Better Living Magazine: by Coordinated Health

December 2014

C O O R D I N AT E D H E A LT H M AG A Z I N E

A LIFE CHANGING DIAGNOSIS

MENOPAUSE Management

MOMMY MAKEOVERS

Red, White and Blue THE COLORS OF RAYNAUD’S DISEASE

Working as a

TEAM to Beat Breast Cancer

FROM TORN ACL TO BOSTON MARATHON $50 OFF Botox or $500 OFF Plastic Procedure* Offer valid until 3/1/15. One coupon per person. * Select Procedures.

better living

CONTENTS

Working as a

TEAM to Beat Breast Cancer

5. A New Plastic Surgery Trend: Mommy Makeovers

A New Plastic Surgery Trend:

MOMMY MAKEOVERS

6. Unbeatable Access 7. Avoiding Holiday Mishaps 8. Working as a Team to Beat Breast Cancer 12. Menopause Management

MENOPAUSE Management

14. From Torn ACL to Boston Marathon

From Torn ACL to Boston Marathon

17. Red, White and Blue. The Colors of Raynaud’s Disease 18. A Life-Changing Diagnosis 21. Tis’ the Season for Healthy Treats! 22. Foundations. Celebrating Coordinated Health’s Sports Medicine History 24. Legacies. The Next Generation 25. The MarginProbe Advantage 26. Get the Most from Your Training. Q&A with Coordinated Health’s Frank Lupin.

Red, White and Blue

THE COLORS OF RAYNAUD’S DISEASE

A LifeChanging Diagnosis

Letter From the Editor Hannah Ropp

Women tend to be natural caregivers. We are the first ones to nurture and care for our children, families and friends. But, in the process we often fail to care for another important person, ourselves. I know this is true, because I am too often guilty of this myself. Like many women, I find myself caught up in my work and family and forget to take care of my own needs. I forget to make routine doctors appointments, exercise takes a backseat to chasing after small children and fruit snacks turn into a nutritious meal. That’s why we decided to focus the first issue of the revamped magazine on women. The magazine, which we’re naming Coordinated Health’s Better Living, is full of tips for women on how to stay healthy and take care of their families and friends and most importantly themselves. We’ve taken great care to include stories that women of all ages can relate to and find of interest. One of my favorites is about husband and wife Coordinated Health surgeons Dr. Cara and Gregg Guilfoyle who work as a team to treat breast cancer. They opened up their home and their lives to us so we could see how they’ve dedicated their lives to winning the war against breast cancer.

I’ve always found our patients to be inspiring and have learned a great deal from them over the years. The two patients profiled in this issue have both overcome great adversity and show the power of believing in yourself. With the holidays right around the corner, we’ve also included some healthy lifestyle tips including how to exercise within the comfort of your own home, avoiding common holiday mishaps and substituting healthy holiday treats in lieu of sugary sweets. Our newly re-designed Better Living magazine falls in line with Coordinated Health’s overarching theme, which is “Better. Together.”, We truly believe that we are Better. Together. and want to provide our readers with tips on how to maintain a happier and healthier lifestyle. Hopefully this magazine will inspire you to take a moment and tend to your needs. After all, taking care of yourself is the key to taking care of the ones you love. If you have any suggestions or story ideas for an upcoming issue, we would love to hear from you. You can always submit ideas online at coordinatedhealth.com.

Happy Holidays!

BETTER. TOGETHER.

CELEBRATE

YOU

PLASTIC + RECONSTRUCTIVE SURGERY

‘Tis the season to celebrate you! Coordinated Health understands and offers one of the region’s fastest growing premier plastic and reconstructive surgery teams. Under the care of board certified and fellowship trained surgeon Dr. Gregg Guilfoyle, the Plastic + Reconstructive Surgery team specializes in the some of the latest minimally invasive procedures such as breast augmentation, reconstruction, liposuction, facelifts, eyelifts, rhinoplasty, Botox injections and tummy tucks. With convenient evening hours and Saturday surgery appointments available, Dr. Guilfoyle will have you both feeling and looking your best in time for the holidays. You and Coordinated Health, More Beautiful. Together.

GET BEAUTIFUL 4

Dr. Gregg Guilfoyle Board Certified Plastic & Reconstructive Surgeon

Visit coordinatedhealth.com Or for an appointment call

1 (877) 247-8080

A New Plastic

Surgery Trend:

MOMMY MAKEOVERS Having children can take a toll on you both physically and emotionally, but a mommy makeover can help restore confidence. Pregnancy may only be nine months, but it can have a lasting impression on your body. The two most common complaints women have about their body after having a baby is sagging breasts and excess skin and fat around the stomach muscles. However, Coordinated Health Plastic Surgeon Dr. Gregg Guilfoyle says that a lot of women are opting for some form of mommy makeover to improve their self-esteem. “Mommy makeovers are growing in popularity and can include a couple of different procedures ranging from liposuction and tummy tuck to breast augmentation and breast lift,” says Dr. Guilfoyle. “The idea is to restore a woman to her pre-baby body.”

WHAT IS A “MOMMY MAKEOVER?” LIPOSUCTION

BREAST AUGMENTATION

WHAT SHOULD YOU CONSIDER?

Procedure Time: 1-3 hours Removes fat pockets on the stomach, love handles, reshapes body contour.

Procedure Time: 1 hour Addresses changes in shape and size, loss of volume and firmness.

Dr. Guilfoyle recommends that you wait for the following:

TUMMY TUCK

Breast Lift

➋Y ou have 2 weeks of recovery time off from work or obligations

Procedure Time: 3 hours Improves loose muscles and excess skin and fat.

Procedure Time: 1 hour Improves position, shape, and profile of the breasts.

➌Y ou feel that you are done having children

➊Y ou are 10 to 15 pounds within your goal weight range

➍ Y ou have stopped breastfeeding for 3-6 months

Schedule your Free Plastic Surgery Consultation ($150 Value) with Dr. Gregg Guilfoyle by calling 484-273-4222 Source: American Society of Plastic Surgeons

Unbeatable

access

Dr. Daniel Terpstra Orthopedic Surgeon

Dr. Jon Hernandez Hand Surgeon

When Michael Miklos found out that he needed to have knee surgery, his initial concern was finding time to schedule the surgery.

“I’m retired, but my wife still works so she would need to take off work and I didn’t want to have to inconvenience her or anyone else,” said Miklos.

However, Miklos’ concern was put to rest when he discovered that he was able to schedule his surgery for a Saturday morning at Coordinated Health’s Bethlehem Hospital. He claims that the Saturday option allowed him the opportunity to have a surgery he may have otherwise had to wait on. “A lot of people may not want to have surgery on a Saturday because it’s their day off, but for me it was the perfect fit,” claims Miklos. Elective orthopedic surgery on Saturday is the latest move by Coordinated Health to offer patients unprecedented access. 6

Between family, work and other commitments people are busier than ever. That’s why Coordinated Health now offers orthopedic surgical procedures on Saturdays. “Today, consumers expect greater simplicity and accessibility in every aspect of their lives,” says Coordinated Health CEO Emil Dilorio, MD. “We’ve listened carefully to our patients and understand that we need to assemble and provide them with flexible hours, immediate support, and locations near and between their homes and workplaces. Coordinated Health will continue to enhance and expand services that deliver on that need.” In addition to Saturday surgical procedures, Coordinated Health is also providing the best in access by offering same-day appointments, Saturday morning office visits, Saturday and Sunday imaging appointments and Saturday physical therapy appointments. Miklos says he couldn’t be happier with the outcome of his knee surgery. “It was actually very straightforward. I went in had my knee scope and left the same day and started physical therapy on Monday. I was able to schedule everything to fit my schedule. I really appreciated the convenience,” says Miklos. For more information on Saturday surgical procedures or to make an appointment, go to coordinatedhealth.com.

AVOIDING

HOLIDAY MISHAPS Every year more people are injured during the months of November and December due to common mishaps during the holiday season. The winter holidays bring more than just Christmas spirit, the amount of injuries around the holidays increases every year. However, the types of injuries during this time of year have been somewhat consistent. From falls to minor burns and lacerations, the physicians at Coordinated Health have seen it all. “As much as people would like to have their houses all lit up like the Griswald’s, less is probably better. Make sure to read the wattage allowed in each extension cord - this is probably one of the top fire hazards during the holiday season. Always use a ladder with a spotter to hang lights and other decorations. Please make sure decorations When decorating the outside of your house, make sure to keep your ladder on sturdy ground and have at least two rungs above the edge of the roof. If at all possible have a friend or family member present to help prevent falls. Never overload your extension cords. House fires are very common this time of year from overloading extension cords or plugs. Make sure you use power strips with a breaker switch to avoid the risk of fire. Making sure your tree is healthy and watered every day can also help prevent house fires.

on the roof are securely tacked down so they can’t fall or blow away and hurt an unsuspecting neighbor,” suggests Lindsay Goffredo Hughes, DO. The majority of these accidents can be avoided by taking the proper precautions. In addition to Dr. Hughe’s suggestions, provided are some additional tips this holiday season.

Injuries in the kitchen are very common this time of year as well. Cuts and burns are some of the most frequent. When carving your holiday turkey or ham, make sure you cut away from yourself. Being aware of hot pots and pans and using proper protection will help in preventing burns. ast winter brought us a significant amount L of snowfall with tons of shoveling across the region. Make sure when you shovel that you lift with your knees and not your back to prevent injury.

Following the suggested advice from our physicians will help you to have a safer holiday.

Working as a

TEAM

to Beat Breast Cancer

Coordinated Health Plastic and Reconstructive Surgeon Gregg Guilfoyle, DO and his wife Coordinated Health Breast Surgeon Cara Guilfoyle, MD have dedicated their lives to treating breast cancer. 8

Like most married couples, Cara

and Gregg Guilfoyle are a team and share a lot of the same interests. They are both avid bicyclists, take part in adventure racing and love to dote on their two Australian Shepherds. But there’s one thing that sets them apart from other married couples; their passion for defeating breast cancer. Both surgeons at Coordinated Health, Cara and Gregg offer their patients a unique advantage by acting as a team that focuses on the treatment and recovery of breast cancer. This means that they not only spend time together at home, but spend a lot of their days together as well.

Though Cara and Gregg both fight breast cancer, their battles are very different. Cara is a fellowship trained oncologist and breast surgeon who is integral in the diagnosis and treatment of breast cancer. Gregg’s role comes into play after a patient has been diagnosed with breast cancer and made the decision to undergo a mastectomy and would like reconstructive surgery. Cara and Gregg agree that their relationship offers patients a definite

“It’s really a team event. It begins when the radiologist notes an imaging abnormality and sends the patient to the breast surgeon, who makes the diagnosis. Then depending on the surgical recommendations the patient will see the plastic surgeon. After the surgery the patient will then see the medical oncologist if indicated. Everyone plays an important role,” explains Cara.

“We balance each other very well in our personal lives and bring that same synergy to the workplace. We don’t spend every single day in the office together, but I can honestly say that I look forward to the days that we do,” says Cara.

“I was in middle school when my mom was diagnosed with breast cancer and she was just under the age of 40. Having seen my mother go through that and how it affected our family and how she struggled to make decisions about her care really influenced my decision to go into medicine in general,” claims Gregg.

“As a team we have conversations in the background, we look at their X-rays and mammography and talk about what type of procedure would be best. Having that discussion ahead of time enables us to be able to discuss things with our patients at a consistent level so that we are both on the same page,” says Gregg. Cara goes one step further and compares her and Gregg’s partnership and the way they treat breast cancer to a team sports event.

While many people have questioned the Guilfoyles as to how they can spend so much time together, Cara says it’s never been an issue.

The Guilfoyle’s decision to focus on breast cancer came after watching their loved ones struggle with the disease. Cara’s grandmother and Gregg’s mother are both breast cancer survivors.

breast surgeon and plastic surgeon is key to the successful treatment and recovery from breast cancer.

advantage, but Cara is quick to point out that when she refers patients to Gregg she does so because she truly believes in his work. “I like to be able to offer my patients any type of procedure they want and I like the fact that Gregg can do that. I also like the confidence in knowing that the plastic surgeon I’m referring (the patient) to is going to do a good job and that we will have an open line of communication,” claims Cara. According to Cara and Gregg, communication between the patient’s

Cara and Gregg also say their competitive nature helps drive them to be better surgeons. “We push each other to be better. So having her there and knowing that she is going to be seeing my patients and judging my results makes me want to do better. The last thing I want to hear over dinner is that I could have done a better job on one of her patients,” jokes Gregg. For more information on the Guilfoyles or to make an appointment, visit www.coordinatedhealth.com or call 1-800-247-8080.

Gregg 6 a.m. Gregg starts his day by watching the stock market. Unlike Cara, he usually skips breakfast and just has coffee. He then gets ready before dropping the dogs off at doggie daycare. 9 a.m. Gregg usually begins seeing patients around 9 a.m., unless it’s a Tuesday when he is in the OR all day. 10:30 a.m. Like his wife, Gregg takes time to refuel. However, much to Cara’s chagrin Gregg tends to refuel with mountain dew and gummy bears.

12:15 p.m. If he has time, Gregg will run on the treadmill during his lunch break unless he has plans to meet up with Cara and bike after work. If he didn’t take the dogs to daycare, he will go home to have lunch with them and let them out.

While Cara and Gregg admit they have busy schedules, remaining healthy and fit is important as well. Check out what a typical day is like for them. 1 p.m. Gregg generally begins seeing patients for the afternoon around 1 p.m. 2 p.m. Several times throughout the day, Cara and Gregg touch base regarding patients via text or phone call. 4:30 p.m. Gregg finishes his schedule anytime between 4 p.m. and 5 p.m. on most days, but on Thursdays he takes late appointments so he doesn’t leave until 8:00 p.m. 5 p.m. After work, Gregg either goes to Wegmans to pick up food to make for dinner or meets up with Cara for a bike ride. He also says they eat out often since they are free most evenings. 10 p.m. By 10 o’clock Gregg says he’s usually taken out the dogs for the last time and in bed watching television.

“Cara tells her patients all my bad eating habits so a lot of times they will come to me with gifts of soda and gummy bears. I have a drawer full of them” 10

12 p.m. After finishing in the OR, Cara heads over to the office for a quick lunch before beginning to see patients at 1 p.m. 4 p.m. Cara generally finishes up seeing patients by 4 p.m. and then heads over to a local bike trail. She and Gregg both bike in the winter and snow as long as it’s still safe. If the weather doesn’t cooperate, she works out at home or in the gym. 5:30 p.m. After her workout, Cara downs a recovery drink and heads home for dinner. Either she or Gregg will pick up their dogs from doggy daycare. 6p.m. Once home, Cara or Gregg feeds the dogs and lets them out in the backyard. 7p.m. After dinner, Cara finally gets the chance to relax and does some quick recovery with more stretching before heading to bed.

Cara 6 a.m. Cara generally wakes up and makes herself breakfast, which consists of 3 egg whites, oatmeal and coffee.

“Staying fueled by eating the right food is an essential part of the plan for success”

7 a.m. She lets the dogs out and then does some light stretching for about 20 to 30 minutes. 7:45 a.m. Before 8 a.m. Cara has generally showered and gotten ready for work and will pack her bag with mountain biking or running gear if it is going to be nice out. 8 a.m. Cara then heads to the OR to operate for the morning. 10 a.m Food plays an important part of the day for Cara. She tries to fit in a healthy snack like an apple by mid morning.

MENOPAUSE Management

Get the facts about menopause and how you can find relief from some of the most common symptoms. Menopause is a fact of life that all women face at some point. But, many women don’t know the basics about menopause or the fact that there are ways to treat some of the obnoxious side effects. “Even today menopause remains a taboo subject for many women and for that reason there is still a lot of confusion regarding fact versus fiction when it comes to menopause,” says Coordinated Health Gynecologist Gallyn Faust-Rakos.

The Basics of Menopause Natural menopause is a gradual process that occurs when the ovaries slow down their function. While women don’t reach full menopause until they have gone 12 consecutive months without a period, they may still experience menopausal symptoms during a time prior to that during a time called perimenopause. Perimenopause is the time leading up to menopause when a woman’s ovaries begin to slow down and her menstruation cycle becomes more unpredictable. For many women, natural perimenopause begins around the age of 40 and full menopause is reached by the time they are 51. But there are certainly cases where women may begin perimenopause earlier or later. Though menopause

generally occurs naturally, there are some events that can cause women to go through menopause earlier. Those events include chemotherapy, radiation and surgery.

Signs and Symptoms of Menopause In most cases, women will be able to tell they’re beginning to go through menopause. “Early signs of menopause include hot flashes, night sweats, and changes in the menstrual cycle,” says Dr. Faust-Rakos. Menopause affects every woman differently, but most women will experience some symptoms. Some of the most common symptoms include hot flashes, insomnia and mood swings. All of the symptoms stem from hormonal changes brought on by menopause.

Finding Relief from Menopause Symptoms

“If you are having a difficult time managing your menopause symptoms, it’s important to talk to your doctor. There’s no need to suffer in silence as there are many treatment options available,” claims Faust-Rakos. For those suffering from severe menopausal symptoms, hormone replacement therapy is available. Hormone replacement therapy is only available with a doctor’s prescription and includes low-dose birth control pills. Doctors recommend taking the lowest dose possible as long-term hormone therapy replacement has been linked to a greater risk of heart attack, stroke and blood clots. In addition to prescription medication, there are also alternative treatments available that may alleviate symptoms associated with menopause. However, it’s important to let your physician know about any alternative medications you are taking so they can check drug interactions.

The symptoms of menopause can be taxing for some women, but there is relief available.

Holly Schmitt, Dr. Luchetti Patient

From Torn ACL to Boston Marathon

Holly Schmitt didn’t let a torn ACL derail her from her goal of running the Boston Marathon. Center Valley resident Holly Schmitt has always been an active individual. She has been running since she was in high school and now even with two busy teenage daughters makes time to run and take regular tae kwon do classes. “Exercise has always been an important part of my life and an outlet for me,” explains Schmitt. However, that outlet was threatened when Schmitt suffered an injury at a tae kwon do class. “I was doing a kick and somehow landed wrong and heard a pop in my knee and felt immediate pain. I knew that something was wrong, but didn’t know what it was until I went to see the doctor. I couldn’t even put weight on that leg,” says Schmitt. Coordinated Health Orthopedic Surgeon Wayne Luchetti, MD did a physical exam and ordered an MRI. The MRI showed exactly what Dr. Luchetti suspected, Schmitt had suffered a tear in her anterior cruciate ligament (ACL).

of a full recovery and return to her active lifestyle. “The idea of having surgery initially terrified me because with the exception of having my daughters, I had never been in a hospital before. But, I knew that if I wanted to get back to my lifestyle I needed to listen to my doctor,” claims Schmitt. Her surgery was actually done arthroscopically on an outpatient basis in the Coordinated Health’s Bethlehem Hospital. Arthroscopic surgery is done through a series of small incisions in and around the knee. A small camera is inserted into one of the incisions to transmit images from inside the knee onto a television in the operating room. Then a graft is used to cover and repair the tear. Generally it takes six to nine months to recover from a torn ACL, and Holly knew that she wanted to recover within that time frame and even set a lofty goal to help motivate her. “I was looking through my old high school yearbook and saw I wrote that I would be running in the Boston Marathon someday. I realized that I never held up my promise and decided that was my goal,” said Schmitt.

An ACL tear is a tear in one of the knee ligaments that joins the upper leg bone with the lower leg bone. The ACL is what keeps the joint stable. They most commonly occur during activity when your knee joint is bent backwards, twisted or bent side to side. It can also happen when you change direction rapidly, slowing down when running or landing from a jump.

Schmitt began physical therapy and made sure that she was doing her exercises at home. She was pleasantly surprised by the progress she made and found herself running in just a few short months after the surgery.

Dr. Luchetti told Schmitt that surgery offered her the best chance

“It was an amazing experience and one I’ll never forget,” says Schmitt.

Through training and hard work she qualified for the Boston Marathon and soon after met her goal of running the marathon.

“It was a year after the bombings and there was a real sense of camaraderie among everyone there.” Schmitt credits Coordinated Health and Dr. Luchetti for her full recovery. “I had a great experience at Coordinated Health. Dr. Luchetti was an athlete himself who had the same type of injury so he knew what I had to do to recover. The transition to physical therapy was seamless and made my recovery so much smoother,” claims Schmitt.

Dr. Luchetti

ACL tears are common among female athletes. In fact, according to Dr. Luchetti women are three to six times more likely to suffer from an ACL tear than their male counterparts. He credits the higher rate of ACL tears in women to a difference in anatomy. “The reason for higher rate of certain types of injuries in women is a result of interplay between form, alignment, body composition, physiology and types of physical performance,” claims Dr. Luchetti. He says there are programs that have been developed to help teach women how to avoid ACL injuries. “Programs have been put to teach women how to less vulnerable positions have more neuromuscular says Dr. Luchetti.

in place land in and to control,”

MEREDITH EMPOWERED BY COORDINATED HEALTH

SPORTS MEDICINE

In roller derby sports injuries are to be expected and you need to recover quickly. That’s why Lehigh Valley Rollergirl’s member Meredith Spirk chose Coordinated Health and Orthopedic Surgeon Dr. Wayne Luchetti when she sprained her ACL and MCL during a match. As a former athlete himself, Dr. Luchetti was able to develop a customized recovery program, complete with physical therapy. Now fully recovered, Meredith is back in the rink and ready to roll.

#imgood GET BETTER with the region’s most dedicated Orthopedic team

To make your Saturday appointment

call 1 (877) 247-8080 See how Coordinated Health helped Meredith get better at coordinatedhealth.com/sports

Red, White and Blue THE COLORS OF RAYNAUD’S DISEASE

If you’ve ever heard the expression, “cold hands, warm heart,”

don’t believe it! The warmth of the heart actually plays a significant role in keeping your hands warm. However, for people with Raynaud’s disease, constricted blood vessels don’t let the blood flow freely into the hands and they turn white. As the cells in the hands begin to cry out for oxygen, the skin turns blue. And then when the blood returns to the hands they turn red. “This three-color sequence (white to blue to red), occurs in patient’s fingers and toes after exposure to cold temperatures or emotional stress,” explains Coordinated Health’s Nicole Chiappetta, MD. “It most frequently affects women, especially in the second, third or fourth decades of life.” In most cases, people with Raynaud’s disease can be treated non-medically by protecting their fingers and toes from the cold and keeping the core body warm. “Wearing hats and scarves will help direct the blood flow to the fingers and toes,” says Dr. Chiappetta. Hand warmers and mittens are also helpful. It’s also important to try and avoid stressful situations that may cause the blood vessels near the skin to contract. People that are susceptible to these symptoms should also avoid caffeine and smoking, which constrict the blood vessels. In patients who have persistent symptoms, it may be necessary to prescribe medications that help dilate the blood vessels. “It’s important for patients with severe symptoms to discuss treatment options with their doctors,” Dr. Chiappetta says. While the cause for Raynaud’s disease is unknown, most people affected by it do very well in response to simple measures, with or without medications.

A Life-Changing Diagnosis

Breast cancer is not a cut and dry disease. There are a variety of different forms and as one local resident learned it can also manifest in different ways as well. Teasha Swart, a 31-year-old Walnutport resident, still remembers the day she noticed something was wrong. “It was a really hot day and I was mowing the lawn. When I went inside to change I saw that I had a rash around my nipple. I thought maybe it was just heat rash, but it didn’t go away over the next few days so I went to my doctor,” says Swart. Over the course of the next few months, Swart found herself bouncing from doctor to doctor in search of a solution to clear up her rash before someone finally suggested she see a breast surgeon. By the time Swart saw Coordinated Health Breast Surgeon Cara Guilfoyle, MD the rash around her nipple had worsened and she was having pain and discharge from the area. Dr. Guilfoyle recommended a breast biopsy, which revealed that Swart had a rare form of breast cancer called Paget’s Disease. “My initial reaction was just fear and dread because when I heard it was cancer I just assumed I was going to die. Everyone that I knew who had cancer had died so that’s what I expected,” claimed Swart. Paget’s Disease only accounts for 1% of all breast cancer. While it’s still unclear what causes the disease, it’s been suggested that it begins either in the skin or the breast.

double mastectomy. Swart chose the double mastectomy. “I felt that a double mastectomy offered me the best chance of recovery and I wouldn’t have to deal with chemo or radiation,” claims Swart. She also chose to have reconstructive surgery after the mastectomy and was happy to learn that Dr. Guilfoyle’s husband, Dr. Gregg Guilfoyle, would be able to perform the procedure. “It was really beneficial having both of them on my team because their communication was so much better. It wasn’t just doctor A talking to doctor B, as a married couple they were always in constant communication, which was a big help,” says Swart. Her reconstructive surgery began immediately after the mastectomy when Dr. Gregg Guilfoyle inserted tissue expanders that were gradually filled with saline and she continues the reconstruction process today. The entire breast reconstruction process generally takes between six to nine months. While Swart is still going through the reconstruction process, she is no longer battling cancer. “I won’t say I’m cured, because there is no cure for cancer, but I’m cance-free and that’s good enough for me.” claims Swart.

As Swart learned more about the form of breast cancer she had, she began to feel some reassurance that her survival chances were higher than she’d expected. “If you have to have breast cancer, Paget’s Disease is what you would want because in most cases it’s fairly non-aggressive,” says Swart. Swart underwent a series of tests and discovered that the cancer was actually in both of her breasts. Dr. Guilfoyle suggested two options. She could either do a lumpectomy and chemotherapy or radiation or undergo a

Teasha Swart, Dr. Cara and Gregg Guilfoyle Patient

PHILLIPSBURG

BETTER EXPERIENCE. NEW LOCATION.

}

201 STRYKERS ROAD, SUITES 4 + 5 PHILLIPSBURG, NJ 08865

NEW LOCATION - PHILLIPSBURG 201 STRYKERS ROAD SUITES 4 & 5 PHILLIPSBURG, NJ 08865

* A registered fictitious name for this NJ professional office owned by Coordinated Health New Jersey, PC

PHYSICIANS

TODD MELEGARI, MD ORTHOPEDICS

ORTHOPEDICS

JAMES REID, MD ORTHOPEDICS

FOOT + ANKLE

STACY RESNICK, DPM FOOT & ANKLE

X-RAY

JASON RUDOLPH, MD ORTHOPEDICS

REHABILITATION (COMING SOON FALL 2014)

Call 1(877)247-8080 or visit coordinatedhealth.com to discover more about a better healthcare experience.

The holiday season is fast approaching and it’s not always easy to stay away from the Christmas treats. But, these sweet indulgences don’t have to be the downfall of your healthy eating. Dr. Diep Nguyen, DO states when it comes to consuming sugar “eat less sugar, I do not tell my patients to stop eating anything, but to cut back and eat smaller portions of sweet sugary treats.” As Dr. Nguyen suggests being conscious of your food and drink choices this joyful season can help

Tis’ the Season for Healthy Treats!

you to make better choices. Here are some easy fixes to make sure you can still enjoy the holidays without worrying about throwing your diet out the window.

Coordinated Health provides you with healthy dessert and drink alternatives to help you stay off the naughty list.

Instead of heading straight for the tray of icing and sprinkle coated cookies, look for ones with oats, nuts or fruit. Those choices will have more fiber and less sugar than your traditional Christmas cookie. Replacing some of the butter in your cookie recipe with unsweetened apple sauce or pumpkin puree will allow you to cut out some of the unnecessary fats in your desserts. Whole-wheat flour is also a great alternative to using the traditional white cake flour in your recipes. If you’re not sure about this switch, you can switch some of the white flour for the whole-wheat. You can cut out a third of the sugar without noticing a difference or try some dried fruit to add sweetness to your cookie recipes. If alcoholic beverages are provided at your Christmas gathering try mixing your drinks with diet or club soda to save on calories and added sugar. Alternating your mixed drinks with water can help make you feel fuller and not have a sugar craving.

The internet is a great place to check out new and exciting holiday recipes that will not only taste great, but are good for you as well. Trying out some of these healthy

alternatives

will surely take away your holiday blues. But always remember you don’t have to cut out all sweet treats, just try to enjoy smaller portions with all of your favorite sweets! 21

Dr. Emil DiIorio, Coordinated Health CEO

FOUNDATIONS Celebrating Coordinated Health’s Sports Medicine History

Dr. Emil DiIorio strides across a courtyard behind Lehigh University’s College of Business campus and surveys the space as he walks. His pace is brisk as he crosses the roughly 120-yard length. The courtyard conceals a hidden layer of history, one that Dr. DiIorio can still see echoes of in the steep terraced hillside and the perfectly flat surface 22

of the ground. To the eyes of the uninitiated, it is simply a bowl-shaped space. To Dr. DiIorio, it is the location where his legacy began. “This is a very special place to me,” he says, pausing to touch a green and gold plaque set into the hillside simply titled, “Taylor Stadium.” Taylor Stadium was the home of

Lehigh’s athletics program, and it was there that Dr. DiIorio met the men who would help build his legacy. Jack Foley, now Director of Sports Medicine at Lehigh, remembers his first meeting with Dr. DiIorio. “We agreed that the intangibles, such as attitude and effort, would define us and what we shape together,” says Foley. Along with now-Dean of

Athletics Joe Sterrett, the group quickly developed a philosophy for approaching athlete care. The concept, called the “Team Approach,” now goes by different names at business schools across the country: cross-functional teams, linkages and synergy. The most important facet of the Team Approach was communication, and Dr. DiIorio had a distinct idea of how he wanted to do it: sports medicine clinics. “This guy would get up there and all of a sudden pull together the physics, the biomechanics, tied together in a way I’d never seen. It was art in motion,” said Lafayette’s Director of Sports Medicine, Matt Bayly. The clinics served as a way of sharing knowledge between sports medicine clinicians, who would take turns discussing best practices. Since Dr. DiIorio was an artist by training and an engineer by education, he would draw to educate. “My first opportunity to view a ‘Dr. D‘ drawing was at the hospital as I was visiting an injured athlete,” Foley recalls. “When inquiring about his room number, I was told, ‘Just look for the pillow case with the drawing and you’ll know which bed.”

That commitment to patient education was one of the things Dr. DiIorio searched for as he assembled his sports medicine team. The first physician he recruited was Dr. Carl Weiss, who was completing his fellowship at the University of Wisconsin in 1988. “Sports medicine is not something you can learn from the books. Most of it is non-operative. Learning how to care for athletes only comes from experience,” says Dr. Weiss, whose primary reason for choosing Coordinated Health was the opportunity to gain hands-on experience immediately. Soon after Dr. Weiss joined the team, several others followed from throughout the country. Dr. Brett Godbout came from a fellowship in Birmingham, AL, Dr. Wayne Luchetti from Long Beach, CA and athletic trainer Frank Lupin from Cleveland joined the team shortly after. Dr. DiIorio’s selection of team members was very deliberate, and it showed in the quality of care they provided. “There were qualities that I looked for that all of these physicians shared. There was love of the patient, love of sports medicine and surgery, love of athletics, and finally, passion,”

says Dr. DiIorio. “They formed the foundation of what we are today.” The sports medicine team led by Dr. DiIorio would eventually evolve into a 1,200-employee, 17 location hospital network, but the Coordinated Health team has always retained its singular focus on one guiding principle: treat all patients as if they are elite athletes. This philosophy now lives on in the company’s next generation of team physicians, who were both passed the torch for the 2014-15 season. Dr. Nick Slenker and Dr. Dan Terpstra are the new faces of the Coordinated Health Sports Medicine family, treating Lafayette College and Lehigh University respectively. The two doctors chose to come back to their roots in the Lehigh Valley because they wanted to help the people they grew up with. Dr. Slenker was a Parkland High School swim team captain, Dr. Terpstra was a wrestling star at Muhlenberg College, and both were committed to building their practices in a company where they knew they could grow. As Dr. DiIorio considers the future of his team while standing on the ground where it all started, he recalls the vision he had when he built Coordinated Health. “In our early days, it was important for us to do things differently,” says Dr. DiIorio. “We wanted to make a difference, to make a dent in the healthcare universe. That passion remains right here, in our commitment to sports medicine.”

Legacies

The 150th meeting of the Lehigh-Lafayette Rivalry marks a changing of the team physician guard at Coordinated Health.

THE NEXT GENERATION Lafayette College Nick Slenker, MD

Lehigh University Dan Terpstra, DO

Education: University of Arizona, BA in International Studies Jefferson Medical College, Doctor of Medicine Thomas Jefferson University, Residency Kerlan-Jobe Orthopaedic Clinic, Sports Medicine Fellowship

Education: Muhlenberg College, BS in Biology Philadelphia College of Osteopathic Medicine, Doctor of Osteopathic Medicine Pinnacle Health Systems, Internship & Residency University of Cincinnati, Sports Medicine Fellowship

Teams Served: Lafayette College Los Angeles Lakers Los Angeles Kings Los Angeles Dodgers Loyola Marymount University 24

Teams Served: Lehigh University Cincinnati Bengals University of Cincinnati ATP World Tour AVP Pro Beach Volleyball Tour

The MarginProbe Advantage

Coordinated Health Breast Surgeon Mark Gittleman, MD wants to give his breast cancer patients every advantage, which is why he is the only one in the area to use new technology called MarginProbe. Breast cancer is the most common form of cancer among women in the United States, with over 285,000 cases occurring each year. According to Dr. Mark Gittleman, the two ways to treat early onset breast cancer include a mastectomy or a lumpectomy followed by radiation. “We’ve known for many years that the outcomes are the same, whether the patient has a mastectomy or a lumpectomy and radiation, meaning the incidence of reoccurrence or survival is exactly the same,” claims Dr. Gittleman.

“The surgeon has to sit down and tell the patient, and tell them we didn’t get it all. We still have cancer in the breast because if we have cancer in the margin there is going to be residual in the breast. That means the surgeon has to tell the patient we have to go back to the operating room and either do an additional lumpectomy or even a mastectomy and no surgeon wants to do that,” says Dr. Gittleman. That’s why Dr. Gittleman is the first surgeon in the area to use a device called MarginProbe, which can assess the margins during surgery.

Dr. Gittleman says that most women choose to undergo a lumpectomy with radiation, in order to preserve their breast tissue. During a lumpectomy it is important to have clean margins and remove all of the cancer.

MarginProbe is a recently FDA approved device that helps surgeons better identify cancer at the margin of a lumpectomy. In 30 percent of cases or more, the margin is involved in canDr. Mark Gittleman cer, however, Dr. Gittleman says that Until recently, one of the drawbacks to having a the MarginProbe helps to reduce the number of lumpectomy was the time it took to get back the pathology instances where cancer is discovered in the margin. results on the margins, in order to see if all the cancer was removed. In most cases, patients would have to wait up to a week after the surgery to get pathology reports. If the pathology report indicates that cancer is found on the margin after surgery it means that there is still cancer in the breast and further surgery may be required.

“MarginProbe is innovative and unique and a real game changer in the way that early breast cancer is treated,” says Dr. Gittleman. For more information on MarginProbe or to make an appointment with Dr. Gittleman, call 1-800-247-8080 or visit coordinatedhealth.com. 25

Q & A

GET THE MOST FROM

YOUR TRAINING

with Coordinated Health’s Frank Lupin.

Getting the most from every workout is the goal of every athlete – from the weekend warrior to the most highly skilled professional. We checked in with Frank Lupin, director of Coordinated Health’s PULSE Performance Training team for some answers.

Frank Lupin

What should I do as warm-up exercises? You’re going to get the best results when you know what you should be doing before you ever start doing it. So the simplest answer to this question is that you should do whatever your body needs. That’s the approach that professional athletes have used for years now and it’s equally important for the weekend athletes as well. But how do you really know what your body needs? At Coordinated Health, we perform a functional movement screen to determine what or where an individual’s weaknesses are. Then we develop an exercise regimen based on their specific needs. What are the benefits of a functional movement screen? The functional movement screen is comprised of seven tests that measure things such as the flexibility in your upper body and hips and lower body. It helps us identify if an individual needs to work on flexibility, core strength, coordination, or balance, for example. Once we have this basic information, we can design a workout plan that addresses any weaknesses and builds on strengths. Of course we monitor each person’s progress and adjust his or her specific exercise

program appropriately. We watch closely to assure that we’re directing each athlete toward peak performance and reducing the risk of injury. Are there basic guidelines for blending cardio and strength training into a workout routine? While this would necessarily vary from individual to individual, we work hard to incorporate strength and power training, along with cardio and flexibility into every workout plan. Typically we would suggest longer conditioning or cardio work on “off days,” or days when you’re not working on strength and power. What’s important when doing your conditioning work is to attempt to replicate the actual movement you would make while playing your sport. If you play soccer, for example, you’d want conditioning exercises that incorporate plenty of stop and go movements as opposed to setting off on a three-mile jog around the track. Do these recommendations apply to weekend warriors as well as high school and college athletes? It probably benefits them the most. Given their busy work schedules, the screen can identify their biggest weaknesses and they can spend what limited exercise time they have each week working on them. Whether we head to the golf course or to the ball field, our tendency is to want to get to the fun stuff as quickly as possible. Don’t overlook the importance of a 10-minute warm-up routine. Loosen up those muscles to help prevent back, ankle and knee injuries. 27

SUPPORT

HERE FOR YOU EVERY STEP OF THE WAY

SPORTS MEDICINE

Your support network is important. It includes family, friends and world-class healthcare. Only Coordinated Health provides fellowship-trained and board-certified surgeons who are available when you need them the most with: 24/7

live solution center

days of immediate surgeon-led fracture repair at Care on Demand walk-in locations

days of surgery with extended hours + rehab and imaging (MRI)

GET BETTER with the region’s most dedicated Sports Medicine team

To schedule an appointment call