On a Mission - Hackensack Meridian Health · 2018. 4. 24. · Hackensack Meridian Health family....

HEALTHVIEWSMARCH | APRIL 2018

HACKENSACKMERIDIANHEALTH.ORG

WELCOME READERS! HERE’S A MAGAZINE FOR YOUR HEALTH AND WELL-BEING.

PLUSExpert Care Fulfi lls Kearny Woman’s Dream of Motherhood

When the ED Is the Right Choice

5 Common Causes of Back Pain

On a MissionWhippany girl thrives after receiving outstanding surgical care.

Find out how Hackensack Meridian Health is leading the way in robotic surgery.See page 18.

I N N O VAT I O N S P O T L I G H T

EXPANDING OUR FAMILY

With more than 160 patient care locations, Hackensack Meridian Health is now the largest health network in the state. Watch a video about JFK’s first day as part of our family at HackensackMeridianHealth.org/JFKDay1.

2 Hackensack Meridian HealthViews | MARCH | APRIL 2018

SYNCED UP WITH YOUR LIFEFollow us on social media to find health tips, physician blog posts, recipe videos and much more!

Do you have a health success story to share? Submit it at HackensackMeridianHealth.org/ShareaStory. It may be featured in a future issue of HealthViews!

Gordon N. Litwin, Esq. CO-CHAIR

Joseph Simunovich CO-CHAIR

Robert C. Garrett, FACHE CO-CEO

John K. Lloyd, FACHE CO-CEO

Cathy Ainora INTERIM PRESIDENT HOSPITAL SERVICES DIVISION

Sharad Sahu, M.D. MEDICAL ADVISOR

Michael McCauley Jacki Kronstedt HEALTHVIEWS PRODUCTION TEAM

This free magazine is prepared by the Marketing and Communications Team of Hackensack Meridian Health. Please call 848-888-4700 with any questions or comments. Inquiries or ideas can be addressed to [email protected].

© 2018 Hackensack Meridian HealthThe material provided in this magazine is intended to be used as general information only and should not replace the advice of your physician. Always consult your physician for individual care.

As we share this issue of HealthViews, we also are pleased to share the news that JFK Health is now part of the Hackensack Meridian Health family. JFK Health, which includes JFK Medical Center in Edison, shares with us a common mission and commitment to quality, as well as a long history of partnerships in rehabilitation and home care.

Joining forces with JFK will enhance our already robust portfolio of health services. Hackensack Meridian Health

welcomes the JFK Neuroscience Institute, a leader in the diagnosis and treatment of brain and spinal disorders, and the JFK Johnson Rehabilitation Institute, offering state-of-the-art therapeutic programs for individuals disabled by illness or injury.

Together we will strengthen our efforts to improve the well-being of communities and provide greater access to excellent care. In short, this is an amazing opportunity to transform health care.

Robert C. Garrett, FACHE, Co-CEO John K. Lloyd, FACHE, Co-CEO

@HackensackMeridianHealth

A Whole New State of Health Care

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

Success StoriesTwo Under 2 and Happy! .............................6A Transplant Tale ..........................................8On a Mission .....................................................9On the Road to a Healthier Lifestyle .....10A Ray of Sunshine ........................................ 12Bundle of Joy .................................................. 13Rewriting Cancer Care ............................... 14Going After Her Dreams ........................... 16Caught in the Nick of Time ..................... 20Helping Her Grow ........................................ 21Take Control of Your Health.................... 30

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

Innovation HealthLeading the Way in Robotic Surgery .....18

Health and WellnessWhen the ED Is the Right Choice .........26 5 Causes of Back Pain ................................285 Healthy Foods to Put on Your Grocery List ........................................31

16

Thanks to expert neurological care, Jeniffer Paez is healthy and pursuing her dreams.

Certain danger signs can be clues that the Emergency Department is the right place to go.

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Contents

Snapsh ts

Take Control of Your HealthThis spring, learn strategies to manage your health symptoms, set weekly goals, eat well and exercise. Find details on page 23.

A new prescription for low back pain — yoga Yoga may be just as effective for treating chronic low back pain as physical therapy (PT), found a recent study published in the Annals of Internal Medicine.

The researchers studied 320 people with chronic low back pain who were randomly assigned to three months of gentle yoga, PT or education. The participants were given the option of using pain medications as needed, and, at the start of the study, more than two-thirds reported using painkillers. After three months — as well as a one-year follow-up — the yoga and PT groups had about the same improvements in pain and mobility limitations. These groups were both less likely to still be using medication as the education-only group after three months.

“This study shows that gentle yoga may be an alternative option for treatment of chronic low back pain,” says Margaret (Midge) Grady, RN, MSN, APN-C, administrative director of Psychiatry and Behavioral Medicine and Integrative Medicine at Hackensack University Medical Center.



Snapsh ts

Take Control of Your HealthThis spring, learn strategies to manage your health symptoms, set weekly goals, eat well and exercise. Find details on page 23.

A new prescription for low back pain — yoga Yoga may be just as effective for treating chronic low back pain as physical therapy (PT), found a recent study published in the Annals of Internal Medicine.

The researchers studied 320 people with chronic low back pain who were randomly assigned to three months of gentle yoga, PT or education. The participants were given the option of using pain medications as needed, and, at the start of the study, more than two-thirds reported using painkillers. After three months — as well as a one-year follow-up — the yoga and PT groups had about the same improvements in pain and mobility limitations. These groups were both less likely to still be using medication as the education-only group after three months.

“This study shows that gentle yoga may be an alternative option for treatment of chronic low back pain,” says Margaret (Midge) Grady, RN, MSN, APN-C, administrative director of Psychiatry and Behavioral Medicine and Integrative Medicine at Hackensack University Medical Center.

Almost bedtime? Skip the snacksEating in sync with your own body clock may help you ward off extra weight, according to a recent study published in the American Journal of Clinical Nutrition.

The researchers studied the daily eating and sleeping habits of 110 young adults for 30 days. They found that those with higher body fat were more likely to eat closer to their own bodies’ natural sleep time than those with lower body fat. The participants’ bedtime was measured by the increase in their bodies of melatonin, which is a marker of a person’s biological night.

“While more research is needed, the takeaway from this study is that shifting your meal schedule a few hours earlier may benefit your waistline,” says Gregorio Guillen, M.D., of Raritan Bay Medical Center–Perth Amboy.

Want to cut back on salt? Try some spice Adding spiciness to food may be one way to cut back on salt, according to a recent study published in the journal Hypertension. Consuming a large amount of salt is one of the major causes of high blood pressure, a risk factor for heart disease.

This study of people in China found that those who enjoyed spicy food consumed less salt than those who had less tolerance for spiciness. They also had lower blood pressure. The researchers found that adding spice to food increased the perceived saltiness of the food.

“Adding some spice to your food, such as chili pepper, may help you cut back on salt,” explains Aaron Feingold, M.D., a cardiologist on staff at JFK Medical Center. “On average, American adults consume more than 3,400 milligrams of sodium a day, much more than the ideal limit of 1,500 milligrams for most adults.”

LISTEN TO OUR PANDORA STATIONWe understand music has a transformative power, even when you aren’t thinking about your health. Hackensack Meridian Health partners with Pandora to bring a station featuring hits from the top genres across New Jersey and New York City. Search “HMH Life Years Ahead Radio” on the Pandora app or website.

Losing weight may reduce cancer riskAs more people in the United States battle obesity, their risk for cancer is also on the rise.

A recent report by the Centers for Disease Control and Prevention found that being overweight or obese is linked with an increased risk for 13 types of cancer. These include cancer of the brain, esophagus, gallbladder, thyroid, stomach, liver, pancreas, kidney, ovaries, uterus and colon as well as postmenopausal breast cancer and multiple myeloma. The researchers also

found that the number of overweight- and obesity-linked cancers increased significantly between 2005 and 2014, representing 40 percent of all cancers diagnosed in 2014.

“This study is consistent with other research that shows being overweight or obese increases cancer risk,” says Barbara Cirignano, M.D., a family medicine physician affiliated with Palisades Medical Center. “If you need help shedding pounds, talk with your doctor.”

Expert pregnancy care fulfi lls Kearny woman’s dreams of motherhood times two.

By Sondra Kaufman CHERISHED MOMENTS

When you choose Hackensack Meridian Health for your maternity care, know that our compassionate team will be there every step of the way. Learn how we support healthy deliveries at HackensackMeridianHealth.org/Maternity.

INCE SHE WAS A LITTLE GIRL, BEING a mom was something that 37-year-old Stacey Dinburg, from Kearny, had always wanted. It was no accident that she chose a career path dedicated to children, becoming a child behaviorist and special educator. Never did she expect that her

journey to motherhood would be such a long and twisted one. After struggling to become pregnant and enduring

multiple infertility treatments, Stacey and her husband, Sean, were feeling excited and more comfortable once they passed the three-month point in her new pregnancy. Due to Stacey’s gestational diabetes as well as the baby’s slower-than-normal growth rate, she was monitored closely by her medical team. At 36 weeks and four days, during an ultrasound exam, Stacey and her husband received the sad news that their baby, a beautiful, curly-haired daughter named Rhyan Ava, had died. Their lives were turned upside down.

DETERMINED TO HAVE A FAMILYAfter about a year of intense physical, emotional and psychological healing, Stacey underwent in vitro fertilization (IVF) once again and became pregnant on the first attempt. The news was both exciting and terrifying; becoming pregnant after a loss brought on a mix of emotions. Stacey turned to Manuel Alvarez, M.D., chair of Obstetrics and Gynecology at Hackensack University Medical Center, in the hope that he would help her realize her dream of motherhood. Stacey explains, “After meeting him for the first time and experiencing his compassionate manner, extreme attention to detail and empowering nature, I just knew Dr. Alvarez was the doctor who would take care of me and my baby. I felt it in my soul.”

Dr. Alvarez and his team value a holistic approach to care. “Stacey came to me with a unique set of circumstances,” recalls Dr. Alvarez. “Based on her previous experience, I felt it critical to keep her mental and emotional health top of mind

throughout her pregnancy, promoting her total health and well-being.” In doing so, Dr. Alvarez taught Stacey to be her own advocate, to be empowered and to trust her instincts. “My concerns were always met with support; I was never left to question or feel uneasy,” says Stacey.

Similar to her first pregnancy, Stacey suffered from gestational diabetes, which Dr. Alvarez kept under close surveillance. She also required a blood-thinning medication and careful management of her blood levels by Stanley Waintraub, M.D., FACP, division chief of Hematology and co-division chief of Breast Oncology at Hackensack, who is an expert in hematological causes of recurrent pregnancy loss. It was determined that Stacey would deliver at 36 weeks. According to plan, she was admitted to Hackensack one week prior as an extra precaution. On January 29, 2016, almost exactly two years to the day of their daughter Rhyan’s birth, Stacey and Sean welcomed their second daughter, Skyelar Rae, into the world.

Not too long after, Stacey was pleasantly surprised to learn that she was pregnant again, this time through completely natural means. Under Dr. Alvarez’s watchful eye, Stacey was cautiously

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TWO UNDER 2 AND HAPPY!

Hackensack University Medical Center


monitored throughout her pregnancy and on February 16, 2017, gave birth to a third daughter, Teagan Lane. Stacey proudly explains, “With my second successful birth, I once again credit the amazing nurses and entire clinical team that cared for me at Hackensack. Their thoroughness, responsiveness and overall supportive nature allowed me to restore my trust in the medical community and truly welcome them as partners in my care journey.”

Manuel Alvarez, M.D.Board certified in Obstetrics/Gynecology and Maternal-Fetal MedicineHackensack1-855-424-WELL (9355)

Stanley Waintraub, M.D.Board certified in Hematology, Medical Oncology and Internal MedicineHackensack1-855-424-WELL (9355)

HEALING THROUGH HELPINGWhile Stacey and her husband are busy enjoying each nonstop day with their two healthy and happy daughters, Stacey will forever feel the need to turn her tragedy into purpose. “Helping others and giving back has really helped me heal,” Stacey states. She has supported the creation of The 2 Degrees Foundation in hopes to raise stillbirth awareness and, in doing so, provide the safety net and support to other grieving moms that Stacey had searched for herself.

HAPPY FAMILYStacey and Sean Dinburg with their daughters, Skyelar Rae and Teagan Lane. Skyelar holds a mass card for Rhyan; the family always keeps a piece of her with them.



FTER THREE LONG YEARS OF dialysis due to kidney failure, Martin Kearns decided it was time to try for a kidney transplant. “Dialysis more or less puts you at a standstill in life,”

he says. “You can’t do a lot of things you want to do.” Martin was receiving dialysis treatment one day

when his nephrologist, Sushil Mehandru, M.D., introduced him to James Lim, M.D., chief of Transplant Surgery at Hackensack University Medical Center. Dr. Lim offered him some information about transplants, and that’s when Martin decided it was time to learn more.

CARE CLOSE TO HOMEThe new Outpatient Transplant Program at Jersey Shore University Medical Center allows people like Martin to have more convenient options when it comes to transplants. The program is run by Hackensack surgeons and a support team.

With this program, kidney transplant candidates can get most of their workup — including a stress test, blood work and an echocardiogram — done right in their own backyard. While the surgery is performed at Hackensack, some of the follow-up can be done at Jersey Shore. Follow-up appointments happen to make sure recuperation is going well and patients are adjusting to the medications required with a kidney transplant.

“The new Hackensack Meridian Health network has given us a way to be physically down near Neptune, Brick and Red Bank,” Dr. Lim says. “Now we can come to kidney transplant candidates in these areas and give them an education and partial evaluation, and we both can decide whether to take that next step.”

In Martin’s case, his longtime partner, Jane Wilson, was willing to be a donor, and she ended up being a match. A living donor is preferable, as these organs last longer. “You get a little bit nervous, but we were both thinking of the future and how it was going to make our lives better in the long run,” Martin says.

A TRANSPLANT TALECoordinated care helped a Point Pleasant man get the kidney transplant he needed.

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BETTER OUTCOMES

The Hackensack Meridian Health Kidney Transplant Program has living donor survival rates that are better than or consistent with national averages. Check out our statistics at HackensackMeridianHealth.org/Transplants.

BEACH BOUNDMartin Kearns, pictured with his partner, Jane Wilson, loves living less than 2 miles away from the beach.

James Lim, M.D.Board certified in General SurgeryHackensack1-855-424-WELL (9355)

A SUCCESSFUL SURGERYMartin, 58, underwent surgery in October 2016. Just a month later, he was walking up to 8 miles a day. Jane, 62, recovered even faster. “Within two weeks, I was back to my old self,” she says. “I wish that I had another kidney to give to somebody else, actually.”

Both say everyone they met in the transplant program made the process an enjoyable one. “Dr. Lim was very up-front and open with everything, and that’s the way it should be,” Martin says. “The whole team was fantastic — they were the most helpful people I’ve ever met. Without a doubt, I’m happy I made the decision.”

Hackensack University Medical Center


ROUTINE ULTRASOUND TO check for a genetic heart condition revealed an egg-sized cyst deep in 8-year-old Chloe DelGrande’s neck.

While her heart was healthy, a follow-up CT scan confirmed that Chloe had an esophageal duplication cyst. Her pediatrician recommended surgical removal because of the risk for infection, and because growth of the cyst could eventually impact breathing and swallowing.

To make sure surgery was absolutely necessary, Chloe’s parents, George and Tara, checked out pediatric specialists in and beyond Morris County.

DOING THEIR HOMEWORK The DelGrandes’ research led them to Keith Kuenzler, M.D., surgeon-in-chief at Joseph M. Sanzari Children’s Hospital. “We spoke on the phone for about a half hour, and I appreciated how informative and personable he was,” George says.

After the family met with Dr. Kuenzler, they decided he was the best choice to perform Chloe’s surgery. George says, “It was his combination of a down-to-earth manner and surgical expertise that all of us, including Chloe, really connected to.”

GETTING TO THE ROOT OF THE PROBLEMIn September, Dr. Kuenzler surgically removed Chloe’s cyst. Although Dr. Kuenzler specializes in minimally invasive procedures, Chloe’s surgery required an open approach because of the cyst’s size and location.

“The safe removal of the cyst was particularly challenging because it was situated between the trachea and esophagus, displacing the nerve that controls the left vocal cord,” says Dr. Kuenzler. “It also extended behind the collarbone and into the upper chest to where the carotid and subclavian arteries take off from the aorta.”

The delicate operation involved the resources of a multidisciplinary team of pediatric specialists. “For any complicated procedure, it is so important to formulate a game plan preoperatively with a number of subspecialists at The Children’s Hospital, including several pediatric surgeons, radiologists and anesthesiologists. Also, it is comforting to know that I have a pediatric otolaryngologist and the

ON A MISSIONWhippany family finds outstanding pediatric surgical care at Joseph M. Sanzari Children’s Hospital.

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Joseph M. Sanzari Children’s Hospital

Pediatric Intensive Care Unit on standby in the event of a complication,” says Dr. Kuenzler.

“At Joseph M. Sanzari Children’s Hospital, we pride ourselves on combining advanced technology and cutting-edge services with warmth, comfort and communication for families,” says Dr. Kuenzler. “Our perioperative team is uniquely focused on caring for children, and enhanced by the pediatric preoperative and recovery room nurses and Child Life specialists, who use virtual reality video games to calm patients as they are transported to surgery.”

GOOD TO GOChloe returned home the day after surgery, and soon she was back to her usual schedule of soccer, gymnastics and cheerleading. The DelGrandes were thrilled that their search for quality care led them to Joseph M. Sanzari Children’s Hospital. “The whole team made us feel that they were part of our family,” George says.

Keith Kuenzler, M.D.Board certified in Pediatric SurgeryHackensack1-855-424-WELL (9355)

DR. KUENZLER TALKS SURGERY

At HackensackUMC.org/Pediatrics, Dr. Kuenzler explains how experts at Joseph M. Sanzari Children’s Hospital care for kids who need surgery.

THREE CHEERS!Chloe DelGrande, 8, (right) pictured with her sister, Ava, loves cheerleading, soccer and playing with her friends.


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Palisades Medical Center

S ONE OF THE LEADING OBESITY treatment programs in the area, the Bariatric Program at Palisades Medical Center offers group support, medical supervision, nutritional counseling and real-world strategies that will help you achieve improved health through weight loss.

Jeffrey Kraft, M.D., a bariatric surgeon at Palisades, outlines the basics of weight loss, surgical and nonsurgical options, and what Palisades has to offer.

Q: How can losing weight improve overall health?A: Weight loss can offer hope to patients who are suffering from obesity, especially those who have or are at risk for other health issues such as:• High blood pressure• Type 2 diabetes• Sleep apnea and other

breathing problems• Osteoarthritis and back problems• Heart disease• Other metabolic conditions

GET ON THE ROAD TO A HEALTHIER LIFESTYLE

START YOUR JOURNEY TOWARD A HEALTHIER LIFE

Call 201-854-5702 to learn how Palisades Medical Center can help you get started on your weight loss journey today.

Losing weight is a challenge. Losing a lot of weight and keeping it off is even harder. It often takes expert medical advice and support to help you achieve and maintain the weight loss you desire.

Jeffrey J. Kraft, M.D.Paramus201-854-5213 Q: Do you offer nonsurgical options

for weight loss?A: Yes. Our medically supervised, nonsurgical weight loss programs are aimed at helping you achieve long-term weight loss through medical, nutritional and lifestyle changes. Our resources include prescription medications, diet supplements and fitness. We also offer additional education and help, such as support groups, when you need it.

Q: Why is surgery a good option for losing weight? A: For many severely overweight people, surgery is often the best and safest option for long-lasting weight loss. On average, bariatric surgery may help you lose 70 percent to 80 percent of your excess weight, and keep the weight off. In fact, many of our patients have reached their ideal body weight through a combination of weight loss surgery and our comprehensive support program that includes nutritional counseling, referrals to other medical specialists when necessary and aftercare.

11HackensackMeridianHealth.org 11HackensackMeridianHealth.org

GET ON THE ROAD TO A HEALTHIER LIFESTYLE

6 STEPS TO SUCCESSFUL WEIGHT LOSS GOALS

To set yourself up for success, our experts recommend making sure your weight loss goal has these six characteristics:1. Specific. Your ultimate objective

may be to lose weight, but that’s too broad to be very helpful. Narrow it down to exactly what you’ll do, and when and how often you’ll do it. For example, you might aim to eat a piece of fruit at lunch every day and go to cardio class on Tuesdays and Thursdays.

2. Realistic. Choose a goal that’s a little challenging, but well within your capabilities. It shouldn’t be so difficult that it seems overwhelming.

3. Positive. Frame your goal as something added to your life (such as walking more) rather than something taken away (such as watching less TV).

4. Trackable. Make sure your goal can be measured. This could be minutes spent walking or servings of vegetables. Then monitor your progress.

5. Evolving. Reevaluate frequently. If you haven’t reached your goal yet, do you need to fine-tune it? If you have, are you ready for a new goal?

6. Forgiving. Avoid perfectionistic thinking, such as “I’ll always stick to my diet” or “I’ll never miss a workout.” Take occasional lapses in stride, and get back on track as quickly as possible.

Many health problems that are associated with obesity — such as diabetes and sleep apnea — are resolved following weight loss surgery. You often go home after surgery no longer requiring your medicines for diabetes, high cholesterol or high blood pressure, even before you lose any weight.

Q: How does your program help guarantee keeping weight off after surgery? A: Your weight loss journey doesn’t start and end with surgery. Follow-up is an important part of helping you make sure that you lose the weight and keep it off. The long-term aftercare you receive helps ensure your continued weight loss success. Having an effective support system is also a key part of maintaining weight loss. Our support groups enable you to connect with other people like you who are on the journey to living a happier and healthier life.

Q: What is your favorite part about being a minimally invasive surgeon? A: My interactions with my patients. My goal is always to have the best results with the least amount of pain. I pride myself in open communication, real compassion, and having a friendly relationship with patients and their families. It can be scary to have surgery. I have been a surgical patient myself and I know that great communication and results can make the patient experience life-changing.


T’S HARD NOT TO SMILE WHEN YOU meet Addison, from Carlstadt. Her sunny disposition lights up the whole room. She’s so happy, it is easy to forget her room is on the children’s oncology floor. Addison is a 2-year-old

with acute myeloid leukemia (AML), a fast-growing form of cancer of the blood and bone marrow.

Because Addison was born with Down syndrome, her mom, Kristy, always knew that a leukemia diagnosis was possible.

“There is a high correlation between children with Down syndrome and leukemia,” explains Burton Appel, M.D., a pediatric oncologist affiliated with the Children’s Cancer Institute at Hackensack University Medical Center and Addison’s physician.

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Hackensack University Medical Center Foundation

Burton Appel, M.D.Board certified in Pediatrics and Pediatric Hematology/OncologyHackensack1-855-424-WELL (9355)

IMPROVING OUTCOMESDr. Appel met Addison on her first day of life. At that time, Addison’s parents elected to place her in a clinical trial so that physicians and researchers could better understand the reason for this correlation.

In June 2017, Kristy and her husband, Frank, realized their worst fear: Addison had cancer.

Dr. Appel once again came to Kristy and Frank with a clinical trial opportunity. Except this time, the trial would not only be for research but could have therapeutic implications for Addison. Children with Down syndrome historically do well on chemotherapy but may have significant side effects, including long-term effects on the heart. The study is investigating ways to decrease the standard doses of chemotherapy in children with Down syndrome. The study is being run through the Children’s Oncology Group (COG), the nation’s leading organization that partners with pediatric cancer researchers. The Children’s Cancer Institute is a strategic research partner of COG.

“We are very grateful to patients such as Addison and their families for being committed to help us learn and help kids in the future,” says Dr. Appel.

TAKING IT ONE DAY AT A TIMEAs patients with AML are incredibly prone to infection, Addison’s diagnosis requires her to stay in the hospital for a month at a time. “It’s not easy,” says Kristy. “The hospital stays can be long and tiring not only for the child but for the entire family. There are days where I feel like I want to run away and days where all I do is cry.”

As the trial continues, Addison’s cancer prognosis is hopeful. Kristy is in awe of her little fighter. “Addison is an amazing ray of sunshine. She really is an inspiration to anyone she meets. She loves to wave and blow kisses as we walk the halls. She can put anyone in a good mood by just smiling and waving. When I feel like I can’t handle things anymore, all I need to do is look at her smiling face and know if she can smile through it all, then so can I.”

WE NEED A CURE. GIVE NOW.

Funds raised support pediatric cancer research and patient care programs at the Children’s Cancer Institute at Hackensack Meridian Health. Visit TackleKidsCancer.org.

A RAY OF SUNSHINEClinical trial offers hope to improve one girl’s health outcome after chemotherapy.

A SUNNY DISPOSITIONAddison loves to smile and blow kisses as she walks the hospital halls.


“Many factors can impact fertility. Sometimes it takes treatment failures to find the problems,” explains Dr. Mann. “There are so many things we can offer to find a solution.”

Dr. Mann retrieved 20 of Kinnari’s eggs. But genetic testing later determined that only two embryos were genetically viable.

After preparing Kinnari’s body with medications and carefully timing implantation, Dr. Mann attempted to transfer one embryo. Unfortunately, it wasn’t successful. Dr. Mann conducted additional testing to confirm the precise time Kinnari’s body would most accept it. But the second embryo had not survived either.

“My wife didn’t face one or two setbacks; she faced almost every roadblock imaginable. But we were determined not to lose hope,” says Neerav.

EXPERT PARTNERSHIPAfter taking a break following the first IVF cycle, the couple learned Dr. Mann had opened her new practice affiliated with Raritan Bay and made an appointment there.

“We felt Dr. Mann really understood us. She was honest and listened,” says Kinnari.

Dr. Mann conducted mock fertility cycles and tweaked Kinnari’s medication to ensure her treatment plan was correct. Dr. Mann then conducted another egg retrieval, which resulted in one normal embryo.

“Kinnari and Neerav’s case illustrates the struggles couples go through,” says Dr. Mann. “Since no fertility case is the same, it’s important to be patient and extremely meticulous.”

Dr. Mann implanted the lone embryo. Soon, 39-year-old Kinnari was thrilled to learn she was pregnant. After careful monitoring, Dr. Mann referred Kinnari back to her OB/GYN, Neeti Misra, M.D., who delivered the couple’s healthy baby girl, Kaira, at Raritan Bay Medical Center–Perth Amboy last October without problems.

“It is absolutely amazing,” says Kinnari. “We tell our little girl she is a fighter. She survived everything.”

BUNDLE OF JOYReproductive expertise helps Jamesburg couple overcome fertility issues.

NYONE WHO’S HAD difficulty conceiving knows the heartbreaking ups and downs of fertility issues. And each treatment path is unique. Kinnari Modi and

her husband, Neerav, found success with Jessica Mann, M.D., a reproductive endocrinologist at Raritan Bay Medical Center–Old Bridge.

A CHALLENGING PATHWhen Kinnari was unable to get pregnant, she and Neerav sought fertility help with Dr. Mann. After testing and examination, Dr. Mann suggested medication to help Kinnari conceive. The couple was ecstatic to have quickly become pregnant. Unfortunately, they soon learned that the embryo attached outside the uterus and could not survive.

Further testing confirmed that Kinnari had tubal disease as well as scar tissue due to endometriosis. Her body structure put her at risk for another ectopic pregnancy. After discussing options with Dr. Mann, the couple decided to move forward with in vitro fertilization (IVF) — a process that involves combining eggs and sperm outside the body in a laboratory. Once an embryo forms, it is implanted in the uterus.

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Raritan Bay Medical Center

Jessica Mann, M.D.Board certified in Obstetrics/Gynecology and Reproductive EndocrinologyOld Bridge 1-800-560-9990

INFERTILITY CAN BE SUCCESSFULLY TREATED

Dr. Mann explains the various treatments available today that can help couples safely conceive at RBMC.org/Infertility.

ROCK-A-BYE BABYKinnari Modi and husband, Neerav, say their daughter, Kaira, is proving to be quite a peaceful baby.


N 2016, PAULA ECHEVERRY, now 41, received a diagnosis that changed her life in an instant. She had stage 4 lung cancer that had metastasized to her brain. “I couldn’t believe it,” the

Englewood resident says. “I felt fine.” A week after her diagnosis, her doctor told her there was no cure for her lung cancer. All she could think about was whether she’d be around to see her sons, now 8 and 10 years old, grow up.

Paula started cancer treatment, which included a plan for 10 radiation treatments to her whole brain. After the first treatment, she decided to seek another opinion. A friend told her about Martin Gutierrez, M.D., director of Drug Discovery/Phase 1 Unit and chief of Thoracic Oncology at John Theurer Cancer Center at Hackensack University Medical Center. Paula made an appointment with Dr. Gutierrez. That’s when everything changed for the better.

“Right away, I felt very comfortable,” she says. “He’s Colombian and I’m Colombian. Spanish is my original language and I was able to communicate with him in Spanish.” Dr. Gutierrez reviewed all of Paula’s medical information and laid out a completely different treatment plan using cutting-edge therapies that would target her cancer more precisely, minimize side effects and reduce harm to healthy tissue. This included putting her on a Phase I clinical trial for experimental medications to treat her cancer. “I walked in that day feeling nervous, depressed and hopeless,” she says. “When I walked out, I believed I could fight this cancer.”

THE FUTURE OF CANCER CARE IS HERE Shortly after her visit with Dr. Gutierrez, Paula started treatment at John Theurer Cancer Center. In September 2016, she underwent a procedure

Englewood resident receives cutting-edge cancer treatment at John Theurer Cancer Center.

REWRITING CANCER CARE

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John Theurer Cancer Center

called Gamma Knife® radiosurgery for the tumors in her brain. “Instead of using radiation for the entire brain, which can cause long-term consequences with thinking and memory, Gamma Knife delivers focused beams of radiation directly to the tumors,” says Samuel Goldlust, M.D., medical director of the Brain and Spine Institute at John Theurer Cancer Center. As a result, it spares healthy areas in the brain from radiation, minimizing the risk for side effects. Compared with the traditional approach of using many radiation treatments over several weeks, Paula’s team of brain tumor experts performed the Gamma Knife procedure only one time, in one hour, and Paula went home the same day.

The other part of Paula’s treatment plan involved enrolling upon a Phase I clinical trial of a novel medication. “Clinical trials give patients access to promising treatments that are not yet FDA-approved, which they wouldn’t otherwise have,” Dr. Gutierrez says. The clinical trial that Dr. Gutierrez recommended for Paula was for a type of treatment called immunotherapy. With immunotherapy, patients receive medication that uses the body’s own immune system to kill cancer cells.

“Immunotherapy is rapidly changing the landscape of cancer treatment,” Dr. Gutierrez says. “With clinical trials, we’re able to offer patients more opportunities to access these medications that can potentially have a significant impact on their outcomes.” Paula undergoes infusion treatments of two different immunotherapy drugs every two weeks. The trial she’s participating in is expected to last for two years.

RETURNING TO HEALTHWithin six months of her starting treatment at John Theurer Cancer Center, an MRI and CT scan showed that the tumors in Paula’s brain and lungs were completely gone. “She truly is a poster child for what we’re capable of doing here,” Dr. Gutierrez says. “Paula’s type of lung cancer historically responds poorly to traditional treatments. Complete remission was almost unheard of. Our mission is to use the latest treatments and technology in order to continue improving the survival and cure rate for these diseases that desperately need them. That’s exactly what Paula experienced here.”

Paula receives regular screenings to monitor her brain and lungs, which continue to show no signs of cancer. She’s feeling well and is able to keep up with her busy life as a mom and owner of a Colombian restaurant. “I can’t explain how wonderful the John Theurer Cancer Center is,” she says. “This place saved my life.”


UNLOCKING TOMORROW’S TREATMENTS, TODAY

John Theurer Cancer Center, part of Hackensack University Medical Center, is New Jersey’s largest, most comprehensive cancer program, with more than 1,200 team members collaborating in a highly subspecialized environment. Read more patient success stories or make an appointment at HackensackUMC.org/CancerCare.

Samuel A. Goldlust, M.D.Board certified in NeurologyHackensack1-855-424-WELL (9355)

Martin E. Gutierrez, M.D.Board certified in Internal Medicine and Medical OncologyHackensack1-855-424-WELL (9355)

COOKING UP A STORMPaula Echeverry is back to her busy life as a mom and owner of a Colombian restaurant.


JFK Medical Center

GOING AFTER HER DREAMS

Pennsylvania woman has a bright future ahead after undergoing surgery to treat a brain aneurysm.

ALL SMILESJeniffer Paez, 22, just got accepted into dental school

and will be starting in August 2018.


ENIFFER PAEZ, 22, WAS IN HER last semester of college, working to become a licensed dental radiologist and actively applying to dental schools. But she suffered from intense headaches that plagued her almost every day and kept her awake at night. Concerned, Jeniffer’s parents took her

to the Emergency Department at JFK Medical Center — close to where her dad works — to rule out something serious.

“I had been under so much stress, but I didn’t think anything was really wrong,” recalls Jeniffer. “I was smiling and joking in the ER until the doctor came back and said they found something. From then on, everything just stopped.”

Testing showed that Jeniffer had a very large brain aneurysm — a bulging or weak area in the artery that supplies blood to the brain. A spinal test revealed that the aneurysm was not leaking, a sign that it would likely burst soon, causing death or permanent disability. However, there was no telling when or if Jeniffer’s aneurysm would rupture.

“Jeniffer’s aneurysm was rare because aneurysms typically occur in much older people,” explains Thomas Steineke, M.D., Ph.D., chairman of the JFK Neuroscience Institute. “Jeniffer was fortunate. After additional testing, we found that her headaches were unrelated to the aneurysm. But without them, she may never have learned about the problem.”

SEAMLESS, COORDINATED CAREDr. Steineke worked closely with a neuro-interventionalist at the JFK Neuroscience Institute, who performed a cerebral angiogram to evaluate the aneurysm and surrounding blood vessels. This helped the team create the best treatment plan for Jeniffer.

“The JFK Neuroscience Institute is unique in that all our specialists work together under the same roof. As a result, we have exceptional communication, coordination of care, and timely diagnosis and treatment,” explains Dr. Steineke.

Dr. Steineke and his team reviewed the imaging tests and discussed the best course of treatment. Although a minimally invasive embolization treatment is used to treat some aneurysms, Jeniffer wasn’t a candidate due to the location of the aneurysm and surrounding vessels. As a result, Dr. Steineke recommended an open surgical treatment called microsurgical clipping.

“Dr. Steineke sat with me and explained everything. I asked him a million questions and he was so patient,” explains Jeniffer. “After our discussion, he gave me a lot of confidence.”

SURGICAL EXPERTISE, SUPPORTIVE ENVIRONMENTOne week after her diagnosis, Jeniffer and her parents drove from their home in Pennsylvania to JFK for the surgery.

“On the drive I put on music and sang my heart out the

entire way. I even skipped into the hospital. I was terrified, but wanted to be as strong as possible for my parents,” recalls Jeniffer. “It wasn’t until I was in the operating room that I let myself be honest and just cry.”

Dr. Steineke performed the complex surgery by making an incision in Jeniffer’s scalp and opening the skull. He then placed a surgical clip at the base of the aneurysm, cutting it off from normal blood flow. This prevented the aneurysm from bursting and causing a stroke.

After surgery, Jeniffer spent three days in JFK’s Neuro Intensive Care Unit and then continued her recovery in the hospital for another week.

“Recovery from brain surgery wasn’t easy. I felt like I was hit by two trucks,” says Jeniffer. “The staff really took care of me.”

A FULL RECOVERYIn the weeks after going home, Jeniffer would tire easily and become frustrated with activities like reading that her brain wasn’t ready for. But she improved steadily. Just three months after surgery, Jeniffer went back to college and finished her final semester with straight As. Since then, she has received her undergraduate degree, begun a position as a dental assistant and achieved her license as a dental radiologist. She was just recently accepted into dental school.

“I have come a long way and have a different perspective on life. I take care of my health and don’t take it for granted,” says Jeniffer. “I’m so fortunate to have this behind me.”

Thomas Steineke, M.D.Board certified in Neurological SurgeryEdison732-321-7010

LEADERS IN NEUROLOGICAL CARE

For more information about one of New Jersey’s most comprehensive programs for the diagnosis and treatment of neurological disorders, please visit JFKMC.org.

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LEADING Hackensack Meridian Health is at the forefront of robotic technology.


ROBOTIC SURGERY is one of the greatest advancements in health care today. But this cutting-edge technology isn’t new at Hackensack Meridian Health. In fact, our Centers for Robotic Surgery have been leading the field of robotic surgery for more than a decade. Our highly experienced surgeons not only use the latest technology but teach robotic techniques to fellow surgeons around the world. And this technology is focused on one thing — exceptional outcomes for the patient.

“Hackensack Meridian Health recently invested in the very latest robotic surgical system — the da Vinci Xi®. This further expands our capabilities, allowing us to provide minimally invasive

which are located at Jersey Shore, Hackensack University Medical Center, JFK Medical Center and Raritan Bay Medical Center–Old Bridge. Other robotic surgical systems are used at Mountainside Medical Center, Ocean Medical Center and Riverview Medical Center.

The robots are used in a wide variety of specialties throughout Hackensack Meridian Health, including urology, gynecology, colorectal, bariatric, thoracic and general surgery. Surgeons from these divisions meet and collaborate regularly to discuss the robotic surgery program’s performance, outcomes and safety, while sharing techniques and experience.

“We work together as a multidisciplinary group to continually improve our robotic surgical program, which is known across the United States and around the globe,” explains Michael Stifelman, M.D., chairman and professor of Urology and director of Robotic Surgery at Hackensack. “Leaders from around the world come to us to learn our techniques.”

Not only are Hackensack Meridian Health robotic surgeons highly educated and trained in the field, they are extremely experienced. Surgeons throughout Hackensack Meridian Health perform nearly 3,500

surgery to more patients requiring complex operations,” explains John Gibbs, M.D., MHCM, FACS, chair of the Department of Surgery at Jersey Shore University Medical Center. “We are proud to offer the most multispecialty robotic therapeutic areas in the region. Robotic surgery provides patients with benefits including less pain and blood loss, smaller incisions, and fewer complications, all resulting in a quicker recovery.”

AN EVER-IMPROVING PROGRAMThe health network has acquired six da Vinci Xi robots,

John F. Gibbs, M.D.Board certified in General SurgeryNeptune 1-800-560-9990

Michael Stifelman, M.D.Board certified in UrologyHackensack1-855-424-WELL (9355)

THE WAY

Surgeons at Hackensack Meridian Health perform nearly

3,500robotic surgeries each year.


LEADING

LEADERS IN HIGH-TECH CARE

To learn more about robotic-assisted surgery at Hackensack Meridian Health, visit HackensackMeridianHealth.org/Robotic.

robotic surgeries each year. And with the recent expansion of their robotic surgery program across Hackensack Meridian Health, the numbers are expected to grow.

BETTER OPTIONS FOR PATIENTSThe da Vinci Xi builds on previous robotic technology, providing even greater capabilities, including 3-D high-definition visualization

and special instruments, which provide more flexibility, precision and control, and a highly magnified view of the surgical site.

“With this advanced technology, we are able to perform complex multiquadrant surgeries that previously were done open or laparoscopically,” explains Dr. Gibbs.

LOCAL ACCESS TO THE BEST CAREHackensack Meridian Health’s expanded robotics program is also allowing some patients to bypass a costly hospital stay. For the first time, Hackensack is offering robotic surgery to patients on an outpatient basis through the Center for Ambulatory Surgery. It’s the only hospital in New York or New Jersey to offer robotic, same-day surgical options for outpatient procedures.

“When it comes to robotic surgery, this is just the tip of the iceberg,” says Dr. Stifelman. “Hackensack Meridian Health is on the forefront of robotic innovations, and we are constantly striving to improve surgical care for our patients.”

Surgeons at Hackensack Meridian Health perform nearly

3,500robotic surgeries each year.

NEW PROCEDURE TO PREVENT STROKESTranscarotid artery revascularization (TCAR) is the safest way to treat carotid artery disease. The surgeon makes a small incision in the neck and places a flexible cover into the artery. Jersey Shore and Hackensack University Medical Center are among the first in the country to offer this cutting-edge new treatment that prevents stroke in patients with blocked carotid arteries, the major blood vessels that deliver blood to the brain. Hackensack Meridian Health continues to be an innovator in providing the latest cardiovascular treatments and technologies.

“This procedure reverses blood flow, pulling it away from the brain, preventing any loose plaque particles from entering the brain and causing a stroke,” says Dr. Khan, one of the few surgeons in the state to perform this surgery. “The blood is filtered and returned, plaque-free, through a second covering through the femoral vein.”

“I felt comfortable with Dr. Khan’s treatment plan,” says Joseph. “He provided me with the best treatment concept and executed it flawlessly. I had full confidence in his capability.”

AN IMPORTANT LESSONJoseph now has a new outlook on life. “Blocked arteries don’t show any symptoms, so it’s important to get them checked annually,” he says. “I remind everyone to get screened because the blockage in my arteries would not have been detected without the angioscreen.” Joseph is back to dancing and walking the boardwalk with his wife and family, living the life he was meant to live.

OSEPH CANNATELLI, A 73-year-old Barnegat resident, loves dancing, exercising and spending time with his wife, Rosemary, and family. When his neighbor scheduled

an annual vascular checkup, Joseph followed suit. In early 2017, Joseph made an appointment at a

hospital in southern New Jersey. He had an ultrasound that revealed a 90 percent blockage in the carotid arteries, which are major blood vessels leading to the brain. The blockage was caused by plaque buildup, which greatly increases the risk for a heart attack, heart disease or a major stroke.

At first, his doctors suggested an endarterectomy, an incision in the groin to help blood flow more freely. After attempting to access the artery, however, they informed Joseph that the procedure was unsuccessful and that he’d need traditional surgery requiring an incision in his neck. Due to scarring in his neck from previous radiation treatment for non-Hodgkin’s lymphoma, this procedure would be high-risk. “I was not comfortable with this plan,” says Joseph. “I felt that moving forward with this procedure was too risky.”

ALTERNATE SURGICAL OPTIONJoseph decided to get a second opinion. At his neighbor’s suggestion, he made an appointment in May 2017 with M. Usman Nasir Khan, M.D., section chief of Vascular Surgery at Jersey Shore University Medical Center. During the consultation, Dr. Khan discussed with Joseph an alternate new treatment called TCAR.

J

ON THE BOARDWALKJoseph Cannatelli and his wife, Rosemary, enjoy crabbing with their grandchildren and watching free summer concerts at the Barnegat Municipal Dock.

EXPERTISE YOU CAN TRUST

U.S. News & World Report has ranked Jersey Shore the number four hospital in New Jersey. Learn more at HackensackMeridianHealth.org/USNews.

Jersey Shore University Medical Center

CAUGHT IN THE NICK OF TIMENew procedure prevents Barnegat resident from having a stroke.

By Kaylin Harper

Hackensack Meridian HealthViews | MARCH | APRIL 2018

M. Usman Nasir Khan, M.D. Board certified in General Surgery and Vascular Surgery Neptune1-800-560-9990

20


Jersey Shore University Medical Center

Lawrence B. Daniels, M.D.Holmdel 1-800-560-9990

Francesco Gargano, M.D.Board certified in Plastic SurgeryShrewsbury 1-800-560-9990

neurosurgeons, craniofacial plastic surgeons, neurologists, geneticists, orthodontists, speech pathologists, nurses, social workers and child-life specialists.

“This is a true team effort,” Dr. Gargano says. “We have a highly skilled team in the operating room, caring for patients postsurgery in the Pediatric Intensive Care Unit, and specialists who are at the forefront of their respective disciplines.”

SUCCESSFUL SURGERYOn June 1, at age 4 months, Ariana became the first patient to have cranial vault remodeling at The Children’s Hospital. Dr. Daniels made an incision over the top of her head from ear to ear and removed two-thirds of the skull at the back of the head. Then Dr. Gargano cut the bone into pieces to reshape the skull. Both doctors then repositioned the bones and fixed them in place with absorbable plates and sutures.

To the delight of Nancy and her husband, Paul, Ariana came through surgery beautifully. Today, she is meeting developmental milestones and enjoying music classes.

“Dr. Daniels walked me through what to expect every step of the way,” Nancy says. “The care we received was outstanding.”

HELPING HER GROWTeam provides specialized care for an infant’s craniofacial disorder.

HEN ARIANA WAS a newborn, her mom, Nancy, noticed that her head looked long and narrow. The Union County mom shared her

concerns with Ariana’s pediatrician, who referred her to a pediatric neurologist. But Nancy was unable to get an appointment as soon as she had hoped. “I was desperate,” she says. “I needed answers.”

THE RIGHT DIAGNOSISNancy turned to Lawrence Daniels, M.D., a pediatric neurosurgeon at K. Hovnanian Children’s Hospital at Jersey Shore University Medical Center. Through computed tomography (CT) imaging, Dr. Daniels, who is also part of The Neuroscience Institute at Jersey Shore, discovered that Ariana had craniosynostosis. This is a birth defect in which one or more sutures, the fibrous bands of tissue that connect the bones of the skull, close too early.

“Ariana had the most common type of craniosynostosis, which affects the suture running along the top of the head, from front to back,” Dr. Daniels says. “The early closing of this suture, before the brain fully forms, causes the baby to have a long and narrow skull and a broad forehead.” Untreated craniosynostosis can lead to increased pressure on the brain and developmental delays.

Ariana’s condition was severe and required action. Dr. Daniels felt the best treatment was cranial vault remodeling. This specialized surgery, performed jointly by a pediatric neurosurgeon and a pediatric craniofacial plastic surgeon, reshapes the skull to correct the condition and enable the brain to grow normally.

For Ariana’s surgery, Dr. Daniels worked with Francesco Gargano, M.D., a pediatric craniofacial plastic surgeon at The Children’s Hospital. Both specialize in surgery for complex craniofacial abnormalities.

The Children’s Hospital’s multidisciplinary approach to craniofacial surgery involves

MOM AND BABYAriana, pictured

here at age 6 months, enjoys walks in the park

with her mom, Nancy.

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SPECIALIZED CARE FOR KIDS

K. Hovnanian Children’s Hospital has the most experienced team of pediatric subspecialists in Monmouth and Ocean counties. Learn more at HackensackMeridianHealth.org/Pediatrics.


Hypertension and YouLearn the causes, symptoms and treatment options. APRIL 25, 11:00 A.M. – NOONRaritan Bay Medical Center–Perth AmboyCall 1-800-560-9990 to register.

Childbirth/MaternityChildbirth Preparation ClassThis class covers the birthing process, comfort techniques for labor, the role of the labor support person and more. MARCH 1, 2, 8 AND 9 ANDAPRIL 5, 6, 12 AND 13, 7:00 – 9:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.MARCH 3, 9:00 A.M. – 5:00 P.M.

APRIL 3 AND 10, 7:00 – 10:00 P.M.Mountainside Medical CenterCall 1-888-973-4674 or visit MountainsideHosp.com/Events for fees and to register. MARCH 5, 12, 19 AND 26; APRIL 2, 9,16 AND 23; AND APRIL 30, MAY 7, 14AND 21, 7:00 – 10:00 P.M.

MARCH 17 AND 24, APRIL 8 AND15, APRIL 14 AND 2110:00 A.M. – 4:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North MaywoodCall 551-996-2189 to register.MARCH 17 AND 24 9:00 A.M. – 12:30 P.M. Palisades Medical CenterCall 201-295-4823 for fees and to register.

Power Up Your Grocery CartLearn about “powerhouse” foods to add to your grocery cart to get the biggest health benefi ts out of your meals. Cooking demos and samples provided.

Registration required for all events unless otherwise indicated. Registration information attached to each event. All programs are FREE unless otherwise noted. To reserve your spot, call the phone number below each event.

Cancer CareMaintaining a Healthy ColonLearn the facts on colon cancer, including prevention and treatment options. Registration is required.MARCH 14, 6:00 – 7:00 P.M.Mountainside Medical Center BayberrySpeaker: Cecilia Minano, M.D.Call 1-888-973-4674 or visit MountainsideHosp.com/Events to register.

Breathe to LiveJoin Steven Herman, M.D., to learn the important role our lungs play in keeping us well. APRIL 26, 6:00 – 7:00 P.M.Montclair Public Library50 South Fullerton AvenueSpeaker: Steven Herman, M.D.To register, call 1-888-973-4674 or visit MountainsideHosp.com/Events.

Fresh Start Smoking CessationThis four-session smoking-cessation program is offered by the American Cancer Society. Registration required. HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood Call 551-996-2038 or email [email protected] for dates and times, and to register.

Smoking Cessation Behavioral Program Breath & Lung Institute Hackensack University Medical Center30 Prospect AvenueCall 551-996-2211 for dates and times, and to register.

CardiovascularCPR for Family & Friends ClassLearn CPR and fi rst aid for choking for adults, children and infants. MARCH 5 AND 12, AND APRIL 2 AND 9 6:30 – 9:30 P.M.Hackensack University Medical Center, Hekemian Conference Center30 Prospect AvenueCall 551-996-2401 to register.

Heartsaver AED CPRLearn CPR and the use of the AED for adults, children and infants. A course completion card is issued upon successful completion.MARCH 5 AND 12, AND APRIL 2 AND 9 6:00 – 10:00 P.M.Hackensack University Medical Center, Hekemian Conference Center30 Prospect AvenueCall 551-996-2401 to register.

AHA CPR AnyTimeLearn the skills of hands-only CPR and why early heart and stroke care is so important. This program does not provide a course completion card.MARCH 9 AND APRIL 13 1:00 – 2:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomCall 551-996-2038 or [email protected] to register.

Eventscalendar


MARCH 14, 11:00 A.M. – 2:00 P.M.Raritan Bay Medical Center–Perth AmboyCall 1-800-560-9990 to register. MARCH 21, 6:00 – 7:30 P.M.Debra Simon Center for Integrative Medicine HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North MaywoodCall 551-996-2038 or email [email protected] to register.

MARCH 22, 6:00 – 7:00 P.M.Mountainside Medical CenterCall 1-888-973-4674 or visit MountainsideHosp.com/Events to register.APRIL 13, NOON – 1:30 P.M.John Theurer Cancer Center, The Cooking Studio, 92 Second Street HackensackCall 551-996-5073 to register.

Reshape Your Health

Part of our new

nutrition program,


Newborn CareHands-on class for soon-to-be parents or caregivers, covering the basics of care/appearance through the fi rst month after birth.MARCH 11 AND APRIL 810:00 A.M. – NOON

MARCH 22 AND APRIL 267:00 – 9:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.MARCH 21 AND APRIL 257:00 – 9:30 P.M.Mountainside Medical CenterTo register, call 1-888-973-4674 or visit MountainsideHosp.com/Events.MARCH 27, 7:00 – 9:30 P.M.Palisades Medical CenterCall 201-295-4823 for fees and to register.

Happiest Baby on the BlockExpectant parents will learn how to soothe the fussy infant and help their babies sleep longer.MARCH 26, 7:30 – 9:30 P.M.Hackensack University Medical Center, Hekemian Conference Center30 Prospect AvenueCall 551-996-2189 to register.

DiabetesComprehensive Diabetes ManagementIndividual or group support and educational programs.Call the Joslin Diabetes Center, Raritan Bay Medical Center–Old Bridge, at 732-360-4070 to register.

Breastfeeding 101Taught by our lactation consultant, we focus on practical tips to promote successful breastfeeding. MARCH 4 AND 10 ANDAPRIL 8 AND 29, 9:30 – 11:30 A.M.Hackensack University Medical Center, Hekemian Conference Center30 Prospect AvenueCall 551-996-2189 to register. MARCH 4 AND APRIL 110:00 A.M. – NOON

MARCH 15 AND APRIL 197:00 – 9:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.MARCH 6, 7:00 – 10:00 P.M.Mountainside Medical CenterCall 1-888-973-4674 or visit MountainsideHosp.com/Events for fees and to register. APRIL 7, 10:00 A.M. – 12:30 P.M.Palisades Medical CenterCall 201-295-4823 for fees and to register.

Sibling ClassDesigned to help prepare young children, ages 3 to 7, for a new baby in the family. MARCH 4 AND APRIL 810:00 – 11:30 A.M.Hackensack University Medical Center, David and Alice Jurist Research Lecture Hall, 40 Prospect AvenueCall 551-996-2401 to register.

Tour the Birthing CenterMARCH 5, 19 AND 26, AND APRIL 2, 9, 23 AND 30, 7:00 – 8:00 P.M. Mountainside Medical CenterCall 1-888-973-4674 or visit MountainsideHosp.com/Events to register.

Infant Care and Safety ClassPrepares expectant parents for the care, safety, and growth and development of their new babies.MARCH 9, 15 AND 23 AND APRIL 6, 12 AND 20, 7:00 – 10:00 P.M.

APRIL 29, 1:00 – 4:00 P.M.Hackensack University Medical Center, Hekemian Conference Center30 Prospect AvenueCall 551-996-2189 to register.

All About DiabetesLearn the risk factors, treatment options and strategies for getting your numbers under control.MARCH 22, 11:00 A.M. – NOONRaritan Bay Medical Center–Perth Amboy, Centennial HallCall 1-800-560-9990 to register.APRIL 5, 11:00 A.M. – NOONJoslin Diabetes Center Raritan Bay Medical Center–Old Bridge, 2 Hospital Plaza Suite 420, Old BridgeCall 1-800-560-9990 to register.

General WellnessTake Control of Your HealthLearn practical skills and strategies for managing symptoms, working with health care professionals, setting weekly goals, problem solving, eating well and exercising. Six-week program. Registration is required. MARCH 15, 1:00 – 3:30 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomCall 551-996-2038 or email [email protected] to register.APRIL 4, 11, 18, 25 AND MAY 2, 9, 11:30 A.M. – 2:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.

Menopause and YouJoin Vanessa Parisi, M.D., and learn the signs, symptoms and treatments of perimenopause and menopause.MARCH 7, 6:00 – 7:00 P.M.Montclair Public Library50 South Fullerton AvenueCall 1-888-973-4674 or visit MountainsideHosp.com/Events to register.

Travel and Your HealthMARCH 16, 2:00 – 3:00 P.M.Tenafl y Senior Center20 South Summit StreetCall 551-996-2038 or email [email protected] to register.

AARP Smart DriverAPRIL 25, 9:00 A.M. – 3:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomCall 551-996-2038 or email [email protected] to register.


Cough, Cold, Pneumonia: How to Stay on Top of ItMARCH 7, 6:00 – 7:30 P.M.North Bergen Library8411 Bergenline Avenue North BergenSpeaker: Inna Rivas, M.D.Call 201-854-5793 to register.

Town Hall Meeting: Opioid ForumJoin our panel of experts and learn all you need to know about opioids. APRIL 17, 4:00 – 6:00 P.M.John Theurer Cancer Center, 92 Second Street HackensackSpeakers: Michael A. Kelly, M.D.; Diego Coira, M.D.; and Gurbir S. Grewal, Bergen County ProsecutorTo register, call 551-996-2038 or email [email protected].


FREE Blood Pressure ScreeningsPlease refer to each site for more information. MARCH 6, 9:30 – 11:00 A.M.North Bergen Senior Center 1441-45th StreetNorth Bergen

MARCH 7 AND APRIL 4 9:00 – 11:30 A.M. West Caldwell Shop Rite 540 Passaic AvenueWest Caldwell

MARCH 11, 10:00 A.M. – 2:00 P.M.Good Shepherd Lutheran 98 Columbia Terrace WeehawkenCall 201-854-5793 to register.MARCH 14, 10:00 A.M. – NOONShop Rite, 500 South River Street, HackensackCall 551-996-2038 or email [email protected] to learn more. MARCH 15 AND APRIL 1910:00 A.M. – NOONBrookdale Shop Rite, 1409 Broad Street, Bloomfi eld

MARCH 22, 10:00 A.M. – NOONCliffside Park Senior Center 550 Gorge Road, Cliffside

MARCH 28, 10:00 A.M. – NOONGrace Church Van Vorst 39 Erie Street, Jersey City

APRIL 21, 10:00 A.M. – 12:30 P.M. Dvine Konektion Community Development Corporation 611-56th Street West New York

APRIL 24, 10:00 A.M. – NOONWeehawken Senior Building, 4300 Park Avenue Weehawken

APRIL 25, 11:00 A.M. – 1:00 P.M.Grace Church Van Vorst 39 Erie Street, Jersey CityCall 201-854-5793 to register.

PediatricsVaccines: The Unsung HeroMaria Jose Vasena, M.D., discusses the importance of vaccines and which ones are essential to your child’s health. MARCH 1, 6:15 – 7:15 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.

Safe Sitter Babysitter Training ClassDesigned for young teens in grades 6 to 8.MARCH 24, 9:30 A.M. – 4:30 P.M.Hackensack University Medical Center, David and Alice Jurist Research Lecture Hall, 40 Prospect AvenueCall 551-996-2401 to register.

Panel on BullyingPanel members will discuss the legal implications and health effects of bullying, and how to empower your child.APRIL 5, 6:30 – 8:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.

ScreeningsColorectal Education and Take Home KitsMARCH 6, 10:00 A.M. – NOON Nutley Health Department 149 Chestnut Avenue, NutleyCall 1-888-973-4674 or visit MountainsideHosp.com/Events to register.

NeuroscienceMemory Loss Learn the signs, symptoms and treatments for memory loss. Memory screenings will be provided.To register, call 1-888-973-4674 or visit MountainsideHosp.com/Events.

Matter of Balance: Managing Concerns About FallsEight-week class on preventing falls and increasing activity levels of older adults.STARTING MARCH 159:30 – 11:30 A.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomCall 551-996-2038 or email [email protected] to register.

Are You Getting a Good Night’s Sleep? Learn about sleep disorders and tips on how to get a better night’s sleep.APRIL 11, 4:00 – 5:00 P.M.Raritan Bay Medical Center–Old BridgeCall 1-800-560-9990 to register.

NutritionHealthy Cooking DemosHealthy nutrition for cancer prevention and healthy habits for survivorship.MARCH 2, 9, 14, 16, 21, 23, 28 AND 30 AND APRIL 4, 6, 13, 20 AND 27NOON – 1:30 P.M.John Theurer Cancer CenterThe Cooking Studio92 Second Street, HackensackFor more information, call 551-996-5073. For topics, visit Facebook.com/JTCancerCenter.

Cooking DemonstrationLearn simple, time-saving, no-fad food tips to create a healthy plate.MARCH 9 AND APRIL 13NOON – 1:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North MaywoodCall 551-996-2038 or visit [email protected] to register.

The DASH Diet Cooking SeriesJoin Sylva Takvorian, M.D., to learn strategies for preparing healthy, delicious meals.MARCH 13 AND APRIL 105:00 – 6:00 P.M.

MARCH 16 AND APRIL 20NOON – 1:00 P.M. HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North MaywoodCall 551-996-2038 or email [email protected] to register.

VeggiecationCalling all kids: Join us to make a healthy after-school snack. MARCH 14, 3:30 – 4:30 P.M.Ridgefi eld Park Library, 107 Cedar Street, Ridgefi eld ParkCall 551-996-2038 or email [email protected] to register.

Losing Weight and Keeping It OffMARCH 21, 3:30 – 4:30 P.M.Ridgefi eld Park Library, 107 Cedar Street, Ridgefi eld ParkCall 551-996-2038 or email [email protected] to register.

Serving Up Good NutritionMARCH 28, 1:00 – 3:00 P.M.Fort Lee Library, 320 Main Street, Fort LeeCall 551-996-2038 or email [email protected] to register.

Nutrition CounselingRaritan Bay Medical Center–Old Bridge or –Perth Amboy Call 1-855-TIME-4-ME.

OrthopedicsHealthy Bones Learn the changes you can make to have healthy bones. FREE bone density screenings.MARCH 16, 2:00 – 3:00 P.M.Raritan Bay Medical Center–Old BridgeCall 1-800-560-9990 to register.

Hip and Knee PainLearn the causes of joint pain and ways to get some relief. MARCH 21 AND APRIL 1811:30 A.M. – 1:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.

Growing with Your Kids

A healthy child achieves milestones throughout infancy, middle childhood and early adolescence. Learn insight into each stage and tips to help your child along the way. MARCH 8, 6:15 – 7:15 P.M.

Pascack Valley Medical CenterSpeaker: Maria Jose Vasena, M.D.

Call 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.



Vision ScreeningsMARCH 17, 10:00 A.M. – 12:30 P.M.Dvine Konektion Community Development Corporation 611-56th StreetWest New York Call 201-854-5793 to register.

Bone Density ScreeningsRegistration is required. MARCH 21, 2:00 – 4:00 P.M.Clifton Health Department 900 Clifton Avenue, Clifton

APRIL 10, 10:00 A.M. – NOONNutley Health Department 149 Chestnut Avenue, NutleyTo register, call 1-888-973-4674 or visit MountainsideHosp.com/Events.

Skin Cancer ScreeningsA full-body examination of the skin. Registration is required.APRIL 9, 10:00 A.M. – NOONBloomfi eld Health Department, 1 Municipal Plaza, Bloomfi eldFor more information or to register, call 1-888-973-4674 or register at MountainsideHosp.com/Events.APRIL 28, 9:00 A.M. – 1:30 P.M.Palisades Medical CenterCall 201-854-5793 to register.

Support GroupsNew Mommy Support GroupBring your baby from birth to age 6 months to this special group.MARCH 1, 15 AND APRIL 5, 191:00 – 2:00 P.M.Pascack Valley Medical CenterCall 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.THURSDAY OF EACH MONTH11:00 A.M. – NOONPalisades Medical CenterTo learn more, call 201-295-4823.

Art ClassMARCH 1, 8, 15, 22 AND 29, AND APRIL 5, 12, 19 AND 26 4:00 – 6:00 P.M.John Theurer Cancer Center 4th Floor Conference Room 92 Second Street, HackensackTo learn more, call 201-679-8200. Registration is required.

LifeGivers Network: Hope for Life Discussion open to patients and their signifi cant others about how to begin a new, abundant life after diagnosis.MARCH 2 AND 16 ANDAPRIL 6 AND 20, 1:00 – 2:30 P.M.John Theurer Cancer Center 1st Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-2345.

Breastfeeding Support Group WEDNESDAYS, 1:00 – 2:00 P.M.Mountainside Medical CenterTo learn more, call 973-429-6264.

Alzheimer’s Support GroupMARCH 5 AND APRIL 2 6:00 – 7:30 P.M.North Bergen Library 8411 Bergenline Avenue North BergenTo learn more, call 201-721-6721.

Living with Cancer Support GroupMARCH 6 AND APRIL 3NOON – 1:00 P.M. John Theurer Cancer Center 3rd Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-8290.

Women’s Health Support Group MARCH 13 AND APRIL 101:00 – 2:00 P.M.John Theurer Cancer Center 4th Floor Conference Room 2 92 Second Street, HackensackTo learn more, call 551-996-5861 or 5864.

Breast Cancer Survivorship Support GroupMARCH 14 AND APRIL 107:00 – 8:30 P.M.John Theurer Cancer Center 4th Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-5858 or 5529.

Multiple Myeloma Support GroupMARCH 15 AND APRIL 1910:30 A.M. – NOON John Theurer Cancer Center 1st Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-8704.

Life After Transplant Support GroupMARCH 15 AND APRIL 195:00 – 6:30 P.M.John Theurer Cancer Center 3rd Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-5529.

Mended HeartsMARCH 15 AND APRIL 197:00 – 8:00 P.M.Hackensack University Medical Center, Cafeteria30 Prospect Avenue HackensackTo learn more, call 201-265-9296.

Pulmonary Support GroupMARCH 15 AND APRIL 192:00 – 3:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomTo learn more, call 551-996-3856.

Reiki Circle Group MARCH 15 AND APRIL 196:00 – 7:00 P.M.John Theurer Cancer Center 4th Floor Waiting Area, 92 Second Street, HackensackTo learn more, call 551-996-5861. Registration is required.

Prostate Cancer Support Group MARCH 21 AND APRIL 18 10:00 A.M. – NOONJohn Theurer Cancer Center 1st Floor Conference Room 92 Second Street, HackensackTo learn more, call 551-996-5836.

Laryngectomy Support GroupMARCH 21 AND APRIL 18, 2:00 – 3:00 P.M.HackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomTo learn more, call 551-996-2038.

Head and Neck Cancer Support GroupMARCH 21 AND APRIL 18, 4:00 – 5:30 P.M.John Theurer Cancer Center Ground Floor Conference Room, 92 Second Street HackensackTo learn more, call 551-996-2599.

Primary Brain Tumor Support GroupSupported by the New Jersey Brain and Spine Institute, this support group is for patients and their families.MARCH 23, 4:00 – 5:30 P.M. AND APRIL 19, 3:30 – 5:00 P.M.John Theurer Cancer Center Ground Floor Conference Room, 92 Second Street HackensackTo learn more, call 551-996-5266.

Diabetes Support GroupsHackensackUMC Fitness & Wellness, Powered by the Giants, 87 Route 17 North Maywood, Community Education RoomCall 551-996-3010 for dates and times.

Weight Loss SurgeryWeight Loss SurgeryLearn the benefi ts of weight loss surgery.MARCH 6 AND APRIL 10 6:00 – 7:30 P.M.Raritan Bay Medical Center–Perth Amboy, Centennial HallSpeaker: Karl Strom, M.D.Call 1-800-560-9990 to register. MARCH 7, 6:30 – 8:00 P.M. Palisades Medical CenterCall 201-646-1121 to register.MARCH 14 AND APRIL 18, 7:00 P.M.Mountainside Medical Center Bayberry

MARCH 13 AND APRIL 17, 7:00 P.M.Clifton Main LibraryConference Room292 Piaget Avenue, CliftonSpeaker: Karl Strom, M.D.Call 1-888-973-4674 or visit MountainsideHosp.com/Events to register.MARCH 15, 6:30 – 7:30 P.M.Pascack Valley Medical CenterSpeaker: Joseph Pober, M.D.Call 1-877-848-WELL (9355) or visit HackensackUMCPV.com/BeWell to register.MARCH 22 AND APRIL 266:00 – 7:30 P.M.Medical Pavilion, Woodbridge740 Route 1 North, IselinSpeaker: Karl Strom, M.D.



Certain danger signs can be clues that the Emergency Department is the right place to go.

O YOU KNOW WHERE TO GO in a medical emergency? And do you know how to recognize one?

“Urgent care centers are a convenient choice if you’ve got a minor injury or illness, such as the flu, minor cuts or an animal bite, and you can’t wait to see your doctor,” says Kevin Hewitt, M.D., interim chairman of the Emergency & Trauma Center at Hackensack University Medical Center. “However, when you have a life-threatening medical situation, you should visit an Emergency Department.”

Read on for examples of when you should head to the nearest Emergency Department.

WHEN THE ED IS THE RIGHT CHOICE


The Problem: Chest pain When to Go: If you feel chest pain, it could be a heart attack. Call 911 immediately if you: • Have discomfort in the

middle of your chest that lasts more than a few minutes or that goes away and comes back

• Experience chest pain that feels like squeezing, fullness or uncomfortable pressure

• Feel pain or discomfort in your arms, back, neck, jaw or stomach

• Have shortness of breath• Feel light-headed• Are nauseous

The Problem: Sudden onset of visual or balance problems When to Go: Head to the Emergency Department immediately — especially if these symptoms are accompanied by:• Face drooping• Arm weakness• Speech difficulty

These are all signs of stroke. The faster you call 911 and get to the Emergency Department, the more likely you are to prevent long-term effects from stroke.

The Problem: Allergic reactionWhen to Go: Head to the Emergency Department if your allergic reaction is severe and you experience: • Trouble breathing• Hives• Swelling

LIFESAVERS

With 12 Emergency Departments, Hackensack Meridian Health can handle any serious medical problem, anytime. For locations, visit HackensackMeridianHealth.org/Emergency. In life-threatening emergencies, call 911.

The Problem: High feverWhen to Go: Get emergency or immediate medical help if:• A fever reaches 105 degrees or higher• Older adults have a fever not related to an

existing illness• Children younger than 3 months have a

temperature of 100.4 degrees or higher• Children are having seizures, cannot be awakened

easily, cannot walk or are having trouble breathing during a fever, or their fever lasts more than a few days

The Problem: Flu-like symptoms When to Go: In most cases, you should stay home and avoid other people if you have the flu. But head to the Emergency Department if you have these emergency warning signs: • Difficulty breathing• Sudden dizziness• Severe or continued vomiting • Confusion• Pain or pressure in the chest or abdomen• Flu-like symptoms that improve but return with

fever and worse cough

UNSURE IF IT’S AN EMERGENCY? Don’t delay seeking help if you think there’s a chance your symptoms pose an emergency. Getting prompt treatment can make all the difference in your chances for recovery.

Kevin Hewitt, M.D.Board certified in Emergency MedicineHackensack1-855-424-WELL (9355)

HackensackMeridianHealth.org 27

1 Hackensack Meridian HealthViews | JANUARY | FEBRUARY 2018


YOU MOST LIKELY KNOW SOMEONE who suffers from back pain. Whether it’s sharp or dull, or located in the upper or lower back, back pain can be caused by various reasons. Some are mild and easily treated, while others are quite serious.

Here, our orthopedic experts outline five of the most common conditions that cause back pain.

1. SPRAINS AND STRAINSSprains and strains are the number one cause of acute back pain. A strain happens when you stretch or tear a muscle or tendon (the tissue that connects a muscle to bone). A back sprain occurs when you stretch or tear a ligament (the tissue that holds the bones of the spine in place). Symptoms include muscle spasms, weakness and swelling.

“Many sprains and strains happen when you move improperly,” explains Dante Implicito, M.D., of Hackensack University Medical Center.

5 CAUSES OF

“This may involve lifting something too heavy, twisting your back the wrong way or stretching too far. The injury can happen all of a sudden, or it may develop over time.

“Doing an activity that you’re not used to can also cause a sprain or strain. For example, you might hurt your back moving a heavy piece of furniture.”

BACK PAIN

Back pain is one ofthe most commonmedical problemsin the U.S. About

80 percent of adultsexperience low backpain at some point.

2HackensackMeridianHealth.org | 1-800-560-9990

2. DISC DEGENERATIONDisc degeneration often causes low back pain and stiffness. Agustin Diaz, M.D., of Palisades Medical Center, says, “As you get older, the discs that cushion the bones of your spine deteriorate. Healthy discs are rubbery and allow you to bend and twist your back. But as you age, the discs dry out, making them shrink and lose their cushioning ability. Most people older than age 60 have some form of degeneration, although it isn’t always painful.”

Osteoarthritis is a leading cause of disc degeneration. Wear and tear on the joints through sports or regular activity can also contribute to the condition.

3. HERNIATED DISCIf your back pain doesn’t go away with time, you may have an injury to one or more of the discs in your back.

“Discs have a jelly-like center that is surrounded by a protective ring of tissue. A herniated disc occurs when there is excessive pressure on the

A HEALTHY RESOURCE

Our online health library provides helpful information on back pain and other orthopedic issues. Find it at HackensackMeridianHealth .org/Library.

Agustin Diaz, M.D.West New York201-854-5213

Dante Implicito, M.D.Board certified in Orthopedic SurgeryHackensack1-855-424-WELL (9355)

Sagar S. Parikh, M.D.Board certified in Pain Medicine, and Physical Medicine and RehabilitationEdison732-321-7070

Sripad Dhawlikar, M.D.Board certified in Orthopedic SurgeryOld Bridge1-800-560-9990

5 CAUSES OF

disc, causing the outer protective rim to tear. This results in a bulging of the disc or a leakage of the jelly-like center,” explains Sagar Parikh, M.D., on staff at JFK Johnson Rehabilitation Institute.

“Pain occurs when the bulge presses on the nerves of the spine and causes pressure and irritation. The pain usually flares up with certain activity as well, and feels better with rest.”

4. SCIATICAIn addition to causing back pain, herniated discs can cause leg or foot pain when the disc pushes on the nerves that lead to the lower body. This is one cause of sciatica.

Sripad Dhawlikar, M.D., with the Neck and Back Center at Raritan Bay Medical Center, explains, “Sciatica happens when parts of the large nerve that runs from the back down the legs, known as the sciatic nerve, are compressed in the spine. This causes pain in the lower back, buttocks and leg.”

5. SPINAL STENOSISThe bones of your spine surround and protect the nerves of the spine. But sometimes the space that contains these nerves, known as the spinal canal, can narrow. This often puts pressure on the nerves, causing pain. The narrowing of the spine is known as spinal stenosis.

It can be caused by many conditions, including osteoarthritis, rheumatoid arthritis or curving of the spine (scoliosis). Age-related changes to the spine can also cause spinal stenosis.

The most common symptoms include neck or back pain, cramping or weakness in the arms or legs, and pain that shoots down the leg.

Talk with your doctor if you’re concerned about back pain. He or she can help you find the best treatment for your condition.

BACK PAIN

1 Hackensack Meridian HealthViews | JANUARY | FEBRUARY 2018


YOU MOST LIKELY KNOW SOMEONE who suffers from back pain. Whether it’s sharp or dull, or located in the upper or lower back, back pain can be caused by various reasons. Some are mild and easily treated, while others are quite serious.

Here, our orthopedic experts outline five of the most common conditions that cause back pain.

1. SPRAINS AND STRAINSSprains and strains are the number one cause of acute back pain. A strain happens when you stretch or tear a muscle or tendon (the tissue that connects a muscle to bone). A back sprain occurs when you stretch or tear a ligament (the tissue that holds the bones of the spine in place). Symptoms include muscle spasms, weakness and swelling.

“Many sprains and strains happen when you move improperly,” explains Dante Implicito, M.D., of Hackensack University Medical Center.

5 CAUSES OF

“This may involve lifting something too heavy, twisting your back the wrong way or stretching too far. The injury can happen all of a sudden, or it may develop over time.

“Doing an activity that you’re not used to can also cause a sprain or strain. For example, you might hurt your back moving a heavy piece of furniture.”

BACK PAIN

Back pain is one ofthe most commonmedical problemsin the U.S. About

80 percent of adultsexperience low backpain at some point.

Hackensack Meridian HealthViews | MARCH | APRIL 201828

2HackensackMeridianHealth.org | 1-800-560-9990

2. DISC DEGENERATIONDisc degeneration often causes low back pain and stiffness. Agustin Diaz, M.D., of Palisades Medical Center, says, “As you get older, the discs that cushion the bones of your spine deteriorate. Healthy discs are rubbery and allow you to bend and twist your back. But as you age, the discs dry out, making them shrink and lose their cushioning ability. Most people older than age 60 have some form of degeneration, although it isn’t always painful.”

Osteoarthritis is a leading cause of disc degeneration. Wear and tear on the joints through sports or regular activity can also contribute to the condition.

3. HERNIATED DISCIf your back pain doesn’t go away with time, you may have an injury to one or more of the discs in your back.

“Discs have a jelly-like center that is surrounded by a protective ring of tissue. A herniated disc occurs when there is excessive pressure on the

A HEALTHY RESOURCE

Our online health library provides helpful information on back pain and other orthopedic issues. Find it at HackensackMeridianHealth.org/Library.

Agustin Diaz, M.D.West New York201-854-5213

Dante Implicito, M.D.Board certified in Orthopedic SurgeryHackensack1-855-424-WELL (9355)

Sagar S. Parikh, M.D.Board certified in Pain Medicine, and Physical Medicine and RehabilitationEdison732-321-7010

Sripad Dhawlikar, M.D.Board certified in Orthopedic SurgeryOld Bridge1-800-560-9990

5 CAUSES OF

disc, causing the outer protective rim to tear. This results in a bulging of the disc or a leakage of the jelly-like center,” explains Sagar Parikh, M.D., on staff at JFK Johnson Rehabilitation Institute.

“Pain occurs when the bulge presses on the nerves of the spine and causes pressure and irritation. The pain usually flares up with certain activity as well, and feels better with rest.”

4. SCIATICAIn addition to causing back pain, herniated discs can cause leg or foot pain when the disc pushes on the nerves that lead to the lower body. This is one cause of sciatica.

Sripad Dhawlikar, M.D., with the Neck and Back Center at Raritan Bay Medical Center, explains, “Sciatica happens when parts of the large nerve that runs from the back down the legs, known as the sciatic nerve, are compressed in the spine. This causes pain in the lower back, buttocks and leg.”

5. SPINAL STENOSISThe bones of your spine surround and protect the nerves of the spine. But sometimes the space that contains these nerves, known as the spinal canal, can narrow. This often puts pressure on the nerves, causing pain. The narrowing of the spine is known as spinal stenosis.

It can be caused by many conditions, including osteoarthritis, rheumatoid arthritis or curving of the spine (scoliosis). Age-related changes to the spine can also cause spinal stenosis.

The most common symptoms include neck or back pain, cramping or weakness in the arms or legs, and pain that shoots down the leg.

Talk with your doctor if you’re concerned about back pain. He or she can help you find the best treatment for your condition.

BACK PAIN



A STROLL ON THE BEACHNimfa Sazarka, 72, enjoys

walking along the beach in Sea Girt. When her late

husband was alive, they spent many days at the beach.


IMFA SAZARKA HAS SPENT much of her life helping others. For more than 20 years, the 72-year-old retiree from the Manalapan-Englishtown school district taught

geography and cared for her chronically ill husband.“I loved teaching; it was a rewarding and fulfilling

career,” she says. “However, helping my husband manage his chronic condition was challenging. He wasn’t a very good patient. It was a long, painful process I had to watch him endure.”

BECOMING A SELF-MANAGERIn 2000, Nimfa was diagnosed with her own chronic illness: adult diabetes. After years of caring for her husband, who also had diabetes, she had a difficult time accepting the diagnosis for herself. So when Nimfa heard about a self-care management program being offered by Hackensack Meridian Health, called Take Control of Your Health, she didn’t hesitate to sign up. The program is designed to help people overcome the day-to-day physical and emotional issues caused by chronic health conditions and provide the necessary tools to make them stronger and healthier.

“I saw how my husband suffered, and I was not going to go down the same path,” Nimfa reflects. “When I heard about a course that would provide practical tips and strategies to help me manage my condition, I jumped at the chance to participate — especially since it was being offered at my community clubhouse. How convenient is that?”

NAVIGATING A PATH TO BETTER HEALTH Over the course of six weeks, Nimfa mapped out an individual course of action, choosing the tools that worked best for her and her lifestyle. She set goals and learned how to plan ahead for success.

Nimfa learned how to eat healthy, track her meals and incorporate exercise into her daily routine. “I now have a Fitbit and try to take 10,000 steps a day,”

TAKE CONTROL OF YOUR HEALTH Program provides a retired schoolteacher with a personalized tool kit for managing chronic illness.

By Michelle Gartz

she says. “I’m not always successful, but I try. I also changed my attitude and try to make small changes over time.”

Nimfa looked forward to the class each week and appreciated the openness and support of the group. “I was engaged in dialogue, free from criticism and judgment. I learned so much, but most important, I changed my personal outlook and self-esteem,” she says.

For others struggling to manage their chronic illness, Nimfa offers a bit of advice.

“Remember, it is a process, not a race. You can’t let the disease control you — you need to control the disease. And this course helped me do that. I’d sign up again in a minute.”

N

HERE TO HELP

Whether you need assistance with nutrition, exercise or managing a chronic condition, Hackensack Meridian Health’s Take Control of Your Health program and diabetes management classes are there to help you live a healthier life. Flip to page 23 for more info.


5 Healthy Foods to Put on Your Grocery ListLooking to take your diet to the next nutritional level? These five powerhouse foods pack a healthy punch. Read on to learn about their health benefits, and start planning your next meal.

habits

GET COOKING

In honor of National Nutrition Month’s Go Further with Food theme, join us at one of our many cooking demonstrations held throughout March to discover how easy it is to incorporate sound eating habits into your life. Find details in our events calendar, starting on page 22.

1. Artichokes. This Mediterranean treat is low in calories and sodium, and free of fat and cholesterol. “Better still, artichokes are a good source of

fiber, vitamin C, folate and magnesium,” adds Irma Newdorf,

RD, director of Nutrition and Food Management at Hackensack University Medical Center. Artichokes are also chock-full of antioxidants that may help keep your liver strong. Try steaming them for 25 to 45 minutes, depending on size, or until a petal near the center pulls out easily.

2. Beets. Beets are celebrated for their powerful anti-inflammatory effects. Try adding them to kebabs or stir-fries. Or bake them alongside other root vegetables such as carrots and turnips.

3. Cauliflower. Don’t let its pale shade fool you. Cauliflower is a good source of vitamin C and folate. Irma says, “If you like to eat from a colorful plate, purple or orange cauliflower are options. Roast or steam cauliflower as a

side dish, or puree it into soups.”

4. Kefir. This fermented dairy product contains probiotics, which help with digestion. Have kefir instead of a glass of milk at breakfast.

5. Lentils. “Lentils offer a high level of protein, fiber, folate and iron,

and are also an important source of other essential vitamins and minerals,” says Irma. “Mix lentils with grains such as rice, or make a batch of their namesake soup.”

A STROLL ON THE BEACHNimfa Sazarka, 72, enjoys

walking along the beach in Sea Girt. When her late

husband was alive, they spent many days at the beach.


IMFA SAZARKA HAS SPENT much of her life helping others. For more than 20 years, the 72-year-old retiree from the Manalapan-Englishtown school district taught

geography and cared for her chronically ill husband.“I loved teaching; it was a rewarding and fulfilling

career,” she says. “However, helping my husband manage his chronic condition was challenging. He wasn’t a very good patient. It was a long, painful process I had to watch him endure.”

BECOMING A SELF-MANAGERIn 2000, Nimfa was diagnosed with her own chronic illness: adult diabetes. After years of caring for her husband, who also had diabetes, she had a difficult time accepting the diagnosis for herself. So when Nimfa heard about a self-care management program being offered by Hackensack Meridian Health, called Take Control of Your Health, she didn’t hesitate to sign up. The program is designed to help people overcome the day-to-day physical and emotional issues caused by chronic health conditions and provide the necessary tools to make them stronger and healthier.

“I saw how my husband suffered, and I was not going to go down the same path,” Nimfa reflects. “When I heard about a course that would provide practical tips and strategies to help me manage my condition, I jumped at the chance to participate — especially since it was being offered at my community clubhouse. How convenient is that?”

NAVIGATING A PATH TO BETTER HEALTH Over the course of six weeks, Nimfa mapped out an individual course of action, choosing the tools that worked best for her and her lifestyle. She set goals and learned how to plan ahead for success.

Nimfa learned how to eat healthy, track her meals and incorporate exercise into her daily routine. “I now have a Fitbit and try to take 10,000 steps a day,”

TAKE CONTROL OF YOUR HEALTH Program provides a retired schoolteacher with a personalized tool kit for managing chronic illness.

By Michelle Gartz

she says. “I’m not always successful, but I try. I also changed my attitude and try to make small changes over time.”

Nimfa looked forward to the class each week and appreciated the openness and support of the group. “I was engaged in dialogue, free from criticism and judgment. I learned so much, but most important, I changed my personal outlook and self-esteem,” she says.

For others struggling to manage their chronic illness, Nimfa offers a bit of advice.

“Remember, it is a process, not a race. You can’t let the disease control you — you need to control the disease. And this course helped me do that. I’d sign up again in a minute.”

N

HERE TO HELP

Whether you need assistance with nutrition, exercise or managing a chronic condition, Hackensack Meridian Health’s Take Control of Your Health program and diabetes management classes are there to help you live a healthier life. Flip to page 23 for more info.

A FREE Nutrition Program Has Just Kicked Off at Hackensack Meridian Health!Eating right doesn’t have to be complicated. Simple changes in your food choices can be the first step toward a healthier you. And, since there’s no one plan that fits everyone, it’s important to develop a blueprint for healthy eating that’s packed with a variety of tasty, nutrient-rich foods and keeps your unique lifestyle in mind.

Reshape Your Health, a new nutrition program, is designed to make healthy eating both delicious and informative. It offers practical solutions for everyday living, including easy-to-follow recipes, meal ideas and shopping lists. Live cooking demonstrations with registered dietitians, chefs and other health professionals are also part of the program.

reshape your health

JFK Health is now part of the Hackensack Meridian Health network. By joining New Jersey’s most integrated and comprehensive health care provider, our team offers expanded access to care with the convenience of more community-based services close to home.

With a shared culture and vision, Hackensack Meridian Health and JFK enhance the delivery of care and innovation to more people. The JFK Johnson Rehabilitation Institute and JFK Neuroscience Institute will be an essential part of our leading network. Together, Hackensack Meridian Health and JFK Medical Center are Life Years Ahead.

To learn more about our expanded family, visit HackensackMeridianHealth.org/JFK.

Hackensack Meridian Health is Proud to Welcome JFK Health to the Family!

HMH-JFK-5.8x7.5-HV-18.indd 1 12/20/17 11:20 AM

Printed on Recyclable PaperDeveloped by StayWell 11076A

Hackensack University Medical Center and Joseph M. Sanzari Children’s Hospital30 Prospect AvenueHackensack, NJ 07601 IHOR S. SAWCZUK, M.D., FACSPresident

Jersey Shore University Medical Center and K. Hovnanian Children’s Hospital1945 Route 33Neptune, NJ 07753 KENNETH N. SABLE, M.D., MBA, FACEPPresident

JFK Medical Center65 James StreetEdison, NJ 08820 RAYMOND FREDERICKSPresident

Ocean Medical Center425 Jack Martin Blvd.Brick, NJ 08724 DEAN Q. LIN, MHA, MBA, FACHERegional President

Riverview Medical CenterOne Riverview PlazaRed Bank, NJ 07701 TIMOTHY J. HOGAN, FACHEPresident

Palisades Medical Center7600 River RoadNorth Bergen, NJ 07047 ANTHONY PASSANNANTE, M.D.President

Raritan Bay Medical Center–Perth Amboy530 New Brunswick AvenuePerth Amboy, NJ 08861 MICHAEL R. D’AGNES, FACHEPresident

Southern Ocean Medical Center1140 Route 72 WestManahawkin, NJ 08050 ROBERT H. ADAMS JR., FACHEPresident

Bayshore Medical Center727 North Beers StreetHolmdel, NJ 07733 TIMOTHY J. HOGAN, FACHEPresident

Raritan Bay Medical Center–Old BridgeOne Hospital PlazaOld Bridge, NJ 08857 MICHAEL R. D’AGNES, FACHEPresident

Hackensack Meridian Health 343 Thornall StreetEdison, NJ 08837 JOSEPH LEMAIREPresident, Diversified Health Ventures Division

For a complete listing of our hospitals and services, visit HackensackMeridianHealth.org.

On a Mission - Hackensack Meridian Health · 2018. 4. 24. · Hackensack Meridian Health family....

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