Carotid Artery Health
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  • 1. CarotidArteryHealthAn “All-Clear” Helps Prevent Stroke Relief for A Lesson from Collaborative Herniated Tim Russert’s Care for Disc Symptoms Death Crohn’s & Colitis page 6 page 12 page 8
  • 2. She found the breakthrough at St. Joseph. The layup is all hers. At St. Joseph, recovering from surgery on your back, joints, even hands or feet, is less painful than ever before. So you’ll be back under the basket with your grandson—or wherever you’d like to be—faster. Why? A breakthrough that means patients experience far less pain after surgery, making them better prepared for the physical therapy that’s so important to recovery. An advance St. Joseph experts helped pioneer delivers a revolutionary pain medication formula directly to the surgical area after procedures. So patients can instantly be more comfortable, tackle rehabilitation faster, and get back to an active life sooner. No wonder St. Joseph orthopaedists train surgeons from across the nation and around the world. Is fear of painful recovery slowing you down? This breakthrough, like so many others at St. Joseph, changes all that. Jump in. See how less pain can speed your recovery at stjosephortho.com, or call410-337-1337 to make an appointment with a St. Joseph orthopaedic expert.
  • 3. Fall 2008On the cover ... In ThIs IssueAn active lady with a drapery business,Meirlyn Bock was diagnosed with cloggedcarotid arteries. She immediately chose Cover Storysurgery to prevent a possible stroke and is 4 Clearing Clogged Carotid Arteries Prevents Stroke“sew” happy she did. Learn how clogged carotid arteries are diagnosed and successfully treated. 5 Stroke Center Kudos The Orthopaedic Institute 6 Surgical Treatment of Disc Herniation Relieves Pain Close-Up—Digestive Disorders 8 Crohn’s and Colitis Patients When you need support, it’s here!housecall is published quarterly by the MarketingCommunications department at St. JosephMedical Center, a member of Catholic HealthInitiatives. Information is intended to educate our Special Section In the Spirit readers and is not a substitute for consultationwith a physician. 1A–4A Inspired giving through the St. Joseph Medical Center Foundation.John K. Tolmie, President and CEOPatricia Bosse, Vice President,Mission and Institutional Advancement New & NoteworthyChristine Langr, Interim Director, 9 Support and Counseling Inspire Diabetics to Take Control!Marketing Communications 9 “Go Red” Spokeswoman is St. Joseph Heart PatientVivienne Stearns-Elliott,Writing, project managementPatti Wells, In the Spirit writer The Cancer Institute—BreakthroughsBaltimore magazine Custom Communications, 10 Esophageal Cancer —The Fastest-Growing Cancer for MenDesign, layout 11 No More Sleepless NightsSMStacy Zarin, Cover Photo A fast track to diagnose and treat breast cancerWe are an equal opportunity employer and, 11 Customized Treatment for Each Breast Cancer Patientin conjunction with applicable laws, do notdiscriminate on the basis of race, color, religion,sex, national origin, age, or physical or mental The Heart Institutehandicap. St. Joseph Medical Center acceptspatients without regard to race, color, national 12 A Lesson from Tim Russert’s Sudden Deathorigin, disabilities, age or religion.Copyright © 2008. 13 St. Joseph’s New Heart Institute — Opening December 2008Comments, requests, changeof address? E-mail us athousecall@catholichealth.netor call 410-337-1700. Free Flu Vaccinations Registration requested. (More details, pg. 14) St. Joseph Medical Center: Sunday, November 2, noon – 4 p.m. • Saturday, November 15, 10 a.m. – 2 p.m. Sunday, November 16, noon – 4 p.m. • Friday, November 21, 4 – 7 p.m. SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 4. Clearing CLOGGED CAROTID ARTERIES Prevents StrokeDr. Sam Saiedy (left) gives the “all clear”to patient Meirlyn Bock (right).Below left: Following carotid arterysurgery, Bock is “sew” happy to be backin business. The two large arteries on each side which is extremely dangerous. Clogged of the neck that deliver the brain’s carotid arteries can prevent blood from blood supply are called the carotid reaching the brain, resulting in stroke. arteries. Clearly, it’s important to keep “If you have a blockage of 80 per- these arteries healthy and open. The cent or more in a carotid artery, there buildup of plaque that narrows these is a 20 percent chance that you will arteries is called carotid artery disease. have a stroke within two years,” warns The plaque can even break off, forming Dr. Sam Saiedy, a vascular surgeon with a blood clot that can block the artery, St. Joseph Medical Center.  Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
  • 5. “If you have a blockage of 80% or more in a carotid artery, there is a 20% chance that you will have a stroke within two years.” know Stroke’s Warning Dr. Sam Saiedy, vascular surgeon, St. Joseph Medical Center. Signs and get to an ed! Sudden— People at high risk for developing good option, to open their arteries. • Numbness or weakness of the face, carotid artery disease include diabetics, “Patients who have mini-stroke symp- arm or leg, especially on one side those with a family history of the dis- toms, including weakness on one side • Confusion, trouble speaking or under- ease, and smokers or ex-smokers. and temporary loss of eyesight, need standing people When Saiedy diagnosed Meirlyn to see a doctor or go to the emergency Bock with a 90 percent blockage in room immediately. These symptoms • Trouble seeing in one or both eyes each artery, there was no doubt in her come and go and, unfortunately, some • Trouble walking, dizziness, loss of mind that she would have surgery to patients ignore them,” explains Saiedy. balance or coordination clear out the plaque. “When the doc- Although the average age for carotid • Severe headache with no known cause tor tells you that it’s very probable that artery disease is between 60 and 75 you’ll have a stroke, you immediately years old, Saiedy’s patients have ranged get treated,” says Bock, who, at age 85, from a 35-year-old heavy smoker to a Stroke Center Kudos is an energetic lady with a drapery sew- woman in her 90s, who did very well St. Joseph’s Stroke Center received two ? ing business. after surgery. professional commendations this year, reflecting the center’s high quality of care: She underwent surgeries on both carotid arteries, done by Saiedy at • Bronze Performance Achievement Award St. Joseph Medical Center, and was back in business within a couple of weeks. Need a from the “Get With The Guidelines” Stroke Conference sponsored by the American “Recovery is a 24-hour hospital stay, Vascular Surgeon? Stroke Association. The awards recognize hospitals that demonstrate at least 85 per- with return to normal activity in about cent compliance in seven core measures. ten days,” says Saiedy. When patients Call our Doctors • The Stroke Center was originally certified need both carotid arteries opened, Saiedy likes to wait a couple weeks in Directory as a Primary Stroke Center with Distinction between each surgery to promote healing. at 410-337-1337 in spring 2006 by the Joint Commission on Accreditation of Healthcare Organizations Diagnosing carotid artery disease or visit sjmcmd.org (JCAHO) and was recertified in late May is straightforward. The doctor uses a 2008 with no RFIs (Requirement for stethoscope to listen to the blood flow Improvement). through the carotid arteries. “We can hear an abnormal sound in the neck if the blood is moving too quickly, which Lecture Series can indicate that the artery is too nar- row,” says Saiedy. Stroke Lecture and Screening. Call 410-337-1479 for information. If the doctor hears this rushing sound, The STruggLeS of STroke and MInI-STroke a non-invasive ultrasound is performed Changing stroke’s risk factors, recognizing the symptoms, and getting fast treatment to confirm the diagnosis. “One-third from a certified Stroke Center can be life-saving. Presented by stroke expert Ruth of patients with the abnormal sound Linde, R.N. Tuesday, October 28, 6:30 p.m. will be diagnosed with carotid artery free CaroTId arTery SCreenIng disease; one-third have heart problems, Recommended for men and women 60 years and older with any of these risk factors: and another third turn out to have high blood cholesterol, hypertension, tobacco use, or a personal or family history of nothing,” says Saiedy, who refers those stroke or heart disease. Appointment required. Tuesday, December 2, 5 – 7:30 p.m. with cardiac disease to a cardiologist. People with carotid artery disease may be symptomatic or not. This can Intense Emergency Care for Stroke St. Joseph’s Emergency Department provides expert care for patients who make a difference in their stroke risk arrive with stroke symptoms. “Our details to care for stroke patients have taken and the way their disease is treated. on the same level of intensity as heart attack and trauma patients,” explains Bock underwent open surgeries, which Dr. Gail Cunningham, head of St. Joseph’s Emergency Department. “We have are the gold standard of treatment. found that stroke patients have a three-hour “golden hour” of opportunity for However, patients who are too ill to treatment, so we get them on the right pathway immediately to determine if undergo open surgery are candidates they are candidates for thrombolytics (clot-busting stroke medication).” to receive stents, which are also a very SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 6. THE DISC DOCTOR SuRgIcal tReatMent of dISc heRnIatIon RelIeveS paIn In our high-tech world also become worn or arthritic. Arthritis ABOVE: Dr. Ira Fedder talks to Sarah Maddalone there are many types of discs—floppy in the spine results in spinal stenosis. during a follow-up visit. discs, compact discs, and DVDs. But The spinal canal becomes narrowed, the most essential discs are the natural pinching nerves,” explains spine and is performed by Dr. Fedder using ones—those in the human spine, made surgeon Dr. Ira Fedder of St. Joseph’s the most expert pain control. of cartilage, which serve as flexible Orthopaedic Institute. When Sarah Maddalone developed and strong connections between the Disc problems can cause life-alter- sciatica (leg pain) during her second individual bones known as vertebrae. ing leg or arm symptoms (radiculopa- pregnancy, both she and her OB/Gyn The discs in the neck and back thy). These conditions can occur at thought this common problem during are vulnerable to injury as well as a any age, to anybody, fit or not, though pregnancy would resolve after she deliv- natural aging process (degenerative disc sometimes there is a strong family his- ered her baby. disease). “Herniated discs can happen to tory. Many patients respond to physical But Sarah’s pain became unusually very young people and without trauma therapy or medications. Others need severe as her pregnancy progressed. or a major injury. Later in life, discs can surgery, which can offer excellent results “On a scale of one to ten, the pain was  Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
  • 7. “I feel great. I can get back to living now!” tic and titanium. The plate and screws hold the spacers and bones together.Sarah Maddalone “The process of doing the fusion stimu- lates the growth of bone,” he says. Fedder performs the surgery through the front of the patient’s neck, which takes particular skill, but results in significantly less discomfort for the patient. “I never had any neck pain after- wards,” says May. “I work out five days a week now and golf. There’ve been no limitations. I was pretty impressed with Dr. Fedder.” Lecture Series Don’t Ignore These Symptoms: • Do your legs feel tired or heavy when walking? • Has your walking tolerance declined?Picking up her baby, pain-free, just a couple weeks after a lumbar disctectomy. • Do you have pain or tingling radiating from your buttocks toa ten. When I arrived at the hospital to “The results are outstanding. In the your leg?deliver the baby, I had to use crutches recovery room, I felt normal for theto walk,” says Maddalone. first time in months,” says Maddalone. These symptoms of herniated discs And her pain did not go away after Just two and a half weeks following and spinal stenosis don’t have to beshe gave birth to a healthy baby girl. surgery, Maddalone was able to pick ignored. Learn about successfulLess than two months later, she went to up her infant daughter independently treatment options to relieve herniatedsee Dr. Fedder. An MRI revealed that for the first time. “I feel great. I can get disc and spinal stenosis symptomsshe had a herniated disc. He gave her back to living now!” she says. and restore mobility.two steroid shots that offered minor Although Brian May feels just as goodrelief, but, ultimately, she needed a about his new lease on life, his surgery Presented by Ira Fedder, M.D.lumbar disctectomy. took four hours and was a more com- Thursday, October 23, 7 p.m. “This is one of the most common plex neck surgery, according to Fedder. Call 410-337-1479. ?spinal operations,” assures Fedder. “I “He had cervical spinal stenosis, bonemake a very small incision that gives me spurs and discs that were pushing onaccess to her spinal canal, and then Iremove the damaged pieces of the disc. his spinal cord and nerves.” “I was having severe neck and left need anThis takes the pressure off the nerveand allows the nerve to heal. Most arm pain,” recalls May, who began a new job, following a 30-year career on orthopaedicpatients feel great relief; the body healsthough we cannot repair the cartilage the Baltimore police force, just as his symptoms hit. Surgeon?in the disc.” “To get the pressure off his nerves, Call our Before Fedder closes the incision, I had to take out four discs and somehe injects pain medication all around of the bone,” says Fedder. “He was left Doctors Directorythe incision site. “That way, when the with a series of gaps that I filled with at 410-337-1337 orpatient wakes up, there’s not that spacers and a plate with screws.” visit sjmcmd.orgintense surgical pain that most patients For spacers, Fedder uses a choice ofexperience,” he says. materials that range from bone to plas- SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 8. close up Crohn’s disease and Colitis Support group For information, call 410-337-1479. Monday, November 3, 7 p.m. Crohn’s and Colitis Patients When You need Support, It’s here! talk about Crohn’s. Now, they’re more open. After a long recovery from bowel resection surgery, I joined the group.“We offer much more I’ve learned a lot, including that therethan medical care at are many people out there experienc-St. Joseph. our goal ing what I’m experiencing. I refuse tois to treat people give into this disease.”with IBd so they are Approximately 1 million people in the U.S. have Crohn’s or ulcerative coli-pain-free and can tis, also known as IBD (inflammatorylead a normal life.” bowel disease).dr. neil goldberg, At St. Joseph, more than 2,000 IBDchief of gastroenterology patients are treated by physicians affili- ated with the medical center, so support is strong, explains Dr. Neil Goldberg, St. Joseph’s chief of Gastroenterology. Lori Gunning, RN, co-facilitator of the Crohns Colitis Support Group, with “Patients and their families meet in long-time participant Joyce Doonan. an atmosphere of understanding, trust and privacy,” says Gunning. “You need here’s a real-life story about the Discussions range from nutrition and to have people support you through this medications to patients’ legal rights. disease. When you’re better, you should impact of Crohn’s disease and have someone to celebrate with.” For example, Crohn’s and colitis the difference support can make. patients are covered by the American Studies have shown that a strong Disabilities Act. social network and support can reduce A recent high school graduate with Joyce Doonan, who has attended the stress, which helps lessen the activity of a college athletic scholarship is diag- group for six years, acts as a lay facilita- the disease. nosed with Crohn’s. He becomes so ill tor. “We have young and old attend, Goldberg says, “We offer much more that he’s bedridden. His grandparents mothers and daughters, husbands and than medical care at St. Joseph. Our goal attend a Crohn’s and Colitis Support wives,” she says. “I’m 61, but when I is to treat people with IBD so they are Group at St. Joseph Medical Center was diagnosed at age 24, people didn’t pain-free and can lead a normal life.” seeking help. They immediately receive resources and ideas. As a result, they find the right care for their grandson at St. Joseph, and he recovers to play St. Joseph’s New Multidisciplinary Approach to college football. This tale is one of many examples of Treating Inflammatory Bowel Disease! how someone can become incapacitat- Did you know that St. Joseph has had the only dedicated Ostomy Center in Maryland for the last 20 years? And, St. Joseph physicians treat more IBD patients than at any other ed by chronic digestive disease, which area hospital? St. Joseph’s new holistic, multidisciplinary, patient-centered approach to results in problems such as chronic IBD provides patients with the best possible care for treating and managing challenging diarrhea and severe abdominal pain. conditions. The expert team includes gastroenterologists, nutritionists, nurse coordina- But, people who attend St. Joseph’s sup- tors, colon rectal surgeons, social workers and ostomy care specialists. port group no longer feel isolated and gain valuable information, explains the For a physician referral, call our Doctors Directory at 410-337-1337 or visit sjmcmd.org group’s co-facilitator Lori Gunning, RN.  Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
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  • 13. shorT Takes New & NoteworthyDiabetes Support Inspires “Minority groups, such as African AmericansDiabetics to Take Control! and Hispanics, have an increased risk, suffer- According to the Centers for Disease Control, the U.S. diabetes ing a 56 percent higherepidemic is on the rise: eight percent of Americans, or 24 million rate of diabetes” addspeople, are diabetics, and another 57 million have prediabetes. Eva Gonzales, R.D., L.D., Patient admissions at St. Joseph Medical Center exemplify this Diabetes Managementtrend; about 25 percent of the hospital’s inpatients have diabetes. Center director.Since St. Joseph has the largest heart care program in Maryland, this To catch diabetesalso reflects the connection between diabetes and heart disease. early, Gonzales urges Therefore, St. Joseph has a strong Diabetes Management Center people to get regularthat provides high-quality care to diabetic patients in the hospital and checkups with theirhas expanded classes and support to help people with diabetes in primary care doctors.the community manage their disease and live healthy lives. Complications such as “It’s not the diagnosis of diabetes that is the problem; it’s uncon- slow-healing wounds,trolled diabetes that causes complications,” says Ellen Wallace, R.N., pain or loss of sensation Ellen Wallace (left) counsels Belinda Anderson.C.D.E., St. Joseph diabetes educator. in their extremities, or “Our goal is to inspire the person with diabetes. The key is a plan blurry vision can be early indicators even before a diabetes diagnosis.which includes activity, meal planning, and knowing their blood glu- Once diabetes or prediabetes is diagnosed, lifestyle management iscose level. People need to learn these tools to manage their disease. the solution. And St. Joseph’s Diabetes Management Center specialistsThis means checking blood glucose at home, changing what and how can provide expert help with counseling, individual and group classes.much they’re eating, and becoming active.” It can also include tighter When diet and exercise are not enough, medication may be added.control with insulin or oral medications. “Oral medications can help cells use insulin better, decrease sugar Obesity trends, the American diet, inactive lifestyles and heredity production by the liver, or help the pancreas to release more insulin,”are fueling the diabetes epidemic. “Just being 10 to 15 pounds over- says Wallace. “Many people think by needing insulin, they’ve failedweight combined with a high fat, high carbohydrate diet and lack of or gotten worse. Sometimes, adding once-daily insulin is all that isactivity can change the way the body uses insulin,” says Wallace. needed to gain control.”“Type 2 diabetes can also be triggered in response to illness or stressin people at risk.” For diabetes education and support offerings, see page 15. “Go Red” Spokeswoman is St. Joseph Heart Patient Theresa Volpe could be described as having a heart of “Go Red.” First, her life was saved after she was helicoptered to St. Joseph’s Heart Institute from Hanover, Pennsylvania, where she had suffered a massive heart attack. The young mother of two received four stents implanted in her heart by Dr. Mark Midei, director of St. Joseph’s Cardiac Catheterization Lab. Next, her dramatic story, featured in St. Joseph’s housecall fall 2007 issue, came to the attention of the American Heart Association (AHA). Volpe went to a nationwide casting call and was chosen as one of nine national “Heart of Go Red” women for the AHA’s Go Red for Women movement to increase awareness of heart disease. Not only was she featured in an NBC-TV special in September hosted by Marie Osmond, but she will be part of the February 2009 Go Red for Women national cam- paign. For more info, go to www.GoRedForWomen.org. SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 14. The CanCer InsTITuTe BreakThroughs A Pitch to Battle Esophageal Cancer —the fastest-growing cancer for Men Richard Horner (next to the Orioles Bird) was Over the last two decades, adenocarcinoma of the esophagus accompanied onto the ballfield by Dr. Krasna has become the fastest-growing cancer in the U.S., primarily (far right) to throw out the first pitch at the striking white men, ages 50 and older. Oriole’s game last Father’s Day. There is evidence linking it to the the fact that his reflux was controlled chemotherapy for patients who are increase of reflux disease, which can with prescription medicine. He con- able to tolerate it.” lead to a precancerous condition called sulted his doctor, who ordered diag- Being under a doctor’s care and Barrett’s esophagus. Aggressive multi- nostic tests that led to the discovery of regular surveillance are very important modality treatment at The Cancer esophageal cancer. for people with chronic acid indiges- Institute is giving many men hope of “I was scared to death,” Horner tion, since Barrett’s esophagus, which successfully battling this cancer. recalls. “I thought I was going to die, is caused by acid reflux, can be a risk Richard Horner, age 44, and father at first.” factor in developing adenocarcinoma of six sons is one of those men. He Indeed, 30 years ago, most cases of of the esophagus. esophageal cancer were thought to be a St. Joseph gastroenterologist Dr. death sentence, explains Dr. Ziv Gamliel, Andrew Rosenstein explains, “Between .2 “Now, we’re seeing some very chief of Thoracic Surgery at St. Joseph and two percent of patients with Barrett’s good results in treating this cancer, Medical Center. But medical advances will go on to develop cancer. However, thanks to our ability to offer have changed that. “Now, we’re seeing there is no way to predict who will.” advanced tri-modality treatment. ” some very good results in treating this Screening for esophageal cancer is cancer, thanks to our ability to offer done through an esophageal endo- Dr. Ziv Gamliel Chief of Thoracic Surgery advanced tri-modality treatment,” he says. scope, as an outpatient procedure St. Joseph Medical Center Horner received a hard-hitting com- performed under twilight sedation. bination of chemotherapy, radiation Patients with no cellular changes should was stunned when he was diagnosed and surgery. “For the earliest stage of be screened every two to three years, with esophageal cancer last year and esophageal cancer, surgery alone is while those with precancerous changes concerned about whether he would be the treatment, but by the time most require more frequent screenings. around to see his six-year-old twin boys patients have symptoms and seek medi- “Doctors are much more conscious grow up. However, thanks to rigorous cal care, the disease is no longer local- about the risks of acid reflux and more treatment at The Cancer Institute at ized,” says Gamliel. aggressive about using endoscopy for St. Joseph Medical Center, Horner’s “For patients whose esophageal can- screening than we used to be,” assures outlook is very good. So good, that he cer is more advanced, the most aggres- Gamliel. “Once a gastroenterologist was asked by Dr. Mark Krasna, medi- sive treatment regimen involves che- discovers cancerous cells, the patient cal director of The Cancer Institute, motherapy and radiation, followed by should be referred to a thoracic surgeon to have the honor of throwing the surgery. This can be followed by more for evaluation, staging and treatment.” ? first pitch at the Orioles game, where St. Joseph’s annual Cancer Survivors Reunion was held last Father’s Day. Cancer Lectures “He was the perfect patient to rep- Call 410-337-1479 for information. resent us,” said Krasna, who attended the celebration at Camden Yards with TherapIeS To TaCkLe need a around 300 cancer survivors and staff members. “His care was a success due to eSophageaL CanCer Smoking, drinking alcohol heavily, and Cancer expert? GERD can lead to this cancer. Learn about the multidisciplinary approach to fight- prevention and the success of the newest ing cancer that we use at St. Joe’s.” treatment modalities. Presented by Linda Call our Doctors Directory In summer 2006, Horner began gag- Martin, M.D., Thoracic Surgeon. at 410.337.1337 ging and choking while he ate, despite Thursday, November 20, 7 p.m. or visit sjmcmd.org. 0 Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
  • 15. The CanCer InsTITuTe BreakThroughsBreast Lump orAbnormal Mammogramno More Sleepless nights SM ?a fast track to diagnose Breast cancer Although every woman knows the importance of her annual mammogram, for many Carolyn Bublitz (center) and friends were in thethe prospect evokes fear about what might be found. Mammography often involves pink celebrating her final chemotherapy treatment.additional views and studies and, for some, a biopsy. Although the overwhelmingmajority of women receive a negative result, the process produces ongoing anxiety. Customized Treatment Recognizing this, Dr. Michael J. Schultz envisioned a different experience forwomen when he developed The Breast Center at St. Joseph Medical Center. For Each Breast “With advanced digital imaging techniques, up to 40 percent of women need addi- Cancer Patienttional views. At other facilities, this can take weeks. If something requires a biopsy, a Last Thanksgiving, Carolyn Bublitz had asurgical consultation and the biopsy add additional weeks, all fraught with sleepless breast biopsy on Wednesday and waited thenights,” says Schultz, who has 30-plus years of experience. entire holiday weekend for results from a facil- That’s why The Breast Center created No More Sleepless Nights SM, a unique fast ity that was not St. Joseph Medical Center. “Mytrack that reduces this lengthy period to just a day. Usually, a pathology report and family and I spent the holiday worried,” recalls Bublitz. Her abnormal mammogram and addi-follow-up consultation can be obtained within approximately 24 hours after a biopsy. tional breast studies had already taken weeks.In the event the biopsy demonstrates a malignancy, patients have all the necessary She received her breast cancer diagnosisdiagnostic and treatment facilities in The Breast Center’s compassionate, patient- on Tuesday, and a friend immediately recom-centered environment. mended Dr. Michael Schultz, director of “Our program requires a close relationship between radiologists, surgeons and St. Joseph’s Breast Center. Dr. Schultz sawpathologists, plus the technology for biopsies to be done immediately,” says Schultz. her the very next day.“We have top scanning equipment—Breast MRI, CT and PET scanners on site. The Her breast cancer turned out to be somewhat complicated, requiring an extensive work-upentire team works rapidly and expertly to allow for full evaluation of each patient and and evaluation. “I had two different kinds offor individualization of care!” cancer tumors in both breasts,” she explains. At St. Joseph’s Cancer Institute, each patient is presented at a multidisciplinary conference where all the experts—surgeon,no More Sleepless oncologist, radiation oncologist, radiologist, pathologist, plastic surgeon and nursenights Services SM navigator—discuss each patient and customize a treatment plan.Following abnormal mammogram: Although Bublitz could have had a bilateral• Additional views, ultrasound mastectomy with reconstruction, Schultz• Consultation with breast surgeon explains, “After additional consultations with Carolyn, we came up with a unique paradigm,• Biopsy if needed much better tailored to her specific needs. By• Results and follow-up consultation utilizing a novel approach in which chemo- usually within 24 hours therapy is given prior to surgery, we offered• Availability of full diagnostic Carolyn lumpectomies—breast conservation evaluation type surgery.”• Expert treatment, “Following completion of chemotherapy, she multidisciplinary approach was ready for surgery, avoiding mastectomy,” says Schultz. “I got superb results from the chemo, which shrunk the tumors,” she adds. Her surgery will be followed by radiation treat- ment and nine months of Herceptin therapy. “I don’t mind driving up and down theDr. Michael Schultz developed Beltway to St. Joseph,” says Bublitz, whoNo More Sleepless NightsSM lives in Columbia, Md. “My confidence into relieve patients’ anxiety. St. Joe’s team is well-deserved!” SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 16. A Lesson From Tim Russert’s Sudden Death THE ABC S OF AEDS AND CALCIUM SCORING TO SAVE LIVES A diagnosis early, get on the right medica- no guarantees,” explains Pollock. is for awareness tions and treatment, exercise, eat right, Russert’s autopsy revealed significant and stay in touch with your doctor.” hardening of his left anterior descend- about the dangers of heart disease, which ing artery, in which a clot broke off, B was raised substantially by Tim Russert’s triggering the ventricular fibrillation sudden cardiac death last June from the is for blood pressure that caused the fatal heart attack. This disease that causes more deaths in the U.S. artery is nicknamed “the widow maker” than any other. Out of 1.1 million heart According to the American Heart because its blockage is often fatal. attacks that occur annually in the U.S., Association, one out of three adults in In addition to immediately calling 911 approximately 460,000 are fatal. Most the U.S. has high blood pressure. “Mr. when someone’s heart stops beating, heart attack victims die within an hour. Russert was getting excellent care for using an automated external defibrillator “Unfortunately, for one out of three his high cholesterol and high blood (AED) to shock the heart back into beat- persons, their first symptom of heart pressure. Medications like statins and ing can make a life-saving difference. disease is their last,” states Dr. Stephen aspirin are very effective for lowering Although the NBC newsroom where Pollock, director of The Heart Institute cholesterol. Given the right medica- Russert collapsed had an AED, no at St. Joseph Medical Center. “The key to tions, there is a 70 percent chance of one used it before the ambulance fighting heart disease is to get the right not having a heart attack, but there are arrived. Pollock emphasizes, “AEDs are  Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
  • 17. 75 percent effective in starting the can help assess risk of heart disease. As with any CT scan, radiation isperson’s heart within the two minutes It’s a calcium scoring CT scan, which involved, but for a person at risk forrecommended by the American Heart can detect the calcium buildup on the heart disease, the scan’s benefits canAssociation. AEDs are simple. They heart’s artery walls. outweigh the small risk of radiation.come with verbal instructions—every “A normal stress test does not neces- St. Joseph’s Heart Institute offers acompany and school should have one.” sarily rule out the presence of coro- low-cost $90 CT scan test and calcium nary disease,” explains Pollock. “At St. scoring (approximately one-third of theC Joseph, we offer the coronary calcium is for calcium scoring usual retail cost). The test requires a score. An abnormal test may indicate plaque in the arteries and allows a physician’s order and is not coveredRussert passed a stress test in late April, patient to begin treatment for heart by insurance. For information, callbut there is another diagnostic test that disease before symptoms occur.” 410-337-1110.Introducing St. Joseph’s new heart Institute—opening december 2008State-of-the-Art Features:110,000 square feet of new space, including:• Two-story glass atrium• Healing garden with reflecting pool• Terrazzo lobby floors• Main elevator tower• Three-story Heart Institute addition• 41-bed, all private rooms Cardiac Catheterization Pre and Recovery Unit• 30-bed, all private rooms Cardiac Telemetry Unit• Expanded Cardiovascular Fitness Center• Integrated Nuclear Medicine and Cardiographics Department• Direct connection to Cardiac Catheterization Lab and Emergency Department with Chest Pain Observation Unit• Easy access to Cardiac Operating Rooms and Cardiac Surgery Unit• Family Waiting Room Learn your risk of heart disease with a fast, free Test at StJosephheartaware.com One-third of people who die of heart attacks have no warning. Don’t let your first symptom be your last. St. Joseph’s easy online test is the first step to knowing your risk of heart disease. ? need a Cardiologist or Cardiac Surgeon? Call our Physicians Directory at 410-337-1337 or visit sjmcmd.org SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 18. communITy & FamIly programs Unless otherwise designated, call 410-337-1479 to register facing Lung Cancer ___ Free ___ or schedule your appointment. All activities are FREE and Together InFLuenzA (FLu) For patients & families, this held at St. Joseph Medical Center unless otherwise indicated. education program provides VACCInAtIonS updates on treatment. lite fare included. Presented by Flu shots given to persons ages nine years and older. Especially heALth And topICS oF Ziv Gamliel, M.D., & Maria Congliaro, R.N. Thursday, recommended if you: WeLLneSS IntereSt November 6, 5:30 p.m. • Are 50 years and older • Will be pregnant during flu CLASSeS autism, autism Spectrum To register, call 410-427-2319. season disorder and asperger’s • Have a chronic condition yoga pre-diabetes: dodging and • Live with/care for someone Various, including Hatha Yoga, disorder delaying diabetes in adults Gain valuable insight. Learn with a chronic condition Senior Yoga and Yoga for Women. and kids Registration requested. Registration required. skills easily reinforced at Extra body weight, high blood home using a fun, organized, Sunday, November 2, noon– Call for schedules and prices. pressure, and/or family history 4 p.m.; Saturday, November 15, multisensory system for build- of diabetes are risk factors. ing social and communication 10 a.m.–2 p.m.; Sunday, Learn to prevent or manage November 16, noon–4 p.m.; skills. Family needs discussed. diabetes early on. Presented Presented by Stanley Sack, Friday, November 21, 4–7 p.m. by Diabetes Educators Ellen Ph.D., and Erin Sapperstein, B.A. Wallace, R.N., C.D.E., and Eva Wednesday, October 15, 7 p.m. Gonzales, R.D., L.D. Monday, SCreenIngS November 10, 6:30 p.m. herniated disc and Spinal Carotid artery Screening Stenosis Symptoms— Clogged carotid arteries can don’t Ignore Them! adhd and academic result in stroke. Screening Legs heavy when walking? ups and downs involves an ultrasound. Pain radiating from buttocks to Discussion on building core Recommended for people 60 leg? Low walking tolerance? competencies for academic years and older with any of Learn about successful treat- success and on gaps in these risk factors: high blood ment options to relieve these intervention. Presented by cholesterol, hypertension, symptoms and restore mobility. Stanley Sack, Ph.D., and Susan tobacco use, or a personal or Presented by Ira Fedder, M.D. Wallens, M.A. Thursday, family history of stroke or heart relaxation for people Who November 13, 7 p.m. don’t know how to relax Thursday, October 23, 7 p.m. disease. Appointment required. Guided meditation for stress Tuesday, December 2, 5–7:30 p.m. The Struggles of Stroke Therapies to Tackle reduction and healing. No exercise. Learn about yoga, and Mini-Stroke (TIa) esophageal Cancer Breast Cancer Screening Changing stroke’s risk factors, Smoking, drinking alcohol heav- FREE for women 40 years and breathing, guided imagery and recognizing the symptoms, and ily and reflux can lead to this older, who have not had a mam- support groups. Registration getting fast treatment from a cancer. Learn about prevention, mogram within the past year required for each offering: certified Stroke Center can keep plus success of the newest and do not have breast disease someone from being a statistic. treatment modalities. Presented or implants. Includes clinical FREE INTRODUCTION Presented by stroke expert Ruth by Linda Martin, M.D. Thursday, breast exam and screening Saturday, October 11, Linde, R.N. Tuesday, October 28, November 20, 7 p.m. mammogram. Appointment 10:15–11:45 a.m. 6:30 p.m. required. Saturday, October 25, 4-WEEK WORKSHOP The future of Cancer Care 9 a.m.–1 p.m. Cost: $60 per person/ $100 per Influenza and pneumonia: From prevention to the most up- avoiding the annual Bug to-date, patient-focused cancer couple. Saturdays, October 25, November 1, 8, 15, and Its Buddy treatments, we demystify the trAInIng 10:15–11:45 a.m. Influenza is a highly contagious topic of clinical trials and give Brief Intervention Training virus that can cause severe ill- valuable insight about the future To help health care providers don’t Let arthritis Cramp ness and complications, includ- of cancer care. Presented help their patients stop smoking. your Style! ing pneumonia. Learn how to by Richard Schraeder, M.D., Information on pharmaco- Think nothing can be done to prevent these infections. and Brian Cornblatt, Ph.D. therapies and new patient help your arthritis? Learn about Presented by Linda Barr, M.D., Wednesday, December 3, 7 p.m. resources. CEU, CME and the latest treatments! and Leigh Chapman, R.N., B.S.N. Social Work credit awarded. Second Monday every month, Thursday, October 30, 6:30 p.m. Bariatric Surgery Seminars Fee $25. Tuesday, November 18, 1–2 p.m. October 13, November 5:30–9:30 p.m. 10, no December class. Improving Life after Call 410-337-1337 to register. prostate Cancer Join experts from St. Agnes Cpr for health Care providers Though prostate cancer may For health care professionals Bariatric Center of Excellence assertiveness Training cause complications such as to learn about LAP-BAND and who respond to cardiac and Class (new!) urinary incontinence and erec- gastric bypass surgical weight respiratory emergencies. Six sessions to assist in tile dysfunction, new effective Includes adult and pediatric loss options. Presented by developing assertiveness skills treatments can enhance quality CPR, FBAO, 2-person rescue Andrew Averbach, M.D., or for daily life. of life. lite fare included. CPR, barrier devices and AED. David von Rueden, M.D.Third Call 410-337-1584 for times Presented by Marc Siegelbaum, Registration required. Fee $50. Monday every month, 6:30 p.m. and prices. M.D. Wednesday, November 5, Saturday, November 8, 9 a.m.– November 17, December 15. Call 6:30 p.m. 1 p.m. Saturday, December 13, toll-free at 866-690-WELL (9355) 9 a.m.–1 p.m. to register.  Fall 2008 St. JoSeph MedICAL Center / SJMCMd.org
  • 19. communITy & FamIly programsdIAbeteS family programseduCAtIon For all Family Programs, call 410-337-1880 for information,Call 410-337-1382 for dates and times, or to register.information and to register. All classes are taught by registered nurses with maternal-child healthdiabetes Self-Management nursing experience who are certified in their field.education programADA nationally recognizedprogram: one-hour individual Childbirth Classesassessment and nine hours of Breastfeeding Classmultidisciplinary taught group One-time class for expectant parents. Certified lactation consultantclasses. Fee: May be insurance provides basics on breastfeeding, including advantages, how-tos,reimbursable. Held monthly. special considerations and more. Fee: $20 per couple. Saturday, October 11, 10:30–11:30 a.m.diabetes In-Check Saturday, November 8, 10:30–11:30 a.m.Two-hour annual follow-up for Saturday, December 13, 10:30–11:30 a.m.those who completed initialtraining in 2007. Fee: May be Childbirth education Seriesinsurance reimbursable. SMokIng For parents in seventh month of pregnancy. In-depth instruction aboutHeld monthly. labor and delivery, breathing techniques and relaxation is provided. CeSSAtIon Cesarean birth, pain management and postpartum care discussed.diabetes Information Fee $60 per couple. Tour included. Offerings (Call for start dates):exchange freshstart – Smoking 5-week evening series: Mondays or WednesdaysCovers various diabetes topics. Cessation program 3-week evening series: Thursdays or Saturdays Six weeks. Help to stopFirst Tuesday of every month smoking quickly and stay grandparents Classat 1 p.m. & 7 p.m. October 7, stopped. Learn techniques to For those expecting a firstNovember 4, December 2 end your need to smoke while grandchild at St. Joseph avoiding triggers to start again. Medical Center. Class discusses Registration required. latest trends in maternity andSupport Wednesdays, November 12– infant care and infant CPR. Fee December 17, 6–7 p.m.groupS $10 per person. Wednesday, October 23 or Thursday,Breast Cancer no Butts about It—Smoking December 4, 6–8:30 p.m.Survivors offering Support Cessation Support group Professionally led. Helps quitters Safe Sitter• Transition to Wellness maintain a tobacco-free life and Preparing adolescents ages• Partner Support Workshop provides those considering 11–13 to babysit. Fee: $45For dates and to register, call quitting with motivation and Registration required. Monday,410-427-2513 guidance. Wednesday, November December 29 or Tuesday, 5, 6–7 p.m.; Wednesday,Caregivers’ Support December 24, 6–7 p.m. December 30, 9 a.m.-4:30 p.m.First Thursday every month,7 p.m. November 6, December 4Call 410-337-1109 to register. raISe – Teen Smoking Cessation program FAMILy tIeS Required Adolescent Intensive Infant MassageCrohn’s disease and Colitis Smoking Education (RAISE)Monday, November 3, 7 p.m. For parents and babies ages newborn through six months. Infant helps teen smokers break massage benefits parent and child by promoting bonding, attachment,Call 410-337-1479 to register. formation of a lifelong addiction. relaxation and stress reduction. Babies experience sense of trust and Registration required. Sliding improved body awareness while relaxing to the gentle touch of theirMood disorders scale fee. Three-session series.For major depression, affective parent. Three weekly classes lasting 90 minutes each. Cost $45. Times vary. November 2, 5, Call for dates and times.disorders, bipolar disorders and 6and manic depressive illness.Call 410-337-1584 for dates and kangaroo kapersinformation. For children ages 3–7 of families expecting new siblings. Includes SpIrItuAL mother/baby unit tour. Fee: $10 per child.ostomySunday, December 14, 2–4 p.m. oFFerIngS Saturday, October 11, 1–3:30 p.m. Saturday, November 8, 1–3:30 p.m.Call 410-337-1845 for Call 410-337-1109 for more Saturday, December 13, 1–3:30 p.m.information. information on these offerings: Mothering Matterspregnancy Loss Memorial Mass for Free support group for new moms and their babies.First Monday every month, deceased patients Meets every Thursday, 10:30 a.m.–noon7 p.m. October 6, November 3 Hospital Chapel Call for meeting location.(none in December) (St. Clare Building)Call 410-337-1109 to register. Tuesday, November 11, 7 p.m. SJMCMd.org / St. JoSeph MedICAL Center Fall 2008 
  • 20. An Exciting, Inspirational Evening with Award-Winning actress Lynn Redgrave and her daughter photojournalist Annabel Clark Thursday, October 23, 2008, 7 p.m. at the St. Joseph Medical Center JOURNALA Mother & Daughter’s Recovery from Breast CancerCome hear this talented actress who’s appeared in famous films and Broadway plays—from Georgy Girl () to The Jane Austen BookClub (00)—discuss her journey through breast cancer, as seen through her daughter’s photographic lens and her own journal and published as a very special book.General admission donation: $0 • Includes dessert reception afterwards with photo exhibit • Proceeds help support The Breast CenterPink Daisy Pre-Reception :0 p.m.The Atrium of the Cancer Institute. $0 donation includes: cocktails, light dinner, photo with Lynn and Annabel, autographed copy of book, special seating and dessert reception. presented byExhibit sponsors: Jeanne & Stan Cohen, Susan & Steve WeintraubSpecial advisor: Louise Goodman FinkelsteinSigned books will be available for purchase. For tickets, call 410-337-1874. Non Profit Rate US Postage PAID Mechanicsburg, PA Permit No. 301Introducing The Breast Center’sno More Sleepless nightsSMfor details, see page 11.