Profiles in Medicine 5/10/23 edition is published quarterly by Anton Media Group.

The heart of health care beats within every nurse.

Catholic Health gratefully acknowledges the more than 4,000 members of our Long Island nursing staff who bring outstanding care to our patients every day. Throughout our many inpatient and outpatient facilities, your dedication to excellence makes our driving mission real —to give the very best care to every patient, in every encounter, every time.

Our most heartfelt appreciation— during Nurses Week and every week.

chsli.org

What Is National Nurses Week?

BY JOLEEN SAMS specialsections@antonmediagroup.com

Every year from May 6 to 12, nurses are recognized for their service and dedication to caring for others and improving the health of patients nationwide through National Nurses Week. Throughout the week, healthcare organizations celebrate their teams, and you’ll even see nurses featured on the news. People across the nation thank the nurses that have made a difference in their lives.

Nurses Week celebrates the effort, dedication, and sacrifice nurses make every day. Nurses are essential members of America’s healthcare workforce who provide care through every stage of life, working with patients at their most intimate and vulnerable moments. Nurses Week offers a chance to highlight and celebrate nurses for all we do.

History of National Nurses Week

Several individuals, organizations, and political leaders contributed to the efforts that have evolved into Nurses Week as it is celebrated today. The American Nurses Association (ANA) has compiled several facts about the history of Nurses Week:

1953: The first effort to establish a recognition day for nurses was when Dorothy Parker of the U.S. Department of Health, Education, and Welfare sent a proclamation to then-President Eisenhower. He never signed the proclamation.

1954: A National Nurse Week was observed October 11-16 in recognition of the 100th anniversary of Florence Nightingale’s work during the Crimean war.

From the 1950s to 1970s, several bills were introduced to Congress, but none made it through the legislative process.

1974: The International Council of Nurses declared May 12 International Nurses Day. In the US, President Nixon signed a proclamation recognizing National Nurse Week.

1982: The ANA declared May 6 as National Nurses Day, which Ronald Reagan signed as an official proclamation

1990: The ANA extended the celebration to “Nurses Week,” and the dates May 6-12 became permanent as of 1994.

Within Nurses Week, National Student Nurse day is May 8, and National School Nurse Day is celebrated on the Wednesday that falls during Nurses Week.

Why Nurses Week is Celebrated

The ANA and other nursing organizations promote Nurses Week as a time to thank and recognize nurses across the country for the dedication to the profession and patients we serve. Healthcare organizations throw celebrations, and the public is encouraged to “thank a nurse” that’s made a difference in their lives.

Nurses Week is our time to shine. Let’s lift each other up and recognize the good in what we do every day. It’s easy to dwell

on everything that needs to be changed, but for one week, I challenge you to look for the good. Recognize your nurse besties, mentors, and the nurses who make a difference in your day.

How Nurses Week is Celebrated

Every healthcare organization celebrates its nurses a bit differently. Many hold events throughout the week to recognize their nurses, and meals or gifts for the entire nursing team are common.

Managers and administration plan and prepare for months to make the week special.

In the community, you’ll see news reports highlighting extraordinary nurses who go above and beyond for their communities and patients. In addition, many local businesses also create special offers for nurses - watch your local news and social media outlets to see what might be available near you.

Several major sports teams offer “Nurses Night Out” events. It’s a great time to grab your favorite group of nurses and enjoy an evening of fun and relaxation. Some teams, like the Red Sox, have a nurse throw the first pitch.

Nursing has always been a profession that needs more than just your time and knowledge. Nursing requires heart, passion, and dedication to serving others. Nurses Week allows the public to acknowledge and thank nurses for the work you choose every day. It’s a chance for us to pause and thank the nurses who have made a difference in our careers.

—Joleen Sams is a family nurse practicioner and writes for Nurse.org

Molloy Earns Clinical Healthcare Simulation Facilities Endorsement

Molloy University’s School of Nursing and Health Sciences has received the prestigious Healthcare Simulation Standards Endorsement Designation from the International Nursing Association for Clinical Simulation and Learning (INACSL) for its state-of-the-art healthcare simulation facilities that are the training ground for the nursing and healthcare professionals of the future. The endorsement recognizes healthcare institutions and practices that have demonstrated excellence in applying simulation standards.

“We are the first nursing school on Long Island to receive this recognition, and one of only twenty-five institutions worldwide,” said Lori Persico, PhD, CHSE, RN, director of simulation education and assistant professor at Molloy University.

“This is a direct result of the collaboration between our highly trained Clinical Learning Center (CLC) facilitation team, faculty, and our simulation technology specialists, who serve more than 1,000

nursing students each semester. Our CLC simulation programs exemplify excellence in applying Healthcare Simulation Standards for Best PracticesTM in the core four categories: professional integrity, facilitation, prebriefing: preparation and briefing, and debriefing.”

The Molloy University simulation program provides high-tech, interactive

opportunities allowing the student to bridge theory to practice in a safe learning environment. A team of dedicated CLC nursing instructors facilitate the simulation learning session for students. CLC sim facilitators, simulation specialists, and faculty work collaboratively with students, individually or in group settings, to master the clinical skills essential for competent and safe nursing practice at two sites: the main campus in the Barbara H. Hagan Center for Nursing, Rockville Centre and at Route 110 in Suffolk County. Each nursing instructor has worked in various capacities within the clinical setting and brings a wealth of professional expertise to share with students. Simulation facilitators guide students through replicated clinical scenarios using state-of-the-art technology that promotes safe nursing practice by stimulating critical thinking, reasoning, and judgment.

—Barbara H. Hagan School of Nursing and Health Sciences/Molloy College

Molloy was one of 25 schools worldwide and the only one on Long Island to earn the recognition.

ASK AN HSS DOCTOR

Sponsored by Hospital for Special Surgery

QI have knee arthritis causing ongoing pain. An MRI also showed a torn meniscus cartilage. A doctor is recommending arthroscopic surgery, but I’ve read that doesn’t help with arthritis. Could you provide some advice?

AThree words: Don’t Do It. Studies show, and we know from our own experience, that arthroscopic surgery does nothing to relieve arthritis pain. Not only is this surgery useless; it often makes arthritis worse by causing more inflammation in the joint.

I typically see one or two patients a week after another orthopedic surgeon performed arthroscopic surgery a few months earlier. Patients are very unhappy because they are in worse pain than before they had the procedure. Many were told minimally invasive arthroscopic surgery would buy them time before needing a knee replacement, and they are disappointed

Patients hoping to put off joint replacement may have heard that it’s a painful surgery with a long recovery. However, major advances in technology, surgical technique and pain control have benefited patients. Robotic-assistance and computer navigation have enabled a very accurate surgery using smaller incisions. A long-lasting anesthetic nerve block applied during surgery and an improved pain management protocol after the procedure result in less discomfort. Many times, motivated patients in good general health can go home the same day.

The first line of treatment for people with arthritis should be nonsurgical. This often includes physical therapy, pain medication such as anti-inflammatories, activity modification and possibly a steroid injection.

When conservative treatments fail to provide relief, joint replacement surgery is the only tried-and-true remedy for ongoing, painful arthritis. If the damage is limited to just one area of the knee, we can do a partial joint replacement, which generally leads to a quicker recovery. It’s important to get the proper diagnosis and the right treatment sooner, rather than later.

You may be wondering when arthroscopic knee surgery would be appropriate. It may be recommended if a patient has “mechanical symptoms” that are causing pain and making it difficult to walk. There could be a large cartilage tear or a loose body in the knee – a small fragment of cartilage or bone - that’s getting caught in the joint and preventing normal movement. In these cases, minimally invasive arthroscopic surgery may be indicated to repair the tear or remove a loose body. But it is not recommended for someone with ongoing symptoms from arthritis.

Bottom Line: A second opinion is always a good idea when elective surgery is recommended. For patients with ongoing, painful knee arthritis, arthroscopic surgery usually does more harm than good.

HAVE A QUESTION FOR AN HSS DOCTOR?

Cash Prizes Inspire Gamified Wellness

HealthyWage Jackpot & Step Challenges proffer healthful weight loss motivation in a way that entertains, challenges and financially rewards good choices through game play. Having paid out over $52 million cash for a collective 10 million pounds lost, HealthyWage participation—and prize pots—surge as behavioral economics studies continue to substantiate gamification efficacy for weight loss-driven wellness.

Wellness gamification pioneer HealthyWage—the world’s leading purveyor of money-driven diet contests and challenges for individuals, teams and corporate wellness groups that has paid more than $52 million cash rewards for more than 10 million collective pounds lost—recently announced that it’s current round of weight loss “Jackpot” and “Step” challenges boasts a collective cash pot prize opportunity of nearly $95,000. The proof is in the performance in the form of quantifiable and undeniable metrics that behavioral economics-based gamification works to promote healthful weight loss. Exemplifying the power and efficacy of HealthyWage’s approach are many success stories (both female and male).

With reports indicating that four in ten American adults (about 41.9 percent) are currently obese, and with nearly 20 percent more states today suffering obesity rates above 35 percent versus the year prior, there are compounding concerns as the condition escalates nationwide. Not the least of which is untold millions of Americans needlessly putting themselves at higher risk of—or exacerbating—serious medical conditions per CDC warnings. A Harvard School of Public Health report underscores an ominous trajectory if obesity is not aptly addressed by the end of this decade, revealing that, “If U.S. trends continue unabated, by 2030, estimates predict that roughly half of all men and women will be obese.” Other dire study-driven forecasts through 2030 estimate a staggering “33 percent increase in obesity prevalence and a 130 percent increase in severe obesity prevalence over the next two decades,” also noting that this reality would further hinder healthcare containment cost efforts.

Understanding the need for serious health-focused intervention to get America’s collective weight-driven wellness trending in the right direction, category pioneer HealthyWage continues to tackle the U.S. obesity epidemic head on by using the psychological benefits of game mechanics to motivate weight loss. This as the company is helping more people than ever lose weight and get healthy through its gamification platform

Cash inspires weight loss challenge-driven wellness.

founded on study-driven behavioral science and economics principles validated by many esteemed medical research institutions.

“Studies continue to show that monetary incentives serve to enhance the effectiveness of, and duly complement, weight-loss programs of any and all sorts, especially when paid out quickly like our various programs,” said HealthyWage co-founder David Roddenberry. “Loss aversion is a powerful dynamic and the reality of having ‘skin in the game’ can propel the results of a gamified weight loss initiative. Indeed, a key element for the success of a gamification program is giving participants something to lose if they fail to meet their goal—whether tangible or intangible.”

Whether one is dieting in a personal or professional environment, an array of studies reiterate the importance of the “stick” in the design of a wellness incentive program. “There are many studies demonstrated that the threat of losing something of value is much more effective than the opportunity to win something of equal value,” Roddenberry continued “That’s precisely why we advocate that program participants ‘pay to play’ and make an investment out of their own pocket in order to win rewards—in our case large cash prizes— for losing weight and getting more active in the program. The average HealthyWager participant more than doubles their investment if they are successful at achieving their goal. The financial upside potential is impressive.”

So effective is the company’s diet gamification method, famous personalities have joined HealthyWage in the fight to get America fit. For one, the company partners with global health and fitness expert Jillian Michaels to provide free six-month access to The Fitness App by Jillian Michaels for participants taking a HealthyWager challenge. Beyond the cash prize potential, this partnership additionally provides participants with custom workouts and meal plans—everything they need to succeed—along with other wellness resources like recipes and that related to meditation, mindfulness and sleep.

—HealthyWage

Answer from Michael Alexiades, MD, an orthopedic surgeon specializing in knee and hip surgery and joint replacement at Hospital for Special Surgery (HSS) in New York City and at HSS Long Island.

Abnormal Liver Problems Can Originate In Gallbladder Medical Students Celebrate Match Day

Not all liver test abnormalities originate in the liver. Sometimes it is the gallbladder. As many as 50 percent of people with a “gallbladder attack” or medically termed acute inflammation of the gallbladder will have abnormal liver tests. Many patients become jaundiced from gallbladder or bile duct disease. Gallbladder disease is common, especially among an overweight population. A good diet with maintenance of a healthy weight may help reduce the likelihood of developing gallstones.

Most people with acute gallbladder inflammation complain of pain in the right upper abdomen. Coincidentally, this also happens to be the area where the liver is located. It is for this reason that your doctor may ask you to undergo a sonogram of the liver, gallbladder, and bile ducts if you have abdominal pain and abnormal liver tests. This test is looking for changes in the gallbladder consistent with inflammation, gallstones, bile duct obstruction or structural liver abnormalities.

THE SPECIALIST

David Bernstein, MD

A thickened gallbladder wall, fluid around the gallbladder or pain on performing the ultrasound are all commonly seen in a “gallbladder attack”. Stones seen within the gallbladder do not necessarily mean that the gallbladder is sick or that the stones are a problem. Gallstones are very common and large stones seldom cause problems.

The treatment for an inflamed gallbladder is surgical removal

of the gallbladder. There is no medicine for this. Patients whose gallbladders are removed are generally out of the hospital within 48 hours and the recovery time is significantly less than older, open gallbladder surgery. Despite the commonality of this type of surgery, it is still a surgical procedure with potential significant risks for both long and shortterm complications. You should ask your surgeon to answer any questions prior to the surgery.

The gallbladder is not an essential organ and most people who have had their gallbladder removed feel fine without any changes to their usual activities. Rarely, people can develop diarrhea following surgery and sometimes years later, a new stone forms in the biliary tract that can be endoscopically removed. Following gallbladder removal, the liver tests should return to normal. If they do not, further evaluation of the liver should be performed.

—David Bernstein, MD, MACG, FAASLD, AGAF, FACP

Graduating students at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell learned where they would spend the next phase of their medical training during the school’s Match Day ceremony on March 17. Clutching small white envelopes containing their “match,” the 91 graduating students that make up the Class of 2023 eagerly awaited the stroke of noon, the time all medical students nationwide open a personalized letter from the National Resident Matching Program (NRMP) revealing their residency results. This rite of passage is the culmination of years of preparation, hard work, and determination.

Anise Diaz is the only student who successfully matched into the competitive otolaryngology specialty at Boston University Medical Center.

“I’m so grateful for all the support and for all the mentors that I had here at the School of

Medicine,” shared Diaz. “I’m super ecstatic that I made it and I’m ready for the future.”

Eric Lee and Erika Rivera were one of three couples at the Zucker School of Medicine who went into the match process together via “Couples Match”.

“It was a little scary applying to the match as a couple. There’s already so much uncertainty with a match and having to apply as a couple further adds to that uncertainty,” said Lee, who expressed both nervousness and excitement for his and Rivera’s future. “It was really helpful to have someone by your side to ground each other during the stressful parts of this entire process,” explained Rivera. Lee and Rivera successfully matched and will begin their residencies in anesthesiology at Brigham and Women’s Hospital and Yale New Haven Hospital.

—Donald and Barbara Zucker School of Medicine at Hofstra/Northwell

Anise Diaz

Eric Lee and Erika Rivera

Increase Productivity And Manage Mental Health

Productivity and mental health are closely linked. With depression, anxiety and burnout being the most common manifestations of poor mental health, the experts at Joy Organics have compiled a list of five tips to help manage your mental health and increase productivity both in and out of the workplace.

Take a break

It’s important to step away from your work every few hours otherwise your brain will freeze up and feelings of burnout or anxiety will start to become stronger. Only eleven out of fifty states mandate some type of rest break for workers. If your employer allows a break, you should make sure it is uninterrupted.

Having a break allows your brain to reset itself from any stressful situations. Research from the Association of Psychological Science suggests that a ten-minute break for every hour you work is a good balance to maintain

productivity.

Set Small Objectives

Looking at your work as a huge single object is daunting. Those feelings of dread can feed into depression and anxiety so splitting up your work into manageable chunks will make things easier. A simple way to do this is by using Stephen Covey’s four quadrants of time management approach. This method uses four categories:

• Urgent and important—unforeseen events and urgent matters

• Not urgent but important— smaller tasks that won’t affect your deadlines

• Urgent but not important— meetings and phone calls

• Not urgent and not important— checking social media Compartmentalizing can also help with ADHD as your brain can tick off small steps as you go.

Communicate

Having another perspective is useful for lowering your stress levels. Talking to your team or

a manager not only gives you a break from staring at a screen, but it means that you can solve problems faster.

Instead of struggling with a project alone, ask for a quick meeting or an informal chat to have another set of eyes on it. Don’t take on too much

Hustle culture has become common in workplaces over the past few years, where everyone is trying

to take on everything their managers give them. This can be a huge contributor to stress and depression as the work keeps coming in.

You have a finite number of hours at work, so don’t take on a week’s worth hoping to get it done in a day. Set boundaries and know when to focus on the work you already have.

Get a good night’s sleep

When you’re tired and low on

energy it becomes harder to concentrate. Getting at least eight hours of sleep each night will allow your brain to rest and you will be better equipped to deal with whatever the workplace throws at you.

Before going to bed, you should do something relaxing and not stare at a phone screen or catch up on work. This helps to signal that it’s time to sleep.

According to a study by stress. org, more than 50 percent of workers are not as productive at work due to stress, and 39 percent claim workload is the main cause. Workplace stress can affect anyone, but research has shown that women must contend with their hormones on top of everyday stresses. In fact, 57 percent of women reported feeling burnout because of work stress, compared to 48 percent of men.

It’s important that companies work towards more inclusive workplaces that have a healthy work-life balance and manage employee stress by being transparent.

—Joy Organics

Compartmentalizing your daily tasks into urgency and importance levels will help manage your time and stress.

Chih-Shan Jason Chen, MD, PhD, FAAD Mohs Surgeon & Director of Dermatologic Surgery MSK

He Survived The ‘Widowmaker’

New oxygen treatment aids heart attack recovery

BY FRANK RIZZO editors@antonmediagroup.com

A widowmaker heart attack happens when you have a blockage in the biggest artery in your heart. That means blood can’t move through your left anterior descending (LAD) artery, which provides 50 percent of your heart muscle’s blood supply. Immediate treatment is crucial for a chance at survival.

—The Cleveland Clinic

Kevin Kapela of New Hyde Park has a favorite saying regarding our final passage.

“When they call your number, you go,” daughter Nicole, of Garden City, quoted her father. “So when I got up to the [hospital] room that night he said, ‘My number wasn’t called.’ ”

“Have you ever heard that word before, widowmaker?” she was asked.

“I did, but I didn’t hear good things,” she replied. “I never heard of a happy story on the other side.”

Thanks to some luck and skilled intervention at North Shore University Hospital in Manhasset, Kapela, 64, had a happy ending.

March 21 was the day his number could have been called. What medical professionals call a “myocardial infarction” was far from his mind as he stood at the ninth tee at the Christopher Morley Park golf course in Roslyn. It was his first outing of the year and he wasn’t keeping score, just getting his golf game tuned up.

“I took it nice and easy the first eight holes,” he related, adding that, as usual, he walked the course. “I’m loosened up and I usually like to get my drive over the trees [on the ninth]. I said, ‘I’m going to swing for the stars.’ As soon as I took the swing I felt like lightning bolts coming down my arm.”

His first thoughts were that he had pulled

some muscles, but quickly realized that he was having a heart attack.

Kapela made the crucial decision to drive himself to nearby North Shore University Hospital. The first of what he called “the stars being aligned” in his favor came into play when he caught all green lights out of the park south on Searingtown Road to the LIE Service Road and past Shelter Rock Road to Community Drive, where the hospital was located,

En route, he called his wife Gina and told her, “Just come to the hospital. I think I’m having a heart attack.”

About five minutes after leaving the park—and keeping to the speed limit, he emphasized—he pulled into an ambulance bay at the ER entrance and an attendant came out to aid him.

Kapela said he was bent over in excruciating pain as he was helped out of his car.

“All I remember is the kid’s sneakers, he’s got beautiful sneakers,” he said, being unable to look up at the attendant.

The stricken man handed his license to an ER nurse and noted that he was already in the hospital’s records system, saving precious time. Within 20 minutes, he was in the cardiac catheterization lab for the life-saving stent procedure.

At an April 20 press conference, flanked by his wife and interventionist cardiologist Dr. Gaurav Rao, Kapela described his discomfort, imitating his moaning as he crossed his arms over his chest. On the proverbial pain scale of 1 to 10 he called it a “12.”

“The EKG was the first thing they did and they knew what I had immediately,” he said, hearing the scary word “widowmaker” being called out.

As he drifted in and out of what he called “a twilight zone” of consciousness, he also

Taking part in a press conference were, from left, Kevin Kapela, Gaurav Rao, MD, interventional cardiologist, and Rajiv Jauhar, MD, chief of cardiology, Sandra Atlas Bass Heart Hospital at North Shore University Hospital. (Screen Capture)

(Contributed Photo)

heard the medical personnel ask, “How did this guy not have a stroke yet? How did this guy not have a blood clot?” Kapela described the immediate pain relief he felt when the stent cleared the blockage.

Afterward, Dr. Rao asked permission to perform a fairly new procedure, recently approved by the FDA—TherOx treatment. According to a press release, it “provided his own super oxygenated blood to the site of

the heart attack, helping prevent irreversible damage to the heart muscle and decreasing risk of long-term heart failure. Doctors liken the one-hour therapy as a hug for the heart because it brings oxygen-rich blood to millions of micro vessels in the organ and breaks up artery-clogging plaque in that area.”

North Shore is the only hospital in the state and one of the few in the Northeast to offer this therapy.

Kapela said he was “high-fiving” the medical personnel after the procedure, and when Nicole entered the room she was shocked for the second time that day—the first was when her mom informed her of the emergency.

“He looked amazing,” she related. “He was sitting up. His color was back in his face. He didn’t look like someone who had a massive heart attack.”

Nicole said Kevin was a very active grandfather with her four kids and said he stayed on top of his medical care.

“Ever think this would happen to you?” Kevin was asked.

“Never, not me,” he replied. “I didn’t have any symptoms. I felt great. I was walking with no sweat, no shortness of breath. I slept good. I don’t smoke, and I’m not a heavy drinker.”

Kapela is a semi-retired clothing

manufacturer with a factory in Los Angeles. He said he did well on a stress test when he was 50 and walked up to two miles per day and also played pickleball.

Wife Gina also detailed that scary day, praising the nurses for comforting her with the assurance that her husband was in good hands.

In an interview with Anton Media Group, Dr. Rao said of the new therapy, “[it helps] those cells on a cellular level stay alive. So what does that mean long term? It means that patients are going to have less scar, [which] means less hospitalizations for heart failure and less death. And when your heart is stronger, you’re able to do more things that you want to do and the quality of life stays high. You’ll be able to spend time with family and do all those things that you were able to do before because your heart function has improved.”

He added, “And that’s exactly what happened in Kevin’s case by the end of his hospitalization. His heart function had improved, [going from] 25 percent to 50 percent. Normal is about 55 to 60 percent.”

Gina, reflecting on her husband’s close shave, said, “We’re going to do everything now, enjoy the grandchildren [more]. He got a new lease on life, really.”

Left, Kevin Kapela celebrates a hole-in-one at Christopher Morley Park in 2022, site of his March 21 heart attack. At right, enjoying a post-operation vacation in Marco Island, Florida, with his wife Gina. Their daughter Nicole and grandchildren also joined them.

I didn’t have any symptoms. I felt great. I was walking with no sweat, no shortness of breath. I slept good. I don’t smoke, and I’m not a heavy drinker.

—Kevin Kapela

Reducing Stroke Risk Starts With Education

BY DR. STEVEN ANGELO AND AMANDA REES specialsections@antonmediagroup.com

May is National Stroke Awareness Month, an important time to review the facts about strokes so you can better understand the risks—for you and for your loved ones.

About 795,000 people have a stroke every year, including thousands of people in New York, according to the Centers for Disease Control & Prevention (CDC). The good news is up to 80 percent of strokes are preventable and if one occurs, it is possible to treat and recover if caught early.

Getting smarter about strokes is crucial as time is a major factor in preventing disability or death. Understanding the symptoms of stroke and risk factors can help you get help fast and reduce your risks.

A stroke is a medical emergency caused by the interruption of the flow of blood to the brain as a result of a clot or internal bleeding. Our brains require a continuous supply of oxygen and nutrients. If blood flow stops, brain cells start to die in just a few minutes.

Because of this, a stroke can have a serious impact on many functions of your body, including speech, respiration,

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Eat healthy foods like those low in cholesterol and saturated fat, plus lots of fruits and vegetables.

movement, cognition, and bladder control. Strokes reduce mobility in more than half of stroke survivors 65 and over. In fact, stroke causes more serious long-term disabilities than any other disease, according to the National Institute on Aging. Individuals who survive strokes often need physical, speech, occupational therapy and other medical care.

Older adults are at an increased risk of having a stroke. However, there are several ways you can help reduce those risks, including:

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• Make exercise part of your daily routine. Many people don’t know that many

Medicare Advantage health plans include fitness benefits. For example, UnitedHealthcare’s Renew Active program offers free gym memberships, personalized fitness plans, workout videos, and group fitness classes.

• Maintaining a relationship with a primary care provider is an important part of managing chronic conditions like hypertension that can lead to stroke.

• Quit smoking, which increases your risk of a stroke, disease, and death. Talk to your

• Eat healthy foods, like those low in cholesterol and saturated fat, plus lots of fruits and vegetables

If you know the signs and symptoms of a stroke and act quickly, it can mean the difference between life or death, major disability or a better quality of life. If you experience the sudden onset of any of these symptoms, seek medical care immediately:

• Numbness or weakness in the face, arm, or leg—especially on one side of the body

• Confusion or trouble speaking or understanding

• Problems seeing in one eye or both eyes

• Dizziness, loss of balance or coordination, or trouble walking

• Severe headache with no known cause

Every year strokes take a toll on far too many of us. Reducing the risks of this too-often devastating condition starts with educating ourselves about stroke and taking small steps to improve our overall wellbeing.

—Dr. Steven Angelo is the chief medical

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Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

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The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

Sleep plays a vital role in the body’s cycle of rejuvenating, healing, and growing. The DUX® Bed’s unique, customizable component system provides unrivaled ergonomic support to help you experience significantly higher quality sleep.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

The DUX Dynamic combines the best that a traditional DUX bed has to offer, with the added advantage of adjustability. Not only can you customize each side of the bed for optimal support and comfort with our patented Pascal system of interchangeable cassettes, but now with a simple press of a button on a handheld controller you can choose a sleeping position separate from your partner.

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

DUXIANA MANHASSET 1522 Northern Boulevard 516-869-1700 www.duxiana.com

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

DUXIANA MANHASSET 1522 Northern Boulevard 516-869-1700

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

www.duxiana.com

Resolve to invest in your health. Visit a DUXIANA® store near you and discover why The DUX Bed is more than just a bed, it’s the first step to a better, healthier way of living.

DUXIANA MANHASSET 1522 Northern Boulevard 516-869-1700 www.duxiana.com

DUXIANA MANHASSET 1522 Northern Boulevard 516-869-1700

www.duxiana.com

BED FROM SWEDEN

THE DUX DYNAMIC EVERYBODY CAN USE A LITTLE LIFT

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN

THE DUX ® BED FROM SWEDEN