a healtheast hospital ceonamed for merged hospital

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Vol. XVI, NO.6 o The Allentown Hospital A HealthEast Hospital NOVEMBER/ DECEMBER 1987 CEO Named for Merged Hospital Samuel R. Huston Huston has been president of Lehigh Valley Hospital Center since September 1986. Prior to that he wason the administrative staff of University Hospitals of Clevelandfor 16years,servingas executive vice president and chief operating officer from 1982 to 1986. From 1971 to 1973 he was associate executivedirector of Duke UniversityHospitals and prior to that was on the staff of the Medical Center Hospital of Vermont and the University of Vermont School of Medicine. He received his Bachelor of Arts degree from the University of Northern Iowa and his master's degree in Hospital and Health Administration from the State Universityof Iowa. "Sam's many years of suc- cessful university and teaching hospital experience has pre- pared him particularly well for these new responsibilities," HealthEast President David P. Buchmueller said. I Samuel R. Huston, president, Lehigh Valley Hospital Center (LVHC), has been named president of the merged organization of The Allentown Hospital and Lehigh Valley Hospital Center. Darryl R. Lippman, president, The Allentown Hospital, will assume a new role as executive vice president of HealthEast. These changes will be made effective Jan uary 1, 1988. "The announcement is being made now so that effective planning can take place as we move towards a merged hospital and other organiza- tional changes," David P.Buchmueller, HealthEast president said. "We are very fortunate to have these two outstanding people within this organ- ization who are well qualified in hos- pital management and capable of serving in key senior positions in our system," Buchmueller said. "It was not necessary to look outside the organization." Neither hospital name will change. The merger planning process is proceeding according to the Merger Committee's schedule with a plan for the merger being presented to the HealthEast Board of Directors in December. In the announcement letter to members of the HealthEast and hos- pital's boards, all employees, physi- cians and volunteers, Buch mueller also summarized the already agreed upon criteria which the merger plan will fulfill. First, the merged hospital must be a better place to be a patient and a health professional; second, it should be easier to govern and manage; and, third, plans should be carried out with a resultant improved financial outcome. Buchmueller said, "We believe our approach is consistent with the principles established in Spring 1986 which indicated that this planning process would be sensitive, partici- pative and characterized by an open communications process. "Further, we are committed to ongoing evaluation of this merger's success and will judge it on the basis of operational performance over the next five years."! nti d 2'\ ICo nue onpage I Darryl R. Lippman Prior to 1979 when Lippman became president of The Allen- town Hospital, he was vice president of Lancaster General Hospital for sevenyears. He had been assistant executivedirector at Allegheny General Hospital, Pittsburgh, for three years. He served as a captain in the United States Air Force (USAF)where has was deputy director, USAF Hospital, Peru, Ind Lippman earned his Bache- lor of Science degree from the University of Southwestern Louisiana and his masters degree in Hospital Adminis- tration from Duke University. "As president of The Allen- town Hospital, Darryl has been instrumental in developing many new health care services as well as enhancing the Hos- pital's financial stability," said HealthEast President David P. Buchmueller. "He has also played an extremely important role in the Hospital's moderni- zation projects."

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Vol. XVI, NO.6

oThe AllentownHospitalA HealthEast Hospital

NOVEMBER/ DECEMBER 1987

CEO Named for Merged Hospital

Samuel R. Huston

Huston has been presidentof Lehigh ValleyHospital Centersince September 1986. Prior tothat he wason the administrativestaff of University Hospitals ofClevelandfor 16years,servingasexecutive vice president andchief operating officer from 1982to 1986. From 1971 to 1973 hewas associate executivedirectorof Duke UniversityHospitals andprior to that was on the staff ofthe Medical Center Hospital ofVermont and the University ofVermont School of Medicine.Hereceived his Bachelor of Artsdegree from the University ofNorthern Iowa and his master'sdegree in Hospital and HealthAdministration from the StateUniversityof Iowa.

"Sam's many years of suc-cessful university and teachinghospital experience has pre-pared him particularly well forthese new responsibilities,"HealthEast President David P.Buchmueller said.

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Samuel R. Huston, president,Lehigh Valley Hospital Center (LVHC),has been named president of themerged organization of The AllentownHospital and Lehigh Valley HospitalCenter. Darryl R. Lippman, president,The Allentown Hospital, will assume anew role as executive vice president ofHealthEast. These changes will bemade effective January 1, 1988.

"The announcement is being madenow so that effective planning cantake place as we move towards amerged hospital and other organiza-tional changes," David P.Buchmueller,HealthEast president said. "We arevery fortunate to have these twooutstanding people within this organ-ization who are well qualified in hos-pital management and capable ofserving in key senior positions in oursystem," Buchmueller said. "It was notnecessary to look outside theorganization."

Neither hospital name will change.The merger planning process is

proceeding according to the MergerCommittee's schedule with a plan forthe merger being presented to theHealthEast Board of Directors inDecember.

In the announcement letter tomembers of the HealthEast and hos-pital's boards, all employees, physi-cians and volunteers, Buchmuelleralso summarized the already agreedupon criteria which the merger planwill fulfill. First, the merged hospitalmust be a better place to be a patientand a health professional; second, itshould be easier to govern andmanage; and, third, plans should becarried out with a resultant improvedfinancial outcome.

Buchmueller said, "We believe ourapproach is consistent with theprinciples established in Spring 1986which indicated that this planningprocess would be sensitive, partici-pative and characterized by an opencommunications process.

"Further, we are committed toongoing evaluation of this merger'ssuccess and will judge it on the basisof operational performance over thenext five years."! nti d 2'\

ICo nue on page I

Darryl R. Lippman

Prior to 1979 when Lippmanbecame president of The Allen-town Hospital, he was vicepresident of Lancaster GeneralHospital for sevenyears.Hehadbeen assistantexecutivedirectorat Allegheny General Hospital,Pittsburgh, for three years. Heservedas a captain in the UnitedStates Air Force (USAF)wherehas was deputy director, USAFHospital, Peru, Ind

Lippman earned his Bache-lor of Science degree from theUniversity of SouthwesternLouisiana and his mastersdegree in Hospital Adminis-tration from Duke University.

"As president of The Allen-town Hospital, Darryl has beeninstrumental in developingmany new health care servicesas well as enhancing the Hos-pital's financial stability," saidHealthEast President David P.Buchmueller. "He has alsoplayed an extremely importantrole in the Hospital's moderni-zation projects."

HealthEast Recognizes Nurses at Annual MeetingAt the HealthEast annual meeting,

before approximately 500 boardmembers, physicians, employees andarea business and political leaders,Victoria Geiger, R.N., The AllentownHospital received a Health EastMedallion Award. The award, whichwas sponsored by the HealthEastTrustFund, is part of HealthEast's ongoingFriends of Nursing program which wascreated to recognize nurses and topromote nursing as a career.

Geiger, who has been a staff nursein Labor and Delivery at The AllentownHospital for nine years, received theaward for originating and imple-menting a perinatal loss program.

There is a time of profoundsadness for parents when their childis stillborn or otherwise dies at thetime of birth. This is also a difficult timefor nursing staff members as they tryto help parents cope with this tragedy.The Perinatal Loss Program, assistsboth the patient and the staff to besthandle these situations.

Other HealthEast Medallion awardwinners included: Irene Ehrgott, R.N.,Lehigh Valley Hospital Center, for anurses guide to chemotherapy agents;Mary Lesniak, R.N., Gnaden HuettenMemorial Hospital, for her role in theexpansion of the hospital's mentalhealth unit; and Cynthia Weiss, R.N.,Slate Belt Medical Center, for facili-tating the establishment of the MedicalCeraer's Community Health Center.

Photo by Thomas F. Amico

Winner of the HealthEast Medallion Award,Victoria Geiger, R.N., implemented a Perinatal Loss Team for parentsand nursing staff who have experienced a stillbirth or loss of anewborn. The award was presented at the flealthEast annualmeeting as part of an ongoing program called Friends of Nursing.This program, which is sponsored by the flealthEast Trust Fund,recognizes nursing professionals and promotes nursing as a career.

New Laboratory Director

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David G. Beckwith, Ph.D., has beennamed clinical laboratory director forHealthEast Laboratories. He will beresponsible for managing the opera-tions and development offive labora-tories including those at The AllentownHospital and Lehigh Valley HospitalCenter. Beckwith received his degreefrom Lehigh University and assumedthe position of director of microbiologyat St. Luke's Hospital in 1974. He hasextensive experience in developinginfection control and in-vitro fertilizationprograms.

Beckwith has offices at both TheAllentown Hospital and Lehigh ValleyHospital Center.

CEO Named(Continued from page 1)

Huston will be responsible forpreparing a management plan for themerged organization. The plan's firstphase will be effective January 1 withother steps implemented throughoutthe year. At that time, he will have fullresponsibility for the management ofboth facilities.

Lippman will assume his new dutiesin early January. His direct responsi-bilities will include Gnaden HuettenMemorial Hospital, Slate Belt MedicalCenter, behavioral health services andliaison with Voluntary Hospitals ofAmerica.

WomanCare Offers Inpatientand Outpatient Services

Special bonding time is able to take place in the homelikeatmosphere of the newly-redecorated postpartum patient rooms at TheAllentown HospitaL Holly Siegfreid of Whitehall smiles lovingly at herneUJPom as Louise Neifert, a staff nurse, looks on

Family-centered maternity careallows mom and dad to celebrate thebirth of their first child together in oneof the newly-redecorated patientrooms in the postpartum unit of theHospital. This is just one ofthe servicesWomanCare of The Allentown Hospitaloffers to its patients. In addition, all

women 18 years and older who areadmitted to any area of the Hospitalreceive a special gift package to betteraccommodate them during their stay.Woman Care also offers easy accessto outpatient services such as mam-mography, osteoporosis screeningand a free resource library.

Concern for breast cancer increasedSince physicians discovered that

Nancy Reagan had breast cancer, thenumber of requests for breast x-rays,or mammographies, doubled atWomanCare of The Allentown Hospital,according to Cynthia Adams,WomanCare coordinator. The Allen-town Breast Diagnostic Center, part ofWoman Care, received 300 calls forthe special x-rays in the week thatfollowed Mrs. Reagan's surgery.

The increase was expected by thestaff of the Allentown Breast Diag-nostic Center, according to Walter J.Dex, M.D., chairman, Department ofRadiology, The Allentown Hospital."There was also a surge in requestsfor mammograms when first lady BettyFord had breast cancer," said Dex.Although the requests decreasedseveral months after Mrs. Ford's sur-gery, Dex said that this time he expectsthe increase to continue.

"We now have more awarenessabout early detection and preventionthan we did 12 years ago," said Dex."The fact that breast cancer is thenumber one cause of female mortalityin the United States is causing morewomen to receive regular mammog-raphies in addition to self-examination."

All the requests for mammogra-phies have been accommodated,according to Dex. "With our eveninghours on Tuesday and Wednesdayuntil 8 p.m. and our renovated facilities,we have been able to set up appoint-ments for everyone."

Anyone interested in more infor-mation about mammographies shouldcall WomanCare at 778-3800.

Support GrOUp for Kidney PatientsThe Continuous Ambulatory Peri-

toneal Dialysis (CAPD) support groupof The Allentown Hospital will meet onWednesday, February 17 at noon. Themeeting will be held in the Hospital'sConference Room B and lunch will beserved.

Kathy Barrette, R.N., peritoneal di-alysis coordinator, will speak on "YourCAPD Technique." The presentationwill be followed by the group's regulartime for sharing concerns, problemsand experiences common to kidneypatients.

Patients with kidney problems, theirfamilies and friends are invited toattend. For more information aboutthesupport group or the monthly meeting,call 778-CARE.

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NewTransportationService SpeedsDelivery ofPatient Care

An average of 225 patients per dayare transported within the Hospital.Through a recently designed centraltransportation service, the patienttransport team is able to transport apatient in approximately 10 minutes.This service has decreased patientwaiting time by 50 percent, accordingto Richard Benjamin, director ofMaterials Management and depart-ment head in charge of the newservice.

The centralized transportationservice has been a benefit for variousdepartments. "The new transportationservice has been a tremendous assetfor the Operating Room," said MercedesJurkiewicz, head nurse. Lisa Maher,director of Physical Therapy said,"The new transporters had an excel-lent training program and it is payingoff."

This new service is responsible fortransporting patients and patient-related items, as well as the movementof interdepartmental mail. "Becausethe transportation service has beenimplemented so effectively," saidRichard Cardona, supervisor of theservice, "patients are receiving timelyand. safe transportation while in ourHospital." The new central transportation service quickly transports patients

between various destinations within the Hospital. Linda Hinkle, patienttransporter, is shown demonstrating the efficency of this new system.

Women today face a number of challenging rolesin their daily life such as meeting the demands offamily, jobs, and a multitude of other responsibilities.When a woman's personal needs are forgotten, shemay become stressed or frustrated. That is whyWoman Care of The Allentown Hospital is offering"Time For Me: Stress, Self and Society," a workshopdesigned especially for women.

The course will focus on showing women how tobe comfortable with themselves and more relaxed intheir daily lives. Specific topics to be covered includesociety's expectations of women, improving self-image and self-esteem, improving communicationskills, relaxation techniques and developmental (life)

stages women experience.This five-session course will be instructed by the

following staff from The Allentown Hospital: DonnaWilson, O.T.R.I L., director of adjunctive therapies, S.Lee Khoury, A.C.S.W., supervisor of psychiatric socialservices, and Patti Lehr, R.N., M.S.N., clinical nursespecialist for Psychiatry.

The course is scheduled for Tuesday eveningsfrom 7 to 8 on April 19, April 26, May 3, May 10 andMay 17. Classes will be held in the HospitalAuditorium. A $30 fee includes all course materials.

To register or for more information about thestress in your life, call Woman Care at 778-3800.Registration will be limited, so please call early.

WomanCare Offers Stress Management Course

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Beating the Blues: Post-holiday DepressionChristmas and New Year's Eve

generate a lot of excitement andhappiness for many people. There is asignificant amount of preparation, bothmental and physical, for these twoholidays.

After these holidays have passed,many people experience a feeling ofemptiness and a state of depressionas they face the long winter ahead.According to Patti Lehr, R.N., M.S.N.,clinical nurse specialist, Departmentof Psychiatry, this post-holidaydepression can be replaced by con-structive activities and positivethinking.

Lehr will be offering a free lectureon January 12 and again on January14 entitled "Post-Holiday Depression:Beating the Blues." The lecture issponsored by WomanCare of TheAllentown Hospital, the health re-source for women of all ages. Ac-cording to Lehr, "It is normal to feeldepressed after a loss or disap-pointment, but it usually disappearsshortly thereafter. If it does not, then aprofessional evaluation is needed."

The lecture will focus on depres-sion itself as a serious illness, thewarning signs of depression, whenprofessional assistance is necessary,myths of mid-winter depression andthe difference between sadness and a

more severe condition.Lehr states that a person should

use the winter months to assess wherehe or she wants to be going. Instead ofbecoming complacent and depressed,the time should be used constructivelyto challenge oneself, to make changesin one's life and to work toward per-sonal and / or professional goals.Determine where you would like to beone year from now, then six monthsfrom now, and eventually break itdown to a weekly basis.

Much of this post-holiday depres-sion stems from unrealistic expecta-tions of what the holidays should bring.Many people compare current holi-days with previous ones. If presentholidays fall short of their expectations,people often become depressed.Increased social demands during thisseason, including entertaining and/orvisiting relatives and friends, can be acause of post-holiday depression.

Holidays can also be physicallydemanding; for instance, overindul-gence in food and other holiday temp-tations are common. Avoid this bysetting personal limits regarding theamount of food you consume, thenumber of parties you attend and thehours you sleep.

Symptoms of severe depressioninclude withdrawal, sleeping pro-

blems, episodes of crying, lack ofinterest in home, job or personalrelationships, lack of self-esteem orloss of enjoyment in general. Ac-cording to Lehr, everyone experiencessome, of these feelings occasionally.However, it is when these symptomsbecome severe or lasting that profes-sional help should be sought. "Helpalso becomes necessary if a personhas become so depressed that he orshe has attempted self-harm, or ifcoping on a daily basis becomes diffi-cult for a period of time." Lehr says thatseven steps can be taken to avoidpost-holiday depression.

• Set realistic goals for holidays• Use time for personal assessment• Take extra time for "self care"• Set small achievable goals• Exercise regularly• Extend or activate your support

system• Reward yourselfA segment of the lecture will be

entitled Better Than Ever which will bedevoted to setting realistic goals andrewarding yourself. As you completeeach goal and move on to a new one,you will feel better than ever, Lehrsays. Feeling Good Again will con-centrate on self-assessment and self-care.

Home For The HolidaysThanksgiving was a very special

day for Home Care and Lehigh ValleyHospice patients. The Home Care staffdelivered Thanksgiving baskets with"all the trimmings" to patients who arephysically or financially unable to pre-pare meals for the holiday.

This was the first year Home Careprovided baskets to Hospice patientsdue to the recent consolidation ofservices. This merger will result in amore efficient delivery of patient care,according to William Dunstan, directorof Home Care. Hospice and HomeCare are located at 136 S. Fourth St.

Hospice will retain its own staff forprofessional nursing care, homehealth aide care, medical social work,pastoral care services, bereavementservices and volunteers. Two HomeCare nurses are available at The

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Allentown Hospital to help admitLehigh Valley Hospice patients asnecessary. These on-site liaisons willimprove the continuity of care from thepatient's Hospital stay to the outpatientcare received through Lehigh ValleyHospice, according to Dunstan.

Special benefit for hospice patients

Because of a recently-initiatedMedicare program, Hospice patientswill be able to receive more compre-hensive care. Lehigh Valley Hospicebecame the fi rst service for terminally-ill patients in the Lehigh Valley area tobe certified to offer Medicare benefits.

Patients in need of specializedterminal care for terminal illness canreceive the full scope of medical andsupport services for their condition

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while continuing to live in their ownhomes.

The Hospice benefit can extendlonger than the Medicare benefit forHome Care and provides patientsmore intensified and frequent visits.Patients may elect to cancel the benefitat any time should their medical con-dition change.

According to Dunstan, the Hospiceteam aims to provide optimum care ata crucial time of intervention. TheHospice benefit offers four distinctlevels of care from in-home servicesto patient care including routine homecare, continuous home care, respitecare and general inpatient care.

For more information about theHospice Medicare benefit, please call433-5766.

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New Nursing Appointments

Janet Lorraine, R.N., has beennamed a critical care clinical nursespecialist at The Allentown Hospital.Lorraine, who is certified in critical carenursing, works with head nurses andstaff nurses to coordinate staff develop-ment and monitor standards of qualitynursing care.

Lorraine was evening charge nurseof the medical-oncology unit and a staffnurse in the coronary care unit at theAlb~rt Einstein Medical Center,Philadelphia.

Lorraine was a patient care coor-dinator at the John F. KennedyMemorial Hospital, Philadelphia, whereshe held a supervisory role involvingthe coordination of nursing care, staffingand nursing education for the 220-bedtertiary care center.

As staff development instructor incritical care at Albert Einstein MedicalCenter, Lorraine coordinated nursingeducation and quality assurance testingfor several units, including coronarycare, medical intensive care, coronarystepdown/telemetry and acute renaldialysis. She coordinated and taughtclasses such as the adult critical carecourse, the critical care registerednurses exam review course, and thebasic dysrhythmia course for AmericanAssociation of Critical Care Nursescontinuing education credit.

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Lorraine received her master'sdegree in nursing from The Universityof Pennsylvania State University. Sheearned a Bachelor of Science degreein psychology from the PennsylvaniaState University, and a Bachelor ofScience degree in nursing from WilkesCollege.

Lorraine is a member of theAmerican Association of Critical CareNurses-National Chapter, the AmericanAssociation of Critical Care Nurses-Southeastern Pennsylvania Chapter,and the Sigma Theta Tau NationalHonor Society of Nursing-Zeta PsiChapter.

Catherine Kirby, R.N., has beenappointed orientation coordinator atThe Allentown Hospital.

Her duties include working withstaff nurses and serving as a facilitatorfor the associate clinical directors andstaff nurses.

She is responsible for the coordin-ation of class schedules and theavailability of class instructors. Shehelps develop revisions on currentorientation programs, and works ondeveloping new programs such as theclinical care course.

Previously, she served as coordi-nator for competency based educationand affiliated nursing schools at Lehigh

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Valley Hospital Center.She received her master's degree in

nursing from Yale University School ofNursing, New Haven, Conn. Sheearned a Bachelor of Science degreein nursing from Trenton State College,Trenton, N.J.,and a diploma in nursingfrom Abington Memorial Hospital,Abington, Pa.

Linda Petrine, R.N., has beenappointed renal (kidney) clinical nursespecialist at The Allentown Hospital.Her responsibilities include teaching,consulting, research and clinical workwith staff, patients and families.

Petrine was previously on staff at St.Luke's Hospital, Bethlehem, as ageneral staff nurse, and as a dialysisstaff nurse. She managed the totalhealth care, education, and rehabili-tation of end stage renal diseasepatients, created a self-care continu-ous ambulatory peritoneal dialysismanual,and designed and implementeda patient assessment instrument foruse by beginning nurses while at St.Luke's Hospital.

Petrine received a master's degreein nursing from the University ofVirginia, Charlottesville, and a Bache-lor of Science degree in nursing fromThe Pennsylvania State University.

(Continued on page 7)

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WomanCare Offers Counseling ServicesSharon L. Stelts, R.N., M.A., will be

providing professional counselingservices especially for women throughWomanCare of The Allentown Hospital.This new service is being offered inresponse to requests from manywomen in the Lehigh Valley for imme-diate, short-term counseling.

"Through this new counseling ser-vice WomanCare will now be able torespond more quickly to women whoneed to talk with a professional," saidCynthia Adams, WomanCarecoordinator.

When short-term counseling is notenough, Stelts will provide assess-ments and make appropriate referralsto health care professionals in variousHospital departments. "She is some-one that women will be comfortabletalking to about a variety of personalhealth care and emotional concerns,ranging from premenstrual syndrometo depression," said Adams.

A nominal fee for the appointmentswill be based on the length and natureof the counseling session. Stelts, whowill serve as a supplement to theHospital's existing services, such asprenatal education, nutritional coun-seling, social services, and the Oe-

will make a referral as necessary,Adams said.

Stelts will be able to provideinformation about different supportgroups in the Lehigh Valley and shewill also be involved in developingnew support groups for women.

Stelts provides counseling servicesfor HealthCounts, a Health East hos-pitals' employee health program. Shecounsels individuals and is a groupinstructor for the HealthEast WellnessCenter, Allentown.

She previously had experiencewith individual and group counselingfor men and women of all agesincluding experience in crisis inter-vention at Penn Foundation for MentalHealth, Sellersville, Pa. Stelts hasvolunteered as a counselor in the"Reach To Recovery" program fortheAmerican Cancer Society of LehighCounty and as a patient representativeat The Allentown Hospital.

She received her Master of Artsdegree in counseling psychologyfrom Kutztown University,. and sheattended the University of Cincinnati,Cincinnati, Ohio, for her Bachelor ofScience degree in Nursing.

Sharon L. Stelts, RN., MA

partment of Psychiatry, will listen andmake an assessment of each woman'sneeds. Based on that assessment, she

New Nursing Appointments (Continued from page 6)

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Susan Steward, R.N., has beenappointed continuing education coor-dinator at The Allentown Hospital.

She is responsible for coordinatingeducational programs for nurses andthe nursing staff and for providing allcontinuing education programs fornurses.

Steward is also the orientationinstructor for graduate nurses at TheAllentown Hospital. She has been aninstructor in The Allentown HospitalSchool of Nursing since 1972.

Steward holds a master's degree insecondary education from LehighUniversity, Bethlehem. She earned aBachelor of Science degree in nursingfrom Cedar Crest College, Allentownand a diploma in nursing from TheAllentown Hospital School of Nursing.

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Comprehensive Prenatal G

Special Counseiina makes the prenatal genetics program at The Allentown Hospitalthe most comprehensive program Oflts type in the area, according to Sze-ya Yeh, M.D., chairman,Department of Obstetrics and Gynecology. Above, Carol Wilkerson, RN., coordinator of the counselingprogram, speaks with a patient who needs genetic counseling in order to make sound decisions during

••an emotional time.

Nationwide, the number of babiesborn to women over age 35 is growingrapidly as women are waiting longerto have children. Among this high-riskgroup, and in other cases, there is alsoa growing need for rapid, accurategenetic testing early in a woman'spregnancy.

Until recently, a woman requiringgenetic testing who lived in the LehighValley had to travel to Philadelphia tohave her unborn baby tested for birthdefects or genetic disorders through acomprehensive prenatal genetic diag-nosis program.

Because The Allentown Hospitalalready has a high-risk maternal-childprogram, a group of professionals fromtwo Philadelphia university hospitals'genetics programs chose the facilityas the site for a comprehensive geneticprogram. The latest ultrasound systemfor genetic testing is also available atThe Allentown Hospital.

Women in the Lehigh Valley can

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now undergo genetic diagnosis at anearlier stage in their pregnancy, receivethe results more quickly, and seek awide range of information from geneticcounselors to understand the infor-mation more fully.

Counseling as a key element"The Allentown Hospital's program

is unique because it offers counselingalong with the testing," said Sze-yaYeh, M.D., chairman, Department ofObstetrics and Gynecology, and aboard-certified specialist in high-riskpregnancies. "I feel very strongly thatcounseling is the key element. Thetrue advantage to The Allentown Hos-pital's programs is the comprehensivecare provided."

Genetic testing is not new to theLehigh Valley. For example, physicianshave been performing amniocentesisfor several years. Amniocentesis canbe performed between 16 and 18weeks into the pregnancy with results

taking three weeks. The advancedtesting methods now available canprovide more accurate informationearlier in the pregnancy - at aboutnine to 11 weeks.

The Hospital's comprehensiveprenatal genetic program is beingcarried out in partnership with physi-cians from Pennsylvania Hospital andThomas Jefferson University Hospital.

Early detection improves careTesting can identify genetic pro-

blems about which specifics areknown, according to Yeh. The mostcommon genetic defect or chromo-some abnormality is Down's Syn-drome. Thorough genetic counselingprovides important information towomen and can assist physicians inmanaging the delivery and care of thenewborn for optimum results.

On the day of the appointment, thepatient meets with a genetic counselor

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enetic Program Introducedgenerally for 30 to 45 minutes. Coun-seling is done either on the day of theproposed test or a few days prior.

The genetic counselor reviews theprocedure, the accuracy of the resultsand the reason for the test. Questionsare answered and the risks are ex-plained. The patient then decideswhether or not to have the test, or shemay make that decision over the nextfew days.

Physicians recommend that preg-nant women over the age of 35undergo genetic testing. Over six per-cent of the babies born in the UnitedStates in 1984 had mothers over 35,and the number is growing. At TheAllentown Hospital, there are approx-imately 200 such births each year,according to Yeh.

At age 35, a woman has a one in200 chance of delivering a livebornchild with a chromosome abnormality.By age 40, this increases to one in 100.

Women who have already givenbirth to a Down's Syndrome baby orwho have a close relative with aDown's Syndrome child are recom-mended for testing. Genetic testing forprenatal diagnosis is also suggestedwhen parents are in high-risk groupsor are known carriers for geneticdiseases such as Tay-Sachs or SickleCell Anemia.

New technological advancesSeveral tests are available.

Chorionic villus sampling (CVS) is car-ried out at nine to 11 weeks of gesta-

tion. This is a new, investigationaltechnique. Under the guidance ofultrasound, the physician obtains asample of the chorion, or placentatissue. Because the tissue multipliesquickly, results can usually be ob-tained in one week.

Another choice is amniocentesisunder the guidance of a highly accu-rate ultrasound system. A specimen ofamniotic fluid - the liquid thatsurrounds and protects the fetusduring pregnancy - is obtained withresults available in about three weeks.

As a result of the recent acquisitionof an Acuson 128 Computed Sono-qraphy" ultrasound system, moreaccurate testing can also be achievedthrough non-invasive techniques. Withthis system, a physician can view thefetus with unprecedented clarity anddetail on a television screen. The bloodflow of the fetus can also be studiedusing vascular diagnostic capabilitiesknown as Doppler. Blood flow is themost critical factor in detecting thecondition of the fetus, Yeh said.

A woman sets up an appointmentfor diagnostic testing by calling a localnumber (778-2980). Patients can bereferred by their attending physicanand the tests are conducted on anoutpatient basis.

Counseling impacts patient healthThe genetic counselor provides

information to help the patient makesound decisions with regard to preg-nancy, said Carol Wilkerson, R.N.,

coordinator of the counseling program."We are dealing with patients at a veryemotional time. It is our job to provideclear, objective answers to questionsthat impact on both the mother's andbaby's health.

Marie Porter, R.N.,a gastrointestinalendoscopy nurse at Lehigh ValleyHospital Center, underwent amnio-centesis during the 16th week of herpregnancy. "The counselor describedthe test in such a way that evensomeone with no medical backgroundcould understand it."

Throughout the procedure, AnneEndres of Allentown found the staff atThe Allentown Hospital to be helpfuland informative. She had amniocen-tesis during her 12th week of preg-nancy - one of only 300 tests donenationwide so early in the pregnancy."The doctor explained everything tous during the procedure. The twonurses and doctor were able to answerour questions and offered informationfreely."

As the demand for genetics coun-seling and testing grows, Yeh says hehopes to expand the services offered.Yeh looks forward to the day whenfurther treatment of the fetus in thewomb will be possible. "It is almostinevitable that in the next 10 years, wewill focus a lot more on the fetus. Withthe help from new technology, we willbe able not only to detect problems inthe fetus, but also to provide necessarytreatment as well."

EVENING HOURSfor your convenience ...

WomanCare educational programs are being offered both at night and during theday for your convenience. Each lecture will be offered at noon and at 7 p.m. during thesame week. If you are still unable to attend, and are interested in learning about aparticular subject, visit the WomanCare ResourceLibrary which has evening hours onTuesdays and Wednesdaysuntil 7.

Other evening hours are offered by the Allentown Breast Diagnostic Center onTuesday and Wednesday evenings until 8. For more information or to schedule anappointment, please call WomanCare at 778-3800.

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HolidaySafety forChUdrenandPets

C=-,/amounts of beer, wine, or liquor.

Holiday decorations and wrappingsalso contribute to incidents of holidaypoison accidents among children andpets. The center suggests beingespecially careful about putting haz-ardous products out of reach forchildren and pets.

A poison information specialist isavailable 24 hours a day at The PoisonCenter Hotline by calling 433-2311.Your call will be answered every day,even on Christmas.

The Lehigh Valley Poison Centerand The Allentown Hospital wish you asafe and happy holiday season.

During the hustle andbustle of the holiday season,it is important to learn aboutthe products associated withthe season which are potentiallyharmful to children and pets,according to the Lehigh ValleyPoison Center at The AllentownHospital.

Some household pets,especially cats, see decorativeplants such as mistletoe andpoinsettia as an irresistable salad.Unfortunately, this "salad" can causefelines to become seriously ill. Keepthese temptations out of your eat'spath.

J-ioliday chocolates can also betoxic when ingested in large quantitiesby a dog or a cat, so they should not beallowed to eat it at any time.

Alcohol is another possible hazardto pets. Pets can easily die from alcoholbecause, like children, pets have smallbodies which cannot tolerate large

I

Hospital AuxiliarySupports

WomanCareThe Auxiliary of The Allentown

Hospital presented a check for $50,000to Hospital president Darryl R. Lippmanat the Auxiliary's annual Italian NightDinner. The donation goes to supportWomanCare of The Allentown Hospital.

The presentation at the dinner wasthe third donation toward the Auxil-iary's $250,000 pledge to supportWoman Care. Lippman thanked theAuxiliary and said, "The Auxiliary hasshown us that it is truly becausewomen care that there is Woman Care."

Approximately 370 people attendedthe annual dinner, which is one of theAuxiliary's major fund-raising events.More than 50 prizes, with a top prize of$500 in cash, were raffled off atthe twosittings for the dinner. Entertaining onthe piano was Abram Samuels, chair-man, Board of Directors.

Proceeds from the dinner and rafflewill help the Auxilliary make furthercontributions to Woman Care.

WomanCare receives continuous financial support from TheAllentown Hospital Auxiliary. Frances Schaeffer, right, president of theAuxiliary, presents Darryl R Uppman, Hospital president, with a checkfor $50,000 at the Auxiliary's annual Italian Night Dinner and Raffle.

"I'm a bom nonsmoker" was the proclamation of newborns wearingt-shirts at The Allentown Hospital during the Great American Smokeout November 19.The smokeout sponsored by the American Cancer Society, is a one-day attempt toencourage all smokers to "take a breather." The Allentown Hospital provided t-shirtsfor all babies born during the smokeout as part of an ongoing effort to promotehealthier lives. Above, proud mom Valerie Hunsicker of Emmaus is shown with herdaughter Jennifer, who is displaying one of the t-shirts.

I11

_______MWOD~-------theDUDds

Robert D. Riether, M.D., Depart-ment of Surgery, recently becameboard -certified in colon and rectalsurgery. He also received the 1986-1987 Teacher of the Year Award forthe colon-rectal surgery residencyprogram at Allentown's HealthEasthospitals. He recently published apaper entitled, "Endoscopic Retrievalof Foreign Bodies from the Rectum," inthe journal Disease of the ColonRectum.

Dennis M. McGorry, D.O., Depart-ment of Medicine, and Samuel W.Criswell, M.D., Department of Medi-cine, recently received board-recerti-fication in family practice.

Stephen K. Klasko, M.D., Depart-ment of Obstetrics and Gynecology,was a guest lecturer on advancedgynecological topics at the 1987 GYN-Endoscopy Laser Workshop, Nashville,Tenn. He explained laser laparoscopyand YAG laser endometrial ablation.A graduate of Hahnemann MedicalCollege, Klasko was recently electedas a Fellow of The American Collegeof Obstetricians and Gynecologists.

Gregory M. Lang, M.D., Depart-ment of Obstetrics and Gynecology,recently spoke to the Eastern Divisionof the American Association of Medi-cal Transcriptionists on gamete intra-fallopian transfer (GIFT), an alterna-tive for infertile couples. Lang's areasof expertise include infertility, repro-ductive endocrinology, microsurgery,and gynecological education.

Indru T. Khubchandani, M.D., chiefof the Division of Colon and RectalSurgery, was the featured speakerfrom the United States at theCongresso International Di Chirurgiaheld earlier this year in Genoa, Italy.He spoke on "Pull-through SurgeryforManagement of Anal Incontinence." Healso participated on a panel discussionon "Alternatives in Surgery for Inflam-matory Bowel Disease." Over 20countries were represented at themeeting which was attended by over200 professionals. Khubchandani alsospoke to graduate and post-graduatesurgical students on "Management ofStoma Complications" at the Universityof Rome.

Joann Haros, R.N., OperatingRoom, was named president of the12

I

mideastern Pennsylvania Chapter ofThe Association of Operating RoomNurses. She is past president of thePennsylvania Council of OperatingRoom Nurses. Haros will serve asmoderator for an education sessionsponsored by the 35th annual Associ-ation of Operating Room Nurses, Inc.,congress meeting. The session iscalled, "Institutions of Politics: Who'sReally in Charge?" and will be held atthe Dallas Convention Center, Dallas,Texas.

Several Hospital professionalsspoke at a recent conference spon-sored by The Allentown Hospital.Andrea E. Geshan, R.N., M.S.W.,C.I.C., nurse epidemiologist, Fred J.Pane, R.Ph., assistant director / clinicalcoordinator, Pharmacy, Luther V.Rhodes III, M.D., F.A.C.P., chief,infectious diseases, Hospital epide-miologist, and John H. Samies, M.D.,infectious disease specialist, were allspeakers at "Antiobiotics: An Update."This program was designed to providenurses and pharmacists with clinicallyrelevant information concerningchanges and developments in anti-biotic therapy.

Susan Fiorentino, director of Qual-ity Assurance and Utilization Review,recently gave a presentation to theLehigh Valley Medical Record Asso-ciation. She spoke on "Implementationof MedisGroups," a tool to measureseverity of illness. The meeting washeld at The Allentown Hospital.

Barbara J. Schropp, RadiationOncology, recently received a Bache-lor of Science degree in businessadministration from Cedar CrestCollege. Her area of concentrationwas in health care administration.Schropp is also serving an internshipin the marketing section of HealthEastLaboratories.

Addie S.M. Hopple, MedicalRecords, was the second-highestvote-getter in the general election onNovember 6 for a seat on theCatasaqua Borough Council. She hadreceived a Democratic nomination for

the Council last May on the basis of 13write-in votes. She will be the secondwoman on the Council in the last 125years.

The Neonatal Intensive Care UnitParent Support Group was funded bythe Lehigh Valley Chapter of the Marchof Dimes to send three members to theFourth Annual Parent Convention inPhiladelphia. Members who attendedwere; Susan Murray, president; DonaBaumann, vice president; and KarenMorrow, counseling coordinator.

Frances Schaeffer, president ofThe Allentown Hospital Auxiliary,gave a presentation to the easternregion of the Pennsylvania Associationof Hospital Auxiliaries. She gave anupdate on the Hosptial's accomplish-ments in 1987, highlighting the newWoman Care program and the reno-vation and construction project.

WomanCare of The AllentownHospital and the ComprehensiveCommunity Cancer Center (CCCC)participated in the 1987 Senior Expo,an information fair for senior citizensand their families sponsored by StateRepresentative Don Snyder. TheCCCC provided free computerizedcancer risk assessments to all inter-ested persons. Educational literatureon cancer prevention and early de-tection was also distributed. Woman-Care provided information specificallyon breast cancer and social supportgroups for senior citizens.

The Operating Room nurses atThe Allentown Hospital observed"O.R. Nurse Day" with a variety ofactivities including a MideasternPennsylvania Association of OperatingRoom Nurses meeting at the Hospital.There was a display including photosof O.R. nurses and educational litera-ture in the Hospital lobby. Balloonswere also given out at the display andwere distributed to inpatients duringthe week. The Allentown Hospital alsooffered free operating room tours tothe public.

Christine Messina Boyer wasrecently named vice president, Com-munications, HealthEast. She waspreviously director of public relationsat HealthEast and had been director ofpublic relations at The AllentownHospital for seven years.

I

New Medical StaffNarien K. Grover, M.D., Department of Medicine, Divisionof Family Practice, is board-certified

in family practice. He served his internship at Irwin Hospital, Delhi University, New Delhi, India. Hewas a resident in family medicine at Warren Hospital, Phillipsburg, N.J. He was also a resident ininternal medicine at Holy Redeemer Hospital, Meadowbrook, Pa.,and at the Hospital of the MedicalCollege of Pennsylvania, Philadelphia. He was a resident in pediatrics at Middlesex GeneralHospital, New Brunswick, N.J., and in obstetrics and gynecology and internal medicine at IrwinHospital, Delhi University, New Delhi, India. He served a joint fellowship at Warren Hospital andOverlook Hospital, Summit, N.J., in family practice. He received his medical degree from MaulanaAzad Medical College, New Delhi, India. He is in private practice at 1040 S. Cedar Crest Blvd.,Allentown.

Bryan W. Kluck, D.O., Department of Medicine, Section of Cardiology, is board-certified ininternal medicine. He served his internship at Cherry Hill Medical Center, Cherry Hill, N.J.,and hisresidency in internal medicine at Allentown's HealthEast Hospitals. He served a fellowship incardiology at Lehigh Valley Hospital Center. He received his medical degree from the PhiladelphiaCollege of Osteopathic Medicine. He is in private practice at 1210 Cedar Crest Blvd., Allentown.

Thomas Lambert, D.M.D., Department of Dentistry, served his residency at The AllentownHospital. He graduated from Temple University School of Dentistry, Philadelphia. He is in privatepractice in Easton.

Robert J. Thompson, M.D., Department of Medicine, Division of Dermatology, is board-certified in internal medicine and dermatology. He served his internship and residency at TempleUniversity Hospital and the Hospital of The University of Pennsylvania, Philadelphia. He receivedhis medical degree from Temple University School of Medicine, Philadelphia. Thompson is inprivate practice at 1317 Hamilton St., Allentown.

Brian D. Wilson, M.D., Department of Medicine, Divisionof Family Practice, is board-certified infamily practice. He served his internship and residency in family practice at The Bryn MawrHospital, Bryn Mawr, Pa. He received his medical degree from Thomas Jefferson University Schoolof Medicine, Philadelphia. Wilson is in private practice in Trexlertown.

(Continued on page 14)

13

/

Chlld Life Therapist Named

tiends-on play with medical equipment provides children withthe knowledge they need to feel more comfortable in a Hospital setting, according to JoanneI\leinginna, child life therapist, The Allentown Hospital. Above, she is shown introducingcommon medical procedures to Bob Tomko of Whitehall.

Joanne F. Kleinginna has beennamed as the new child life therapist forthe Department of Pediatrics at TheAllentown Hospital. Her duties includeeasing a child's transition from home tothe hospital. She is responsible forcreating an atmosphere which willfaciliate a child's adjustment to thehospital through play, art, music anddramatics. She also utilizes pre-operative teaching to ease the child'sanxiety about surgery.

Previously, she was a teacher in theSouthern Lehigh School District whereshe taught learning disabled andemotionally disturbed students. Shewas education and career developmentcoordinator for Lehigh Valley ChildCare Agency, Allentown, a federallyfunded day care program. She alsotaught the Graduate EquivalencyDiploma program at Lehigh CountyPrison, Allentown.

Kleinginna worked at The Allentown

Hospital over 11 years ago. As child lifespecialist in Pediatrics at The AllentownHospital in 1976, she developed thetherapeutic program for hospitalizedchildren which has been the basis forthe program ever since.

Kleinginna received a master'sdegree in education from LehighUniversity, Bethlehem and a Bachelorof Science degree in special educationfrom Bloomsburg University.

New Medical Staff (Continued from page 13)

David B. Yanoff, M.D., Department of Surgery, Division of Orthopedics, is board-certified inorthopedic surgery. He served his internship at University of Pittsburgh Hospital Center, and hisresidency at Wilford Hall United States Air Force Medical Center, Lackland Air Force Base,Texas.He received his medical degree from Albany Medical College, Albany, NY. Previously he was onstaff at United States Air Force Medical Center Wright-Patterson Air Force Base, Ohio. He is inprivate practice with Michael F. Bush, MD., and Charles R. Levine, MD., at 1210 S. Cedar CrestBlvd., Allentown.

14

I

CONTRIBUTIONS TO THE ALLENTOWN HOSPITALTHE ALLENTOWN HOSPITAL ACKNOWLEDGES WITH DEEP APPRECIATION

THE FOLLOWING CONTRIBUTIONS

In memory of Mrs. Ada AllebachDr. and Mrs. Charles D. Schaeffer

In memory or Virgi/yn BeitelBoard of Directors

of The Allentown HospitalDr. and Mrs. Robert P. Fenstermacher Jr.Mr. and Mrs. Darryl R. LippmanMedical and Dental Staff

of The Allentown HospitalSally and Elizabeth RoesslerMr. and Mrs. Abram SamuelsMrs. Eleanor R. ShoemakerDr. and Mrs. Kenneth Weston

In memory of Susan BenkoAutomatic Devices Company

In memory of Earl ButzAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of Lloyd S. ClaussAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of John W. DapkewiczAlumnae Association

of The Allentown HospitalSchool of Nursing

In m~mory of Rubie EttingerAuxiliary of The Allentown Hospital

In memory of Ruby FogelMr. and Mrs. Abram Samuels

In memory of Dr. Lynn FordMr. and Mrs. Thomas Emerson

In memory of Mrs. Frances GearhartMrs. Althea HelwigMrs. Eleanor F. ShoemakerDr. and Mrs. Morton I. SilvermanDr. and Mrs. Kenneth Weston

In memory of Henrietta GoodDr. and Mrs. Robert DilcherMr. and Mrs. Thomas KochMedical and Dental Staff

of The Allentown HospitalDr. and Mrs. Charles D. SchaefferMrs. Eleanor F. ShoemakerSurgical Associates of

Lehigh Valley, Inc.Dr. and Mrs. Thomas Weaber Jr.

MEMORIAL DONATIONS

In memory of Dr. Donald W. HaftMr. and Mrs. Abram Samuels

In memory of Franklin HainesAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of David HarwickAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of Ruth K. KochAuxiliary of The Allentown HospitalMrs. Bella AzeffDoris Biondi-DesmondMs. Esther L. CastelineMr. and Mrs. Peter J. ChromiakMs. Alma P. DiebertMr. and Mrs. William DewarMr. and Mrs. Robert P. FenstermacherMr. and Mrs. David GuthrieMrs. Charles G. HelwigMr. and Mrs. Gilbert KellerMrs. Albert LakitisLehigh Valley Orthopedics, Inc.Mr. and Mrs. Darryl R. LippmanMs. Dorothy McCarthyMrs. Norma MinskyCatherine and Anna Marie MoncmanMr. and Mrs. Paul NurickMs. Katherine L. OchsPrivate duty nurses of Mrs. KochMrs. Frances ReismanMrs. Grace R. ResslerMs. Pauline B. RiegelSally and Elizabeth RoesslerMr. and Mrs. Abram SamuelsMs. June E.E. Snyder and

Ms. Marilyn J. SnyderMr. and Mrs. J. Wells SteinwartSurgical Associates of the Lehigh ValleyMr. Howard M. Williams

In memory of Fred Komet, Sr.Mr. and Mrs. Darryl R. LippmanMr. and Mrs. Abram Samuels

In memory of Clift KowalczukMr. and Mrs. A. Ronald Kowalczuk

In memory of Ernest W. KuhnsmanMr. and Mrs. Abram Samuels

In memory of Irvin LengelAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of Margaret LoveAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of Joseph LowengardMr. and Mrs. Abram Samuels

In memory of Clifton E. MowrerMr. and Mrs. Abram Samuels

In memory of Ray RomigDr. and Mrs. Kenneth Weston

In memory of John SchaferAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of George ShugardMr. and Mrs. Abram SamuelsMr. and Mrs. John A. Samuels

In memory of William SillimanAlumnae Association

of The Allentown HospitalSchool of Nursing

In memory of Nancy SteiglerAlumnae Association

of The Allentown HospitalSchool of Nursing

Volunteers of The Allentown HospitalDr. and Mrs. Thomas Weaber Jr.

In memory of Dominic TrivisonnoMedical and Dental Staff

of The Allentown HospitalIn memory of Doris Fisher Weston

Mr. and Mrs. Hayden C. RoweIn memory of Alton R. Weyer

Alumnae Associationof The Allentown Hospital

School of Nursing

Dr. David Goldner

CONTRIBUTIONS TO THt: Gt:Nt:RAL AND SPt:CIAL FUNDS

ALPO Pet Foods, Inc.

I15

" During the birth of my first child J couldn't haveasked for better care or accommodations. The staffwas pleasant efficient caring and very skilled. Myroom was exceptionally neat and clean and the foodwas always hot and appetizing. My physicianexplained all procedures in an understandablemanner and J was encouraged to ask any questions Jhad. My stay was very enjoyable.

Mrs. Jane Maini3-T patient

Macungie

My lO-day stay in The Allentown Hospital wasmade very pleasant by the efficient; knowledgeableand caring physicians, residents, nurses, socialworkers, physical therapists, and all Hospitalpersonnel. J felt secure and well cared for.

My husband and J were impressed with thecleanliness and efficiency of the Hospital and with thecare given to me while J was there. J thank everyoneat The Allentown Hospital most sincerely.

Edith S. Sloane6-T patient

Upper Darby

Public Relations DepartmentThe Allentown Hospital17th and Chew StreetsAllentown, PA 18102

Darryl R. LippmanPresident

Kerri L. PuskarManaging Editor

Maria L. PillsburyEditor

Scott DornblaserPhotographer

My very special thanks to all of you for helpingme during my illness. Needing medical attention isnever pleasant and when you are out-of-state it'srather frightening. But you all made me feel at homeand J admire all of you very much. You are a goodgroup of professioneis and I'm thankful that thishappened where such excellent medical serviceswere available.

Kenneth R. Shankweiler6-T patient

Hamden, Conn.

My visit to The Allentown Hospital was extremelyefficient - J did not have to wait for anything. Thenurses were kind, patient and very caring. Everyonetook excellent care of me and my new baby - it wasa nice way to start motherhood. The staff offeredtheir skills and attention graciously. J would definitelyrecommend The Allentown Hospital for all mothers-to-be! Thank you.

April PartingtonEmergency Center and 3-T patient

New Tripoli

J would always recommend The AllentownHospital to anyone in need of hospitalization. Thenurses were very courteous and nice to me and Jalways received immediate attention. The entire staffgave me excellent care and the nurses and myphysician explained everything very clearly to me.

Milton R. Eisenhard "4-T patientAllentown

Non-Profit Org.

U.S. Postage

PAIDAllentown, PA

Permit No. 1624

DIM C.D. Schaeffer2170 Lehigh Parkway No.Allentown, Pa. 18103