Doylestown Health Dialogue - Fall 2016 by Doylestown Health

Principal Does Her Homework

Taking Aim at Opioid Abuse

Pine Run: Fit for Life

Hometown Health Advanced Endovascular Care, Close to Home. Page 6 Fall / Winter

Community Calendar p 16

Health Connections by Doylestown Health offers a health and wellness concierge at the Cowhey Family ShopRite at 942 W. Street Road, Warminster. These free events are held in store at the Health Connections office across from the pharmacy.

FREE IN-STORE EVENTS!

Clutter Clinic: Learning to Downsize

Registration required unless otherwise noted.

Tues., Oct. 4, 10 to 11 am

Medicare Enrollment Counseling with Apprise

1st and 3rd Thursday of the Month, 10 am to 1 pm Limited time slots available. Call 267-880-5700 for appointment.

Blood Pressure Screening

Weds., Sept. 7, Oct. 5, Nov. 2, Dec. 7, Jan. 4, 10 am to 1 pm Walk-ins welcome.

Feeling the Burn? Dealing with Heartburn or Reflux Thurs., Sept. 8, 6 to 7 pm

Sleep Apnea Screening

Weds., Sept. 14, 11:30 am to 2 pm

Understanding the Medicare Maze

Weds., Sept. 14, 6 to 7:30 pm

Clearing the Air: Smoking Cessation Program Tues., Sept. 20 to Oct. 18, 6:30 to 8 pm

Reimagining Retirement with Pine Run Retirement Community Weds., Oct. 12, 10 am to Noon

Heart Talk: Common Heart Issues Thurs., Oct. 13, 6 to 7 pm

Oral Cancer Screening

Weds., Nov. 30, 11:30 am to 2 pm

Blood Pressure & Cholesterol Screening

Weds., Dec. 7, 10 am to 1 pm Walk-ins welcome.

Computer Safety: Don’t Get Scammed

Sat., Oct. 15, 10 am to 1 pm

Thurs., Dec. 8, 10 to 11 am

Understanding Affordable Care Act Workshop

Massage Therapy for Wellness Tues., Dec. 13, 10 am to 1 pm

Weds., Oct. 19, 6 to 7 pm

Intro to Weigh to Lose

Are You At Risk for Stroke?

Thurs., Dec. 15, 2 Sessions: 10 to 11 am and 6:30 to 7:30 pm

Healthy Homes, Healthy Lungs

Understanding Advance Directives

Tues., Nov. 4, 10 am to 1 pm Sat., Nov. 5, 11 am to 2 pm

The DASH Diet

Weds., Nov. 9, 10 to 11 am

Weds., Jan. 11, 2 Sessions: 10 to 11 am and 6 to 7 pm Walk-ins welcome.

Glucose Screening: What’s Your Risk for Diabetes?

How to Lower Cholesterol Naturally

Thurs., Nov. 10, 10 am to Noon

Diabetes Prevention & Management

Healthy Eyes & Vision

Thurs., Sept. 22, 10 to 11 am

Coping with Cancer: Managing Fear & Uncertainty

Grocery Shopping for a Low-Salt Diet

Great American Smokeout

Sat., Oct. 1, 10 to 11:30 am

Mon., Nov. 28, 2 to 7 pm Walk-ins welcome.

Brown Bag Day: Ask the Pharmacist

Food & Mood: Nutrition for Mental Health Weds., Sept. 21, 10 to 11 am

Red Cross Holiday Blood Drive

Tues., Nov. 15, 10 to 11 am

Weds., Nov. 16, 10 to 11 am

Thurs., Nov. 17, 11 am to 7 pm

Thurs., Jan. 12, 10 to 11 am

Moving on: Emotional Adjustment After a Stroke Fri., Jan. 13, 10 to 11 am

Memory Workshop: Is it Forgetfulness or Alzheimer’s? Weds., Jan. 18, 10 to 11:30 am

Hand and Finger Weakness Screening Weds., Jan. 25, 10 am to Noon

For additional programs or to register, visit DoylestownHealth.org or call 215-672-1870

President’s Perspective

ur backyard is apparently a sanctuary for multiple furry and feathered families. Maybe that’s because we leave out plenty of seeds and nuts. Kelly, the kids, and I particularly enjoy watching the squirrels. These industrious little animals clearly have a nice work/life balance. Even when they are playing, they are at work. They are busy building nests and harvesting from one season to prepare for the next. They are consistent. At the end of the day, when they retreat to their nests, they must have some innate sense of satisfaction or trust that when the winter comes and the trees are bare, they will find the food they buried scattered about their environment. I think there is a lesson for all of us in the activity of squirrels. Great organizations provide an environment where the employees enjoy their work, efficiently execute the day to day activities, but also constantly prepare for the future.

That’s Doylestown Health. Compassion and commitment are universal traits of those choosing a healthcare profession. Whether delivering direct patient care or supporting the team that does, our Physicians, Associates and Volunteers consistently execute their day-to-day tasks in providing the highest quality healthcare to our community. Just as squirrels prepare for the seasons, we are also constantly planning for the future. Learning from our past experience and driven by our mission, we seek to understand the needs of our community and how we can best meet those needs. In this issue of Dialogue, we offer a snapshot into Doylestown Health. You will read about programs at our Pine Run Retirement Community that encourage health and exercise to improve the length and quality of life. You will also read about how we are addressing the opioid crisis impacting every American community. One of our patients tells her story about heart valve replacement at Doylestown Hospital. Nearly 20 years ago, the hospital understood the needs of the community and established The Heart Center, today, the Richard A. Reif Heart Institute. Two endovascular surgeons recently joined our outstanding team of physicians and offer minimally-invasive endovascular artery repair. Our nationally-ranked Heart Institute continues to innovate, following up on the introduction last year of catheter-based clot retrieval for stroke patients. You will learn about shoulder replacement surgery, which is a part of the high-value services offered by our Orthopedic Institute. The shoulder is the most complex joint in the body, and Doylestown Health has a range of options to treat patients experiencing shoulder pain or reduced range of motion. It is very rewarding to be a part of the outstanding team at Doylestown Health. Together we focus on the daily task of healthcare with an eye to the future. As we care for the individual patient in front of us, we never lose sight of the changing seasons and needs of the community.

JIM BREXLER President / CEO

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Cardiac Care

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A Diagnosis of Aortic Stenosis “Dr. Mooradd said a calcium build-up was narrowing my aortic valve. It was not opening well, a condition called aortic stenosis,” says Christine. The largest artery, the aorta, is the gateway through which the heart pumps oxygenated blood to the rest of the body. A stenotic aortic valve does not permit normal blood flow, and forces the heart to work harder. Dr. Mooradd connected Christine with Joseph S. Auteri, MD, chief of Cardiac Surgery, to discuss treatment options. “Stenosis can be mild, moderate, severe or critical,” says Dr. Auteri. Christine’s blockage was at the critical level, and she needed valve replacement surgery to avoid further heart damage so she could resume a normal, healthy lifestyle. The Valve Replacement Dr. Auteri removed the calcification and replaced Christine’s damaged valve with a tissue valve. Heart valve replacements can be mechanical or tissue. Common factors in valve selection are age, ability to take blood thinners and patient preference. • Tissue (cow or pig) valves last 12 – 15 years. No blood thinners are required. • Mechanical valves last forever. Patients must take blood thinners. Repairing the Aneurysm Before her valve replacement, a cardiac catheterization revealed another heart issue – Christine also had a dilated ascending aorta (aortic aneurysm) that required surgical repair. “Just like a balloon pops if you keep blowing air into it, blood pressure stretches a dilated aorta. If it grows big enough, the artery can rupture – an immediately life-threatening condition,” explains Dr. Auteri. “That’s why it is important for patients who have or have had an aneurysm to see the doctor regularly and keep blood pressure under control.” To correct Christine’s problem, Dr. Auteri replaced the dilated portion of her ascending aorta with a tube graft.

Doylestown Health Gets an A+ “I felt connected with Doylestown Health from beginning to end,” says Christine. “I received excellent care, and the entire experience was smooth, positive and upbeat.” “Christine was fascinated to learn about all aspects of the procedure, including asking for before and after photos of her valve,” says Dr. Auteri, who recommends that patients ask lots of questions, as long as they are comfortable having the information. Now retired and enjoying a new phase of her life, Christine reflects on her experience, “It was very important that my caregivers answered my questions. The team at Doylestown Health demonstrated knowledge and skills I could rely on, and support from family and friends made a difference on a daily basis. I put my trust in God to guide me to the right path and choices, and I truly believe that’s what happened.” Connected Care Doylestown Health’s Valve Clinic combines the expertise of cardiologists, interventionists, surgeons and a dedicated coordinator to provide prompt assessments and advanced treatment options for valve disease. The valve clinic coordinator, a nurse practitioner, collaborates with the entire care team to coordinate each patient’s evaluation, diagnostic studies and subspecialist appointments to ensure they receive comprehensive, streamlined care.

“

I felt connected with Doylestown Health from beginning to end •••

I received excellent care, and the entire experience was smooth, positive and upbeat.

” Signs of Aortic Stenosis • Sensation of a fast or fluttering heart beat • Chest pain, pressure, tightness (including pain or discomfort in one or both arms, the back, neck, jaw or stomach) • Loss of consciousness, feeling faint or lightheaded • Heart murmur • Swollen legs, ankles • Fatigue and shortness of breath (especially when active/exercising, lying down, or at night) If you experience cardiac symptoms, call 911 immediately.

Learn more: Call 215-345-2121 or visit DoylestownHealth.org/Heart.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Vascular Care

Hometown Health Advanced Endovascular Care, Close to Home

hen Rudy and Irene Matyas planned their retirement, they chose to stay close to Doylestown. It was a decision the couple says they have never regretted – especially when an aneurysm put Rudy’s lone kidney at risk, making access to high-level vascular care available at Doylestown Health a necessity. A former program supervisor with the Bucks County Intermediate Unit, Rudy, 86, had an infrarenal abdominal aortic aneurysm, a ballooning of the body’s main artery, right below his kidney. Without repair, he would be at risk for a life-threatening rupture, yet the treatment could impact the functioning of his kidney. Fortunately, Joshua Eisenberg, MD, fellowship-trained vascular surgeon with Doylestown Health Vascular Surgery, offered the expertise Rudy needed. Weighing the Options

“Dr. Eisenberg was magnificent! He reviewed my pre-surgery tests, consulted with my family physician and nephrologist, and calmly explained my options in terms of risks and rewards,” says Rudy. “I was concerned that I would end up on dialysis, but when the time came for my procedure, I had complete confidence in my choice and in Dr. Eisenberg.”

Rudy’s treatment options included: Minimally invasive endovascular artery repair (EVAR) – The aneurysm would be repaired from the inside with a stent, delivered through a catheter (thin tube) via the femoral artery. An offshoot artery, discovered during preliminary testing, would have to be removed, potentially creating a problem with the blood supply to Rudy’s kidney. Approximately 70 to 80 percent of aneurysm patients qualify for EVAR, a determination based primarily on anatomy. Open repair – The traditional method, open repair involves a large incision in the abdomen and replacement of the damaged segment of the aorta with a graft. This option involves major surgery, and would require a longer hospital stay and recovery. If, during EVAR, Dr. Eisenberg determined that proceeding with an open surgical repair would produce a better outcome, then a “hybrid” procedure, combining endovascular technique and open surgery, would be performed. Doylestown Health’s hybrid operating room features sophisticated equipment and imaging technology to allow Dr. Eisenberg to seamlessly move from EVAR to open surgery.

Advanced Care in a Community Setting

Making a Decision “Mr. Matyas’ anatomy made endovascular repair challenging,” says Dr. Eisenberg. “He had previously had one kidney removed, and had some of the blood supply to his other kidney arising from his aneurysm. Treating his aneurysm in our hybrid OR allowed us to have all of the tools available to ensure he had a good outcome.” “I went for the endoscopic operation (EVAR), and everything turned out perfectly,” says Rudy. I was impressed with Dr. Eisenberg, the staff and the pre- and post- surgery preparation at the hospital. Everyone was knowledgeable and supportive. I stayed just one night, and my kidney is functioning fine!” Vascular Disease and Aneurysm Vascular diseases affect the circulatory system, which carries life-sustaining fluids throughout the body. Though common, especially with age, vascular diseases can lead to serious, sometimes life-threatening conditions, according to fellowship-trained vascular surgeon Atul Rao, MD, also with Doylestown Health Vascular Surgery. “The two major arterial system disorders treated by vascular surgeons involve blocked arteries and aneurysms of the arteries.” “The main vessel carrying blood from the heart to the body, the aorta, can bubble out like a balloon and rupture — an immediate, life-threatening catastrophe,” says Dr. Rao. “Our goal is to identify aneurysms beforehand, following patients with routine imaging until the aneurysm size meets the indications for repair or symptoms develop.”

Doylestown Health’s Vascular Surgery Team Doylestown Health’s highly experienced, fellowship-trained endovascular surgeons perform complex open surgeries and minimally-invasive endovascular treatments in the sophisticated hybrid operating room.

Doylestown Health Vascular Surgery offers advanced diagnosis and treatment of vascular conditions. “Doylestown Health melds the best qualities of a community health system with high-level expertise and facilities,” says Dr. Rao. “We have relationships with patients, referring physicians, hospital staff and colleagues, while our patients are supported with diagnostic capabilities, outstanding post-operative ICU settings and excellent nursing care.” Benefits include: • Support and education for • Advanced treatment in a patients and families patient- and family-centered environment • State-of-the-art technology • University-level care in • Preventive cardiovascular a convenient suburban health programs location • Expertise to oversee all aspects of vascular care

• Disease-specific nutrition counseling

• The newest minimallyinvasive endovascular technologies and open surgeries

• Robust cardiac rehabilitation program

Conditions treated: • Lymphedema • Abdominal and thoracic aortic aneurysms and dissections (tears in the wall • Mesenteric artery disease (intestinal blood flow) of the artery) • Carotid blockages/ cerebrovascular disease • Deep vein thrombosis (a blood clot in a vein that can break loose and cause blockage) • Diabetes-related circulatory problems and wounds

Atul Rao, MD

Joshua Eisenberg, MD

Vascular Surgeon

• Peripheral artery aneurysms • PAD (Peripheral Arterial Disease) and limb ischemia (limited blood flow that can lead to pain or even loss of limb) • Renal artery disease • Varicose veins

• Kidney disease requiring dialysis

To learn more about Doylestown Health Vascular Surgery, call 215-345-2100 or visit DoylestownHealth.org/Vascular.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Community Alert

Taking Aim at

OPIOID ABUSE An opioid abuse epidemic is destroying lives across America, leaving grieving families and heartbroken communities searching for answers. An estimated 1.9 million people in the United States are misusing opioid pain medication, with the unintentional overdose death rate increasing fourfold since 1999. The Medicine Cabinet Issue Prescription pain medications are the leading cause of prescription drug abuse, partially due to the increasing availability of the medications. In fact, the United States accounts for almost 100 percent of the world total for hydrocodone (e.g. Vicodin) prescriptions. “Prescription opioids are often found in an unsecured medicine cabinet, then shared or sold for misuse,” says Brenda Foley, MD, assistant medical director of Doylestown Health’s Emergency Department (ED). “People believe that these medications are inherently safe because they are prescribed by a physician, but if not used properly and safely, they also have the potential to be highly addictive.”

Recognizing Opiods Morphine

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Four in five new heroin users started out misusing prescription painkillers. “Many addicts move from prescription opioids to less expensive, easier-to-obtain heroin, which can be contaminated with toxic agents or powerful prescription medications, such as fentanyl, leading to unintended overdoses,” says Dr. Foley. “It’s heart-wrenching to see someone die from an overdose — especially knowing that a death due to a drug overdose is a tragic consequence of an addiction that could have been prevented,” says Dr. Foley

References: 1. Centers for Disease Control and Prevention. (2016, March): Opioid Overdose 2. Centers for Disease Control and Prevention. (2016, June): Prescription Opioid Overdose Data 3. Centers for Disease Control and Prevention. (2015, July): Today’s Heroin Epidemic 4. “Report on Overdose Death Statistics, 2014” of the State Coroners Association

According to the Centers for Disease Control and Prevention (CDC), drug overdose deaths hit a record high in 2014. 28,000 deaths involved opioids and more than half involved prescription opioids.1

More than 165,000 people died from prescription opioid overdoses from 1999 to 2014.2

Narcotic Responsible Initiative In 2011, alarmed by the number of patients coming to Doylestown Hospital with overdoses and opioid abuse concerns, Dr. Foley developed the Narcotic Responsible Hospital Policy for the ED. “The ED physicians and staff enthusiastically aligned around this effort, and with the support of administration, we were able to see a real change in our prescribing practice, while still focusing on addressing patients’ pain,” says Dr. Foley. Goals included reducing narcotic prescriptions for chronic pain, consideration of non-narcotic alternatives for pain relief, identifying potential addiction issues/risk factors, and offering treatment resources for those patients suffering from addiction. Guidelines include: • Limiting the number of pills per prescription • Eliminating the practice of refilling lost or stolen prescriptions • Avoiding prescribing long-acting narcotics • Prescribing only enough medication to last until the follow-up appointment, no more than a seven-day supply. If a patient continues to experience pain and there is a clinical reason, the physician needs to be aware and reevaluate the patient’s need for pain medication.

45% of heroin users are also addicted to prescription opioid medication.3

Suspect an Overdose? Call 911 immediately Signs of opioid overdose • Gurgling/ • Unable to be gasping/ awakened or snoring unable to speak • Unconscious

“Dr. Foley initiated opioid addiction prevention measures long before media reports drew attention to the issue,” says Scott Levy, MD, vice president and chief medical officer. “She spread the message hospital-wide, promoting the limited use of narcotics at time of discharge. We see patients with overdose issues, even in our pediatric population. Opioid addiction transcends all economic groups and living environments.” Narcan Saves Lives In addition to hospital policy changes, Doylestown Health is reaching out into the community to spread awareness and education about opioid addiction. In early 2016, Ashley Heidler, Doylestown Health’s pediatric outreach manager, organized a program for Central Bucks School District nurses about Narcan (Naloxone). This FDA-approved medication used by first responders, and also available over-the-counter, saves lives by stopping or reversing the effects of an opioid overdose. “It is essential to have this education surrounding life-saving medication in our schools and critical that we focus on this epidemic which is occurring throughout the nation and in our community,” says Ashley.

• Blue lips/skin

• Skin that is • Slow/shallow cool/clammy breathing or and pale apnea (not breathing at all) • Limp/floppy body • Vomiting If you are unable to get a response, do not assume that the person is asleep or “just passed out.” Call for help.

What Can You Do? Ask – Do I need this medication? Are there alternatives? Side effects? Take medication only as prescribed. Educate yourself and your children about the potential risks of misuse of prescription narcotics. Keep medicines secure, count and monitor pills and lock them up — ask others to do the same. If you think a loved one is addicted to opioids, talk to him/her about treatment. Consider stocking Narcan in your home. Dispose of leftover medications using takeback programs that accept narcotics.

Pennsylvania recorded 2,489 drug-related deaths in 2014. In this region, Philadelphia had the most overdose deaths. Bucks County was second (205 deaths).4

For a list of resources, including drug disposal locations and addiction support, visit DoylestownHealth.org/OpioidAbuse.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Orthopedic Care

Finally reaching the top shelf Shoulder replacement solves pain predicament

For three years, Catherine Rantz, 75, of Perkasie, PA, endured intense pain caused by the arthritis in her left shoulder. “I couldn’t lift my arm above my waist or hug my grandchildren,” says Catherine, a retired office manager. “Dishes were stacked on the counter because I couldn’t reach the cabinets. I was in pain day and night. There was no comfortable position.” Though Catherine found intermittent relief through physical therapy and anti-inflammatory cortisone injections, the time came when these first-line therapies no longer alleviated her discomfort. Her orthopedic surgeon, Kieran Cody, MD, recommended total shoulder replacement surgery.

The Pain Just Stopped

It Starts with a Conversation “I had never heard of shoulder replacement, and I was afraid that it wouldn’t work,” says Catherine. “I wasn’t ready, and Dr. Cody understood.” “The decision as to what treatment is right for the patient is based on a conversation,” says Dr. Cody. “Talking with my patients is more important to me than even an X-ray. It helps me understand how pain impacts the individual, what their goals are and how to best achieve those goals.” In 2015, Catherine told Dr. Cody she was ready for surgery. Her rotator cuff was damaged, so a reverse total shoulder replacement was her best option. In this procedure, Dr. Cody replaced her shoulder in a way that allows the shoulder to move despite her rotator cuff tear, restoring Catherine’s ability to comfortably move her hand and arm.

A year after surgery, Catherine is still astonished by the results. “After my recovery, I have no pain! I can put dishes in cabinets, give and receive hugs and steer my lawnmower,” says Catherine. “I can’t thank Dr. Cody enough.” The Amazing Shoulder The shoulder is the most complex joint in the body. Every time we wave, pick up a spoon, brush our teeth or cradle a baby, we rely on this intricate structure. Arthritis pain in the shoulder that is caused by mechanical wear and tear on the joint is called osteoarthritis. This condition impedes the ability to raise the arms and position the hands, and is the most common reason for total shoulder replacement. Osteoarthritis is most prevalent in people aged 60 to 80, says Dr. Cody, though a sports injury can lead to early shoulder arthritis. Before surgery, treatment options include: • Anti-inflammatory medication via pills or injection • Physical therapy to improve range of motion and shoulder strength • Avoiding activities that make the shoulder hurt When arthritis keeps a patient from activities of daily living, self-care (brushing hair, dressing), or from doing what they love, it’s time to consider total shoulder replacement. Procedures include:

Patient-Focused Care The Total Shoulder Replacement Program at Doylestown Health’s Orthopedic Institute offers patients the latest medical advances and a personal connection with their fellowshiptrained surgeon and team. “Dr. Cody was amazing, and the orthopedic navigator was with me every step of the way,” says Catherine. “She told me what to expect and even got me started with physical therapy to strengthen my muscles before surgery.” The navigator also prearranged home care nursing to check Catherine’s progress after she left the hospital. “The Total Shoulder Replacement Program offers patients the opportunity to understand their procedure, recovery process and physical therapy prior to the surgery. I think that really helps decrease anxiety and improves results after surgery,” says Dr. Cody. “It’s a comprehensive program with the patient very well taken care of by all members of the team.”

• Total Shoulder Replacement - If the rotator cuff is working, then replacing both the ball of the upper arm bone (humerus) and the socket (glenoid) with a plastic cup is the best option. • Reverse Total Shoulder Replacement - If the rotator cuff is not working, a more complex procedure, replacing the ball and socket in a way that also replaces rotator cuff function, enables a patient to raise his or her hand. • Hemiarthroplasty - Replacing the ball of the upper arm bone (humerus). Patients typically spend one night in the hospital. Care is taken to ensure their pain is managed, and home care nursing and occupational therapy are arranged, when needed.

Learn more about shoulder and joint replacement Call 215-345-2121 or visit DoylestownHealth.org/Joints.

“After my recovery, I have no pain! I can put dishes in cabinets, give and receive hugs and steer my lawnmower ... I can’t thank Dr. Cody enough.” DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Pine Run

L i fe st y l e O p p o r t u n i t i e s A b o u n d at Pi n e R u n When Richard Michie, 78, heads out for his daily walk, his beloved poodle, Thor, can’t wait to join him. The pair covers four to five miles a day on the beautiful campus of Doylestown Health’s Pine Run Retirement Community, often joined by two-legged and four-legged friends. “Age is just a number,” says Richard, who has tracked 1,000 miles on his FitBit. He says Pine Run makes it easy to keep moving with covered trails and a dog-friendly environment that allows him to keep Thor by his side. “We’ve walked almost every path here.” When it’s time to unwind, Richard enjoys Chair Yoga, reaping the relaxing strength and flexibility benefits of yoga, while seated in a chair.

Fit for All Whether you’re a gym newbie or a lifetime fitness buff, Pine Run Retirement Community has a workout for you! Exercise changes lives, reducing heart disease and diabetes risk, improving mood, and increasing stamina and flexibility. “We want everyone to benefit from a fit lifestyle, and our Villagers are having fun, making new friends and improving their health,” says Maureen Goldsmith, co-director of the Fitness Center at Pine Run. Experienced trainers, Maureen and co-director Carol Nieto have dedicated themselves to spreading the gym bug, attracting more Villagers to Pine Run’s fully equipped fitness center and broad array of classes.

Pictured at top: Susan Davis and C. Richard Michie, Pine Run Villagers, and Carol Nieto and Maureen Goldsmith, co-directors of the Fitness Center at Pine Run.

Fitness Challenges Outfitting 64 Villagers with pedometers, Maureen and Carol organized a virtual hike on the Appalachian Trail, from Mt. Katahdin in Maine to Springer Mt. in Georgia. “Hikers” achieved their 2190-mile goal in 103 days by combining their accomplishments on treadmills, steppers, and the walking trails of Pine Run’s beautiful, 43-acre campus. “We couldn’t believe the response! People were having so much fun tracking their progress,” says Maureen. This fall, Villagers are undertaking a new challenge that employs brains as well as brawn, competing in Pine Run’s version of “The Amazing Race.” Villagers are deciphering coded messages, solving math problems, building houses of cards and more, while virtually cycling their way through the Tour de France. The Personal Touch “We know there’s nothing fun about sitting on a machine for 30 minutes,” says Maureen, “So we offer complimentary personal training, small-group interaction and other activities to help our Villagers stay engaged while doing cardiovascular and strength training, stretching and balance work.” By expanding hours and spreading the word about the fully equipped fitness center, complimentary for Villagers, attendance doubled in one month! “Our exercisers get their blood flowing. They say they have more energy and fewer aches and pains. Their muscles are stronger, so there is less stress on joints,” says Maureen. “They support and motivate each other because they want everybody to feel as good as they do.” “You can see how our Villagers who have exercised for a long time benefit health-wise. When they do have a health crisis or injury, they bounce back faster,” says Carol. Classes for a Lifetime of Fitness Betty Kitson, 82, discovered the gym after raising her two children. “I’ve been exercising for 40 years. It is a high priority,” says Betty, who also served as a fitness instructor in her 50s. “Classes are fun, and I like the variety,” says Betty, who takes Interval Training, Mat Yoga (a favorite for relaxation, stretching and flexibility) and Zumba Gold. “Our instructors are highly experienced. They emphasize cardio, strength, flexibility, balance and core, and are aware of our physical limitations. I think it’s important to keep active,” says Betty, who also likes the social atmosphere of working out with a group. “We go to the Cafe for coffee and conversation after class.”

We want everyone to benefit from a fit lifestyle, and our Villagers are having fun, making new friends and improving their health.

Complimentary Classes Offered Zumba Gold

Tai Chi

Pilates

Total Body Workout

Yoga Chair Tap

Interval Training

Chair Yoga

Cardio Circuit

Free membership to Aquatic Center and Spa located within the Health and Wellness Center in Warrington

Learn more about active living options at Pine Run Retirement Community, call 800-992-8992 or visit PineRun.org.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Caring for Kids

Close to Home

Della Penna Pediatric Center Delivers Family-Focused Care to the Community

Expert Pediatric Care

motions run high, and life becomes more complicated, when a child is admitted to the hospital. Pediatric patients are often fearful, parents struggle with anxiety and fatigue, siblings at home must be cared for and households need to be managed. Helen Clemens is a mom who knows the scenario all too well. Her six-year-old daughter, Gretchen, has been hospitalized numerous times during her young life. In the past, those admissions required pediatric care at hospitals far from home. Today, Helen and her family can access the care they need locally, at the recently established Doylestown Health Carol and Louis Della Penna Pediatric Center.

When it comes to caring for a child, specialized care is essential. At the Della Penna Pediatric Center, care is delivered by a highly qualified team of board-certified pediatricians, skilled nurses and clinical staff. Also on site are nutritionists, physical and occupational therapists, social workers and case managers. As part of Doylestown Health, the pediatric center has immediate access to advanced imaging and diagnostic services, and surgical options.

Doylestown Health’s Pediatric Services have also expanded beyond the hospital setting and into the community, and include health Mary Jane Clemens with her and wellness education, nutrition services granddaughter, Gretchen and more. Doylestown Health has partnered Fewer Miles, More Smiles with local school districts, youth organizations and educational foundations to host community programs, classes, events and Located within Doylestown Hospital, the Della Penna Pediatric screenings as part of its mission to proactively advocate for Center is an inpatient unit focused on the care of infants, the health of the youngest members of our community. children and teens. The center offers a caring and family-friendly These programs have reached more than 1,400 kids and atmosphere, with accommodations that enable parents to stay parents annually. with their child around-the-clock. “The pediatric center is just three miles from our home,” notes Helen. “That makes a big difference when Gretchen is in the hospital. I want someone there with her twenty-four seven, and now it’s easy for other family members to help out.” Helen notes that Gretchen likes the center, too, seeming less fearful when she is admitted. “It’s a quiet, healing atmosphere,” says Helen. “They have a playroom, lots of games, books and toys, and the nurses are phenomenal. I can’t say enough about them.”

A Grand Gesture The availability of local pediatric care is important to grandparents, too. Gretchen’s grandmother, Mary Jane Clemens, felt so strongly about the benefits of pediatric care close to home she made a generous contribution to the Carol and Louis Della Penna Pediatric Center. “When Gretchen is sick, I like to be there to see her every day... We are so fortunate to have specialized pediatric care right here in Doylestown.”

Pictured left to right: Mary Jane Clemens, Gretchen, Jillian, and Helen Clemens

Doylestown Health’s Pediatric Campaign, 2014-2016 Investing Locally in our Future Doylestown Health’s vision of an inpatient pediatric unit was made possible thanks to the many individuals, local businesses, corporations and foundations who contributed to the Pediatric Campaign. Since 2014, over $1.7 million has been donated to support the Della Penna Pediatric Center and launch community-wide pediatric education and outreach programs. Inspired by the lead gift of Carol and Louis Della Penna, Doylestown-based Penn Color, Inc. was one of the campaign’s lead donors. “Our company’s philosophy on charitable giving is to make contributions that will positively impact the quality of life for all members in the community,” notes Kevin Putman, President and CEO of Penn Color, a leading manufacturer of color concentrates, masterbatches, and pigment dispersions. “Supporting Doylestown Health’s mission to bring high-quality pediatric care to local families was very exciting and certainly matched our values.” Charitable investments from community and business leaders have helped the Della Penna Pediatric Center grow into the robust program that it is today. Contributions have supported construction costs, significant equipment upgrades and outreach expenditures – all aimed at keeping the children of our community safe and healthy. “We are proud to support Doylestown Health,” adds Putman. “Together, we are ensuring the health of our future.”

Special thanks to those who made leadership gifts to Doylestown Health’s Pediatric Campaign Asplundh Foundation Jim & Kelly Brexler and Kids Bucks County Foundation Central Bucks Pediatrics Maureen & Gregory Church Patrick & Carol Counihan Carol & Louis Della Penna Doylestown Emergency Associates, PC Foundations Community Partnership Alex & Patricia Gorsky Jane & Mal Jozoff In Memory of Beth Smolens Luce Pat & Bill Marshall Syd & Sharon Martin The Merck Company Foundation The Norman Raab Foundation The Paynton Family

Support Doylestown Health Pediatric Services Donations to the Della Penna Pediatric Center significantly impact the sustainability and future success of the programs and services offered to our most vulnerable patients. To make a contribution, please visit DoylestownHealth.org/MakeAGift or contact the Doylestown Health Foundation at 215-345-2802.

Penn Color, Inc. Brian, Liz & Abby Rizor Adam & Donna Schechter Liz Serkin & Herman Silverman Univest Bank and Trust Co.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

THE Community CALENDAR Doylestown Health offers a variety of classes, screenings, support groups and special events to promote health and wellness in our community. Events take place at Doylestown Hospital, the Health & Wellness Center in Warrington, Health Connections by Doylestown Health at the Cowhey Family ShopRite in Warminster and other community locations.

Table of Contents 17

Cardiac Connections

Support Groups

Orthopedic Options

Healthy Lifestyle

Concerned About Cancer

Eating For Life

Childbirth & Parenting

25 Pediatrics 26

STAY CONNECTED DoylestownHealth.org/Stay-Connected

Special Events

Hospital Main Line 215-345-2200 To find a physician or for class & event information call the Pulseline at 215-345-2121 or visit DoylestownHealth.org.

Cardiac Connections

WALK WITH A DOC

Walk With A Doc Weds., Sept. 21, Oct. 19, Nov. 16, Dec. 14 Noon to 1 pm Meet at Parking Garage, Doylestown Hospital Walking for as little as 30 minutes per day can improve your blood pressure and blood sugar levels, and reduce your risk for coronary heart disease and many other health conditions. Each Walk With A Doc Event Includes: • Brief health discussion by a Doylestown Health physician • 30- to 45-minute walk around the Doylestown Hospital campus • Refreshments, giveaways and more! Join us for Walk With A Doc to take a step toward a healthier you! Registration encouraged. For more information or to register, visit DoylestownHealth.org/WWAD or call 215-345-2121. Free

Pet & Stroller Friendly!

HEART HEALTH EDUCATION Your Heart & Salt

Stroke Risk Assessment

Tues., Sept. 27, 11 am to Noon

Tues., Oct. 11, 5 to 7 pm

Conference Room J, Doylestown Hospital Join Amy Padbury, Doylestown Health heart failure coordinator, to identify sodium in your diet and learn about its negative impact on your health. Learn about foods that have high sodium content and tips to keep your food heart-healthy, yet still delicious. Free

Conference room J, Doylestown Hospital The American Stroke Association and Doylestown Health will sponsor this free screening that includes risk assessment, a check of blood pressure and pulse, and auditory evaluation of blood flow in the neck. Appointments required. Free

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Support Groups Doylestown Health offers both hospital-sponsored and community support groups. For more information, call 215-345-2657 unless number is listed. CANCER SUPPORT

CARDIOVASCULAR

Lyme Disease

Call 215-345-2022.

Heart Failure

Bereavement Support

Thurs., Oct. 13, 2 pm

Sun., Sept. 11, Oct. 9, Nov. 13, Dec. 11, Jan. 8, 7 pm

Tues., Sept. 6, Oct. 4, Nov. 1, Dec. 6, Jan. 3, 7:30 pm

Conference Room I, Doylestown Hospital Call 215-345-2328.

Cancer Support Community Office, Doylestown Hospital

Blood Cancer Weds., Sept. 21, Oct. 19, Nov. 16, Dec. 21, Jan. 18, 11 am

Implanted Defibrillator (ICD) Tues., Oct. 18, 6:30 pm Conference Room J, Doylestown Hospital Call 215-345-2328.

Cancer Support Community Office, Doylestown Hospital

Stroke

Brain Cancer Network

Moss Rehab Day Room, Doylestown Hospital

Thurs., Sept. 22, Oct. 27, Dec. 22, Jan. 26, 12:30 pm

WomenHeart

Cancer Support Community Office, Doylestown Hospital

Conference Room G/H, Doylestown Hospital

Breast Cancer Tues., Sept. 13, Oct. 11, Nov. 8, Dec. 13 (A), Jan. 10 (A), 7 pm Conference Room C (unless otherwise noted), Doylestown Hospital

Colorectal Cancer Weds., Sept. 7, Oct. 5, Nov. 2, Dec. 7, Jan. 4, 11 am Cancer Support Community Office, Doylestown Hospital

Living After Cancer 1st and 3rd Thursdays at 10:30 am

Thurs., Oct. 6, Nov. 3, Dec. 1, Jan. 5, 2 pm

Mon., Sept. 19, Oct. 17, Nov. 21, Dec. 19, 7 pm

Tues., Sept. 13, Oct. 11, Nov. 8, Dec. 13, Jan. 10, 1:30 pm Warrington Room, Health and Wellness Center

Scleroderma Mon., Sept. 26, Nov. 28, 6:30 pm Conference Room G/H, Doylestown Hospital Call 215-249-1132.

Infertility/RESOLVE

Nursing Mothers/New Mothers

Pine Run Lakeview, 2425 Lower State Rd., Doylestown Call 215-489-5872.

Alzheimer’s Disease (Family Caregiver) Tues., Sept. 27, Oct. 25, Nov. 22, Jan. 24, 7 pm

Better Breathers Conference Room J, Doylestown Hospital

Cancer Support Community Office, Doylestown Hospital

Diabetes

My Spouse Has Cancer

Conference Room J, Doylestown Hospital Call 215-345-2168.

Weds., Sept. 14, Oct. 12, Nov. 9, Jan. 11, 7 pm

Fibromyalgia/Chronic Fatigue Tues., Sept. 20, Oct. 18, Nov. 15, Jan. 17, 6:30 pm Conference Room I, Doylestown Hospital

Tues., Sept. 20, Oct. 18, Nov. 15, Jan. 17, 7 pm

Insulin Pump

Conference Room A, Doylestown Hospital Call 215-345-2261.

Weds., Sept. 21, Nov. 16, Jan. 18, 7 pm Conference Room A, Doylestown Hospital

Young Cancer Survival Coalition

Low Vision

Weds., Sept. 7, Oct. 5, Nov. 2, Dec. 7, 6:30 pm

Fri., Sept. 23, Oct. 28, Jan. 27, 10 am

Cancer Support Community of Greater Philadelphia, 200 Kirk Rd., Warminster Call 215-441-3290.

Parkinson’s Disease

Weds., Sept. 14, Oct. 12, Nov. 9, Dec. 14, Jan. 11, 3 pm

Tues., Sept. 6, Nov. 1, 10:30 am

Prostate Cancer

Conference Room J, Doylestown Hospital

Weds., Sept. 21, Oct. 19, Nov. 16, Dec. 21, Jan. 18, 7 pm

Living With Cancer

Cancer Support Community Office, Doylestown Hospital

Thurs., Sept. 8, Oct. 13, Nov. 10, Jan. 12, 7 pm

Alzheimer’s Disease (Family Caregiver)

Conference Room A, Doylestown Hospital

Tues., Sept. 20, Oct. 18, Nov. 15, Dec. 20, Jan. 17, 7 pm

Multiple Sclerosis

MATERNAL HEALTH DISEASES & CHRONIC

Cancer Support Community Office, Doylestown Hospital

2nd and 4th Thursdays at 11 am

Conference Room J, Doylestown Hospital

Conference Room I, Doylestown Hospital

Fri., Sept. 16, Oct. 21, Nov. 18, Dec. 16, Jan. 20, 10 am Warrington Room, Health and Wellness Center

Perinatal Loss Thurs., Sept. 22, Oct. 24, Nov. 28, Dec. 26, Jan. 23, 7:30 pm Hospital Chapel, Doylestown Hospital Call 215-345-2898 x6801

SELF-HELP Alcoholics Anonymous Saturdays at 11 am; Sundays at 8:30 am Conference Room C, Doylestown Hospital

Gamblers Anonymous Mondays at 7:30 pm Conference Room I, Doylestown Hospital

Narcotics Anonymous Saturdays at 7 pm Conference Room C, Doylestown Hospital

Orthopedic Options

Saturday, October 1

JOINTJAUNT2016

Conference Room J, Doylestown Hospital Doylestown Health’s Orthopedic Institute hosts the Joint Jaunt to help patients celebrate their road to full recovery after joint replacement. The Joint Jaunt is open to everyone, regardless of whether or not you’ve had a knee or hip replacement. Join our patients, physicians and staff for a morning of fun, education and exercise! For more information or to register for the walk or panel discussion, visit DoylestownHealth.org/ JointJaunt or call 215-345-2121. Free

Panel Discussion: Life with a Total Joint Replacement 9:15 to 10:15 am

1-Mile Walk Registration & continental breakfast 8:15 am, walk begins 8:45 am The 1-mile walk will take place around the grounds and gardens of Doylestown Hospital. Participants can choose how far they would like to walk.

Have you had a total joint replacement or are you thinking of having a joint replaced? Join Doylestown Health’s orthopedic team for a panel discussion on “Life with a Total Joint Replacement.” The program immediately follows the Joint Jaunt 1-mile walk.

EDUCATION AND SCREENINGS Lumps and Bumps in the Hands: What Can I Do?

Are You Ready to Get BACK in Action?

Tues., Sept. 13, 7 to 8 pm

Weds., Oct. 12, 7 to 8:30 pm

VIA Auditorium, Health and Wellness Center Difficulty in using your hands can lead to problems in everyday tasks of living. Join hand surgeon Jung Park, MD, for a presentation on the diagnosis and treatment of common hand issues. Registration required. Free

VIA Auditorium, Health & Wellness Center Suffering from back or leg pain? Join Doylestown Health orthopedic surgeon Guy Lee, MD, to discuss surgical and nonsurgical treatment options to relieve pain in your back. Free

Are You At Risk of Falling? Lecture and Screening

Tues., Nov. 15, 1 to 2 pm

Fri., Sept. 16 (C), Oct. 21, Nov. 18, Dec. 16, Jan. 20, Noon to 1 pm Conference Room J (unless otherwise noted), Doylestown Hospital A Doylestown Health physical therapist will talk about fall risks and prevention. Following the lecture, the therapist will perform individual balance screenings. Registration required. Free

Aging Safely with Cognitive Impairment

Is Joint Replacement Right for You? Conference Room J, Doylestown Hospital Meet with Doylestown Health’s orthopedic experts to learn about joint replacement surgery, how artificial joints work and what to expect after your joint replacement. Brief tours of the Orthopedic Institute will follow. Registration required. Space is limited, please register early. Free

Weds., Sept. 21, Noon to 1 pm

Balance & Fall Risk Screening

Conference Room J, Doylestown Hospital An estimated 6 million Americans of all ages live with some form of dementia or mild cognitive impairment (MCI), affecting their memory, physical activity and language. Join Doylestown Health’s outpatient rehabilitation experts to learn strategies to keep yourself or your loved ones safe at home, engaged in life and physically active. Free

Health Connections by Doylestown Health Cowhey Family ShopRite, Warminster Physical therapist Jeannine Greenberg, DPT, PT, from MossRehab at Doylestown Hospital, will perform individual balance screenings and give personalized recommendations of how to reduce your risk of falling. Limited time slots available. Free

Tues., Nov. 8, 10 am to Noon

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Healthy Lifestyle The Wellness Seminar for Weight Control

DIABETES EDUCATION Diabetes Education Mon., Sept. 12, 19, 26, Oct. 3, 10 OR Mon., Oct. 17, 24, Nov. 1 (Tues.), 7, 14, Noon to 2 pm (I) OR 6 to 8 pm (J) Conference Room follows time, Doylestown Hospital A comprehensive five-class program recognized by the American Diabetes Association. Fee may be covered by insurance and includes attendance by a support person. Registration is required. To register, call 215-345-2168.

Pre-Diabetes Program Weds., Sept. 28 and Oct. 5 OR Weds., Oct. 26 and Nov. 2, 6 to 7:30 pm Conference Room A, Doylestown Hospital For the person who has not yet been officially diagnosed with diabetes, but has a fasting glucose of 100 to 125. Topics include physical activity, promoting weight loss, meal planning, and blood glucose monitoring. Registration required. To register, call 215-345-2168. Fee: $40

WELLNESS EDUCATION Cardiopulmonary Resucitation (CPR) Call CPR Heart Starters at 215-3541400 or visit cprheartstarters.com for CPR dates and registration. All classes are in the evening starting at 6:30 pm in Conference Room C, Doylestown Hospital. American Heart Association classes offered include: CPR for Family and Friends (Infant/ Child) 4 classes Fee: $35, Heartsaver CPR (Infant, Child and Adult) 6 classes Fee: $60 and BLS Provider CPR 8 classes Fee: $70.

Basic First Aid Thurs., Nov. 3, Jan. 5, 7 to 9 pm Conference Room C, Doylestown Hospital A one-evening Emergency Care Safety Institute (ECSI) First Aid course. Call CPR Heart Starters at 215-354-1400 or visit cprheartstarters. com for registration. Fee: $50

Clearing the Air: Smoking Cessation Program Weds., Sept. 14, 21 (G/H), 28, Oct. 5, 12 OR Weds., Oct. 26, Nov. 2, 9, 16, 30 OR Wed., Jan. 11, 18 (G/H), 25, Feb. 1, 8, 7 to 8:30 pm Conference Room I (unless otherwise noted), Doylestown Hospital Learn how smoking affects your health, how to modify the behavior and how to move beyond your cravings. A five-session BCHIP program, supported by the SEPA Regional Tobacco Project of the Health Promotion Council and the Pennsylvania Department of Health. Registration required. Free

Doc Tales: Pain Management Tues., Sept. 27, 7 to 9 pm Auditorium, Pine Run Retirement Community - Community Center (HUB) Learn about treatments that may help relieve some or all of your pain. A physician from Delaware Valley Pain and Spine Institute (formerly Fox Chase Pain Management Associates) will give the discussion, followed by a Q&A session. Light refreshments will be served. Free and easy parking is available. Registration required. Call 800-992-8992. Free

Weds., Sept. 21, 6:30 to 8:30 pm VIA Auditorium, Health and Wellness Center This program works to resolve the inner conflict between consciously wanting to lose weight and subconsciously wanting to continue eating the way we always have. Rena Greenberg is a hypnotherapist, biofeedback therapist and author. Register for this program at EasyWillpower.com. Fee of $79.99 includes take-home materials. Preregister and pay $10 less. For more information, call 800-848-2822.

BEREAVEMENT PROGRAMS For more bereavement programs or to register, call 215-345-2079 or visit dhospice.com.

Who Am I Now? An Introduction to Grief and Loss for the Newly Bereaved Tues., Sept. 27, 7 to 9 pm OR Thurs., Nov. 3, 10 am to Noon Join bereavement coordinators Celia M.R. Blum, MSW, and Karyn Arnold, BS, for an opportunity to gain insight into grief and loss, better understand the grief process, develop coping strategies and become familiar with resources and support in our community. To register, call 215-345-2079. Free

Coping with the Loss of a Parent Thurs., Oct. 6, Dec. 1, 7 to 9 pm The seminar is geared toward newlybereaved adults who have lost a parent, and will provide opportunities for them to gain insight, discuss coping strategies and find support. For more information and to register, call 215-345-2838. Free

Can You Let It Go? Releasing Anger and Guilt after a Loved One Dies Thurs., Oct. 20, 1 to 3 pm Join bereavement coordinators Celia M.R. Blum, MSW, and Karyn Arnold, BS, for a thought-provoking discussion focused on residual emotions and loss. Join us in tackling this challenging topic. To register, call 215-345-2079. Free

Healthy Lifestyle Coping with the Holiday Season Thurs., Nov. 17, 1 to 3 pm Join Hospice bereavement coordinator Celia M.R. Blum, MSW, and Hospice volunteer Barry Kaplan, MD, for this bereavement seminar. We will explore the many challenges associated with loss as we enter the holiday season and move into the new year. For more information, location or to register, call 215-345-2079. Free

The New Year: Moving Forward While Honoring the Past Weds., Jan. 11, 1 to 3 pm Join Hospice bereavement coordinators Celia M.R. Blum, MSW, and Karyn Arnold, BS, to explore the many challenges associated with loss as we move into the New Year. To register, call 215-345-2079. Free

AARP SMART DRIVER PROGRAMS

Participants in this program may be eligible for discounted car insurance. Pre-registration is required. Please bring a valid driver’s license and your AARP card if you are a member. Refresher class participants must bring their certificate from the 8-hour Standard AARP Driver Safety Program class. For information about other AARP class locations, call 1-877-390-8806 or visit aarp.org/ driving27. Fee: $15 for AARP members (with card), $20 for non-members; paid to instructor the day of class. To register, call 215-345-2121.

AARP Smart Driver Course Thurs., Oct. 6 and Fri., Oct. 7 (I) OR Thurs., Jan. 12 and Fri., Jan. 13 (C), 9 am to 1 pm

CORNERSTONE FITNESS AND SPA CLASSES Cornerstone Fitness and Spa is a community partner. The following classes take place at Cornerstone at the Health & Wellness Center in Warrington. Register for all Cornerstone classes listed here at 215-918-5900. Cardio Sport

Pilates Mat & Yoga Fusion

Thurs., Sept. 22, 6:30 to 7:30 pm

Weds., Sept. 21, 9:30 to 10:45 am

Cardio Sport is a comprehensive group fitness adventure that integrates interval training techniques with compound sports-related movements in an inspiring exercise environment. Whether you are just beginning your fitness journey or are a seasoned athlete, Cardio Sport delivers an exercise experience that will elevate every participant’s overall health and fitness, and provide a motivational atmosphere that drives you to consistency. Fee: $69 per person

Get the best of both practices in this fusion class which includes the core focus, muscle stretching and strengthening of Pilates, and the flexibility, breathing and relaxation techniques of Hatha yoga. Appropriate for all levels. For more information or to register, call 215-918-5900. Fee: $69 per person

Hatha Yoga and Meditation Sat., Sept. 24, 11 am to 12:15 pm In this yoga class, you will focus on learning and practicing basic movements, breathing techniques and relaxation. Learn how to channel your energy and enjoy the relaxing benefits of meditation. Appropriate for all levels, including beginners. For more information or to register, call 215-918-5900. Fee: $69 per person

In Deep Tues., Sept. 20, 9:30 to 10:30 am This moderate to high intensity deepwater class makes you train a bit harder, but is still gentle on the joints. For more information or to register, call 215-9185900. Fee: $69 per person

Spinning® (Indoor Cycling) Weds., Sept. 21, 6:30 to 7:30 pm From endurance training to cardio intervals, we have a class that will challenge and motivate you. Get into class and work in a variety of heart rate training zones – find a different road each time! For those new to spinning, an Intro to Spin class is highly recommended. Please see Member Services for details. For more information or to register, call 215-918-5900. Fee: $69 per person

Group Active™ Fri., Sept. 23, 6 to 7 am Group Active™ gives you all the fitness training you need - cardio, strength, balance and flexibility - in just one hour. Get stronger, fitter and healthier with inspiring music, adjustable dumbbells, weight plates, body weight and simple athletic movements. Fee: $69 per person

Zumba® Gold Tues., Sept. 20, 11 am to Noon A slower, easier version of a traditional Zumba® class, specifically designed for participants age 55 and older. It’s a great way to have fun and get a good workout! For more information or to register, call 215-918-5900. Fee: $69 per person

AARP Smart Driver Refresher

Sat., Sept. 17 (J), Nov. 19 (I), Fri., Dec. 9 (J), 8:30 am to 1 pm Conference Room follows date, Doylestown Hospital.

For a full listing of Cornerstone classes, call 215-918-5900 or visit CornerstoneClubs.com to learn more.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Concerned About Cancer FITNESS

EDUCATION

Cancer Fit: A Fitness Program For Cancer Survivors

Eating Well Beyond Breast Cancer

12-week sessions start weeks of Sept. 19 (breast cancer survivors) and Jan. 9 (all survivors)

Thurs., Oct. 27, 7 to 8:30 pm

Cornerstone, Health & Wellness Center, Warrington Are you a cancer survivor who is looking to increase your quality of life after treatment and become fitter, faster and stronger? If so, you may be a candidate for the Cancer Fit program.

Warrington Room, Health and Wellness Center A Doylestown Health registered dietitian (RD) will discuss what to eat to reduce your risk of breast cancer recurrence. Breast cancer survivors will learn about foods to help them live well beyond cancer, including information on vitamins and herbal supplements. Registration required. Free

The 12-week program includes:

Nutrition During Cancer Care

• Consultation with Sabrina Willard, The Cornerstone Clubs certified personal trainer and cancer fitness specialist. She will review your health history and help you set goals.

Thurs., Nov. 3, 7 to 8:30 pm

• Group personal training sessions, 2 times per week • 2-visit guest pass (in addition to group sessions) • Guest pass for a caregiver Participants must be at least 4-weeks post-treatment and within one year of finishing treatment services (surgery, chemotherapy and/or radiation). If interested, please contact Rachel Saks, Doylestown Health Oncology Social Worker, at 267-885-1580 or rsaks@dh.org. Free

Warrington Room, Health and Wellness Center A Doylestown Health registered dietitian (RD) will discuss what to eat to maintain strength and energy throughout cancer treatments, as well as strategies to adjust your diet to cope with the side effects of cancer treatment. Breast, esophageal, head and neck cancers will be specifically addressed. Registration required. Free

Cancer Support Community Greater Philadelphia (formerly Gilda’s Club) at Doylestown Hospital is located on the first floor, around the corner from the Main Lobby. We offer social and emotional support to people living with any type of cancer, and to their families and friends. Free of charge! The Doylestown Hospital suite is open Tuesdays, 5 to 9 pm and Wednesdays and Thursdays, 10 am to 2 pm. To become a member or register for a program, call 215-345-2022 or e-mail nicole@cancersupportphiladelphia.org.

DoylestownHealth.org

Eating for Life

NUTRITION SERVICES Doylestown Health Nutrition Services Nutrition experts Debbie Davis, MBA, RD, LDN, Audrey Fleck, MS, RDN, LDN, CFSP, and Kristin Morrow, RD, LDN, CDE, offer personalized nutrition plans for those with a current medical condition or interested in preventive health and weight loss. Doylestown Health Nutrition Services specializes in nutrition therapy for diabetes, weight management, cardiovascular disease, digestive and eating disorders, pregnancy, fibromyalgia and chronic fatigue. Most insurance plans are accepted. Nutrition Services include: • Individual nutrition therapy • Weigh to Lose

• Disease prevention through diet and nutrition

• Nutrition counseling for kids, teens and families

• Body composition measurement

• Metabolism testing

Two convenient locations: The Pavilion at Doylestown Hospital and The Health & Wellness Center in Warrington To schedule an appointment, call Debbie Davis at 215-345-2356, Audrey Fleck at 215-918-5701 or Kristin Morrow at 215-918-5702.

PROGRAMS Weigh to Lose: Holistic Weight Loss and Lifestyle Program Fall classes start in September. Register by setting up an individual consultation. Classes are held at the Health & Wellness Center in Warrington and at Doylestown Hospital. (Discount available for Cornerstone Club members and Doylestown Health Cardiac Rehab participants.) Weigh to Lose is a weight management program designed to help you achieve a healthy weight and greater sense of well-being. The program is divided into two phases: Phase 1 (three months) explores the basics of nutrition, provides a meal plan, and teaches an anti-inflammatory diet. Participants also receive an introductory class to Exercise and Mindfuless/Meditation. Fee: $185 Phase 2* (nine months divided into three, 3-month series) delves deeper into the root causes of obesity and chronic disease through integrative and functional nutrition. Fee: $135 for each 3-month series. *Must complete Phase 1 to be eligible for Phase 2.

BEQUESTS: A LASTING LEGACY Bequests are a simple yet powerful way to safeguard the future of Doylestown Health, ensuring continued access to the highest level of clinical care and the most advanced procedures in the region. BENEFITS Costs nothing now, yet provides for the future Allows you to distribute assets according to your wishes Saves on estate taxes Join our Cornerstone Society by naming Doylestown Health in your will. Bequests can be made for a specific amount, a percentage of your estate, or a portion of what is left after bequests made to your family. You can also designate Doylestown Health as a beneficiary of your retirement account or life insurance policy.

For more information or to schedule an individual consultation (required), contact Audrey Fleck, MS, RDN, LDN, at 215-918-5701 or afleck@dh.org.

Trust Your Gut: The Link Between Digestion and Health Thurs., Nov. 10, 6 to 7:30 pm VIA Auditorium, Health & Wellness Center Did you know that poor digestive health can be associated with heart disease, depression and inflammatory disorders? Join nutrition expert Audrey Fleck, MS, RDN, LDN, to learn nutrition tips to promote balanced gut bacteria and better overall health. Registration required. Free

LEARN MORE 215-345-2802 Donations@dh.org

Pre-Diabetes Program For more information, see page 20 or call 215-345-2168.

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Childbirth & Parenting PARENT EDUCATION

CHILD, HOME & COMMUNITY

Prepared Childbirth Classes Learn about the labor process from one of our certified educators. Sessions include practicing comfort measures, relaxation and breathing techniques, as well as a discussion of medications, Cesarean birth, and more. Please bring a pillow, blanket and yoga mat to class. Tour of the VIA Maternity Center is included. We offer two choices for classes at Doylestown Hospital: Four-week series (INCLUDES Babywell program): Once a week on Mon., Tues., Weds. or Thurs., 7 to 9:30 pm OR One-day class (DOES NOT include Babywell program): Sat. or Sun., 9 am to 3 pm Fee: $100 per couple.

Babywell Thurs., Sept. 8 (C), 22 (J), Oct. 6 (J), Nov. 17 (J), Dec. 1 (J), Dec. 15 (J), Jan. 12 (J) Wed., Oct. 19 (J) Tues., Nov. 1 (C) 7 to 9:30 pm, Conference Room follows date, Doylestown Hospital Nurse educators teach how to care for, feed, protect and comfort a newborn. (If you are registered for a WEEKNIGHT Childbirth class, Babywell is included in your program and you DO NOT need to register for this class.) Fee: $20 per couple.

Breastfeeding Education

VIA Maternity Center Tour

Mon., Sept. 12, Oct. 3, Nov. 7, Dec. 5, Jan. 9 Tues., Sept. 20, Oct. 18, Nov. 15, Dec. 20, Jan. 17 7 to 9:30 pm, Conference Room C,

Mon., Sept. 12, 26, Oct. 3, 24, Nov. 7, 28, Jan. 9, 30 Tues., Dec. 6

Doylestown Hospital Come and learn about the many benefits of breastfeeding for both mother and baby from one of our breastfeeding educators. Attending a class with your partner is a great way to gain your confidence as you learn the basics of breastfeeding. Proper latch and positioning, breast milk collection and storage will be discussed. The class is very relaxed and your questions are encouraged. Fee: $30 per family

Childbirth Refresher Tues., Sept. 13 (A), Nov. 8 (A), Jan. 10 (C) 7 to 9:30 pm, Conference Room follows date, Doylestown Hospital This class is for parents expecting a second child or subsequent child and includes a discussion and review of the labor and birth process, birth options and medical interventions, and a video on maternity anesthesia. Tour of VIA Maternity Center is included. Fee: $30 per couple

7 to 8 pm, Main Lobby, Doylestown Hospital Please note: If you are planning to take a Prepared Childbirth class at Doylestown Hospital, a tour is included. You do not need to sign up for this tour. Free

Sibling Education Sat., Sept. 17, Oct. 1, Nov. 12, Dec. 10, Jan. 7 10 to 11 am, Conference Room I, Doylestown Hospital This class is designed to reduce a child’s separation anxiety and deal with feelings of jealousy toward the new baby. Children ages 3 to 11 attend along with an adult. (Please bring your child’s favorite doll or stuffed animal to class.) Free

Child, Home and Community, Inc. is a community partner. Please call 215-348-9770 or visit chcinfo.org for more information or to register for the following programs. Building the Family Thurs., Oct. 6, Nov. 3, Dec. 1, Jan. 5 7 to 9 pm, Children’s Village, Doylestown Hospital A monthly support group for teen parents and their children. This group provides help with food, clothing and housing, as well as the support needed to get through school. Free

Focus on Motherhood Mon., Sept. 19 to Dec. 12 7 to 9 pm, Children’s Village, Doylestown Hospital This informative 10-week program prepares expectant teen moms and dads for childbirth. Free

Babysitting Workshop Sat., Oct. 15, Jan. 21 9 am to 3 pm, Conference Room I, Doylestown Hospital For children ages 11 to 14. Register by email to Karry@CHCinfo.org. Fee: $60

PREGNANCY HEALTH

Grandparenting

Baby, Let’s Move: Exercise & Nutrition During Pregnancy

Wed., Oct. 26, Dec. 21,

Sat., Sept. 17, 11 am to Noon

7 to 8:30 pm, Conference Room G/H, Doylestown Hospital Learn the latest in newborn care, parenting styles, and baby safety to help the next generation grow up healthy and safe. Registration required. Fee: $10 per person

Health Connections by Doylestown Health Cowhey Family ShopRite, Warminster Exercise during pregnancy can help you manage your weight, get a good night’s sleep, relieve back pain and improve your mood. Join OB/GYN Zahra De Four, MD, from Doylestown Women’s Health Center, to learn tips on exercise safety and healthy eating for moms-to-be. Free

Pediatrics

PEDIATRIC PROGRAMS

BUCKS COUNTY CHILDREN’S MUSEUM

Car Seat Check-Up Mon., Sept. 19, 2 to 6 pm Drive-Thru Wound Care Entrance, Doylestown Hospital Three out of four kids are not as safe in their car seats as they should be; is yours one of them? Join Doylestown Health for Child Passenger Safety week with a FREE car seat check-up. Installing a car seat can be a challenge. Have your seat checked by a certified technician. Car seats should be installed prior to appointment. The technician will check the seat and educate parents on proper installation and selection of car seat. Please bring car seat manual and vehicle manual. Children are encouraged to attend. Appointment required. Free

ADD/ADHD Resources for Parents Weds., Oct. 19, 7 to 9 pm VIA Auditorium, Health and Wellness Center Executive Function helps guide, direct and manage emotions and behavior. This presentation by Joseph H. Werner, MD, Valley Pediatrics, and Central Bucks School psychologist Lori Lennon, PsyD, NCSP, will provide an overview of the impact of Executive Function deficits as they relate to ADHD. Interventions, including medications and alternative activities (exercise, biofeedback) will be explored. Registration requested. Free

Speaker Series Join us for a Fall speaker series for parents! Parent Positive is a collaboration among CB Cares Educational Foundation, Doylestown Health, the Central Bucks School District and the Central Bucks Family YMCA to offer free education for local families on important health topics affecting the community. For a full list of events, visit DoylestownHealth.org/ParentPositive.

Bucks County Children’s Museum 500 Union Square Drive, New Hope Visit the “Hospital” by Doylestown Health at the Bucks County Children’s Museum! This new educational exhibit features kidsized hospital equipment and interactive displays. For more information and a full list of educational events happening at the exhibit, visit DoylestownHealth. org/ChildrensMuseum. No registration necessary for Doylestown Health events. Educational programs are free, but museum admission fees apply.

Fire Safety: Battling Burns & Blazes Sat., Oct. 22, 10 am to Noon Sound the alarm! Join Doylestown Health and Eagle Fire Company for a blazing, fun-filled morning! Explore a fire engine and equipment, discuss fire and burn prevention tips, and participate in handson, interactive activities designed to “spark” understanding of fire and burn safety!

Teddy Bear Clinic Fri., Nov. 25, 10 am to 1 pm Join us to experience a doctor’s visit without fear. “Treat” injuries with gauze and band aids, use a stethoscope to listen to your heartbeat, and feel the “hug” from a pediatric blood pressure cuff. Bring your favorite furry friend to the Teddy Bear Clinic for a check-up!

PARENT EDUCATION AT BABIES-R-US Doylestown Health partners with Babies-R-Us in Montgomeryville to provide new parent education programs. Programs are free and open to the community and take place at 980 Bethlehem Pike, Montgomeryville. For more information and a full list of classes, visit DoylestownHealth.org/BabiesRUs. Newborn Basics

Labor Basics

Tues., Sept. 6, Oct. 18, Nov. 1, Dec. 6, Jan. 10, 7 to 8 pm

Tues., Sept. 20, Jan. 24, 7 to 8 pm

New parents and parents-to-be can learn the basics of caring for a newborn from a Doylestown Health nurse educator. Lesson includes tips on diapering, bathing, feeding and soothing infants. Free

Preparing for childbirth? Join Doylestown Health to learn the basics of the labor and birth process and get answers to your questions. Free

Breastfeeding 101

Tues., Nov. 15, 7 to 8 pm

Tues., Sept. 13, Oct. 25, Nov. 8, Dec. 13, Jan. 17, 7 to 8 pm A Doylestown Health lactation consultant will discuss the basics of breastfeeding and how it can benefit your baby. Free

Dad’s Night Out It is all about fathers tonight! Join other new dads and dads-tobe and learn about holding and diapering a baby, bathtime and other useful tips for new fathers. Free

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Special Events

15th Annual Circle of Life Auction

Being Mortal: End-of-Life Care Documentary Screening

Fri., Nov. 11, 6:30 to 10 pm

County Theater, 20 E State St, Doylestown, PA If you thought you were dying, what would matter most? Join a national dialogue concerning an inescapable reality of life: death. Gather with the local community to watch PBS’s FRONTLINE documentary Being Mortal, based on the book by Atul Gawande, MD, which explores what matters most to patients and families experiencing serious illness. A Q&A session on end-of-life care featuring a panel of Doylestown Health experts will follow the screening. This event is sponsored by Doylestown Hospital Hospice. To register, call 215-345-2121 or visit DoylestownHealth.org.

Doylestown Country Club, 20 Country Lane, Doylestown, PA Join us at the 15th Annual Circle of Life Event, featuring a live and silent auction and a raffle drawing for a new BMW 320i or $20,000 cash. Offering online bidding again this year - bid anytime and anywhere, whether or not you attend! Proceeds benefit Doylestown Health’s Cancer Institute and Doylestown Hospital Hospice. Contributions support these invaluable resources in our community which offer people hope, comfort and essential care at the most critical times in their lives. To learn more or for sponsorship opportunities, visit DoylestownHealth.org/CircleOfLife or call 215-345-2141.

Weds., Sept. 28, 7:30 pm

6th Annual Ruth Boland Memorial Golf Tournament Sat., Oct. 1, Noon to 8 pm

Thompson Bucks County Classic 2016 Sun., Sept. 11, 8 am Downtown Doylestown Doylestown Health is proud to sponsor the 3rd Annual Professional Women’s Race during the Doylestown Criterium of the Thompson Bucks County Classic. Bring the whole family for an exciting day of world-class racing! The event starts with the Cyclosportif at 8:30 am, followed by the Doylestown Health Pro Women’s Race at 11:45 am. For a full schedule of events including Children’s Races, High Wheelers and the Pro Men’s Race, visit DoylestownHealth.org/Classic. Free

Community Blood Drive Fri., Sept. 23, Jan. 6, 6:30 am to 5 pm Conference Room J, Doylestown Hospital Please register at redcrossblood.org or call 1-800-red-cross and enter sponsor code doylestownhos, or call the Heart Institute office at 215-345-2328.

The Bucks Club, 2600 York Rd., Jamison, PA A hospital-sponsored fundraiser, all proceeds benefit the Ruth Boland VIA Nursing Scholarship and the Doylestown Hospital Nursing Scholarship funds. Price includes greens fees, cart, snacks, beer and buffet dinner. For more information or to sponsor the tournament, contact Kathleen Boland at 215-260-3212 or kmboland22@gmail.com.

Friends of the Heart Institute’s Cardiac Cook-Off Thurs., Oct. 20, 6 to 9 pm The Event Center by Cornerstone, 46 N. Sugan Rd., New Hope, PA Join the fun as Doylestown Health cardiologists pair with local top chefs to compete in a “light-hearted” cooking competition to benefit Doylestown Health’s Richard A. Reif Heart Institute. Sponsorships and tickets include food, beverage and an opportunity to mingle with Doylestown Health’s own Celebrity Docs. For more information and reservations, email friends@dh.org or call 215-345-2954.

MONDAY NIGHT COFFEE TALKS Our popular three-part education series features coffee and a health discussion. Registration requested. For more information or to register, visit DoylestownHealth.org/CoffeeTalks or call 215-345-2121. Free Make Your Wishes Known: Conversations Before the Crisis Mon., Sept. 19, 7 to 8:30 pm Join Veronica Coyne, MD, Betsy Payn, RN, and Steve Day, Jr., Esq., to discuss how to have the conversation about critical healthcare decisions with loved ones and healthcare providers, as well as changes in care delivery, living wills and healthcare power of attorney.

Breast Cancer Protection: The Latest Mammography Guidelines & Risk Reduction Techniques

Don’t Ignore the Snore! Sleep Apnea Risks and Treatment

Mon., Oct. 17, 7 to 8:30 pm

Sleep apnea can disrupt your breathing while you sleep, leading to serious health risks if left untreated. Sleep specialist Les Szekely, MD, will discuss the risk factors associated with sleep apnea and treatment options that help manage symptoms – and promote a better night’s sleep.

Confused about the latest mammography guidelines? Radiologist Michele Kopach, MD, and breast surgeon Donna Angotti, MD, will dispel confusion around the latest breast cancer screening guidelines, discuss breast density and 3-D mammography, and identify how you can reduce your risk.

Mon., Nov. 14, 7 to 8:30 pm

Administration James L. Brexler President and Chief Executive Officer

Matt Costello Senior Executive, Director of Hospital Operations

Barbara Hebel Vice President and Chief Human Resources Officer

Richard D. Lang Vice President and Chief Information Officer

Scott S. Levy, MD Vice President and Chief Medical Officer

Sheri Putnam Vice President, Strategic Initiatives and Executive Director, Doylestown Healthcare Partnership

John B. Reiss, JD Vice President, General Counsel and Chief Compliance Officer

Cathleen Stewart Vice President, Post-Acute Care Services and Executive Director, Pine Run

Daniel Upton Vice President and Chief Financial Officer

Eleanor Wilson, RN Vice President, Chief Nursing Officer and Executive Director, Heart Institute

Laura K. Wortman Vice President and Chief Development Officer

A safe, licensed and nationally accredited early childhood educational program.

Dialogue

A publication of Doylestown Health ÂŠ 2016 Doylestown Health

Editorial Doylestown Health Marketing

Custom scheduling with extended hours including early drop off and late pick up from 6:15 am - 6:30 pm Loving infant and toddler care from ages 6 weeks â&#x20AC;&#x201C; 18 months Preschool and pre-kindergarten

Full-day kindergarten tuition includes extended hours Open to all families who live or work in the community Nurturing teachers with degrees in education

Becky Stewart Director, Marketing

Jeff Tompkins Creative Director

Megan McGovern Manager, Marketing

Stephanie Petersen Senior Coordinator, Marketing

Dawn Kelly

To learn more or schedule a tour, call 215.345.2678 or visit DoylestownHealth.org/Childrens-Village.

Editorial Consultant

Village Improvement Association of Doylestown (VIA) The Village Improvement Association of Doylestown (VIA) founded Doylestown Hospital in 1923, and today VIA members continue to oversee the governance of Doylestown Health. To learn more or become a member, visit VIA-Doylestown.org.

DoylestownHealth.org / Dialogue | 215.345.2121 | Fall 2016

Doylestown Hospital 595 W State St. Doylestown, PA 18901 215.345.2200 | DoylestownHealth.org To receive the Dialogue Online visit DoylestownHealth.org/Stay-Connected.

Join us September 11, 2016, when the USA Cycling Pro Tour races into Doylestown for the Thompson Bucks County Classic. Experience the high speed action of six diverse bike races in the heart of one of Americaâ&#x20AC;&#x2122;s best small towns.

BUCKSCOUNTYCLASSIC.COM

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