Middlesex Health & Life's April 2009 issue by Wainscot Media

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April 2009 / $3.95

T H E G O O D L I V I N G M A G A Z I N E f r o m S A I N T P E T E R ’ S U N I V E R S I T Y H O S P I TA L

M I D D L E S E X H E A LT H & LIFE ■

APRIL 2009

MIDDLESEX & health

life

SPRING STYLE: 25 THINGS WE LOVE

SLEEPAWAY CAMPS—

P lu s

for grownups

VOTE! Our readers’ choice awards

BRINGING HOME BABY: 5 steps to nursery nirvana

Health

watch

■

6 tips to protect your young athlete A fresh approach to diabetes care

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Contents

46 April 2009 Features 14 At home /

34 The buzz Notable events at Saint Peter’s University Hospital

Oh Baby!

Our step-by-step guide to a nursery that’s equal parts sugar and spice.

18 Escapes /

Happy campers

Who said sleepaway camp was just for kids? These 3 specialty-themed adult getaways prove you’re never too old to learn something new.

22 Cover feature /

Flying colors

Want your spring style to soar? Items in these uplifting hues will help your ensembles take flight.

36 Faces of Saint Peter’s

Conversations with Niranjan Rao, M.D., section chief of vascular surgery, and Susan R. Brill, M.D., director of adolescent medicine at The Children’s Hospital of Saint Peter’s University Hospital

40 Inside look

Diagnosed with diabetes? A comprehensive outpatient program can help you lead a healthy life.

44 Seasonal health

Departments 4 Welcome letter

Protect your young athlete 6 tips to safeguard

children who play sports

45 Up close

Promise keeper An innovative leader tackles

6 Editor’s letter 10 Flash

Captured moments around the county

13 What you love best! Cast your vote in our 2009 readers’ choice awards.

30 In the news

hunger with a food kitchen—and much more.

46 Middlesex gourmet

Great beef, with a few beefs Steakhouse 85,

a recent addition to New Brunswick’s haute culinary scene, serves beautiful steaks, but is not without its kinks.

Headlines, updated A look back at some

47 Shopping guide

notable health news stories—plus what’s happened since the media spotlight faded.

48 Faces of Middlesex School dance

32 For the record By the numbers Health-related facts and figures

COVER IMAGE : PETER LAMASTRO

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Welcome LETTER

The virtue of education in medicine “VIRTUE DEPENDS PARTLY UPON TRAINING AND partly upon practice,” said the Roman philosopher Seneca. “You must learn first, and then strengthen your learning by action.” As director of the medical residency program at Saint Peter’s University Hospital, I am reminded daily that medicine, like virtue, depends in equal measure on learning the science and practicing the art. As we train future doctors in the specialties of internal medicine, pediatrics and obstetrics and gynecology, our goal is to send them into the community having applied their education through experience at the hospital. Our faculty physicians and nurses are strengthened too, as those who teach also learn by virtue of the act of instruction. We are privileged to have several teaching partners, including Drexel University College of Medicine, The Children’s Hospital of Philadelphia and Kean University. We train orthopedic surgeons and radiologists through a residency program with the University of Medicine and Dentistry of New Jersey–Robert Wood Johnson Medical School. And Rutgers University is a recent cohort, designing a mini-MBA program on hospital economics for administrators, physicians and residents. We have always valued education and practice here at Saint Peter’s, not only for our residents, medical staff and employees, but for our patients as well. Teaching, in fact, is the cornerstone of care in our Diabetes Care and Control Center (see Inside Look, page 40). Medicine alone is not enough to manage diabetes. It takes an understanding of how nutrition, exercise and medication work together to ultimately bring diabetes under control; and then it takes practice to balance these elements and make diabetes care second nature. Indeed, you can look at Middlesex Health & Life as another tool of education. Our Seasonal Health, Health Watch and other articles offer great health tips and resources. And that is a definite virtue. Sincerely,

NAYAN KOTHARI, M.D. Chair, Department of Medicine, Saint Peter’s University Hospital Associate Dean for Education, Drexel University College of Medicine

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Frank DeMonico

THE WOUND CARE SPECIALISTS AT SAINT PETER’S SAVED MY LEG...AND MY LIFE. I’ve got two loves in my life—my family and fishing. But after a wound on my leg just wouldn’t heal, I thought my fishing days were over. As a diabetic I was really worried, because non-healing wounds can cause serious complications. Today, thanks to the wound care specialists at Saint Peter’s University Hospital, my wound has fully healed. I’m back fishing again…and teaching my grandchildren how not to let that big one get away. To learn more about our Wound Care Center® and Hyperbaric Services, call 732-846-6199 or visit saintpetersuh.com

Treating you better...for life. 254 EASTON AVENUE, NEW BRUNSWICK, NJ 08901 732.745.8600 Catholic hospital sponsored by the Diocese of Metuchen

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State-designated children’s hospital and regional perinatal center

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SPECIAL EVENTS Centennial Gala Commemorating the 100th Anniversary of Saint Peter’s University Hospital Saturday, April 18 | 6:00 PM – 11:00 PM

Editor’s LETTER

The Heldrich | 10 Livingston Avenue, New Brunswick For more information, call Saint Peter’s Foundation at 732-745-8542.

Mass Marking the Close of the Centennial Year of Saint Peter’s University Hospital

Welcome, spring!

Sunday, April 19 | Noon

EACH YEAR, THIS IS ONE OF OUR FAVORITE ISSUES.

St. Francis of Assisi Cathedral | 32 Elm Avenue, Metuchen For more information, call Saint Peter’s Foundation at 732-745-8542.

Our staff is full of devoted recreational shoppers, and we must admit that the process of sifting through an array of fun new springtime clothes gets our pulses racing just a bit faster.

Fashion Show Presented by the Auxiliary of Saint Peter’s University Hospital

This season, we found a variety of cute offerings in a host of

Saturday, May 2 | 11:00 AM – 3:30 PM

bright hues. We present them for your perusal in “Flying

Doubletree Hotel | 200 Atrium Drive, Somerset Proceeds to beneﬁt Saint Peter’s breast care program. Call Event Co-Chairs Scarlett Szymanski at 732-745-6687 or Kathleen Killion at 732-745-8588 for information.

Colors,” an eight-page pictorial feature that starts on page 22. fun, warm-weather excursions. In that spirit we offer “Happy

2nd Annual Bike Ride for Amy

Campers,” page 18, in which we explore three jaunts that give

Sunday, May 3 8:00 AM Start Time

travelers a chance to learn something new. If you’ve ever

South Brunswick Community Center | 124 New Road, Monmouth Junction The Amy FoundationSM was created in loving honor of Amy Feiman Behar to increase early detection and treatment of breast cancer for uninsured women. Proceeds support a pledge to Saint Peter’s University Hospital for free screening mammograms for uninsured women age 40 and older. Registration fees must be received by April 27. For more information and registration, visit www.amyfoundation.org.

longed to revisit those sleepaway-camp days of yore—but with,

HEALTH SEMINAR

With spring now upon us, we’ve also been dreaming of

perhaps, a more upscale twist—these trips are sure to please. This issue we also profile that happiest of home makeover projects: designing a nursery for a new family member. Of course, there’s much more to this mission than simply choosing “pink” or “blue”—safety, storage and style are all factors. Turn to “Oh Baby!” on page 14 for our step-by-step guide. New on the New Brunswick dining scene is the haute

Weight-Loss Surgery Seminar

Steakhouse 85, open since November. Having heard the buzz

Thursday, April 9, May 14, and June 18 | 7:00 PM – 9:00 PM

on the upscale grill, we sent our reviewer to investigate for her-

Free information on The Program for LIFE™, a multidisciplinary approach to weight loss for morbidly obese individuals. To pre-register, call 973-437-8020.

self. Turn to page 46 to see if the meal lives up to the hype. In other exciting news: We’re pleased to start the voting

PARENT EDUCATION

for our annual Readers’ Choice awards! On page 13 you’ll

Baby Care, Baby Signing, Grandparents Class, Infant Massage, New Daddy, Prenatal Nutrition, Prenatal Yoga and Exercise, Prepared Childbirth, New Family Support Group, Sibling Class, Tiny Tots and more. Call Parent Education at 732-745-8579 for fees and registration.

find the ballot, where you can share the Middlesex County

DIABETES EDUCATION

shops, vendors and services you think make life here truly a joy. An added perk: Each reader who casts votes will be entered to win two tickets to a top Broadway show. We’ll reveal the winners in our October issue. We look forward to reading your selections—and discov-

Adults with Diabetes Support Group, Diabetes SelfManagement Education and Gestational Diabetes SelfManagement Class. Call 732-745-6667.

ering a few future favorites of our own.

Kids Pump Group and Teen Pump Group. Call 732-745-8600, ext. 8751.

RITA GUARNA Editor in Chief

254 EASTON AVENUE | NEW BRUNSWICK, NJ 08901

732.745.8600 | www.saintpetersuh.com

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WORLD

CARPET APRIL 2009 Middlesex Health & Life Staff

editor in chief RITA GUARNA

art director SARAH LECKIE

senior editor TIMOTHY KELLEY

managing editor JENNIFER CENICOLA

Also featuring

assistant editor

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executive vice president, sales & marketing

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JOEL EHRLICH

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regional advertising manager ROBERT SEIGEL

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1/7/09 11:29:05 AM director, internet and new media NIGEL EDELSHAIN

marketing director CHRISTOPHER KAEFER

production manager CHRISTINE HAMEL

advertising services manager THOMAS RAGUSA

senior art director, agency services KIJOO KIM

circulation director LAUREN MENA

editorial contributions: The editors invite letters, article ideas and other contributions from readers. Please write to Editor,

Middlesex Health & Life, 110 Summit Avenue, Montvale, NJ 07645; telephone 201-571-7003; fax 201-782-5319; e-mail editor@wainscotmedia.com. Any manuscript or artwork should be accompanied by a self-addressed envelope bearing adequate return postage. The magazine is not responsible for the return or loss of submissions.

advertising inquiries: Please contact Edward Burns at 201-782-5306 or edward.burns@wainscotmedia.com.

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Facial Rejuvenation Center & Medi Spa Enhancing Everyone’s Beauty – One Face at a Time! Saint Peter’s University Hospital Staff

We incorporate health, nutrition, skin and body treatments for a total body and mind transformation. Learn proper skin care, good eating habits, and preventative treatments.

president and chief executive officer, saint peter’s healthcare system RONALD C . RAK , J . D .

president and chief executive officer, saint peter’s university hospital

We offer a variety of services from Non Surgical to Surgical: Facials, Microdermabrasion, Plasma, Body Treatments, Enzyme Peels, Laser Resurfacing, IPL Hair Removal, Botox, Juvederm, Facial mole removal, earlobe repair, and lip enhancements

ALFRED GLOVER

president, medical and dental staff EDWARD FEIN , M . D .

executive vice president, chief marketing officer PETER CONNOLLY

Also offered are Spa packages that can be customized for each individual

director of marketing and media relations MICHELLE LAZZAROTTI

Obagi Skincare and Botanical Products Available

marketing and public relations representative VIRGINIA SCIORRA

Gift Certiﬁcates • Free Consultation • Gift Baskets SAINT PETER’S UNIVERSITY HOSPITAL 254 Easton Avenue, New Brunswick, NJ 08901. For more information about Saint Peter’s facilities and services, please visit www.saintpetersuh.com or call 732-745-8600.

George W. Flugrad, DMD, MS

Jayne Trotta, PhD

Debbie Gonzalez, Esthetician

Come and experience a new you! www.FIXMYFACE.org 276A HIGH ST, PERTH AMBOY, NJ 08861

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chairman CARROLL V. DOWDEN

president MARK DOWDEN

executive vice president JOEL EHRLICH

senior vice president EDWARD BURNS

vice presidents AMY DOWDEN NIGEL EDELSHAIN RITA GUARNA SHANNON STEITZ SUZANNE TRON

subscription services: To inquire about a subscription, to change an address or to purchase a back issue or a reprint of an article, please write to Middlesex Health

& Life, Circulation Department, PO Box 1788, Land O Lakes, FL 34639; telephone 813-996-6579; e-mail lauren.mena@wainscotmedia.com.

Middlesex Health & Life is published four times a year by Wainscot Media, 110 Summit Avenue, Montvale, NJ 07645, in association with Saint Peter’s University Hospital. This is Volume 3, Issue 1. ©2009 by Wainscot Media LLC. All rights reserved. Subscriptions in U.S.: $14.00 for one year. Single copies: $3.95. Material contained herein is for informational purposes only. If you have medical concerns, seek the advice of a healthcare professional. Acceptance of advertising by Middlesex Health & Life does not constitute an endorsement of products or services.

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FLASH FROM OCTOBER THROUGH DEcember 2008, McDonagh Chrysler/Jeep/ Dodge of East Brunswick set aside $100 for every new car sold to benefit Saint Peter’s University Hospital’s Breast Care Program. The total, $32,100, was presented by dealership owner Bill McDonagh to Al Glover, Saint Peter’s president and CEO. Elijah’s Promise (see page 45), meanwhile, held a Valentine’s fundraising dinner prepared by guest chefs and Promise Jobs culinary students. The group provides food and services to local underprivileged people. Finally, Rutgers’ Brodsky Center for Innovative Editions, dedicated to serving groundbreaking artists, held its annual gala in Manhattan. 3

MCDONAGH CHRYSLER/JEEP/ DODGE DONATION 1. Tony Costabile, Scarlett Szymanski, Mark Inshassi, Bill McDonagh, Al Glover, Robert McCusker and Robin Shaughnessy

ELIJAH’S PROMISE 5

3. Cindy Betz 4. Annemarie Cooke and Sandy Lanman

BRODSKY CENTER GALA 5. Judith K. Brodsky and Shelia Drill

7. honoree Ruth Bowman

Think you belong in Flash? Send photos from your gala or charity event to Middlesex Health & Life, att: Flash editor, 110 Summit Avenue, Montvale, NJ 07645; or e-mail editor@wainscot media.com. Include your contact information, a short event description and names of all who appear. (Submissions are not guaranteed to appear and must meet the following image specs: 4x6 color prints or 300 dpi jpg, tif or eps files. Prints must be accompanied by an SASE in order to be returned.)

6. Deborah Wye, Shelly Bancroft and Peter Nesbett

APRIL 2009

BASHIR BASKINGER, SAINT PETER’S UNIVERSITY HOSPITAL; CHRISTOPHER BARTH; COURTESY OF THE BRODSKY CENTER

2. Charles Frijia and Cindy O’Connor

The Westdyke Family

THE NEUROSURGERY SPECIALISTS AT SAINT PETER’S HELPED HIM GROW INTO A HEALTHY TWO-YEAR-OLD. When my husband and I found out I was expecting, we couldn’t have been happier. Then we discovered our unborn son had a life-threatening brain condition and might not survive. Thankfully, the pediatric neurosurgery specialists at Saint Peter’s University Hospital understood we weren’t ready to give up hope. At three days old they performed an advanced surgical procedure to relieve the fluid around his brain. Today, our son is a normal two-year-old from head to toe. To learn more about our Pediatric Neurosciences Institute, call 732-745-8600 or visit saintpetersuh.com

The Children’s Hospital AT SAINT PETER’S UNIVERSITY HOSPITAL

Treating you better...for life. 254 EASTON AVENUE, NEW BRUNSWICK, NJ 08901 732.745.8600 Catholic hospital sponsored by the Diocese of Metuchen

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State-designated children’s hospital and regional perinatal center

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WHAT YOU LOVE

BEST!

VOTE and WIN!

OUR 2009 READERS’ CHOICE AWARDS

IN OUR TWO YEARS OF PUBLICATION, we’ve uncovered a variety of local treasures. But let’s face it: Many of you have spent a lifetime doing the same—and now it’s your turn to share your favorites! Complete and submit this form by May 31 or enter your picks at www.middlesexhealthandlife.com. Need more incentive? Voters will be entered to win two tickets to a top Broadway show! The results will be revealed in our October issue.

Tasty treats

(local, nonchain)

Pizza___________________________________________ Seafood restaurant______________________________

Where can you find the best ______?

Steak restaurant________________________________

Beer selection__________________________________

Sushi__________________________________________

Brunch spot____________________________________

Tacos__________________________________________

Burgers________________________________________

Tapas__________________________________________

BYOB restaurant________________________________

Thai restaurant__________________________________

Cannoli________________________________________

Wine list_______________________________________

Cheesecake____________________________________ Chili___________________________________________ Chocolate_____________________________________

Retail therapy

Coffee_________________________________________

What’s your favorite ______?

Cosmos________________________________________

Gourmet cheese shop___________________________

Cupcakes______________________________________

Gourmet shop__________________________________

Deli___________________________________________

Independent book shop_________________________

Dessert—chocolate_____________________________

_______________________________________________

______________________________________________

Pet boutique___________________________________

Dessert—nonchocolate__________________________

Produce stand__________________________________

______________________________________________

Wine shop_____________________________________

Diner__________________________________________ Family-friendly eatery___________________________ French fries_____________________________________

Entertain me

Ice cream______________________________________

Which is the best ______?

Indian restaurant________________________________ Irish pub_______________________________________ Italian restaurant________________________________

High school band_______________________________ Kids’ party spot_________________________________ Party entertainer________________________________

Margaritas_____________________________________ Martinis_______________________________________ Mexican restaurant______________________________ Pastry__________________________________________ Pie____________________________________________

✎

Send to: Readers’ Choice Awards

Middlesex Health & Life 110 Summit Avenue, Montvale, NJ 07645 Or vote online at:

www.middlesexhealthandlife.com

Name_____________________________________ Town___________________________ Phone number_________________________

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HOME

ABOVE, brightly striped curtains and a smattering

of gold stars add personality to a rosy room. OPPOSITE, pairing patterns—such as stripes and

paw prints—brings a touch of whimsy.

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Oh Baby! OUR STEP-BY-STEP GUIDE TO A NURSERY THAT’S EQUAL PARTS SUGAR AND SPICE

LEFT: © JESSE WALKER; RIGHT: COURTESY OF MEREDITH BOOKS

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ANYONE WITH A CHILD CAN TELL YOU THAT PREPARING a nursery for a new arrival is a labor of love. After all, this is the room where many of your sweetest memories will be made: from first feedings, to bedtime readings of Goodnight, Moon, to sweetly crooned lullabies. Given the hours you’ll spend in the nursery, it should be a space you’ll enjoy too. With careful planning you can create a nursery that’s just as perfect as the bundle of joy who will inhabit it. ADDRESS SAFETY FIRST. Before you start studying paint swatches or contemplating bedding patterns, you have to consider the overarching issue of safety. For example, while there may be something romantic about dusting off that antique crib passed down from your grandmother, crib safety standards didn’t become uniform until 1992, and many older models simply aren’t up to snuff. Crib slats should be no more than 23⁄8 inches apart and without any cracks, and it should be almost impossible for a baby to release drop-side latches. The crib should be placed away from windows (both to avoid early-morning light and also to prevent an

MIDDLESEX

H E A LT H & L I F E

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punch.

POSHTOTS.COM

infant from getting tangled up in blinds). As for the rest of the room: Heavy, hinged lids on toy chests are a definite no-no. Safeguard all electrical outlets with plug protectors and install a smoke detector nearby. And adding a night-light or dimmer can keep parents from bumping into things in the wee hours of the night. For a complete list of safety dos and don’ts, see “The Safe Nursery,” a free booklet published by the U.S. Consumer Product Safety Commission (available for download at www.cpsc.gov/cpscpub/pubs/chld_sfy.html). THINK LONG-TERM. During those long, sleepless nights of a child’s infancy, it may feel as if toddlerhood can’t come soon enough. Before you know it, though, your burbling baby will be dashing around the house; when that time arrives, a room full of nursery rhyme characters is likely to seem a L E F T, a wrought-iron bit immature. crib creates an air of The solution? “Choose a elegance while bright theme your child can grow with,” walls add a colorful advises interior designer Joan

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Rothbell of Joan Rothbell Inc. in Edison. “Babyish wallpaper and wall art just doesn’t stand the test of time.” Some good choices: animals, jungle scenes or a sports motif. And though newborns are small, baby furniture can be just as expensive as adult pieces. To save money, choose double-duty items. “Try a changing table that turns into a dresser,” suggests Rothbell. Others with high top rails and open shelves hold diapers now and books later. And a variety of cribs on the market transform to toddler and then regular beds. PICK A PALETTE. Vision is slow to develop during infancy—babies don’t have a true grasp of color until about the third month of life. Psychologists recommend bold colors, varying textures and bright patterns to stimulate a newborn’s mind, so don’t be afraid to be daring—use tones outside your usual comfort zone. When choosing colors, consider the room’s natural light. Use sunny hues (reds and yellows) to warm up north-facing L E F T, the rustic touches in this outdoor-inspired space invoke

a country cabin’s warmth and charm. B E L O W, “heaven sent” can describe both the cosmos-themed ceiling mural and the tiny

PHOTOGRAPH BY TIM-STREET POTTER/BEATEWORKS.COM

treasures that live in this fanciful room.

HOME

rooms; subtle shades (blues and greens) to cool down south and west-facing spaces. BRING IN PATTERN. Prefer prints? Stripes, checks and polka dots all work—just vary the size of the pattern throughout the room. You might also consider using different patterns within the same color family. For instance, green and white toile mixed with a green checked pattern and stripes gives a room a unified look, but is not overpowering. Patterned rugs are also a good choice if they’re placed on a bare floor, says Rothbell. MAXIMIZE STORAGE SPACE. Stuff accumulates, especially kids’ stuff. Babies outgrow clothes in the blink of an eye, and stuffed animals can quickly overwhelm a space. To combat clutter, consider hanging a mesh net from one end of the ceiling to the other for stuffed animal storage—it’s decorative and discourages your little one from bringing the entire plush menagerie into bed. Wall storage units with pull-down desks and beds with drawers beneath them also help keep clutter at bay. And don’t forget to reorganize the closet so it’s more than just a single bar on which to hang tiny jumpers: Lower rods and install pullout bins for kid stuff, then add peg racks for other odds and ends. Once your nursery is tidy, nothing will impede the pitter-patter of tiny feet. ■

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ESCAPES by Kristin Colella

UNDERWATER EXPLORATION: L a S o u rc e i n G re n a d a

Happy campers WHO SAID SLEEPAWAY CAMP WAS JUST FOR KIDS? THESE 3 SPECIALTY-THEMED ADULT GETAWAYS PROVE YOU’RE NEVER TOO OLD TO LEARN SOMETHING NEW

APRIL 2009

A SILENT, ETHEREAL BEAUTY AWAITS UNDER the sea—one revealed only to those skilled in scuba, as you’ll discover at the renowned scuba diving program at LaSource (1-888-527-0044, www.theamazingholiday.com), an all-inclusive luxury resort situated on Grenada’s Pink Gin Beach. Surrounded on three sides by the sparkling blue Caribbean, the resort offers scuba instruction for all experience levels, plus top-notch accommodations and a host of other land and sea activities. Before getting in on the action, you’ll first want to perch in your luxe guest room or suite, each equipped with a four-poster king-sized bed or two double beds (rates start at $335 per night). Hand-carved mahogany furniture and Italian marble bathrooms add a touch of elegance, while a private balcony or terrace offers breathtaking water views. A stroll outside will reveal 40 acres of lush tropical gardens, a pool area with a Jacuzzi and an expanded deck for lounging in the tropical sun. Of course, you don’t want to miss out on the

COURTESY OF L A SOURCE RESORT

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hotel’s signature sport, and even inexperienced divers can give it a whirl with the one-day “Discover Scuba Diving” introductory program, which culminates with a 40-foot open water dive. Got the diving skills but no certification to prove it? Not to worry: You can become fully certified through LaSource’s Professional Association of Diving Instructors fast-track option. Just start your course work at home with a CD-ROM, then complete your training at the resort in a mere three days. Once certified, you can enjoy a complimentary dive each day of your stay. Nearby dive sites include Bianca C, a spectacular cruise ship lying 90 to 120 feet below the surface that sank in 1961, and the Lower Boss Reef, a home to green moray, barracuda and sheet coral. This sumptuous sanctuary also offers adults the chance to enjoy a host of land activities reminiscent of those fun-filled summers at camp. Professional instructors can teach you to shoot a bow and arrow, spike a vol-

leyball on the beach, achieve that perfect swing on the tennis courts—even joust during fencing lessons (equipment included). Golfers can also hit the greens on the resort’s nine-hole course, and all can unwind from this flurry of activity each day with a complimentary spa treatment at the Oasis Spa. Among our favorites are the Arawak, an intensive head, neck and shoulders massage, and the Point Salines Wrap, where you’re cocooned in seaweed to draw out toxins. continued

A TABLE TO TRY The Great House (1-888-5270044) Enjoy a romantic dinner of fine globally inspired cuisine at this premier LaSource restaurant. Featuring hardwood vaulted ceilings and an outdoor verandah providing breathtaking views of the capital city, St. George’s, the restaurant serves à la carte specialties such as prime sirloin steak and Marrakech Scottish salmon.

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ESCAPES

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ASTRONAUT PREP: Space Camp in Huntsville, Alabama YOU COULD SHELL OUT $30 MILLION TO BE an actual space tourist—or get the next best thing, minus that pesky reentry, as a trainee at Space Camp (1-800-63-SPACE, www.spacecamp.com), held at the U.S. Space & Rocket Center in Huntsville, Ala. Programs for kids are offered throughout the year, but wannabe

rocket men and women can take three-day ($449) and six-day ($899) adult-only programs in late August and September. Trainees stay in either the Space Habitat, a futuristic space station mock-up containing both individual rooms and bays of 20 to 40 beds, or the Aviation Challenge Hangar, which houses up to 300 trainees in military-style bays. Three daily meals at the center’s cafeteria are also included. The three-day beginner offering, Space Academy for Adults, lets you experience some of the actual training astronauts go through prior to a space mission. You’ll prepare for a walk on the moon—where you only weigh one-sixth of what you do on earth—in a special gravity trainer, and practice mission control and shuttle crew positions in two simulated space shuttle missions. On the exhilarating Space Shot ride, which blasts campers 140 feet straight up in 2.5 seconds, you’ll experience how a rocket launch really feels—including two to three seconds of weightlessness and all four Gs of force. Looking for an even bigger challenge? The six-day Advanced Space Academy provides more daring activities, such as scuba diving in an on-site underwater astronaut trainer, rotating through orbiters and riding in high-performance jet simulators. For shuttle mission simulations, advanced trainees can choose their field of interest and pursue it as either a pilot or mission specialist. Whichever program you choose, you can bet your experience will be out of this world.

DON’T MISS THIS The Space Museum at the

APRIL 2009

CORBIS

U.S. Space & Rocket Center contains America’s largest collection of space artifacts, and campers are granted full access. Highlights include a mighty Saturn V—the largest (more than 360 feet tall) and most powerful rocket ever launched, used by NASA in the late ’60s and early ’70s; and a life-size World War II German V-2 rocket, the first man-made object capable of leaving the earth’s atmosphere.

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EPICUREAN ENCHANTMENT:

COURTESY OF THE INTERNATIONAL KITCHEN

T h e I n t e r n a t i o n a l K i t c h e n i n Tu s c a n y WHAT BETTER PLACE TO LEARN THE SEcrets of classic Tuscan cooking than within the enchanting region itself? “A Classic Tuscan Table With Chef Claudio” is a four- or six-night culinary program and tour offered by The International Kitchen (312-4670560, www.theinternationalkitchen.com). Students stay in the charming medieval village of Figline Valdarno and receive four hands-on cooking lessons, taught by the passionate Chef Claudio Piantini, owner of the famous Torre Guelfa Restaurant located in the town square. You can choose to lodge in the Hotel Villa Casagrande, a magnificent 14th-century palazzo featuring a Renaissance garden and a host of precious paintings, frescoes, sculptures and antiques (from $2,275/person for four nights and $2,995/person for six nights), or a cottage at Chef Claudio’s quaint bed and breakfast, located just five minutes outside of town amid vineyards and olive groves (from $2,125/person for four nights and $2,625/person for six nights). Conducted at either Torre Guelfa or Chef Claudio’s own teaching kitchen at his bed and breakfast (transportation provided to both locales), classes show you how to whip up such tantalizing Tuscan dishes as ribollita, a hearty bean soup; crostini, thin slices of lightly toasted bread with various toppings; and castagnaccio, a chestnut flour cake. Because practicing recipes is just one part of the Tuscan culinary experience, the program also lets students soak up the culture of Tuscany through daily excur-

sions. For instance, you’ll sample Italy’s famous red wine during a half-day tour of the renowned Chianti region; meander through an authentic outdoor food market in Figline and enjoy a two-hour guided tour of the historic town of Arezzo, the birthplace of Renaissance master Giorgio Vasari. But rest assured, while you learn about this lush region, you’ll be eating well too! No matter which accommodation you choose, you’ll enjoy a daily breakfast buffet, nightly dinners at various Tuscan restaurants and four very special lunches: your own enticing creations after each cooking class. Buon appetito! ■

DON’T MISS THIS During your excursion to the charming village of Greve in the Chianti region, discover tantalizing prosciutto, salami, guanciale and capocollo made with centuries-old techniques at Antica Macelleria Falorni (+39 055 854363, www.falorni.it), a famous family-owned butcher shop dating back to 1729. Mere sight of these prime cuts mixed with the smells of fresh fennel, parsley, garlic and sage are sure to delight the senses.

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photography by Daniel Springston styling by Nastassia Fernandez

FLYING COLORS WANT YOUR SPRING STYLE TO SOAR? ITEMS IN THESE UPLIFTING HUES WILL HELP YOUR ENSEMBLES TAKE FLIGHT

APRIL 2009

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TRUE blue THE SKYâ&#x20AC;&#x2122;S THE LIMIT WITH THESE SAPPHIRE SELECTIONS LEFT TO RIGHT, square-buckle crocodile belt by Leatherock; Tory Burch cashmere Inez cardigan in tile blue; Tory Burch printed cotton button-down; Catherine Malandrino ruffled silk blouse with pleated bodice; butterfly pendant courtesy of Hartly Fashions; Moschino Cheap and Chic tricolor open-toe sandal; Fatto a Mano by Carlos Falchi metallic clutch.

For stores that carry the product lines shown, see our shopping guide on page 47.

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STYLE GUIDE

Sunny SIDE UP STAY FRESH AS A DAISY WITH A BEVY OF BRIGHT BEAUTIES

APRIL 2009

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LEFT TO RIGHT, Abas crocodile Ella handle handbag; Tory Burch V-neck printed silk dress; Christopher Fischer puff-sleeve cashmere cardigan; Longchamp printed scarf; Christopher Fischer gauzy striped scarf; Longchamp Le Pliage expandable tote with leather trim.

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SAGE beauty THE GRASS IS ALWAYS GREENER WITH A SPRINGY HUE IN YOUR STEP

LEFT TO RIGHT, linen zip-up rain jacket by Hartly Fashions; lightweight scarf from Christopher Fischer; Diane von Furstenberg tropical leaf–pattern tunic; Gustto’s Baca double-handle zip-top leather handbag; long-sleeve scoop-neck shirt by Longchamp; Cole Haan patent leather wedges.

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STYLE GUIDE

Bed of roses EVERYTHING’S COMING UP BOLD AND BEAUTIFUL WITH THIS VIVID BOUQUET

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LEFT TO RIGHT, Christopher Fischer cashmere hooded sweater; Gusttoâ&#x20AC;&#x2DC;s Palba double-handle leather satchel with shoulder strap and bow detailing; Cole Haan T-strap sandal; Longchamp printed scarf; Catherine Malandrino silk blouse with cut-out detailing; patent leather belt by Longchamp.

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In the news

Headlines, updated A LOOK BACK AT SOME NOTABLE HEALTH NEWS STORIES— PLUS WHAT’S HAPPENED SINCE THE MEDIA SPOTLIGHT FADED

MRSA in schools Background: With most antibiotics use-

LEAD IN TOYS

less against a “super” bacterium called methicillin-resistant Staphylococcus aureus (MRSA), alarm was high in late 2007 when cases of the potentially fatal infection were reported in schools across the country. Though MRSA is not a new infection— doctors have known about it since the 1960s—public awareness was heightened after the death of a Virginia teenager coincided with a report by the Centers for Disease Control and Prevention (CDC) that MRSA’s yearly death toll in the U.S. was 18,000. That’s slightly higher than the number of annual deaths in the country from AIDS.

Background: Big Bird dolls, Elmo keyboards, Dora the Explorer

Update: MRSA has been a growing focus

figurines—these were among the more than 20 million toys from the Mattel Inc. division of Fisher-Price that were recalled in 2007 when an internal probe discovered that paint on the toys contained too much lead. Small children are known to put toys in their mouths, and ingesting lead can have devastating effects, including brain damage, behavioral problems and even death. Imported from China, the products violated a 1978 U.S. ban on toys with high-lead-content paint, and the discovery sparked broad concern about the safety of Chinese-made goods. Update: Before 2008 was over there had been more than 50 additional recalls of children’s products due to high lead content. In response, both toy retailers and politicians stepped up their efforts to assure that toys sold in the U.S. are safe. The uproar prompted Congress to pass the Consumer Product Safety Improvement Act of 2008, which was signed by President Bush. The legislation increased penalties for manufacturers that don’t comply with lead standards and provided for increased funding for the Consumer Product Safety Commission, whose job it is to protect the public from hazardous consumer products. It also reduced the legal limit on lead content in toys’ surface coatings from 600 parts per million to 90 parts per million. The new limit takes effect on August 14 of this year.

of scientists and the government. Univer-

APRIL 2009

discovered how MRSA is able to resist the body’s natural defenses against infection, and that knowledge could help scientists develop new ways to fight the illness. The Food and Drug Administration (FDA) reviewed but did not approve ceftobiprole, an antibiotic that is available in Canada and Switzerland and is designed to combat MRSA. Although a bill

that

require

would

hospitals

to screen high-risk patients for MRSA on admission did not pass Congress, some states have enacted similar legislation or programs that expand infection prevention.

TOP: MASTERFILE; CMSP

sity of Washington researchers recently

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VYTORIN: Ineffective?

Tainted tomatoes Background: Remember when peanut butter was just fine and it was

the tomato that made Americans see red? In June 2008, an FDA warning linked three tomato types—plum, round and Roma—with an outbreak of illness caused by the Salmonella saintpaul bacteria. Then, in July, it lifted the tomato warning and cautioned instead against the same bacteria in jalapeño and serrano peppers from Mexico. Update: A CDC investigation put most of the blame for the outbreak on the peppers and almost exonerated tomatoes, noting only that they’d been “possibly a source, particularly early in the outbreak.” More recently, news reports have focused on Salmonella typhimurium found in peanut products traced to a processing plant in Georgia. (Log on to www.fda.gov for a peanut-product recall list.) The FDA says: “Major national brands of jarred peanut butter found in grocery stores have not been among the products recalled.”

Background: Early last year, pharmaceutical companies Merck and Schering-Plough released the longawaited results of a trial to determine the effectiveness of Vytorin, a cholesterol-lowering medication marketed by the companies since 2004. The findings of the study, called ENHANCE (for Effect of Ezetimibe Plus Simvastatin Versus Simvastatin Alone on Atherosclerosis in the Carotid Artery), were disheartening: Though Vytorin did reduce levels of low-density lipoproteins (“bad” cholesterol), it did little to control plaque buildup in the arteries, which can cause heart attack and stroke. Update: Merck and Schering-Plough took a significant financial hit from the ENHANCE results, with secondquarter 2008 sales of Vytorin down 14 percent from the year before. And a second study on Vytorin’s efficacy, SEAS (Simvastatin and Ezetimibe in Aortic Stenosis), did little to help: Released last July, it found that the

Diabetes treatment

CLOCKWISE FROM TOP LEFT: LORI SPARKA; CORBIS; LISA A. SVARA

questioned

Background: In February 2008 the National Heart, Lung and Blood Institute (NHLBI) announced it was halting a major federal study of 10,251 adults with type 2 diabetes. Results from the trial, called ACCORD (Action to Control Cardiovascular Risk in Diabetes), suggested that an “intensive” treatment plan aimed at reducing hemoglobin A1c levels to 6 percent or lower might increase patients’ risk of dying from heart disease. Update: The jury is still out on aggressive glucose lowering, but a subsequent study shed further light on the topic. ADVANCE (Action in Diabetes and Vascular Disease: Preterax and Diamicron Modified Release Controlled Evaluation) was the world’s largest diabetes trial, involving 11,000 patients with type 2 diabetes. Findings showed that reducing blood-sugar levels did not cause an increase in deaths. In the study, the aggressive approach to lowering blood sugar (to 6.5 percent hemoglobin A1c, versus 6 percent in ACCORD) did not significantly reduce heart attacks, strokes and cardiac deaths, but investigators said that such treatment “remains plausible.”

drug did not help people with heart valve disease avoid further problems—and also linked the drug to an increase in cancer (although, the scientists noted, this might have been an aberration). Two more clinical trials of Vytorin are currently under way: One led by the University of Oxford is scheduled to be finished in 2010; another by Harvard and Duke universities is set for a 2012 completion.

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For the record

By the numbers NOTABLE HEALTH-RELATED FACTS AND FIGURES

Top 6 causes of death

The quest for health—online

in the United States, 2005:

information by computer on an average day, and 58% of them say online guidance has affected their treatment decisions. Here’s what they’re looking to learn about: • 64% a specific disease or medical problem • 51% a medical treatment or procedure • 49% diet, nutrition or vitamins • 44% exercise or fitness • 22% depression, anxiety, stress or mental health issues • 9% smoking cessation • 8% drug or alcohol problems

1. Heart disease 2. Cancer 3. Stroke 4. Accidents or unintentional injuries 5. Diabetes 6. Alzheimer’s disease Source: The National Center for Health Statistics

17% of Americans under the age of 65 did not have health insurance in 2006. Source: The National Center for Health Statistics

11.4

8 million adults search for health

The top 10 most prescribed medications, 2007: 1. Lipitor (cholesterol-lowering agent) 2. Singulair (used for the long-term treatment of asthma) 3. Lexapro (antidepressant drug) 4. Nexium (used to treat acid reflux disease) 5. Synthroid (thyroid medication) 6. Plavix (prevents blood clots after a recent heart attack or stroke) 7. Toprol XL (used to treat hypertension) 8. Prevacid (used to treat acid reflux disease) 9. Vytorin (cholesterollowering agent) In 2007, 10. Advair Diskus (used for the long-term of U.S. adults smoked, treatment down from 22.5% in 2002 of asthma)

Source: PEW Internet and American Life Project

20%

million Americans had cosmetic surgery in 2006.

Source: The National Center for Health Statistics

Source: RxList

What’s normal

Gender and lifespan

Find out where you fit in by comparing your numbers to these ranges: BODY MASS INDEX: • 18.5 to 24.9 is normal body mass index (BMI) for adults. (142 million adults are considered overweight or obese. Calculate your BMI at www.nhlbisupport.bmi.) TOTAL CHOLESTEROL: • Under 200 mg/dl is a desirable level for adults. (48.4% of adults have cholesterol levels that are too high.) BLOOD PRESSURE: • Normal for adults is 120 mmHg or less over 80 mmHg or less. (1 in 3 adults has high blood pressure.)

Which sex is really tough? Here’s the life expectancy at birth for each for kids born in 2005.

Sources: Centers for Disease Control and Prevention; American Heart Association; National Heart, Blood and Lung Institute

32 million Source: American Heart Association

80.4

75.2

FEMALES

MALES

YEARS

Source: The National Center for Health Statistics

Americans take three or more medications daily.

CLOCKWISE FROM TOP LEFT: STEPHEN VANHORN; ALEXEY AVDEEV; JENNIFER FABELA; D. HURST/ALAMY

Source: American Society for Aesthetic and Plastic Surgery

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Fabrics Furniture Home DĂŠcor Lighting Wallpaper Trade Program Custom Studio www.pierredeux.com

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a t S a i n t P e t e r ’s HOW SWEET IT IS! For 15 years, the American Diabetes Association has recognized Saint Peter’s Center for Diabetes Self-Management Education for excellence in teaching people with diabetes how to effectively manage their disease. Left to right are Therese Wyman, cocoordinator of the teaching program; Meena Murthy, M.D., director of the Diabetes Care and Control Center; Carol Schindler, cocoordinator; Kathryn Skuza, M.D., pediatric endocrinologist; and Max Salas, M.D., chief of the Division of Pediatric Endocrinology.

BREAKING DOWN ‘WAHLS’ TO CREATIVITY

APRIL 2009

Spreading sunshine and good health Amanda Indyk was one of 40 winners of Saint Peter’s Centennial Poster Contest, part of a year-long celebration honoring the hospital’s 100th anniversary. Amanda is a fifth-grader at Immaculate Conception School in Spotswood. She and the other 39 winning artists received $100 savings bonds and were special guests at a reception held in their honor at Saint Peter’s University Hospital, where their “Steps to Stay Healthy” posters are on display.

COURTESY OF SAINT PETER’S UNIVERSITY HOSPITAL

Saint Peter’s has embarked on a “Journey to Excellence,” a program with the ultimate goal of serving patients better. The Leadership Development Team, one of the program’s seven teams, held its first leadership retreat featuring keynote speaker Erik Wahl, nationally recognized artist and motivational speaker. Through storytelling and dynamic “performance painting,” he showed the group how creativity can help organizations reach exceptional standards of service excellence.

A one-of-a-kind experience in caring.

SAINT PETER’S ADULT DAY CENTER AT MONROE. THE SOLUTION YOU’VE BEEN LOOKING FOR. Our safe, homelike environment and qualified, experienced staff provide a unique combination of wellness services, therapeutic recreation and care. Your loved ones will enjoy: • Structured group and individual activities • Nutritious hot meals planned by a registered dietitian • Special events, musical entertainment and planned excursions • Door-to-door transportation • Wellness nurses to provide monitoring and support • Affordable rates: insurance, private pay and Medicaid accepted • Access to therapy services

For more details or a complimentary lunch and tour, please contact us at

609-655-6853 or adultdaycenter@saintpetersuh.com Visit our beautiful new facility on our new social pr for details ogram, activ day trips...and more! ities,

Treating you better...for life. Conveniently located at 200 Overlook Drive, Pondview Plaza, Monroe Township, NJ 08831 www.saintpetersuh.com

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Faces of SAINT PETER’S

Niranjan Rao, M.D. Section Chief, Vascular Surgery

APRIL 2009

BOHM-MARRAZZO PHOTOGRAPHY

IN 2011, NIRANJAN RAO, M.D., WILL become president of the Medical Society of New Jersey. For the year ending this spring, the vascular surgeon is second vice president; next he’ll move up to first vice president, president-elect and then the top post. A 22-year veteran of Saint Peter’s University Hospital, he’ll be the first physician from the hospital to lead the state’s doctors in more than two decades. “The father of my country of origin, Mahatma Gandhi of India, said, ‘Be the change you wish to see in the world,’” says Dr. Rao. “I’ve followed that creed since I was a young boy.” It is in that spirit that he has worked to represent his fellow physicians in advocating positive change in the healthcare system. He argues, for example, that “there can’t be an acceptable solution to the healthcare cost crisis without tort and insurance reforms and accountability at all levels.” A graduate of Mahadevappa Rampure Medical College in Gulbarga, India, Dr. Rao trained in general surgery at Philadelphia’s Albert Einstein Medical Center and completed a vascular fellowship at the Cleveland Clinic. Vascular surgeons treat diseases of the arteries and veins with medication, surgical reconstruction and minimally invasive catheter procedures. “In vascular surgery our whole approach has changed in the last seven to eight years,” he says. “Now we perform more than 60 percent of our procedures in a minimally invasive fashion. Saint Peter’s has been a leader in vascular surgery, with outcomes equal to or exceeding national standards.” Franklin Park residents, he and his wife, Meena, have three grown children, two of them now in medical school. For fun, Dr. Rao sings with a physicians’ karaoke club. “Indian music has been our focus so far,” he says, “but my project for this year is to take up Western-oriented karaoke.” ■

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Faces of SAINT PETER’S

Susan R. Brill, M.D. Director of Adolescent Medicine, The Children’s Hospital

APRIL 2009

BOHM-MARRAZZO PHOTOGRAPHY

MEMORIES OF MEDICAL EXPERIences as a teenager helped inspire the career of Susan R. Brill, M.D., director of adolescent medicine at The Children’s Hospital at Saint Peter’s University Hospital. Thirty years ago, there was no such thing as healthcare specifically directed to teenaged girls. “Like most girls, I went to my mother’s gynecologist for my first checkups,” says Dr. Brill, 46. “It wasn’t a positive experience. And my pediatrician didn’t address my health needs as a teen either. There was no time for personal questions—at an age when girls have a ton of questions.” After graduating from the Albert Einstein College of Medicine in the Bronx, Dr. Brill did her residency in general pediatrics at North Shore University Hospital in Manhasset, N.Y., then moved on to Newark Beth Israel Medical Center. “A year into that job, I was asked to run an adolescent clinic,” she says. “I said OK, but quickly realized how little I really knew about adolescent medicine.” So in 1992, she joined the Society for Adolescent Medicine, an organization for healthcare professionals who care for adolescents. She attended their continuing medical education programs, practiced and taught pediatric residents about adolescent health care. In 1997, she earned a subspeciality certification in adolescent medicine from the American Board of Pediatrics. Then, in 2006, she was hired by Saint Peter’s to start the hospital’s first adolescent medicine program, for young women and men ages 10 through 21. Though she also practices and teaches traditional pediatrics, Dr. Brill’s first love is teenagers. “Teens have problems that aren’t addressed in traditional pediatric models of care, such as emotional and substance issues, sexually transmitted diseases and gynecological and menstrual disorders,” she says. “I believe I function as a bridge between pediatrics and gynecology for these patients.” ■

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Inside LOOK

DIAGNOSED with diabetes? A COMPREHENSIVE

In type 2 diabetes, which affects 90 to 95 percent of people with the disease, the pancreas doesn’t make enough O U T PAT I E N T P R O G R A M C A N insulin and/or it becomes more difficult for the body’s H E L P Y O U L E A D A H E A LT H Y L I F E cells to use insulin as the individual develops insulin resistance. Type 2 used to be known as “adult-onset” or SIX YEARS AGO, JAYA PRAKASH THOUGHT HE “non-insulin-dependent” diabetes, but these labels knew the ropes. The North Brunswick resident, an aren’t wholly accurate: Increasingly, teens and even chilelectrical engineer, then 59, had two decades of experidren are developing type 2 diabetes, and taking insulin ence with diabetes. With a combination of oral medicacan be helpful even though the pancreas may not have tions, he was keeping his blood sugar under apparently fully shut down. good control and was feeling fine. But then a friend recIf diabetes is not properly controlled, it means a ommended the Diabetes Care and Control Center much higher risk of heart disease and can lead to serious (DCCC) at Saint Peter’s University Hospital in New problems with the kidneys, eyes, nerves and extremities. Brunswick, and Prakash’s management of his diabetes Thus, diabetes makes lots of demands—it takes work to took a leap forward. stay well. And that’s why a facility like Saint Peter’s “My doctor had been looking only at my HbA1c Diabetes Care and Control Center is important. [hemoglobin A1c], a measurement of average blood The DCCC was created in 2000 to provide a comsugar over 90 days, and adjusting my treatment by those prehensive service program for people with diabetes. readings,” says Prakash. “But at the DCCC I learned Some diabetes centers focus mostly on education and that I was actually having potentially dangerous blooddon’t offer medical management, while many sugar spikes, and I could control these by checking blood endocrinology practices can’t afford to provide a full sugar more frequently and making changes in my diet range of associated services such as education, nutrition and lifestyle. They helped me a lot—and they taught me counseling and support groups. (Endocrinologists are a lot.” specially trained doctors who diagnose and treat diseases Diabetes, a metabolic disorder, affects how the that affect the endocrine system or glands, including diabody processes food for energy. Type 1 diabetes, usually betes, thyroid disease and metabolic disorders.) The appearing in childhood, is an autoimmune disease in DCCC strives to give outpatients both education and which the body’s own infection-fighting system attacks personal management at the same locale. the pancreas, making it unable to produce insulin, a hor“It’s run by endocrinologists who are devoting mone that enables the body to utilize sugar, or glucose. their careers to the prevention and treatment of diabetes and its complications,” says Meena Murthy, M.D., chief of endocrinology and the center’s medical director. Millions of Americans with diabetes: 23.6 The DCCC’s mission is to assure that Percentage of Americans with diabetes: 7.8 a normal lifestyle is possible for people with Millions of Americans with undiagnosed diabetes: 5.7 diabetes. “If you manage your diabetes properly, you can be healthier than the average Percentage of Americans with diabetes who are undiagnosed, 2009: 24 person on the street,” says Dr. Murthy. And Percentage of Americans with diabetes who were undiagnosed, 1999: 50 while frequently measuring blood sugar, tak-

Diabetes by the numbers

Source: American Diabetes Association

APRIL 2009

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ing insulin or other medications and counting carbohydrates to project your insulin needs can seem laborious at first, she aims to help people develop a kind of “unconscious competence,” in which taking the right actions to control diabetes becomes second nature, like driving a car. The staff of the DCCC includes three endocrinologists; two registered nurses and three nutritionists, who have become certified diabetes educators by meeting the

requirements of the National Certification Board for Diabetes Educators; a clinical social worker; several technicians; and clerical employees. “We’re the only diabetes center in our area that can offer the services of a clinical social worker,” says Lee Ann Redfern, certified diabetes educator. “That is important, because the challenge of worrying about every meal you eat can trigger depression and anxiety.” For Prakash, the DCCC has made a big differ-

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Inside LOOK ence. “They convinced me to go on insulin, child and doesn’t have time to exercise or go If present and I was very reluctant, because people to her Weight Watchers meetings, for trends continue, 1 talk as if using insulin for glucose control instance. We may set her medications at in 3 Americans born is somehow a failure. But it was the best one level then, and at a lower level three thing that ever happened to me. It gives in 2000 will develop months later, when her child is well and me much better control, and I don’t have diabetes. she has time to go to the gym.” to take tablets to force my pancreas to The DCCC is only one facet of the Source: American Diabetes Association make insulin. Dr. Murthy was always hospital’s diabetes treatment effort. There telling me I’d be better off taking insulin—and are similar outpatient diabetes centers in its she was absolutely right. Today, insulin is the only pediatric and obstetric departments, and there is an diabetes medication I take.” inpatient Diabetes and Metabolic Unit in the hospital Initially Prakash gave himself daily insulin injecfor patients with diabetes in crisis. An endocrinologist tions. Now he wears an insulin pump wherever he goes. makes regular hospital rounds, and there are nutrition“The pump gives me more freedom—I don’t have to ists and social workers to help inpatients begin to mancarry anything,” he says. “And if all of a sudden I decide age their diabetes effectively. A patient with diabetes to eat in a restaurant, that’s fine. I estimate the number may or may not be placed in this unit, depending on of carbohydrates and take insulin accordingly.” The what other conditions he or she has, but these services DCCC has taught Prakash to adjust his insulin intake to are always available. his body’s needs as they vary at different times of the For Prakash, thanks to the DCCC, excellent day—rising in the morning, for example, as the body control of diabetes has become a way of life. He works revs up for activity and “the liver starts dumping glucose out on a treadmill and a stationary bicycle for 45 mininto the system,” as he explains. utes to an hour each day, and after a quarter-century The center’s nutritionist has also given him tips with diabetes, he looks forward to many more years of about his diet. For instance, he says, “I used to think all good health. potatoes were bad, but she showed me that eating small “My eyesight remains good,” he reports, “and red potatoes with skin was a healthy option.” She also when the doctor looks at my numbers—blood-sugar taught him to look for cereals that have at least 5 grams level, HbA1c and cholesterol, for example—she says, of fiber in them, and to count carbohydrates to estimate ‘People would kill for numbers like that!’ ” ■ his insulin needs. His target is 170 grams of carbohydrates SHOULD YOU BE SCREENED? per day, with 35 to 45 of those for breakfast. If you’re at risk for diabetes, you may need to go beyond the fasting blood-sugar test that is Of course, carbohya part of most routine physical exams, says Lee Ann Redfern, certified diabetes educator at drate targets will be different the Diabetes Care and Control Center at Saint Peter’s University Hospital. Consider a glucose for other type 2 diabetes tolerance test, which measures the blood’s response over several hours to a “load” of sugar patients, just as taking intake. This test helps to identify diabetes or a prediabetic state. Check with your doctor if you have any of the known symptoms of diabetes: excesinsulin isn’t the right answer sive thirst, frequent urination, blurred vision, slow-healing sores or a tingling or loss of feelfor everyone with the illness. ing in your hands and feet. Also, the more “yes” answers you give to the questions below, the Individualized treatment, in more important it is that you undergo diabetes screening: fact, is an area in which the DCCC shines. Yes No “We tailor diabetes ❍ ❍ You have a family history of diabetes. management not only to a ❍ ❍ You are overweight. given individual, but also to a particular point in his or her ❍ ❍ You’re African-American, Asian, Latino or native American life,” explains Dr. Murthy. (population groups with a higher-than-average risk). “Let’s say a woman with dia❍ ❍ You’re over 55. betes is busy caring for a sick 42

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Seasonal HEALTH

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Ask your physician which form will best suit your child’s needs, the sport he or she will participate in and what is required by the state.

3 PROTECT your young athlete 6 TIPS TO SAFEGUARD C H I L D R E N W H O P L AY S P O RT S

YOU HEAR IT ON THE NEWS: YOUNG ATHLETES get hurt—a high school quarterback collapses on the field, or a middle school shortstop suffers a concussion. It’s enough to make parents wonder, as warm weather returns, how to keep kids safe when they participate in sports. Christopher Mendler, M.D., associate director of Saint Peter’s University Hospital’s Sports Medicine Institute, offers six tips:

KEY ACTIVITIES TO AGE. Until about third grade, an informal approach that stresses basic skills is more appropriate in kids’ team sports than an all-out emphasis on victory, because young children are still developing motor skills. The doctor also says younger children should be given a chance to explore a variety of sports rather than concentrating heavily on one, because they’re especially vulnerable to injuries caused by overuse of one joint or limb.

APRIL 2009

CHECK OUT COACHES. It’s a good idea to attend several practices to get a sense of a coach’s capabilities and training philosophy. “Remember that many coaches are well-intended parents who took a three-hour orientation safety course,” says the doctor. Beware of a coach who uses punitive strategies, such as making kids run long distances in the summer heat and humidity without water. “That’s not going to ‘turn them into men,’” Dr. Mendler warns. “It can turn some children into ER patients.”

INSIST ON PROPER EQUIPMENT. Check that your young athlete will have all the necessary gear— shoulder pads and leg and mouth guards, for example— and that protective equipment is in good condition and is used properly.

ENFORCE A SOUND DIET. It’s important for kids to follow a balanced diet, limiting junk food. Before a big game, they should consume carbohydrates and a moderate amount of protein, but go easy on fatty foods (which can delay emptying the stomach), salty items (which can promote fluid retention) and the usually healthy high-fiber foods (which can cause abdominal cramping), as well as vegetables like cauliflower and broccoli (which are gas-producing). “A good, healthy overall common-sense diet is the athlete’s friend, just as it’s anyone else’s friend,” says Dr. Mendler. ■

SHUTTERSTOCK

VISIT THE PEDIATRICIAN FIRST. A medical evaluation is legally required in New Jersey before students can participate in interscholastic middle and high school or college sports. “It’s also an excellent idea for younger children before participating in recreational or travel sports,” says Dr. Mendler. Several preparticipation evaluation forms exist to help parents and their child’s physician review relevant medical history and physical exam findings. Certain conditions require special consideration—for example, respiratory ailments; preexisting head, bone and softtissue injuries; or a family history of early cardiac illness.

CONSIDER A BASELINE NEUROCOGNITIVE TEST. This is especially important if your child is at least 13 and is undertaking a rough sport where head injuries are a significant risk. As Dr. Mendler explains, computerized tests are available that measure brain functions that can be affected by a concussion, such as attention, memory, processing speed and reaction time. A baseline neurocognitive test yields comparison data to help physicians later evaluate a head injury and help assess when it’s safe to return to play. “There are norms for certain ages,” the doctor says, “but it’s better if you can compare the child to his or her own baseline, because every child is different.” Even if a CT (computed tomography) scan has ruled out serious effects such as skull fracture and intracranial bleeding, some concussions are serious enough to require a child to wait months before returning to the game, says Dr. Mendler.

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Middlesex UP CLOSE by Caroline Goyette

Promise keeper

BOHM-MARRAZZO PHOTOGRAPHY

AN INNOVATIVE LEADER TACKLES HUNGER WITH A FOOD KITCHEN—AND MUCH MORE

HARD TIMES GIVE US ALL the gift of empathy. We look around us and see that some of our neighbors are one pink slip away from foreclosure—and possibly homelessness and hunger. And we learn new respect for those who’ve carried the torch of empathy all along. Such a person is Highland Park resident Rev. Lisanne Finston, 46, executive director of Elijah’s Promise, an agency that provides food and other services to New Brunswick’s poor and homeless citizens. Rev. Finston found her calling early. When the Parsippany native moved to Washington, D.C., in the early 1980s to attend college, that city had a serious problem with homelessness. “You couldn’t avoid it,” she says. “Everywhere you’d walk, there would be people sleeping on grates.” The experience made an impression. She began volunteering at meal programs and a homeless shelter and eventually decided to devote herself to urban ministry. Returning to New Jersey, she earned a Master of Divinity degree at Princeton Theological Seminary and became an ordained United Methodist minister. She also earned a Master of Social Work degree at Rutgers University. Rev. Finston was named executive director of Elijah’s Promise in 1993, and since then she’s devoted herself to finding new ways to solve the problems of hunger and homelessness. “Instead of just feeding people, we try to teach them how to provide for themselves,” she explains. Elijah’s Promise serves 8,000 to 9,000 meals a month—and also provides a wide range of social services, including employment assistance and healthcare. Saint Peter’s University Hospital’s Community Mobile Health Services, for example, provides free health screenings and vaccinations for Elijah’s Promise clients. And in 1997, Rev. Finston helped the group launch Promise Jobs, a culinary

school that trains students in cooking and food service. That’s not Rev. Finston’s only innovation. Because onethird of Elijah’s Promise patrons have nutrition-related illnesses such as diabetes and hypertension, she announced at a gathering of antihunger groups that her organization would give its kitchen a makeover to stress healthy foods. People laughed. “They said, ‘You can’t afford to do that—it’s too expensive!’” she recalls. Undeterred, she and the group pushed ahead with their plan, serving fresh fruits and vegetables and scaling back on heavily processed foods like cookies or Cheez Whiz— and wound up saving money. They ask donors to help out by giving healthy items—whole wheat pasta or brown rice if possible; canned fruit packed in juice instead of syrup. As the economic crisis has deepened, Elijah’s Promise has seen a rising demand for its services. Recently, that need along with a drop in donations brought the news that the group would have to stop serving Tuesday lunches. Fortunately, under Rev. Finston’s leadership, local donors and corporations stepped up to help, enabling the group to continue Tuesday lunches for another few months.“Our mission is to feed everybody and anybody who walks through our door,” she explains. Elijah’s Promise expects to be tested mightily in the coming months. “We had a man come into our soup kitchen with his family just last week who had been laid off from a company after more than 20 years,” she says. “They’re just desperate.” And they’re far from alone. But Rev. Finston knows her greatest reward will come once again. “When I see people who’ve been homeless get back on their feet, get a job, be reunited with family, and come in and volunteer because they want to give back,” she says. “Who could ask for more?” ■ MIDDLESEX

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Middlesex GOURMET

by Maria Lissandrello

called it to the attention of owner Matthew Terranova, who quickly brought a stronger replacement and called me “doll” for good measure. The latter—a Bloody Mary garnished with a jumbo shrimp, big juicy olive and lemon wedge—was practically hearty enough to be an appetizer. It wasn’t until we were enjoying the pan-sautéed mussels—fresh, plump morsels cooked in a light garlicwine sauce—that we realized we had no bread for sopping. Our server had forgotten it, and we were glad we asked. The bread turned out to be crisp, warm and yeasty. Unfortunately, the French onion soup was less delightful. It looked great and smelled delicious, but had frustratingly little flavor. The likely culprits: lack of seasoning (salt) and subpar Gruyère. Luckily, there was nothing subpar about the steak— the real reason we came. Steakhouse 85 serves Premium Gold Angus Beef, hand-selected and hand-cut for excellence—and it shows. The cowboy steak was beautifully grilled. Tender and smoky, it had just enough marbling to provide juiciness and flavor. The tomahawk chop, a 24ounce prime rib chop encrusted with a garlic blue cheese rub and bordelaise, also had the trademark tenderness and taste—no surprise, since it’s dry-aged for a month. Steakhouse 85 does have its tacky moments though. There’s a $2 charge for sauces, such as béarnaise, blue cheese and—surprise, surprise—the restaurant’s very own 85 sauce. You can also buy it for more than $8 on your way out, a fact the servers are not too shy to menWHEN IT COMES TO AMBIENCE, STEAKtion. Thing is, there’s nothing remarkable about it. house 85 is right up there with the rest of ’em—Morton’s, Also worth noting: A side of sautéed “wild” mushRuth’s Chris, Fleming’s. Imagine a sprawling space, walrooms was garden-variety button mushrooms instead. nut and wainscoting, ample banquettes and, on the When we brought this up with our server, she didn’t seem sound system, Sinatra and friends. A recent addition to to know the difference, saying, “Well, they’re still good.” New Brunswick’s haute culinary scene and the area’s Indeed, Steakhouse 85 still seems to be working only steakhouse, the restaurant fills an obvious gap. The out the service kinks. When Terranova proof: Even on a Sunday evening, it’s asked nearby diners how they were packed with patrons who can afford a Steakhouse 85 enjoying their meal, one said, “You little indulgence despite the Dow. 85 Church Street, New Brunswick; really want to know? The service is As for the nature of those indul732-247-8585; www.steakhouse85.com not so good.” In fact, we were left gences, expect typical steakhouse Hours hanging more than 20 minutes for fare—from Caesar salad, to surf and Monday and Tuesday, 11:30 a.m.–10 dessert. The good news: It was well turf, to lamb and veal, as well as the p.m.; Wednesday through Friday, worth the wait. The bread pudding usual array of prime beef. 11:30 a.m.–11 p.m.; Saturday, 5–11 was buttery, moist and delicate; the This being a steakhouse, we p.m.; Sunday, 4–9 p.m. apple crisp with vanilla ice cream was decided to try some cocktails: the What you should know the perfect combination of tart and “Dark ’n Stormy” (ginger beer and • Entrées range from $12 to $49 sweet, warm and cold. All in all, they rum) for me, the “Love Potion 85” for • Live jazz Tuesday, Friday and Saturday made an aptly rich ending to a delimy companion. The former was woe• Private parties accommodated cious, full-bodied meal. ■ fully light on the rum, but our server

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