Download April 2010 - Overlook View Magazine

Health & Lifestyle Magazine
OVerlOOK
April 2010
Over
Hospliotaok
l
HIGH-TECH
TOOLS
Overlook’s
Robotic Revolution
GOING GREEN
DECODING
AUTISM
Making Your
Home Healthier
Actress Holly Robinson Peete Speaks Out
Mercedes-Benz of Union
2585 Rt.22 West, Union, NJ 07083 | 908-379-7200 | RayCatenaUnion.com
Overlookview.com | 3
View From the Top
OVerlOOK
Vo l u m e
6 ,
I s s u e
3
Overlook Hospital Staff
John Rosellini
Director, Business Development
Joyce Passen
Manager, Community Health
Diane Fischl
Manager, Physician Relations
Directors
David Fink
Greg Feder
What will our hospitals look like in the next 50 years? It’s impossible to say, but at
Overlook we believe in setting the curve, not trailing it, to create a quality of care—and
caring—that is second to none. Several weeks ago, in a poll of the state’s physicians by
Castle Connolly, one of the nation’s most respected sources for healthcare research and
information, Overlook Hospital earned the highest marks among all large New Jersey
hospitals for its treatment of strokes and other neurological disorders. The hospital also
ranked among the top 10 for the treatment of breast, prostate, and pediatric cancers, as
well as hip and knee replacement and congestive heart failure. And just a few weeks
before these honors were announced, Overlook received the 2010 HealthGrades Stroke
Care Excellence Award, ranking us among the top 10 percent of hospitals nationwide for
stroke care. That’s no small feat, and it is a proud reflection of Overlook’s commitment
to acquiring the best technologies and treatments for our patients. Onsite imaging devices
like the Aquilion One CT scanner and Biplane Angiographic Unit are on our front lines
for diagnosing and treating strokes, saving lives that are dangerously in peril. Throughout
the hospital our high-tech tools for the twenty-first century are vital to patient care, and
our most recent addition, the da Vinci robot, leads the way. As you’ll learn in “Smooth
Operator” on page 34, the da Vinci is making it possible for doctors to make new strides
in minimally invasive surgery, performing procedures that produce fewer complications
and smoother recoveries. You already may have gotten a glimpse of the impressive
machine on such television shows as Grey’s Anatomy and The Doctors, but away from
the soundstages our physicians are using it in our operating rooms every day to set new
standards for surgical care. It’s that dedication to improving patient experiences and
quality of life that drives us, distinguishes us, and inspires our passion to lead.
Sincerely,
Editor
Alyson Black
Photographer
Tom Sperduto
Designers
Tuyen Teasdale
John Glavasich
Jenna Familletti
Production
Tina Shields
Ad Sales/Marketing
Heather Malinowski
Overlook View is mailed directly to over 90,000
homeowners in select demographic areas of Union,
Essex, Morris, and Somerset counties in NJ. Overlook
View is published ten times throughout the year.
Editorial inquiries and calendar information can be
sent to:
Overlook Hospital/Overlook View
99 Beauvoir Avenue
Summit, NJ 07901
email: [email protected]
For more information regarding advertising rates,
schedules, and subscriptions:
The DavidHenry Agency/Overlook View
10 Prospect Street, 2nd Floor
Westfield, NJ 07090
Tel: (866) 934-3126 ext. 106
[email protected]
The views expressed in columns appearing in Overlook
View are not necessarily the views of the publisher.
Although every effort is made to present accurate
information, schedules, hours, prices, or other
materials are subject to change and not guaranteed.
Alan Lieber
President
The information contained within this magazine and
Website is not intended as a substitute for professional
medical advice, for which your physician is your best
choice. The information in the articles, Website, or
the sites to which it links should not be used as the
basis for diagnosing or treating any medical condition.
Reproduction of Overlook View in whole or in part
without written permission from the publisher is
prohibited. Copyright ©2010. All rights reserved.
www.overlookview.com
Cover photo by: Christopher Voelker/
Voelkerstudio.com.
4 | April 2010
ww w. a tl a n ti c h e a l th . o r g /O ve r l o o k
Congratulations to the Entire
Overlook Hospital Team!
Overloo
Hospita k
l
TOP HOSPITAL
for Stroke
TOP HOSPITAL
for Neurological Disorders
Thank you to all of the physicians around the state
who voted for Overlook Hospital.
For a referal to an Overlook Physician, call (866) 854-3381
Research conducted by Castle Connolly Medical Ltd.,
in partnership with Inside Jersey magazine, April 2010
c on ten t s
April 2010
features
8Picking Up the Pieces
More children than ever before are being
diagnosed with autism. Learn about the
signs you shouldn’t miss.
18Mindful Living
12
Coping with anxiety, depression, and other
mental-health disorders.
24It’s Easy Being Green
Making your home more environmentally
friendly may make you healthier too.
34Smooth Operator
Robotics are revolutionizing surgery, and
patients are reaping the benefits.
38Picture-Perfect
High-tech imaging provides doctors with the
close-ups they need to assess your health.
40Critical Factors
Overlook earns top marks for stroke care.
ON THE COVER
THE POWER OF LOVE
Actress Holly Robinson Peete opens up about her
experiences as a parent of a child with autism—
and stands up for autistic children everywhere.
columns
30 Community
Health Calendar
42 Photography 101
44 Kaleidoscope
48News & Views
52 Foundation Happenings
54 Culinary Corner
Overlookview.com | 7
Picking Up
By Alyson Black
the
“Autism—described as a spectrum of disorders because no two children embody the disorder in the
same fashion or with the exact same strengths and deficits—requires children and their families to
adapt to the world in ways they never expected.”
8 | April 2010
Pieces
More children than ever before are being diagnosed
with autism spectrum disorders. But with the right
therapies and support services, they—and their
families—are learning how to cope with this most
puzzling of developmental disorders.
The ever-increasing numbers of light-blue puzzle pieces tacked to
lapels and smacked on car bumpers do nothing to reflect the nature of
the autism spectrum disorders they represent, but they do tell a story
of sorts about just how many children are affected by these disorders.
In fact, according to statistics from the Centers for Disease Control,
one child in 110 is on the autism spectrum. In New Jersey the picture
is bleaker, with one child in 94 affected by these disorders. And males
in our state bear a heavier burden, with one in 60 boys afflicted.
or poor understanding of language. They often exhibit poor eye
contact and have restricted interests or obsessive tendencies. Selvaggi
Fadden explains that sensory-integration disorders are very common
with autism, too. “Children need to be taught to be desensitized
to certain things,” she says, citing loud sounds like fire alarms or
physical contact like hugs. “Many of these children are tactiledefensive; if someone touches them, they shy away. But they can
slowly get used to situations that are very upsetting for them.”
The stories of these children often are best told by parents, not by
puzzle pieces, not by the children themselves, because many of
these kids can’t express themselves appropriately—which is to say
that some, on the most severe end of the spectrum, are completely
nonverbal, while others who are less affected cannot convey
meaningful language and others just simply cannot put into words
the reality of their experience.
Sensory-integration difficulties are not the only challenges faced by
autistic children. Tara Gleeson, MSN, CPNP, a certified pediatric
nurse practitioner with the Child Development Center, explains that
co-morbidities—conditions that exist in tandem with autism—are not
uncommon. Hyperactivity, inattention, sleep disorders, seizures, and tics
often complicate presentations of symptoms that are already complex.
But the reality is that autism—described as a spectrum of disorders
because no two children embody the disorder in the same fashion
or with the exact same strengths and deficits—alters children’s
lives, families’ lives, and requires these children and their families
to adapt to the world in ways they never expected. Most of the
hundreds of thousands of people living with autism have difficulty in
communication and social interactions, and present behaviors that are
odd or repetitive.
“I’d like to demystify autism,” says Kathleen Selvaggi Fadden,
MD, medical director of the Child Development Center at Goryeb
Children’s Center at Overlook Hospital and Goryeb Children’s
Hospital at Morristown Memorial. “I consider it more a learning
disability for social interaction.”
Understanding Autism
It’s impossible to say that anyone completely understands autism. Its
causes remain largely unknown (though certain genetic disorders like
Fragile X syndrome predispose kids), and while clinicians can cite
hallmarks of the disorder and parents can report observations of their
children’s behavior, there is still so much to learn. What we do know
is that children with autism exhibit deficits in areas of communication
and social skills. Many have delayed speech, limited language skills,
Within the autism spectrum are sub-categories, each with its own nuances.
• Asperger’s syndrome is distinguished by engaging in one-sided,
long-winded conversations—often in a monotonous, rigid, or fast
manner—without noticing if anyone is listening or trying to change
the subject. People with Asperger’s have difficulty “reading” other
people or understanding humor, and appear not to understand,
empathize with, or be sensitive to others’ feelings. Moreover, they
often move clumsily and have awkward body postures and gestures.
They may show an obsession with one or two specific subjects (like
sports statistics, train schedules, or dinosaurs)—but in some cases,
this ability to retain volumes of information can be very helpful. “A
lot of kids with Asperger’s do very well in elementary school where
memorization is key to academic success,” says Selvaggi Fadden.
“They have more difficulty in high school, however, especially with
social interaction.”
• Patients with PDD-NOS (Pervasive Development Disorder—Not
Otherwise Specified) show impairment in social interactions, but do
not meet the full criteria for autistic disorder.
• High-functioning autism should not be misinterpreted as having “less”
autism. Instead, high-functioning autistics meet the criteria for full
autistic disorder (they still have trouble with eye contact and social
interaction, and exhibit little interest in others), but have high intelligence.
Overlookview.com | 9
Diagnosing Autism
Selvaggi Fadden and Gleeson both report that the medical
community has gotten better not only at recognizing the signs of
autism but also at diagnosing the disorder. “We’re also including
children with mild disorders who may not have been diagnosed in
the past,” says Selvaggi Fadden.
At the Child Development Center, Gleeson explains, she works
alongside a team of developmental pediatricians to assess cognitive
ability, motor skills, development of language and communication,
social ability, and play skills during an initial consultation. “We
diagnose multiple children every week, following a full neurodevelopmental assessment,” she says, “and then recommend and
guide parents to access appropriate services.”
Parents provide a medical history, including information on such
developmental milestones as eye contact, pointing, and talking.
Children as young as 18 months are screened with the Autism
Diagnostic Observation Schedule (ADOS), the gold standard—and
the only standardized test—for diagnosing autism. The ADOS
includes a series of play-based activities that are determined by
the age of each individual child. In one assessment, for example, a
selection of toys may be put out on a table. Some of these toys will
be age-appropriate; among them will be a couple of things known
to be more appealing to an autistic child. “We observe how the child
interacts with his environment,” Gleeson says. “We note a child’s
joint attention skills—how he responds to his name, makes eye
contact, follows directions. We observe behaviors that are correlated
with the deficits typical of autism.”
Treating Autism
Although there is no “cure” for autism, a variety of therapies can help
a child grow, succeed, and reach his fullest potential. “The earlier
the age of diagnosis and intervention with treatment, the better the
prognosis,” says Gleeson.
Following an autism diagnosis, the Child Development Center
assists parents in securing help for their children.
For children age three and younger, that help
often comes through the state’s Early Intervention
program. For older children, local school
systems usually become a first-line resource
with special-education classes and therapies
tailored to each child. In New Jersey, 97
percent of kids with autism are receiving
special-education services.
Physicians at the Child
Development Center also are
available to provide ongoing
pharmacological care for
the co-morbidities that often exist with autism. Medications don’t
cure autism, but they can help ease the symptoms of such things as
anxiety, hyperactivity, and aggression. “When we treat symptoms,
kids are better available to learn,” says Selvaggi Fadden.
Other children on the spectrum benefit from counseling. Clinical
psychologist Christopher Lynch, PhD, also of the Child Development
Center, has achieved great success teaching coping techniques and
strategies to Asperger’s patients and high-functioning autistics.
“Kids with autism can learn a lot of skills,” he says, “but they don’t
necessarily know how to apply those skills. My goal is to get them
to practice coping techniques when they need them, in environments
where it counts.” In fact, Lynch says, this is exactly what kids want
to be able to do. He reports that in interviews with adults with
Asperger’s or high-functioning autism, patients “don’t want to
change who they are fundamentally. They mostly want strategies for
dealing with their needs.”
To that end, Lynch co-facilitates through the Child Development
Center a monthly support group with Lewis Dlugasch, LCSW, to
help parents of autistic children cope with their own needs, too.
The group provides information and education, and also provides a
network of other parents from which to draw support. Because when
a family is faced with the challenges of autism—heart-wrenching
experiences with everything from lack of communication to tantrums
to toileting issues to lack of understanding from society at large—it
is very easy to feel alone and isolated; it is too hard to determine
where to turn first or next; and it is too easy for parents to slip into a
place where darkness overtakes the light.
“But autistic kids can do really well,” Selvaggi Fadden says
reassuringly. “And it’s never too late to make a difference.”
To learn more about more about Goryeb Children’s Child
Development Center, call (866)-385-4042.
Know the Signs
April is autism awareness month—but every day should involve autism
awareness if you’re the parent of a young child. Doctors say you should be
aware of milestones, and report any that are missed.
››
››
››
››
A t 7 months: Your baby should engage in social smiles and eye contact.
At 9 months: You and your baby should be able to maintain a back-and-forth
sharing of sounds.
At 12 months: Your baby should be answering to his name, babbling, and
pointing to things of interest or things that he wants.
At 18 months: Your toddler should be using single words and engaging in
pretend play (giving a bottle to a doll, using a block as a telephone, etc.).
Red flags include:
Missing any one of the typical developmental milestones.
›› A regression or loss of ability at any age. As many as 30 percent of children with
autism experience this, often at 15 to 24 months of age.
›› Rapid head growth.
›› Play
skills that are more repetitive (lining things up by color, for example) than
play-based.
›› The
ability to talk without the ability to carry on a spontaneous,
meaningful conversation.
››
If you have any concerns, talk to child’s pediatrician about having him evaluated.
If your child is three or younger, you can contact the state’s Early Intervention
program (888 NJ EI INFO) for information.
10 | April 2010
To learn more about Goryeb Children’s Child Development Center, call
(866)-385-4042.
Overlookview.com | 11
By A ly s o n B l a c k
When actress Holly Robinson Peete learned her son had been diagnosed with autism, she was
sure her whole world had fallen apart. Then she picked herself up and fought back.
“We call it the world’s worst day—like someone had just dropped us off
in the middle of a foreign country where we couldn’t speak the language
and we couldn’t communicate. So little was known just a decade ago:
There was no Welcome to Autism book; there was no map.”
In fact, it was 2000 when actress Holly Robinson Peete and her
husband, famed quarterback Rodney Peete, learned that their son R.J.
had autism. He was nearly three at the time—a sliver of the young man
he is today—and his diagnosis felt like a “punch in the gut,” she says.
“We sat there stone-faced as a lady read us a laundry list of things that
R. J. would never do. She told us he would never play a sport, never
engage in impromptu conversation, never say ‘I love you,’ never show
affection, never make eye contact, never understand when he’s in
danger. My husband and I were just devastated, and in shock and denial
for a period of time. Where are we supposed to go?, we wondered.
Where is the hope? There was none.”
They were standing at the intersection of Anger Boulevard and
Pissed-Off Avenue, Holly recounts, and it was there that they
remained—blindsided and seemingly stuck—for a while. She admits
that R.J.’s diagnosis and the struggles they faced took a toll on their
lives as a family and stressed her marriage to Rodney. “Now, I know
exactly why that is,” she says. “You have a child who can’t express
himself. It can be difficult to wrangle his behavior. And the outside
world doesn’t understand.”
12 | April 2010
It was that lack of understanding that prompted Holly and Rodney to go
public with their story—a decision that Holly arrived at first, and that
neither arrived at lightly. “Rodney didn’t want to drag R.J. out as the
autism poster boy,” Holly says, “but nobody was talking about autism
and we knew we had to come out and talk publicly.”
She was used to the spotlight of course, growing up as the daughter of
Matt Robinson (the original Gordon on Sesame Street) and blossoming
into a star in her own right, starring on 21 Jump Street and Hangin’
With Mr. Cooper in her twenties and thirties. She has hosted a satelliteradio show and most recently has been seen battling in Donald Trump’s
boardroom on Celebrity Apprentice. But it is in her role as a mother
and autism activist (she is on the board of Autism Speaks, the nation’s
largest autism science and advocacy organization) that has found
herself under the brightest spotlight.
Today, she encourages parents of newly diagnosed children to go
through their full range of emotions. “Take the time to be upset,” she
recommends. “Go to that place of ‘Why me? Why my kid?’ Give
yourself a chance to feel sorry for yourself—you’re allowed to do
that. And then you have to snap out if it. If you’re lucky to get an early
diagnosis, you have a lot of opportunities to help your child. Go over the
top to figure out what you can do. Be a detective. If you find something
and find it early, there is a better opportunity to find results.”
Actress, mother, and
Autism Speaks activist
Holly Robinson Peete with
her 12-year old twins,
R.J. (far left) and Ryan.
Photo by Christopher Voelker/Voelkerstudio.com
Overlookview.com | 13
Go to that place of
‘Why me?
Why my kid?’
She practiced what she preaches to others. “I knew I had a short window
of time while R.J. was developing,” she says. “I knew that the earlier
I intervened, the better shot I had of bringing him out of autism. So I
started to put the puzzle together. We immersed him in everything we
could. We got him tested for allergies and checked his gastrointestinal
health, and learned he had a parasite and a gluten allergy. Instead of just
following a prescription for behavioral medicine, we decided to treat the
whole child.” They cobbled together pieces of one therapy and parts of
another to arrive at a program that best suited R.J.’s needs—and they
began to see results.
Indeed, R.J. has notched milestones that experts said he never would
achieve, like saying “I love you” and engaging in spontaneous
conversation. “When we see our son having a fight with his younger
brother, we’re thrilled because it’s a typical moment,” Holly says with a
laugh. R.J. has interests and is engaged in his surroundings. He is doing
well in school and—with some help from Holly and Rodney and his
twin sister, Ryan—R.J. even has a group of neurotypical friends who
have embraced him. A few years ago Ryan, always the concerned and
protective sister, pointed out to her parents the social difficulties R.J. was
encountering at school. “She said we had to come to school and talk to
the other kids,” Holly remembers. “It was Autism 101 for fourth-graders,
and it was like sitting in front of a firing squad. We asked them, ‘What
Photo by Christina Lurie
You’re allowed to do that.
And then you have to
snap out if it.
are you really great at? What are you bad at?’ We told them that R.J.
could tell them the name of every professional baseball player, every
professional football player, every president. We told them that there are
all these cool things he can do—but he has a hard time making friends.
“Their faces dropped,” she says, remembering that day. “It was like a
cloud had been lifted. But the play dates started, and he became part of
the pack he couldn’t break into.”
Still, Holly knows the road ahead is long. “Autism re-presents itself
as a child grows,” she explains. “R.J. is 12 now and the hormones are
palpable. Puberty for kids with autism is much harder than it is for other
children—the hormones are combined with autism’s social miscues and
the inability to read situations. So we’re going through the next phase.
This is where you start asking, ‘Will he ever live on his own? Will he
ever get a driver’s license, a job? Will he have meaningful relationships
with females? Will he graduate from high school?’
“There are a lot of uncertainties,” she continues. “The future is a little
bit daunting. It’s a tiring, never-ending journey. But hopefully we—and
every family coping with autism—can all go through it with people who
understand, with spouses that support us, with communities that love
their children, and with friends.”
My Brother Charlie
When Holly Robinson Peete’s daughter, Ryan, was in second grade, she wrote an essay called “The Invisible Twin.” It was the story
of a young girl much like herself who had a twin brother—much like her own—who didn’t play with her. “It was heartbreaking,” Holly
remembers, “but Ryan said she wasn’t sad—she was just being honest.” The story, told with the earnest tone of a young child, made
its way from one e-mail address to another before it landed in the inbox of someone at Scholastic.
No mainstream big publisher had a children’s book about autism at the time, and Holly was approached with an offer to turn
Ryan’s essay into something more. From that conversation was born My Brother Charlie, a fictional children’s book based on the
Peete family’s own experiences with autism. As the reader encounters Charlie’s abilities to swim, play piano, and connect with the
family dog, the other things that set Charlie apart become less important. The book brims with lessons of patience and acceptance,
and is a heartwarming glimpse at a sister’s unconditional love for her brother.
My Brother Charlie, written by Holly Robinson Peete and Ryan Elizabeth Peete and illustrated by Shane W. Evans, is on sale now. A portion of proceeds
from the book will be donated to the hollyrod4kids Foundation to help children with autism gain access to affordable treatments and therapies.
14 | April 2010
866-473-3165
Overlookview.com | 15
are your legs ready
for your shorts?
Our phys
have been icians
in
in New Y cluded
ork and
New Jers
ey magazi
nes’
B
DOCETST
ORS
list sin
ce 1999.
The best doctors...the best treatments...the best surroundings...
That’s what The Vein Center is all about.
The facility is fully prepared to employ any treatment option:
The Vein Center is the only facility of its kind staffed exclusively
by Vascular Surgeons...the doctors most qualified to treat vein
problems. All of the physicians are board certified vascular
surgeons and nationally recognized as experts in the field of
venous disease.
• Laser treatment
Our physicians have been included in New York and
New Jersey magazine’s BEST DOCTORS list since 1999.
Rest assured...no matter what your vein problems...there is no
better place for treatment than The Vein Center.
• Sclerotherapy (injections for spider veins),
• Surgical removal–depending on your needs.
And, it is the only facility that feels less like a medical center and
more like a comfortable environment that you will enjoy coming to!
Jonathan Levison, MD | Clifford Sales, MD | Salvador Cuadra, MD
Westfield • Belleville • Springfield
877-322-2714 • www.tcvcg.com
The number of people dealing with mental-health disorders is at an all-time
high. But with treatments and therapies, no one has to suffer in silence.
Mindful Living
By Stacey Stapleton
It might be considered a population explosion: Today, experts estimate
that 14 million adults—and 1 in 5 children—are suffering from
mental disorders, from mood and anxiety issues and substance abuse
to childhood issues like ADHD. And if it seems like these numbers
are higher than they were 15 or 20 years ago, you’re right—but
that’s not necessarily because more people are developing mental
disorders. Rather, more people are being accurately diagnosed. “Good
mental health is the ability to function normally day to day,” explains
Rosalind Dorlen, PsyD, ABPP, a clinical psychologist at Overlook
Hospital. “It’s usually once a condition begins to interfere with a
person’s daily life that they, or their family members, seek treatment.”
Here, we bring you the facts behind several of the most common types
of mental disorders so you can better understand the conditions faced
by the friends, loved ones, and coworkers you encounter every day.
High Anxiety
Anxiety disorders are the most common mental-health concerns, and
include such chronic conditions as obsessive-compulsive disorder
(OCD), panic disorders, post-traumatic stress disorder (PTSD), and
phobias. “We all have anxiety,” says Dorlen, “but people who suffer
from anxiety disorders tend to have an exaggerated sense of worry
about things that occur in everyday life. They often have trouble
making decisions and suffer from an abnormal fear of impending
doom.” And in many cases, the patient may even recognize that their
fears are irrational, but still cannot overcome them.
• OCD: Obsessive-compulsive disorder generally involves performing
repetitive behaviors (called compulsions) such as hand washing,
counting, checking items around the house, or cleaning to ward
off recurrent, unwanted thoughts (called obsessions). Performing
these “rituals,” however, provides only temporary relief, and not
performing them just increases anxiety—thereby making the need for
the compulsion ever greater. While it’s not possible to cure OCD, it
can be managed effectively and controlled with antidepressants and
therapy. “In many cases, behavioral therapy that includes exposure
and response prevention is very effective in treating OCD,” says
Peter Bolo, MD, chairman and medical director of the Department
of Psychiatry and Behavioral Health at Overlook Hospital. “Under
18 | April 2010
a therapist’s supervision, we expose patients to their fears while
prohibiting the compulsive response they’ve developed, thereby
teaching the patient healthier ways of coping.”
• PTSD: Post-traumatic stress disorder is a well-known condition
brought on by exposure to a severe trauma. This may include
exposure to war, being the victim of a violent crime or terrible
accident, or witnessing extreme violence. “In these cases, the
patient actually retains and relives the trauma in episodes called
flashbacks, which can be triggered by everyday occurrences like a
door slamming or a shadow looming in a parking lot,” Dorlen says.
In severe cases, a patient may actually lose touch with reality and
start to believe the traumatic event is happening all over again. “If
left untreated, PTSD sufferers can develop such crippling fears that
they begin to avoid anything even remotely associated with what
happened to them,” explains Dorlen. “Furthermore, many PTSD
patients returning from war or recovering from terrible accidents
also tend to develop survivor guilt as part of their disorder.” One of
the worst aspects of PTSD, however, is the physical symptoms it can
bring about, like headaches, muscle pain, digestive disorders, and
fatigue. But PTSD can be treated effectively with psychotherapy and
medications like SSRIs, which work by altering the patient’s brain
chemistry to balance their moods.
• Panic disorder: “This condition is characterized by short yet
incapacitating episodes of panic that occur out of the blue,” explains
Bolo. Panic attacks usually produce a fear of impending doom or of
losing control and also can cause very intense physical symptoms
like a pounding heart, sweatiness, weakness, faintness, or dizziness.
During these attacks, people with panic disorder may also flush
or feel chilled; their hands may tingle or feel numb; and they may
experience nausea, chest pain, or smothering sensations, similar to
those felt during a heart attack. If left unchecked, panic disorder
tends to deteriorate into agoraphobia (a fear of wide-open spaces)
and potentially reclusive isolation. In fact, one-third of panic-disorder
sufferers are homebound. The upside is that panic disorder is one
of the easiest anxiety disorders to treat, since it responds well to
medication and certain kinds of cognitive psychotherapy, which help
change the thinking patterns that lead to fear and anxiety.
“We all have anxiety,
but people who suffer from
anxiety disorders tend to have
an exaggerated sense of
worry about things that occur
in everyday life.”
Overlookview.com | 19
Blue Mood
The term “mood disorder” encompasses conditions like depression,
bipolar disorder, and postpartum depression. But unlike anxiety
disorders, which tend to be chronic and life-long, mood disorders are
usually episodic, coming and going at certain points in a patient’s life.
Mood disorders also have a strong genetic component and tend to run
in families.
• Depression: Depression is a serious medical condition and the leading
cause of suicide in the United States. But true clinical depression
is often difficult to recognize, because many symptoms are easily
attributed to other causes. “We know that depression is a biological
condition because it responds to medication,” says Bolo, “and to be
diagnosed as truly depressed—not just ‘down in the dumps’—an
episode has to generally last longer than two weeks.” The symptoms
of depression also tend to remain constant and don’t come and go
every few hours in response to a night out with friends or a weekend
getaway. Fortunately, depression isn’t chronic; with treatment, the
sadness usually subsides and patients begin to feel like themselves
again. Doctors warn, however, that recurrences are common, so
patients should continue with their prescribed treatment no matter
how good they feel. To treat depression, most doctors rely on a
combination of antidepressant medications like SSRIs in combination
with private, group, or family therapy.
• Bipolar disorder: This condition, also known as manic-depressive
illness, is similar to depression in that patients have periods of feeling
very low, Bolo says. “But they also go through spurts of manic moods
characterized by needing less sleep, being flooded with grandiose
thoughts or big plans, and feeling oddly euphoric or empowered.”
Some patients even experience mixed moods where they are both
depressed and manic at the same time, which usually leaves them in
a state of agitated depression, irritable and impulsive. To treat bipolar
disorder, doctors often use a combination of psychosocial therapy
and antidepressants coupled with mood stabilizers to ease depression
while also curbing the dramatic switching of moods.
Managing Addiction
Although often met with far less compassion than other mental
disorders, substance abusing is a very real medical condition with
strong biological underpinnings. “You often see alcoholism running in
several family members,” Bolo says, “and many times the condition
accompanies other mental-health issues such as depression.” While
there have been several medications brought to the market to treat
substance abuse (like those that make a patient violently ill if they
take a drink), these have not been widely successful. “The best way to
conquer a drug or alcohol addiction is still a 12-step self-help program
such as Narcotics Anonymous or Alcoholics Anonymous,” Bolo says.
For a referral to a psychiatrist or psychologist, call (866) 871-6857.
“People with
panic disorder
may experience
nausea, chest pain,
or smothering
sensations, similar
to those felt
during a
heart attack.”
Blue Moods
Depression can be deadly. If you notice these signs in yourself
or someone you know, seek help.
A pervasive, unshakeable sadness
›› Feeling helpless, hopeless, worthless, or inappropriately guilty
›› Irritability
›› Changes in appetite (usually less)
›› Changes in sleep patterns (usually more)
›› Loss of interest in activities once enjoyed
›› Loss of energy
›› Thoughts of death or suicide
›› Physical symptoms, like headaches or stomachaches
›› 20 | April 2010
advanced surgical associates
Referred by Doctors
Preferred by Patients
Ronald Pallant, MD Muhammad Feteiha, MD
James Frost, MD
Joao Lopes, MD
Advanced Surgical Associates performs a wide range of surgical procedures, including:
L A PA RO S C O P I C S U RG E RY
B R E A S T S U RG E RY
&
W E I G H T L O S S S U RG E RY
T R E AT M E N T
G E N E R A L S U RG E RY
To find out more about Advanced Surgical Associates, please contact us today.
Advanced Surgical Associates
First in care. First in caring.
155 Morris Avenue, 2nd Fl., Springfield, NJ 07081-1225
Phone 973 232-2300
Fax 973 232-2301 www.advancedsurgicalnj.com
Overlookview.com | 21
22 | April 2010
Overlookview.com | 23
It’s Easy Being
green
By Stacey Stapleton
Making your home healthier and
more environmentally friendly is
easier than you think. You just
have to know where to start.
24 | April 2010
Overlookview.com | 24
One step at a time: Save trees by paying
as many bills as you can online. Recycle
newspapers, cans, and glass. Use
compact fluorescent lightbulbs.
No matter which side of the political aisle you fall on, most people agree that our planet is in crisis—and it’s responding in kind.
Health issues like allergies, eczema, and asthma are on the rise, and people (especially children) who have never suffered from these
chronic conditions are suddenly showing up in doctors’ offices with unpleasant symptoms. Some experts speculate that these health
issues are environmentally driven. To find out how you can make your home and lifestyle healthier for you, your family, and the
planet, read on.
Bring the Green Home
If you’re eager to save the planet by taking measures in your own home,
where should you begin? “Take baby steps,” suggests Rich Premus,
manager of environmental services at Overlook Hospital. “If you try to
make too many changes all at once, you’re setting yourself up to fail.”
Start with these simple strategies.
◆ Purchase
reusable shopping bags (many big chain stores offer
these) and use them when you shop to cut down on the number of
plastic bags.
◆ Stop buying caseloads of plastic water bottles. Instead, purchase
reusable aluminum water bottles for each member of your family.
Make it fun by personalizing each one.
◆ Save trees by paying as many bills as you can online, and sign up to
opt out of pre-screened credit card offers.
◆ Don’t leave phone and iPod chargers plugged in when they’re not in
use. The same applies to small electrics, like the toaster and can opener.
◆ Each time you change a lightbulb, replace it with a compact
fluorescent version, which sucks up 75 percent less energy but lasts up
to 10 times longer.
◆ When you’re shopping for furniture, avoid items made with glue or
formaldehyde. You’d be surprised how this can improve your indoor
air quality.
◆ Wash clothes in cold water whenever possible. As much as 85 percent
of the energy used to machine-wash clothes goes to heating the water.
◆ Use only natural fertilizers on your lawn.
A Clean Slate
“Clean has no smell,” says Lesley Federici, RN, a parent childbirth
educator at Overlook Hospital and creator of the workshop Go Baby
Green, “yet as a society we’re hooked on cleaning products that promise
to leave all these different scents behind—and some of them are less
than healthful.” First and foremost, Federici suggests avoiding aerosol
air-fresheners, which often contain phthalates (a chemical used to
make the smell last longer). Phthalates have been found to be hormone
disruptors, and legislation to remove them from the marketplace is under
consideration. Federici also recommends these strategies for cleaning
your home safely and environmentally:
◆ “Read labels,” she says. “Many companies engage in a practice
known as ‘green washing,’ which means they claim on the front of
the bottle that a product is natural, but when you look at the label it’s
anything but.” It’s important to know that the “green” or “natural”
market is unregulated, which means companies can call a product
anything they want.
◆ Look for products with plant-based ingredients, such as corn (a natural
lather-maker) or lavender essential oil (a great disinfectant). “The
simpler the better,” says Federici. “Natural cleaners may require a bit
more scrubbing, but the health benefits are worth the extra effort.”
◆ Beware of dangerous chemical combinations. For example,
many antibacterial hand soaps contain triclosan, which creates
chloroform—a known carcinogen—when it comes in contact with
chlorine. So if you wash your hands after taking a dip in the pool, you
send this cancer-causing agent down the drain and right into the water
supply. Here’s another scary fact: Most lemon- and orange-scented
furniture polishes contain turpenes, which release formaldehyde into
the air to be inhaled by whoever happens to be in the room. Parents of
young children should remember that little ones breathe faster and are
closer to the floor than grown-ups, and as a result suffer a higher rate
of exposure to household chemicals than adults or older kids.
◆ Don’t buy aerosol toilet-bowl cleaners or deodorants, which contain
butane. “I heard a terrible story of a toddler that got a chemical burn
from playing with a bottle of toilet bowl cleaner while Mom was
doing housework,” says Federici.
◆ You can make your own natural cleaning products, too. Federici likes
to mix her own furniture polish from equal parts lemon juice and olive
oil. “Put it in a spray bottle and use it sparingly. A little goes a long
way!” If you’re not the do-it-yourself type, surf the Web to research
green cleaning products.
Overlookview.com | 25
“Parents of young children
should remember that
little ones breathe faster
and are closer to the
floor than grown-ups,
and as a result suffer a
higher rate of exposure
to household chemicals
than adults or older kids.”
What you can do: Use apricot oil instead of baby lotion. Buy diapers
that are biodegradable. Make your own facial scrubs by using baking
soda and water.
Face Facts
It’s not just the cleaning products we buy for our homes that can be
harmful. Women spend millions each year on cosmetics that are filled
with scary ingredients. But it is possible to “green up” your medicine
cabinet and still get gorgeous. Many cosmetics claim to be all-natural
or organic, but to be completely sure look for the USDA Certified
Organic seal, which is used in 80 countries around the world.
You can make many of your own beauty products. Try mixing equal
parts baking soda and water for a gentle, natural, face-and-body
scrub. Or for tougher, more callused areas like your knees, elbows,
and feet, try equal parts olive oil and sugar.
Just like the skin, our hair is extremely absorbent, leaving us
vulnerable to the laundry list of harmful chemicals in hair-care
products. Steer clear of shampoos, conditioners, and styling
products that contain petroleum derivatives (such as mineral oil,
paraffin, and propylene glycol); hair dyes and dandruff shampoos
with carcinogenic coal tar; and hairsprays and hair gels containing
formaldehyde, phthalates, and synthetic fragrance.
26 | April 2010
Green Baby, Healthy Baby
Sometimes it takes the arrival of a new baby and the desire to make
his or her environment as healthy as possible to get us on the green
bandwagon. In Federici’s monthly workshop, Go Baby Green, she
teaches new parents how to make more natural choices when shopping
for baby products. Here are a few of the easy-to-adopt strategies she
teaches in class.
◆ Instead of drugstore baby lotions or baby oil, which are loaded with
mineral oil and chemical fragrances, rub your little one down with
apricot or jojoba oil, which are excellent moisturizers and safe for
sensitive skin.
◆ Skip store-bought wipes. They aren’t biodegradable and they’re
loaded with chemicals. Instead, create your own simple baby wash
by mixing a little tea tree or eucalyptus oil with castile soap in a spray
bottle. Spritz on baby’s bottom and then wipe with a disposable,
biodegradable washcloth.
◆ Believe it or not, experts have even discovered nasty chemicals in
the adhesives used on disposable diapers. But before you panic at the
thought of washing cloth diapers, Pampers is currently working on a
new diaper with a greener adhesive.
For more information on an upcoming Go Baby Green workshop,
contact the Parent Education Department at (866) 208-8924.
Overlook
Leads the Way
Although there is no Leadership in Energy and Environmental Design (LEED) certification for hospitals like there is for
residential and office buildings, Overlook is taking the initiative to go green wherever it can. Rich Premus, manager of
environmental services at Overlook Hospital, points out the many ways the hospital is working to reduce its carbon footprint.
• “We’ve replaced all the chemicals we legally
can, like bowl cleaners and other all-purpose
cleaners, with natural products,” explains
Premus. Germicidals and floor finishers are subject
to government regulation at hospitals, however,
and cannot be substituted.
• Overlook has increased its recycling of
paper and plastic. Hospitals like Overlook
use a whopping 16 tons of paper and cardboard
a month, so a stepped-up recycling program
can make a significant difference. The hospital is
also recycling batteries and electrical equipment
whenever possible.
• The hospital has begun using compact
fluorescent lightbulbs wherever possible.
This has the added benefit of yielding a sizeable
savings in electricity costs, since the new bulbs
last much longer than traditional versions.
• Staff members are being encouraged to go
Styrofoam-free by bringing in their own drinking
bottles or coffee mugs. With 2,500 staff members
at Overlook, if even half forego Styrofoam, that
means a lot less cups.
• Electrical switches that contain mercury
are slowly being replaced. It may come as a
surprise that a simple light switch could contain
hazardous mercury, but it’s true. “Any switch
over five years old most likely contains mercury,”
Premus says, “even in private homes.” So if your
switches are old and your budget allows, consider
replacing them as soon as possible.
Overlookview.com | 27
ANS_OverlookView_Ad_3.12_vB:Layout 1
3/12/10
2:47 PM
Page 1
We Are ANS.
We… are the largest Neurosurgical group
in New Jersey.
We… perform the most minimally invasive
spine surgery cases in New Jersey.
We… have the largest endovascular neurosurgery
team to treat stroke in New Jersey.
We… have over 50+ years in practice.
We… are trained in the most innovative procedures
available today.
We… actively participate in the advancements
of neurosurgery.
We… were recently recognized as Top Doctors.
We… specialize in the treatment of brain and spinal
tumors, aneurysms, Parkinson’s disease, spacisity,
chronic pain and congenital, degenerative
disorders of the spine, minimally invasive spine
surgery and more.
We… have 175 collaborative years of experience.
We are ANS.
We are here for you.
Voted
NJ Top Doc
2009
310 Madison Avenue, Morristown, NJ 07960
3700 Route 33, 2nd Floor, Neptune, NJ 07753
Tel 973.285.7800 www.atlanticneurosurgical.com
28 | April 2010
Community Health
calendar
Registration is required for all programs
through Overlook Hospital’s Health Information Services at 888-281-5345,
unless otherwise noted. Overlook Hospital is located at 99 Beauvoir Ave., Summit.
Atlantic Behavioral Health Outpatient is located at 46-48 Beauvoir Ave., Summit.
* Indicates a fee associated with the program.
Heart Health
Cardiac Health Fair
Overlook Hospital's 20th Annual Cardiac Health Fair
celebration will be held this year at the Short Hills
Hilton. Dr. William Tansey, who is also celebrating his
20th year with the Cardiac Health Fair, will once again
be our keynote speaker. Other speakers will include
cardiologists Steven Sheris, MD; Frank Smart, MD.
Breakfast, displays and our "Walk Through the Heart"
will be from 8:00am to 8:45am. The program will
begin at 9:00am sharp.
Registration required at 888-281-5345. Saturday, June 12, 8:00 A.M. Short Hills Hilton, 41 John F. Kennedy Pkwy., Short Hills
BLS for the Healthcare Provider* (full course) This course is designed to meet the needs of
healthcare professionals who respond to cardiac
and respiratory emergencies.
Registration required at 888-806-6579. Call for dates and times Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $85
American Heart Association First Aid*
Covers basic First Aid for common medical and
traumatic emergencies. Prior knowledge of CPR
is recommended.
Registration required at 888-806-6579.
Call for dates and times
Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $55
BLS for the Healthcare Provider* (renewal) This course renews the skills taught in the full BLS course.
Registration required at 888-806-6579.
Call for dates and times
Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $55
Heartsaver AED* A program to teach CPR, AED, and relief of
foreign-body obstruction for adults.
Registration required at 888-806-6579. Call for dates and times
Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $45
Heartsaver Pediatric* A program to teach CPR and relief of foreign-body
obstruction for the infant and child.
Registration required at 888-806-6579. Call for dates and times
Overlook Hospital
Wallace Auditorium, 99 Beauvoir Avenue, Summit
Fee $40
30 | April 2010
Diabetes Screening Learn your blood sugar and risk factors for
Type II diabetes, with a non-fasting fingerstick
that gives immediate results.
Registration required at 888-281-5345.
Friday, April 30, 11:00 A.M. to 1:00 P.M.
Overlook Hospital Emergency Services, Healthy
Avenues Van, 1000 Galloping Hill Rd., Union
Wednesday, May 5, 10:00 A.M. to Noon
Westfield YMCA, 220 Clark St., Westfield
Thursday, May 6, 10:00 A.M. to Noon
5 Pts., YMCA, Tucker Ave., Union
Thursday, May 13, 10:00 A.M. to Noon
North Plainfield Library, 6 Rockview Ave.,
North Plainfield
Blood Pressure
Make sure you are at or below 120/80,
the national guideline for blood pressure.
Receive counseling and educational materials.
Registration required at 888-281-5345.
Thursday, April 1, 10:00 A.M. to Noon
5 Pts. YMCA, Tucker Ave., Union
Monday, April 5, 10:00 A.M. to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Wednesday, April 7, 10:00 A.M. to Noon
Westfield YMCA, 220 Clark St., Westfield
Thursday, April 8, 10:00 A.M. to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Tuesday, April 13, 10:00 A.M. to Noon
Summit YMCA. 67 Maple St., Summit
Thursday, May 13, 10:00 A.M. to Noon
Westfield Board of Health, 425 E. Broad St., Westfield
Body Mass Index, Body Fat Analysis
Learn how your body-fat percentage and BMI affect your
heart health. Receive individual counseling and educational
materials. Registration required at 888-281-5345.
Thursday, April 1, 10:00 A.M. to Noon
5 Pts. YMCA, Tucker Ave., Union
Monday, April 5, 10:00 A.M to Noon
Scotch Plains YMCA, Martine Ave., Scotch Plains
Wednesday, April 7, 10:00 A.M to Noon
Westfield YMCA, 220 Clark St., Westfield
Thursday, April 8, 10:00 A.M to Noon
North Plainfield Library, 6 Rockview Ave., North Plainfield
Tuesday, April 13, 10:00 A.M to Noon
Summit YMCA, 67 Maple St.
Thursday, May 13, 10:00 A.M to Noon
Westfield Board of Health, 425 E. Broad St., Westfield
Bariatric Medicine & Surgery Seminars and
Bariatric Support Group Call to find out dates and times for upcoming lectures
and seminars. There is also a support group for those
who have already had bariatric surgery. After bariatric
surgery, people experience new challenges both
physically and emotionally. Lectures on exercise,
nutrition, image changes, with guest speakers and
time for sharing information.
Registration required at 888-257-9210.
Call for dates and times
Overlook Hospital
Cholesterol Screening*
Total cholesterol, HDL, and TC/HDL ratio are measured
using a simple fingerstick. Education and counseling
are offered, based on results. Fasting is not required.
Registration required at 888-281-5345.
Monday, April 19, 10:00 A.M. to Noon
The Connection for Women and Families,
79 Maple St., Summit
Fee $10
Taking Steps to Control Diabetes* Self-management education designed to help patients
and their families plan meals, monitor blood sugar,
prevent complications, and implement healthy lifestyle
habits. Individual and group classes available. Covered
by Medicare and most major insurers.
Registration required at 888-389-6404.
Call Diabetes Center for times/class schedule
Overlook Hospital
Fee varies Health & Wellness
Preconception Counseling
Having a baby? Are you thinking about it, planning for it or
trying? Dr. Benito's specialty is helping women to know what
to do before conception. No matter what stage you are in,
if a baby is somewhere in your future, this is an important
program for you. Program will be presented by Carlos Benito,
MD, Maternal/Fetal Medicine.
Registration required at 888-281-5345.
Wednesday, May 12, 7:00 to 8:00 P.M.
Overlook Hospital, Conference Room 4
Common Pelvic Floor Disorders
More than one-third of women are affected by conditions
such as urinary incontinence, overactive bladder, pelvic
organ prolapse, bowel disorders and other conditions
considered pelvic floor disorders. Learn about this rapidly
growing specialty in woman's health and the solutions
available, from non-surgical to minimally invasive
surgery. Program will be presented by Amir Shariati, MD,
Urogynecologist.
Registration required at 888-281-5345.
Thursday May 13, 7:00 to 8:30 P.M.
Overlook Hospital, Conference Room 4
An Update for Women:
What You Should Know About Women's Cancers
Important screenings, treatment advances and general
information to keep you healthy. Program will be presented
by Nana Tchabo, MD, Gynecologic Oncologist.
Registration required at 888-281-5345.
Monday May 10, 7:00 to 8:30 P.M.
Overlook Hospital, Conference Room 4
Taking the Pressure Off! Understanding
the Care and Treatment of Pressure Ulcers
Hear from the North Central Pressure Ulcer Collaborative
members and learn about the current preventative
and treatment options of pressure ulcers.
Registration required at 888-281-5345.
Wednesday May 19, 6:30 to 8:30 P.M.
Overlook Hospital, Wallace Auditorium
For a referral to an Overlook Hospital physician, please call (800) 247-9580.
HIV Support Group
This support group offers support and information
regarding HIV. Meet others with HIV who face the
same fears and questions, and find solutions.
Meetings are held in a confidential and private
environment. To leave a confidential message,
call 973-971-8936.
Second and fourth Thursdays of the month,
7:00 to 9:00 P.M.
Overlook Hospital, Case Management Office,
99 Beauvoir Ave., Summit
Substance Abuse Family Support Group
Participants will learn ways to cope with
substance-abusing family members.
No registration required.
Tuesdays, 6:30 to 8:00 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit Addictions Clinicians
The Autumn Group*
A weekly group designed to encourage seniors to
express their thoughts, feelings, and experiences.
Registration required 888-247-1400.
Wednesdays, 2:30 to 3:30 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Therapeutic Gambling Group*
Weekly therapy group for individuals who are concerned
about their level of gambling.
Registration required at 888-247-1400.
Tuesdays, 8:00 to 9:00 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Women’s Group*
Participants will learn coping skills through examination
of thoughts and behaviors.
Registration required at 888-247-1400.
Thursdays, 11:00 A.M. to 12:30 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Chemical Dependency Intensive Outpatient Program*
Three one-hour groups, 3 nights weekly, for those
trying to remain abstinent from all substances.
Registration required at 888-247-1400.
Monday, Wednesday, and Thursday nights,
6:00 to 9:30 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Mental Health Intensive Outpatient Program*
Group, individual, and family counseling as well as
medication management for those who need an
intense, time-limited treatment to improve their
emotional health. Participants attend 3
out of 5 days per week.
Registration required at 888-247-1400.
Mondays - Fridays 10:30 A.M. to 2:00 P.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Hypnosis for Smoking*
Learn how to quit smoking for good, using
hypnosis and behavior modification techniques.
Registration required at 888-281-5345.
Thursday, April 22, 7:00 to 9:00 P.M.
Overlook Hospital, Conference Room 4
Fee $70
Hypnosis for Weight Loss*
Learn how to permanently lose weight, using hypnotic
suggestions and proven behavior-modification techniques.
Registration required at 888-281-5345.
Tuesday, April 20, 7:00 to 9:00 P.M.
Overlook Hospital, Conference Room 4
Fee $70
Neuropathy Patients Support Group
Discuss various options in the support and treatment
of neuropathy. For additional information, please call
908-233-9709. No registration required.
First Tuesday monthly: April 6, May 4, June 1,
September 7, October 5, November 2, December 7.
No meetings in July and August,
7:00 to 8:30 P.M.
Overlook Hospital, Neuroscience Community
Conference Room.
Adults with Epilepsy & Their Caretakers Support
Join us and other adults with epilepsy, or those
adults caring for family or friends with epilepsy, to
share experiences and strategies on how to best live
with this sometimes-puzzling disorder.
Registration required at 888-281-5345.
Second Thursday of the Month. 6:30 to 8:30 P.M.
Overlook Hospital, Atlantic Neuroscience Institute
Conference Center.
Respiratory Screening
Learn your breathing capacity. This screening is
for those who have NOT been previously diagnosed
with a respiratory condition.
Registration required at 888-281-5345.
Thursday, April 8, 10:00 A.M. to Noon
Westfield Board of Health, 425 E. Broad St., Westfield
Friday, April 16, 10:00 A.M. to Noon
Home Depot, Springfield Ave., Vauxhall
Palliative Care Town Hall Meeting Series
The Palliative Care Team at Overlook welcomes
community members to join our Town Hall
discussions. We will engage in thoughtful
conversations about healthcare issues that affect us
all as we age and care for ourselves and those we love.
April 13: Thou Shalt Honor.
April 27: The Buck Stops Here: Legal and Financial
Issues of Long-Term Care.
May 18: Understanding the New Healthcare Reform:
How Will it Affect My Family?
May 25: A Night at the Movies: The Sea Inside.
June 8: The Road to Recovery: Grief and Bereavement.
For more information on this series, please call
908-522-2894. Refreshments will be served.
Registration is required for each meeting: 888-281-5345.
Tuesdays: April 13, 27; May 18, 25; June 8, 7:00 to
8:30 except May 25, 7:00 to 9:30 P.M.
Overlook Hospital, Health Science Library, 99
Beauvoir Ave., Summit
Bone Density Screening*
Find out if you are at risk for developing
osteoporosis, with a noninvasive ultrasound that
provides immediate results. Counseling and
educational materials are also provided.
Registration required at 888-281-5345.
Wednesday, April 21, 10:00 A.M. to Noon
Berkeley Heights YMCA, Springfield Ave., Berkeley Heights
Monday, May 3, 10:00 A.M. to Noon
Scotch Plains YMCA, Springfield Ave., Scotch Plains
Fee $10
National Anxiety Screening Day
Participants will take a short written survey
and then discuss results with a mental health
professional. Educational materials will be
available. No registration required.
Wednesday, May 5, 2:00 to 6:00pm
Atlantic Behavioral Health Outpatient, 46-48
Beauvoir Avenue, Summit
Hearing Screening
Have your hearing tested for potential problems.
Registration required at 888-281-5345.
Thursday, April 15, 10:00 A.M. to 1:00 P.M.
Whole Foods Market, 2245 Springfield Ave., Vauxhall
Tuesday, May 11, 10:00 A.M. to Noon
Summit YMCA, 67 Maple St., Summit
Friday, May 14, 10:00 A.M. to Noon
Home Depot, Springfield Ave., Union
Atlantic Behavioral Health—Mindfulness Group
Participants will learn mindfulness techniques and
how to apply them to better cope with their illnesses.
Registration required at 888-247-1400.
Mondays, 2:30 to 4:00pm
Atlantic Behavioral Health Outpatient, 46-48
Beauvoir Avenue, Summit
Overlookview.com | 31
Children & Parenting
In addition to these programs, Parent
Education offers a wide variety of other
classes and seminars for expectant
and new families, including prepared
childbirth, grandparent, and sibling
classes, and Mommy & Me programs. A
complete listing may be found at
www.AtlanticHealth.org, or you may
contact the Parent Education office at
908-522-2946 or
[email protected].
We look forward to hearing from you!
Baby Signing: An Introductory Seminar*
Learn basic tips for using signing to communicate with your
baby. For parents, parents-to-be, adult family members,
and caregivers.
Registration required at 908-522-2946.
Call for dates, 7:00 to 8:30 P.M. Overlook Hospital, MAC II, Community Classroom Calm Birth* Complementary preparation for childbirth, based
on meditative science and mind/body medicine.
Registration required at 888-273-2084. Call for dates and times
Overlook Hospital, MAC II, Community Classroom
Healthy Eating For Babies: Starting
Solids and Beyond*
For parents of babies 3 to 6 months old.
Understanding your infant's individual feeding needs
... When to start feeding baby food ... Timing and
portions of feedings ... Avoiding obesity or eating
issues in later life ... Setting the climate fo r positive,
healthy feeding for a lifetime.
Registration required at 888-273-2084.
Call for dates, 7:00 P.M. to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom
Feeding Your Healthy Family*
For parents and caregivers. All you need to know
about cooking and planning meals following our
easy 5-step plan.
Registration required at 888-273-2084.
Call for dates, 7:00 P.M. to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom
Early Pregnancy*
Attend before your 6th month of pregnancy. Learn
about comfort techniques, prenatal exercise, fetal
development, nutrition, physical and emotional
changes, and working during pregnancy.
Registration required at 908-522-2946. Call for dates, 7:00 to 9:00 P.M. Overlook Hospital, MAC II, Community Classroom
Toddler Nutrition I* Start healthy eating habits that will last a lifetime.
For parents of toddlers 9 to 18 months.
Registration required at 908-522-2946.
Call for dates, 7:00 to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom Toddler Nutrition II* For parents of toddlers 18 to 24 months. Topics
include creative menus, snack suggestions, and
behavior issues with feeding.
Registration required at 888-273-2084.
Call for dates, 7:00 to 9:30 P.M.
Overlook Hospital, MAC II, Community Classroom Postpartum Group* New mothers meet every other week to learn and implement
coping strategies to help them with their new role.
Registration required at 888-247-1400. Thursdays, every other week,
10:30 A.M. to 11:30 A.M.
Atlantic Behavioral Health Outpatient,
46-48 Beauvoir Ave., Summit
Moms and Babies Together:*
Registration required at 908-522-2946 .
Call for dates, 10:00 A.M. To Noon
Overlook Hospital, MAC II, Community Classroom
Hand in Hand*
Network for new moms and babies 6 weeks to 5
months old. Discussion topics include keeping
baby safe and healthy, the art of infant massage,
exercise for you and baby, baby signing, and
emerging language. Structured play is used to
stimulate the senses.
Building Blocks*
Network for new moms and babies 6 weeks to
5 months old. Discussion topics include your
baby's temperament, reading baby's cues, baby
bio-rhythms, and creating a schedule. Additional
information about formula and breastfeeding, and
healthy eating for babies—baby food and beyond.
Childbirth Mini Classes:*
Registration Required at 908-522-2946.
Call for dates, 7:00 P.M. to 9:30 P.M.
Overlook Hospital, MAC II, Community Classrom
Your Baby's Birth at Overlook Hospital*
Includes information on signs of labor and when to
come to the hospital, as well as the labor, delivery,
and postpartum experience at Overlook Hospital.
Also includes a tour of the Maternity Center.
Epidurals, C-Sections and More*
A discussion of medication options available in
labor (including epidural and spinal anesthesia),
induction of labor, and cesarean birth
(perfect for moms with a scheduled or repeat
cesarean section).
Techniques and Teamwork for Labor and Birth*
Learn breathing and relaxation techniques as well
as ways to use visualization, music, massage,
aromatherapy, and positioning as tools in labor
Go Baby Green*
Exposure to chemicals in the home is an increasing
health risk. Learn about everyday cleaning products,
their hazards, safe alternatives, and ways to create a nontoxic environment for your baby, kids, pets, and yourself.
Registration required at 908-522-2946.
Call for dates and times
Overlook Hospital, MAC II, Community Classroom
"Bully Busters" Part 2*
Put an end to bullying with these tips for parents and
concerned adults. In this Part 2 session, Dr. Rosalind
Dorlen will review what bullying is and what it is not
with key "Bully Buster" tips. Dr. Dorlen also will roleplay with actual scenarios presented by participants.
Registration required at 800-247-9580.
Wednesday, April 7, 7:00 to 8:30 P.M.
Overlok Hospital, 99 Beauvoir Ave., Summit
2010 Pediatric Mini-Medical School*
Experience the world of pediatric medicine. Programs
in this series will cover the following topics: reasons
for visiting your pediatrician, sport injuries and
pain management, eating disorders, pediatric
pharmacotherapy, Asperger's syndrome, and sleep
issues. Great for parents, grandparents, school nurses,
teachers, or anyone who deals with children.
For a program brochure, call 973-971-7095.
Thursday, April 8; Monday, April 12; Tuesday,
April 20; Monday, April 26; Thursday, May 6;
and Monday, May 10
Overlok Hospital, 99 Beauvoir Ave., Summit
Fee: $50 for all 6 sessions, $10 for an individual session;
Atlantic Health employees, $30 for all sessions
Women’s Health
Community Health Women’s Heart
Awareness Programs* Nurses and health educators will offer screenings that
will help identify your risk for cardiovascular disease.
Screenings include risk assessment, lipid profile, diabetes,
blood pressure, BMI, and metabolic syndrome screening.
Each participant will receive one-on-one counseling.
Call to schedule at 866-887-8780. Overlook also offers
a Women’s Heart Practice, staffed by female nurses, a
cardiologist, and a nurse practitioner.
For an appointment, please call 908-522-7399.
Speakers Bureau for Women’s Heart Health If you would like to have one of our cardiac nurses
speak to your group or organization about the signs
and symptoms related to women and heart disease,
please call 908-522-5355. 32 | April 2010
Cancer
Quarterly “Now What?”—Post-Treatment
Survivorship Lunch and Learn
Topics related to post-treatment issues.
Registration required at 888-895-9491.
Call for dates and times
Overlook Hospital, Conference Rooms
Bereavement Group Level 1 Support group for family and friends who have
lost a loved one to cancer.
Registration required at 888-895-9491.
Call for dates and times
Overlook Hospital, Conference Rooms
Bereavement Group Level 2 Support group for family and friends who have lost a loved
one to cancer and are ready to talk about moving on.
Registration required at 888-895-9491.
Call for dates and times
Overlook Hospital, Conference Rooms
Hearts and Hands Drop-in support group that offers patients and their
caregivers the opportunity to discuss issues and concerns
as they work on crafts. No registration required. Thursdays, 2:00 to 4:00 P.M. Overlook Hospital, Conference Rooms
Post-Treatment Group For patients who have completed their cancer
treatment. This open support group explores issues
and concerns related to survivorship.
Registration required at 888-270-0373. Second Thursday of the month, 7:00 to 8:30 P.M. Overlook Hospital, Conference Rooms
Free Quarterly/Monthly Educational Lecture Series
Series of free educational lectures for patients,
family members, and the general public.
Registration required at 888-895-9491. Call for dates and times
Overlook Hospital, Conference Rooms
Gentle Yoga for Cancer Patients Yoga can improve energy, concentration, and the
emotional well-being of cancer patients. A brief
meditation period will also be included at the end
of classes to calm, soothe, and focus the busy or
stressed mind. Class will last for 60 minutes and is
for cancer patients ONLY.
Registration required at 888-270-0373.
Mondays, 1:30 to 2:45 P.M. Overlook Hospital, Conference Room 3
I Cancer Vive A 6-week program that empowers cancer patients
and their caregivers to take a mind-body approach to
healing. Registration required at 888-270-0373.
Call for dates and times Overlook Hospital, Conference Rooms
Look Good, Feel Better Women who are undergoing cancer treatment
learn how to look their best and manage
appearance-related side effects.
Registration required at 888-895-9491.
Call for dates, 10:00 A.M. to Noon Overlook Hospital, Conference Room 2
Guided Imagery A program for cancer patients, using visualization
to enhance the immune system’s ability to function
and improve one’s sense of emotional well-being.
Registration required at 888-270-0373. Tuesdays, 2:00 to 3:00 P.M. Overlook Hospital, Conference Rooms
Ostomy Support Group Professionally led group for ostomy patients
and their families.
Registration required at 888-886-9819.
Call for dates and times Overlook Hospital, Conference Rooms
Exercise Class for Breast Cancer Survivors
A comfortable, safe, and supportive exercise
environment for breast cancer patients who have
undergone chemotherapy, radiation, hormonal therapy,
breast surgery, and/or reconstruction. Exercises are
designed to increase flexibility and muscle mass,
decrease body fat, and prevent lymphedema.
Registration required at 888-895-9491. Wednesdays, 10:00 to 11:00 A.M. MAC II Breast Center Conference Room,
99 Beauvoir Ave., Summit
Scar Massage A program for post-mastectomy patients who
have chosen not to undergo breast reconstruction.
One-hour private massage with a certified massage
therapist. The purpose is to help prevent adhesions,
improve blood flow to the area, and maintain or
improve movement in the tissue post-surgery.
Must be at least six weeks post-surgery.
Registration required at 888-763-4238. Call for appointment. Call for times
Overlook Hospital, Conference Rooms
Swim & Support—Post–Breast Surgery Group This program provides women with a supportive
discussion group and a post-operative pool-exercise
program. Developed to restore physical strength as
well as emotional well-being, this group will be led
by a Licensed Counselor, Oncology Nurse Specialist,
and a Certified Cancer Exercise Specialist. The
program is free and is available to women who have
undergone a lumpectomy or mastectomy and are six
weeks to eighteen months post-surgery. Registration
required at 888-717-0640.
Call for dates and times The Connection, 79 Maple St., Summit
Circle of Women: A Breast Cancer Networking and
Support Group
Circle of Women is a 12-week support group created
to help women connect with one another in a
warm and welcoming place. This will enable open
discussions related to diagnosis and the journey
through all treatment stages. Circle of Women
combines support-group discussion and education on
relevant topics that can help you adjust to the impact
that breast cancer has had on you and your family.
Registration required at 888-717-0640.
Call for dates and times
Overlook Hospital, Conference Rooms, 99 Beauvoir
Ave., Summit
Stroke
Stroke Support Group The stroke support group provides emotional and
educational support to stroke survivors and
caregivers. The support group is a forum where
stroke survivors and their families can share
experiences and concerns related to stroke.
Registration required at 888-281-5345. Second Monday of every month, March 8, April 12,
May 10, June 14, July 12, August 9, September 13,
October11, November 8, and December 13,
6:00 to 7:00 P.M. Overlook Hospital, Neuroscience Conference Room
Stroke Screening
Evaluate your risk for stroke through cholesterol
and glucose lab testing, blood pressure and pulse
check, carotid artery assessment, and stroke related
counseling from healthcare professionals.
Registration required at 800-247-9580.
Friday, April 9, 11:00 A.M. to 2:00 P.M.
Long Hill Community Center, Warren Ave., Stirling
Sunday, May 2, 11:00 A.M. to 2:00 P.M.
St. Patrick's Church, 41 Oliver St., Chatham
* Indicates a fee associated
with the program.
Overlookview.com | 33
Smooth
perator
O
By Alyson Black
“Incisions are smaller, so there is
less pain. There are also fewer
major complications, and a
faster return to home, to work,
and to normal activities.”
34 | April 2010
Robots in the O.R. are revolutionizing 21st-century surgery—and people are
reaping the benefits.
Meet da Vinci, the newest addition to the Overlook Hospital surgical
team. With a trio of arms and a sleek body, he looks like something you
might see in a science-fiction movie, but the hulking robot is in fact a
welcome presence in the operating room.
risk of incontinence.” Further praising the da Vinci’s role in minimizing
hospital stays, Bernstein reports that patients undergoing robotic-assisted
radical prostatectomy often are discharged home just one day after the
procedure, versus a typical three-day stay with the traditional procedure.
With da Vinci, Overlook has entered the next generation of minimally
invasive procedures, introducing robot-assisted surgery to such
specialties as urology, gynecology, and oncology. And although there
is a robot in the room, make no mistake: It’s an experienced surgeon
who is very much in control and at the helm—or at the console, as the
case may be. During a da Vinci procedure, the surgeon is positioned a
few feet away from the patient, at a large console from which he or she
operates. The surgeon’s own hands are positioned on little mitts that
are a lot like joysticks; these control the robot’s arms to make incisions
and maneuver surgical instruments within the body. The surgeon’s feet,
meanwhile, are situated on pedals that adjust the robot’s position and
operate the camera that is transmitting magnified, 3-D, high-definition
images onto a monitor that the surgeon is viewing. “Any move I make
is directly transmitted to the patient,” explains Andrew J. Bernstein, MD,
Overlook’s director of robotic surgery. “Using the robot is very intuitive,
but it does only what I tell it to do.”
Daniel Tobias, MD, FACOG, director of gynecologic oncology at
Overlook and Morristown Memorial, says he is seeing similar success
with hysterectomies for cervical, endometrial, and early-stage ovarian
cancers. In fact, 90 percent of the hysterectomies he performs today
are done robotically, and he says robotic-assisted surgery should be
considered as an option for most women in need of hysterectomy. “The
biggest advantage of the robot is that we’re able to offer the benefits of
minimally invasive surgery to more patients,” he says.
Gynecologic oncologist Brian Slomovitz, MD, FACOG, credits some of
this to the robot’s ability to extend minimally invasive procedures even
to patients who are significantly overweight. “With the advent of the
robot, we are able to offer more women with complicated problems—
like morbid obesity and advanced cancers—a better surgery,” he says.
“Morbidly obese patients normally need large incisions and have a
horrible time with wound healing. But if I can offer robotic surgery to
a woman who is 400 pounds, she’ll have a better outcome. Quality of
What da Vinci does best is improve the patient experience. “There are
life is significantly improved post-operatively, and that can translate
lots of advantages,” says Bernstein, who has been performing robotic
into overall improved outcomes.” Slomovitz further credits the robot
surgeries for eight years. “The biggest advantage is in recovery time. The for enabling him to perform procedures that help to preserve women’s
incisions are smaller, the patients use less pain medication, and are back
fertility, as well as procedures that help patients avoid the need for
to work sooner. There is also less bleeding, so we are able to see things
prolonged periods of radiation, or any radiation at all.
better, and there is a much lower incidence of blood transfusion.” There
Other specialties are turning to the da Vinci, too. Patrick Culligan,
are also fewer major complications and less chance for infection—as
MD, director of Urogynecology and Reconstructive Pelvic Surgery
well as a faster return to home, to work, and to normal activities.
for Atlantic Health, has been using the robot in cases of pelvic organ
Bernstein says he sees firsthand all the time how patients are benefiting
prolapse, dissection of adhesions, and the removal of uterine fibroids in
from robotic surgery. As a urologist, he frequently uses the robot to
place of hysterectomy. “The robot is a more flexible tool than anything
perform radical prostatectomies in cases of localized prostate cancer.
else I have,” says Culligan. “We’re doing our very best operations for
“With traditional surgery, there is a much greater chance of incontinence
prolapse with this surgery—and we’re doing more than anyplace else
and erectile dysfunction,” he says, “but these risks seem to be decreased
in the country—and it’s amazing how fast patients recover. And treating
with robotic surgery.” The operation itself, no matter how it is performed, fibroids is normally pretty bloody with open surgery, but with the robot,
presents significant challenges owing to the body’s many delicate
it’s practically bloodless and painless.”
structures in the vicinity of the prostate. Not only do the nerves that
With robotics, he stresses, patients are getting the same surgery as a
control erections run right along the prostate, but it also is necessary
traditional procedure, but with better outcomes. “There are no shortcuts,
to detach the urethra from the bladder and then sew it back together
it’s
just more efficient,” he says. “If you can get the same cure rates but
without compromising a man’s ability to control his urine. “The goal
with
less morbidity and less pain, that’s a win. Our patients love it, and
is to do nerve-sparing surgery,” Bernstein explains, “and it does appear
we
love
it.”
that men get erections back faster with robotic surgery. By using the
fine, accurate instruments that the robot offers, the connection between
For a referral to da Vinci surgeon, call (866) 763-5306.
the bladder and urethra is restored precisely, dramatically reducing the
Overlookview.com | 35
The da Vinci robot is, it is not suited to every procedure. In most cases, patients are well served by other
minimally invasive procedures like laparoscopic surgery. “Laparoscopic surgery pushes the envelope
every day,” says Muhammad Feteiha, MD, FACS, director of minimally invasive surgery at Overlook
Hospital. “It’s in its next generation and is being adapted to more and more areas of general surgery
and more difficult procedures.” As with robotic surgery, which is best suited to areas of the body that
are smaller and tighter, laparoscopic surgery boasts smaller incisions, less pain and bleeding, fewer
infections, and a faster recovery—all of which add up to a great relief for surgical patients.
For a referral to a surgeon, call (866) 232-0448.
36 | April 2010
Taste the difference in just one sip.
STOP
PAIN
NOW!
Get Your Life Back!
If you have
Chronic Back or
Neck Pain, Sciatica,
Herniated or Bulging
Discs, Facet Syndrome,
Spinal Stenosis,
Pain & Numbness
in arms and legs...
Better Beans. Freshly Roasted.
Shipped right to your door, straight from your neighborhood roastery.
rhrcoffee.com
...You may want to consider
Non-Surgical
* FDA Cleared
Spinal Decompression
This revolutionary solution for Back & Neck
Pain Sufferers is probably the last back pain
treatment you will ever need. Forget about
pills, punishing exercise regimens, and risky
surgery. There’s an easier way!
David Wroe, Music Director
Join Us for Our Upcoming Events
MUSIC...it’s magic
WSO Annual Fundraising Gala
Saturday, May 1 at 6:30pm
Echo Lake Country Club in Westfield
WE THE PEOPLE
Beethoven-Symphony No.9
Xian-Yellow River Cantata
Saturday, May 8 at 8:00pm
The Presbyterian Church in Westfield
A TOUR OF NOTABLE HOMES
Presented by the Friends of WSO
Saturday, June 5, 10:00am to 4:00pm
For Tickets and Information Call:
908.232.9400 or go to www.westfieldsymphony.org
Dr. Philip Delli Santi, P.C.
Physical Therapy & Chiropractic Center
phone: 908-522-8989
447 Springfield Ave., Summit, NJ (Strand Mall)
41 Wilson Ave., Newark, NJ (Ironbound)
www.DrPDelliSanti.com
The ACCU-SPINA
decompression unit has
the highest success rate
in the industry 86-94%.
Call today for a free
consultation.
Some Frequently Asked Questions
What are the treatments like?
The patient simply lies face up on the AccuSpina®’s comforatable bed in a soothing
glow of light listening to relaxing music while
the advanced computer system does all the
work. By minimizing the effects of gravity
on the back and neck, herniated material
returns to its normal position, alleviating pain.
How long are the treatments?
Patients undergo approximately 20 treatment
sessions. Each treatment lasts 25 minutes,
depending on the individual needs. After
each session, a cold pack and electric muscle
stimulation are applied assuring that the
patient feels refreshed and relaxed.
How many treatments will be needed
to stop back pain?
It is important to note that many get relief after
just a few treatments. Some after just one.
And this is not something you have to commit
to doing for the rest of your life. Results are
usually much more immediate.
How will I know if I am a candidate for the
Accu-Spina® system?
You will receive a free consultation to
discuss your case history, as well as a
demonstration of how the Accu-Spina®
system works.
So just call our office and check out this
miraculous advance in back pain for
yourself. Your back will thank you!
PicturePerfect
When your doctor needs a view of what’s going on inside your body, the
imaging technologies at Overlook Hospital provide the close-ups.
Information is power—and with the information doctors are able to glean from
the pictures captured by high-tech imaging devices like CTs and MRIs, that
information has the power to save your life. As always, Overlook Hospital remains
committed to acquiring the technologies that best suit the needs of its patients.
Overlook has taken strides wherever possible to maximize views while minimizing
exposure to radiation. So no matter where your doctor needs a closer look, from
head to toe, you can be sure he or she will be able to get it—reliably and safely.
38 | April 2010
AQUILION ONE
In life-or-death matters of the
heart and brain, the 320-slice
Toshiba Aquilion One is a
quantum leap in CT technology.
Acquired by the hospital less
than a year ago, the highspeed Aquilion—one of only a
few such units on the Eastern
seaboard—can cover as much
as four times more surface area
in a single image than any other
commercially available CT,
and with just a fraction of the
radiation exposure. A rotation
speed of just one-third of a
second means that the Aquilion
One can scan the entire body
in less than a minute, but it is
particularly useful in capturing
images of the brain and the heart
because the circulatory systems
of these organs are perpetually in
motion. The machine’s lightningfast speed and unparalleled
clarity are especially beneficial
in the diagnosis and treatment
of stroke, as images can be
acquired, processed, and read
by a radiologist within 20
minutes. The scan leads the way
in confirming the diagnosis of
stroke and in determining which
type of stroke has occurred.
BIPLANE
ANGIOGRAPHIC UNIT
The Siemens Biplane
Angiographic System is a
fluoroscopic X-ray unit that
looks inside the body from
multiple angles to provide
virtually unlimited views. The
Biplane is especially useful in
examining circulatory dynamics
to diagnose and treat vascular
disorders, particularly those
that are neurologically based. In
the treatment of aneurysms and
blockages that lead to strokes,
for example, it is necessary for
an interventional neurosurgeon
to pinpoint the location of an
abnormality so that it can be
more easily remedied with
a stenting procedure. The
Biplane is employed regularly
for such stroke therapies as the
Merci Retriever and Penumbra
device, which are used to
physically remove a clot that
is obstructing blood flow to a
portion of the brain. The Merci
Retriever works by threading
a corkscrew-like wire through
a catheter to ensnare the clot,
while Penumbra is deployed in
a similar fashion but utilizes
suction for clot removal.
CORONARY CT
ANGIOGRAPHY
The best examination yet of
the arteries of the entire heart
(both the outer walls and inner
vessels) to rule out or diagnose
the presence of heart disease
is achieved through coronary
CT angiography, which yields
clear 2-D and 3-D images that
are not blurred by the heart’s
natural motions. The procedure
is relatively non-invasive (X-ray
dye is injected through an IV),
fast, and carries few risks.
PET SCANS &
CORTEX-ID
In diagnosing Alzheimer’s
disease, a PET scan (positron
emission tomography) may be
used to image the brain and
reveal the physical manifestations
of the disease. At the Atlantic
Neuroscience Institute at
Overlook Hospital, PET scans for
Alzheimer’s disease evaluation go
through an additional specialized
processing program called
Cortex-ID, where the image
data is compared to age-adjusted
standards of what is considered
the national norm. This analysis
enables the interpreting
radiologist to more accurately
diagnose a patient’s condition and
supply specific comparisons that
can improve the effectiveness of
intervention and treatment.
CAPSULE ENDOSCOPY
Although a colonoscopy is the
standard measure for examining
the large intestine, the small
intestine is traditionally a “blind
area” not easily visualized. If
your doctor is searching for
signs of bleeding, however, or
for blockages or narrowing of
the small intestine, a capsule
endoscopy may be just what he
or she orders. It’s basically a
pill-cam. You’ll be outfitted with
a recorder pack and you will
swallow a capsule no bigger than
a large vitamin. Over the course
of the next several hours, the
capsule sends feedback to the
recorder in the form of livingcolor digital images until it hits
the colon. Then the recording
device is returned and the
capsule passes naturally through
the digestive system—but the
images endure.
DIGITAL
MAMMOGRAMS &
BREAST MRI
If a yearly mammogram is
considered the gold standard
in breast-cancer screening,
digital mammograms could be
considered a platinum upgrade.
Digital mammograms, like
those available at the Breast
Center at Overlook Hospital, are
faster than traditional screens,
and the images are able to be
manipulated and enhanced for
better viewing. At Overlook
there is also the added benefit of
computer-aided detection (CAD),
which provides radiologists
with an extra set of “eyes” to
help direct them toward
potential abnormalities.
3-D ULTRASOUND
In Overlook’s Pelvic Floor Lab
(one of only four such labs in
the state), colorectal surgeons do
tests of the lower digestive tract,
including tumor staging. A 3-D
trans-rectal ultrasound can assess
how deep a tumor has spread,
which in turn helps doctors
determine a patient’s course of
treatment for chemotherapy,
radiation, and surgery.
For information on any of
Overlook’s radiological services,
call (866) 910-7236.
AQUILION ONE
Overlookview.com | 39
Critical Factors
Cutting-edge technologies and the best doctors and technicians
earn Overlook top marks for stroke care.
When top technologies like the Aquilion One and Biplane Angiographic Unit are put in
the hands of the most capable physicians and technicians, the results are life-saving—and
notable. In a poll of the state’s physicians by Castle Connolly, one of the nation’s most
respected sources for healthcare research and information, Overlook has been voted No. 1
among all large New Jersey hospitals for both stroke care and neurological disorders.
As a result of the implementation of Overlook’s Stroke Unit, under the medical leadership
of Shalini Bansil, MD, and nursing leadership of Charlene Ruggiero and Paul Rodgers,
Overlook’s outcomes in stroke care place the hospital among the top 10 New Jersey
facilities to receive the 2010 HealthGrades Stroke Care Excellence Award. The award
distinguishes its recipients as among the top 10 percent in the nation for stroke care.
This distinction follows on the heels of such other honors as the prestigious Gold Plus
Performance Achievement Award by the American Stroke Association, for the hospital’s
ability to maintain consistently high performance levels within its Stroke Program for two
consecutive years.
It’s no surprise, then, that the number of patients who turn to Overlook—including patients
transferred to Overlook from nearly half of all the hospitals in the state—continues to
climb. The hospital has expanded its outreach efforts to Emergency Medical Services and
the New Jersey First Aid Council. In addition, a secondary-stroke prevention program
was initiated for a stroke-specialized nurse practitioner to evaluate patients who have had
strokes and counsel them on risk-factor management. This includes home visits to patients
unable to come to the hospital’s outpatient department. Stroke support groups are held
regularly, too.
This year, Overlook looks to sustain its growth and quality and attain recertification
from the Joint Commission as a Stroke Center. Overlook will continue to support its
network hospitals through education and clinical advice and, as always, reach out to the
community with local stroke screenings through the Community Health department (see
the Community Health Calendar for scheduled screenings in your area).
When it comes to recognizing the signs of stroke, think F.A.S.T.
• F (face): Note an uneven smile, facial droop or numbness, or visual disturbance.
• A (arm and/or leg): Be aware of weakness, numbness, or difficulty walking.
• S (speech): If speech is slurred or if inappropriate words are being used—or if
the person cannot speak at all—a stroke may be the problem.
• T (time): Time is critical in stroke management. If you suspect a stroke,
call 911 immediately.
40 | April 2010
With a stroke, speed is everything.
Nationally-recognized Comprehensive Stroke Centers —
Overlook Hospital and Morristown Memorial Hospital.
How quickly and effectively you’re treated after a stroke is critical.
We’re the leading hospitals in the state using clot busting drugs
and clot retrieval devices to reverse the effects of a stroke. These
remarkable, minimally invasive treatments, along with our teams
of highly skilled neuro specialists and specially trained stroke
nurses, help us deliver the best possible recoveries.
We work with our patients to reduce the risk of a stroke. But if
one happens, we can treat it as quickly as possible.
For a referral to a neurologist, call 800-247-9580.
866-910-3932. For more
information or to sign up for a free, personalized e-newsletter
visit atlantichealth.org.
Overlookview.com | 41
Spring photography tips
Springtime is one of the best times to make beautiful pictures. The
season brings amazing changes in color, it stays lighter longer, and
the sky begins to turn to a beautiful blue as winter sneaks away for
another year. Create a fun family pastime by grabbing a camera
and taking a nature walk together to photograph birds, flowers, or
whatever else grabs your fancy. To bring your springtime photos to
life, follow these suggestions.
photo. Try turning off the flash when photographing flowers to make
them look more natural. If you choose to use a flash, try to light the
flowers with your flash off the camera or bounced off an object. Direct
flash creates a harsh light, so be creative and find ways to light from
different angles for better pictures.
Photographing flowers
Spring means wet weather. But instead of letting the rain get
you down, take advantage of the opportunities it gives you with
your camera. Puddles and wet sheens on pavement are great finds
for creative pictures of reflections. After a good rain, reflections
can be magical. And once you begin to look for them, you’ll be
amazed to see that they’re all around us.
The best time to
photograph flowers is
early in the morning or
early in the evening when
the sun is low in the sky.
Midday sun can be too
bright, which can result
in overexposure or harsh
shadows, which can wash
out any or all details.
Ideally, cloudy days are probably the best time to photograph flowers;
overcast skies diffuse the sunlight, creating a softer, more natural
42 | April 2010
Look for reflections
If you do plan to shoot in the rain, make sure you protect your
camera. Simply draping a towel or garbage bag over your hands
can do the trick, and photos shot in the rain are some of my
favorites because we rarely see them. If you are shooting with
a camera that allows it, leave your shutter open to capture the
rain falling. This will streak the rain and make your photos look
like lines of silver falling from the sky. These pictures can be
especially fun if shot through a car window.
About the Photographer
Tom Sperduto is an award-winning editorial and commercial
photographer. He is recognized as the most published and
award-winning photographer in U.S. Coast Guard history.
Tom enjoys teaching photography and regularly leads photo
workshops for the National Photographers Press Association,
the American Society of Media Photographers, and the
Department of Defense. Tom also is a regular guest speaker at
Rutgers and Syracuse universities.
____________________________________________________
Do you have a photography question? E-mail your question
to [email protected] and look for Tom’s
answer in an upcoming issue. To see more of Tom’s work,
visit www.tomsperduto.com.
Springtime people pictures
Spring brings a bluish hue to the sky that makes for beautiful
people photos. If you are going on a day trip with your whole
family, ask everyone to wear coordinating colors. Have
you ever looked back on some of your favorite photos and
everything just seemed to fall into place and balance just
right? Often we get lucky, but we can also plan ahead to get
our pictures just right. Pastels are good for children, while
blues, greens, and whites are better for adults.
Happy spring … and happy picture hunting!
Overlookview.com | 43
Kaleidoscope
:: A New View on Kids, From the Goryeb Children’s Center
at Overlook Hospital
Time-Outs ... and Ins
When rules are broken, “time-outs” let
your child know that this behavior is
unacceptable, and provide both of you
some time to cool off.
By MaryAnn LoFrumento, MD, pediatric hospitalist, Newborn
Nursery, Goryeb Children’s Center at Overlook Hospital
44 | April 2010
Every parent has been there: That uncertain place where your child is
misbehaving and you know you have to do something—but what?
Children between the ages of three and five are learning to develop
self-control. Developmentally, they are capable of understanding basic
rules like “no hitting” or “no biting.” They also should be developing
a respect for property and can understand rules like “You cannot
draw on the walls,” even if the impulse strikes them. It’s important
to remember, however, that this takes time and that they are learning.
When rules are broken, using a “time-out” provides a method of letting
your child know that this behavior is unacceptable.
Time-out is the most effective method of discipline for young children.
It has been researched extensively and has been used for decades by
daycare centers and nursery schools. It is simple to carry out, and
provides both parent and child some time to cool off.
“Love is demonstrated in many ways,
and helping your children learn to
control their behavior is one of them.”
How to properly use a time-out
Don’t forget time-ins, too
• E
stablish a time-out space in one particular room—the room where
you spend the most time together is best. Use a chair, a step, or a
playpen without toys. You also can create a time-out space wherever
or whenever it is necessary, but never put a toddler in a closed room,
bathroom, or closet. If your child will not sit in a chair, hold him in
it from behind the chair while applying gentle pressure on the
shoulders. For an older child, setting a timer teaches him to sit until
told to get up. The key to success is to not say a word or look at the
child during this time.
• Following a time-out, a child should be allowed to resume play. Do
not bring up the incident again, do not lecture, and do not reprimand.
Doing so has been shown to act as a positive reinforcement for the
unwanted behavior by giving the child attention and could negate
your disciplinary efforts.
• T
he recommended length of time-out is one minute for each year
of age. Using a timer can be very helpful.
• Establish what behaviors will result in time-out ahead of time.
Decide which behaviors you wish to change, but never try to change
more than two at a time.
• The one exception to not bringing up the subject again is if your child
has injured someone or damaged someone’s property. Ask your child
to apologize; a simple “I’m sorry” will do. It’s never too early to teach
that art, but don’t expect miracles right away. If your child refuses to
apologize, don’t insist or make a fuss. Your facial expression will be
enough to convey that you are disappointed. Over time, apologies will
come—especially if your child has observed your behavior and has
heard you apologize.
• B
e consistent. That means each parent and childcare provider
is consistent.
• Do not attempt to assuage your “guilt” over a time-out by giving
extra hugs and kisses to show your child that you still love him or her.
Love is demonstrated in many ways, and helping your children learn
to control their behavior is one of them.
• Use five words or less to tell your child why he or she is being given
a time-out. If your child has hit someone, for example, firmly say “No
hitting!” and without raising your voice and without further discussion,
place the child in time-out.
A child should start with a clean slate after each time-out and should
receive praise for positive behaviors, too. Time-outs always work best
in a loving environment where the child has received
adequate positive attention.
To learn about the services and specialists at the
Goryeb Children’s Center at Overlook Hospital, visit
www.atlantichealth.org/Goryeb.
46 | April 2010
Overlookview.com | 47
News & Views
:: A Compendium of the New and Noteworthy
Sunny Days
With more people spending increasing amounts of time indoors, it’s no surprise that
nearly half the world’s population is suffering from a lack of the “sunshine vitamin,”
vitamin D. Make sure that you’re not one of them: As it turns out, even your immune
system benefits from adequate doses of D. New findings from the University of
Copenhagen suggest that vitamin D might activate the body’s T cells, the immune
system’s first response to invading viruses and bacteria. A shortage of the vitamin
may preclude T cells from responding to these threats. Current recommendations call
for 200 international units of vitamin D daily for people under age 50, and increased
amounts for the elderly. Still, the debate continues over whether those doses are high
enough, and the Institute of Medicine plans to publish revised recommendations in
coming months.
The fluorescent lig
hting in grocery
stores may actual
ly boost the
nutritiona l va lue of
fresh spinach by
bolstering levels of
folate and lutein,
as wel l as vitamin
s C, E, and K.
Safety in Numbers?
You likely know that high blood pressure is linked to serious health threats like heart attack and stroke. But do you know that controlling
your blood pressure just might be the best protection yet in staving off dementia? It turns out that hypertension spurs a type of scarring
in the brain that is linked to the development of Alzheimer’s disease and other forms of dementia. These scars, known as white-matter
lesions, can start building in middle age, often decades before memory problems surface. White matter serves as the brain’s telephone
network, allowing brain cells to communicate with one another. But blood pressure that is elevated even slightly can damage the tiny
blood vessels that nourish white matter, thereby interrupting those signals. In fact, as part of the famed Women’s Health Initiative that
tracked post-menopausal health, MRI scans of more than 1,400 women showed that those 65 and older with high blood pressure had
significantly more white-matter lesions in their brains (and the worse their
blood pressure, the more white-matter damage). A similar study, led by
Johns Hopkins University, tracked nearly 1,000 people for more than 15
years and found that the longer people spent with uncontrolled high blood
pressure, the more white-matter damage they amassed. Now, the National
Institutes of Health is enrolling thousands of hypertension sufferers age 55
and older to participate in a major study that assesses whether aggressive
treatment that pushes blood pressure even lower than the current
recommendation of 120/80 offers better protection for hearts, kidneys, and
brains alike.
ght too quickly
Women who ga in wei
ester of
during the first trim
likely to develop
pregnancy are more
gestational diabetes.
48 | April 2010
We’ll Drink to That!
Ladies, raise your glasses: Despite previous perceptions of alcohol as “empty
calories,” light to moderate drinking—just one to two drinks per day of wine, beer,
or liquor—may serve to curb weight gain. A study of more than 19,000 women ages
39 and older by Boston’s Brigham and Women Hospital found that normal-weight
women who consumed alcohol in moderation were less likely than women who
didn’t drink at all to become overweight or obese. Although most of the women
gained some weight over the 13-year span of the study, those who reported to drink
15 to 29 grams of alcohol daily were 30 percent less likely than teetotalers to put on
excess weight. Researchers caution, however, that women who don’t drink alcohol
should not take up the habit simply to keep pounds at bay.
only a nima ls
e
h
t
e
r
a
s
dolphin
betes
Bott lenose
type 2 dia
f
o
m
r
o
f
a
like
p
a ns. But un
that develo
um
h
in
n
e
hat se
rn this
simila r to t
ma ls ca n tu that
m
a
m
e
in
r
a
m
iate so
people, the
hen appropr
w
f
f
o
d
n
a
state on
.
a lly ha rmful
it is not u su
Sniffing Out (and Snuffing Out) Cancer
Is it possible to smell lung cancer? In what could prove to be a breakthrough in detection and cure
rates for the leading cause of cancer-related deaths worldwide, scientists say they have developed
a new test that detects lung cancer by picking up on tumor-causing changes in the scents of bodily
fluids. Testing thus far has been confined to mice, and has revealed that odor shifts in urine from
mice with cancer often were linked to dips in the levels of certain organic compounds. Follow-up
studies are underway to determine if this novel approach could aid in the early diagnosis of lung
cancer in humans, too, and scientists estimate that they should know within a year if the scent tests
can be pursued as an additional diagnostic tool.
It Doesn’t Add Up
For decades it has been observed that women lag behind men in many areas of math
achievement, and fingers have been pointed every which way in trying to identify a root cause.
Now comes a new theory that posits that teachers themselves may shoulder some of the blame.
As reported in Proceedings of the National Academy of Sciences, a study of 117 first- and
second-graders revealed that female elementary-school teachers who are concerned about their
own math skills could unknowingly be passing that bias to the little girls they teach. Although
the students’ math abilities were not linked to teachers’ math anxieties at the onset of the
school year, by the end of the year, the teachers who were more anxious about their own math
skills were more apt to have female students who agreed to the age-old stereotype that boys
are good at math and girls are good at reading.
In fact, researchers found that girls who believed this statement scored lower on math tests
than their male counterparts, and lower too than the girls who had not developed a belief in
the stereotype. Considering that 90 percent of the country’s elementary-school teachers are
female, it’s indeed a scary equation for young girls.
Overlookview.com | 49
gifts
heart
from the
A generous donation from Overlook Hospital’s Auxiliary promotes health and healing for
patients and their families.
The Overlook Hospital Auxiliary has donated $177,000 to Overlook
Hospital to support the needs of patients and their families. The gift
is being directed to three separate areas, with the largest portion of
the gift, $150,000, earmarked to assist in the opening of the hospital’s
new Caregiver’s Center. The center, to be located just off the main
lobby of the hospital, is currently under development, and will seek
to help family caregivers obtain the information, support, and respite
they need to preserve not only their critical role as caregivers but also
enable them to maintain the balance of work, family, and care-giving
responsibilities. It will be the only center of its kind in New Jersey.
An additional gift in the amount of $25,000 is being used to redo the
third-floor solarium, which primarily serves as a refuge for patients
and family members who are dealing with cancer. The solarium
provides a space where families can gather, relax, and engage in the
simple act of just being families while facing many difficult issues.
The Auxiliary is now working with a local decorator to refurbish the
existing room and provide a comforting and functional area, updated
with the latest cozy touches, for these patients.
The Auxiliary also has initiated a new annual grant of $2,000, which
will be given to the Palliative Care department to provide comfort
baskets. Each basket will be individually created to provide each
patient dealing with end-of-life issues a personal, comforting gift from
the hospital.
The Executive Board members of the Auxiliary believe that these
three donations will greatly enhance patient care at Overlook Hospital.
Funding for this major gift was derived solely through profits from
The Gift Shop and Bloom at Overlook Hospital, a branch of the
Auxiliary. The Gift Shop prides itself on finding a wide variety of
unique gifts for any occasion, from one-of-a-kind jewelry and apparel
to calming, exotic teas, as well as many of the basic needs that a
patient might require while staying at the hospital. Bloom, managed
by florist Laura Wrong, makes available competitively priced beautiful
bouquets not only for patients but also for your dining room table.
With curbside pick-up for your floral arrangements, nothing could be
easier. Bloom also has access to several floral wire services. With a
call to Bloom, anyone can send flowers anywhere in the world.
Gift Shop manager Mary D’Amiano and Shops Trustee Dorothy
Butler were thrilled to present the check for $177,000 to the Auxiliary
Board. As D’Amiano said, “The best part of shopping at The Gift
Shop and Bloom is that all of our profits go directly toward funding
and supporting the hospital, its patients, and the greater community.”
Overlookview.com | 51
Foundation Happenings
Caregivers Center to Help Families
through Stressful Times
Claude Fusco (right) and his children, Claude, Emily, and Diana, have continued the family’s tradition of enjoying an annual Christmas vacation together.
As the year 2006 began, everything was close to perfect in Claude
Fusco’s world. He and his wife, Kathryn, were living happily in
Westfield with their two teenage children, Claude and Emily, while
their daughter Diana had recently moved to an apartment in New York
City. Then, in April, upon experiencing some troubling symptoms,
Kathryn visited her primary care physician who sent her for tests. She
was diagnosed with cancer, and the family’s life was forever changed.
“I didn’t realize the impact this would have on me and the rest of my
family,” Claude remembers. “Looking back, if there was a Caregivers
Center at the hospital, it would have been helpful not only for me but
for my children.”
Kathryn lost her battle with cancer later that same year, prompting
Claude to throw his philanthropic weight behind efforts to establish a
Caregivers Center at Overlook. “There are issues when you are dealing
with a terminal illness that you just cannot put off or not talk about.
You have to deal with it,” he says. “I did not and, in retrospect, I wish
we would have had this professionally run resource to turn to during
the most difficult time in our lives.”
Today, as our population ages and both terminal and chronic health
conditions are better managed, caregivers increasingly will be called
upon to help family and friends who are unable to handle many
daily activities. Over time, that added responsibility can take its toll,
leading to fatigue, burnout, compromised health, and even depression.
52 | April 2010
Recognizing a need for services among our community’s caregivers,
the Foundation has embarked on a fund-raising effort to construct the
Thomas Glasser Caregivers Center at Overlook Hospital in an area
right off the main lobby, and will provide an endowment to sustain
the program. A generous donor has agreed to match, dollar for dollar,
donations toward this initiative.
The Caregivers Center will be designed to offer a space for private
conversations, as well as a comfortable place to rest, reflect, and
recharge. There will be a kitchenette with healthy snacks and
beverages, a resource library, and access to computers, a fax machine,
a copier, and a telephone. There also will be a wide range of support
services, including referrals for nutritional support, exercise and fitness
programs, health education, financial counseling, and nurse/case
management; support groups and counseling services with a caregiver
mentor; pastoral care services; and relaxation therapies, such as
meditation, massage, Reiki, and pet therapy.
Adding to the effort, organizers of the Foundation’s 2010 Passion
to Lead Gala—The Time of Your Life—have announced that the
beneficiary of this high-profile fund-raiser will be the Caregivers
Center at Overlook Hospital. When completed, the $2.5 million
project will be the only in-hospital facility of its kind in the state,
providing support services for those who are caring for aging and/
or chronically ill family members or friends.
Sharp Electronics Donation
Helps PT Patients Pass the Time
Pint-Size Philanthropists Raise
Funds for Pediatric Patients
Enjoying an early lesson in philanthropy, the second-graders at
Wyoming Elementary School in Millburn presented a $1,000 check to
Overlook Child Life Manager Lisa Ciarrocca (second from left center).
Teachers Liz Harding, Rene Slater, and Jennifer Foti encouraged their
students to wear pajamas to school for a day-long read-a-thon, after
securing generous pledges from family and friends. The funds will be
used to supplement the existing activities enjoyed by patients in the
playroom of the Goryeb Children’s Center at Overlook.
On what was once a blank wall, a brand-new 40-inch flat-screen
television now provides physical therapy patients with a welcome
diversion while they make their way through rehab sessions. Accepting
the generous gift from Sharp Electronics were Joe Rempson, MD,
medical director of Rehabilitation Services; Janet Warnet, physical
therapist; and Dan Whelan, manager of Rehabilitation Services.
The Overlook Hospital Foundation assists the
hospital in its mission to promote world-class
healthcare close to home. To learn more
about the Foundation or to support any
of the Foundation’s many projects,
call (866) 785-7717.
Overlookview.com | 53
With Overlook’s
Chef Mike
Vegetarian Lasagna
Yields 6 servings
Prep time: 10 minutes
Cook time: 1 hour 50 minuets
1. Preheat oven to 350° F. Lightly spray 9-by-13-inch baking dish
with vegetable oil.
2. In small bowl, combine 1/8 cup mozzarella and 1 tablespoon
Parmesan cheese. Set aside.
3. In medium bowl, combine remaining mozzarella and Parmesan
cheese with all of the cottage cheese. Mix well and set aside.
4. C
ombine tomato sauce with remaining ingredients. Spread thin
layer of tomato sauce in bottom of baking dish. Add a third of
noodles in single layer. Spread half of cottage cheese mixture on
top. Add layer of zucchini.
5. Repeat layering. Add thin coating of sauce. Top with noodles,
sauce, and reserved cheese mixture. Cover with aluminum foil.
6. Bake for 30 to 40 minutes. Cool for 10 to 15 minutes before serving.
Helpful
Nutrition Analysis (per serving)
Calories
Total Fat
Saturated Fat
Carbohydrate
Fiber
Sodium
Protein
Cholesterol
276
5g
2g
41 g
5 g
380 mg
19 g
11 mg
Michael Atanasio is the manager of Food & Nutrition for Overlook Hospital. He has
more than 25 years of experience in the restaurant and healthcare industries and has
competed in and won numerous culinary competitions. In 2000, he was named Chef
of the Year.
Hints
Vegan:
k
If a recipe calls for fresh herbs but you have access only to
the dried variety, use this estimate for converting quantities:
A fresh herb equals 3x a dried herb.
54 | April 2010
Ingredients
½ pound lasagna noodles, cooked in unsalted water
¾ cup part-skim mozzarella cheese, grated
1½ cups fat-free cottage cheese*
¼ cup Parmesan cheese, grated
1½ cups raw zucchini, sliced
2½ cups no-salt-added tomato sauce
2 teaspoon basil, dried
2 teaspoon oregano, dried
¼ cup onion, chopped
1 clove garlic
1
/8 teaspoon black pepper
*Using unsalted cottage cheese reduces the sodium
content to 196 mg per serving
a vegetarian who omits all animal products from the diet.
To our doctors. Bravo!
Outstanding performance, every single day.
Talk about talent. Overlook Hospital’s highly skilled and experienced
physicians have received national and international recognition for
outstanding contributions in their fields. In fact, they’ve earned Overlook
Hospital the #1 ranking for both stroke and neurological care in this year’s
list of New Jersey’s Top Hospitals. Compiled by Inside Jersey Magazine
and Castle Connolly Medical Ltd., the ranking reflects true excellence in
specialized care.
From neuroscience to treating patients with the state-of-the-art CyberKnife®,
or myriad other vital medical specialties, our doctors are leaders who put
their patients first.
We applaud their work. And clearly, so do others.
For a referral to an Overlook physician call 866-839-3936. For more
information or to sign up for a free, personalized newsletter visit
atlantichealth.org/overlook.
Overlookview.com | 55
Atlantic Health System
99 Beauvoir Avenue
P.O. Box 220
Summit, NJ 07902-0220
Vein Center overlookview2
1/12/10
Nonprofit
Organization
U.S. POSTAGE
PAID
Strasburg, VA
PERMIT #167
4:21 PM
Page 1
Comprehensive,
Highly-effective
Treatment of
Varicose and
Spider Veins
NON-SURGICAL & SURGICAL ALTERNATIVES
IN-OFFICE TREATMENT
RESUME ACTIVITIES SAME DAY
State-of-the art laser treatment for varicose and spider
veins can reduce painful symptoms and improve
appearance. Backed by the expertise of Summit
Medical Group, our board-certified vascular surgeon
Dr. Richard Nitzberg provides an experienced
approach to your treatment needs. Insurance plans
cover some treatments and payment plans are available
for your convenience. Call 888-747-3750 for an
appointment or more information.
Mention this ad and
Receive 10% off your first laser treatment
BERKELEY HEIGHTS
summitmedicalgroup.com