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WINTER 2008 2 0 0 7 A N N U A L R E P O RT A N D D O N O R L I S T I N G S — PA G E S 7 - 1 0 Bad sign? Don’t ignore leg pain Page 4 Page 2 Energy eating Stay active, eat right this winter Page 5 Reawakening “I could never repay everyone involved for helping me change my life.” In color Coding system can save kids’ lives Page 12 Health News & Information for Healthy Living WINTER 2008 Healthy Living New mom enjoys new life after treatment for sleep disorder z Z z Z Z z z Z z Altoona Regional’s Healthy Living Magazine is published four times a year by the Marketing and Communications Department. At left: A fully rested Kristine reads to her daughter in their Bedford home. Chief Operating Officer Ronald J. McConnell Director, Marketing and Communications Dave Cuzzolina On the cover: Kristine enjoys a special moment with her daughter, Lauryn. Staff Writers Patt Frank Jay Knarr Anne Stoltz Design Barash Advertising State College, Pa. For more information, please contact: Altoona Regional Health System Marketing and Communications 620 Howard Ave. Altoona, PA 16601-4899 889.2271 [email protected] PLEASE NOTE: President and CEO Jim Barner’s column appears on Page 7 as part of the system’s annual report. If you are not receiving Healthy Living Magazine in the mail and would like to, you need to join the Healthy Living Club. It’s FREE, and the magazine is just one of the many benefits! Join online at www.altoonaregional.org or call 889.2630 or 1.888.313.4665. oration REST For years, extreme fatigue kept Kristine Putt from spending quality time with the one person she fought so hard to bring into this world: her daughter, Lauryn. mom who spent every possible second playing, laughing and sharing special moments with her daughter. Unfortunately, her constant lack of energy and frustration over failed weight-loss attempts shattered those dreams. Relief finally came when a sleep study found that Kristine suffered from obstructive sleep apnea — a serious condition in which people have trouble breathing during sleep, or even stop breathing for short periods, because their airway is blocked. Up at 10, nap at 2 “There were days when I would take a nap at 2 p.m. even though I just woke up at 10 a.m. That obviously cut down on the time I should have been spending with Lauryn,” Kristine recalled. “I was always just too tired to be the mother I wanted to be, and that really bothered me. Kristine’s incredible journey began nearly eight years ago. In her quest to become a mother, the now 30-year-old Bedford woman gained over 150 pounds due to a combination of fertility and anti-depression drugs. “Working with children and their families for a living, I know how important it is for a child to have an involved parent in his or her life. Having a parent with energy vs. a parent that’s always exhausted can make a huge difference to a child.” When she finally gave birth in 2003, Kristine had aspirations of being a full-time working 2 In July 2006, Kristine, attributing her low energy level to her weight and depression, turned to her family doctor, Jennifer Murnyack-Garner, M.D., for help. Eventually, she was advised to undergo a sleep study at Altoona Regional’s Institute for Sleep Medicine to rule out sleep apnea. If sleep apnea is not diagnosed and treated, it can interfere with your quality of life, according to Timothy A. Lucas, M.D., the institute’s medical director. Sleep apnea can put people at risk for excessive daytime sleepiness and potentially worsen other problems, such as high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease and stroke. A noninvasive study “Kristine was a bit apprehensive about coming in for a sleep study, but I told her what I tell all my patients: The monitor hookup, although cumbersome, is not invasive. The sleep study can’t hurt you,” Dr. Lucas said. “You’re just in a strange bed in a strange room being observed by strange people. If you’re tired, you’ll eventually fall asleep and we’ll get the data we need to help you.” To treat Kristine, Dr. Lucas prescribed the use of an auto CPAP (continuous positive airway pressure) machine, which helps people with obstructive sleep apnea breathe more easily during sleep. An auto CPAP machine takes air from the room and increases air pressure in your throat so your airway A LOOK INSIDE Do you have SLEEP APNEA? Dr. Lucas recommends you talk with your family physician if you snore and have one or more of the following: Excessive daytime sleepiness Witnessed apneas (someone observes your pauses in breathing during sleep) zZ zZ Sleeping at work or while driving QUICK FACTS about sleep apnea zZzZ Affects 4 to 6 percent of population Many people with sleep apnea have never been diagnosed z Z z Z z Zz Most common problem seen in sleep centers Affects both males and females About 60 to 80 percent of sleep apnea patients are overweight The Institute for Sleep Medicine is a comprehensive program that treats all types of sleep disorders, especially snoring and sleep apnea, under the medical direction of a sleep specialist. Complete or partial collapse of the upper airway produces apnea and leads to arousal from sleep repeatedly during sleep “Apnos” is Greek for “without breath” Ten basic rules for a GOOD NIGHT’S SLEEP 1 Sleep only as much as you need to feel rested 2 Keep a regular sleep schedule 3 Avoid forcing sleep 4 Exercise daily for at least 20 minutes 5 Avoid caffeine after lunch 6 Avoid alcohol near bedtime 7 Avoid smoking, particularly in the evening 8 Do not go to bed hungry 9 Adjust bedroom environment Above: A patient’s sleep is monitored at the Institute for Sleep Medicine. At right: Bernadette Krug, R.N., registered polysomnography technologist, observes a patient’s sleep cycle during a sleep study. 10 Deal with your worries before bedtime does not collapse when you breathe in, he said. Kristine uses her CPAP at home every night. She still recalls how great she felt just two weeks into using the machine. “My energy level literally skyrocketed. I felt 110 percent better during the day,” she said. “I even began waking up before my daughter in the mornings. That was something that rarely ever happened. ‘The best gift’ “Being able to play and keep up with Lauryn all day without feeling tired is the best gift anyone has ever given to me. Having the sleep study and finding out what was causing my fatigue has been a blessing. My life has totally changed for the better.” With her new vitality, Kristine became less frustrated and more motivated to exercise and eat healthfully, and soon watched the weight fall off. Since November 2006, she has lost over 55 pounds. “I know that I still have a long road to go as far as losing the weight, but I know that I am on the right path now, thanks to the tremendous support from my family, friends, physicians and the wonderful staff at the institute. “I could never repay everyone involved for helping me change my life. These people have made a huge impact in not only my life but Lauryn’s as well. Lauryn will remember me as the mom who played with her every single day, not the mom who told her ‘I’m too tired’ all the time. For that, I am truly thankful.” For more information on Altoona Regional’s Institute for Sleep Medicine, call 889.4466. Institute for Sleep Medicine Contact: Timothy A. Lucas, M.D. Medical Director, Institute for Sleep Medicine Altoona Regional Health System Bon Secours Hospital Campus 2500 7th Ave. Altoona 889.4466 The institute includes a sleep lab, where patients can be monitored during sleep for diagnostic purposes using computerized polysomnography equipment. In the morning, patients are treated to breakfast in the institute’s hospitality room. The institute also runs a daytime sleep clinic, where patients are first assessed by a sleep clinic nurse and then evaluated by an institute physician to determine a plan of care. Patients are asked to return to the clinic after their sleep studies to discuss outcomes and treatment plans. All reports and recommendations from the institute are sent to the patients’ referring physicians. Besides snoring and sleep apnea, the institute can help patients who have problems: Staying awake, such as narcolepsy. With nighttime behaviors, such as sleepwalking, night terrors or bedwetting. Sleeping at night (insomnia). This may be caused by conditions such as periodic limb movement disorder, which is repetitive cramping or jerking of the legs during sleep, or restless legs syndrome, an intense urge to move the legs to relieve a strange sensation. With sleep deprivation and/ or sleep due to shift work. 3 PROGRAM ALERT! The Snooze Blues: Sleep Disorders and Treatment See Page 14 for details, date and time If you have daytime sleepiness even though you got enough sleep the night before, Dr. Lucas encourages you to speak with your family doctor about the potential for sleep disorders. PROGRAM ALERT! Learn more and be screened See Page 15 for details, date and time Some leg pain could warn of vascular problems throughout body PAD Pay Attention without Delay Leg pain while walking or climbing stairs may be a sign of a serious condition known as peripheral arterial disease, or PAD. Most of the 8 million to 12 million Americans who suffer from PAD are unaware they have the disease. That is a major problem because untreated PAD can not only make walking difficult but may increase your risk of heart attack, stroke, gangrene, leg amputation and even death. PAD occurs when plaque clogs leg arteries or vessels and restricts blood flow. Eventually, the restricted flow causes aching pain, called claudication, while walking or exercising, according to Arthur J. DeMarsico, D.O., vascular surgeon and medical director of Altoona Regional’s Vascular Institute. Recognize the warning signs Identify the problem The most common symptom of PAD is pain in your leg muscles — not your joints — when you walk, climb stairs or exercise, that goes away when you rest, according to vascular surgeon Shuba Maitra, M.D. While everyone knows how important it is to treat and prevent heart disease, most are not aware of the seriousness of PAD, Dr. Maitra said. Other symptoms include: Painful cramping in legs and hips Numbness and tingling in the lower legs or feet Marked decrease in temperature of lower leg or foot, particularly compared to your other leg or the rest of your body Sores or wounds on toes, feet or legs that heal slowly, poorly or not at all Color changes of the skin of your feet, including paleness or blueness Poor nail growth and decreased hair growth on toes and legs Burning or aching in feet or toes while resting Leg weakness Arthur J. DeMarsico, D.O. Shuba Maitra, M.D. If you experience any kind of recurring leg pain, speak with your family doctor and describe the pain as accurately as you can. “If your leg arteries are clogged, it’s quite possible that other blood vessels around your heart and brain may be as well,” he explained. “People with PAD are three times more likely to die of heart attacks or strokes than people without PAD.” Fortunately, PAD can be easily diagnosed, and effective treatment will significantly reduce or eliminate the risks of severe complications, Dr. DeMarsico said. The ankle-brachial index (ABI), a painless test in which blood pressure is measured in the legs and arms to determine how well your blood is flowing, is the most common test for PAD. When an ABI reveals an abnormal ratio between the two blood pressures, additional testing may be required. Depending on the results of the ABI, noninvasive imaging techniques such as angiography, magnetic resonance angiography (MRA) or a CT scan may be used to determine the location of the blockage, Dr. DeMarsico said. The STEP-BY-STEP process Illustrations courtesy of Boston Scientific STEP 1 STEP 1: Surgeon delivers a very small balloon through a thin tube (catheter) into the blood vessel to the site of the blockage. STEP 2 STEP 3 STEP 2: The catheter is filled with nitrous oxide gas, which cools and expands the balloon. The gas gently cools the inside of the blood vessel, which weakens the plaque as it opens the blockage. 4 STEP 3: Once the blood vessel is opened, the balloon is deflated and removed. Most PAD cases can be managed with lifestyle changes — diet, exercise and smoking habits — and/ or medication, Dr. Maitra explained. In some cases, other treatment may be necessary to open the artery. CryoPlasty therapy is just one minimally invasive (nonsurgical) treatment option for PAD available at Altoona Regional’s Vascular Institute. (See related article for a step-by-step look at CryoPlasty.) Other minimally invasive treatments for PAD include: Angioplasty: Small balloon filled with saline (water and salt) solution is inserted in artery and expanded, pressing the plaque against wall of vessel to open up the blockage. Stenting: Tiny metal cylinder, called a stent, is inserted in artery to push back the blockage. SilverHawk: Surgeon uses small rotating blade to shave away and remove plaque in artery. At times, patients need a surgical bypass procedure which involves taking a vein from another part of the body and using it to create a detour around the blocked artery. The decision on which treatment to use depends on the severity of the plaque and other factors, like the location of the blocked artery, Dr. Maitra said. To find out more about PAD treatment options at Altoona Regional’s Vascular Institute, Vascular Institute ARE YOU AT RISK? CryoPlasty therapy, a minimally invasive technique used to open clogged vessels, requires only a small opening in the skin. It is performed while the patient is conscious but drowsy and usually feeling no pain, Dr. DeMarsico said. Find the solution call 889.2005. Those with the highest risk for developing PAD are people who: Are older than 50 Use tobacco Are diabetic Have high blood pressure Have high cholesterol Are overweight Are physically inactive People with PAD are three times more likely to die of heart attacks or strokes than people without PAD. Have a family history of PAD or other cardiovascular diseases The more risk factors that apply to you, the more important it is to talk with your family doctor, get screened for PAD and reduce your risk for heart attack and stroke. 4 How to avoid WINTER WEIGHT GA I N COUNTING CALORIES: How to control your weight What you eat is as important as how much Baby, it’s cold outside! Your best instincts tell you to curl up with a cup of hot cocoa and a plate of cookies to warm and comfort yourself. If you do, though, you’re risking an unwanted winter weight gain. 1 Convert your weight in pounds to kilograms by dividing by 2.2. “It’s easy to pack on the pounds through winter when most people are less active,” says Dona Baughman, a registered dietitian with Altoona Regional. “People tend to feel more sluggish and drained of energy during the winter months because they’re not moving. The best way to feel more energetic is to move. 2 Take that number and multiply by 25. “The more you move your body, the more energy you will have. The people playing basketball, skiing and doing other winter sports — they are the ones with energy. You shouldn’t be eating more if you are doing less.” 3 This is the number of calories you need per day to maintain your weight. FOOD SELECTION MAKES BIG DIFFERENCE 4 To lose weight, subtract 500 calories per day to lose one pound per week. Quantity of food is important, but food selection is doubly important during winter. “You want to choose more nutrient-dense foods — foods that are high in vitamins and minerals and low in calories,” Dona explained. EXAMPLE: 130 pounds divided by 2.2 equals 59 kilograms Examples of nutrient-dense foods include: 59 times 25 equals 1477. Round up to 1,500 calories per day to maintain weight. ORANGES — High in vitamin C and only 60 calories each. GREEN PEPPERS — Vitamin C, 25 calories each. CARROTS — Vitamin A, a half-cup cooked is only 25 calories. Stay at 1,000 calories per day to lose one pound per week. GRAPES — Good source of fiber, and 15 grapes are only 60 calories. “The more you move your body, the more energy you will have.” Unfortunately, most people lean toward consuming “high energy” foods such as caffeine, chocolate and highly processed, sugar-based fare when they are tired and bored. While these foods provide an immediate rise in energy, the boost is short-lived, and the empty calories are stored as fat because the body is unable to process the overload. When outside for a long period, avoid smoking and drinking alcohol because they change the body’s circulatory system and lower body temperature. Alcohol can be especially dangerous since intoxication increases the risk of hypothermia. It reduces the body’s core temperature by diverting the blood flow to the skin, evidenced by the flushed face, and away from internal organs where it is needed. So, the body feels warmer, but its core temperature actually drops. Dona Baughman Registered Dietitian MAKE CHANGES THAT WILL STICK In her 17 years as a dietitian, Dona has learned that full-scale diet changes are impractical and usually don’t stick in the long-term. When working with patients, she finds out what foods they like to eat and then suggests healthier alternatives. Some examples: WHOLE GRAIN TOAST WITH PEANUT BUTTER is healthier than white bread with jelly. CEREAL is better than eggs and bacon. GRAHAM CRACKERS with peanut butter beat out potato chips. “I try to deal with what they’re willing to change,” she said. “You have to look at whether it’s something they’re willing to eat or find a healthy substitute that does the same thing. And, they have to learn to make better choices.” PROGRAM ALERT! “Winter Eating for Energy” with Dona Baughman See Page 15 for details, date and time 5 ‘PAR’ A B O V E Time is a commodity nurses will tell you they can’t have enough of. So when Altoona Regional introduced a computeraided supply management system that allows nurses to spend more time caring for patients than sifting through cluttered supply closets, it received rave reviews. The PAR Excellence system was launched at Altoona Hospital Campus in August, and soon will be in almost every nursing supply closet in the system. “Simply stated, the PAR Excellence system allows nurses to devote 100 percent of their attention to doing what they do best — caring for patients,” said Vince Georgiana, cart supply supervisor for the Supply Chain department (formerly Materials Management). “If my mom or dad were in one of these hospital beds, I’d feel better knowing that the supplies the nurses need to care for them are available fast and are easy to get to.” Immaculately organized PAR Excellence supply rooms are immaculately organized with three large, wall-mounted racks holding rows of nursing supplies neatly in easy-toview plastic bins. On each tray is a nickel-sized metal button called an iTag, which electronically stores the type and amount of the item in the bin. On the wall is a PAR Display Board with electronic screens. Cathy Dillen, R.N., quickly fills and records her supply needs before returning to her patients. New supply system allows nurses more patient care time Each screen shows a patient’s name and assigned room, and includes similar metal buttons, called iButtons, for every patient. The nurse walks into the supply room, picks up a touch probe that looks like a TV remote control and touches the iButton under the patient’s name on the PAR Display Board. He or she then touches the iTag on the bin from which each item is collected for that patient’s care. When finished, the nurse returns the touch probe to the system’s “downloader port” and the information goes instantly into a computer that records the used items and recognizes when it is time to restock them. This system also keeps track of the cost of supplies used for each specific patient. Nurses like easy-to-use system Excellence provides peace of mind about nursing supplies. Gary W. Zuckerman, vice president of Supply Chain, first saw the system while working in a Baltimorearea hospital and says the results speak for themselves. “I feel more secure that we won’t run out of things, especially on the weekends,” she said. “Quite frankly, there are few automated systems that live up to their hype of making processes more efficient and accurate,” he said. “I haven’t found any others that are as simple and straightforward as Par Excellence.” Both Gary and Vince have received overwhelming approval from nurses who have used the system. Angela Davies, R.N., says that along with being easy to learn and use, PAR Clinical Manager Bonnie Neal, R.N., says the system has taken the burden off nurses for ordering and storing supplies. Dottie Fulton, R.N., said the system removed the clutter and uncertainty from the supply closet, and noted that “running out of an item is a thing of the past.” In the end, the focus of the PAR Excellence initiative is on the patient by recognizing that the less time nurses spend searching for supplies, the more time they can spend at the bedside. For more information on PAR Excellence, visit parexcellencesystems.com “If my mom or dad were in one of these hospital beds, I’d feel better knowing that the supplies . . . are available fast.” 6 5 - 2 00 00 67 22 00 00 6 2 0 0 7 A N N U A L R E P O R T Making the grade with a focus on quality A message from James W. Barner, President/CEO After months of work, we built a stroke care program that substantially improves outcomes for stroke patients and includes significant education and prevention components. For that work, we earned certification from The Joint Commission as a Regional Stroke Center — the only one between Pittsburgh and Lancaster. For many reasons, fiscal 2007 (July 1, 2006, to June 30, 2007) was a great success for our health care system. During only our second full fiscal year as Altoona Regional, we achieved progress on many important fronts: Our intense focus on quality and patient safety was recognized by the likes of Highmark Blue Cross/Blue Shield, The Joint Commission and Voluntary Hospitals of America-PA. Technology The new $1.2 million GE LightSpeed 64-slice CT scanner we began using in January 2007 offers some of the most powerful scanning technology available. Our patient satisfaction scores moved higher. We formed a Regional Stroke Center in response to community need. Most significant among its many benefits for patients is its speed. It captures images of a beating heart in five heartbeats, a single organ in one second, and performs whole body trauma scans in 10 seconds — all with a lower radiation dosage. We installed one of the more technologically advanced imaging tools available. And we had a much improved year financially. Let me expand a little on each area. Financial results Quality and patient safety In last year’s annual report message, we talked about the pressures on our bottom line from the rising costs of medical supplies and technology, competition from for-profit services, and inadequate insurer payments. Today’s consumers are informed and enlightened about their medical care. They demand the best and will go to great lengths to find it for themselves or a loved one. We encourage exactly this kind of proactive approach. We said it was our intention to address these concerns aggressively by maintaining prudent cost controls and ensuring we were paid fairly for the cost of providing high quality care. You will notice in the highlights of our fiscal year on the next page several having to do with quality and patient safety, including joining the QualityBLUE Program, being named a Blue Distinction Center for Cardiac Care for 2007, and earning five awards from Voluntary Hospitals of America-PA for demonstrating extraordinary levels of clinical performance. By implementing our plan, we met our goal of a 2 percent operating margin for fiscal 2007. In fiscal 2008, we again face many challenges. The financial landscape for hospitals has not changed, and we must continue to deal effectively with those pressures. We will also continue to enhance quality and patient safety while adding services and technology that benefit our community. We also achieved a minimum score of 80 percent on 17 of 20 stringent Joint Commission core measures of quality. Core measures look at treatment of congestive heart failure, myocardial infarction and pneumonia, and prevention of surgical site infections. These achievements demonstrate the success of our vigorous efforts to excel in these two essential areas. Patient satisfaction Challenging yet exciting times lie ahead. More than 1,700 staff members took our 2007 employee satisfaction survey. Why is that important when you’re talking about patient satisfaction? Because scientific studies in health care have established an indisputable link between employee satisfaction and patient satisfaction. Sincerely, For this reason, Altoona Regional is actively engaged in programs to enhance employee satisfaction, along with physician satisfaction. And the programs are showing results: Employee, physician AND patient satisfaction scores were higher at the end of the fiscal year than they were at the start. Medical services Being the largest provider of health care services in Blair County, we knew we needed to address the fact that the county ranks above the state average in stroke deaths. 7 KEY HOSPITAL STATISTICS ADMISSIONS 22,030 Highlights: Clinical and community service (includes newborns) INPATIENT DAYS AVERAGE LENGTH OF STAY 102,456 4.7 OUTPATIENT VISITS 459,668 EMERGENCY ROOM VISITS 60,450 INPATIENT SURGICAL PROCEDURES 7,455 OUTPATIENT SURGICAL PROCEDURES 18,633 OUR PATIENT CARE REVENUES COME FROM: 2006 SEPTEMBER The Outpatient Physical Therapy department relocates from the Altoona Hospital Campus to Puritan Park Medical Center to offer patients state-of-the-art equipment and easy accessibility. OCTOBER The former Stroehmann’s Bakery property adjacent to the Altoona Hospital Campus opens for added parking after extensive demolition and paving work. NOVEMBER Medicare 46.72% Medicaid 9.88% Commercial insurances 16.61% Managed care 19.34% Self-pay 1.6% Other 5.85% WHERE WE SPEND OUR DOLLARS: The Case Management department is using Deaf-Talk, a device that helps deaf or hearing-impaired patients interact with staff through video conferencing equipment that enables sign language translation in real time. Joseph Antonowicz, M.D., medical director of Behavioral Health Services, is named Psychiatrist of the Year by the National Alliance on Mental Illness of Pennsylvania. DECEMBER Altoona Regional joins Highmark Blue Cross/Blue Shield’s QualityBLUE Program — a select network of hospitals with the common goal of improving patient care and safety. The hospitals implement a new, computerassisted housekeeping program for optimum cleanliness of facilities and better patient satisfaction. 2007 JANUARY Altoona Regional puts into service a new $1.2 million LightSpeed CT scanner that produces more-detailed images rapidly and with a lower radiation dosage. The system sponsors Health-O-Rama 2007, the area’s biggest annual health fair, reaching out to community residents with information, screenings and programs by medical experts. MARCH More than 1,700 staff members take the 2007 employee satisfaction survey. The system is actively engaged in programs to enhance employee satisfaction because of the direct link to patient satisfaction. Hospital Salaries and wages 36% Employee benefits 11% Professional fees, supplies & others 43% Depreciation and amortization 5% Financial Information 7/1/06 to 6/30/07 The system issues a Community Commitment Annual Report showing we provided $12.5 million in community benefit during fiscal 2006. APRIL Altoona Regional is named a Blue Distinction Center for Cardiac Care for 2007 by the Blue Cross and Blue Shield Association. Blue Distinction Centers meet stringent quality criteria established by expert physician panels and national organizations, resulting in better outcomes and care consistency. MAY Altoona Regional signs an agreement with the state to lease the former Altoona Center building and property adjacent to Altoona Hospital Campus. Preliminary plans are to use the property for more facility space and parking. Altoona Regional joins with the National Kidney Foundation of Western Pennsylvania to sponsor the Kidney Early Evaluation Program (KEEP) — a free, comprehensive kidney health screening The health system participates in an eightcounty, week-long drill designed to gauge the preparedness and response of regional health care facilities to a rapidly expanding bird flu outbreak. The system ends its fiscal year with patient, employee and physician satisfaction scores higher than at the same time a year ago. Assets Current assets 67,693,084 Assets whose use is limited 80,488,453 Other assets Total assets INCOME STATEMENT 108,812,843 256,994,380 Total operating revenues 304,607,605 Liabilities Total operating expenses 297,638,819 Current and other liabilities 54,882,696 41,956,584 6,968,786 Long-term debt Provision for bad debt 4% Nonoperating gains 5,720,673 Fund balance Interest Excess of revenue over expenses 8 JUNE BALANCE SHEET Income from operations 1% that targets people who are at increased risk for developing chronic kidney disease. Mattresses on various nursing units at both hospitals are replaced with a state-of-the-art mattress designed to reduce the potential for bedsores — a national patient safety goal. Voluntary Hospitals of America-PA presents an APEX Award to Altoona Regional for having an inpatient fall rate below national benchmarks. It is one of five APEX (Achieving Patient Care Excellence) Awards the system earned for demonstrating extraordinary levels of clinical performance. 12,689,459 Total liabilities and fund balance 160,155,100 256,994,380 Report of charitable giving Following is a list of those who generously extended financial support to Altoona Regional Health System during fiscal 2007 (July 1, 2006, through June 30, 2007). As a nonprofit charitable organization, Altoona Regional is grateful to every donor for helping us strengthen and enhance health care in our community. Note: Tributes to physicians in honor of Doctor’s Day were reported on Page 10 of the Healthy Living Magazine Summer 2007 issue. DEPARTMENTAL GIFTS Alzheimer’s Support Group Boscov’s Department Stores, LLC Area of Greatest Need Glover Memorial Library Friends of Altoona Regional Health System Anonymous (2) Mr. E. Merle Glunt Tina Grenier Ms. Iva M. Johnston Lorman Education Services Ms. Yvonne M. Madey Mr. and Mrs. Medford W. Ostrum Tina M. Owens Spinnin’ and Flyin’ LLC Meredith L. Wesig Imaging Services Behavioral Health Department Labor, Delivery, Recovery, Postpartum Calico Quilters of Blair County Sinking Valley Grange #484 Bon Secours Hospital Campus Waiting Room Melanie K. Port Customer Service Friends of Altoona Regional Health System (2) Donna Jean Hospitality House Anonymous Tina M. Hovermale Carolyn S. Leslie Drug & Alcohol Services The EADS Group Education Department Altoona Pipe & Steel Supply Co. Education/Emergency Services Friends of Altoona Regional Health System Friends of Altoona Regional Health System Intensive Care Unit Altoona Area School District Athletic Department Roaring Spring Mennonite Church Ira B. Kron Dialysis Unit The Samuel and Rose Port Philanthropic Fund Boscov’s Department Stores, LLC Calico Quilters of Blair County Friends of Altoona Regional Health System Friends of Altoona Regional Health System – Sewing Committee Sinking Valley Grange #484 Verizon Pioneers/Horseshoe Curve Club Marketing/Corporate Development Friends of Altoona Regional Health System Neonatal Bereavement Fund Anonymous Friends of Altoona Regional Health System Mrs. Tracy D. Polmueller Your Jewelry Box Operating Room Jack E. Waite TRIBUTE GIFTS Alzheimer’s Support Group In memory of Mrs. Helen Papantonio Ms. Camille J. Pulcino Area of Greatest Need In loving memory of Mrs. Jeanne F. Kunes Mr. Robert L. Kunes In memory of Robert M. and Genevieve N. Gildea Ms. Patricia M. Gildea In memory of Mrs. Jane Grimsham-Stowell Dr. and Mrs. Joseph S. Silverman In memory of Ms. Eleanor Harris Mr. and Mrs. David M. Cuzzolina In memory of Mr. Chester P. Wawrynovic Ms. Debra V. Sipe Behavioral Health In memory of Ms. Chanda Marie Herzog Sandy Frith Ian Parkinson In memory of Mr. Steve Hetrick Altoona Regional Health System Tower 10 Staff Mrs. Beverly A. Hetrick Mr. and Mrs. Michael R. Lilla Mr. Donald Metzker Laura M. Shope Ms. Imogene M. Stayer In memory of Mrs. Barbara J. McPherson Mrs. Jane C. Mangiacarne In memory of Mrs. Jessica M. Wills Mrs. Jane C. Mangiacarne Bon Secours Hospital Endowment In honor of Mrs. Judith M. Hollern Altoona Regional Health System Marketing and Communications Mrs. Valerie L. Brumbaugh Mrs. Marjorie M. Burchfield Mr. David M. Cuzzolina Mrs. Michelle A. Dodson Mrs. Janet Ellis REVEALING THE ANGELS Orthopedic Furnishing Bon Secours Hospital Campus Friends of Altoona Regional Health System Partnering for Health Services’ Dental Clinic Tera Herman, NAC Inc. Mrs. Vicki L. Wertz, Esq. Partnering for Health Services’ Medical Clinic Friends of Altoona Regional Health System (2) Mr. and Mrs. Francis E. Kuhn M&T Charitable Foundation Dr. and Mrs. Anthony Maniglia Neil and Marilyn Port Family Foundation Pediatrics Kathy Baluka Cambrian Hills Ladies Golf League Schoeneman Beauty Supply Venture Crew Troop No. 32 Prehospital Friends of Altoona Regional Health System (2) Radiation Oncology Friends of Altoona Regional Health System Maryetta R. Brown Navasky Foundation for Life Sinking Valley Grange #484 Safe Kids Friends of Altoona Regional Health System Security/Emergency Services Friends of Altoona Regional Health System Revealing the Angels is a holiday fund-raising campaign coordinated in part by Friends of Altoona Regional Health System and Altoona Regional Corporate Development. The holiday appeal invites individuals and organizations to make monetary contributions in honor of living or in memory of deceased family members, friends, neighbors, health care providers and business associates who have touched their lives. Proceeds from the 2006 campaign, conducted on both campuses of Altoona Regional Health System, were directed to Partnering for Health Services’ Free Medical Clinic. This clinic provides health care to the working uninsured. The free clinic operates through the help of generous volunteer physicians, nurses and clerical support and relies on the community for financial support. General In honor of Employees and Staff of Altoona Regional Health System L. R. Webber Associates Inc. In honor of Mrs. Barbara Galbraith Dr. David J. Galbraith and Mrs. Christine Bossi In honor of Donald Galbraith Dr. David J. Galbraith and Mrs. Christine Bossi In honor of Mrs. Lois Jean (Perry) Gutshall Mrs. Margaretta B. Perry In honor of Mrs. Judith M. Hollern Mr. Kevin Hockenberry In honor of Mr. John Horton Anonymous In honor of Carol Hughes Ms. Karen Clapper In honor of Dr. Jack Jubala Rev. Mary Ruth Smith In honor of Mrs. Elaine S. Kilgore Mrs. Nancy J. Bergstein In honor of Mr. Winfield Kilgore Mrs. Nancy J. Bergstein In honor of Mrs. Betty L. Kimmel The Coleman Family In honor of Clair Knisely Knisely & Sons Inc. In honor of Mr. Donald N. MacDonald Mrs. Helen R. MacDonald In honor of Pete and Shirley McConnell Mr. and Mrs. Ronald J. McConnell In honor of Mom Miller Mrs. Kathy A. Cecchine In honor of Paul and Barbara Neal Dr. and Mrs. Clifford J. Neal In honor of Jim Noel Altoona Regional Health System LDI Steering Committee In honor of Mr. Joseph Noel Anonymous In honor of Our Armed Forces Credit Control Collections In honor of our children: Joshua and Sofia Dr. and Mrs. Gregory S. Martinek In honor of Our Great Health Care System Mr. and Mrs. Ronald J. McConnell In honor of Paul A. Reagan Mr. and Mrs. Bernie Dodson and Family In honor of Ms. Brenda Reeder Bill and Dot Reeder In honor of Ms. Jennie Senkine Ms. Suzanne Haduck In honor of Mr. Lester R. Thompson Jr. Mrs. Kristina M. Zlupko In honor of U.S. Service Personnel Dr. Michael Humphrey In honor of Ms. W. Jean Veigle Rev. Terryann Talbot-Moses In honor of Volunteers, Employees and Medical Staff Mrs. Janet Ellis In honor of Weise Children: Mike-Pat-Chris-Gregg-Judy Mr. and Mrs. Lester Weise In honor of Weise Grandchildren: Brian-Nicole-Collen Mr. and Mrs. Lester Weise Altoona Regional Health System Nursing Supervisors Anonymous (4) Blair Sign Company Law Offices Despoy & Robertson Mrs. Dolores Fabbri Rep. Rick Geist L. Robert Kimball & Associates Ms. Lisa Korman Mr. Denis J. Navarro Drs. Matthew and Laura Newlin Parsons Agency Inc. Dr. Kishor D. Patel Judge Thomas G. Peoples Jr. Mr. and Mrs. Neil M. Port Monsignor Michael E. Servinsky Stiffler, McGraw & Associates Inc. Ms. C. Joanne Unverdorben In Honor Of Ms. Patricia S. Frank Mrs. Deborah L. Hawksworth Ms. Lisa Korman Mr. Ronald J. McConnell Ms. Carol Scanga Ms. Dana J. Shade Mrs. Sheri L. Simpson Mrs. Cindy L. Skupien Ms. Anne T. Stoltz Mr. David L. White Center for Cancer Care In memory of Ida Butler Carol L. Carnahan Mr. and Mrs. Edwin R. Fuller Jr. Donna Jean Hospitality House In memory of Mrs. Donna Jean Edmonds Luella F. Cataldo In memory of Ms. Shelvey Wigfield Marc J. Brisebois Erik L. Dargevics Joy MacDonald Glover Memorial Library In memory of Ms. Barbara Cuff Altoona Regional Health System Medical Staff Ira B. Kron Dialysis Unit In memory of Mr. and Mrs. George P. Altmanshofer Doris A. Criswell In memory of Mr. William (Tom) Burket Nancy L. Cowfer In memory of Mr. Harry E. Criswell Jr. Doris A. Criswell In memory of Mr. and Mrs. Harry E. Criswell Sr. Doris A. Criswell In memory of Mrs. Ethel M. Park Blair Township Supervisors Judy H. Coyle Elizabeth W. Dunmore FedEx Friends Lorraine McAninch Tornado/HELB Design Basis Group, Oconee Nuclear Site (2) Mr. and Mrs. Thomas G. Wetherell Pamela Wolak Neonatal Bereavement Fund In honor of The Woodling Family Mrs. Janice Hartman In memory of Lora Lei Brashears Mrs. Judith M. Hollern In memory of Daniel Mark Woodling Anonymous Mr. and Mrs. Michael Woodling & Brother Maverick Palliative Care In loving memory of Mr. Clement J. Lobre Louisa T. Lobre-Riley In loving memory of Phyllis J. Miller Mrs. Deborah J. Conrad In memory of Mr. Paul F. Eckenrode Hilda Eckenrode In memory of Mr. Eugene W. Houser Houser’s Subs In memory of Mr. Edward Ross Liggett Department of Environmental Quality In memory of Mr. Amedeo N. Perretta Mrs. Catherine Perretta In memory of Mr. Ronald E. Strasser Mrs. Jane Strasser Mr. and Mrs. Harry Sulanke In memory of Lester Thompson Friends of Lester Thompson In memory of Mr. Dick Tyler Anonymous Parkinson’s Support Group In memory of Anthony Pirozzola Dorothy Stapelfeld and the Summit Aqua Aerobics Class In honor of Ms. Serena Albarano Ralph J. Albarano & Sons Inc. In honor of All Volunteers Dr. Luis M. Jourdain Dr. and Mrs. David J. 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Brumbaugh Jr. In honor of Erin Dodson Mr. and Mrs. Bernie Dodson and Family In honor of David J. Duncan, Ph.D. William G. Wallen In honor of Mrs. Patricia Elliott Ms. Sharon A. McDowell 9 In honor of Hank Williams Mrs. Carol M. Moreland In honor of Kitty Zelansky Altoona Regional Health System LDI Steering Committee In Memory Of In memory of Mrs. Betty J. Adams Mr. John C. Adams In memory of Mr. Elwood Adams Mrs. Kay Adams In memory of Mr. Francis (Shung) Agosta Ms. Betty Ann Agosta In memory of Ralph J. Albarano Sr. Ralph J. Albarano & Sons Inc. In memory of Mrs. Theresa M. Alexander Mrs. Vicki Baughman Friends of Altoona Regional Health System Gift Shop, Altoona Hospital Campus In memory of Harold Anderson Anonymous In memory of Mary Jane Barr Mrs. Christel Grazier Mrs. Betsy Tyler In memory of Matthew L. Barton Mrs. Rosemary P. Barton In memory of Charles and Evelyn Beam Mrs. Mary B. Gruebbel In memory of Herbert and Leona Beere Mrs. Grace Beere In memory of Earl Beldin Ms. Eileen Rabish In memory of Ruth Beldin Ms. Eileen Rabish In memory of Martin J. Bennetti Dr. Matthew P. Bouchard In memory of Sherman Benton Anonymous In memory of Mr. Guido Berardinelli Dr. John L. Berardinelli In memory of Thomas and Edith Bidoli Ms. Grace Steinbugl In memory of Theo Bolan Andrea and Vance Bolan In memory of Eric Bordell Mr. and Mrs. Duane P. Bordell In memory of Paul V. Bower Mrs. Miriam Bower In memory of Lora Lei Brashears Mr. and Mrs. B. Brumbaugh Jr. Mr. and Mrs. Kevin Hockenberry Mrs. Judith M. Hollern Mrs. Jean D. Johnstone In memory of Bernice Breon Lois and Ernie Eakins In memory of Paul Breon Lois and Ernie Eakins In memory of Paul Brubaker Ms. Sonya L. Black In memory of Angela Elizabeth Brumbaugh Mr. and Mrs. B. Brumbaugh Jr. In memory of Mr. Terry Buckel Mr. and Mrs. B. Brumbaugh Jr. In memory of Mr. Frank Bunnell Anonymous In memory of Francis and Bertha Burk Anonymous In memory of wife, Emma G. Burk Husband, Donald F. Burk In memory of Greg Campbell Mr. and Mrs. Drew M. Appleman Jr. In memory of Mr. John G. Carnila Ms. Terry Carnila In memory of Mr. James E. Casner Mr. and Mrs. David S. Hess In memory of Cecchine Family Members Mrs. Kathy A. Cecchine In memory of Thomas Chamberlain Chamberlain Family In memory of Mr. Donald R. Chestney Mrs. Rozella M. Chestney In memory of Travis Chuff Mr. Ernie J. Podrasky In memory of Mrs. June M. Cicero Mr. Joseph D. Cicero In memory of Mr. Jason Colabove Mrs. Lynne M. Muri In memory of Delores Colbert Mrs. Mary M. Hoover In memory of Al Colello Mrs. Loretta F. Wyland In memory of Phyllis Connelly Mr. Jerry Connelly Mr. and Mrs. Donald Squillario 10 In memory of Tony Conte Blair/Bedford Central Labor Council In memory of Mr. Michael Cooper Mrs. Patricia A. Ross In memory of Frank Corrado Dr. and Mrs. Carroll P. Osgood Jr. In memory of Dawn Mrs. Elizabeth R. Kline In memory of Ralph Diehl Tab and Julia Scarfone In memory of DiMemmo/Vincent Family Mrs. Kathy J. Vincent In memory of Glenn Dodson Mr. and Mrs. Bernie Dodson and Family In memory of Helen G. Dodson Ms. Susan A. Dodson In memory of Hilda M. Dougal (wife) Mr. Harry R. Dougal In memory of Paul S. Downing Mrs. Debbie McClellan In memory of Edith Drenning Mr. James W. Drenning In memory of Rose C. Dunkel Ms. Beatrice F. Depp In memory of Catherine Eakins Lois and Ernie Eakins In memory of Ernest E. Eakins Lois and Ernie Eakins In memory of Karen Eckenrode Mr. and Mrs. Mark Hoover and Family Mrs. Loretta F. Wyland In memory of Karen Grigg Eckenrode Mr. and Mrs. Drew M. Appleman Jr. In memory of Mary Elder Mrs. Kay Adams In memory of Ms. Betty Elders Mr. Phil Steele In memory of Mr. Albert C. Evangelisto Mrs. Flora L. Evangelisto In memory of Elaine Evangelisto Mrs. Flora L. Evangelisto In memory of Henry Evangelisto Daughters, grandchildren and great-grandchildren In memory of Daniel Thomas Fanelli Mrs. Mary C. Fanelli In memory of Mary E. Fiore Leonard S. Fiore Family In memory of Rose C. Fisher Ms. Beatrice F. Depp In memory of Linda Flaherty Ms. M. Carol Makdad In memory of Jeff Fornwalt Mrs. Beth A. Lutton In memory of Richard T. Fornwalt Mrs. Beth A. Lutton In memory of Pete Forr Anonymous In memory of George M. Freas Mr. and Mrs. John A. Freas In memory of Bill Frederick Frederick’s Lock & Key Inc. In memory of Mrs. Almerinda E. Frezza Mr. and Mrs. Mark Hoover and Family In memory of Dr. Marion D. Frezza Mr. and Mrs. Mark Hoover and Family In memory of Stella Gallagher Ms. Karen Brady and boys In memory of Chester Garlick Mrs. Rhoda Garlick In memory of Larry Garlick Mr. Ernie J. Podrasky In memory of Geishauser, Dullinger and Little — Deceased Family Members Mrs. Mary J. Geishauser In memory of Ms. Sylvia M. Givler Ms. Connie Chronister In memory of Roxie A. Glunt Mr. E. Merle Glunt In memory of Charles B. Graham Ken and Carol A. Graham In memory of Charles Grant Blair/Bedford Central Labor Council In memory of Eugene and Mary Grazier Mrs. Christel Grazier In memory of Margaret and Charles Gresko Mrs. Mary A. Fisanick In memory of Richard Halbritter Dr. and Mrs. Carroll P. Osgood Jr. In memory of Alan Lee Harshberger Bill and Linda Harshberger Shirley Ullery In memory of William L. Harshberger Bill and Linda Harshberger and Deb Saylor Shirley Ullery In memory of Mrs. Mary (Domenick) Hawksworth Mr. and Mrs. B. Brumbaugh Jr. In memory of Cameron Louise Hazard Mr. and Mrs. James W. Barner In memory of Sprague Carter Hazard Mr. and Mrs. James W. Barner In memory of Larry Hazlett Mr. and Mrs. Drew M. Appleman Jr. In memory of Robert Henshaw Dr. and Mrs. Carroll P. Osgood Jr. In memory of Mr. Steve Hetrick Mrs. Lori Hetrick In memory of Josephine Hicks Ms. Jacqueline M. 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In memory of Dorothy Koch Mrs. Arlene Williams In memory of Mel Koch Ms. Karen Brady and boys In memory of Lorraine Kovach Mrs. Carolyn Earnest In memory of Eric Krenn Mr. and Mrs. Drew M. Appleman Jr. In memory of Brooke Krug Ms. Anne T. Stoltz In memory of Donna and Rita Lafferty Anonymous In memory of Betty Lang Mrs. Kathleen L. Lenhart In memory of Mr. James Laratonda Anonymous In memory of Anthony Lavelle Mrs. Audrey L. Krause In memory of Helen Lavelle Mrs. Audrey L. Krause In memory of Mr. Walter Lee Mr. and Mrs. B. Brumbaugh Jr. In memory of Elizabeth Levine Anonymous In memory of Ms. Edna B. Lightner Jenny McConnell In memory of Frank and Mary Livotti Mrs. Sharon L. Ciccarella In memory of Loved Ones Ms. Carolyn Reed In memory of Thomas Marlett Sr. Mrs. Rose M. Marlett In memory of Matia Family Anonymous In memory of Rose McCloskey Mr. and Mrs. Ronald J. McConnell In memory of Philomena McConnell Mr. and Mrs. Ronald J. McConnell In memory of Thomas and Irene McConnell Mrs. Grace Beere In memory of Jim McDowell Ms. Sharon A. McDowell In memory of Robert S. McDowell Ms. Arlene McDowell In memory of Mr. Joel McElhinney Sr. Mr. and Mrs. Douglas J. Kenepp and family Ms. Carole A. McElhinney In memory of Andrew and Phyllis McHugh Dr. and Mrs. Clifford J. Neal In memory of Sharon Meintel Oakes Mr. and Mrs. Richard J. Meintel In memory of Miller Family Members Mrs. Kathy A. Cecchine In memory of Irene Mirkowski Amy Metzger and Jack Mirkowski In memory of Margaret Mock Mrs. Mary M. Hoover In memory of R. “Jack” Morgan Pat Ingham, sister, and Roger J. Morgan, brother In memory of Shirley Mowry Mrs. Susie Mowry-Dainty In memory of Ms. Judith Ann Musselman Anonymous In memory of Mr. Leroy Musselman Anonymous In memory of Linda Myers Mrs. Elizabeth R. Kline In memory of Jane Neuson Mr. and Mrs. Charles R. Zorger In memory of Johanna L. Noel Mr. Joseph Noel In memory of Louisa Novak Ms. Jean M. Plunkett In memory of Jeanne Olsen Mrs. Marjorie D. Simpson In memory of Our Parents Mr. and Mrs. George R. Ickes In memory of Our Parents Pat, Gina, Patrick Kirby In memory of Harold Poeschl Ms. Patricia A. Deyarmin Mrs. Debbie McClellan Mrs. Cindy L. Skupien In memory of Denise Purvis Mrs. Mary M. Hoover In memory of Marge Rackovan Mrs. Mary M. Hoover In memory of Mr. Dennis Reed Mr. and Mrs. B. Brumbaugh Jr. In memory of Lynne G. Rice Mr. and Mrs. Douglas Decker and Family In memory of LeRoy M. Riley Mrs. Shirley F. Riley In memory of Mr. Frank H. Rimbeck Anonymous In memory of Mr. Jerry C. Risoldi Luke and Rose Marie Vinglas In memory of Mr. Anthony Roberts Mrs. Mary A. Roberts In memory of Nancy Robison Dana J. Shade and Janice Penrod In memory of Franklin D. Roesch Mrs. Ann Roesch Ms. Mary M. Turnbaugh In memory of Mr. Norman Rose Mrs. Margaret E. Rose In memory of Donald and Roberta Runk Mr. and Mrs. B. Brumbaugh Jr. In memory of Carl Scarfone Tab and Julia Scarfone In memory of Ms. Mary Schwarz Ms. Laura M. Hindinger In memory of Charles and Alice M. Sheehan Ms. Ruth A. Slippey How In memory of Sheehan Family Ms. Sally C. Young In memory of Mrs. Patricia A. Shellenberger Friends of Altoona Regional Health System Gift Shop, Altoona Hospital Campus Mr. and Mrs. Joseph Shellenberger In memory of Margaret Sickles Charles and Barbara Sickles Jr. In memory of Mr. Wayne V. Simpson Mrs. Janet Ellis Mrs. Joan Simpson In memory of David Skupien Mrs. Cindy L. Skupien Mrs. Ruth E. Skupien In memory of Julius Skupien Mrs. Cindy L. Skupien Mrs. Ruth E. Skupien In memory of Erica Slebodnik Mrs. Susie Mowry-Dainty In memory of Ann Smith Mrs. Yolanda J. Bumann In memory of Mary P. Snowberger Mrs. Joyce A. Stoehr In memory of William D. Snyder Ken and Carol A. Graham In memory of Todd Sparks Ms. Ellen M. Lambert In memory of Edward and Mary Squillario Mr. and Mrs. Donald Squillario In memory of Ms. Julia Stephens Ms. Carol A. Drotar In memory of Robert and Elizabeth Stoltz Ms. Anne T. Stoltz In memory of Jeff Strittmatter Ms. Anne T. Stoltz In memory of Arthur and Maude Taylor Mr. and Mrs. Charles H. Sickles Jr. In memory of Lynwood Teufel Mrs. Christine Teufel In memory of Nancy Thayer Mr. and Mrs. Fred P. Fraundorfer and Family In memory of Anna M. Thompson Bill, Linda, Mindy, Adam and Caitlin Harshberger Shirley Ullery In memory of Lulu Thompson Mrs. Kristina M. Zlupko In memory of Joey Vagnier Anonymous In memory of Mr. Samuel M. Ward I Mr. and Mrs. Byron Patterson Jr. In memory of Lee and Dolores Weston Anonymous In memory of Linda L. Whited Anonymous In memory of Raymond H. Willnecker Mrs. Helen G. Willnecker Ms. Linda P. Willnecker In memory of Betty M. Wilson Anonymous In memory of Ben Wimer Ms. Christi Wimer In memory of Richard A. Yohn Nancy, PeeNee, Gary, Dick Yohn In memory of Norm Young Ms. Sally C. Young In memory of Charles Zorger Sr. Mr. and Mrs. Charles R. Zorger to give Through a variety of tax-deductible options, donors are able to support specific programs or make unrestricted gifts for programs and services where the need is most urgent. Gifts to Altoona Regional Health System are tax-deductible as allowed by law and directly impact the well-being of the thousands of patients and families we touch each year. As a donor to Altoona Regional, you have the opportunity to make a difference for your friends, neighbors and family in the community. If you would like to make a gift to Altoona Regional Health System, please contact the Development Office at 814.889.6406, or visit www.altoonaregional.org. Finding strength and comfort in numbers GROUP DYNAMICS alth ample of how the he lp nthly, is only one ex he t mo tha ets ce me tan ich sis wh as Group, on and The Stroke Support o the community to provide informati t int nts. system reaches ou of life for area reside improve the quality In 1986, when doctors first diagnosed Tom Reighard, then 55, with Alzheimer’s disease, information and treatment options were scarce. His 50-year-old wife, Jean, found herself seeking solace in an Alzheimer’s support group — strangers who soon became lifelines because they faced similar daily crises. Though Tom died in 1995, Jean has remained active in the group as a co-facilitator. “I try to help whoever comes,” she said. “Even if I help just one person, I feel it’s an accomplishment because it’s such a devastating disease.” Support groups include people who share similar difficulties; it’s the only requirement for membership. And some groups allow family members or friends to participate. DERIVING STRENGTH, ENCOURAGEMENT “The focus of the support group is best kept simple and clear,” according to Joseph Antonowicz, M.D., medical director of Behavioral Health Services. “Members all bring something different to the meeting and can contribute a different perspective to the problems of another. One person may have already addressed some aspect of the suffering of another and be able to offer potential solutions not obvious to that person. Jennie has found the group to be particularly helpful with acceptance of the physical limitations that come with the gradual progression of Parkinson’s, which causes tremors and difficulty walking. As a genealogist who addresses various groups throughout the county, Jennie has learned to cope with the stares thanks to suggestions from the group. Instead of ignoring her situation, she confronts it head-on: “I explain I have it and move ahead with what I was saying.” Jim Schoenfelder, a state licensed professional counselor, co-facilitates support groups for people with Obsessive Compulsive Disorder (OCD) and For Those Who Have Lost a Loved One Through Suicide. While the support groups are different, both educate on topics like acceptance and adjustment issues and provide emotional and psychological support. Many attendees also see private therapists and receive medication. Such a three-pronged approach yields much progress and growth, Jim said. Often, people find they don’t need the group for awhile, then will return when life events change. SOME GROUPS GO BEYOND MEETINGS “There is tremendous support available in a group setting, and the members derive strength and encouragement from each other.” Jennie Amrhein, 65, of Altoona, has suffered from Parkinson’s disease since the 1980s and attends the Parkinson’s support group. She says the support of others with the same affliction is different from the loving support she receives from her family. “There were a couple hundred people just like you,” Jennie said. “The purpose is to show that there’s more to life than just sitting in the house and doing nothing. Once you’re ill, people mistakenly think you can’t do things, but there are many things you can do. Jean Reighard altoonaregional.org/ classes_support.htm for times, dates and locations. Altoona Hospital Campus 620 Howard Ave. Bariatric 889.3219 HELP ACCEPTING LIMITATIONS “Life doesn’t end — it’s just a beginning in a different direction.” Jim Schoenfelder Please call the numbers listed or visit our Web site at Alzheimer’s 889.2141 Many support groups hold seasonal parties, host guest speakers and go on trips together. The Parkinson’s group, for instance, has gone to Pittsburgh to sail on the Gateway Clipper with other Parkinson’s support groups. “When you are ill, you sometimes feel so alone,” she said. “Being around others who have it makes you feel less alone.” SUPPORT GROUPS “When you are ill, you sometimes feel so alone.” Jennie Amrhein suffers from Parkinson’s disease but by attending the local support group has learned many ways to cope with its effects. 11 Breastfeeding 889.2310 Cardiac Family Support Group 889.2173 Caregiver’s Corner Support Group 889.3123 Central Pa. Kidney Association 889.7767 Central Pa. Ostomy Society 943.5168 Depression and Bipolar Self-Help Support Group 889.2141 For Those Who Have Lost a Loved One Through Suicide 889.2141 I Can Cope 889.2731 Obsessive Compulsive Disorder 889.2141 Parkinson’s Disease 889.2141 Pulmonary 889-2853 Stroke 889.3155 Bon Secours Hospital Campus 2500 7th Ave. Alert, Well and Keeping Energetic (snoring and sleep apnea) 889.4466 Breast Cancer 886.6458 Epilepsy Family and Friends 814.262.7494 Faith-Based Bereavement/ Grief Support Group 889.4323 Stroke 889.4463 PROGRAM ALERT! Another way to save a child’s life: car safety seat checkups See Page 15 for details, date and time Coding system can be a lifesaver for kids Seeing COLORS! Altoona Regional is among the first health systems in the country to implement The Color Coding Kids Hospital System, which increases safety, efficiency and comfort level whenever and wherever children receive medical treatment. Matthew P. Bouchard, M.D. The Color Coding Kids system is designed to make the calculation of medication for any child under 12 years of age quick and easy. The color code-based system allows medical personnel to determine the weight of a child nearly instantaneously and in turn administer the proper amount of medication. “This system reduces medication errors and increases speed, especially for those not used to working with pediatric patients,” according to Matthew P. Bouchard, M.D., an Altoona Regional physician who worked with Dr. Jim Broselow, co-developer of the system. “It eliminates the need for cumbersome calculations that can increase the risk of errors.” Especially helpful in the ER The new system is being used when children receive treatment in the Emergency and Pediatric departments and when they receive CT scans. It is an extension and enhancement of the Broselow Tape, which is widely used in the treatment of pediatric emergencies. The Broselow Tape consists of color-coded weight ranges based on height, and provides dosage amounts and equipment sizes for resuscitation situations. Dr. Broselow visited Altoona Regional in May 2007 to train physicians and staff in Color Coding Kids. The essence of the system is color-coded zones that aid in the selection of appropriately sized equipment and “zone dosing” for medications. These zones are accessed by patient weight when available, but they can also be accessed by patient length when accurate weights are not known, such as in emergencies. When adults come into the emergency room, they are often given a standard dose of medication. When a child comes in, however, doctors and nurses must quickly figure out his or her weight to determine a proper dose. Auxiliary donation makes it possible Altoona Regional’s purchase of the Color Coding Kids system was made possible through an $18,000 donation by Friends of Altoona Regional Health System, the system’s auxiliary. “Friends is proud to support this worthwhile project that greatly enhances the quality of care the children of our community receive,” Jack Freas, past president of Friends, said. “Treating the youngest and most fragile of patients requires extreme vigilance, and this system provides a greater level of patient safety. It is a great enhancement to the already high quality care we provide.” Registered Nurse Amy Stayer places a Color Coding Kids wristband on Camiryn Stever of Altoona. In the background is one of the specially equipped carts used to aid critically ill children in emergency situations. The drawers and the content are color coded for ease in finding the right-sized equipment. The carts and equipment were donated by Friends of Altoona Regional. “This system reduces medication errors and increases speed . . .” For more information on the Color Coding Kids Hospital System, please visit www.colorcodingkids.com 12 Video technology ensures proper care for deaf and hard of hearing C O N N E C T I N G Effective communication between patients and caregivers is vital for good health outcomes. For deaf or hard-of-hearing people in trauma or emergency situations, the ability to communicate accurately and quickly can literally mean the difference between life and death. As Altoona Regional’s director of Case Management, Cathy Sprouse is responsible for bridging that communications gap by coordinating interpreter and foreign language services for health system patients. Originally, Cathy’s department kept only a telephone list of qualified interpreters who could be called in an emergency, but the uncertainty of availability and response time required a contingency plan. A newspaper article brought to Cathy’s attention by a member of her staff described a product seemingly tailored for the system’s needs — a 24-hour-a-day, sevenday-a-week, on-demand American Sign Language video conferencing system known as Deaf-Talk. “Deaf-Talk allows us to quickly and confidently meet our patients’ needs,” Cathy said. “Deaf-Talk could save a life.” Portable for quick response hearing in the community, assisting with things like skill training, job searching, interpreter referral, housing and assistive technology,” Leslie explained. “I have been working with Cathy to develop a plan to educate both the deaf community and hospital staff on Deaf-Talk, hoping we could bridge any communication gap.” Deaf-Talk uses a standard television monitor, a small video camera and audio equipment that works with adapted telephone lines, and is mounted on a wheeled cart so it can be taken anywhere in the health system at a moment’s notice. Usually within five minutes — and always in fewer than 15 minutes — a DeafTalk interpreter can be communicating via the monitor between a patient and caregivers. Leslie says lip reading isn’t enough, especially in medical situations where a mask may cover a caregiver’s mouth. Likewise, the caregiver can’t assume the questions being asked of the deaf or hard of hearing are understood. Deaf-Talk’s interpreter service says many of its interpreters have 10 or more years of experience in assisting medical situations involving the deaf and hard of hearing. All are certified by the Registry of Interpreters for the Deaf and the National Association for the Deaf and tested on skills for many medical terms and situations. “Deaf-Talk ensures a proper response to the question being asked or a clear explanation from the patient of what is wrong,” she said. “Deaf-Talk could save a life.” Assistive devices for Altoona Regional’s deaf and hard-of-hearing patients also include a telephone typewriter, or teletypewriter, known as a TTY. Despite Deaf-Talk’s effectiveness, personto-person interaction is preferred. So, while the device is being used, Cathy’s department goes to work contacting someone who can be on-site. Specialist provides personal touch Altoona Regional’s Case Management Director Cathy Sprouse (left) and Leslie A. Kelly, deaf and hard-of-hearing specialist at the Center for Independent Living of South Central PA, work together to educate both the health system staff and the deaf and hard-of-hearing community on the value of Deaf-Talk. One such person is Leslie A. Kelly, a deaf and hardof-hearing specialist with the Center for Independent Living of South Central PA (CILSCPA), who became hard of hearing at age 6 and lost her hearing completely 16 years ago at age 36. “My role at the CILSCPA is to be an advocate for the deaf and hard of 13 Patient privacy always respected communication and relationships. As with any patient interaction, there is a strict adherence to a patient’s right to privacy at all times, and all services respect cultural practices and beliefs, including spiritual needs. “One of the biggest challenges in both pastoral care and sign language is not learning to talk, but learning to listen — learning to read the signs others make,” Chaplain Smith said. “Several times a year, I get the opportunity to use sign language as a chaplain to talk to a patient, and I know I can make their experience here better because I speak their language.” The Rev. Robert J. Smith, a chaplain with the Pastoral Care department, teaches sign-language classes at Altoona Regional and says it was a verse from the Bible’s book of Isaiah — “… and in that day shall the deaf hear the words of the book …” — that first helped him understand that both pastoral care and sign language involved For more information, visit deaf-talk.com/ASL.html or call Altoona Regional’s Case Management department at 889.2782 2008 HEALTH-O-RAMA It’s where you need to be for important health information S CHEDULE OF PHYSICIAN PROGRAMS 9:30 to 11 a.m. 11 a.m. to noon Knees and Shoulders: What Can Be Done About the Pain? Diabetes and Cardiovascular Disease: Wellness and Prevention Rooms 202-204 Jack Rocco, M.D., and Christopher McClellan, D.O., orthopedic surgeons, of University Orthopedics Join Drs. Rocco and McClellan for the latest in minimally invasive options for the treatment of knee and shoulder pain. This discussion will include the risks and benefits of total joint replacement, as well as arthroscopic options and advances. If joint pain is keeping you from doing the things you enjoy, don’t miss this presentation! You’re invited to the region’s largest health fair — the sixth annual Health-O-Rama. This spectacular health information and screening event will take place Saturday, Jan. 19, from 9 a.m. to 4 p.m. at the Blair County Convention Center. Do diabetes and cardiovascular disease run in your family? Do lifestyle factors put you at risk for these diseases? Have you already been diagnosed? What can you do to prevent or control these debilitating diseases before they take control of you? Dr. Humphrey will answer these questions and discuss ways to put you on the road to wellness. 11 a.m. to noon Minimally Invasive Hip and Spine Surgery Rooms 205-206 Altoona Regional is the major sponsor of the event, which features informative and entertaining exhibits, interactive demonstrations, screenings and hands-on product displays. Charles J. Harvey, D.O., orthopedic surgeon, of Blair Orthopedic Associates and Sports Medicine Several members of the Altoona Regional Medical Staff will present educational seminars (see schedule at right). “It’s a fun and effective way to start the new year off healthier,” said Dana Shade, Community Education coordinator at Altoona Regional. “It’s a great way to reinforce those New Year’s resolutions and find good health and happiness.” 10 to 11 a.m. Got Atrial Fibrillation? Mini-Maze may cure it! Rooms 207-208 John Anastasi, M.D., cardiothoracic surgeon, of Cardiovascular and Thoracic Surgery of Altoona Inc. Representatives from Altoona Regional will conduct screenings for peripheral arterial disease, osteoporosis and balance disorders, as well as check blood pressures, lung function and blood oxygen levels. Staff will also provide information on diabetes and exhibit a graphic display to warn against smoking. If you are one of the 2.5 million Americans diagnosed with atrial fibrillation, then you know treatment has traditionally been limited to lab work, drugs and the medication Coumadin. Not any more! Join Dr. John Anastasi as he discusses atrial fibrillation, the new Mini-Maze procedure and its benefits and advantages. “This is an opportunity for the public to find a wide range of important health information in one place,” Dana said. “It’s so convenient for area residents to explore the very latest on health issues that affect them.” INFO TO GO Rooms 202-204 Michael Humphrey, D.O., endocrinologist, of Blair Medical Associates 10 to 11 a.m. Stomach Symptoms? Could the Problem be H. pylori? WHO: Allegheny Mountains Convention and Visitors Bureau and Altoona Regional Health System. WHAT: Health-O-Rama 2008 — Meet the doctors, hear the experts, see hands-on demonstrations and get life-enhancing information. WHEN: 9 a.m. to 4 p.m. Saturday, Jan. 19 ADMISSION: Adults and children $2. WHERE: Blair County Convention Center — Turn onto Convention Center Boulevard from either Plank Road (Route 220) or Logan Boulevard (Route 36) and watch for the Convention Center entrance. FOR INFORMATION: Call the Allegheny Mountains Convention and Visitors Bureau at 943.4183 or 800.842.5866. Rooms 205-206 Jonathan Grier, M.D., gastroenterologist, of Digestive Disorders Inc. Many cases of peptic ulcers, gastritis, duodenitis and perhaps some gastrointestinal cancers are caused by H. pylori — bacteria that can infect various areas of the stomach and duodenum, causing inflammation and pain. About 90 percent of duodenal ulcers and 70 percent of gastric ulcers are related to H. pylori. Dr. Grier will discuss H. pylori and its treatment options. 14 Hip and spine pain can limit your mobility and activity. Join Dr. Harvey as he discusses minimally invasive hip replacement and spinal surgery that can get you up and moving again. 11:30 a.m. to 12:30 p.m. The Aging Eye Rooms 207-208 Todd A. Sponsler, M.D., ophthalmologist, of Altoona Ophthalmology Associates What are the normal eye changes that occur with age? What are some of the more common eye diseases that can occur as we age? Join Dr. Sponsler as he discusses changes and the symptoms, diagnosis and treatment of cataracts, glaucoma, macular degeneration and diabetic retinopathy. 1 to 2 p.m. Oh! My Aching Feet! Rooms 205-206 Chad W. Rappaport, D.P.M., podiatric surgeon, of Blair Orthopedic Associates and Sports Medicine It is said, “When your feet hurt, you hurt all over.” Join Dr. Rappaport as he discusses common causes of foot and ankle problems, such as heel pain, bunions, sprains and sports injuries, as well as prevention and the nonsurgical and surgical treatment options. 1 to 2 p.m. Common Conditions of the Ear Room 202-204 Robert J. Caughey, M.D., ear, nose and throat specialist and surgeon, of ENT Associates of Central Pennsylvania Do you suffer from dizziness? Ringing in the ears? Hearing loss? Do you have ear pain or want to know how to treat ear wax? Join Dr. Caughey as he discusses these common conditions of the ear, their symptoms, diagnosis and treatment. 2 to 3 p.m. Female Bladder Problems Room 202-204 John Paulson, M.D., urogynecologist, of Blair Medical Associates Female bladder problems are not something you have to live with. With proper diagnosis, medications and interventions can help. Join Dr. Paulson as he discusses some of the more common female bladder problems, bladder dysfunction and pelvic floor problems, their causes, diagnosis and treatment. 2 to 3 p.m. The Snooze Blues: Sleep Disorders and Treatment Rooms 205-206 Timothy Lucas, M.D., pulmonologist, of Altoona Lung Specialists and medical director of Altoona Regional’s Institute for Sleep Medicine Do you find yourself sleepy during the day and tossing restlessly at night? Are you told that you snore loudly or stop breathing while asleep? Do you suffer from restless legs syndrome? Join Dr. Lucas as he addresses these sleeprelated issues, their diagnosis and treatment. “It’s a fun and effective way to start the new year off healthier.” PROGRAMS Healthy Living January, February, March 2008 Programs are open to all adult age groups unless otherwise specified. In the event of inclement weather, please listen to your local radio and television stations for program cancellations. We will also leave a message regarding program cancellation on the 889-2630 phone line. Altoona Hospital Campus is at 620 Howard Ave. Bon Secours Hospital Campus is at 2500 7th Ave. DAYTIME PROGRAMS PEPPI! (Peer Exercise Program Promotes Independence) Every Monday, Wednesday and Friday at 8:15 a.m. or 10 a.m. Fourth Lutheran Church 231 Howard Ave., Altoona No fee. Registration required. Call 889.2630 or 1.888.313.4665. Ready to get in shape for the new year? Are you 55 or older and looking to improve your strength, flexibility and balance? Want to start toning up? PEPPI can help you do all this while combating chronic conditions such as arthritis and osteoporosis. PEPPI is a fun, peer-led, weight resistance program designed with your good health in mind. Child Safety Seat Installation Checkup Station Friday, Jan. 11, Friday, Feb. 8, and Friday, March 14 9:30-11 a.m. Altoona Hospital Campus parking garage, Blue Level. Look for the Safe Kids van. No fee. By appointment only. Call Safe Kids Blair County at889.7802. Find out if your child’s safety seat is installed properly. Your child’s life may depend on it. Osteoporosis Screening: Free Heel Scans By appointment only on Friday, Jan. 4, 12:30-3 p.m. For men and women Kaufman Dining Room, Bon Secours Hospital Campus. By appointment only on Friday, Feb. 1, 12:30-3 p.m. For women only Allegheny Room, 6th floor, Outpatient Center, Altoona Hospital Campus By appointment only on Friday, March 7, 12:30-3 p.m. For men and women Kaufman Dining Room, Bon Secours Hospital Campus. Find out if you are at risk for osteoporosis. This bone mineral density screen is a noninvasive, painless tool that can help determine bone health and your risk for fractures. It can also monitor your response to various osteoporosis treatments. Off to the Right Start Friday, Jan. 25. Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665. A new year is upon us. If one of your resolutions is to take better care of yourself, please join family physician and hospitalist Dr. Ryan Ridenour of Blair Medical Associates as he discusses important steps you can take toward your good health in 2008! Ample time will be allotted for questions. Peripheral Arterial Disease Presentation and optional screening Friday, Feb. 15. Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665. Most of the 8 million to 12 million Americans who suffer from PAD are unaware they have the disease. Join Dr. Arthur DeMarsico, board-certified vascular surgeon and medical director of Altoona Regional’s Vascular Institute, as he discusses the signs and symptoms, diagnosis, treatment and prevention of this often undiagnosed medical condition. Ample time will be allotted for questions. Free PAD screening By appointment only on Friday, Feb. 15, 10 a.m.-2 p.m. Must be registered for Dr. DeMarsico’s program. Oak Room (one flight up from Trzeciak) Kay Adams, Vascular Institute nurse manager, will perform an ABI (ankle-brachial index) screen, a painless screening in which blood pressure is measured in legs and arms to determine blood flow. Please be prepared to remove shoes and socks. Don’t Put It on the Table Until You Read the Label: Giant Eagle Store Tour Wednesday, Feb. 27, 2-3:30 p.m. or Wednesday, March 19, 2-3:30 p.m. Giant Eagle Grocery Store, Logan Towne Center, Altoona. No fee. Registration required. Call 889.2630 or 1.888.313.4665. “Light ... low fat ... no cholesterol.” These terms bombard us while we do our grocery shopping. What do they really mean? Which are the healthiest foods to buy? If you’ve made the decision to eat right and take better care of yourself in 2008, join Randy Grabill, Altoona Regional clinical dietitian, as he shows you how to understand nutrition information on labels and choose healthy and nutritious foods. Long-Term LivingServices: What are the Options? Who pays? Friday, March 28. Lunch at 11 a.m. followed by program until 1 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. No fee. Registration required. Call 889.2630 or 1.888.313.4665 Join Melissa Raley, R.N., director of Long-Term Living Services with Blair Senior Services Inc., and Patti Defibaugh, Long-Term Living supervisor, Blair County Board of Assistance, as they discuss Blair County services and resources for long-term care (both in-home care and long-term care facility). Who pays for these services? What are waiver programs? Who is eligible for financial assistance and how is it determined? Ample time will be allotted for your questions. EVENING PROGRAMS AARP Driver Safety Program All classes from 6-10 p.m. Logan Room, 6th floor, Outpatient Center, Altoona Hospital Campus. Tuesday, Jan. 8, and Wednesday, Jan. 9 Or Tuesday, Feb. 12, and Wednesday, Feb. 13 Or Tuesday, March 11, and Wednesday, March 12 Fee $10. Registration required. Call 889.2630 or 1.888.313.4665. This classroom refresher course covers age-related physical changes, perceptual skills, rules of the road and more. All automobile insurance companies in Pennsylvania provide a premium discount to graduates age 55 and older. Most require both spouses insured under the same policy to take the class to receive a discount. Yoga Six-week series: Tuesdays, Jan. 15 through Feb. 19. Fee $30 (both beginner and intermediate classes) Beginners: 5:30-6:40 p.m. Intermediate: 6:50-8 p.m. Rotunda, 6th floor, Outpatient Center, Altoona Hospital Campus Thursdays, Jan. 17 through Feb. 21. Fee $30 Beginners class only: 5-6:10 p.m. Altoona Hospital Campus School of Nursing auditorium (behind helicopter pad) Register now as classes are limited to 25. Call 889.2630 or 1.888.313.4665. Gail Murphy, registered instructor in Hatha Yoga, leads this program, which offers mind/body exercise, breath control, stretching and strengthening to promote mental, physical and spiritual well-being. Winter Eating for Energy Monday, Jan. 21, 6:30-8 p.m. Rotunda, 6th floor, Outpatient Center, Altoona Hospital Campus. No fee. Register by calling 889.2630 or 1.888.313.4665. Class size is limited. Healthy refreshments will be served. Join Dona Baughman, R.D., LDN, clinical nutrition manager at Altoona Regional, as she explains how best to maintain a healthy diet through the doldrums of winter and what foods may boost energy levels. Be Heart Smart! Monday, Feb. 4, 6:30-8 p.m. Rotunda, 6th floor, Outpatient Center, Altoona Hospital Campus No fee. Register by calling 889.2630 or 1.888.313.4665. Class size is limited. Healthy refreshments will be served. Heart disease is the No. 1 killer of women. Learn more about the risks women have for this sometimes silent killer as Dr. Joseph Gattuso Jr., M.D., Cardiology Associates of Altoona, joins us for this very important topic. February is Heart Health Awareness Month, and this is an opportune time to learn the latest prevention and treatment options to keep your heart healthy! Sign Language Beginners class, 12-week course Tuesdays, March 4 through May 20 inclusive, 7-8:30 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. $25 fee. Registration required. Class limited to 30. Register by calling 889.2630 or 1.888.313.4665. Pastor Robert Smith of the Pastoral Care department of Altoona Regional will teach this course in conversational sign language. There will be assignments with the lessons, and a certificate will be given upon completion. You will need a three-ring binder. Conflict Management and Healing Mondays, March 10 through April 14 inclusive, 6-7:30 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. $30 fee. Registration required. Register by calling 889.2630 or 1.888.313.4665. This six-week workshop will help you understand that conflict needs to be healed and not just managed. Managing conflict brings resolution of the issues but healing conflict brings wholeness, peace, restoration and good health to the wounded emotions of people. Dr. Mlen-Too Wesley, a Conflict Management Specialist, faculty member at Penn State Altoona and member of the Altoona Regional Pastoral Care team, will conduct this workshop with the purpose of helping people experience healing when conflict occurs and to build healthy interpersonal relationships and improve their lives. Winter Craft: Shamrock Wreath Friday, Feb. 1, 6:30-8 p.m. Bon Secours Hospital Campus Education Center, Trzeciak Conference Suite, 2621 8th Ave. Cost: $14. Register by calling 889.2630 or 1.888.313.4665. Class size limited to 25. Join Sharon Rydbom, our own craft diva, as she guides us in making a cute St. Patrick’s Day wreath to welcome guests and family into our homes! Materials needed include scissors, glue gun and glue sticks (don’t special purchase), foil or paper plate to rest your glue gun on, two paper towels, Styrofoam plate or tray for paint, 15-inch piece of waxed paper and 6- to 8-inch brown paper bag. Women’s Night Out 2008 15 Ladies! Mark your calendar and watch your mail! Women’s Night Out is scheduled for May 8, 2008. Details and registration information will be mailed to you in early February. Robert J. Caughey, M.D., Non-Profit Organization U.S. Postage PAID Altoona Regional Health System is an ear, nose and throat surgeon who recently joined Altoona Regional’s medical staff. He practices at Ear, Nose and Throat Associates of Central Pa., ASK THE SPECIALIST People misuse cotton swabs, like Q-tips, and create ear wax problems and irritate their ear canals with them. The use of these swabs is Ear wax is actually very useful. The best way to clean the ear is with a wet washcloth. The wax will move out to the outer edge on its own. Nothing should go into the ear. When I encounter someone with a severe wax buildup in the ear canal, I remove it using suction under a microscope. P R I perform full voice evaluations. Treatment depends on what the problem is and may range from a paralyzed vocal chord due to stroke, a complication from another surgery, or a terminal illness such as lung cancer. As a temporary measure, I can improve the vocal quality and prevent aspiration by injecting a biocompatible material into the vocal chord to move it into a better position. This can improve communication and provide a better quality of life. O F I L E Robert Caughey, M.D., chose ear, nose and throat surgery as his specialty because of the opportunity to work with patients of all ages with a variety of ailments. He is board eligible with the American Board of Otolaryngology. He received his medical degree from the University of Pittsburgh and did his internship and residency at the University of Virginia Health System, Charlottesville. His wife, the former Anne Koss, is a graduate of Altoona Area High School. They are happy that the opportunity presented itself to relocate here to be near her parents, who live in Altoona, and his parents, who are in Pittsburgh. Change Service Requested What is a common, preventable problem you see? The skin in the ear canal is very thin and sensitive, and the swab creates microabrasions that can lead to infection, dryness and pain. I see at least two or three people every day with problems directly related to this. What help can you provide to patients with voice problems? A nonprofit community health care system I perform an in-office treatment for Meniere’s disease where steroids are injected directly into the middle ear space. Meniere’s disease causes ringing in the ears, hearing fluctuations and extreme dizziness that lasts for hours. terrible for the ears. They push wax farther into the ear canal. It’s like taking a Brillo pad and rubbing it on your skin every day. Altoona Hospital Campus 620 Howard Avenue Altoona, PA 16601-4899 As a new specialist in the area, do you bring any new procedures with you? 501 Howard Ave. 16