2011 fall make one change

MAKE ONE CHANGEEditor: Deborah Chiaravalloti

Designer: Rose Russo

Make One Change is published quarterly by Anna JaquesHospital. The material in Make One Change is for educationaland informational purposes only. It is not intended as a substitute for informed medical advice or care. Please consult a doctor with any questions or concerns you might haveregarding your condition.

To have your name added to, or removed from, the mailinglist call 978-463-1175.

MAKE ONE CHANGE

3 . . . .Dispelling worry about mammography

4 . . . .Fighting Depression–the Secret Disease

5 . . .Is your elder eating right?

6–7 . .Lyme Disease–Preventable, Treatable

8–9 . .Knowledge is powerwhen it comes toheart attack andstroke

10 . . .Panicked aboutschool? Tips to calm your child

11 . . .Profiles in giving

If you would like to donate to Your Hospital: The Campaign

for Anna Jaques, please contact Sarah Gnerre at the Anna JaquesCommunity Health Foundation. 978-463-1176 or [email protected].

Anna Jaques Hospital is the proud co-sponsorof the Newburyport Farmers’ market. Themarket is open Sundays, 9–1 at the Tanneryin Newburyport.

This version of apple crisp has a light, flavorful topping and is provided

courtesy of the American Diabetes Association. Serves 9

Ingredients

3 cups peeled & sliced apples (about 3 medium apples)

1/3 cup old fashioned cooking oats

3 Tbsps brown sugar or the equivalent in artificial sweetener

2 Tbsps water

1 tsp cinnamon

4 oz fat-free vanilla yogurt, sweetened with artificial sweetener

1/4 tsp cinnamon

1/8 tsp ground nutmeg

3/4 cup fat-free whipped topping

Preparation

1. Mix apples, oats, brown sugar, water and cinnamon.

2. Pour apple mixture in a 1-quart microwave-safe bowl.

3. Cover with wax paper and microwave on high for 5 to 7

minutes, rotating 1/4 turn halfway through cooking time.

4. Depending on thickness of fruit, cooking time may be longer.

Nutrition InformationExchange/Choices2 Carbohydrate

Calories: 149 gCalories from Fat:

Total Fat: 1 gSaturated Fat: 0 g

Cholesterol: 1 mgSodium: 26 mgTotal Carbohydrate: 35 gDietary Fiber: 3 gSugars: 24 g

Protein: 2 g

A Healthy Version of a Classic Fall Favorite:

APPLE CRISP PARFAIT

2

ach October, the prevalence of pink ribbons reminds women of the

importance of preventing breast cancer through self care. Anna Jaques

Hospital has a secret weapon in the battle against breast cancer – Lisa Moore,

Mammography Supervisor.

Last year Lisa performed 2,755 mammograms. She knows first hand, the

importance of that diagnostic tool. Lisa says in her 20-plus years of mammography

experience she has learned that women delay or ignore their mammograms for one

reason – fear. “We know that fear is the main reason why patients delay testing.

But in the case of breast cancer, what you don’t know might kill you. Time and

time again we see women who come in for their mammogram, and as a result of

that screening, or follow up testing, cancer is discovered in its early stages,” said

Lisa. “Because we caught the cancer early, those women are healthy today.”

Lisa works hard to communicate regularly with women so they don’t miss

their annual mammograms. She communicates with patients’ physicians

whenever patients miss follow up testing, and she calls patients who are

delaying important biopsies.

“A couple of years ago we had a patient who needed a biopsy. We reminded

her, her doctor’s office reminded her, and she kept delaying the procedure,”

said Lisa. “When she finally had the biopsy, cancer was discovered, but it

was in the very early stages. She had the cancer treated and she is fine today.

What if she hadn’t had that follow up biopsy?”

“Perseverance is the key,” said Lisa. “We don’t want women falling

through the cracks.”

Ask anyone who knows Lisa and they will tell you that perseverance,

and a bit of irreverence come naturally to her. It seems that the “Mammo

Queen” is a deserved, and fitting, title.

To schedule a digital mammogram at Anna Jaques Hospital, call

978-834-8210.

e

Why Worry?

She’s “The Queen

of Mammography”

MEET LISA MOOREMAMMOGRAPHY SUPERV I SOR AT ANNA JAQUES

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4

Depression is sometimes called the secret,or invisible, disease and can remainundiagnosed for years. It doesn’t careabout age or gender, position or lifestyle.It can destroy careers and families, and yet, people are very hesitant to talk about depression.

“Expecting a person suffering from depression to snap out of it

may not be a safe or effective decision. Depression is a chronic and

recurrent disease,” said Alex Lipin, MD, chief of the department of

psychiatry at Anna Jaques. “People suffering from depression are

prone to harm themselves and attempt suicide more often, tragically,

with a high rate of success. Depression needs serious treatment with

medications, in addition to family support and therapy.”

“A very successful and safe treatment for the most severe form of

depression is ECT (Electroconvulsive Therapy) which is offered here

at Anna Jaques,” said Dr. Lipin. “Depression can be treated success-

fully, but only with consistent medical intervention and psychotherapy,

both of which are available at the hospital.”

Dr. Lipin says that many medical conditions such as thyroid

disease, lupus, multiple sclerosis, Parkinson disease, and others may

cause symptoms of depression. That is why it is important to talk to a

primary care physician who can screen the patient for depression and

if appropriate, make a referral to a mental health professional for

treatment. “Staff members in the adult psychiatric unit (a locked unit)

at the hospital help patients identify what has happened that may have

caused their depression,” said Moe Lord, RNC, BS, nursing director

of psychiatric services at Anna Jaques. “Then we help them look inside

to find their own resilience, strength, and coping strategies.”

The staff uses many treatment tools to help patients including

traditional psychotherapy, cognitive behavioral therapy, coping and self

esteem groups. (Cognitive-behavioral therapy is based on the idea that

our thoughts cause our feelings and behaviors, not external things, like

people or events. Therefore, we can change the way we think to feel

better, even if the situation does not change.)

If you believe that you, a friend, or loved one may be suffering

from depression, talk with your physician first. S/he can refer you to

a mental health professional who can help.

THE NOT SO

SECRET

WORK TO

FIGHT THE

“SECRET

DISEASE” –

Depression.

Avoiding Malnutrition in SeniorsYour elderly uncle walks a mile each day and has remained trim all his life.

But is he really healthy, getting all of the nutrients he needs?

Malnutrition, the lack of abalanced, healthy diet full ofnutrients and vitamins, can be aserious problem in senior citizens.It’s estimated that 3.7 million senioradults are malnourished, many ofwhom may othersize appear healthy.

SOCIAL AND HEALTH FACTORS:

When senior citizens fail to followa healthy diet, the underlying reasonsare often a variety of social factors ormedical conditions.

• Improper diet. Appetites change asadults age, causing some seniors tomiss meals or eat just a handful ofcrackers rather than a proper dinner.This can cause chronic medical con -ditions to worsen, despite medication.

Solution: Invite your loved one overfor dinner, or help him or her preparea meal and place some portions inthe freezer.

• Financial strain. Living on alimited income can cause malnutri-tion in older adults. Lack of moneycan lead some seniors to foregomeals in order to pay for other thingssuch as heating fuel. Many seniorstake expensive medications, whichmay cause an additional financialstrain, forcing them to choosebetween medicine and food.

Solution: Speak with your loved one’s physician to see if less expensivemedica tions are available. Seek heatingassistance from the Commonwealth ofMassachusetts, 800-632-8175.

• Depression. Many seniors sufferfrom depression as they watch theirindependence shrink and their healthdecline. Depression affects as manyas 6 million Americans over the ageof 65. It can significantly reduce asenior’s appetite.

Solution: Work with your loved one’sphysician to find a mental healthprofessional who can screen him orher for depression and establish atreatment plan. Find a companionwho can spend time with your lovedone and eat at least one meal a daywith him or her.

• Chronic conditions. Debilitating,long term conditions, such as stroke,can impact a senior’s ability to shopor cook for him or herself.

Solution: Medical intervention, such as physical, occupational,and/or speech therapy can help your loved one return to the activities of daily life.

THESE TIPS MAY HELP YOU SPOT A MALNUTRITION PROBLEM:

• Look for physical problems, such as unusual weight loss, easy bruising, slow-healing wounds, and improperly fitting dentures, which often cause a person to skip meals.

• Know what medications an elderly loved one takes and how these drugs may affect his or her appetite.

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Diagnosis: Based on physical findings, a blood test,

and the possibility of exposure to infected

ticks, your doctor can determine if you

are suffering from Lyme disease.

Dr. Gross said “Most cases of Lyme

disease are treated successfully with

a 2 to 4 week course of antibiotics.”

Prevention:Ticks are most numerous in wooded

or grassy habitats, and may be found in

grassy dune areas. Follow these steps

to protect yourself:

• Use a repellent with DEET or Permethrin.

DEET products should not be used on

infants under two months of age.

• Wear long, light-colored pants tucked

into your socks or boots, and a long-

sleeved shirt so you can see ticks that

may be on your clothing.

• Stay on cleared trails when walking

or hiking.

• Talk to your veterinarian about tick

control options (tick collars, repellents)

for your pets.

LYME DISEASE Preventable � Treatable

LLyme disease in Massachusetts is “a public health crisis”, according to theMassachusetts House of Representatives.Massachusetts has one of the highest incidencerates of the disease in the US, and it is continuing to increase.

“Lyme disease is dangerous because it can makeyou sick quickly, and if left untreated, the diseasecan create long-term health problems” said Joseph Gross, MD, infectious disease specialist at Pentucket Medical Associates in Newburyport.These long term health problems may include:

• Chronic arthritis, which usually causes

severe swelling in one knee.

• Nervous system problems including meningitis,

Bell’s palsy, weakness, pain, or both, in the

hands, arms, feet and/or legs.

• The heart can also be affected by Lyme disease,

causing a slowing down of the heart rate and

fainting.

“Everyone should know thesymptoms of Lyme disease,”said Dr. Gross. “It’s importantso that you can describe themto your physician. Symptomsinclude fever, headache,unusual fatigue, and a characteristic red round or oval expanding skin rashlike a “bull’s eye.” (see above)

For More Information: Talk to your doctor, or the local board

of health. To make an appointment

with Dr. Gross at Pentucket Medical

Associates call (978) 499-7200.

www.pmaonline.com

To read more about Lyme disease log

on to The Massachusetts Department

of Public Health (MDPH), Division

of Epidemiology and Immunization,

www.mass.gov/dph/tick.

How to remove a tick1. Use fine-tipped tweezers

to grasp the tick as close to

the skin's surface as possible.

2. Pull upward with steady,

even pressure. Don't twist or jerk the tick; this

can cause the mouth parts to break off and remain

in the skin. If this happens, remove the mouth parts

with tweezers. If you are unable to remove the mouth

parts easily with clean tweezers, leave them alone

and let the skin heal.

3. After removing the tick, thoroughly clean the bite

area and your hands with rubbing alcohol, an iodine

scrub, or soap and water.

Avoid folklore remedies such as "painting" the tick

with nail polish or petroleum jelly, or using heat to

make the tick detach from the skin.Source: Massachusetts Department of Public Health

This illustration shows the sizes ofseveral ticks at different life stages inrelation to the size of a dime. Ingeneral, adult ticks are approximatelythe size of a sesame seed and nymphalticks are approximately the size of apoppy seed.

Source: CDC, www.cdc.gov/lyme/transmission/

blacklegged.html

MASSACHUSETTS

8

You can prevent heart diseaseby making simple, but important,lifestyle changes:

• Quit smoking.

• Lose or maintain your weight.

• If you drink alcohol, do so in

moderation; one to two drinks daily

for men, one drink daily for women.

• Eat a heart-healthy diet low in

saturated fat, trans fat, cholesterol

and sodium.

• Be physically active.

• Manage stress and control.

your blood pressure.

• Get adequate rest.

Know the Symptoms of Heart Attack

Heart disease is our nation’s No. 1 killer.

Many heart disease deaths can be prevented

if you know the signs and symptoms

of heart attack and act fast.

ACT FAST!

If you are with someone exhibiting the

symptoms of heart attack, don’t wait more

than five minutes before calling 9-1-1.

Signs and Symptoms of Heart Attack • Chest discomfort: pressure, squeezing, fullness

or pain in the center of the chest that lasts

more than a few minutes, or is intermittent.

• Discomfort in one or both arms, the back,

neck, jaw or stomach.

• Shortness of breath, with or without chest

discomfort.

• Breaking out in a cold sweat, feeling

nauseous or lightheaded.

Heart Attack Symptoms for Women:

Women are somewhat more likely to experience

additional symptoms of heart attack:

• Shortness of breath

• Nausea/vomiting

• Back or jaw pain

Knowledge is power

To find a cardiologist at Anna Jaques Hospital, call the Physician Referral line, 978-463-1090or log onto www.ajh.org and click the button “Find a Physician.”

9

Today there aretreatments that mayreduce the risk ofdamage from themost common type ofstroke, but only if youget help quickly —within three hours ofyour first symptoms.

Anna Jaques is aPrimary Stroke Service

Once the patient arrives at the

hospital, he or she is immedi-

ately taken to the computed

tomography (CT) scanner to

confirm whether or not a

stroke is underway, as well as

to perform other tests. If the

patient has arrived within three

hours of the onset of symptoms,

a physician can administer

tissue plasminogen activator

(tPA) to bust the clot and

restore necessary blood flow, if

there are no contraindications

and it is the type of stroke that

responds to tPA.

Signs and Symptoms of StrokeUse these tips from the National Stroke Association to act FAST if

you suspect that someone you are with may be suffering a stroke.

F A S T:F: FACE: Ask the person to smile. Does one side

of the face droop?

A: ARMS: Ask the person to raise both arms.

Does one arm drift downward?

S: SPEECH: Ask the person to repeat a simple phrase.

Is their speech slurred or strange?

T: TIME: If you observe any of these signs, call 9-1-1

immediately

CALL 9-1-1. DO NOT DRIVE A STROKE VICTIM TO

THE HOSPITAL.

Ambulance personnel will call ahead to Anna Jaques and alert

the emergency department that a stroke patient is on the way,

prompting the activation of the Stroke Team.

Know the Signs of StrokeStroke is known as the “silent killer” because it strikes without warning.

It is the third leading cause of death in the United States and a leading

cause of long-term disability.

“From the minute you begin to experience stroke symptoms, you’re literally in a

race against time to get treatment,” says Diane Wigmore, RN, BS, director of

the emergency department at Anna Jaques Hospital (AJH). “You have three

hours to get to the hospital and begin clot busting medications or you’ve missed

the opportunity to stop the stroke from doing further damage.”

Be positive. The first year of school is an exciting milestone and your child will reflect your attitudes toward school.

Invite older siblings to talk about what they like about school. In these conversations, allow your child to express worries and concerns, so you can talk them out.

Make sure school mornings aren’t rushed (as much as possible!) Rushing causes stress and increases anxiety. Prepare all necessary things, such as clothes,

snacks, backpack, supplies, set out the breakfast dishes, etc. the evening before.

Help your child choose a familiar or cherished small itemthat can be carried from home to increase comfort in a new environment.

Your child can leave it in his or her cubby for quick "recharging" during the day.

Make sure that whoever picks up your child up from school arrives on time. This will help to avoid the child’s anxiety over whether

or not someone is going to arrive to take him or her home.

Most importantly, give your child lots of hugs and reassurance that they are wonderful.

Written in part with information from the National Association forEducation of Young Children (NAEYC) http://www.naeyc.org

School is in session...your child is still panicking.

Now what?

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Profiles in Giving: Leading the Way with Gifts toYour Hospital: The Campaign for Anna Jaques

othing more accurately describes the relationship between CharlieCullen’s family and Anna Jaques Hospital than the name of the

hospital’s $6 million capital campaign – Your Hospital: The Campaign for

Anna Jaques. Charlie is the campaign’s chairman and his family has a multi-generational relationship with Anna Jaques.

Charlie’s father, the late James F. Cullen, served as a hospital trustee, a mantlethat Charlie has taken up after completing his tenure as chair of the AnnaJaques Community Health Foundation. Now Charlie’s children, Dan andLindsay, have joined him in making a significant family gift to the capitalcampaign, to name the Administrative Offices. “We hope our gift inspiresothers to support the campaign and passes on my Dad’s lesson that gettinginvolved in the life of the community is very important.”

N

he Abdulla family has been on Salisbury Beach formore than 90 years. “Uncle Joe began with a portable

popcorn cart in the 1920s,” said Fred Abdulla. “Then heand Aunt Jennie opened a penny arcade named Joe’sPlayland, and our parents, Fred and Julia, started the ice cream stand in the 1940s. These businesses grew tobecome the Joe’s Playland we know today.”

Five generations later, Joe’s Playland is still family-ownedand operated. Supporting Your Hospital: The Campaign

for Anna Jaques seemed natural for the Abdulla family.“The hospital keeps our family, and our customers’ familieshealthy,” said Dan.

Fred, his wife, Donna, Dan, his partner, Mark Moquin,and Joe’s Playland made a family gift to the campaign toname the hospital’s administrative conference room, nowknown as the Abdulla Conference Room.

hen planning began for a capital campaign to helpunder write Anna Jaques Hospital’s Master Facility

Plan, one of the first people asked to serve on the campaignsteering committee was a physician – a very busy physician– Michele Sasmor, MD of Riversong Plastic Surgery. She readily agreed to serve on the steering committee andthe medical staff campaign committee. She also set thepace for other physicians when, along with her husbandDr. David Strohschein, she became the first Anna Jaquesphysician to make a generous pledge to the campaign toname the enclosed fountain in the Institution for Savingsinpatient unit. To date, Dr. Sasmor and other members of the AJH medical staff have collectively committed over$400,000. “AnnaJaques may be thephysicians’ base ofoperations, but thehospital belongs tothe community, and our patientsneed and deserve the private roomsthat are the center-piece of this project,”Dr. Sasmor said.

T

W

25 Highland Avenue • Newburyport, MA 01950

Nonprofit OrganizationUS Postage

PAIDNewburyport, MAPermit No. 163

Simple ways to staysafe on Halloween

Have fun! Make sureyou follow these simpletips so that you and yourchildren have a safe andmemorable Halloween!

Children should always be accompanied by a responsibleadult. Groups of kids should include two or three parents.

Dress your children in bright costumes and make sure they wear a glow stick or something reflective.

Teach your children never to go inside someone’s housewhile trick or treating.

Check your children’s candy: Look for old, worn, or tornwrappers, homemade or unwrapped treats, fruit, sharpobjects and candy that looks as if it may have beentampered with. For small children, remove hard candies.

2011 fall make one change

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