Healing Wounds with Oxygen

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Healing Wounds with Oxygen Powered By Docstoc
					Ju l y / Au g u s t 2 0 0 8

                                            A New You, A New Game
                                            Thanks to Knee Surgery at CentraState

with Oxygen
                    Medical Center
                    is a Magnet hospital.
                                                                                                                   Community Voices
                                                                                                                   Dear CentraState,
                                                                                                                   My husband and I extend a warm thanks to the staff in the Labor
                                          President’s Message                                                      and Delivery Department. Your staff helped to deliver our beautiful
                                                                                                                   baby boy on January 17. We arrived at CentraState Medical Center
                                                                                                                   at approximately 2 a.m., and I was dilated about two centimeters.
 The Healing Touch
                                                                                                                   I was immediately admitted and introduced to my nurse, Alison
  Sooner or later, we all suffer minor cuts, scrapes, or bruises.                                                  Weyersberg. She established that I was in labor and proceeded to
  Unfortunately, for the millions of Americans whose wound-                                                        make my husband and me feel comfortable. Throughout the early
  healing process is compromised by a chronic condition like                                                       morning hours, Alison constantly monitored my need for pain relief.
  diabetes or multiple sclerosis, even a minor injury can result
                                                                                                                   When it came time for my epidural, Alison was so sweet and kind
  in a non-healing wound and infection, possibly leading to
  further complications.                                                                                           and walked me through the entire process. She put me at ease and
                                                                                                                   spoke to me in an informative manner.
  For those with non-healing wounds, CentraState Medical
  Center now offers the most advanced treatment for wound                                                          My epidural was not working to full efficiency due to the fact that I
  healing. Even patients whose wounds have not responded                                                           have scoliosis. My right side was not getting numb. Throughout this
  to traditional therapies may experience life-changing healing
                                                                                                                   process, Alison made sure that the anesthesiologist was available and
  with hyperbaric oxygen (HBO) therapy, now available at the
  Central Jersey Wound Treatment Center at CentraState.                                                            reiterated my concerns to him. My right side was finally numbed
                                                                                                                   and I felt relieved. I can’t say enough about Alison’s professional,
  HBO therapy is painless and safe, involving the exposure
  to 100 percent oxygen over the course of several relaxing                                                        calm, and warm demeanor. She is perfectly suited for her profession.
  treatment sessions. In this issue, you’ll learn how oxygen                                                       At about 7 a.m. my charge nurse changed. Alison told me that my
  supports the healing process and share in the dramatic
                                                                                                                   new nurse would be Eileen Meyers and that she would take great
  improvements experienced by patients who have received
  HBO therapy at CentraState’s Wound Treatment Center.                                                             care of me and my family. She couldn’t have been more
                                                                                                                   correct. Eileen helped to deliver our son
  The HBO program—directed by Jody DiGiacomo, MD,
  FACS, who is board certified in surgery and hyperbaric                                                           and also constantly monitored my need
  medicine—is part of the Central Jersey Wound Treatment                                                           for pain management. Alison did not
  Center’s powerfully effective, multidisciplinary approach to                                                     immediately leave. She checked in a
  the diagnosis and treatment of chronic wounds. The Center                                                        few hours after her shift had ended,
  is located at the Star and Barry Tobias Ambulatory Campus,                                                       just to see if I delivered my baby.
  offering convenient access to a wide range of other healthcare
  resources at the Health Awareness Center, the Fitness and                                                        This was my second pregnancy, but
  Wellness Center, and the Novo Nordisk Diabetes Center.                                                           my first delivery at CentraState. I
  CentraState’s HBO program demonstrates how, in the hands                                                         had a great experience in your Labor
  of caring and highly trained clinicians, new technologies                                                        and Delivery Department. Mark Seigel,
  and innovative procedures open the door to the successful                                                        MD, was the Ob/Gyn who delivered our
  treatment of challenging health issues. CentraState maintains a                                                                                              Mark Seigel, MD, board-certified
  commitment to providing these sophisticated services so                                                          baby. He, as well, was the epitome
  all members of our community, even those with chronic                                                            of professionalism. I hope that you
  health conditions, have every opportunity to enjoy healthy,                                                      share these sentiments with these healthcare
  active lives.                                                                                                    professionals. Their jobs are extremely
  Yours in good health,                                                                                            stressful and the rewards are sometimes
                                                                                                                   far and few between. My family is
                                                                                                                   glad to know that they are working
                                                                                                                   to help us.
        John T. Gribbin, FACHE
        President and CEO                                                                                          Sincerely,
                                                                                                                   Angela and David Rivera

  On the cover: Jodi DiGiacomo, MD, medical director of the Central
  Jersey Wound Treatment Center and the hyperbaric oxygen
                                                                                                                                                                             (left to right):
  therapy program (seated), communicates with a technician in one
                                                                                                                                                               Alison Weyersberg, RNC, and Eileen Myers, RNC
  of CentraState’s hyperbaric oxygen chambers.

         Healthy Directions is produced by                           Benjamin Weinstein, MD, PhD                                   Managing Editor                   We hope you enjoy this issue of Healthy Directions. Comments about
CentraState Healthcare System, Freehold, New Jersey.            Senior Vice President & Medical Director                             Renee Crotts                    the publication can be directed to the Public Relations and Marketing
                                                                                                                                                                      Department, CentraState Healthcare System, 901 West Main Street,
 CentraState Healthcare System is a member of the                Linda W. Geisler, RN, MNEd, CNAA, BC                                      Writers                                   Freehold, NJ, 07728. (732) 294-7080.
     Robert Wood Johnson Health Network and                      Vice President, Patient Care Services                                Stephanie Duncan
                                                                                                                                     Gabrielle Fernandez              Healthy Directions is published by CentraState Healthcare System to
        The Cancer Institute of New Jersey.                                  James M. Goss                                                                          provide general health information. It is not intended to provide personal
                                                             Vice President, Public Relations and Marketing                          Jenny Poole Havron
                                                                                                                                         Hillary Myers                       medical advice, which should be obtained directly from
               July/August 2008                                                                                                                                                               a healthcare provider.
                                                                    Kim A. Kelly, RN, MS, CNAA, BC                                       Dorothy Piatt
               Editorial Advisors                                   Vice President, Clinical Services                           Elizabeth Stinchfield-Hixson                       C E N T R A S TAT E H E A LT H C A R E S Y S T E M , I N C .
                 Ruben Cardona                                                                                                         Angela Williams
              Chair, Board of Trustees                                   Roman N. Lucky, CFRE
                                                                      Vice President, Development                                    Photographers
               John T. Gribbin, FACHE                                                                                                     Kevin Birch
                 President and CEO                                            Rich Mackesy
                                                       Vice President, Strategic Planning & Business Development                           Ron Wyatt                                                      (8 0 0) 624 -749 6
        Daniel J. Messina, PhD, FACHE, LNHA                                                                                               Designer
            Senior Vice President & COO                                Jay Solomon, MPA, LNHA
                                                                    Vice President, Senior Services                                    Sherri Thornton
 GETTING BACK                              in the Game                                                                           Faster

       fter playing basketball for 35 years on concrete surfaces,       would actually decrease the pain in my knee. I had no idea
       Mitch Martinez gradually began to feel the effects on his        the improvement would be this significant.”
       40-something-year-old knees. In one knee particularly,
                                                                       The players in the basketball league had better be at the top
he knew something was wrong, and the pain became more
                                                                       of their games—Mitch Martinez is back and better than ever.
pronounced each time he played. “It felt like a hamstring
injury—but in my knee. Sometimes the cramping sensation was             CentraState’s Total Joint Center of New Jersey offers a wide
so strong, I had to sit out part of my game.”                           range of minimally invasive and computer-assisted orthopedic
Mitch, a business owner from Marlboro, doesn’t recall a                 services. For more information call (866) CENTRA7. HD
single point in time that the injury occurred. “I really only
experienced the knee pain when I was playing. But over the
course of time, the pain became more significant.”                           Orthopedic Surgeons on Staff at CentraState
Finally, Mitch asked one of his basketball league teammates,                 Privileged to Perform Microfracture Technique
Gregg S. Berkowitz, MD, of Advanced Orthopedics and
Sports Medicine Institute, for assistance. Dr. Berkowitz,
                                                                             Advanced Orthopedic and Sports Medicine Institute
a board-certified orthopedic surgeon with an interest in                      Manuel T. Banzon, MD, FAAOS
arthroscopic treatment of knee injuries and a physician at                    Gregg S. Berkowitz, MD, FAAOS
CentraState Medical Center’s Total Joint Center of New Jersey,                James Cozzarelli, MD
scheduled a magnetic resonance imaging (MRI) scan                             Gerardo Goldberger, DO
to identify the problem and determine a course of action.                     Michael Greller, MD, FAAOS
                                                                              Alan S. Nasar, MD
The MRI revealed damage to knee cartilage.                                   Central Jersey Sports Medicine and Orthopedics Center
Dr. Berkowitz recommended an arthroscopic surgical                            Andrew Harrison, MD, FAAOS
procedure called the microfracture technique (also called
abrasion chondroplasty), which allows for the regrowth
of new cartilage. “This procedure, one of several available                 Mitch Martinez is back on the court and playing his favorite sport again
to repair damaged cartilage, uses the body’s own healing                after undergoing arthroscopic knee surgery at CentraState Medical Center.
abilities and provides an enriched environment for cartilage
regrowth at the affected area,” notes Dr. Berkowitz.
 Signs and symptoms of a knee cartilage injury, some
 of which may require the microfracture technique, are
 intermittent swelling, pain with prolonged activity, hearing
“noise” from the knee during motion, and knee locking,
 catching, or giving way. The procedure is not appropriate for
 arthritis patients, however.

 Mitch was ready to move forward with the surgical repair
 of his knee. He arrived at CentraState’s Ambulatory
 Surgery Center at 11 a.m. for the procedure. The Surgery
 Center is conveniently located at CentraState’s Medical
 Arts Building connected to the Medical Center, providing
 additional resources for patient safety and peace of mind.
 Mitch was on his way home later that afternoon.
“I had undergone other surgeries so I was
 prepared for a lot of pain. But because this
 was an arthroscopic procedure, it was a
 completely different experience. In fact, I
 only used crutches for two days.”
Mitch was driving his car and back to
work less than a week after surgery. A
few months later, after a period of
rehabilitation, he gradually returned to the
action on the basketball court.
Reflecting on his decision to proceed with
the surgery, he notes, “I’ll be honest. I was
                                                      Gregg S. Berkowitz, MD,
skeptical about how much this surgery
                                                  board-certified orthopedic surgeon
                                                                                         July/August 2008   Healthy Directions
   weight-loss surgery                                                          Opens new doors
           aitlyn Jacob, 18, of Neptune      “The surgery can vastly improve the                    than 80 pounds. Dedicated to improving
           City, wasn’t always able to do     quality of life for older teens who, like             her health and embracing her new
           everything she enjoyed. While      Kaitlyn, are unable to lose weight                    life, Kaitlyn now works as a teaching
   other teenagers played sports, went to     through diet and exercise. With a body                assistant at an area preschool and has
   the mall, and spent time with friends,     mass index (BMI) over 60, Kaitlyn was a               no problem keeping up with the kids.
   Kaitlyn struggled with limitations caused good candidate for this surgery.”                      In her spare time, she plays soccer on a
   by her weight. However, thanks to         According to the National Institutes of                traveling team.
   the Bariatric Surgery Program at           Health, a person is “morbidly” obese
   CentraState Medical Center, Kaitlyn is                                                           “Gastric bypass has changed my life
                                              when he or she reaches a BMI of 40                     completely and opened doors for
   now able to enjoy the activities she once  or greater, or is 100 pounds over his
   thought were impossible.                                                                          me,” says Kaitlyn. “I can’t thank the
                                              or her ideal body weight. An estimated
                                                                                                     physicians and nurses at CentraState
  “I first heard about gastric bypass        5 million to 10 million Americans are
                                              morbidly obese.                                        enough for all that they did for me.”
   surgery when Kaitlyn was 16,” says
   Kaitlyn’s mother, Kerrie Jacob.            Before her surgery, Kaitlyn underwent                 For more information about both types
  “Initially, I was upset with her            a variety of tests and screenings, as                 of weight-loss surgery available through the
   pediatrician for mentioning the option     do all weight-loss patients. Between                  Bariatric Surgery Program at CentraState—
   in front of her. But it turned out to be   standard visits with a cardiologist and               gastric bypass and laparoscopic banding—
   a blessing in disguise.”                   a psychiatrist as well as pre-surgery                 call (866) CENTRA7. HD
                                              nutrition classes and a medical diet, both
                                              Kerrie and Kaitlyn realized the level of
   Kaitlyn wasn’t able to lose weight using   commitment required for the surgery.
   special diets or personal trainers. In
                                             “The procedure involves a complete
   fact, instead of losing weight, Kaitlyn                                                             Bariatric Surgeons on Staff
                                              lifestyle overhaul,” says Kaitlyn. “I was
   was still gaining weight despite her
   best efforts. Naturally, Kerrie became
                                              always eating the wrong foods and the                    at CentraState
                                              wrong portion sizes. When I decided to
   concerned about the possibility of her                                                              Endo-Surgical Associates of
                                              go through with the surgery, it meant
   teenage daughter developing other                                                                   Central Jersey
                                              a future commitment to eating right
   health conditions common with obesity,
                                              and exercising.”                                          Morris Washington, MD
   including heart disease and diabetes.
   Kerrie began researching bariatric                                                                   Ragui Sadek, MD
                                              SEEING POSSIBILITIES
   surgery, and that research led her to                                                                Lisa Dobruskin, MD
   Morris Washington, MD, bariatric           Kaitlyn’s surgery at CentraState was a
   surgeon on the medical staff               complete success, and she has lost more                  Earl Noyan, MD
   at CentraState and medical director of
   the Bariatric Surgery Program.
                                                          With more energy and a positive outlook
  “Gastric bypass surgery makes the                       after undergoing weight-loss surgery
   stomach smaller and allows food                        and losing 80 pounds, Kaitlyn
   to bypass part of the small intestine.                 Jacob enjoys playing goalie
   Patients feel full more quickly than                   with her traveling
   when their stomachs were their original                soccer team.
   sizes, which reduces the amount of
   food they eat and thus the calories
   consumed,” says Dr. Washington.

           Morris Washington, MD,
           board-certified surgeon
                      4     July/August 2008   Healthy Directions
kids learn

Healthy Lifestyle Lessons
             important to teach kids        line skating to hoola hoops and
             healthy eating and exercise    jump-roping.
             habits. That’s the goal
                                            Martin Araujo, MD, a first-
of CentraState’s new healthy living
                                            year resident in the Family
program—Project: Fit Kids—designed
                                            Medicine Residency
for fourth and fifth grade students at
                                            Program, says that the
the Park Avenue Elementary School,
                                            students were at the
Freehold Borough. The Star and Barry
                                            optimal age to learn
Tobias Health Awareness Center and
                                            about health and
the CentraState Family Medicine
                                            nutrition. “Ten-
Residency Program partnered with the
                                            and 11-year-old
school in late 2007 to offer the free,
                                            children are still
eight-month program that teaches kids
                                            young enough
how to make living a healthy lifestyle
                                            to change and
part of their everyday lives.
                                            adopt new ways
Eighteen students participated in the       of thinking about
program. Cara Megill, 10, signed            their health. In
up for the program at her mother’s          turn, the tools
recommendation. “I thought a class          they absorb from
about health and fitness might be           our program will
boring, but it’s been really fun. They      be shared with the
give us a lot of cool games to play and     whole family,” says
we’re learning at the same time,”           Dr. Araujo.
Cara explains.
                                            LIVING TOOLS
Nutrition and fitness-focused games
                                             CentraState physicians
were designed to educate children
                                             provided each child with a
about the importance of fats, proteins,
                                             preliminary health assessment at the
and carbohydrates. The program also
                                             beginning of Project: Fit Kids and
supplied samples of tasty “light” foods
                                             monitored their progress throughout
that the students, often to their                                                                       Caryn Alter, MS, RD, Health Awareness
                                             the program. A registered dietitian
surprise, actually enjoyed. Additionally,                                                           Center, speaks to students of Project: Fit Kids
                                             and certified personal trainers from
the group examined fun, diverse, and                                                                about nutrition and healthy eating choices.
                                             the Health Awareness Center also
challenging fitness options—from in-
                                             worked directly with the children.
                                            “Our mission is to help them make the                  healthcare provider perspective, we
                                             right choices now so they can avoid                   want to learn whether kids will apply
                                             health challenges when they’re adults,”               what they’ve learned and what the
                                             says Karen Scott, RN, program                         outcome will be to their overall health
                                              coordinator, Health Awareness Center.                down the road.”

                                               Kenneth Faistl, MD, medical                         Cara’s mother, Denise Megill, smiles
                                                director of the Family Medicine                    as she notes that her daughter came
                                                 Residency Program, explains that                  home from school and recapped the
                                                 one of the goals is to measure                    healthy items she ate for lunch that
                                                 and monitor each participant’s                    day. “Project: Fit Kids has much
                                                 long-term success. “From a                        more impact on all the kids because
                                                                                                   they are learning from healthcare
                                                                                                   professionals, not just their parents,”
                                                       Martin Araujo, MD, CentraState Family       she says.
                                                 Medicine Center, checks in with Cara Megill       For more information about CentraState’s
                                               (left) and her mom, Denise, during a
                                                                                                   Health Awareness Center roster of
                                              parent/child dinner held at Park Avenue
                                             Elementary School.
                                                                                                   programs, call (732) 308-0570. HD
                                                                                         July/August 2008   Healthy Directions
YOUR HEART IS IN                                                      Good Hands
                                                                                  425 pounds, longtime Howell resident Jim VanWie,
                                                                                  51, knew he had considerable health problems. It
Cardiologists on Staff Privileged to Perform                                      wasn’t until he began experiencing shortness of
                                                                        breath after walking only short distances that he realized
Cardiac Catheterization                                                 something may be very wrong.
                                                                       “I could barely walk 15 or 20 feet before I would be out
Jack Dworkin, MD, FACC       John Checton, MD, FACC                     of breath, and it was really keeping me from the things I
                             Steven Daniels, MD, FACC                   wanted to do in life,” says Jim. “That’s when I decided it
Scott Eisenberg, DO, FACC                                               was time to see the doctor.”
                             Nelson LaMarche, MD, FACC
Heart Specialists of         Marcia Liu, MD, FACC                       In June 2007, Jim visited an internal medicine physician
Central Jersey               Charles Mattina, MD, FACC                  at CentraState Medical Center. The doctor suspected Jim
 Ashish Awasthi, MD, FACC    Gregory Noto, MD, FACC                     might have a heart condition and referred him to Gregory
 Ted Gutowski, MD, FACC      Mark A. Rosenbloom, MD, FACC               Noto, MD, FACC, medical director of CentraState’s Cardiac
                                                                        Catheterization Lab. Jim underwent cardiac catheterization—
Monmouth Cardiology         Shore Heart Group                           a procedure in which a long, flexible tube is inserted into an
Associates, LLC              Renato Apolito, MD, FACC                   artery in the arm, neck, or groin and threaded into the heart
 Matt Bach, MD, FACC         David Pinnelas, MD, FACC                   for diagnostic testing.Although slightly nervous at first, Jim
 Lance Berger, MD, FACC                                                 soon found he had nothing to worry about.
                                                                       “It was a lot easier than I thought it would be,” says Jim. “I
                                                                        didn’t feel a thing, and the staff was excellent and kept me
                                                                        relaxed throughout the procedure. It was also neat because I

                                                                                      giving back
                                                                                     through the

                                                                               “Thanks to our many grateful patients,
                                                                               CentraState Medical Center remains a
                                                                            premier healthcare facility and offers quality
                                                                               diagnostic and treatment services using
                                                                                    state-of-the-art technology.”
                                                                             —Roman Lucky, CFRE, vice president of Development at CentraState

                                                                  Grateful to be healthy and back on the green, Roger Knox shows his appreciation
                                                            for the care he received at CentraState by donating to the hospital Foundation’s “Grateful
                                                            Patient” Program.
                                                                      Jim VanWie says he feels better than ever after receiving rehabilitative care
was able to see everything that was happening on a screen.”           for multiple heart problems revealed by a cardiac catheterization procedure
THE RESULTS ARE IN                                                    performed at CentraState.

Based on the results of the cardiac catheterization, Dr. Noto
diagnosed Jim with multiple heart problems, including
coronary arthrosclerosis (a thickening of the coronary
arteries); aortic and mitral stenosis (a narrowing of the
aortic and mitral valves in the heart); coronary artery
disease; and pulmonary hypertension.
“Jim also may have acquired rheumatic fever as a child, which is
 a slow, progressive disease that could have contributed to many
 of his problems,” says Dr. Noto. “Without surgical
 intervention, he was headed for heart failure.”
Since undergoing valve replacement and bypass surgery
in August 2007, James has been undergoing cardiac
rehabilitation at CentraState. He says he has never
felt better.
“I’ve lost 125 pounds in the last 18 months and feel 300
 percent better than I did,” says Jim. “Dr. Noto calls me ‘the
 miracle man,’ and I can’t thank him or the CentraState Cardiac
 Rehab nurses enough for everything they’ve done for me. If it
 weren’t for them, I probably wouldn’t be here today.”
For more information about Cardiac Services, the Cardiac
Catheterization Lab, or the Cardiac Rehabilitation Program at
CentraState, call (866) CENTRA7. HD

        bout a year ago, CentraState            the Radiation Therapy Department and              through the Grateful Patient Program.
        Healthcare Foundation started           Nurse Education programs. For the
                                                                                                 “The first time I stepped into CentraState,
        a program that gives patients           medical staff in radiation therapy, the
 and their families a way to show their        “wall” is the best reward.                         I was immediately impressed,” says
 gratitude to medical staff who go above                                                          Roger. “From the people in admitting to
                                               “Every day, as I walk to Radiation                 the nurses—everyone was unbelievably
 and beyond in their care by making a
                                                Oncology, I look at the wall of plaques           professional and pleasant.”
 donation to the department where they
                                                from patients who have contributed to
 received their care. Since that time, the                                                        Roger was first admitted to CentraState
                                                this department,” says Edward Soffen,
 program has raised more than $130,000
                                                MD, chairman of Radiation Oncology                for a heart problem, which was
 for new equipment and technology
                                                at CentraState and member of the                  resolved with stent surgery. Since that
 that will benefit patients today and in
                                                CentraState Healthcare Foundation                 time, he has also been admitted for
 the future.
                                                Board of Trustees. “It creates both a nice        colon cancer treatment.
“The ‘Grateful Patient’ Program creates         feeling and a lasting impression in our
 awareness and an opportunity for               department knowing that we have made     “Coming to CentraState was one of the
 patients and their families who wish           a difference in patients’ lives.”         best decisions I ever made,” says Roger.
 to do more than say ‘thank you’ to                                                      “It is a wonderful community hospital
 nurses or a doctor who played a critical       A GRATEFUL PATIENT
                                                                                          and something we should be proud to
 role in their care,” says Roman Lucky,         Roger Knox, chairman of Commonwealth support. I am glad I was able to give
 CFRE, vice president of Development at         Title-Monmouth located in Freehold,
 CentraState. “It also allows patients to                                                 back to the hospital that gave so much
                                                had been traveling to New York for his    to me.”
 make a tangible difference for their           healthcare needs. One day he decided
 community hospital.”                                                                     For more information on the Grateful
                                                to give CentraState a try. Roger was
 Some of the areas that have benefited          amazed by the quality care he received    Patient Program, call the CentraState
 from “grateful patient” gifts have been        and has since made several contributions  Healthcare Foundation at (732) 294-7030. HD

                                                                                         July/August 2008   Healthy Directions
healing chronic wounds with

High-Pressure Oxygen
                                                                          very day, new technology brings renewed hope to
                                                                          people suffering from chronic diseases. Now, patients
                                                                          suffering with non-healing wounds are receiving long-
                                                                       awaited relief. CentraState Medical Center offers a new
                                                                         hyperbaric oxygen (HBO) therapy program located in
                                                                            the Central Jersey Wound Treatment Center.
                                                                               HBO is a non-invasive, safe, and painless treatment
                                                                                for wound care. During the therapy session,
                                                                                  patients lie down in a specially designed glass
                                                                                   chamber and comfortably breathe 100 percent
                                                                                    oxygen. This, in turn, provides increased
                                                                                      oxygen to damaged tissue.
                                                                                       RETIRED JEWELER’S
                                                                                        SUCCESS STORY
                                                                                         Today, approximately 5 million
                                                                                         Americans suffer from non-healing
                                                                                          wounds as a result of several conditions,
                                                                                          including diabetes, multiple sclerosis,
                                                                                          poor circulation, side effects of radiation
                                                                                          therapy, advanced peripheral artery
                                                                                          disease, or extended immobility. For
                                                                                          these chronic sufferers, even the most
                                                                                         minor injuries can result in non-healing
                                                                                         wounds and subsequent infections. Often,
                                                                                        non-healing wounds can lead to even
                                                                                        more serious complications.
                                                                                       Stanley Abrams, a retired jeweler and
                                                                                      patient with diabetes from Monroe,
                                                                                     recently completed 20 HBO treatments after
                                                                                    previous attempts to heal a leg wound proved
                                                                                  unsuccessful. “I didn’t think anything was going
                                                                                to work,” recalls Stanley, “but I realized, never
                                                                              say ‘never.’”

                                                                           Today, Stanley no longer requires HBO treatments and
                                                                        only visits the Wound Center
                                                                      for routine monitoring. During his
                                                                      90-minute therapies, Stanley
                                                                      would pass the time watching
                                                                      his favorite programs
   Stanley Abrams is enjoying walking again after hyperbaric oxygen   on television.
treatments at CentraState healed a chronic wound on his leg.
Physicians on the Wound Care Team                                     The HBO therapy
                                                                      program is directed by Jody
A.K. Bhattacharya, MD, plastic surgery                                DiGiacomo, MD, FACS,
                                                                      board certified in surgery
Jody DiGiacomo, MD, surgery                                           and hyperbaric medicine, and
Anthony Fiorilli, DPM, podiatry                                       medical director of the             Jody DiGiacomo, MD, board certified
                                                                      Wound Center. “Patients           in surgery and hyperbaric medicine
Steven Lemberger, DPM, podiatry                                       undergoing a variety of
Henry Miller, DPM, podiatry
treatments at CentraState can now receive wound treatment
care in the newest hyperbaric chamber available in New
Jersey at one of the most advanced hyperbaric centers in the
world,” Dr. DiGiacomo says.
Dr. DiGiacomo explains that HBO therapy is the single
most sophisticated treatment for promoting wound
healing. Patients with osteomyelitis (chronic hard-to-heal
wounds and diabetic ulcers of the feet and legs) for whom
traditional medication and surgical management have
failed, may heal with HBO therapy and also prevent the
need for amputation.
Oxygen is the critical element necessary to fight infection
and support the healing process. HBO stimulates new blood
vessel growth in damaged tissue, enhances the infection-
fighting power of white blood cells, kills bacteria, and
reduces inflammation and swelling that disrupts blood flow
to the tissue.
Outpatients are generally treated for two hours per day, five
days a week. The number of treatment sessions range from
20 to 60 over a span of several weeks. Chambers are also
equipped with audio-visual entertainment systems, allowing
patients to relax and listen to music or watch television
or movies.

SIGNS OF HEALING                                                    Anthony Modafferi watches television while undergoing hyperbaric oxygen
                                                                 therapy at the Central Jersey Wound Treatment Center at CentraState.
Freehold resident, Anthony Modafferi, has seen more than
his share of illness over the course of his life. But with
the support of his wife, Maureen, and HBO therapy, he is
successfully fighting back against one of the complications
                                                                 the latest evidence-based medicine. “We continue to be
of diabetes.
                                                                 focused on CentraState’s ‘big picture’ development plan
Anthony, a former dock builder for the City of New York,         because it illustrates our commitment to continually adding
lost one of his legs late last year to complications from        new programs supported by the latest technology. This
diabetes. He was one of the first patients to undergo this       commitment is not only important for our hospital, but for
treatment for his non-healing wounds on his other leg.           the community at large.”
“We’d been battling Anthony’s open wounds for the past five      The Central Jersey Wound Treatment Center team includes
 years and had no success whatsoever. After last year, we were   advanced practice nurses, physical therapists, and board-
 truly desperate to find a solution to save my husband’s other   certified physicians from a variety of specialties, including
 leg,” Maureen notes.                                            podiatry and general, vascular, and plastic surgery. Staff
Henry Miller, DPM, a podiatrist and member of the wound          members also educate patients and caretakers on optimal
care team, is Anthony’s physician. “Hyperbaric therapy is        wound care, appropriate nutrition, and exercise, which can
a wonderful option for patients who are not candidates           accelerate healing and prevent recurrences.
for vascular surgery,” Dr. Miller says. “Without hyperbaric      The Center helps more than 700 patients annually recover
therapy, there was a high probability that Anthony would         from non-healing wounds. “We’re one of the top-performing
lose a second leg. Now, we’re seeing signs that his wound        wound care centers in the region,” says Brian Mason, DPT,
is healing.”                                                     clinical director of Rehabilitation Services. Many medical
 Maureen has watched her husband’s improvement firsthand.        issues can affect wound healing, and patients often require
“Over the past several years, we’ve experienced so much          a wound specialist rather than a traditional primary care
 disappointment and frustration in trying to overcome            physician, he explains. “The specialized care provided by
 Anthony’s wounds,” says Maureen. “The change in my              our team of professionals can make a huge difference on the
 husband’s leg over just a few months has been nothing short     quality of life of our patients.”
 of incredible.”                                                 The Center also offers convenient access to a wide range of
OFFERING MULTI-DISCIPLINED                                       additional healthcare resources, including nutritionists at
                                                                 the Health Awareness Center, exercise physiologists at the
                                                                 Fitness and Wellness Center, and foot screenings at the Novo
James Karaman, assistant vice president of Ambulatory            Nordisk Diabetes Center.
Services, says that CentraState’s addition of hyperbaric
oxygen therapy enhances the Wound Treatment Center and           To learn more about HBO therapy or the Central Jersey Wound
supports the hospital’s dedication to offering the community     Treatment Center, call (866) NJWOUND. HD

                                                                                 July/August 2008   Healthy Directions
  Patient Safety
  is Our priority
                                                            Using the new Soarian clinical information   to exceed the national standards for
                                                       system, nurses can access comprehensive           patient safety.
                                                       patient information from portable, computerized
                                                       workstations.                                     Medical Response Team

                                                       through the right method, at the right            Research has shown that during the six
                                                       dose, at the right time. To accomplish            to eight hours prior to patients going
                                                       these goals, the pharmacy labels each             into cardiac arrest, their breathing,
                                                       individual dose of the medication with            consciousness, urinary output, pulse,
                                                       a barcode, and the nurse scans his or             and blood pressure can make subtle
                                                       her own barcoded ID card and the                  or dramatic changes. When a staff
                                                       patient’s barcoded wristband prior to             member notices these changes have
                                                       administering medication. If there is a           occurred in patients already admitted
                                                       problem with any aspect of delivering             to the hospital, he or she can alert the
                                                       the medication, a tone sounds and a               medical response team—a physician,
                                                       visual “X” appears on the monitor to              respiratory therapist, and nurse who
                                                       alert nurses that there is a reason to            work together to regulate problems
                                                       reevaluate the situation.                         before cardiac arrest occurs.
                                                       Less than 10 percent of hospitals in      “Patient safety is an ongoing,
                                                                                                  collaborative effort that involves every

                                                       the country use barcoded medication
           hile medical errors are an                  verification technology, according to      department in the hospital,” says
          unfortunate reality in hospitals             the American Society of Health-System      Linda Geisler, RN, MNEd, CNAA,
          across the country, CentraState              Pharmacists. MAK’s use at CentraState      BC, vice president of Patient Services.
   Healthcare System is helping to                     was recently recognized by InfoWorld      “We’re continually working to
   improve the safety of its patients by               magazine as one of the top 100             improve our protocols to better serve
   making a $17 million investment in                  technology projects in the United States. our patients.”
   new technology and initiatives.
                                                       Siemens Soarian Plan of Care                      To learn more about patient safety
  “Our mission is to provide high
                                                       To help make patient care more                    initiatives at CentraState, call
   quality and compassionate care to our
   community,” says Neal Ganguly, vice                 consistent, CentraState has                       (866) CENTRA7. HD
   president and chief information officer             implemented Soarian Plan of Care
   for CentraState. “We can’t accomplish               technology. CentraState partnered with            Patty Barnosky, RNC, scans a patient’s barcoded
   this without making patient safety a                Siemens Medical Solutions, a leader in            wristband to ensure that the patient is getting
   core part of the equation.”                         healthcare technology, to develop this            the right medication and dose, through the right
                                                       new state-of-the-art clinical information         route, at the right time.
   CHANGING FOR THE BETTER                             system. The system allows nurses to
   To improve patient safety, the hospital             more efficiently manage patients, direct
   made numerous changes from both                     interventions, and monitor outcomes.
   technological and clinical standpoints.             Using the system, nurses develop
                                                       flowcharts that consistently lead
   By bringing together departments                    them to certain actions that should
   within the hospital, CentraState                    be performed in order to promote
   was able to use several types of                    patient safety. Examples of the
   advanced technology and develop new
                                                       flowcharts include direction on
   procedures to take patient safety to the
                                                       follow-up lab work that should
   next level.
                                                       be taken with certain medications,
   Medication Administration Check                     evaluations for the risk of falling,
   (MAK) System                                        and reminders about removing
   At CentraState, the complex, bedside                catheters. Through this system,
   MAK system ensures the right patient                CentraState has seen improvements
   is receiving the right medication                   in several areas that allow the hospital
                      10     July/August 2008   Healthy Directions
reaching new heights in

        entraState’s Maternal Child Health       RNC, BSN, MHA, director of Maternal           again, where many physicians and other staff
        Department experienced a variety of      Child Health at CentraState. “We handle lots come for their personal needs.
        highlights for both mother and baby      of deliveries, and area physicians recommend
 over the past year.                                                                          “When physicians and employees choose our
                                                 our facilities to their patients.”
                                                                                               hospital for their deliveries, it’s the ultimate
DEALING IN MULTIPLES                             To meet this growing need, two local          recommendation,” says Kline. “It says a lot
                                                 practices added physicians—Neeti Misra,       about the hospital and the maternity unit
CentraState’s third set of triplets arrived      MD, joined Healthy Woman, and Women’s         that our staff feels comfortable here and
in January. Michael, Benjamin, and Kelsey        Physicians and Surgeons welcomed Karen        chooses our facility for their own needs.”
Marzarella were delivered by Joseph              Krieg, DO. Overall, the number of Ob/Gyns
Cipriano, MD, and Susan Pacana, MD, of                                                         To learn more about CentraState’s
                                                 on staff has risen from 12 in 2000 to 18
Healthy Woman Ob/Gyn (formerly Colts                                                           Maternity Center or to schedule a tour, call
                                                 this year.
Neck Ob/Gyn). A comprehensive staff,                                                                  CentraState’s Health Awareness Center at
including neonatologists, pediatricians,         MORE BABIES                                          (732) 308-0570. HD
nurses, and respiratory therapists, works
                                                 Since 2000, births at CentraState’s First
to ensure the highest level of quality care in
                                                 Impressions Maternity Center have increased
delivering multiples.
                                                 by more than 60 percent. CentraState
HANDLING SPECIAL NEEDS                           marked the deliveries of 2,026 babies in
                                                 2007—another hospital record. More                                Obstetricians/Gynecologists on
CentraState’s Colette Cipriano Special Care      mothers are choosing CentraState for their                        Staff at CentraState
Nursery provides specialized care for babies     delivery needs for a variety of reasons,
born prematurely. The facility is equipped       including high-quality patient care, physician
and ready to handle nearly any complication                                                                        Drs. Back, Seigel & Goldstein
                                                 expertise, and a warm and inviting
a premature baby may encounter.                                                                                     Norman Back, MD, FACOG
                                                 environment. In response, CentraState plans
                                                 to add three additional postpartum beds to                         Mark J. Seigel, MD, FACOG
MILESTONE                                        its growing Maternity Pavilion.                                    Steven A. Goldstein, MD, FACOG
CentraState celebrated a milestone in June                                                                          Susan Schneider, RN, APNC
                                                 “The environment that our mothers are
2007 when Peter Mandel, MD, of Women’s            laboring and delivering in and the quality
Physicians and Surgeons, delivered Jason                                                                           Healthy Woman Ob/Gyn
                                                  care they are getting in the unit explains                       (formerly Colts Neck Ob/Gyn)
Lopes—the 40,000th baby born since                why our numbers keep rising,” says
CentraState opened 36 years ago.                                                                                     Joseph Cipriano, MD, FACOG
                                                  Norman Back, MD, with Drs. Back, Seigel
                                                  & Goldstein and chair of the Ob/Gyn                                Rebecca Cipriano, MD, FACOG
ON THE INCREASE                                                                                                      Neeti Misra, MD
                                                  Department at CentraState.
“Maternity services in the area are growing,”                                                                        Susan Pacana, MD, FACOG
 says Dawn Kline,                                NO PLACE LIKE HOME                                                  Gabrielle Pinzon, MD
                                                        Safrir Neuwirth, MD, an Ob/Gyn on                            Helen Simigiannis, MD
                                                             staff at CentraState with
                                                                 Women’s Physicians and                            Robert Mayson, MD, FACOG
                                                                    Surgeons, and his wife
                                                                       were blessed with their                     Women to Women Obstetrics
                                                                        third child in 2007.                       and Gynecology Assoc., LLC
                                                                          They chose to deliver                     Casandra Hicks-Autry, MD, FACOG
                                                                            at CentraState                          Kimberly Baldwin, MD, FACOG
                                                                                                                   Women’s Physicians and Surgeons
                                                                                    CentraState’s                   Michael Dimino, MD, FACOG
                                                                               third set of                         Michael Kirwin, MD, FACOG
                                                                                triplets, Ben,
                                                                                                                    Karen Krieg, DO, AOBOG
                                                                                Kelsey, and
                                                                                                                    Peter Mandel, MD, FACOG
                                                                                Marzarella (left                    Safrir Neuwirth, MD, FACOG
                                                                                to right), are                      Robert Portadin, MD, FACOG
                                                                                held by parents                     Stefanie Spadafino, PA-C
                                                                               Jennifer and
                                                                             Michael as older
                                                                            sister Cecilia smiles
                                                                          for the camera.

                                                                                         July/August 2008   Healthy Directions
Excellence next door
        uring three weeks of rehabilitation     levels of functioning in a program                   Everyone is pleasant and cheerful,” she
        at The Manor Health and                 nationally recognized for excellence.                says. “They taught me how to do things
        Rehabilitation Center, Eleanor         “Only 12 percent of skilled nursing and               properly. I’m doing so much better now.”
Nover had to relearn how to do some of          rehabilitation facilities in New Jersey are          For more information on comprehensive
the simplest things, like walk across the       accredited by The Joint Commission, and
room and fold clothes. The independent                                                               services or to arrange a tour, call The Manor
                                                The Manor Health and Rehabilitation
90-year-old from Manalapan, who has                                                                  Health and Rehabilitation Center at
                                                Center is one of them,” says Andrew
problems with balance and falling, didn’t       Harris, LNHA, FACHE, administrator                   (732) 431-5200. For more information on
understand the value of these simple            at The Manor Health and Rehabilitation               CentraState’s lifecare and assisted living
exercises at first. “It’s funny. At my age,     Center. “We achieved the perfect score               communities, call (800) 438-0888. HD
they’re teaching me how to walk and             of 100 in our last survey for functional
stand. It seemed ridiculous,” Eleanor says.     independence measure self-care (FIMS),
                                                reflecting our expertise in quickly
Eleanor was admitted to The Manor after
                                                returning patients to functional ability.”
receiving treatment at CentraState Medical
Center for pneumonia and doctors learned       CUSTOMIZED CARE
that she had been falling frequently before
her hospital stay. Therapists at The Manor     Family and friends are invited to                        C  E
observed Eleanor walk from one end of          participate in the rehabilitation and
the room to the other while carrying an        treatment plan, which is created when a                  J  A
object. They noticed that she turned in one    patient is still at the medical center. Each             Call (732) 780-3013 for reservations for all programs.
of her feet while walking, which affected      patient is thoroughly evaluated before
her balance and caused her to fall over.       individual rehabilitation goals are set.                 STROKE SUPPORT GROUP
By the time her therapy was completed,                                                                  Jackson, NJ
Eleanor realized the improvement. “I can       As therapy at The Manor progresses, a
                                               staff monitors patient improvements, and                 Mondays, July 14 & August 11, 2 p.m.
do things I couldn’t do before, like balance
on one foot,” she says.                        the entire clinical team evaluates each
                                                                                                        DINING OUT PROGRAM AND
                                               patient weekly. The focus is on progressive
From elective orthopedic procedures to         rehabilitative care to facilitate optimum
                                                                                                        SENIOR GAMES
medically complex procedures, The Manor        outcomes. The average length of stay for
                                                                                                        The Wellness Center at CentraState
is an integral part of a patient’s path to                                                              Join us for good food and fun with other
                                               rehabilitation is 14 days, compared to the
recovery. Individualized treatment plans                                                                seniors. Breakfast: scones, muffins, and hot
                                               national average of 20.
created by the therapy team are focused on                                                              beverages. Lunch: sandwiches, wraps, pasta,
returning each patient to maximum              Education for patients and their families
                                                                                                        soda, and water. $7 pay at door.
                                               allows them to take control of the ongoing
                                               recovery and rehabilitation process. Before
                                                                                                        Wednesdays, July 16 & August 13,
                                               discharge, a home evaluation ensures each                9:30 a.m.–1 p.m.
                                               patient’s living environment is optimized                SENIORSFIRST MEMBERSHIP
                                                 for transition to home care. Eleanor says
                                                                                                        LUNCHEON— “IT’S A GRAND OLE FLAG”
                                                    she felt prepared going home—she
                                                                                                        Applewood Estates Performing Arts Center
                                                       had a new walker, plans for delivery
                                                                                                        1 Applewood Drive, Freehold
                                                         of meals, instructions for home
                                                           exercises, and arrangements for
                                                                                                        $9. Friday, July 25, 11:30 a.m.
                                                             a visiting nurse and physical              PARKINSON SUPPORT GROUP
                                                              therapist. “I’m glad to be                Manalapan Senior Center
                                                               going home,” she says. “I                211 Route 522, Manalapan
                                                                feel like I can take care of            Tuesdays, July 15 & August 19, 11:15 a.m.
                                                                 myself, although I realize I
                                                                 do need some help.”                    SENIORSFIRST MEMBERSHIP
                                                                 Eleanor says she’s been                LUNCHEON—
                                                                 pleased with CentraState              “DOWN BY THE SEASHORE”
                                                                 during the past 28 years               Applewood Estates Performing Arts Center
                                                                while living in the area. As            1 Applewood Drive, Freehold
                                                                for her time at The Manor,              $9. Friday, August 22, 11:30 a.m.
                                                               “They are wonderful here.
                                                                                                        To learn more about the lifecare
                                                                    During her stay at The Manor        advantage at Applewood Estates, attend
                                                             Health and Rehabilitation Center,          an information session. Please RSVP to
                                                          Eleanor Nover worked with therapists          (732) 303-7416.
                                                        to learn how to properly perform simple
                                                     tasks, like folding clothes, to avoid injury.
Integrative Medicine—
Proactive Heart Disease Prevention

            ardiovascular disease is
            the leading cause of death
            in men and women.
Fortunately, most cardiovascular
disease can be prevented.                                                                                        Vivian Kominos, MD, and
Large epidemiologic studies                                                                                    Andrew Weil, MD
have shown us that diet,
exercise, stress reduction,
friendship, and
affiliation all have a
large impact on if we
will get sick, and if
we will be able to get
healthy again when
                                                                                                                        the patient takes a
we get sick,” says
                                                                                                                        more active role in his
Vivian Kominos, MD,
                                                                                                                        or her care.
program director of
Integrative Health                                                                                                       CUSTOMIZED
and Preventive
Cardiology at
CentraState. “Integrative                                                                                               STRATEGY
medicine offers a way                                                                                         During an initial
to address and ward off                                                                                     consultation with Dr.
disease before it manifests                                                                               Kominos, groundwork
itself in the body, and                                                                                 for a customized plan is
ways to treat disease that                                                                            established and risk factors are
are individualized to a
                                                                                                   identified. Participants provide
patient’s needs.”
                                                                                               a detailed health history that also
CentraState’s new Integrative Health                                                         includes information related to career
and Preventive Cardiology Program                                                            and work environment, diet, vitamin and
offered at the Star and Barry Tobias                                                         supplement usage, exercise, and family
Ambulatory Campus combines                   disease can be avoided before they occur.       relationships. Additionally, information
traditional medicine with evidence-          Integrative medicine also can treat certain     about the patient’s community
based alternative medicine.                  diseases where conventional medicine has        environment, such as ethnic, cultural,
                                             failed. For instance, botanicals may not        and socioeconomic background, also
Integrative medicine looks collectively                                                      provides key information for creating an
at the entire person: the body, mind,        have the same side effects as prescription
                                             drugs, and sometimes can be used in             individual healthcare plan. This report
spirit, and even the community
                                             place of prescription medicine.”                will be supplied to the patient and any
connection. Partnering this treatment
                                                                                             requested physicians.
with conventional medical care can           Dr. Kominos, who completed a two-
help prevent, identify, and treat the root   year fellowship with the program                Potential candidates for the program are
causes of a variety of heart and other       in Integrative Medicine, directed by            people who are motivated to take an
health conditions.                           Andrew Weil, MD—the world-renowned              active role in their healthcare and use
                                             integrative medicine specialist—says an         a combination of resources to achieve
PREVENTING DISEASE                           integrative cardiology program does             improved health.
AND ILLNESS                                  not replace a patient’s primary medical         Whether they are seeking to improve their
Dr. Kominos, of Heart Specialists of         doctor or cardiologist.                         health and vitality, protect themselves
Central Jersey, and board-certified in       Rather, it expands the overall treatment        against a history of family disease, or
cardiovascular disease, says there are a     plan to include the patient’s lifestyle,        looking for ways to manage a preexisting
multitude of reasons to adopt proven         personality, environment, and life              condition such as coronary disease, the
integrative heath services. “Conventional    circumstances.                                  program can help change their lives.
medical care generally addresses
afflictions that have already occurred       Dr. Kominos says that integrative               CentraState’s Integrative Health and
in the body, not what actually caused        medicine is a true partnership between          Preventive Cardiology Program is located
                                             patient and physician because the               at the Star and Barry Tobias Ambulatory
them. Integrative medicine takes a more
                                             relationship is based upon a whole-body         Campus. For more information, call
preventive approach so that sickness and
                                             approach to wellness and healing, and           (732) 637-6366. HD

                                                                                July/August 2008   Healthy Directions
                                                                                                                                                     Star and Barry Tobias

Health Awareness Center Programs                                                     July–August 2008
                                                                                                                                                     Ambulatory Campus
                                                                                                                                                     901 West Main St., Freehold

Student Health Awareness Center                                                           Infant/Toddler Classes
Call (732) 308-1850 for information or to register. Programs for students                 A variety of parenting programs for moms, dads, and infants/toddlers up to 3
at all grade levels include substance abuse prevention, family life, general              years old are offered with age-appropriate topics by an RN instructor. Class
health, and nutrition.                                                                    size is small, and registration can be prorated into currently running sessions
                                                                                          if space is available. Call (732) 308-0570 for information or to register.
Girls Grow Up                              Babysitting Clinic
Monday, July 14, 7–8:30 p.m. or            For girls and boys, ages 11 to                Newborn Parenting                       Jumping Jacks & Jills II
Monday, August 4, 7–8:30 p.m.              15. This one-day, all inclusive               For parents and newborns up             Ages 19–25 months.
$18 per child, parents free.               information session will                      to 4 months.                            Tuesdays, July 1, 10:30–11:45 a.m.
                                           help babysitters become more                  Fridays, July 18, 10–11:30 a.m.         Wednesdays, July 2, 10:30–11:45 a.m.
Boys Grow Up                               confident by teaching them                     4 weeks, first week                      4 weeks, $52.
Thursday, August 7, 7–8:30 p.m.                                                          free, then $35 for remaining            Fun Time
                                           about safety issues and how to                three classes.
$18 per child, parents free.                                                                                                     Ages 26–36 months.
                                           handle emergencies.
                                           Bag lunch required.                           Baby & Me                               Tuesdays, July 1 or July 29, 10:15–11:30 a.m.
                                           Saturday, July 19 or August 16,               Ages 2–6 months.                        4 weeks, $52.
                                                                                         Thursdays, July 17,
                                           10 a.m.–2 p.m. $35. HD
                                                                                         12:15–1:30 p.m.
                                                                                                                                 Stroller Strides
                                                                                                                                 Stroller Strides is a total fitness
                                                                                         5 weeks, $65.                           program that new moms can do with
                                                                                         Wee Two                                 their babies. Taught by a nationally
                                                                                         Ages 7–12 months.                       certified instructor.
                                                                                         Fridays, July 11, 12:30–1:45 p.m.       Mondays, Tuesdays, Wednesdays,
                                                                                         6 weeks, $78.                           or Thursdays, 9:30–10:30 a.m.
                                                                                                                                 $15 per class.
                                                                                         Jumping Jacks & Jills I                 One month unlimited, $60.
                                                                                         Ages 12–18 months.                      10 classes, $100.
                                                                                         Wednesdays, July 2 or July 30,
                                                                                         12:15–1:30 p.m.                         SAFE (Safety Awareness
                                                                                         Thursdays, July 17 or August 7,         Family Education)
                                                                                         10:30–11:45 a.m.                        Information on keeping your home
                                                                                         3 weeks, $39.                           safe for your family.
                                                                                                                                 Thursday, August 14, 7– 8:30 p.m.
                                                                                                                                 $10 per person/$15 per family. HD

Adventure to Health
This totally interactive health science museum continues to impress adults
and children who experience it! Nineteen exciting exhibits encourage
children to explore the wonders of the human body and learn while
having fun. School groups are scheduled during the day, while families
                                                                                          Childbirth Preparation
                                                                                          Call (732) 308-0570 for information or to register. All prenatal and childhood
can participate in this adventure on Saturdays from 11 a.m. to 4 p.m., and                programs taught by registered nurses.
daily during school vacations. Scout groups are welcome by appointment.
Adventure to Health is best experienced by children over 6 years old.                     Journey Through Childbirth                 Sibling Preparation
                                                                                          Understanding comfort measures             Ages 3–10,
   How about scheduling a unique birthday party? Adventure to Health is                   for labor and birth.                       Thursdays, July 10 or August 7.
reserved just for the “party-goers.” Healthy snacks, goody bags, special gifts            • Tuesdays, July 15, 7:30–9:30 p.m.,       $15 each child, discounts for
for the birthday child, and other features make this a one-of-a-kind                        5 weeks, $120 ($175 package price        multiple children.
birthday. Let your child be the first on the block to experience this special                available for prepared childbirth,
party venture.                                                                              breastfeeding, and infant care).
                                                                                          • One-Day Class, Saturday, July 12
   Please call (732) 308-1850 for information, fees, and scheduling. HD                     or Sunday, July 13                            All prenatal and childhood
                                                                                            9 a.m.–4 p.m., $130                               programs taught by
                                                                                            ($175 package price).                              registered nurses,
Kid’s Classes                                                                             • Breastfeeding Class,
                                                                                            Thursday, July 24, 6:45–9:45 p.m.
                                                                                                                                           and all free community
                                                                                                                                             screenings, including
Kids Crafts                  Two Doodle                     Musical                         Saturday, July 12 and August 9,                blood pressure, glucose,
Ages 3–5.                    Ages 2 1/2–3 1/2               Munchkins                       9 a.m.–12 p.m. $45.                            and mobile wellness van
                                                                                          • Infant Care Class,                            outreach are cosponsored
Mondays, July 21,            and their parents.             Ages 2–3 with
                                                                                            Saturday, July 26 or August 23,                  by the Visiting Nurse
11 a.m.–12 p.m.              Mondays, July 21,              parents, 3–5                    9–4 p.m.                                             Association of
5 weeks, $50.                10–11 a.m.                     without parents.                3 weeks, $63.                                        Central Jersey.
                             5 weeks, $50                   Thursdays, July 24,           • Multiple Birth,
Tumbling Tots                                                                                                                                    Call the VNA
                                                            10:45–11:30 a.m. (with          Thursdays, July 17 & 24, 7–9 p.m.                 of Central Jersey at
Ages 3–5.
Fridays, July 25,                                           parent);                                                                          (800) 862-3330. HD
                                                            11:30 a.m.–12:15 p.m.
10:45–11:30 a.m.
                                                            (without parent).
5 weeks, $50.
                                                            5 weeks, $50. HD
                            14        July/August 2008   Healthy Directions
  F o r m o r e i n f o r m a t i o n o n t h e s e c l a s s e s a n d o t h e r p r o g r a m s o f f e r e d a t t h e H e a l t h A w a r e n e s s C e n t e r,
  i n cl u d i n g s c h e d u l e a n d d e s c r i p t i o n , p l e a s e v i s i t w w w. c e n t r a s t a t e . c o m o r c a l l ( 7 3 2 ) 3 0 8 - 0 5 7 0 .

Novo Nordisk Diabetes Center                                                                  Integrative Therapies
Recognized by the American Diabetes Association, this comprehensive
program teaches people with diabetes all they need to know to lead normal,
healthy lives.                                                                                Please call (732) 308-0570 for information or to register.
Classes include: • Survival skills       • Meal planning, • Stress management
                 • Blood glucose           including carb    and exercise                     Reiki                                             Meditation for Self-Renewal,
                   monitoring and          counting                                           One hour, $60. 1/2 hour, $35.                     Health, and Well-Being
                   medications           • Risk reduction                                                                                       Experience and explore several
The Center also offers an insulin pump program, a gestational diabetes
                                                                                              Yoga for Those with
                                                                                                                                                sitting, easy movement, and
program, individualized insulin starts, and carbohydrate counting with insulin                Multiple Sclerosis
                                                                                                                                                visualization meditation
adjustment protocols.                                                                         Work your muscles at your
                                                                                                                                                techniques. Ease tension, feel
For more information, please call (732) 294-2574. HD                                          own pace with specially trained
                                                                                                                                                more positive, and boost your
                                                                                              Yoga instructors.
                                                                                                                                                immune system.
                                                                                              Mondays, 6–7:15 p.m.,
                                                                                                                                                Thursdays, 7–8:15 p.m.,
                                                                                              8 weeks, $60.
Weight Management                                                                             Reiki Certification Classes
                                                                                                                                                5 weeks, $85.

for the Whole Family                                                                          $150.
Nutrition consultation and personal training
by appointment.
Reevue Metabolic Analyzer                       Healthy Cooking Demos                             The Lebed Method: Focus on Healing
Learn your resting metabolic rate and           New! Bring out your “inner chef”                  This is an exercise program for men and women who are
fine-tune your weight management ef-             with interactive meal makeovers                   recovering from surgery or who have a history of cancer,
forts. A simple, 30-minute, noninvasive         that will tantalize your taste                    lymphedema, fibromyalgia, or arthritis. This fun and medically
testing procedure helps to identify how         buds and boost your nutrient                      sound six-week program, which is great for seniors, is taught
many calories your body needs. Then             intake. Learn simple tips that will               by a specially trained Lebed Method instructor. Using music
learn how to use that information to            transform your favorite meals                     and gentle flowing movements, this class improves circulation
make a difference in your health. By            into scrumptious, heart-smart                     and overall sense of well-being. Chairs are used for exercise and
appointment. $59.                               selections. Call the HAC at                       resting. $59.
                                                (732) 308-0570 for a list of
Individual Consults:                            upcoming demos, including
Registered Dietitian                            diabetes, low fat, low carb, and
Healthy meal planning for weight
management and improved well-being.
                                                children’s cooking classes.                   CPR First Aid Training
By appointment.                                 Shapedown for Children                        Use of these materials in the educational course does not represent course
                                                Mini-Summer Shapedown                         sponsorship by the American Heart Association, and any fees for this course
Twist & Shout                                   5-Week Session,                               and/or material do not represent income for the American Heart Association.
Aerobic and body building program for           This nationally known program                 Call (732) 308-0570 for more information.
kids ages 8–12 who want to strengthen           helps children ages 8 to 12
muscles and improve balance and                 work together to develop                      Friends and Family CPR                            Heartsaver First Aid
flexibility using varied, fun equipment.         healthy eating and activity                   Basic CPR training designed to                    Saturday, July 19, 9 a.m.–12 p.m.
A great program for young athletes. $79.        behaviors while developing                    teach one-rescuer CPR and relief                  $50.
Custom Fit Weight-Loss                          powerful communication skills                 of choking. This is a non-
                                                to better navigate the formative              certification class.                               Healthcare Provider
Lecture Series                                                                                                                                  Full course.
NEW, coming this fall.                          years. Taught by specially                    Saturday, August 16, 9–11:30 a.m.
                                                trained professionals.                        $35/$60 (couple).                                 Saturday, August 2, 9 a.m.–2 p.m.
Starting in September, you can choose
                                                Tuesdays, July 15 through August 12,                                                            $65.
from 10 different lecture topics and                                                          Heartsaver AED (Adult/Child CPR
several different cooking classes. In           5:45–7:45 p.m.,
                                                Health Awareness Center.                      with AED)                                         Pet CPR and First Aid
addition, you choose the class date and                                                                                                         Learn how to provide immediate
                                                $235 per child and parent,                    Friday, July 25, 9 a.m.–12 p.m.
time that fits into your schedule. Don’t                                                                                                         care for an injured or suddenly
miss classes because they don’t fit into         $25 for additional sibling. HD                Friday, August 29, 9 a.m.–12 p.m.
                                                                                              $50.                                              ill pet.
your life.                                                                                                                                      Sunday, July 13,
   Pay for only the classes you need—set
of 4, 6, or all 10. Price reflects the
                                                                                              Heartsaver CPR                                    11 a.m.–3 p.m. $35.
number of classes chosen.                                                                     Adult, child, and infant.
   Call the Health Awareness Center at                                                        Saturday, July 26 or August 23,                   We also offer ACLS
(732) 308-0570 to get your Custom Fit                                                         9 a.m.–12 p.m. $50.                               and PALS. HD
Weight-Loss Lecture Series calendar.
                                                                                                                      CORPORATE HEALTH SERVICES
                      TIME TO QUIT! SMOKING CESSATION                                             The Health Awareness Center offers a full range of health screenings,
        Trained tobacco dependency treatment specialists provide private                              informative seminars, a mobile wellness van, health fairs, and
     assessments to determine which path you should take to quit smoking                          customized corporate health programs. Screenings include preventive
                      based on your health and social history.                                      health, blood pressure, vision, hearing, and cholesterol screenings.
                   Six group and individual classes are offered.                                      The program is brought on-site to large and small businesses.
           Please call (732) 308-0570 for upcoming summer dates. HD                                           Call (732) 308-0570 for more information. HD

                                                                                                        July/August 2008   Healthy Directions
CentraState has expanded its Perinatology Program in
collaboration with the Division of Maternal Fetal Medicine
Department at Saint Peter’s University Hospital, New Brunswick.
The comprehensive program is under the direction of Edwin
Guzman, MD, chair of Maternal Fetal Medicine, Saint Peter’s. The
program provides consultations for maternal and fetal conditions
affecting pregnancy along with routine ultrasounds, first trimester
screening for aneuploidy (a condition in which the number of
chromosomes is abnormal due to extra or missing chromosomes),
level II/genetic ultrasounds, 3-D/4-D ultrasounds, and a wide range
of fetal testing and genetic counseling. Located at CentraState’s
First Impressions Maternity Center, the program’s initial hours are
                                                                                          Sandra Connolly, MD (second from left) and Anthony Emanuel, MD (third
Mondays and Wednesdays from 8 a.m. to 6 p.m.
                                                                                      from left) are the “Physicians of the Year” at CentraState Medical Center. They
Telephone consultations are available 24 hours a day, seven                           are flanked by Steven Mishkin, MD, chief of staff, and John Gribbin, president &
days a week, through CentraState and the Labor and Delivery                           CEO, CentraState Healthcare System. Dr. Emanuel, a board-certified pediatrician
Department at Saint Peter’s University Hospital. For more                             with Pediatric Health, PA, is the immediate past chief of staff at the hospital and
information, call (732) 303-5114.                                                     a previous chair of the Department of Pediatrics. Dr. Connolly, board certified in
                                                                                      family medicine, is a house physician at CentraState and previously worked in the
NATIONAL CANCER GROUP CITES                                                           Emergency Department.
The American College of Surgeons Commission on Cancer has                             CENTRASTATE WOMEN’S HEALTH
presented CentraState Medical Center an Outstanding Achievement                       CENTER OFFERS DIGITAL
Award for high-quality cancer care. After conducting an on-site
survey last November, the Commission announced in April a
three-year re-accreditation with commendation through 2010 for                        The Women’s Health Center at CentraState Medical Center now
CentraState as a Community Hospital Comprehensive Cancer                              offers digital mammography, the latest technology that provides
Program. This is CentraState’s second consecutive Outstanding                         superb images and greater exam efficiency for patient comfort.
Achievement Award from the Commission, which sets the                                 The system also features computer-aided detection (CAD), which
standards for cancer care nationwide. Only 66 of the 453 cancer                       immediately provides a “second read” of the mammography by
programs surveyed in the U.S. in 2007 received this award.                            a computer. The Women’s Health Center also provides a breast
CentraState’s was one of only five in New Jersey to do so.                            health specialist who is knowledgeable about breast disease and is a
                                                                                      public educator on early breast cancer detection.
                                                                                      For more information about CentraState Medical Center’s Women’s
                                                                                      Health Center services, call (732) 294-2626. To schedule an
                                                                                      appointment, call centralized scheduling at (732) 294-2778.

                                                                                                                 SAVE THE DATES
                                                                                                                    Kid’s Health Fair
                                                                                                               Saturday, September 6
                                                                                                     Star and Barry Tobias Ambulatory Campus
    Daniel J. Messina, PhD, FACHE, senior vice president and COO, CentraState
Healthcare System and chairman, Mid-Jersey Chapter of the National Multiple                                    Weight-Loss Symposium
Sclerosis Society (center), poses with the first graduates of the new MS Wellness                              Tuesday, September 23
Program offered through CentraState’s Linda E. Cardinale Multiple Sclerosis Center.                  Star and Barry Tobias Ambulatory Campus
The 12-week program includes education, stress management, and aquatic therapy                            Call (866) CENTRA7 to register.
and exercise programs that focus on balance, movement, strength, and flexibility.
The MS Center treats more than 500 patients and will be offering clinical trials.