love
WINTER
2 02 0
yourHealth TH E TRU TH A BOU T
VACC INES
TH E P OWE R OF
Elena Delle Donne
TAI C HI
Basketball’s MVP on Living Your Best Life
IT’S A
NEW DAY Na’Sean shines with A+ health care right at school
WI NTER 2020 {5} THE BARIATRIC SURGERY DIARIES Three people, three surgeries, three stories about their life-changing weight loss procedures.
{ 12 } COVER STORY
WELLNESS GOES TO THE HEAD OF THE CLASS ChristianaCare’s school wellness centers help students stay at the top of the class with health care and social services.
QA { 22 }
{ 16 } NEW LOOK, NEW DAY, NEW WAY FORWARD We want you to love your health as much as we do. With a new brand identity, ChristianaCare celebrates its Delaware roots and an exciting future focused on your wellness.
ELENA DELLE DONNE’S GAME PLAN FOR GOOD HEALTH How the WNBA Champion and ChristianaCare Wellness Ambassador stays healthy on and off the court.
ON THE COVER
ChristianaCare’s 20 school wellness centers offer students like Na’Sean Williams-Wilson expert health care right alongside their books and classrooms.
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CHRISTIANACARE.OO RG
IN THI S ISS UE {2–4}
{ 26 – 29 }
NEWS FROM CHRISTIANACARE TODAY
HEALTH & SCIENCE
{ 8 – 11 } HEALTH MATTERS
Health Records
WHAT’S TRENDING ASK OUR EXPERTS INNOVATION
WOMEN AND HEART DISEASE
{ 30 – 32 }
THE TRUTH ABOUT VACCINES
WELLNESS
QUIZ: TEST YOUR BONESENSE
THE POWER OF TAI CHI
{ 21 }
PUMPKIN – MORE THAN JUST PIE
26
TRENDING IN HEALTH CARE
CIRCLE OF GIVING WHAT’S YOUR WHY?
16
8
A HEART TO HEART ABOUT TAKING CARE OF YOU
Love Your Health is published quarterly by ChristianaCare. Read more online at news.christianacare.org Editor
Chief Communications and Experience Officer
JENNIFER BALDINO BONETT
DREWRY NASH FENNELL
Contributors
27 GOT QUESTIONS? ASK OUR EXPERTS
Get social with us
KELLY BACHMAN
Vice President of Marketing and Communications
KAREN HALESKY
KAREN Y. BROWNE
MEGAN MCGURIMAN
Communications Director
HIRAN J. RATNAYAKE
SHANE HOFFMAN
PATRICK RITCHIE WILLIAM SCHMITT
Have a question or comment? Email us at editor@christianacare.org, call the editor 302-327-3300, or mail: Love Your Health Editor, 13 Reads Way, New Castle, DE 19720.
Art Direction & Design
D.A. PERZEL CREATIVE
SUBSCRIBE TO OUR HEALTH & WELLNESS NEWSLETTER
1
christianacare.org/loveyourhealth L O V E Y O U R H E A LT H
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WINTER 2020
It’s a New Day.
THE NATION’S B EST
The ChristianaCare journey began more than 100 years ago,
HEALTH CARE
with our commitment to serve our neighbors as respectful,
The First State is tops for health care,
expert, caring partners in their health. Since then, we’ve grown
with ChristianaCare ranked among the
to meet the needs of our community, guided by our values,
nation’s — and world’s — best.
love and excellence.
NEWSWEEK
Today, we are reimagining how we deliver care — to deliver
World’s Best Hospitals
health, not just health care — to you, the people we serve. We are
U.S. NEWS & WORLD REPORT
focused on meeting your needs in ways you value, providing the
Top 1% in the Nation
right care, at the right time, in the right place.
THE NEWS JOURNAL
As we embark on this next chapter in our
Best in Delaware
journey, we are excited to share our new
Read about our new brand. What it means to us. What it means for you. Page 16
community magazine, Love Your Health,
BEST PLACE TO WORK
created just for you.
A # 1 EMPLOYER
Love Your Health is one example of meeting
FORBES’ LIST OF “AMERICA’S BEST
you where you are — providing you with thought-provoking news and features to help you achieve your best health.
EMPLOYERS BY STATE”
#1 employer in Delaware THE PHILADELPHIA INQUIRER
A Top Workplace in the Region
In this inaugural edition, you’ll learn how we support the health of Delaware’s students, how we are advancing the frontiers of science through gene editing, and why vaccines are so important for you and everyone you care about. Maybe you’ll be motivated to give tai chi a try or get the family
THE NEWS JOURNAL
A Top Workplace in Delaware — 16 years in a row COMPUTERWORLD
Among the “Best Places to Work in IT”
in the kitchen for a delicious new pumpkin recipe.
As your partners, as your neighbors, and as your friends, we hope these pages will inspire you to focus on your well-being — For the Love of Health.™
LEADING THE WAY
IN LGBTQ EQUALI TY The Human Rights Campaign Foundation named Wilmington and Christiana hospitals as leaders in caring for LGBTQ patients and staff in the 2019 Healthcare Equality Index. The hospitals were the only ones in Delaware to earn top scores on criteria including non-discrimination training, patient services and support,
JANIC E E . N E V I N , M . D. , M P H PRES I D EN T & CHIE F E X ECUT IVE OFFICE R C HRI STI ANACARE
2 CHRISTIANACARE.ORG
employee policies and benefits, and community engagement.
ChristianaCare Today
TAKING IT TO THE STREETS
FO R H E A LT H Y FUN Wilmington streets transformed into summer block parties thanks to Play Streets, a collaboration among ChristianaCare, the City of Wilmington and other community organizations that brought games, music and health screenings to neighborhoods. Residents got to know their local health care providers and police while enjoying summer sun and outdoor fun.
OH, BABY!
NEW PAR E N TS , NEW BEN E F I T Supporting caregivers as
HEART & SOLE
their own families grow,
WAL KERS KEEP THE BEAT GOING
ChristianaCare announced a
More than 3,000 people brought their hearts and soles to the Wilmington Riverfront this fall for the American Heart Association’s annual Heart Walk, honoring heart-disease survivors and their families. With more than 700 people on 58 teams, ChristianaCare was the premier event sponsor.
ChristianaCare raised nearly $56,000 at the Heart Walk to fight heart disease and stroke.
commitment to provide at least 12 weeks of paid parental leave to employees as of July 1, 2020. The benefit will apply to eligible caregivers — mothers and fathers — for the birth, adoption or foster care placement of a child. ChristianaCare is Delaware’s largest private employer.
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WINTER 2020
ChristianaCare Today NATIONAL RESEARCH GRANT
EX PA N D I N G CA NCE R RES E A RC H The National Cancer Institute awarded the Helen F. Graham Cancer Center & Research Institute a six-year grant of $10.5 million to continue its renowned community-based cancer clinical trials program. The new funding builds on a National Cancer Institute Community Oncology Research Program grant that helped drive down cancer rates. In 2002, Delaware had the highest cancer mortality in the nation. Today, the First State is number 18 on that list.
LABOR OF LOVE
More than 6,000 babies are born at ChristianaCare each year.
WHERE FAMIL IES ARE B O RN ChristianaCare’s new Center for Women & Children’s Health will open at Christiana Hospital in 2020. The state-of-the-art facility is designed for the whole family and women of all ages. Spacious private patient rooms will support couplet care — where moms and their newborns can stay together; sleep-in space for families; and private labor and delivery suites.
SHIFTING INTO HIGH GEAR
M O R E PA R K ING AT W ILMINGTO N HOSPITAL ChristianaCare is building a new parking garage at Wilmington Hospital for patients and visitors. The new garage will almost double parking capacity with 860 spots. During the two-year project, patients and visitors can use the employee parking garage, with shuttle service to the hospital entrance. Visit christianacare.org/parking.
4 CHRISTIANACARE.ORG
ThreeStories Bariatric Surgery Diaries
When Cerner, an international health care technology company based in Missouri, wanted to offer the best in bariatric surgery to its 28,000 employees worldwide,
they contracted with ChristianaCare, a national center of excellence in the weight loss procedure.
Three Cerner employees traveled from the company’s headquarters in Kansas City to ChristianaCare’s Wilmington Hospital earlier this year for their surgeries. Here, they share their stories about their life-changing experiences.
5 L O V E Y O U R H E A LT H
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WINTER 2020
Bariatric Surgery Diaries
•
three Stories
My name is Barbara Hatfield, I’m 4 7 and live in Independence, Missouri. I’ve been overweight most of my life. Right now, I can’t do a lot of things with my kids and grandkids because of my weight. I love them, so my health matters to me. I’m so thankful to have my husband, family and co-workers
Post-op, Wilmington
The day before surgery, Wilmington, Delaware
For the most part recovery has been uneventful, and I’m already able to do things like tie my shoes more easily. I wish I had done this surgery much sooner!
cheering me on.
I haven’t been nervous at all because I know I’m in good hands. We have such good contact between our Cerner bariatric team and ChristianaCare’s team. Any questions I have get answered right away.
I can’t believe the day is almost here ... . I’m very, very excited.
Surgery went wonderfully — I started walking about 90 minutes after it. I was little tired the first few days and had some tolerable pain. But I was up at 5 a.m. the next day walking laps around the hospital.
Barbara’s advice I know people are nervous about going into it, but . . . as you follow your pre-op, and as long as you follow everything you’re supposed to follow, you’ll be healthy enough to go into surgery.
When I reach my goal weight, I’m going to skydiue.
y, Missouri. I’m Phillip Flores, 28, from Kansas Cit g for a diet, I’m looking for a
not lookin weight since college, I’m After struggling with my ted me. had this surgery and motiva healthy lifestyle. My sister diet, I’m generally r ride, but, with the pre-op ste coa ler rol a n bee has The pre-op prep t 20 pounds. more energy. I’ve also los sleeping better and have wishing ily is excited … they’re all ington, Delaware: My fam lm Wi y, ger sur ore bef The day is amazing. all supporting me, which me good luck and they’re nt well. I’m not going to was four days ago and we y ger sur e Th on: ngt mi e team was Post-op recovery, Wl manage. The ChristianaCar gh but nothing I couldn’t tou le litt a s wa ry ove rec lie — awesome! way of life. I’m enjoying starting a new Every day I feel stronger. nge your life. My advice: Do it. It will cha
6 CHRISTIANACARE.ORG
I’M READY FOR A NEW LIFESTYLE. H MY FRIENDS... I’M GOING TO PLAY VOLLEYBALL WIT TO GO DO THAT. I’M EXCITED TO HAVE THE ENERGY
I’m Julia Heriford, I’m 37 and live in Kansas City, Missouri.
I’ve tried all the diets, yoyo-ing up and down. Th e extra weight is makin deteriorate. My goal is g my joints to not be in pain anym ore, to love my body an d he alth. At first, my family didn’t get it. They thought I wa sn’ t “bi g enough” or would only drink liquids. Now they be able to are extremely supportiv e. My five-year-old is ha more room on the couch ppy there “will be to cuddle together.” The day before surger y, Wilmington, Delaware I’m feeling super cool an d collected. Let’s get thi s going! Post-op, Wilmington Surgery was fine. Altho ugh, coming out of anest hesia was a strange exp gas bubble pain. Walki erience. I had some ng helped. I had to stay in the hospital an extra day every journey is uniqu to recover. But e — I don’t compare mi ne to anyone’s. Two months later, Kansa s City I’ve lost 30 pounds so far . Every day is exponen tially better, and my kn ees aren’t as stressed! Julia’s advice I did a lot of research int o gastric bypass — altho ugh not on social media Look for information fro . My advice? m experts, not from Tw itter or Facebook!
There will be more room on the couch to cuddle wit h my daughTer. < Celebrating our success with Dr. Caitlin Halbert!
What Is Bariatric Surgery?
What surprises people most about bariatric surgery?
Bariatric surgery is
Patients have to work with this tool. They must also follow diet
weight loss surgery. It
guidelines, exercise and take their vitamins. It’s a lifestyle change.
It’s really a lifestyle change. While the surgery itself only takes a few hours and a day or two in the hospital, it’s one tool in a toolbox that includes extensive pre-op preparation and post-op lifestyle changes.
reduces the stomach’s size, so patients eat
Why do people opt for bariatric surgery?
less and feel full sooner.
For health, not cosmetics. When patients face life threatening conditions
Patients can lose 60%
like diabetes, hypertension or high cholesterol, weight is a formidable
to 85% of their excess
adversary. It’s a struggle to lose 100 pounds. This surgery is an extra
body weight.
tool to help lose weight.
Caitlin Halbert, D.O., medical director, Bariatric Surgery Program
7
Want to learn more? christianacare.org/bariatric
L O V E Y O U R H E A LT H
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WINTER 2020
A Heart to Heart About Taking Care of You
HEART DISEASE IS THE NO. 1 KILLER OF WOMEN BUT ONLY 1 IN 5 WOMEN BELIEVES IT’S A SERIOUS HEALTH THREAT. RISK FACTORS
SYMPTOMS
H I G H C H O LESTE R O L
Women's heart disease symptoms can be more subtle than men's symptoms.
H I G H B LO OD P R ES S UR E O B ES I T Y & INACTIVITY D I A B ET ES H I G H B LO OD P R ES S UR E D U R I N G P R EG NANCY ST R ES S & D E P R ES S IO N S M O KI N G M EN O PAU S E The risk of heart disease increases in postmenopausal women.
UNCO MFORTAB LE P R ES S URE Squeezing, fullness or pain in the center of the chest.
HEART DISEASE IS PREVENTABLE KNOW YOUR BLOOD PRESSURE & CHOLESTEROL NUMBERS
PA IN O R DISCOM FORT in one or both arms, back, neck, jaw or stomach. S H O RTN ESS OF B REATH With or without chest discomfort. OTH E R SIGN S Such as breaking out in a cold sweat, nausea, vomiting or lightheadedness.
EAT RIGHT & GET REGULAR EXERCISE LIVE SMOKE-FREE
Caring about our patients means providing them with the care they need and want. “We know women may feel more comfortable interacting with a female caregiver. They feel listened to and understood,” said Medical Director Kirk Garratt, M.Sc., M.D.
“Women — and the men who love them — need to take these symptoms seriously.” Robin Horn, M.D.
8 CHRISTIANACARE.ORG
Care Coordination Is Critical
Drs. Audrey Sernyak and Robin Horn started the Women’s Cardiovascular Health Initiative to collaborate with other services lines that see women who might be at risk of heart issues — for example, women with breast cancer.
Meet Our New Women’s Heart Health Experts Helen Paik, M.D.
Kathryn Bowser, M.D.
Tara Shah, M.D.
Erin Fender, M.D.
Interventional Radiologist
Vascular Surgeon
Interventional Cardiologist
Interventional Cardiologist
What do you do to you keep your own heart healthy?
What risk factor do people tend to underestimate?
What encouraged you to specialize in heart care?
I bring a large, insulated tumbler with me to work and refill it throughout the day with water in order to stay hydrated and avoid sugary beverages.
Smoking. People think about its negative effects on the lungs. But they may not realize the damage smoking does to the arteries of the entire body — the heart, the aorta, the carotids, the legs. Smoking is a major risk factor for heart attack, stroke, aneurysm and peripheral arterial disease.
What’s your favorite, nontraditional heart healthy tip?
ABOUT DR. PAIK Specializes in vascular and interventional radiology. FELLOWSHIP
Hospital of the University of Pennsylvania RESIDENCY
Hospital of the University of Pennsylvania MEDICAL SCHOOL
Jefferson Medical College
My best friend lost her father to a heart attack when I was a high school student. In medical school I saw lifesaving interventions being performed for heart attack patients by interventional cardiologists and I knew that was the field I had to pursue.
This is advice I practice myself: Decompress. I try to finish the New York Times crossword puzzle most days of the week — but maybe not on Friday, because it’s quite difficult. ABOUT DR. SHAH Board certified in cardiovascular disease and internal medicine.
ABOUT DR. FENDER
FELLOWSHIP
ABOUT DR. BOWSER Board certified vascular surgeon. Specializes in vascular and endovascular surgery. FELLOWSHIP
University of Colorado RESIDENCY
ChristianaCare
Board certified in cardiovascular disease, internal medicine and interventional cardiology.
NY Presbyterian Hospital-Weill Cornell Medical Center RESIDENCY
FELLOWSHIP
Yale - New Haven Hospital
Mayo Clinic RESIDENCY
MEDICAL SCHOOL
Oregon Health and Sciences University
Case Western Reserve University
MEDICAL SCHOOL
University of Miami Miller School of Medicine
MEDICAL SCHOOL
Drexel University College of Medicine
Make your appointment today. ChristianaCare Cardiology Consultants offers expert heart care just for women at locations in Delaware and Pennsylvania. Call 302-623-1929. L O V E Y O U R H E A LT H
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WINTER 2020
Five Facts About Vaccines P R OTECT YOUR S E L F A N D T H O S E YO U LOVE .
3. Vaccines are the best protection against deadly diseases. The pain of losing a child or loved one to measles was thought to be over. But 14 deadly and crippling diseases are making comebacks as people are choosing not to vaccinate.
1. Vaccines save lives. Preventable diseases such as measles, whooping cough, rubella, polio and chickenpox can be deadly. That’s why it’s critical to get vaccinated against them. The Centers for Disease Control and Prevention (CDC) estimates that vaccines annually prevent up to 3 million deaths worldwide. Vaccines protect you and the people around you. When enough people are vaccinated against a certain disease, even people who cannot get vaccinated are protected. It’s called “community immunity” or “herd
Measles had been declared eliminated in 2000. But so far this year, the United States has had more than 1,000 cases of measles. This is the highest number of cases reported in the U.S. since 1992. Most cases have been attributed to unvaccinated populations. Learn more about making the vaccine decision at cdc.gov/vaccines/parents.
immunity.”
2. Vaccines are safe. Vaccines are among the safest and most effective medical advances in modern history. Claims that vaccines cause disease are false.
4. Start vaccines in infancy. Because infants are so vulnerable to disease, it is critical to start immunizations early. Although newborns may have antibodies from their mothers, these antibodies are gone in a few months. Families should follow the CDC’s vaccine schedule at cdc.gov/vaccines and their pediatricians’ advice.
5. Adults need vaccines too. Besides the recommended yearly flu shot, adults may need boosters to stay protected against certain diseases. Older adults are eligible for vaccines against diseases such as pneumonia and shingles. Learn what vaccinations you may need at cdc.gov/vaccines.
Scientific research proves there is no connection between vaccines and conditions such as autism, sudden infant death syndrome (SIDS) or high toxicity levels. Also, most vaccines today are mercury-free.
John H. O’Neill Jr., D.O., Christiana Care Hospitalist Partners, contributed to this article.
Learn more about making the vaccine decision cdc.gov/vaccines/parents
10 CHRISTIANACARE.ORG
BONESENSE
QUIZ
Make no bones about it — our skeletons help us keep it all together. Bone up on what it takes to stay healthy and strong with this quiz. And try our JointAware risk assessment at christianacare.org/risk. Don't peek, the answers are below! 1. How many bones does an adult have? A. 206 B. 452 C. 361 2. Which vitamin helps your body absorb calcium? A. Vitamin C B. Vitamin D C. Vitamin E
he longe
th
he
bone i n
femur
i
st
st
5. You have fewer bones as you age. A. True B. False 6. What determines how much calcium you need? A. Your age B. Your gender C. Both
e body. T
3. What is the smallest bone in the body? A. The stapes in the middle ear
7. Only women get osteoporosis. A. True B. False
B. The V-shaped hyoid bone at the base of the tongue
8. Where are 25% of your bones located? A. Head B. Feet C. Hand
C. The sternum (breast bone)
Fo
s in
sm
a
teen bone
g l e to e
.
ur
4. Where is your funny bone? A. In your elbow B. In your mouth C. None of the above
9. The toe bone is connected to the foot bone. A. True B. False
ake up
Answers: 1. A: 206 2. B: Vitamin D. Children need vitamin D to build strong bones; adults need it to keep bones strong. Sources are sunlight, food and supplements. 3. A: At 0.11 inches, the stapes is the third bone of the three ossicles in the middle ear. 4. C: Trick question! The funny bone is not a bone; it’s the “funny” feeling you get when the ulnar nerve in your elbow bumps the humerus bone in your arm. 5. A: True. You’re born with 300 bones but some fuse together as you grow. 6. C: For the recommended amount of calcium, use the International Osteoporosis Foundation’s Calcium Calculator iofbonehealth.org/calcium-calculator. 7. B: False. Both women and men are at risk for osteoporosis. One half of all women and one quarter of all men will have a fracture because of osteoporosis. 8. B: Each foot has 28 bones. 9. B: False. There is no “toe bone.” Fourteen bones make up a single toe.
BONUS QUESTION
Find the answer to the bonus question and to learn more, watch our Bone Health video with
After this age, it’s hard to improve your bone health:
musculoskeletal expert Bradley Sandella, D.O., at christianacare.org/strongbones
A. 70
B. 50
C. 30
For an appointment with our Bone and Joint Services call 302-295-3244.
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Na’Sean Williams-Wilson is a junior at Howard High School of Technology.
Where wellness goes to the head of the class OFFERING A+ CARE, CHRISTIANACARE’S 20 WELLNESS CENTERS IN LOCAL SCHOOLS SET STUDENTS UP FOR SUCCESS IN THE CLASSROOM AND IN LIFE.
12 CHRISTIANACARE.ORG
When the Morning Bell Rings ChristianaCare Caregivers Seize the Day
9:38
a.m.
Pequoia Evans greets students at the Wellness Center and helps them set up appointments. “I love them like they’re my own,” she said.
7:20
a.m.
Howard’s school-based wellness team and school nurse brief new principal Kyle Hill on their partnership to keep students healthy and learning.
11:47
a.m.
Wellness Center social worker Karen Spring (right) consults with Howard guidance counselor Kristin Coughlin to support students’ emotional well-being and academic success.
1:22
p.m.
A listening ear: “We’re here for whatever our students need,” said Spring.
2:17
p.m.
Do you need a hall pass? Students can get physicals and sick visits right at school with Wellness Center nurse practitioner Michelle Harris.
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Chr istianaCa r e’s Sc h o ol Welln ess Cen t er s
CH R ISTIANACA R E
Na’Sean Williams-Wilson is bubbling over with enthusiasm to share the details of his eventful summer. Before class, he swings by the school-based wellness center at Howard High School of Technology, where he is a junior.
Having ChristianaCare nurse practitioners, social workers, dietitians and doctors on site means students miss fewer days of school and parents and guardians don’t need to take time off work for appointments.
Na’Sean has big smiles and friendly banter for Pequoia Evans at the front desk and then catches up with senior social worker Karen Spring, MSS, LCSW, coordinator at the school’s wellness center.
“We know parents want the best care for their children but face so many barriers, including transportation and taking time off work,” said Cydney Teal, M.D., chair of Family and Community Medicine.
OP E NE D ITS FIRST WELLNES S CENTE R AT W ILLIAM P E NN H IGH SCH OOL IN 1994 AND H AS SINCE EXPAND E D ITS COVE RAG E TO 19 OTH ER SCH OOLS IN N E W
The 17-year-old, a fan of hip-hop, poetry and dressing to impress, is looking forward to a career in finance.
“Our health centers deliver the wholeperson care that our children need to learn while seamlessly integrating it into their school day.”
It’s a New Day for Na’Sean Last year, he went through a dark time after a relationship. Regular visits with Spring slowly let the light back in. “With each visit, a piece of how I felt would disappear,” he said. He said the counseling has paid off in the classroom, too, helping him build better relationships with his teachers and better manage his time.
CASTLE COUNTY.
ChristianaCare’s 20 school-based wellness centers offer Na’Sean and thousands of other students in New Castle County, Delaware, the highest quality care right where they need it most.
Reading, Writing and Wellness The centers offer immunizations, rapid strep throat tests and other screenings, annual check-ups, sports physicals and health education — setting children on the path to lifelong wellness.
Want to learn more about health care in our community? news.christianacare.org
14 CHRISTIANACARE.ORG
“The sooner you start to address children’s mental and physical needs, the more successful they will be.” CYDNEY TEAL, M.D.
Coming Out of Her Shell Michelle Lloyd is relishing the transformation she’s witnessed in her 10-year-old daughter, Niemah Beecham. The third grader is growing more resilient day by day. Lloyd credits part of that growth to the school-based health center at Niemah’s Wilmington school, Warner Elementary. There, Niemah has developed the sort of trusting relationships that have coaxed her out of her shell. “She’s talking to people where she wasn’t before,” Lloyd said. Her daughter’s emotional temperature is no afterthought to Lloyd; she knows that before her daughter can learn, she has to feel safe and confident. In order to reach children at younger ages, ChristianaCare last year opened its first wellness center in an elementary school, Warner. Its second elementary school center, at Shortlidge Elementary, opened this fall. “The sooner you start to address children’s mental and physical needs, the more successful they will be,” said Dr. Teal.
A Prescription for Success By partnering with school nurses and students’ family doctors, the wellness centers help children navigate everyday health struggles like sore throats and upset stomachs as well as weighty emotional issues, like those stemming from trauma.
Spring said it’s not unusual for students to come to school carrying the burden of witnessing or suffering traumatic events. Many of these students don’t see their experiences as remarkable — they may talk about the violent death of a friend in a way that seems casual — but they carry the consequences with them. They may act out in class as an element of post-traumatic stress disorder, and the effects of trauma can be subtle, too. A student could have aches and pains with no obvious cause. In-school access to health care may mean the difference between catching a child’s mental and physical issues early or waiting for years as the consequences mount, said Warner Elementary Principal Terrance Newton.
With compassion and care that students find in the ChristianaCare wellness centers, they are finding the support and the courage to overcome those barriers. “The relationships they form with caregivers in our wellness center help to make them more comfortable and meet their social-emotional needs,” said Newton. Niemah goes to the Warner health center occasionally to read with social worker Marie Miller, LCSW. In this warm, safe setting, she’s also building health literacy — learning the role of her immune system in fever. Her mom enjoys the convenience of in-school doctor’s visits, and she sees the health effects on her daughter in larger terms, too. “She’s a lot calmer, more resilient.”
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FOR THE LOVE OF HEALTH
â&#x201E;¢
16
CHRISTIANACARE.ORG
A NEW DAY A NEW LOOK
ChristianaCare unveils a new look that signals our commitment to providing the right care, in the right place, at the right time, for everyone we serve — For the Love of Health™!
The ChristianaCare journey began in 1888,
technologies to make it easy for people to access
in Wilmington, Delaware, with a commitment to
care where and when they need it.
serve our community as expert, caring partners in health. For more than a century, ChristianaCare has grown to meet the needs of Delaware and the surrounding communities with compassion, courage and empathy — not just by adding brick and mortar buildings, but by embracing new technologies, innovating, learning and evolving to become a health system that understands and addresses the needs of the whole person. As we look to the future, we have an opportunity to meet the health needs of the communities we
We are leveraging artificial intelligence and machine learning to deeply engage with patients. We’re advancing the frontiers of science through gene editing and precision medicine to help patients today and unlock the potential of an even better tomorrow. We’re innovating and creating new partnerships to address the nonmedical needs that affect people’s health, including food security, housing, public safety, education and economic opportunity. And, we are embracing value-based payment models that
serve much differently than we did in the past. We
support high-quality care at lower costs.
are reimagining how we deliver care — to deliver
And of course, we continue to deliver hospital care
health, not just health care, to the people we serve. We are on a mission to deliver the right care, in the
that’s rated among the best in the world for quality and safety.
right place, at the right time for everyone we serve.
Today is a new day for ChristianaCare, and it calls
We’re expanding primary care and virtual
for a vibrant, new look.
< Cathy Brown of Middletown, Delaware, a stroke survivor, received expert care from ChristianaCare's nationally recognized stoke team.
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From Christiana Care Health System to ChristianaCare ChristianaCare’s new brand identity respects its history and preserves its trusted name — with a new twist. By uniting the words ChristianaCare, the updated name represents the organization’s commitment to partnering seamlessly with people to achieve health in ways that they value.
A new logo based on Delaware’s state flower, the peach blossom, links ChristianaCare’s past, present and future. It symbolizes our proud origins as well as vitality, longevity, growth and a commitment to health. The well-known ChristianaCare green has been updated to a vibrant, new hue, and it’s now joined by a palette of bright colors that represents the diversity and dynamism of ChristianaCare today. Our joyful new look is a symbol of our promise to those we serve that we will support them throughout their lifelong health journey. It’s also a reflection of our values — love and excellence. We believe that health care is a relationship between human beings, and in the best health care, that relationship is a partnership in which each person feels loved. When we lead with love, excellence follows, and we create the best potential to make an impact on health. Though our look is changing, we remain an independent, not-for-profit organization focused on impacting health. And we remain true to our mission, the ChristianaCare Way, which states: “We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value.”
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For the Love of Health™ Why do we get a flu shot and schedule an annual wellness exam? Why do we get up early to go for a run, or reach for healthy food instead of fast food? Why do we make the right decisions, even when they’re the hard decisions? We do it For the Love of Health. For the Love of Health is the theme that accompanies ChristianaCare’s new brand identity. It’s an opportunity to begin a discussion about what motivates us to be healthy and help others. For the Love of Health encourages everyone to reflect on the “why” behind the health-related choices we make every day. Why should I sleep eight hours a night? Why should I opt for the stairs instead of the elevator? Why should I pay attention to my blood pressure? Good health is a conversation and a commitment. As clinicians and caregivers — and as neighbors and friends — ChristianaCare is a partner in each person’s journey to greater health and well-being. Why? For the Love of Health.
“Health care is a relationship between human beings. In the best health care, that relationship is a partnership in which each person feels loved.” Janice E. Nevin, M.D., MPH
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D I D YO U K N OW
?
ChristianaCare draws its name from the nearby town of Christiana, Delaware. Listed on the National Register of Historic Places, it was one of the earliest colonial towns in America, founded by Swedish colonists in the 17th century along the Christina River. ChristianaCare includes an extensive network of outpatient services, home health care, medical aid units, two hospitals, a Level I trauma center and a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and womenâ&#x20AC;&#x2122;s health. ChristianaCare is a not-for-profit teaching center with more than 260 residents and fellows.
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The Young Friends of ChristianaCare collected more than 6,000 books for the Wilmington Hospital Health Clinic. The students presented their books to Pediatric Medical Director Amanda Kay, M.D.
What’s your why? ChristianaCare relies on your support to fund vital programs and services. To make a gift call 302-327-3305 or go to christianacare.org/donor.lyh
Larry Giordano, D.D.S., and Howard Zucker, D.D.S., join Department Chair Daniel Meara, D.M.D., M.D. (center) at the Edwin L. Granite, D.M.D., Oral and Maxillofacial Surgery & Hospital Dentistry Clinic. The Junior Board of ChristianaCare presented a check for $76,000,
They have led financial support for its renovation
with proceeds from the 2019 Medicine Ball, for education and
and expansion with $1.2 million raised to date.
advances in Parkinson’s disease and other movement disorders.
Delaware Subaru donated $13,200 to support the special needs of babies in the Neonatal Intensive Care Unit and their parents at
ChristianaCare’s First State School, for children with chronic illnesses, bounces into a new school year, including plans for field trips and prom, thanks to community support.
the new Center for Women & Children’s Health, opening in 2020.
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COURTSIDE WITH ELENA DELLE DONNE
How the WNBA champion and Delaware native stays healthy on and off the court. 22 CHRISTIANACARE.ORG
Elena’s game plan
F O R
good health
The professional basketball player, Olympic gold medalist and ChristianaCare spokesperson shares how good health is a team sport — with a home court advantage in the First State.
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As
starting forward for the Washington Mystics, Delaware native Elena Delle Donne spends the professional basketball season befuddling defenders as one of the WNBA’s top scorers. Even more impressive is the crossover effort the two-time All-Star puts in off the court, making a fast break at staying healthy for life.
HEALTHY CHOICES, COOL DOGS AND THE BEST PIZZA. HERE’S ELENA’S TAKE ON LIVING YOUR BEST LIFE.
I wish there was a secret! I try to make the right choice the easy one. I need things I can eat quickly in the car so I try to keep healthy snacks in easy reach. Otherwise, if there are cookies I’ll eat them. But if there are apples, nuts or yogurt I’ll make healthier choices. What’s always in your fridge? Apples! And Gouda. My wife Amanda and I both love cheese. How do you and your wife look out for each other’s health and well-being? We always support each other. Amanda has really great taste in music and puts together my workout playlists.* There are days when I’ll ride my bike while she runs and we push each other a little bit.
*
Check out Elena’s workout playlist at christianacare.org/elenasplaylist
You make staying healthy look easy. What’s your secret?
A top tip for fitting fitness into everyday life? Get your body moving — anything counts. Even when it’s not basketball season, I go outside, walk our dogs Wrigley and Rasta, or go for a bike ride, go to the park — it’s not always a set workout. I saw that “Demand Excellence” has been a mantra of yours. It started my rookie year. I wanted something to live by. I have it on a wristband I wear all the time. In life, we’re never going to find perfection, but if we try to demand excellence in everything we do, we’re going to be better people. What’s the most Delaware thing about you? Gosh, that’s hard. Probably that I’m a Blue Hen through and through. Loving Grotto’s Pizza. And I still have a Delaware driver’s license. Other First Staters get it when I say that no one can find my birthday on it!
“
I’m still very connected to Delaware. ChristianaCare does so much good in our community— first and foremost by keeping people healthy.”
Want more pro tips for healthy living? christianacare.org/wellness
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Elena’s Slam Dunks Best win ever? Oct. 10, 2019 – WNBA Champs!
Forever in my heart – my final game at the Bob Carpenter Center. We beat UNC and went to the Sweet 16. That was my senior year at UD.
Photo by Ned Dishman/NBA via Getty Images
Best advice you ever received?
To be my unique self and owning that, being proud of who I am. Growing up I was really tall, and also gay, so a lot of times I was uncomfortable in my own skin. As I grew up, I learned how great it was just to be me and celebrate who I am.
Best advice you ever gave?
Follow your heart, because whatever you do you need to have passion. It’s simple but a lot of people don’t do it. If you’re passionate you’ll be successful.
Teamwork for Special Needs Elena says her sister Lizzie is her greatest teacher. Lizzie Delle Donne was born deaf and blind, with cerebral palsy and autism. “Having Lizzie as a sister has helped with my perspective,” she said. “When she was born, my parents were told she would never walk, never be able to communicate, that she wouldn’t be able to do so many things. But she does walk, and she does communicate by signing and in other ways, and she’s 35 years old.” Her sister receives care at The Mary Campbell Center in Wilmington. “I love going there,” she said. “They do a great job and make my sister happy.” The medical director for The Mary Campbell Center is Charmaine Smith Wright, M.D., director of ChristianaCare’s Center for Special Health Care Needs. ChristianaCare health care providers bring specialized services to patients at The Mary Campbell Center. Delle Donne is a champion of Mary’s Campbell’s Best Buddies program and a Special Olympics global ambassador. “Compared to Lizzie I’ve been given so many things,” she said. “I don’t take that for granted. I work hard to do the best I can with what I’ve been given.”
Living with Lyme Since contracting Lyme disease in 2008, Delle Donne has said it’s the obstacle that has inspired her most. She’s an ambassador for the Lyme Research Alliance. “One of the most common questions I get is how do I play basketball with Lyme disease. Not every day is easy, but I’ve learned to stay positive. I’ve learned that my worst days are not my only days — and that there will be better ones. I absolutely adore my team and want to get through any health issues that I’m feeling.”
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HEALTH & SCIENCE
Trending
What’s Next, What’s Now HEALTH RECORDS AT YOUR FINGERTIPS Personal health records on prescriptions, lab results, allergies and more are available digitally to ChristianaCare patients using iPhones. Health Records on iPhone, an Apple Health app, makes it easy for patients to see their available medical records from participating organizations in one view. For privacy, the data is encrypted and protected with the user’s iPhone passcode, Touch ID or Face ID.
Health Records
BREATHING EASIER DURING LABOR Moms delivering babies at Christiana Hospital now can opt for nitrous oxide to manage their labor pain. The hospital is the first to offer nitrous oxide, commonly known as “laughing gas,” for mild pain relief and relaxation in labor. Laboring mothers can self-administer the gas, giving them a pain management option between unmedicated labor and an epidural anesthesia block.
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NEXT GENERATION CANCER CARE WITH CRISPR A breakthrough in gene editing, engineered by scientists at ChristianaCare’s Gene Editing Institute at the Helen F. Graham Cancer Center & Research Institute in collaboration with Israeli biotech company NovellusDx, enables researchers to make multiple genetically precise copies of a patient’s specific cancer tumor using the highly advanced CRISPR gene editing tool. These DNA samples can be used to rapidly screen multiple cancer drugs and quickly identify the most promising treatment for that patient.
YOU HAVE QUESTIONS. WE HAVE ANSWERS. Caring for my elderly mother is so stressful. What can I do?
Is vaping safer than smoking? Absolutely not. Vaping and e-cigarettes contain harmful substances such as nicotine, lead products and cancercausing agents. As vaping grows in popularity, so have reports of death, seizures and sudden, severe lung illness among users. National health organizations are warning against using vaping products while their connection to these health concerns is investigated. Vinay Maheshwari, M.D. Vice Chair, Medicine
For help quitting, call the Delaware Quitline at 1-800-QUITNOW.
Ask
What’s dry needling, and can it really help my back pain? Dry needling is a physical therapy technique in which fine needles are inserted into trigger points in muscles to release your body’s natural pain-relieving analgesics. It allows therapists to treat otherwise hard-toreach muscles and may provide relief in as little as a single session. ChristianaCare physical therapists use dry needling to treat neck, back and other muscle pain.
There are many ways to reduce stress. Getting help from willing family members, friends and community resources will give you time you need to recharge so you won’t get stretched too thin to be effective. Taking care of yourself helps you improve as a caregiver. Keep your social life as active as possible and fend off guilty feelings. Cyndy Fanning, MSW, LCSW Memory Care Social Worker
Brian Catania, MPT Physical Therapist
Our Experts
Cyndy Fa
nning
Dr. Vinay
ari Maheshw
I’m about to have my first baby and I’m feeling nervous about breastfeeding. How will I know if I’m doing it right? First, congratulations! What an exciting time in your life. Most important is to be patient with yourself and your baby. It’s a brand-new learning experience. Ask for help as soon as you have a question or concern. Better to get ahead of it before it feels overwhelming. ChristianaCare’s certified lactation consultants are here to support you with education and emotional support so you can start out with confidence and joy. We’re here for you from pregnancy through weaning. We offer free mother-baby classes and breastfeeding support groups at christianacare.org/eventss. For breastfeeding support or to schedule a consult, call our Warm Line Monday through Friday at 302-733-3360. Karen Bastianelli, RN, IBCLC, CPCE Maternal-Child Educator
Brian Catania
Karen Bastian
elli
Next question?
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Ask us at editor@christianacare.org L O V E Y O U R H E A LT H
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INNOVATION
HEALTH & SCIENCE
Groundbreaking Study Offers New Cancer Insight
Pain Relief Without Opioids Delaware’s first Comprehensive Pain Center offers people with chronic pain new resources and options for non-opioid pain management and relief. The referral-based outpatient program provides new integrative and interventional painmanagement therapies, referrals for chronic pain-focused physical therapy and group therapy and opioid-tapering strategies for patients already using opioid pain relief.
Researchers from ChristianaCare’s Helen F. Graham Cancer Center & Research Institute co-authored a landmark study of immune responses in cancer cells published online in the journal Nature. The study, led by ChristianaCare’s cancer research partner The Wistar Institute, identified a critical regulator of bone marrow-derived cells that are key players in the immune system’s fight against cancer. The findings can help scientists better define how the cells work and develop strategies to keep them at bay. Want to learn more?
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news.christianacare.org
Healing Begins With Hope The new Center for Hope and Healing at Wilmington Hospital supports patients with combined mental illness, chronic medical conditions and social needs, such as homelessness, hunger and addiction. To break down any barriers to care, the center coordinates medical, behavioral health and community resources. This pioneering approach helps vulnerable patients achieve better health and can prevent unnecessary hospitalizations.
Pumping Up Heart Care Major additions opened at the Center for Heart & Vascular Health include a hybrid operating room at Christiana Hospital, where patients can have cardiac catheterization and, if needed, surgery in the same place. And, a new Cardiology Care Unit at Wilmington Hospital treats heart failure and other cardiac conditions, bringing advanced heart care closer to home for city residents.
How I
my health
“ We dance every day in our classroom. Some of us twirl, some of us jump and some of us nod to the beat. It is the music, the movement and the magic of being in the moment that creates genuine joy and happiness. Somehow, dancing to Kenny Loggins’ Footloose or MC Hammer’s Can’t Touch This can boost our spirit for the whole day.”
Dana Bowe
Delaware's 2019 State Teacher of the Year Elementary Special Education Seaford School District L O V E Y O U R H E A LT H
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FITNESS RX
The Power of Tai Chi – from arthritis to zen.
MIX MINDFULNESS AND MOVEMENT WITH TAI CHI CHUAN, AN ANCIENT CHINESE MARTIAL ART WITH STAYING POWER.
Tai chi can be done anywhere — in a studio, in a park or at home. Try these moves to get you started.
Moving with Purpose Tai chi is a series of gentle exercises suitable for all ages and fitness levels. Originally created as a martial art, tai chi has been credited to Zhang Sanfeng, a legendary Chinese Taoist monk from the 13th century. Tai chi chuan roughly translates to “supreme ultimate exercise.” The low-impact, slowmoving sequences help build stability. Studies show that tai chi may improve balance, ease chronic pain, reduce anxiety and depression, improve flexibility and help relieve insomnia.
a Loosen Your Waist Warmup 1. Stand with your feet flat on the floor, a little wider than hip-width distance apart.
a
Tai chi, like yoga, incorporates breathwork, adding a meditative quality to the practice.
3. Twist your body by rotating your hips to the right and then left, while letting your arms hang and gently flap against your body. Repeat 4 times.
b
5. Repeat four times. 6. Reverse the movement to “gather the wave” pulling the arms back wide, palms down to open the chest, then scoop the arms forward, palms up.
b Relax the Shoulders and
7. To switch to your right foot, bring your arms and leg back into the neutral position. Then turn to the right, placing your right foot forward at an angle and pushing your arms forward. Repeat pushing the wave four times before gathering it.
1. Stand with your feet hip-width distance apart, palm against your thighs. 2. Inhale and raise your arms up to shoulder height. Turn the palms up and out. 3. Exhale and let the palms and arms float back down. 4. Repeat the movement four times.
c
4. Inhale, turn your palms up to the sky, elbows bent, and pull back toward your ears.
4. If you’re comfortable, add your neck, shoulders and spine into the rotation. Keep the movement smooth.
Release the Hips Warmup
Meditation in Motion Going with the flow is the goal. There are many styles, but a tai chi series is designed to circulate life energy, known as “chi” (chee). Tai chi is said to promote harmony between yin and yang, opposing elements in Chinese philosophy.
2. Relax your arms by your sides.
3. Face the left foot. Inhale and bring your arms up by the ears. Exhale and “push the wave” forward, palms up and then flat, over your extended foot.
5. Add the legs. When you raise your arms, point the right foot back. Lower your arms and put the heel in front of you. Repeat three times. 6. Put your right leg back down, shift your weight to it, and repeat the movement with the left leg.
c Pushing and Pulling the Wave 1. Stand with your feet hip-width distance apart, arms at your sides.
d Painting the Rainbow
(You can stand or sit for this.)
1. Stand with feet flat on the floor, knees soft, arms by your sides. 2. Take a deep breath. Sway your arms to the right side and up to face level, letting your palms face forward. Your spine and waist also should turn with the movement. 3. Come down to the other side. 4. Gracefully continue tracing a rainbow four times, loosening your spine and waist. 5. Stop and sweep to the other side.
2. Lift your left foot up and place it at an angle in front of you. Keep both knees bent.
d Want to practice tai chi?
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ChristianaCare Fitness Instructor Lizzy Helm shows you how at christianacare.org/christianacare.fitness
E AT W E L L . S TAY W E L L .
PuMpKin IT ’ S M ORE THAN JUST PI E
recipes & more SAVORY PUMPKIN AND WHITE BEAN DIP GET THE KIDS INVOLVED
Find more pumpkin recipes at christianacare.org/recipes
It’s pumpkin time again! But the seasonal star of the squash family isn’t limited to the front porch. It’s a nutritional powerhouse that brings fall flavor to meals and snacks. Just one cup of pumpkin packs more than 200% of the daily recommended allowance of vitamin A. Health benefits also include fiber, beta-carotene — which protects against UV rays — and antioxidants. So, go ahead and bake, stew, sauté or mix this fall bounty into your dishes.
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Savory Pumpkin and White Bean Dip Enjoy the health benefits of pumpkin year-round with Savory Pumpkin and White Bean Dip. This make-ahead appetizer is sophisticated enough for entertaining and simple enough for family movie night. Add versatile heart healthy canned pumpkin to your list of pantry staples today! INGREDIENTS MAKES 10 — 1/4 CUP PORTIONS
1 3/4 3 1/4 1/2 2 2 2 1 1
15 oz. can cannellini beans, no salt added cup plain canned pumpkin, not pie filling oz. feta cheese cup plain Greek yogurt, non fat Serve dip cold with baked whole tsp. smoked paprika wheat pita chips or tsp. fresh lemon juice soft pita wedges and tsp. olive oil fresh vegetables. cloves of garlic, finely minced small shallot, finely minced Tbsp. fresh sage, finely minced
DIRECTIONS
1. Rinse and drain canned cannellini beans. Add beans, pumpkin, feta cheese, Greek yogurt, smoked paprika and lemon juice to the bowl of a food processor. Process ingredients until completely smooth, pausing to scrape down the sides as needed. 2. Heat olive oil in a small sauté pan over medium low heat. Add minced shallot and garlic and sauté until soft, about 5 to 6 minutes. Turn down the heat if ingredients are starting to brown. 3. Add minced fresh sage and sauté 1 minute more or until the sage is fragrant.
4. Allow to cool slightly, then scrape into the bowl of the food processor with your puréed ingredients. 5. Pulse the mixture a few times to thoroughly incorporate all ingredients. 6. Spoon the dip into a serving bowl, cover and refrigerate for several hours or until completely chilled. Dip can be made 1 day in advance of serving. TIME SAVER: Pulse shallot and garlic in the food processor to finely mince. Set aside and wipe out the bowl before continuing.
NUTRITIONAL INFORMATION Calories 78, Total Fat 3G, Saturated Fat 1G, Monounsaturated Fat 1G, Polyunsaturated Fat 0G, Trans Fat 0G, Cholesterol 8MG, Sodium 95MG, Potassium 109MG, Total Carbs 8G, Dietary Fiber 2G, Sugars 2G, Protein 4G
Get the Kids Involved! You may be surprised by their eagerness to help. Participating in food preparation increases kids’ willingness to try new foods and is a great opportunity for quality time. It is also an excellent way to practice reading and math skills.
MEASURE the ingredients.
RINSE the beans. PLUCK the sage leaves off the stems.
“It’s an awesome after school snack!” VIOLET & RUBY WILMINGTON
PEEL shallot and garlic cloves.
READ the recipe aloud. STIR the shallots and garlic as they cook, with supervision.
CUT soft pita into wedges with cooking shears, with supervision.
Pumpkin Purée MAKE YOUR OWN
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Cut pumpkin in half, scoop out the seeds and place cut side down on a baking sheet prepared with cooking spray or oil. Bake at 350° until fork tender. Allow to cool, scoop the flesh into the bowl of a food processor and purée.
Every journey starts somewhere. Ours began more than 100 years ago when we pledged to serve our neighbors as respectful, expert, caring partners in their health. Along the way, we’ve grown into a health system impacting the health of patients beyond the East Coast. Today, we’re ranked among the world’s best hospitals.* And, we’re taking a step forward. We’re advancing personalized care for our community to deliver the right care, at the right time, at the right place — to deliver health, not just health care. What do we do it all for?
FOR THE LOVE OF HEALTH TM
*Newsweek, 2019
Wherever your journey takes you, all of us at ChristianaCare wish you good health.
Learn about our journey at ChristianaCare.org
NON PROFIT ORG US POSTAGE PAID WILMINGTON DE PERMIT NO 357
PO BOX 1668 WILMINGTON, DE 19899-1668
ChristianaCare.org
How I my health “ Wherever I am, I take 10 minutes a day to meditate. During the WNBA season I’m flying a lot, so I’ll put on my headphones, close my eyes and focus. At home I like to meditate in my sunroom. Mindfulness helps me with focus and calm. It helps me up my game!”
Elena Delle Donne WNBA Champion Basketball Player
ChristianaCare Wellness Ambassador Native Delawarean