MAKE ONE CHANGE
PUT YOURSELF FIRST Make a pledge to:
3 . . . .Surviving the demands of elder care
• Practice deep breathing exercises for at least 5 minutes. • Join, or create, a book club!
4 . . . .Meet Dr. Christannah Waters, OB/GYN 5 . . . .A clip-out guide to teenage cyberbullying 6–7 . .A team approach to caring for prostate cancer 8 . . . .Small incisions, small recovery time – advanced surgery at Anna Jaques
• Take a few minutes at the beginning and the end of each day to pamper your skin…cleanse, tone, moisturize and protect with sun screen (no matter what the weather!). • Take a class from the local community center… knitting, welding, yoga, spiritual study. • Invite some girlfriends for a slumber party. Why not? It was fun when you were 14, it will be even more fun now! • Sleep well. Make it a priority. • Drink tea from a china tea cup and water from a crystal glass. You’ll be surprised what it can do to lift your spirits!
9 . . . .The beauty of being single at Anna Jaques 10 . . .Trails everywhere to Walk, walk, walk 11 . . .Healing weary winter skin
Source: National Speaking of Women’s Health Foundation®
Anna Jaques Hospital is the proud co-sponsor of the Newburyport Farmer’s market. The market is open Sundays, 9–1 at the Tannery in Newburyport.
MAKE ONE CHANGE Editor: Deborah Chiaravalloti Designer: Rose Russo
Make One Change is published quarterly by Anna Jaques Hospital. The material in Make One Change is for educational and informational purposes only. It is not intended as a substitute for informed medical advice or care. Please consult a doctor with any questions or concerns you might have regarding your condition. To have your name added to, or removed from, the mailing list call 978-463-1175.
Living as a Caretaker of Aging Parents
he inevitable reversal of roles that comes with age and time, being a parent to your own parent(s), may be a natural part of life, but it certainly is not painless. How you deal with the situation depends on many factors including your personality, approach to change and loss, and the nature of your relationship with your parent.
HERE ARE SOME ESSENTIAL STRATEGIES FOR MANAGING YOUR EMOTIONS AND STAYING WELL • Focus on the spirit of your parent, who they are at their core, not their mind and body. The body and mind will wither over time, but the spirit is always there. • Accept that emotions, like the aging process, are a natural part of life. Don’t beat yourself up when negative emotions hit you. It means you’re human. • Change what you can, let go of what you can’t. You can’t change what your aging parent is experiencing. You can provide love and support and bring the best of yourself to the situation. • Don’t take on more than you can handle. Ask for and accept help, from your siblings, spouse, children, relatives, friends, and professionals. • Be patient with yourself. View each emotion and challenge with perspective and be kind to yourself. No one is prepared for this. • Don’t get caught up in old family dynamics. They will always be there! Instead, focus on practical concerns. • Appreciate the small precious moments with your parent(s) whenever they come. A shared laugh can do wonders to appreciate who they are. • Remember, your relationship with your parent may be changing, but it will never be taken away from you. Just like every other transition point in life, you simply need to renegotiate the relationship and allow it to be what it needs to be.
Michele DeMarco Wilkie, Rev, MTS, MSC, PCCT, is an individual and relationship counselor, interfaith minister, social commentator and author. Michele is also a twotime heart attack survivor. www.michelelife.com, email@example.com
Meet Dr. Christannah Waters, OB/GYN Teen Advocate, Fitness Cheerleader for Expecting Moms Educating teenage girls and guiding them toward a healthy lifestyle requires insight, experience, and patience. It also requires a strong commitment to the work. Enter Christannah Waters, MD, the newest member of the team at Women’s Health Care in Newburyport. Dr. Waters has a special interest in working with young girls and adolescents. She graduated from Tufts University with a degree in Child Development and worked closely with young teens throughout her college career. “Many adolescents feel too embarrassed to talk to their
“I enjoy working with teenage girls and empowering them to make good choices about their bodies and their health.” – Dr. Christannah Waters
pediatrician about their changing bodies and reproductive health, and they may be hesitant to make their first appointment with a gynecologist. My goal is to make teens feel welcome in my office,” said Dr. Waters. “I want them to know that their visit with me will be comfortable and confidential. We talk about a lot of things including puberty, safe sex, birth control, and making healthy choices. An appointment doesn’t necessarily have to be about an exam.” Helping pregnant moms stay physically fit while pregnant. Dr. Waters works with pregnant women to help them stay active and eat right during their pregnancy. “Getting at least 30 minutes of moderate physical activity at least 5 days per week while pregnant is a good thing,” said Dr. Waters. “Exercise and a healthy, balanced diet will help regulate weight gain,” said Dr. Waters. “It will also strengthen the pelvic floor in preparation for childbirth, and speed your recovery after birth.” Dr. Waters is accepting new patients and we invite you to call to schedule an appointment with her at Women’s Health Care, 978-556-0100. The Women’s Health Care practice offers seven physicians and five midwives. The OB/GYN physicians are Dr. Rebecca Boyer, Dr. Mary Chang, Dr. Jane Kerr, Dr. Steven Mollov, and Dr. Christannah Waters. The GYN specialists are Dr. Mary Baker-Berzansky and Dr. Susan Newhouse. The team of five midwives includes Sara Golden, RN, CNM, Susan Martinson-Zuercher, RN, MSN, CNM, Lisa Walsh, CNM, FNP, Jessica Satrape, CNM, MSN, and Jodie Kaufman, CNM, RN, MSN, CCBE. Dr. Christannah Waters Medical School: Loyola University, Chicago, IL, Stritch School of Medicine Residency, Obstetrics & Gynecology: University of Chicago University Health Center of Pittsburgh Program, Magee-Women’s Hospital Board Eligible
OTHER OB/GYNS AT ANNA JAQUES:
Joe Heyman, MD is an OB/GYN in private practice at Caring
Medical School: State University of New York, Downstate Medical Center
For Women, 24 Morrill Place, in Amesbury, MA. To learn
Internship: U.S. Public Health Service Hospital, NY
more about his practice log onto www.heyman.yourmd.com.
Residency: Sinai Hospital of Baltimore
To schedule an appointment with Dr. Heyman please call
Board Certification: American Board of Obstetrics & Gynecology
BULLYING– IT’S THE WILD WEST FOR STUDENTS TODAY Bullying is no longer restricted to the corner of the schoolyard. Today it is more insiduous because it can be anonymous. Today’s squabble can become tomorrow’s brawl because overnight it simmered on cell phone text messages, Facebook pages, Twitter tweets, webcams and blogs. Many teens today, especially girls*, have become “cyberbullies” (bullies using electronic communication) because they feel protected by the Internet or their cell phone. Cyberbullying happens most often through: • Social networking sites such as Facebook and Twitter • Blogs and Chat rooms • Instant messages (IMs), E-mail, text messaging • Cell phone photo messages • Virtual worlds *Source: Adapted from Educator’s Guide to Cyberbullying and Cyberthreats, Nancy Willard, M.S., J.D., www.girlshealth.gov/bullying For more information on bullying and how to stop it: www.girlshealth.gov/bullying, www.MARCcenter.org
A PARENT’S GUIDE TO THE TYPES OF CYBERBULLYING Flaming. Online fights using angry and vulgar language. Example: Joe and Alec’s online exchange ended with Joe warning Alec to watch his back in school the next day.
Harassment. Repeatedly sending nasty, mean, and insulting messages. Example: Sara reported to the principal that Kayla was bullying another student. When Sara got home, she had angry messages in her email box - anonymous, cruel messages.
Denigration. “Dissing” Sending or posting gossip or rumors about a person to damage his or her reputation or friendships. Example: Some boys created a “We Hate Joe” Web site where they posted jokes, cartoons, and rumors, all denigrating Joe. Impersonation. Pretending to be someone else online to get that person in trouble, in danger, or to damage their reputation and friendships. Example: Laura watched closely as Emma logged on to her account and discovered Emma’s password. Later, Laura logged on to Emma’s account and, pretending to be Emma, sent hurtful messages to Emma’s friends and boyfriend. Outing. Sharing someone’s secrets or embarrassing information or images online. Example: Greg, an obese high school student, was changing in the locker room after gym class. Matt took a picture of him with his cell phone and within seconds, the picture was sent to phones around the school. Cyberstalking. Repeated, intense harassment and denigration including threats and significant fear. Example: When Annie broke up with Sam, he sent her many threatening messages. He posted a sexually suggestive picture she had given him with her email address and cell phone number attached. Source: Adapted from Educator’s Guide to Cyberbullying and Cyberthreats, Nancy Willard, M.S., J.D., www.girlshealth.gov/bullying For more information on bullying and how to stop it: www.girlshealth.gov/bullying, www.MARCcenter.org
Prostate Cancer Care is a Team Effort
lthough the early detection of cancer and advance-
This team of specialists works together to develop a
ments in treatment have greatly improved outcomes
customized treatment plan for each patient. Depending on
and saved millions of lives, receiving a cancer diagnosis
the patientâ€™s age, health and stage of the disease, the
today is no less traumatic and life changing.
treatment plan may include; surgery, radiation therapy,
The American Cancer Society states that prostate cancer
brachytherapy, hormone therapy, chemotherapy, or a
is the second leading cause of cancer deaths in American
combination of these treatments. Recognizing how
men, behind lung cancer. One in every six men will be
important it is that each patient has a voice in their care
diagnosed with prostate cancer during his lifetime. One in
and that they feel well informed, the team reviews the
every 36 men will die of the disease. The good news is that
various treatment options with the patient and their
more than 2 million men in the United Sates who have
family. Once a treatment decision has been made,
been diagnosed with prostate cancer are still alive today.
communication among the team and with the patient
Men that are diagnosed with prostate cancer have many
continues throughout the course of their treatment.
treatment options to consider. In Newburyport, at the
Patients in Newburyport can now receive the same
Commonwealth Newburyport Cancer Center, a multi-
level of expert care offered by Boston area hospitals
disciplinary team works to treat men who have been
without the added stress and inconvenience of traveling.
diagnosed with prostate cancer. The Prostate Cancer Team
For more information please call:
is comprised of urologists from Urology Consultants of the
â€˘ Commonwealth Hematology-Oncology:
North Shore and Radiation and Medical Oncologists from
Radiation: (978) 997-1351
Commonwealth Hematology-Oncology. Together, this team
has over 80 years of combined prostate treatment experi-
Medical Oncology: (978) 465-0298, www.ajh.org
ence and they offer patients access to a full spectrum of services including the most advanced technology available
â€˘ Urology Consultants of the North Shore: (978) 997-1400, www.urologyconsultantsnorthshore.com
to fight cancer.
The map above illustrates the care pathway for patients diagnosed with prostate cancer.
Members of the Prostate Cancer Team Grenville Jones, MD Radiation Oncologist Commonwealth Hematology-Oncology Board Certification: American Board of Radiology
Paul Freedberg, MD Urologist, Urology Consultants of the North Shore Board Certification: American Board of Urology
Mark LaSpina, DO Urologist, Urology Consultants of the North Shore
Paul Spieler, MD Medical Oncologist, Commonwealth Hematology-Oncology Board Certification: American Board of Internal Medicine American Board of Internal Medicine: Sub-specialty, Board on Medical Hematology American Board of Internal Medicine: Sub-specialty, Board on Oncology Catherine Iasiello, MD Medical Oncologist, Commonwealth Hematology-Oncology Board Certification: American Board of Internal Medicine
Pedro Sanz-Altamira, MD, PhD Medical Oncologist, Commonwealth Hematology-Oncology Board Certification: American Board of Internal Medicine American Board of Oncology and Hemotology
Other physicians at the Urology Consultants of the
Anthony M. Filoso, MD, FACS
Philip Wong, MD
Board Certification: American
Board Certification: American
Board of Urology
Board of Urology
North Shore. 7
What is Thoracic Surgery and Why is it Important? Lung cancer takes the lives of more men and women every year than breast, prostate and colon cancers combined. If lung cancer is caught early there are a number of treatment options, and the chances of long-term survival increase dramatically. Studies show that lung cancer outcomes are better when treated by surgeons who specialize in thoracic surgery. Thoracic surgery addresses disease or tumors (whether benign or malignant) in the lung, esophagus, and the chest. It is an important part of a patientâ€™s care as part of a lung evaluation program, whether for lung cancer or metastatic disease*. In recent years great advancements have been made in thoracic surgery. P.K. Poddar, MD, and Shalini Reddy, MD opened the Minimally Invasive Thoracic Surgery (MITS) satellite clinic at Anna Jaques. Whenever appropriate for the patient, these surgeons conduct minimally invasive thoracic surgery because it means smaller incisions, reduced operative pain and less recovery time for the patient. Minimally invasive thoracic surgery is a highly developed specialty that uses special instruments to minimize trauma to the patient. These small surgical incisions require the use of tiny surgical instruments â€“ a lighted tube and video camera (a thorascope) during the procedure. The camera transmits images of the operative area back to a computer monitor, guiding the surgeons as they manipulate the instruments. Video-assisted equipment means a higher accuracy rate for Dr. P.K. Poddar Chief of Thoracic Surgery, Union Hospital, Lynn, MA General surgical training, Mt. Sinai Medical Center, NY Thoracic surgical training, Texas Health Institute, University of Cincinnati Medical Center. Board-certified in General and Thoracic Surgery Dr. Shalini Reddy Director of Minimally Invasive Thoracic Surgery, Anna Jaques Hospital General surgical training, Montefiore Hospital, Beth Israel Medical Center, NY Thoracic surgical training, SUNY Upstate Medical Center, Syracuse, NY Fellowship, minimally invasive thoracic surgery, Roswell Park Cancer Institute, Buffalo, NY Board-certified in General and Thoracic Surgery 8
most procedures. The surgeon has better visualization and magnification of internal organs, resulting in a more accurate and definitive procedure for the patient. Minimally invasive surgery also means that most patients can leave the hospital three to four days after surgery. Previously, patients had to stay in the hospital for one week or more. Now, Boston level surgical care is available in Newburyport. If you need thoracic surgery call MITS Associates to make an appointment and discuss whether you are a candidate for minimally invasive thoracic surgery. 781-932-MITS (6487). www.mitsassociates.com MITS Associates 800 W. Cumming Park, Suite 4700 Woburn, MA 01801 firstname.lastname@example.org * Metastatic disease is the spread of a disease from one organ or part to another non-adjacent organ or part.
The Beauty of Being Single at Anna Jaques
irst there were “hospital wards” with four, six, eight, even 12 patient beds in one room. Then there were doubles, with two beds to a room. Now, the gold standard in hospitals is single patient rooms. Why? Because it improves the patient’s experience when hospitalized and makes it easier to rest and
recover from surgery or an illness. When you don’t have a roommate who may be sicker, noisier, or with more visitors, you have a quieter, more private, inpatient experience. The single room design also helps reduce infections and, for new hospital construction, is now the federal standard. That is why Anna Jaques Hospital is building a new inpatient unit with 18 single occupancy rooms. The construction of the new Institution for Savings inpatient unit will more than double the percentage of private medical surgical beds at the hospital to almost 90% of the beds. Each single patient room will have a private bathroom and shower, and space for a family member or friend to stay overnight. “These rooms are based on best practices that have been shown to improve patient satisfaction in other hospitals,” said Richard Maki, Vice President of Nursing, Chief Nursing Officer. “Single rooms improve patient privacy and confidentiality because there isn’t a roommate to overhear private information. Single rooms also improve infection control. When there is only one patient in a room, there are fewer people going in and out of the room, patients aren’t sharing a bathroom, and patients aren’t exposed to one another.” Each room is designed to create a family zone and a health care zone. This improves the nurse’s ability to care for the patient, and the family’s ability to stay close to the patient. Each room will have a flat screen TV that can be used for patient education, as well as entertainment. Small improvements will also make a big difference. For example, night lights in each new room will allow the nurse to complete documentation and deliver medications during the night without fully waking the patient. The Institution for Savings inpatient unit is expected to be complete and ready for occupancy by the end of 2011. 9
Walk, Walk, Walk Walking is free. Walking is a great exercise. In New England, walking is beautiful. So, why not walk? It’s one of the simplest ways to improve your health. According to the American Heart Association, just 30 minutes of walking a day can go a long way toward improving your health.
Reduces the risk of coronary heart disease
Improves blood pressure and blood sugar levels
Helps to maintain body weight and lower the risk of obesity
Enhances mental well being
Reduces the risk of osteoporosis, breast and colon cancer
Reduces the risk of non-insulin dependent
There are many beautiful walking trails in Northeastern
(type 2) diabetes
Massachusetts. Visit the following websites for ideas It’s easy to build your own walking program, but
on where you may want to walk this summer and fall.
start gradually. Experts recommend the following:
Week 1: Walk 20 minutes three times during the first week.
Weeks 2–4: Walk 30 minutes three times each week.
www.trails.com/activity.aspx?area=13459 www.americantrails.org/resources/statetrails/MAstate.html www.mass.gov/dcr/recreate/walking.htm
As you feel more energetic and fit, add an extra session or two to your weekly
Work up to five sessions a week, for 30 to
45 minutes each time, especially if you’re
trying to lose weight. And, remember to walk at a good pace!
Summer is here! Sun, heat, and high humidity can affect your skin and may result in a lusterless complexion. Anne Connolly, LME, director of esthetic services with RiverSong Plastic Surgery and Timeless Faces in Newburyport has some advice on how to return the glow to your skin.
• Clean with the right stuff. Use a cream cleanser for your face and a mild soap for your body.
• Take tepid baths and showers. Hot water can worsen dry flaky skin. Limit bathing to 10 minutes.
• Moisturize, moisturize, moisturize. It’s best to apply a moisturizer within three minutes after getting out of the shower because it’s easier for the moisturizer to be absorbed by your damp skin.
• Wear sunscreen daily. “Many people don’t realize how much sun exposure they get during the day, so they don’t apply sun protection,” says Connolly. “Use a broad spectrum sunscreen with SPF 15 or greater.” If you’re still not happy with your skin, consider consulting with an aesthetician who can recommend a course of treatments to help restore your skin’s healthy appearance. Options available include peels, laser therapy, and quality skin care products.
Teenage Skin Needs Special Care Take care when choosing cosmetics: Foundation, blush, and moisturizer should be oil-free. Choose products that do not cause blocked pores. Don’t pick your face: If you pick, squeeze, or pinch blemishes, you risk developing acne scars. Be gentle with cleaning: Hard scrubbing will make your skin condition worse. Avoid rough scrubs or pads. Gently wash your skin with a mild cleanser in the morning, at bedtime, and after heavy exercise and rinse it thoroughly. Use sunscreen (SPF 30 or more) regularly: The sun can damage the skin and promote premature aging! Remember that some acne medications can make you more prone to sunburns. Source: WebMD 11
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The Anna Jaques program, “Just Right Kids”, was created and written by the AJH Public Relations and Marketing department to teach portion control to pre-school children. Newburyport nursery schools have launched the week long curriculum with a total of 350 pre-school children. The program was developed with a generous grant from the Charles and Marianne Small Foundation that supports education in Newburyport Schools. It was recognized by the American Academy of Pediatrics when it published an article about “Just Right Kids” in their national e-newsletter, “AAP SmartBrief.” Thank You From Bright Horizons Day Care Center, Newburyport: “The teachers were very happy with all of the materials, the children especially enjoyed the pretend cutting of the fruits and veggies. It was a great school to home connection. The children have been talking about the importance of eating all the colors of food ever since! Parents were also quite impressed with the program. All in all it was great! Thank you for introducing it to us.” Thank you From a Parent: “The impact that the program had on our daughter was positively incredible! She learned and retained everything. Still weeks later she, at every meal, informs us how healthy or ‘not’ healthy each and every item on her plate is. It started the entire family on a health kick!” The nursery school students at Knoll Edge Nursery School in Newburyport created a rainbow out of fresh fruit and vegetable stamps, and delivered it to the hospital as a special thank you for the “Just Right Kids” program. Original size of art is 9 feet X 5 feet.
Preschool children from Knoll Edge of Newburyport
Students at Mrs. Murray’s Nursery School learn about fruits and vegetables.
Magazine created for Anna Jaques Hospital