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MORE ONLINE AT MERIDIANHEALTH.COM MAY/JUNE 2016 Southern Ocean Medical Center Back on Her Feet Pine Beach resident finds specialized care for foot surgery in her own backyard. page 16 Quick Treatment for a Stroke p9 Care for When the Doctor’s Not In p30 Stop Migraines Before They Start p28 A Meridian Health Event

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Page 1: Back on Her Feet - Hackensack Meridian Health · Back on Her Feet Pine Beach resident fi nds specialized care for foot surgery in her own backyard. ... Healthy Fats Boost Brainpower

MORE ONLINE AT MERIDIANHEALTH.COM

MAY/JUNE2016

Southern Ocean Medical Center

Back on Her Feet

Pine Beach resident fi nds specialized care for foot surgery in her

own backyard. page 16

Quick Treatment for a Stroke p9

Care for When the Doctor’s Not In p30

Stop Migraines Before They Start p28

A Meridian Health Event

Page 2: Back on Her Feet - Hackensack Meridian Health · Back on Her Feet Pine Beach resident fi nds specialized care for foot surgery in her own backyard. ... Healthy Fats Boost Brainpower

2 Meridian HealthViews MAY/JUNE 2016

As the weather warms, many of us are inspired to get outside to enjoy everything New Jersey has to offer. Whether you are a competitive runner or just enjoy a stroll, don’t miss this year’s Heart & Sole Cup to keep your heart healthy and support Meridian CardioVascular Network. Our 5K races kick off in June and your whole family can participate. Find more details about the Heart & Sole Cup on page 3.

What better time than spring to get together with the community to Paint the Town Pink? This year marks the 10th anniversary that Paint the Town Pink has helped raise awareness of the importance of annual mammography. To find out the many ways you can get involved in Paint the Town Pink, from becoming a volunteer to attending an event and more, visit PaintTheTownPink.com today.

When life changes in the blink of an eye, Meridian Health is dedicated to taking care of you. We have the region’s most complete lineup of neuroscience services for stroke, brain tumors, spine injuries, and more.

A MESSAGE TO THE COMMUNITY

This free bimonthly magazine is prepared by the Marketing and Communications Team of Meridian Health. Please call 732-751-7530 with any questions or comments. Inquiries or ideas can be addressed to [email protected].

Gordon N. Litwin, Esq., CHAIRMAN

John K. Lloyd, FACHE, PRESIDENT

Steven G. Littleson, FACHE EXECUTIVE VICE PRESIDENT, MERIDIAN HEALTH

Chrisie Scott, VICE PRESIDENT OF MARKETING AND CORPORATE COMMUNICATIONS

Elliot Frank, M.D., MEDICAL ADVISOR

Michael McCauley, Gabriella Heizler, Jacki Kronstedt HEALTHVIEWS PRODUCTION TEAM

© 2016 Meridian HealthThe material provided in this magazine is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.

viewsHealth

Meridian Health is excited to provide My Health eNews where you can select your own topics of interest, including neurological health. Visit MeridianHealth.com/enewsletters today to subscribe!

ConnectWITH US

Find the recipe for Southeastern Seasoned Catfish on our Facebook page on May 10.

It’s gluten-free and full of spice! Visit Facebook.com/MeridianHealthNJ.

Make the most out of May! Take a photo while you’re walking the dog or trying a new recipe.

Post your photo and message to Instagram using #MeridianHealthie.

The Meridian HealthViews app is available for free download from the App Store on iTunes. Once you’re in the store, simply search “HealthViews” to download the app.

MERIDIAN HOSPITALS RECEIVE STROKE QUALITY ACHIEVEMENT AWARDS

Meridian Health hospitals have received 2015 Get With The Guidelines®−Stroke Quality Achievement Awards from the American Heart Association for their stroke programs. These awards recognize our facilities’ commitment and success in ensuring that stroke patients receive treatment according to nationally accepted guidelines. For the full details, visit MeridianHealth.com/StrokeTreatment.

Sincerely,

John K. Lloyd, FACHE President, Meridian Health

To read inspiring stories on how our top-notch neurosurgeons from Meridian Neuroscience treat members of the community, visit MeridianNeuroscience.com.

iPhone 5sTo resize, make sure you use the 'Scale' option. This keeps the corner radius and layer effects in proportion.

maryjones

maryjones #MeridianHealthie #lunch!

Show us how you

take care of your health!

Post Your “Healthie”

MORE ONLINE AT MERIDIANHEALTH.COM

MAY/JUNE2016

Southern Ocean Medical Center

Back on Her Feet

Pine Beach resident fi nds specialized care for foot surgery in her

own backyard. page 16

Quick Treatment for a Stroke p9

Care for When the Doctor’s Not In p30

Stop Migraines Before They Start p28

A Meridian Health Event

Page 3: Back on Her Feet - Hackensack Meridian Health · Back on Her Feet Pine Beach resident fi nds specialized care for foot surgery in her own backyard. ... Healthy Fats Boost Brainpower

MeridianHealth.com 1-800-560-9990 3

Contents

4 Health SnapshotsGet the latest health news on a wide range of topics — everything from hip replacement to health screenings to nutrition.

Success StoriesSpringing into Action .......................... 6

Back to School .................................... 8

When Every Second Counts ............... 9

Tickled Pink ........................................10

A New Woman ...................................12

Getting Transplant Ready ...................13

Saving a Wounded Foot .................... 14

Take a Deep Breath........................... 15

Getting Back on Her Feet ................. 16

The Bionic Woman ............................ 17

Pulling Together ................................ 18

The Climb of His Life ......................... 19

A Breath of Fresh Air ........................ 20

On Her Game .................................... 21

22 Events CalendarCommunity health programs, fun events, and support groups around the region for adults and children.

Health and WellnessBack in the Saddle ............................ 27

Stop Migraines Before They Start ..... 28

Quality and Convenience ................. 30

Healthy Fats Boost Brainpower ........ 31

Run or Walk towards a healthier heart!Whether you are a competitive runner, walking for a cause, or would like to just enjoy a stroll, don’t miss this event to keep your heart healthy with Meridian CardioVascular Network.Awards: • $3,000 in prize money • Prize money distributed to Top 3 finishers and Top 3 in

five year age groupsTo learn more about the 5k/walk or to register, visit www.MeridianHealth.com/5KRace.

Sunday, June 5 — Ocean Medical Center, Brick — 8:30 a.m.Saturday, June 25 — Bayshore Community Hospital, Holmdel — 8:30 a.m.Sunday, September 18 — Jersey Shore University Medical Center, Neptune — 10:00 a.m.

HV-MHHeartSole8.375x3-JSUMC-16.indd 1 2/25/16 12:36 PM

9Speedy Stroke TreatmentQuick action led to a full recovery for Evelyn Gannon (pictured above on the right).

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4 Meridian HealthViews MAY/JUNE 2016

Healthsnapshots

Adopt These 4 Habits to Avoid Prostate CancerStart with heaping helpings of tomatoes and fatty fish. Mix with a healthy body weight and exercise. Leave out the cigarettes and processed meat. There, you have the recipe for beating deadly prostate cancer. That’s according to new research in the Journal of the National Cancer Institute.

“These lifestyle habits — eating a healthy diet, not smoking, exercising, and controlling weight — can slash men’s risk by as much as 68 percent,” says Robert Smith, M.D., of Riverview Medical Center and Bayshore Community Hospital.

Don’t feel overwhelmed if your current routine falls short. Making just two of these changes can significantly reduce your risk, the study shows.

RUN OR WALK TOWARDS A HEALTHY HEARTDon’t miss the Heart & Sole Cup 5K/walk at Bayshore Community Hospital in Holmdel on Saturday, June 25, at 8:30 a.m. For details, visit MeridianHealth.com/5KRace.

SOCIAL MEDIA AND SELF-WORTHAttend our event to learn about the effects that social media may have on your self-esteem. Read more on page 26.

When doctors test a new drug, they compare it to a placebo. Placebos are pills or treatments that are safe, but would not actually treat the disease that the new drug could. That way, they can tell whether the medicine truly works.

Now, scientists at Wake Forest University have put meditation to the same test. They conducted an experiment showing that, compared to placebo distraction methods, “mindful meditation” decreased the level of pain perceived by test subjects who had a very warm wire placed against their skin. This suggests that mindful meditation has the potential to help patients with chronic pain, but additional research needs to be done to state that with certainty.

“Meditation involves focusing your attention,” says Michael Carson, M.D., of Jersey Shore University Medical Center. “Talk with your doctor about whether practicing it instead of, or in addition to, using pain medication is right for you.”

MEDITATE AWAY YOUR ACHES

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MeridianHealth.com 1-800-560-9990 5

FOLIC ACID SUPPLEMENTS COULD SAFEGUARD YOUR HEALTH — AND YOUR CHILD’S

The government recommends that pregnant women get 600 micrograms of folate per day and women who are breastfeeding get 500 micrograms.

In one study, researchers analyzed a survey of more than 1,600 women who weren’t pregnant. About two-thirds of the women reported getting less than the recommended 400 micrograms per day. These numbers were higher for black and Hispanic women — of these two groups, only about 20 percent got enough daily folate.

“With a little effort, you can avoid folate deficiency,” says Sharareh Bagherian, D.O., of Ocean Medical Center. “I advise patients to start prenatal vitamins a month before planning pregnancy and to continue daily since all prenatal vitamins have the recommended folic acid.” Folate can also be found in many foods. According to Dr. Bagherian, some of the best sources include: • ½ cup of cooked white rice — 90 micrograms• ½ cup of black-eyed peas — 105 micrograms • ½ cup of boiled spinach — 131 micrograms • 1 cup of raw spinach — 58 micrograms

BRINGING UP BABYWhether you’re a fi rst-time parent or expanding your family, learn about the resources Meridian has available to you to help make this miraculous journey less overwhelming. Find more details on page 24.

Could Coffee Add Years to Your Life?Your morning pick-me-up may have added perks. A new analysis has linked coffee consumption to a longer life. In a large study spanning nearly three decades, adults who drank one to three cups of joe per day had an 8 percent lower risk of dying of any cause. That’s compared with those who drank none.

“Coffee contains antioxidants and other beneficial compounds,” says William Power, M.D., of Southern Ocean Medical Center. “These may fight a wide range of diseases, from diabetes to Parkinson’s.”

So sip away, but don’t take your java with another common substance — tobacco. Many coffee drinkers in the study smoked, which diminished the drink’s benefits.

CELEBRATE 10 YEARS WITH USThis year marks the 10th anniversary of Paint the Town Pink! Join us for dozens of town events, including Girls’ Night Out at the Downtown (see page 22 for details). Visit PaintTheTownPink.com to fi nd an event near you.

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Springing into ActionOcean Medical Center Woman acts fast to save her sister’s life after she suffers a stroke.

going on,” recalls Claudice, “I thought I was talking to my sister, but then she began screaming out the window for help and I had no idea why.” Jasmine jumped into Claudice’s seat to gain control of the car, pulled it over, and called 911. Claudice was having a stroke, which occurs when a clot blocks blood flow to parts of the brain. Every minute that the blood remains blocked, more brain cells die.

Emergency responders rushed Claudice by ambulance to Ocean Medical Center’s Emergency Department. Paul Kostoulakos, D.O., a neurologist with Ocean and part of Meridian Neuroscience, was called right away. Samuel Carino, D.O., an emergency medicine physician affiliated with Ocean who treated Claudice in the Emergency

In August 2015, Claudice Fontaine’s sister, Jasmine, was on vacation visiting Claudice here at the Jersey Shore. When Jasmine woke up not feeling well, Claudice picked her up and drove her to a nearby minute clinic. While at the clinic, Claudice felt like her ears were clogged and something was off, but chalked it up to spending days at the beach and swimming in the ocean. Once finished at the clinic, Claudice proceeded to drive the two of them home.

A Scary Road TripWhile the two were driving down Route 70, Jasmine suddenly started to panic due to Claudice’s facial expressions and mumbling. “I really didn’t know what was

Department, confirmed that she was having a stroke due to two blood clots in her brain. Tissue plasminogen activator (tPA) was then administered at the request of Dr. Kostoulakos. “tPA is clot-busting medicine that is used in very specific cases to try and remove the blockage of blood flow to the brain caused by a stroke,” Dr. Kostoulakos says. Transfer Leads to Recovery Claudice was then transferred to Jersey Shore University Medical Center for emergency surgery to remove the clots. “Claudice had a blockage to a very large blood vessel. We wanted to do more to remove the large clot that was causing her stroke. In her case, we had more to offer than just medical treatment,” says Dr. Kostoulakos.

6 Meridian HealthViews MAY/JUNE 2016

Life Can Change in the Blink of an EyeThat’s why Meridian Health is prepared with the region’s most complete lineup of neuroscience

services from stroke to concussion and much more. Watch more inspiring patient success stories and learn about our dedicated staff at MeridianNeuroscience.com.

Claudice Fontaine (center), her girlfriend Kristin Space (left), and her sister, Jasmine Fontaine (right), all enjoy going to Island Beach State Park.

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Claudice had a mechanical embolectomy performed by Paul Saphier, M.D., a neurosurgeon at Jersey Shore and part of Meridian Neuroscience. During this procedure, a device called a Trevo® is inserted through a catheter in an artery in the leg and guided by X-ray all the way to the blood vessels in the brain. The Trevo then retrieves the clot and pulls it out, restoring blood flow to the brain. “The patient’s symptoms have the best chance of resolving if we can restore blood flow in a relatively short period of time,” says Dr. Saphier. Claudice’s procedure was successful and the clots were removed, but the stroke caused her to lose some mobility in her arm and leg.

After spending four days in the Intensive Care Unit at Jersey Shore and the next few days in a step-down

MeridianHealth.com 1-800-560-9990 7

Paul Kostoulakos, D.O.Board certified in NeurologyBrick 1-800-560-9990

Paul Saphier, M.D.Board certified in NeurosurgeryMorristown 1-800-560-9990

unit — a unit that provides transitional care between the ICU and a regular medical floor — Claudice was discharged. At Shore Rehabilitation Institute, located in Ocean Medical Center, Claudice received outpatient therapy, which helped her regain mobility in her arm and leg fairly quickly. Although she isn’t 100 percent recovered yet, she is taking things one step at a time.

“I have a whole new outlook on life and now everything is so different, for the better,” says Claudice. She is especially thankful Jasmine was in the car with her. “I was able to get help so quickly; the whole day could have turned out differently if my sister wasn’t there. It was a blessing that all the things happened the way they did,” says Claudice.

Quick Action Saves Lives Claudice, 40, is alive and recovering today thanks to the quick actions and communication between the medical teams at Ocean and Jersey Shore. “Some symptoms of stroke are obvious, such as difficulty speaking, vision loss, or arm, leg, or facial weakness. Numbness, clumsiness, and inattention are symptoms that sometimes go unnoticed,” says Dr. Kostoulakos.

“If you know something is not right, don’t just ignore it. If there is any concern, use the acronym FAST and get it checked out. The sooner we can treat someone, the better his or her chances of having a good outcome,” says Dr. Saphier.

By Kylie Stanger

F

A

S

T

Paul Saphier, M.D., neurosurgeon at Jersey Shore University Medical Center, recommends using the acronym FAST when you feel something is not right. FAST is an easy way to remember the sudden signs of stroke.

SPOT A STROKE FAST

FACE DROOPING

ARM WEAKNESS

SPEECH DIFFICULTY

TIME TO CALL 911

Sources: American Stroke Association,

American Heart Association

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8 Meridian HealthViews MAY/JUNE 2016

For the past 17 years, Maureen Myers of Point Pleasant has enjoyed her job in the Food Services Department at Manasquan High School. Preparing meals and enjoying the fast pace of high school suits Maureen’s zest for life.

But during Labor Day weekend in 2015, Maureen experienced pain in her stomach and lower back. She went to the Emergency Department and underwent some tests, which seemed to indicate she had two ulcers.

Maureen was also having headaches that grew in severity over the next few days. Maureen went to Ocean Medical Center’s Emergency Department, where a computed tomography (CT) scan revealed she had a large brain aneurysm behind her left eye. “An aneurysm is a ballooning of a blood vessel, similar to a bubble on a tire,” says Pinakin Jethwa, M.D., a neurosurgeon at Jersey Shore University Medical Center and part of Meridian Neuroscience. “When an aneurysm this large causes a severe, sudden headache, as it did in Maureen’s case, you worry that it has ruptured or is about to rupture. It is essential to treat an aneurysm right away before bleeding occurs.”

Maureen was immediately transported by ambulance to Jersey Shore. Within a few hours, Dr. Jethwa and his team were performing surgery to repair the aneurysm. Maureen was a candidate for endovascular coiling — a minimally invasive technique that uses a catheter to block the aneurysm from the inside.

“Traditionally, the treatment for an aneurysm was open surgery, where we remove the skull and close off the aneurysm with a metal clip. Thankfully, coiling is an option, which allows the patient to heal more quickly,” Dr. Jethwa says.

Maureen and her family were amazed at how seamless the procedure was. There was no head shaving, long-term medication, or visible scars.

Maureen returned home and spent a few weeks on bed rest. She has regular follow-up visits with Dr. Jethwa and her primary care physician. “It took a few weeks to recover completely, and when I returned to work, my colleagues couldn’t believe anything had been wrong with me, let alone the fact that I had been through five hours of surgery,” Maureen says. “I feel great, and I owe that to Dr. Jethwa and the team at Jersey Shore. They were all reassuring, kind, compassionate, and patient.”

By Maureen Gillespie

Pinakin R. Jethwa, M.D. Neptune1-800-560-9990

Back to School Jersey Shore University Medical Center After a life-threatening brain aneurysm, woman

returns to work at Manasquan High School just four weeks after surgery.

Maureen Myers, 68, and her husband enjoy living on the Lagoon in Point Pleasant. They are looking forward to boating from their dock this summer.

Video: Another Patient Success StoryWhen an MRI confirmed Maggie Santos had a brain tumor located near key functions of speech, movement, and vision,

her neurosurgeon recommended a unique approach called “awake brain surgery.” Today, there are no signs of the brain tumor. Watch Maggie’s story at MeridianHealth.com/NeuroStories.

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Evelyn was admitted to the hospital so that doctors could find the cause of her stroke. A CT scan of her neck showed that she had a blockage inside her carotid artery, an artery located on the side of the neck that supplies the brain with blood. Matthew Samra, D.O., a vascular surgeon at Southern Ocean, repaired the blockage in surgery. Evelyn stayed in the hospital for eight days before returning home. Today, she visits Meridian Rehabilitation twice a week and is working to regain full range of motion in her left shoulder and neck following the operation.

When Every Second Counts“Evelyn’s case highlights what we hope happens every single time someone presents with a stroke,” Dr. Terranova says. “Patients are treated quickly, they receive tPA if they’re a candidate, and ideally, their symptoms resolve rapidly.”

Robert Terranova, D.O.Board certified in NeurologyManahawkin 1-800-560-9990

What started as a typical afternoon for Evelyn Gannon, 69, last September quickly became anything but expected. “I said good-bye to my husband, and as I came inside, I lost feeling in my right arm and leg,” the Barnegat resident says. “I called my daughter and told her I thought I was having a stroke. While talking, I started slurring my words.” Her daughter dialed 911 for her.

An ambulance took Evelyn to Southern Ocean Medical Center. The Emergency Department (ED) team was expecting her arrival. “We have protocols in place when potential stroke patients arrive to make sure they’re treated quickly,” says Robert Terranova, D.O., a neurologist at Southern Ocean who is part of Meridian Neuroscience. She had a computed tomography (CT) scan to check for bleeding in her brain, which fortunately was negative. “Based on her symptoms, it was clear she was having a stroke,” Dr. Terranova says.

Evelyn was a candidate for a medication called tissue plasminogen activator (tPA), which breaks up blood clots that may be causing a stroke. “It has to be given within three hours from when symptoms first began,” he adds.

Keeping CalmWithin three hours of receiving the tPA, Evelyn’s symptoms resolved. “Even while in the ED I wasn’t scared,” she says. “I had two doctors and three nurses treating me. They explained everything along the way and made me feel very calm and comfortable.”

When Every Second CountsSouthern Ocean Medical Center Speedy treatment for a stroke

leads to Barnegat woman’s full recovery.

Evelyn Gannon, 69, her husband, James, and daughter, Laura Stepnowski. Evelyn visits Meridian Rehabilitation a few times per week.

Get ConnectedThe Meridian Transfer Center connects you to the region’s only Stroke Rescue Center, where nationally

renowned neurosurgeons perform stroke rescue procedures. To find a doctor, visit MeridianHealth.com/StrokeAwareness.

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10 Meridian HealthViews MAY/JUNE 2016

Opportunity Blossoms“The lows and fears I felt when breast cancer was found in my body evolved into the opportunity for positive action through being part of the business committee for Paint the Town Pink,” says Sally. “It’s energizing and equally rewarding to be part of a creative and productive group. Early detection is our answer to conquering breast cancer.”

For 10 years, Sally has remained a dedicated volunteer for Paint the Town Pink. She began by recruiting businesses in Red Bank, and over the years, has only become more passionate — recruiting friends and community members to participate, and launching a committee in her hometown of Ocean Grove.

“I gather in love from others because I reach out,” says Sally. “I keep a good attitude and try to infuse laughter whenever I speak. I talk with neighbors and support them, and people know I am not only a survivor, but a happy person.”

Sally’s dedication and infectious personality have not gone unnoticed. Sally was recognized by Paint the Town Pink with a day of pampering and the opportunity to introduce Bill Rancic (winner of the first season of The Apprentice) at a 2012 Pink event, and she received the inaugural volunteer award at the Care to Give Council’s annual Party for Pink (now Reason to Party) in 2013.

Her contagious laugh has even left her doctors tickled pink — Sally is pleased to have gotten all her doctors to laugh over the years.

“It is helpful to focus your attention and energy on something that keeps you positive during difficult times, especially something as serious as cancer,” says Dr. Laughinghouse. “While there is no clinical trial that proves laughter improves your health, it is clear that a positive attitude improves stress levels and moods, which at the very least makes getting through a difficult time easier. Sally made the most of her cancer care journey, thanks to her diligence in pursuing yearly mammography, in conjunction with working closely with her care team. This has given her the opportunity to continue to inspire people to take control of their own health.” Painting the Town Pink Behind all the laughs and rosy exterior, Sally keeps the mission of Paint the Town Pink — to raise awareness of the importance of annual mammography — at the forefront of her efforts. She encourages women in her community to get mammographies, bringing them to the Women’s Center at Riverview herself if she has to, and advocating for women to use Paint the Town Pink’s fund to help uninsured women get their tests if they need them.

“Breast cancer is curable if you have early detection,” says Sally. “But you have to be proactive. Go for your annual mammogram, keep the results of all of your past tests in a file, make sure to do your follow-up, stay positive, and choose the right doctors.”

By Caitlin Coyle

Tickled PinkRiverview Medical Center Paint the Town Pink volunteer celebrates

10 years of surviving breast cancer.

We’ve all heard the saying “laughter is the best medicine,” but to Sally Harris, that has been more than just an expression. It has been a blessing and a way of life. In March 2006, Sally’s mammogram revealed she had

breast cancer. “I sobbed and sobbed,” says

Sally. “I sat and cried some more, and then my husband and I made decisions to move forward. You need to cry, but you need to move forward, and if anyone can laugh their way through a biopsy, it’s me.”

A Tough Journey AheadStaying positive, Sally and her husband, Norm, researched her diagnosis, treatment options, and doctors, and found her

care team close to home at Riverview Medical Center.

Sally was referred by her OB/GYN, Kathleen Walsh, M.D., to Debra Camal, M.D., FACS, a breast surgeon at Riverview, and now medical director of breast surgery at Riverview and Bayshore Community Hospital. Together, Sally and Dr. Camal, part of Meridian Cancer Care, decided on a lumpectomy — a surgical procedure that removes the cancerous tumor and a small area of tissue surrounding it, sparing the rest of the breast. However, what began as one lump soon progressed to two lumps. Sally eventually decided to undergo a double mastectomy — the removal of both breasts — followed by reconstructive surgery with John Taylor, M.D., a plastic surgeon at Riverview, and chemotherapy under the direction of her medical oncologist, Kenneth Laughinghouse, M.D., both part of Meridian Cancer Care.

Despite the difficult journey, Sally never let it get her down. She faced her diagnosis and treatment with a positive attitude, sense of humor, and the support of her adoring husband, which she believes is how she has reached the incredible milestone of being a breast cancer survivor for 10 years.

Kenneth Laughinghouse, M.D.Board certified in Hematology/Oncology - Medical Oncology Little Silver1-800-560-9990

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Tickled PinkRiverview Medical Center Paint the Town Pink volunteer celebrates

10 years of surviving breast cancer.

Sally Harris, 70, of Ocean Grove, is happy to share her 10-year anniversary of surviving breast cancer with her daughter, Tamara McNaughton.

A Meridian Health Event

10 Years of Paint the Town PinkWe are tickled pink to be celebrating the 10th anniversary of Paint the Town Pink!

From our annual Girls’ Night Out to dozens of town events, there is a way for everyone to get involved. Visit PaintTheTownPink.com or Facebook.com/PaintTheTownPinkNJ to learn about our mission, find an event, or see a list of our Pink Partners.

MeridianHealth.com 1-800-560-9990 11

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12 Meridian HealthViews MAY/JUNE 2016

pain and asked what my pain was like on a scale of one to 10,” says Peggy. “I told her it was a 15.”

Jennifer arranged for Peggy to see Dr. Doss to determine whether she was a candidate for a kyphoplasty, a minimally invasive, image-guided procedure designed to stabilize the injury and stop the pain caused by a spinal fracture. “A kyphoplasty is a fantastic procedure to immediately eliminate pain caused by a spinal fracture,” says Dr. Doss. “The technique involves injecting medical-grade cement into the fracture to improve the vertebral shape and immobilize the fracture fragments, thereby eliminating the pain. It is very effective if performed within the first few weeks after the injury is sustained.”

A few minutes into the meeting, Peggy recalls, “Dr. Doss said, ‘Peggy, I could fix you today.’” Peggy needed to coordinate transportation to and from the hospital, so it was a couple of days before she could undergo the kyphoplasty. When she awoke from anesthesia after having the procedure at Bayshore, she felt like a new woman. She went home a few hours later and has been pain-free ever since.

Dr. Doss adds, “In Peggy’s case, we were able to achieve complete resolution of the pain and a 100 percent recovery of her activity level prior to her injury.”

“I would not have been able to do anything if it weren’t for this procedure and Dr. Doss,” says Peggy. “I am now completely pain-free and getting to enjoy my time with Petunia!”

By April Guillerme

Like many new dog owners, 65-year-old Peggy Capece decided to take time off from work to bond with her newly adopted rescue dog, Petunia. The day after bringing the pup home, however, Peggy suffered a slip and fall that resulted in an L3 vertebrae fracture — a spinal fracture.

For Peggy’s type of injury, physicians could not do much besides instruct her to limit movement and prescribe narcotics to help combat the excruciating pain. Not content to live on painkillers, Peggy contacted several orthopedic surgeons to help her find some relief, many of whom told her they didn’t work with backs. Those who did couldn’t see her for months.

Unsure of what to do next, Peggy returned to work in Access Services at Bayshore Community Hospital. While walking down the hallway at Bayshore, Peggy ran into Jennifer Lovey, assistant nurse manager of Radiology, who works with Peter Doss, M.D., a radiologist at Bayshore. “Jennifer noticed that I was in

A New Woman Bayshore Community Hospital Toms River woman is pain-free after

having a minimally invasive procedure.

Peter Doss, M.D.Board certified in Diagnostic RadiologyLittle Silver1-800-560-9990

Peggy Capece, 65, says surgery has enhanced her life, helping her get back to work with more energy and no pain.

Video: Meet Dr. DossWatch Dr. Doss explain what interventional radiology is

and how it benefits patients at MeridianHealth.com/Doss.

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drawing off their energy. Lung disease isn’t fun, but the Pulmonary Rehabilitation Program makes the journey bearable for us all.”

Today, Tracy can keep moving throughout her entire workout with little or no rest, and no longer requires supplemental oxygen. “I’m so happy for Tracy,” says Dr. Sharma. “Her dedication to the program and commitment to her physical conditioning made this possible. Tracy is a wonderful example of what can be accomplished through our program and with the help of our compassionate team of professionals.”

“I feel good,” says Tracy. “My lungs are doing exceptionally well. I am doing the best I can to keep up with my exercises so I don’t lose all the health benefits I have gained since I began the pulmonary rehabilitation program.”

By Christine Burke

Getting Transplant ReadyRaritan Bay Medical Center Pulmonary rehabilitation helps Monroe woman

before and after a double lung transplant. Tracy Suchcicki, 53, of Monroe became active in the Pulmonary Rehabilitation Program at Raritan Bay Medical Center in Old Bridge while she was battling scleroderma-related interstitial lung disease. This chronic condition causes progressive scarring of lung tissue and eventually affects the ability to get adequate oxygen into the bloodstream.

Tracy and her doctors were hopeful that she would one day receive a lung transplant. Until that time, Tracy was a dedicated participant in the Pulmonary Rehabilitation Program. “I couldn’t reverse the scarring on my lungs,” says Tracy, “but I could keep my body as fit as possible as I waited for my lung transplant.”

Pulmonary rehabilitation can help anyone who has difficulty breathing or experiences shortness of breath that interferes with daily activities. Each patient’s individualized plan of care includes physical reconditioning, maintenance planning, and education.

All patients in the Pulmonary Rehabilitation Program are medically supervised by Madho Sharma, M.D., a pulmonologist and medical director of the Department of Medicine, Division of Pulmonology, at Raritan Bay.

In June 2015, Tracy received the lungs she had been waiting for. Following her lung transplant surgery, Tracy felt she still needed the discipline of an exercise regime, so she returned to the Pulmonary Rehabilitation Program at Raritan Bay. “We’re like a little family,” says Tracy. “You find yourself encouraging others and

Madho Sharma, M.D.Board certified in Pulmonary Disease and Internal MedicineFords1-800-560-9990

Helping You Breathe EasierYou can make an appointment or be referred to the Pulmonary Rehabilitation Program at Raritan Bay

Medical Center by your own physician. Please call 732-360-4290 or visit RBMC.org/pulmonary-rehabilitation.

Being a member of the Spotswood Reformed Church has helped support Tracy Suchcicki, 53, through her illness and lung transplant.

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medication and an antibiotic. But the swelling and pain increased, and a blister began to form where his bruise had been. “Within a day or so, the wound got bigger, and I couldn’t walk without pain,” Dennis says. That’s when Dr. Talamayan told Dennis to go to the Emergency Department at Ocean.

There, infectious disease specialist Andrew Lee, M.D., explained to Dennis that the dumbbell injury and splinter had led to cellulitis, a bacterial skin infection that can spread rapidly. “In most cases, we can treat this with oral antibiotics, but Dennis’ infection was aggressive and required several days of intravenous antibiotics in the hospital to get it under control and prevent gangrene,” says Dr. Lee.

After being released, Dennis visited Greg Clark, DPM, a podiatrist at the Center for Wound Healing at Ocean. Over the next few weeks, Dr. Clark oversaw a comprehensive treatment plan for Dennis that included regularly cleaning and dressing the wound to make sure it healed properly.

“When I first went to the Center for Wound Healing, it looked like I had a large chunk taken out of my foot, but gradually, it healed,” Dennis says. “Today, I have just a small scar. I was so surprised that a minor injury could spiral out of control so quickly, but I’m very glad the experts at Ocean were there for me when it did.”

Saving a Wounded FootOcean Medical Center When a minor injury became a major problem,

Ocean Medical Center’s infection and wound care specialists stepped in.

Andrew Lee, M.D.Board certified in Infectious DiseaseOakhurst 1-800-560-9990

Dennis Trinidad, 50, has loved golfing for about 30 years.

He golfs twice a week at Eagle Ridge Country Club.

At first, Dennis Trinidad, 50, thought he’d escaped serious injury when he dropped a 15-pound dumbbell on his left foot in March 2015. “It was painful, but I put a bag of frozen vegetables on it, and the next day I had only a minor bruise,” he recalls. Two weeks later, however, the Toms River resident was in the Emergency Department at Ocean Medical Center, where he narrowly escaped having his foot amputated.

Much had happened in those intervening weeks. Dennis had gone on vacation to Brazil, where he got a splinter in his still-healing left foot, which then started to hurt and swell. Dennis thought he might be having a flare-up of gout — a form of arthritis caused by a buildup of uric acid — since he has a history of the condition.

On his return, Dennis visited his primary care physician, Randy Talamayan, M.D., who prescribed gout

14 Meridian HealthViews MAY/JUNE 2016

Healing Wounds, Healing Lives

Meridian’s Centers for Wound Healing blend

expertise with the latest technologies to provide a healing touch in wound care. For specific locations, videos from our experts, and more, visit MeridianHealth.com/Wound.

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MeridianHealth.com 1-800-560-9990 15

Take a Deep BreathJersey Shore University Medical Center North Hanover man is able to

breathe easily again after years of testing and surgeries.

In order to restore function to the paralyzed diaphragm, Dr. Kaufman performed nerve decompression surgery and nerve grafting, which involved taking a nerve from Don’s leg and using it to help bypass the nerve injury in his neck. Don then began rehab. “On average, after the first year, if patients continue diaphragm rehab, they are able to recover roughly 50 percent of normal diaphragm function, which is more than enough to have a major improvement in breathing activity and physical function,” says Dr. Kaufman.

“I can now go to the gym three to five times per week to do cardio and abdominal exercises,” Don

says. “I’m so happy that I found Dr. Kaufman. He made me feel at ease.” “This is a procedure that can help people when doctors say, ‘there’s

nothing else we can do,’” says Dr. Kaufman. “We are able to take a multi-disciplinary approach to treat diaphragm paralysis, based on the patient’s circumstances.”

Don is happy he can breathe easy again. “I’m looking forward to my continued success.”

By Kaylin Harper

Don Matthews, 47, is looking forward to an upcoming ski trip he’s taking with his son to Aspen, Colorado.

Long-term pain is something that nobody wants to endure. North Hanover resident Don Matthews had experienced pain since 2007, when he tore his rotator cuff at work. The surgery he had to repair this injury left him with numbness in his shoulder, and he was unable to keep his arm up for more than 20 seconds.

In 2012, Don saw Franklin Frasco, M.D., FACS, vascular surgeon at Jersey Shore University Medical Center, who determined that Don had poor circulation in blood vessels as well as pinched nerves in his shoulder, which are symptoms of thoracic outlet syndrome.

Thoracic outlet syndrome involves compressed blood vessels or nerves between the collarbone and first rib, usually resulting from an injury. One month later, Dr. Frasco performed surgery to repair these issues. Don’s numbness subsided.

A few weeks later, Don noticed that he was winded throughout the day. “It felt like I had air pockets in my throat. It was really uncomfortable,” says Don. “Over the next two years, I had an endoscopy and had my tonsils removed to prevent the acid reflux I was experiencing, but nothing eased my discomfort,” Don says. His ear, nose, and throat doctor suggested Don see a doctor who has experience dealing with the phrenic nerve — a motor nerve that travels through the neck and controls the function of the diaphragm, the primary muscle of breathing.

“I sent Don for some tests to determine whether or not his diaphragm was moving properly. The tests showed Don had a paralyzed diaphragm and required phrenic nerve reconstructive surgery,” says Matthew Kaufman, M.D., FACS, co-director of the Center for Treatment of Paralysis & Reconstructive Nerve Surgery at Jersey Shore. “This surgery was necessary because Don had a buildup of scar tissue from chronic trauma and previous surgeries, which is very common,” says Dr. Kaufman.

Restoring Function, Compelling HopeThe physicians at Meridian’s Center for Treatment of Paralysis & Reconstructive Nerve Surgery have more than

50 years of experience in nerve reconstruction procedures, ranging from relieving carpal tunnel syndrome to advanced neuropathy treatment. Learn more at MeridianHealth.com/CompellingHope.

Matthew Kaufman, M.D.Board certified in Otolaryngology and Plastic SurgeryShrewsbury1-800-560-9990

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16 Meridian HealthViews MAY/JUNE 2016

The next day Marianne and her husband met with Dr. Mazzatta, who explained the surgery and was able to put the two at ease. “Lisfranc fractures are not very common. They account for 0.2 percent of all fractures,” Dr. Mazzatta says.

Before her surgery, Marianne consulted with Keith Barton, D.O., an anesthesiologist at Southern Ocean, who explained how he would use a nerve block to help her deal with the pain from the surgery. Nerve blocks consist of an injection to essentially turn off the pain signals in a specific area. When the swelling in her foot began to subside, Marianne was ready for surgery to realign the joints in her foot and return the broken fragments to a normal position.

Being very active and a lover of long beach walks, sitting home while recovering was difficult for Marianne. Dr. Mazzatta came to her rescue by helping her stay positive. “Postoperative care and management is critical for any case, especially in Marianne’s situation. I am pleased with Marianne’s recovery, and I believe that has to do with how well she followed the postoperative course of care as well as her positive outlook,” says Dr. Mazzatta. Postsurgery instructions for Marianne consisted of not only physical therapy, which took place at Meridian Center for Health in Forked River, but also a systematic program that involved special orthotics and compression socks to get her walking again. It was a team effort to get Marianne feeling as good as new.

Months later, Marianne is now back on her feet and feeling better than ever. “Look in your own backyard, because the care is right here at Southern Ocean Medical Center,” Marianne says.

By Kylie Stanger

While walking to her car, Marianne Franovic, 60, of Pine Beach, fell off an uneven curb and got her foot wedged between the curb and the car. Shortly thereafter, Marianne’s foot swelled to the point where she couldn’t take her shoe off. She knew she needed to visit the Emergency Department.

A nurse at Southern Ocean Medical Center for the past 32 years, Marianne knew that’s where she wanted to be. She was told that she had a unique fracture called a Lisfranc fracture dislocation, which occurs when bones and ligaments in the midfoot are broken and torn, causing the foot to dislocate. Marianne was sent home and advised to not put any weight on her foot and to keep it elevated until she could see a specialist.

Marianne’s colleagues recommended Jeffrey Mazzatta, DPM, a foot and ankle surgeon at Southern Ocean with expertise in foot and ankle reconstruction.

Getting Back on Her FeetSouthern Ocean Medical Center Pine Beach resident finds great care

in her own backyard for specialized foot surgery. Jeffrey Mazzatta, DPMBoard certified in Podiatric Surgery - Foot and Ankle SurgeryManahawkin1-800-560-9990

Video: Another Patient Success StoryA professional pilot, Paul Weiss’ radiating arm pain had become unbearable. He relied on our orthopedic specialists to

find the cause and alleviate his pain. Two weeks later, he was cleared to fly. To watch his story, go to MeridianOrthopedicsNJ.com/PatientStories.

Marianne Franovic, 60, walks often along the water just outside her front door. The Pine Beach resident is excited to be back at work and on her feet.

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MeridianHealth.com 1-800-560-9990 17

and I will journey together until the job is done. Then the patient can move on to the more important things in life, like exercising and enjoying a better quality of life.”

From May 2014 to July 2015, Dr. Costa executed four successful minimally invasive joint replacement surgeries on Donna’s hips and knees. While at Riverview, Donna was amazed by the care she received. “I was treated like a queen by the staff. My room was beautiful, and everything was so calming and comfortable.”

After each surgery, Donna received two weeks of in-home rehabilitation from Meridian At Home, working with therapists to learn how to maneuver with her new joints.

Ache-Free LivingBy late September 2015, Donna was fully recovered. The Neptune resident is now pain-free and excited to travel and walk on the beach with her husband.

Throughout her journey, Donna was supported by the fervent prayers of her church, the Faith Baptist Tabernacle of Asbury Park. “I have to thank God for guiding Dr. Costa’s hand in performing the surgeries on me,” says Donna. “Now that I am the bionic woman, it feels great not to ache when going up and down the stairs.”

By Jim Kelly

Donna Pettway, 65, was used to living with pain stemming from arthritis in her joints. “It wasn’t until my right hip felt like it was collapsing that I decided to contact an orthopedic doctor,” Donna recalls. X-rays revealed severe arthritis in both of her knees and hips, and Donna was told she was a candidate for quadruple total joint replacement surgery.

A Search for ReliefDonna sought out second and third medical opinions, but each physician made the same diagnosis. Donna’s hip and knee joints were bone on bone, and without surgery, she could have lost her ability to walk.

“I was very fearful and in tears leaving the first three physicians’ offices. I searched online and found out about minimally invasive surgery. Unfortunately, the doctors I found who performed that type of surgery were so far away.”

Donna prayed that she could find a local doctor who specialized in minimally invasive surgical joint replacement. Her search continued until a coworker brought in a copy of Meridian HealthViews featuring Anthony Costa, M.D., an orthopedic surgeon affiliated with Riverview Medical Center, who performs minimally invasive hip surgery. Donna immediately made an appointment.

The Care PlanWhen Donna first met Dr. Costa, her fears were eliminated. “He had a big smile and warm handshake. All my anxiety was gone, and I knew I was in the right place.”

Dr. Costa recommended that all four joints be replaced. Donna says, “Dr. Costa explained the surgery and showed me what type of replacement he would use.”

Dr. Costa, part of Meridian Orthopedics, says, “Once we discuss all the viable options, including minimally invasive surgery, I know that the patient

The Bionic Woman Riverview Medical Center Four joint replacement surgeries

have recent retiree pain-free and excited to travel.

Donna Pettway, 65, does a daily one-hour workout routine at home. Newly retired, Donna has lost weight and is feeling great after her surgeries.

Anthony J. Costa, M.D. Board certified in Orthopedic SurgeryRed Bank1-800-560-9990

Join the Meridian MovementFor educational programs, events, information on joint replacement

surgery, patient success stories, videos, and so much more, visit MeridianOrthopedicsNJ.com.

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18 Meridian HealthViews MAY/JUNE 2016

confidence blew me away. I knew I would be in good hands.”

After her meeting with Dr. Campo, Joann’s case was brought to the multi-disciplinary tumor conference at Bayshore. There, her entire Meridian Cancer Care team — including Dr. Campo; her medical oncologist Aileen Chen, M.D.; and her radiation oncologist Priti Patel, M.D. — determined a lumpectomy and radiation therapy would be her best option. According to Dr. Campo, a lumpectomy (surgical removal of the cancerous tissue) would also reduce Joann’s postoperative pain and recovery time, as it is an outpatient procedure.

“Knowing that all the doctors were working together was comforting. When I went to meet with my other doctors, it was as if they already knew me,” says Joann.

“Each week, we discuss our patients’ cases among a variety of specialists, including a medical oncologist, radiation oncologist, radiologist, pathologist, plastic surgeons, genetic counselors, the research team, and other breast surgeons,” says Dr. Campo. “Everyone provides recommendations, which are discussed with patients after the conference to determine their specific plan of care.”

On August 12, Joann returned to Bayshore for her lumpectomy procedure with Dr. Campo. “It was amazing,” says Joann. “Everyone I met made me feel so comfortable and not at all nervous about my procedure. The nurses took such good care of me and spoke so highly of Dr. Campo; the whole thing was very reassuring.”

After the procedure, Joann began radiation therapy at Riverview Medical Center, which lasted for six weeks, just in time for Joann to return to her job as an art teacher.

“It was actually bittersweet going in for my last day of treatment because you establish a strong bond with everyone taking care of you. The team is a special group of people. They are fun and positive and make the drudgery of going there five days a week a breeze,” says Joann. “They were able to schedule my appointments so that I never missed a day of school. I’m happy to say I feel 100 percent healthy now.”

By Caitlin Coyle

Pulling TogetherBayshore Community Hospital Meridian Cancer Care physicians team up to determine the

best treatment plan for Hazlet woman with breast cancer.

In July 2015, Joann Mertz of Hazlet went to what she thought would be a routine gynecologic appointment. But her visit took an unexpected turn when Colleen, the physician assistant completing Joann’s clinical exam, felt lumps in Joann’s right breast.

Joann immediately called the Women’s Center at Bayshore Community Hospital to schedule a mammogram for the following week. “Everyone was amazing as they guided me through my mammogram and a biopsy.”

A few days later, Joann was driving with her two daughters when she got the call — she was diagnosed with early-stage breast cancer in her right breast. “I pulled over and let my

daughter take the wheel while I cried the whole way home.”Joann quickly got in touch with her primary care physician,

Richard Marino, D.O., affiliated with Bayshore, and her gynecologic clinician, Colleen Lenard, M.S., PA-C. They both referred her to Catherine Campo, D.O., FACOS, a breast surgeon at Bayshore and part of Meridian Cancer Care.

“There are no words to describe how I felt that first day I met Dr. Campo,” says Joann. “I had second-guessed my decision to not go into the city for treatment, but when I met Dr. Campo, her compassion and

Compassionate Cancer CareOur patients can expect excellence in both the precision of treatment and the quality, compassionate

care we provide. For stories of inspiration, support services, and more, visit MeridianCancerCareNJ.com.

Joann Mertz, 57, has been an art teacher at St. Benedict for 17 years. Joann felt that her students and her job helped her bounce back into action after having cancer.

Catherine Campo, D.O.Board certified in General SurgeryHolmdel1-800-560-9990

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MeridianHealth.com 1-800-560-9990 19

weeks. Today, he’s still on maintenance chemotherapy every three weeks to continue fighting the disease.

“I could have gone anywhere, but I had 100 percent confidence in my team at Jersey Shore,” Dave says. “They were in constant communication with one another and with me. Everyone went above and beyond in making sure I got the best care.”

Beating the Odds Each year, more people die of lung cancer than breast, prostate, and colon cancer combined. Thanks to the expert and expeditious care Dave received, he’s beating the odds. And this winter, he set out to climb all 46 peaks of the Adirondack Mountains.

“Our goal isn’t just to treat patients; it’s to help them lead the life they want to live,” Dr. Nahum says. Fortunately, thanks to the care he’s receiving at Jersey Shore, Dave gets to do that every day.

In January 2015, Dave Clark was scaling up frozen waterfalls in New Hampshire, weathering subzero temperatures and wind gusts of up to 60 miles per hour. Little did he know that his hardest climb was yet to come. “It’s not unusual to lose weight on a trip like that, but I usually put it back on within days,” says Dave, a registered nurse and senior manager of Patient Care Services in the Emergency Department at Jersey Shore University Medical Center. “This time I didn’t.” He also experienced pain in his lower back, but didn’t think much of it given the intense climb he’d just done. Dave discussed the weight issue with Mitchell Schwartz, M.D., a gastroenterologist at Jersey Shore, who sent him for a computed tomography (CT) scan.

The scan showed that he had a tumor at the base of his spine. He was referred to Kenneth Nahum, D.O., who is part of Meridian Cancer Care and a hematologist and oncologist at Jersey Shore. Dr. Nahum led Dave’s care team and sent him for additional diagnostic tests to find out where the tumor originated. As a healthy, active, nonsmoking 51-year-old husband and father of three, Dave never expected to hear the results he received. He had stage 4 non-small cell lung cancer.

Cutting-Edge Care A multi-disciplinary team of experts, known as the Tumor Board, met to discuss Dave’s case, as they do for all cancer patients. “Medical oncologists, radiation oncologists, thoracic surgeons, pulmonary medicine, radiologists, pathologists, and others work together to determine what the best course of treatment should be,” says Thomas Bauer, M.D., Dave’s thoracic surgeon at Jersey Shore and medical director of Thoracic Oncology for Meridian Health.

Dave’s radiation oncologist, Douglas Miller, M.D., recommended that Dave be treated with CyberKnife®, a type of radiation therapy that delivers high doses of radiation to a very specific area while minimizing damage to nearby tissues. Dave received the CyberKnife treatment at Riverview Medical Center and, two weeks later, Dr. Bauer removed a portion of the right upper lobe of Dave’s lung. Finally, Dave started chemotherapy about a month after that, which he received every four

The Climb of His LifeJersey Shore University Medical Center Expert treatment for lung cancer has local man

back to climbing mountains.

Simply the BestMeridian Health hospitals have been granted accreditation for their cancer programs that is earned

by less than one-third of all such programs across the country. For full details, visit MeridianHealth.com/CancerSpecialties.

Kenneth Nahum, D.O.Board certified in Hematology/Oncology - Hematology, Hematology/Oncology - Medical Oncology, and Internal MedicineHowell 1-800-560-9990

Thomas Bauer, M.D.Board certified in Thoracic Surgery Neptune 1-800-560-9990

Dave Clark, hiking in the Adirondack Mountains in New York. Photo supplied by Dave Clark.

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Giving BackThree years later, David’s school had Respect Week, which teaches kids to help others. In October 2015, David started a lemonade and hot chocolate stand and donated all the proceeds to K. Hovnanian Children’s Hospital. David raised $1,215.

A few weeks later, he worked with the Child Life Program directors handing out coloring books and crayons to sick kids. In December 2015, his town gave him the Hero Award, which is given annually to Brick residents who have shown acts of kindness to those in need.

“Marcelino and I are so proud of him,” says Kristina. “He wants to do more fundraisers to raise more money. His Taekwondo instructor even let David set up a stand outside the gym so that even more people can donate to K. Hovnanian Children’s Hospital.”

“My mom helps people, so I want to help people,” David says. “I like to tell people to always be kind.”

By Kaylin Harper

It seemed like an ordinary night at the Torres home, but when Kristina heard her then 4-year-old son, David, having difficulty breathing while he slept, she knew she needed to seek help.

“David wasn’t breathing normally, and then he would start breathing through his mouth and grinding his teeth,” Kristina says. “He would wake up in the middle of the night sweating.” In November 2011, she contacted David’s doctor, Ellen Miele, M.D., a pediatrician at K. Hovnanian Children’s Hospital at Jersey Shore University Medical Center and part of Meridian Pediatric Network.

The Search for Answers Due to the persistence of the problem, Dr. Miele suggested she take David to an ear, nose, and throat doctor, and the following week, David was scheduled for adenoid surgery. “David was an ideal candidate for a tonsillectomy and adenoidectomy, based on his history and exam,” says Mary Mitskavich, M.D., an otolaryngologist with Jersey Shore University Medical Center. “Surgery would alleviate David’s apnea, restless sleep, frequent awakenings, and daytime sleepiness.”

David’s 25-minute procedure went beautifully, and he was in and out of the hospital on the same day. “He was instantly able to breathe out of his nose, he wasn’t grinding his teeth, and he was sleeping most of the night,” Kristina says. “We were so happy with David’s outcome that my husband, Marcelino, even went back to the office to see Dr. Mitskavich’s colleague, Sean Houston, M.D., to treat his deviated septum.” David was still doing very well at his three-week follow-up visit, and Dr. Mitskavich was pleased with the outcome. “The recovery isn’t easy for the patient or the family, but when needed, it is well worth it,” says Dr. Mitskavich.

A Breath of Fresh Air K. Hovnanian Children’s Hospital A child with sleep apnea

wakes up to wanting to help others.

Mary Mitskavich, M.D.Board certified in OtolaryngologyNeptune1-800-560-9990

More Stories from Real Pediatric PatientsWhether being treated for type 1 diabetes or a simple fall, Meridian Pediatric Network ensures your child will have the best possible

care available. Watch more stories in the words of real pediatric patients at MeridianPediatricNetwork.com.

David Torres, 8, does Taekwondo a few times a week and is well on his way to earning a blue belt.

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Dr. Lu. Jackie was back on the court in December 2012. “The moment when Dr. Lu told Jackie she could play again, it was beautiful; she had tears in her eyes,” recalls Shirley.

Looking AheadToday, Jackie is a sophomore at William Paterson University and loves playing basketball for the Pioneers. She credits her surgery and rehabilitation for making her a stronger athlete.

At the start of last season, Jackie injured her knee and was benched until December. Time will tell whether her injury will require surgery. Cristobal Beiro, M.D., another Human Motion Institute orthopedic surgeon and Dr. Lu’s practice partner, is caring for Jackie, and the physical trainers at William Paterson are working with Jackie to strengthen her knee.

In August 2015, an MRI revealed two new tears in Jackie’s shoulder. She is following a plan of care developed by Dr. Lu, undergoing physical therapy and exercise to strengthen the area with hope of avoiding a possible future surgery.

“I still love to play. Basketball is my passion,” says Jackie. The criminal justice major plans to pursue a career in law enforcement, but for now, Jackie thrives on being a team player, both on the court and in working with her physicians at the Human Motion Institute at Raritan Bay.

By Christine Burke

In 2012, a recurring shoulder injury compounded by a serious car accident almost cut short the promising basketball future of 16-year-old Jackie Rodriguez, a junior point guard at Sayreville War Memorial High School.

Jackie’s parents, Shirley and Elliott, had serious concerns about the care their daughter needed and whether surgery was worth the risk. “It wasn’t as simple as just not playing basketball anymore,” recalls Shirley. “Basketball is Jackie’s life. She’s been playing since she was 5 years old, when her dad started coaching her. Jackie had her sights set on a college basketball career. These injuries were devastating to our whole family.”

The Best Care, Close to HomeFortunately, Shirley was referred to Raritan Bay Medical Center’s Human Motion Institute for Jackie’s care. The institute provides a comprehensive program for the prevention, assessment, treatment, and rehabilitation of a wide range of musculoskeletal conditions in children and adults.

The Human Motion Institute’s talented team of medical professionals includes board certified physicians and surgeons, physiatrists, a nurse navigator, nurses, and licensed physical and occupational therapists. The team uses advanced treatments to create an individualized plan of care for each patient.

After Jackie underwent nearly a year of physical therapy, Michael Lu, M.D., an orthopedic surgeon fellowship trained in shoulder and elbow surgery, made the diagnosis that Jackie would ultimately benefit from shoulder surgery. In August 2012, Dr. Lu performed a minimally invasive surgical procedure to repair Jackie’s labrum, the firm ring of cartilage that provides stability to the shoulder joint. “Being young and athletic, and thanks to the physical therapy to build up her shoulder before the surgery, Jackie had a recovery advantage,” says

Make an Appointment TodayCall 855-5-MOTION (855-566-8466) to speak to the Human Motion Institute nurse navigator, who can make

your appointment, or visit RBMC.org/human-motion-institute.

On Her Game Raritan Bay Medical Center College athlete is stronger today, thanks to

the team at the Human Motion Institute at Raritan Bay Medical Center.

Jackie Rodriguez, 19, is currently a sophomore at William Paterson University and a point guard on the women’s basketball team.

Michael Lu, M.D.Board certified in OrthopedicsWoodbridge1-800-560-9990

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22 Meridian HealthViews MAY/JUNE 201622 Meridian HealthViews MAY/JUNE 2016

Girls’ Night Out at The Downtown Join Paint the Town Pink for a 10-year reunion party with live music, swag bags, door prizes, pink cocktails and treats, and hors d’oeuvres. Take “class” photos and catch up with fellow Pink alumni. Tickets are $30. Proceeds benefi t Meridian’s Pink Fund. For more details or to register, call 1-855-PINK-411 (1-855-746-5411).MAY 12, 7:00 – 10:00 P.M. The Downtown10 West Front Street Red Bank

Breast HealthDenise Johnson Miller, M.D., will discuss breast health topics, including self-examination, mammograms, prevention, risk factors, and treatment options. Light dinner will be served.MAY 12, 7:00 – 8:30 P.M.Covered Bridge Clubhouse 1 Amberly Drive, Manalapan

MAY 25, 6:00 – 7:30 P.M.Meridian Health Village at Jackson, Conference Center

Meridian Cancer Care Stop Smoking with HypnosisHypnotherapy is effective in alleviating unwanted habits and developing positive behaviors and lifestyle changes. Fee: $30. Group session. MAY 9 AND JUNE 13 7:00 – 8:00 P.M. Meridian Fitness and Wellness, Hazlet

MAY 11, 7:00 – 8:00 P.M. Meridian Fitness and Wellness, Manahawkin

MAY 16, 7:00 – 8:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

Eventscalendar

All programs are FREE unless otherwise noted. Reserve your spot by calling 1-800-DOCTORS (1-800-362-8677) or 1-800-560-9990 or by visiting MeridianHealth.com.In cases of severe weather, a program may be canceled as late as an hour before the start time. Call 1-800-DOCTORS or 1-800-560-9990 to confi rm.

A Meridian Health Event

Brain Tumors: The Journey Starts HereJoin Meridian Cancer Care experts for a panel discussion on brain tumors — signs, symptoms, and diagnosis and treatment options. Experts will be on hand for a Q & A session, and information will be available. MAY 7, CONTINENTAL BREAKFAST 8:30 – 9:00 A.M. PROGRAM, 9:00 A.M. – NOON Jersey Shore University Medical CenterLance Auditorium

Look Good, Feel BetterThe American Cancer Society offers this program to individuals being treated for cancer. Learn makeup and hair tricks to help you look and feel better. To register, call 1-800-227-2345. MAY 9, 1:00 – 3:00 P.M.Meridian Fitness and Wellness, Manahawkin

JUNE 20, 1:00 – 3:00 P.M.Meridian Fitness and Wellness, Hazlet

Skin Cancer Screenings Free skin screening assessments. Registration is required.MAY 10, 6:00 – 8:00 P.M. Meridian Fitness and Wellness, Hazlet

JUNE 7, 5:00 – 7:00 P.M. Jersey Shore University Medical CenterOutpatient Infusion

Stroke AwarenessJoin our Meridian Neuroscience experts and learn the signs and symptoms, risk factors, and what you should do if someone is having a stroke. Events include free health screenings, health information, and light refreshments. Registration is required. MAY 6, 11:00 A.M. – 1:00 P.M. Jersey Shore University Medical Center, Lance Auditorium

MAY 18, 11:00 A.M. – 1:00 P.M.Bayshore Community Hospital, Conference Rooms A and B SPEAKER: RAFIYA KHAKOO, M.D.

MAY 18, 1:00 – 3:00 P.M. Riverview Medical Center Two River Conference SuiteSPEAKER: NOAH GILSON, M.D.

MAY 19, 9:00 – 11:00 A.M.Southern Ocean Medical Center, Rooms 1 and 2 SPEAKER: TOMMASINA PAPA-RUGINO, M.D.

MAY 24, 1:00 – 3:00 P.M. Ocean County Library — Brick, 301 Chambers Bridge Road SPEAKER: STEPHEN MARTINO, M.D.

Stroke Support GroupMEETS FOURTH WEDNESDAYOF EACH MONTHMeridian Rehabilitation at Neptune2100 Route 33 Neptune City

STROKE AWARENESS MONTH EVENTS

Cancer SurvivorshipCelebrationCelebrate all cancer survivors and their caregivers with a day fi lled with fun, fellowship, a survivor speaker, cooking demonstration, chair massages, seated yoga, and prizes. Meridian Cancer Care survivorship navigators will be on hand to assist with questions and provide support. Continental breakfast and lunch provided. JUNE 11, 9:00 A.M. – 1:00 P.M Meridian Health Village at Jackson, Conference Center

Cancer Survivor WorkshopThis four-week workshop covers motivation, movement, nutrition, spirituality, and wellness.MAY 2, 9, 16, AND 24 4:00 – 6:00 P.M.Jersey Shore University Medical CenterBrennan Rooms 104/105

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To register, call 1-800-DOCTORS or 1-800-560-9990. 23

Peripheral Artery DiseasePeripheral artery disease (PAD) is a common circulatory problem in which narrowed arteries reduce blood fl ow to your limbs. Habib Khan, M.D., will discuss the causes, symptoms, and treatment options.MAY 19, 11:00 A.M. – NOONMeridian Fitness and Wellness, Hazlet

Rhythm of Your Heart Mark Mascarenhas, M.D., will discuss signs and symptoms of different heart rhythm disorders and treatments available.MAY 31, 6:00 – 7:00 P.M.Jersey Shore University Medical Center Brennan Rooms 104/105

A-Fib: The FactsRiple Hansalia, M.D., will discuss diagnosis and treatment options for atrial fi brillation. JUNE 21, 6:30 – 7:30 P.M.Meridian Community Resource Center at Freehold Raceway Mall

The Heart-Healthy TableHeart-healthy eating doesn’t have to be bland and boring. Learn tips for planning, purchasing, and preparing heart-healthy foods. JUNE 23, 6:00 – 7:00 P.M. Ocean Medical CenterCommunity Room

Fresh Start Smoking Cessation This four-session smoking-cessation program is offered by the American Cancer Society. Success in the program requires attendance at all four sessions. Call for dates, times, and locations.

Meridian CardioVascular Network Getting a Leg Up on Varicose VeinsJoin Lawrence Mueller, M.D., as he discusses varicose veins, their causes, and the latest treatment options. Screenings to follow the lectures. MAY 17, 7:00 – 9:00 P.M. JUNE 16, 9:00 – 11:00 A.M. Jersey Shore University Medical Center, Brennan Rooms 104/105

MAY 24, 7:00 – 9:00 P.M.Meridian Community Resource Center at Freehold Raceway Mall

MAY 26, 7:00 – 9:00 P.M.Meridian Health Village at Jackson, Conference Center

Living with Heart Failure Learn how to maximize your quality of life while living with heart failure. MAY 18, 2:00 – 3:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

JUNE 17, 11:00 A.M. – NOONMeridian Fitness and Wellness, Manahawkin

JUNE 21, 11:00 A.M. – NOONMeridian Fitness and Wellness, Hazlet

Learn your risk for heart attack and stroke. Includes carotid artery ultrasound, heart rhythm, blood pressure, and screening for abdominal aortic aneurysm and peripheral artery disease (PAD). Receive a color report of your fi ndings, educational material, and consultation with a registered nurse.In celebration of National Stroke Awareness Month, screening cost is $49.95.

Registration is required.

MAY 4, 1:00 – 7:30 P.M.Bayshore Community Hospital, Conference Rooms A and B

MAY 9, 1:00 – 7:30 P.M.

JUNE 7, 9:30 A.M. – 4:00 P.M.Ocean Medical Center East Wing Conference Center

MAY 12, 1:00 – 7:30 P.M.

JUNE 16, 9:30 A.M. – 4:00 P.M.Meridian Community Resource Center at Freehold Raceway Mall

MAY 16, 1:00 – 7:30 P.M.

JUNE 24, 9:30 A.M. – 4:00 P.M.Meridian Health Village at Jackson Conference Center

MAY 18, 9:30 A.M. – 4:00 P.M.

JUNE 10, 9:30 A.M. – 4:00 P.M.Meridian Fitness and Wellness, Manahawkin

MAY 21, 9:00 A.M. – 2:00 P.M.

JUNE 21, 9:30 A.M. – 4:00 P.M.Riverview Medical CenterRechnitz Conference Center

MAY 26, 9:30 A.M. – 4:00 P.M.

JUNE 28, 1:00 – 7:30 P.M. Jersey Shore University Medical Center, Brennan Rooms 104/105

JUNE 9, 9:30 A.M. – 4:00 P.M.Meridian Fitness and Wellness, Hazlet

Cooking with Heart Hear the latest information on heart disease, the warning signs, and prevention measures you can take to stay healthy. There will be an entertaining heart-healthy cooking demonstration and food tasting as well as an information session with a nutritionist. JUNE 29, 11:00 A.M. – 12:30 P.M.

Meridian Fitness and Wellness, Manahawkin

AngioScreen®

Meridian NeuroscienceAre You Getting a Good Night’s Sleep?Not sleeping well? Learn about sleep disorders and tips on how you can get a better night’s sleep.MAY 11, 11:00 A.M. – NOON Meridian Fitness and Wellness, Hazlet SPEAKER: SAM BEBAWY, M.D.

MAY 18, 2:00 – 3:00 P.M.Meridian Health Village at Jackson, Conference Center SPEAKER: CAROL ASH, D.O.

JUNE 13, 1:00 – 2:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

Solutions to Balance Problems Learn some of the causes of balance problems and what you can do to help prevent falls. MAY 6, 12:30 – 2:30 P.M. Raritan Bay Medical Center530 New Brunswick Ave. Perth AmboySPEAKER: VINCENTE ZAPANTA, M.D.

MAY 11, 2:00 – 3:00 P.M.Jersey Shore University Medical CenterBrennan Rooms 104/105

JUNE 2, 10:30 – 11:30 A.M. Meridian Health Village at Jackson, Conference Center

JUNE 8, 11:00 A.M. – NOONRiverview Medical CenterTwo River Conference Suite

The Latest on Parkinson’s Disease Robert Terranova, D.O., will discuss the latest in diagnosis, treatment options, and coping skills.MAY 23, 11:00 A.M. – NOON Meridian Fitness and Wellness, Manahawkin

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24 Meridian HealthViews MAY/JUNE 2016

Lower Back PainNasser Ani, M.D., will discuss the signs, symptoms, and latest treatment options for lower back pain. MAY 25, 6:30 – 8:00 P.M.Bayshore Community HospitalConference Rooms A and B

Meridian Movement Learn the latest in diagnosis and treatment options for total joint replacement.JUNE 8, 6:30 – 7:30 P.M.Meridian Community Resource Center at Freehold Raceway MallSPEAKER: GREGORY ROEHRIG, M.D.

JUNE 21, 4:00 – 5:00 P.M. Meridian Health Village at Jackson, Conference Center SPEAKER: DAVID RODRICKS, M.D.

JUNE 23, 6:30 – 7:30 P.M. Meridian Fitness and Wellness, HazletSPEAKER: NADER BAKHOS, M.D.

Living with Shoulder Pain?Sunil Thacker, M.D., will discuss the latest treatment options, exercises to provide strength, and stability, surgery, and recovery.JUNE 30, 6:00 – 7:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

Meridian Pediatric NetworkSafe SitterBabysitter training for boys and girls ages 11 to 14. The class includes handling emergencies, fi rst aid, and CPR. Fee: $40.MAY 7, 9:00 A.M. – 3:30 P.M.Ocean Medical CenterEast Wing, Conference Room A

MAY 14, 9:00 A.M. – 3:30 P.M.Meridian Community Resource Center at Freehold Raceway Mall

JUNE 29, 9:00 A.M. – 3:30 P.M.Meridian Fitness and Wellness Center, Hazlet

Alzheimer’s DiseaseLearn the early warning signs and treatment options. Light refreshments will be served. MAY 26, NOON – 1:00 P.M. Meridian Health Village at Jackson, Conference Center

Memory Loss If you or a loved one is experiencing increased forgetfulness, having trouble concentrating, or diffi culty performing familiar tasks, you may benefi t from this informative program. Screenings to follow the lecture. JUNE 8, 3:00 – 4:30 P.M. Meridian Fitness and Wellness, ManahawkinSPEAKER: HARJINDER BEDI, M.D.

JUNE 29, 6:00 – 7:00 P.M. Meridian Community Resource Center at Freehold Raceway MallSPEAKER: RICHARD RHEE, M.D.

Meridian Orthopedics Oh, My Achy Back!Qasim Husain, M.D., will discuss the causes and symptoms of spine issues and the latest treatment options. MAY 10, 6:30 – 7:30 P.M. Meridian Fitness and Wellness, Hazlet

Osteoporosis and YouLearn the signs, symptoms, causes, and treatment options of osteoporosis. Bone density screenings will be provided.MAY 17, 11:00 A.M. – NOON Riverview Medical CenterNavesink River Conference Suite

All About Your Feet Learn about the most common foot ailments and treatment options.MAY 17, 2:30 – 3:30 P.M. Ocean County Library — Point Pleasant Borough834 Beaver Dam Road

JUNE 1, 2:00 – 3:00 P.M. Jersey Shore University Medical CenterBrennan Rooms 104/105SPEAKER: ROBERT SUSSMAN, DPMFoot screenings will be provided.

DiabetesPrediabetes: Are You At Risk? Learn what lifestyle changes you can make to help prevent or delay the onset of diabetes. MAY 9, 11:00 A.M. – NOONMeridian Fitness and Wellness, Hazlet

JUNE 30, 1:00 – 2:00 P.M.Meridian Community Resource Center at Freehold Raceway Mall

Comprehensive Diabetes ManagementIndividual or group educational and support programs. To register, call Bayshore Community Hospital at 732-888-7362, Riverview Medical Center and Ocean Medical Center at 732-530-2555, Jersey Shore University Medical Center at 732-897-3980, Southern Ocean Medical Center at 609-978-3491, or Raritan Bay Medical Center – Old Bridge at 732-360-4070.

FitnessStretching and Mobility Learn how stretching can improve your fl exibility and range of motion. MAY 17, 11:00 A.M. – NOONMeridian Fitness and Wellness, Manahawkin

JUNE 14, 4:00 – 5:00 P.M. Meridian Health Village at Jackson, Conference Center

JUNE 15, 2:00 – 3:00 P.M. Meridian Fitness and Wellness, Hazlet

The Power of Yoga Yoga can help you by making you fi t, fl exible, and stress-free. Demo class.MAY 18 AND JUNE 15 6:00 – 7:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

Growing Up Happy and HealthyLakshmi Nandiwada, M.D., will discuss tips on how to raise happy and healthy children from infancy to adulthood. JUNE 14, 6:30 – 7:30 P.M. Meridian Community Resource Center at Freehold Raceway Mall

Childbirth/MaternityChildbirth Education SeriesMeridian Health offers classes and seminars for fi rst-time and experienced parents, as well as tours, classes for siblings, and more! Registration is required. Please register before your third trimester. To learn more about our fun and informative classes, visit MeridianMomtourage.com.

Bringing Up BabyWhether you are a fi rst-time parent or expanding your family, learn about the resources Meridian has available to you to help make this miraculous journey less overwhelming. MAY 18, 7:00 – 8:00 P.M. Babies R Us70 Route 36, Eatontown

Counseling and Behavioral HealthAddiction and Recovery ServicesFor adult family members of addicted individuals. Call for information.

Children’s CounselingMeridian Behavioral Health offers a variety of counseling services. We offer age-specifi c group therapy, a therapeutic after-school program for children ages 7 to 13, and traditional individual and family therapy. Call 732-869-2784, ext. 2, for registration, schedules, and fees.

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To register, call 1-800-DOCTORS or 1-800-560-9990. 25

Arthritis: Get Yourself Moving Learn why it’s important to keep yourself moving and exercises that you can do even while living with arthritis.MAY 18, 11:00 A.M. – NOON Meridian Health Village at Jackson, Conference Center

MAY 26, 2:00 – 3:00 P.M. Meridian Fitness and Wellness, Hazlet

JUNE 13, 11:00 A.M. – NOONMeridian Fitness and Wellness, Manahawkin

Exercising with Parkinson’s DiseaseLearn the health benefi ts of exercise while living with Parkinson’s disease. JUNE 23, 1:00 – 2:00 P.M. Riverview Medical CenterShrewsbury River Conference Suite

NutritionWeight Loss with HypnosisLose weight with hypnotherapy. Fee: $30.JUNE 8, 7:00 – 8:00 P.M. Meridian Fitness and Wellness, Manahawkin

Spice It UpJust because you have diabetes doesn’t mean that your diet needs to be bland. Get some tips on how to eat healthy and enjoy the taste of your food. JUNE 22, 1:30 – 2:30 P.M.Riverview Medical CenterShrewsbury River Conference Suite

Caregiver Tips and ResourcesLearn helpful caregiver tips and the resources available for you and your loved one. MAY 20, 11:00 A.M. – NOONMeridian Fitness and Wellness, Hazlet

MAY 25, NOON – 1:30 P.M. Meridian Fitness and Wellness, Manahawkin

Take Control of Your HealthLearn practical skills and strategies for managing symptoms, working with health care professionals, setting weekly goals, problem solving, relaxing, eating well, and exercising safely and easily. Six-week program. Registration is required. STARTING MAY 19, 6:00 – 8:30 P.M.Meridian Community Resource Center at Freehold Raceway Mall

STARTING JUNE 24 10:00 A.M. – 12:30 P.M. Meridian Fitness and Wellness, Manahawkin

Struggling with Everyday Tasks?Learn how therapy can help you maintain independence and make tasks easier. MAY 24, 1:00 – 2:00 P.M. Meridian Community Resource Center at Freehold Raceway Mall

The Power of AgingWilliam Power, M.D., will discuss the landmark moments in time regarding aging, the strides that have been made, and the treatments that can help us age successfully.JUNE 16, 10:00 – 11:00 A.M. Southern Ocean Medical Center, Conference Rooms 1 and 2

Strengthen Your BladderTips on how to keep your bladder strong and prevent embarrassing leaks. JUNE 21, 10:30 – 11:30 A.M.Meridian Fitness and Wellness, Manahawkin

Is it that time of the year again? Join experts from Meridian as they give you helpful nutrition and exercise tips on how to get your body ready for the summer months. Lord and Taylor, Clinique, Clarions, and Shiseido will provide the latest in summer fashions and makeup and skin care tips. Raffl es, makeovers, and light refreshments will be provided.JUNE 7, 6:00 – 8:30 P.M. Lord and TaylorFreehold Raceway Mall, Route 9Swimwear Department

Are You Ready for the Summer?

Nutrition CounselingConsult a registered dietitian to design a food plan that meets your weight-management and medical nutrition needs. For more information, registration, or fees, call Riverview Medical Center at 732-530-2555, Meridian Life Fitness in Point Pleasant at 732-206-8263, Southern Ocean Medical Center at 609-978-3491, Raritan Bay Medical Center – Old Bridge at 732-360-4070, or Perth Amboy at 1-855-TIME-4-ME.

ScreeningsBlood PressureFree blood pressure screenings. Call for dates and locations.

Balance ScreeningsRegistration is required. Call for dates and locations.

Senior ProgramsAARP Smart DriverThis driving program is for adults ages 50 and older who want to develop safe defensive-driving techniques. Fee: $15 for AARP members and $20 for nonmembers. Make checks payable to AARP. Call for dates and times.

Ringing in Your EarsTinnitus is a ringing, buzzing, or hissing sound in your ears causing minor irritation that can become disabling. Learn the causes and treatment options. MAY 10, 11:00 A.M. – NOONMeridian Health Village at Jackson, Conference Center

JUNE 23, 1:00 – 2:00 P.M. Meridian Fitness and Wellness, Manahawkin

Medicare GPS Information SessionsWhether you’re new to Medicare or just interested in your options, join us at an upcoming seminar to fi nd out more. Call 1-800-846-1583 to register. Meridian Community Resource Center at Freehold Raceway Mall

JUNE 1, 1:00 – 2:00 P.M. Meridian Fitness and Wellness, Hazlet

JUNE 15, 11:00 A.M. – NOON Meridian Fitness and Wellness, Manahawkin

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26 Meridian HealthViews MAY/JUNE 2016

Weight-Loss SurgeryWeight-Loss Surgery: The FactsKarl Strom, M.D., medical director of the Bariatric Center of Excellence at Southern Ocean Medical Center and Bayshore Community Hospital, with surgeons Jonathan Reich, M.D., and Silvia Fresco, M.D., will host educational programs on the benefi ts of weight-loss surgery. MAY 3, 19, AND JUNE 7, 30 7:00 – 8:30 P.M.Meridian Fitness and Wellness, Hazlet

MAY 5, 7:00 – 8:30 P.M.MAY 18 AND JUNE 8 2:00 – 3:30 P.M.Bayshore Community HospitalConference Rooms A and B

MAY 10 AND JUNE 7 7:00 – 8:30 P.M.Ramada Inn2373 Route 9, Toms River

MAY 10 AND JUNE 28 7:00 – 8:30 P.M.Meridian Community Resource Center at Freehold Raceway Mall

MAY 11 AND JUNE 87:00 – 8:30 P.M. Southern Ocean Medical CenterConference Rooms 1 and 2

MAY 18 AND JUNE 151:00 – 2:30 P.M.

MAY 24 AND JUNE 21 6:00 – 7:30 P.M. The Center for Bariatrics355 Lakehurst Road Toms River

MAY 23 AND JUNE 20 7:00 – 8:30 P.M.Southern Ocean Center for Health279 Mathiston RoadLittle Egg Harbor

MAY 24 AND JUNE 21 7:00 – 8:30 P.M.Double Tree Hilton700 Hope Road, Tinton Falls

JUNE 2, 7:00 – 8:30 P.M.

Riverview Medical Center

Options for Weight-Loss SurgerySeth Kipnis, M.D., medical director of the Center for Weight-Loss Surgery at Jersey Shore University Medical Center, discusses the benefi ts of weight-loss surgery.MAY 11, 6:00 – 7:00 P.M.Jersey Shore University Medical CenterMedical Staff Boardroom

JUNE 8, 6:00 – 7:00 P.M.Meridian Health Village at Jackson, Conference Center

Weight-Loss Surgery: Explore Your OptionsAnil Pahuja, M.D., and James Pasquariello, M.D., will discuss the benefi ts of and options for weight-loss surgery.MAY 3 AND JUNE 7 7:00 – 8:30 P.M. Meridian Health Village at Jackson, Conference Center

MAY 12, 17 AND JUNE 16, 217:00 – 8:30 P.M. Ocean Medical Center

MAY 26 AND JUNE 30 7:00 – 8:30 P.M. Toms River Town Hall 33 Washington Street

Is Weight-Loss Surgery Right for Me? Ayotunde Adeyeri, M.D., medical director of the Institute for Weight Loss, will discuss the benefi ts of weight-loss surgery. 1-855-TIME-4-ME (846-3463)MAY 9 AND JUNE 13 7:00 – 8:00 P.M.

MAY 25 AND JUNE 22 7:30 – 8:30 P.M. Institute for Weight Loss 3 Hospital Plaza, Suite 404Raritan Bay Medical Center — Old Bridge

General WellnessHemorrhoid Update Robert Khoo, M.D., will share the latest information on the treatment for hemorrhoids. MAY 11, 2:00 – 3:00 P.M. Meridian Fitness and Wellness, Manahawkin

Brown Bag Your MedicationsBring your medications and questions for a consultation with a registered pharmacist who will discuss dosage, interactions, and more. MAY 17, 9:00 A.M. – NOONMeridian Health Village at Jackson, Conference Center

From Diaper Bag to BriefcaseLearn ways to balance it all without the guilt of having to give up on things that matter. Vera Bradley will provide demos on the latest handbag fashions. Light refreshments, giveaways, and more. MAY 21, 10:30 A.M. – NOON Meridian Community Resource Center at Freehold Raceway Mall

Gastroesophageal Refl ux Disease (GERD)Melissa Reynon, M.D., will explain GERD, how it’s diagnosed, and the treatment options. JUNE 3, 2:00 – 3:00 P.M. Meridian Fitness and Wellness, Manahawkin

NJ State Council Defensive Driving ClassCertifi cates awarded. Develop safe, defensive driving techniques and save on your insurance. Call for fees. JUNE 22, 8:30 A.M. – 3:00 P.M. Meridian Fitness and Wellness, Manahawkin

Social Media and Self-EsteemLearn how social media affects our perception of self-worth and how you can avoid falling into a negative pattern. JUNE 22, 6:00 – 7:00 P.M.Meridian Community Resource Center at Freehold Raceway Mall

JUNE 30, 6:00 – 7:00 P.M. Jersey Shore University Medical Center Brennan Rooms 104/105

Vision Health Programs made possible by the Mitchell-Vassar Bright Future Legacy. Light refreshments. Registration required.

Make Vision Health a Priority Learn the importance of protecting your eyes and vision. Visual acuity screenings to follow the lectures.MAY 20, LECTURE 2:00 – 3:00 P.M. SCREENINGS, 3:00 – 3:30 P.M.Jersey Shore University Medical Center, Brennan Rooms 104/105SPEAKER: RALPH DELNEGRO, D.O.

JUNE 16, LECTURE10:30 A.M. – NOONSCREENINGS NOON – 12:30 P.M. Riverview Medical Center Two River Conference Suite SPEAKER: BRETT FRIEMAN, D.O.

Support GroupsMeridian offers support groups for a variety of health topics and diseases. Call for more information, dates, and times.

Meridian Programs and ServicesBooker Health Sciences Library Home DeliveryLooking to learn more about a medical topic, disease, or condition? The library sends a packet of reliable information to you at no cost. Phone: 732-776-4265; Fax: 732-776-4530E-mail: [email protected]

Clinical TrialsTo learn about current clinical trials available at Meridian Health, visit MeridianHealth.com, call 732-776-2953, or e-mail [email protected].

CPR TrainingAll Meridian hospitals are American Heart Association CPR training centers. Call for dates, times, and locations of classes offered.

Infectious Disease ClinicCall 732-774-0151 to schedule a free, confi dential appointment.

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MeridianHealth.com 1-800-560-9990 27

acute, subacute, and then home care for the best outcome possible. Our teams and facilities worked collaboratively, including making special prosthetics for Kathleen to be able to resume her activities on the farm and with her horses.”

“I wanted to get back to activities on my farm as soon as possible,” says Kathleen. “The entire rehabilitation and home care team worked together to make this happen.” She is particularly grateful to the Meridian At Home team, who helped her get around her 300-year-old house. “The team worked with the narrow staircases and uneven floors so that I could safely navigate the space with my prosthetics and walker,” Kathleen says. “Then they worked with me on the uneven terrain surrounding my barn and stables. They did everything they could to help me return to working with my horses and students.”

In late 2015, Kathleen was named Horse Trainer of the Year by the Central New Jersey Horseman’s Association, bringing joy to her students, friends, Meridian care team, and the local community. “I believe that my progress and where I am today could not have happened anywhere else but at Meridian Health,” says Kathleen. “I cannot thank them enough.”

By Larry Ginsberg

Kathleen Poppe has always tried to pack every day with as much excitement as possible. Kathleen, who has lived at her horse farm in Colts Neck for 30 years, is a nationally recognized judge of equestrian events and competitions. She is also an accomplished rider, trainer, teacher of equestrian skills to students of all ages, and avid foxhunter.

Two years ago, Kathleen’s life took a dramatic turn. In April 2014, an autoimmune disorder led to amputation of her left leg above the knee. Less than 14 months later, her right leg was amputated below the knee, as a result of complications from a medical procedure.

Kathleen’s rehabilitation and road to recovery included the complete continuum of care available from Meridian Health. “The care I received at Meridian facilities and then in my home from Meridian At Home was extraordinary,” says Kathleen. “After both surgeries, I received care in my home from the therapists and caregivers at Meridian At Home. I had acute rehabilitation at Riverview Rehabilitation Center, followed by many weeks at Meridian Nursing & Rehab at Shrewsbury.”

Jorge Corzo, M.D., director of Physical Medicine and Rehabilitation at Riverview Medical Center, says, “With Meridian’s full continuum of integrated rehabilitation services, Kathleen was able to receive the highest quality and continuity of care as she transitioned from

Back in the SaddleMeridian Health Colts Neck horse trainer grateful for care after double amputation.

Want to Help?To learn more about Ocean Medical Center Foundation

or to make a gift, please call 732-751-5100.

At Your SideMeridian At Home offers more than just in-home rehabilitation and physical therapy. To learn more about

the range of Home Care services we provide, from skilled nursing to personal care services, visit MeridianAtHome.com.

Jorge Corzo, M.D.Board certified in Physical Medicine and RehabilitationTinton Falls1-800-560-9990

Kathleen Poppe, 70, says getting up every morning and taking care of her horses kept her pushing ahead during her rehabilitation. Her new goal is to start training her students to foxhunt once again.

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28 Meridian HealthViews MAY/JUNE 2016

Meridian Health PREVENTIVE TREATMENT CAN CUT MIGRAINE FREQUENCY IN HALF.

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STOP the STORM of MIGRAINESbefore it starts

Page 29: Back on Her Feet - Hackensack Meridian Health · Back on Her Feet Pine Beach resident fi nds specialized care for foot surgery in her own backyard. ... Healthy Fats Boost Brainpower

It might begin in your forehead. It could be dull and achy or intense and throbbing. Whatever your symptoms may be, a migraine is better prevented than endured. Almost 40 percent of people with migraines can

benefit from preventive treatments, says the American Academy of Neurology. But the group notes that fewer than one-third of these folks currently take advantage of these treatments.

If your migraines keep you from doing regular activities, or if you have them more than twice a month, it may be time to try migraine prevention. Here’s a summary of the latest treatments from our doctors, all part of Meridian Neuroscience, to help you weigh your options.

Effective MedicationsMany types of medicine prevent migraines. To help discern the most effective ones, the American Academy of Neurology looked at about 280 clinical studies published from 1999 to 2009. It concluded that several options are available.

Of the medicines listed here, five are approved by the FDA to prevent migraines. In clinical studies, they have been shown to cut the number of migraines by at least half. Most help prevent episodic migraines, or migraines that strike fewer than 15 days per month.

Some other medications on the list are used off label for migraines. That means the drugs are being used for migraines, but they are approved by the FDA for the treatment of other conditions.

While the medications may be effective, there is little research comparing them against one another or evaluating the effects of their long-term use for preventing migraines.

Antidepressants. “Some drugs that treat depression affect chemicals in the brain called neurotransmitters,” explains Vijay Saaraswat,

M.D., of Riverview Medical Center and Bayshore Community Hospital. “These chemicals play a role in creating head pain.” The antidepressants venlafaxine and amitriptyline are two drugs used off label that are considered likely to help prevent episodic migraines.

Antiepileptic drugs. “Like antidepressants, drugs for epilepsy may reduce migraines by boosting levels of neurotransmitters in the

brain,” says Diane Verga, M.D., of Ocean Medical Center. “They also help dull pain,” she adds. The FDA has approved topiramate and divalproex sodium for migraine prevention. Sodium valproate also has good supportive data.

MeridianHealth.com 1-800-560-9990 29

Stephen Martino, M.D.Board certified in NeurologyNeptune1-800-560-9990

Diane Verga, M.D.Board certified in Geriatric Medicine and Internal MedicineToms River1-800-560-9990

Nina Regevik, M.D.Board certified in Integrative Holistic MedicinePerth Amboy1-800-560-9990

Tommasina Papa-Rugino, M.D.Board certified in NeurologyManahawkin1-800-560-9990

Vijay Saaraswat, M.D.Board certified in Internal MedicineHolmdel1-800-560-9990

Beta-blockers. Commonly used to treat high blood pressure, propranolol and timolol are two beta-blockers that are also FDA approved

for the prevention of episodic migraines. Botulinum toxin type A. This is the only FDA-approved drug for preventing chronic migraines, which are defined as migraines

occurring 15 or more days per month. Stephen Martino, M.D., medical director of the Stroke Center at Jersey Shore University Medical Center, says, “The medication is known to weaken muscles and change nerve signals to the migraine center of the brain.”

NSAIDS. Some nonsteroidal anti-inflammatory pain relievers are likely effective at keeping migraines at bay. This includes drugs like

fenoprofen, ibuprofen, ketoprofen, naproxen, and naproxen sodium. Ibuprofen and naproxen are available over the counter.

Triptans. These drugs mimic the effects of the neurotransmitter serotonin in the brain. “Triptans cause blood vessels to constrict and

decrease swelling in the brain, therefore diminishing the pain sensation in the brain that a migraine causes,” says Tommasina Papa-Rugino, M.D., of Southern Ocean Medical Center. “Triptans are used acutely to treat migraines. Frovatriptan, which is longer acting, can also be used to prevent menstrual migraines.”

Nondrug Treatments Certain herbs, vitamins, and minerals have also been found to prevent migraines. Two high-quality research studies showed that the herb butterbur has the ability to reduce migraine-attack frequency. Riboflavin, magnesium, and the herb feverfew are likely to help prevent migraines, too. But some research disputes their effectiveness.

“Integrative health therapies can also play a role in getting your migraines under control. They help you to better manage pain and stress and may reduce how often your migraines occur,” says Nina Regevik, M.D., FACP, co-director of Integrative Health Services at Raritan Bay Medical Center. These therapies include relaxation training; cognitive behavioral therapy; acupuncture; massage of the back, shoulders, head, and neck; and spinal manipulation, in which a health care provider applies force to a joint of the spine.

The migraine-prevention treatment option that’s best for you depends on how often you have migraines, your migraine triggers, and other health problems you may have. Talk with your doctor so that you can collaborate on a treatment plan.

Online Advantage: Learn More About MigrainesCheck out our digital health and wellness center for more about migraines and other neurological conditions. Go to MeridianHealth.com/NeuroConditions.

STOP the STORM of MIGRAINESbefore it starts

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30 Meridian HealthViews MAY/JUNE 2016

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Quality and ConvenienceMeridian Health Meridian After Hours in Manalapan provides care when the doctor isn’t in.

health issues, such as colds and flu, upper respiratory infections, urinary tract infections, strep throat, ear infections, vomiting and diarrhea, and more.

On her way to the After Hours center, Nancy picked up her son Christopher, who had also been fighting a cold that was getting worse. Unfortunately, he was leaving to go back to college and there was no time to see his doctor.

“The facility was superconvenient and easily accessible,” says Nancy. “As a mom, it was fantastic to know I could get my kids care when they needed it.”

Seamless Care and TreatmentAt the After Hours location, both Haley and Christopher were seen by a nurse practitioner right away. After the examination, Christopher was diagnosed with a sinus infection and Haley with acute bronchitis. Both were prescribed medication, and Haley was given an immediate nebulizer treatment — a treatment that allows medicine to be breathed into the lungs — to help open up her airways.

“As part of Meridian Health, Meridian After Hours providers can access the health system’s electronic medical records. If patients are cared for by a Meridian doctor, we can review their current medications, allergies, and health history to better treat patients,” explains Susan Beltran, APN, an advanced practice nurse and practice manager of Meridian After Hours. “In addition, the patient’s doctor can review our notes to provide follow-up care. It makes medical care that much more seamless.”

Nancy was thrilled with her experience at Meridian After Hours in Manalapan.

“The care met the same high standards as the rest of the Meridian Health system,” says Nancy. “I was so impressed at how thorough and convenient it was. I couldn’t be happier.”

Nancy Weber was watching her daughter Haley’s all-star cheerleading competition on a Sunday night, worried about Haley’s health. Haley had been battling a severe cold with a sharp cough, but she pushed through to be able to compete.

When she finished her performance, Haley couldn’t breathe well. “We needed her to see someone quickly, but I didn’t want to take her to the Emergency Department,” explains Nancy. “I knew about the new Meridian After Hours facility in Manalapan. I was confident we would receive good care.”

Exceeding ExpectationsCertified nurse practitioners — registered nurses who can assess patients, diagnose conditions, and decide on treatment plans — at Meridian After Hours in Manalapan treat patients Monday through Friday from 5:00 p.m. to 10:00 p.m. and on weekends from 9:00 a.m. to 9:00 p.m. The clinic handles a wide variety of minor

Susan Beltran, APNManalapan1-800-560-9990

No Appointment NecessaryWhen illness or injuries occur after regular doctor’s office hours,

Meridian After Hours is there to take care of you. For locations, hours, and more, visit MeridianAfterHours.com.

Nancy Weber, 44, is the busy mom of both a college football player and an all-star cheerleader.

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MeridianHealth.com 1-800-560-9990 31

Lemon-Walnut Green Beans

INGREDIENTS

8 cups small green beans

Cooking spray

2 cups sliced green onions

¹⁄³ cup chopped walnuts

1½ tbsp. chopped fresh or ¾ tbsp. crushed dried rosemary

5 tbsp. fresh lemon juice

1½ tbsp. grated lemon rind

DIRECTIONS1. Arrange green beans in a steamer

basket over boiling water. Cover and steam eight to 12 minutes or until crisp-tender.

2. Plunge beans into cold water to stop the cooking process; drain.

3. Spray a sauté pan with cooking spray. Over medium-high heat, add green onions and sauté until tender.

4. Add green beans, walnuts, rosemary, and lemon juice; cook, stirring constantly, until thoroughly heated. Sprinkle with lemon rind.

Per Serving Serves eight; serving size is about 1 cup per personEach serving provides: Calories 80Total fat 4 g Saturated fat 0 g Cholesterol 0 mg Sodium 10 mg Total carbohydrate 11 g Dietary fiber 5 g Sugar 3 gProtein 3 g

Hear from Our BloggersSix years after suffering a coma, Noelle McNeil, a Meridian Neuroscience community ambassador, is

walking without assistance and enjoying life. Read her blog at NoellesDefiningMoments.com.

Yet another reason to chew the fat — or drizzle it. Olive oil and nuts appear to boost brainpower when added to a plant-based diet, a new study finds.

Spanish researchers asked about 300 adults to eat a Mediterranean diet. You know the one — rich in fruits, vegetables, whole grains, and beans. About half also received a liter of olive oil per week. The others got an ounce of nuts each day, including walnuts, hazelnuts, and almonds.

Another 145 people ate a control diet, with advice to limit fats. Researchers tested everyone’s thinking, learning, and memory at the beginning of the study. Then they repeated the tests about four years later.

Feeding Your MindOverall, people who ate the Mediterranean diet boosted with nuts improved their memory. Those who consumed olive oil did better on tests measuring cognitive flexibility and attention. Meanwhile, those on the control diet saw declines in overall cognitive scores.

Both olive oil and nuts provide heaping helpings of compounds called polyphenols. These powerful anti-inflammatories can fight cell damage in the brain. They may also boost brain blood flow and even spur the growth of new neurons, the study authors say.

Cook Your Way Clever“To work more of these foods into your diet, make olive oil your go-to for all your cooking needs,” says Folarin Tuboku-Metzger, M.D., internal medicine physician at Riverview Medical Center. “Use it instead of butter or other saturated fats while sautéing, stir-frying, and even baking.”

Or try these unique techniques:• Toss pine nuts or slivered

almonds into your green beans.• Dip whole-grain bread in

flavorful extra-virgin olive oil.• Coat lean meat with bright-green

crushed pistachios.• Choose cashew-based vegan cheese.

Folarin Tuboku-Metzger, M.D.Board certified in Internal MedicineMiddletown1-800-560-9990

Olive Oil, Nuts Linked to Lasting Brainpower

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Non-Profit Org. U.S. Postage

PAID Meridian

Health

Printed on Recyclable Paper

Meridian Hospital LeadershipTIMOTHY J. HOGAN, FACHE Regional Hospital President, Monmouth County

KENNETH N. SABLE, M.D., MBA, FACEP President, Jersey Shore University Medical Center and K. Hovnanian Children’s Hospital

DEAN Q. LIN, MHA, MBA, FACHE President, Ocean Medical Center

JOE COYLE President, Southern Ocean Medical Center

MICHAEL R. D’AGNES, FACHE President, Raritan Bay Medical Center

© Meridian Health

Taking Care ofNew Jersey

Meridian After Hours offers convenient and affordable walk-in medical care during evening, weekend and holiday hours when your doctor is not available and you want to start feeling better now. Our highly trained nurse practitioners can take care of fevers and flu, strains and sprains, and are able to write prescriptions. Each facility also has diagnostic capabilities including an EKG and a lab. Our nurse practitioners are committed to your continuity of care and will send your visit information to your primary care provider within 24 hours.

We are open Mondays through Fridays 5:00 p.m. — 10:00 p.m., Saturdays & Sundays 9:00 a.m. — 9:00 p.m. and all major holidays.

855.855.0338Please visit MeridianAfterHours.com for more information

Our LocationsBrick 85 Cedar Bridge Avenue Brick, NJ 08723

Toms River 1028 Hooper Avenue Toms River, NJ 08753

Manalapan 831 Tennent Road Manalapan, NJ 07726

Oakhurst 1900 Route 35 Oakhurst, NJ 07755

We accept most major insurance plans.

OPEN 365 Days a Year

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1945 Route 33Neptune, NJ 07753

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