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FALL2013AnteriorHipReplacementattheOrthopaedicSpineInstituteAbingtonCertifiedasComprehensiveStrokeCenterComprehensiveHeartFailureProgramBeatingGynecologicCancersbyAskingtheRightQuestionsIdeasforHealthyLivingHealthEducationClassesAndMuchMore IDRIVEIBENDDOWNICROSSTHEIRLEGSIWALKUPANDDOWNSTAIRSORIRETURNTOWORK.2AndrewM.StarMDmedicaldirectorofAbingtonHealthsOrthopaedicSpineInstitutehaspioneeredmanyadvancedtechniquesinorthopaedicsurgeryandleadsanexperiencedandcommittedteamofclinicians.EVERYPERSONISUNIQUE.THETYPEOFHIPREPLACEMENTANDTHEIRCAREISPERSONALIZEDFOREACHPATIENTsaysStar.Patientswhoareabletohavetheanteriorapproacharerecoveringquickermanyleavingwithin24hours.Anythingwecandotoreturnourpatientstotheirnormalactivitiesisatoppriorityforus.AnteriorHipReplacementattheOrthopaedicSpineInstituteTheoperatingroomsintheOrthopaedicSpineInstituteatAbingtonMemorialHospitalandatLansdaleHospitalarebothequippedwiththeuniqueHanaTable.Thistechnologicallyadvancedtableallowssurgeonstooptimizethepositionofthepatientonthetable.Movingthetableinsteadofthepatienttraumaisminimizedinawaythatisnotpossibleusingaconventionalsurgicaltable.Thepatientslegcanbeextendedinamannerthatenhancesthenaturalopeningbetweenthemuscles.Thesurgicalincisiondoesnotcutthroughthemuscleratherthemuscleissparedofferingquickerrecoveryandreturntonormalactivities.ANTERIORHIPREPLACEMENTVOLUMEOver1500HIPSREPLACEDTHROUGHTHEANTERIORPROCEDUREYEARSOFEXPERIENCEPERFORMINGTHEANTERIORPROCEDUREofallhipreplacementpatientsdonotneedurinarycatheterspost-operatively.AftersurgerypatientscanreturntonormalactivitiesmorequicklyJeffreyJ.VakilMDandAndrewM.StarMDSmallerincisionsparesmusclesABOUTTHREETOFOURINCHESVS.EIGHTTO10WITHTRADITIONALHIPREPLACEMENTORPOSTERIORAPPROACHHANATABLEOUREXPERIENCEINHIPREPLACEMENTSURGERYGETBACKTONORMALROUTINEFASTERREDUCEDNEEDFORCATHETERSSmallincisioninupperthighAccesstohipjointbetweenmuscleintervalsnocutrequired7YEARSTARTEDDOINGANTERIORPROCEDURE200790 RitaLeinheiser63ofJenkintownwasthrilledwithheranteriorhipreplacementexperienceatLansdaleHospital.BecauseoftheanteriorprocedureIwasabletowalktothebathroomthesamedayasmysurgeryandwithintwodaysIwashomeandwalkingupstepswithnorestrictions.ITWASAFANTASTICEXPERIENCE.Everythingwasperfectlysynchronizedandorganized.MysurgeonJeffreyJ.VakilMDandthenursesandallthestaffmemberswereresponsiveanddelightful.Iwouldnothesitatetodoitagainwhenthetimecomestoreplacemyotherhip.Iambacktoswimmingkayakingandgolfing.InfactmygolfgamehasimprovedFormoreinformationaboutourminimallyinvasiveproceduresinhipkneeandspinecarevisitwww.abingtonhealth.orgboneorcallusat215-481-BONE2663.AbingtonHealthOrthopaedicSpineInstitutejointsspinesportshandstraumarehab3RitaLeinheiserSPARESMUSCLESVS.CUTSMUSCLESPATIENTSATISFACTIONLANSDALEHOSPITALNEARLYPERFECTATABINGTONMEMORIALHOSPITALOURPATIENTSAREHAPPY9499Therearesomanyoptionsregardingjointreplacements.Well-educatedpatientsareconfidentwhenmakingdecisions.Comeandlearnandbringyourquestions.Oursurgeonswilleducateandansweryourquestionsaboutanteriorhipreplacementquad-sparingkneereplacementandminimallyinvasiveprocedures.datesWednesdayOctober16locationAHCBlueBelldatesWednesdayOctober23locationAHCWarminsterdatesWednesdayNovember13locationAbingtonMemorialHospitaltime630to830PMtoregister215-481-2204orwww.amh.orgWHATYOUNEEDTOKNOWABOUTJOINTREPLACEMENTSSEMINARSWORKSHOPSFREE EarningComprehensiveStrokeCentercertificationwasnoeasytask.ToqualifyAbingtonHealthsNeurosciencesInstitutewasrequiredtomeethighstandardsfortreatingthemostseriousstrokecases.ButtheAbingtonstroketeamwelcomedthechallengeandthenewopportunitytoservetheneedsofourpatients.AsaresultofoureffortAbingtonsDiamondStrokeCenterisnowoneofthefewhealthcarefacilitiesinthecountryandoneofonlyseveninPennsylvaniatoachievestatusasacertifiedComprehensiveStrokeCenter.ToqualifyasaComprehensiveStrokeCenterthehospitalmustdemonstrateadvancedcapabilitiesbeyondwhatisrequiredforaPrimaryStrokeCenter.TheseadditionalstandardsincludeIUseadvancedimagingcapabilities.IMeetrequirementsforprovidingcaretopatientswithadiagnosisofsubarachnoidhemorrhageperformingendovascularcoilingorsurgicalclippingproceduresforaneurysmandadministeringIVrT-PA.Intra-arterialrT-PAisalsoavailableatAMH.IParticipateinstrokeresearch.IUseapeerreviewprocesstoevaluateandmonitorthecareprovidedtopatientswithischemicstrokeandsubarachnoidhemorrhage.ICoordinatepost-hospitalcareforpatients.ThisdesignationisagreatsourceofprideforourorganizationsaidLaurenceM.MerlispresidentandchiefexecutiveofficerAbingtonHealthandcomesafteradecadeofhardworkbymanytalentedcliniciansandsupportstaff.4AbingtonJoinsFewerthanOnePercentofHospitalsNationwideCertiedasComprehensiveStrokeCentersWeresoproudtobeamongtherst.KnowthewarningsignsofstrokeComprehensiveStrokeCenterCerticationconrmsthattheNeurosciencesInstituteisoneofanelitegroupofprovidersincludingourcentercitycolleaguesatPennandJefffocusedoncomplexstrokecare.Itgivesustheopportunitytohighlighttheexceptionalstrokecareweprovideforourpatientsandourcommunity.JOHNJ.KELLYMDCHIEFOFSTAFFABINGTONMEMORIALHOSPITALOurstaffhasanunwaveringcommitmenttoprovidingpatientswiththehighestqualitystrokecarebasedoncurrentscientificresearchsaidJohnJ.KellyMDchiefofstaffAbingtonMemorialHospital.ComprehensiveStrokeCenterCertificationconfirmsthattheNeurosciencesInstituteisoneofanelitegroupofprovidersincludingourcentercitycolleaguesatPennandJefffocusedoncomplexstrokecare.Itgivesustheopportunitytohighlighttheexceptionalstrokecareweprovideforourpatientsandourcommunity.Formorethan30yearsAbingtonMemorialHospitalhasdevotedextensiveresourcestotreatingstroke.TheDiamondStrokeCenterunderthemedicaldirectionofFaceAskthepersontosmile.DoesonesideofthefacedroopSpeechAskthepersontorepeatasimplesentence.ArethewordsslurredCanhesherepeatthesentencecorrectlyTimeIfthepersonshowsanyofthesesymptomstimeisimportant.Call911immediately.Donotdelaybraincellsaredying.ArmsAskthepersontoraisebotharms.DoesonearmdriftdownwardQaisarA.ShahMDandOsmanS.KozakMDKarinJonczakCRNPandLaramiG.MacKenzieMDDanJ.GzeshMDwasestablishedtoaligncriticalhospitalresourcesforemergencystrokeinterventionandfollow-up.ToourdedicatedhospitalteamachievingComprehensiveStrokeCentercertificationisasourceofpride.Toourcommunityitsreassurancethattheresourcesandexpertisetotreatthemostdifficultstrokecaseswillbereadyandwaitingifneeded.TheDiamondStrokeCenterisnamedinhonorofitsfounderthelateB.FranklinDiamondMDwhoworkedtirelesslywithcolleagueDeborahMurphyCRNPclinicaldirectorNeurosciencesInstitutetoadvancestrokecareintheDelawareValley.FormoreinformationabouttheNeurosciencesInstitutesDiamondStrokeCentervisitourwebsitewww.abingtonhealth.orgbrain. 5ToNataliaTsymuk31andherhusbandSergyherpregnancywasamiracleshesays.Wedbeentryingtoconceiveforsevenyearsandweweresoexcitedtobecomeparents.Iwas19weekspregnantinJuly2012andeverythingwaslookingfine.Butoneafternoonshesuddenlyfeltdizzyandherrightarmstartedgoingnumb.BythetimemyneighborhelpedmeupstairsmyentirerightsidewasparalyzedandIcouldnolongerspeakshesays.TheNortheastPhiladelphiaresidentwastakentoAbingtonMemorialHospital.EventhoughshecouldntspeakstaffintheEmergencyTraumaCenterknewthatshecouldstillunderstandthem.Theyexplainedeverythingtheyweredoingandreassuredmethatmybabywasokayshesays.QaisarA.ShahMDdirectorofNeurovascularandNeurocriticalCareintheNeurosciencesInstitutewasthefirsttoshedlightonwhathadhappenedtoherAtangleofbloodvesselsinherbraincalledanarteriovenousmalformationorAVMhadstartedtobleed.InmostcasesAVMsaretreatedquicklytoavoidthechanceofasecondbleedingepisode.Butthetreatmentwhichwouldincluderadiationandanesthesiawouldposeunknownriskstothebaby.SosheandSergydecidedtowaituntilthebabywasborn.NataliareturnedhomeafteramonthinthehospitalandherbabycameafewweeksearlyonNovember4.OnDecember4NataliareturnedtoAbingtonforaproceduretocureherAVM.FirstDr.Shahblockedofftheabnormalbloodvesselswithaglue-likesubstancedeliveredthroughacatheterinaprocedurecalledanendovascularembolization.ThenStevenJ.BarrerMDchiefofNeurosurgeryandmedicaldirectoroftheNeurosciencesInstituteperformedopenbrainsurgeryremovingaportionofherskullandexcisingtheAVM.NataliaspentthenexttwoweeksrecoveringatAbingtonandalocalrehabfacility.AtfirstIwasveryweakandinalotofpainbuteverydayIgotalittlebetter.IwasfocusedongettinghomeintimeforMarysfirstChristmas.ShegotherwishonDecember19justintimefortheholiday.AdaylaterDr.ShahstoppedbytomeetMaryanddeliveraChristmasgift.TodayMaryisabrightandhappybabywhocontinuestoinspirehermothersrecovery.Nataliasspeechhascompletelyreturnedtonormalshecanwalkwithminordifficultyandshesgraduallyregainingfunctioninhershoulderandupperarm.ImoptimisticthatIllcontinuetorecoverandevenplaytheviolinagainasIusedtodoshesays.Ifeelverygratefulandveryblessed.ExercisestoHelpwithVertigoIfonlyJimmyStewartscharacterintheHitchcocklmVertigohadreceivedsomemedicationorphysicaltherapyforhisdebilitatingdizziness.Butifyouresufferingfromvertigoorbalanceproblemsyoucandosomethingaboutit.Specicallythereareexercisesyoucanperformtohelpyouregainindependenceandgetbacktoyournormaldailyroutine.FirstalittlebackgroundMillionsofpeoplesufferfrombalanceproblemsandvertigowhichcanbetheresultoftwomainproblems.VertigocanbedividedintocausesoriginatinginthebrainsuchasstrokeandmultiplesclerosisorcausesintheinnerearthelatterbeingmorefrequentsaidLeeJ.HarrisMDchiefNeurologyDivisionandmedicaldirectoroftheBalanceCenteratAbingtonHealthsNeurosciencesInstitute.TheinnerearhelpstocontrolbalanceanditcanbedamagedasaresultofanearinfectionheadinjuryorwhenasmallfragmentedcalciumcrystalisknockedoutofplaceaconditionknownasBPPVbenignparoxysmalpositionalvertigo.Whileyourdoctormightrecommendphysicaltherapyandcertainmedicationstotreatyourconditionyoucanhelpimproveyourbalancebydoingsimpleexercisesathome.Itsimportanttograduallyincreasetheintensityofyourexercisessodowhatyoucaninthebeginning.Pleasevisitourwebsiteatwww.amh.orgbalanceexercisesforavarietyofexercisestohelpimproveyourbalance.FormoreinformationabouttheBalanceCenterattheNeurosciencesInstitutevisitourwebsiteatwww.abingtonhealth.orgbrainorcall215-441-6777.ToreadmoreaboutNataliaorformoreinformationaboutAbingtonHealthsNeurosciencesInstitutevisitourwebsiteatwww.abingtonhealth.orgbrain.DELICATEBRAINPROCEDUREFORNEWMOMSergyMaryandNataliaTsymuk STaFFexperTISeAbingtonsprogrambringstogethercardiologistselectrophysiologistscardiologynursepractitionerscardiacnursesphysiciansassistantssocialworkersdietitiansandotherswhospecializeincaringforindividualswithcongestiveheartfailure.Theco-medicaldirectoroftheCHFprogramDonaldHaasMDisboardcertifiedinAdvancedHeartFailureandTransplantCardiologyoneofveryfewsuchphysiciansintheregion.Board-certifiedcardiologistsacrossthespecialtybringknowledgeandexperienceinheartfailure.YougetIQuickaccesstotheHeartFailureTeam.IRegularandtimelycommunicationwithyourcardiologistandprimarycareprovider.INursepractitionerswhospecializeinheartfailureinboththeinpatientandoutpatientsettings.IAspeciallydesignedhomeheartfailureprogram.TreaTmenTandTeCHnOlOgyOpTIOnSThecorrectdiagnosisandprognosisofyourconditioniscritical.AbingtonsCHFprogramoffersthelatestnon-invasivetestingtodiagnoseyourconditionandevaluateyoursituationsowecandevelopatreatmentplandesignedspecificallyforyouandyourlifestyle.TreatmentoptionsforCHFareadvancingrapidlyandyourcareteamshouldbeactivelykeepingpacewithstate-of-the-arttherapies.AbingtonspecialistsprovideIAfullrangeoftreatmentoptionsincludingLeftVentricularAssistDeviceLVADandcardiacresynchronizationwhichareonlyavailableatafewlocalacademicmedicalcenters.IAccesstoclinicaltrialsJarvikRELIVERoadMAPandothers.IElectrophysiologyfortreatmentofafibrillation.IAquapheresisformechanicalfluidremoval.ICardiacdevicemonitoringformoreeffectivemanagementfromyourhome.IOptimizationofCRTdevicesbiventricularpacemakersforheartfailuretoachieveitsmaximumbenefit.ByprovidingacomprehensiveteamandafullrangeoftreatmentoptionsallatonelocationAbingtonsCHFprogramgivesyoutheassurancethatthecareyouneedateverystageofyourdiseasewillbeavailable.IOutpatientvisitscanbescheduledquicklyusuallyonthesamedaytherebyavoidingtripstotheEmergencyTraumaCenter.ICareiscoordinatedthroughouttheprogramfrominpatienttooutpatienttoyourhomesetting.IOngoingcommunicationwithyourprimarycarephysicianinvolveseveryoneinyourcare.IOurdisease-specificcertificationinadvancedheartfailurebytheJointCommissiongivesyouassurancethatAbingtonisatthetopofitsgameinheartfailuretreatment.6HtVscuIstitutWithothhfiioobiioswithcostivhtfiuCHFchitsiotttokowotohowtovtthissbutwhtoutttotiosifouioswithCHF-coitioiwhichthhtisoobtououtouho-ichboo.OthiiscNOONETREATMENTPLANFITSALL.ThtswhcohsivCHFoiswsthbstchoicwhouctwithfuthvccsstovitofotiossciistsfoouticucicustcsoustithisssctu.CONSIDERTHEFOLLOWINGHOWDOESTHISHELPYOUYourcardiologistorprimarycarephysicianphysiciansassistantornursepractitionercanreferyoutotheComprehensiveHeartFailureProgram.Formoreinformationvisitourwebsiteatwww.abingtonhealth.orgchforcall215-481-4100. 7IMaintainaHealthyWeightObesitycanleadtoheartfailuresoitsimportanttogettoahealthyweightandmaintainit.ILimitFatsandCholesterolReducetheamountofsaturatedfattransfatandcholesterolinyourdiet.IRestrictSaltIntakeConsumingtoomuchsodiumcancauseyourbodytoretainwaterwhichmakesyourheartworkharder.Youshouldcapyoursaltintaketonomorethan1500mgaday.IQuitSmokingSmokingnotonlydamagesbloodvesselsraisesbloodpressureandreducestheamountofoxygeninthebloodbutitalsoeliminatesyouasacandidateforahearttransplant.IExerciseReducethedemandsonyourheartmusclebyengaginginmoderateaerobicactivity.IReduceStressAnxietyisknowntoincreaseyourheartandbreathingratewhichcanmakeyourheartfailureconditionworse.ILimitAlcoholAlcoholweakensyourheartmuscleincreasesyourriskofabnormalheartrhythmsandcannegativelyinteractwithyourmedication.Thwsiwhichoctvttivsstoiitotstcochcsofvoihtfi.AccordingtoDonaldHaasMDmedicaldirectoroftheVentricularAssistDeviceProgramatAbingtonMemorialHospitalheartfailuresyndromecanbediagnosedforoneoftworeasons.EithertheresafluidoverloadinthemainchamberoftheheartwhichisthemostcommonortheheartsnotcirculatingenoughbloodDr.Haassaid.Whenorgansarentgettingenoughbloodflowforoxygenandnutrientstheystarttoshutdown.Asaresultyourhearthastoworkhardertopumpbloodthroughoutyourbodywhicheventuallycausesittoweakenovertime.Andwhenthishappensyourkidneysstarttoretainfluidandsodiumwhichbuildsupinyourbodyandcausesfurtherdamagetoyourbody.HEARTFAILURECANOFTENBEPREVENTED.ItsimportanttoaddresstheriskfactorsandtakemedicationsprescribedbyyourdoctorDr.Haassaid.SowhosatriskThosewithapre-existingconditionwheretheheartisstructurallyabnormalknownascardiomyopathy.ThiscanoccurinpeoplewhoseheartsareweakenedanddilatedorinthosewhoseheartscantrelaxproperlysaidDr.Haas.Peoplewithconditionssuchashighbloodpressurecholesteroldiabetesobesityandcoronaryarterydiseasearealsoatagreaterriskfordevelopingcardiomyopathyandsubsequentheartfailuresyndrome.Sincetheseconditionsarentreversibleitscrucialtheyretreatedwithpropermedication.PREVENTINGHEARTFAILURESOmequICkTIpSTOmanagIngyOurrISkSOFHearTFaIlureVADPATIENT110BETTERHehofgwhsbtitofthCohsivHtFipotamHfosvs.IFbftvticssistvicVadwsitbrohitomoismdchifciothocics.Ivhwiththsttabitoitwocothossm.eh.If110bttthbfothoc.IwioithisIhvtois.Formoreinformationaboutourprogramvisitwww.abingtonhealth.orgchforcall215-481-4200.HarryEhly nacrispautumndaylastfallSuzanneSinghofLansdalenoticedthetextmessagesonhercellphonelookedblurry.Hervisionproblemswereanearlyindicationthatabrainaneurysmabulgeinaweakenedcerebralbloodvesselwaspressingonherbrain.AfewhourslateremergencymedicalservicesandsubsequentlyAbingtonHealthsNeurosciencesInstituteexpertisesavedSuzanneslife.InLansdaleHospitalsEmergencyDepartmentGeraldF.OMalleyDOorderedaCTscanforSuzannewhichshowedasuspectedaneurysm.UsingtheTelemedicineconnectionthatlinksAbingtonsspecialistswithemergencyphysiciansathospitalsthroughouttheregiontheLHteamconsultedwithQaisarA.ShahMDdirectorofNeuro-interventionalandNeurocriticalCareServicesatourNeurosciencesInstitute.HeviewedherCTimagesremotelyfromasecurelaptopatAbington.Dr.ShahsawthatSuzannesbrainaneurysmhadrupturedandbloodwasleakingintothesubarachnoidspacebetweenherbrainandthemembranecoveringit.Usingtheconnectionwhichincludeshigh-resolutionimagingDr.ShahdeterminedthatSuzanneshouldbetransportedimmediatelytoAbingtonMemorialHospitalwhichhastheadvancedequipmentandspecializedneurocriticalcaresherequired.tAMHaCTangiogramshowedafour-millimeteraneurysminanarteryontherightsideofherbrain.TheneurocriticalcareteamstabilizedSuzannegettingherbloodpressureundercontrolandmanagingherheadachepain.Suzannehadswellinginsidetheventriclesspacesinthebrainthatcontaincerebralspinalfluid.IfthisaccumulatedbloodclotsitcanblockthedrainageofspinalfluidexplainsDr.Shah.Spinalfluidmustdrainoritwillaccumulateputtingpressureonthebrainwhichcanresultinbraindamage.ToensureSuzannesspinalfluidkeptdrainingatemporaryexternaldrainagesystemwascreated.Dr.ShahcollaboratedwithLaramiG.MacKenzieMDassociatedirectorNeurocriticalCaretodrillasmallholeinSuzannesskullandinsertanarrowtubeintotheventricles.Thetubewasconnectedtoanexternaldrainagebagandmonitor.ThenfromatinyincisioninSuzannesgroinDr.Shahinsertedacatheterathintubeintothefemoralartery.UsingadvancedX-rayguidancehemaneuveredthecatheterthroughthebloodvesseltothepreciseareaofthebrainwheretheaneurysmwaslocated.Nextheinsertedamicrocatheterintotheaneurysmtoplaceseveraltinyplatinumcoilsattheopeningoftheaneurysm.Thecoilssealedofftheaneurysmcuttingitsbloodsupplysoitwouldntbleedagainorgrow.SuzannewasadmittedtotheNeurocriticalCareUnitwherethemedicalteammonitoredhercloselywhilesherecoveredandregainedherstrength.Dr.Shahremovedherexternaldrainagetubeonthefifthdayafterherprocedure.Shewasdischargedtoherhomeandfamilyontheeleventhdaywithnosignsofcomplications.henIwasfeelingbetterIspentalotoftimeresearchingbrainaneurysmssaysSuzanne.Somanystoriesendedtragicallywithdisabilityordeath.Thestatisticsaregrim.Nearlyone-thirdofthosewhoexperienceasubarachnoidhemorrhagenevermakeittothehospital.Ofthosewhogettothehospitalfortreatmentnearlyone-thirdexperiencesomelevelofdisabilityaftertheordeal.IamsogratefultoeverypersonwhocaredformetheparamedicsemergencydoctorsandnursesandallthestaffatLansdaleandAbingtonhospitalssaysSuzanne.BecauseofthemIamaliveandwell.ItoldmyhusbandwhenIagreedtoparticipateinthisarticlethatmystorywouldbeonewithahappyending.SpoileralertSuzannewasright.FormoreaboutSuzanneandourNeurosciencesInstitutevisitourwebsiteatwww.abingtonhealth.orgbrainorcall215-481-MEDI6334.8BEATINGTHEODDSLansdalewomanthrivesafterlife-threateningbrainaneurysmLansdaleHospitalhasbeendesignatedaPrimaryStrokeCenterbytheJointCommission.AchievementofPrimaryStrokeCenterCerticationsigniesLansdaleHospitalsdedicationtofosteringbetteroutcomesforpatientsandthattheirprogrammeetscriticalelementsofperformancetoachievelong-termsuccessinimprovingoutcomesforstrokepatients.Overthelastsixmonthsmuchtimeandenergyhasbeendedicatedtoreningprocesses.AfteranexhaustivereviewoftheentireworkowtheJointCommissionsurveyorwasverycomplimentaryoftheeffortsmadetotreatthispatientpopulation.SuzanneSinghFOCUSONLANSDALEHOSPITALPrimaryStrokeCenteraccreditationforLansdaleHospital AllthreeTomeoshavehadverticalsleevegastrectomyVSGoneofthemanybariatricsurgeryproceduresperformedlaparascopicallybyFernandoB.BonanniJr.MDatAbingtonMemorialHospitalsInstituteforMetabolicandBariatricSurgery.Thisproceduresignificantlyreducesthesizeofthestomachandremovestheportionthatproducesthehormonethatstimulateshunger.Samwhohasseverekidneydiseaseandwilleventuallyrequireakidneytransplantwasthefirsttoconsiderbariatricsurgeryafterdoctorstoldhimthatat306poundshewastoooverweighttohavethetransplant.WewenttotwoinformationsessionsatotherhospitalsbuttheteamatAbingtonreallymadeusfeelthattheywouldtakecareofusandtheydideverystepofthewayhesays.Andweneededthatsupportbecausehavingthissurgeryrequiresacompletelifestylechange.SamhadVSGinJanuary2012andimmediatelybeganlosingweight.HissuccessconvincedJuliannthenacollegefreshmantoundergotheprocedureaswell.DespitebeingactiveIhadstruggledwithmyweightandrelatedmedicalproblemsforyearsshesays.AndIwastiredofpeopletellingmeYouhavesuchaprettyfaceimplyingthattherestofmewasntbeautiful.ShehadthesurgeryinJuly2012andbythetimeshereturnedtocampusforhersophomoreyearshehadlost40pounds.EveryonewastellingmehowgreatIlookedandatfirstIdidnttellthemthatIdhadsurgeryshesays.ButeventuallyIdecidedtobeopenaboutit.Iwantedpeopletoknowthatthiswasnttheeasywayout.Thesurgeryisatoolnotasolution.LisadecidedtohavetheprocedureinFebruary2013afterlearningthatsheisapotentialkidneydonorforSam.IknewIdneedtoloseweightandbeashealthyaspossibleinordertodonateandafterseeingmyhusbandanddaughterthroughtheiroperationsIknewwhattoexpect.Whatshedidntexpectwashowmuchmoreenergeticshefeltafterthepoundsstartedcomingoff.Mybackkneesandfeetallfeelmuchbettershesays.Itsamazinghowmuchtheextraweightaffectedeveryjoint.AllthreeTomeosattributetheirsuccesstosupportingeachotherandfollowingthedirectionsofDr.BonanniandtheInstitutestafftotheletter.WedoeverythingbythebookLisasays.Wealsofindthesupportgroupsessionstobeveryinformativeandinspirational.Theyarecommittedtoeducatingothersandhelpingtodispelfearsaboutbariatricsurgery.Idtellpeopleconsideringsurgerytoputtheirlong-termhealthandhappinessfirstJuliannsays.AdultswhovehaditsaytheygottheirlifebackandasayoungpersonIknowthatInowhaveabeautifullifeaheadofme.9AttimeofgoingtoprinttheTomeosreportedthefollowingaccomplishmentsontheirpathtobetterhealthSabatinoTomeoPre-opweight306Currentweight243LisaTomeoPre-opweight219Currentweight147JuliannTomeoPre-opweight260Currentweight158TheInstituteforMetabolicandBariatricSurgeryatAbingtonMemorialHospitaloffersfreeinformationsessionsatavarietyoflocationsthroughouttheyear.Formoreinformationvisitourwebsiteatwww.amh.orgbariatricsurgeryorcall215-481-2204.TheTomeofamilyofHollandPAloveeatingmealstogether.ButitslikelythatSabatinoSam58hiswifeLisa56anddaughterJuliann20mightshareanentreratherthanlleachoftheirplates.Andtheyllbemorethansatised.JuliannSabatinoandLisaTomeoLisaJuliannandSabatinoTomeobeforesurgery Mentionovariancancerandmanywomenimagineableakfutureoruntimelydeath.AttheHanjaniInstituteforGynecologicOncologyatAbingtonMemorialHospitalhowevercancerspecialistsarechangingthatforecast.Infacttheyaremanagingrecurrentovariancancerasachronicdiseasebyprovidingnewtherapiestohelpwomenlivewiththediseaseovertimeakintothemanagementofsuchchronicillnessesasdiabetesorheartdisease.Ovariancancerisseriousandlife-threatening.Fortunatelyasisthecasewithmanygynecologiccancersincludingthoseoftheuterusandcervixongoingadvancesinresearchandtreatmentenableoncologiststooffermanywomentherapiesthatallowthemtolivelongerwithovariancancersometimesforyears.THEROLEOFRESEARCHTheroleofresearchinadvancedtreatmentoptionsforgynecologiccancersattheHanjaniInstituteisfirmlyrootedinthehospitalsmembershipintheGynecologicOncologyGroupGOGamedicalorganizationthatcontinuestopavethewayingynecologiconcologytrialssettingthestandardforcancerresearchandtreatmentworldwide.AsafounderoftheInstitutein1992ParvizHanjaniMDcontributedtothecooperativeeffortsofagroupofinstitutionsthathadbeendevotedtothestudyofgynecologicmalignanciessince1970.AMHisoneofonly44institutionsnationwidetoholdfullmembershipintheGOGwhichisfundedinpartbytheNationalCancerInstitute.OurpatientsarebenefittingfromgroundbreakingresearchandtreatmentsforcancerthatyouotherwisemayfindonlyatmajoruniversityhospitalssaysSusanNoltePhDdirectorCenterforClinicalResearchAbingtonHealth.ADVANCEDCLINICALTRIALSAVAILABLEByofferingourpatientstheopportunitytoparticipateinclinicaltrialsweadvancetreatmentthroughsciencesaysMarkS.ShahinMDdirectorHanjaniInstitute.Throughclinicaltrialsweproveandvalidatetreatmentsthateventuallybecomethestandardofcare.AMHhasbeenamajorcontributortostudiesthathaveledtobreakthroughsinthetreatmentofgynecologiccancer.AsanoncologistinvolvedinclinicalresearchIcertainlyhope10yearsfromnowIamdoingsomethingdifferentfromwhatIamdoingtodayinthetreatmentofcancersaysDr.Shahin.IfIamnotthenmyspecialtyhasfailedmypatients.MOREWOMENARELIVINGWITHCANCERTODAYJusttwodecadesagotheprimaryfocusoftreatmentformostgynecologiccancerswasonpatientsurvival.Asscientistshavediscoveredandproventheeffectivenessofnewtreatmentsmorewomenarelivingwithcancertoday.Inadditiontoconcentratingonsurvivaltodaysclinicianresearchersareconductingclinicaltrialstoanswermoresophisticatedquestionsaboutcancerwhicharedesignedtoimprovenotonlysurvivalbutthepatientswell-beingandqualityoflife.MorerecentlywomenworldwidearebenefittingfrominvestigativestudiesthathaveledtoimprovementsinBeatingGynecologicCancersbyAskingtheRightQuestionsONGOINGRESEARCHLEADSTOBREAKTHROUGHSINTREATMENTANDQUALITYOFLIFE10Continuedonpage11 NancyLecron68wasdiagnosedwithovariancancerin2007.InJuly2013sheenrolledinherthirdclinicaltrialforovariancanceratAbingtonMemorialHospitalAMHaprocessshesaysishelpingtomanageherdiseaseandgivehermoretime.Nancysuccessfullycompletedinitialtreatmentforovariancancersixyearsagoandremainedinremissionfortwoyears.Afterasecondcourseoftreatmentsheknewhercancerwouldreturn.Nancywantedtodoallshecouldtostayinremissionforaslongaspossible.DuringthattimeshetraveledtoMemorialSloan-KetteringCancerCenterNewYorkwherespecialistsrecommendedsheenrollinaclinicaltrialwhichalsowasbeingconductedatAbingtonMemorialHospital.BecauseNancycouldgetthesametreatmentatAMHwhichwasclosertoherhomesheoptedtomakethe100-mileroundtripbetweenBirchrunvillePAandAbingtonforcare.AlthoughIhaventbeeninremissionsince2011witheachclinicaltrialIreceivedthestandardofcarethatalreadyhasbeenproventobeeffectiveformytypeandstageofovariancancersaysNancy.AtthesametimethetrialspresentedthepossibilitythatImightreceiveanewdrugthathasshownpromise.Eachexperiencewasanopportunitytoaidintheprocessoffindingacure.thedetectionanddiagnosisofgynecologiccancersabetterunderstandingofthegeneticsbehindthesemalignanciesandtheroleofimagingtohelpdetermineeffectivenessaftertherapy.Researchersalsohaveexperiencedsuccesswithvaccinesandbiologicaltherapieswhichusethebodysimmunesystemtofightcancerortolessensideeffectsthatmaybecausedbysometreatments.AtanygiventimetheCenterforClinicalResearchatAbingtonHealthmaybeconductingnearly50differentgynecologiconcologytrials.WhetherpatientsqualifyforparticipationinclinicaltrialsornottheycantrusttheyarereceivingcomprehensivecarefromanationallyrecognizedprogramwithdecadesofexperiencesaysDr.Shahin.Anditiscomfortingtoknowtheycangetthemostadvancedcareavailableinonelocationclosetohome.FormoreinformationaboutgynecologiconcologyclinicaltrialsatAMHvisitourwebsiteatwww.amh.orgclinicaltrials.AMHHASBEENAMAJORCONTRIBUTORTOSTUDIESTHATHAVELEDTOBREAKTHROUGHSINTHETREATMENTOFGYNECOLOGICCANCER.MARKS.SHAHINMDDIRECTORHANJANIINSTITUTEOnepatientsPERSPECTIVEONCLINICALRESEARCHEACHEXPERIENCEWASANOPPORTUNITYTOAIDINTHEPROCESSOFFINDINGACURE.MarkS.ShahinMDandSusanNoltePhD11Continuedfrompage10KarenSweeneyRN 12FirstgradeteacherMichelleBlairandherhusbandBrianhadalwayswantedchildren.WestartedtryingsoonaftergettingmarriedinJuly2009shesays.ButandIcantexplainthismyintuitiontoldmethatImighthavetroublegettingpregnant.Aftertwomiscarriagesin2010and2011itseemedherfearswerebeingrealized.SothecoupleturnedtoAbingtonMemorialHospitalwheredoctorsdeliverapproximately5000babiesayearandfamilieshaveaccesstoexpertsinfertilityhigh-riskbirthsandneonatalcare.ARAREIMBALANCETofindarootcauseforthemiscarriagesMichellewasreferredtoJenniferNicholsDOatAbingtonReproductiveMedicineforabatteryoftests.AcloselookatthegeneticmakeupofMichelleschromosomesrevealedthatshehadwhatsknownasabalancetranslocationararedefectthataffectsonlythreetofivepercentofthepopulation.WeweredevastatedMichellesays.Butnotdeterred.SheandBrianfirsttriedfivecyclesofintrauterineinseminationIUIinwhichMichellewasgivenmedicationtoproducemoreeggsandBriansspermwasinjecteddirectlyintoheruterus.Whenthatwasunsuccessfultheyproceededtoin-vitrofertilizationIVFwhichinvolvedretrievingMichelleseggsandmanuallyinjectingthemwithasinglespermaprocesscalledintra-cytoplasmicsperminjectionICSI.Asinglecellfromeachoftheresultingembryoswasthentestedforgeneticabnormalitiesaprocesscalledpre-implantationgeneticdiagnosisPGD.OnceMichellestartedtheIVFprocesstheuniverseseemedtobesendingoutasignthatshewasontherightpath.Myentirefamilystartednoticinghummingbirdseverywhereshesays.Wetookthatasasignofhope.HOPEBLOSSOMSOnJuly172012twoviableembryoswereimplantedinMichellesuterus.AweekwentbyandMichellereturnedtoDr.Nicholsofficeforabloodtest.Andthencameavoicemailmessage.ItwasDawnMarieoneofthenursesfromDr.NicholsofficeMichellerecalls.AndshewassingingYouarepregnantAMUCH-ANTICIPATEDARRIVALOnApril9MichelleandBrianwelcomedKynliRaeatAbingtonMemorialHospital.IhadthebestbirthexperienceatAbingtonMemorialshenotes.Theprivatelaboranddeliveryandpostpartumroomswerecomfortableandenormous.AndKynliRaewasabletostaywithmetheentiretime.HerwordsofadvicetootherstrugglingcouplesStayfocusedontheendresultandtakeonestepatatime.Andperhapsholdoutforanyhopefulsignswhichmaykeeppoppingupwhenyouleastexpectthem.ConsiderthisOnhisveryfirstFathersDayinJuneBriansuddenlynoticedaflickerofmovementinthesky.Itwasahummingbird.WOMENSHEALTHEverymorninglittleKynliRaeBlairwakesuptothesightofahummingbirdpaintedonhernurserywall.Somedayherparentswilltellherhowhummingbirdsseemedtoappearatkeymomentsintheirjourneytobringherintotheworldgivingthemhopejustwhentheyneededasignthattheywereontherightpath.FormoreinformationaboutthecomprehensivematernityservicesatAbingtonMemorialHospitalvisitourwebsiteatwww.amh.orgmaternityorcallourphysicianreferralservice215-481-MEDI.BrianMichelleandKynliRaeBlair 13IEducationregardingcancerriskfactorsandscreenings.IAccesstobehavioralhealthservices.IEducationregardingActivitiesofDailyLivingADLsforgeriatricpatients.IMoreaccessibleculturallyandlinguisticallyappropriatematerialsregardinghealthservices.IEducationandservicestoaddresscardiacriskfactorssmokingobesityandhypertension.IAccesstocarefortheuninsuredandunderinsured.ImplementationoftheplansiswellunderwayasAbingtonHealthworkshardtocontinuallyimproveitsprogramshealthservicesoutreachandcommunicationinitscommunities.COMMUNITYBENEFITREPORTABINGTONHEALTHASSESSESHEALTHNEEDSOFTHECOMMUNITYAbingtonMemorialHospitalAMHLansdaleHospitalLHandtheirparentorganizationAbingtonHealthareNON-PROFIT501c3organizationswithastrongmissionandhistoryofcommunityserviceandoutreach.RecentlythetwohospitalscompletedcomprehensiveCommunityHealthNeedsAssessmentstogaugetheoverallhealthofthecommunitiestheyserveandtohelpsettheagendaforprogramsandservicesintheyearstocome.DetailedreportsofcommunitybenefitactivityatbothAbingtonMemorialHospitalandLansdaleHospitalaswellastheCommunityHealthNeedsAssessmentsandActionPlansareavailableatwww.abingtonhealth.orgcommunitybenefit.ForcompleteinformationonAbingtonsgeneralfinancialassistancepolicyvisitwww.abingtonhealth.orgfinancialassistance.Inscalyear2012AbingtonMemorialHospitalprovided33.4millioninnancialassistanceandsubsidizedhealthservicesformembersofitscommunity.DuringthatsameperiodLansdaleHospitalprovided3.3millioninhealthservicesfortheuninsuredandunderinsured.COMMUNITYBENEFITGIVINGBACKTOOURCOMMUNITYHEALTHEDUCATIONANDSCREENINGSAMHandLHprovidemanyfreeorlowcostprogramsthroughouttheyeardesignedtoeducatethecommunityregardinghealthriskfactorsortosupportearlydetectionthroughhealthscreenings.SeeIdeasforHealthyLivingsection.Duringscalyear2012AMHandLHtogetherprovidedmorethan1.3millioninfreeeducationscreeningsin-kinddonationsandothercommunitysupport.AsateachinghospitalAbingtonMemorialHospitaleducatesmanyphysiciansnursesandalliedhealthcareprofessionals.ThehospitalmaintainsresidencyprogramsinfamilymedicineinternalmedicineOBGYNgeneralsurgeryanddentistry.ThisyeartheDixonSchoolofNursingcelebrates100yearsofeducatingnursingprofessionals.InFY2012AMHprovidedapproximately21millionformedicaleducationprogramstotrainphysiciansofthefuture.PREPARINGOURFUTUREHEALTHCAREPROVIDERSLEARNMOREFullcopiesofthe2012NeedsAssessmentsareavailableatwww.abingtonhealth.org.OverallthehealthofthepopulationsservedintheAMHandLHserviceareasisgoodrankinghigherthantheMontgomeryCountyandPennsylvaniaStatepopulationsasawhole.HowevercertainissueswereraisedintheAssessmentsandphysiciansandstafffrombothhospitalshavebeenhardatworkdevelopingthree-yearactionplanstoaddresstheareasofneed.ActionPlanshavebeendevelopedforthefollowinghealthconcerns AbingtonHealthisanonprofitorganizationandwelcomesthesupportofourcommunityforallofourservicesandprograms.IfyouwouldlikeinformationabouthowyoucanmakeagiftofcashstockorabequestinyourwillpleasecontacttheOfficeofPhilanthropyat215-481-4438.YoucanalsovisittheWaysofGivingsectionofourwebsiteatwww.abingtonhealth.orgorusethepostage-paidenvelopeinthisissue.AbingtonHealthCenterBlueBellisOpenHundredsofarearesidentstouredthenewcenterat721ArborWayduringtwoopenhouseeventsinAugustandSeptember.Thenewcampushousesphysicianofficesaswellaslaboratoryandradiologyservices.AtthisnewestlocationpatientswillfindthesamelevelofcaretheyvecometoexpectfromAbingtonHealth.OurteamofmedicalexpertsincludesIBariatricSurgeonsICardiologistsIDermatologistsIEndocrinologistsINephrologistsINeurologistsINeurosurgeonsINeurovascularNeurologistsIOBGYNsIOncologistsHematologistsIPodiatristsIPrimaryCareIRheumatologistsAlsoonsiteareIComprehensiveLaboratoryServicesIHigh-FieldOpenMRIIFull-ServiceImagingFormoreinformationcall215-481-MEDI6334orvisitusonlineatwww.amh.orgbluebell.AllAROUNDABINGTONHEALTHCelebrate100yearsofservingourcommunityAbingtonMemorialHospitalcontinuesourcountdowntowardour100thanniversaryinMay2014.Visitourwebsitewww.amh.org100toshareaphotoamemoryorastoryaboutyourAbington.WeveplannedayearofcelebrationincludingafunactivityforkidsmonthlyfoodfestsinthePavilionGrillintheLenfestPavilionatimelineofachievementsallculminatinginaspecialJuneFeteinJune2014.Formoreinformationvisitthewebsiteorcall215-481-2300.LikeAbingtonHealthonFacebookBringingNaturetoMainStreetWalkingdownAbingtonMemorialHospitalsmaincorridorapasser-bymomentarilypausesandstaresoutoveravistaofgoldenaspensandgrazingelk.InaninstantvisitorsandstaffaretransportedtothewildplainsofBotswanaortheshimmeringexpansesofGrandTetonNationalPark.ThephotographsinthehospitalcorridoraretheworkofFeoPitcairnanacclaimednaturephotographerandcinematographerbasedinMontgomeryCountywhoseworkhasbeenexhibitedattheSmithsonianNationalMuseumofNaturalHistoryandpublishedinAudubonMagazine.AlifelongsupporterofvariouscivicorganizationsMr.PitcairnhasgenerouslydonatedthisworktoAbingtonMemorialHospital.Pitcairnwasdelightedandgratifiedduringarecentvisitwhenhesawpatientsstaffandguestsreactingtohisphotographs.Itsawonderfulopportunitytotrytochangetheenvironmentintheseoftenhigh-stresscorridorshesays.IvealwaysbelievedthatnaturehasaconnectiontowellnessandIhopethesepictureshelpchangethewaypeoplemightfeelinthissetting.AbingtonHealthaddsNorthPennVisitingNurseAssociationNPVNAservicestoitscommunityofferingsWhenAbingtonassumedownershipoftheNPVNAlastspringitembracedtheoutreachprogramsandclinicswhichtheorganizationhasprovidedformanyyearsontheLansdaleHospitalcampus.CurrentlythreeclinicsprovideadultcarethroughanarrangementwithGwyneddMercyCollegedentalservicesandachildrensclinic.AspartoftheNeedsAssessmentActionPlanningastrategicplanisbeingdevelopedtoidentifywaysthattheseservicescanbeenhancedandexpandedtoimproveaccesstocareforuninsuredandunderinsuredresidentsintheNorthPennregion.InadditiontotheclinicshomecareservicesofferedbyNPVNAenhancethewidearrayofservicesprovidedbytheHomeCareDepartmentatAbingtonHealthsaysElissaDellaMonicaexecutivedirectorHomeCareandHospice.Weareproudofourlongtraditionofhigh-qualitypatientcareandservicetoourcommunity.Formoreinformationabouthomecareservicescall215-481-5800orvisitourwebsitewww.abingtonhealth.orghomecare14 AbingtonGoesGreenerIn2008AbingtonMemorialHospitalbegantopursueanaggressiveplantolowerenergycostsandreduceourenvironmentalfootprint.Onesolutionwastobuildanewcogenerationfacilitytogenerateupto70percentofourelectricitydemand.Theplantlocatedinthemiddleofthehospitalcomplexopenedin2012.Itusesanaturalgas-firedcombustionturbinetogenerateelectricityforlesscostthanitcanbepurchasedfromthegrid.Theprocessismoreefficientthancommercialpowergenerationbecausewerecoverthesteamandheatforon-siteprocesses.Plusenergysavingsrealizedthroughthenewcogenerationsystemreducethedemandonourlocalpowergrid.Thefacilitycanreachtwicetheenergyefficiencyofcoalpowerplantswhileproducingsignificantlyfeweremissions.Inadditiontoimprovementsinairqualitydecreasedemissionshaveindirectlyimprovedwaterqualitywithfewerpollutantsintheatmosphere.Theprojectbudgettotaled9.7millionbutmorethanhalfofthefundscamefromoutsidefundingincludinga3millionPennsylvaniaGreenEnergyWorksgrantanda2.75millionrebatethroughPECOsSmartEnergyprogram.Andweexpecttosave2millionperyearinenergycosts.AbingtonHealthRecognizedasMostWiredAbingtonHealthhasagainbeenrecognizedasoneofthenationsMOSTWIREDaccordingtotheresultsofthe2013MostWiredSurveyintheJulyissueofHospitalsHealthNetworksmagazine.AbingtonHealthutilizesinformationtechnologytoenhancecarecoordinationandcollaborationamongcliniciansandpatientstoimprovequalityefficiencyandtransformcaredeliverysaysAlisonFerrenvicepresidentPerformanceExcellenceandInformationTechnologychiefinformationofficerAbingtonHealth.TheAbingtonHealthteamishonoredtoreceivethisnationalrecognition.WoundCentersExpandinLansdaleandWarminsterTobetterserveyouAbingtonHealthWoundHealingCentershavemovedtolargerstate-of-the-artfacilitiesinWarminsterandLansdale.OurnewlocationsincludeIExpandedexamrooms.INewhyperbaricoxygenchamberswithsmoothridetechnologyofferingamorecomfortabletreatmentexperience.IEasy-to-accessfirstfloorlocations.IAmplefreeparking.IConvenienthoursMondaythroughFriday8AMto430PM.WhathasnotchangedisIOurexpertmedicalstafftrainedinwoundcareandhyperbaricmedicine.IInnovativecareandpersonalizedattention.IEasyschedulingat215-481-HEAL4325.LansdaleHospitalOpensPainCenterAnewComprehensivePainCenteratLansdaleHospitalfocusesonprovidingthemostefficientcareforpainpatients.Thiscenterfollowsapatient-centeredmodelforthetreatmentandmanagementofpain-relateddiagnoses.Mostproceduresaredoneonanoutpatientsame-daybasisandallproceduresandpatientvisitsareconductedintheOrthopaedicSpineInstitute.Primarycarephysicianscanreferpatientstoonesourcewhichstreamlinescareandallowsforaspecifictreatmentregimenforeachpatient.Ourmulti-disciplinaryexpertiseincludesIPhysicaltherapyIMRIIEMGstudiesITriggerpointinjectionsIInterventionalpainproceduresinanoperatingroomwithsedationbyrequestIAcupunctureIMedicationmanagementoptionsINarcoticcontractsanddrugscanstopreventsubstanceabuseanddrug-seekingbehaviors.Formoreinformationaboutthecenterlocatedat100MedicalCampusDriveinLansdalecall1-855-6-IN-PAIN1-855-646-7246.15 FALL2013PublishedbythePublicRelationsandMarketingDepartmentatAbingtonHealth.Tocontactuspublicrelationsamh.orgor215-481-2300.1200OldYorkRoadAbingtonPA19001THEPOWERTOHEALPHILADELPHIAMONTGOMERYCOUNTYABINGTONHEALTHCENTERSCHILLINGABINGTONHEALTHCENTERWARMINSTERABINGTONMEMORIALHOSPITALABINGTONHEALTHCENTERBLUEBELLBlueBellPAABINGTONPHYSICIANSATMONTGOMERYVILLEABINGTONHEALTHLANSDALEHOSPITALABINGTONHEALTHPHYSICIANSanetworkofover200employedprimarycarephysiciansandspecialistsarelocatedthroughoutthecommunitiesweserve.Foralistvisitmyahphysicians.org.Tolearnmoreaboutall1400physiciansonstaffatAbingtonHealthcallourphysicianreferralserviceat215-481-MEDI6334orvisitwww.abingtonhealth.orgphysicians.HOSPITALSABINGTONMEMORIALHOSPITAL1200OldYorkRd.AbingtonPAABINGTONHEALTHLANSDALEHOSPITAL100MedicalCampusDr.LansdalePAHEALTHCENTERSABINGTONHEALTHCENTERBLUEBELL721ArborWayBlueBellPAABINGTONHEALTHCENTERSCHILLING2701BlairMillRd.WillowGrovePAABINGTONHEALTHCENTERWARMINSTER225NewtownRd.WarminsterPAABINGTONPHYSICIANSATMONTGOMERYVILLE1010HorshamRd.NorthWalesPARIGHTINYOURNEIGHBORHOODFORMOREINFORMATIONWWW.ABINGTONHEALTH.ORGAbingtonHealth