Healthwaves Summer 2019

A wellness magazine from Bayhealth | SUMMER 2019 | KENT–SUSSEX

Stepping out after beating a brain aneurysm

TERRY M. MURPHY, FACHE

DEAR NEIGHBORS, Summer is here and with the change of the season comes enhancements to our community magazine, Healthwaves. If you’re a long-time reader, you may have noticed some changes to the look of the magazine, including a fresh cover design. We also combined our central and southern newsletters into one. But we didn’t stray too far from the magazine you’ve come to know, as we’re continuing to highlight enhanced services at Bayhealth, offer health and wellness tips from our providers, and tell patient stories that inspire you. If this is your first time reading Healthwaves, it’s my pleasure to welcome you to thumb through the pages and get to know more about Bayhealth and your community.

PRESIDENT & CEO, BAYHEALTH

In this issue of Healthwaves, we introduce you to Lesia Mattox.

She suffered a ruptured brain aneurysm and spent 21 days in the Neuro ICU at Bayhealth Hospital, Kent Campus. Her experience was so powerful she’s now giving back (see page 4) to the very unit that took care of her. One of our own Bayhealth employees is also dedicated to giving back. Kevin Ulrich has been donating blood for decades.

He explains why it’s so personal on page 22. A group of local students are also showing their passion for helping other young people. Learn how their teamwork is helping the Bayhealth Wellness Centers on page 8.

The summer season in Delaware usually means fun in the sun for

the whole family. Turn to page 18 to make sure you’re staying safe.

And on page 21 there’s a great reminder for parents and caregivers about the importance of self-care during the busy summer months. While the summer is a time for being active, getting around can be hard for those living with chronic pain.

Turn to page 20 to learn about how our board-certified, fellowship-trained radiologists can help with pain management.

Thank you for your interest in the happenings at Bayhealth.

Now that Healthwaves will be mailed directly to your home each season, we’ll work hard to deliver you the news you need to live your healthiest life.

Healthwaves is a quarterly publication of Bayhealth. The information is intended to inform and educate.

It’s not a substitute for consultation with a physician. Always consult your physician for individualized care.

Bayhealth complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. If you have questions, please call JoAnn Davis at 302-744-7405. Bayhealth’s TDD or State Relay number is 866-237-0174.

TERRY M. MURPHY, FACHE President and CEO, Bayhealth

DANIELLE PRO-HUDSON Editor, Healthwaves

JESSIE DMITERCHIK Contributer, Healthwaves

BRANDON HOWIE Photographer, Healthwaves

ALICE RAUSCH Contributor, Healthwaves

Media Center Coordinator II, Bayhealth

Web & Digital Marketing Specialist, Bayhealth

Marketing Videographer, Bayhealth

LEIGH ANN COLEMAN Photographer, Healthwaves

AMANDA DOWNES Writer, Healthwaves

JENNIFER MYERS Writer, Healthwaves

Southern Region Strategy & Brand Program Manager, Bayhealth

Web & Digital Marketing Specialist II, Bayhealth

Marketing Specialist, Bayhealth

Marketing Specialist, Bayhealth

AMANDA C. BOWIE Editor, Healthwaves

JENNIFER WALTER Writer, Healthwaves

GWEN GUERKE Writer, Healthwaves

Marketing Operations Manager, Bayhealth

Marketing Specialist II, Bayhealth

Marketing Specialist, Bayhealth

PAMELA J. MARECKI Senior Editor, Healthwaves Assistant Vice President Marketing Communications, Bayhealth

To view Healthwaves online visit: Bayhealth.org/Healthwaves

PAUL STECCA Designer, Healthwaves J&P Stecca LLC

BAYHEALTH HOSPITAL, KENT CAMPUS

BAYHEALTH HOSPITAL, SUSSEX CAMPUS

640 South State Street, Dover, DE 19901 302-674-4700

100 Wellness Way Milford, DE 19963 302-422-3311

IN THIS ISSUE...

Feature story:

4S tepping

out after beating a brain aneurysm

Pictured on cover: Brain aneurysm survivor Lesia Mattox is pictured speaking with a patient while volunteering in the Neurosurgical Intensive Care Unit at Bayhealth Hospital, Kent Campus. Mattox spent several weeks on the unit as a patient when she suffered a ruptured brain aneurysm. Now she helps other patients during their time on the unit.

8 An anchor of hope for suicide prevention 10 What, where, how you eat can improve cholesterol count 11 Her passion for science pollinates 12 2019 Summer Classes 14 Jacked up about his 6 Bayhealth Hospitalists

cardiac rehab

8

11

17 Bayhealth Outpatient Centers 18 Safety in the sun for everyone 20 When your chronic back pain needs an intervention 21 Unpacking stress and the pain that comes with it 22 Years of donations are in his blood 23 A teacher’s lesson in giving back 16 Defying gravity, speeding recovery

22

Stepping out after beating a brain aneurysm A little more than three years ago, Lesia Mattox was living her best life. The 52-year-old spent her days working, dancing, traveling, and spending time with family. Little did she know that she’d soon be facing a hefty battle — surviving a ruptured brain aneurysm.

Lesia remembers dancing in her aunt’s kitchen during a family gathering, when she suddenly felt the room start to spin and fell backward onto the floor. Her husband — Ronald — thought Lesia was having a seizure and tried to bring her out of it. The paramedics were called, and Lesia was taken to Bayhealth Hospital, Kent Campus, where they were quickly met by Neurosurgeon James D. Mills, MD. Initially, Lesia was given medication for her head pain until further tests verified she had suffered a ruptured brain aneurysm and needed surgery.

Dr. Mills performed a surgical clipping, which is a procedure done to close off the aneurysm.

“Many times, our patients who have had a brain aneurysm are the most sick and critical patients in the hospital,” Dr. Mills said.

“Most people don’t have any symptoms and they either find out when the aneurysm ruptures, or it’s found when an MRI of the brain is requested for other reasons.”

Risk factors for brain aneurysms include age, gender and genetics; women are more likely than men to have a brain aneurysm. Other risk factors include smoking cig-

arettes, hypertension, cholesterol, and diabetes; better managing all of these can help prevent an aneurysm. When patients do need help with a complex neurological condition such as a brain aneurysm, they can count on the team of highly trained

neurosurgical specialists like Dr. Mills at Bayhealth Neurosurgery to help.

Treating the aneurysm to prevent further bleeding is only half the battle; patients are at high risk for vasospasm, a temporary narrowing of blood vessels, which can result in a stroke. Treatment in an intensive care unit (ICU), such as the Bayhealth Hospital, Kent Campus Neuro ICU, is necessary. Lesia spent 21 days in the Neuro ICU, where she was closely monitored. She remained in a dark room with no TV, no radio and no phone so that her brain wasn’t stimulated; doing so was challenging.

“Caring for Lesia changed the way we care for aneurysm patients,” said Neuro ICU Nurse Jenifer L. Sebastianelli, BSN, RN, SCRN. “She was going stir crazy in the room and at times wanted to give up, but she’s a fighter so we found ways to help push her through the recovery, like taking her outside on cloudy days and giving her mani/pedis.”

“When patients have an aneurysm, one of three things can happen.

One-third of patients die from the

VISIT BAYHEALTH.ORG/NEUROSCIENCES TO LEARN MORE ABOUT BAYHEALTH NEUROSURGERY SERVICES IN SPECIALIZED CARE FOR BRAIN AND SPINAL CORD INJURIES AND DISEASES.

4

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

rupture. One-third suffers from major complications, including stroke. One-third has good outcomes where they return to their previous lifestyle,” Dr. Mills said. “Even for those who do have good outcomes, going back to being fully functional is the exception and not the norm.”

Lesia is the exception. Coming back from an aneurysm has been a long process. Three years later, she’s living a new norm. Recently retired, Lesia is back to doing all the things she loves, including step dancing. She’s also now volunteering on the Neuro ICU to help other patients going through similar experiences. Lesia works with nurses, patients and their families while volunteering.

At the same time, things are different. Lesia is learning how to accept what she can do and what she can’t, while learning how to be happy in the moment. “I may not be living my best life like I was before, but this is a close second,” Lesia said. “I’m grateful for the staff at Bayhealth. I don’t know if I would’ve made it without their overwhelming amount of support and encouragement.”

As for Dr. Mills and the team at Bayhealth Neurosurgery, they’re happy to see her progress.

“Patients like Lesia are a prime motivator for what we do. She’s an inspiration,” Dr. Mills said. ■

HEALTHWAVES SUMMER 2019

Before her brain aneurysm, Lesia Mattox danced several days a week. Getting back to dancing was one of Lesia’s goals during her recovery. She now once again enjoys weekly line dancing classes taught in Dover. Lesia’s group performs at local festivals.

5

Expanded Service

BAYHEALTH HOSPITALISTS Physicians on the front line, always in waiting for our patients In recent years, hospitalists have been playing a central and expanding role in hospitals across the nation, and this has been particularly true at Bayhealth.

Sixty of these physicians provide front-line care at Bayhealth Hospital, Kent and Sussex campuses. Inpatient hospitalists treat conditions of all kinds, from common to complex. We also have OB-GYN and pediatric hospitalist teams dedicated to women’s and children’s care specifically.

The hospitalist model ensures seamless care from the beginning to the end of someone’s hospital stay. Hospitalists often first see patients in the Emergency Department (ED), assess their condition, admit them if needed, and, if so, determine a course of treatment and oversee their care until they’re discharged.

Inpatient hospitalists, typically trained in internal medicine or critical care, are experienced in treating a variety of acute illnesses.

“We play a role like a primary care physician but in the hospital.

We’re there for patients and their families 24/7 and know the ins and outs of the hospital system, which enhances their experience,” explained Medical Director of the Apogee Physician Hospitalist Group Samer Alhindi, MD, FACP. OB Hospitalists Group, LLC, team members specialize in obstetrics and gynecology. They

6

evaluate and treat expectant mothers or patients that visit the OB-ED at Bayhealth Hospital, Sussex Campus due to a pregnancy complication or urgent gynecological issue.

Working closely with a patient’s primary OB-GYN doctor, they care for mother and baby throughout the labor process to facilitate a safe delivery.

Through a partnership with Christiana Care Health System, pediatric hospitalists are also on site for our youngest patients at both Bayhealth hospitals. They evaluate these patients in the ED, help reassure and educate families, and handle the day-to-day medical needs of hospitalized children, or help transfer care to a children’s hospital in the most complex cases. They also provide newborn care, beginning at delivery if needed. Like the other hospitalists, they share information with patients’ primary care providers or pediatricians.

Hospitalists have a diverse role in ensuring everything runs smoothly for a hospitalized patient, said Apogee Physicians Program Director for Bayhealth, Sussex Campus Muhammad Syed, MD. This includes coordinating patient care with subspecialists such as cardiologists, neurologists and surgeons; evaluating progress; and making sure next steps are in place for those who’ll need continued care at home or in a

rehabilitation setting. Apogee Physicians Co-Program Director for the Sussex Campus Muhammad Tahir, MD, adds, “We work as patient advocates even after discharge, following up to ensure a smooth transition until they see their respective primary care physician.”

The hospitalist programs are a win-win for patients and their primary care providers, due in part to strong teamwork. Primary care providers are informed by hospitalists when their patient is hospitalized, and receive frequent updates with information such as test results and changes in diagnoses or medication, and a discharge summary. Using hospitalists across all patient populations means accessible physician care to whomever needs it, whenever they need it.

Some patients are concerned when first seen by a hospitalist, because it’s unfamiliar, said Dr. Alhindi. “Instead of the traditional model of the patient waiting for the doctor, the hospitalist concept is the physician is here waiting for the patient.” Once patients understand the benefits, including the close relationships between doctors, they feel reassured.

“Patients often go back to their primary care provider saying how the hospitalists knew everything they needed to know about them and that they felt well taken care of,” said Dr. Syed. ■

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Pictured above: Muhammad Tahir, MD, Apogee Physicians Co-Program Director for the Sussex Campus. Pictured on right (from top to bottom): Muhammad Syed, MD, Apogee Physicians Program Director for Bayhealth, Sussex Campus; Janette A. Marston-Nelson, MD, Pediatric Hospitalist; Michael P. Meyer, DO, OB Hospitalist; Samer Alhindi, MD, FACP, Medical Director of the Apogee Physician Hospitalist Group.

HEALTHWAVES SUMMER 2019

7

Our Community

An anchor of hope for suicide prevention Suicide is the second-leading cause of death for young people between the ages of 10 and 24 years old. More than four million children aged 3 to 17 years old have been diagnosed with anxiety, with another nearly two million suffering from depression. This is why programs such as the Bayhealth Wellness Center Anchor Project at Caesar Rodney High School are so important for mental health.

The Anchor Project was created in 2017 by counselors at the Wellness Center with a goal of preventing suicides and connecting students with resources when they feel alone.

Mental Health Counselor Christina Eilers, LCSW, said the program encourages students to pay it forward by showing

others they’re an anchor in times of need. Through the project, the Wellness Center has anchors attached to “beAnchored” cards.

Students can wear an anchor in support of the cause or pass it on to someone who needs hope.

The grant-funded program was successful in its first two school years, but eventually ran out of funding. This is where Works of Heart came in.

Pictured (from left) during the check presentation are Works of Heart dancer Alayna Gumpman; Wellness Center Mental Health Counselor Christina Eilers, LCSW; Works of Heart Founder Renée Friend; CR High School Assistant Principal Larry Friend; and Works of Heart dancer Ellie Hardee.

8

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

TELLING SIGNS OF DEPRESSION IN KIDS

Works of Heart is a student choreography showcase held once a year to benefit a good cause.

Dover High School Junior Renée Friend started the benefit four years ago for a class project and hosts a showcase once a year benefiting a cause; suicide prevention and the Anchor Project was this year’s recipient. Friend’s father, Larry, is the assistant principal at CR High School. “I wear my anchor with my badge so students know I’m an anchor for them,” he said. “The best part about this benefit is knowing the money we raised will go back to help kids in the community. If this can help save one student’s life, it’s worth it.”

Through the benefit, Works of Heart was able to donate $2,000 to the Bayhealth Wellness Center at CR High School to not only benefit the Anchor Project there, but to help kick-start the program at the Wellness Centers at Woodbridge, Smyrna and Milford High Schools. It’ll also help continue the program at the Wellness Center at Dover High School; Counselor Christina Lanouette, LCSW, started the program after Eilers made a presentation during Suicide Prevention Month. “I felt it was a good way to get information to students and it might reach someone that would not reach out on their own,” she said.

Mental health and suicide prevention tend to be less visible than other children’s health concerns, Eilers said, making it vital for students to know resources are available for them if, and when, they are feeling down. “We’ve come a long way in reducing the stigma behind mental health, but we have a long way to go,” Eilers said.

Family Medicine Physician James M. Fletcher, DO, says the most common signs parents can look out for are children being withdrawn, sleeping more, eating less, not wanting to talk about their day, and dealing with bullying from classmates, as well as signs of self-harm, avoidance and a desire to be alone. “It’s really important to have a great debriefing after a day of school. Check in to see how your child is doing and make sure they’re developing socially,” Dr. Fletcher said.

Dr. Fletcher encourages families to talk to their pediatrician immediately so the doctor can determine what to do next. If families don’t have a great relationship with their doctor, he says to call 911 or the National Suicide Prevention Hotline, or visit a Bayhealth Wellness Center. If you, or someone you know, is struggling and need help, call the National Suicide Prevention Lifeline at 1-800-273-TALK or contact the Crisis Text Line by texting DE to 741741.

Bayhealth’s Wellness Centers provide Delaware’s teenagers with health services in cooperation with each teen’s family physician. Located in area schools, the centers work to meet the needs of today’s youth. This includes their health education and nutritional, mental and emotional needs.

Visit WorksOfHeartDE.com to learn more about Works of Heart and what this nonprofit does in the community. ■

HEALTHWAVES SUMMER 2019

9

Health & Wellness

What, where, how you eat can improve cholesterol count It’s all about your plate! When patients ask about how to lower cholesterol numbers from good — less than 200 total — to great, Bayhealth Family Medicine, Smyrna’s Mannpreet Phambri-Komal, MD, explains that positive changes are mostly “diet driven.”

First, she encourages patients to recognize the difference between types of fat: mono and polyunsaturated fats are the good fats, said Dr. Komal. She suggests patients use olive oil and select

salmon, sardines and tuna in order to limit saturated fats and foods containing trans-fatty acids, like processed foods and baked goods.

Dr. Komal asks patients to visualize a plate, then decide how to create a meal on that plate.

“One half the plate will be fruits and vegetables. One quarter is whole grains, and the other one quarter will be for lean protein, such as chicken, beans or lentils.”

In addition, Dr. Komal said to select fruits and vegetables containing high-soluble fiber, such as apples, broccoli, carrots, beans, and peas.

Where you eat is also important.

Eating more home-cooked meals allows people to control what’s on their plate, said Dr. Komal, noting that self-preparation is a way to limit fried foods, sugar and starches. Patients can be more selective with cooking techniques, using broiling, grilling and baking as alternatives.

When it comes to vegetables, “the fresher, the better,” said Dr. Komal, and fruit should be all fresh.

Yes, this is a lot of information to digest, so Dr. Komal provides her patients with an illustration of good food choices, as well as of what should be restricted. “Not all cholesterol is bad,” she said.

To help patients track their progress, she suggests screenings (blood tests) starting at age 35 for men and age 45 for women; some patients may have additional risks for heart disease, including family history, diabetes, smoking, and elevated blood pressure.

Dr. Komal also recommends regular exercise: “Moderate intensity for 150 minutes a week.

I recommend they choose an exercise they enjoy — brisk walking, jogging, swimming, dancing, or sports. If they say there’s no time, they can use the stairs or walk on their break.

And drink plenty of water.” ■

10

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Our Community

Her passion for science pollinates As a little girl growing up in Greensboro, Maryland, Gina Collins had a passion for all things related to science. Bugs, reptiles and creepy crawly things caught her attention, and she was enchanted by National Geographic documentaries. Collins is now the senior nurse manager for Bayhealth’s Dialysis, Vascular Access and Medical Infusion departments. For Collins, the charm of science is alive and well in her work at Bayhealth and in her backyard as a beekeeping hobbyist.

A honeybee hive is home to 20,000 to 30,000 bees. Collins currently has one very active hive, and at one time had as many as three hives. “The social behavior of honeybees is incredible,” said Collins. “Watching their interactions and distinct roles that each one plays within the hive is exciting.

Some bees retrieve nectar and make honey, others clean the hive, while some tend to the queen and the nursery of eggs and pupae.”

She finds similarities between the honeybees and healthcare workers. In the hospital, everyone plays a role in keeping patients safe and healthy. And each honeybee plays a role in keeping their queen safe and healthy.

Collins says the honey is a bonus of having a hive as she finds joy in harvesting her own food. She and her family use raw honey, or honey that hasn’t been heated or pasteurized, as a source of antioxidants, on minor cuts and scrapes, for digestive health, and for soothing sore throats. Collins even uses beeswax to make skin

care products such as lip balms, facials and scrubs.

Honey is also a staple at afternoon tea parties for Collins and her grandchildren. “We use honey as a sugar substitute in our tea. We’ve recently started dehydrating mint and hibiscus to use as herbal tea year-round.

My grandchildren love having tea parties with this colorful herbal tea and sweet honey.”

Collins found her love for harvesting her own food at a young age when her mother gave her a section of the family garden to look after. “My mother canned our vegetables. Now I love to cook, can and freeze food from my own organic garden. There is something so satisfying about being self-sufficient and knowing that my family could survive on what God has supplied us with on this earth. And let’s face it, it’s healthier!”

Honey can contain spores of the bacteria Clostridium botulinum. For this reason, children under the age of one year and pregnant women should not eat honey. ■

Bayhealth nurse manager and beekeeping hobbyist Gina Collins is fascinated by all things related to science and harvesting her own food. Her backyard is home to a honeybee hive with upwards of 30,000 bees. She and her family use the raw honey in a variety of ways.

HEALTHWAVES SUMMER 2019

11

VISIT BAYHEALTH.ORG/CLASSES FOR A COMPLETE LIST OF CLASSES AND EVENTS.

Maternity BIRTH CENTER TOURS We invite you to tour the facility where you will meet your new baby for the first time.

Visit Bayhealth.org/Classes to register for one of the quarterly tours at Bayhealth Hospital, Kent Campus.

To arrange for a personal tour, call 302-744-7245 (Kent) or 302-430-5739 (Sussex).

INFANT CARE These classes focus on basic infant care to give parents confidence in their ability to care for their babies.

Visit Bayhealth.org/Classes to register.

HELLO BABY Adjusting to a new brother or sister can be difficult for the older sibling.

Bayhealth’s “Hello Baby” program is designed to help children accept their new role.

Visit Bayhealth.org/Classes to register.

This class has a fee.

BREASTFEEDING 101 Come learn the basics about breastfeeding. Support persons are encouraged to attend. This class is offered the first Tuesday of every month at Bayhealth Hospital, Sussex Campus and the third Tuesday of each month at Bayhealth Hospital, Kent Campus.

Visit Bayhealth.org/Classes to register.

LABOR AND CHILDBIRTH Classes are offered both in-person and online for expectant mothers and their partners. Mothers-to-be are encouraged to register early in their pregnancy.

Visit Bayhealth.org/Classes to register.

This class has a fee.

12

PUMPING MILK AND MORE Expectant mothers will learn the ins and outs of what kind of pump works best, based on personal circumstances and preferences.

Visit Bayhealth.org/Classes to register.

BREASTFEEDING SUPPORT GROUP While breastfeeding is natural, it’s not always easy for new moms.

Our Breastfeeding Support Group offers an encouraging environment.

For more information, visit Bayhealth.org/Breastfeeding-Support.

Weight Loss BARIATRIC INFORMATION SEMINAR Learn more about Bayhealth’s Surgical Weight Loss Program.

Find out about the risks, benefits and outcomes. Meet the surgeons and staff of the bariatric program, ask them questions and see if you meet the criteria for bariatric surgery. These seminars are free of charge and all are welcome.

To register, call the Bayhealth Surgical Weight Loss Office at 302-430-5454.

SURGICAL WEIGHT LOSS SUPPORT GROUP These meetings offer a secure and comfortable forum both for patients who have already had bariatric surgery and for people who are considering weight loss procedures. Participants learn valuable information from guest speakers and open discussion.

The group is free to join.

For more information, call the Bayhealth Surgical Weight Loss Office at 302-430-5454.

Healthy Aging PACE PROGRAM The PACE (Promoting Active Community Engagement) Program, previously the STEPS to Healthy Aging Program, is for anyone in Bayhealth’s service area who is interested in healthier living.

PACE Clinics are held monthly in Dover, Lincoln and Milford and give you an opportunity to receive individualized counseling from a registered nurse (RN) based on your health problems, medications and blood pressure. Quarterly lectures will also be provided.

Visit Bayhealth.org/PACE or call 302-744-7135 for more information.

CPR & First Aid HEARTSAVER CPR/AED/ FIRST AID This course reviews the steps of cardiopulmonary resuscitation (CPR) for adults, children and infants. Participants will learn how to use an automatic external defibrillator (AED). The first aid education covers general principles, medical emergencies, injuries, and environmental emergencies.

Call 302-744-7135 to register.

This course has a fee and requires the purchase of a textbook.

HEARTSAVER CPR/AED This course reviews the steps of cardiopulmonary resuscitation (CPR) for adults, children and infants. Participants will learn how to use an automatic external defibrillator (AED).

Call 302-744-7135 to register.

This course has a fee and requires the purchase of a textbook.

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

2019 SUMMER CLASSES HEARTSAVER FRIENDS AND FAMILY CPR This course is designed for people who want to learn cardiopulmonary resuscitation (CPR) but do not need a CPR course completion card. It is ideal for community groups, new parents, grandparents, babysitters, and others age 14 and over.

Visit Bayhealth.org/Classes to register.

This course has a fee and requires the purchase of a textbook.

HEARTSAVER PEDIATRIC CPR/FIRST AID This course reviews the steps of cardiopulmonary resuscitation (CPR) for children and infants. It also provides information on how to manage a child’s injury during the first few minutes of an emergency until professional help arrives.

Call 302-744-7135 to register.

This course has a fee and requires the purchase of a textbook.

Support Groups BETTER BREATHERS This support group is for people with chronic lung disease and their family members.

Visit Bayhealth.org/Classes for more information.

DIABETES This support group provides a nonjudgmental atmosphere where persons with diabetes can gain disease management insight from one another.

Call 302-744-6307 to learn more.

PROSTATE CANCER This support group brings together prostate cancer survivors and those who are close to them in an open forum so they can share their experiences and learn from one another.

Call 302-744-7990 to learn more.

STROKE This group is for stroke patients and their caregivers. Guest speakers present information on educational topics such as dealing with depression, nutrition and the promotion of overall wellness.

Call 302-744-6638 to learn more.

HEART FAILURE The Heart Failure Support Group provides a forum where patients and their care partners can learn about how to better manage heart failure and maintain overall health.

Call 1-877-453-7107 to learn more.

Screenings MAMMOGRAMS Each month, Bayhealth hosts regular mammogram screenings at multiple locations at no cost to those who are uninsured or underinsured.

Registration is required.

To register, call 302-744-6719.

CLINICAL BREAST EXAMS A clinical breast exam is a physical examination done by a healthcare practitioner trained to notice abnormalities in the breast tissue.

Bayhealth offers free clinical breast exams to the community.

Registration is required.

To register, call 302-744-6719.

HEALTHWAVES SUMMER 2019

2019

AUGUST 2, 2019 11 A.M.–3 P.M. REHOBOTH BEACH COUNTRY CLUB Join us for an afternoon of friends, fashion, fun, and fundraising! The Runway of Hope is a fundraiser supporting the Bayhealth Cancer Survivorship Program, which helps cancer survivors enjoy full and productive lives after treatment.

SPACE IS LIMITED! For more information, call 302-744-7015 or register today at BayhealthFoundation.org

13

Jacked up about his cardiac rehab The road back after two strokes and a cardiac arrest in two weeks Retired from the Dover Police Department, John “Jack” Foley always had good impressions of Bayhealth Emergency physicians and nurses he occasionally interacted with through work.

Suffering a series of dire medical events over the course of two weeks — sudden cardiac arrest followed by two strokes — gave him firsthand exposure to Bayhealth’s lifesaving care and dedication to improving patients’ long-term health.

Almost three years ago, Foley had a near-death experience, as he describes it, when his heart stopped beating en route from the Emergency Department to the Cardiac Catheterization Lab to get a stent put in for a heart blockage. This reconfirmed not only his faith, but also his determination to do all he could to bounce back and avoid a family pattern of dying young from a heart attack.

The prompt care Foley benefited from has been nationally recognized by the American Heart Association and the American Stroke Association.

Bayhealth has earned awards for consecutive years of quality improvement measures for treatment of ST elevation myocardial infarction (STEMI), the deadliest type of heart attack; cardiac arrest resuscitation; and the quality and timeliness of its stroke care. These measures

14

include patient safety protocols, emergency team response and post-resuscitation care.

With more than 50 percent damage to his heart, Foley was initially told he wouldn’t be able to lift more than 25 pounds and would have a difficult road ahead.

For the energetic 69-year-old looking forward to many activities in his new retirement, this was hard news to hear. “I’m used to being active and outside a lot.

I was afraid I wouldn’t be able to do anything,” said Foley.

As soon as he could do so, Foley started Cardiopulmonary Rehabilitation (Rehab). These medically supervised programs, certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), are offered at both Bayhealth campuses to help improve the health and well-being of patients with heart problems.

“The first few weeks were very hard. But my cardiologist had said my heart muscle would continue to atrophy if I didn’t work out, so that kept me motivated.”

Bayhealth’s Cardiac Rehab team provides assessment and individualized programs to help patients better manage their condition, make changes in diet and lifestyle, and follow monitored exercise plans. After program completion, patients are encouraged to continue a

maintenance program with the team or on their own at home.

Foley attends Cardiopulmonary Rehab Maintenance twice weekly and his typical regimen consists of stretching and 40 minutes on the treadmill. As he progresses, Exercise Physiologist Devin Rhodes bumps up his workouts.

“Jack’s journey has been a long process, but his progression in Cardiac Rehab was incredible,” Rhodes said. He’s now walking 3.8 miles per hour at a 3 percent incline, has a lot more energy and can run up and down stairs at home without a problem.

The program also has provided him with a positive emotional support system, said Rhodes.

“Jack has made many friends with the same heart conditions.

He’s a great example of someone who turned a tragic situation into a positive life change.”

A recent follow-up cardiologist visit revealed significant healing on both sides of his heart — a result Foley and his wife consider “miraculous.” They know the care he received and his commitment to a rehabilitation program has dramatically improved his outcome.

“Bayhealth is top-notch,” said Foley. “Having been in the community a long time, it’s always been a good place. It’s changed a lot with the times, and has gotten even better.” ■

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

HAVING BEEN IN THE COMMUNITY A LONG TIME, [BAYHEALTH] HAS ALWAYS BEEN A GOOD PLACE. IT’S CHANGED A LOT WITH THE TIMES, AND HAS GOTTEN EVEN BETTER. JOHN FOLEY

HEALTHWAVES SUMMER 2019

15

Expanded Service

Defying gravity, speeding recovery Bayhealth Outpatient Rehabilitation, Kent Campus now has the AlterG Anti-Gravity Treadmill®, a new piece of equipment that is revolutionizing recovery in injured patients. It uses advanced NASA Differential Air Pressure (DAP) technology to reduce a person’s bodyweight, allowing for improved lower body movement without pain and, ultimately, a quicker return from injury.

The AlterG system is much more than a traditional treadmill.

It provides live video monitoring and recording to enable better understanding of abnormal patterns as patients walk, run or do weight-bearing exercises.

Built-in technology gives real-time data analytics

16

so a patient’s progress can be easily tracked with reporting emailed to a therapist or doctor.

Bayhealth is the first clinic in Kent County and one of only a few in Delaware to have the state-of-the-art equipment.

“Unweighted treadmill therapy is clinically shown to re-educate the muscles and restore range of motion,” said Bayhealth Supervisor of Athletic Trainers Stacy Trice. “Benefits are similar to aquatic therapy but without limitations such as fear of water or discomfort about going in a pool.”

Post-surgical patients or those with sports injuries can start rehabilitation sooner using the AlterG due to the bodyweight reduction that lessens the stress on muscles and damaged ligaments. It also helps stroke patients or those with neurological conditions by improving balance and coordination and addressing problems related to dizziness.

Bayhealth physical therapy team members have been excited to incorporate the AlterG into their patient sessions. “There’s less pain and no concern about falling. For many, it boosts confidence in regaining the ability to walk or run as they used to,” said Trice. “Resources like the AlterG show Bayhealth’s commitment to staying ahead of the curve in enhancing patient care and rehabilitation.” ■

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

BAYHEALTH OUTPATIENT CENTERS Our Outpatient Centers offer several benefits with your convenience in mind, including extended hours and a variety of services. For locations and details for each and to find the one closest to you that meets your specific needs, review the list below.

MIDDLETOWN A

209 E. Main St., Middletown Monday–Friday, 7 a.m. to 5:30 p.m.

302-378-1199

MILFORD G

Services: Lab, EKG, X-ray, Digital Mammography, Ultrasound, and Bone Density Testing

SMYRNA B

Services: Lab, 3T Open MRI, CT, PETCT, X-ray, and Ultrasound H

401 N. Carter Rd., Smyrna Monday–Friday, 7 a.m. to 4:45 p.m.

302-653-2010

Other services available at this location include the Cancer Center and Medical Infusion, Cardiac Rehabilitation, Outpatient Therapies (PT, OT and Speech), and Specialty Physician Clinics

DOVER 200 Banning St., Suite 140, Dover Monday–Friday, 8 a.m. to 4:30 p.m.

302-857-3890 Services: CT, MRI, X-ray, and Ultrasound D

I

640 S. State St., Dover Monday–Friday, 7 a.m. to 6 p.m.

Saturday, 8 a.m. to noon 302-744-7235

540 S. Governors Ave., Suite 101B, Dover Monday–Friday, 8 a.m. to 4:30 p.m.

302-744-7131

Anticoagulation (Coumadin) Clinic: Call 302-398-6252 for details Services: Lab, EKG and X-ray

632 Mulberry St., Milton Monday–Friday, 8 a.m. to 4:30 p.m.

302-684-2010 C

D E

Diagnostic Services for Women Along with the Outpatient Centers listed above, there are two centers designed with women’s needs in mind. Both offer diagnostic testing specifically for women, such as mammography.

F G

E

HARRINGTON 201 Shaw Ave., Harrington Monday–Friday, 6:30 a.m. to 3 p.m.

302-398-0370

B

Services: Lab, EKG and X-ray

Services: CT, 3T MRI, PETCT, and X-ray

F

A

MILTON

Services: Lab, EKG, CT, MRI, X-ray, Ultrasound, Nuclear Medicine, Stereotactic Breast Biopsy, and Neurodiagnostics E

100 Wellness Way, Milford Monday–Friday, 6 a.m. to 6 p.m.

Saturday, 7 a.m. to 11 a.m.

302-430-5707 Diagnostic services: Lab, EKG, EEG, PFT, ABG, CT, Open MRI, X-ray, Mammography, Ultrasound, and Nuclear Medicine

Services: Lab, EKG, CT, Open MRI, X-ray, Digital Mammography, Ultrasound, and Bone Density Testing

C

1020 Mattlind Way, Milford Monday–Friday, 7 a.m. to 4:30 p.m.

302-424-1457

540 S. Governors Ave., Suite 200, Dover Monday–Friday, 8 a.m. to 6:30 p.m.

302-744-7400

H

Services: Digital Mammography, Bone Density Testing, Ultrasound, and X-ray G

I

1020 Mattlind Way, Milford Monday–Friday, 7 a.m. to 3:30 p.m.

302-430-5540 Services: Digital Mammography, Ultrasound, and Bone Density Testing

17

Health & Wellness

Safety in the sun for everyone There’s nothing better than fun in the sun during the summer months in Delaware. The beaches are the perfect place to enjoy time with family and friends. Whether it’s sitting in the sand, strolling on the boardwalk or enjoying the ocean water, there’s so much to do! Primary care doctor Bryan Villar, MD, with Bayhealth Primary Care, Georgetown, offers simple tips to ensure everyone stays safe while enjoying the beach this summer.

SAFE SUN During the hot summer months, remember the sun is strongest during the afternoon hours. “I always tell patients the safest sun is in the morning between sunrise and 10 a.m. and then again after 4 p.m. The time between 10 a.m. and 4 p.m. is when the sun is the strongest,” said Dr. Villar.

At peak hours, Dr. Villar suggests seeking shade whenever possible, by bringing a beach umbrella, for example.

18

SUNSCREEN

PROTECTIVE CLOTHING

During the summer months, sunscreen is a must. Dr. Villar advises patients to use SPF 15 or higher. Reapply every two hours as well as after being in the water and when you find yourself sweating. It’s also critical that parents not forget themselves.

“It’s easy for parents with young kids to be so concerned with the little ones that they forget to protect themselves,” said Dr. Villar. “Not only is it important for parents to have their sunscreen on, but it also sets a good example for the kids.”

In addition to sunscreen, clothing can serve as a layer of protection.

Many bathing suits made for children include long-sleeved tops (like a rash guard) that include SPF in the fabric. Adults should always be wearing a hat and can also buy sun-protective clothing.

“Everyone should be taking these precautions, but those with light hair and pale skin should be especially careful since they are more prone to getting skin cancer,” said Dr. Villar.

Dr. Villar says both lotion and spray sunscreen are effective.

Everyone, no matter their skin tone, should be using sunscreen.

“Even people with darker skin can get skin cancer,” said Dr. Villar. “People with a strong family history of skin cancer may want to consider avoiding the sun whenever possible.”

Sunglasses are not only a trendy accessory, they also serve a purpose — especially for older adults. “If you are taking grandparents to the beach with you this summer, make sure they are wearing their sunglasses,” said Dr. Villar. “Older adults run the risk of cataracts, so eyewear is important. It’s also a good idea to get young kids in the habit of wearing sunglasses at an early age.”

EYE PROTECTION

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

WATER SAFETY

BURN CARE

RELAXATION

Whether it’s swimming in the ocean or pool, Dr. Villar has one simple rule: always keep children within an arm’s length. “Even if the kids are strong swimmers, you can’t be too careful,” said Dr. Villar. “Kids need to be supervised even if they are wearing flotation devices.”

Wearing life jackets on boats is a must for children at all times, per Coast Guard regulations.

Even when you take precautions, the reality is sunburns still happen. If you get a burn, use aloe or lotion to soothe the skin.

Dr. Villar also notes that you shouldn’t peel the skin after the burn, because the skin under the burn is still healing.

In the end, Dr. Villar says he encourages his patients to take vacations and get to places like the beach as often as they can.

“Vacations are a great way to reduce stress, spend time with family and feel more balanced,” said Dr. Villar. “I always want my patients to take every precaution while also having a great time on vacation.” ■

HYDRATION Staying hydrated, especially during the heat of summer, is good for your health. “Always make sure you have plenty of water for a day at the beach,” said Dr. Villar. “It’s also important for anyone who is on medications to be extra careful, since they are more prone to dehydration.”

Signs of dehydration include thirst, dizziness and fatigue.

HEALTHWAVES SUMMER 2019

19

Expanded Service

When your chronic back pain needs an intervention If you suffer from conditions associated with chronic back pain such as spinal stenosis, you’re a likely candidate for Bayhealth’s Interventional Pain Management program. The treatments offered include cervical and lumbar spinal epidural steroid injections, sacroiliac (SI) joint steroid injections and facet joint steroid injections.

management modalities are also used for degenerative changes in the SI and facet joints,” said Bayhealth Radiologist Freeman Hwang, MD. “These minimally invasive, nonsurgical procedures provide patients with one to six months of at least a moderate degree of pain relief. This allows them to participate in physical therapy and to perform everyday functions. Patients can receive follow-up injections, if necessary, but no more than three in six months.”

“Primarily for treating spinal stenosis, these interventional pain

The injections are administered by board-certified, fellowshiptrained radiologists at both Bayhealth hospitals. Dr. Hwang says the injections are given after

the application of a local anesthetic to numb the skin, and with the help of X-ray imaging to guide the radiologist to the appropriate area. They take only 10 to 15 minutes to perform, followed by a short recovery.

“You’re at the hospital for about two hours,” he said.

When Bayhealth’s Interventional Pain Management program began nine years ago, Vijay Viswanathan, MD, was the only radiologist performing the procedures. Now Dr. Hwang, who came on board four years ago, Joseph Livingston, MD, and Juan Ortega, MD, do them as well.

If you’re interested in receiving interventional pain management treatment, you need a referral from a doctor, typically an orthopaedic surgeon or a neurosurgeon. ■

VISIT BAYHEALTH.ORG/IMAGING TO LEARN MORE ABOUT BAYHEALTH’S IMAGING SERVICES.

20

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Health & Wellness

Unpacking stress and the pain that comes with it Because patients feel comfortable confiding in their primary care doctor, that physician is often the first person to hear about stressors, says Rebecca McIlroy, DO. “Probably the most common with my patients is caregiver burnout, the burden of caring for elderly parents — the emotional and physical burden,” she said.

But Dr. McIlroy said patients also talk about relationship issues, financial problems, a spouse’s medical issues, and, of course, job-related stress.

“I use the metaphor of a backpack, and people putting bricks — one at a time — in the backpack. We have to eliminate some of the bricks if they can’t take the backpack off,” Dr. McIlroy said.

“I don’t want acute stress to become chronic stress. We might have to use medication or therapy if they can’t make changes themselves.”

She offers some suggestions: FIND OTHER PEOPLE TO HELP What support system is available and who’s involved? This might require more communication, and even some mediation, among family members.

FIND PERSONAL TIME FOR ENJOYABLE ACTIVITIES “It’s getting back to the basics: Do what you like. Smile every day, and make time for yourself,” advises Dr. McIroy.

PLAN AHEAD AND PRIORITIZE Dr. McIlroy urges patients to avoid stress eating, try to eat a healthy diet and get better sleep.

Dr. McIlroy also follows up with patients within a couple of weeks to see if people have made changes. “Frequent office visits are very helpful in the healing process,” she said. “I ask them to make one small change for each visit. They have to strive.” ■

While some patients are able to identify how stress impacts their lives, Dr. McIlroy looks at physical symptoms — headache, body aches, back ache, and abdominal discomforts — that are frequently associated with stress.

“Osteopathic training looks at the person as a whole, but often I say, ‘What’s going on in your life?’

Some are very self-aware, and will say, ‘I think it’s the stress,’” she said.

Nevertheless, Dr. McIlroy will then prescribe tests to “methodically go through any possible medical diagnoses, before I conclude it’s stressinduced,” she explained.

HEALTHWAVES SUMMER 2019

21

Our Community

Years of donations are in his blood Bayhealth Senior Accountant Kevin Ulrich has been giving blood for decades. It started as an easy way to give back to his community, but it’s grown into so much more.

“I started giving blood when I would go home to Illinois during leave from the military,” said Ulrich, a retired airman who finished his 20 years of service at Dover Air Force Base. “I realized

it was such a good way to give back, and it was so easy. That’s why I never stopped giving.”

While Ulrich began his journey giving whole blood, he was eventually asked about giving platelets. While whole blood can be donated every eight weeks, platelets can be donated more often. Platelets are often in high demand. While some individuals aren’t able to donate platelets, others may struggle with the longer amount of time it takes for the donation. To Ulrich, it’s time well spent. “It didn’t matter to me that it would take longer to donate platelets. To me, it’s a short time commitment for a big reward.”

In his lifetime, Ulrich has made 161 blood and platelet donations. That’s the equivalent of three gallons of donations.

Over time, his reasons for giving have grown more personal.

Ulrich lost his mother to breast cancer when he was just 25 years old and serving in Okinawa, Japan. Knowing that cancer patients are often recipients of platelet donations further instills his drive to give back. Working at the hospital also keeps Ulrich aware of the constant need for blood and platelets. “It has never been a question for me. One day I might need it, or my children or grandchildren. I’m happy and honored to donate, and I hope others feel the same calling.” ■

ONE DAY I MIGHT NEED [BLOOD], OR MY CHILDREN OR GRANDCHILDREN. I’M HAPPY AND HONORED TO DONATE, AND I HOPE OTHERS FEEL THE SAME CALLING. KEVIN ULRICH

IF YOU'D LIKE TO LEARN MORE ABOUT GIVING BLOOD, VISIT WWW.DELMARVABLOOD.ORG OR CALL 1-888-8-BLOOD-8.

22

NEED A DOCTOR? VISIT BAYHEALTH.ORG/FIND-A-DOCTOR OR CALL 1-866-BAY-DOCS (229-3627).

Our Community

A teacher’s lesson in giving back Helen Macklin Holleger spent most of her childhood in Georgetown.

After graduating from the University of Delaware in 1953, she moved to Milford, where she was employed by the Milford School District as an elementary school teacher for many years.

Shortly after launching her career, Helen met her husband, Francis E. “Hump” Holleger, a Korean War veteran. He had just returned home to Milford after serving four years in the Air Force. They married in 1956 and their son Steven, or “Stevie,” as she called him, was born at Milford Memorial Hospital.

Throughout his short life, John Annand, MD, made home visits to check on Stevie. I also taught several of Dr. Annand’s children at Lulu M. Ross Elementary School.”

After the loss of both her son and husband, Helen took great comfort in doing something to benefit others in the community.

Through the Bayhealth Foundation, Helen decided to include the Bayhealth Hospital and Outpatient Center, Sussex Campus in her estate plan.

“I hope to play a part in making it possible for young families to have a new place where babies can be birthed, staff and patient relationships can be developed, and most medical, surgical and rehabilitative needs can be met in a caring environment for many years to come.”

Helen’s gift also enables her to name an Outpatient Rehabilitation treatment bay in her son’s memory and the Dialysis bay in the hospital in her husband’s memory. ■

“I am grateful for Milford Memorial Hospital, where my family’s medical needs were met for many years,” said Helen. She still remembers the personalized care they received from longtime Milford Memorial Hospital physician Lawrence Fitchett, MD. “He and his wife sent a gold diaper pin home as a gift after Stevie was born,” she recalled. In addition, she appreciated the small community feel of the hospital. “Stevie was a special needs child.

HEALTHWAVES SUMMER 2019

23

Nonprofit Org. US Postage

640 South State Street Dover, DE 19901

PAID Wilmington, DE Permit No. 1669

Connect with us on social media!

Make sure to follow us on Facebook and Instagram! On our social accounts you’ll find health and wellness tips, staff spotlights, hospital celebrations, and much more. Our social accounts are a great way to learn about the exciting things happening at Bayhealth.

FOLLOW US ON FACEBOOK: BAYHEALTH MEDICAL CENTER AND ON INSTRAGRAM: @BAYHEALTH