activity hedescribes as “tremendously satisfying.”

“I was always interested in how theFoundation’s assets were invested, whichled to my joining the Foundation’s Finance

Committee,” he stated. His convictionthat the assets of the Foundation were wellmanaged led to his decision to invest inthe Pooled Income Fund.

Recently, he became the first person toparticipate in the Foundation’s CharitableGift Annuity Program – a vehicle thatallows him to fulfill his charitable givingobjectives while managing his own finan-cial needs and timetable.

“It’s a great deal - I get a tax deductionimmediately, and then over time I receivepayments that are partly income-tax free,”says Mr. Krevsky. These payments repre-sent interest and a portion of the originalannuity. “I get fixed, yearly payments andI know that when I die the remainder ofthe annuity passes to the hospital.”

That day is a long way off. At age 91Harold is an active attorney. He plays golfweekly, loves opera, and enjoys playingpoker with his friends. Always looking togive back to his community, Harold speaksfrequently to various organizations on suchtopics as wills and estates. One wouldn’tthink that humor could be found in thosetopics, but according to Harold, “I alwaystry to give my talks with a humorous slant.”

Currently a resident of Manalapan,Harold was born in Elizabeth in 1916(delivered by Dr. Victor Mravlag, a promi-

nent physician who later served as mayorof Elizabeth) and remained a resident ofthe City until recently. He remembers anElizabeth with horse-drawn fire enginesand Civil War veterans marching in theMemorial Day parade.

“My father was a peddler. He walkedfrom home to home with a pack on hisback. When he saved $100, he launched aretail business on Third Street,” he said.Harold would work all day in his parents’shop and attend night classes at UnionCounty College. “My parents learned tospeak Polish in order to serve the Polishcommunity that lived around Third Street.I learned Polish, in addition to German,Yiddish and Spanish, but I never pickedup Russian, which was my parents’ nativelanguage,” he added.

Harold became a lawyer in 1941 andfollowing the war he opened a law officeon Third Street. The firm moved toNorth Broad Street, where it thrived from1946 until a fire destroyed the building in2000. The firm of Krevsky, Silber, Brownand Bergen now operates on UnionAvenue in Cranford.

Despite his recent change of address,Harold remains firmly rooted to theElizabeth community. And after more than nine decades in a lifetime of service,Harold Krevsky maintains that there is stillmore that he can give back.

34 HEALTHYEDGE

Hospital Beat: People and Events of Note

A LIFETIME OF SERVICEAt Age 91, Harold Krevsky Still Giving Back By Doug Harris

Harold Krevsky at age 91 remains activein numerous volunteer efforts, includingthe Board of Trinitas Health Foundation.

With the recent implementation of a

new state-of-the-art computer software sys-

tem, Trinitas Hospital has improved its

patient safety measures and increased the

quality of care it provides to its more than

83,500 patients annually. The hospital’s

information technology department has

integrated Sunrise Clinical Manager

(SCM) with Sunrise Medication Manager

(SMM) and thus achieved an upgrade in

the services throughout the hospital but

most noticeably in the pharmacy depart-

ment and medication management.

“In addition to being a patient safety

initiative, the system is expected to use the

hospital’s resources with greater effective-

ness and provide patient care more effi-

ciently,” explains Judy Comitto, Vice

President, Information Services & Chief

Information Officer. New pharmacy fea-

tures of this computer system include

dose-range checking, customized drug-

drug and drug-food interaction checking

as well as a more streamlined distribution

process.

The optimum effectiveness of the sys-

tem will be reached as more and more

members of the hospital’s medical staff

adopt the system and enter patient orders

directly in the computer, a process known

as Computerized Physician Order Entry

(CPOE). Ms. Comitto further notes that

potential errors that could result from the

time when the physician writes the orders

in the charts until the administration of

those orders to the patient are greatly

reduced in a CPOE environment.

“Poor or illegible handwriting, abbrevi-

ations and insufficient information about

the patient are some of the reasons why

errors can occur. But, such errors are

greatly reduced, if not eliminated, with

CPOE,” she adds.

This system is expected to improve the

communications among all healthcare dis-

ciplines involved with the patient and, by

doing so, improve the overall effectiveness

of the integrated healthcare team. Every

patient treated at Trinitas Hospital will

benefit from this new software system.

“Ultimately, our goal is to provide the

best service to our patients by improving

patient safety, reducing length of stay,

improving treatments and services, and

using our resources most effectively,”

explains Ms. Comitto, adding, “The inte-

gration of Sunrise Clinical Manager

(SCM) with Sunrise Medication Manager

(SMM) will help us accomplish that.”

WINTER 2008 35

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36 HEALTHYEDGE

HOSPITAL BEAT

GARY S. HORAN ELECTED A FELLOW OF NEW YORK ACADEMY OF MEDICINE

Trinitas Hospital President & ChiefExecutive Officer, Gary S. Horan,FACHE, was recently elected a Fellow ofthe New York Academy of Medicine. Hejoins more than 2,000 New York Academyof Medicine Fellows, a distinguished groupof physicians, academicians and otherhealth professionals involved in issues rele-vant to the health of the public.

Founded in 1847, The New YorkAcademy of Medicine is an independent,non-partisan, non-profit institution whosemission is to enhance the health of the pub-lic through research, education, communityengagement, and evidence-based advocacy.

Since the founding of the New YorkAcademy of Medicine, Fellows have playedan important role in the vibrancy of theinstitution. Today’s Fellows are leaders in thefields of law, social work, nursing, educationand research as well as health and medicine.

In addition to the honor of being rec-ognized by one’s peers, Fellowship in TheNew York Academy of Medicine providesmany benefits including invitations to spe-cial lectureships and symposia which createopportunities for Fellows to participate indiscussions of issues relevant to enhancingthe health and well-being of the public andof health-related professions. These eventsalso provide Fellows with direct access toleaders in medicine, science, public health,

health policy and health care delivery.Fellows are also invited to participate inSpecialty and Interdisciplinary Sections ofthe Academy which provide continuingmedical education opportunities.

Mr. Horan is the current Chairman ofthe Greater New York HospitalAssociation, the Chairman of the Board ofDirectors of the Hospital Alliance of NewJersey, and a member of the Board ofDirectors of the New Jersey Chamber ofCommerce. He is a former Chairman ofthe Hospital Association of New YorkState. He was a member of the Board ofGovernors of the American College ofHealthcare Executives and is currently aFellow (FACHE) of that organization.

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Richard P. Mackessy, MD, Chairman of

the Department of Orthopaedics at Trinitas

Hospital and a member of the Trinitas

Hospital Board of Trustees, was recently

elected to the Board of Councilors of the

American Academy of Orthopaedic

Surgeons (AAOS) for a six-year term.

Election to the Board of Councilors is an

extraordinary milestone reached by only a

very small number of orthopaedic surgeons.

Dr. Mackessy received his college edu-

cation from College of the Holy Cross,

Worcester, Massachusetts. He graduated

from the University of Bologna, Italy, and

the New Jersey Medical School, and

underwent residency training in general

surgery at St. Vincent’s Hospital, New

York, and in orthopaedic surgery at St.

Luke’s Hospital, New York. He received

further residency training in hand micro-

surgery at Jefferson Medical College,

Philadelphia. In 2000, he was elected to

Castle and Connolly’s “How To Find the

Best Doctors in the New York Area” guide.

Dr. Mackessy is certified by the

American Board of Orthopaedic Surgery,

with added qualification in Surgery of

the Hand.

His long association with Trinitas

Hospital includes his service from 1995 to

1997 as President of the Medical Staff andmembership on the Board of Trustees ofElizabeth General Medical Center, and hiscurrent service as a member of the Boardof Trustees of both Trinitas Hospital andthe Trinitas Health Foundation, andChairman of the Department ofOrthopaedics.

TRINITAS ORTHOPAEDIC SURGEONNAMED TO NATIONAL POST

Richard P. Mackessy, MD

38 HEALTHYEDGE

“CATERING TO YOU” DELIGHTS PATIENT TASTEBUDS Patients may start looking for excusesto extend their hospital stays afterenjoying a meal or two courtesy of the“Catering to You” food program atTrinitas Hospital. The service, whichhas been available hospital-wide sinceMay 2006, features several uniqueaspects that make it appealing topatients and doctors alike.

Through this specialized program, theFood and Nutrition Department hasmoved beyond generic meals and hasmerged with the Trinitas Hospital goalsof meeting the specific needs of eachindividual that comes to the hospitalfor care.

Within the Food and NutritionDepartment’s “Catering to You” pro-gram, Catering Associates provide per-sonal attention to every patient to helpthem meet their dietary needs. Eachassociate is assigned to a particularnursing unit where they create a rela-tionship with the staff to provide effec-tive customer service and satisfaction.

The program has been received wellsince its inception since it fulfills boththe needs and wants of TrinitasHospital patients. While staying atthe hospital, patients are given a fullmenu of options ranging from Asian

to Italian cuisine. Catering Associates

interact with the staff in their specific

unit to develop a dialog about the

changing needs and dietary specifica-

tions of each patient. This communi-

cation makes sure that each patient is

supported nutritionally in a way that is

in line with the treatment they receive

from their doctor.

“The ‘Catering to You’ program is yet

another example of how Trinitas is

working hard to serve up quality care

for its patients,” says Michael McIntyre,

Director of Support Services.

HOSPITAL BEAT

TRINITAS DIRECTOR RECEIVES TRIBUTE TO WOMEN AWARDMarlyse Benson, RN, MA, Director ofthe Department of Behavioral Healthand Psychiatry, is a recent recipient of the Seventh Annual Tribute toWomen Awards given by the Patriots’Path Council of the Boys Scouts ofAmerica, Florham Park, New Jersey.The Award honors outstandingwomen who serve as exemplary rolemodels for youth through their voca-tions or avocations and who live theirlives according to the ideals of theScout Oath and Law.

Ms. Benson’s career has been devot-ed to working with vulnerable popula-tions, primarily children and families,to help them lead healthier, safer and more productive lives. During her more than 30-year career, Ms.Benson has been a staunch advocateof children’s rights within the mentalhealth field and is a member of theAssociation for Children in NewJersey. Since 1992, she has been the hospital’s Director of Behavioral

Health & Psychiatry where she over-sees the general operations of thedepartment, including quality reviewand nurse practice. Under her leader-ship, Trinitas Hospital has establishedits highly successful Youth EnrichmentServices (YES) programs at ElizabethHigh School and Abraham C. ClarkHigh School in Roselle, New Jersey.

Ms. Benson is also the recipient of the Union County Mental HealthAssociation’s Humanism Award andthe Union County EducationalServices Recognition of Service Award.As a resident of Westfield, Ms. Bensonhas volunteered with Parent TeacherOrganizations, town recreationteams, and been a Boy Scout DenMother and Troop Leader for her twochildren who were active Scouts. Sheserves as an adjunct faculty memberon the Trinitas School of Nursing,teaching fundamentals and conceptsof nursing. She lends her skills andtalents to the Union County Children’s

Interagency Coordinating Councilwhose activities she coordinates.

Marlyse Benson, RN, MA

WINTER 2008 39

PRACTICE LIMITED TO CARDIOTHORACIC SURGERYWith Staff Privileges at Trinitas Hospital and University Hospital

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BLANKETS AND LAYETTES ARE GIFTS OF LOVE FOR TRINITAS PATIENTS

For several women’s groups in UnionCounty, generosity is a daily occurrence,not just a fleeting demonstration of holi-day spirit at year’s end. Happily, TrinitasHospital has been a beneficiary of thisyear-round generosity. The FellowshipGroup of the First Presbyterian Church inRahway, the Women’s Circle of OsceolaPresbyterian Church in Clark, and theProject Linus Chapter based in Linden,have produced and donated hand-madeblankets and layette sets to newborn andpediatric patients at the hospital as well as residents of the hospital’s BrotherBonaventure ExtendedCare Center.

The women of the First PresbyterianChurch FellowshipGroup, which beganmeeting more than 50years ago, estimate thatthey give approximately100 layettes each year tothe hospital. In fourshort years, the womenof the OsceolaPresbyterian ChurchWomen’s Circles havedonated more than 120

layettes to Trinitas. Meeting monthlythroughout the year, members knit or crochet the blankets and then includebooties, bibs and other essentials for newborns. The Project Linus Chapter in Linden, which includes seniors, stay-at-home Moms, and high school studentswho work independently in their ownhomes, arranges for the drop-off each weekof several large bags filled with hand-knitand hand-crocheted blankets that findhomes with appreciative patients.

Women of the Fellowship of the First Presbyterian Church of Rahway and other groups hand-craft gifts that bringcomfort and joy to strangers they may never meet.

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40 HEALTHYEDGE

EDC WINS $25 MILLION FEDERAL TAX AWARD TO STIMULATE ECONOMIC DEVELOPMENTAward brings EDC’s federal tax credit support to $35 million

The U.S. Department of Treasury has

awarded the Elizabeth Development

Company a $25 million New Market Tax

Credit allocation for 2007 after a highly-

competitive process that ultimately lauded

the EDC for its revitalization strategies.

The $25 million federal New Market

Tax Credit is the second award received by

the EDC; last year the non-profit econom-

ic development agency won a $10 million

tax credit after another highly-competitive

application process.

“This $25 million tax credit will help

the EDC and the City further expand its

efforts to make Elizabeth a destination

city—a great place to live, to work and to

raise a family,” Mayor Chris Bollwage said.

“I congratulate the EDC on the award,

and I look forward to seeing the tax credits

put to work in our neighborhoods.”

The $25 million tax credit allocation

for Elizabeth enables the EDC to provide

targeted, low-interest lending to qualified

development projects that bring substantial

new retail, new revenue and new job

opportunities to the City.

“These are the types of programs that

result in real economic opportunities for

City residents,” said William O’Dea,

deputy director of the EDC. “They help

support projects, developments and the

creation of new jobs for our City residents

and for the region.”

“Combined with the opportunities

available through our UEZ and its diverse

and attractive financing programs, these

initiatives continue to be a major catalyst

behind Elizabeth’s economic success,”

Mayor Bollwage said.

The EDC was the only New Jersey

recipient in the fifth round of the federal

tax credit program that will invest its tax

credit allocation solely in Union County

and, in this case, specifically in Elizabeth.

The $25 million in tax credits could gen-

erate more than $250 million in new busi-

ness investments in Elizabeth and create

hundreds of new job opportunities for city

residents.

The federal tax credit program is an

economic development tool designed by

the federal government to help stimulate

new development in the nation’s urban

and rural areas. The program provides a

39% tax credit over seven years to

investors who invest in projects that help

redevelopment in urban centers such as

Elizabeth.

Businesses interested in taking advan-

tage of the tax credit program should con-

tact Carlos Sanchez of the EDC at

csanchez@edcnj.org or by calling 908-289-

0262, ext. 218.

CITY’S SUIT SEEKS REDUCTION IN AIRPORT NOISEElizabeth Mayor Chris Bollwage andCity Council jointly announce the fil-ing of a lawsuit in the U.S. FederalCourt for the District of New Jersey onbehalf of the City of Elizabeth and itsresidents, seeking an injunction of theimplementation of the FederalAviation Administration’s (FAA) Recordof Decision (ROD) and FinalEnvironmental Impact Statement (EIS),which redesign the airspace over thetri-state area.

The suit claims that the FAA’s pre-ferred redesign, chosen to increaseoperating efficiency at the area’s air-ports, will “have a significant adversenoise impact upon the City ofElizabeth and its residents…” and“…will significantly and adversely

increase aircraft noise levels for theCity of Elizabeth and its residentsabove their current levels.”

“We enter into this suit fighting for thesustainability of our residents’ qualityof life. By the FAA’s own admission,their redesigned air traffic pattern willhave an immediate adverse impactborne solely by the population of theCity of Elizabeth,” stated Mayor ChrisBollwage. “The alleged increase inefficiency of one or two additionalflights per day does not override thefact that our residents will have to payfor it with a mercurial increase innoise. ”

City Officials point out that the FAA’sredesign of airplane traffic over theCity would do little or nothing to

relieve air traffic congestion.

In September, the FAA released theirEIS which outlined the redesign of theairspace in the New York/NewJersey/Philadelphia MetropolitanArea. According to the FAA, theredesign will result in an increasedoperating efficiency at the area’s air-ports. However, the newly selectedair routes will have a significant nega-tive noise impact on the entire City ofElizabeth.

According to Elizabeth CouncilmanFrank Cuesta, “This is not just a Cityof Elizabeth problem; this is a tri-stateissue. I hope more municipalities willjoin us and defend their residents’quality of life.”

225 Williamson StreetElizabeth, New Jersey 07207