You will need the Flash plugin to view this publication

Download the Flash plugin for free here. Just refresh this page after installing Flash.
Also make sure that javascript is enabled in your browser.

Alternatively, you can download this publication in PDF-format - Click here.

Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Page 9
Page 10
Page 11
Page 12
Page 13
Page 14
Page 15
Page 16
SPRING2014CelebratingaCenturyofCaringforOurCommunityOnMay15AbingtonMemorialHospitalwillmarkits100thanniversary.Itsexcitingtoseehowfarwevecome.TodaywearearegionalmedicalcenterandtheflagshiphospitalofAbingtonHealth.Welookforwardtothenextcenturyofservingourcommunitywiththelatestintechnologyandmedicaladvanceswhiledeliveringbeautifulbundlesofjoytofamiliesthroughoutourregion. ogettoThanksgivingdinnerthisyearReinaHahn75hadtoclimb13stairstoherdaughtershome.Thatwouldhavebeendauntingjustafewweeksearlierwhenasimplewalkdownthehallwouldhavetiredherout.Butnowshewasfullofenergy.Iwentrightupshesays.Nohuffingandpuffing.ReinaofWarminsterhasaorticvalvestenosisanarrowingoftheopeningbetweenherheartsleftventricleitsmainpumpingchamberandtheaortatheprimaryarterythatleadstotherestofthebody.OvertheyearscalciumdepositshadformedontheleafletsofReinasaorticvalvecausingitsopeningtonarrow.Bloodhadbeenbackingupthroughherheartandintoherlungshinderingherabilitytogetoxygenandcausinghertobreatheharderandmorefrequentlyinotherwordshuffandpuff.Herpoorcirculationhadalsoresultedinfluidbackupandbloatingthroughoutherbody.Reinahadundergoneheartbypasssurgeryyearsagoandshehadahistoryoflungproblemsandkidneydiseasemakingherineligiblefortraditionalopen-chestsurgerytoreplacetheaorticvalve.ButlastsummerhercardiologistatAbingtonHealthsHeartVascularInstitutePeterB.FrechieDOtoldheraboutanewoptionTranscatheterAorticValveReplacementorTAVR.HOWITWORKSDuringtheTAVRproceduredoctorsuseasmalltubeorcathetertoinsertanewheartvalvemadeofanimaltissueleafletssurroundedbyanexpandablestainlesssteelframewithinthewallsofthediseasedaorticvalve.Oncethenewvalveisinplaceitimmediatelystartsworkingopeningandclosingtoregulatebloodflow.Theentireprocedureisdonethroughasinglesmallincisioninthegroinorsideofthechest.Patientsdonothavetoundergoconventionalheartsurgerythroughthebreastbonearenotusuallyplacedonaheart-lungbypassmachineandtheheartkeepsbeatingthroughouttheprocedure.TAVRisnotforeveryone.Itsrecommendedonlyforpatientswhoareconsideredtoohighriskforconventionalheartsurgeryandmeetseveralcriteria.TodeterminewhethershewaseligibleReinawentthroughathoroughevaluationbytheentireTAVRteamwhichincludesinterventionalcardiologistsDr.FrechieandBruceD.KlugherzMDcardiothoracicsurgeonsMauricioJ.GarridoMDandRohintonJ.MorrisMDandspecialistsEmanuelJ.KostacosMDVamshiMallavarapuMDandPhilipS.LimMDouraccomplishedteamofanesthesiologistsandmanyotherstaff.CertifiedRegisteredNursePractitionerKellyApplebaumvalvecliniccoordinatoroftheTAVRprogramfacilitatedherevaluationatAbingtonsValveClinicandguidedReinathroughtheentireprocess.STAYINGPOSITIVEAsReinawaitedtolearnwhethershewasacandidatetherewasonethingshehadalreadydecided.IknewIdidntwanttogoanywhereelsetohavethesurgeryshesays.Ifeltverycomfortablewiththisteamandwithsomethinglikethisyouhavetobecomfortable.Onceshelearnedthatshewaseligibleherattitudewasupbeat.Iwasntnervousatallshesays.Ifeltthatthiswasmybestchancetobearoundformychildrengrandchildrenandgreat-grandchildren.ASMOOTHSURGERYbingtonsteamperformedReinasprocedureinOctober.WorkingthroughacatheterthatwasthreadedintoherheartviaasmallincisionontheleftsideofherchestDr.Garridoinsertedthevalvewhichwascollapseddowntoaboutthediameterofapencil.Usingatinyballoonthenewvalvewasinflatedontotheoldvalveleavingthenewonefunctioningimmediately.AfteraweekinthehospitalandtwoweeksataninpatientrehabilitationfacilityReinawenthomewhereshereallystartedtonoticetheeffectsofherrepairedheart.ItsmadesuchahugechangeinhowIfeelshesays.Iusedtogetoutof2HeartVascularInstituteSINGLE-INCISIONHEARTVALVESURGERYFORAGREAT-GRANDMOTHERONTHEGO aboutthecomprehensiveservicesofferedbyAbingtonHealthsHeartandVascularInstitutesPorterInstituteforValvularHeartDiseasecontactusat215-481-MEDI6334orvisitusonthewebatwww.abingtonhealth.orgheart.ranscatheteraorticvalvereplacementorTAVRisanoptionforpatientswhoareunabletoundergoconventionalopenheartsurgery.Thisprocedureusesacatheter-baseddeliverysystemtoplaceanexpandableheartvalveintothebody.Itdoesntrequireopen-chestsurgeryandisdonewhiletheheartisstillbeatingnearlyeliminatingtheneedforthepatienttobeconnectedtoaheart-lungmachine.DuringtheTAVRprocedureareplacementheartvalveisinsertedeitherthroughasmallcutinthelegandadvancedtotheheartorthroughasmallcutbetweentheribsandinsertedthroughtheapexortipoftheheart.ThisprocedureisagoodoptionforpatientswhoarehighriskorwhocannotundergoconventionalheartsurgeryyethaveseveresymptomaticaorticvalvestenosisandareincriticalneedofanaorticvalvereplacementsaysMauricioGarridoMDcardiothoracicsurgeonAbingtonMemorialHospital.TAVRenablesustoreplaceapatientsdiseasedvalvewithoutcuttingthroughthebreastboneandwithoutstoppingtheheart.Itsanewoptionthatcouldextendthelivesofpatientswithaorticstenosisandwearepleasedtobeabletoofferittoourpatients.breathjustgoingintotheshower.NowIcanwalkgooutwithmygirlfriendsandvisitmyfamily.ForpatientslikeReinawhoneedaorticvalvereplacementbutcantundergoconventionalopen-chestsurgeryTAVRisagoodoptionandoftentheonlyoptionDr.Garridosays.Thereisnomedicationtotreataorticvalvestenosisandwithoutsurgeryhalfofpatientswithseverestenosisdonotsurvivemorethantwoyears.TAVRextendslivesandevenmoreimportantlyimprovesqualityoflife.ThatwasthesamemessageReinatriedtoimpartatafollow-upappointmentwithDr.GarridoinNovemberwhereshemetapatientwhowasnervousaboutherupcomingTAVRprocedure.Iaskedhertothinkofspendingtimewithherfamilyshesays.Ireassuredherthatthisprocedurewouldhelphergetherlifebackandgiveherevenmorethingstolookforwardto.Thatswhatitdidforme.CHESTPAINRECOGNIZETHEWARNINGSIGNSFREEChestpainmaybeasymptomofanumberofseriousconditionsandisgenerallyconsideredamedicalemergency.CardiologistAsokaBalaratnaMDwilldiscussthewarningsignsandwhattodo.DATEWednesdayMarch19TIME6to8PMLOCATIONAbingtonMemorialHospitalLenfestPavilionFrobeseConferenceCenterAuditoriumTOREGISTER215-481-2204orwww.abingtonhealth.orgHeartandVascularInstitute3ReinaHahnandherdaughterSandraRubinMINIMALLYINVASIVEOPTIONFORAORTICVALVEREPLACEMENTFORMOREINFORMATIONSEMINARSWORKSHOPSReplacementheartvalveopenleftandclosedabove.IFELTTHATTHISWASMYBESTCHANCETOBEAROUNDFORMYCHILDRENGRANDCHILDRENANDGREAT-GRANDCHILDREN. FurthermoreduringthistimeMarkalsowasdriventochampiontheimportanceofearlydetectionofcolorectalcancerthroughscreeningcolonoscopy.Afterallthattesthelpedtosavemylifehesays.Markhadbeenworkingataconstructionsiteafewmonthsagowhenhehappenedtorunintohisfamilydoctor.SincewebumpedintoeachotherbychanceIfiguredIdtaketheopportunitytotellhimaboutsomesymptomsIdbeenexperiencingrecallsMark.BecausehisjobrequiresalotofheavyliftingMarksuspectedthebloodinhisstoolwastheresultofhemorrhoidswhicharecommoninhisprofession.TohelppinpointthecauseofMarkssymptomshisphysicianorderedacolonoscopyatestinvolvingathinflexibletubetoexaminetheinnerliningofthecolon.At47MarkwasthreeyearsshyoftheagetheAmericanCancerSocietyrecommendsforscreeningcolonoscopy.Histestrevealedarectalpolypanabnormalgrowthintheliningoftherectumwhichispartofthelargeintestine.Mostpolypsarenoncancerousandcanberemovedduringacolonoscopy.Markspolypwastoolargetoberemovedduringhisproceduresothedoctortookatissuesampleforbiopsystudyunderamicroscope.IwaspetrifiedwhenthedoctorWayneH.PinoverDOradiationoncologistconfirmedIhadrectalcancersaysMarkbutinthesamebreathhetoldmemycancercouldbecuredbecausetheycaughtitearly.Imgoingtobeokay.ThankstothecolonoscopydoctorsdetectedMarkslargeinvasivetumorinanearlystagebeforeithadspreadtothelymphnodesorotherpartsofthebody.AfterbeingdiagnosedMarkhadconsultationswithOncologistWillardG.AndrewsIIIMDandSurgeonD.MarkZebleyMD.BothspecialistsrecommendedthatMarkconsiderparticipatinginaclinicaltrialbeingconductedatAbingtonHealthsCenterforClinicalResearch.ThroughclinicaltrialswehopetofindandprovetheeffectivenessofnewtreatmentsforcancerandalsofocusonhowtoimprovethepatientswellbeingandqualityoflifewhileundergoingtreatmentexplainsKellyPresslerRNnursenavigatorRosenfeldCancerCenter.AbingtonHealthsurgeonsperformthemostcolorectaloperationsintheDelawareValley.InMarksstudyresearchershopetolearnwhetherornotchemotherapyaloneinpatientswhomustundergosurgeryforrectalcancerwillbeaseffectiveasthecurrentstandardtreatmentwhichcombineschemotherapywithradiation.MarkisagreatcandidateforthisclinicaltrialsaysDr.Andrews.Hemeetsallthecriteriahesyoungandotherwisehealthyandhehasagreatattitude.Itsawin-winsituationformesaysMark.EitherwayIdhavetohavechemotherapyandsurgerysoiftheycanshrinkmytumorwithouthavingtouseradiationaswellitsabonus.Plustheycanusetheinformationtheycollecttohelpothercancerpatients.HelpingotherscontinuestobeamongMarkstoppriorities.NobodywantstohearthewordcolonoscopybecauseitmakesthemuncomfortablesaysMark.ImspreadingthenewsanywayIcaninourlocalcommunity.Getyourscreeningcolonoscopyatage50.Thetestisntabigdealanditmightjustsaveyourlife.Itsavedmine.4FormoreinformationaboutalltheservicesavailableatTheRosenfeldCancerCentervisitusatwww.abingtonhealth.orgcancer.Clinicaltrialsarelistedatwww.abingtonhealth.orgclinicaltrials.WARMINSTERSUPERVISORWANTSCOMMUNITYTOBEAPARTOFITTHEEARLYDETECTIONOFCOLONCANCERUndergoingchemotherapyforcolorectalcancerdidntkeepWarminsterresidentMarkMcKeedown.Hecontinuedworkingasadrywallfinisherthroughoutathree-monthcourseoftreatmentatAbingtonMemorialHospitalsRosenfeldCancerCenter.HeremainedactiveinlocalpoliticsasamemberoftheBoardofSupervisorsinWarminsterTownship. Becausecolorectalcancerdoesnothavesymptomsinitsearlystagesscreeningisanimportanttool.Colonoscopyisascreeningmethodthatexaminestheentirecolonforprecancerousorcancerousgrowths.Withthistestphysicianscanidentifychangesbeforetheybecomecancerousordetectthediseaseinitsearlystageswhenitismostcurable.TheAmericanCancerSocietyrecommendsscreeningcolonoscopybeginningatage50formenandwomenataverageriskfordevelopingcoloncancer.Whendiagnosedearly90percentofcolorectalcancerscanbecuredcompletely.Forinformationaboutschedulinganappointmentwithagastroenterologistorcolorectalsurgeonregardingacolonoscopypleasecallourphysicianreferralservice215-481-MEDI6334.JourneytoSurvivorshipFREEJoinusaswecelebratethestrengthandcourageofthoselivingwithcancerorahistoryofcancer.OurguestspeakerSeanSwarnerwillsharehisjourneyofsurvivingtwodeadlyanddifferentunrelatedformsofcancerdiagnosedinhisteenyears.HeisthefirstcancersurvivortostandontopoftheworldbyclimbingMt.Everest.Eventalsoincludesahealthfairlabyrinthtohonorthejourneyandbrunchwillbeprovided.DATESundayJune1TIME11AMto2PMLOCATIONAbingtonMemorialHospitalLenfestPavilionFrobeseConferenceCenterAuditoriumTOREGISTER215-481-2204orwww.abingtonhealth.orgRosenfeldCancerCenter5MarkMcKeeGetYourScreeningColonoscopyTodayIn201250000Americansdiedfromcoloncancerthethirdleadingcauseofcancerdeathsinthenation.Thegoodnewsisthatmostofthesedeathsarepreventablethroughscreeningearlydetectionandtreatment.SEMINARSWORKSHOPS ThosewerethelastwordsLoriGoodz53rememberssayingjustbeforeshehadamassivestrokethatcouldhavekilledherorleftherseverelydebilitated.InsteadshewalkedoutofAbingtonMemorialHospitaloneweeklater.BythenshetrulywasfinethankstothequickthinkingofthepeoplewhogothertoAbingtonHealthsComprehensiveStrokeCenterjustintime.InretrospectLorirealizesthatshehadntbeenfeelingwellforalmostamonth.Idbeenverytiredandmybloodpressurehadbeenlowsherecalls.Sheattributedthesesymptomstoheratrialfibrillationaheartrhythmdisorderthatshedbeendiagnosedwithalmostfouryearsearlier.Inatrialfibrillationtheheartsupperchambersoratriadonotpumpeffectivelywhichcancausepalpitationsshortnessofbreathandfatigue.Loriknewthatatrialfibrillationalsoincreasedherriskofstroke.Bloodcouldpoolinheratriacreatingclotswhichcouldtraveltoherbrain.Butshedbeenvigilantaboutseeinghercardiologistandwastakingablood-thinningmedicationthatwouldhelpkeepclotsfromformingsoshethoughtshewaswellprotected.Unbeknownsttoherhoweveraclothaddevelopeddespitethoseprecautionstravelingsilentlythroughherblood-streamuntilitlodgedfirmlyinherrightmiddlecerebralarterywhethertheclothadformedinherheartisnotcertainhowever.Thatswhenitstartedtomakeitspresenceknown.ASUDDENSTRIKEAround515PMonOctober162013Loristartedfeelingwindedanddisorientedafterclimbingaflightofstairstoleavethedoctorsofficewheresheisamedicalcoder.Whilewalkingtohercarshedroppedherpurseandapasser-byaskedifshewasokay.Thatswhenshelostherfootingandfell.Co-workerscametoherrescueonewasamedicalassistantwhorecognizedstroke-likesymptomsand911wascalled.ThenextthingsheknewshewaswakingupatGrandViewHospitalwhichisfortunatelyjustacrossthestreetfromheroffice.Bythistimeshewasunabletospeakclearlyormoveherleftside.TheemergencyroomdoctorstoldherthatbecauseshewasonbloodthinningmedicationforatrialfibrillationshewouldntbeeligibleforrT-PAthegold-standardclotbustingdrug.Shedneedtohavetheclotremovedanotherway.6ArecoveredLoriGoodzrevisitsGrandViewsEmergencyDepartmentinDecember2013. DATEThursdayApril3TIME3to4PMLOCATIONUpperDublinPublicLibraryTOREGISTER215-481-2204orwww.abingtonhealth.orgORDATEThursdayMay1TIME1PMLOCATIONFoulkewaysatGwyneddTOREGISTER215-283-7010ORDinnerwiththeDoctorsSeriesatArtmanDATEThursdayMay1TIMEdinnerat545PMlectureat615PMLOCATIONArtmanTOREGISTER215-643-6335ext.298NeurosciencesInstitute7LoriarrivesatAbingtonMemorialHospitalviahelicopterafterreceivinganinitialstrokediagnosisatGrandViewHospital.TheprocedureiscompleteandLoriisonherwaytorecovery.Sheleavesthehospitalaweeklater.STROKETIMELINEWhatisaComprehensiveStrokeCenterAbingtonMemorialHospitalsDiamondStrokeCenterisoneofonlysevenAdvancedComprehensiveStrokeCentersinPennsylvaniaputtingitinanelitegroupoffewerthanonepercentofhospitalsnationwide.TobecomeaComprehensiveStrokeCenterhospitalsmustdemonstratetheabilitytotreatthemostcomplexstrokecasesandmeetstandardsaboveandbeyondwhatisrequiredforPrimaryStrokeCenters.TheseadditionalcapabilitiesincludeAdvancedimagingtechniquesPersonneltrainedinvascularneurologyneurosurgeryandendovascularprocedures247availabilityofpersonnelimagingoperatingroomandendovascularfacilitiesICUandorNeuroscienceICUfacilitiesandcapabilitiesInadditionLansdaleHospitalisnowaccreditedasaPrimaryStrokeCenterbytheJointCommission.Formoreinformationvisitwww.abingtonhealth.orgstroke.ANENDOVASCULARAPPROACHLoriwasbundledintoamedicalhelicopterandflowntotheDiamondStrokeCenteratAbingtonMemorialHospitalwhereInterventionalNeurologistOsmanS.KozakMDwaswaiting.Heimmediatelyputheratease.Dr.KozakwasverycalmandcomfortingLorisays.HesaidthatyesIdidhaveaclotinmybrainbuthehadanewdevicethatcouldjustasheputitpluckitout.Thenewtoolwasthe5MaxTMAceclotextractiondeviceakindofminiaturevacuumcleanerforclots.AfterinsertingacatheterinLorisfemoralarteryinhergroinDr.Kozakmaneuveredthedeviceusingreal-timex-rayguidanceallthewayuptoherbraintothesiteoftheclot.Hethenactivatedthesuctionpowerandaspirateditaway.TheeffectswerealmostinstantaneousDr.Kozakrecalls.LoriwasactuallyawakeduringtheprocedureandaboutaminuteaftertheclotwasgonesheaskedmewhenIwasgoingtoremoveit.ItoldherItsalreadydoneLorileftthehospitalaboutaweeklaterafterbeingcloselymonitoredandstartingrehabilitation.Apartfromsomemildslurringofherspeechwhenshestiredsheshadnolastingeffects.Itcouldnthaveworkedoutbetterformeshesays.IknowthatImluckytobeuprightandaliveandImsogratefultomyheroesatAbingtonMemorialHospital.515PMLorirststartsexperiencingstrokesymptoms.5MaxTMAceclotextractiondevice715PMNeurologistOsmanKozakMDseesthebloodclotcausingthestrokeonaCTcontrastscananddeploysthe5MaxAceclotextractiondevicetoremoveit.757PM730PMHEROESIMSOGRATEFULTOMYATABINGTONMEMORIALHOSPITAL.WHATISKEEPINGYOUAWAKEMeetoursleepdisorderexpertsandlearnthefactsaboutsleepapneainsomniaandrestlesslegsyndrome.MartinZurmuhlMDofGrandViewHospitalcallsAbingtonHealthsOne-CallTransferCenter.615PMTransferCenteranswerscallandmakesarrangementstomoveLoritotheComprehensiveStrokeCenteratAbingtonMemorialHospital.616PM 8At32AbingtonresidentAmyMillarwasbattlinghighbloodpressuresleepapneamigraineheadacheschronicbackpainanunstablekneeacidrefluxandpre-diabetesallobesity-relatedmedicalconditionsthatresultedfromcarryingmorethan300poundsonher56frame.TodayAmyis92poundslighterhealthierandmoreactivethaneverbefore.ShecreditsAbingtonHealthsInstituteforMetabolicandBariatricSurgeryIMBSforherstrikingtransformation.TheIMBSteamtaughtmehowtouseweightlosssurgeryasoneofmanytoolstosavemyownlifesaysAmy.IdecidedIdidntwanttokeepdyingfromobesity.ForAmythestrugglewithweighthadbeenlifelong.Shedbeenoverweightasachildcontinuedgainingasayoungadultandputonadditionalpoundswitheachofherthreepregnancies.WhenAmysweighttoppedoutatmorethan300poundsherhealthreachedatippingpoint.IrememberthemomentIfinallyunderstoodwhatitmeanttobemorbidlyobesesaysAmy.DuringaroutinevisitAmysdoctorexpressedextremeconcernaboutherhealth.Amytoldhimshedidnthavetimetocareforherselfwhilemeetingthedemandsofafull-timejobandmotheringthreeyoungchildrenwithspecialneeds.ThedoctorsimplyaskedmewhowasgoingtocareforthemifIhadaheartattackordied.Welcometomorbidobesity.ThroughtheyearsAmyhadexperimentedwithmanyweight-losstechniquesvariousdietsgymmembershipsandweightlossmedication.Icouldnotloseweightsuccessfullyonmyownshesays.AfterthelightbulbmomentwithherdoctorAmybegantoresearchweightlosssurgeryonline.SheattendedaninformationalsessionatIMBSthendiscussedheroptionsindetailwithBariatricSurgeonKristinNoonanMD.AmychoseaprocedureknownasverticalsleevegastrectomyVSGduringwhichthesurgeondividesthestomachverticallyandremoves85percentofittocreateasmallerbanana-shapedstomach.BecausethestomachissmallerpatientscannoteatasmuchfoodsotheyconsumefewercaloriesandloseweightexplainsMargueriteDunhamCRNPprogramcoordinator.PriortosurgeryAmyhadbegunmakinglifestylemodificationstheIMBSteamhadrecommendedtohelpcontributetoherlong-termsuccesspostsurgically.HerfamilyoffivejoinedthelocalYMCAwherewebasicallylivenowjokesAmy.Theyalsoadoptedamorenutritiousdietandhealthiereatinghabits.SincehersurgeryinMay2013Amyhaslost92pounds.Shenolongerneedsthefivelongstandingmedicationsshetookdailytomanageobesity-relatedmetabolicproblems.Thisjourneyisnotaneasyonesheadvises.IthasbeenslowanddifficultbutImneveralone.TheIMBSteamiswithmethewholeway.ThefirsttimeAmyworkedoutattheYMCAshetookanelevatortoreachthesecond-floortrackbecauseshecouldntwalkuponeflightofsteps.JustfourmonthsaftersurgeryAmycompletedtheMudderellaa6.2-milemuddyrunwith15obstacles.IclimbedoverwallsplankedacrossatrenchcrawledunderwiresandcarriedateammateupahillsaysAmywhoistrainingtocompleteamudmarathonin2014.Todaysheworksoutwithapersonaltrainersixtimesaweek.AmyalsocontinuestoattendIMBSsupportgroupmeetingstomaintainmomentumstayfocusedandshareencouragementwithothers.Thisjourneyhastransformedeveryaspectofmylifeshesays.IthasdeepenedmyrelationshipwithmyhusbandandchildrenbecauseIamabletoactuallylive.Idonthavetowatchmykidsgrowupfromthesidelinesanymore.Icanoutrunthemall.InstituteforMetabolicandBariatricSurgeryTheInstituteforMetabolicandBariatricSurgeryatAbingtonHealthoffersfreeinformationsessionsatavarietyoflocationsthroughouttheyear.Formoreinformationvisitourwebsiteatwww.abingtonhealth.orgbariatricsorcall215-441-2204.ABINGTONMOMEMERGESFROMTHEMUDDYWATERSOFOBESITYANDCLIMBSTOHEALTHIERGROUNDAmybeforeverticalsleevegastrectomyAmyfourmonthsaftersurgeryOneMuddersJourneytoBetterHealth 9BlueBellCenterOffersMostAdvancedMRIThelatest-generationinopenMRIsystemsisnowavailableatAbingtonHealthCenterBlueBell.NotonlydoesthisMRIsystemofferphysicianshigh-fieldimagequalityforadvancedapplicationsitalsofeaturesacompletelyopendesignthatmakesgettinganMRIscanamorepositiveexperience.ManypatientsduetotheirsizeorfeelingsofclaustrophobiapreferopenMRIsystemsandthissystemfeaturesthewidestpatientopeningofanyhigh-fieldMRIsystem.Infactitcanaccommodatepatientswhoweighupto550pounds.Andphysicianswillappreciatethehigh-resolutionimagesthatenablethemtomakebetterdiagnoses.ThenewMRIsystemwehaveinstalledhasatrueopen-sandwichdesigncreatingamplespacearoundthepatientsaidPaulV.OMooreMDdiagnosticservicesphysicianmanagerAbingtonHealthCenterBlueBell.Evenwithitsuniqueopendesignitprovideshighlydetailedimagesthatarefarsuperiortootheropensystems.Almostallotheropensystemsarelow-fieldwhichisonly20to30percentthestrengthofthenewsystemsmagneticfield.FormoreinformationoravirtualtouroftheMRIvisitwww.abingtonhealth.orgbluebellorcall215-481-EXAM3926.AMHReceivesFirstPlaceinDelawareValleyQualityandPatientSafetyAwardsNearlyadecadeagoAbingtonMemorialHospitalembarkedonastrategicgoaltoreducepreventableharmtopatients.WewerepleasedandgratifiedtolearnthatourprojectReducingHarmwhichoutlinedAMHseffortstoreducepreventableharmtopatientsreceivedfirstplacefromtheHealthCareImprovementFoundationandtheDelawareValleyHealthcareCouncilwiththehighestscoreonevaluationcriteriafromamong39submissionsfromhospitalsandhealthsystemsacrosstheregion.FormoreinformationabouttheawardandalloursafetyinitiativesatAMHandLansdaleHospitalvisitourwebsitewww.abingtonhealth.org.AdultDayServicesMoreandmorepeoplestrugglewithbalancingfamilyworkandtheresponsibilitiesofcaringforanagingorailingrelative.ManyhavefoundthatAbingtonHealthAdultDayServicesADSisaneconomicalandfamily-friendlyalternativetoin-homecareorcareinanursinghomeorassistedlivingfacility.OurADScentersstrivetoreduceisolationanddepressionbyallowingclientsthefreedomtoremainvitalmembersoftheircommunityandfamilywhilegivingpurposeandstructuretotheirday.Forcaregiversandfamilymembersitofferspeaceofmindsecurityandassistanceinbalancinglifeandcaregivingresponsibilities.Eachcenterisstaffedwithafull-timeregisterednursewhoprovidescareoversightthatfitstheneedsofeachclient.Well-trainedcaringstaffmembersprovideawiderangeofrehabilitationandsocialservicesincludingpersonalizedactivities.FormoreinformationaboutAbingtonHealthsAdultDayServicescenterscallourLansdalecenterat267-263-2874orvisitwww.abingtonhealth.org.UrgentCareCentersOpeningthisSpringAbingtonHealthispleasedtoannounceplanstoopentwoUrgentCareCentersinthespringof2014IAHUrgentCareCenterFeasterville1045BustletonPikeIAHUrgentCareCenterFlourtown1842BethlehemPikeThesenewcenterswillofferquickandconvenientmedicalcareinapatient-friendlyatmosphere.Thehoursofoperationare8AMto8PMMondaythroughFridayand9AMto5PMonSaturdayandSunday.Mostinsuranceplanswillbeacceptedandnoappointmentisnecessarywalk-insareencouraged.UrgentCareCentersprovidemedicalservicestotreatillnessandinjurywhichincludesprainsstrainbrokenbonescutswoundsorburnspreventiveservicesincludingimmunizationsschoolandsportsphysicalsanddiagnostictestingincludingfulllaboratoryandX-Rayservices.InadditiontheresourcesofAHwillbequicklyavailabletoallpatients.ThesecenterswillprovidethequalitycarethatAbingtonHealthisknownforintheDelawareValleyregion.Formoreinformationvisitourwebsitewww.abingtonhealth.org.AllAROUNDABINGTONHEALTHAbingtonHealthisanonprofitorganizationandwelcomesthesupportofourcommunityforallofourservicesandprograms.IfyouwouldlikeinformationabouthowyoucanmakeagiftofcashstockorabequestinyourwillpleasecontacttheOfficeofPhilanthropyat215-481-4438.YoucanalsovisittheWaysofGivingsectionofourwebsiteatwww.abingtonhealth.orgorusethepostage-paidenvelopeinthisissue. AShyamBrahmabhattMDrepliesTheACLisoneofthemainligamentsthatstabilizestheknee.Itconnectsthefemurthighbonetothetibiashinbone.Thiscommonkneeligamentinjurytendstooccurmoreofteninpeoplewhoengageinsportssuchasfootballsoccerbasketballorskiing.TheseinjuriesaremostcommonlyseeninyoungerathletesandinthatagegroupgirlstendtohaveACLtearsmorethanboys.WhetherornotyouundergoreconstructivesurgeryforatornACLdependsprimarilyonyouractivitylevelriskforinjuringotherstructuresofthekneeandsymptomspainandlimitedstabilitystrengthandmovement.Forsomepeoplealengthyperiodofrehabilitationexerciseandtrainingmaybeenoughtostabilizethekneeandenablethemtoreturntotheirpre-injurylifestyle.Ifyourorthopaedicsurgeonrecommendssurgerythetechniquesweusetodayarelessinvasiveandinmostcasescanbeperformedonanoutpatientbasis.Rehabilitationisacceleratedsopatientsrecovermorequicklyandreturntoworksooner.AKevinA.GingrichMDrepliesTheresnodoubtthatmoderateexerciseisagoodthingforkidsespeciallywhenyouconsidertheriseintheincidenceofchildhoodobesityintheU.S.Inthelastdecadehoweveryouthsportsseemtohavebecomemoreintense.Ratherthanswitchingsportswiththeseasonstodaysstudentathletestendtoplaythesamesportyearround.Fuelingthistrendisanincreasedemphasisoncompetitionandextremeperformance.Inthelongruntheintensityofusingthesamemusclesoverandoveragaincancausejointdamage.Yourbestbetistoencourageyourchildtoparticipateindifferentkindsofsportsthroughouttheyearsotheyworkdifferentmusclegroups.Inadditiontobeingphysicallyfittheylllearnthevalueofteamworkandreapthepsychologicalandemotionalbenefitsofphysicalactivity.APeterWangJr.MDrepliesInthepastwhenperformingkneesurgerywehadtocreatealargeincisioninthekneeandremovetheentiremeniscusthecartilagethatcushionsthespacebetweenthefemurandtibiasothatwecouldseetheotherstructuresoftheknee.Todayarthroscopicsurgeryallowsthesurgeontooperatethroughtinyincisionsinthekneewithspecializedmicro-scopicinstruments.Theseinstrumentsmagnifythetissuesowecanperformveryfineworkwithouthavingtoopenupthekneeorremovethemeniscus.Comparedtoopen-kneesurgerywitharthroscopicproceduresthereislesspainaftersurgerypatientsrecovermorequicklyandreturntoregularactivitiessooner.10OurExpertsAnswerYourQuestionsOurorthopaedicsurgeonsspecializeindiagnosingandtreatingallknee-relatedissues.IfyouarehavingkneepainbecauseofsportsinjuriesmedicalconditionsorforotherreasonstheOrthopaedicSpineInstituteexpertscanhelp.OrthopaedicSpineInstituteIsitreallysafeforchildrenandteenagerstoparticipateinregularathleticcompetitionQIfIhaveatornanteriorcruciateligamentACLdoIhavetohavesurgeryQWhataretheadvantagesofarthroscopickneesurgeryQFormoreinformationabouttheOrthopaedicSpineInstitutevisitourwebsitewww.abingtonhealth.orgboneorcallourPhysicianReferralServiceat215-48-MEDItofindaphysicianonstaffatAbingtonorLansdalehospital. ABenjaminI.ChuMDrepliesAtornmeniscusisoneofthemostcommonkneeinjuries.Themeniscusisacartilageshockabsorberwhichactsasacushionbetweenthethighboneandtheshinbone.Initiallywemayrecommendnon-surgicaltreatmentforatornmeniscus.Thisincludesresticeandanti-inflammatorymedications.Onefocusedanti-inflammatorytreatmentisacortisoneinjectiontotemporarilyreducethepainwithintheknee.Wemayalsoprescribephysicaltherapytostrengthenthemusclesaroundtheknee.Whennon-surgicaltreatmentisnoteffectivethenmeniscustearscanbetreatedwitharthroscopicsurgery.Thisminimallyinvasiveprocedureresultsinlesspainandaquickerrecoverythansurgerythroughalargeincision.Althoughwetendtobemorecautiousinrecommendingsurgeryforolderpatientsiftheycontinuetohavepaindespitenon-surgicaltreatmentandareotherwiseingoodhealthsurgeryisstillanoption.AThomasC.PeffMDrepliesCommoninyounggirlspatellafemoralpainorchondromalaciapatellaisthesofteningandbreakdownofthecartilagebehindthekneecap.Theconditionresultsfromstructuralproblemssuchasbeingknockkneedwhichcausespoorjointalignment.Thismalalignmentkeepsthekneecapfromslidingsmoothlyinitsgrooveoverthefemur.Insteadthekneecapgratesoverthethighbonemakingthecartilagebehinditroughandcausingchronicjointpainandinflammation.TreatmentforchondromalaciavariesandmayincludephysicaltherapytostrengthenthemusclesaroundthekneeortheuseoftapeorakneebraceknownasaJsleevetostabilizetheknee.Ifthedislocationisseverewemayrecommendsurgicalrealignmentoftheknee.AThomasE.GreenMDrepliesAkneesprainisaninjurytooneormoreofthefourmajorligamentsinthekneetheanteriorandposteriorcruciateligamentsorthelateralandmedialcollateralligamentsMCL.SprainsaremostcommonintheMCL.WegradesprainsaccordingtoseverityIGrade1theligamentisstretchedbutnottornIGrade2theligamentiselongatedandbecomesloosecalledapartialtearIGrade3theligamentiscompletelytornintotwopiecesDependingonitsseveritytreatmentofasprainvariesandmayincludereducedactivitywithabraceorsurgicalrepair.Aspraincanbeaveryseriousinjurythattakesalongtimetoheal.OrthopaedicSpineInstitute11Therearesomanyoptionsregardingjointreplacements.Well-educatedpatientsareconfidentwhenmakingdecisions.Comeandlearnandbringyourquestions.Oursurgeonswilleducateandansweryourquestionsaboutanteriorhipreplacementquad-sparingkneereplacementandminimallyinvasiveprocedures.DATETuesdayApril8LOCATIONAHCWarminsterORDATEMondayMay19LOCATIONGiantSuperFoodStoreTIME630to830PMTOREGISTER215-481-2204orwww.abingtonhealth.orgSEMINARSWORKSHOPSFREEWhatisakneesprainandwhatdoIdoaboutitQADavidCraftMDrepliesResultsvaryforeachindividualsincenotwopeoplearealike.Iwouldrecommendmakingalistofallyourquestionsbeforeyoumeetwithyourdoctorsohecandiscussyourparticularcarewithyou.SomequestionsyoumayhaveIHowquicklycanIwalkwithoutcrutchesIHowlongwillitbeuntilIcanworkoutagainIWhencanIrunagainIWhencanIparticipateinactivitiesinwhichIcutsidetosideWhatisatornmeniscusandwhatshouldIdoQMydoctorsaysmydaughterhaspatellafemoralpainpaininherkneecap.WhatcanbedoneforthisconditionQWhatYouNeedtoKnowAboutJointReplacementsHowlongdoesittaketoreturntomynormalactivitiesafterACLsurgeryQ 12FOCUSONLANSDALEHOSPITALORTHOPAEDICSPINEINSTITUTEMentiontotalkneejointreplacementandmanypeopleenvisionawobblysenioradultforwhomsurgeryisalastresortfortreatment.Inrecentyearsthatstereotypehaschanged.TakeSteveDoyleforexample.Inhismid-50shesrelativelyyoungandhasbeenphysicallyactivehisentirelife.YetoveruseandaseriesofinjuriesthroughtheyearsledtoosteoarthritisdegenerativejointdiseaseinbothofStevesknees.Theconditionresultedinrestrictedmotionandintensepainthathamperedhislifestyle.RecentlyStevemadethedecisiontoforegoafuturefilledwithdecadesofincreasingsufferingandalimitedqualityoflife.InOctober2013heunderwentbilateraltotalkneejointreplacementatAbingtonHealthsOrthopaedicSpineInstituteOSIatLansdaleHospital.Stevehasnthadjointpainsincethemomentheawakenedaftersurgery.Stevesdegenerativejointdiseasebeganduringhisteenandyoungadultyearswhenhehammeredhiskneeswithafewsports-relatedinjuries.Hecontinuedtopoundbothkneeswithyearsofcoachingforhissonsrecreationalsportsteams.OvertimeasthecartilageinhiskneesdeterioratedSteveadjustedtolivingwiththepainofbonerubbingonbone.Ihadgottenusedtotheconstantpainhesays.ItbecameallIknew.ThenexttimeIgolfIllbewalkingthegreens Stevehadbeenundergoingtreatmentbothsurgicalandmedicalsincetheearly1980sincludingtwooperationsfluiddrainageandmultiplesteroidinjectionsintothejointstohelpreduceswellingandinflammation.ThepainpersistedandslowlySteveaccepteditchangingthewayhelivedtoaccommodateit.Icouldntevencarryalaundrybasketdownthestairsanymorehesays.WhenitgottothatpointSteveswifeMaureeninsistedhedidntneedtowaittobecomecompletelyincapacitatedbeforeexploringtheoptionofkneereplacementsurgery.MaureenactuallyscheduledtheconsultationwiththeorthopaedicsurgeonatOSIformerecallsSteve.Ineededthepush.StevefitstheprofileoftodaystypicalcandidatefortotalkneereplacementsaysAndrewM.StarMDmedicaldirectorOSIandchiefofOrthopaedicSurgeryAbingtonMemorialHospital.Mostarerelativelyyoungbigmenwhohavebeenactiveuntilincreasingpainfromosteoarthritischangestheirlives.Whileitusedtobethatsurgeonsadvisedpatientstopostponesurgeryuntiltheycouldnolongerstandthepaintodayscandidateshavedifferentoptions.Qualityoflifeseemstobethedeterminingfactorformost.Manypatientsdontrealizehowmuchtheyhavehadtogiveupuntiltheyverecoveredfromsurgeryandareabletoenjoyactivitiestheyhadallbutabandoned.Dr.StaremphasizesThelatesttechniquesintotalkneereplacementofferthepotentialforasuccessfulresultandagoodexperience.AtOSIsurgeonsindividualizethetypesizeandshapeofeachimplantbasedonthepatientssizeactivitylevelandage.Alsocontributingtoanimprovedexperienceareimpressiveadvancesineffectivepainmanagement.KneereplacementsurgeryStevewasoneofanincreasingnumberofpatientstoovercomeanxietyaboutpaintopursuesurgery.IhadtheoperationonaTuesdaymorningandthesameafternoonthenurseshadmeswingingmykneesoverthesideofthebedrecallstheLansdaleresident.Ididnthavejointpainanymore.OfcoursetheresrecoveryfromthesurgeryandrehabilitationisntpleasantbutitsadifferentkindofpainandtheOSIteamdidagreatjobhelpingmetomanageit.Iknowitwilllessenandeventuallygoaway.Thejointpainwasthereallthetime.Inevergotrelief.PriortohissurgeryifStevehadshotaparticularlybadroundofgolfhedwalkthegreenstopunishhimself.ThenexttimeIgolfIllbewalkingthegreensandcelebratingthefactthatIcandoitpainfreehesays.13DinnerwiththeDocsSeriesatLansdaleHospitalAllDinnerwiththeDocseventsareatthesametimeandlocationTIME5to7pmLOCATIONLansdaleHospitalConferenceRoomEandFFEE5persessionincludesdinnerTOREGISTER215-481-2204orwww.abingtonhealth.orgJosephKraynakMDLansdaleHospitalcardiologistdiscussestheanatomyofheartattackhowaheartattackhappensandtheriskfactorssymptomsandtreatmentoptionsavailable.Questionandanswersessionfollows.DATEWednesdayMarch5WhatdoPSAnumbersmeanAreyouatriskforprostatecancerAreyouamaleorfemalewithtroublewithincontinenceLearnhowtoadoptahealthylifestylewithRichardLandauMDurologistatLansdaleHospitalDATEWednesdayApril16Astrokeisabrainattackcausedbydecreasedoxygentothebrain.Advancedstroketherapiesofferthegreatestchanceforrecovery.DoyouknowwhattodoifyoususpectyouarehavingastrokeStevenBarrerMDmedicaldirectorNeurosciencesInstitutepresentsonstrokewarningsignsandsymptomsemergencycareandriskfactorsthatcontributetostroke.Preventstrokebyidentifyingyourownpersonalriskfactorsandmakinglifestylechanges.DATEWednesdayMay21andcelebratingthefactthatIcandoitpainfree.SteveDoyleSTEVESLEFTKNEEBEFORESURGERYAFTERSURGERYAFTERSURGERYSTEVESRIGHTKNEEBEFORESURGERYAnatomyofaHeartAttackTheAgingProstateUrinaryIncontinenceBrainAttackSEMINARSWORKSHOPS AndhelpingthemkeepupwiththeircopiousclanistheirtrustedfamilydoctorWarrenB.MatthewsMDchairoftheDepartmentofFamilyMedicineatAbingtonMemorialHospitalAMH.Dr.MatthewshascaredforIrene85andLouis87formorethan20years.Ineverlikedgoingtodoctors...somethingabouttheirwhitecoatssaysIrene.ButweloveDr.Matthews.Hejusthasthiswayofmakingyoufeelcomfortable.EverythreemonthsLouisandIrenekeeptheirappointmentswithDr.MatthewsathisofficeatWyncoteFamilyMedicinetomonitorandmanagetheirdiabetesandbloodpressure.Theirvigilanceiskeytotheirlongevityandvigor.TheLeesknowhowimportantitistopayattentiontotheirmedicalneedsDr.Matthewssays.Theyhavegreatgenesbuttheyknowtheyrenotinvinciblesotheyreverycarefulwiththeirhealthandtheydoalltherightthings.AllsixLeechildrenwerebornatAMHandsowereseveralgrandchildrenbutthankstothosegoodgenesandahealthysenseofcautiontheyveavoidedemergencyroomvisitsandlonghospitalstaysforthemostpart.ButwhenLouisrecentlystayedatAMHovernightfortreatmentofpneumoniaheandIrenewerecomfortedtorealizethattheywerealreadysomewhatwellknown.EveryoneseemedtoknowDr.MatthewsandtheyknewwewerehispatientsIrenesays.InadditiontoIreneandLouisDr.MatthewscaresforfouroftheirchildrenandseveralgrandchildrenandsincehesacceptingnewpatientsawholenewgenerationofLeesmaystepintohisofficebeforelong.IvetreasuredtheexperienceofcaringforthreegenerationsofLeesovertheyearshesays.Developingtheselong-termrelationshipswithmypatientsisoneofthemainreasonsIbecameafamilydoctor.14anAMHFamilyandtheirFamilyDoctorLsIrnLruhscrrAbngtMmiHosptDr.Mwshscredfritsag.LFlyGtnWithsixchildren12grandchildrenandsevengreat-grandchildrenIreneandLouisLeeofWillowGrovetakegreatjoyintheirlargeandlovingfamily.FormorestorieswrittenbyandaboutcommunitymembersandAbingtonMemorialHospitalvisitourwebsiteatabingtonhealth.org100.WeinviteyoutoshareyourAbingtonstorywithusyoucansharetextorphotosrightonthewebsite. 15Inadditiontoourwonderfulentertainmentamusementridesfoodhorseshowfireworksweareplanningspecialfreeandexcitingwaystocelebrateour100thyear.ThisspringseeanAbingtonHealthemployeeforcomplimentaryticketstotheJuneFeteonJune8.Formoreinformationvisitwww.junefete.org.FormorethanacenturyourWomensBoardanditsauxiliarieshavesupportedourcommunitybyraisingfundsthrougheventssuchasJuneFetefashionshowsaJuneFetedressannualgalaandhelpededucategenerationsofcaregiversthroughfundingscholarshipsfornursesandmore.Acenturyagoavisionforhealthcareinourcommunitybegantodevelop.GeorgeW.ElkinsSr.aprominentcitizenandlocalAbingtonlandownersawtheneedforsomethingbeyondhiscornfieldsahospital.Oneofthetenetsofourmissiontodaypatientsafetywasutmostinhismindeventhen.Legendhasitthathewasoneofthefewindividualswhoownedacarandheoftenhelpedcarrytheinjuredandsicktothenearesthospitaleightlongandroughmilesaway.WhenapassengerdiedenrouteheknewitwastimetoacttocreateahospitalforAbingtonandsurroundingcommunities.In1912Elkinsdonatedlandtobegintomakehisvisionareality.Thecommunityralliedaroundworkinghardtoraisefundsandin1913thecornerstonewaslaid.OnMay151914AbingtonMemorialHospitalofficiallyopeneditsdoors.TodayAbingtonMemorialHospitalisaregionalmedicalcenterandpartoftheAbingtonHealthsystem.OurcareextendsfarbeyondtheimmediateareaatLansdaleHospitalandseveraloutpatientcampusesthroughoutMontgomeryandBuckscounties.Morethan1500physicians6000nursingmedicalandotherprofessionalsaidedbythelatestscienceandtechnologytreatmorethan39000inpatientsandover650000outpatientseachyear.LookingforwardtothenextcenturyandbeyondAbingtonHealthwillpursueourvisiontobethemosttrustedhealthcarepartner.May152014marksthe100thbirthdayofAbingtonMemorialHospital.Wemarkthisoccasionbyrememberingalltheliveswevetouchedandrecommittingourselvestoanewcenturyofcaringforourcommunity.Visitwww.abingtonhealth.org100tolearnmore.PleaseconsidersupportingourCentennialFundtohelpuscontinueourmission. SPRING2014PublishedbythePublicRelationsandMarketingDepartmentatAbingtonHealth.Tocontactuspublicrelationsamh.orgor215-481-2300.1200OldYorkRoadAbingtonPA19001www.abingtonhealth.orgTHEPOWERTOHEAL1045BustletonPikeFeasterville1842BethlehemPikeFlourtownOurhoursOpenMondays-Fridays8AMto8PMSaturdaysandSundays9AMto5PMAbingtonHealthisproudtoannouncetheopeningoftwourgentcarecenters.CONVENIENCEISPOWER.Formoreinformationwww.abingtonhealth.orguccOpeningsoonTwourgentcarecenterswitheasyaccesstoITreatmentforillnessandinjuryIPreventivewellnessIDiagnostictesting