ow ~i~ i~ your ~latb! - lvhn scholarly works

,

BUHR HfAlTH fOR uu fROM lfHIGH VAllfY HOSPITAl ANO HfAlTH NUWORK

MARCH/APRIL 2000

• LarB for tnB LarB~ivBr

• Youn~ ~ou~ ~uiluBr~ ~BwarB

• lowBr Your ~ia~BtB~ ~i~K

• ~ow ~i~ I~ Your ~latB!

Diet and Exercise - What's New?

I

HealthyYou MARCH/APRIL 2000. . .

Contents

focus on Healthy living• 'Obesity Epidemic'

page 1

• Want to Lower YourDiabetes Risk? page 12

• How Big Is Your Plate?page 13

• Health ImprovementClasses page 23

• 'Exercise for Life' FreeTryout Class page 27

Is Bigger Better?Not for Kids!

page 6

Care for the Caregiverpage 20

LEHI{!HVAILEYHOSPITAL AND

HEALTH NETWORK

A member of the Penn CARE'" benltb network

I

I

TO YOUR H[AlTH 1-3Your cholesterol, Pap test replacement,'obesity epidemic' and more

HATUR[SYour Childbirth 'Wish List' .4

Discuss options and stay flexible

Is Bigger Better? Not for Kids! 6The dangers of 'andro' and other supplements

Mental Health Hazards of Your Computer 8Internet makes compulsive behavior easy

An Unforgettable Helicopter Rescue l0Thanks to CTeW5 experience with special procedure

To Lower Your Diabetes Risk, Take a Walk! ..12Physical activity substantially reduces risk

How Big Is Your Plate? 13Portion control is key to weight control

The New Lyme Disease Vaccine 14Does it help? Yes, but take precautions

New Spinal Surgery 15Laparoscopic technique easesMary Nasuti's pain

Kids and Secondhand Smoke 17If you're a smoker, your child is one, too

Breaking the Cycle of Domestic Violence ....18What can you do to help?

Care for the Caregiver 20'If you don't take care ofyourself,you can't take care of them'

Hesitant About Hysterectomy 22New therapy alternative for women with fibroids

H[AllH IMPROv[M[NT ClASs[SWhat's New and Notable 23

Complete Class Listing 24- 35Class Registration Form 3 6

H e a I thy You I n d ex inside back cover

COVllillusliilion~rNmrHarrison

The Next Generation of Care Brings First Baby

Little Theodore Pierfy made history on Jan. 14 at 10:28a.m. asthe very first baby born in the brand new Jaindl Family Pavilion's

Center for Mother and Baby Care. Pictured below, big brother Phillip, 2,mom Kathy and dad Tony of Williams Township, coddle the little fella-born at 8 pounds, 8 ounces - in the home-like comfort of a privatefamily room.

The next generation of care alsofeatures a massage tub to helpease labor pains, seated showersfor more comfortable bathing, sleep-ing chairs that recline into beds fordads, a cozy room to relax with visi-tors, bedside teaching by experiencedmaternity nurses and more.

The 'Obesity Epidemic'The 1990smay go down in American history as the obe-

sity era. A new study finds that 63 percent of men and 55percent of women are "overweight"-defined as anyonewith a body-mass index (BM!) of 25 or higher.

Of those, a growing number are "obese," with a BMIof 30 or higher. Between 1991 and 1998, the prevalence ofobesity rose from 12 percent to nearly 18 percent andcrossed gender, race, age, location and educational levels.

"The increasing prevalence of obesity is a majorpublic health concern," states the Journal of the AmericanMedical Association. In a special issue on obesity (Oct. 27,1999), the Journal cites data showing that the greater theweight, the greater the incidence of type 2 diabetes, coro-nary heart disease, herniated discs, osteoarthritis, gall blad-der disease and impaired quality of life.

Tofind out your BM!, multiply your weight in poundsby 705, divide by your height in inches, then divide byyour height again. BMI doesn't tell the whole story; forexample, your heart disease risk is lower if your weight is

mostly muscle, not fat-and higherif you've gained more than about 10pounds as an adult or have morefat around your belly than yourIIIhips and thighs.

www.lvhhn.org Healthy You 1

IHJ:uen:ut ~tt>pia UDt« die:tAnd e-)GeYcUe;ICall 61 0-402-CARE for freearticle reprints, or visit uson our web site atwww.lvhhn.orgYou'll find timely topics like:

• Weight Loss SuccessStories

.Which Exercise MachineIs for You

• The Weeds You Need-Leafy Greens

• Exercising Your Joints

• Fighting Middle-AgeWeight Gain

• Garlic-It Does the Body Good

I

o You NeedCholesterol

Check?If you don't know what your

cholesterol level is, you do need ascreening, says family physicianChris Sorensen, M.D., of LehighValley Hospital and Health etwork."Elevated cholesterol increases therisk of heart disease, stroke, kidneydisease, impotence, vision problemsand other conditions," he says.

Generally, total cholesterol isconsidered high if it's above 200."With a reading in that range, wewould do more complete testsincluding LDL ('bad' cholesterol)and HDL ('good' cholesterol),"Sorensen says. "High cholesterol canoften be corrected through diet andexercise, and we have good medica-tions if lifestyle change is notenough. But first, you have to detectthe problem-and a lot of people,especially younger people, havenever been tested."

Here are the currentguidelines:

• Have a basic cholesterolscreening every five years beginningit age 20 or 21.

• If your family has a history ofhigh cholesterol, begin screenings inchildhood.

• Get more frequent screen-ings if you or your family have highcholesterol or coronary artery dis-ease, orif yousmoke orlead aninactivelifestyle."Ask yourdoctor whatschedule isappropriatefor you,"Sorensen says.

Tfant to Know More?For information on women and choles-terol or to schedule a cholesterol screen-ing, ca1l6JO-402-CARE.

II. Spirit of Women~ ~ Awards Program

J~I _LL. I Seeking NominationsDo you know a woman who is the ultimate role

model- energetic, inspiring, dedicated? If so, nominate herfor a Spirit of Women awardl

The Spirit of Women awards are given to local women,age 14 and older, who serve as mentors and have made con-tributions in the areas of work, family or health.

Each honoree will be recognized during the Spirit ofWomen 2000 conference, "Women Mentoring Women:Sharing Life's Experiences," on Oct. 10 at Lehigh University'sZoellner Arts Center, and will be eligible for national Spirit ofWomen recognition

Spirit of Women is a project of Lehigh Valley Hospitaland Health Network and its community partners. Become apart of the spirit by calling 610-402-CARE to nominate anaward winner and learn more about next fall's conference I

No More Pap Tests?

It's a possibility for the futureA test for the human papilloma virus IHPVj that doesn't

require a pelvic exam could someday replace the Pap test asan accurate way of screening for cervical cancer and precan-cerous conditions in the cervix.

"Even though the HPVtest appears to produce morefalse-positives, recent studies show promise in its ability toscreen more specifically than the Pap test." says VincentLucente, M.D., acting chair of obstetrics and gynecology,Lehigh Valley Hospital and Health Network. "A Pap test sim-ply detects cellular changes that are often a result of cervi-cal disease, whereas the HPVtest detects viruses that causethose changes."

An added benefit: Women themselves can collect asample of cervical tissue at a doctor's office using a smallbrush or cotton swab, alleviating the discomfort some mayexperience from a Pap test.

However, if the HPV test is approved, "routine pelvicexams will still be important for gynecologic care," Lucentesays. "Physical exams help detect ovarian changes, tumorsand other abnormalities."

2 Healthy You To Your Health

I

A National First in Emergency Medicine

Lehigh Valley Hospital is thefirst in the country to moni-

tor emergency heart, strokeand trauma patients andtransmit the data wirelesslyfrom the moment ambulancepersonnel arrive on the scenethrough transport to thehospital.

Lehigh Valley Hospitalhas equipped CetroniaAmbulance Corps vehicleswith new Mobimed Systemunits that function as both apatient monitor and an infor-mation technology work sta-tion. They can be used in oroutside ambulances, or evenin a patient's home. The unitsdisplay electrocardiogram,pulse and blood pressure, doautomatic computerizedanalysis, and transmit theinformation to a hospital,doctor's office or other loca-tion using wireless digitalcommunication networks.

Until now, even wirelesspro ucts that monitorpatients during ambulance

In celebration with

~(

calls have beenunable to transmitclear, quality dataconsistently to thehospital, especiallyin a moving ambu-lance. "Mobimeddramaticallyreduces the time ittakes to make adiagnosis andbegin treatment," saysMichael Weinstock, M.D.,chair of emergency medicineat Lehigh Valley Hospital.

Besides the ambulances,

a Mobimed unit is also beingused on board the hospital'sUniversity MedEvac heli-copter (see related storyon page 11).

STUDYING NE\V TREi\T~~ENTFOR DEPRESSION

If you are experiencing signs of depression, you may beinterested in a national study of a new treatment. Lehigh ValleyHospital and Health Network is currently enrolling adults withsymptoms of depression in a clinical trial for an investigationaldrug. After a free depression screening and medical evaluation,qualified participants will receive the drug and study-relatedmedical attention for one year For a depression questionnaire orto learn more aboutthe study, call 61o-402-CARE.

•

April 26-July 2 Allentown Art Museum, Rodale GalleryFifth and Court streets

At age 30, Stephanie Byram was diagnosed with highly aggressive breast cancer andhad surgery to remove both breasts. Finding courage and strength in the experience,Stephanie tells her story with photographer and friend Charlee Brodsky. Together, the twoPittsburgh women reveal hopefulness and transformation through an inspiring and powerfulexhibition.

Call 61o-402-CARE to learn about upcoming "Stephanie" events.


The doctor tells youthe news you'vewaited a lifetime to

hear: ''You're pregnant!"In the flurry of excite-ment, your mind raceswith baby names, colorsfor the nursery, a gift listfor your shower...

Your Ch[tdb[rth (\1\

Slow down. Have you thought about the "birth day" itself?"Pregnancy is a nine-month education and planning

process, and part of the planning should be about labor anddelivery," says Lehigh Valley Hospital and Health Networkobstetrician/gynecologist Patrice Weiss, M.D. "Askyour healthcare provider about options such as pain relief during labor,ways to deliver, fetal monitoring and breastfeeding."

Together, you and your provider can develop a "wish list"of your preferences during labor and delivery and after birth. Ifyou desire, write down your wish list. But keep it short and sim-ple and use it as a script for discussion with your birth team:your obstetrician or midwife, pediatrician, the nursing staff, andyour partner or a coach such as a doula (see box at right).

"It's important to talk with your team topersonalize your birth," says Renee Gombert,R.N., director of the Center for Mother andBaby Care at Lehigh Valley Hospital andHealth Network. "For example, if you com-municate your wish not to have any type ofanesthesia, the nurses can guide you throughways to relieve the pain. They may encouragewalking, showering or breathing techniques."

But remember, "labor is not black andwhite like ink on paper," saysWeiss, herself a

mother of two. "It's a series of changing events, and at timesmedical necessity requires deviation from the plan."

A classic example: you're set on natural childbirth.However, if your baby moves into the wrong position, aCesarean section could be the only option for a safe delivery."If your plan is too rigid, you may set yourself up for disap-pointment," Gombert says. "A C-section does not mean thatyou failed. If you deliver a healthy baby, you've achieved themost important of your goals."

.,

Discussing theoptions andbeing flexiblecan lead toa wonderfulbirthingexperience

4 Healthy You Spirit of Women

The best way to prepare for all the possibilities? Take child-birth education classes, read recommended books, visit web sites,tour your childbirth unit and ask questions of your anesthesiolo-gist, pediatrician and nurses-not just your primary provider-early in pregnancy. "If there are several obstetricians in yourdoctor's office, talk to each one about your wishes and his or herphilosophy of care," Weiss says. "Anyone of them could deliveryour baby."

Though childbirth may be a new experience for you, "it'snot one you have to go through alone," Weiss says. "The birthteam is there to sup-port you, and we allhave the same respon-sibility: to do every-thing possible to guar-antee a healthy momand baby." •

Uiant to Know More?For a toorksbeet to helpplan your wish list,call 610-402-CARE.Visit our web site atwww.lvhhn.org toregister for childbirthclassesorfor a tour of theJaindl Family Pavilion's•Center foT Mother andBaby Care.

BIRTH PLItN--L (l3m Keliefd. Method' of u/;tery3. Support People

E /Slotomy

"What are our pref-erences?" Expectantparents Heather andJ.J. Brit/and ofWhitehall talk aboutthe upcoming "bigevent" with theirobstetrician, PatriceWeiss, M.D.

Sarah King and Marlene Gubler say they're the "modern-day Ma Ingalls." As everyone who's readLittle House on the Prairie knows, "Ma would bring the pie to the neighboring farm. We bring education andsupport to the pregnant, laboring or new mom," King says.

King and Gubler are doulas, professionals certified in childbirth education and by the Doulas of NorthAmerica to "mother the new mother." Although they're not providers of medical care, doulas can be key tothe birth team, "especially for single mothers, dads who need guidance or those without family support,"says Lehigh Valley Hospital and Health Network perinatologist Orion Rust, M.D. "They have tremendousexperience with women going through the birthing process."

What exactly do doulas do? "If a pregnant woman has questions, we research the answers," Gublersays. "If she needs comforting during labor, we get her ice chips or pullout our 'Mary Poppins baq" (com-plete with music and a "sock buddy" hot compress) After birth, the doulas cook meals, do laundry andassist in baby care. The cost of a doula is typically $14 to $16 per hour and is not covered by insurance. Asliding fee scale is available. For more information on doulas, call 61O-402-CARE.

Mothering the New MotherDoulas are an option for your birth team


I

IIs Bigger Better?

The dangersof turning to'andre' orsteroids to'bulk up'

We heard it from our parents. and it's a good bet we preachit to our own children and grandchildren: "Eat yourvegetables and drink your milk so you'll grow up big

and strong."But growing big and strong can be dangerous the way some

young people and many adults are going about it. To gain an edgeon the competition, athletes of all ages are turning to vitamin sup-plements and steroids.

"Social image gets kids started," says Mitchell Cooper, M.D.,director of sports medicine for Muhlenberg Hospital Center andteam doctor of the Pennsylvania ValleyDawgs professional bas-ketball team. "I've seen surveys that indicate 45 percent of highschool males think their body size is too small." And kids are tak-ing action at ever-younger ages. In one survey of seventh-graders,almost 5 percent of males and more than 3 percent of femalesadmitted steroid use.

Cooper also connects the use of body-buildingenhancers to publicity about baseball home-runking Mark McGwire's previous use of androstene-dione. "Andro," as it's known, was legal forMcGwire, but is banned by several major sportsorganizations because research has shown that itconverts to testosterone in the body. Its potentialbenefits and drawbacks have not been proven.

Here's some information that should help youto distinguish steroids from dietary supplementsand to understand what taking steroids could mean:

Warning Signsof Steroid orSupplement Use

• Rapid physical development• Rapid weight gain• Puffy face• Mood and personality shifts• Increased acne• Deepening of the voice in femalesIf you suspect a problem, talk to yourfamily doctor or your child's coach.

Anabolic steroids Anabolic steroids arederivatives of the hormone testosterone, which isresponsible for the growth and development of the

I6 Healthy You Parenting

male sex organs. In normal amounts, steroids neither strengthen mus-cles nor enhance performance. In the massive doses-IO times nor-mal-sometimes taken by athletes, steroids have been proven to boostendurance, strength and muscle development. But steroids can be dan-gerous. Side effects range from sexual dysfunction in the short term toliver, heart and nervous system damage over time. Steroids are classi-fied as a controlled substance by the federal government, meaning theycan only be obtained with a prescription.

Androstenedione (IAndrol) Some claim andro is ananabolic steroid because it is a "precursor" to testosterone-a chemicalthat's broken down in the body into testosterone. Research shows thatthe side effects from increased hormones include emotional outbursts,acne, early puberty, stunted growth, hair loss and possibly breast devel-opment and decreased testes size. While the supplement is availableover the counter, its use is banned by the U.S. Olympic Committee, theNational Collegiate Athletic Association and the National FootballLeague. "In the short term, andro might increase body mass, power,strength and aggression," Cooper says. "Butwithout any long-term studies on the potentialfor harmful side effects, I would not approveits use for adolescents."

Creatine Creatine is a natural compoundproduced by the body, which we consume inour diets in animal products like meat andfish. Unlike andro, creatine is not a precursorto testosterone and is not banned by any sportsgoverning body. While research has shownpower, strength and sprinting benefits, no10 g-term studies exist as proof that the over-the-counter supplement enhances perfor-mance. Adverse reactions to creatine includemuscle cramping, gastrointestinal distress andstress to the kidneys,

Steroids and supplements can bebeneficial when used properly under adoctor's care, Cooper says. They're avaluable tool for treating hormone imbal-ances and helping people with nutritionalproblems to gain weight.

But those who just want to run fasteror jump higher should heed this cautionfrom the American Academy of Pediatrics:"The medical dangers of steroid use faroutweigh the advantage of gains in strengthor muscle mass." •

want to Know More? For a list of the sideeffects of the most common steroids andsupplements, call 61O-402-CARE.

Steroids and supplements are not a goodidea for youngsters, but what about strength train-ing? If your adolescent with Olympic dreams iskeen to start lifting, begin with very light resis-tances, such as a broom handle or lightweight bar-bell, says certified strength and conditioning spe-cialist John Graham, director of the HumanPerformance Center at the Allentown SportsMedicine and Human Performance Center."Children should progress with added resistanceslowly," he says, "and focus on proper techniquesprior to reaching puberty."

Many specialists, including Mitchell Cooper,MD, recommend waiting until the early teensbecause of the potential injury to growing bones.


I

I

I

Mental HealtHazards ofYour ComputeThere's no question it's a marvelous

tool. but does that computer alsohave a dark side? Will it trans-

form you or someone you love into asocial recluse, compulsive shopper orgame addict?

"It depends what type of personyou are," says psychiatrist JoelLerman, M.D., medical director ofMuhlenberg Behavioral Health."For curious people with an interestin learning, a computer is a never-ending well of information. Forthose with addictive tendencies, itopens new avenues to act out thosecharacteristics. "

Getting hookedYour husband (wife, teen-ager) spends hours each evening in

front of the monitor. Whether he's surfing the web, taking part ina chat room or playing games, he's not relating to you-and youfeel abandoned.

"I've treated this type of pattern in couples counseling,"Lerman says. "It's not addiction in the sense of alcohol or drugs,because there is no substance causing a physiologic change. Butsome people are more prone than others to addictive or compul-sive behavior." Placed in front of a computer, this kind of personmay feel driven to visit just one more web site or play endlessgames of Hearts.

For those with a history of other addictions-compulsive shopping or phone sex, for example-the Internet is a potential minefield. "Shoppingonline really saves time, but in a couple of clicksyou can spend an awful lot of money," Lerman says.The immense number of pornographic sites atteststo the allure of sex on the Internet. And despite thewell-publicized dangers of day trading, compulsivegamblers continue to click their life savings away.

One reason the Internet draws people in,Lerman says, is the unpredictability. "In the labora-tory, it's called variable reinforcement. A rat whogets a reward each time he presses a bar will stopwhen he's had enough. But if he's only rewardedsometimes, he'll keep on pressing. Going on theweb-sometimes finding something, sometimesnot-is like a slot machine in this regard."

Healthy You Consumer Awareness

Kids andComputer Violence

Is your child's favorite computer gamedamaging his psyche? Although not all expertsagree, says psychiatrist Joel Lerman, M.D, theanswer is probably no. "While killing someoneover and over onscreen certainly isn't enriching,it's not that different from Tom and Jerry car-toons 40 years ago. I think most kids realize it'snot real life." But if your child has violent ten-dencies, "the web is a bottomless pit of extra-ordinarily destructive material, and parentsshould monitor it carefully," he says.

8

When there's a problemAt what point does computer use become abuse? People

who are new to computers or the Internet often go through aphase of overuse, Lerman says. "Just as with any new experience,the novelty draws them in. Gradually, they take control and putlimits on themselves." For some, though, the call of the comput-ellbegins to interfere with sleep, work and family, not to men-tion the family finances.

"Sometimes the person will recognize the problem and seekhelp," Lerman says. "But often it takes a spouse or coworker topoint it out." Generally, he says, wondering if you might have aproblem with computer use is a good clue the problem exists.

The most effective form of treatment is counseling, Lermansays, since computer-related compulsions often extend to otherlife issues as well. On the preventive side, these strategies can behelpful:

• Keep the computer in a visible place, not tucked awaywhere it can't be observed.

• Help the person set limits on computer use-for exam-ple, an hour an evening.

• Get the person involved in real-world interactions andactivities.

.- Know what games and web sites your child is using anduse lock-out programs to prevent access to undesirable areas.

• Surf the web with your child, to show constructive waysto use the computer .•

Uitnt to Know More? For more information on Internet addictionand how to spot it, call 610-402-CARE.

InternetRomance

Meeting someone onlineis anonymous, and that's bothgood and bad. "On the plusside, you can express yourselfmore freely," says psychiatristJoel Lerman, M.D. "But you canalso present a totally falsepicture. And if you're prone tosocial anxiety, online relation-ships can be a way of avoidingreal, flesh-and-blood ones." Goahead and use the Internet as away to make connections, hesays. "We all know caseswhere it's led to a long-termrelationship. But be extra cau-tious: meet in public, have yourown transportation and tellsomeone where you'll be. Thisis a blind date and then some."


I

An Unforgettable Helicopter RescueMichael Sinclair, M.D., has been

back in his familiar surroundings inthe operating room at Lehigh ValleyHospital for about six months. But hiscareer as a heart surgeon was in jeop-ardy last August after he fell 25 feetonto a ledge while mountain climbingwith a friend.

Michael Sinclair, M.D. Sinclair, a climbing enthusiast,fell during an ascent of Mount Minsi

at the Delaware Water Gap National Recreation Area. He didn'tknow the severity of his rib, neck and lung injuries at the time,but he says, "I was fully alert sitting on that ledge and complete-ly confident that the rescuers would get me down safely."

One of those rescuers was Gina atale, a flight nurse with Lehigh ValleyHospital's University MedEvac helicopter. From the start, Natale knew thiswould be a tough assignment. "Because of the treacherous environment," shesays, "it was the most strenuous rescue in my 18 years on the job." Fortunately,she and her partner had an advanced procedure used only by air emergencyresponders. "Rapid sequence induction" chemically paralyzes the patient andcontrols breathing to prevent further injury during transport. In Sinclair's case, itmay have been what saved his career.

When Natale and flight paramedic Timothy Snyder arrived on the scene;they were told Sinclair was awake and talking. The terrain kept them from reach-ing their patient right away, and when they finally did get to Sinclair, he had tobe lowered 150 feet to a five-foot-wide ledge before they could administer care.

As rocks fell from above, Natale and Snyder had to use great caution treat-ing Sinclair and bringing him down the mountain. Adding to the difficulty wasthe amount of time he'd been on the mountain in extreme heat. "We felt theonly way to transport him safely and avoid further injury was to use rapidsequence induction," Natale says. She and Snyder gave Sinclair a series of med-

I

MedEvac crew's. .experience In

specializedemergencyprocedure helpedheart surgeon tocontinue career

10 Healthy You Emergency Medicine

I

1-

MedEvac's experienced crew (large photo l-r): pilotDavid Conboy, flight nurse Gina Natale and paramedicDan Rymond. Rymond and Natale prepare a patient fortransport (above).

ications (formerly used only in operating rooms) to relax himto the point where he could still feel, but not move. Thenthey inserted a breathing tube.

As the team made its way down the mountain, Snydermanually operated an oxygen device that breathed forSinclair. That part of the journey took about 45 minutes. ToNatale, "it felt like days." And indeed, by MedEvac stan-dards-an average of six to eight minutes on location-Sinclair's rescue lasted an eternity of six hours. But the prop-er use of that time by park rangers, police and emergencyresponders helped get Sinclair up and around in a few weeks,and back in the operating room in about two months.

Sinclair and his wife, Phyllis, will never forget the atten-ti~n and care they received. "We are grateful to the peoplefrom all walks of life who individually or collectively helpedus enormously," he says.

The physician has now experienced firsthand what hesays he always knew about Lehigh Valley Hospital's Level ITrauma Center team: "It was reassuring to see and hearMedEvac waiting in the distance. I knew I was headed to thebest trauma care available anywhere."

Members of the MedEvac crew downplay the praise,choosing instead to commend the park rangers and policewho were on the scene first and took charge. "The MedEvachelicopter is visible and intriguing to the public," Natalesays, "but the crews who are there before we arrive deserveso much credit. Their workmakes our job a lot easier." •

Uiant to Know More aboutUniversity MedEvac and toursof the helicopterfor children?Visit the Lehigh ValleyHospitaland Health Network web site atwww.lvhhn.org and clickon KidZone and theflying helicopter.Or call 610-402-CARE.

New HelicopterWill SpeedResponse Time

To further improve responsetime and survival rates for vic-tims of trauma, Lehigh ValleyHospital and Health Network isnow flying a faster helicopterthat can also respond in badweather. The new Sikorsky S-76University MedEvac went intoservice in February

"The S-76 is about 35 mphfaster than our previous aircraft(175 mph compared to 140mphl." says Harold Spatz, direc-tor of University MedEvac."The added speed allows us torespond to more incidents." Forexample, a 23-mile flight fromthe helicopter's base atMuhlenberg Hospital Center toMonroe County, which formerlytook 12 minutes, takes just nineminutes now. The new helicopteralso has nearly 20 percent more

cabin and equip-ment space andcan fly on instru-ments in poorweather, notpossible withthe previousmachine.


I

New studyshows physicalactivitysubstantiallyreduces risk oftype 2 diabetes

Ifone or both of your parents have type 2 (adult onset) diabetes,you're at risk of developing the disease-and your risk goes upwith age and excessweight. But there's good news from a new

Harvard study published in the Jozm'lal of the American MedicalAssociation: If you're physically active, you can lower your risksubstantially.

The best part is that the activity needn't be Schwarzenegger-style workouts at the gym. "Gardening, walking, housework-any type of activity can make a big difference compared with asedentary lifestyle," says endocrinologist Larry Merkle, M.D., adiabetes specialist with Lehigh Valley Hospital and HealthNetwork's Helwig Diabetes Center.

In people with diabetes, the insulin in the body doesn't workefficiently in the muscles to process glucose (sugar) into fuel."You can help to bypass this problem by using your muscles,"Merkle says.

The Harvard study of more than 70,000 women ages 40 to65 found that the more vigorous the activity, the better it workedin lowering diabetes risk. Activities like aerobics, jogging andtennis yielded the greatest reduction in risk. But even womenwhose only activity was walking did their health a big favor.Those who walked at an average pace (between 2 and 3 miles perhour) lowered their diabetes risk by almost 30 percent, and thosewho walked at a brisk pace (over 3 miles per hour) lowered theirrisk by nearly 60 percent.

How much walking should you do? The u.s. Centers forDisease Control and Prevention recommend 30 minutes a day."The activity can be all at once or in shorter pieces; it's equallyeffective however you do it," Merkle says. "And you can sneak itin by taking the stairs instead of the elevator or parking a fewblocks from the store. Just make the effort. It's hard to overstatehow valuable an active lifestyle is in preventing diabetes." •

Want to Know More? For a past Healthy You article on diabetesrisk, call 610-402-CARE. For more on Helwig Diabetes Centerservices, seepages 2 and 3S.

12 Healthy You Disease Care

I

How-8~Is Yourp[ak,

If you're watching what you eat, don't forget to watchhow much you eat. Overeating is one of the maincauses of obesity, says family practice physician

Thomas Young, M.D., of Lehigh Valley Hospitaland Health Network.

"There are three basic reasons people becomeobese-overeating, inactivity and metabolism,"Young says. "The one factor you can't control is yourbasic metabolism. Some of us are born with a slowerfood-burning mechanism than others. But eventhen, you can maintain a healthy weight through fit-ness and calorie control."

It's not necessarily easy. "For many people today, overeating is a realproblem because we've grown up in a country where more is better," Youngsays. "But that's not true with food. Only a few hundred calories a day canmake the difference between a healthy weight and obesity."

One of the challenges to healthy eating is figuring out proper portionsizes, says registered dietitian Amy Virus of Lehigh Valley Hospital andHealth etwork. She recommends reading labels and learning to estimate.Her portion control tips:

• Use a smaller plate. "Plates are made 20 percent larger thanthey used to be," Virus says. "If you use a smaller plate, you'll putless on it."

• Eat slowly. Taste every bite, put down your fork betweenbites and pause from time to time during the meal.

• Don't clean your plate. No matter what your mother toldyou, you don't have to. When you're full, stop eating.

• Avoid seconds. Removing dishes from the table after thefirst serving helps take away the temptation.

• Focus attention on the meal itself. Ifyou watch television or talk on thephone at mealtime, you may overeat with-out realizing it.

• When dining out, avoid anythingwith the "supersized" label. "You don'tneed to eat or drink anything thatbig," Virus says.

• If you're served alarge portion, have yourserver put half into a doggiebag immediately (before the

~. meal, not after).•.:

u-ant to Know More? For a guide- to what counts as a serving and how~. to "guesstimate" portion size, call

6JO-402-CARE.

Portioncontrol isa key tocontrollingweight


Is the new vaccine for Lyme disease worth getting?Yesand no. The vaccine is recommended for peoplein high-risk areas, but doctors caution it's not com-pletely effective and precautions are still needed.

Lyme disease, named for the Connecticut townwhere it was discovered, is a bacterial infectioncaused by tiny deer ticks. Those most at risk, saysrheumatologist Albert Abrams, M.D., of Lehigh

Valley Hospital and Health Network, are landscapers and othersin outdoor occupations as well as hunters, campers, hikers andchildren who play in wooded or grassy tick-infested areas.

If you're in one of those categories and between the ages of15 and 70, the vaccine may be a good idea. It's also recommendedfor those previously infected with the disease. A children's dosageis still in development.

The vaccine, called Lymerix, is given in three doses begin-ning any time of the year; the second dose is given after onemonth and the third after 12 months. It's vital to take all threedoses, Abrams says: "Studies show the vaccine is 47 percent effec-tive the first year and up to 76 percent effective the second year."

He advises people living in tick-infested areas to keep takingprecautions and to protect themselves not only from Lyme butalso from other tick-borne diseases. Here's how:

• When going into wooded areas, usetick repellent and stop every two hours for a"tick check."

• Wear long pants and long-sleevedshirts.

• Tuck the bottoms of pants into socks.• Wear light -colored clothing to make

ticks easier to spot.While pinhead-size deer ticks can be hard

to find, the early symptoms of Lyme diseaseare fairly easy to recognize: a flu-like illness, insome cases accompanied by a bull's-eye rash.

Call the doctor, Abrams says, if you oryour child:

• find a tiny tick attached to the skin or aring-shaped rash anywhere on the body.

• develop a fever, headache, swollenglands, red eyes, stiff neck, problems movingfacial muscles, tingling or numbness, joint ormuscle aches, or irregular heartbeat.

Treatment with oral antibiotics is effec-tive in almost all cases. But if the disease pro-gresses undiagnosed, it can cause chronicarthritis and nerve damage .•

-want to Know More? For more information onprevention and warning signs of Lyme disease,call610-402-CARE.

I

Does it help?Yes, but takeprecautions


I

New Spinal Surgery EasesDisabling Back Pain

Mary Nasuti of Montgomeryville entered her 50s in great physi-cal shape. She was flexible and strong from her job as a car-diovascular technician, and after-hours she enjoyed long,

brisk walks. Then the back pain started.At first, she and her doctor put it down to job-related muscle

strain. "I kept telling myself, 'It'll go away,'" Nasuti says. But thepain didn't respond to muscle relaxants or physical therapy. Testsrevealed a soft-tissue cyst, but that alone wasn't enough to account"for her discomfort-which grew so severe even steroid injectionsbrought no relief.

"It took every ounce of energy to put one foot in front of theother," Nasuti says. "No matter what I did, the pain was horrible.By the time I got home from work each day I'd be in tears."

Enter James Weis, M.D., Lehigh Valley Hospital and HealthNetwork orthopedic surgeon, known for his back expertise. WhenNasuti's Philadelphia-area orthopedist referred her to Weis,"friends asked why I wasn't going to Philadelphia," she said. Thefact was, specialists from that city were going to Allentown to trainwith Weis, one of a handful of surgeons regionally who werepracticing a new spinal fusion technique called laparoscopic inter-body flXation.

The new surgery is performed through the abdomen, not theback, with several small incisions rather than one large one. Thesurgeon first inserts a tiny camera on a scope to guide the proce-dure and magnify it on monitors. Through other puncture points,he removes the degenerated disc material and inserts in its place alightweight titanium implant. A small amount of bone from thepatient's hip is pulverized and inserted into the implant. Overtime, the spinal bone grows into and around the device, stabilizingthe spine.

Continued on next page

Laparoscopictechnique is aboon for thosewith otherwiseuntreatable pain


II

I

Base of spinebefore surgery

Base of spineafter surgery

I~~-Normal ~l..o-~_discs

I

II

II,I

ICompresseddisc

AboutRupturedDiscs

Low-back pain is oneof the most common healthcomplaints But the vastmajority of the time, evenwhen the problem is disc-related, the back will healitself "A ruptured disccauses pain because itleaks enzymes that irritatenerve endings," says backsurgeon James Weis, M.D."But like a torn ligament, itusually heals. For 80 per-cent of people with acuteback pain, the problemresolves itself in a coupleof months."

To help things along,keep moving. "Don't bendor Iift. but otherwise, stud-ies show that bed rest isnot the right approach,"Weis says If the pain lastsmore than two months or ifyou're over 50, he says,see your doctor.

Normalspacingbetweenvertebraerestored

Bone grafted from patient'ship is placed within implant.

What are the benefits? Spinal fusion is not a new procedure.What's new about Weis' technique is the titanium implants (orig-inally developed for racehorses) and tiny incisions. "Theseimplants do a better job maintaining spacing between the verte-brae," he says. "And with laparoscopy, patients have less scarringand recover much faster than with traditional surgery." Weis andhis colleague, general surgeon Richard Boorse, M.D., have per-formed more than 60 of the procedures at Lehigh Valley Hospitalsince late 1997.

Who is a candidate for this type of fusion? Only those withsevere, disabling back pain that lasts at least six months anddoesn't respond to non-surgical treatment, Weis says. Tests mustconfirm that the pain is disc-related. Nasuti underwent adiscogram (injection of dye) to reveal the leakage in her discs andreproduce the pain she was feeling.

Nasuti's surgery was a double implant, replacing two rup-tured discs in her lower spine. The procedure can involve onlyone or at most, two neighboring discs, Weis says, and works bestin a specific area of the lower back. Also, the patient needs to havegood bone quality-the reason most of his patients are in their 30sand 40s. Nasuti, 53 at the time of her surgery in September 1998,did well because of her otherwise vigorous health.

That's not to say her recovery was pain-free. "To be honest,the first month was pretty rough," she says. "But after that, I couldtell the problem was gone and the pain I felt was healing pain."

The surgery did not restore her to a fully functioning spine;no fusion can do that, Weis says. But today, she's back at workand can do pretty much anything she wants. "My back tells me ifI've overdone it, but compared to what I suffered in 1998, this isa minor annoyance," she says. "I had no life for a year, and Dr.Weis gave it back to me." •

T*lnt to Know More? For more information on preventing andtreating backpain, call 610-402-CARE or visit www.lvhhn.org.Also seepage 34 for information on presentations for treating backand neck pain.


Ifyou're a smoker, your son ordaughter is one, too. "Everytime you light up at home or

in the car, your child or grand-child also breathes in thatsmoke," says Patti Sherwood,advocacy coordinator for theCoalition for a Smoke-FreeValley (a program funded inpart by Lehigh Valley Hospitaland Health Network). "Andthe effects can be deadly."

Research shows that sec-ondhand (or "environmental")tobacco smoke is linked to:

• respiratory infectionsincluding bronchitis and pneu-monia, which can be fatal toyoung children. One studyfound that children of smokersare 57 percent more likelythan non-exposed children toget such infections in the firstthree years of life.

• higher risk of asthma, aswell as more severe symptomsand poorer lung function inthose who have the disease.

• middle-ear disease,both effusion (fluid insidethe eardrum, the majorcause of childhood deafness)and recurrent middle-earinfections.

• sudden infant death syn-drome ISIDS), the most com-mon cause of death in infantsages 1 month to 1year.

"Many people think sec-ondhand smoke is less dangerous than direct smoking,"Sherwood says. "But it's just as bad. Secondhand smoke is clas-sified by the government as a Group A carcinogen. There is nosafe level of exposure."

Parents who smoke not only damage their children'shealth, they raise the odds of the children becoming smokersthemselves, Sherwood says. "Even if you only smoke outsidethe home, you're still a role model."

There's a lot of talk today about the "right to smoke."Fine, Sherwood says, but consider your children's rights as well."We all have the right to grow up in a clear, smoke-free, non-carcinogenic environment.".

Tfant to Know More? For a list of local resources to help you quit,call 610-402-CARE.

I

Kids and


What Can You Do to Hell

I

I'

"

If every woman vic· ized by domestic violence last year wereto join hands, the chain would extend from ew York to LosAngeles and back again.

"Chances are, you would know one of those women," saysPam Pillsbury, director of community education for TurningPoint of the Lehigh Valley,which assists victims of domesticviolence through counseling and shelter. "Domestic violencecrosses all racial, economic and social barriers. Breaking thecycle requires help from everyone in our community." Whatcan you do?

Recognize the signs of abuseRecognizing abuse can be tricky. An abuser often appears to

be a "nice guy," is respected in his job and may act charming in anew relationship.

"The whirlwind romance can be a setup for later abuse,"says Lehigh Valley Hospital and Health Network family physi-cian julie Dostal, M.D., a member of Turning Point's board."Soon the partner controls the woman's money, where she goesand whom she sees. It's a gradual process, and the victim doesn'trealize it's happening."

Eventually the woman withdraws from people she caresabout "and loses her identity," Pillsbury says. If the abuse is phys-ical, she may wear inappropriateclothing to cover it up-such as aturtleneck in mid-summer-orcall herself accident-prone.

Turning Point24·hour hotline610·437·3369


I

BREAK THE CYCLE OFDOMESTIC VIOLENCE?

1J

Get her to talkAsk the victim about her safety, "but avoid the word 'abuse'

and don't bad-mouth her partner," Pillsbury says. "If you do,she'll use the excuse that 'you just don't like him.' Instead, say:'I'm concerned about the way your partner talks to you.' "

Although she may defend him, "research shows that afterbeing asked five to seven times-by the same person or differentpeople-she'll talk about the problem," Dostal says.

I

Take steps to safetyThe next step: Encourage her to call a resource like Turning

Point-even if it's anonymously-and learn what her options are.Many people say, "Why don't you just leave him?" But it's

not that easy. "The victim is most vulnerable to life-threateninginjury at the time she leaves her abuser," Dostal says."Also keep in mind the victim wants the violence to endbut not necessarily the relationship. After an abusiveepisode, he may be very apologetic and they may gothrough another honeymoon stage."

If she eventually chooses to leave, "she may not wantto tell the abuser of her plans," Pillsbury says. "TurningPoint can help with safety planning and secure shelter."

Another option is a protection from abuse (PFA)legal order mandating that the alleged abuser not harmthe victim. "If the abuser does jail time for violating aPFA and realizes his behavior is not accepted by hisemployer or other authority figure, he might change,"Dostal says. "Abusers usually respect authority figures."

Should a friend encourage counseling for the cou-ple? "It may not be a safe option," Pillsbury says. "If thevictim is honest in counseling and angers the abuser,who's going to protect her in the parking lot?"

Instead, Pillsbury recommends counseling apartfrom the abuser for the victim and group "batterercounseling" for the abuser. Convincing the partner toenroll, however, can be challenging. "Just like an alco-holic, the abuser has to hit rock bottom," Pillsbury says."He has to recognize the problem and want to changehimself."

It can be a long process to stop abuse, but a friendcan play an important role in reassuring the victim ofher self-worth. "She's experiencing a great loss," Dostalsays. "If she chooses to leave, she's lost her dream of hav-ing a family and a life with that person. If she stays, she'slost her dream of a safe home." •

Ulant to Know More? A uictim's denial often gets her stuckin the "cycle of violence. " To learn more about the cycle andhow to be supportive, or to receive a list of communityresources, call 610-402-CARE.

Upcoming ProgramsInterested in leading the effort

against family violence? Attending thefollowing programs is a way to getstarted

• Children, too, can be vic-tims of domestic violence-somesuffering from physical abuse, othersfrom the psychological pain of witness-ing abuse. Pediatrician LawrenceKleinman, MD, chief of Lehigh ValleyHospital and Health Network's depart-ment of community health and healthstudies, and family physician JulieDostal, MD., will give a presentationon family violence and what you cando to help on Thursday, April 27 (seepage 30 for details).

• Health care providers, edu-cators, clergy, law enforcement,legislators and community mem-bers are invited to join the SexualAssault and Domestic ViolenceCoalition conference on Thursday, April6 at First Presbyterian Church inBethlehem from 8 am. to 4 prn. SandraBloom, author and chair of the stateattorney general's Family Violence TaskForce will help coordinate communityresponse to family violence. Cost is$20. For more information or toregister, call 610-402-CARE.


)1

I

: I i

II ~~ ~J!- ik ~~V);

III

IIIr

'If you don'ttake care ofyourself, youcan't take careof them'

Can Dad still fix his own meals? Will Grandma have an acci-dent if she's home alone during the day? Does Aunt Liz needa nursing home after her hip surgery?For years, Joan Schultes, R.N., case manager at Muhlenberg

Hospital Center, helped family caregivers cope with such ques-tions. Then suddenly, the tables turned. In the space of a fewweeks in 1998, Schultes' teen-aged son, Adam, was rushed to theemergency room, her mother suffered a stroke, and Adam was re-hospitalized with the threat of lymphoma.

Adam is fine now and Schultes' mother, G. Stella Unger, suf-fered no severe stroke damage. But the experience was "an eye-opener" for Schultes, who learned for the first time how it felt tobe a caregiver in a crisis. "Some nights I just came home andcried," she says.

Caregiving isn't as simple as it was in the days of the full-time homemaker. The majority of caregivers are still women-but they're in a "catch-22" today, says social worker LaureneRoth of the Center for Healthy Aging at Lehigh Valley Hospitaland Health Network. "Women are encouraged to have careers,manage multiple responsibilities and still be available to act ascaregivers," she says. "This can make them feel torn betweentheir personal and professional obligations. Some even quit theirjobs to care for a loved one, sometimes causing financial burdensto themselves."

The stress of juggling everyone else's needs can have seriousconsequences, saysJoseph Antonowicz, M.D., Lehigh ValleyHospital and Health Network psychiatrist. "Particularly if yourrelationship was difficult to begin with, having someone depen-dent on you can cause frustration and resentment. If you don'tlearn to handle those feelings, it can lead to depression, substanceabuse and even abuse of the person you're caring for."

Fortunately, most caregivers find ways to be loving and sup-portive without losing their sense of self. "As I remind them,"Antonowicz says, "you'll be rewarded in heaven for this job."


Carving outtime for herself,Joan Schultes pursuesher collegestudies(center) in betweenshopping outings withher mother, G. StellaUnger, and videogames with son Adam.

Some suggestions for doing it right:Ask for help. "This is seen as a sign of weakness in our cul-

ture," Schultes says. "Not in my opinion. It takes a big person tosay, 'I'm struggling.' " Get over your pride or reluctance andassertively tell the rest of the family, "I can't do this alone!"Siblings need to accept joint responsibility in developing a plan,Roth says. Even those who live far away can contribute financiallyor have Mom visit for a week.

Take regular time outs. "Respite care is critical to keep thecaregiver from burning out," Antonowicz says. Whether you relyon family, a neighbor or programs like adult day care, "it's worthbeating the bushes to find a suitable arrangement"-and doing itregularly.

Plan ahead. "You can become almost paralyzed with thethought, 'What if! get ill? Who'll take care of her then?' "Schultes says. To counter this fear, make backup plans.~ Adjust your standards. "Maybe nobody can make Grandma'stea quite as well as you, but you can't do it all," Roth says. Adjusteveryone's expectations-including your own. Caring for hermother and two teen-agers, Schultes soon realized that "it wasmore important to spend time with my daughter than vacuum thecarpets."

Let out your feelings. Whether it's a friend, a colleague or aformal support group, "you need someone you can open upwith," Roth says. "Keep those personal 'lifelines' open."

Laugh often. Schultes lives in "a family of clowns" and foundthis a saving grace when times got tough. Humor lightens life foreveryone, including the patient.

See to your own needs. Caregivers have been known toneglect their own nutrition, fitness and even doctor appoint-ments. "If you don't take care of yourself, you can't take care ofthem," Roth says. Set aside some "me time," even if it's brief."The caregiver's energy is a valuable resource," Antonowicz says."It needs to be recharged." •

Uilnt to Know More? For a list of local resourcesfor caregivers and acopyof "Caregiver Affirmations" (Vitality Plus, April/May '00), call61O-402-CARE.

How FriendsCan Help• Offer to pitch in-

running errands. stay-ing with the personwho needs care, etc.

• Don't offer more thanyou can actually do.

• Rally the support ofothers-but firstcheck on what's need-ed. A coordinatedapproach is best.

• Be there to listen.

• Give the caregiverfrequent pats on theback for doing animportant job.


I

I

HesitantAbout

Hysterectomy

.._---_._--

F ifty-year-old Marie Smith ofQuakertown didn't want ahysterectomy, so she grit-

ted her teeth and bore thepain and bleeding of fibroidtumors. "I felt that surgery toremove my uterus would be

very intrusive, and I just wanted to avoid it," she says.As many as half of all women may have fibroids,

says gynecologist and pelvic pain specialist CraigSobolewski, M.D., of Lehigh Valley Hospital andHealth Network. And though only 25 percentrequire treatment because of symptoms, these non-cancerous growths are a very common reason forhysterectomy.

But hysterectomy is not the only treatment optionfor fibroids today. Smith's tumors were too large foralternatives such as drug therapy, surgical removal ora technique to "shave" them away with electric cur-rent, all of which preserve the uterus.

Frustrated with her lack of options, she talked toVincent Lucente, M.D., acting chair of obstetrics andgynecology at Lehigh Valley Hospital and HealthNetwork. His recommendation: a new therapy calleduterine artery embolization.

Through a tiny incision in the groin, a radiolo-gist passes a catheter through the uterine artery andreleases tiny particles of plastic or gelatin to stop

blood flow to the fibroids, causing them to shrink.There's an 80 to 95 percent chance of relief from pain or

other symptoms, according to interventional radiologist DarrynShaff, M.D., of Lehigh Valley Hospital and Health Network."Studies have shown only about a 10 percent recurrence rate.There is a small possibility of infertility, and there may be sig-nificant pain following the procedure. But it can be controlledin most cases, and the patient can go home the same day or thenext day."

If her fibroids cause problems again, hysterectomy may beSmith's only option - but thanks to the embolization, it couldbe a much less invasive surgery. "If the fibroids shrink to a smallenough size, we may be able to do a laparoscopic hysterectomythrough tiny incisions," Lucente says.

"I'll be comfortable with that," Smith says, "because we'veexplored all my options." •

A new therapyprovides anotheralternative forwomen withfibroid tumors

Uilnt to Know More? For a brochure about uterine arteryembolization and a list of other alternatives to and optionsforhysterectomy, call 610-402-CARE. For more infor'l7Zationon apresentation about alternatives to hysterectomy, seepage 29.


·Osteoporosis Lecture Series NEW Page 29

.Journey to Fertility: Seeking Fertility

Treatment NEW Page 29

.Prescription for Ageless Beauty NEWPage 29

.Women's Self-Defense NEW Page 29

.Alternatives to Hysterectomy NEWPage 29 (Also see article at lejt.)

.Managing Perimenopause-

The Transition Years NEW Page 30

HealthyYouHealth Improvement Classes

What's New and Notable March-May 2000

Mind and Body

.Partner Massage-The Joy ofTouch NEW

.Acupuncture and Oriental Medicine NEWPage 25

Exercise and MovementI

.World Tai Chi Day NEW Page 27

• Healing Movements for the Season:

Spring NEW Page 27

.Exercise for Life Free Tryout NEWPage 27

Men's Health

.Osteoporosis in Men NEW Page 28

Class space is limited. You must registerin advance for classes. Call 610-402-CARE or see the registration form

on page 36 for other ways to register.

Registration required

Parenting

.Spring Time Book Fair NEW Page 30

.Family Violence NEW Page 30(Also see article on page 18.)

Age 50-Plus

.Preserving Memories NEW Page 32

Disease Preventionand Care

.Empowerment for Those With Chronic

Conditions NEW Page 34

.How Strong Is Your Backbone? NEWPage 34 (Also see article on page 15.)

.Getting a Good Night's Sleep NEWPage 34

Table of ContentsComplete listof class locations 24Healthy Eating .24-25Screenings 25Mind and Body .25-27Exercise and Movement 27-28Men's Health 28Women's Health 29-30Parenting 30Childbirth andNewborn Care 31-32Age 50-Plus 32Vitality PlusMember Information 33Disease Prevention and Care 34Quit Smoking 35CPRCourses 35Diabetes Education 35Support Groups 35Speakers' Bureau 35Registration Form 36

II

Healthy Eating

Hands-on Cooking WorkshopFind our how to select the best equipment and ingre-dients and put them together to create terrific meals.Come ready to shop, chop and eat. Bring a chefsknife or purchase a knife the night of the program.

$35• Thursday, March 16; 6-9 p.m• Thursday, April 20; 6-9 p.m.Class meets at Wegmans.Joe Kratodnoill, executiue chef, Wegmans

......

HEALTHY BODY SHOPPE.~

~., I::;.~~--::~L,~,t;~-.~~;i'~~~-;;""~..r: ~V'~,;~: .: :;

check your weight,• Non-fasting total cholesterol $5• Instant body-fat testing $15• Blood pressure check Free

Learn what steps you can take toward ahealthier life. All preventive screenings areprovided in an atmosphere of confidentialityand respect for your privacy at the HealthCenter at Trexlertown.For a schedule and more information, call6IO-402-CARE .

Vitamin MattersUnderstand how vitamins and supplements canbalance, not replace, your nutrition needs. Eachworkshop provides current information so you canmake intelligent choices about your family's health.

$10 per classAthletic Performance• Wednesday, March 15; 7:15-8:30 p.m• Tuesday, May 9; 7-8:15 p.m.Women's Well-being• Saturday, March 18; 10:45 a.rn-noonMen's Well-being• Monday, April 10; 7-8:15 p.m.Class meets at TX.Jay Needle, pharmacistChris Conway, oumer; Great Ea11:hVitamins

How Do I Get There7Classes and lectures are held at many hospital and community locations. Here's a complete list,keyed to the abbreviations you'll find in each class listing. Questions? Ca1l610-402-CARE.Lehigh Valley Hospital and Health Network LocationsCC • Lehigh Valley Hospital, MCC • Morgan Cancer Center,Cedar Crest & 1-78, Allentown Cedar Crest & 1-78, Allentown

17· Lehigh Valley Hospital, 1243. 1243 S. Cedar Crest Blvd.17th & Chew Streets, Allentown Allentown

MHC • Muhlenberg Hospital 1251• 1251 S. Cedar Crest Blvd.Center, 2545 Schoenersville Rd. AllentownBethlehem

Community LocationsAllentown JewishCommunity Center702 N. 22nd sr, Allentown

Bath Community MedicalCenter6649 Chrisphalt Dr., Bath

Bethlehem YWCA1475 Roselawn Dr.Bethlehem

TX • Health Center atTrexlertown, Trexler Mall, Rt 222Trexlertown

MHC -Atria1745 W. Macada Rd.Bethlehem

Allentown Sports Medicineand Human PerformanceCenter1243 S Cedar Crest Blvd.Allentown

Saucon Valley High School2100 Polk Valley Rd.Hellertown

24 Healthy You Classes

St. John's UCC183 S. Broad StNazareth

Wegmans3900 Tilghman St., Allentown

Whitehall Township,Zephyr ParkSchadt Avenue and Campus Drive

"Exercise for Life" Classes for AdultsIf you've neglected physical activity, these classes area great way to get started. Offered at various times;for information, call61O-402-CARE.

Thirty "Healthy" Minutes ClassesThirty-minute classes can lower blood pressure,reduce cholesterol, help prevent osteoporosis, heartdisease and adult-onset diabetes, improve heartarrack recovery and ease arthritis.

Sixty "Fitness" Minutes ClassesMove up to 60 minutes and you'll improveheart/lung capacity for more energy, build uplean muscle, stretch your limits and improvewell-being.

Reinventing Meals With SoySoybeans are among the most versatile foods in theworld. Learn about the variety of soy products andthe health benefits of including them in your diet.Taste-test soy for the first time or introduce yourselfto some new products.

$15• Tuesday, April 4; 6:30-8 p.rn.

Class meets at TXAmy Virus, registe-reddietitian

Health ScreeningsFor information. call 610-402-CARE.

LEHIGH VALLEY MALL-upper levelBlood Pressure Screenin s-FreeTuesday March 21 8:30-10 a.m.Tuesda A ril18 8:30-10 a.m.

Monthly fees:$22 for unlimited 3D-minute classes at any location($17, Vitality Plus GOLD members)OR

$28 for unlimited 6o-minute classes at any location($22, Vitality Plus GOLD members)Locations:

• Allentown Jewish Community Center• Health Center at Trexlertown• Muhlenberg Hospital Center• Whitehall Township, Zephyr Park

Mind and Body

Partner Massage-The Joy of Touch NEWGiving and receiving a massage is a wonderful way forcouples and friends to express love and caring for eachother. This workshop will improve how you relate withone another. Bring a pillow and blanket.

$35/couple• Saturday, March 25; 1-3 p.rnClass meets at TX.• Monday, April 3; 630-830 p.m.Class meets at 17, School of Nursing,Auditorium.Scott Pellington and Mary Vietch,certified massage therapists

Acupuncture and Oriental Medicine NEWLearn about this ancient system of healing that aims totreat and balance the whole person-physically, emo-tionally and spiritually.

$5• Tuesday, April 11; 7-8 p.m.Class meets at TXDavid Molony, aaunmcturist

To register, call 610-402-CARE Healthy You 25

Soothing Breathing TechniquesLearn how powerful breathing techniques can changeyour energy level, mood and mental clarity. Breathinghelps decrease anxiety, asthma and stress. Enhanceyour exercise routine or yoga practice. Bring a bedpillow.

$15• Sunday, April 30; 1:30-3 p.m.Class meets at TX.Juanita Carra-Budzek, R.N.,certiiied yoga instructor

Classic HomeopathyLearn the basics of this natural system of medicinethat can boost immune response, build digestivehealth and improve your overall well-being.

$10• Wednesday, March 22; 7-8:30 p.m.

Class meets at TX.• Monday, April 10; 7-8:30 p.rn.

Class meets at Bethlehem YWCA.Suzanne J. Snutb, holistic bealtb counselor

Meditation for HealthTap into your own natural resources and draw energyfrom within. Meditation can reduce stress and pro-mote clarity and peace of mind. Bring a bed pillow.

$15• Sunday, March 19; 1:30-330 p.m.• Sunday, April 9; 1:30-3:30 p.m.• Sunday, May 7; 1:30-330 p.m.

Class meets at TX.Jeffrey J. Budzek, R.N., cntified yoga instructor

~ealth and SpiritualitySpirituality is a complement to traditional medicine,not a replacement. You will increase your awarenessof your own spiritual heritage and the value ofmeditation, prayer and relaxation.

$5• Tuesday, April 4; 10:30-11:30 a.rn.Class meets at TX.Rev. Micbael F. PiouaneRita M. Valenti, psycbologist

The Healing ImaginationGuided imagery will help you relax andlisten to your body. Stress relaxationinvolves the whole body - the emotions,the senses, the intuition - and promotespositive performance.

$15• Sunday, March 26; 1-330 p.m.Class meets at MHC, ConferenceRoom 1.Carol Chinn Saxman, R.N.,holistic health practitioner

Natural Holistic Therapy SeriesBased on the ancient tradition of mind-body healing,these education programs offer healthy ways torejuvenate. By focusing your energies inward,you can withstand the rigors of aging and improvequality of life.

$10 • Vitality Plus GOLD members, $5Lifestyle Habits (stress, weight management,nutrition)• Monday, March 27; 7:15-845 p.rn.Class meets at 17, Auditorium.Healing Therapies (ayurvedic, aroma, mas-sage, light)• Thursday, April 6; 7:15-845 p.m.Class meets at Saucon Valley High School,Hellertown.Tirun Gopal, MD., director; VedicSpa

Intro to Body RollingThis is a non-exercise class, combining the relaxing,pleasurable effects of massage with the toning effectsof exercise. You will release tension, stretch muscles,increase blood flow and promote healing.

$10• Thursday, March 30; 9:15-10:15 a.m.• Wednesday, April 5; 7-8 p.m.• Thursday, April 13; 915-10:15 a.rn.• Friday, April 14; 5:30-6:30 p.m.• Thursday, April 27; 915-1015 a.m.• Wednesday, May 3; 7-8 p.m.• Thursday, May 4; 9:15-1015 a.m.• Thursday, May 11; 9:15-1015 a.rn.• Friday, May 12; 5:30-6:30 p.rn.Class meets at TX.Scott Pellington, certijied massage therapist

MASSAGE MADNESSMarch

Teed a spring tune-up? Save $5 on any massage with one of ourmale therapists.AprilWednesdays in April are MARATHON DAYS. Save $5 on alltypes of massage services. Appointments available from 8 a.m. to9 p.m. Available only at TX.MayAny foot or aroma massage for only $20. Save $10.Available only at TX.For more information, CflII610-402-CARE.


I

- March-May 2000

Foot MassageA systematic massage of the feet concentrating onthe reflex points to balance energy and reduce stress.Stretching, range-of-motion, compression andSwedish massage are used.

$30 per half-hourSessions held at TX, MHC-Atria and BathCommunity Medical Center.

Aroma MassageA light massage of the back using aromatic oils, moistheat and Swedish massage. The four types of oils usedwill promote relaxation, stress relief, invigoration ormeditation.

$30 per half-hourSessions held at TX.

Individual Massage TherapyMassage therapy improves circulation, relaxes the mus-cles and soothes the body and mind. It's a great way tonurture yourself.

$30 per half-hour session$48 per one-hour session$70 per 90-minute sessionSessions held at TX, MHC-Atria andBath Community Medical Center.All massages provided by certified massage therapists

Exercise andMovement

Healing Movements for the Season:Spring NEWA gentle series of movements based on Tai Chi willinvigorate your body, enhance your well-being andhelp you shake off the last dregs of winter.

$15• Tuesday, March 21; 8-915 p.rn.Class meets at TX.Michael and Synthia Angelone, Tai Chi instructors

World Tai Chi Day NEWBe part of the celebration andlearn about the wonders ofTaiChi. A free preview class teach-es you how Tai Chi movementscan improve the health of yourbody, mind and spirit. All Tai Chi stu-dents are invited to join an open-air class at RodalePark in Trexlertown (behind the Velodrome).

FreePREVIEW CLASS• Saturday, April 1; 10 a.m.-noonClass meets at TX.

OPEN AIR EVENT• Saturday, April 8; 10 am-noonClass meets at Rodale Park, Trexlertown.

"*

Exercise for life Free Tryout NEWWant to see if Exercise for Life is for you? Try it onfor size in a free 3D-minute educational programwith a fitness expert, followed by a 3D-minute exer-cise session.

Free• Tuesday, April 11; 645-745 p.m.• Thursday, May 11; 645-745 p.rn.Class meets at MHC, Banko FamilyCommunity Center, Rooms 1and 2.• Thursday, April 13; 645-745 pm.• Wednesday, May 17; noon-l p.rn.Class meets at TX.

Cardio KickboxingAre you bored with your current fitness routine?These high-powered exercises strengthen the bodyand the mind, and increase endurance and cardiovas-cular power. Wear loose clothing that allows freedom ofmovement.

12 classes for 6 weeks • $48• Tuesdays and Thursdays, May 2; 8:15-9 p.m.(first session)Classes meet at TX.Stephen Ban; martial arts instructor

Seated Tai ChiThe "chair" version of Everyday Tai Chi encouragesrelaxation and develops coordination of the wholebody. No matter what your age, these slow and con-tinuous movements can help you maintain healthand increase vitality.

6 classes • $48Vitality Plus GOLD members, $43• Monday, March 13; 845-10 a.m. (first

session)• Monday, May 15; 845-10 a.m. (first session)Classes meet at TX.

Fitness With ForzaForza means strength and power. Utilizing a safe,wooden sword, this intense program featuresaerobic work, mental concentration and upperbody development

$20• Sunday, March 19; 1-2:30 p.m.• Saturday, April 8; 10-11:30 a.m.• Saturday, May 6; 10-11:30 a.rn.Class meets at TX.Scott E. Pellington, martial arts instructor

To register. call 610-402-CARE Healthy You 27

Everyday Tai ChiSlow graceful movements improve balance, strength-en legs and regulate blood pressure. Tai Chi isespecially suitable for the health-conscious and/orthose with busy lives who want to relax. A healthreadiness questionnaire is required of all participants.

6 classes • $48• Mondays. April 10; 10:15-11 :30 a.m.

(first session)• Tuesdays, April 11; 6:45-8 p.m. (first session)Classes meet at TX.• Mondays, April 10; 7:45-9 p.m.

(first session)Classes meet at MHC, Banko FamilyCommunity Center.

Staying StrongStrength-building, resistance training and range-of-motion activities improve muscle tone and slow downthe loss of bone density. This exercise prescriptionwill improve the effects of arthritis and osteoporosis.A health readiness questionnaire is required for allparticipants.

12 classes • $36• Wednesdays and Fridays, April 12;

10:15-11 :15 a.m. (first session)Classes meet at TX.• Wednesdays, 7:45-8:45 p.m. and Saturdays,

9-10 a.m., April 15 (first session)Classes meet at MHC, Banko FamilyCommunity Center.Instructed by certified exercise specialists orpersonal trainers.

Peak Balance Workout"This integrative and unconventional exercise

program will evenly condition the whole body andnot just body parts. Increase strength, flexibility andrelaxation through cardio-centering, core abdominaland back training, and yoga moves.

$15• Saturday, March 18; 9:45-11 :15 a.rn.• Saturday, March 25; 9:45-1115 a.m.• Wednesday, April 12; 6:45-8: 15 p.m.• Saturday, April 15; 9:45-11 :15 a.m.• Wednesday, April 26; 6:45-8:15 p.m.• Saturday, April 29; 9:45-11 :15 a.m.• Wednesday, May 10; 6:45-8:15 p.m.• Saturday, May 13; 9:45-11 :15 a.m.Class meets at TX.

.. , ....

.. ,.' .28 Healthy You Classes

Yoga MovesThis class for novice stu-dents provides safe andgentle exercise with anemphasis on stretching.You can reduce anxiety,improve circulation, buildmuscle and enhancewell-being. Bring a pil-low and blanket Ahealth readiness question-naire is required fol' all participants.

4 classes • $24• Mondays, April 24; 6:30-7:30 p.m. (first session)Classes meet at St. John's UCc.• Thursdays, April 27; 6:45-7:45 p.m. (first session)Classes meet at TK.

Kripalu YogaIn this form of yoga for people of all ages and fitnesslevels, participants will practice series of movements,postures (Asanas) and breathing to stretch, strengthenand de-stress. Bring a pillow, blanket or matA health readiness questionnaire is required fol" allparticipants.

6 classes • $48Vitality Plus GOLD members, $43• Begins Monday, April 10; 6:30-7:45 p.m.

(gentle)• Begins Thursday, April 13; 10:15-11:30 a.m.

(gentle)Classes meet at TK.• Begins Monday, April 10; 7:45-9 p.m

(vigorous)Classes meet at TX.

.Men's Health .. .. "

Osteoporosis in Men NEWMost people consider it a women's disease, but 15percent of those suffering from osteoporosis are men.This program focuses on the causes, evaluation andtherapies.

Free• Wednesday, May 10; 7-8 p.m.Class meets at 17, School of Nursing,Auditorium.Donald Barilla, M.D., endocrinologist

Snoring or Sleep Apnea?Learn the difference between snoring and sleepapnea, a potentially life-threatening disease.Discussion will include causes, surgical and non-sur-gical treatment options, and a demonstration of newequipment by Health Spectrum Medical Products.

Free• Monday, April 10; 7-9 p.m.Class meets at CC, Auditorium.John P. Galgon, M.D., and Richard J. Strobel,M.D., certified sleepspecialists

, t

- March-May 2000

Osteoporosis lecture Series NEWDiscover how to reduce your risk for osteoporosis, andlearn how to talk to your doctor or practitioner aboutyour questions and concerns. The series includes:

FreeImportance of Therapeutic Exercisefor Women after Menopause• Tuesday, March 21; 1-2:15 p.m.Class meets at TX.Jamie Giamalis, physical therapistNatural Therapies for Osteoporosis(benefits and concerns)• Tuesday, April 11; 7-8 p.mClass meets at CC, Auditorium.Albert Peters, D.O., endocrinologistMedical Evaluation of Patients WithOsteoporosis (importance of history,physical exam and key lab studies)• Tuesday, April 18; 1-2:15 p.m.Class meets at TX.Donald Barilla, MD., endocrinologistNutritional Needs(prevention and treatment)• Tuesday, May 16; 1-2:15 p.rn.Class meets at TX.Carol Greenlee, M.D., endocrinologistJane Ziegler, registered dietitian(See page 28 fOT infoTmation on osteoporosis in men)

Journey to Fertility:Seeking Fertility Treatment NEWFind out about the causes of infertility and newadvances in treatment. Join a tour of the new IVFlaboratory; please do not wear perfume, cologne orscented body wash.

Free• Wednesday, March 22; 7-8 p.rn.Class meets at MHC, Outpatient DepartmentAmbulatory Surgery Unit, 3rd floorConference Room.Albert Peters, D.O., reproductiue endocrinologistKate Wornlow, Ph.D., IVF lab director

Secretary's Day is April 26. _ ./~Mother's Day is May 14. ~

.9Zere's a great gift for either one.Reward your hardworking secretary,

administrative assistant or other

office professionals, or celebrate the

mother in your life with a healthy

gift that anyone will love.

30-minute Relaxation Massage ($30)

GO-minute Therapeutic Massage ($48)

Sizzling Six-Pack of Soap Rolls ($15)

Body Rolling Massage Class ($10)

Stop by the Health Center at Trexlertownor ca1l610-402-CARE to make your selection.

Quantity discounts are available.

Prescription for Ageless Beauty NEWWhat over-the-counter and prescription productsreally work to reduce the signs of aging? Find outwhat's best for your individual skin type. Presentedas a partnership between the Executive Women'sCouncil of Lehigh County Chamber of Commerceand Spirit of Women.

Free• Tuesday. March 28; 7-9 p.rn.Class meets at CC, Auditorium.Stephen M Purcell, D.O., andRobert J. Thompson, MD., dermatologists

Women's Self-Defense NEWMaintaining a sense of self-control is key to personalsafety. This workshop provides crime preventiontactics, self-defense techniques and information onprotective devices. You'll practice what you learn'Wear loose and comfortable clothes.

$20• Wednesday, March 29; 7-8:30 p.rn.Class meets at TX.• Tuesday, April 18; 7-8:30 p.rn.Class meets at MHC, Banko FamilyCommunity Center.Aaron Snyder, martial arts specialistRandall Achey, martial arts mstructor

Alternatives to Hysterectomy NEWTake time to learn more about available alternativesand options to hysterectomy. Make informed deci-sions with the most current information.

Free• Thursday, April 6; 7-8 p.rn.Class meets at CC, Classroom 1.Larry Glazernum, M.D.


Managing Perimenopause-The Transition Years NEWUnderstand the effects of hormonal fluctuations andlearn how to manage symptoms during the years(typically late 30s to early 50s) before your menstrualcycle stops. All participants receive The PerimenopauseHandbook: What Every Woman Needs to Know.

$20, includes workshop materials• Wednesday, April 26; 7-8 p.m.Class meets at Cc.• Wednesday, May 10; 7-8 pm.Class meets at TX,Wendy Grube, R.N., nurse practitioner

How to Develop Self-EsteemThis interactive women's support group will enableyou to change the way you feel about yourself.Developing self-esteem helps you become moreeffective in dealing with situations and people, andyou'll experience greater joy everyday.

10 sessions • $85• Tuesdays, April 18; 7-9 p.rn. (first session)Classes meet at TX.Mania Felkay, tbempist-counselor

Progress Points for Breast HealthLearn from health experts how improvements inscreenings and research have led to enhanced breasthealth ..

Free• Tuesday, April 4; 7-8 pm.Class meets at Saucon r1l11ey High School,Hellertown.Elisabeth Ladd, R.N.Deborah Kane, R.N.

Growing Your Emotional Well-beingWomen in Transition: The Bumps in the Road,the fourth program in this series, focuses onhow life's transitions afford opportunities foremotional growth.

$10• Thursday, April 13; 7-8:30 p.m.Class meets at TK.Lorraine Gyauch, R.N.

Facial Therapy - Keep That Healthy GlowThis energetic, hands-on workshop offers you afacial "workout" that will tone and firm facial andneck muscles. You will also learn how to care foryour skin and how to keep wrinkles at bay.

$25• Saturday, April 8; 9:30-11 a.m.• Thursday, April 20; 7-8:30 p.m.Class meets at TX.Joyce Abuisi, aesthetician


I

Spring Time Book Fair NEWBooks are a fun and healthy alternative for fillingEaster baskets for kids of all ages. Hop over to ourHealth Library and Learning Center for an eggs-traordinary selection.

• Tuesday, April 4; 10 a.m.-7 p.m.• Wednesday, April 5; 10 a.rn-? p.rn.Book Fair at TX.

Family Violence - What We Can Do to Help!NEWIf someone you know is living with violence, learnwhat responses are helpful and what resources areavailable for support in the community.

Free• Thursday, April 27; 7-8 p.m.Class meets at 17, School of Nursing,Auditorium.Julie Dostal, M.D.Lawrence Kleinman, M.D.

.. , '"

'",.' .

t

- March-May 2000

• ChildbirthPreparation

Maternity ToursExpectant parents/family members can tour theCenter for Mother and Baby Care at Lehigh ValleyHospital, Cedar Crest & 1-78. Adult and sibling toursare available.

For dates, times and locations, mil 61O-402-CARE.

Prepared Childbirth(Lamaze) SeriesInformation about relaxation and Lamazebreathing techniques, stages of labor, medications,Cesarean birth, feeding options and caring foryour newborn.

$90Forfmtlm' info17Jwtion, call 61O-402-CARE.

"All About Baby" Class (Newborn Care)Basic newborn care including feeding, safety,health problems, weJl child care and localresources. Grandparents welcome.

$20Class meets at 17, Auditorium.Porfunber infonnation, call 610-402 -CA RE.

Becoming a FamilyJoin other parents-to-be for an informative insightintq"the physical and emotional changes of preg-nancy; tests you need; nutrition, lifestyle and otherhealth needs; and what to expect when YOLI deliver.

$10 per couple• Saturday, April 8; 9-1030 a.m.Class meets at Cc.• Saturday, June 10; 9-10:30 a.m.Class meets at MCC, Classroom 1B.

One-day LamazeSame topics as Prepared Childbirth Series(see above), geared for couples whose scheduleswon't accommodate a seven-week course.

ewborn care not included.$125 includes continental breakfastand lunch.Forfll1thel' information, mil 61O-402-CARE.

Breastfeeding ClassesGet off to a good start by understanding breast-feeding and how it benefits your baby.

$20Class meets at 17, Auditorium.Forfm1bel- infomlation, call 610-402 -CA R.E.

"Just Breathing" Class~/thlhrou~~~~If you've had a prepared childbirth class in the pastthree years, take this class for a review of the stagesof labor, breathing and pushing techniques.

$35Class meets at 17, Auditorium.For fil11bel' information, call 61O-402-CARE.

From Here to MaternityA new education program for moms-to-be and fornew moms. The prenatal series features a twice-weekly movement and relaxation class that includespersonal exercises to prepare you for the new birth.Educational support is provided by a childbirthhealth educator.The postpartum series offers a twice-weekly exerciseclass that re-energizes your body and builds friend-ships with other new moms.

For Moms-to-beYourphysician s approval is required prior to

participation.7 classes for 4 weeks • $42Mondays and Wednesdays• Monday, April 3; 6:30-730 p.m. (first session)• Monday, May 1; 630-7:30 p.m. (first session)Classes meet at MHC, Banko FamilyConlnmnity Center.

For New MomsIt is recommended that you begin these pro-grams following your 6-week checkup with yourphysician. Please check with your physician.8 classes for 4 weeks • $48Mondays and Wednesdays• Monday, April 24; 10:15-1115 a.m

(first session)• Monday, May 22; 10 15-1115 a.m.

(first session)Classes meet at Allentown Sports Medicineand Human Performance Center.

Pregnancy: Options and Choices

Nurse-Midwives and Your PregnancyMid\\~ves offer skilled and 100~ngcare for new andgrowing families. Here, they describe how theywork and answer questions such as how to reduceyour risk of Cesarean section, how to avoid anepisiotomy, and more.

Free.Wednesday, April 19; 7-8 p.m.Class meets at CC, Classroom 2.Cindy Dinsmore, Laurice Dunning, Kern Hoyt,Tina London, Carole Manspeaker;certijied nurse-niidnnues


II •

1111111"11

Refresher Lamaze ClassIf you've already had a baby or attended a Lamazeprogram, this is a review of the basics plus siblingconcerns and Vaginal Birth After Cesarean (VBAC).

$30For further information, call 61O-402-CARE.

New Mom's lime OutLearn along with other new moms - our childbirthhealth educator instructs and provides informationon the following topics:

$5 per class

How Your Relationships Change• Tuesday, March 14; 10-11 a.m.

Calming the Crying Infant• • Tuesday, March 28; 10-11 a.m.

When to Call the Doctor• Tuesday, April 11; 10-11 a.m.

How Does Your Baby Sleep?• Tuesday, April 25; 10-11 a.m.

Introducing Solid Foods• Tuesday, May 9; 10-11 a.m.Class meets at TX.

Analgesic Options in ChildbirthToday there are new options, including patient-controlled anesthesia and "walking" epidurals,that help make childbirth more comfortable.Learn more about these and other choices avail-able to you. Optional tour of maternity unitoffered following the talk. Pre-registration for thetour is required as space is limited.

Free• Thursday, May 11; 6-7 p.m.Class meets lit CC, ClIlssroom 1.

]fI11tes Shaheen, M.D.


I

Age 50-Plus

Preserving Memories NEWIf you have photos stashed away, learn to create beau-tiful keepsake albums to preserve those memories.Techniques include organizing, cropping, layoutmounting and journaling. Bring 8-10 photos; pur-chase supplies in class.

Vitality Plus GOLD members, $5 • Others, $10• Thursday, March 16; 6:30-8:30 p.rn.Class meets at 17, School of Nursing,Auditorium, Parlor A.Kelly Shaak, consultant

Your Future in Social SecurityWhat benefits can you expect when you retire? SocialSecurity experts explain how the program works, howmonthly payments are computed and what the futureholds. Bring your questions'

Free• Thursday, March 16; 7-8:30 p.rn.Class meets at MHC, Banko FamilyCommunity Center, Room 4.• Thursday, April 20; 7-8:30 p.m.Class meets at CC, Classroom 1.• Thursday, May 18; 7-8:30 p.m.Class meets at 17, Auditorium.

Medicare CounselingCurrent and soon-to-be Medicare beneficiaries areinvited to make an appointment for free, confidentialcounseling on Medicare and alternatives, billing issuesand claims. Counselors are trained Apprise volunteersfrom the Lehigh County Area Agency on Aging.For an appointment, ca1l61O-402-CAREor visit a counselor during walk-in hours, mostWednesdays, 10 a.m.-noon at the Health Centerat Trexlertown.

OTHERCLASSES OF INTEREST• Exercise for Life (page 25)• Natural Holistic Therapy Series (page 26)• Seated Tai Chi (page 27)• Kripalu Yoga (page 28)

• How Strong Is Your Backbone? (page 34)These classes offer discounts for Vitality PlusGOLD members.

. .

t

- March-May 2000

At a reduced rate orfree for GOLD Members

Vitality Plus Open HouseLearn how Vitality Plus can help you stay healthyand active, enjoy special discounts and meet greatpeople' Dress casually for a mini-exercise session.

Free• Wednesday, March 15; 10-11 a.m.• Wednesday, April 5; 6:30-7:30 p.m.Class meets at 17, School of Nursing,Auditorium,• Wednesday, May 10; 10-11 a.m.Class meets at MHC, Banko FamilyCommunity Center, Rooms 1and 2.

PEN N STATE~Berks~ Lehigh Valley

Vitality Plus is pleased to announcea partnership with Penn StateLehigh Valley for computer classesat the Fogelsville campus.Fees include textbook. Vitality PlusGOLD members will receive adiscount:

Introduction to the InternetBasic knowledge of the Internet, e-mail and theWorld Wide Web. Learn Internetterminology, how to connect to the Internet anduse of the Web.

2 sessions • Vitality Plus GOLD members, $50• Others, $65• Wednesday, March 29, April 5;10 am-noon

55 AliveVitality Plus and AARP present 55 Alive, aclassroom course for mature drivers. Reduce yourrisk of accidents and save money on your autoinsurance. A community education service ofLehigh Valley Hospital's Trauma Department.

Vitality Plus GOLD members, Free •Non-members, $10 (check made payableto AARP)• Tuesday & Thursday, March 21 & 23;9 a.rn-t p.m.Classes meet at TX.• Wednesday & Friday, April 19 & 21;12:30-4:30 p.rn.Classes meet at 17, School of Nursing,Room 900.

The Web for SeniorsLearn to browse and search the Web and discoversenior-specific news and views, Introduction to theInternet is recommended.

2 sessions • Vitality Plus GOLD members, $50• Others, $65• Wednesday, April 12, 19; 10 am-noon

Students will benefit from Penn StateLehigh Valley's state-of-the-art library pro-viding access to print and electronicresources including the Internet. The cam-pus is located at 8380 Mohr Lane inFogelsville. To register or for more informa-tion, call 610-285-5058. Have your VitalityPlus membership card handy. Refunds onlyif cancellation made seven days before theclass begins.


Disease Preventionand Care

Empowerment for Those WithChronic Conditions NEWThis introductory workshop to self-managementoffers a practical approach to overcome the daily phys-ical and emotional challenges of living with a chronicillness (heart disease, diabetes, arthritis and others).

$10• Wednesday, March 22; 9-10 a.m.• Tuesday, April 11; 1-2 p.rn.• Wednesday, May 3; 9-10 a.m.• Thursday, May 4; 6:30-7:30 p.rn.Class meets at CC, Classroom 1.• Tuesday, March 28; 6:30-7:30 p.m.• Wednesday, March 29; 10-11 a.m.• Monday, May 8; 6:30-7:30 p.m.• Wednesday, May 10; 10-11 a.m.Class meets at TX.• Wednesday, April 5; 10-11 a.m.• Tuesday, April 18; 9-10 a.m.Class meets at MHC, Banko Family

" Community Center, Rooms 1and 2.• Thursday, April 6; 6:30-7:30 p.rn,• Thursday, April 27; 6:30-7:30 p.rn.Class meets at MHC, Conference Room 1.

How Strong Is Your Backbone? NEWLearn and practice everyday movements for a healthyback: proper sitting and standing postures, correctlifting techniques and strengthening of the musclesthat support your back. Dress comfortably.

Free, Vitality Plus GOLD Members • Others, $5• Tuesday, March 28; 1-3 p.rn.Class meets at TX.Kristen 71'01llbley,physical therapist

Getting a Good Night's Sleep NEWDo you have insomnia, trouble falling asleep or stay-ing asleep? Join this presentation to learn about thecauses of insomnia and the secrets to getting a goodnight's sleep.

Free• Monday, April 3; 7-9 p.rn.Class meets at CC, Auditorium.Michael Kitufman, M.D., psychiatristThomas Lane, Ph. D., clinical psycbologist


I

Take Care of Back and Neck PainUnderstand the prevention and treatment for variouspain problems involving the spine, back, legs, neck,arms and/or head. This education series combineschiropractic care with physician expertise to help youachieve your wellness potential.

$5 per classDoug/as K. Ziegle1; Daniel J. Reyes, cbiropmaors

TMJ (Temporal Mandibular Joint) Injury• Saturday, March 18; 9:30-10:45 a.m.• Thursday, April 6; 7-8:15 p.rn.Ge01'geCan; D.M.D.Myofascial Pain Syndrome• Saturday, April 8; 9:30-10:45 a.rn.• Thursday, April 20; 7-8:15 p.rn.Joshua Krassen, D. O.Importance of Rehabilitation• Saturday, April 29; 9:30-10:45 a.rn.• Thursday, May 11; 7-815 p.m.Josbua Krassen, D.O.Carpal Tunnel Syndrome• Saturday, May 6; 9:30-10:45 a.m.Joshua Krassen, D. O.Class meets at TX.

Back to a life of BalanceDizziness or balance problems can affect people of allages. Learn the latest findings on vertigo, dizziness,balance problems, frequent falls and lightheadedness.Includes a confidential screening.

$7• Saturday, March 18; 9:30-11 a.rn.Class meets at TX.• Monday, March 20; 7-8:30 p.mClass meets at 17, Conference Room A.Ethan Hood and [alene Hammer;physical therapists

Don't Ignore Your HeadachesIf you've had headaches that make it difficult to work,socialize or that interfere with normal activity, yourproblem may be migraine. This program offers thelatest facts, and current medical and lifestyle options.

Free• Tuesday, April 4; 7-8 p.rn.Class meets at 17, Auditorium.James Redenbaugh, M.D., neurologist

~Support GroupLooking for additional education and sup-port? Join the new monthly adult supportgroup, beginning in May, led by a certifieddiabetes nurse educator and registered dietit-ian. Talk with other people in similar situa-tions and discuss challenges with guest speak-ers such as physicians, psychologists, physicaltherapists and pharmacists.

For dates and times, 01'to schedule an appoint-ment, call6JO-402-CARE.

t

- March-May 2000

Quit Smoking

Individual Tobacco Use Cessation CounselingMeet one-on-one with a health improvementcounselor to develop a plan to help you becometobacco-free.

For fee information and to schedule an appointment,call 610-402-CARE.

All CPR classes meet at 12)], Suite 309.

Adult (Course AjOne-person adult heart-saver CPR. Includes clearinga blocked airway.

$25• Monday, April 17; 7-10 p.rn.• Monday, May 8; 7-10 p.rn.

Adult-Child-Infant (Course CjOne- and two-person, child and infant CPR.Includes mouth-to-mask ventilation and clearinga bl6cked airway.

3-part course • $40• Monday, March 27, April 3 and 10; 7-10 p.rn,• Monday, May 22, June 5 and 12; 7-10 p.rn.For information on achieving CPR provider status,call 610-402 -CARE.

Course C RenewalTo attend you must have a current Course C card.

Renewal • $25• Monday, May 1; 7-10 p.rn.

Infant-Child (Course DjInfant and child CPR and how to cleara blocked airway.

$25• Wednesday, March 29; 7-10 p.m.• Monday, April 24; 7-10 p.rn.• Wednesday, April 26; 7-10 p.m.• Monday, May 15; 7-10 p.rn.

Diabetes Education

The Helwig Diabetes Center of Lehigh ValleyHospital and Health Network offers a series ofprograms for adults with diabetes in such areas asdiet, exercise, medication and home testing. Familymembers/friends are welcome at no additional charge.

For additional information, call 610-402-CARE.

Support Groups

Lehigh Valley Hospital and Health Network offersa variety of support groups for people who sharesimilar experiences, concerns or health conditions.Through special presentations and facilitateddiscussions, the groups help people cope with thephysical, psychological and spiritual aspects of acute,chronic or terminal illness.Many support groups are tailored to audiences withspecial needs; for example, breast cancer, prostatecancer or osteoporosis.

For more information, call 610-402-CAREor visit our on-line searchable directory of supportgTOUpSand national health oTganizations athttp://www.lvhhn.oTg/caiendadsuppmt_semTh.htnzi

"

_.,~$peake~~~Bureaut!t~iJ~!3~~,~r~. .~' : ~ ,

Learn about advances in breast disease evaluationfrom the staff of Breast Health Services physiciansand nurses. Topics include:

• Breast cancer risk: evaluation andintervention

• Advances in mammography and breastimaging

• Breast self-examination instruction• Current topics in breast cancer treatmentFor more information, call 61O-402-CARE.


,How to Register

Classes and lectures are held at convenient hospital and community locations. Many are free; a registration fee is requiredfor others as indicated. If you are registering for a free class, call our special phone line. Choose from a variety of methodsfor enrolling in other classes. For more information, call 610-402-CARE.

FAX BY FAX: You can register by fax withpayment by MasterCard or Visa.Fax 610-402-2295. Use theregistration form below.

HOSPITAL LOCATIONSLehigh Valley Hospital, Cedar Crest & 1-78Lehigh Valley Hospital, 17th & ChewMuhlenberg Hospital CenterMorgan Cancer Center, Cedar Crest & 1-781243 S. Cedar Crest Blvd., Allentown1251 S. Cedar Crest Blvd, AllentownHealth Center at TrexlertownTrexler Mall, Rt 222, TrexlertownCOMMUNITY LOCATIONSAllentown Jewish Community Center

702 N. 22nd St, AllentownAllentown Sports Medicine and Human Performance Center

1243 S. Cedar Crest Blvd, AllentownBath Community Medical Center

6649 Chrisphalt Dr, BathBethlehem YWCA, 1475 Roselawn Dr, BethlehemSaucon Valley High School

2100 Polk Valley Rd, HellertownSt John's UCC

183 S. Broad St. NazarethWegman's, 3900 Tilghman St. AllentownWhitehall Township, Zephyr Park

ABBREVIATIONSCC17

MHCMCC12431251

TX

BY PHONE: You can register withMasterCard or Visa by telephone.Call 61O-402-CARE, Monday-Friday,8:30 a.rn, - 4:30 p.rn,

BY MAIL: Mail the registration formbelow and payment to Attn: 402-CARE office or Vitality Plus at LehighValley Hospital 17th and Chew, P.O.Box 7017, Allentown, PA 18105-7017

ON THE WEB: You can register byMasterCard or Visa bye-mail throughthe Lehigh Valley Hospital and HealthNetwork web site. Go to the calendarof events at www.lvhhn.org and usethe online registration form.

FormParticipant's Name

Address, _

City State .Zip

Phone (Home) (Work)

Date of Birth Social Security # _

Are you a Lehigh ValleyHospital employee? _Yes _No

SELECTION: please refer to the course schedule for class title,date/time and fees.Please print.class title(s) date/time fee(s)

LEHI~VAILEYHOSPITAL AND

HEALTH NETWORK

Make check payable to: Lehigh Valley Hospital or Vitality PlusFor Vitality Plus classesmake check payable to Vitality Plus.

Charge to my Credit Card 0 MasterCard 0 VisaCREDIT CARD ACCOUNT NUMBER

Attn: 402-CAREoffice or Vitality Plus atLehigh Valley Hospital

17th and Chew, PO. Box 7017,Allentown, PA 18105-7017

Signature Exp. Date

PAYMENT: Total amount enclosed: $, _Ask whether you are eligible for class discounts.


I

Reader's IndexARTICLE • . . • . . • • . . • •. page #

AgingCare for the Caregiver

Consumer AwarenessIs Bigger Better? 6

Kids and Secondhand Smoke 17

Mental Health Hazards of Your Computer 8

Disease Prevention and CareDo You Need a Cholesterol Check? 2

Hesitant About Hysterectomy 22

Kids and Secondhand Smoke ..17

New Lyme Disease Vaccine 14 (PC)

New Spinal Surgery 15

'Obesity Epidemic: The..... 1

Want to Lower Your Diabetes Hisk? 12

Eating

How Big Is Your Plate? 13

Emergency MedicineNational First, A . ....3

Unforgettable Helicopter Rescue, An .10

FitnessIs Bigger Better? 6

Want to Lower Your Diabetes Hisk? 12

Health InformationHealth Information on the Web .3(W)

Helwig Diabetes Center Locations 2

Kids and Secondhand Smoke. .. 17

New Lyme Disease Vaccine 14 (PC)

New Spinal Surgery 15

New Treatment for Depression 3

'# Next Generation of Care.The 1

LEGEND:(PC) Indicates article produced in collaborationwith our partners in PennCAREsM health network.

LEHI{!HVAILEYHOSPITAL AND

HEALTH NETWORK

PublishersJohn C. Stavros

Senior Vice President,Marketing and Public Affairs

Mary Alice CzerwonkaVice President, Public Affairs

EditorsKerri l. Puskar,

Marketing DirectorKathryn Hobbie

Contributing WritersBrian DownsKathryn HobbieGary KimballPamela Maurer

Any comments concerning thispublication may be sent to:HealthyVouAttn: Marketing, Planning& Public Affairs1770 Bathgate Drive.Bethlehem, PA, 18017 or youmay call 610-402-CARE.

Visit Lehigh Valley Hospital'sweb site at www.lvhhn.org

TDO General Information610-402-1995

© Lehigh Valley Hospital andHealth Network, 2000.All rights reserved.

Article •.••.•. .•••••.. .••.. .••••.. .•• page #

Health InformationNo More Pap Tests? .

'Obesity Epidemic: The

.......... 2

.......... 1

ParentingBreak the Cycle of Domestic Violence 18

Is Bigger Better? 6

Kids and Computer Violence 8

Kids and Secondhand Smoke 17

Your Childbirth Wish List' . 4

PersonalitiesCare for the Caregiver (Joan Shultes) 20

Hesitant About Hysterectomy (Marie Smith) 22

New Spinal Surgery (Mary Nasuti) 15

Next Generation of Care,The (Pierfys) 1

Unforgettable Helicopter Rescue, An (Gina

Natale, Michael Sinclair, M.D.) 10

Women's Health

Break the Cycle of Domestic Violence 18

Care for the Caregiver 20

Hesitant About Hysterectomy 22

No More Pap Tests? 2

Spirit of Women Awards Nominations 2

Stephanie Exhibit .3

Your Childbirth Wish List' .4

Photo Editor & PhotographerThomas F.Amico

Distribution & ProductionKathleen Scaiel, Manager, Marketing and Public AffairsKathryne Fones, Alane Mercer, Production Assistants

Contributing AdvisorsMEDICALEDITORRobert Laskowski, M.D.COMMUNITYHEALTHSharnee Cederberg, R.N.,Hollace Lewis, Judith Sabino, Greg SalemSENIORS'HEALTH(Vitality Plus) Mary Hobel, Susan Hoffman,Maria Kammetler, Laurene Roth, Francis Salerno, M.D.WOMEN'SHEALTH(Spirit 01Women) Fran Derhammer, R.N.,Ann Fatzinger, Vincent Lucente, M.D., Marie Shaw,Patrice Weiss, M.D.CONSUMERINFORMATIONLINECathy Kline, R.N., Jill Korn, R.N.•Chris Morehouse, R.N.Art Director

Jeanne Stock

Healthy You is published six times a year by Lehigh Valley Hospital and Health Network. Its goal is to provide its readerswith information and education that will help them and those they care for to enjoy healthier lives. Information appearingin this publication is not intended for self-diagnosis and/or treatment. If you have a health problem and need help in find-ing a physician, call 610- 402-CARE for further assistance.

LEHI0IVAILEYLehighValleyHospitalPO Box7017Allentown,PA 18105-7017

Non-Profit Org.US Postage

PAIDPermit # 1922Allentown, PA

Fighting for life.

The Lehigh Valley's only Level 1 Trauma Center.A sudden crash. Life hangs in the balance. The next hour is so critical thatdoctors call it the "golden hour." If victims get emergency help inside that firsthour, a high percentage survive. As the region's only Levell Trauma Center, wehave the most experience in serious trauma cases ranging from severe fracturesand head injuries to extensive burns. Some facts about Lehigh Valley Hospital'sTrauma Center that should help you rest a little easier:

• rapid response via MedEvac helicopter-more than 1,000 flights a year• trauma teams trained to handle the most serious injuries• one of only four Pennsylvania trauma centers with additional

qualifications in pediatrics• more than 2,000 trauma cases treated annually• only advanced burn treatment center in the Lehigh Valley.

Emergency services are provided at Lehigh Valley Hospital atCedar Crest & 1-78, 17th and Chew and Muhlenberg Hospital Center.

610-402-CARE • www.lvhhn.org

HOSPITAL ANDHEALTH NETWORK

LEIDGH VALLEY HOSPITALCedar Crest and 1-78, Allentown

17th and Chew Streets, Allentown

MUHLENBERG HOSPITAL CENTERSchoenersville Road and Westgate Drive

Bethlehem

HEALTH CENTER AT TREXLERTOWNRoute 222 (frexler Mall), Trexlertown

610-402-CARE • www.lvhhn.orgIf you have received an extra copy of this publication, please share it with acolleague or friend. If the mailing information labove) is incorrect, please notifyus by calling 610-402-CARE 1402-2273)

I

ow ~i~ i~ your ~latb! - lvhn scholarly works

Documents