WELLNESS WORDS

Submitted by Wendy Chirieleison, MS Ed

Community Health Educator

Osteoarthritis

WHAT IS IT?

Osteoarthritis (also known as degenerative arthritis, hypertrophic arthritis, or age-related arthritis) implies an inflamed joint by its very name.  Osteoarthritis (OA) develops over time as our joints age.  Don’t confuse OA with osteoporosis, which is a condition that causes thinning of the bones.

According to the Cleveland Clinic, osteoarthritis is the most prevalent form of arthritis in the United States, affecting more than 70% of adults between 55 and 78 years of age.  Women are affected more than men. OA is very common and can be impacted by obesity, injuries we have sustained through our lives, age, and genetic disposition.  OA can cause our joints to become stiff and painful.  Any of our joints can be affected, such as the joints in our hands, knees, hips, neck, and back.

HOW DOES THIS HAPPEN?

Our bones are cushioned at the ends by joints.  Our joints contain cartilage and fluid, which act as “shock absorbers.”  According to the Mayo Clinic, cartilage is a firm and slippery tissue that allows “frictionless joint movement.”  Repeated use of our bones causes deterioration of the cartilage and fluid in the joint.  When cartilage deteriorates, our  bones begin to rub against each other.

Thitinan Srikulmontree M.D., a Rheumatologist at San JuanMedicalCenter, postulates that when this happens, it results in the inflammation of the area around our joints, bone deterioration, and a reduction in range of motion.  Dr. Srikulmontree says that the symptoms of OA are different for each person, and can include swelling, pain, stiffness, warmth, and creaking of the joints.  OA can affect anyone age 40 and older.  The risk factors are: obesity, injuries to the joints, having family members with OA, or joint deformities.

DIAGNOSING OA

There are different ways doctors can diagnose this type of arthritis in patients.  According to WebMD, an x-ray allows doctors to see if there has been a loss of cartilage in the joint area.  Other tests used to diagnose OA examine joint fluid, and analyze the location of the problem, the duration, and the type of symptoms that are occurring.  Finally, through surgical procedures, doctors can view joint spaces to locate any abnormalities.  The diagnosis process is different for each patient.

HOW DO YOU MANAGE OA?

There are many types of treatments for OA from medication to surgery.  Since the effects and symptoms of OA differ so much from person to person, only your doctor can tell you what treatments are right for you.  There are other things that you can do to minimize the effects that OA can have on your daily living.  First and foremost is weight loss and healthy lifestyle.  According to Dr. Srikulmontree, each pound we lose reduces the amount pressure put on our joints, which eases pain.  If you don’t have OA, the weight loss decreases the likelihood that you will develop it.

Eating a healthy diet with plenty of fruits, vegetables, lean proteins, and whole grains can help you maintain a healthy weight.  Exercise can help strengthen muscles, decrease pain, and can lessen the chance of disability due to OA.  It’s best to check with your doctor or physical therapist before starting any type of exercise, but generally “low impact” exercise is desirable.  Activities such as swimming or taking an arthritis Tai Chi class can help reduce pain and improve overall fitness.  Using canes, leg braces, and hot or cold therapy can help decrease pain.

Dr. Srikulmontree also suggests some other steps you can take to help you manage OA.  They include cushioning your neck and back while sitting and sleeping, adjusting things around the house to access them easier (for example, raising your chair or toilet seat), and avoiding repeated joint motions like bending,

For more information, attend a free program entitled ‘Osteoarthritis’ on May 22 from 12 noon to 1 p.m. in Littauer’s Auditorium presented by Dr. Donald Raddatz, Rheumatologist of Cooperstown.  For more information, call HealthLink Littauer at 736-1120.

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National Bike or Walk to School Day May 8- 15, 2013

Nathan Littauer Hospital and schools from the Johnstown and Gloversville School districts  will join others from around the nation to celebrate National Bike or Walk to School Day on May 8 and throughout the following week.   The collaboration is with the schools, Public Health of Fulton County and local schools.   

Hundreds of students from Glebe Street and Park Terrace Elementary Schools will be walking and rolling to school Wednesday along with parents, teachers and community leaders.

Glebe Street students will walk or bike from home in the company of family or friends.  Glebe is holding a second walk or bike to school day one week later on May 15^th.  Students who participate in both events will have their name entered in a prize drawing.  For Park Terrace, the event will begin at 8 am with students, school staff, parents and community leaders walking or biking from the park at the intersection Park and Forrest Streets to school.  Participants will arrive at the school at in time for a special healthy breakfast and have their name entered in a prize drawing as well. 

Feedback from students who participated in last year’s walk to school days said they liked spending time with family and friends, recognizing that is was also good for them.  Many noted that they could concentrate in better school after their early morning exercise.  The event is being organized by the respective school with support from Nathan Littauer’s HealthLink, Fulton County Public Health and the Johnstown and Gloversville Police Departments.  HealthLink Director, Sue Cridland, said that these type of events are relatively easy to implement.. the key is having a few committed staff members at each school who are willing to promote the idea. 

In 2011, International Walk to School Day was celebrated at more than 4,000 events at schools across the United States, along with children and adults in 40 countries around the world.

Walk to School Day events raise awareness of the need to create safer routes for walking and bicycling and emphasize the importance of issues such as increasing physical activity among children, pedestrian safety, traffic congestion and concern for the environment. The events build connections between families, schools and the broader community.

For additional local information, please contact Sue Cridland, Director of Community Education for Nathan Littauer Hospital , (518) 736-1120

For additional information, please visit these websites:

Walk to School Day in the USA                              www.walkbiketoschool.org                

National Center for Safe Routes to School                www.saferoutesinfo.org

International Walk to School Day                               www.iwalktoschool.org

About Walk to School Day

• Walk to School Day was established in the United States in 1997 by the Partnership for a Walkable America. Canada and Great Britain already had walk to school programs in place.  In 2000, these three countries joined together to create International Walk to School Day. 
• The National Center for Safe Routes to School serves as the national coordinating agency for Walk to School activities in the United States. 
• Walk to School Day began as a simple idea – children and parents, school and local officials walking to school together on a designated day. It is an energizing event, reminding everyone of the simple joy of walking to school, the health benefits of regular daily activity, and the need for safe places to walk and bike. Schools focus on health, safety, physical activity and concern for the environment.
• Organizations supporting International Walk to School Day in the United States include America Walks, the Centers for Disease Control and Prevention, the U.S. Environmental Protection Agency, the Federal Highway Administration, the Institute of Transportation Engineers, the National Center for Bicycling and Walking, the National Center for Safe Routes to School, the National Highway Traffic Safety Administration, Safe Kids Worldwide, and the Safe Routes to School National Partnership.

xxx

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Laurence E. Kelly, Hospital President and CEO states, “We are immensely proud of Kathie Rohrs and her outstanding work in the field of diabetic counseling and management. There are hundreds of people in our region who are walking examples of her work. They are the people who are living life to the fullest because of Kathie’s encouragement, skill and counsel after being diagnosed with diabetes.” He added, “We have always known her to be a passionate, committed nurse. It was only a matter of time before she was recognized for her work in this field.”  

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Spotlight on People

A hospital is more than a place where people go to heal, it is a part of the community that fosters health and represents hope. From providing treatment and comfort to the sick, to welcoming new life into the world, hospitals are central to a healthy and optimistic community. That’s the message organizers are touting with the 2013 National Hospital Week theme “A Guiding Light for Changing Times.” National Hospital Week is May 12-18^th of this year.

Nathan Littauer is also celebrating National Nursing Home Week the same week.  “National Hospital Week, first and foremost, is a celebration of people,” stated Laurence E. Kelly, Littauer‘s President and CEO said. “We’re extremely proud of each member of our staff and we recognize the important role they play in extending a sense of trust to our patients and our communities.”

The nation’s largest health care event, National Hospital Week dates back to 1921 when it was suggested by a magazine editor who hoped a community wide celebration would alleviate public fears about hospitals. The celebration, launched in Chicago, succeeded in promoting trust and goodwill among members of the public and eventually spread to facilities across the country. A full slate of community activities is planned for 2013. At a picnic May 16^th employees will be recognized for their dedication to the Littauer Family of Health Services.  In celebration the hospital plans the following activities:

Monday:                               

 Tuesday:                             

 Wednesday:                                   

Thursday:                           

Friday:                                  

According to the American Hospital Association, “Hospitals are: Economic Contributors, Gateways to Care, and Centers of Innovation. Improving Community Health and Committed to Quality and Safety.”

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Governor Andrew Cuomo has proclaimed May 8, 2013 as Health Care Auxilian Day in New York State to recognize the dedicated auxiliary members who donate more than five million hours of service each year to their health care facilities and to their communities.

Nathan Littauer Auxilians will gather at Harold’s in Gloversville, on Wednesday, May 8th, to celebrate and honor  the work and support Auxilians provide throughout the year.  During the past year, the Nathan Littauer Hospital and Nursing Home Auxiliary has hosted five blood drives, participated in HealthLink’s Women’s Health Fair, attended ViP luncheons, assisted in disaster drills, sponsored sales and created a Staff Appreciation Day for the Nathan Littauer team members. They have held numerous fund raisers, manage a Buy-a-Brick Campaign for the reflection garden, hosted an annual card party, held a Tree of Lights event to memorialize people who have passed. Also, the Auxiliary is in its third year of presenting an American flag to any inpatient who is a veteran.

On a daily basis, they deliver patient mail, deliver magazine to the lobbies, volunteer in the gift shop, and work at the information desks, and has a singing group, Nate’s Notes who regularly perform for the residents, staff and visitors on their new digital piano. They volunteer throughout the Nursing Home and for various departments throughout Littauer’s Health Care System including: recreation, nutrition and weekly Mass. Notably, on December 31, 2013 the auxiliary fulfilled their $200,000 pledge to the hospital’s five year Campaign for Excellence. The Auxilians also donated over 11,000 hours of service to the hospital and nursing home in 2012.

 If anyone is interested in volunteering , please contact Susan McNeil, Volunteer Director at 77-5408.

New York State has more than 75,000 health care auxilians who initiate, fund, and volunteer for a wide variety of patient and family care services—from outpatient clinics to intensive care units.  They sponsor community health fairs, health screenings, blood banks, and wellness lectures; raise funds for hospital and nursing home equipment; and organize and underwrite outreach programs in their communities.

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By Edward Munger Jr.

Littauer  practices a disaster, with “patients” wearing make-up and acting the part of victims

GLOVERSVILLE — Birds were chirping as the sun poked through clouds while a few patients meandered through Nathan Littauer Hospital on Tuesday.

It was a typical, not-too-busy morning at a hospital that saw roughly 24,000 emergency room patients last year.

But that would all change with a phone call aimed at giving hospital staff some practice for what they’d do if a calm morning was shattered by an explosion at a local middle school.

Though it took place just two weeks after the Boston Marathon bombing, Nathan Littauer’s emergency — a bombing — was coincidentally planned two years ago. The initial phone call alerted the hospital of only one thing: there had been an explosion at a local school, and no further information was available.

That call set in motion an emergency plan that runs from the hospital’s top executives through engineering and other departments — it was time to prepare for the unknown.

The scene in the emergency room was not what one might expect — there weren’t a bunch of harried doctors and nurses running around shouting and calling out for supplies.

Students played victims in a disaster drill.

Instead, each member of the staff had a role to play and moved into position at the emergency room entrance. Rooms were being prepped and supplies were being gathered.

Behind the scenes, hospital President and CEO Laurence Kelly joined other administrators in a command room to prepare the hospital for what would come next.

Kelly said he and others were taking a “snapshot” of the hospital to answer several questions, like how many physicians and nurses were on hand, how many patients were already there and how many were in surgery.

If there were non-essential elective surgeries planned, they would be canceled to ensure sufficient medical staff and equipment for emergency treatment.

Within 20 minutes, another call came in to report that 14 patients were on their way in. Critical work by EMTs to stabilize patients for transport had already taken place. Some victims would be coming in via ambulance; another group of 10 was headed in on a bus.

“Then we knew we had enough staff,” Kelly said. Hospitals in the vicinity of the Boston Marathon took on anywhere from 14 to 30 patients following the April 15 bombing, officials said, and Nathan Littauer had sufficient operating room space, staff and equipment available to handle 14 victims, Kelly said. If it didn’t, he said, the next step would be to start calling in doctors, nurses and other staff not currently working.

A series of steps were under way in the front of hospital as staff awaited patients. Then the patients — played by BOCES students considering careers in health care — showed up all at once, and there were more patients in the ER than nurses.

Registered nurse Bonnie Looman, a critical care manager, admitted they were temporarily outnumbered. “We are. But that’s what we do,” the 40-year hospital veteran said calmly. “We’re going to need more nursing,” emergency room doctor Robert Werblin said, loud enough to be heard but also in a calm manner.

He had already asked for several pieces of equipment to be prepared, including intravenous holders and oxygen monitors. One by one, each patient was directed to the appropriate place. Many who were walking and appeared to have flesh wounds were taken to one side.

Others were unconscious; one was crying out for her baby, one was dead and bound for the morgue and another patient came in with a simulated object protruding from her eye. That patient was brought to Room 10, where RN Shawn Cronin took over.

“I’ve got a priority-one here,” said Cronin, summoning Werblin for his input. Werblin called for a CT scan, and Cronin continued to monitor the patient. Cronin got the patient hooked up to monitors that check blood pressure, oxygen, respiration and other factors after making sure the eye wound was secured and her airway wasn’t restricted.

“Now I’m one-on-one with this patient,” said Cronin, who said the object had to stay where it was until staff determined whether it was keeping an artery or vein from gushing.

As nurses and doctors attended to patients, several other tasks taking place highlighted the complicated nature of mass casualty response.

Family members would be showing up, so the hospital designated a family liaison and a spot for family members to wait — the cafeteria. Another site would be set up outside for the media expected to show up. One staff member was cataloging all of the patients who came in and marking their status and location on a chart. They were also recording how much time it took to get patients stabilized.

“We’re trying to improve our time,” said Carrie Newkirk, the hospital’s security supervisor and emergency management coordinator. From past experience with multiple injuries, Newkirk said there was one major difference between the drill and the real thing: there would be fewer people in the way during a real incident. Several staff members were on hand during the drill to evaluate everybody’s performance, and members of the media allowed to view the drill were also in the corridor. “It goes much smoother than the drills,” Newkirk said.

Susan McNeil, the hospital’s volunteer services director, said the staff’s relaxed demeanor during the drill is typical even for real-life situations. “It is not abnormal for it to be calm,” she said.

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Shirley Cook worked at Nathan Littauer for 50 years. She recently retired after a send-off from a grateful hospital.

In 1963 when Shirley Cook began her career at Nathan Littauer Hospital, the Beatles had just released “I want to hold your hand”, “To Kill a Mockingbird” was a favorite movie, the US started to use zip codes and AT&T had introduced touch tone phones. Gas prices were at $.30 a gallon. Last week, Nathan Littauer Hospital bid farewell to Shirley Cook who retired from Nathan Littauer’s Nutrition Services Department after 50 years of service. The hospital threw her a celebration on her last day working at the hospital. “Everyone likes Shirley Cook.” stated Laurence E. Kelly, Hospital President and CEO. He added, “The large turnout at her reception was the best way to acknowledge her career.”

“Shirley is as much a part of NLH&NH as the foundation the building was built on.” stated Timothy J. Forte CDM, CFPP, and General Manager of Nutrition Services for Nathan Littauer Hospital & Nursing Home and Shirley’s supervisor. “Having been with us for 50 years, Shirley experienced all of the changes our department has embarked on over those decades. Shirley’s bright smile, unmistakable laugh and warm heart will be missed. I am better for knowing her”.

In a room filled with balloons, Shirley was surprised by the party. Hundreds of people came, some with gifts, many with stories, and all to bid her goodbye. “I will miss buying my coffee and chatting with her. She always had a smile for me” said Martin Brown, a hospital employee.  Shirley’s family was also at the ceremony.

Mr. Kelly surmised, “Shirley recently wondered to me how much money has she handled at the cafeteria’s cash register. I told her at least a million dollars!”

Shirley received a bonus check as part of her retirement package and a special $500 gift card from the hospital. Pictures of the party may be seen on the hospital’s Facebook site.

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WELLNESS WORDS

Submitted by Wendy Chirieleison, MS Ed

Community Health Educator

Advance Care Planning

Where Do You Want Your Life To Go?

What are your long term care goals and wishes?  What are your preferences on the best living environment for you, pain management, having control over decisions regarding your health care, your end of life wishes?  Does your family and loved ones know how you feel?  It is important to think about what you would like your long term care to look like and make sure that your family members are aware so they can ensure your goals are met and your wishes are honored.

How Do You Begin?

April 16 is National Health Care Decisions Day, a time when you are encouraged to discuss this important information with family and loved ones.  That would be an ideal day to visit TheConversationProject.org where you can gather ideas about what and how to discuss this information with your family.

What The Research Shows

Surveys done by The Conversation Project suggest that only 44% of people say that they have communicated their end of life wishes to their families and loved ones.  Many times, what people say they want to happen and what actually happens is very different.  The Center for Disease Control reports that 70% of people say they prefer to remain at home during their final days.  However, 70% of people wind up in a hospital, nursing home, or other long-term care facility.  The California Health Care Foundation found that 82% of people think it is important to put their long term care wishes in writing, but only 23% of people actually do it.  You should be the expert on your wishes, because you know better than anyone else what you would want for your long term care.

Building A Road Map For Difficult Conversations

Deciding how you want to live can seem like a difficult task.  Here are some important things to consider that can help guide you to developing a road map to your long-term care conversation.  Read each statement below and rate them on a scale from 1-5, 1 being the least important and 5 being the most important.

Who should you talk to?

Who do you want to speak on your behalf regarding health related issues?  Choose someone that you can trust to speak for you.  Think about when would be a good time to have this conversation, and where you would be most comfortable.  Be sure that you have your road map for this conversation.  You could start the conversation by asking for help with something, or by saying that you would like help in thinking about the future.

What else should you be thinking about?

Patricia Bombard MD, Vice President and Medical Director of Geriatrics for Excellus Health Plan, suggests that families need compassion, support, and education when helping Seniors make plans for their lives. Goals and decisions should be focused on the individual’s desires first and foremost, and be based on reliable information.

Keeping that in mind, it is very important to think about what medical interventions you would want or would not want – such as resuscitation, a feeding tube, or a breathing machine, and then determining if these services are available to you at facilities you may wish to reside in, such as assisted living facilities.

You could also consider using legal and medical documents to put your wishes on paper.  There are a few different forms that are important. First is Advance Care Planning, which is a document that will summarize everything you have been reading about in this article.  An Advance Directive, or a Living Will, is a document that states your wishes for health care in the event that you are unable to communicate them. Finally, a Health Care Proxy is a document that identifies the person you chose to make medical decisions on your behalf in the event that you are unable to do so.

For more information, ideas and links to important documents, visit theconversationproject.org and compassionandsupport.org.  You can also attend a free program entitled ‘Advance Care Planning’ on April 24 from 12 noon to 1 p.m. in Littauer’s Auditorium presented by Reverend Bonnie Orth, Pastoral Care Coordinator.  For more information, call HealthLink Littauer at 736-1120.

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Nathan Littauer gets the word out about ticks.

“The snow is still on the ground I have already found three ticks –one engorged on my puppy.” stated Hospital Spokesperson Cheryl McGrattan.  And she is not alone. According to staff working at Littauer’s Perth Primary Care Center, local residents are already asking about tick bites. While the area braces for another busy tick season, Nathan Littauer is getting people ready with some tools needed to fend off Lyme disease and other tick-borne illnesses. While the message is still “get outside”, the hospital is helping people enjoy the Adirondacks safely. 

The hospital has partnered with the one of the most astute resource groups in the US, The Tick Encounter Center out of Rhode Island. “Nathan Littauer Hospital & Nursing Home is proud to partner with the TickEncounter Resource Center. We have combined our resources to provide our neighbors and visitors with the most reliable strategies for preventing tick bites and tick-transmitted diseases.” explained Cheryl McGrattan.

Last year, the hospital brought a world-renowned tick expert to the region. Thomas Mather, PhD appeared in sold-out town hall meetings. Continuing on that momentum, the hospital has launched a multi-media program aimed at preventing tick bites in the first place.

The hospital has launched a new “Got ticks?” widget which can be found on the home page of www.nlh.org. The hospital has tools in place for this tick season.

The hospital has launched a “tick widget” on their home page. The widget brings the surfer to a micro site complete with identification resources, video and additional information related to the prevention of tick bites. It also explains the “Top ten things to know about ticks”. Cheryl McGrattan explains, “So now if someone finds a tick they can literally log onto to nlh.org and identify the type of tick.” Only deer ticks are known to transmit Lyme disease. 

“We are no stranger to the outdoors.” stated Laurence E. Kelly, Hospital President and CEO. “As a full-service hospital located at the foothills of the Adirondacks, we are also no stranger to ticks. That is why we have launched a comprehensive community education program with TickEncounter to safeguard our residents and our region’s visitors. Our provider’s share our message of tick bite prevention.” 

The hospital gift shop is also selling Sawyer premium permethrin spray. The spray is recommended by Dr. Mather as one of the best defenses against tick bites, “As a treatment for clothing, Permethrin clothing insect repellent does not harm fabrics and is odorless after dried. Use Permethrin on clothing by itself or with skin-applied repellents to create the ultimate protective, armor-like insect barrier. Permethrin-treatments on clothing are non-toxic to humans and are registered for use by the U.S. EPA.”

The hospital is also distributing shower tick cards for free to local camp grounds and summer camps. The shower cards show the areas of the body to check for tick bites and it also contains tick identification images. “It is important that we encourage people to look for ticks on their skin daily as it typically takes 24 hours for the tick to pass on anything threatening.” stated Dr. McBiles, Chief of Staff at Littauer. Summer camp counselors are encouraged to get a shower card by emailing the hospital at ticks@nlh.org.

The hospital will also be using their powerful social media channels to inform the public about the importance of tick-bite prevention.

Lastly, the hospital also has resources now available to providers in the Emergency Center for quick and more accurate tick identification.

Dr. McBiles, Chief of Staff at Littauer explains, “We want people to enjoy all this region has to offer. And ticks should not prevent anyone from enjoying the outdoors. But we also want to be a resource to anyone who is striving to be tick-bite free.”

XXX

To find our tick widget, log onto www.nlh.org. In the right hand corner is a button with the image of a tick and the words, “Got ticks?”

Community organizations like summer camps and campgrounds can email a request for a Tick Shower Card to the hospital at ticks@nlh.org.

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Maggie Luck holds a Lifeline button. Littauer’s Lifeline program is 25 years old.

Nathan Littauer Hospital’s Lifeline program has reached a major milestone this year. The medical alert program, managed out of the hospital is celebrating 25 years of service to seniors in our region. Laurence E. Kelly Littauer’s President and CEO stated, “Lifeline is one of those programs Nathan Littauer provides that some people don’t know about. Yet Lifeline greatly impacts the quality of life for thousands of local people.”

Littauer’s Lifeline is a medical alert system designed to reduce the risk of living alone. In the event of a fall or emergency, help is available at the push of a button. Since 1988, the LifeLine Littauer program has grown to over 500 subscribers serving thousands of people. Under the leadership and vision of Margaret Luck, Lifeline’s Director since its inception the program is credited with helping countless people.  Mr. Kelly explained, “Maggie has been a tireless advocate for this program personally touching the lives of people throughout this region.” He added, “Not only is she passionate about elders and their independence, she has made it her life’s work to bring needed services to people in their homes.”   

Lifeline provides help at the press of a button

Lifeline offers people, usually senior, but some with other medical conditions, the confidence to continue to live independently at home. Nathan Littauer Hospital’s Lifeline Program serves people in the Fulton, Montgomery, Hamilton County, and bordering communities in Herkimer and Saratoga Counties.

“We are proud to have touched the lives of seniors.” said Maggie Luck, adding, “By offering Lifeline, we give seniors in our community a meaningful and needed service, allowing them to have the confidence to continue to live in the homes they love, knowing that help is available at a push of a button.”

And Littauer subscribers agree, in a past survey program participants were asked what Lifeline meant to them and some responded, “Lifeline is so special, as I used to fall a lot. I walk slowly and watch every I step, but I feel safe with my Lifeline as I can get help when I need it. I will be 87 next month and I am still living at home. ” Another wrote, “It also means my husband can do things or go places and I do not have to feel guilty. It gives him and I freedom. I am not afraid of being alone.” Maggie Luck observed, “So many people cherish their independence. I am proud to help people live with dignity. So many family members- daughters and sons have increased peace of mind knowing that Lifeline can be there when they cannot. ” 

Lifeline operates out of Nathan Littauer Hospital

On average, one of every three adults over age 65 falls each year, making falls the most common cause of death or injury in the home – causing real concern for seniors and their caregivers. Lifeline is able to provide seniors with help at the push of a button which can make a significant difference in survival and recovery. Ms. Luck concludes, “Thousands of local people have stated, ‘My Lifeline makes me feel safe.’ That is a good legacy to have.”

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Nathan Littauer Hospital employees recently completed an eight-week weight loss competition. Over 88 people started and 48 people weighed- in on the final day last week. The friendly competition- aimed at getting fit for spring, was based on total body weight percentages. The total weight loss was 346 pounds. The hospital’s nutrition team managed the program.  

The results are as follows:

OVERALL “Biggest Loser”:
1st Place: Dr. Peter Dowling
2nd Place: Bruce Jones
3rd Place: Veronica Thomas

Top 3 Males:
1st Dr. Peter Dowling
2nd Bruce Jones
3rd Chris Hughes

 Top 3 Females:
1st Veronica Thomas
2nd Carol SILVEIRA
3rd Rachel Johnson

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Our Employee of the Year! Jackie Ruggeri

 Jackie Ruggeri’s day changed completely when Littauer’s President and CEO, Laurence Kelly announced to over 100 of her colleagues that she was Nathan Littauer Hospital’s Employee of the Year. Jackie explains that moment as “Overwhelming.”

Jackie Ruggeri works in Littauer’s Department of Care Coordination as a Care Coordination Assistant. Jackie has been with Littauer for over 10 years. One of her colleagues stated, “Whether it is contacting insurance companies to payroll to copying a chart, she does it with grace and effortlessness.  When dealing with insurance companies on a daily basis she represents herself and the facility in an exceptionally professional manner.”  Known for her good attitude, her manager explained, “Jackie is the embodiment of a great attitude. She inspires everyone around her with her dedication and caring. She is very well organized, diligent in her work, easily reachable and always on time.” One of our nurses explained, “She is a quiet hero. She is in the trenches everyday; ensuring loose ends are tied up and safety nets are in place for our patients.”

Jackie receives the award from CEO, Laurence E. Kelly.

Mr. Kelly agreed noting, “Jackie certainly deserves our thanks and appreciation.”  Many people gathered at the celebration undoubtedly agreed as they clapped and cheered when her name was read.  Jackie upon learning of the award stated, “It is an honor to receive this award!”

“Jackie is truly someone who puts the patient first. Time-and-time again, she goes the extra mile to advocate for our patients in the complex world of medical care coverage.” stated Hospital Spokesperson Cheryl McGrattan.

Jackie explained, “I want patients to know that there are many people at Littauer working behind the scenes who are looking out for their best interests. We are really a patient-centered team and I have great respect for my colleagues. That is why being nominated by fellow team members means so much to me.”

 Jackie responded to the award by saying, “I am honored and I feel privileged to receive this award. I love my job, co-workers and our patients. NLH is a great place to work and everyone is very friendly. ”

 A Johnstown native, in her spare time Jackie enjoys spending time with her husband and daughter. She also enjoys watching her daughter play sports.   

 Honorable Mention for the Employee of the Year went to Lisa Langlois a Patient Access Representative and Danita Curtis, a Family Nurse Practitioner at Littauer’s Decker Drive Primary Care.

 The “Employee of the Year” is a function of the Nathan Littauer’s Goodwill Committee which promotes employees who embody the Hospital’s mission. The committee recognizes an employee per quarter and announces an Employee of the Year. With about 1000 employees the hospital receives many nominations every year. “The standard is set very high.” stated Laurence E. Kelly, Hospital President and CEO at the celebration. Adding, “This is the person we put on the pedestal.” Jackie received gift certificates, preferred parking, a plaque and a pizza party for her department, a photograph on the Hospital’s Hall of Fame.

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HealthLink Littauer’s

WELLNESS WORDS

Submitted by Wendy Chirieleison, MS Ed

Community Health Educator

Making Healthy Changes

The little changes we make in our lives, like eating better and exercising more, can result in BIG changes in our overall health.  Incorporating changes into our daily routines is not always easy.  We have to remember to start out slow and focus on one thing at a time.  Often the REAL challenge is learning how to make these changes “stick.”

Brain Food

Dr. Neal Barnard, author of “Power Foods for the Brain: An Effective Three Step Plan to Protect Your Mind and Strengthen Your Memory” and nutrition researcher at George Washington University, advises that there are foods we should and should not eat to help prevent disease, specifically Alzheimer’s disease.  In a report on CBS News, Dr. Barnard recommends avoiding trans-fats and saturated fats, as they have been shown to increase our chances for Alzheimer’s disease by 300-500%.  He suggests we eat dark berries, leafy green veggies, fruits, whole grains, beans, almonds, and other foods high in Vitamin E, as they are associated with keeping the brain healthy.  Dr. Bernard also recommends getting enough sleep and 30-40 minutes of exercise three times a week.

Authors Jeanne Segal, Ph.D. and Gina Kemp of Helpguide.org also suggest that eating brightly colored fruits, leafy vegetables, fish, and nuts can increase your ability to stay focused and decrease your risk of Alzheimer’s disease.  Evidence suggests that adding fish and shell fish, olive oil, nuts, whole grains, and other healthy fats, with minimal red meats to your diet, can improve brain function.  The Alzheimer’s Association Research Center (alz.org) supports the idea that exercise, along with a heart-friendly diet, may have positive effects on the brain.

Speaking of Exercise…

Did you know that there are benefits to exercising outdoors that can not be replicated in a gym or indoor setting?  According to Gretchen Reynolds, writer for the NY Times, studies have shown that exercising outdoors has many advantages including:

• Better workouts due to terrain changes and wind resistance
• Longer workouts that occur more frequently
• Increased vitality, enthusiasm, and pleasure
• Decreased depression, stress, and fatigue
• Improved mood, which could be related to being in the sunlight

The Sunshine Vitamin

In the winter, we typically don’t get out in the sun as much as we do throughout the rest of the year.  Lower levels of sun exposure means we aren’t getting as much Vitamin D as we should.  According to the Mayo Clinic, aging adults are among those at risk for Vitamin D deficiencies.  It is the opinion of Richard P. Huemer, M.D., that this lack of sunlight is linked to SAD, or Seasonal Affective Disorder, which can cause weight gain, fatigue, and irritability.  On the other hand, getting outdoors to exercise in winter can:

• Improve overall mood
• Improve brain function
• Boost immune function

The Mayo Clinic recommends that just ten minutes of sun exposure a day is all you need to prevent Vitamin D deficiency.  The Mayo Clinic also suggests that Vitamin D may help in preventing osteoporosis, hypertension, cancer, and some auto-immune diseases.

Making It Stick…One Step At A Time!

Change can be difficult and overwhelming.  How can we incorporate change in our lives while keep the process from becoming cumbersome? Adam Davey, Associate Professor of Public Health at Temple University in Philadelphia, suggests that taking one small step at a time can increase your willingness to take the next step.  Ann Constance, Director of the Upper Peninsula Diabetes Outreach Network, supports the idea that plans for change should be:

• Specific, measurable, and achievable
• Incorporated into one’s daily routine until it becomes a habit
• That you should not give up!

For more information, contact HealthLink Littauer at 736-1120.  You can e-mail us at healthlink@nlh.org, see our website at www.nlh.org, or visit our wellness center at 213 Harrison Street Ext. in Johnstown, Monday – Friday, 9 a.m. – 5 p.m.  We’re your community health & wellness service of Nathan Littauer Hospital and Nursing Home.

The post Wellness Words March 2013 appeared first on Nathan Littauer Hospital.

Photo from left: Laurie Agee (SIFC Club President, Deb Sidney (SIFC Club VP), Drue Wallach (Club Finance Committee Chair), Deb Finkle (NLH Foundation Chair ), Dr. McBiles, Chief of Radiology for Nathan Littauer Hospital, and Kelly Colby (NLH Development Coordinator).

Representatives of the Nathan Littauer Hospital and Nursing Home and Soroptimist International of Fulton County recently met to celebrate their collaboration in bringing the newest technology, Faxitron, LLC’s Core Vision stereotactic breast biopsy equipment suite, to Nathan Littauer Hospital’s Women’s Breast Health Department.  The new technology is used to help physicians in the correct diagnosis of breast cancer. “We owe a debt of gratitude to the local Soroptimist group” stated Laurence E. Kelly, Littauer’s President and CEO. He added, “Their unwavering commitment to serving the needs of women in our area should be commended.” He praised their relationship of 17 years noting, “Our team had been hoping to secure this technology for women in our area and with the help of the Fulton County Soroptomist group, this clinically advanced equipment now also has a home in Fulton County.” He said, “Ultimately, it is the women in our area that will benefit.”

“Core Vision” is lauded for providing doctors with “immediate confirmation that the proper tissue sample has been removed…” and saving those patients who must undergo breast biopsies from “unnecessary delays, discomfort or stress during a biopsy.”  According to Dr. Mike McBiles, Chief of Radiology for Littauer, “Simply put, our patients who are already concerned about a breast abnormality now are treated to a ‘one-stop’ approach to breast health.” According to Dr. McBiles, “We are able to get a tissue sample completed and reviewed without having to make another appointment or worse, another uncomfortable tissue donation.”  He explains, “This technology is cutting edge for any region- including larger metropolitan areas. It is a real coup for our region.”

The Soroptimist organization, having provided $10,000 in funding for Littauer’s first stereotactic mammography equipment in 1996, was a likely choice for Nathan Littauer Hospital’s Foundation to seek funding for the advanced technology available through the capabilities of the Core Vision stereotactic suite. As stated in the grant proposal submitted in 2012 by Susan A. Kiernan, Vice President of Development, “We know Soroptimists have particular interest in assisting underserved women.   Littauer is the breast health safety net for so many women in our service area.   For those requiring a biopsy, and many more do because of the accuracy of digital mammography, ‘Core vision’ is the current gold standard in breast health imaging.”

After hearing from Tammy Gerdes, Senior Mammography Technologist at Littauer’s Diagnostic Imaging Department, about the benefits of the Core Vision equipment, the Soroptimist membership embraced the proposal, granting $26,250.00 toward the purchase, finding it to be significant to the medical and emotional care of women in our area and finding it invaluable to the Soroptimist mission to improve the lives of women and girls. The cost of the entire Core Vision stereotactic suite is $52,500.00.

The implementation of the Core Vision equipment was recognized at a presentation of the Soroptimist donation check to the Nathan Littauer Hospital Foundation.  Debra Finkle, Chair of the Nathan Littauer Foundation thanked Drue Wallach and Lisa Queeney of the Soroptimist Finance/Ways & Means Committee, for spearheading this project, as well as the entire Finance Committee. Laurie Agee, President of Soroptimist International of Fulton County, also in attendance at the check presentation, along with Vice President Deb Sidney, voiced appreciation to all Soroptimist members for their hard work in making such a valuable contribution to the hospital and to the care of women. Wallach echoed Agee, adding that Fulton County Soroptimist members have been able to contribute in this way and to this extent, not only due to the hard work of Soroptimist members but through the community support given to the Club’s many fundraising activities, especially its annual Celebrity Chef Dinner event.

Dr. McBiles concluded, “As I perform a procedure using the technology, I tell my patients about the Soroptimist donation.  I think it is important for women to know about their health advocacy and activism in our community.”

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About Soroptimist International of Fulton County:

Soroptimist International of Fulton County is a volunteer service organization for business and professional women from both Fulton and Montgomery counties who work to improve the lives of women and girls, in their community and throughout the world.   The Fulton County Club is part of Soroptimist International of the Americas, which was founded in Oakland, California in 1921.  The local chapter was chartered in 1953 and is one of over three thousand clubs in 125 countries.  Soroptimist International is the only women’s organization with a voting seat on the United Nations.  For more information, please contact SIFC, PO Box 168, Gloversville, NY 12078 or email: sifultoncounty@soroptimist.net.

About Nathan Littauer Hospital and Nursing Home:

Nathan Littauer Hospital and Nursing Home is a full-service, 74 bed acute care hospital with an 84 bed skilled nursing home. Littauer provides the finest in state-of-the-art technology and a caring, dedicated staff of health care professionals. Over the years, the hospital has expanded its services in order offer health care that is comprehensive, accessible, and relevant to the needs of the communities we serve. The Littauer medical staff brings amazing technical expertise and competence to the residents of Fulton County and the surrounding communities. To learn more please visit www.nlh.org.

The post Nathan Littauer Hospital receives donation from Soroptimists towards “Core Visions” Stereotactic Equipment appeared first on Nathan Littauer Hospital.