Health News and Events from The Hospital of Central Connecticut

Back pain?

9/2/2010 12:58:52 PM

Join neurosurgeon Ahmed Khan, M.D., for a free lecture on common back problems and treatment options.
Wed. Sept. 22, 6:30 p.m.
New Britain Gen. campus cafeteria
To register: 1-888-224-4440

Published on September 02, 2010

Free lectures scheduled on back pain, mammograms and heart health

9/2/2010 9:22:47 AM

The Hospital of Central Connecticut’s fall 2010 Health Wisdom Lecture Series starts Sept. 22.
All lectures are in the New Britain General campus cafeteria. Lectures begin at 6:30 p.m., with light refreshments at 6:15. Lectures are free, but reservations are required. For information and to reserve a seat, call 1-888-224-4440. Upcoming lectures are:

Sept. 22 - Get your back back on track – An estimated eight out of 10 people experience back pain at some point in their lives. Ahmed Khan, M.D., chief of Neurosurgery at The Hospital of Central Connecticut, will discuss common back problems and the many treatment options.

Oct. 20 - Mammograms and more - Radiologist Alisa Siegfeld, M.D., will explain how digital mammography, breast ultrasound, MRI, minimally-invasive biopsies and other tools are helping doctors catch breast cancer and other breast disease early and pinpoint the best treatments.

Nov. 17 - Show your heart some love - Heart disease is the leading cause of death for both men and women. Join Cardiologist Justin Lundbye, M.D., director, Division of Cardiology at The Hospital of Central Connecticut, for a heart disease Q and A, and learn some steps you can take to keep your heart healthy.

Published on September 02, 2010

Smart moves to prevent falls

9/2/2010 9:02:50 AM

You probably don’t think of your home as a hazardous place, but area rugs, clutter and some other surprising objects in your home can cause you to fall. You can reduce or your fall risk by taking the following steps:

Keep your home safe
• Keep floors clutter-free.
• Avoid highly polished floors and throw rugs; stick to carpeting.
• Fasten rugs to the floor or purchase rugs with nonskid backing.
• Make sure bedrooms, hallways, stairs and bathrooms are well lit.
• When you get up in the morning, sit on the side of the bed for a few minutes before standing, which allows your blood pressure to stabilize, so you won’t feel dizzy.
• Install handrails near the bath, shower and toilet and on both sides of staircases.
• Keep kitchen items within easy reach.
• Wear shoes with firm, nonskid soles inside and outdoors.
• Paint a contrasting color step edges so you can see stairs more easily.

Take care when walking outdoors
• Use a cane or a walker for more stability in bad weather.
• Use a shoulder bag, fanny pack or backpack to keep your hands free.
• Check the height of curbs before stepping down.

Take care of yourself
• Get your vitamin D, which improves muscle strength and aids calcium absorption. Adults over age 50 should get 400 to 600 IU of vitamin D daily.
• Have your doctor check your feet if you’re experiencing pain or have large, thick toenails and corns.
• Don’t smoke.
• Work with your healthcare provider to design an exercise program to prevent falls, emphasizing muscle strength, balance and coordination.
• Try to practice balance exercises every day, such as holding onto the back of a chair, a sink or a counter-top and standing on one leg at a time for a minute. Slowly increase the time, and when you are comfortable, try balancing with your eyes closed or without holding on.
• For safety’s sake, don’t exercise alone.
• Have your vision checked at least once a year. Conditions like glaucoma and cataracts can limit vision and increase fall risk.
• Talk with your healthcare provider about medicine-related side effects, such as dizziness or weakness, that may cause falling.
• Ask how aging affects the way medicine works in your body and any consequences that may cause falling.

Thomas Lane, M.D., is director of The Hospital of Central Connecticut’s Division of General Medicine and Geriatrics and medical director of the Department of Health Promotion.

Published on September 02, 2010

Hospital Auxiliary donation helps breastfeeding moms

8/31/2010 9:25:02 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary recently donated funds for supplies for new mothers who are breastfeeding.

With the Auxiliary’s $20,000, donation, the hospital’s Family BirthPlace has purchased sturdy tote bags and coolers to store breast milk. The bags, along with tips and information on breastfeeding prepared by the hospital’s International Board Certified Lactation Consultants, are given to new, breastfeeding mothers upon hospital discharge.

The gift for breastfeeding mothers is part of the hospital’s participation in a grant, “Connecticut Breastfeeding Initiative: The Program to Assist Connecticut Hospitals towards WHO/UNICEF Baby-Friendly Hospital Designation,” funded by the Centers for Disease Control and Prevention. The Connecticut Department of Public Health, in partnership with the Connecticut Breastfeeding Initiative, recently chose 10 maternity facilities statewide to participate in the CDC grant. The goal for each facility is to achieve the Baby-Friendly Hospital Designation – which recognizes world-class maternity care.

Published on August 31, 2010

Is it a heart attack? Women and chest pain

8/31/2010 9:17:16 AM
Chest pain can be a clear sign of heart attack, yet many women often wait as many as eight hours before getting help. While it’s true that men have more heart attacks and have them earlier in life, women are less likely to survive a heart attack. The message? Don’t ignore chest pain.

Coronary heart disease (CHD) affects women differently than it does men. It tends to occur in women about seven or eight years later than in men. Women are about five to 10 years older on average than men are when they experience a first heart attack, also called a myocardial infarction. Why the differences? Women have built-in hormone protection in their premenopausal years: Estrogen helps shield women from heart disease by helping to raise good cholesterol levels and lower bad levels. Once a woman reaches menopause, her estrogen levels drop and her CHD risk rises.

While women may be aware of the classic signs of an attack, such as chest pain radiating down the left arm and difficulty breathing, they aren’t aware of symptoms they’re more likely to experience. In fact, one-third of women experience the following symptoms often with no chest pain at all:

• sudden onset of severe weakness
• stomach upset or nausea with passing weakness
• mild burning sensation in the middle of the chest that extends outward
• vague chest discomfort
• palpitations, cold sweats or paleness
Many women aren’t aware that simple lifestyle changes can dramatically reduce CHD risk. Both women and men can improve their heart health by:
• Not smoking. Women who smoke risk having a heart attack an average 19 years earlier than nonsmokers.
• Maintaining a healthy body weight.
• Eating a low-fat, low-cholesterol diet and limiting salt intake.
• Lowering high cholesterol.
• Controlling high blood pressure.
• Keeping diabetes under control. Women with diabetes are two to three times more likely to have heart attacks.
• Limiting alcohol use.
• Exercising regularly.

And remember: Report all chest pain to your doctor and describe your symptoms fully. Supplying details will help your doctor get to the root of your chest pain and come up with the best treatment plan.

Manny Katsetos, M.D., is a cardiologist at The Hospital of Central Connecticut. For information on Hospital of Central Connecticut physicians, please contact our free Need-A-Physician referral service by phone 1-800-321-6244 or online, www.thocc.org.

Published on August 31, 2010

Floss your way to better heart health

8/31/2010 8:43:13 AM
Your smile may say a lot about your mood. But what does it reveal about your heart? More than you may think. Having gum disease is associated with diabetes, cardiovascular disease, heart attack and stroke. People with gum disease are nearly twice as likely to have coronary artery disease or suffer a fatal heart attack compared to those with a healthy mouth.

What is gum disease?
Periodontal, or gum, disease is a bacterial infection. It begins when bacteria forms plaque, which hardens to tartar, on your teeth. When tartar remains, it irritates the gums, causing them to become inflamed and swollen and to bleed easily, a condition called gingivitis. If left unchecked, gingivitis can progress to periodontitis, in which gums pull away from the teeth, leaving pockets where bacteria collect and break down the bone and connective tissue holding your teeth in place.

How does it hurt my heart?
Several theories explain the link between gum disease and heart disease. One theory says bacteria in the mouth enter the bloodstream and attach to fatty plaques in the arteries, contributing to clot formation. These clots may obstruct blood and oxygen flow, resulting in a heart attack or a stroke. Another idea suggests the inflammation caused by gum disease contributes to plaque buildup in the arteries. While experts have known that people with diabetes (a major risk factor for heart disease) are more likely to have gum disease, recent research suggests it’s a two-way street: Having gum disease makes it more difficult for people with diabetes to control their blood sugar.
What does this mean if you’re one of the estimated 80 percent of American adults with some form of gum disease? It means taking care of your mouth is an important step toward protecting your heart. Be sure to:
• Brush and floss daily.
• Eat a well-balanced diet.
• Don’t smoke.
• See your dentist for professional cleanings and checkups at least twice a year.
• Seek prompt treatment for any gum disease.
• Tell your doctor about your oral health and discuss how often you need to be screened for heart disease.
If you already have diabetes or heart disease, protecting your oral health and treating gum disease is especially important for you. See a dentist or periodontist for an evaluation.

Cardiologist Robert Borkowski, M.D., is a member of the Hospital of Central Connecticut medical staff. For referrals to HCC physicians, please contact our free Need-A-Physician referral service by phone 1-800-321-6244 or online, www.thocc.org.

Published on August 31, 2010

Hospital offers free workshop series for breast cancer survivors

8/30/2010 9:39:15 AM
The Hospital of Central Connecticut will offer a free, six-week workshop series for breast cancer survivors, “Cancer Transitions – Life after Treatment,” starting Sept. 14.

The series is designed to help survivors transition from active treatment to post-treatment care. Workshops will be led by physicians and staff with The Hospital of Central Connecticut breast program and are open to breast cancer survivors who have completed active treatment within the past two years (participants may be receiving adjuvant treatment such as tamoxifen).

Workshops will be held 5:30-7:30 p.m., Lecture Room 2, New Britain General campus, 100 Grand St. To register, contact Donna Boehm, 860-224-5900, X6307, or dboehm@thocc.org.

Dates and topics:
9/14 You are a Survivor - Now What?
9/28 Emotional Health and Well-being: From Patient to Survivor
10/12 Complementary and Alternative Medicine: Information for Survivors
10/26 Nutrition: The Benefits of Healthy Eating
11/9 Choosing Life and Movement - Exercising for Health
11/23 Medical Management after Breast Cancer
Participation in all six workshops is highly recommended, but not required. Each session includes a healthy meal, and free parking in the Quigley Garage next to the hospital’s main entrance. All attendees will receive a complimentary copy of “After Breast Cancer” by Hester Hill Schnipper.

The program is funded by a grant from the Connecticut Breast Health Initiative.

Published on August 30, 2010

Back to school - ouch!

8/30/2010 8:45:43 AM
Back to school means back to school sports. Read orthopedic surgeon Richard Froeb's expert advice on treating minor sprains and strains.

Published on August 30, 2010

Free lecture: Current Treatment in Knee and Hip Arthritis

8/30/2010 8:34:19 AM
Join orthopedic surgeon Robert Carangelo, M.D.
Thursday, September 30 • 6:30 p.m.
Lecture Room 1, New Britain General campus
For registration, information: 860-224-5186

Published on August 30, 2010

Newington, Terryville graduates awarded hospital scholarships

8/27/2010 11:20:45 AM
Newington High School graduate Adrianna E. Chorzepa and Terryville High School graduate Katy L. Gudeczauskas were recently awarded the Kathleen Boudreau Scholarship by The Hospital of Central Connecticut New Britain General campus Auxiliary. Both are majoring in nursing at St. Joseph’s College, West Hartford.

Chorzepa, daughter of Dr. and Mrs. Stanislaw Chorzepa of Newington, was an honor student at Newington High and held leadership roles in multiple extracurricular clubs. She also participated in various community organizations and special events throughout her teen years.

Gudeczauskas, daughter of Mr. and Mrs. Donald Gudeczauskas of Terryville, was class president of her graduating class and vice president of school’s National Honor Society. In recognition of her many community activities, she received the 2009 International Leo of the Year Award.

The Boudreau scholarship was established by Kathleen Boudreau’s daughter, Marleen Flory of Minnesota, to honor her mother. Boudreau was a long-serving hospital volunteer and LPN. The scholarship is awarded annually to graduating high school students interested in pursuing a nursing career.

Published on August 27, 2010

Hospital of Central Connecticut makes medical staff appointments

8/27/2010 9:11:03 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Emergency Medicine
Colin G. Faith, M.D., has joined the hospital’s medical staff. He earned his medical degree at The University of Vermont College of Medicine, Burlington, Vt. He completed an emergency medicine internship and residency at the University of Connecticut. Previously, Faith was an Emergency Department physician at Eastern Connecticut Health Network. He practices at The Hospital of Central Connecticut Emergency Department, 860-224-5675.

Gastroenterology
Thomas Jung, M.D., has joined the hospital’s medical staff. He earned his medical degree at The Johns Hopkins University School of Medicine, Baltimore. He completed an internal medicine internship and residency, and a gastroenterology fellowship at Yale-New Haven Hospital. He practices at MidState Gastroenterology Specialists, 455 Lewis Ave., Suite 105, Meriden, 203-237-2477.

Hospitalist
Fadi Hammami, M.D., has joined the hospital’s medical staff. He earned his medical degree at Damascus University School of Medicine, Damascus, Syria. He completed an internal medicine internship and residency at the University of Connecticut. Previously, Hammami was a hospitalist at Gaylord Hospital and before that at Eastern Connecticut Health Network. He practices at The Hospital of Central Connecticut.

Neurology
Timothy Parsons, M.D., has joined the hospital’s medical staff. He earned his medical degree at Columbia University College of Physicians and Surgeons, New York City. He completed an internal medicine internship at NYU Downtown Hospital (now New York Downtown Hospital), New York City; and a neurology residency and a neurophysiology/EMG fellowship at Columbia University Medical Center. Previously, he was on staff at Elmhurst Hospital Center, Elmhurst, N.Y. He practices at The Hospital of Central Connecticut, where he is medical director of the hospital’s Stroke Unit and a neurology hospitalist.

Published on August 27, 2010

Bradley Memorial Campus Auxiliary to Hold Fashion Show

8/26/2010 1:18:36 PM
The Hospital of Central Connecticut’s Bradley Memorial campus Auxiliary will hold a fashion show, “Couture Cabaret,” Monday, Sept. 27, 6 p.m., at the Aqua Turf Club in Southington.

Tickets are $65 and include dinner and the show. Funds raised from the show will purchase equipment for the Bradley Memorial campus. Hospital Auxiliary members , physicians and staff will be among the models.

Tickets may be purchased at the hospital’s Bradley Memorial campus gift shop or through the hospital’s Development Office, (860) 224-5402.

Published on August 26, 2010

Back to school – and school sports

8/26/2010 12:04:04 PM
Each year, approximately 1.7 million people suffer traumatic brain injuries (TBI), including concussions. Kids who play sports are particularly at risk for concussions.
Learn more about concussions and how to prevent them from HCC pediatrician Ellen Leonard, M.D., in her Expert Advice column.

Published on August 26, 2010

Bradley Memorial Campus Auxiliary to Hold Fashion Show

8/26/2010 12:00:00 AM
The Hospital of Central Connecticut Bradley Memorial Auxiliary will present its annual dinner and fashion show Monday, Sept. 27 at the Aqua Turf Club, Southington. The festivities will begin at 6 p.m. with dinner followed by “Couture Cabaret Fashions” featuring clothes from Kathy Faber Designs of Bristol, Dress Barn of Cheshire and Modern Formals of Southington.

Tickets are $45 for the dinner and show. For more information and tickets contact Jean at (860) 628-7913, Joan at (860) 628-8365 or the gift shop office at Bradley, (860) 276-5380.

Published on August 26, 2010

Is your teen depressed?

8/24/2010 3:51:38 PM
Teen depression is on the rise and according to Mental Health America, one in five teens is suffering from clinical depression. Adolescent angst, peer pressure, school difficulties, substance abuse, a family history of depression and household tension can make some teens vulnerable to the disease. Unfortunately, because teen depression is easily mistaken for an identity crisis or an “attitude” problem, it often goes ignored.

Know the signs
Major life events, such as a recent divorce, a move or the death of a loved one, can trigger depression. A certain adjustment period is necessary, but if abnormal behavior persists for more than a few weeks, seek help for your child. Besides feeling sad and lonely, your teen may:
• have trouble falling asleep or wake up too early
• experience a change in eating habits
• no longer socialize with friends
• lose interest in favorite hobbies and activities
• stop doing homework
• cry excessively
• have headaches, stomachaches or other physical complaints
• have trouble paying attention in class
Adolescents may hide their depression by acting out. Drinking, drugs and skipping school may seem like normal teenage rebellion, but in fact they are major red flags. Pay attention to your teenager’s changes in behavior. If suicide is ever mentioned—even as a joke—get help immediately. Even if depression appears to be lifting, it often returns, and psychotherapy and/or drug therapy may be necessary.

Say the right thing
Being around a child who is depressed may put you at a loss for words. These phrases may offer some comfort:
• You are important to me.
• I’m not going to leave you.
• I love you.
• I am here for you.
• Do you want a hug?
• If you need to talk, I’m here.
Remember, depression can be a life-threatening illness. If you think your child is depressed, don’t wait to seek treatment.

Michael Balkunas, M.D., is chief of Psychiatry and Behavioral Health at The Hospital of Central Connecticut.

Published on August 24, 2010

Online chat - Off to College

8/24/2010 8:58:41 AM
Join the hospital's Kendra S. Lawrence, MD, and Jack Lu, psychiatric clinician, for a live chat: “Off to college: Freshman year health warning signs and tips for being on your own for the first time.”
Thurs., Aug. 26, 11 a.m.-noon
on the Hartford Courant’s Health Key live.

Published on August 24, 2010

Back to school?

8/20/2010 3:46:20 PM
Make sure your child can see the blackboard. Ophthalmologist Daniel Chin, M.D., will tell you what vision screenings your child might need.

Published on August 20, 2010

Cardiac rehabilitation: It’s the heart of the matter

8/20/2010 3:39:31 PM
You’re in the intensive cardiac care unit when you realize how lucky you are: You’ve survived a heart attack! But soon, your thoughts race to what’s ahead — months out of work, recuperation, perhaps more heart trouble?

Not necessarily. The fact is, many patients can avoid more cardiac trouble and return to usual activities in about six to 12 weeks. How? By participating in cardiac rehabilitation — a program of closely monitored exercises, lifestyle education, and support. In many cases rehab begins in the hospital within 48 hours of the attack itself.

Exercise right after a heart attack? Absolutely. Although it may sound counterintuitive, cardiologists know that cardiac rehab significantly reduces your chance of suffering another heart-related episode.
The importance of exercise

The day after a heart attack, cardiac rehab staff typically have patients sitting up, standing and walking the halls. Within a day or two, while you’re still in the hospital, you may undergo a treadmill stress test to evaluate how you respond to increasing physical activity.

Using the stress test results as a guide, the cardiac rehab staff, along with your cardiologist, will prescribe various exercises for your recovery. Exercise levels will start off slowly and comfortably and will gradually progress as you are able to tolerate more (while always remaining comfortable). Generally, rehab programs are designed to provide exercise supervision three days a week and will include treadmill walking, bicycling, or other forms of cardiovascular exercises. Regular exercise over several months will help you slowly rebuild your stamina, strengthen your heart, and greatly reduce your risks of experiencing another cardiac event.

Weight lifting is another important part of the rehab program with the goal of strengthening your muscles so you can more comfortably return to work, recreation, and your daily tasks.

As you become more comfortable with exercise and are able to manage your workloads and symptoms, you will be encouraged to begin exercising at home during the days you do not attend rehab.

Exercise is just one aspect of cardiac rehabilitation. Early on you’ll receive direction and support on making lifestyle changes; overcoming the stress and anxiety of dealing with your heart condition; managing your symptoms; and eating healthier. A dietitian can help design an eating plan that is right for you.

Medicines that aid recovery

Your doctor will likely prescribe medications to help you better manage your heart disease. Among the most commonly prescribed drugs are:

• Aspirin. This over-the-counter drug has powerful anti-clotting properties that may help reduce the risk of a second heart attack or stroke.

• Beta blockers. This classification of drugs lowers the heart rate and blood pressure to reduce strain on the heart.

• ACE inhibitors. These drugs relax the blood vessels, thereby enhancing circulation and lowering blood pressure.

• Statins. These drugs help lower high levels of low-density lipoprotein (“bad”) cholesterol in the blood right after a heart attack.

Your doctor will know what medications are best for you.

The bottom line:Getting involved early in a cardiac rehab program is the safest and surest way to recover from a heart attack and return back confidently to your life!

Robert Malkin, M.D., is a cardiologist at The Hospital of Central Connecticut and medical director of the hospital’s cardiac rehab program.

Published on August 20, 2010

The five factors of metabolic syndrome

8/20/2010 3:37:17 PM
When it comes to heart disease, you know that risk factors like family history and being overweight don’t work in your favor. The more issues you have, the greater your heart risk.

You should be aware of another collection of five specific factors that, in combination, can cause a condition called metabolic syndrome that can put you at far greater risk of suffering a heart attack, stroke or diabetes.

You may have metabolic syndrome if you have three or more of the following risk factors:

• abdominal obesity
• high blood pressure
• high triglycerides
• abnormal cholesterol
• high blood glucose or insulin resistance

Although each factor alone increases your health risk, studies show people with metabolic syndrome are twice as likely to suffer a heart attack or stroke and more than three times as likely to develop heart disease than people without these factors. People with metabolic syndrome are five to 30 times more likely to develop diabetes.

All the components of metabolic syndrome are interrelated. Obesity and a lack of exercise often lead to insulin resistance. Insulin resistance contributes to poor lipid, or fat, levels in the blood, such as high triglycerides, high LDL (bad) cholesterol and low HDL (good) cholesterol. Abnormal lipid levels translate to plaque deposits in the arteries. Insulin resistance will also cause your body to churn out more insulin, but high insulin levels can impair your kidneys’ ability to process salt, raising blood pressure.

Your doctor may diagnose metabolic syndrome if you have three of the following:

• a waist circumference of 40 inches or more for men; 35 inches or more for women
• triglycerides of 150 mg/dL or more

• HDL cholesterol levels of less than 40 mg/dL for men and 50 mg/dL for women
• blood pressure of 135/85 mm/Hg or higher

• a fasting glucose, or blood sugar, level of 100mg/dL or higher

What you can do

Although a diagnosis of metabolic syndrome is a warning sign to take seriously, you can head off future trouble if you take these steps now:

• Lose weight. Losing as little as 5 percent to 10 percent of your body weight can reduce insulin levels and bring blood pressure down.

• Eat healthier. Include more fiber-rich foods like whole grains, beans, fruits and vegetables to aid weight loss and lower insulin levels. Cut out table salt; flavor your food with herbs and other spices instead.

• Exercise. Begin a program in which you get at least 30 minutes of moderately strenuous exercise most days of the week.

• Kick the habit. Smoking increases insulin resistance and worsens the health consequences of metabolic syndrome.

• Schedule regular checkups. You’ll need timely checks of your blood pressure, blood sugar and cholesterol levels to see whether your lifestyle changes are enough.

• Consider drug therapy. In addition to diet and exercise, your doctor may prescribe aspirin therapy to reduce your heart-disease risk or medication to control high blood pressure, reduce cholesterol or improve insulin metabolism. Your doctor may consider prescribing weight-loss drugs to augment your diet and exercise efforts.

Still, lifestyle changes to improve your health are imperative. Drugs alone are often not enough to fix these conditions.

Published on August 20, 2010

Advance directives express your wishes when you can't

8/20/2010 3:35:43 PM
Communicating your healthcare wishes before they become an issue is probably one of the most important discussions you should have.

Consider what would happen if you had an illness you couldn’t survive, or an injury that left you permanently unconscious. How much medical intervention would you want to prolong your life? What quality of life would you want for your remaining time? Who would make or communicate your decisions if you couldn’t?

Advance directives are spoken or written forms that help outline the care you want when you can’t communicate your wishes. They’re designed to allow you to make your medical care choices known; help your family make medical decisions on your behalf if necessary; and provide care guidelines for your physicians.

Your advance directives may indicate whether or not you want CPR, artificial respiration or artificial nutrition or hydration (such as a feeding tube). They also allow you to appoint a health care representative — someone you’ve authorized, in writing, to make healthcare decisions on your behalf. This person only acts if you’re unable to make or communicate care decisions. While advance directives can help, for most people they don’t go far enough.

Advance directives are usually implemented when a physician deems your condition terminal. But patients and loved ones might have different definitions of “terminal.” I’ve worked with patients who have numerous, serious physical ailments.

Yet many feel “healthy” as long as their minds are sharp, and they would want aggressive life supportive therapies regardless of what their advance directives state.

Other patients will refuse IV fluids, or even temporary, supplemental oxygen. They feel if their bodies can’t function on their own, they should die a “natural death” without medical intervention. These situations illustrate why it’s critical to choose a health care representative who understands your healthcare wishes and is able to honor them if necessary.

I recommend that people consult their primary care physicians about their advance directives. Your physician can tell you, based on your medical condition and history, the types of situations you’re most likely to face and possible medical interventions and outcomes.

When talking with your physician, health care representative and loved ones, the discussion shouldn’t be about how you want to die, but how you want to live. When I’m talking with patients and family members about palliative care, it’s important for me to find out about the life of the patient. That says so much about how they want to live their lives in the presence of whatever illness they are facing.

So how do you discuss a subject most people don’t even want to think about? A number of organizations and Web sites can help:

• The National Hospice and Palliative Care Organization’s Caring Connections site, www.caringinfo.org, offers information about advance directives — how to discuss the subject with loved ones and complete advance directives.

• The American Bar Association Commission on Law and Aging, www.abanet.org/aging/toolkit/, offers a toolkit with a detailed questionnaire to help you choose a health care agent and specific questions about care you want to receive.

• The Hospital of Central Connecticut Web site has an advance directives page that includes a downloadable file with forms and a summary of Connecticut’s advance directives law.

Published on August 20, 2010

Are your eyes getting old?

8/20/2010 3:30:09 PM
It sounds counterintuitive – pushing a newspaper or book farther away so you can read it better.

But if you’re over 40 you might find yourself doing just that – with the newspaper, books, labels and anything else requiring you to focus on something close. The cause might be presbyopia, an age-related eye condition that affects nearly everyone.

Presbyopia is not a disease. It’s a perfectly natural part of aging, but it can be a little annoying. Those who have it have trouble focusing on things at a normal reading distance (considered to be about 14 inches from the eyes). Other symptoms may include eye fatigue and headaches while doing close work, like sewing or tying flies for fishing.

To understand what causes presbyopia, you need a basic understanding of how we see. Vision occurs when your eyes process light rays that are reflected off objects you’re looking at. The cornea, the clear, domed structure at the front of the eye, helps bend the light rays, which then pass through the pupil to the lens. With help from muscles surrounding it, the flexible lens actually changes shape to further bend the light rays and focus them on the retina in the back of the eye.

Presbyopia occurs when the lens loses its flexibility and is no longer able to bend the light rays as effectively. While this change might seem sudden to you, it actually takes years to occur. Symptoms usually become noticeable around the early to mid-40s and continue to worsen until around age 60. (In some cases, presbyopia can appear before age 40 as a result of certain diseases or medications. If you experience premature presbyopia, see your doctor.)

While presbyopia can’t be prevented, it’s usually easily corrected. People who don’t already need glasses to correct near- or farsightedness may be able to use non-prescription “reading glasses” available in most pharmacies. Or, they can get a prescription for glasses they’ll wear only while reading or doing close work.

For those who already wear glasses, bifocals or trifocals may be good options. These eyeglasses combine different prescriptions into one lens and come with visible lines or without (called progressive lenses). Looking through bifocals at eye level will correct your distance vision. Looking down through the lower part of the lens corrects vision for reading and close work. Trifocals correct vision for close work, middle-distance vision — such as for computer screens — and distance vision.

Contact lens wearers can get bifocal contact lenses or monovision lenses, in which one lens corrects distance vision and the other closer vision. There are also modified monovision contact lenses. With this option, a bifocal lens is worn in one eye, and a distance lens in the other. Both eyes are used for distance vision and one for reading. While it sounds strange, the brain usually adjusts, so you’ll instinctively use the correct eye for whatever you’re viewing.

Presbyopia can also be reduced through refractive surgery to reshape the eye’s cornea. It’s equivalent to wearing monovision contact lenses, so if you’re considering refractive surgery, it’s best to try monovision contact lenses first to be sure you can adjust.

Your ophthalmologist can talk to you about the best options for correcting presbyopia and help you see better, no matter what your age.

Alan Stern, M.D., is head of the Division of Ophthalmology at The Hospital of Central Connecticut.

Published on August 20, 2010

Lifting late-life depression

8/20/2010 3:27:07 PM
An estimated 7 million Americans over age 65 suffer from mild to severe depression, a medical illness that requires professional treatment. Depression isn’t a sign of weakness and isn’t an inevitable part of aging. In older adults, depression may be triggered by:

• illnesses such as heart disease, cancer and hypothyroidism

• drugs such as muscle relaxants, beta-blockers to control blood pressure and medications for ulcers and Parkinson’s disease

• emotional stress, including grief

• functional difficulties such as vision loss or a decline in mobility

• sudden lack of independence

An occasional bout of the blues is normal. But persistent sadness or a loss of interest in people or activities once enjoyed can signal a more serious case of depression—a medical illness that’s not normal. Fortunately, the symptoms of depression can be relieved with the right treatment. The first step toward healing is recognizing those symptoms, either in yourself or in someone you love.

The warning signs

Depression needs to be treated since it tends to get more serious over time and can lead to severe mental and physical problems, even suicide. In fact, one in five suicides in this country involves an adult over age 65, with most of those deaths attributable to untreated depression.

So how do you know whether you or someone you care for is suffering from late-life depression? See your doctor if you or a loved one has been suffering from any of these symptoms for longer than two weeks or if the symptoms are severe enough to interfere with daily routine:

• withdrawal from activities or social isolation

• lack of interest in physical appearance or health

• persistent sadness

• persistent fatigue or lethargy

• frequent tearfulness

• prolonged or excessive worries

• sleep irregularities, such as difficulty sleeping or sleeping too much

• concentration and memory difficulties

• weight changes

• unexplained physical pain

• feelings of hopelessness or worthlessness

• difficulty making decisions

• severe depression that lasts longer than two months after the loss of a loved one

A treatable condition

Whether late-life depression is caused by an outside source or appears suddenly for no apparent reason, the condition is highly treatable. After performing a complete medical checkup, a doctor may prescribe antidepressants, counseling or both. Regular exercise may also help relieve some symptoms of mild depression.

Most people who receive treatment eventually recover, sometimes within weeks. Sometimes the process can take longer while the doctor tries several different treatments to find one that works best for the patient.

The bottom line? Never accept persistent depression as a normal part of life.

Michael Balkunas, M.D., is chief of Psychiatry and Behavioral Health at The Hospital of Central Connecticut.

Published on August 20, 2010

Take control of high blood pressure

8/20/2010 3:24:19 PM
Was your last blood pressure reading high? If it was 140/90 mm Hg or higher it was, and it’s a sign that your heart is working harder than normal. Over time, uncontrolled high blood pressure, known medically as hypertension, triggers serious problems.

All that extra work makes your heart muscle grow larger and less efficient. Your arteries become less elastic, making them susceptible to arteriosclerosis (hardening of the arteries) and atherosclerosis (clogged arteries). Narrowed vessels hamper circulation, so tissues and organs may not get enough blood. If your kidneys don’t get an adequate blood supply, hypertension may worsen since the kidneys help regulate blood pressure. Narrowed vessels also make it easier for clots to form. If a clot blocks blood flow to your heart or brain, a heart attack or stroke can occur.

To avoid the deadly effects of hypertension, follow the three steps outlined here:

Step 1: Get your blood pressure checked

Unlike other diseases that cause pain, swelling or high fevers, high blood pressure probably won’t alert you to its presence. That’s why it’s so important to have your blood pressure checked periodically. The test used to measure blood pressure is simple and painless. In seconds it becomes clear to your healthcare provider how hard your heart has to work to pump the blood.

Step 2: Change dangerous habits

While high blood pressure can’t be cured, it can be controlled by making certain changes in behavior and activities:

• Maintain a normal weight. Being overweight can contribute to high blood pressure because the heart has to work harder to pump blood through excess fatty tissue. In some cases, people who lose excess weight lower their blood pressure.

• Keep moving. Exercise will help you shed excess pounds by burning calories. In addition, some studies show that exercise itself can reduce blood pressure.

• Stop smoking. The nicotine in cigarettes causes blood pressure to rise and dramatically increases the risk of stroke. According to the American Heart Association, the benefits of quitting begin the day you give up cigarettes.

• Shake the salt habit. By causing the body to retain fluids, salt may contribute to high blood pressure. To reduce your salt intake, try using herbs and spices for seasoning. Avoid packaged snacks and processed meats, which are high in salt.

• Limit alcohol. Although one drink (an ounce and a half of hard liquor, four ounces of wine or 12 ounces of beer) a day doesn’t raise blood pressure, indulging in two or three drinks a day is associated with an elevated risk of hypertension.

Step 3: Take prescribed medications

When changes in lifestyle don’t lower blood pressure, doctors may prescribe one or more antihypertensive drugs. Some of these medications work by removing excess fluid and salt in the bloodstream, others open up narrowed blood vessels and still others prevent the smallest blood vessels (arterioles) from narrowing.

To be effective, any prescribed medication must be taken regularly. People who stop taking their medications because they “feel fine” may ultimately suffer from rebound phenomenon, in which their blood pressure returns to a higher level than before.

Hypertension is a killer, but it can be treated and controlled. Don’t be one of the many Americans who have this life-threatening condition but aren’t aware of it. Get your blood pressure checked regularly.

Published on August 20, 2010

Exercise safely during pregnancy

8/20/2010 3:22:52 PM
All the benefits of regular exercise—strength, stamina, cardiovascular fitness, weight control, stress reduction and improved mood and energy—are particularly important to moms-to-be. Physical activity can help combat backaches, constipation, bloating, swelling and poor sleep. Studies show exercise may also help prevent the serious complications of gestational diabetes and pregnancy-induced hypertension (preeclampsia). Many experts believe fit women tend to handle childbirth better and recover more quickly.

Get moving—safely
Experts recommend that pregnant women engage in 30 minutes or more of moderate physical activity most days of the week. The following are general guidelines:

• Avoid activity that could hurt you or the fetus, such as skiing, scuba diving, mountain climbing or horseback riding.

• After the first 20 weeks of pregnancy, eliminate exercises that require you to lie on your back. This position could reduce blood flow to the fetus.

• Warm up for at least five minutes before exercising to prevent injuries.

• Don’t over-stretch. It can damage joints that have become loosened during pregnancy.

• Avoid jumping, jarring or jerking movements, as well as quick changes of direction, which could throw you off balance.

• Drink plenty of water before, during and after exercise.

• You should be able to carry on a conversation when you exercise. If you can’t, you’re exercising too strenuously.

• Check your temperature during or right after exercising. A temperature above 102.6 degrees Fahrenheit could harm the fetus. Avoid exercising in hot, humid weather.

• Stop exercising when you’re comfortably tired; don’t wait till you’re exhausted.

• Cool down for at least five minutes after exercising. Then lie on your left side for a few minutes to increase blood flow to the heart and placenta.

• If you experience pain, bleeding, rupture of membranes, faintness, irregular heartbeat, or dizziness, or if the baby stops moving, stop exercising immediately and call your doctor.

• Have fun. That’s the best way to ensure that you’ll continue your workouts.

Exceptions to the workout rule

Avoid exercise during pregnancy and follow your doctor’s orders if you have:

• preeclampsia (pregnancy-induced hypertension)

• an incompetent cervix that could initiate preterm labor, or cerclage (a stitched-closed cervix)

• multiple gestations at risk for premature labor

• persistent second- or third-trimester bleeding

• placenta previa (the placenta lies over your cervix, blocking the birth canal) after 26 weeks of gestation

• premature labor during current pregnancy

• ruptured membranes

• heart or lung disease

Wendy Latshaw, M.D., is an obstetrician/gynecologist at The Hospital of Central Connecticut and is in private practice with Central CT OB/GYN of Southington, 860-276-6800.

Published on August 20, 2010

Using ergonomics to avoid injury

8/20/2010 3:20:11 PM
Is your desk job a pain in the neck?
Working at a computer all day (or surfing the web at night at home) might not seem like the kind activity that could hurt you. But if your work station isn’t set up properly for you and you’re not practicing good posture and positioning, you may end up with a musculoskeletal disorder (MSD). An MSD is an injury affecting the muscles, nerves, tendons, ligaments, joints or bones. It may develop over time or occur suddenly. For frequent computer users, the most common MSDs include wrist and neck strain and shoulder discomfort.

That’s where ergonomics comes in. While the official definition is complicated, ergonomics is basically a way to reduce wear and tear on the human body. It involves fitting the workplace to each individual so he/she can work without pain and avoid long-term detrimental effects. Ergonomics doesn’t have to be complicated – a few simple adjustments can make a big difference for those with a desk job:
• Improve your sitting posture. Many people sit on the edge of the seat, but your back should be supported against the chair back. Chair and arm rest height should be adjusted so your elbows are bent at 90 degrees, and the arm rest should support your arms so your shoulders are relaxed. Elbows should stay close to the body. Feet should be on the floor (if they don’t reach, get a foot rest).
• When looking at the computer monitor, your neck should be neutral – your chin shouldn’t be tilted up or down. For many people, when sitting in normal working posture, eye level should be just over the top of the monitor.
• Keep your wrists neutral. When typing, your hands shouldn’t be bent up or down. A cushioned wrist rest can help some people maintain a neutral wrist posture. However, the wrist rest should not put pressure on your wrist. Rather it should be in contact with your palm. If you use a keyboard tray, be sure to bring it up when typing so your wrist is in neutral position.
• Keep your mouse close. Many people position their computer mouse too far forward and out, forcing them to extend their arm to reach for it and causing neck and shoulder pain. Keep your shoulders neutral and relaxed by moving your mouse as close to your keyboard as possible. When not using the mouse, let it go. Give your muscles a chance to rest.
• If your job requires frequent phone use, get a head set. Cradling the phone between your neck and shoulder can damage the cervical discs in the neck.

No matter how good your posture and how appropriate your work station, no one can stay in one position too long. Take periodic breaks from your desk work and do another task or, better yet, stretch!

Angelina Jacobs, M.D., specializes in occupational health at The Hospital of Central Connecticut. For information on hospital physicians, please contact our free Need-A-Physician referral service by phone 1-800-321-6244 or online, www.thocc.org.

Published on August 20, 2010

The weakest link: Understanding abdominal aortic aneurysm

8/20/2010 3:16:56 PM
An aneurysm is a bulge in an artery, a vein or the heart wall. A bulge in the aorta is called an aortic aneurysm. Sometimes the aneurysm occurs in the chest, but about 90 percent of it forms in the abdomen. Three out of four people with an abdominal aortic aneurysm (AAA) have no symptoms, although some patients may feel kidney pain; intense, intermittent abdominal pain; or a pulsating sensation in the stomach.

What causes an AAA?
When the aortic wall in your abdomen weakens or becomes damaged by plaque buildup, an aneurysm can result. Aneurysms that grow too large can burst, causing potentially fatal internal bleeding. Aortic aneurysms occur most often in men older than 65, particularly those who smoke. Most are caused by atherosclerosis—hardening of the arteries, which can result from a fatty, high-cholesterol diet. Other risk factors are high blood pressure, illnesses such as diabetes or syphilis, congenital defects and a family history of aneurysms.
AAA treatment depends on its size and whether it is life-threatening. Most aneurysms are less than 2 inches in diameter and seldom rupture. In this case, your doctor will likely monitor the aneurysm and prescribe blood pressure–lowering medication. But if your AAA leaks, is small but grows quickly, expands over 2 inches or seems about to burst, your doctor may perform surgery.
During open surgery, your doctor will remove the damaged section of the aorta and sew a synthetic tube, or graft, in its place. Doctors can also use less-invasive endovascular surgery to reinforce the damaged section by inserting a synthetic tube, or stent, via an artery in your leg.
A ruptured aneurysm can be fatal, so immediate medical attention is needed. Symptoms of a rupture include sudden, severe pain with rapid pulse, sweatiness or clamminess, anxiety, nausea and vomiting, low blood pressure, dizziness, fainting, dry mouth and paleness. Fortunately, most AAAs rarely reach this point.

The best advice: See your doctor regularly and adopt lifestyle changes that can decrease AAA risk, including:
• not smoking
• eating a low-fat, low-cholesterol diet
• exercising regularly
• controlling your blood pressure
If you’re older than 55 and suffer from hardening of the arteries, talk to your doctor about further precautions, such as taking medication to help lower blood pressure.

Robert Napoletano, M.D., is a general surgeon and vascular surgeon at The Hospital of Central Connecticut and a co-director of the hospital’s Vascular Center.

Published on August 20, 2010

Understanding ovarian cysts

8/20/2010 3:12:33 PM
Ovarian cysts are common—especially during the childbearing years—and are rarely a reason to panic. Most ovarian cysts are benign and are a result of a normal menstrual cycle. There’s only a slim chance that ovarian cysts may be cancerous, as a woman’s lifetime risk of ovarian cancer is 1:70. If the cysts are found early, treatment—if necessary—is easier and less invasive.
There are many different types of cysts, including:
• Functional cysts, the most common, are essentially a byproduct of ovulation. There are two types—a follicular cyst (before ovulation) which becomes a corpus luteum cyst after ovulation.
• Polycystic ovarian syndrome (PCO), is marked by the growth of tiny, benign cysts on both ovaries. PCO is usually the result of a hormonal imbalance.
• Dermoid cysts are benign cysts containing skin, hair, teeth or bone. Although they develop from cells that normally produce an egg, they are not pregnancy-related.
• Endometriomas, often called chocolate cysts, result from endometriosis—a benign disease in which patches of tissue from the uterine lining grow outside the uterus.
• Cystadenomas are usually benign cysts that develop from ovarian tissue, and may be filled with may be a watery fluid or gelatinous material.
Treatment depends on the cyst type, size and location, symptoms, woman’s age and childbearing plans and other factors. A wait-and-see approach is often best for functional cysts since they tend to go away on their own. Alternatively, birth control pills may help “shrink” cysts and prevent new ones. Surgery may be required for large or painful cysts. Ovarian cysts in a postmenopausal woman may be treated more aggressively because the cyst is more likely to become cancerous.
Fortunately, cysts can usually be removed without disturbing the ovary, however in some cases, one or both ovaries must also be removed. In severe cases, it may be necessary to remove the fallopian tubes and possibly the uterus.

Could you have an ovarian cyst?
Most ovarian cysts don’t cause symptoms until they become very large, bleed, rupture or twist. Call your doctor if you experience any of these symptoms:
• abdominal pain or pressure
• painful intercourse
• unusual vaginal bleeding
• unexplained weight gain or abdominal bloating
• menstrual irregularities—longer, shorter, absent or irregular cycles
• infertility problems
• nausea, vomiting or breast tenderness
• pressure on the rectum or bladder
• a constant dull ache in your pelvis that may radiate to the lower back and thighs
Because your outlook is best when an ovarian cyst is discovered early, visit your doctor for your annual checkup. Don’t wait for symptoms to strike.

Published on August 20, 2010

Vision screenings important for youngsters

8/20/2010 12:40:26 PM
As part of your child’s medical care, remember to get his or her vision checked, too.

Many vision problems start at a young age, and problems that aren’t corrected or treated can worsen. Among the several common eye disorders affecting youngsters are:

Refractive disorders. These are farsightedness (hyperopia), making close objects blurry; nearsightedness (myopia), wherein objects farther away are blurry; and astigmatism, meaning objects near and far are blurry. Refractive disorders can start at a young age and if significant and untreated can cause amblyopia, also known as lazy eye. Refractive disorders tend to run in families and treatment is through prescriptive glasses.

Amblyopia (lazy eye). With this condition, typically one eye is impaired, and if not treated, vision becomes weak or “lazy.” Ambylopia’s common causes are strabismus (crossed eyes) and/or a refractive disorder. Treatment involves glasses, eye drops, and/or wearing a patch over the good eye to help the problem eye improve. The sooner lazy eye is diagnosed, ideally before age 7, the greater chances of treatment success. Without treatment, permanent vision loss can occur.

Strabismus (crossed eyes). Strabismus can be present at birth but it often develops between ages six months and 2 years old. Strabismus is hereditary and can have different causes. This includes a weak muscle, treated through surgery. A high refractive disorder, like farsightedness can also lead to crossed eyes. In this case, your child would likely wear glasses, and surgery may also be needed. If there’s a history of strabismus in the family, it’s good to periodically check the baby’s eyes to make sure the eyes are not turning in or out.

Cataract. While not common, sometimes an infant will have a cataract. This is a cloudiness of the lens. A symptom is a white pupil, which might also indicate a possible tumor. If your child has a cataract, surgery is needed as soon as possible to remove the lens, which can be replaced by an implant or contact lens.

Children should receive vision screenings by physicians, nurses or trained screeners at ages:

Newborn to 3 months

3 to 6 months

6 to 12 months

3 and 5 years old

5 to 18 (every one to two years)

If your child’s vision screening results suggest a possible disorder, or if there are other vision concerns, he or she should see an eye doctor for a complete eye exam.

Daniel Chin, M.D., is an ophthalmologist and a member of The Hospital of Central Connecticut medical staff.

Published on August 20, 2010

Recognizing the difference between stress and anxiety

8/20/2010 12:40:18 PM
Let’s face it. Life is a lot more pleasant without either stress or anxiety, but most of us have to deal with each at some point.

Stress is your body’s response to a wide range of outside demands or situations involving things like traffic jams, crowds, finances, work, relationships, family or that old standby, too many demands and too little time. Of course, a little stress can be beneficial when it leads you to solutions that make life more manageable — high monthly bills may trigger stress that drives you to budget your money better, for example. But living with constant stress overload can cause discord at home or on the job as well as health problems. You may be suffering from excessive stress if you tend to react with anger, have mood swings, experience chronic fatigue, gain or lose weight, abuse alcohol, withdraw from relationships or quit successive jobs.

Anxiety, on the other hand, often involves a general sense of dread, fear or worry for no immediate reason. A past traumatic experience or a period of chronic stress can lead to anxiety. Signs of anxiety include sweating, dry mouth, muscle tension or headaches, twitching or trembling, a racing heart, sleep difficulties, fatigue and an inability to concentrate. If anxiety becomes excessive and prevents you from leading a healthy, fulfilling life, you may be suffering from an anxiety disorder.

Serenity now!

It’s probably not realistic to extinguish stress entirely, but you may be able to reduce it or cope with it better if you accept that there are some things in life you can’t control. Practice relaxation techniques, get adequate sleep, exercise regularly and maintain a nutritious diet. Be sure to leave a little space in your daily schedule so you can manage these lifestyle measures.

To help quell your anxiety, follow the same healthy lifestyle measures outlined above for controlling stress. In addition, limit or avoid caffeine and alcohol. Try to restrict your worrying to a short period each day and find ways to face the issues that cause you anxiety. Certain drugs such as thyroid medication, antidepressants, cold remedies and decongestants may contribute to anxiety, so check with your doctor to discuss your options.

Talking over your worries with a caring, trustworthy friend can help ease anxiety. A self-help group, social worker or clergy member can also offer useful outlets to help you deal with your feelings.

Are you suffering from anxiety?
Review these statements to help determine if anxiety has a lock on your life. If your anxiety feels out of control, talk to your healthcare provider or a mental health professional who can show you how to cope with your anxiety and provide medication, if needed.

Worry or anxiety prevents me from concentrating on tasks and making decisions.

I always have the feeling — not based on reality — that something catastrophic is about to happen.

I’m afraid to try new things.

I avoid certain people, places and things for fear that something terrible will happen.

I worry about everything I must do to get through the day — driving to work, my performance at home or on the job, and what others think of me.

I devote at least an hour a day to meaningless rituals, such as counting objects or repeated hand washing.

Anxiety prevents me from sleeping well, so I rely on pills to get me through the night.

I use alcohol to help me cope with my nerves.

I have many unexplained physical problems, such as nausea, heartburn or dizziness.

David Borzellino, LMFT, is administrative director of The Hospital of Central Connecticut’s Outpatient Psychiatry and Behavioral Health programs. For program information related to anxiety or other conditions, please call 860-224-5804.

Published on August 20, 2010

Peripheral arterial disease: Straight talk about a silent health threat

8/20/2010 12:40:08 PM
If you’re concerned about your heart health, keep an eye on your arms and legs. They’re the most likely targets for peripheral arterial disease (PAD), a narrowing of the blood vessels that can lead to complications.

PAD involves buildup of plaque — the same sticky substance that leads to coronary artery disease — in the peripheral arteries outside your heart. Blocked arteries are less able to transport nourishing blood to the arms, legs and other body parts.

PAD often runs its course silently until the blood vessels are so clogged that physicians trained in vascular intervention (e.g., interventional radiologists, vascular surgeons or interventional cardiologists) must open them to avoid permanent damage to surrounding tissues and limbs. Unfortunately, an artery can be 60 percent or more blocked before the first warning sign — pain in the area — occurs.

PAD symptoms and diagnosis

PAD commonly occurs in the legs. Sufferers often complain of a cramping pain, claudication, when they walk. They may also experience numbness or tingling, red or bluish skin discoloration, changes in skin temperature, buttocks pain, impotence and infections that won’t go away.

A number of tests are available to check for PAD. Three non-invasive, painless exams conducted at The Hospital of Central Connecticut’s Vascular Center, New Britain General campus, are:

A neck ultrasound to assess your carotid arteries, which supply blood to the brain.

An abdominal ultrasound to assess the aorta, a major blood vessel that can develop an aneurysm, or bubble, in the vessel wall.

Blood pressures of each arm and leg to screen for peripheral arterial disease.
Depending on exam findings, a CT or MRI angiogram may be recommended. During these studies, dye is injected into a vein while CT or MRI images of the arteries are obtained.

Treating the condition

PAD treatments may include lifestyle changes, medications and/or surgery.

Medications include aspirin and blood thinners to help prevent clotting; cholesterol-lowering drugs called statins to reduce plaque that forms in the arteries; medications to help lower blood pressure and improve circulation; and a clot-busting drug to clear passageways.

An angioplasty removes plaque from your arteries. During the procedure, a tiny balloon is inserted into the blood vessel and the balloon is inflated to open the clogged area. A very small metal cylinder or “stent” may be permanently placed in the congested vessel to help keep it open. Atherectomy is another therapy and involves inserting a special cutting catheter into the vessel to slice through the sticky plaque. In some cases, bypass surgery is needed to build “detours” around blocked and damaged vessels so blood in those areas can continue to reach and nourish the body.

If you’ve been diagnosed with PAD or want to reduce your risk for PAD, consider these lifestyle changes:

If you smoke, stop.

Keep your blood pressure in check.

Watch your cholesterol.

Exercise.

Eat a low-fat, low-salt diet.

Get regular checkups.

Alfred Gladstone, M.D., is an interventional radiologist and a Hospital of Central Connecticut (HCC) medical staff member. Learn about the Vascular Center by calling 860-224-5193. For referrals to HCC physicians, please contact our free Need-A-Physician referral service by calling 1-800-321-6244.

Published on August 20, 2010

Going smoke-free for better health

8/20/2010 12:39:58 PM
As the son of a smoker who died from lung cancer and an emergency and internal medicine physician at The Hospital of Central Connecticut (HCC), I’ve seen first-hand that smoking kills.

Smoking is the root cause of many illnesses – all kinds of cancers, as well as chronic obstructive pulmonary disease, heart disease, stroke, and vascular disease.

In the interest of good health for patients, staff and visitors, HCC and hospitals statewide are taking part in a joint effort through the Connecticut Hospital Association (CHA) to spread smoking bans to our campuses. As of Nov. 1, HCC’s campuses will be smoke-free. This will mean no smoking at both the New Britain General and Bradley Memorial campuses – including outside the hospital’s buildings, parking areas and garages. For years, the hospital itself has been smoke-free.

This statewide initiative has its roots at The Hospital of Central Connecticut, which initially proposed the idea to the CHA. Last November, the association announced the current campaign for all hospital campuses to be smoke-free by November 2010.

Having a smoke-free campus can present a challenge to smokers. Nicotine is highly addictive and quitting often difficult. Many continue to smoke, believing it’s not worth the effort to quit because the damage has been done. The good news: With time, much damage from smoking can be reversed. Overall, people who kick the habit live longer than those who don’t.

Psychologists have identified four “stages of change” anyone trying to alter a habit or behavior goes through. Understanding these changes can be helpful for smokers who want to quit.

Contemplation. At this stage, you’re thinking about quitting. You’ll be more likely to stop smoking successfully if you worry you could get a smoking-related disease and if you believe benefits of quitting outweigh those of smoking.

Preparation. Set a date you’ll quit smoking, telling friends and family of your quit day, and preparing for it by stocking up on things like sugarless gum and signing up for a support group.

Action. This stage starts on your quit day and lasts six months. The biggest challenge is withdrawal, with physical symptoms that may be relieved by nicotine gum or patches. Psychological withdrawal can be more difficult.

Maintenance. This lasts six months to five years after your quit date. Don’t give up if you slip and have a cigarette. Instead, review benefits of quitting and renew your commitment to quitting permanently.

Quitting is the most important step a smoker can take to extend and enhance one’s quality of life. If you’re a smoker trying to quit, HCC offers Quitting Time, a smoking cessation program that includes a seven-week group program for adults; a six-week program for teens; individual counseling; and a self-help manual. For more information, please call (860) 224-5900 X2653.

Dr. Steven D. Hanks is Senior Vice President of Medical Affairs & Chief Medical Officer of The Hospital of Central Connecticut.

Published on August 20, 2010

Minimally invasive treatment for uterine fibroids

8/20/2010 12:39:49 PM
Maybe you’re one of the estimated 40 percent of women who have fibroid tumors and may suffer from them. These benign muscle tumors, which grow in and out of the uterus, can be aggravating, painful and can cause excessive bleeding during and between periods. Uterine fibroid embolization (UFE) is a minimally invasive procedure and alternative to surgery that shrinks these tumors to reduce symptoms.

Among the symptoms from fibroid tumors, which typically start in a woman’s 30s, are:

heavy and prolonged periods

pain in the pelvis and with intercourse

increased urinary and rectal urgency

and breakthrough bleeding between periods.

Depending on its location, a fibroid tumor may hamper pregnancy.

If you have fibroid tumors that bother you only slightly, they may respond well to conservative treatment like hormone therapy. But, if you have persistent bleeding or pain, UFE might be a treatment option for you. The procedure, conducted by an interventional radiologist, shrinks the aggravating tumors by blocking blood flow to the fibroids. This lessens symptoms and spares the uterus.

UFE is generally an option for premenopausal women under the age of 50 who don’t want a future pregnancy. If interested in UFE, discuss it with your gynecologist first. A gynecological exam and Pap smear test without abnormal findings should precede a UFE. At The Hospital of Central Connecticut, interventional radiologists collaborate with gynecologists regarding UFE treatment planning. Other treatment options for fibroids include a hysterectomy, which takes out the uterus, or a myomectomy that removes the fibroids.

During the one- to two-hour UFE, for which you’re sedated, a small catheter is placed into the artery at the top of your leg. Under X-ray guidance, the catheter is brought to the arteries that feed the uterus. Tiny, round particles of a type of plastic or gelatin are injected through the catheter. This blocks blood flow to the fibroids, shrinking them to lessen symptoms. The fibroids usually die and become scars. Sometimes fibroids are passed within a few months after the procedure.

UFE procedure risks are small and include infection, early menopause, and rarely, injuries to adjacent organs.

After a UFE, expect to stay in the hospital overnight, receiving pain medication as needed since strong pelvic pain is common within the first 12 hours and can return two to three days later. Recovery is four to seven days and within three months, you should be back to regular, lighter and shorter menstrual cycles.

While you may develop new fibroids after UFE or myomectomy, more and more women are opting for the minimally invasive UFE instead of traditional treatments like hysterectomy.

Dr. Kevin W. Dickey is chief of Interventional Radiology at The Hospital of Central Connecticut, and in 1997 was the first physician in Connecticut to conduct UFE. For more information about uterine fibroid embolization, please call (860) 224-5193.

Published on August 20, 2010

Managing irritable bowel syndrome

8/20/2010 12:39:36 PM
Maybe your digestive system is so temperamental you’re afraid to travel. Or perhaps frequent bloating, cramps and unpredictable bowel movements force you to stay close to a restroom at all times. If these scenes could be copied from your life, you may have irritable bowel syndrome (IBS). Often called “spastic colon,” this digestive-system disorder results from an improperly functioning colon, or large intestine, and can cause abdominal pain, cramping, bloating, gas, mucus in the stool and episodes of chronic constipation or diarrhea (often with urgency) or alternating bouts of both. Although help is available, embarrassment causes many people with IBS to suffer in silence rather than seek treatment.

The root of the problem

It’s believed that the condition occurs when the delicate interplay among the nerves, hormones and electrical activity that link the bowel and the brain is disrupted. If you never thought about the connection between the brain and the stomach before, just imagine the butterflies you feel before making a speech or the bellyache that might come on during a heated argument. With IBS, pain sensors in the colon are more sensitive than normal, causing them to respond strongly to stimuli that don’t affect most people. Although IBS can’t be cured, most people can manage their symptoms with a three-pronged approach of diet changes, stress management and medications.

Fight back with food strategies
Keep a journal to identify specific foods like dairy and wheat that may cause your symptoms. In addition, try these tips:

Eat smaller, low-fat meals more often and chew slowly, which lessens the amounts of air swallowed.

Consume more high-fiber foods like whole-grain breads, cereals, and fruits and vegetables.

Drink six to eight glasses of water a day. Avoid carbonated beverages, chewing gum and smoking, which may introduce more gas to the GI tract.

Avoid common triggers such as chocolate, alcohol, caffeine and spicy foods.

Seek stress relief

Although stress doesn’t cause IBS, it can stimulate colon spasms and trigger symptoms in people who have the condition. To ease stress:

Try relaxation therapies such as meditation.

Seek counseling and support to help you address stress.

Exercise regularly; try walking or yoga.

Get adequate sleep.

Talk to your doctor

See your doctor as soon as symptoms appear. Symptoms of IBS can mimic those of more serious inflammatory conditions or even cancer. He or she will know which treatment course is best for you or if additional testing is needed. Your doctor may suggest over-the-counter or prescription drugs. For example, fiber supplements may help correct constipation. Probiotics, which contain beneficial bacterium, are often helpful. Antidiarrheals, laxatives and antispasmodics may also be used to ease symptoms. In more severe cases, antidepressant medication may help soothe distress.

Dr. Mark Versland is director of Gastroenterology at The Hospital of Central Connecticut. For more information about Gastroenterology services at the hospital, please call 860-276-5180 (Bradley Memorial campus) or 860-224-5167 (New Britain General campus).

Published on August 20, 2010

Choosing healthier table spreads

8/20/2010 12:39:26 PM
With so many choices for table spreads to top that morning toast or dinner vegetable, it’s easier to decide once you know what to look for.

Here’s a healthy tip: Opt for a spread with less (or no) trans fats, fewer calories and one that’s in tub or spray form.

Traditional butter’s rich taste comes with a lot of saturated fat and cholesterol, which can lead to clogged arteries (atherosclerosis). While margarine does not have cholesterol, many varieties in stick forms do have trans fats (partially hydrogenated oils), which raise the bad (LDL) cholesterol and lower the good (HDL) cholesterol. Trans fats are manufactured fats and common in baked goods.

Trans fats should be limited to less than one percent of a day’s caloric intake for healthy people. They’ve become such a health issue that trans fats – think french fries, donuts, cookies are now banned in New York City restaurants.

Here’s what you should look for in spreads:

No trans fats. Instead, look for spreads with a low percentage of saturated (animal) fat and higher percentage of polyunsaturated and monounsaturated fats (the last two can help lower cholesterol).

Plant sterols. Found in fruits and vegetables, these may help reduce atherosclerosis risk.

Tub or liquid (spray) form. These forms have less saturated fat and little or no trans fat compared to some margarines.

Reduced-calorie spreads. These spreads should not have trans fats.

Other flavorful and healthy tips

When cooking, healthier alternatives to butter include olive or canola oil or a cooking spray in the pan.

For enhanced taste on vegetables, add a bit of salt and/or pepper. Or, roast vegetables on a baking dish at 400 degrees Fahrenheit after tossing them with a tablespoon or less of canola or olive oil, some salt, pepper and garlic.

Make a fat-free, Asian style sauce for vegetables and/or pasta salad by whisking together 3 tablespoons canola oil, 3 tablespoons rice wine vinegar, 1/4 cup of 100 percent fruit apricot preserves, 1 tablespoon sugar (optional or use less), and 1 teaspoon freshly grated ginger.

Add taste to breads or toast with apple butter, applesauce, honey, cinnamon, or fat-free yogurt.

When baking, check the recipe for alternative low-fat ingredients. Also, applesauce or other fruit purees may be used in place of oil or shortening.

If making a cake, try mixing 12 ounces of diet soda with a cake mix; don’t use the egg or oil as listed on the box. Spray a 9” x 13” cake pan with non-stick spray and bake according to package instructions.

Mark Garavel is manager of Clinical Nutrition at The Hospital of Central Connecticut.

Published on August 20, 2010

Childhood ear infections: Causes and cures

8/20/2010 12:39:13 PM
Few parents are strangers to ear infections. Roughly, half of all children suffer one by their first birthday. By age 3, one-third of those youngsters will have two or more ear infections

This common ailment, called otitis media (OM), often occurs when the eustachian tube (the narrow canal that connects the middle ear to the back of the nose) is blocked. An upper respiratory infection or allergy can cause one or both eustachian tubes to swell shut, preventing drainage. Enlarged adenoids (lymph nodes located in the top of the throat) can also block the eustachian tube opening. A child’s eustachian tubes are shorter and more horizontal than an adult’s, making it more difficult for fluid to drain.

A common condition

A child showing signs of otitis media should see his or her physician. Possible symptoms include a feeling of fullness in the ear, severe earache, fever and chills, nausea and diarrhea, hearing loss, and periodic seeping of fluid from the ear. Young children who cannot describe an earache may pull at or rub one or both ears. Your child may also be fussy or seem to have difficulty hearing you.

An antibiotic may be prescribed if an infection is present. It must be taken for the full duration of the prescription — usually 10 to 14 days — even if the child’s symptoms disappear before then. Other treatment may include antihistamines (if allergies are the suspect OM cause) and medication to relieve pain and reduce fever.

If hearing loss or fluid in the middle ear persists, surgery may be advised. For children who suffer from a persistent ear infection or have recurrent ear infections, physicians may recommend a small plastic tube (called myringotomy tubes) be inserted through the eardrum to allow the middle ear to drain. Also, an adenoidectomy can remove enlarged adenoids if they are suspected of contributing to the problem.

Prevention tips
There’s no sure way to prevent otitis media, but these defensive measures may help:

Avoid spreading germs. Since the process leading to otitis media often starts with a cold, try to keep your child out of contact with children who have colds and other respiratory infections.

Don’t smoke. Children who live with smokers are more susceptible to otitis media than those who live in smoke-free homes. Cigarette smoke irritates the linings of the nasal passages and middle ear cavities, which interferes with the eustachian tubes' normal functioning.

Raise an infant’s head during feedings. This may help prevent fluid from collecting in the middle ear and is especially important if the baby has a respiratory infection. Never feed a baby lying flat and avoid bottle propping; you should hold the bottle while the baby drinks.

Breastfeed. A mother’s immunities to disease pass through breast milk, helping protect babies from colds and respiratory infections, which can lead to otitis media.

Noelle Leong, M.D., is a pediatrician at The Hospital of Central Connecticut’s Outpatient Pediatric Clinic.

Published on August 20, 2010

Cancer-proof your life: Seven ways to ward off cancer

8/20/2010 12:39:04 PM
Your lifestyle — how you live, what you eat and how active you are — plays a large role in whether you may develop cancer. Each year, 565,000 Americans die from cancer, and one-third of these deaths are linked to bad habits, poor diet, physical inactivity and being overweight. By following these guidelines, you can reduce your cancer risk:

Don’t smoke. Cigarette smoking is the single most preventable cause of death in the United States. Smoking causes 87 percent of all lung cancer deaths and most cancers of the larynx, mouth, pharynx, esophagus and bladder. Tobacco smoke contains thousands of chemicals, including 60 already known to cause cancer. Kicking the habit decreases your risk; the sooner you quit, the better.

Lose excess weight. Being overweight increases your cancer risk, especially breast cancer in postmenopausal women. The American Cancer Society advises aiming for a body mass index between 18.5 and 24.9.

Get moving. People who work out regularly — at moderate to vigorous intensity — have a lower risk for colon and breast cancer. Exercise reduces cancer risk by keeping weight in check and influencing hormone levels and the immune system. Aim for at least 30 minutes (60 minutes is preferable) of moderate activity daily.

Eat more fruits and vegetables. Antioxidants like vitamins C and E, carotenoids and other phytochemicals abundant in fruits and vegetables protect body tissues from change or damage that may occur during metabolism. More colorful produce tends to have greater cancer-fighting nutrients. Each day, you should eat at least five servings of fruit and vegetables.

Reduce your meat. Cutting back on red meats like beef, pork and lamb and processed meats like bologna, hot dogs and luncheon meats may reduce prostate and colon cancer risk.

Limit alcohol. Drinking alcoholic beverages increases the risk for many cancers, including liver, breast, mouth, esophagus and larynx. If you drink, limit your cocktails to no more than two a day for men or one a day for women. Even a few drinks a week, however, are linked with breast cancer in women, especially women who don’t consume enough folate.

Protect your skin. A suntan is a sign of skin damage, the type that leads to skin cancer. Use a sunscreen with an SPF of at least 15 every day, wear protective clothing and avoid tanning booths or beds.

Assess your risk

Other factors, such as your family history or a virus like hepatitis or human papillomavirus, increase your cancer risk. Knowing your risk factors may lead to other cancer-prevention measures. For example, a strong family history of breast cancer may prompt you to consider genetic testing, get more frequent screenings, avoid hormone therapy, give up alcohol or take tamoxifen. To help you collect information about your family history risk, check out the U.S. Surgeon General’s Family History Initiative at www.hhs.gov/familyhistory.

Peter D. Byeff, M.D., is a hematologist/oncologist and medical director of The Hospital of Central Connecticut’s George Bray Cancer Center.

Published on August 20, 2010

Breathe easy: Taking control of asthma

8/20/2010 12:38:55 PM
If you have asthma, you know how frightening it can be to suffer an acute attack. Recognizing early symptoms of an attack and taking prompt action before they worsen is key to avoiding a health emergency.

Is it asthma?

The symptoms of asthma include difficulty breathing, chest tightness, coughing and wheezing. Severe attacks may cause sweating, increased pulse rate and extreme anxiety. If breathing is so labored that the body can’t get enough oxygen, the face and lips may turn blue.

During an asthma attack, breathing is restricted by three physical changes that occur in the lungs, usually as a reaction to an allergen (a substance that can cause an allergic reaction). The most critical factor is the inflammation (swelling) of the lining of the air passages in the lungs. In addition, cells lining the passages produce more mucus than usual, and the muscles of the airways tighten. Together, these changes make it difficult to breathe.

Allergens from dust, molds, pollen and animal dander can trigger an asthma attack. So can air pollutants, such as cigarette smoke, exhaust fumes, paint fumes, smog and smoke from a wood fire. Having a cold or a respiratory infection brings on asthma attacks in some people. Exercise, changes in weather and certain foods can do the same. Some people with asthma are sensitive to pain relievers, including aspirin and ibuprofen, or to dusts or chemicals they’re exposed to at work.

How asthma is treated
There are many drugs available to treat asthma. The two most common types are anti-inflammatories (used to reduce swelling in the lining of the air passages) and bronchodilators (used to relax muscles in the air passages).

Although each of these drugs can be used to both prevent and treat asthma attacks, anti-inflammatories are most often used to prevent attacks and bronchodilators to treat attacks in progress.

A severe attack may require hospitalization. Once admitted, patients may need to be connected to a ventilator (a machine that does the work of breathing) and given drugs designed to relax the chest muscles.

Ease the wheeze

Try these smart strategies from the National Asthma Education and Prevention Program’s latest guidelines to control the condition:

Schedule regular visits to your healthcare provider. Asthma can change over time. Even if your condition seems to be under control, your healthcare provider should monitor you regularly to make sure your treatment is appropriate.

Create an asthma action plan. It's a how-to on taking your medicines, preventing flare-ups, recognizing and treating an attack and seeking emergency care.

Tame your triggers. Many asthma cases can be traced back to specific allergens such as smoke, pollen, mold, animal dander, feathers, dust, food and cockroaches. What you can do:

Quit smoking and don’t allow anyone to smoke in your home.

Cover mattresses and pillows in special dust mite–proof covers.

Wash bedding and stuffed toys weekly in hot water (over 130 degrees).

Avoid humidifiers, which can make mold and dust mite problems worse.

Use a dehumidifier to keep humidity between 30 percent and 50 percent.

Remove carpeting from your bedroom.

Treat existing conditions. Seek medical help if you have sinusitis, gastroesophageal reflux (heartburn) or obstructive sleep apnea; feel stressed or depressed; or are overweight or obese. All can aggravate asthma.

Take your medicines as prescribed. Certain medications are better for sudden attacks, while others are meant to control your condition long term. Ask your doctor about all your options.

Michael J. McNamee, M.D., is director of the Division of Pulmonary/Critical Care Medicine at the Hospital of Central Connecticut. For referrals to HCC physicians, please contact our free Need-A-Physician referral service at 1-800-321-6244.

Published on August 20, 2010

Working out safely with diabetes

8/20/2010 12:38:45 PM
If you have diabetes, your doctor may have told you to get moving. That’s because regular exercise—a brisk, 30-minute walk several times a week, for example—may be as effective as diet and medication in controlling blood sugar levels.

As the main source of fuel for the body, glucose gives your cells energy. For glucose to move from the blood to the cells, it needs the hormone insulin. If you’re living with diabetes, your insulin is either deficient or your body doesn’t respond to it properly. This can lead to a glucose buildup in the blood, with the cells unable to tap into it for fuel.

But exercise helps. First, when you exercise, muscles contract, allowing for more glucose to enter the cells. Second, physical activity can increase your insulin sensitivity, meaning your body requires less insulin to get sugar into your cells. What’s more, since diabetes is often associated with obesity, exercise plays an important role in reducing weight and keeping it off.

Exercise has also been shown to protect against heart disease and nerve damage—two disabling and sometimes deadly complications of diabetes.

Play it safe

If you have diabetes, you need to be careful when working out. But you can still get the full health benefits exercise offers by following these do’s and don’ts:

DO speak to your healthcare provider about your best exercise options. For example, if you have foot problems, swimming or gardening may be safer than walking. If you have vision problems, strenuous activities like running, jumping rope and heavy weight lifting should be avoided as they can rupture blood vessels in the eye.

DON’T exercise unless you know your blood-glucose levels. Check your blood-glucose levels before, during and after your workout. If they’re high, exercise can make them go higher. In other cases, exercise can cause blood-glucose levels to drop too low. For most, the safe pre-exercise blood glucose range is 100 mg/dl to 250 mg/dl. Never exercise if your fasting blood glucose exceeds 300 mg/dl. Plan to exercise about one to three hours after a meal. This ensures your body will have enough glucose to fuel your muscles. Avoid working out when insulin is at its peak to prevent low blood sugar. Ask your doctor whether it might be wise to carry glucose tablets, candy or sugared drinks with you when you exercise.

DO pay attention to your feet. Many people with diabetes have nerve damage to their feet. Before exercising, wash and bandage any irritated areas. Wear shoes that fit well and check your feet after exercise for signs of injury.

DON’T ignore your thirst. Dehydration can affect blood-sugar levels. Drink before, during and after exercise.

DO wear something that identifies you as having diabetes. In an emergency, a medical ID bracelet or medallion could mean the difference between life and death.

im Pugliese is an exercise physiologist and certified health fitness specialist with the Hospital of Central Connecticut Department of Health Promotion.

Published on August 20, 2010

What is perimenopause?

8/20/2010 12:38:37 PM
Wouldn’t it be great if one day a woman awoke to find her period had ended just like that? No hot flashes, no mood swings, no erratic vaginal bleeding. While that happens in rare cases, for most women, menopause, or the cessation of menstruation, is preceded by a transition called perimenopause.

Although no two women experience perimenopause in exactly the same way, the onset of any of these symptoms is a sign that a woman’s childbearing years are coming to an end.

Menstrual irregularities. For women who could always predict the onset of their periods, unexpected bleeding is a telltale sign of perimenopause. Not only may their periods begin arriving haphazardly, they may also be longer or shorter, lighter or heavier, or perhaps more painful than usual. If you notice your periods becoming irregular, start keeping a diary. This will help you notice any new patterns in your cycle and also help your healthcare provider determine what kind of treatment, if any, may be appropriate.

Hot flashes. During perimenopause, the body begins to taper off estrogen production. In response, the pituitary gland releases bursts of luteinizing hormone. The trouble is, these “bursts” may make a woman feel as if she’s on fire for anywhere from a few seconds to a few minutes. Her face, neck and chest may redden, and her body temperature may rise several degrees. During the night, hot flashes may cause excessive perspiration. If you’re bothered by hot flashes, dress in layers (natural fibers are best) so you can remove a layer when necessary. Try to avoid stress, keep active and eat well-balanced meals. It might help to keep a hot-flash diary to identify triggers, such as alcohol or specific foods. If hot flashes continue to disrupt your life, talk to your healthcare provider about treatment options. Some women find that eating foods rich in vitamin E (sources include wheat germ, nuts, whole grains and vegetable oil) and soy products helps take the heat off.

Vaginal dryness. Less estrogen causes the vulva and vagina to become less elastic. Vaginal tissues also become drier and thinner, which may cause burning and itching. As a result, perimenopausal women may experience some discomfort, possibly even bleeding, during intercourse. A water-based lubricant may help relieve this discomfort, or your healthcare provider may prescribe an estrogen cream.

Inform your healthcare provider when you experience these or other changes. Although perimenopause will be the likely reason for them, he or she can rule out any underlying abnormal conditions. In addition, now is the time for you and your healthcare provider to begin discussing ways to make your perimenopausal years and beyond smooth and healthy.

Now that you know

Slowly but surely, menopause is coming—and there’s no turning back. But perimenopause can give you time to evaluate some aspects of your health:

The onset of perimenopause is a clearer indicator of what stage of life your body is at than your chronological age. It’s a time to start evaluating your bone health and your heart health and find out what steps you should be taking to offset or prevent changes.

Perimenopause may prompt you to make reproductive choices.

Knowing menopause is on the way can help you prepare emotionally for the transition to postmenopause.

Joel Sorosky, M.D., is chief of Obstetrics and Gynecology at The Hospital of Central Connecticut.

Published on August 20, 2010

Prevent falls at home

8/20/2010 12:38:29 PM
Each year, more than one-third of U.S. adults 65 and older experience a fall, according to the federal Centers for Disease Control and Prevention (CDC).

A fall might not sound like a big deal, but among older adults, falls are the leading cause of death due to injury (vs. disease). In 2005, 15,800 people 65 and older died from fall-related injuries, according to the CDC.

There are a variety of reasons older adults have a greater fall risk. These include vision problems, certain medications and weak and inflexible joints and muscles. Certain health conditions can also increase fall risk, including osteoporosis, arthritis and other conditions affecting the bones, muscles and joints; irregular heartbeat and stroke; diabetes; Alzheimer’s disease and senility; hearing loss and others.

The good news is there are many ways older adults can reduce their fall risk. The first step is a trip to your doctor, who can determine if vision problems, medications you’re taking or certain physical conditions might be increasing your fall risk.

The National Center for injury Prevention and Control and other experts offer these additional tips:

Exercise., If you’re not already exercising, get started! Working out increases strength and flexibility. Exercises that improve balance and coordination (like Tai Chi) are the most helpful for preventing falls. Check with your doctor before beginning an exercise program, and ask about the best types of exercise for you.

Review your medicines. Have your doctor or pharmacist check all prescription and non-prescription medicines you’re taking. Some medicines, or combinations of medicines, can make you drowsy or light-headed.

Have your vision checked. Your eye doctor can determine if you’re wearing the right glasses, or have a condition such as glaucoma or cataracts that affects vision.

Make your home safer.

Remove things you can trip over (power cords, clothes and shoes) from stairs and places where you walk. Be sure there is a clear path from your bed to the bathroom in case you need to get up in the middle of the night.

Attach non-slip treads and mark stair edges to prevent tripping. Keep stairs well lit and have handrails on both sides.

Remove small throw rugs or use double-sided tape to keep rugs from slipping.

Keep items you use often on lower shelves in cabinets so you can reach them easily without a step stool.

Install grab bars next your toilet and in the tub or shower.

Use non-slip mats in the bathroom, particularly in the tub and shower.

Improve your home’s lighting. As we age, we need brighter lights to see well. Keep a lamp within easy reach of the bed so you can turn it on before you get out of bed.

Wear shoes that give good support and have thin, non-slip soles. Avoid wearing slippers and athletic shoes with deep treads.

Connecticut Center for Healthy Aging at The Hospital of Central Connecticut can offer information on fall prevention and a wide variety of other topics for seniors and their families. For information on the Center call 1-877-4 AGING 1 (1-877-273-0078)

Published on August 20, 2010

The RICE remedy - Self-care for sprains and strains

8/20/2010 12:38:16 PM
It can happen to anyone. You stumble off the curb and end up with an ankle that’s swollen and bruised. Or, you spend a day cleaning out the garage and end up with a sore back. Unlike fractures, when bone is injured, sprains and strains are injuries to the soft tissues. A sprain occurs when a ligament (the tissue that connects bones at the joint) is stretched or torn. A strain occurs when a muscle is stretched or pulled or a tendon (the tissue that connects muscle to bone) is stretched or torn.

Although painful, sprains and strains are usually minor injuries, provided you treat them properly. To remember the first aid for sprains and strains, learn the acronym RICE:

Rest. Give the injured area a rest. You may continue some physical activity, but avoid activities that cause pain or swelling.

Ice. Apply ice as soon as possible after the injury occurs to help limit inflammation, bruising and pain. Use a cold pack (a bag of frozen peas will work in a pinch) or place the injured area in a slush bath (fill a bucket with ice and water) for 15 to 20 minutes and then repeat every two to three hours for the first 48 to 72 hours.

Compression. Wrap the injured area with an elastic bandage until the swelling stops. Begin wrapping at the area farthest from your heart and take care not to wrap so tightly that you slow circulation.

Elevation. Prop the injured area so it’s elevated above your heart, especially at night. Gravity will help reduce swelling by draining excess fluid.

You can take an over-the-counter pain reliever such as ibuprofen or acetaminophen. After two days, try to use the injured area gently. You should see gradual but steady improvement. Most sprains and strains will heal in about two to four weeks, but see your doctor if swelling, pain or weakness persists.

Richard Froeb, M.D., is an orthopedic surgeon and chief of the Division of Orthopedics at The Hospital of Central Connecticut. He is in private practice in New Britain and may be reached at (860) 223-8553.

Published on August 20, 2010

Heads up: Tips for preventing concussions

8/20/2010 12:38:09 PM
Everyone hits his or her head now and then. Sometimes the result is just a bump without any serious effects. Other times, the result can be an injury to the brain, our most vital organ.

A concussion diagnosis falls under the category of a minor brain injury. And while some concussions may be less serious than others, there is no such thing as a minor one, says the American Association of Neurological Surgeons (AANS). One concussion usually doesn’t cause permanent damage, but a second that comes close on the heels of the first can be deadly or permanently disabling, the AANS says.

Cushioning the blow

Each year, approximately 1.7 million people suffer a traumatic brain injury (TBI). Concussions and other mild TBIs account for about 75 percent of these injuries. Common causes of head injury include traffic accidents, accidents on the job or at home, falls, physical assaults and sports injuries.

Bicycling, in-line skating, skiing, snowboarding, horseback riding, playing team sports—all require helmets. In addition to wearing the correct helmet for your sport, take these preventive steps to help you and your family avoid head injuries:

Always wear a seat belt and make sure the kids are buckled, too. Small children should use a child safety seat or booster seat, if necessary.

Don’t drink alcohol when driving or participating in sports.

Exercise regularly to maintain balance and strength.

Buckle children into shopping carts.

Keep your home safe from accidental falls by clearing floors of clutter, securing throw rugs, using skid-proof mats in the bathtub, securing stairway handrails and keeping walkways well lit.

Install window guards to keep young children from falling out and use safety gates at the top and bottom of stairs.

Prevent playground injuries by ensuring playground surfaces are made of shock-absorbing materials such as mulch or sand.

Seek treatment

The same force that causes a concussion may also cause swelling or tearing of a blood vessel or an artery in the brain. If not treated by a doctor, those injuries can have serious consequences. If you or a family member experiences any of these symptoms after a fall or accident, consult your doctor:

confusion, memory loss or concentration problems

prolonged headaches

vision problems

dizziness

nausea or vomiting

balance problems

ringing ears

light sensitivity

loss of smell or taste

Ellen Leonard, M.D., is a pediatrician at The Hospital of Central Connecticut.

Published on August 20, 2010

Real-world ways to find exercise time

8/20/2010 12:38:01 PM
The fact that exercise is good for your health is no secret. But in recent years, a growing body of research shows that your level of physical activity is directly linked to your risk for cancer, especially colon, breast, endometrial, prostate and lung cancers. Exercise helps ward off cancer by keeping weight in check, aiding digestion and altering hormone levels in ways that discourage cancer from developing in your cells. Most of us know exercise is good for us, but where do you find the time for a workout? Try some of these tips to squeeze exercise into your life:

Make time in the morning. Set your alarm for 30 minutes earlier than usual and use the time to ride the stationary bike, take a walk, jog or work out to an exercise DVD.

Schedule it. Mark your workout on your calendar as you would any appointment, such as business meetings or dental cleanings. Sign up for a class or have a standing date with a workout buddy.

Start a lunchtime exercise group. Recruit co-workers to join you for lunchtime treks.

Use your commute. Can you walk or bike to work? Why not park one mile away or get off the bus several stops earlier?

Make family time active. Start a tradition of an after-dinner walk or a Saturday afternoon hike or bike ride.

Walk and talk. Instead of meeting for coffee, drinks or lunch, ask friends you see regularly to take a walk with you––a healthier way to catch up.

Take the less convenient path. You’ve heard these before, but do you do them? Take the stairs instead of the elevator (or jog up the escalator); in parking lots, park in the spot farthest from the door.

Use commercial breaks. When you watch television, get in the habit of standing up during every commercial and doing some exercise––jog in place, or do a few jumping jacks, calisthenics or stretching exercises.

Turn chores into calorie-burners. Turn on some music and pick up the pace as you do housecleaning, yard work or other chores.

Play with the kids. Whether they’re your own or your neighbors’, it’s hard to find a kid who doesn’t love a good game of tag. Walk laps around the field while watching the grandkids’ soccer games.

Pace with a pedometer. This inexpensive gadget tracks the number of steps you take while wearing it. Write down your total steps at bedtime and challenge yourself to increase your number each day.

Experts recommend exercising for at least 30 minutes a day. That doesn’t sound difficult, but it can be overwhelming when your day is already jam-packed. So if you can’t spare the full 30 minutes in one shot, why not break up your routine into three 10-minute bites? Try these suggestions:

Walk the dog. He needs to go, and you both need the exercise. If you’re feeling ambitious, pick up the pace for a few minutes and try a light jog.

Speed up your shopping. At the mall, take a brisk walk around the perimeter before going into your favorite stores. At the supermarket, do an extra lap at the end, when your cart is full—and harder to push.

Take a video game break. Many of today’s games aren’t for couch potatoes: Interactive games keep you moving with workout routines and simulated tennis, bowling and other sports.

Watch a video. Many fitness DVDs offer 10-minute workouts. Do three segments a day and you’re done.

Thomas Lane, M.D., is medical director of The Hospital of Central Connecticut’s Department of Health Promotion and director of the Division of General Medicine and Geriatrics.

Published on August 20, 2010

Vascular screenings available

8/13/2010 3:50:54 PM
Many serious vascular conditions don't cause symptoms. HCC's Vascular Center offers 30-min. screenings Mondays, 11:30 a.m.-4:30 p.m., by appointment. The $50 fee covers neck and abdominal ultrasounds to assess arteries, and arm and leg blood pressure tests to screen for peripheral arterial disease (PAD).

Published on August 13, 2010

Hospital of Central Connecticut stroke program receives award

8/11/2010 1:32:00 PM
In recognition of its high quality stroke care, The Hospital of Central Connecticut (HCC) has received a Silver Plus Performance Achievement Award through participation in Get With The Guidelines ®, an American Heart Association/American Stroke Association quality improvement program for hospitals that focuses on stroke treatment.

The award signifies HCC demonstrated 12 consecutive months of excellence in following patient care treatment guidelines for its stroke patients. The hospital’s achievement is recognized in an advertisement in the August “America’s Best Hospitals” issue of U.S. News and World Report magazine.

“We are delighted that the Hospital of Central Connecticut has received national recognition for exemplary care of stroke patients,” says Michael R. Grey, M.D., M.P.H., FACP, chief of Medicine. “This has been a true team effort combining the skills and dedication of our nurses, our physicians, our rehabilitation staff, and many others in the interdisciplinary care of this group of patients.”

In 2007, the hospital joined Get With The Guidelines, which offers a Web-based system to regularly measure and evaluate its stroke patients’ treatment. HCC is one of over 1,400 hospitals participating in the program.

HCC neurologist and Stroke Center medical director Timothy Parsons, M.D., notes that in addition to helping the hospital focus on tasks that help to differentiate its center’s care toward optimal stroke recovery and prevention, the Get With The Guidelines program also compares HCC’s task performance to that of other participating hospitals.

Last year, the Joint Commission awarded HCC advanced certification as a Primary Stroke Center. In 2008, the hospital was also designated a Primary Stroke Center by the Connecticut Department of Public Health.

The hospital’s Stroke Center treats patients who have had strokes and TIAs (transient ischemic attacks). It also provides education for hospital inpatients and the community on stroke prevention via identifying risk factors, including smoking and conditions like high blood pressure, diabetes and heart and artery disease, age, family history of stroke, gender and prior stroke, heart attack or TIA.

The American Stroke Association estimates that about 795,000 Americans annually suffer a new or recurrent stroke. Stroke kills more than 137,000 people a year, and is the third leading cause of death. Stroke symptoms include numbness or weakness of the face, arm or leg (especially on one side of the body); sudden confusion, trouble speaking or understanding; sudden trouble seeing; sudden dizziness, loss of balance or coordination; and sudden severe headache with no known cause.

For more information about strokes or the hospital’s Stroke Center, please call Kristen Hickey, R.N., M.S.N., HCC Stroke Center coordinator, at 860-224-5900 x6764.

Published on August 11, 2010

Hospital physician takes sports coverage to the extreme

8/9/2010 11:20:16 AM
When Hospital of Central Connecticut orthopedic surgeon Bob Waskowitz, M.D., of Avon, started as a sports medicine consultant with Bristol-based ESPN specifically for the X Games the concept of the “extreme athlete,” he notes, was early in its developmental phase.

That was 10 years ago when the sports genre, with events like BMX bike racing and skateboarding, was still relatively new to major broadcast coverage.

Since that time, Waskowitz has attended all but two of the X Games, and he’s looking forward to January’s Winter X Games in Aspen, Colo. Having covered both winter and summer games, he’s learned a lot about these historically non-traditional sports, from skateboarding and free skiing to BMX racing, and the intense focus and concentration that distinguish these athletes.

“My initial impression of an extreme athlete was of an independent ‘fringe’ performer. I’ve come to understand that these are mainstream professionals competing on an elite world stage,” says Waskowitz, who describes the athletes as having a 24-hour, 365 days a year commitment that embodies both physical and psychological strength. “They’re always training, always competing.”

With X Games spread over a week of practice and competition, Waskowitz typically works 7 a.m. to 11 p.m. on site with a team of certified athletic trainers and associated staff evaluating 20 to 40 athletes daily. “It’s a very long day but it’s so exciting for me because nowhere else would I be able to see this level of competitiveness and performance,” he says.

Board-certified in orthopedic surgery and with a sports medicine fellowship from the Steadman Hawkins Clinic (now known as The Steadman Clinic) in Vail, Colo., Waskowitz learned of the X Games shortly after they began, in 1995, while a team physician for the University of Massachusetts, and Amherst, Mount Holyoke and Smith colleges in Massachusetts. In 2000, he attended his first of nearly 25 X Games and other action sports competitions.

As a consultant working with ESPN medical staff, Waskowitz often facilitates getting an injured athlete from the sports site to a medical facility. ESPN, he says, has established relationships with area hospitals, EMTs, ambulance services and physicians in cities where events are held.

A former college lacrosse player, Waskowitz’ long-time presence at the games has enabled him to establish relationships – helpful, he adds, when it comes to counseling injured athletes – with many X Games athletes like Travis Pastrana (motocross and rally car) and Shaun White (snowboard, skateboard).

“These elite athletes are so intense, so focused on their sport, that’s why they’re at this level,” he says of X Games athletes, adding that level of commitment and focus is something he tries to incorporate in his practice.

Locally, Waskowitz, a third-generation physician in New Britain, and a partner with Orthopedic Surgeons of Central Connecticut in New Britain, is senior team physician for Central Connecticut State University; team physician for New Britain and Newington high schools and the Connecticut Crush women’s professional football team; and associate team physician for the Hartford Colonials men’s professional football team.

To be a part of the X Games, he says, “is a privilege that very few people get offered and I’m so thankful to the people I’ve gotten to know in the last 10 to 12 years that have allowed me to be part of this evolution. I can’t wait to see what’s next!”

Published on August 09, 2010

Non-invasive therapy helps patients with lymphedema

7/29/2010 9:29:47 AM
Not long ago, Edith Perakos’ right arm looked like it belonged to someone else.

Swollen at least twice its normal size, “it probably weighed about 5 pounds,” says Perakos, a slender, petite 94-year-old.

On June 29, the Kensington resident began lymphedema therapy at The Hospital of Central Connecticut (HCC). During her first session with Certified Lymphedema Therapist Ruth Satterberg “I started feeling better immediately,” Perakos says.

Lymphedema is a common condition that occurs when lymph vessels – part of the body’s immune system – stop pumping and lymph fluid accumulates in body tissues. Swelling results, usually in an arm or leg, but sometimes in the chest, face, neck or genitals. Untreated, lymphedema can lead to further swelling, skin changes and infection, and can be life-threatening.

There are two types of lymphedema: Primary, when a person is born without lymph vessels or nodes; and secondary, when lymphatic vessels or nodes are damaged or removed, most often after surgery and radiation therapy for certain cancers.

Perakos’ lymphedema is likely the result of breast cancer treatment in 1981, which included removal of her right breast and lymph nodes, along with radiation therapy. She had experienced swelling and infections for years since her cancer treatment, but things got considerably worse in February after she landed on her shoulder during a fall.
“I saw how bad she was feeling and said, ‘We have to do something about this,’” says Bernadette Graham, Perakos’ live-in companion.

Though lymphedema is a common condition, it’s not always diagnosed right away, says Satterberg, one of only 15 certified lymphedema therapists in Connecticut. While lymphedema therapy is common in Europe, it’s not as well-known here.

“Lymphedema is a progressively debilitating condition, but we can successfully treat most patients with non-invasive measures that can significantly reduce swelling, discomfort and risk of infection,” Satterberg says.

At HCC, occupational and physical therapists specializing in lymphedema perform complete decongestive therapy, which includes a technique called manual lymph drainage (MLD). During MLD, the therapist uses massage-like techniques to re-route lymph around damaged nodes or vessels. Standard MLD treatment starts with two weeks of daily therapy, although that can vary by patient, Satterberg says.

Compression therapy is used between MLD treatments. Patients wear special bandages or garments on the affected area to prevent re-accumulation of lymph fluid. Different wrapping materials and techniques are used depending on each patient’s condition. When patients reach a maintenance phase of treatment, they learn how to use bandages and compression garments themselves and perform self-MLD.

They also learn special exercises for the affected area and deep-abdominal breathing techniques to increase lymph circulation. Because lymphedema patients are more prone to infection, treatment also includes extensive education on meticulous skin and nail care.

Perakos says the MLD is painless – even relaxing. And though the compression therapy can be a little uncomfortable at times, the positive results are obvious. In just one week of treatment, the swelling in her right arm went down a full inch in circumference.

“You have no idea how happy I am with this,” she says.

For information on lymphedema therapy at The Hospital of Central Connecticut, call (860) 224-5121.

Published on July 29, 2010

Hospital of Central Connecticut names breast nurse navigator

7/26/2010 10:30:39 AM
Bethany Carr, R.N., B.S.N., was recently appointed breast nurse navigator with The Hospital of Central Connecticut’s Comprehensive Breast Center. Carr joins breast nurse navigator Donna Boehm, R.N., M.S.N., M.P.H.

Breast nurse navigators help patients diagnosed with cancer and other breast diseases throughout their treatment. The nurse navigators’ duties include:
• Educating patients and their loved ones about the patient’s diagnosis
• Helping patients make informed decisions about treatment
• Advocating for patients during treatment
• Working with physicians, nurses and other healthcare professionals to coordinate patients’ care
• Providing moral support throughout diagnoses, treatment and recovery
• Leading a monthly breast cancer support group and coordinating education events about breast cancer and other breast health topics

Carr has more than eight years of nursing experience, including four years at The Hospital of Central Connecticut (HCC). She began her HCC career as a staff nurse on the oncology unit, then served as an oncology research nurse coordinator with HCC’s Cancer Clinical Research program.

Carr earned her bachelor’s degree in nursing from Villanova University, Villanova, Pa., and is pursuing her master’s degree in nursing at Western Connecticut State University, Danbury, Conn.

Published on July 26, 2010

Families part of the medical care team at The Hospital of Central Connecticut

7/16/2010 9:48:42 AM
Staff on The Hospital of Central Connecticut’s pediatric unit understand that parents with a hospitalized child often feel anxious and helpless.
Like Jessica Tacinelli of Plainville and Osbaldo Melendez of Waterbury, whose son, Ayden Melendez, was born June 29 with a kidney problem. Ayden spent several days in the hospital’s Special Care Nursery, part of the Family BirthPlace. He was then transferred to the pediatric unit, where he was expected to spend another couple weeks before going home.

It has been a stressful time for both parents, but thanks to some changes on the Family BirthPlace and pediatric unit, they’ve been able to spend a lot of time with their son, and been intimately involved in his care.

One of those changes involves having Tacinelli and Melendez join physicians, nurses and other care team members in medical rounds discussions and decisions about their child’s treatment. Family BirthPlace and pediatric staff strongly encourage parents or guardians to participate in rounds, because they can offer valuable information that helps the medical team improve care.

“It’s not just about us telling them what’s going on,” said Aurora Jakubowski, LCSW, maternal/child social worker at the hospital. “Doctors are asking parents, how do you think your child is doing?”
For Tacinelli, the rounds have been an invaluable experience.

“It’s been great,” she said. “I wanted to be involved in everything and know everything, since I’m a first-time mom.”

Parent participation in medical rounds is part of a movement toward family-centered care (sometimes called patient-centered care), which aims to involve families more in their children’s treatment, empower parents and ultimately make care even better.

“No one is more invested in the care provided than the patient and his or her loved ones,” said Antoinetta Capriglione, M.D., chief of pediatrics at The Hospital of Central Connecticut (HCC). “Patients and their families should be participating in the care. That’s the basic premise of family-centered care.”

On July 15, HCC’s pediatric unit staff signed a proclamation making their commitment to family-centered care official. HCC actually began working toward family-centered care two years ago, when staff on the Family BirthPlace nursery introduced the concept.

Nursery staff have already implemented some of the changes occurring on the pediatric unit now. In fact the nursery has taken it a step further – having former patients’ parents serve on a unit advisory committee to make recommendations on improving care. Other changes have included more flexible visiting policies and hours and, on the pediatric unit, supplying cots so parents like Tacinelli and Melendez can stay with their child. A kitchen on the unit is available to family members 24/7.

“They’re awesome here,” Tacinelli said. “You feel at home.”

On both the pediatric unit and the nursery, moving toward family-centered care has involved a true “rethinking” of roles, and much staff commitment, Capriglione said. But the efforts are worth it.

“Family-centered care is the right thing to do, and it helps us deliver safer, better care.”

Published on July 16, 2010

Nationally known parenting expert to speak in New Britain

7/6/2010 9:00:31 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary will host two parenting seminars by nationally syndicated columnist, best-selling author and recognized parenting expert John Rosemond.

At a luncheon seminar, 11:30 a.m.-2:30 p.m., Rosemond will discuss “Assuming the Power of Parenthood.” The cost is $30 for the seminar and luncheon; reservations are required.
The evening seminar is 6:30-8:30 p.m. in Davidson Hall’s Torpe Theater on the Central Connecticut State University campus. Rosemond will discuss “Parenting with Love and Leadership from Tots to Teens.” Tickets are $12 in advance, $16 at the door.

Rosemond’s publications will be available before and after the luncheon and evening seminars. For reservations or additional information, please contact Kathleen Yuskis, (860) 828-5977.

The lectures are part of the New Britain General campus Auxiliary’s community outreach efforts.

Published on July 06, 2010

Nationally known parenting expert to speak in New Britain

7/6/2010 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary will host two parenting seminars by nationally syndicated columnist, best-selling author and recognized parenting expert John Rosemond.

At a luncheon seminar, 11:30 a.m.-2:30 p.m., Rosemond will discuss “Assuming the Power of Parenthood.” The cost is $30 for the seminar and luncheon; reservations are required.
The evening seminar is 6:30-8:30 p.m. in Davidson Hall’s Torpe Theater on the Central Connecticut State University campus. Rosemond will discuss “Parenting with Love and Leadership from Tots to Teens.” Tickets are $12 in advance, $16 at the door.

Rosemond’s publications will be available before and after the luncheon and evening seminars. For reservations or additional information, please contact (860) 224-5502.

The lectures are part of the New Britain General campus Auxiliary’s community outreach efforts.

Published on July 06, 2010

Hospital of Central Connecticut names chief nursing executive

7/1/2010 12:52:24 PM
Maureen Fitzsimmons, R.N., B.S.N., M.P.H., has been named vice president of Patient Care Services and chief nursing executive at The Hospital of Central Connecticut (HCC).

In this position, Fitzsimmons will be responsible for administrative and clinical operations for the Nursing Department at the hospital’s New Britain General and Bradley Memorial campuses. She will oversee the inpatient Medical, Surgical, Psychiatry, Pediatric and Critical Care nursing units, Emergency Department, Family BirthPlace, Maternal-Fetal service, Dialysis, Respiratory Therapy, the Wound Care Center and various perioperative services, including the Operating Room, Ambulatory Surgery, the Post-Anesthesia Care Unit and Endoscopy.

“We are pleased to welcome Ms. Fitzsimmons to The Hospital of Central Connecticut,” said Clarence J. Silvia, HCC president and CEO. “A senior nurse executive with more than 30 years of experience in a wide variety of acute-care settings and consulting roles, she brings a wealth of professional experience, as well as strong nursing skills, to our hospital.”

Before joining HCC, Fitzsimmons was vice president of Patient Care Services and chief nursing officer for Christ Hospital, Jersey City, N.J. Prior to joining Christ Hospital in 2006, she was a manager with BELSER Consulting, which provides various consulting services to healthcare providers. Before that, she was an assistant vice president of Patient Care Services at Saint Clare’s Health System, Denville, N.J. Fitzsimmons began her career as a staff nurse at St. Joseph’s Regional Medical Center, Paterson, N.J., where she also held various director positions.

She earned her bachelor’s degree in nursing from William Paterson University, Wayne, N.J.; and her master’s in public health from Columbia University, New York, N.Y. She is ANCC (American Nurses Credentialing Center)-certified in advanced nursing administration, and a graduate of the University of Pennsylvania’s Wharton Business School program for Nurse Executive Leadership.

Published on July 01, 2010

Hospital receives $7,500 grant for asthma initiative

6/29/2010 9:58:49 AM
The TD Charitable Foundation has awarded The Hospital of Central Connecticut a $7,500 grant for its New Britain Asthma Initiative (NBAI), which helps children and parents better understand and manage children’s asthma.

The grant will help pay for a variety of Initiative services, including education for participating families; tools parents can use to help manage their child’s asthma; and mentoring to ensure families can recognize asthma symptoms and learn to keep a child’s asthma under control.

“We are extremely grateful for the TD Charitable Foundation’s support,” says NBAI Coordinator Loreen E. Gawel, MPH. “The Foundation’s generous grant will help the NBAI give children with asthma and their families the support they need to manage their asthma appropriately.”

The NBAI is a case management program that is free and open to any child 18 or younger. Only a referral from the child’s primary care physician is required. For program information, call, (860) 224-5900, X4229.

More than 22 million Americans have asthma, a chronic affliction of the airways in the lungs that can cause gasping, coughing or wheezing. Nationwide, about seven million asthma sufferers are under 18.

The TD Charitable Foundation is the charitable giving arm of TD Bank N.A., which operates as TD Bank, America’s Most Convenient Bank®, and is one of the 15 largest commercial banking organizations in the United States. The Foundation’s mission is to serve the individuals, families and businesses in all the communities where TD Bank operates, having made over $59.5 million in charitable donations since its inception in 2002. The efforts of the Foundation are coordinated locally through TD Bank’s community relations departments and are focused on the areas of affordable housing, education and financial literacy, and the environment.

TD Bank, America’s Most Convenient Bank®, is one of the 15 largest commercial banks in the United States with $142 billion in assets, and provides customers with a full range of financial products and services at more than 1,000 convenient locations from Maine to Florida. TD Bank, N.A., is headquartered in Cherry Hill, N.J., and Portland, Maine. TD Bank is a trade name of TD Bank, N.A. TD Bank, America’s Most Convenient Bank, is a member of TD Bank Financial Group of Toronto, Canada, a top 10 financial services company in North America and one of the few banks in the world rated Aaa by Moody’s. For more information, visit www.tdbank.com.

Published on June 29, 2010

Hospital receives $7,500 grant for asthma initiative

6/29/2010 12:00:00 AM
The TD Charitable Foundation has awarded The Hospital of Central Connecticut a $7,500 grant for its New Britain Asthma Initiative (NBAI), which helps children and parents better understand and manage children’s asthma.

The grant will help pay for a variety of Initiative services, including education for participating families; tools parents can use to help manage their child’s asthma; and mentoring to ensure families can recognize asthma symptoms and learn to keep a child’s asthma under control.

“We are extremely grateful for the TD Charitable Foundation’s support,” says NBAI Coordinator Loreen E. Gawel, MPH. “The Foundation’s generous grant will help the NBAI give children with asthma and their families the support they need to manage their asthma appropriately.”

The NBAI is a case management program that is free and open to any child 18 or younger. Only a referral from the child’s primary care physician is required. For program information, call, (860) 224-5900, X4229.

More than 22 million Americans have asthma, a chronic affliction of the airways in the lungs that can cause gasping, coughing or wheezing. Nationwide, about seven million asthma sufferers are under 18.

The TD Charitable Foundation is the charitable giving arm of TD Bank N.A., which operates as TD Bank, America’s Most Convenient Bank®, and is one of the 15 largest commercial banking organizations in the United States. The Foundation’s mission is to serve the individuals, families and businesses in all the communities where TD Bank operates, having made over $59.5 million in charitable donations since its inception in 2002. The efforts of the Foundation are coordinated locally through TD Bank’s community relations departments and are focused on the areas of affordable housing, education and financial literacy, and the environment.

TD Bank, America’s Most Convenient Bank®, is one of the 15 largest commercial banks in the United States with $142 billion in assets, and provides customers with a full range of financial products and services at more than 1,000 convenient locations from Maine to Florida. TD Bank, N.A., is headquartered in Cherry Hill, N.J., and Portland, Maine. TD Bank is a trade name of TD Bank, N.A. TD Bank, America’s Most Convenient Bank, is a member of TD Bank Financial Group of Toronto, Canada, a top 10 financial services company in North America and one of the few banks in the world rated Aaa by Moody’s. For more information, visit www.tdbank.com.

Published on June 29, 2010

Auxiliaries’ golf tournament raises $92,000

6/23/2010 9:08:47 AM
The 20th annual golf tournament held by The Hospital of Central Connecticut Auxiliaries at Bradley Memorial and New Britain General raised $92,000 for the hospital’s Comprehensive Breast Center.

The June 8 event drew 188 golfers and many enthusiastic volunteers to Tunxis Plantation Country Club in Farmington.

“We are very grateful to the sponsors, players, volunteers and all involved for supporting this event,” said Wendy Lux, executive director of development for the hospital. “Funds raised through the tournament will help us provide the most advanced diagnosis, treatment and support to patients with breast disease.”

Previously, each campus held a golf tournament, but this year, the 20th anniversary, both campus auxiliaries joined together for an even bigger, better tournament.

Published on June 23, 2010

Nurse practitioner joins Joslin Diabetes Center Affiliate

6/22/2010 9:27:20 AM
Nurse Practitioner Kathryn Tierney, MSN, APRN-BC, FNP, has joined the Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut, New Britain General campus.

Tierney has extensive nursing experience in diabetes management, primary care and other areas. She is certified as a family nurse practitioner, advanced practiced registered nurse and registered nurse. She earned her bachelor’s degree in biological sciences at Smith College, Northhampton, Mass., and her certificate in nursing and master’s degree in nursing from Yale University School of Nursing. She is a clinical instructor at Yale University School of Nursing. Tierney is fluent in Spanish.

For information on the Joslin Diabetes Center Affiliate, please call 1-888-4 JOSLIN (1-888-456-7546).

Published on June 22, 2010

Hospital Auxiliary donates grocery bags to food pantry

6/18/2010 1:37:16 PM
The Hospital of Central Connecticut’s New Britain General campus Auxiliary Board recently donated more than 100 reusable grocery bags to the New Britain Food Security Collaborative, which helps local families in need.

This is the second year the Auxiliary has donated reusable bags, which are distributed to Collaborative clients.

The New Britain General campus Auxiliary supports numerous programs and services that benefit the hospital and community. Recent projects supported by the Auxiliary’s Outreach Committee have included donating clothing to patients on the hospital’s inpatient psychiatric unit and scarves to children with asthma; giving every hospitalized patient a poinsettia during the holidays; and providing food, gift cards and household items to a local family affected by domestic violence.

Published on June 18, 2010

Hospital of Central Connecticut employees, physicians and local businesses donate gifts to cancer survivors

6/8/2010 9:39:11 AM
Hospital of Central Connecticut employees, local physician practices and area businesses recently donated beautiful gift baskets and other prizes that helped make National Cancer Survivors Day extra special for 38 cancer survivors.

A random drawing for the baskets and other gifts was held June 6 at the hospital’s 18th annual National Cancer Survivors Day event at the Aqua Turf Club in Southington. More than 800 cancer survivors and guests attended the event, sponsored by the hospital’s George Bray Cancer Center.

Donated items included generous gift certificates to area restaurants, spas and other businesses; hand-painted wine glasses; and a hand-made quilt and tote. Employees from departments throughout The Hospital of Central Connecticut (HCC) put together enormous themed baskets that included everything from a “Movie Night” basket complete with DVDs and popcorn, to a “Date Night” basket with a restaurant gift certificate and wine, to a “Money Tree” decorated with scratch-off lottery tickets.

The gift baskets have become a National Cancer Survivors Day tradition, with HCC employees and physicians and staff from local physician practices working to put together the most creative basket each year.

“These gifts donated for National Cancer Survivors Day are yet another example of the incredible generosity of Hospital of Central Connecticut employees, physicians and area businesses,” said Clarence Silvia, hospital president and CEO. “They are also evidence of how cancer touches virtually everyone’s life, and how cancer survivors inspire us all.”

Many thanks to the following, who donated gifts for National Cancer Survivors Day:
HCC departments and employees: Outpatient Oncology, Laboratory, Health Information Management, Admitting, Ambulatory Surgery, Inpatient Psychiatry, Food and Nutrition, Radiation Oncology, Main Operating Room, Night Shift Labor and Delivery Room, Social Work, HCC Breast Cancer Program, Patient Accounts, Joslin Diabetes Center Affiliate, Physical Medicine, HCC Child Development Center, Janet Jacobson, MRI, Family Birth Place, Administration, Inpatient Oncology Unit and Development. Physicians and physician practices: Cancer Center of Central Connecticut, Jennifer McCallister, M.D., James Flaherty, M.D., and Grove Hill Urology Group. Businesses and other supporters: Anonymous donor, Susan Burtis and mom, Gaye Zukauskas, Helpful Hands Concierge at HCC, Nature’s Spa (Plainville), Lavender Fields (Plainville), Jessica’s Color Room (Middletown), and Mohegan Sun.

Published on June 08, 2010

Cancer survivor and singer share inspirational messages at National Cancer Survivors Day event

6/8/2010 9:37:46 AM
More than 800 cancer survivors and their loved ones enjoyed music, inspirational messages and special gifts at The Hospital of Central Connecticut’s National Cancer Survivors Day breakfast June 6.

The 18th annual Survivors Day breakfast, “Celebrate Life: Listen to Your Heart!” was sponsored by the hospital’s George Bray Cancer Center and held at the Aqua Turf Club in Southington.

Peter D. Byeff, M.D., Cancer Center medical director, opened the event by remembering George H. Bray, M.D., a longtime New Britain surgeon, former chief of the New Britain General Hospital medical staff and a cancer survivor. Bray, for whom the Cancer Center is named, died May 21 at age 87. Bray was dedicated to the hospital, his community, his profession and his patients, Byeff said.

“He was always willing to try new ideas and new approaches to help his patients,” Byeff said. “I still see patients in my office who are here because of his surgical skills.”
Also at the breakfast, New Britain resident Linda Hunter, a four-year breast cancer survivor, shared her story with the crowd, thanking her family and friends for their support during her cancer “journey” and emphasizing the importance of a positive attitude.

“It got tough at times,” she said. “I felt like I was in treatment forever. But I always kept a positive attitude, just having faith and hope and believing I’d get better.”

The Cancer Survivors Day breakfast featured a “keynote concert” by Jana Stanfield, a recording artist, speaker, humorist and multi-platinum songwriter, who shared her inspirational message – and some laughs – with the crowd. In addition to her work as a songwriter, Stanfield performs internationally at conferences and other events.

The keynote concert was followed by a special recognition ceremony for cancer survivors and caregivers. A drawing was held for 38 gift baskets and other prizes donated by Hospital of Central Connecticut employees, local physician practices and area businesses.

Published on June 08, 2010

Hospital of Central Connecticut launches updated website, www.thocc.org

6/3/2010 9:12:05 AM
The Hospital of Central Connecticut has launched its updated website, www.thocc.org, which features a new design, easier navigation and the very latest information on the hospital and its services.

In addition to general information about the hospital, phone numbers and directions, the site includes:
• Detailed information on the hospital’s clinical services and departments
• A free, “Need-A-Physician” online referral service, which sorts doctors by specialty areas, languages spoken, insurances accepted and more.
• A “for patients” section on how to prepare for, and what to expect during, a hospital stay
• A visitors’ section with information on hospital services and resources
• An updated employment opportunities section, including job listings by category and campus
• ER wait times for the New Britain General and Bradley Memorial campuses, updated every five minutes
• RSS feeds on the latest hospital news, events and more
Visit www.thocc.org to learn more.

Published on June 03, 2010

We got a makeover!

6/1/2010 1:38:55 PM
Welcome to our updated website, with a new look, easier navigation, RSS feeds and the very latest on the hospital and our services.
Go ahead – click around. Stay awhile. And come back often.

Published on June 01, 2010

Working in health care is about having choices!

5/11/2010 11:14:32 AM
It's all about opportunity to have a career that doesn't feel like a job. Learn more

Published on May 11, 2010

Nursing careers:

5/11/2010 11:14:32 AM
Identify yourself with the very best Take a closer look at our full-time, part-time, and per diem career opportunities.

Published on May 11, 2010

Now open! Joslin Diabetes office in Southington

5/11/2010 10:55:03 AM
The hospital has opened a NEW Joslin Diabetes Center Affiliate office at the Bradley Memorial campus, 3rd floor, 81 Meriden Ave., Southington. Hours are 8:30 a.m. to 4:30 p.m. Tuesdays. Physician office visits & diabetes education are available. For information on the Bradley office or our New Britain General campus office, call 1.888.4JOSLIN (1.888.456.7546).

Published on May 11, 2010

HCC awarded $60,000 in grants by Connecticut Breast Health Initiative

4/20/2010 12:00:00 AM
The Hospital of Central Connecticut (HCC) has been awarded two grants totaling $60,000 from the Connecticut Breast Health Initiative, Inc. (CT BHI, Inc.) toward breast cancer education and research.

A $20,000 grant will support the hospital’s breast cancer program educational initiatives. These include survivorship workshops, manuals for patients with breast cancer, and community education about breast health and breast cancer.

The $40,000 research grant will be used for a study to compare the findings of breast specific gamma imaging (BSGI), MRI and ultrasound used in the evaluation of high-risk patients with dense breasts. HCC radiologist Jean Weigert, M.D., will be the principal investigator. Weigert conducted a previous award-winning study that showed measurable value of a BSGI test over ultrasound in detecting breast cancer as a follow-up to a mammogram.

“We thank the Connecticut Breast Health Initiative for their continuing support of our outreach programs for our patients and the community, and for their supporting our research efforts,” says James Massi, M.D., chief of Surgery.

These grants follow a $15,000 education grant in 2009 from CT BHI, Inc. toward patient education. The new grants’ project titles are “The Breast Health Navigation Program” and “Mammography Comparison using BSGI, Whole Breast USG (ultrasonography), and Breast MRI in High-Risk Patients.”

Last year, HCC launched its breast cancer program, which includes a breast nurse navigator and weekly breast conference meetings. HCC Nurse Navigator Donna Boehm, R.N., M.S.N., M.P.H., guides patients through the healthcare system from diagnosis through treatment. For program information, please contact Boehm at 860-224-5900, X6307 or visit http://www.thocc.org/services/breast/nurse.aspx.

CT BHI, Inc. has assumed a leading role in the fight against breast cancer in Connecticut since 2003, having awarded 1.5 million dollars in grants. Money CT BHI raises supports breast cancer education and research within Connecticut. The organization’s largest annual fund-raiser, “CT Race in the Park” is May 8 in New Britain’s Walnut Hill Park. It will include walks and runs, refreshments, live music, and games. Deadline for online registration at www.ctraceinthepark.org is April 25.

Published on April 20, 2010

HCC awarded $60,000 in grants by Connecticut Breast Health Initiative

4/20/2010 12:00:00 AM
The Hospital of Central Connecticut (HCC) has been awarded two grants totaling $60,000 from the Connecticut Breast Health Initiative, Inc. (CT BHI, Inc.) toward breast cancer education and research.

A $20,000 grant will support the hospital’s breast cancer program educational initiatives. These include survivorship workshops, manuals for patients with breast cancer, and community education about breast health and breast cancer.

The $40,000 research grant will be used for a study to compare the findings of breast specific gamma imaging (BSGI), MRI and ultrasound used in the evaluation of high-risk patients with dense breasts. HCC radiologist Jean Weigert, M.D., will be the principal investigator. Weigert conducted a previous award-winning study that showed measurable value of a BSGI test over ultrasound in detecting breast cancer as a follow-up to a mammogram.

“We thank the Connecticut Breast Health Initiative for their continuing support of our outreach programs for our patients and the community, and for their supporting our research efforts,” says James Massi, M.D., chief of Surgery.

These grants follow a $15,000 education grant in 2009 from CT BHI, Inc. toward patient education. The new grants’ project titles are “The Breast Health Navigation Program” and “Mammography Comparison using BSGI, Whole Breast USG (ultrasonography), and Breast MRI in High-Risk Patients.”

Last year, HCC launched its breast cancer program, which includes a breast nurse navigator and weekly breast conference meetings. HCC Nurse Navigator Donna Boehm, R.N., M.S.N., M.P.H., guides patients through the healthcare system from diagnosis through treatment. For program information, please contact Boehm at 860-224-5900, X6307 or visit http://www.thocc.org/services/breast/nurse.aspx.

CT BHI, Inc. has assumed a leading role in the fight against breast cancer in Connecticut since 2003, having awarded 1.5 million dollars in grants. Money CT BHI raises supports breast cancer education and research within Connecticut. The organization’s largest annual fund-raiser, “CT Race in the Park” is May 8 in New Britain’s Walnut Hill Park. It will include walks and runs, refreshments, live music, and games. Deadline for online registration at www.ctraceinthepark.org is April 25.

Published on April 20, 2010

Hospital implements recycling, conservation programs to diminish environmental impact

3/29/2010 12:00:00 AM
The Hospital of Central Connecticut (HCC) today announced its newest commitment to air and water quality standards and diminishing its environmental impact by implementing several of the Stericycle company’s waste stream solutions.

These “green” initiatives are implemented with Stericycle, which provides the hospital’s medical waste disposal and other services. The initiatives focus on reusable sharps containers, proper pharmaceutical waste disposal and overall recycling efforts.

The latest initiatives with Stericycle are part of the hospital’s comprehensive, award-winning efforts to reduce waste and increase recycling, which began in 2004. These efforts include the use of energy-efficient equipment, recycling of everything from chemicals to cans and bottles to electronics, and other measures.

In May, the hospital will launch Stericycle’s Pharmaceutical Waste Disposal Program, aimed at keeping certain medications out of the environment. While the hospital has always followed current state and federal regulations on proper disposal of certain pharmaceuticals deemed potentially hazardous, research is revealing the potential detrimental effects of other pharmaceuticals not covered by regulations. Pharmaceutical waste can be complex and ultimately affects the nation’s water supply if not disposed of properly. The waste must be characterized, segregated, and transported in compliance with EPA, DOT and other regulators.

HCC has also begun using reusable containers for all of its used sharps, such as needles and scalpels, to help keep plastic out of landfills. The hospital expects in one year to prevent 27,553 pounds of carbon emissions by diverting 47,008 pounds of plastic and 2,508 pounds of cardboard from landfills. This number is the equivalent of not burning 1,419 gallons of gasoline1. Since 1986, U.S. hospitals like HCC that are using the Stericycle Sharps Management System Bio Systems reusable containers have kept more than 78 million disposable containers out of landfills. Each reusable container saves the equivalent of 600 from later going to landfills.

According to Tom Vaccarelli, senior director of facilities at HCC, “By using these types of programs, the hospital is driving environmental best practices, staying ahead of regulatory compliance and reducing costs. We intend to reinvest these savings in more healthcare programs that benefit our patients, staff and the community.” Vaccarelli added, “These programs help HCC minimize the complexities of managing many of our waste streams. Along with a hospital’s regulatory risk and associated costs, maintaining state and federal compliance and focusing on green outcomes are just a few objectives that these programs help us meet.”

The Hospital of Central Connecticut is a 414-bed, 32-bassinet, acute-care hospital with campuses in New Britain and Southington. The hospital provides comprehensive inpatient and outpatient services in general medicine and surgery and a wide variety of specialties. Visit www.thocc.org.

Lake Forest, IL-based Stericycle (Nasdaq: SRCL) is a leader in healthcare-related services that protect people and reduce risk. With more than 440,000 customers worldwide, Stericycle has operations in North America, Europe, and Latin America. Visit www.stericycle.com.

1 www.stericycle.com/carbon-footprint-estimator.html

Published on March 29, 2010

Hospital of Central Connecticut staff members back from Haiti

3/24/2010 12:00:00 AM
Each morning in Haiti, Deborah Ferretti, A.P.R.N., awoke to the sounds of roosters crowing and brooms sweeping entrances to tents, the makeshift homes born of the Jan. 12 earthquake that ravaged the country. She’d have a power bar and some water before leaving her tent for a medical clinic in Port-au-Prince where she and other staff members of The Hospital of Central Connecticut (HCC) would see up to 70 patients daily during a recent medical missionary trip.

“Most patients would already be sitting and waiting for us to arrive,” says Ferretti, who with other Hearts for Haiti team members cared for Haitians, both young and old, for illnesses that included breathing problems, hypertension, gastrointestinal ailments, typhoid fever, skin conditions and stress-related headaches and stomachaches.

The 10-member Hearts for Haiti team returned from Haiti March 19, after embarking March 8. Primary care physician Anthony Ciardella, M.D., who practices in Southington, coordinated the trip through World Cares Center with support from ReadyResponders Network and Housing Works, Inc. Other team members from HCC were Sarah Wells, P.A.; R.N.s Patricia Alfieri, Salena Devoe, Ashley Dizon, Brenda Jaramillo, Terry Kamens; and Angela Torres, a nurse technician. Torres’ husband, Jonathan Torres, an emergency medical technician, who is not an HCC employee, was also on the team.

“Most of us have the sense that we shouldn’t have left,” says Ciardella upon return. “There was so much to do there. Realistically, we know we did what we could.”

The team was split among three camps, two at Port-au-Prince, the area hardest hit by the quake, and the other at Saint-Marc. On two nights, some team members traveled to an orphanage, providing care to 22 youngsters. Supporting the team’s effort were medical supplies and medications the team brought, many through donations.

“We were seeing 75 patients a day,” says Ciardella, who worked from a clinic at Saint-Marc, where patients would start lining up at 5:30 a.m. “It was so hot and there was no power the whole time we were there. The only power we had was a generator that worked intermittently.”

Alfieri, who worked at a Port-au-Prince clinic, recalls seeing a mother who complained of a backache and wasn’t sleeping well. “I listened to her tell her story,” says Alfieri, who says the woman conveyed she was homeless and sleeping on the streets with her baby. “The best thing she could do,” Alfieri counseled the woman, “was to keep her eyes and ears open to find shelter.”

Ferretti recalls two twin boys, age 1 ½, who had trouble breathing; one of the boys also had a broken femur (thighbone). Since the twins needed more care besides breathing treatments provided, the family, accompanied by team members, went to the pediatric hospital in Port-au-Prince, only to be denied admission because they weren’t sick enough.

Hampering the team’s efforts were limited resources for medical testing, forcing team members to rely primarily on patients’ symptoms and medical histories, says Ciardella. “We treated according to their symptoms and what we found.”

Without a formalized healthcare system, Ferretti says Haitians often rely on street vendors wearing pill baskets on their heads vs. quality medical care. “They use antibiotics like we use Motrin,” she says. “We were floored by how broken their healthcare system had been.”

Despite the Haitians’ plight, Ferretti was inspired by their strength and pride, adding that they came to the clinics wearing their best clothing. “Just to see how they were trying to hold on to normal life was really admirable.”

Alfieri returns with a sense of having done something good. “These people give so much back to you while you’re helping them that you don’t feel like you’re doing anything extraordinary. They were so grateful for everything you did for them.”

Published on March 24, 2010

Hospital names Dr. Hanks Executive VP and Chief Medical Officer

3/12/2010 12:00:00 AM
The Hospital of Central Connecticut (HCC) Board of Directors has named Steven D. Hanks, M.D., MMM, FACP, FFSMB, executive vice president and chief medical officer.

Hanks, 48, with HCC since 2004, was most recently senior vice president of Medical Affairs & chief medical officer. With promotion to this newly created position, Hanks will oversee additional clinical areas; assume increased responsibilities within the Central Connecticut Health Alliance (CCHA), the hospital’s parent organization; and acquire leadership of public advocacy and community relations.

“I am grateful for the opportunity to assume this new position,” says Hanks. “I’m excited to be working with Clarence Silvia, our new hospital president and chief executive officer, to help keep our health system vibrant and assure its place in providing healthcare to our community long-term.”

With this appointment, the areas of Governmental Affairs, Development, Pharmacy, and Physical Medicine have been added to Hanks’ current scope of responsibilities. In addition, he also assumes the principle executive liaison role for several CCHA member companies, including the Visiting Nurse Association of Central Connecticut, Community Mental Health Affiliates, Alliance Occupational Health, and the Central Connecticut Physical Medicine Center.

During Hanks’ tenure at HCC, the hospital has attained top 10th percentile for a majority of publicly reported quality measures for U.S. hospitals, a continuing decline in hospital mortality rate, along with recognition and certification as a center of excellence for bariatric surgery and stroke. Hanks’ other achievements include implementation of a multiyear staff development and physician recruitment plan; implementation of a physician relations strategy that in 2009 helped propel HCC to the very top in physician satisfaction, based on hospitals surveyed; and development of a rapid response team for patient emergencies before it became a Joint Commission requirement. He also initiated and led efforts that resulted in all Connecticut hospitals becoming smoke-free.

Positions Hanks held before joining HCC include vice president of Medical Affairs & chief medical officer, Finger Lakes Health, Geneva, N.Y. (2001-2004); co-founder and chief medical officer, Adroit Research Solutions, Rochester, N.Y. (2000-2001); and chief medical officer, Rochester Community IPA, Rochester (1998-2000). Hanks is also a vice president of CenConn Services Inc., a CCHA member; founder and board chair of HDH Technologies; and a practicing emergency physician and internist at HCC.

He earned his medical degree with distinction in research from the University of Rochester, Rochester, N.Y.; and completed an internship and residency in internal medicine/primary care at Strong Memorial Hospital, Rochester. Hanks also earned a master’s degree in medical management from Carnegie Mellon University, Pittsburgh, and certificate in Medical Management from the American College of Physician Executives. He is currently an assistant dean for Graduate Medical Education and an associate professor of medicine, University of Connecticut School of Medicine.

Hanks is a member of the Press Ganey National Physician Advisory Council and of the American Association of Medical Colleges Group on Resident Affairs. He is a member of numerous boards, including Genomas, New Britain Emergency Medical Services, Connecticut Medical Examining Board (a Gov. M. Jodi Rell appointee), Hartford County Medical Association and the Capital Area Health Consortium; as well as committees, including Connecticut Hospital Association Committee on Patient Care Quality and its Physician Executive Council.

He is also a member of the American College of Physician Executives, American College of Healthcare Executives, American Medical Association, Connecticut State Medical Society, Hartford County Medical Association, Healthcare Financial Management Association, Medical Group Management Association, and The Governance Institute; and is a fellow of both the American College of Physicians and Federation of State Medical Boards.

Hanks and his wife, Lisa, have four children and live in Farmington.

Published on March 12, 2010

Hospital makes medical staff appointments

3/9/2010 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Hospitalist
Johnny Y. Mei, M.D., MHA, has joined the hospital’s medical staff. He earned his medical degree at Ben-Gurion University, Israel. He completed an internal medicine internship at The Brooklyn Hospital Center, Brooklyn, N.Y.; an internal medicine residency at Saint Agnes Hospital, Baltimore; a medical informatics/applied clinical informatics fellowship at VA Puget Sound Healthcare System, Seattle. He earned a master’s degree in Health Administration from the University of Washington, Seattle. He practices at The Hospital of Central Connecticut.

Obstetrics/Gynecology
Amy M. Johnson, M.D., has joined the hospital’s medical staff. She earned her medical degree at the University of Connecticut School of Medicine. Johnson completed an obstetrics/gynecology internship and residency at Johns Hopkins Hospital, Baltimore. She practices at 474 Hudson St., Hartford, 860-972-2780.

Published on March 09, 2010

Hospital Auxiliaries’ Golf Tournament Scheduled

3/9/2010 12:00:00 AM
The Hospital of Central Connecticut Auxiliaries at Bradley Memorial and New Britain General will hold their Annual Golf Tournament Tuesday, June 8 at the Tunxis Plantation Country Club, Farmington. Shotgun start is 11:30 a.m.

Previously, each campus held a golf tournament, but this year, the 20th anniversary, both campus Auxiliaries have joined together for an even bigger, better tournament. The event will include food, prizes and much more! Tournament proceeds will go toward development of a comprehensive breast center.

Please call (860) 224-5567, or visit www.thocc.org for information.

Published on March 09, 2010

Hospital Names New President and Chief Executive Officer

3/5/2010 12:00:00 AM
Clarence J. Silvia of Manchester has been named president and chief executive officer of The Hospital of Central Connecticut (HCC) and president of the Central Connecticut Health Alliance (CCHA), the hospital’s parent organization, effective immediately.

Silvia, 54, most recently was senior vice president and chief operating officer for CCHA and the hospital. Prior to this, Silvia was president and CEO of Bradley Memorial Hospital, a post he assumed in 1993, after serving as the hospital’s executive vice president for seven years. A Connecticut native, Silvia is a Phi Beta Kappa graduate of the University of Connecticut, where he also earned his MBA, with a concentration in Health Systems.

“It gives me great pleasure to announce Mr. Silvia’s appointment as our new CEO,” said John S. Manning, chairman of the hospital’s Board of Directors, which approved the appointment Thursday evening. “Mr. Silvia’s long and distinguished career with our organization makes him uniquely qualified to guide the hospital. As the former president and CEO of Bradley Memorial Hospital, Mr. Silvia played a key leadership role in facilitating both the development of the Central Connecticut Health Alliance in 1995 and the merger of Bradley Memorial and New Britain General Hospitals, resulting in the formation of The Hospital of Central Connecticut in 2006. The appointment of an internal candidate like Mr. Silvia, who has extensive knowledge of all facets of our hospital and healthcare system—including our caring and dedicated staff—will serve to ensure a smooth and seamless transition of our executive leadership team.”

Silvia said he was looking forward to his new position.
“It is an honor and a privilege to have been selected as president and CEO of The Hospital of Central Connecticut,” Silvia said. “Our hospital has incredibly talented staff and physicians; strong levels of support from dedicated volunteers and donors; and a commitment to meet the healthcare needs of our community that has not diminished in more than a century. I look forward to continuing those traditions far into the future as we further our commitment to provide sophisticated, compassionate healthcare services to the residents of Central Connecticut.”

Silvia replaces Laurence A. Tanner, the organization’s leader since 1987. Tanner is stepping down as president and CEO of the hospital in preparation for retirement. Tanner, however, remains the chief executive of the Central Connecticut Health Alliance through June 2010 to assist with the regulatory phase of the proposed affiliation of CCHA with the Hartford HealthCare Corporation, the parent organization of Hartford Hospital. On July 1, 2010, Silvia will become CEO of CCHA, where he has also been named president.
Silvia and his wife Joan live in Manchester with their three children.

FACT SHEET

About Clarence Silvia
• Experience: More than 30 years experience in hospital administration and management including:
o President and CEO, The Hospital of Central Connecticut – March 2010
o Chief operating officer, The Hospital of Central Connecticut – 1995-2010
o Senior vice president of operations, Central Connecticut Health Alliance – 1995-2010
o President and chief executive officer (1993-2006); executive vice president (1986-1993) – Bradley Memorial Hospital And Health Center
o Vice president of professional services, Manchester Memorial Hospital, Manchester, CT, 1983-1986
• Education: M.B.A. in health systems; B.S. in chemistry, University of Connecticut,

About The Hospital of Central Connecticut (www.thocc.org):
• Formed in 2006 with the merger of the former New Britain General Hospital and Bradley Memorial Hospital (Southington)
• 414 beds, 32 bassinets (New Britain General campus, 330 beds and 32 bassinets; Bradley Memorial campus, 84 beds)
• Nearly 3,000 employees and 500 physicians
• Licensed by the State of Connecticut; accredited by The Joint Commission and other healthcare organizations (more)
• Affiliated with the University of Connecticut School of Medicine and other universities
• Provides inpatient and outpatient services in general medicine and surgery and various specialties
• Fiscal year 2009 stats: 20,040 admissions; 103,056 Emergency Department visits

About the Central Connecticut Health Alliance (www.thocc.org/alliance):
• Group of affiliated healthcare organizations throughout Central Connecticut that provide a wide array of services.
• Members:
o Hospital of Central Connecticut
o Visiting Nurse Association of Central Connecticut
o Central Connecticut Senior Care Services – Jerome Home, Arbor Rose Assisted Living, New Britain; Southington Care Center; Mulberry Gardens of Southington; The Orchards at Southington
o Connecticut Center for Healthy Aging
o Open MRI of Southington
o Community Mental Health Affiliates
o Alliance Occupational Health
o Central Connecticut Physical Medicine
o CenConn Services Inc.

Published on March 05, 2010

Free lectures scheduled on colon health, genetic testing, osteoporosis and nutrition

3/4/2010 12:00:00 AM
The Hospital of Central Connecticut’s spring 2010 Health Wisdom Lecture Series starts March 24 and features free lectures on colon health, genetic counseling and testing, osteoporosis and nutrition.
All lectures are in the New Britain General campus cafeteria. Lectures begin at 6:30 p.m., with light refreshments at 6:15. Lectures are free, but reservations are required. For more information and to reserve a seat, call 1-888-224-4440. Upcoming lectures are:

Wed., March 24, “Keep your colon healthy”. Colorectal Surgeon Christine Bartus, M.D., will discuss cancer and other colon conditions and what you can do to keep your colon healthy.
Wednesday, April 21, “Delving into your DNA”. Genetic Counselor Linda Steinmark, B. A., M.S., will discuss how genetic testing can help people identify mutations in specific genes that can increase the risk of certain cancers and other conditions.

Wednesday, May 26, “What your skeleton isn’t telling you”. Latha Dulipsingh, M.D., medical director of the hospital’s Endocrine and Bone Health Center, will discuss osteoporosis, its causes and treatments, and what you can do to keep your skeleton strong.

Wednesday, June 16, “Five a day – the easy way”. Registered Dietitian May Harter will offer some simple, tasty tricks for getting more fruits and veggies into meals and snacks.

Published on March 04, 2010

Hospital hosts new monthly blood drive

3/3/2010 12:00:00 AM
The American Red Cross, in partnership with The Hospital of Central Connecticut, today announced a new regularly scheduled community blood drive to be held one Saturday each month at the hospital’s New Britain General campus.

The first community drive will be held during Red Cross Month Saturday, March 6, 8 a.m.-1:30 p.m. at the hospital's New Britain General campus, in Lecture Rooms 1 and 2.

“We are grateful for the commitment of The Hospital of Central Connecticut to provide a convenient opportunity and central location each month for eligible donors in New Britain and surrounding communities to donate blood,” said Paul Sullivan, chief executive officer, American Red Cross – Connecticut Blood Services Region. “We salute the hospital and all of our blood donors and sponsors during Red Cross Month, which is dedicated to honoring those who help fulfill the American Red Cross mission of helping to save lives every day.”

The announcement was celebrated at a blood drive scheduled for hospital employees March 1 kicking off Red Cross Month. Attending were the Honorable Timothy Stewart, New Britain mayor, who donated blood and encouraged others in the community to do the same. “I am pleased to roll up my sleeve and donate blood at The Hospital of Central Connecticut New Britain General campus. New Britain and surrounding communities are truly fortunate to have a leader in health care that continually looks for ways to improve services for the community such as these Saturday blood drives,” Stewart said. “I hope all eligible donors in the New Britain area will help patients across Connecticut by donating blood.”

Steven Hanks, M.D., the hospital's senior vice president of Medical Affairs, also donated blood. “Having regular blood drives at our New Britain General campus that are open to the community will further support the Red Cross’ aim of ensuring availability of blood and blood products throughout the state, including to The Hospital of Central Connecticut,” said Hanks, noting that The the hospital receives between 500 to 700 blood or blood products every month.

David Krugman, M.D., emeritus, of The Hospital of Central Connecticut, and Rosemary Wall, board of directors chair, American Red Cross – Connecticut Blood Services Region, also attended to celebrate the announcement.

For information on the new community blood drives in New Britain and to make an appointment to donate blood, please call 1-800-RED-CROSS or visit redcrossblood.org.

Published on March 03, 2010

Hospital of Central Connecticut Sleep Disorders Center to host lecture

3/3/2010 12:00:00 AM
The Hospital of Central Connecticut’s Sleep Disorders Center will host a free lecture, “Sleepless in Connecticut,” Thursday, April 8, 6:30-8 p.m., at the hospital’s New Britain General campus, 100 Grand St.

Psychotherapist Rae Tattenbaum, LCSW, director of Inner Act, West Hartford, will offer information and tips on learning to fall asleep and return to sleep. The lecture is free to the public. Please register by April 1 by calling the Sleep Disorders Center, (860) 224-5538.

Published on March 03, 2010

Hospital of Central Connecticut staff members heading to Haiti

3/2/2010 12:00:00 AM
Calling themselves Hearts for Haiti, a team of Hospital of Central Connecticut (HCC) staff members will head to Haiti Monday, March 8 to provide medical care over 10 days to victims of the devastating Jan. 12 earthquake that struck the country.

Led by primary care physician Anthony Ciardella, M.D., the 10-member team, which includes nine staff members, will return Friday, March 19. Ciardella is coordinating the trip through World Cares Center with support from ReadyResponders Network and Housing Works, Inc.

“I’m glad I’m doing it,” says Ciardella of the upcoming trip. “I saw what was happening on TV and I thought I had to help.” While he’s been on four medical missionary trips to Mexico, none were in response to a natural disaster.

Ciardella, who practices and resides in Southington, attracted employee interest through a hospital email asking for volunteers. Within days, he had about 60 applicants.

Once team needs and expectations were known, the team was finalized. Members from HCC also include a physician assistant, an advanced practice registered nurse, five R.N.s, and a nurse technician. An emergency medical technician, who is not an HCC employee, is also joining the team that includes his wife.

The team will divide to cover three camps, two at Port-au-Prince, the area hardest hit by the quake, and the other at Saint-Marc. They’ll replace teams from other countries who are working with Haitian physicians and nurses. Translators will be on site at all camps.

Varied individual and group donations, including from businesses and the community, are helping the team offset personal expenses for the trip and with medical supplies acquisition. Donors toward trip expenses include The Hospital of Central Connecticut and its Medical Staff; as well as HCC Lab employees from the New Britain General campus who made personal donations totaling $650. The hospital’s Bradley Memorial campus has contributed supplies.

Deborah Ferretti, A.P.R.N., of Beacon Falls, who specializes in both wound and palliative care at the New Britain General campus, expects to see many patients with wounds and injuries that require ongoing medical care. “When this opportunity presented, in light of the profound need, and with my background in wound care, I felt this was someplace I could be helpful.”

While the team will be roughing it, sleeping in tents and supplying their own food, Ferretti, a Girl Scout leader and outdoor enthusiast, is up to the challenge. “We only have to put up with it for two weeks,” she says. “These folks have been living that way. If they can live like that for their whole life, I can manage it for two weeks.”

Published on March 02, 2010

HCC Bradley Memorial campus hosting March 11 Special Procedures Unit open house

3/1/2010 12:00:00 AM
The Hospital of Central Connecticut’s Bradley Memorial campus will host a Thursday, March 11 open house for the public to tour its renovated Special Procedures Unit, which offers several same-day medical and gastrointestinal procedures.

The 3 to 5 p.m. event at 81 Meriden Ave., Southington will include refreshments.

The first floor unit’s renovation provides increased space and gives a completely fresh, new look to the expanded unit, which now includes a third procedure room and third recovery area. With the renovation, patients have more scheduling options for procedures and treatment.

“The renovated unit offers our patients and their families increased scheduling flexibility and comfort; they’re very pleased with their care in our new surroundings,” says Celeste Armstrong, R.N., CNOR, clinical manager of perioperative services.

Among procedures offered on the unit are gastrointestinal, including endoscopy, colonoscopy, and Bravo acid reflux testing; as well as same-day medical services, including medication injection and IV administration, IV catheter maintenance, therapeutic phlebotomy; and bronchoscopy and minor surgical procedures.

For more information, please call Special Procedures at 860-276-5180.

Published on March 01, 2010

Hospital emergency room wait times now an iPhone™ app

2/22/2010 12:00:00 AM
Want to know how long you’ll wait in the emergency room? There’s an app for that. The Hospital of Central Connecticut (HCC) has just launched a free iPhone™ application that posts waiting times for emergency rooms at its New Britain and Southington campuses. Wait times are also available on the hospital’s Web site.

The app also shows maps and directions to HCC’s New Britain General and Bradley Memorial campuses and emergency room phone numbers. The hospital’s Web site, www.thocc.org, is also available.

“This new mobile application will let incoming patients know that if one campus is busy that they can receive the same level of care at the other campus, which may not be as busy,” says Robert G. Flade, R.N., M.S., director, Emergency Department (ED). Wait time listings are updated every five minutes.

“If you have an emergency that may be life-threatening, you should always call 911 and be transported by an ambulance,” says HCC Department of Medicine physician assistant Jeremy Allen, who led HCC’s app development team. “But, if you cut yourself and need stitches, you find yourself with a choice: Which hospital do I want to use? And that’s when you pull out this app. Right there in the palm of your hand is the actual wait time of two local emergency rooms.”

In November, the hospital debuted listing of emergency room wait times for both campuses on its Web site and on a flat screen in the New Britain General campus emergency room lobby. The electronic lobby display also includes a rotating series of short messages with important information for patients.

The hospital’s Emergency Department is one of the busiest in the state, with more than 100,000 visits in fiscal year 2009 for the New Britain General and Bradley Memorial campuses combined. Despite this volume, HCC’s ED has some of the shortest wait times in the country, with 90 to 95 percent of patients seen by a physician or physician assistant within 60 minutes.

The team that coordinated app development also included the ED’s information system provider, EmpowER Systems; Affiliated Computer Services, Inc.; and iPathy Software.

Published on February 22, 2010

Hospital helps trim childhood obesity with nutrition & dance classes

2/18/2010 12:00:00 AM
Zumba dance moves partnered with nutrition tips are a great duo toward good health for several New Britain families participating in a community-based program that inherently backs the new “Let’s Move” campaign begun by first lady Michelle Obama to help stop the childhood obesity epidemic.

On Feb. 2, The Hospital of Central Connecticut and Human Resources Agency of New Britain, Inc. (HRA) Head Start began an eight-week program of nutrition and dance classes aimed at encouraging healthy diet and exercise habits for children who are obese or at risk of becoming obese, and their families. Classes are at the New Britain Head Start main site, 180 Clinton St.

During the Tuesday afternoon nutrition class, HCC registered dietitian Kari King teaches parents and grandparents, through a Spanish interpreter, about fats, healthy dining out, the food guide pyramid, food groups, and portion control. Then, about 40 kids, parents and grandparents enjoy the Zumba dance class that follows under the lead of Loreen E. Gawel, a certified Zumba instructor and coordinator of HCC’s New Britain Asthma Initiative.

This session of classes follows two held last year by HCC, Head Start and YMCA of New Britain-Berlin. The classes evolved from HRA’s Head Start Nutrition Subcommittee and are funded by HCC’s New Britain Asthma Initiative. Head Start, a federally funded preschool program for low-income families, identified program children, ages 3 to 5, who are obese or at risk of becoming obese and invited parents to the classes, also open to other parents who express interest.

Gawel, a Nutritional Subcommittee member, says the classes are a good way to introduce good nutrition and exercise at an early age. “We just wanted to make an impact early in their life before their weight got out of control. For children whose weight was excessive, we wanted to show parents that they could make a difference, that it’s not too late.”

Elena Trueworthy, Head Start special services senior manager, says while many Head Start programs offer general nutrition education and awareness for adults, this combined community program links nutrition with exercise for the whole family.

It also aligns with aspects of the Let’s Move campaign, a four-part initiative aimed at tackling childhood obesity through measures that, according to the campaign’s Web site, include providing help parents need regarding healthy choices, and offering more ways to get children to be physically active. The hospital has joined Partnership for a Healthier America, a foundation that will join public and private organizations in combating childhood obesity; Obama is honorary chair.

Published on February 18, 2010

The Emergency Department - Prepared for the unexpected

2/18/2010 12:00:00 AM
Ann is a mystery. Her family called paramedics after Ann (not her real name) appeared to faint at home. In the
ambulance, the elderly woman complained of abdominal pain.
As soon as Ann arrives in the Hospital of Central Connecticut
(HCC) Emergency Department, Marilyn Robidoux, R.N., B.S.N.,
begins working to solve the mystery. “Hi, Ann. Do you know
where you are? You’re at the hospital,” Robidoux says. “Does
anything hurt? Are you nauseous?” Ann mumbles unintelligibly. Robidoux takes her vital signs and connects her to a monitor. It’s Robidoux’s second patient
since she started at 7 a.m. at the hospital’s New Britain General campus. The first had back pain, was examined and sent home with Motrin. Throughout Robidoux’s 12-hour shift, many patients will come and go within an hour or two.
Others, like Ann, will be here awhile. Emergency physician
Michelle McDade, M.D., has given Ann a preliminary
exam, but fainting can have many causes and tests are needed. Nursing Technician Al Glass draws some of Ann’s blood, and a chest X-ray and CT scans of her abdomen and head are ordered. Robidoux enjoys this detective work.
“I love finding out what’s wrong with people and fixing
it,” she says.

No time to wait

By 7:45 a.m. the 45-bed New Britain General campus ED is
about half-full, but that won’t last. Eight patients have arrived in the past 11 minutes. Still, Robidoux says, it’s
somewhat ... less active than usual. “We never say the words
‘quiet’ or ‘slow,’” she warns. “It jinxes us.” This morning is an anomaly. Lately the hospital’s New Britain General and Bradley Memorial campus EDs have seen record numbers. One Monday in November, the New Britain ED treated 362 patients; normally it treats 245 on average daily. Though not all are coming with flu-like symptoms, H1N1 influenza is partly to blame. But even before H1N1 hit, the HCC Emergency Department was one of the busiest in the
state, with more than 100,000 visits in fiscal year 2009 for
both campuses combined. Despite this volume, the ED
has some of the shortest wait times nationwide. Average time from arrival to treatment room at New Britain General is less than 15 minutes; less than six minutes at Bradley Memorial. Ninety to 95 percent of patients are seen by a physician or physician assistant within 60 minutes.
“Those kinds of wait times are virtually unheard of in this
field,” says Jeffrey Finkelstein, M.D., HCC’s chief of Emergency
Medicine. Monitors in each campus ED lobby display wait times, which are updated every three minutes. Wait times are also available on HCC’s Web site, www.thocc.org, and via an iPhone app. One reason for shorter wait times is a $6.5 million expansion and renovation at the New
Britain General campus that added 10,000 square feet and 11 beds. The project, completed in 2008, also created private rooms (vs. beds separated by curtains), updated equipment and included other improvements. The Bradley Memorial campus ED was also recently renovated and
a new Fast Track area opened to treat less-urgent illnesses or conditions. New Britain General also has a Fast Track.
But the main reason for shorter wait times is a comprehensive effort to improve customer service that began six years ago. That effort has included staff education in efficiency and customer service and better patient tracking to ensure people are seen as quickly as possible. The ED also
implemented a comprehensive information system that continuously monitors capacity and waits; improves safety; offers real-time decision support; and makes it easier for clinicians to document and review vast amounts of data.
“We’re dedicated to providing outstanding care with outstanding service,” Finkelstein says. “There are very few places that do what we do, 24/7.” Patients have noticed.
“This was excellent,” says John Taylor of Bloomfield,
who’s being discharged after McDade splinted his broken
wrist. “I think I had to wait maybe five minutes to see
the doctor this morning.” McDade diagnosed Taylor’s
wrist break just a short time earlier, after checking an X-ray
sent electronically to the ED from Radiology. Virtually all
information that used to be hand-written or printed out is
now handled electronically in the ED, and technology has
played an important role in enhancing care and service.
In 2005, the ED launched EmpowER, a comprehensive
information system that makes patients’ medical histories, test results, treatment details and other data instantly accessible to ED care providers. Data can also be securely shared between both campuses and automatically
sent to patients’ primary care physicians and other healthcare providers when required. ED staff document everything in EmpowER — observations, tests ordered, treatments provided and anything else germane
to a patient’s care. “In the ED, we walk like crazy and we document like crazy,” McDade says. They also multi-task like
crazy. During a nine-hour shift, McDade will treat an
average of 21 patients, though on a recent busy day, she saw 34. This morning, in the space of 10 minutes, she ricochets between Ann, a patient with an eye injury, another with suspected heart trouble, another with wrist pain and a volatile patient with symptoms of paranoia. “In this field, the ability to multi-task is as important as your medical knowledge,” McDade says.

A dangerous clue

Robidoux is on the computer when Ann’s heart rate plummets
from the upper 50s to 24 beats per minute. Her bedside monitor wails. Glass, the nursing technician, appears out of nowhere and in one fluid motion, he and Robidoux rush a red cart of emergency supplies to Ann’s room. Robidoux grabs some “pacer pads” and places them on Ann’s chest. The pads are connected to a device that allows Robodioux to stimulate Ann’s heart and get it pumping faster. It works.
The episode is a dangerous but important clue to Ann’s illness. McDade suspects sick sinus syndrome, the term for a group of heart-rhythm disorders. A cardiologist is called to examine Ann and talk with her family about further tests and treatment options.

Telling not quite right from wrong

Richard Steinmark, M.D., has his own mystery patient. A man
was brought to the ED at HCC’s Bradley Memorial campus in
Southington late this morning because he “didn’t look quite
right.” Indeed, the patient is not quite right: His blood pressure, blood sugar and heart rate are low, and he’s confused. Steinmark is awaiting more test results, but acknowledges that in patients with multiple health issues it can be hard to pin down a main cause for their symptoms.
“Most of the time if people come in with an acute problem
it’s because of something that happened that day,” Steinmark says. “But there are times when we don’t know exactly what’s wrong and all we can do is rule out anything life-threatening. It can be frustrating, because I like being able to fix things and help people.” For now, the patient will
receive oxygen and fluids, have multiple tests and constant
monitoring. As he awaits admission to the hospital’s Intensive Care Unit, Bradley’s 10-bed ED begins
filling up. Though smaller than New Britain General, it’s also
busy — with 18,000 visits in fiscal year 2009. Adam Scheck accounts for two of those visits. A couple months ago he was chopping wood and a finger got in the way. He came to
the ED this morning after falling down some stairs outside
his house. “Fortunately, my neighbor was outside,” Scheck says. “He said, ‘Man! I heard your head hit!’” Physician Assistant Jennifer McDonnell checks an X-ray of Scheck’s shoulder and a CT scan of his head. Nothing is broken or
seriously injured, so he can go home with pain medication.
As he’s leaving, Jonathan Leveille arrives with abdominal
pain. Initially, his complaint seems minor, so he’s escorted to
the Fast Track area. But after an exam, McDonnell decides to move him to the main ED and orders an abdominal ultrasound and blood tests. “That’s the advantage of Fast
Track,” says Rene Hipona, M.D., assistant chief of Emergency
Medicine at the Bradley Memorial campus. “Patients
requiring less urgent care can receive it quickly and go home,
but if we think a patient needs more tests and closer examination we can bring them to the main ED.”
Another patient also has abdominal pain. Steinmark diagnoses an infection and gives her antibiotics, but recommends she be admitted to the hospital because of an elevated heart rate and history of heart trouble. There are other concerns. Mary Ann Pinkerton, R.N., learns the patient hasn’t been eating or drinking at home. Because she lives alone, Pinkerton will ask a hospital social worker to work with the woman and her family and determine if she needs assistance at home. In the relatively short time they spend with their patients, ED staff might get only a brief glimpse into their lives. But the details in these snapshots are
important. “We have to look at the physical issues, the psychosocial issues, the family dynamics — all the different
aspects of our patients’ lives,” Pinkerton says.

We never say no

Robidioux is worried about her patient in room 32. He’s a frequent ED patient — 28 visits in 2009 — and has a history of alcoholism and substance abuse. Still, he seems more out-of-it than Robidoux has seen him in the past. “We get to know these people and we know when they’re off,”
she says. Patients with substance abuse problems are common in the ED; some come in more than once a day. Often, all ED staff can do is run tests to see if other medical
issues are causing their symptoms. If there are no serious
problems, staff must wait until patients sober up enough to be discharged. Hospital staff will recommend treatment programs, but it’s up to the patient to follow through. The ED also treats many patients with psychiatric illness, usually in the ED Observation — “Obs” — Area. McDade’s frenetic pace has temporarily slowed as she and another nurse sit and talk quietly with a patient in Obs who was recently diagnosed with a serious illness and is suicidal. The patient will be admitted to the hospital’s psychiatric unit. Another of McDade’s patients will also be admitted, to a medical
unit. When she came to the ED the woman didn’t know the
discomfort she was experiencing was actually a mild heart attack. She was reluctant to come to the hospital because she has no health insurance. She’s far from alone. Nationwide, emergency department use has skyrocketed
in recent years as people without insurance seek care. Unlike McDade’s patient, many are not true emergencies,
but have nowhere else to go. “People know they can come to
the ED,” says Sean Raimo, R.N., a Bradley ED nurse. “If someone needs help, we never say no.” This creates a conundrum for those in emergency medicine, because their
mission is to care for anyone, regardless of the person’s ability to pay. Yet that care is far from free. With daily New Britain ED staffing at around seven physicians, 16 nurses,
five nursing technicians and other staff, along with equipment, utilities and supplies costs, “it probably costs
us $10,000 an hour to stay open,” Finkelstein says.

Only the best

Some of the ED staff wear T-shirts that say: “Emergency Department staff … Prepared for the unexpected.”
It sounds like an oxymoron, but here, it isn’t. The best people in emergency medicine have the skills and
expertise to treat just about anything, the instincts to know when something’s not as it seems and the mental
and physical reflexes to act in a nanosecond. “We hire only the best staff, the right people,” says Robert Flade, R.N.,
M.S., HCC’s director of emergency nursing. “They know they make a positive difference in their patients’ lives.”
That’s why Glass left a job with the U.S. Postal Service to become a nursing technician nine years ago. “My brother, Dave, was killed by a drunk driver in 1998,” says Glass.
“After that I felt like I wanted to do something to help others. I do this for my brother, and I get a lot of satisfaction
from my work.” Robidoux joined the ED nine years ago, and wouldn’t work anywhere else.
“You see so many different patients, and things change constantly,” she says. “It can be exhausting, but I love coming to work every day.”

Published on February 18, 2010

Advanced technology, accuracy and speed define radiology

2/18/2010 12:00:00 AM
A tractor-trailer truck driver for 18 years, Carey “Tim” Mason of New Britain loves the sense of freedom that comes with his job. “I’m out there making decisions on my own.” One of the biggest decisions he made probably saved his life. Early last spring, Mason, 48, noticed a quick-growing mass on his neck. Tiring more easily along routes, he sensed the growth was something that needed to be checked — and soon. “I knew something was wrong and it was time to make that call,” Mason says. He was referred to Hospital of Central Connecticut (HCC) otolaryngologist George Melnik, M.D., who diagnosed Mason’s head and neck cancer through a needle biopsy. A CT (computerized axial tomography) scan at HCC soon followed. In just minutes, the test was done and the radiologist’s report quickly available via a secure Internet connection to Melnik’s office. The 16-slice scanner at the Bradley Memorial campus captured detailed, 3-D digital X-ray views of his cancer. The images also helped Melnik devise Mason’s treatment plan. Whether it’s a CT scan, PET-CT, or X-ray, The Hospital of Central Connecticut uses advanced imaging technology and software that provide incredible views of tumors, bones, soft tissues and blood vessels within minutes. New technology also brings faster tests, easier access to results and tools that help doctors read those images.

Images now digitized

Just a few years ago, if you had a doctor’s appointment following an X-ray at HCC, you would bring a hard copy of the image with you. “We’re no longer involved in the film chase,” says Ted Lombardo, director of Radiology at HCC, explaining the hospital’s imaging tests are now digitized — immediately transferred to computer where they’re read by a radiologist. This picture archive and communications system also makes images available via the Internet to an operating room, for example, or a doctor’s office. Computerized technology sharply enhances images while reducing test time for patients and decreasing radiation exposure as much as possible, says Sidney Ulreich, M.D., HCC chief of Radiology. Patient advantages include quicker tests and results, including at HCC’s busy Emergency Department (ED). “When we need a CT scan done emergently, we can get it done within minutes,” says Jeffrey Finkelstein, M.D., chief of Emergency Medicine, adding that a radiologist can interpret findings within five minutes. Finkelstein says 60 percent of X-ray tests are done within 30 minutes and most within 60 minutes. The New Britain General campus ED has two X-ray rooms, a portable X-ray unit, a 32-slice-CT scanner and an ultrasound unit. ED radiology services are among those offered at the hospital and satellite facilities:

Ultrasound: which uses waves to obtain precise images of soft tissues (e.g., blood vessels, breast, abdomen, kidney, uterus, bladder).

CT-scan: a computer-enhanced X-ray that displays a particular body structure, either bone or soft tissue, in 3-D images (slices). Can be used to diagnose cancer, coronary artery disease and other conditions.

64-slice PET (positron emission tomography)-CT: allows separate or combined CT and PET scans. PET detects chemical (metabolic) activities in the body that can show heart, brain and nervous system conditions, and cancer. Other nuclear medicine tests, which use radioactive materials or isotopes, are bone, lung and thyroid scans; cardiac imaging; and cancer therapies.

MRI (magnetic resonance imaging):
a powerful magnetic field and radio waves produce clear images of body structures. MRI emits no radiation and is used for neurological, orthopedic and breast cancer studies.

Digital mammography: a breast X-ray especially valuable in penetrating
dense tissue.

‘Virtual fly-throughs’ with test
Not one for needles and tests, Mason says his CT scan was “pretty quick.” “They were very professional and did it very well,” he says, recalling getting a contrast dye before the test that provided 3-D digital X-ray views of his head and neck. Before Melnik surgically removed the cancer in June, Mason also got a PET-CT scan to determine cancer extent. A sugar-like substance was injected before the scan to highlight areas of unusual activity, characteristic of cancer. The scanner converted that energy into computerized images that appeared on powerful work stations, enabling views of the cancer from top to bottom in sequence “slices” or “stacks.” These slices can be reconstructed to enable measurements, create 3-D images and allow physicians to do “virtual fly-throughs” into the slices. The PET-CT’s 3-D images quickly provide more information to work with, says Ulreich. “We can manipu- late data in such a way as to maximize the information for increasing accuracy and specificity.” Mason was impressed with the technology. “To be able to scan and look at your whole body in the way these technicians do … I think that’s great. You have all this technology that can see the soft tissue.” For Mason, the PET-CT scan showed his cancer hadn’t spread. “The value of the PET-CT was highlighted by the fact that we were able to rule out distant metastatic disease, changing Mr. Mason’s status to potentially fully curable,” says Melnik. In June, he removed cancer from Mason’s neck and the primary tumor in both tonsils. His care plan continued under HCC medical oncologist Brian Byrne, M.D., with six weeks of concurrent radiation and chemotherapy at the New Britain General campus. Currently cancer-free, Mason says he wouldn’t have opted for treatment at any other hospital. “They were very good. I trusted them. I put my life in their hands. I would say to anybody, when you’re making a decision, look to home first.”

Delivering the best care
U.S. Postal Service carrier Dora Gionfriddo enjoys the picturesque, rural surroundings of her mail route, sometimes chatting with customers. Her job has a certain amount of
routine, as does keeping up with her healthcare appointments, including annual mammograms. But she hit a bump in the road this past summer when her primary care doctor delivered a breast cancer diagnosis. Gionfriddo, 48, remembers sitting in her surgeon’s office before her lumpectomy. “I was blank. I didn’t hear a thing he said. All I could think was the word ‘cancer.’ It’s scary, the word.” The New Britain resident’s journey began with a screening mammogram last July at HCC’s Diagnostic Breast Center in New Britain. Like all of HCC’s mammography X-ray units, her exam was digital, offering advanced viewing with zoom technology to better detect abnormalities and emitting less radiation than a traditional unit. Each unit also has computer-aided detection (CAD) to help pinpoint areas of concern. “The digital mammogram is a huge advantage that has made a big difference,” says HCC radiologist Anita Bourque, M.D., noting its value for patients with dense breasts. Gionfriddo wasn’t alarmed when called for another mammogram, noting no family history of the disease; only 5 to 10 percent of such cancers are considered hereditary, according to the American Cancer Society. Because her second study confirmed very small tissue calcifications, she needed a stereotactic biopsy. Other breast biopsies offered at HCC are ultrasound core biopsy, and MRI-guided biopsy. Before biopsy, women with questionable mammograms may have an ultrasound to further image breast tissue; or breast-specific gamma imaging, which can distinguish non-cancerous or benign tissue from cancer and locate small lesions. During her biopsy, X-ray visualization was used to guide a needle into her breast, and tissue samples were taken. When her biopsy proved positive for early-stage cancer in the left breast, she had an MRI of both breasts to check for cancer elsewhere. Shortly after her diagnosis and before surgery, Gionfriddo got a call from Donna Boehm, R.N., M.S.N., M.P.H., nurse navigator for HCC’s new breast cancer program, which helps patients navigate through treatment. The program includes weekly reviews of newly diagnosed breast cases by a team of HCC physicians who make a collective treatment recommendation to the patient’s surgeon. “Instead of getting a second opinion, you’re getting a fourth and fifth opinion,” notes Lombardo. Boehm explained the diagnosis and treatment plan to Gionfriddo. “My brain was now focused on what I had to do and what was going to be my outlook for the rest of my life,” she says. Following surgery, Gionfriddo had radiation therapy at HCC; her treatment plan includes routine mammograms and clinical breast exams. She’s thankful for the new technology at HCC, noting her cancer was caught early. “It reassures me that they will take care of me.” (For more information about
radiology services, please visit www.thocc.org/services/radiology/.)

Interventional radiology: treatment without surgery
Instead of a hysterectomy, a woman with painful fibroid tumors can have the blood flow feeding the tumors halted or embolized, relieving symptoms. A patient with a small kidney tumor might opt for freezing vs. surgical removal. These are among several interventional radiology procedures, many of them outpatient, offered by The Hospital of Central Connecticut (HCC). This radiology subspecialty combines advanced imaging with minimally invasive procedures to diagnose and treat varied conditions. “We can provide treatment for certain diseases that would otherwise require surgery,” says Kevin W. Dickey, M.D., FSIR, the hospital’s chief of Interventional Radiology. An interventional radiology procedure typically means a quicker and less painful recovery, decreased complication risk, and less bleeding than surgery, according to Dickey. Among interventional radiology procedures offered at HCC are:

• Angioplasty. Opens a blocked artery by delivering, through a catheter, a balloon which inflates; a wire mesh device (stent) may be inserted to keep the artery open.

• Biopsies. CT scans and ultrasound guide a needle into a mass toobtain a tissue sample.

• Chemoembolization for cancer treatment. Chemotherapy drugs are injected into an artery that supplies a tumor with blood.

• Cryoablation for small kidney tumors. Destroys cancer cells by freezing them while not affecting surrounding tissue.

• Radiofrequency ablation. Kills diseased tissue while sparing healthy surrounding tissue. Tumors treated include liver, kidney, lung, adrenal gland and bone.

• Uterine fibroid embolization. Particles of a gel-like plastic are injected through a catheter to block blood flow to fibroids, shrinking benign fibroid tumors that grow in and out of the uterus.

• Varicose vein treatment. Laser treatment, using ultrasound guidance, closes varicose veins, relieving leg fatigue, aching and itching.

• Vertebroplasty to treat spinal compression fractures. Cements fractures, often caused by osteoporosis.

Published on February 18, 2010

Choosing genetic counseling and testing

2/18/2010 12:00:00 AM
Michelle LeBrun-Griffin, 39, doesn’t have cancer, but the disease flourishes on her family tree. There’s cervical cancer, ovarian cancer, breast cancer, and the latest, the peritoneal cancer her mom has. “I have a friend whose mom was also diagnosed with cancer 15 years ago and I can remember us kidding each other: We’ve got the mark. We have the tag,” recalls LeBrun-Griffin, of Southington. It’s late morning and she’s seated near her mother, Pat LeBrun, 63, who’s here for another round of “maintenance” chemotherapy at The Hospital of Central Connecticut’s (HCC) George Bray Cancer Center. LeBrun, who’s wearing one of her two wigs — she’s named this one “Suzie” — is trying to put this cancer behind and move forward, again. But it’s hard. Her three aunts died of either cervical, ovarian or breast cancer and another relative who has breast cancer tested positive for a genetic mutation. Like mother like daughter? Both women want answers. So, after today’s chemo session, LeBrun will find out if she carries a genetic mutation that triggered this cancer of the abdominal lining and the ovarian cancer diagnosed at age 47. If Mom tests positive, then her daughter, a mother of three young children, will be tested to see if she carries the same genetic mutation. LeBrun, of Southington, was the first patient tested at HCC’s new Katherine Ann King Rudolph Hereditary Cancer Genetics Program, which opened early October. HCC launched the regional genetic counseling and testing program — which includes Hartford Hospital and St. Francis Hospital and Medical Center — aimed at identifying adult patients at risk of certain cancers triggered by gene mutation and empowering them to make decisions regarding possible treatment.

Waiting it out

“They want to know if they’re at increased risk for cancer,” says HCC genetic counselor Linda Steinmark, B.A., M.S., of patients who opt for genetic counseling and testing. “It may feel like they’ve been waiting for the other shoe to drop after a family member has been diagnosed with cancer. Receiving a result, either positive or negative, can reduce a lot of the anxiety of not knowing.” Up to 10 percent of breast and ovarian cancers are caused by an inherited gene mutation, according to HCC gynecologic oncologist James
Hoffman, M.D. For example, a BRCA 1 or 2 gene mutation increases breast cancer risk from 12 percent for the general population to 50 to 80 percent in females; likewise, ovarian cancer risk jumps from 1.4 percent to 15 to 44 percent, Steinmark says. Knowing LeBrun’s family medical history, Hoffman asked LeBrun to consider genetic counseling. “He saw there was definitely quite a link and this was not knowing what my father’s side had,” LeBrun says. HCC offers genetic testing for defects in genes involved in hereditary breast and ovarian cancer, hereditary nonpolyposis colorectal cancer, and familial adenomatous polyposis, which also leads to colorectal cancer. “I’m kind of resigned to the fact, more chances than not, it will be positive,” says LeBrun, who says if it is, she’ll likely opt for increased cancer screenings vs. surgery. While her daughter isn’t prepared for preventive surgery if she has a mutation, LeBrun-Griffin feels testing is important for her children’s sake. “I think I owe that to all three of them, not just my daughter,” she says, noting her obstetrician-gynecologist recommended testing. A relatively new field of medicine, genetic testing is on the increase. “It was realized very early on that genetic information can have enormous impact on a person’s psychological well-being as well as on members of their family,” says Steinmark. “From research studies we have what a person’s lifetime risks are of developing specific cancers if they have a gene mutation.” Potential candidates for counseling and gene testing at HCC are patients with a history of two or more cancers — breast, ovarian or colon cancer at a young age, or a family history strong in certain cancers. The program will eventually cover additional genetic-based conditions. Physician referral is required for genetic testing but not for a consult. The program follows guidelines from the National Society of Genetic Counselors and the American Society of Clinical Oncology. Before testing, Steinmark counsels patients about their cancer risk based on a detailed portrait of the family’s health history. This means tracing the age of cancer diagnosis for parents, siblings, grandparents, great grandparents, aunts, uncles and cousins. She also discusses increased screening and treatment options, like risk-reducing surgery, and counsels patients to discuss these further with their physician when results are known. Patients typically take a DNA blood test. Results are usually received in about two weeks. “Because of the future health and psychological considerations, and the impact of this information for family members, it’s very important for a person to participate in genetic counseling prior to genetic testing,” says Steinmark, who supports patients in the decision-making and testing process. HCC’s genetics program, developed by Hoffman and HCC colorectal surgeon Christine Bartus, M.D., is funded largely through the Katherine A. and Bruce A. Rudolph Hereditary Cancer Genetics Fund, with a lead gift of $250,000 from Bruce Rudolph in memory of his wife, Katherine Rudolph. The fund, which includes a state grant and has a $1 million goal, will help provide access to genetic counseling for patients in central Connecticut and greater Hartford.

The making of a genetic mutation

In families with a cancer thread, genetic testing looks for a mutation of certain genes. Genes, imbedded within each cell’s nucleus, are part of the tightly packed DNA within each cell’s 23 pairs of chromosomes. The body has approximately 20,000 genes; some
contribute to traits like height and eye color; others contribute to various body functions. BRCA genes, for example, are involved in normal cell function. Every cell has two copies of each gene and it’s fairly common for cells to change and even mutate. If a mutation occurs in one of the two copies of a BRCA 1 or 2 gene, for example, the other gene copy still works. But if there’s a mutation in the second copy, the cell can become cancerous. A person with a gene mutation has a 50 percent chance of passing it down to each of his or her children. According to the National Cancer Institute, altered genes contribute to over 4,000 diseases. Hoffman stresses that with hereditary nonpolyposis colorectal cancer (HNPCC) or BRCA gene mutation, a patient inherits a higher cancer risk, not the cancer. “You inherit the genotype.” Many women with a BRCA gene mutation who have already had children opt for bilateral removal of fallopian tubes and both ovaries, says Hoffman, adding breast cancer risk is generally lower with earlier menopause.

Looking toward the future

A particularly rampant genetic condition, familial adenomatous polyposis (FAP) can present with up to thousands of colon or rectal polyps at a very young age. Without colon removal, FAP typically causes colorectal cancer before age 40, according to the American Cancer Society. FAP and HNPCC syndromes are the most frequent genetic-based colorectal cancers, with HNPCC more common, accounting for 5 to 8 percent of colorectal cancers, according to the American Society of Colorectal Surgery. HNPCC, which commonly presents as right-sided colon cancer, is associated with other cancers, including uterine, ovarian, stomach, liver, gallbladder, kidney, bladder and small intestine. Knowing a patient has HNPCC aids in monitoring for these other cancers. “Your risk of getting colon cancer is about 80 percent if you carry one of the HNPCC gene mutations and about 50 percent for endometrial (uterine) cancer,” says Bartus, adding incidence of HNPCC recognition in patients is increasing with discovery of more genes found to be associated with the syndrome and greater physician awareness. What started out as stomach pains for Agatha Soucier, 39, an HCC cardiac technician, led to a surprising colorectal cancer diagnosis in April. The New Britain resident, who has no family history of colorectal cancer, was shocked at the news. Her diagnosis followed a colonoscopy and led tosurgery by Bartus, who removed 12 inches of Soucier’s colon. In June, she began chemotherapy, which continued into early 2010. Having gotten cancer at a young age, Soucier, whose mother died of uterine cancer, opted for HNPCC genetic screening, following counseling with Steinmark. One of Soucier’s greatest concerns is how genetic testing might benefit her children. “As long as it helps out my kids, that’s the part now — to make sure they get screened properly,” she says. Soucier found out she was negative for HNPCC, and does not need further genetic testing. She feels a sense of relief but knows a genetic connection is still possible, considering her mother’s uterine cancer. “The kids still have to get tested earlier for prevention,” says Soucier. This means her three teens will need colonoscopy screening starting at age 28, 10 years earlier than the age at which her cancer was detected. “Whatever help is out there, you might as well take advantage of it,” Soucier says.

Moving forward

Opting for genetic testing requires a certain amount of courage. LeBrun is glad she did it. “The fear of the unknown is worse than the fear of knowing because you are always wondering,” she says. As she expected, LeBrun tested positive for BRCA 1. “I needed to have the information, especially for my children,” she says, adding she’ll discuss care options, including closer monitoring for breast cancer, with Hoffman. After hearing of his mother’s positive diagnosis, her son and LeBrun-Griffin’s brother, Gregory LeBrun, 37, of Bristol, also opted for genetic counseling and testing. He tested positive for BRCA 1, which means an increased risk of prostate cancer and a smaller risk for breast cancer. It also prompts the need for prostate cancer screening, namely at age 40; and breast exams, including self, clinical and possibly mammograms. The father of two children, LeBrun is concerned about what having a BRCA 1 mutation will mean for his daughter, Farah, 4, and son, Brody, 2. “They’ll be able to, once they’re adults, make the decision to have the test for themselves. Hopefully, it will be negative. But if not, at least they’ll be prepared for what they have to do as far as screening,” he says. His sister was tested for both BRCA 1 and 2, since cancer is also on her father’s side. She tested negative for BRCA 1 and weeks later learned that while she has a variation in BRCA 2, it’s not a mutation confirmed in the genetic field. “Part of me wants to jump for joy that I don’t have the mutation my Mom has,” says LeBrun-Griffin, “but I can only half jump because I could still have a different one that we don’t know about yet.” While she would have preferred closure, LeBrun-Griffin adds she’s not afraid or anxious, and anticipates more medical vigilance with her own preventive screenings. “We’ve come such a long way medically,” she says. “Instead of being a victim of cancer, we now have an opportunity to get ahead of it.”

Is genetic counseling for you?
Adults who had cancer at a young age or have had two or more cancers such as breast, ovarian or colon, or a family history of certain cancers, are eligible for genetic counseling and testing through the Katherine Ann King Rudolph Hereditary Cancer Genetics Program at The Hospital of Central Connecticut. Physician referral is required for genetic testing, not for a consult. Insurance usually covers testing for patients at risk of hereditary cancer. For more information, please call 860-224-5900 x6630.

Published on February 18, 2010

$250,000 gift helped start hospital genetic counseling, testing program

2/5/2010 12:00:00 AM
An educator for 35 years, Bruce Rudolph taught many subjects, including math, science, English, and probably a bit about life, to countless 5th, 6th and 7th graders in the Wallingford school system.

His wife, Katherine, also a long-time teacher, specialized in helping children with learning disabilities at Thomas Hooker Elementary School in Meriden. Altruistic in nature, Katherine liked doing things for people, Rudolph recalls, having coordinated school activities like Student Council and talent shows.
Her penchant for giving and their passion for teaching are weaved together in a gift to The Hospital of Central Connecticut (HCC) that will both educate and ideally help save lives from diseases like ovarian cancer, from which Katherine died in 2007 at age 54.

With a lead gift of $250,000 from Bruce Rudolph in 2008 in memory of his wife, the Katherine Ann King Rudolph Hereditary Cancer Genetics Program aims to identify adult patients at increased risk for cancer due to their genetic makeup, and empower them, through counseling, to make decisions regarding possible treatment.

Led by HCC, the program is part of a regional genetic counseling and testing program begun in October that includes Hartford Hospital and St. Francis Hospital and Medical Center. The fund, which includes a state grant and has a $1 million goal, will help provide access to genetic counseling for patients in central Connecticut and greater Hartford.

Patients with a history of two or more cancers breast, ovarian or colon, or a family history strong in certain cancers are potential candidates for counseling and gene (blood) testing.

“Information is empowering, it seems to me,” says Rudolph, who notes the importance in coupling counseling with genetic testing. “Counseling and genetic testing seem, absent a test for certain cancers, to be the best way to proceed in breaking the mystery of breast, ovarian or colon cancer.”

Rudolph views the lead gift as an extension of his wife’s personality. “She was a very purposeful person and much of what she spent her time doing had somebody else’s benefit in mind,” he says. “This program continues her willingness to help other people and will, hopefully, continue in perpetuity.”

This gift follows one by the Rudolphs in late 2006 when they established the James S. Hoffman, M.D., Gynecologic Oncology Fund to provide financial support for the Obstetrics and Gynecology – Gynecologic Oncology program not funded through the hospital’s annual operating budget. This may include funding for research, patient treatment programs, physician and staff education and patient education.

The first gift was made while Katherine was in treatment, following her August 2005 cancer diagnosis. Previously bothered by periodic bloating and other abdominal discomforts, she felt something hard in her abdomen during a trip to Florida, recalls Rudolph. After tests suggested ovarian cancer, Katherine’s gynecologist sent her to James Hoffman, M.D., director of the Division of Gynecologic Oncology at HCC’s George Bray Cancer Center. Ovarian cancer was confirmed after Hoffman surgically removed a tumor.

Rudolph recalls that Hoffman remained hopeful and encouraged Katherine, who had begun chemotherapy, to enroll in clinical treatment trials. Ultimately, she took part in four trials, experiencing periods of cancer remission with each trial.

Having recuperated from surgery, Katherine returned to work full-time in January 2006, assuming an administrative position at Thomas Hooker, where she remained, while in treatment, through May 2007.

“She was an extremely strong person and it really showed in what she went through,” says Rudolph. “We were here (HCC) many times,” including about five times on an emergency basis, he recalls. “There wasn’t a time we came here the hospital wasn’t completely prepared.”

Rudolph is grateful to Dr. Hoffman and HCC staff, including President and Chief Executive Officer Laurence A. Tanner for his wife’s care. “We are very grateful to Mr. Rudolph for his generosity and for his insight into the creation of a program which will help many families for a long time to come,” says Hoffman.
“The gift is going where I think Katherine would want it to go,” says Rudolph. “It’s Dr. Hoffman’s footprints that put the program together.”

For more information about the genetics program, please contact genetic counselor Linda Steinmark, B.A., M.S., at (860) 224-5900 x6630 or visit www.thocc.org/services/cancer. For information about donating to either the Katherine A. & Bruce A. Rudolph Hereditary Cancer Genetics Fund or the James S. Hoffman, M.D., Gynecologic Oncology Fund, please call the Development Office at 860-224-5567 or go online to www.thocc.org/giving/.

Published on February 05, 2010

Community forum scheduled on alliance between Central Connecticut Health Alliance and Hartford Healthcare

1/28/2010 12:00:00 AM
The public is invited to an open community forum to learn more about the proposed alliance between the Central Connecticut Health Alliance, parent company of The Hospital of Central Connecticut, and Hartford Healthcare, parent company of Hartford Hospital.

The event will be held Wednesday, Feb. 3 at 5 p.m. in the community room at the New Britain Human Resources Agency, 180 Clinton St., New Britain. Light refreshments will be served.
Elliot Joseph, president and CEO of Hartford Hospital and Hartford Healthcare, and Laurence A. Tanner, president and CEO of The Hospital of Central Connecticut and Central Connecticut Health Alliance, will make a presentation and answer audience questions.

Last August, both organizations announced plans to create a new business affiliation to strengthen programs and services to better serve their patients and communities. A certificate of need for the affiliation has been filed with the state Office of Healthcare Access and is under review.

Published on January 28, 2010

Health tips, screenings, children’s activities part of March 7 Healthy Family FunFest

1/27/2010 12:00:00 AM
Want to learn how you and your family can live healthy and happy? Come to the Healthy Family FunFest, Sunday, March 7, 11 a.m.-4 p.m. at the Aqua Turf Club in Southington. Admission is free.

Presented by The Hospital of Central Connecticut, Central Connecticut Senior Health Services and the Southington-Cheshire Community YMCAs, this fun-filled event will feature information and activities for people of all ages, including:
• Healthy cooking demonstrations
• Brain fitness
• Balance screenings
• Blood pressure, cholesterol, glucose and bone density checks
• Pet therapy demonstration
• Car safety seat information
• Amber Alert National Registration for children 17 and younger
• Tips and information from health experts on eating right, exercising and a host of other health topics
• Inspiring stories from local folks who have lost weight and regained their lives
• Kids’ area, with an obstacle course, virtual gym and other fun activities
• Much, much more!

You’ll also enjoy great food, raffles and an appearance by the New Britain Rock Cats mascot, Rocky the Rock Cat. And you’ll have an opportunity to help your neighbors in need by bringing a non-perishable food item for Southington’s Bread for Life.

“The Healthy Family FunFest has been designed to be a fun-filled, interactive day offering health-related information, screenings and activities for people of all ages, from young children to vibrant seniors,” said John Myers, executive director, Southington-Cheshire Community YMCAs. “This event is an opportunity to demonstrate our common commitment to enhance the health of our community.”

“The FunFest will be a wonderful opportunity to get practical tips and information from health experts on living a healthy lifestyle,” said Southington physician Craig Bogdanski, D.O. “I encourage people of all ages to join us for this fun and informative event.”

For information, visit www.healthyfamilyfunfest.com.

Published on January 27, 2010

Hospital and New Britain EMS team to speed heart attack treatment

1/27/2010 12:00:00 AM
A patient experiencing a heart attack was at The Hospital of Central Connecticut’s angioplasty suite for life-saving angioplasty treatment within just 16 minutes of arriving to The Hospital of Central Connecticut’s Emergency Department (ED), New Britain General campus, thanks to a new Web-based system used initially today by the hospital and New Britain Emergency Medical Services, Inc.

The Web-based LIFENET® System helps speed treatment of patients having a heart attack known as ST-elevation myocardial infarction (STEMI), as it sends an incoming patient’s electrocardiogram (EKG) reading to the hospital’s ED.

Once an Emergency Department physician confirms a STEMI from the LIFENET System’s EKG transmission – providing information about the heart’s rate, rhythm and electrical activity -- an angioplasty suite can be immediately set up. During angioplasty, a balloon is inserted into a coronary artery to improve blood flow to the heart. The new system’s use is expected to reduce angioplasty suite arrival time by about 30 minutes, according to Robert Flade, R.N., M.S., director, Emergency Department.

Jeffrey Finkelstein, M.D., HCC chief of Emergency Medicine, says the new LIFENET system is a “tremendous” asset. “If we can save time and get the process started before the patient even arrives in the ER, every minute we save is a better outcome for the patient.”

HCC interventional cardiologist Manny Katsetos, M.D., says, “This Web-based system elevates STEMI care to a whole new level that will ultimately save lives.”

With LIFENET, the hospital aims to reduce door to balloon (D2B) STEMI treatment time, already above the 50th percentile nationally and in 2009 reaching the top 10 percent for five months through September. American Heart Association (AHA) and American College of Cardiology guidelines recommend a D2B time of 90 minutes or less.

Bruce Baxter, CEO, New Britain Emergency Medical Services, Inc., says adopting the new system “is all about improving outcomes and it demonstrates the close, collaborative relationship that New Britain EMS has always had with the hospital.”

The New Britain General campus may also receive STEMI readings from other emergency medical services providers who may also have the LIFENET system.

According to the AHA, every year nearly 400,000 people have a STEMI heart attack and only about 25 percent of hospitals in the United States are prepared to treat STEMI patients using percutaneous coronary intervention, also known as angioplasty.

Published on January 27, 2010

Hospital of Central Connecticut offers prostate cancer support group

1/22/2010 12:00:00 AM
The Hospital of Central Connecticut is resuming its free, monthly support group for prostate cancer survivors and their significant others starting Feb. 24.

The group will meet the fourth Wednesday of each month, 6-7:30 p.m., at the hospital’s New Britain General campus, 100 Grand St. The Feb. 24 meeting will be in Dining Rooms B & C; all future meetings will be in Lecture Room 1.

The group will be facilitated by a nurse and will occasionally feature physicians and other guest speakers. A light supper will be served. Parking in the Quigley garage next to the hospital’s main entrance will be validated.

Pre-registration is requested, but not required. For information or to register, call Marcia Anderson, 860-224-5299.

Published on January 22, 2010

Hospital offers free workshop series for breast cancer survivors

1/22/2010 12:00:00 AM
The Hospital of Central Connecticut will offer a free, six-week workshop series for breast cancer survivors, “Cancer Transitions – Life after Treatment”, starting Feb. 10.

The series is designed to help survivors transition from active treatment to post-treatment care. Workshops will be led by physicians and staff with The Hospital of Central Connecticut breast program and are open to breast cancer survivors who have completed active treatment within the past two years (participants may be receiving adjuvant treatment such as Tamoxifen).

Workshops will be held 5:30-7:30 p.m., Lecture Room 1, New Britain General campus, 100 Grand St. To register, contact Donna Boehm, 860-224-5900, X6307, or dboehm@thocc.org.

Dates and topics:
2/10 - You are a Survivor- Now What?
2/24 - Emotional Health and Well-being: From Patient to Survivor
3/10 - Choosing Life and Movement - Exercising for Health
3/31 - Nutrition: The Benefits of Healthy Eating
4/14 - Complementary and Alternative Medicine: Information for Survivors
4/28 - Medical Management after Breast Cancer

Participation in all six workshops is highly recommended, but not required. Each session includes a healthy meal, and free parking in the Quigley Garage next to the hospital’s main entrance. A release to participate in physical activity must be signed by the participant’s physician before enrolling.
The program is funded by a grant from the Connecticut Breast Health Initiative.

Published on January 22, 2010

March of Dimes Donors Give “Loving Lambs” to babies in intensive care

1/19/2010 12:00:00 AM
When a baby is born prematurely, parents are thrown into a whole new world of unmet expectations, decisions, and language.

During recent fundraisers at Stanley Tools and throughout New Britain, March of Dimes volunteers asked friends and patrons to “adopt” a cuddly toy lamb, to ensure it would be delivered to a family whose baby is in the NICU (newborn intensive care unit) at the Hospital of Central Connecticut (HCC).

More than 20 lambs were delivered to HCC. Each lamb also includes a handwritten message from the donor, conveying support and sentiments of health for the newborn.

“Having a new baby is a time of great excitement,” said Marc Spencer, community director for the March of Dimes. “However, about one in 10 Connecticut newborns are admitted to a NICU because they are born too soon, too small or with a birth defect. As a parent who has experienced having a child in the NICU, I hope these little lambs give a source of comfort to the parents and families of these fragile newborns.”

“These generous gifts will bring a lot of comfort to the newborns in our NICU, and to their parents,” said Carolyn Rossi, R.N., clinical manager of the nurseries at The Hospital of Central Connecticut. “We are grateful that there are so many people who want to make a difference to make sure all babies have a healthy start.”

If you would like to participate in the “Loving Lambs” campaign, or would like more information, please contact the March of Dimes at (860) 812-0080.

Published on January 19, 2010

Hospital of Central Connecticut makes medical staff appointments

1/12/2010 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Gynecologic Oncology
Aaron Shafer, M.D., has joined the hospital’s medical staff. He earned his medical degree at the University of Pittsburgh School of Medicine. Shafer completed an obstetrics/gynecology residency at Women and Infants Hospital of Rhode Island, Providence, R.I.; and a gynecologic oncology fellowship at the University of North Carolina Hospital, Chapel Hill, N.C. He practices at 85 Seymour St., Suite 705 Hartford, 860-545-4341.

Hospitalist
Karim Namek, M.D., has joined the hospital’s medical staff. He earned his medical degree at St. George’s University School of Medicine, Grenada. Namek completed an internal medicine internship at Danbury Hospital; and a hepatology and liver transplantation fellowship at Columbia University College of Physicians and Surgeons, New York City. He practices at The Hospital of Central Connecticut and is director of its Hospitalist Program.

Maternal Fetal Medicine/Obstetrics & Gynecology
Yu Ming Victor Fang, M.D., has joined the hospital’s medical staff. He earned his medical degree at School of Medicine at Stony Brook University Medical Center, Stony Brook, N.Y. Fang completed an obstetrics/gynecology residency at Winthrop University Hospital, Mineola, N.Y.; and a maternal-fetal medicine fellowship at University of Connecticut Health Center. He practices at 85 Jefferson Street, Hartford, 860-545-2884.

Podiatry
Jennifer Decker, D.P.M., has joined the hospital’s medical staff. She earned her degree in podiatric medicine at Dr. William M. Scholl College of Podiatric Medicine at Rosalind Franklin University of Medicine and Science, North Chicago, Illinois. Decker completed a podiatric residency at St. Joseph Hospital as well as Thorek Memorial Hospital/Weil Foot and Ankle Institute, Chicago; and a reconstructive foot surgery fellowship at The Hospital of Central Connecticut. She practices at The Center for Reconstructive Foot Surgery, One Liberty Square, New Britain, 860-229-2807.

Pulmonary and Critical Care Medicine
Aly Hemdan Abdalla, M.D., has joined the hospital’s medical staff. He earned his medical degree at University of Cairo, Egypt. Hemdan Abdalla completed an internal medicine residency at Bridgeport Hospital; and a pulmonary and critical care medicine fellowship at Memorial Sloan-Kettering Cancer Center, New York City. He practices at Giosa & Brown Pulmonary Associates, 455 Lewis Avenue, Meriden; 203-238-9726.

Published on January 12, 2010

Hospital employees help feed the hungry

12/30/2009 12:00:00 AM
Hospital of Central Connecticut employees donated about 4,000 pounds of food and other items during a holiday food drive at the New Britain General campus and Bradley Memorial campus in Southington.

The 78 boxes of donated items were distributed among various local agencies, including Southington Community Services and seven major food pantries in New Britain: the Spanish Speaking Center, Salvation Army, New Britain Food and Resource Center, Saint Mary’s Church, Saint Mark’s Episcopal Church, New Beginnings Ministries, and Good Samaritan Church.

Published on December 30, 2009

Hospital auxiliary raises $115,000 for breast center

12/29/2009 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary recently donated $115,000 to the hospital to help fund a comprehensive breast center for patients with breast disease.

Auxiliary President Teri Polaske presented a check to hospital President and CEO Laurence A. Tanner at the hospital’s Dec. 16 corporators meeting. The money was raised through the Auxiliary’s Nov. 7 Chrysanthemum Ball, which also honored Tanner’s achievements during his career with the hospital and as president and CEO of the Central Connecticut Health Alliance, the hospital’s parent organization.

Published on December 29, 2009

Hospital of Central Connecticut elects board members, corporators

12/28/2009 12:00:00 AM
At The Hospital of Central Connecticut’s annual corporators Meeting Dec. 16, six people were elected to the hospital’s board of directors; two were elected directors emeriti; and 26 people were elected hospital corporators.

The Rev. Thomas A. Mills Jr. was elected a new hospital director. Mills has served as pastor of the McCullough Temple C.M.E. Church of New Britain since 2003. A graduate of Providence College, he is currently a graduate student at Hartford Seminary in the Master of Divinity Cooperative Program. He is an adult probation officer for the State of Connecticut.

Five directors were also re-elected at the meeting: Letterio Asciuto, M.D., Anthony Ciardella, M.D., Joseph R. Crispino, John S. Manning and William W. Weber. In addition, two directors emeriti were elected: Harry N. Mazadoorian and Laurence A. Tanner. Tanner will begin serving at the time of his retirement as hospital president and CEO, which is expected to occur at a time in early 2010 yet to be determined.

Also at the meeting, 26 area residents were elected Hospital of Central Connecticut corporators: James M. Blazar, Cynthia B. Cayer, Paul T. Czepiga, Pauline B. Davis, Jeffrey A. Flaks, Michael J. Foran, Carolyn Freiheit, Janice Glick, James M. Jones, Steve Kliger, Meg Leake, Sylvia Wilson Lucas, Nancy H. Macdonald, Tom Marcozzi, John McNamara, Stephen M. Morelli, Donald A. Naples, Mireille Niedzwiecki, Kevin J. O’Connor, Bruce A. Rudolph, Guy Simonian, Toni Starrs, Art Simonian Jr., Thomas Vaccarelli, Dorothy B. Weber, and John J. Yuskis Jr.

They join more than 800 dedicated corporators, including representatives from business, education, nonprofit and other organizations throughout Central Connecticut, as well as hospital staff members, physicians and volunteers. Among the corporators’ duties is electing board members.
At its Dec. 17 meeting, the hospital’s board of directors elected John S. Manning board president, John E. Dillaway vice chairman, and William W. Weber secretary.

Before his retirement, Manning worked for more than 40 years in the banking industry, serving up until 2004 as president and CEO of First City Bank. He has also been involved in numerous community activities, serving as a director of the hospital and its parent organization, the Central Connecticut Health Alliance (CCHA), and a trustee of the Jerome Home. Manning has also held leadership positions with numerous other local organizations.
Dillaway is president of Medical Specialty in Newington, a company he founded in 1997. In addition to serving on the board of the hospital and CCHA, he is a longtime member of the board of Visiting Nurse Association of Central Connecticut, Inc.

Weber is a partner in Weber and Carrier, a New Britain law firm. He has served as corporate and corporation counsel for numerous municipal and non-profit entities, construction contractors and small industrial businesses in Connecticut. He has also held leadership positions in many community organizations, including serving as chair of the New Britain General Hospital board of directors and Central Connecticut Health Alliance. He is a member and/or corporator of numerous other civic organizations. In addition, Weber is a member of the American Hospital Association Committee on Governance.

Published on December 28, 2009

Hospital Staff Member Receives Community Service Award

12/18/2009 12:00:00 AM
Rusty Kimball of New Britain, a Hospital of Central Connecticut employee, received the hospital’s Loretta Martinelli Community Service Award Dec. 16.

The award, presented at the hospital corporators’ meeting, is given annually to a dedicated employee who has made a notable contribution to the well-being of the community and displays compassion, integrity, and respect for others.

Kimball has been the hospital photographer for 29 years. In presenting the Martinelli Award, hospital board of directors Chairman Frank Miller noted that Kimball photographs a wide variety of hospital functions and activities and often works evenings, weekends and early mornings. He has “an accommodating attitude and a willingness to go the extra mile for all who request it,” Miller said.

Kimball is also dedicated to the community and some of its neediest children. For the past four years, he and his wife, Larayne, son, Garrett, and daughter, Tyler, have taken in 13 foster children, from newborns to teen-agers. Many come from difficult situations, and the Kimball family “opens their home and their hearts” to them, Miller said.

Kimball and his family work extra hard to help these children deal with the physical, social and emotional problems that can result from the children’s challenging situations.

“I’m surprised, but honored to receive the Loretta Martinelli award,” Kimball said. “I have to give the credit to my wife, Larayne, and my family for everything they do to help these children.”

The community service award Kimball received is named for Loretta Martinelli, a member of the New Britain General Hospital board of directors until her death in 1996. Martinelli was committed to community service and received numerous awards for her volunteer work.

Awardees receive $100, and the hospital donates $500 to the charity of the recipient’s choice. Kimball chose the hospital’s New Britain Asthma Initiative, which, in partnership with the New Britain Health Department, provides a free case management program for children with asthma and their families.

Published on December 18, 2009

Hospital of Central Connecticut physician’s article published in Dec. 16 JAMA

12/15/2009 12:00:00 AM
An article on healthcare cooperatives by Hospital of Central Connecticut Chief of Medicine Michael Grey, M.D., M.P.H., FACP, will appear in the Dec. 16 issue of the Journal of the American Medical Association (JAMA).

The commentary article, “Health Insurance Cooperatives: Lessons from the Great Depression,” traces the origins, implementation and successes of healthcare cooperatives, focusing primarily on federally sponsored initiatives during the Great Depression.

JAMA has included a number of articles over the past year relating to healthcare reform, says Grey, noting his differs by addressing an historical perspective on healthcare cooperatives, and advantages and disadvantages of the concept, introduced as part of the current agenda on healthcare reform by Sen. Kent Conrad of North Dakota.

“At is peak, the cooperatives begun by the Farm Security Administration (FSA) through the U.S. Department of Agriculture provided basic medical care to some 650,000 rural Americans in 39 states,” says Grey. “The agency also created statewide health insurance programs and healthcare clinics for migrant farm workers and experimented with different payment mechanisms as well, including capitation and salaried medical and nursing staff.”

This is Grey’s first article in JAMA. He is a recognized authority on the history of national health insurance reform in the U.S. and the arena of medicine and health care during the Great Depression and New Deal era. He has published widely in the areas of public health, medical education, and history of medicine, with a historical focus primarily on federally sponsored healthcare programs for disadvantaged (rural) communities.

In addition to New Deal Medicine, published in 1999 by John Hopkins University Press, Grey has published historical articles in the Annals of Internal Medicine, the Journal of the History of Medicine and Allied Sciences, and the Journal of the American Public Health Association. Funding for Grey’s historical research has included The Robert Wood Johnson Foundation Clinical Scholars and Generalist Physician Faculty Scholars Programs, and the National Endowment for the Humanities.

Grey earned his undergraduate degree at Harvard College, his M.D. at the University of Connecticut School of Medicine, and his M.P.H. at the University of Washington. He is a clinical professor of medicine, University of Connecticut School of Medicine.

Published on December 15, 2009

Hospital of Central Connecticut Emergency Department wait times now online

11/27/2009 12:00:00 AM
Emergency Department (ED) wait times for The Hospital of Central Connecticut’s New Britain General campus and Bradley Memorial campus in Southington are now available on the hospital Web site, www.thocc.org.

Wait times are automatically updated every five minutes on the hospital Web site and on a flat screen in the New Britain campus ED lobby. The electronic lobby display also includes a rotating series of short messages with important information for patients.

“No one likes to wait, especially if they are sick or injured,” said Jeff Finkelstein, M.D., the hospital’s chief of Emergency Medicine. “By displaying both campus wait times, we hope to give patients a choice. This is part of our efforts in the ED to enhance customer service and exceed our patients’ expectations.”

The hospital’s Emergency Department is one of the busiest in the state, with more than 100,000 visits in fiscal year 2009 for the New Britain General and Bradley Memorial campuses combined. Despite this volume, HCC’s ED has some of the shortest wait times in the country, with 90 to 95 percent of patients being seen by a physician or physician assistant within 60 minutes.

Published on November 27, 2009

Hospital honors volunteers for service, dedication

11/13/2009 12:00:00 AM
The Hospital of Central Connecticut recently held a luncheon honoring its New Britain General campus volunteers, who provided 45,620 hours of service to the hospital in 68 departments or sections in the past year.

Among those recognized were: Barbara Frisk, 46 years of service; Lorraine Carlson, 41 years; Estelle DeNicola, 31 years; and Greta Davidson, 29 years. Additionally, Millie Foster, Bev Johnson, Fred Kalinowski and Phyllis Visnauskas attained 28 years of service; Kathleen Yuskis, 27 years; and Irene Buden, 26 years. For attaining 25 years of service, Jan Blackburn and Shirley DiCesare had their names added to the 25-year volunteer plaque in the New Britain General campus lobby.

“What sets HCC apart from other hospitals is the people who both work and volunteer here,” said Anne Phelan, director of Volunteer Services. “We are very fortunate to have so many volunteers that have been with us many years and who have given so many hours.”

Published on November 13, 2009

HCC surgeon uses only one small incision to conduct lap-banding bariatric surgery

11/9/2009 12:00:00 AM
First hospital in Greater Hartford using technique

The Hospital of Central Connecticut (HCC) is the first hospital in Greater Hartford to offer minimally invasive weight loss lap-banding surgery that uses only one small incision. This new technique offers patients reduced post-operative pain and less scarring.

HCC bariatric surgeon Carlos Barba, M.D., medical director of bariatric surgery, makes a single one-inch incision in the belly button, vs. several small incisions throughout the upper abdomen for laparoscopic adjustable gastric band surgery.

“This is a technique that minimizes the post-operative pain in patients having a laparoscopic adjustable gastric band,” says Barba. “Cosmetically, it is also more attractive because instead of using five or six incisions for the procedure we’re only using one.”

To date, Barba has conducted six procedures using this method. He plans to offer it as the primary lap-banding method. Both he and HCC bariatric surgeon Nissin Nahmias, M.D., received training in this new technique.

“Every patient we’ve offered this to jumped on it. It’s very exciting to us and raises the bar to a higher level of satisfaction for our patients,” says Nahmias.

With lap-banding, part of the stomach is banded to create a small pouch, thereby reducing its capacity to hold food. The procedure is reversible and adjustable.

Through the one incision, used as an entry port for the procedure, an insert is placed within the body and used to exchange medical instruments, including a camera for procedure visualization. Patients are hospitalized overnight or go home the same day.

HCC is a designated Center of Excellence by the American Society for Metabolic & Bariatric Surgery (ASMBS); Barba is the hospital’s only designated Bariatric Surgery Center of Excellence surgeon.

The hospital also offers Roux-en-Y gastric bypass bariatric surgery. With the Roux-en-Y surgical procedure, part of the stomach is stapled, leaving a small pouch that holds much less food; also, part of the small intestine is bypassed, reducing the area in which foods can be digested. Hospital stay is two to three days.

Since 2005, The Hospital of Central Connecticut has offered bariatric surgery for patients who, among other criteria, are severely (morbidly) obese, have not achieved success using conventional medical weight loss methods, and have medical problem(s) caused by obesity. Severe obesity is defined as being at least 100 pounds over one’s ideal body weight, or having a body mass index above 40. According to the Centers for Disease Control and Prevention, 34 percent of U.S. adults age 20 and older are obese.

For more information about the hospital’s Weigh Your Options and bariatric surgical program, please contact (860) 224-5453 or 1-866-668-5070 or go to www.thocc.org.

Published on November 09, 2009

HCC surgeon uses only one small incision to conduct lap-banding bariatric surgery

11/9/2009 12:00:00 AM
The Hospital of Central Connecticut (HCC) is the first hospital in Greater Hartford to offer minimally invasive weight loss lap-banding surgery that uses only one small incision. This new technique offers patients reduced post-operative pain and less scarring.

HCC bariatric surgeon Carlos Barba, M.D., medical director of bariatric surgery, makes a single one-inch incision in the belly button, vs. several small incisions throughout the upper abdomen for laparoscopic adjustable gastric band surgery.

“This is a technique that minimizes the post-operative pain in patients having a laparoscopic adjustable gastric band,” says Barba. “Cosmetically, it is also more attractive because instead of using five or six incisions for the procedure we’re only using one.”

To date, Barba has conducted six procedures using this method. He plans to offer it as the primary lap-banding method. Both he and HCC bariatric surgeon Nissin Nahmias, M.D., received training in this new technique.

“Every patient we’ve offered this to jumped on it. It’s very exciting to us and raises the bar to a higher level of satisfaction for our patients,” says Nahmias.

With lap-banding, part of the stomach is banded to create a small pouch, thereby reducing its capacity to hold food. The procedure is reversible and adjustable.

Through the one incision, used as an entry port for the procedure, an insert is placed within the body and used to exchange medical instruments, including a camera for procedure visualization. Patients are hospitalized overnight or go home the same day.

HCC is a designated Center of Excellence by the American Society for Metabolic & Bariatric Surgery (ASMBS); Barba is the hospital’s only designated Bariatric Surgery Center of Excellence surgeon.

The hospital also offers Roux-en-Y gastric bypass bariatric surgery. With the Roux-en-Y surgical procedure, part of the stomach is stapled, leaving a small pouch that holds much less food; also, part of the small intestine is bypassed, reducing the area in which foods can be digested. Hospital stay is two to three days.

Since 2005, The Hospital of Central Connecticut has offered bariatric surgery for patients who, among other criteria, are severely (morbidly) obese, have not achieved success using conventional medical weight loss methods, and have medical problem(s) caused by obesity. Severe obesity is defined as being at least 100 pounds over one’s ideal body weight, or having a body mass index above 40. According to the Centers for Disease Control and Prevention, 34 percent of U.S. adults age 20 and older are obese.

For more information about the hospital’s Weigh Your Options and bariatric surgical program, please contact 1-866-668-5070 or go to www.thocc.org.

Published on November 09, 2009

Dr. Kambe honored for efforts in organ donation/transplantation

10/28/2009 12:00:00 AM
Joseph Kambe, M.D., Hospital of Central Connecticut (HCC) director of Surgical Critical Care and Trauma, was honored recently as one of 11 recipients nationwide for his efforts in organ donation and transplantation.

Kambe was selected Region 1 Champion of the Donation and Transplantation Community of Practice for his ongoing commitment and passion to enhancing donation and transplantation, and working with regional colleagues to advance such practice. The U.S. Department of Health and Human Services’ Health Resources and Services Administration selected Kambe as a champion.

In late September, he and other HCC staff members attended the National Learning Congress Medal of Honor Awards Ceremony in Grapevine, Texas.

In addition to this award, the U.S. Department of Health and Human Services recognized the hospital for the fourth consecutive year with the Health Resources Services Administration Medal of Honor for the outstanding work of its ICU staff in assuring availability of organs.

At HCC, staff members work with families of potential donors to discuss the often very difficult concept and process of organ donation. Organs most often retrieved at HCC by transplant surgeons from hospitals throughout the country are lungs, heart, liver, kidney, pancreas, small bowel. Kambe says organ donors are relatively rare and more than 100,000 patients in the United States are on a waiting list for an organ, mostly a liver or kidney.

Published on October 28, 2009

Hospital makes H1N1-related visiting changes

10/28/2009 12:00:00 AM
To help protect patients against the H1N1 (swine flu) virus, The Hospital of Central Connecticut is asking individuals ages 18 and younger and anyone with cold or flu symptoms not to visit at this time.

“The hospital is making this request because the H1N1 virus is predominantly infecting younger people,” said Joseph Garner, M.D., head of the Division of Infectious Disease at The Hospital of Central Connecticut. “Visitation policies may change at the hospital as the H1N1 situation changes.”
For the latest information on visiting the hospital and on the H1N1 virus, please visit the hospital’s Web site: www.thocc.org.

Published on October 28, 2009

Hospital of Central Connecticut makes medical staff appointments

10/27/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Hospitalist
Molly Emott, M.D., has joined the hospital’s medical staff. She earned her medical degree at the University of Connecticut School of Medicine. Emott completed an internal medicine and pediatrics internship and residency at Duke University Medical Center, Durham, N.C. She practices as a hospitalist at The Hospital of Central Connecticut.

Maternal Fetal Medicine/Obstetrics & Gynecology
Charles Ingardia, M.D., has joined the hospital’s medical staff. He earned his medical degree at Creighton University School of Medicine, Omaha, Neb. Ingardia completed an obstetrics and gynecology internship and residency at Creighton University School of Medicine-affiliated hospitals; and a maternal/fetal medicine fellowship at Tufts Medical Center-affiliated hospitals and the former St. Margaret’s Hospital for Women, Boston. In practice 32 years, Ingardia’s office is at 80 Seymour St., Hartford, (860) 545-2884.

Vascular Surgery
Mohiuddin Cheema, M.D., has joined the hospital’s medical staff. He earned his medical degree at Aga Khan University Medical School, Karachi, Pakistan. Cheema completed a general surgery internship and residency at University of Connecticut School of Medicine; and a vascular surgery fellowship at Albany Medical Center, Albany, N.Y. He practices at Connecticut Surgical Group, 40 Hart St., Building C, (860) 229-8889, New Britain; the Vascular Center, The Hospital of Central Connecticut, (860) 224-5193; and 85 Seymour St., Hartford, (860) 522-4158.

Thomas Divinagracia, M.D., M.P.H., has joined the hospital’s medical staff. He earned his medical degree at St. George’s University School of Medicine, Grenada. He completed a general surgery internship and residency at Boston University Medical Center, Boston; and a vascular surgery fellowship at University of Connecticut/Hartford Hospital. He practices at Connecticut Surgical Group, 40 Hart St., Building C, (860) 229-8889, New Britain; the Vascular Center, The Hospital of Central Connecticut, (860) 224-5193; and 85 Seymour St., Hartford, (860) 522-4158.

Mary Windels, M.D., has joined the hospital’s medical staff. She earned her medical degree at Columbia University College of Physicians and Surgeons, New York City. She completed a general surgery internship and residency at University of Connecticut School of Medicine; a vascular surgery fellowship at University of Connecticut/Hartford Hospital; and an endovascular surgery fellowship at Hawaii Permanente Medical Center, Hawaii. She practices at Connecticut Surgical Group, 40 Hart St., Building C, (860) 229-8889, New Britain; the Vascular Center, The Hospital of Central Connecticut, (860) 224-5193; and 85 Seymour St., Hartford, (860) 522-4158.

Published on October 27, 2009

The Hospital of Central Connecticut to go completely smoke-free Nov. 1

10/26/2009 12:00:00 AM
To protect the health of our patients, visitors and employees, The Hospital of Central Connecticut will go completely smoke-free Nov. 1.

Smoking will not be permitted outside buildings, in parking areas and garages or on any other property owned and operated by the hospital. This includes HCC’s New Britain General campus, Bradley Memorial campus in Southington and other hospital facilities. Smoking is already prohibited inside all hospital facilities.

“Going completely smoke-free is a major step toward making our hospital healthier, safer and cleaner for everyone,” said HCC President and CEO Laurence A. Tanner. “It’s also an important part of our mission to improve the overall health and well-being of the people we serve.”
HCC is joining with other Connecticut hospitals in the Connecticut Hospital Association (CHA) Clear the Air Initiative, launched last fall. The initiative’s goal is to have all 29 CHA member hospitals completely smoke-free by November 2010.

“We know that smoking is the root cause of many illnesses – all kinds of cancers, heart disease, stroke, vascular disease and many others,” said Steven Hanks, M.D., HCC’s chief medical officer. “We also recognize that nicotine is highly addictive and quitting is difficult. The hospital offers smoking cessation and other wellness programs that can help people make lifestyle changes that can really improve their health and longevity.”

The Hospital of Central Connecticut offers the Quitting Time smoking cessation program, which includes a seven-week group program for adults; a six-week program for teens; individual counseling, and a self-help manual. For information, call (860) 224-5433.

Other hospital wellness programs can help people lose weight, exercise and eat more healthfully. For information on these programs, visit www.thocc.org/wellness/ or call the Bradley Memorial campus, (860) 276-5099; or the New Britain General campus, (860) 224-5433.

Published on October 26, 2009

Hospital of Central Connecticut starts comprehensive genetic counseling and testing program

10/22/2009 12:00:00 AM
With the aim of identifying adult patients at risk of certain cancers triggered by gene mutation, The Hospital of Central Connecticut (HCC) has launched a regional genetic counseling and testing program. The program will also include Hartford Hospital and St. Francis Hospital and Medical Center.

The goal is to identify people at increased risk for cancer due to their genetic makeup and empower them, through counseling, to make decisions regarding possible treatment. The counseling program will be at each hospital.

“Medicine is recognizing how critically important a person’s genetic makeup is – as it relates to whether they are predisposed to a disease, as well as the role genetics plays in how they handle medicines,” says Peter D. Byeff, M.D., medical director of HCC’s George Bray Cancer Center. “Incorporating this program with two other hospitals makes these services available to many more people.”

The new Katherine Ann King Rudolph Hereditary Cancer Genetics Program at HCC is funded largely through the Katherine A. and Bruce A. Rudolph Hereditary Cancer Genetics Fund, with a lead gift of $250,000 from Bruce Rudolph in memory of his wife, Katherine Rudolph. The fund, which includes a state grant and has a $1 million goal, will help provide access to genetic counseling for patients in central Connecticut and greater Hartford.

“We are very grateful to Mr. Rudolph for his generosity and for his insight into the creation of a program which will help many families for a long time to come,” says James S. Hoffman, M.D., director of the Division of Gynecologic Oncology at HCC’s George Bray Cancer Center.

“In North America, up to 10 percent of breast and ovarian cancers and up to 5 percent of colon cancers are caused by an inherited gene defect,” Hoffman says, noting this number could increase as more inherited or acquired genetic changes that predispose to breast, ovarian and colorectal cancers are identified. Gene defects include BRCA deletions causing increased risk of breast and ovarian cancer, and hereditary nonpolyposis colon cancer genes causing increased colon cancer risk.

Patients with a history of two or more cancers – breast, ovarian or colon, or a family history strong in certain cancers are potential candidates for counseling and gene testing, which involves blood testing. The program will eventually cover additional genetic-based conditions.

Genetic counselor Linda Steinmark, B.A., M.S., will provide counseling services at each hospital, and will discuss treatment options, including risk-reducing surgery. Counseling will stress safety, effectiveness, and patients’ life situations. Physician referral will be required for genetic testing but not a consult.

“This is a perfect example of how local area hospitals can work together to pool scarce resources to provide a critical service any one of us acting alone would have difficulty funding. The generous gift from Mr. Rudolph is an example of true community-based philanthropy in action,” says Steven Hanks, M.D., MMM, FACP, FFSMB, senior vice president of Medical Affairs and chief medical officer. “This gift will also assist in fulfilling a vision brought to us several years ago by Dr. Christine Bartus, one of our colorectal surgeons, who will be spearheading efforts to incorporate a statewide registry for familial colorectal cancer into the program.”

For more information about the genetic counseling and testing program at HCC, please contact Steinmark at (860) 224-5900 x6630 or visit www.thocc.org/services/cancer.

Published on October 22, 2009

Hospital Auxiliary Fashion Show Raises Nearly $14,000

10/16/2009 12:00:00 AM
The Hospital of Central Connecticut's Bradley Memorial campus Auxiliary raised nearly $14,000 at its annual fashion show Sept. 30 at the Aqua Turf Club.

Nearly 450 people attended the show, which raised money for cardiology ultrasound technology and equipment for the Bradley campus.

The Auxiliary thanks show sponsors, program advertisers, models and attendees.

Published on October 16, 2009

Hospital of Central Connecticut makes medical staff appointments

10/6/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Anesthesiology
Harris Kantor, M.D., has joined the hospital’s medical staff. He earned his medical degree at SABA University School of Medicine, Netherlands-Antilles. Kantor completed an internal medicine internship at the Hospital of Saint Raphael; and an anesthesiology residency at Tufts Medical Center, Boston. He practices with New Britain Anesthesia, PC, at The Hospital of Central Connecticut, (860) 224-5266.

Hospitalist
Charisse Ward, M.D., has joined the hospital’s medical staff. She earned her medical degree at Boston University School of Medicine, Boston. Ward completed an internal medicine internship and residency at Yale University School of Medicine. She practices as a hospitalist at The Hospital of Central Connecticut.

Neurosurgery
David Spiro, D.O., has joined the hospital’s medical staff. He earned his medical degree at New York College of Osteopathic Medicine, Old Westbury, N.Y. Spiro completed a general surgery internship at Arrowhead Regional Medical Center, Colton, Calif.; and a neurosurgery residency at North Shore University Hospital, Manhasset, N.Y. He practices at Central Connecticut Neurosurgery & Spine, 40 Hart St., New Britain, (860) 225-1227.

Oral Surgery and Dentistry
Jason Leung, D.M.D., has jointed the hospital’s medical staff. He earned his dental medicine degree at Tufts University School of Dental Medicine, Boston. Leung completed a pediatric dentistry residency at Boston University. He practices at Pediatric Dentistry, One Lake Street, New Britain, (860) 224-2419.

Published on October 06, 2009

Hospital of Central Connecticut Offers Diabetes Education in Southington

10/5/2009 12:00:00 AM
For people newly diagnosed with diabetes, the Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut offers a comprehensive diabetes education program at the Bradley Memorial campus, 81 Meriden Ave., Southington.

The program covers medication management, glucose monitoring, meal planning, foot care, exercise and other topics.

Diabetes education is covered by most insurances (physician referral is required for patients with Medicare). To sign up for the program or for more information, call (860) 224-5900, X6822, or e-mail the Joslin referral coordinator, joslinreferral@thocc.org.

Published on October 05, 2009

Oct. 10 free clinic at hospital will provide utility budget counseling

9/29/2009 12:00:00 AM
Families can receive budget counseling for utility bills at a free Keep the Power On clinic from 10 a.m. to 2 p.m. Saturday, Oct. 10 at The Hospital of Central Connecticut’s (HCC) New Britain General campus. Event sponsors are HCC, Medical Legal Partnership Project (MLPP) of the Center for Children’s Advocacy, and Northeast Utilities, Inc.

At the clinic, trained volunteers will assist families in learning about budgeting for utilities and enrolling in energy assistance programs. Northeast Utilities representatives will work with families in an attempt to enter them into affordable payment arrangements.

“As we approach the expensive winter heating season, this event will bring together many important services available in our community,” says Antoinette Capriglione, M.D., HCC chief of Pediatrics. “These are difficult times for many of our patients and sometimes getting in touch with agencies is too overwhelming. We hope it will be somewhat easier for families if we gather key agencies together for them.”

Other organizations represented will be HCC’s New Britain Asthma Initiative and its Nutritional Education and Exercise Development program, End Hunger Connecticut!, Neighborhood Housing Services, New Britain Food and Resource Center, and Human Resources Agency of New Britain, Inc.

The event will be in Lecture Rooms 1 and 2; Quigley garage parking validation offered. To register or for more information, call 860-545-8581 or e-mail broswig@ccmckids.org.

The hospital and Center for Children’s Advocacy offer the MLPP in New Britain, pairing pediatricians with attorneys to help Greater New Britain’s poor and at-risk children receive optimal medical care and services.

Published on September 29, 2009

Hospital of Central Connecticut makes medical staff appointments

9/9/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Breast surgery
Nirupama Anne, M.D., has joined the hospital’s medical staff. She earned her medical degree at SUNY Upstate Medical University, Syracuse, N.Y. Anne completed an internship and surgical residency at North Shore-Long Island Jewish Health System, New Hyde Park, N.Y.; and a surgical oncology fellowship at Roswell Park Cancer Institute, Buffalo, N.Y. She practices at Connecticut Surgical Group, 40 Hart St., Building C, New Britain; 399 Farmington Ave., Suite 200, Farmington; and 85 Seymour St., Suite 415, Hartford, (860) 246-2071.

Endocrinology
Manmeet Kaur, M.D., has joined the hospital’s medical staff. She earned her medical degree at Government Medical College, Chandigarh, India. Kaur completed an internal medicine residency at Saint Vincent’s Medical Center, Bridgeport; and an endocrinology and metabolism fellowship at the University of Connecticut Health Center. She practices at the Joslin Diabetes Center at The Hospital of Central Connecticut, (860) 224-5672.

General and bariatric surgery
Nissin Nahmias, M.D., has joined the hospital’s medical staff. He earned his medical degree at Anahuac University School of Medicine, Mexico. He completed a general surgery residency at Albert Einstein Medical Center, Philadelphia; and a minimally invasive and bariatric surgery fellowship at Medical College of Virginia, Virginia Commonwealth University, Richmond, Va. He practices at Connecticut Surgeons, LLC, 95 Woodland St., 2nd floor, Hartford, (860) 714-7447.

Obstetrics/Gynecology
Rachel LaMonica, D.O., has joined the hospital’s medical staff. She earned her medical degree at New York College of Osteopathic Medicine, Old Westbury, N.Y. She completed an obstetrics/gynecology residency at the University of Connecticut Health Center. She practices at The Hospital of Central Connecticut, (860) 224-5691.

Kirsten Kibler, M.D., has joined the hospital’s medical staff. She earned her medical degree at Baylor College of Medicine, Houston. She completed an obstetrics/gynecology residency at the University of Connecticut Health Center. She practices at New Britain Ob-Gyn Group, 40 Hart St., New Britain, (860) 224-2447.

Pediatric Neonatal Medicine
Arpana Mohnani, M.D., has joined the hospital’s medical staff. She earned her medical degree at Gandhi Medical College, Bhopal, India. She completed a pediatrics residency at New York Methodist Hospital, Brooklyn, N.Y.; and a neonatal-perinatal medicine fellowship at the University of Connecticut Health Center. She practices at The Hospital of Central Connecticut Department of Pediatrics, (860) 224-5691.

Published on September 09, 2009

Free lectures on cholesterol, stress and the economy and healthy holiday eating

9/1/2009 12:00:00 AM
The Hospital of Central Connecticut’s 2009 fall Health Wisdom Lecture Series starts Sept. 23. All lectures are in the New Britain General campus cafeteria. Lectures begin at 6:30 p.m., with light refreshments at 6:15. Lectures are free, but reservations are required. For more information and to reserve a seat, call 1-888-224-4440.
The 2009 fall lectures are:

Wed., Sept. 23 - The ABCs of HDL and LDL - Julia Kaci, M.D., will discuss the sources of cholesterol, how it works and ways you can lower bad cholesterol and raise good cholesterol to reduce heart disease and stroke risk.
Wed., Oct. 21 - Feeling the pressure? - Licensed Marriage and Family Therapist David Borzellino, director of the hospital’s Outpatient Psychiatry and Behavioral Health programs, will show you how to recognize and deal with stress, anxiety, depression and other emotional effects of the economic recession.
Wed., Nov. 18 – Healthy holiday eating – Join Registered Dietitian Jillian Wanik to learn how to choose holiday treats that are delicious and nutritious.

Published on September 01, 2009

Hospital offers procedure that freezes kidney tumors

8/20/2009 12:00:00 AM
Patients with small kidney tumors are benefiting from an outpatient procedure at The Hospital of Central Connecticut (HCC) that destroys cancer cells by freezing them. Compared to surgery, cryoablation offers quicker recovery, less pain and decreased risk of complications.

HCC interventional radiologist Robert Gendler, M.D., says cryoablation technology has evolved to treat kidney tumors up to 3 centimeters. The minimally invasive procedure is especially well suited for older or frailer patients since surgery would pose increased risk. Larger tumors still require traditional surgery.

“Cryoablation has grown to the point that it is quickly becoming the procedure of choice for treating renal cell cancers, the most common type of kidney cancer,” says Gendler, one of several HCC interventional radiologists who uses cryoablation. “One of the great advantages of this technology is its ability for very precise destruction of cancerous tissue that spares normal tissues.”

During the procedure, which uses CT imaging for visualization, a probe is inserted into the tumor. The probe is cooled to 75 degrees below Celsius, killing cancerous cells while not affecting surrounding tissues.

Patients are sedated for the procedure, which is often less than one hour. Most patients go home the same day and can start to resume normal activities within a few days, Gendler says. HCC patients receive follow-up CT scans one, three and six months after treatment to check for any residual tumor that may require additional treatment.

Nearly 58,000 new cases of kidney cancer and 13,000 deaths from the cancer are estimated for 2009, according to the American Cancer Society.

For more information about interventional radiology at HCC, please visit http://www.thocc.org/services/radiology/interventional.aspx.

Published on August 20, 2009

Hospital Auxiliary to Hold Fundraising Ball

8/14/2009 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary will hold its 2009 annual Chrysanthemum Ball, 6 to 11:30 p.m., Saturday, Nov. 7 at the Aqua Turf Club in Southington.

Chrysanthemum Ball co-chairs are Cheryl Carlson of Kensington and Judy Kilduff of New Britain.

The ball will be held in honor of the achievements of Laurence A. Tanner, president and CEO of The Hospital of Central Connecticut and Central Connecticut Health Alliance.

Tickets are $150 per person. All proceeds donated in Tanner’s honor will go toward the development of a comprehensive breast center for patients with breast disease. For more information, or to receive a ball invitation, please call Judy Kilduff, (860) 223-4092.

Published on August 14, 2009

Berlin High School Graduate Awarded Hospital Scholarship

8/11/2009 12:00:00 AM
Berlin High School graduate Lindsay Piotrowicz was recently awarded the Kathleen Boudreau Scholarship by The Hospital of Central Connecticut New Britain General campus Auxiliary. She will attend Quinnipiac University in the fall to pursue a nursing degree.

The Boudreau scholarship was established by Kathleen Boudreau’s daughter, Marleen Flory of Minnesota, to honor her mother. Boudreau was a long-serving hospital volunteer and LPN. The scholarship is awarded annually to a graduating high school student interested in pursuing a nursing career.

Published on August 11, 2009

The Hospital of Central Connecticut and Hartford Hospital Form New Strategic Affiliation

8/6/2009 12:00:00 AM
New Alliance Solidifies Relationship and Bolsters Services to New Britain and Hartford Communities

Two of the state’s most respected and honored healthcare systems, and their flagship hospitals, announced plans to create a new business affiliation to strengthen programs and services to better serve their patients and communities.

The Central Connecticut Health Alliance, parent company of The Hospital of Central Connecticut, will join Hartford Healthcare, parent company of Hartford Hospital, in the agreement announced today.

“Today is truly an exciting day and the culmination of a successful 20-year relationship between Hartford Hospital and HCC,” said Laurence A. Tanner, president and CEO of The Hospital of Central Connecticut and Central Connecticut Health Alliance. “By strengthening the longstanding relationship between our hospitals and healthcare systems, we strengthen our ability to provide the people of our state with the highest quality health care close to home, far into the future.”

“We are pleased to solidify and strengthen our existing partnership,” said Elliot Joseph, president and CEO of Hartford Hospital and Hartford Healthcare. “Ultimately, this is about strengthening The Hospital of Central Connecticut and Hartford Hospital and enhancing our ability to serve our local communities.”

The agreement is the result of nearly two decades of productive and beneficial collaborations between Hartford Hospital and The Hospital of Central Connecticut, who, since the 1990s, have worked together on a number of clinical and educational initiatives, including obstetrics.

Further aligning the hospitals will strengthen their clinical programs, improve quality of care, and allow them to operate with greater financial efficiency and improved access to capital funding---enabling both to grow stronger and provide more robust services to their communities. This includes developing “best practices” to achieve the highest standards of care, and an increased ability to care for medically underserved populations.

The partnership will significantly strengthen the exceptional cancer programs already offered at both hospitals, and increase access to specialized, tertiary care services at Hartford Hospital, such as the Level 1 Trauma Center, Lifestar, and transplant services. In addition to expanding services, the hospitals will seek additional opportunities for collaboration. Hartford Hospital, acclaimed as one of the “Most Wired” hospitals in the country, and The Hospital of Central Connecticut, also recognized for innovative technology, may potentially create a unified electronic medical record system and may operate on the same information technology platform. This type of collaboration is cost efficient and offers other important benefits. It could allow doctors’ offices to communicate directly with each other, resulting in quicker diagnoses, elimination of duplicative testing, and improved accuracy. This could save patients time and money, and may ultimately save lives.

“Providing the highest quality care to all who count on us–in a cost-effective, community-based system—is the goal for modern health care and is the impetus behind this partnership,” Tanner said. “Working together enriches and enhances our ability to do so.”

“This important and beneficial alliance will truly serve the people of Connecticut,” Joseph said. “We look forward to a vibrant and healthy future—for our patients, our communities, and our hospitals.”

The Hospital of Central Connecticut is a 414-bed, 32-bassinet, acute-care, teaching hospital with campuses in New Britain and Southington. It provides comprehensive inpatient and outpatient services in general medicine, surgery and a wide variety of specialties. Other members of the Central Connecticut Health Alliance include Community Mental Health Affiliates, Alliance Occupational Health, Central Connecticut Senior Health Services, Central Connecticut Physical Medicine and Central Connecticut VNA.

Hartford Hospital is an 867-bed regional referral center and teaching hospital that provides high-quality care in all clinical disciplines. Hartford Hospital is a member of Hartford Healthcare, which includes MidState Medical Center, Windham Hospital, Clinical Laboratory Partners, Eastern Rehabilitation Network, Natchaug Hospital, Rushford and VNA HealthCare.

Published on August 06, 2009

Eating right for the family

7/29/2009 12:00:00 AM
Little by little,Vilmary Hernandez is taking steps to make sure her kids don’t mimic her eating habits — she never did like fruits or vegetables. This means a choice of grapes or raisins — instead of a donut or piece of cake — for her 9-year-old son Josean’s snack. And his sister, Yisari, 4, who didn’t eat cheese, has discovered Mickey Mouse-shaped cheddar cheese. Hernandez, 35, has made a decisive choice to provide healthier foods for her children. This translates to lots of fruits and vegetables, one percent milk, a switch from white to wheat bread, brown instead of white rice, and a family making adjustments. So far, it’s working. Her new commitment is helping buck the alarming trend in childhood obesity, which affects neither of her kids. “Now, instead of buying cookies and ice cream, I’m buying fruit and wheat crackers. It’s a little hard,” Hernandez says, just before the start of her nutrition class on portion control, led by a Hospital of Central Connecticut (HCC) registered dietitian. Her family is one of several in New Britain getting a grip on healthy eating and exercise, thanks to free, nutrition and Zumba dance classes held earlier this year and sponsored by HCC’s New Britain Asthma Initiative (NBAI). The nutrition and dance classes aim to help trim the incidence of childhood obesity. With childhood obesity an epidemic — in Central Connecticut and nationwide — HCC pediatricians and dietitians are trying to effect positive change for families through education and motivation. Their goals: To help cut the obesity rates and avoid long-term health consequences.

The numbers are up
Like a scale, research tells it like it is: Children and adolescents in the United States are increasingly overweight and obese. “Statistically, in the last 10 years, obesity has really skyrocketed,” says HCC-affiliated pediatrician Leslie Beal, M.D. Coinciding with the increase in numbers is the decrease in age onset of obesity. A study in the April issue of Archives of Pediatrics & Adolescent Medicine says nearly one in five American 4-year-olds is obese. According to the Office of the Surgeon General, nearly 13 million children
ages 2 to 19 in the U.S. are overweight. The Centers for Disease Control and Prevention reports that research conducted from 1976-80 and 2003-06 by the National Health and Nutrition Examination Survey shows a marked increase in obesity in children and adolescents, ages 2 to 19, with the greatest jump, 5 to 17.6 percent, for ages 12 to 19. More Mexican-American boys, ages 12 to 19 are obese, followed by black boys, then non-Hispanic white boys, according to the latest research. For girls ages 12 to 19, non-Hispanic black girls had the highest rate, followed by Mexican-American girls, then non-Hispanic white girls.

Many overweight kids look at their condition and think they’re just big, says Beal, adding that the standard of what is acceptable, even from parents, has changed. “A normal-weight kid might be seen as skinny. An overweight kid might be seen as OK.” Pediatricians are seeing the consequences of childhood obesity. It’s linked to many medical conditions and can contribute to mental health and social problems. This includes a greater incidence of Type 2 diabetes, insulin resistance or prediabetes, high blood pressure, high cholesterol, metabolic syndrome, early puberty in girls, asthma complications, and orthopedic conditions like arthritis in the knees and hips. Some of this can lead to early coronary artery disease or plaque within the heart’s arteries. Obesity can also affect a child’s mental health. “If you’re 3-years-old, going to preschool and are overweight, kids may make fun of you,” says HCC pediatrician Ellen Leonard, M.D. This can lead to low self-esteem, which can blossom into childhood depression and trigger more eating.

Taming the gains from fast foods and more
These days, the lure of cheap fast food value meals makes them enticing. You can get a lot of food for a good price. But along with that burger, fries and soda come high calories and fat. Of course, not all the blame goes to fast food. There is no single cause of childhood obesity, says Leonard. It’s a “combo” package including poor food choices, bigger portion sizes, and lack of or not enough exercise. “I think the economy is having a huge impact on obesity,” adds registered dietitian Kara Moscato. “People are looking for more bang for their buck. Fast food alternatives and less healthy foods tend to seem cheaper than your more healthy foods. This is not necessarily true.” Combine poor food choices with less activity and the weight settles in. For example, says Leonard, more single women are running the homestead, which means they have to work. Fearing for their children’s safety while at work, moms might not want their kids outside. That means more kids are in the house, not outside playing. “If you live on a street with no yard and the parent is working two jobs, and is a single mom, they can’t always be as active,” Leonard says. “There’s a huge connection in kids between having a TV or computer or video games in their room and how overweight they are.”

To help get a grip on childhood obesity, the NBAI, YMCA of New Britain-Berlin, and Human Resources Agency of New Britain, Inc. Head Start coordinated two sessions of free nutrition and Zumba classes earlier this year for families with children who are obese or at risk of becoming obese. Other parents who expressed interest, including Hernandez, were also welcomed. Hernandez and daughter Yisari joined nearly 20 other moms and kids in swinging to Latin and Caribbean music during the Zumba classes.“I love it,” Hernandez says. “I feel more motivated to do it.” By starting exercise at a young age, kids can make it a habit and prevent conditions like diabetes, high blood pressure and high cholesterol, says HCC exercise physiologist Jim Pugliese, a certified health fitness specialist. “Exercise is as important for kids as adults, if not more, since it’s more preventative at that stage in life.” Exercise fuels the body by supplying blood to the body, Pugliese explains. “It gives them more energy, helps to keep them awake, pay more attention, and sleep better, too.” U.S. government guidelines recommend children ages 6 through adolescence get at least one hour of daily physical activity. This should include, at least three days weekly, aerobics like walking or running, muscle-strengthening activities like push-ups, and bone strengthening exercises such as running. “Anything that gets you up and moving around vs. sitting is better,” Pugliese says. If kids are homebound, he suggests video game exercise programs as an option. Other indoor possibilities — perhaps not always popular with kids — include helping parents with the vacuuming and dish washing.

The power of choice
Besides learning the health benefits of eating healthier, Hernandez now knows it doesn’t always cost a lot. For example, a bag of carrots is equivalent to a bag of potato chips, pricewise, and fruits and vegetables are cheaper when in season. Also, a granola bar is a healthier option than potato chips, and low-fat milk is better than whole milk. Smart shopping is one of many tools Hernandez picked up from the nutrition classes to help prevent obesity. Others include choosing healthy fats, eating healthy when dining out, following the food guide pyramid and using portion control.
Here are several tips:
• Set some goals with the child. Maybe this means no second helping most days, and/or a limit on soda intake.
• Portion control. Today’s portions and plates are bigger. A plate should not be larger than 10 inches. If you eat out of a portion-controlled container vs. the box the food came in, you tend to eat less.
• Read food labels. In most cases, the fewer ingredients listed, the fresher the product. Also, look at the amount of calories per serving size.
• Choose good fats. Saturated fats are animal fats, a natural source, while trans fats are manufactured fats and common in baked goods. Both fats raise your risk of heart disease; keep intake as low as possible. Good fats are unsaturated, such as canola, safflower, sunflower, olive and peanut oils.
• Don’t like celery? Not everyone does. Just don’t complain about foods you don’t like in front of your children who will pick up on it.
• Limit foods with much sugar and/or high-fructose corn syrup. These sweeteners can add a significant amount of calories. Better to get sugar through complex carbohydrates
like pasta, whole-grain breads, oatmeal and beans since it sustains energy longer than sugar through candy or other sweets.

Beal admits it can be hard for families to commit to healthy lifestyles after years of bad habits. “The big thing we would like to emphasize is it’s a family affair. You can’t just say ‘don’t eat junk.’” Hernandez is off to a good start. “I learned how important it is to eat healthy, how to change my eating habits, the harm that eating fatty foods may cause, and the harm it may do to my body, like bad cholesterol and heart conditions,” she says. For young Yisari, this shift has meant things like Saturday morning dance class with Mom and new foods, like fruit cocktail and cheddar cheese. “Little by little,”says Hernandez, “I know I can do it.”

Published on July 29, 2009

FYI on the GI

7/29/2009 12:00:00 AM
In his early 20s, Adam Clark thought he was immune from health concerns. A gut feeling told him otherwise. It started in high school with periodic stomachaches. Then the diarrhea and vomiting began. “Being young, you think you’re invincible,” says Clark, who initially brushed off symptoms. Then at age 24, he lost 60 pounds within a year and was always tired. “I wasn’t eating at all,” Clark says. “Every time I ate, I had strong pains and I ended up throwing up. That’s how low it got.” Ironically, Clark, a metal machinist, couldn’t wait for lunchtime. He used the break to nap in his car. He soon learned from Hospital of Central Connecticut (HCC) gastroenterologist Mark Versland, M.D., that his fatigue came from the anemia he developed as part of Crohn’s disease, an immune system disorder that causes inflammation in the intestines. After two surgeries at HCC and ongoing medical care, Clark, now 38, is feeling well, even indulging, periodically, in once-forbidden popcorn. His Crohn’s disease is one of several gastrointestinal (GI) conditions the hospital tests for and treats.

A bit about belly tubing
“GI” problems include a range of lower gastrointestinal ills troubling millions of men, women, and children. Besides Crohn’s disease, these include ulcerative colitis, irritable bowel syndrome, diverticulitis and colorectal cancer. Each GI problem affects one or more sections of the digestive tract, which works like this: After digestion starts in the stomach, it continues with nutrient absorption in the nearly 20-feet of small intestine wrapped within the belly. Waste then moves to nearly five feet of muscular colon, the large intestine, where water is absorbed and stool formed. From the lower end of the colon, waste enters the rectum where it’s stored until passing through the anus. Depending on the GI condition, medicine may be all the treatment needed. Sometimes surgery is necessary, and in many cases at HCC, it’s minimally invasive. This means several smaller incisions vs. a large one, which helps reduce post-operative pain and speeds recovery.

An immune system gone haywire
Crohn’s disease, like ulcerative colitis, is a chronic inflammatory bowel disease (IBD).With IBD, the body’s cells that normally produce inflammation, as part
of the immune system, are out of control. For example, inflammatory cells typically work to treat an infection, and then turn off when the threat is gone. With IBD, the inflammatory cells don’t turn off and continually attack the intestines, explains Versland, who heads HCC’s Gastroenterology division. “In some cases, it’s difficult to separate Crohn’s and ulcerative colitis,” he adds, since symptoms are similar. These may include diarrhea, bleeding in the stool, weight loss, skin rashes and sores, low back pain, abdominal cramping, fever, mouth sores, and red, painful eyes. What distinguishes the conditions is the body parts affected. Ulcerative colitis affects only the large colon and rectum, but Crohn’s disease can affect the colon, small intestine, stomach and/or rectum. IBD affects over 1.4 million Americans, according to the Crohn’s and Colitis Foundation of America. Both conditions most commonly start in the teens through early 30s. Colonoscopy, a test that visualizes the colon, can help diagnose either disease, says HCC gastroenterologist Barry Kemler, M.D. The diseases have no known cause, tend to run in families and increase colon cancer risk, prompting the need for earlier colonoscopy screenings. Medical care aims to control GI tract inflammation and curb flareups or attacks, says Kemler, adding that a patient may be on more than one medication to reduce inflammation, suppress the immune system, and/or treat bacterial infection. Clark started on prednisone to reduce inflammation, and 6-mercaptopurine, an immune system suppressor. He also changed his diet, removing all roughage — broccoli, cauliflower, lettuce. Within months, he regained weight, but had periodic flare-ups, sending the Bristol resident to HCC’s Emergency Department about 25 times since diagnosis. “The pain was unbelievable,” he recalls of each attack. “I knew exactly what it was. I knew when I could take care of it and when I had to come into the ER.” Clark has had two surgeries within the past five years to treat complications that included a fistula, a pathway from the bowel to another organ into which stool may leak; and stricture, an intestinal narrowing. These days, Clark is feeling good. “I can eat pretty much anything I want to, in moderation. I can even eat popcorn.”

While Crohn’s disease has no cure, surgery can help patients, like Clark, whose symptoms continue despite other medical treatment. Surgery typically removes the part of the bowel most affected by disease. General Surgeon Michael Posner, M.D., says other IBD complications include a perforation, or hole, in the bowel; abscess, an infection, which can both cause stool or bacteria to move outside the bowel; and bowel obstruction that blocks stool passage. “You try and avoid surgery for Crohn’s disease whenever you can,” says Posner. “If you can control it medically, you’re better off.” Surgery can cure ulcerative colitis, explains colorectal surgeon Christine Bartus, M.D. With surgery, the small intestine assumes the role of the large intestine, and a small bowel “pouch” is made to take over the job of the rectum. This allows patients to avoid ostomy, which secures the small intestine to the abdominal wall and makes an opening for waste release into a small bag.

Spastic colon at work
Our bodies react to stress in different ways — sweaty palms, tension headaches, or frequent trips to the bathroom. Stress and anxiety can aggravate irritable bowel syndrome (IBS), also known as spastic colon, wherein the colon’s digestive process moves too fast or slow, causing pain and either diarrhea or constipation. Kemler says the pain occurs when the bowel is stretched. “It happens when the gas is redistributed in a smaller area, much like what happens if you squeeze an elongated balloon at both ends, causing the air to be forced into the middle of the balloon and stretching it out.” IBS, which doesn’t increase colorectal cancer likelihood, affects about 20 percent of men and almost 40 percent of women in the U.S., and is the most common reason patients see a gastroenterologist, says Versland. There is no definitive cause, but miscommunication between the brain and gut’s nervous system might activate IBS. Current research, says Kemler, shows a possible link between the intestines’ muscular response and altered stimuli from the bowel’s nerve endings. Versland recommends patients make lifestyle changes to avoid stress, get regular exercise and stay away from food triggers to IBS. These include coffee and other products with caffeine, carbonated beverages and gas-causing foods like cauliflower and broccoli. The probiotic bacterium in certain yogurts may help tame the belly. Medications to minimize symptoms might include a laxative, fiber, an antispasmodic, antidepressant or antibiotic.

Ironically, lack of fiber likely increases the GI condition diverticulosis. It affects the large colon’s lining, and is marked by small “outpouches” known as diverticuli, which extend outside the colon and usually present no symptoms but can cause constipation. “Once you’re over 50, the majority of people start to show outpouches,” says Kemler. “The basic treatment is to make sure the patient maintains a regular bowel pattern by having adequate fiber and fluid in the diet.” Infected pouches create a condition known as diverticulitis, which can lead to intestinal perforation. Diverticulosis is also the most common cause of significant bleeding from the colon, which can, at times, be life threatening. These conditions may require surgery, which can be performed with minimally invasive techniques, to remove the affected colon if medical treatment is not effective.

Aiming to find cancer early
Do you remember Katie Couric’s televised colonoscopy in 2000? She very publicly drove home the importance of colorectal cancer screening after losing her husband to the disease. Colorectal cancer, a catch phrase for colon and/or rectal cancer, is the third leading diagnosed cancer in the United States. In 2008, according to the American Cancer Society, nearly 149,000 newly diagnosed colorectal cancer cases were expected and almost 50,000 deaths anticipated from the disease. Colon cancer is nearly three times more common than rectal cancer. Despite increased publicity around colorectal cancer and the importance of colonoscopy screenings from famous and public figures, screenings remain well below target. On a national level, says Versland, only about 45 percent of people who need screenings get them. Screenings are critical because, unlike most other GI problems, colorectal cancer in its early stages typically has no symptoms. Advanced cancer symptoms include rectal bleeding, anemia, abdominal pain, constipation and colon blockage. “The most important thing that people need to know is prevention, which, for most people, means getting their colonoscopy at age 50,” says HCC hematologist/oncologist John Delmonte Jr., M.D. The hardest part of a colonoscopy, confirms Versland, is the patient’s prep work the day before, to cleanse the bowel. The screening, available at HCC, takes about 30 minutes during which a patient is sedated. A long tube with a camera passes through the rectum and into the colon to examine its lining for anomalies like polyps, usually removed at that time. These tissue growths, usually non-cancerous when small, can develop into cancer. In 2007, New Britain resident Dottie Walker, now 73, had a colonoscopy that revealed colon cancer. Luckily, it was at an early stage. At HCC, Bartus conducted a minimally invasive colectomy on Walker, which removed the cancer using only three small incisions. Since her cancer was at stage 1, she didn’t need chemotherapy. Chemotherapy is more typical with stages three and four, and sometimes two, says Delmonte. Walker says she felt fine within a week after the surgery. “I’m feeling great and have no effects from this.” Rectal cancer treatment can be more complicated because of the rectum’s location deep in the pelvis. Chemotherapy and radiation therapy might precede surgery to minimize long-term complications and reduce chances of cancer recurrence, Delmonte says. Both chemotherapy and radiation therapy are available at HCC. Surgery removes the tumor and reattaches the colon to the remaining rectum or anus, says Bartus. For this operation, an ostomy may be needed; it may be temporary and surgically removed weeks later. Like other cancer patients, Walker says she was upset with her cancer diagnosis but bolstered by faith and courage. Bartus acknowledges the emotional toll a cancer diagnosis and the prospect of surgery can take on patients. “We have an opportunity to help patients through a very difficult period, and then guide them on the path toward getting better.”

Published on July 29, 2009

Breaking the bonds of addiction

7/29/2009 12:00:00 AM
Stacey was 17 when her brother died of a heroin overdose. “After my brother died, I said I’d never do heroin,” she says. Stacey (not her real name) grew up in a solid, working-class family in the Central Connecticut suburbs. At around age 13 or 14, like many young people, she started “experimenting” with marijuana and alcohol. “Back then it was different,” says Stacey, now 29.“When I started, it was fun.” After awhile, she graduated to harder drugs, including crack cocaine and prescription medications like Percocet®, OxyContin® and “benzos” (a nickname for benzodiazepines, a group of anti-anxiety medications that includes Xanax® and Valium®).But she still stayed away from heroin. Amazingly, even with her drinking and drug use, Stacey had little trouble keeping up her grades and working, even through college. “I was able to function just fine,” she says. That soon changed. The prescription pills became too expensive, and Stacey, despite her vow, turned to heroin, a cheaper and easily obtained alternative. The first time she tried it, she was about 21, her brother’s age when he died.

The path Stacey took to addiction is increasingly well traveled, say staff at The Hospital of Central Connecticut’s (HCC) Substance Abuse Services program. The program treats people of all ages and from all walks of life — including students, business owners, the homeless and others. They may be addicted to alcohol, cocaine, heroin, prescription medications or other substances, often in combination. The one group whose numbers have grown steadily for the past 10 years is young people addicted to opiates, like heroin, and opioid prescription drugs (see box). An opiate is made from the opium poppy plant; while opioids are synthetic opiates made from chemicals. “Among 16- to 23-year-olds nationwide, opiate/opioid addiction is the fastest-growing addiction,” says David Borzellino, a licensed marriage and family therapist and administrative director of The Hospital of Central Connecticut’s Outpatient Psychiatry and Behavioral Health programs, which includes Substance Abuse Services. “They’re the drugs of choice.” And not just in urban areas. Like Stacey, “most of our Substance Abuse Services patients started using drugs in their teens, and most grew up in the suburbs,” Borzellino says.

‘Skyrocketing’ abuse
For patients with certain medical conditions that cause severe, chronic pain, the newer opioid pain medications, like oxycodone, have been a blessing. Taken as directed, these and other pain medications are usually safe and effective. But they must be used with care. “The opioid medications introduced 10 years ago are much stronger than the old medicines,” says psychiatrist Javier Salabarria, M.D., medical director of HCC’s Outpatient Psychiatry and Behavioral Health department. “The newer opioids are very pure, very potent and very addictive.” As a result, opioid abuse has “skyrocketed” in the past decade, he says. For many people, it begins with a legitimate prescription. When the pills — or the money for them — run out, some opioid addicts turn to heroin. “A lot of people don’t start because they’re looking for a high – they’ve been prescribed opioids and they become addicted,” Salabarria says. “In my heart of hearts, I don’t believe people go into this thinking they’ll become addicts.” Opiates and opioids work by attaching to opioid receptors in the brain. When the drugs attach to these receptors, they can block the transmission of pain messages to the brain. They can also induce euphoria, by stimulating the production of neurotransmitters (brain chemicals) called endorphins. “Heroin is a very quick-acting substance. You feel good immediately,” Borzellino says. “According to a lot of our clients, you really feel in control of your life.” Our brains naturally produce endorphins to help regulate mood and other functions, but when a person uses heroin or prescription opioids, two things happen: More endorphins than normal are released; and the body’s natural mechanism for releasing endorphins is suppressed. These are major aspects of addiction. After a short time using opiates/opioids, the user’s brain, accustomed to the higher endorphin levels, sends messages to the body — essentially, “we need more opiates.” “Now the person is left with a craving — a signal from the brain that they want more opiates so the body can produce those endorphins,” Salabarria says. The only way for drug users to get the endorphins at the level they’re accustomed to is by taking more opiates/opioids. If they don’t, they’ll soon experience withdrawal, which can include severe pain, vomiting, fever, chills and other symptoms. “Withdrawal from heroin use is nasty,” says Borzellino, who previously ran a detoxification facility. “It’s difficult to watch another human being go through that.” Stacey knows this well. She’s
experienced it many times. “It’s horrible,” she says.

New treatment, another chance
“When I was taking drugs, people would say, ‘Why can’t you just stop?’” Stacey recalls. “It’s not that simple.” By age 23, her addiction to heroin and prescription opioids was so bad, she had to leave graduate school. In the following years, “I cared more about the drugs and getting high than anything else,” she says. “I would sell things, pawn things, work as a prostitute. I stole from people, lied to people. I would do anything to get money for drugs. I lost jobs, apartments, my dogs … I lost everything.” Last Oct. 27 — she remembers the exact date — Stacey got kicked out of yet another apartment. That day was also her first in a 30-day drug treatment program, which led to transitional housing as she worked to get her life back. After relapsing a couple times, she came to HCC’s Substance Abuse Treatment program last December. There, Stacey got a medication called Suboxone®, which, along with another prescription medication, Subutex®, contains buprenorphine. The Hospital of Central Connecticut began offering buprenorphine last November for some opioid-addicted patients as an alternative to methadone, a drug used for decades to treat heroin addiction. Unlike methadone, which must be dispensed once daily and must be distributed via special clinics or centers, buprenorphine, although also taken daily, can be prescribed in an office setting on a weekly, or even monthly basis. Physicians must be certified to prescribe the drug, but patients can fill the prescription at their local pharmacy as they would any other medication. “It’s a more convenient option for many patients, because they can take it on their own vs. having to visit a clinic every day,” Borzellino says. “It also allows for a little more patient privacy.” Buprenorphine is given in three stages. In the immediate short-term, it reduces withdrawal symptoms. Over weeks or months, it also reduces cravings and thus the chance of relapse, allowing patients to undergo counseling. Patients then enter a maintenance phase that can last a few months or longer. Buprenorphine and methadone attach to the same opioid receptors as heroin and opioid drugs, but don’t produce euphoria. This lack of a high and other ingredients in Suboxone reduce the potential for patients to abuse Suboxone, Salabarria says. For many addicts, methadone works well, but Stacey found it didn’t completely eliminate the withdrawal and craving symptoms. It also caused severe lethargy and a sweets craving that triggered her to gain 70 pounds. The buprenorphine “helps a lot,” she says. “It helps you get back on your feet so you can function again.” Stacey’s only problem with the buprenorphine is its cost. Without health insurance, she can’t afford it, and she worries about the possibility of her employer cutting her insurance benefits.

Counseling is critical
“I always stress to clients that Suboxone is not the ‘magic pill,’” says Trish Lewis, psychiatric clinician. “Like people with diabetes, heart disease and any other medical condition, people with addiction must make lifestyle changes.” Because addiction occurs at both physical and psychological levels, HCC patients are required to undergo counseling as part of buprenorphine treatment. Like many patients whose substance abuse has gotten out of control, Stacey started with an intensive outpatient substance abuse program three days a week. She now attends Lewis’ weekly relapse prevention group, one of several, specialized substance abuse groups the hospital offers. Others include women’s issues, recovery skills, trauma skills training, and an early intervention group, for people who aren’t sure if they have an addiction. Some substance abuse patients also receive counseling through other HCC Outpatient Behavioral Health programs, including trauma-based treatment and specialized programs for people with anxiety, depression, bipolar disorder and other types of mental illness. The hospital’s Hispanic Counseling Center offers substance abuse and mental health programs in Spanish. Many people addicted to drugs and alcohol also have mental illness, Borzellino says. In some cases, substance abuse itself causes or exacerbates mental illness, but for many, the illness comes first, and people begin using drugs illegally to self-medicate. “The vast majority of our patients have experienced some form of childhood trauma that develops into anxiety or depression that doesn’t get treated, so they end up with substance abuse,” Borzellino says. “When we’re treating someone for addiction, we don’t push them into addressing the trauma that might have prompted their addiction, but some do have an epiphany.”

In both its substance abuse and other mental health programs, the hospital offers individual and group counseling. Group counseling can be particularly helpful to those with addiction because many patients are in denial about their problem, Lewis says. “When they’re sitting with peers who have the same issues, it helps people accept their diagnosis,” she says. “Once they accept that they have a problem, they can start working on it.” The relapse prevention group’s eight members share their concerns and struggles, and ideas on how to deal with them. Lewis teaches the group coping and other skills and helps them develop a support system they can use after treatment. “The support system is critical because they won’t be here forever,” she says. Stacey says her parents have been very supportive, despite all they’ve been through. “They’re definitely here for me.” Keeping busy has also helped her stay clean. In addition to the relapse prevention group, she attends Alcoholics Anonymous and Narcotics Anonymous meetings and works — a lot. “Working makes me feel like a human again,” says Stacey, who hopes to return to graduate school someday. “I’ve learned that no matter how much I might think I want drugs, if I just do something else the craving will pass.”

For information on The Hospital of Central Connecticut’s Substance Abuse Services, call (860) 224-9985. For information about other Outpatient Psychiatry and Behavioral Health programs, call (860) 224-5804.

Published on July 29, 2009

Hospital of Central Connecticut makes medical staff appointments

7/23/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Emergency Medicine
Michelle McDade, M.D., has joined the hospital’s medical staff. She earned her medical degree at Oregon Health & Science University School of Medicine, Portland, Ore. McDade completed an emergency medicine residency at University of Connecticut Health Center. She practices at The Hospital of Central Connecticut, (860) 224-5675.

Hamid Ehsani, M.D., has joined the hospital’s medical staff. He earned his medical degree from Washington University in St. Louis School of Medicine, St. Louis, Mo. Ehsani completed an emergency medicine residency at The Ohio State University Medical Center, Columbus; and a critical care fellowship at Dartmouth-Hitchcock Medical Center, Lebanon, N.H. He practices at The Hospital of Central Connecticut, (860) 224-5675.

James Matern, M.D., has joined the hospital’s medical staff. He earned his medical degree from the University of Connecticut School of Medicine. Matern completed an emergency medicine residency at Lincoln Medical and Mental Health Center, Bronx, N.Y., and at St. Luke’s-Roosevelt Hospital Center, New York City. He practices at The Hospital of Central Connecticut, (860) 224-5675.

Pathology
Barbara J. Arcarese, D.O., has joined the hospital’s medical staff. She earned her medical degree at New York College of Osteopathic Medicine, Old Westbury, N.Y. Aracarese completed a pathology residency at St. Luke’s-Roosevelt Hospital Center, New York City; a hematopathology fellowship at Beth Israel Medical Center, New York City; and a surgical pathology fellowship at Yale University School of Medicine. She practices at The Hospital of Central Connecticut, (860) 224-5584.

Pediatric Dentistry
Matthew Goslee, D.M.D., M.P.H., has joined the hospital’s medical staff. He earned his dental medicine degree from the University of Connecticut School of Dental Medicine. Goslee completed a graduate program in pediatric dentistry at the University of North Carolina at Chapel Hill. He practices at Posner & Turkus, DDS, PC, at 255 North Main St., Bristol, (860) 589-7170.

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Published on July 23, 2009

Minimally invasive surgery at HCC recreates esophagus

7/10/2009 12:00:00 AM
The Hospital of Central Connecticut (HCC) now offers esophageal cancer patients minimally invasive surgery to remove and reconstruct the esophagus. Compared to traditional surgery, the new procedure offers significantly reduced recovery and post-surgical discomfort.

The minimally invasive esophagogastrectomy (MIE), which uses several tiny incisions vs. two longer ones, removes a cancerous esophagus and repositions the stomach to form a new esophagus.

“It’s the traditional surgery applying state-of-the-art technology,” says HCC surgical oncologist James Flaherty, M.D., FACS, who is the only physician in Central Connecticut and Greater Hartford who conducts an MIE.

“This is still major surgery but we’re able to sharply reduce post-operative discomfort and markedly improve early return to normal activity,” he adds.

In June, a 61-year-old New Britain man was the first to have the procedure at HCC.

The MIE approach employs several 5 mm to 1 cm incisions to the right chest, the upper abdomen and lower neck. Traditional surgery requires a large incision on the side of the chest and another one down the middle of the abdomen. Either procedure is available for patients with cancer up to stage 3.

Compared to traditional surgery, inpatient hospital stay with the MIE approach is seven to 10 days vs. 10 to 14 days, and recovery two to four weeks vs. up to two to four months, says Flaherty.

When esophageal cancer is detected early, survival rate after an esophagogastrectomy is about 80 percent at five years, he notes. For stages 2 and 3, chemotherapy and radiation therapy often precede surgery and survival at five years ranges from 40 to 60 percent.

According to the American Cancer Society (ACS), men are more likely to have esophageal cancer, with almost 80 percent of it diagnosed between ages 55 and 85. The two types of esophageal cancer are adenocarcinoma and squamous cell carcinoma. Other risk factors include tobacco and alcohol use, obesity, and esophageal inflammatory conditions, most commonly gastroesophageal reflux. National Cancer Institute estimates for 2009 are 16,470 new cases of esophageal cancer, and 14,530 deaths.

Flaherty, board-certified in general surgery and fellowship trained in both esophageal and cancer surgery, is the Commission on Cancer Liaison Physician for HCC. He is also the hospital’s cancer liaison to the American College of Surgeons.

Published on July 10, 2009

Hospital of Central Connecticut Auxiliary Tournament Raises More than $70,600

6/26/2009 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary’s 19th Annual Golf Tournament raised $70,657 toward the purchase of a maternal fetal ultrasound machine used to perform exams on women with high-risk pregnancies.

The June 9 event drew more than 100 golfers and many enthusiastic volunteers to Tunxis Plantation Country Club in Farmington.

“We are very grateful to the sponsors, players, volunteers and all involved for supporting this event,” said Wendy Lux, executive director of Development for the hospital. “Funds raised through the tournament will help us provide the best prenatal care to mothers and babies who need extra attention.”

Published on June 26, 2009

Hospital names executive director of Development

6/26/2009 12:00:00 AM
Wendy M. Lux recently joined The Hospital of Central Connecticut as executive director of Development. In this position she will oversee the fundraising activities for the hospital.

She is a familiar face to many at the hospital, having worked for the former New Britain General Hospital for over 15 years in various positions, including director of Development, from 1996 to 2002.

“I’m thrilled to rejoin the hospital family,” Lux said. “I look forward to connecting with friends and supporters of the hospital to further advance our mission.”

A certified fundraising executive, Lux has over 18 years of fundraising experience, with a focus on health care.

Before joining HCC in May, she worked at the University of Connecticut Foundation, where she most recently served as associate vice president for Development for the UConn Health Center. In that role, Lux managed the overall development operation and provided oversight and strategic direction for the Health Center’s fundraising and alumni relations efforts.

Prior to her UConn position, Lux was director of Development at the New Milford Hospital Foundation, where she led efforts to significantly increase philanthropic support through events, annual giving, major gifts, planned giving, and several special giving campaigns.

Lux is involved in numerous professional organizations, including the Association of Healthcare Philanthropy, and the Association of Fundraising Professionals (AFP), Connecticut Chapter, which presented her with its Outstanding Fundraising of Year award in 2007. She served as AFP Connecticut Chapter president from 2005-06.
In all of her development roles, Lux has worked closely with organizational leadership, board members, faculty, staff, donors and volunteer leadership.

“I am deeply impressed and inspired by the generous support the hospital receives from the community, its employees, physicians and volunteers,” Lux said. “Philanthropy plays an important role in our future, and will help enable the hospital to provide the best possible care to our patients.”

Published on June 26, 2009

Hospital announces flu death

6/23/2009 12:00:00 AM
Officials from The Hospital of Central Connecticut and the New Britain Department of Public Health announced Tuesday that a hospital inpatient infected with the influenza virus H1N1 (swine flu) has died of respiratory failure.

The patient, whose age was between 50 and 59, was admitted to the hospital on June 13 with fever and respiratory symptoms. The patient died on June 19. The patient had an underlying medical condition which is known to shorten life expectancy and may have increased susceptibility to the H1N1 virus.

“Our thoughts are with this patient’s family and loved ones,” said hospital spokesperson Helayne Lightstone. “We are working diligently and taking every possible step to prevent transmission of the disease to protect our patients, visitors and staff.”
Eugene M. Ciccone, MD director of the New Britain Department of Public Health, urged residents to take precautions to prevent the spread of flu by staying home from work or school if they are sick, washing their hands frequently, and coughing or sneezing into their sleeve or a tissue.

The patient is the first person to die of H1NI in New Britain, Dr. Ciccone confirmed.

Published on June 23, 2009

Golf Tournament Raises Nearly $23,670 For Hospital’s Bradley Memorial Campus

6/22/2009 12:00:00 AM
The 19th Annual Bradley Memorial Golf Tournament May 27 raised nearly $23,670 for programs and services at The Hospital of Central Connecticut’s Bradley Memorial campus.

The event drew more than 100 golfers and enthusiastic volunteers to Hawk’s Landing Country Club in Southington. Platinum Sponsors were CenConn Services, Inc. ConnectiCare, Inc. and MRI of New Britain. Parson’s Buick of Plainville was the Hole-in-One Sponsor.

“We are very grateful to the sponsors, players, volunteers and all involved for supporting this event,” said Wendy Lux, executive director of Development for the hospital. “Funds raised through the tournament help the hospital carry out its mission to provide the most advanced healthcare services to the Central Connecticut community.”

Published on June 22, 2009

Hospital of Central Connecticut makes medical staff appointments

6/16/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Obstetrics/Gynecology
Deborah Feldman, M.D., has joined the hospital’s medical staff. She earned her medical degree at the University of Connecticut School of Medicine. She completed an obstetrics and gynecology residency and maternal/fetal medicine fellowship at the University of Connecticut Health Center. She practices at The Hospital of Central Connecticut, (860) 224-5691; and at 85 Jefferson St., Suite 625, Hartford, (860) 545-2884.

Podiatry
Deborah E. Waterman, D.P.M., has joined the hospital’s medical staff. She earned her degree in podiatric medicine at New York College of Podiatric Medicine, New York City. She completed a residency at Our Lady of Mercy Medical Center, Bronx, N.Y.; and a sports medicine fellowship at Virginia Mason Medical Center, Seattle. She practices at Comprehensive Family Foot Center, LLC, 100 Riverview Center, Middletown, (860) 638-4671.

Published on June 16, 2009

Berlin Resident Shares Inspiring Story With More Than 900 at Cancer Survivors Day Program

6/9/2009 12:00:00 AM
Keith Bellizzi, Ph.D., MPH, a 15-year cancer survivor and member of Lance Armstrong’s 2005 Tour of Hope cycling team, shared his inspiring story with more than 900 cancer survivors and their guests at The Hospital of Central Connecticut’s National Cancer Survivors Day event June 7.

The 17th annual Survivors Day celebration, held at the Aqua Turf Club in Southington, was sponsored by The Hospital of Central Connecticut’s George Bray Cancer Center.

Bellizzi, a Berlin resident, was 24 when he was diagnosed advanced testicular and kidney cancer. He decided if he survived, he’d return to school and devote his life to helping others with cancer.

Bellizzi eventually earned master’s degrees in public health and psychology and a Ph.D. in human development and family studies. After working at the National Cancer Institute, he joined UConn, where he is assistant professor of Human Development & Family Studies. He has continued his work in cancer research.

“Cancer for me was an opportunity to find meaning in my life,” Bellizzi told the group at the event.

In 2005, Bellizzi was among 24 riders chosen from a pool of 1,100 to join cancer survivor and seven-time Tour De France winner Lance Armstrong on the 2005 Bristol-Myers Squibb Tour of Hope. The ride, from San Diego, Calif. to Washington, D.C., helped raise money for cancer research and awareness of the importance of clinical trials to help find new cancer treatments. Bellizzi called the ride a “grueling” but inspiring experience.

Bellizzi and other Cancer Survivors Day speakers, Steven Hanks, M.D., the hospital’s senior vice president of medical affairs; Peter Byeff, M.D., medical director, George Bray Cancer Center; and John Delmonte Jr., M.D., the Cancer Center’s director of cancer research, encouraged those in attendance to participate in clinical trials.

Speeches were followed by a special recognition ceremony for cancer survivors and caregivers.

Published on June 09, 2009

Hospital of Central Connecticut Employees Recognized for Service, Dedication

5/19/2009 12:00:00 AM
The Hospital of Central Connecticut recognized 272 employees May 13 during the annual Employee Recognition Awards ceremony at the Aqua Turf Club in Southington.

Employees from both the Bradley Memorial and New Britain General campuses were honored for achieving service milestones in the preceding year, including Barbara Olsen, a unit secretary in the New Britain General campus Emergency Department, who has 45 years of service. Six employees were honored for 40 years of service; 11 for 35 years of service; and 17 for 30 years of service. In addition, many more were honored for 25, 20, 15, 10, and five years of service.

A highlight of the evening was the presentation of the President’s Award for Excellence in Customer Service to Mike Meehan of Plainville, a carpenter with the hospital’s Maintenance department for 33 years. His prize is a stay for himself and his family at the Mohonk Mountain House, a resort in New York’s scenic Hudson Valley.

The annual Award for Excellence is the hospital’s highest customer service honor. It’s designed to recognize an outstanding employee who embodies exemplary customer service, an ongoing commitment to customers, innovation and creativity in resolving customer issues and continuous improvement in customer service.

“This year’s award winner goes above and beyond to understand and appreciate the needs of his customers in his effort to creatively develop effective solutions,” said hospital President Laurence A. Tanner. “From the simple fix to the complex project, his work has enhanced the work environment by adding convenience and comfort and improving overall patient and employee safety.”
Meehan was nominated by staff with the hospital’s Child Development Center, where he redesigned cabinets, closets and other areas to make them more “child-friendly.”

Meehan said the award was an unexpected honor.
“It was definitely a surprise,” he said. “I’m proud to be a member of a team of employees who are so committed to quality patient care.”

Other awards presented that evening included the Outstanding Nurse Preceptor Award, presented to Lauren Cragin, R.N., of the New Britain General campus surgical/bariatric unit for her work mentoring new nurses; and a Medical Staff Recognition Award, presented to Ashley Castellani, practice manager with the New Britain Emergency Department, who was nominated by department physicians.

Published on May 19, 2009

Hospital of Central Connecticut honors volunteers

5/15/2009 12:00:00 AM
Hundreds of Hospital of Central Connecticut volunteers were honored April 19-25, annual National Healthcare Volunteer Week. Over the past year, 415 volunteers from the combined campuses of New Britain General and Bradley Memorial donated 52,577 hours of service.

The volunteers were recognized at hospital luncheons during Volunteer Week. Several individuals in particular were honored: At Bradley Memorial, Yvonne Veronneau of Southington was recognized for volunteering 1,161 hours in the gift shop during the year, bringing her lifetime volunteer hours total to 15,000. Betty Porter of Southington reached the 10,000-hour milestone. She volunteered the most hours during the year, 1,214, bringing her lifetime total to 10,600 hours.

“All of our volunteers are extremely dedicated to the hospital, but Yvonne, Betty and Mary Messier (of Southington) take it to a higher level, volunteering almost 20 hours per week at the hospital,” said Anne Phelan, director of Volunteer Services. “In addition to their regular volunteer hours, they are always willing to help out by volunteering extra hours when needed.”

The New Britain General campus named Mireille Niedzwiecki of Middletown Volunteer of the Year. Niedzwiecki has volunteered for over eight years with the hospital’s Ambassador Program, primarily transporting patients throughout the hospital.

Niedzwiecki is highly regarded throughout the hospital and received multiple nominations from staff for the Volunteer of the Year honor, Phelan said. According to one of her nomination letters, “Mireille is an amazing volunteer. She is always here and nothing asked of her is too much of a bother. Her cheerfulness and wonderful personality are calming for our patients and much appreciated by staff.”

During the past year, the 297 New Britain General campus volunteers dedicated 44,324 hours to the hospital. The Bradley Memorial campus’ 118 volunteers donated 18,253 hours. Overall, the volunteered hours have saved the hospital over a million dollars. Volunteers perform a variety of jobs while at the same time offering valuable moral support to visitors, patients, and staff.

Published on May 15, 2009

Hospital’s cancer program awarded accreditation with commendation

5/12/2009 12:00:00 AM
The American College of Surgeons (ACOS) Commission on Cancer has awarded The Hospital of Central Connecticut (HCC) a three-year accreditation with commendation as a Teaching Hospital Cancer Program.

In April, an ACOS physician surveyor conducted an extensive evaluation of HCC’s cancer services, including a review of 36 standards required for program accreditation. HCC received commendations for five standards reviewed.

“The three-year approval by the American College of Surgeons Commission on Cancer demonstrates the continuing excellence of the cancer program at The Hospital of Central Connecticut. This is a designation awarded to only a handful of hospitals in Connecticut,” says Peter D. Byeff, M.D., director of the George Bray Cancer Center.

“This accreditation is also reflective of the strong commitment and compassion of hospital staff members who work as a team in caring for cancer patients in our community,” says Denise Peterson, R.N., M.S., director of Oncology Services.

Commendations recognized the hospital’s cancer outcomes analysis through its annual reports; quality of data reported to the National Cancer Data Base; 100 percent compliance with College of American Pathologists’ requirements; offering three or more prevention or early detection programs; and cancer-related improvements, namely survival studies related to pancreatic cancer and malignant brain tumors.

HCC provides comprehensive care for a variety of cancers and is currently planning to build a comprehensive cancer center to augment the hospital’s current services. These include diagnostic procedures, including MRI, CT, PET and PET-CT scanning; chemotherapy; radiation therapy, including intensity modulated radiation therapy (IMRT), brachytherapy and Novalis radiosurgery; surgical oncology for esophageal, colorectal, thoracic, breast and neurological cancers; hematology and gynecologic oncology; clinical trials to test new medications and treatments; and support services for patients and their loved ones/caregivers.

Published on May 12, 2009

American Hospital Association Honors Hospital of Central Connecticut President

5/11/2009 12:00:00 AM
The American Hospital Association (AHA), in partnership with the Connecticut Hospital Association, has awarded Hospital of Central Connecticut President and CEO Laurence A. Tanner the Partnership for Action Grassroots Champion Award.

The award recognizes one hospital leader in each state who most effectively educates elected officials on how major issues affect his or her hospital’s vital role in the community; who has done an exemplary job in broadening the base of community support for the hospital; and is a tireless advocate for his or hospital and its patients.

“Larry has made an incredible amount of difference in the lives of patients and their families here at the hospital, in Connecticut and in the U.S.,” said John F. (Jack) Barry, regional executive for the AHA’s Region One office.

Award winners were chosen by their state hospital associations and the awards announced at a special Breakfast of Grassroots Champions at the AHA Annual Membership Meeting April 28 in Washington, D.C. On May 7, Barry visited The Hospital of Central Connecticut to personally present Tanner with the award at a hospital Board of Directors’ meeting.

Barry noted Tanner’s longtime support of the Connecticut Hospital Association and the American Hospital Association. He also praised Tanner’s willingness to work with his colleagues and legislators when an important healthcare issue or piece of legislation is being discussed.

Reading from an AHA award citation, Barry said, “Mr. Tanner has the distinction of never missing a CEO meeting with legislators in Hartford or Washington, D.C., providing significant leadership on matters such as Medicaid reimbursement. He truly understand the role of a grassroots advocate, and how well-considered messages from key constituents can tip the balance during debates at the state capitol or on Capitol Hill.”

“In his long and distinguished healthcare career, Larry Tanner has dedicated himself to ensuring that the most advanced health care is available to everyone who needs it, in our community, Connecticut and nationwide,” said Frank Miller, chairman of the hospital’s Board of Directors. “As president of The Hospital of Central Connecticut, he has forged partnerships with countless individuals, businesses and organizations to improve the health and well-being of the people in Central Connecticut.”

Tanner earned his bachelor’s degree in business administration from the University of Rhode Island and his MPH in hospital administration from Yale University. He became New Britain General Hospital president in 1987, after serving as president and CEO of Bristol Hospital.

Tanner led New Britain General through its 2006 merger with Bradley Memorial Hospital into The Hospital of Central Connecticut (HCC). In 2007, the Hartford Business Journal named Tanner a Health Care Hero for his leadership during the merger.
In addition to serving as HCC president and CEO, Tanner is president and CEO of the Central Connecticut Health Alliance, an integrated health system of acute care, long-term care, home health care, and behavioral health services. He holds positions in many Alliance affiliates, including director, president and CEO of CenConn Services, Inc., a for-profit affiliate; chairman and a trustee of Jerome Home, a not-for-profit multi-level care facility in New Britain; and director of Central Connecticut Senior Health Services, Inc., Community Mental Health Affiliates and VNA of Central Connecticut.

Tanner is involved in numerous local, state and national organizations, serving as chair of the board of trustees of the Capital Area Health Consortium and a member of the boards of directors of the Connecticut Hospital Association, the New Britain Chamber of Commerce and VHA Northeast. Tanner is also a member of the American Hospital Association’s Section for Metropolitan Hospitals governing council.

Published on May 11, 2009

Hospital Of Central Connecticut Nurse Receives Award

5/7/2009 12:00:00 AM
A Bristol woman has received The Hospital of Central Connecticut’s highest nursing honor for her expertise, compassion and dedication to her patients and colleagues.

Jennifer Tabak, a nurse in the Emergency Department (ED) at the hospital’s New Britain General campus, received the Viola Larson Memorial Award May 6 at a special ceremony.

Tabak was one of 10 nurses nominated by their peers for the award, which recognizes clinical expertise, leadership, professional development and compassion and respect for patients and co-workers. Named for the former vice president of nursing, the late Viola Larson, it is the hospital’s highest nursing honor.
Tabak was described by her peers in their nomination letter as a genuinely compassionate and empathetic nurse.

“She is never to busy to hold a patient’s hand or spend time with a distraught family member,” they wrote.

Tabak was also described as a “go-to” person and clinical expert who is always willing to help and educate her peers.

“She has the innate ability to find areas where the staff needs further education and then provides in-services or develops a teaching tool,” her peers wrote.

A hospital employee for 12 years, Tabak is a Clinical Level IV nurse, the highest level of clinical expertise, and is pursing her bachelor’s degree in nursing. She is also a Basic Life Support, Advanced Cardiac Life Support and Emergency Nursing Pediatric Course instructor.

Linda Frigon, the hospital’s acting vice president of Patient Care Services, presented the Viola Larson Award. Tabak’s family attended the ceremony, along with hospital officials and staff from various departments.

“I work with great people,” Tabak said in accepting the award. “This is a wonderful institution to work for. It’s been a fabulous experience.”

The nine other Viola Larson Award nominees were New Britain General campus RNs: Barbara Amato, Catherine Denuzzio, Roxanne Aldi and Terry Simmons, Critical Care; Elizabeth Lindsey, Inpatient Psychiatry; Bethany Carr, Oncology; Suzette Muskatello, Total Joint & Spine Center; Danielle Shweky, Labor & Delivery; and Toni Smachetti, Hemodialysis.

Published on May 07, 2009

The Hospital of Central Connecticut and American Cancer Society Sign Collaborative Agreement

5/4/2009 12:00:00 AM
The American Cancer Society and The Hospital of Central Connecticut are joining forces in the fight against cancer. Both organizations signed a collaboration agreement today to work together on a number of key initiatives, including providing cancer information; support programs for patients, caregivers and families; education activities to promote the early detection of breast, colon and lung cancers; and advocacy and outreach efforts throughout the community.

“We are very excited about the partnership with ACS, which will enhance the services and support we provide to our patients and community,” said Denise Peterson, R.N., M.S., The Hospital of Central Connecticut’s director of oncology services.

“The American Cancer Society actively seeks to collaborate with local hospitals to help provide the public with information, day-to-day help and emotional support through Society staff and volunteers,” said Connie Malave Branyan, director of health initiatives for the American Cancer Society. “Working in tandem with The Hospital of Central Connecticut, we strive further to reach the goals to eliminate cancer as a major health problem by saving lives, diminishing suffering and preventing cancer through research, education, advocacy and service.”

Through the collaborative agreement, the American Cancer Society and The Hospital of Central Connecticut will work together to:
- Provide free, personalized cancer information and consultation for all newly diagnosed cancer patients.
- Provide free resource materials and research assistance to cancer patients and caregivers.
- Provide supportive services to hospital patients, including Society programs such as Reach to Recovery, a one-to-one emotional support program for breast cancer patients; Look Good Feel Better, a program for female cancer patients undergoing treatment; and Road to Recovery, a free transportation program for cancer patients in need of rides to treatment.
- Conduct outreach targeted to the New Britain community, focusing on cancer prevention and early detection measures.
- Present and partner in cancer survivor recognition opportunities in the New Britain area.

Beginning May 5, an American Cancer Society representative will be at the hospital’s New Britain General campus Tuesdays and Thursdays. The hospital’s cancer resource specialist will staff the Auxiliary Cancer Resource Library Mondays, Wednesdays and Fridays.

The American Cancer Society helps patients and their families with free information, support, and local resources. Cancer information specialists are available by phone 24 hours a day, 365 days a year to provide information, arrange rides to treatment, or answer insurance questions. If you or someone you know needs help, call 1-800-227-2345 or visit www.cancer.org.

The Hospital of Central Connecticut is a 414-bed, 32-bassinet, acute-care hospital with campuses in New Britain and Southington. The hospital offers a comprehensive line of cancer services, including a variety of advanced radiation oncology technologies and procedures to treat many different cancers. At its George Bray Cancer Center, the hospital offers chemo- and other therapies using the latest anti-cancer drugs and treatments. The hospital also provides inpatient care in its oncology unit and support services for all cancer patients and their caregivers.

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Published on May 04, 2009

Hospital physician receives award for breast cancer study

5/1/2009 12:00:00 AM
An unprecedented, award-winning study led by a Hospital of Central Connecticut (HCC) radiologist shows measurable value of a gamma imaging test over ultrasound in detecting breast cancer as a follow-up to a mammogram.

In April, HCC radiologist Jean Weigert, M.D., received the 2009 Breast Journal Abstract Award at the American Society of Breast Disease 33rd Annual Symposium for her abstract, Breast-Specific Gamma Imaging (BSGI) Compared to Breast Ultrasound in Patients with Mammographic Abnormalities Requiring Diagnostic Evaluation.

The study used data accumulated from 2005-07, including data gathered at the hospital’s Bradley Memorial campus. The study found that compared to ultrasound imaging, BSGI provides more sensitivity in the ability to locate an abnormality and is more specific in findings for breast cancer and other abnormalities, says Weigert. Data compared results of 70 patients who had both BSGI and ultrasound tests. The tests, which also included biopsy, were conducted based on mammogram results.

This was the first study comparing breast ultrasound to BSGI results for cancer diagnosis.

BSGI can distinguish non-cancerous or benign tissue from cancer and locate lesions as small as two to three millimeters. Among women who would benefit from BSGI tests, Weigert says, are those with dense breasts, more common in premenopausal women. “A BSGI study I previously presented to the Society in 2007 found that if the BSGI test is negative, there’s only a 2 percent chance that anything in the breast is cancer,” says Weigert.

BSGI studies used the Dilon 6800 Gamma Camera, the only FDA-approved BSGI unit. The non-invasive test is similar to a mammogram but uses less compression. Before imaging, patients received an intravenous radiotracer dye. The dye reveals as a bright spot during the test if cancer is present since the dye is more easily absorbed by cancer cells, which have a higher metabolic activity.

“I was delighted to get the award and very surprised,” says Weigert. “It’s one more example of why BSGI is such a good tool in the work-up of the problematic breast.”

Weigert’s study was one of three to receive an award at the symposium in Chicago. She plans to conduct a follow-up study will write an article based on initial findings for The Breast Journal.

For breast cancer patients, The Hospital of Central Connecticut now offers a breast cancer program aimed at helping patients get streamlined, fast-tracked care backed by clinical expertise and support. The program includes Nurse Navigator Donna Boehm, R.N., M.S.N., M.P.H., who helps patients navigate the healthcare system from diagnosis through treatment. For more information, please contact Boehm at (860) 224-5900, X6307.

Published on May 01, 2009

Hospital of Central Connecticut Auxiliary Golf Tournament Scheduled

4/22/2009 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary Golf Tournament will be held Tuesday, June 9 at the Tunxis Plantation Country Club in Farmington. Shotgun start is at 11:30 a.m.

Proceeds from the 19th annual tournament will go toward the purchase of a maternal fetal medicine ultrasound used to perform exams on women with high-risk pregnancies.

For information on playing in or sponsoring the tournament, call Laurel Klepacki, (860) 224-0248, or Jillian Wanik, (860) 224-1177.

Published on April 22, 2009

Breast, Cervical Cancer Early Detection Program Receives Grant

4/17/2009 12:00:00 AM
The Connecticut Breast and Cervical Cancer Early Detection Program at The Hospital of Central Connecticut was recently awarded a $48,345 grant by the Susan G. Komen Breast Cancer Foundation Connecticut Affiliate to help cover services for uninsured and underinsured women.

Grant funds will help cover services related to biopsies and breast cancer screening, including MRIs, computer-aided detection, anesthesia and recovery room fees not reimbursable by the Early Detection Program.

The Connecticut Breast and Cervical Cancer Early Detection Program is implemented statewide by the National Breast and Cervical Cancer Early Detection Program, federal Centers for Disease Control and Prevention and Connecticut Department of Public Health. The program’s primary objective is to significantly increase the number of women without insurance who receive breast and cervical cancer screening services and diagnostic follow-up, as appropriate.

For information on the hospital’s Early Detection Program, contact Diane Walczok, case manager, (860) 224-5505.

Published on April 17, 2009

Scholarship Available for High School Students Pursuing Nursing

4/9/2009 12:00:00 AM
The Hospital of Central Connecticut’s New Britain General campus Auxiliary is accepting applications for The Kathleen Boudreau Scholarship for high school students pursuing nursing careers.

The $500 scholarship was created in memory of Kathleen Boudreau by her daughter, Marleen Boudreau Flory of St. Peter, Minn., through the New Britain General campus Auxiliary.

Application packets are available on the hospital Web site: www.thocc.org/services/auxiliary/; by calling the New Britain General campus volunteer office, (860) 224-5231; or at local school high guidance offices.
Completed applications are due by June 12 and must be submitted to the Volunteer Services Office, HCC at New Britain General, 100 Grand St., New Britain, CT 06050. One high school senior will be selected and announced by a screening committee in July.

Kathleen Boudreau was born in Ireland in 1919, and grew up in Long Island, N.Y., before relocating to New Britain. She completed her LPN degree at Hartford Hospital and worked in New Britain convalescent homes for several years. She volunteered at New Britain General Hospital through the 1970s and ’80s.

Published on April 09, 2009

Hospital Offers New Breast Cancer Support Group

4/7/2009 12:00:00 AM
Beginning May 6, The Hospital of Central Connecticut will hold a breast cancer support group for people newly diagnosed with breast cancer or in active treatment for breast cancer.

The group will meet the first Wednesday of each month, 5:30-7 p.m. in Dining Room B at the hospital’s New Britain General campus, 100 Grand St.

Those interested in attending should contact Donna Boehm, (860) 224-5900, X6307, before their first meeting. Light refreshments will be provided.

The group is being funded by a grant from the Connecticut Breast Health Initiative, Inc.

Published on April 07, 2009

Hospital helps trim childhood obesity with nutrition & dance classes

4/7/2009 12:00:00 AM
By combining the ABCs of healthy eating habits with the swing of Zumba dance, several New Britain families are on track toward healthy lifestyles to help trim childhood obesity incidence.

The Hospital of Central Connecticut (HCC) coordinated with Human Resources Agency of New Britain, Inc. (HRA) Head Start and YMCA of New Britain-Berlin for an eight-week program of nutrition and dance classes that began in February to encourage healthy diet and exercise habits for children at risk of or who have obesity, and their families. The classes, which end next week, are at the YMCA, 50 High St., New Britain.

The program evolved from HRA’s Head Start Nutrition Subcommittee and is funded by HCC’s New Britain Asthma Initiative. Head Start identified program children, ages 3 to 5, who are obese or at risk of becoming obese and invited parents to the classes, also opened to other parents who expressed interest. Childhood obesity is linked to numerous health conditions, including Type 2 diabetes, elevated blood pressure and high cholesterol.

During the Tuesday nutrition class, led by an HCC registered dietitian, three to six families, through a Spanish interpreter, learn about fats, healthy dining out, the food guide pyramid, food groups, and portion control. At least 20 moms and kids alike enjoy the Saturday Zumba dance class led by a YMCA instructor and featuring Latin and Caribbean music.

“We had been talking about a program for these preschoolers to start while they’re young,” says Nutritional Subcommittee member Loreen E. Gawel, MPH, coordinator of the hospital’s New Britain Asthma Initiative. Children with asthma are hesitant to participate in sports, she notes, contributing to children becoming overweight. “The best thing we thought of was having this program and getting the parents involved.”

Published on April 07, 2009

Free lecture: Beyond Baby Einstein and No More Tears

4/6/2009 12:00:00 AM
The Hospital of Central Connecticut will hold a free lecture, “Beyond Baby Einstein and No More Tears” Wednesday, May 6, 7-8 p.m. at the New Britain General campus.

Susan M. Ludington, Ph.D., C.N.M., FAAN, will discuss how parents can enhance their baby’s mental and motor skills, and reduce or prevent crying. Ludington is a nurse midwife and the Carl W. and Margaret Davis Walter Professor of Pediatric Nursing at Case Western Reserve University in Cleveland. She is the author of two books, “How to Have a Smarter Baby,” and “Kangaroo Care: The Best You Can Do for Your Preterm Infant.”

Ludington will discuss how parents can foster their baby’s brain maturation by stimulating sight, hearing, touch, smell and other senses. She’ll also discuss evidence of the negative physical effects of crying in newborns and strategies for minimizing or preventing crying altogether.

The “Beyond Baby Einstein and No More Tears” Greenblatt lecture is free to the public. It will be held in Lecture Room 1, with refreshments available at 6:30 p.m. Seats are limited; call (860) 224-5695 for information or to register.

The lecture is supported by the Harold Greenblatt MD Memorial Fund, established in 1983 to honor the late Dr. Greenblatt and provide continuing education about pediatrics to the public. Dr. Greenblatt was the first board-certified pediatrician in New Britain.

Published on April 06, 2009

Healthcare Professionals Invited to Free Workshops On Skin-to-Skin Newborn Care

4/6/2009 12:00:00 AM
The Hospital of Central Connecticut will host a series of workshops for healthcare professionals on Kangaroo Care (skin-to-skin) beginning at 11:30 a.m. Thursday, May 7 at the New Britain General campus, 100 Grand St., New Britain.

Workshops will cover the uses and benefits of Kangaroo Care, a technique involving skin-to-skin contact between infants and their parents. Presenter Susan M. Ludington, Ph.D., C.N.M., FAAN, is the Carl W. and Margaret Davis Walter Professor of Pediatric Nursing at Case Western Reserve University, Cleveland. She has done extensive research on the benefits of Kangaroo Care for pre-term and term infants and is the author of two books, “Kangaroo Care: The Best You Can Do for Your Preterm Infant” and “How to Have a Smarter Baby.”

Three, 30-minute workshops will be offered; participants may attend any or all workshops. Healthcare professionals involved in newborn care at The Hospital of Central Connecticut and from around the region are invited. Please call (860) 224-5695 for more information and to register. Space is limited. Lunch will be provided.

Published on April 06, 2009

Hospital of Central Connecticut Receives Connecticut Breast Health Initiative Grant

4/3/2009 12:00:00 AM
The Connecticut Breast Health Initiative, Inc. has awarded The Hospital of Central Connecticut a $15,000 grant to help cover the services of a nurse navigator who will assist patients with breast cancer and other breast disease.

The hospital’s breast nurse navigator, Donna Boehm, R.N., M.S.N., M.P.H., works with patients who need breast biopsies and those diagnosed with breast cancer and other breast disease, following them from diagnosis through treatment and recovery.

Her role includes educating patients and their loved ones; helping patients make treatment decisions; advocating for patients during treatment; working with other healthcare professionals to coordinate care; and providing moral support.

“When people learn they have breast cancer, everything stops,” Boehm said. “Most are scared, and it’s hard for them to process all the information they’re receiving. My role is to calmly support them, answer their questions and empower them to make decisions about their treatment by ensuring they have the information they need.”

The Connecticut Breast Health Initiative grant will also help cover a patient resource manual, breast cancer education sessions and a breast cancer support group.

“We are extremely grateful for the Connecticut Breast Health Initiative’s generous grant, which will help ensure that patients get information, assistance and support when they need it most,” said James Massi, M.D., chief of Surgery at the hospital.

Published on April 03, 2009

Hospital of Central Connecticut makes medical staff appointments

4/2/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Anesthesiology
Pranay R. Kanake, M.D., has joined the hospital’s medical staff. He earned his medical degree at Topiwala National Medical College, Mumbai, India. He completed an internship at St. Elizabeth’s Medical Center, Boston; an anesthesiology residency at St. Elizabeth’s Medical Center and Beth Israel Deaconess Medical Center (BIDMC), Boston; and a critical care medicine fellowship at BIDMC. He practices with New Britain Anesthesia, PC, 100 Grand St., New Britain, (860) 224-5266.

Family Medicine
Julia Kaci, M.D., has joined the hospital’s medical staff. She earned her medical degree at University of Tirana, Albania. She completed an internal medicine internship at Our Lady of Mercy Medical Center (now North Division of Montefiore Medical Center), Bronx, N.Y; and a family practice residency and geriatrics fellowship at University of Florida College of Medicine, Gainesville, Fla. She practices at Plainville Primary Care, 36 Whiting St., P.O. Box 886, Plainville, (860) 747-4377.

Shilpa Rajashekar, M.D., has joined the hospital’s medical staff. She earned her medical degree at Ramaiah Medical College, India. She completed a transitional internship at M.S. Ramaiah Medical Hospital, Bangalore, India; and a family medicine internship and residency at Middlesex Hospital. She practices at Community Health Center, One Washington Square, New Britain, (860) 224-3642.

Urogynecology
Adam C. Steinberg, D.O., has joined the hospital’s medical staff. He earned his medical degree at Philadelphia College of Osteopathic Medicine. He completed an internship at Crozer-Chester Medical Center, Upland, Pa.; an obstetrics/gynecology residency and fellowship in female pelvic medicine and reconstructive surgery at University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, Cooper University Hospital, Camden, N.J. He practices at 85 Seymour St., Suite 525, Hartford, (860) 545-4338.

Published on April 02, 2009

Hospital of Central Connecticut Diabetes Educator Receives ADA “Hero Award”

4/1/2009 12:00:00 AM
Patricia A. O’Connell, M.S., R.D., C.D.E., C.D.-N., a registered dietitian and certified diabetes educator at the Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut, recently received the American Diabetes Association’s Diabetes Hero Award.

O’Connell, of Newington, was honored for her dedication to the diabetes community, including her work with patients, community outreach and more than 20 years of involvement with the American Diabetes Association (ADA).

She was among three people statewide honored at the ADA’s 15th Annual Hall of Merit Gala March 28 at the Marriot Hartford’s Grand Ballroom.

At the Joslin Affiliate, O’Connell’s responsibilities include providing medical nutrition therapy and diabetes education in a variety of settings to patients and their families/care partners to maximize diabetes management. She also conducts community outreach through diabetes screenings and presentations.

O’Connell is involved in the ADA in various capacities and has been in a leadership role with the organization for more than 20 years. She is also involved in grassroots efforts to influence funding for diabetes.

“I truly believe that we might not have the legislation that created a payment system for diabetes education, or at the very least it would have taken several years longer without Pat’s insights, persistence, and hard work,” William Petit, M.D., former medical director of the Joslin Affiliate at The Hospital of Central Connecticut, said at the Hall of Merit Gala.

Petit noted that O’Connell gladly works long hours to help her patients.

“…we know that Pat has been the backbone of the education and therapy of thousands of patients with diabetes whose lives have been improved by her hard work, knowledge, persistence, and perhaps most important of all her kindness,” Petit said.

O’Connell earned her bachelor’s degree in home economics with a nutrition emphasis from Marywood College, Scranton, Pa., and completed a dietetic internship at Walter Reed Army Medical Center, Washington, D.C. She earned her master’s degree in nutrition from the University of Maryland. She has been at the Joslin Affiliate at The Hospital of Central Connecticut for 11 years.

The Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut provides individualized care for people 18 and older with Type 1 or Type 2 diabetes, as well as pregnant women with diabetes.

The ADA Hall of Merit Gala has raised diabetes awareness and millions of dollars to support research aimed at preventing and curing diabetes, and helping people with diabetes live longer, healthier, more normal lives.

Published on April 01, 2009

Hospital Auxiliary Dedicates Bench to Friend, Colleague

4/1/2009 12:00:00 AM
The Hospital of Central Connecticut’s New Britain General campus Auxiliary recently dedicated a bench at the hospital to fellow member and former gift shop manager Patricia Hoerle, who passed away last year.

Hoerle’s daughters, Brenda and Cheryl Blogoslawski, were joined at the dedication by hospital volunteers, co-workers, longtime friends and Auxiliary members. The ceremony was held March 24, the first anniversary of Hoerle’s passing, across from the gift shop she managed for over 17 years.

The red enamel bench was purchased with memorial donations from Hoerle’s many friends and funds from the Auxiliary board of directors.

“Pat was an elegant , quiet lady who ran the gift shop with great calm and efficiency,” said Kathleen Yuskis, Auxiliary board member and gift shop treasurer. “Pat was determined to remain in the background, but she constantly promoted the work of the shop’s many volunteers. I hope when people stop to rest on the lovely bench dedicated in her honor they’ll think of Pat and enjoy their surroundings, just as she would.”

Published on April 01, 2009

Staff attend conference to help stop second-hand smoke exposure

3/31/2009 12:00:00 AM
Two Hospital of Central Connecticut (HCC) staff members recently attended an American Academy of Pediatrics (AAP) conference aimed at stamping out second-hand smoke and tobacco exposure to children.

HCC pediatrician Ellen Leonard, M.D., and Loreen E. Gawel, MPH, program coordinator for the New Britain Asthma Initiative (NBAI) at HCC, went to the AAP Julius B. Richmond Center Smoke Free Champions CME Training in February at Anaheim, Calif.

Conference attendees learned how to become “smoke-free champions” for children and families. Based on their application, Leonard and Gawel were among 40 people chosen to attend the conference at no cost from a pool of nationwide applicants.

“We learned that most smokers often think about quitting smoking at one point in their lives, but often have attempted and failed,” says Gawel. “By providing these parents of patients or patients themselves counseling in a non-judgmental manner and in small doses, it is usually well-received and effective in helping them reach their goal.”

Attendees were given business cards, for patients and/or parents, with the 1-800-QUIT-NOW phone number, a free service (http://1800quitnow.cancer.gov/) of the U.S. Department of Health and Human Services, National Institutes of Health and the National Cancer Institute.

Second-hand smoke is a trigger for asthma symptoms, which include gasping or shortness of breath, coughing or wheezing. The NBAI is a free program, offered by HCC and the New Britain Health Department, for children with asthma through age 18 who live in Greater New Britain. It helps children and their families learn about the disease and works with the child’s physician to help treat and manage it. Current program sponsors are American Savings Foundation; Greater Hartford Jaycees Foundation, Inc.; TD Charitable Foundation; and Swindells Charitable Foundation. For information, please call the New Britain Asthma Initiative at (860) 224-5900 x4229 or visit www.thocc.org.

The HCC campus is going smoke-free in November as part of a statewide Connecticut Hospital Association initiative for hospital campuses introduced by Steven Hanks, M.D., senior vice president of Medial Affairs at HCC. The hospital offers Quitting Time Smoking Cessation, which offers four programs to help smokers break the habit. Each is based on successful smoking cessation behavior modification techniques. For more information, please call (860) 224-5433.

Published on March 31, 2009

HCC physician achieves society’s designation as fellow

3/25/2009 12:00:00 AM
Jonathan Lovins, M.D., FHM, director of Hospital Medicine at The Hospital of Central Connecticut, recently earned the Fellow in Hospital Medicine (FHM) designation by the Society of Hospital Medicine (SHM).

Lovins is in the inaugural class of about 500 physicians to attain the designation. He was also appointed to two SHM task forces, Performance and Standards, and Information Technology.

As a hospitalist, Lovins is a physician trained and board-certified in internal medicine who specializes in the care of hospitalized patients. He joined HCC in July 2006 and earned his medical degree at the University of Connecticut School of Medicine. He completed an internship and residency in internal medicine at Baystate Medical Center (the Western campus of Tufts University School of Medicine) in Springfield, Mass.

According to the SHM, hospital medicine is the fastest-growing specialty in health care, with more than 28,000 hospitalists in practice. Studies show hospitalists decrease patient lengths of stay, reduce hospital costs and readmission rates, while increasing performance in quality core measures.

To achieve SHM fellow designation, an applicant must be a hospitalist for five years and an SHM member for three years; demonstrate dedication to quality and process improvement, a commitment to organizational teamwork and leadership, and lifelong learning and education.

Published on March 25, 2009

Hospital Receives $10,000 Grant for Asthma Initiative

3/20/2009 12:00:00 AM
The TD Charitable Foundation has awarded The Hospital of Central Connecticut a $10,000 grant for its New Britain Asthma Initiative (NBAI), which helps children and parents better understand and manage children’s asthma.

The grant will help pay for a variety of Initiative services, including education for participating families; tools parents can use to help manage their child’s asthma; and mentoring to ensure families can recognize asthma symptoms and learn to keep a child’s asthma under control.

“We are extremely grateful for the TD Charitable Foundation’s support,” says NBAI Coordinator Loreen E. Gawel, MPH. “The Foundation’s generous grant will help the NBAI give children with asthma and their families the support they need to manage their asthma appropriately.”

The NBAI is a case management program that is free and open to any child 18 or younger. Only a referral from the child’s primary care physician is required. For program information, call, (860) 224-5900, X4229.
More than 22 million Americans have asthma, a chronic affliction of the airways in the lungs that can cause gasping, coughing or wheezing. Nationwide, about seven million asthma sufferers are under 18.

The TD Charitable Foundation is the charitable giving arm of TD Bank N.A., which operates under the trade names TD Banknorth and TD Bank and is one of the 20 largest commercial banking organizations in the United States.

The Foundation’s mission is to serve the individuals, families and businesses in all the communities where TD Banknorth and TD Bank operate, having made over $40 million in charitable donations since its inception in 2002. The efforts of the Foundation are coordinated locally through TD Banknorth and TD Bank’s community relations departments and are focused on the areas of economic empowerment, youth development and community support. More information on the TD Charitable Foundation including an online grant application is available at www.TDBanknorth.com or at www.TDBank.com

Published on March 20, 2009

Hospital of Central Connecticut Auxiliary Golf Tournament Scheduled

3/18/2009 12:00:00 AM
The Hospital of Central Connecticut New Britain General campus Auxiliary Golf Tournament will be held Tuesday, June 9 at the Tunxis Plantation Country Club in Farmington. Shotgun start is at 11:30 a.m.
Proceeds from the 19th annual tournament will go toward the purchase of a maternal fetal ultrasound machine used to perform exams on women with high-risk pregnancies. For information, call Laurel Klepacki, or (860) 224-0248 Jillian Wanik, (860) 224-1177.

Published on March 18, 2009

Hospital of Central Connecticut Certified as Primary Stroke Center

3/17/2009 12:00:00 AM
A national healthcare quality organization has awarded The Hospital of Central Connecticut advanced certification as a Primary Stroke Center.
The Joint Commission for Primary Stroke Center certification means the hospital’s stroke program follows national standards and guidelines that will significantly improve outcomes for stroke patients.
“With stroke, it’s imperative to begin treatment as soon as possible to limit brain damage,” said Kristen Hickey, HCC’s Stroke Program coordinator. “This Primary Stroke Center designation means Central Connecticut residents have access to immediate, expert care, close to home.”
The Hospital of Central Connecticut provides a variety of emergency stroke treatments at its New Britain General and Bradley Memorial campuses, including minimally invasive procedures to eliminate clots and clot-busting medications. Medications include tPA, a drug shown to significantly reduce long-term disability if given within three hours of the stroke.
The Joint Commission’s certification is based on recommendations published by the Brain Attack Coalition and the American Stroke Association’s statements/guidelines for stroke care. The Joint Commission awarded certification after conducting a thorough, two-day review of the Stroke Program in January.
The Hospital of Central Connecticut has also been designated a Primary Stroke Center by the Connecticut Department of Public Health. This dual certification recognizes the hospital’s expertise and excellence in the care of stroke patients.
A stroke occurs when a blood vessel becomes blocked by a clot or bursts, interrupting blood flow to the brain. Deprived of oxygen and nutrients, the brain begins to die, resulting in disability or death.
The American Stroke Association estimates that about 780,000 Americans annually suffer a new or recurrent stroke. Stroke kills more than 150,000 people a year, making it the No. 3 cause of death, behind heart disease and cancer.
HCC’s Stroke Center treats patients who have had strokes and TIAs (transient ischemic attacks). TIAs produce stroke-like symptoms but no lasting damage; about 20 percent of patients who have a TIA will have a stroke within a month.
The center also provides education for hospital inpatients and the community on preventing strokes by identifying risk factors, including smoking and conditions like high blood pressure, diabetes and heart and artery disease, as well as age (people over 55 are at higher risk), family history of stroke, gender (strokes are more common among men) and prior stroke, heart attack or TIA.
In addition, the hospital’s Stroke Center educates the community and hospital inpatients on identifying stroke symptoms, which include numbness or weakness of the face, arm or leg (especially on one side of the body); sudden confusion, trouble speaking or understanding; sudden trouble seeing; sudden dizziness, loss of balance or coordination; and sudden severe headache with no known cause.
The Stroke Center also coordinates rehabilitation services for stroke patients; and works with community agencies and facilities to ensure continuity of care.
For information on stroke prevention and treatment, call the hospital’s stroke coordinator, (860) 224-5900, X6764.
The Joint Commission is an independent, not-for-profit agency that seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.

Published on March 17, 2009

Hospital of Central Connecticut Nurses Present at National Conference

3/9/2009 12:00:00 AM
Two Hospital of Central Connecticut surgical nurses will present a poster at the national Association of PeriOperative Registered Nurses (AORN)56th Congress this month.
Mary Munson, RN, MSEd, perioperative clinical nurse specialist, and Maryann Malsheske, RN, CNOR, of the hospital’s ambulatory surgery department, were among a select group of nurses whose posters were accepted for presentation at the AORN Congress. The Congress, to be held March 14-19 in Chicago, annually attracts approximately 8,000 perioperative nurses.
The title of Munson’s and Malsheske’s poster presentation is “Hands On Experimentation to Facilitate Learning” and it covers conducting a mock Dr. Quick (cardiac/respiratory arrest code) in the perioperative setting.

Published on March 09, 2009

Hospital Honors New Britain Man for Supporting Children’s Programs

2/12/2009 12:00:00 AM
The Hospital of Central Connecticut recently honored New Britain resident Don Lukowski, who in the past 10 years has raised over $113,000 for pediatric patients through the annual Children’s Charities Tennis Classic tournament.

David Obedzinski, the hospital’s chief development officer, presented Lukowski with a plaque Jan. 26 thanking him for running the tournament and supporting the hospital’s youngest patients.

Over the years, tournament proceeds have helped fund the Pedi-Play and Read program, which gives age-appropriate toys, games and books to young hospitalized patients; and Reach Out and Read and Books for Babies, which give beginning reading books to young patients and their parents who otherwise could not afford them.

Funds have also been used to purchase special ceiling tiles for the hospital’s pediatric outpatient clinic with cheery scenes designed to comfort children receiving medical treatment.

“It’s wonderful to see how our tournaments funds are being used and what the rooms look like in the pediatric clinic and in the pediatric unit,” Lukowski said.

Lukowski has run the Children’s Charities Tennis Classic at Walnut Hill Park in New Britain since 1988. The tournament annually draws nearly 100 adults and young people.

In accepting the plaque, Lukowski recalled visiting the hospital on one occasion and seeing a young patient playing with a toy purchased with tournament proceeds.

“We do this because we enjoy it; it’s a labor of love,” he said. “We appreciate what you in the hospital do. You give of yourselves every single day.”

Lukowski and Obedzinski were joined by Antoinetta Capriglione, M.D., the hospital’s chief of pediatrics, Paula Doyle, R.N., clinical manager of the pediatric inpatient unit, and other hospital staff and tournament volunteers for the plaque presentation and a tour of the pediatric areas.

Published on February 12, 2009

Hospital Names Director of Care Coordination

2/2/2009 12:00:00 AM
Brenda Robertson, BSN, CCMC, CPHM, has been named director of Care Coordination at The Hospital of Central Connecticut.

Before joining the hospital, she was director of Patient Care Management at Johnson Memorial Hospital, Stafford Springs. Prior to that, she was nurse case manager at Hartford Hospital.

Robertson earned her bachelor’s degree in nursing from the University of Hartford and is currently pursuing her master’s degree in health care systems management through Loyola University, New Orleans. She is certified in case management (CCMC) and professional health management (CPHM).

Published on February 02, 2009

Hospital makes medical staff appointments

1/29/2009 12:00:00 AM
The Hospital of Central Connecticut’s board of directors has approved the following medical staff appointments:

Family Medicine
Conrad D. Collins, M.D., has joined the hospital’s medical staff. He earned his medical degree from University of Illinois at Chicago College of Medicine, Chicago. He completed an internship at Tripler Army Medical Center, Honolulu, and a general surgery residency at Fitzsimmons Army Medical Center, Denver. Collins, in practice for 38 years, is with Primary Care Physicians of Central Connecticut, 7 North Washington St., Suite 106, Plainville, (860) 747-5756.

Internal Medicine
Izabela Krakowiak Colasacco, D.O., has joined the hospital’s medical staff. She earned her medical degree from University of New England College of Osteopathic Medicine, Biddeford, Maine. She completed an internship and a primary care residency at the University of Connecticut. Krakowiak Colasacco is fluent in Polish and practices at Central Connecticut Primary Care, 40 Hart St., Building D, New Britain, (860) 229-0100.

Phil Watsky, M.D., has joined the hospital’s medical staff. He earned his medical degree from Louisiana State University at New Orleans School of Medicine, New Orleans, and completed an internship and residency in internal medicine at Danbury Hospital. Watsky, in practice for 26 years, is with Primary Care Physicians of Central Connecticut, 7 North Washington St., Suite 106, Plainville, (860) 747-5756.

Neurology
Halima El-Moslimany, M.D., has joined the hospital’s medical staff. She earned her medical degree from University of Medicine & Dentistry of New Jersey, Newark, N.J. She completed an internship in internal medicine at University of Medicine & Dentistry of New Jersey; a residency in neurology at Mount Sinai School of Medicine, New York City; and a fellowship in multiple sclerosis at Mount Sinai School of Medicine – The Corinne Goldsmith Dickinson Center for Multiple Sclerosis. El-Moslimany practices at Neurologic Associates, 35 Pearl St., New Britain, (860) 223-3810.

Obstetrics/Gynecology
Peter F. Schnatz, D.O., FACOG, has joined the hospital’s medical staff. He earned his medical degree from University of Medicine and Dentistry of New Jersey, Newark, N.J. He completed an internship and residency in internal medicine and a residency in obstetrics and gynecology at University of Connecticut Health Center and Hartford Hospital. Schnatz practices at Blue Back Square, 65 Memorial Road, West Hartford, (860) 570-4661.

Thoracic, vascular and endovascular surgery
Steven V. Curiale, M.D., has joined the hospital’s medical staff. He earned his medical degree from Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine, Bethesda, Md. He completed a surgical internship and general surgery residency at National Naval Medical Center, Bethesda, Md.; a cardiothoracic surgery residency at Yale-New Haven Hospital; and a vascular surgery fellowship at Jobst Vascular Center at The Toledo Hospital, Toledo, Ohio. In practice 14 years, Curiale is with Thoracic and Vascular Surgical Specialists of Central Connecticut, 455 Lewis Ave., Suite 203, Meriden, (203) 634-1900; and the Vascular Center, Hospital of Central Connecticut, (860) 224-5193.

Published on January 29, 2009

Clinical trials: In search of better treatment

1/29/2009 12:00:00 AM
When Raffaella Barraco photographed her cluttered house, it was to document her depression.

“I actually took pictures of the house.I had to face it. Everything was out of control,” she says. By chance, she
saw a T.V. commercial in late 2007 about The Hospital of Central
Connecticut seeking participants for a depression study.

In October, Barraco, 58, wrapped up her role in that clinical trial and life has changed for the better. The Wallingford resident is one of many participants in the hospital’s varied
clinical trials aimed at improving patient care.

The basics of clinical trials
Like many teaching hospitals, The Hospital of Central Connecticut
(HCC) chooses to participate in clinical trials, focusing primarily on diabetes, endocrinology, psychiatry and cancer.
“You’re doing something to advance medicine and develop other
treatments, to potentially help people,” says Michael Balkunas, M.D.,the hospital’s chief of Psychiatry and Behavioral Health Services.

A lot of time and money is invested in the future of medicine
through clinical trials, which can last weeks to years. ClinicalTrials.gov, a U.S. government Web site, lists more
than 63,000 trials under way in more than 150 countries. Funding
sources for these research studies vary and include the federal government(many through the National Institutes of Health), pharmaceutical companies and grants. Most clinical trials have four phases. Those at The Hospital of Central Connecticut are primarily phases two and three, which study if a drug works and is safe; phase three has more participants. Phase one marks a drug’s initial testing on people, and four evaluates a drug’s
effectiveness and long-term followup.Trials are conducted simultaneously at varied institutions.

The hospital’s Institutional Review Board (IRB) reviews every
trial before it begins. The board evaluates a study’s scientific purpose and design, and works to ensure that the trial is conducted with the highest level of ethical integrity. The
IRB reviews about 25 studies annually, with approvals granted for up to one year. “The role of the IRB is to review
the design of the trial and ensure the safety of subjects,”says endocrinologist Latha Dulipsingh, M.D., who chairs the hospital’s
IRB. Members include physicians, varied hospital staff members, a minister, attorney, and one community member.

Once IRB approval is granted, study participants are sought, sometimes through advertising and/or searching through lists of current patients who might meet study requirements. Potential participants are screened and informed about the study,including risks and benefits, and those who are interested sign an informed consent form before beginning the trial.Depending on the study, participants may receive compensation, such as a gift certificate for time and travel expenses.

This trial helped diminish her own
In September 2007, Barraco became one of the last participants in a pharmaceutical company trial comparing Cymbalta, a prescription drug for depression, with a placebo,a substance that does not contain a drug, to assess energy and vitality in
depressed patients. During the preliminary study interview at HCC, Barraco recalls, “They saw that I did need help.”She
had been depressed for about 10 years, but it peaked four years ago, after she experienced some family difficulties. Her coping mechanisms began to fail. “I didn’t have control over anything,”
Barraco says.“That’s not who I was. I wanted to be who I was. I
would cry at the drop of anything.”

For the trial, Barraco took one pill daily. A double-blind study, neither she nor hospital staff knew if it was Cymbalta or a placebo. As a participant, she also came to the hospital
regularly for medical evaluation.This trial was one of about
six to eight that Psychiatry and Behavioral Health Research conducts in a year. Others focus on schizophrenia, generalized anxiety and bipolar disorders. “One of the main benefits is that
patients get excellent care,”says Balkunas, including a physical exam and related tests. For Barraco, this included a depression rating scale. Just regularly completing the depression rating scale, which asks about things like sleep and suicide thoughts, helped Barraco. “I found out what I needed to focus on and what I needed to do better,”she says.

Since it’s not known if Barraco had a placebo or Cymbalta, she continued to receive the prescription drug four weeks after the trial before being referred by staff to a physician for follow-up care. Barraco is thankful for having been part of the trial, which she is convinced helped her, even if just through the
placebo effect. Today, her homebased women’s apparel company is
thriving and she’s much more socially active. “I didn’t feel like I was worth that much. And little by little I feel
life is worth living,”she says.

Focused research on diabetes treatment
Hardly a silent disease, diabetes has marched into society at an alarming rate, with more than 23 million Americans having it.
To keep pace with the disease is research that focuses on diabetes prevention, treatment and potentially, a cure. An affiliate of the Joslin Diabetes Center in Boston — a worldwide leader in diabetes research — the Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut has a dedicated
research program centering on diabetes drug treatment. “We are very involved in the clinical research component for diabetes,”says Sebastian Vassallo, the Center’s practice administrator. “It’s the bridge between aiding and caring for patients to really digging and looking for a cure.”

Diabetes is a disease defined by high blood sugar levels that can
profoundly affect the body’s functioning, due to its inability to produce correct amounts of insulin. The Joslin Center provides care for people 18 and older with Type 1 or Type
2, the more common diabetes, as well as pregnant women with diabetes. In FY 2009, the Joslin Center saw about 12,000 patients.

For more than 13 years, the center has conducted research, primarily in drug treatment phase 3 and 4 trials. It now has nine trials under way. The hospital has also partnered with Genomas®, Inc., a Hartford-based biomedical research company,
to develop new DNA diagnostic systems to help select the right
drugs and treatment for diabetics. “I believe that clinical research is a great tool to further advance our knowledge and understanding of medicine,” says Dulipsingh, director of the Joslin Affiliate and the Endocrinology and Bone Health Center.

One of the Joslin Center’s newest trials is looking at the connection between kidney disease and diabetes, a common complication since high blood sugar levels can affect the kidney’s small blood vessels that circulate sugar.
The center’s four study coordinators, all registered nurses, secure study participants and monitor their care throughout the trial. Participants visit the hospital for blood draws, complete questionnaires, and tests. By participating in the study,
people learn more about their conditions, says study coordinator
Terri McInnis, R.N., CDE, CCRC. “It’s a perfect opportunity to teach the patient and have that one-on-one contact.”

Renewed focus on cancer trials
Medicine has made great strides in treating breast, testicular and colorectal cancers over the past 20 to 30 years, says Hospital of Central Connecticut hematologist/oncologist John Delmonte Jr., M.D. But for the majority of cancers affecting adults including lung cancer, the leadingcause of cancer deaths —there’s been only mild improvement. “A lot more still needs to be done,”says Delmonte, newly named director of Cancer Research.

Working with Peter Byeff, M.D., director of the George Bray Cancer Center, he is aiming to make larger clinical oncology trials accessible to Central Connecticut residents. The hospital is seeking to affiliate with the Eastern Cooperative Oncology
Group, a consortium of institutions that designs clinical trials; and aims to resume patient enrollment in National Surgical Adjuvant Breast and Bowel Project protocols. The
hospital will also be participating in pharmaceutical clinical trials. The vast majority of cancer patients in this country are treated by private physicians, says Delmonte. “Unfortunately, a lot of these patients don’t have access to clinical trials.
They have to go to large academic institutions. This is a way to bring the clinical trials to the local community.”Delmonte recently joined the hospital from M.D. Anderson Cancer Center, Houston, where he completed a fellowship, which included designing clinical trials.

Connie Michel, 76, of Newington, is hoping her trial participation might help improve cancer treatments for other women. Michel, whose latest bout with cancer was her third, will complete a phase III ovarian cancer drug treatment trial in April. She visits the hospital every three weeks for evaluation
and to receive the trial drug. Neither she nor hospital staff knows if it is a placebo or drug. Every 12 weeks she gets a CT scan to check for tumor regrowth. “Not only am I helping myself by doing this trial, I may in some way help some other women who may come down with ovarian cancer,” says Michel.“And I’ll feel pretty good about that, too.”

She joins a niche of patients who for more than 25 years have participated in clinical trials as part of the Gynecology Oncology Group (GOG) under the National Cancer Institute. The Central Connecticut GOG is comprised of HCC, and Hartford and St. Francis hospitals. It’s directed by HCC gynecologic oncologist James Hoffman, M.D., principal investigator; and Maureen Bracco, APRN, an oncology clinical researcher at HCC. Michel has had breast cancer twice and since June has been in
remission from ovarian cancer. She’s among the nearly 30 to 40
percent of gynecologic oncology patients treated through the hospital who participate in clinical trials. The national average, according to Hoffman, is 2 percent.

Bracco says patients are regularly assessed during trials for adverse effects, which would cease a patient’s participation.“The patient’s best interest is always number one.”
“I just felt it was a booster shot to be watched that closely at my age,” says Michel of her involvement, adding her hospital visits have just slightly dented her social calendar.

Bracco says it’s exciting to be a part of the evolution in cancer treatment and patients appreciate the hospital’s desire to be in the forefront of care.“By us being very active in research they realize that we are keeping up with the most
current treatments. For them, it’s encouraging to know that their doctor is looking at new treatments.”

Questions to ask before beginning a clinical trial:

How is this going to benefit me?

What are the potential risks to me of becoming involved in a trial?

If I’m not doing well in a trial, is there a way out?

If I don’t participate in a trial, will I get the same
level of care or different care?

Published on January 29, 2009

With Novalis, knifeless surgery has arrived

1/29/2009 12:00:00 AM
A brain tumor can be as small as a pencil tip but can cause
enormous problems.

The potential to remove these and other types of tumors without a scalpel arrived this fall at The Hospital of Central Connecticut with the Novalis® shaped beam surgery system.
The hospital was the first in the state to use this Novalis system. Though called “radiosurgery,”the system actually uses precision radiation and speed to treat tumors without surgical incisions, pain or blood loss. It’s currently used to treat brain and spinal tumors, and lung, liver and prostate cancers. In the future, Novalis is expected to be used for pancreas
and varied gynecological cancers.

Accuracy that spares normal tissue
Novalis is a form of knifeless surgery that uses a precalculated amount of radiation targeted to match a tumor’s shape. This helps spare healthy tissue from radiation and can eliminate side effects commonly associated with standard radiation therapy. Amazingly, within a few weeks of just one Novalis treatment — lasting only about 30 minutes — a brain or spinal tumor may be visibly smaller. Full effects of Novalis treatment can be gauged after three months of treatment. Shorter treatment is one of the most visible benefits of Novalis, with lung cancer care delivered in three to five consecutive days vs. treatment five days a week for seven weeks. “We chose Novalis because we feel
that we are able to treat patients very accurately,”says Neal Goldberg, M.D., chief of Radiation Oncology.“We are able to verify that we’re hitting a tumor by confirming its position
right before treatment using X-ray.”

Novalis, by BrainLab Inc., is the latest addition to the hospital’s comprehensive line of cancer services,which includes advanced radiation oncology technologies and procedures to treat many cancers. Says neurosurgeon Ahmed Khan, M.D. “The best thing about the Novalis technology is that it’s right here, in people’s back yard. They don’t have to travel.” Special focus on brain and spinal tumors Novalis is used primarily to treat brain
and spinal tumors that have originated at those sites or spread to the brain or spine from cancer elsewhere in the body, such as a lung or breast. Potential Novalis candidates, Khan says, are patients with deep inoperable brain tumors; certain types of brain or spinal tumors or other medical conditions that make
traditional surgery risky; or patients with benign tumors or other conditions,who want a less invasive option. Among the benign tumors and conditions Novalis can treat are acoustic neuroma, a tumor that affects hearing; trigeminal neuralgia,
a condition that causes extreme facial pain; meningioma tumor, a benign growth that starts in the brain covering; and pituitary tumors.

With Novalis, recovery is shorter and there is less risk of complications than with surgery. “In some cases the goal is to avoid (traditional) surgery,in other cases to treat the lesion to
extend life or the quality of life,” Khan says. He adds that Novalis offers a less invasive option for cancer proven difficult to operate on or inoperable. “We know that if we’re doing an operation and we don’t get the whole tumor out we have a back-up plan with radiosurgery.” Nearly 22,000 new cases of malignant brain and other nervous system tumors, including spinal cord tumors,were expected to be diagnosed in 2008, according to the National Cancer Institute. More than 215,000 new lung cancer cases were anticipated
in 2008, says the American Cancer Society.

Pinpoint treatment planning
Pinpoint accuracy is a defining feature of Novalis. The technology uses care plans created or “mapped”using results of varied imaging studies that are merged with sophisticated computer applications. The result: an extremely detailed picture of the tumor and its exact location in the body. A tumor’s location and type determine which imaging studies are needed. An MRI provides clear, accurate pictures of organs and tissues.
The hospital’s new 64-slice high-speed PET-CT scanner produces 3-D images with precise anatomic detail and detects cells’ metabolic (chemical)changes. In many cases, higher metabolic activity can indicate cancer. PET or CT studies may be conducted independently or combined. A patient with a brain or spinal tumor will have both MRI and CT studies; lung tumors are imaged using PET-CT. Prostate cancer patients receive a CT scan, with tiny gold seeds permanently implanted within the prostate before the scan to ensure radiation precision. PET-CT findings
are particularly helpful in treating lung cancer patients, because breathing during treatment causes the tumor(s)to move. PET-CT results help determine how the Novalis beam will correlate to the tumor, so that surrounding tissue is not affected during treatment, even while the patient breathes, says Goldberg. This “respiratory gating”is achieved with the aid of small, gold seeds inserted permanently before the PET-CT scan,
indicating the tumor’s precise location while the patient breathes.

Weeks before their initial visit, Radiation Oncology nurse coordinator Lisa Beckman, R.N., B.S.N., OCN, speaks with patients about the care process that begins with imaging studies, followed several days later by treatment. She tells patients receiving a brain CT scan that they’ll wear a mesh-like mask during the study to ensure that the head’s positioning
during the scan is accurate. Instead of a mask, trigeminal neuralgia patients wear a head frame during the CT scan, also to ensure accuracy. Patients who may be anxious about the mask
or head frame can request anti-anxiety medications, says Beckman.

‘Hundreds of thousands of computations’
How much radiation and how it will be delivered through Novalis is determined using results from the imaging studies and sophisticated computer software. “The computer does literally hundreds of thousands of computations to come up with the treatment plan,” says radiation oncology physicist George Pavlonnis, who works with Goldberg and Khan (for brain or spinal tumors) to develop plans. Once the plan is finalized, patients are escorted to the Novalis room, housed in the recently expanded American Savings Foundation Radiation Oncology Treatment Center, New Britain General campus. It’s here that Novalis’ advanced technological features work in unison to deliver a targeted, highly effective radiation treatment in about 30 minutes. The same results would probably require weeks of once weekly sessions using standard radiation therapy.

Novalis enables flexibility for single or multiple treatments,
depending on the patient’s diagnosis as it relates to the brain or spine, says Khan. “Then patients are done and they go home
and they don’t even need to stay in the hospital.” The session
lasts 20 to 40 minutes, depending on the number of tumors. For prostate cancer patients,Novalis is a boost to traditional radiation therapy. Patients typically receive about four weeks of daily radiation therapy aimed at shrinking the tumor in preparation for about two weeks of Novalis treatment.

Novalis’ most distinguishing features come alive as the system
engages. The patient lies on a robotic table that can move in six different directions up and down, left and right, in and out, and at three different angles — to best align the tumor.
Patients with tumors or other conditions related to the brain lie within a head frame affixed to the table. Just before treatment, Novalis X-rays of the target area are taken to ensure accurate radiation positioning. The radiation then beams through a device that uses metal leaves to block unwanted radiation so that the beam conforms exactly to the tumor’s shape.A separate infrared camera ceases radiation delivery immediately if it
senses patient movement that would shift radiation outside the target area.

High tech blends with personable staff
During the high tech treatment, personable staff from Radiation Oncology provide the human touch, speaking with and monitoring the patient during treatment from an adjacent room equipped with an intercom system and six cameras for constant viewing.Between dose deliveries, staff frequently goes to check on the patient whose comforting view above Novalis is a glass canopy of blue sky and autumn leaves. “We make sure they’re doing OK.We tell them what we’re doing next,” says radiation therapist Ann Allen, RTT. Most patients, says Beckman, are concerned about possible side effects, which through Novalis, are minimal. There may be slight hair loss from radiation to the brain and patients may feel slightly dizzy or have a headache after treatment. Beckman calls patients the next day to see how they are feeling and to
answer questions. Patients see their referring physician within a few weeks and return to HCC in three months for an MRI to gauge Novalis effectiveness.

Beckman says patients are glad they can come to The Hospital of
Central Connecticut for state-of-the-art tumor or cancer treatment.“When patients hear they have to go to a larger cancer center it’s often frightening for them. Now we can offer it
in our community hospital here.”

Published on January 29, 2009

Take control of diabetes!

1/29/2009 12:00:00 AM
Hundreds of tools fill the crowded workshop where Bob Bryant makes specialty parts. But the most important tool the maintenance mechanic uses each day is his blood glucose meter.

Two to three times daily, Bryant sticks his finger and checks glucose (sugar) levels in the blood sample. If his sugar is low, he’ll take glucose tablets or consume a fast-acting carbohydrate,
like juice. If it’s high, he’ll try to determine what caused the rise, increase his fluids and take a walk. Bryant, 55, has Type 2 diabetes, the most common of the three main types. He found out in 1996, after extreme thirst, frequent urination and fatigue brought him to his primary care physician. He was referred to the Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut for testing and the official diagnosis.
“I wasn’t too concerned at first. My symptoms weren’t that bad,”the Plainville man says.In fact, for the first few years, Bryant didn’t check his blood sugar regularly, change his diet or exercise. When he began experiencing more serious problems, like dizziness and fainting, Bryant realized he needed to take care of himself. “I decided I want to be around see my grandchildren graduate and get married.”

Avoiding complications
The American Diabetes Association (ADA) estimates that 23.6 million Americans — 7.8 percent — have diabetes. About 17.9 million have been diagnosed; the other 5.7 million don’t know they have it. This lack of awareness can be dangerous. An immediate effect of diabetes is excess glucose in the blood and insufficient fuel for cells, which can increase thirst and urination and cause fatigue, blurred vision and non-healing cuts. Sometimes, though, symptoms are mild and can go unnoticed.
Over time, untreated or poorly managed diabetes can lead to
cardiovascular disease (heart disease, stroke), kidney damage,
blindness, and/or nerve damage, particularly in the feet.
But these complications aren’t inevitable, says Latha
Dulipsingh, M.D., medical director of the Joslin Affiliate at
The Hospital of Central Connecticut (HCC). She says
many people with diabetes can avoid or delay complications
indefinitely by:
• Adopting a healthy lifestyle – choosing nutritious foods, exercising regularly

• Taking medications as directed

• Checking blood sugar regularly

• Seeing healthcare providers regularly

To help, Joslin offers individual counseling and classes to teach patients how to manage the disease and support groups to help people deal with the diagnosis. The Affiliate treats people 18 and older with Type 1, Type 2 and gestational diabetes. Opened
11 years ago, it’s one of just two Connecticut hospital affiliates of the international Joslin Diabetes Center. Joslin specialists include endocrinologists (physicians specializing
in gland and hormone disorders), certified diabetes educators, registered dietitians, nurse specialists and others. They collaborate on each patient’s care, and work closely with
patients’physicians and other specialists,including podiatrists, ophthalmologists and nephrologists (kidney specialists). “We show patients how, with help from their caregivers, they can
manage this disease effectively and efficiently,”Dulipsingh says.“We help people understand it’s not the end of the world because they’ve been diagnosed with diabetes.”

Meal by meal
When it comes to managing diabetes,changing eating habits is key.
For many, it’s also the hardest part. Bryant says he does well with eating and exercise during the day, but evenings are tough. He’s always loved evening meals and snacks, particularly pasta and bread. “I feel like I’m trying to erase 55 years of bad habits,”Bryant says. “For me, it’s not a day-to-day struggle,
it’s a meal-to-meal struggle.” White bread, pasta and potatoes
are the types of calorie-dense, nutrient-poor carbohydrates that can cause blood sugar spikes, worsen insulin resistance and promote weight gain, says Patricia O’Connell,M.S., R.D., C.D.E., C.D.-N., one of Joslin’s registered dietitians and certified
diabetes educators. That doesn’t mean all carbs are “bad.”After all, fruits and vegetables contain carbohydrates.During a pre-diabetes class at Joslin, Michele Roy, R.D., C.D.E., discusses
how to choose carbohydrates that are higher in fiber, vitamins and minerals. Substitute brown rice for white and whole wheat pasta for regular, and eat these in moderation, she advises.
Everyone is different, so there’s no single “diabetes diet.” But the Joslin Center offers some general guidelines:

Carbohydrates: About 40 percent of daily calories should come from carbs, including at least 20-35 grams of fiber. Fresh vegetables, fruits, beans and whole-grain foods are best.

Protein: 20-30 percent of daily calories should come from protein
(unless you have kidney disease). Best sources: fish, skinless chicken or turkey,nonfat or low-fat dairy products, tofu and legumes (beans and peas).

Fat: 30-35 percent of daily calories. Mono- and polyunsaturated fats are best, from sources like olive or canola oil, nuts, seeds and fatty fish like salmon.

Step by step
At a Know Diabetes, Know Yourself class at the hospital’s Bradley Memorial campus, Joslin diabetes educator Debbie Venditto, R.N., B.S.N., C.D.E., distributes a “behavioral goals” sheet. Participants list goals for eating, taking medication, exercising and other behaviors. They complete statements like:
“I will exercise by doing ______for _____ minutes, ____times a week and increase as tolerated.” “I don’t want you to put, ‘I will walk 30 minutes a day, three times a week,’” Venditto says.“If you haven’t been exercising, that’s probably not a
reasonable goal to start with. Try 10 minutes a day, once or twice a week.” The 10-hour Know Diabetes class
is offered afternoons or evenings and can be spread over two days to four weeks to accommodate different schedules. The class also covers medication, monitoring, meal planning, foot care and other topics. Like all Joslin programs, it stresses the importance of making lifestyle changes gradually.

Physical activity can lower blood glucose levels and help you lose weight. With exercise, choose activities you enjoy and that fit your lifestyle, Venditto says. Can’t run? Walking is very effective. Joint problems? Do pool or even chair exercises.
Hospital of Central Connecticut exercise physiologists can design
customized exercise programs for people with various health concerns, including diabetes.The ADA and Joslin Center offer
these general tips for people with diabetes:

• Before starting a program, consult your doctor.

• Wear comfortable shoes. Diabetes can lead to poor circulation
and diabetic neuropathy (nerve damage),particularly in the feet. Properly fitting shoes, and socks without seams or tight elastic are musts. People with diabetes should check their feet at least once daily for cuts, redness/irritation from shoes, ingrown
toenails and other injuries that can turn into major infections.

•Wear a diabetes medic alert bracelet.

• Check your blood sugar before and after exercise to see how it responds. Hypoglycemia (low blood sugar) can occur during or long after exercise, so keep handy a snack or glucose pill to
quickly raise too-low sugar.

• Be careful if your blood glucose is high before exercise (above 300) — some physical activity can raise it. Those with type 1 diabetes should avoid physical activity if their glucose
is above 250 and their urine contains ketones (produced when the body breaks down fat for energy).

Monitoring and management
Many people with Type 2 diabetes take medications that help the pancreas produce more insulin; help cells use insulin better; cause the liver to release less glucose; or work in other ways. But even with lifestyle changes and medication, some type
2 patients must take insulin. People with type 1 diabetes must
always take insulin because their bodies don’t produce it. Type 1 occurs when, for unknown reasons, the body’s immune system attacks the pancreas’insulin-producing islet cells. It’s usually
diagnosed before age 40, most often in children or teen-agers.
Debbie Hogan of Southington was 21 when she first experienced symptoms. “I was out shopping the day after Thanksgiving and I was very thirsty and had to go to the bathroom all the time,” she says. Ironically, when she came home, her sister was watching a telethon for a diabetes charity. “They were talking about the symptoms of diabetes — extreme thirst and frequent urination. I said, ‘that’s what I have.’” She felt better by Monday, but when she mentioned her suspicions at work, her employer sent her to a doctor. She was tested and put on insulin that day. Back then, diabetes education wasn’t as common, says Hogan, now 41. The new regimen was challenging for the busy 20-something; in addition to frequent blood glucose checks, she had to eat and take insulin at specific times. Insulin management got a little easier last fall,when Hogan got a pump. About the size of a card deck, the battery-operated insulin pump attaches to her waistband. A thin tube runs from the pump to a flexible, plastic catheter under the skin in her abdomen. Users can set the pump to give a set,“basal” amount of insulin continuously for 24 hours. At meals, or when blood sugar spikes, the user can deliver an extra dose. Even with the pump, Hogan must check her blood glucose — four to six times daily — eat healthy and exercise. Despite 20 years of diabetes management experience,
she works every day to keep her sugar in normal ranges.
“I like to say I’m a work in progress,” Hogan says. A Joslin patient for 11 years, she gets encouragement from Pat O’Connell and other Joslin staff. Her husband, Ben, and mother, Maryann Beckius, are her “rocks,”she says.

Hogan’s diabetes has caused some complications, including scar
tissue in the retina of her eyes, but after several laser surgeries, her vision is 20/20. She takes these and other challenges in stride, noting that she’s able to work full-time,
travel and live a normal life. “I don’t ever feel sorry for
myself,” she says. “Diabetes is part of my life. I accept it.”
Her advice to others diagnosed with diabetes: “There is so much
information out there! Learn as much as you can and explore your options. You don’t need to limit yourself or your life because you have diabetes.” Diabetes has also taught Bryant an important lesson. “Life doesn’t wait. If you don’t take care of your diabetes now, there may not be a tomorrow.”

Published on January 29, 2009

Advance directives express your wishes when you can't

1/29/2009 12:00:00 AM
Communicating your healthcare wishes before they become an issue is probably one of the most important discussions you should have. Consider what would happen if you had an illness you couldn’t survive, or an injury that left you permanently unconscious. How much medical intervention would you want to prolong your life? What quality of life would you want for
your remaining time? Who would make or communicate your decisions
if you couldn’t?

Advance directives are spoken or written forms that help outline the care you want when you can’t communicate your wishes. They’re
designed to allow you to make your medical care choices known; help your family make medical decisions on your behalf if necessary; and provide care guidelines for your physicians.
Your advance directives may indicate whether or not you want
CPR, artificial respiration or artificial nutrition or hydration (such as a feeding tube). They also allow you to appoint a health care representative — someone you’ve authorized, in
writing, to make healthcare decisions on your behalf. This person only acts if you’re unable to make or communicate care decisions. While advance directives can help, for most people they don’t go far enough, says Cynthia Kociszewski, APRN, Ph.D., an advanced practice registered nurse and director of The Hospital of Central Connecticut’s Wolfson Palliative Care Program. This program provides a consult service that
helps with the ongoing care needs of patients with chronic and life-threatening illnesses.

Advance directives are usually implemented when a physician deems
your condition terminal. But patients and loved ones might have different definitions of “terminal,” Kociszewski says.
She’s worked with patients who have numerous, serious physical
ailments. Many feel “healthy” as long as their minds are sharp, and would want aggressive life supportive therapies regardless of what their advance directives state. Other patients will refuse IV fluids, or even temporary, supplemental oxygen. They feel if their bodies can’t function on their own, they should die a “natural death” without medical intervention. These situations illustrate why it’s critical to choose a health care
representative who understands your health care wishes and is able to honor them if necessary. Kociszewski also recommends
consulting your primary care physician about your advance directives. Your physician can tell you, based on your medical condition and history, the types of situations you’re most likely to face and possible medical interventions and outcomes.
When talking with your physician, health care representative and
loved ones,“the discussion shouldn’t be about how you want to die, but how you want to live,”Kociszewski says. “When I’m talking with patients and family members about palliative care, it’s important for me to find out about the life of the patient. That says so much about how they want to live their life in
the presence of whatever illness they are facing.”

So how do you discuss a subject most people don’t even want to
think about? A number of organizations and Web sites can help:

• The National Hospice and Palliative Care Organization’s Caring
Connections site, www.caringinfo.org, offers information about advance directives — how to discuss the subject with loved ones and complete advance directives.

• The American Bar Association Commission on Law and Aging,
www.abanet.org/aging/toolkit/, offers a toolkit with a detailed questionnaire to help you choose a health care agent and specific questions about care you want to receive.

• The Hospital of Central Connecticut Web site advance directives
page, http://www.thocc.org/patients/advancedirectives.aspx,
includes a downloadable file with forms and a summary of Connecticut’s advance directives law.

Published on January 29, 2009

Nurse Navigator Provides Education, Support To Breast Cancer Patients

1/27/2009 12:00:00 AM
Donna Boehm, R.N., M.S.N., M.P.H., was recently appointed The Hospital of Central Connecticut’s breast nurse navigator. This new position is designed to help patients diagnosed with cancer and other breast diseases throughout their treatment.

“When people learn they have breast cancer, everything stops,” Boehm said. “Most are scared, and it’s hard for them to process all the information they’re receiving. My role is to calmly support them, answer their questions and empower them to make decisions about their treatment by ensuring they have the information they need.”

Boehm’s duties include:
• Educating patients and their loved ones about the patient’s diagnosis
• Helping patients make informed decisions about treatment
• Advocating for patients during treatment
• Working with physicians, nurses and other healthcare professionals to coordinate patients’ care
• Providing moral support throughout diagnoses, treatment and recovery

In the future, Boehm hopes to establish support groups for breast cancer patients and survivors, and provide community education about breast cancer and other breast health topics.

Boehm started her career as a staff oncology nurse in Chicago and has extensive experience in home and hospice care. Before joining The Hospital of Central Connecticut, she was vice president of quality management and staff development for Connecticut Visiting Nurse Association in Wallingford.

Boehm earned her bachelor’s degree in nursing from Concordia-West Suburban College of Nursing, River Forest, Ill.; her master’s degree in nursing from Yale University School of Nursing; and her master’s of public health from Yale University School of Medicine.

Published on January 27, 2009

Study links two diabetes drugs’ side effects to genetic differences

1/21/2009 12:00:00 AM
Hospital of Central Connecticut (HCC) physicians co-authored a research article that shows a probable relationship between certain genetic differences and side effects of two diabetes medications. The findings are helping develop a DNA-guided system to help select diabetes drugs and treatments and avoid side effects.

The study, led by Genomas® Inc., and co-authored with investigators from the Joslin Diabetes Center Affiliate at HCC, Hartford Hospital and Yale University School of Medicine, appears in the February 2009 issue of Clinica Chimica Acta.

Side effects of the thiazolidinedione (TZD) class of drugs used to treat diabetes include weight gain and edema (swelling) that worsens congestive heart failure in certain diabetics. TZDs are often given to patients who cannot use other common oral diabetes drugs, such as metformin or sulfonylureas. Patients given TZDs typically are at greater risk of diabetic complications and at an advanced stage of diabetes. Previously, there was no known method to predict such side effects.

The Genomas study involved an analysis of 87 patients taking TZD drugs pioglitazone (Actos®) or rosiglitazone (Avandia®). The study examined differences in patients’ genes that affect certain cardiac, metabolic and endocrine functions of the body and investigated if the drugs produced specific side effects and gene differences. Twenty-five of the 384 gene differences tested showed statistically significant associations with abdominal obesity or edema; this means patients with these particular gene differences are more likely to have such side effects while on TZD drugs.

“For the first time in diabetic care, we can integrate these gene differences into what we call a PhyzioType System – a model that will help us better predict drug side effects,” said Gualberto Ruaño, M.D., Ph.D., president and CEO of Genomas, and director of Genetics Research, Hartford Hospital.

“We are extremely pleased that our collaboration with Genomas is already yielding novel insight into diabetes drug therapy and are very confident that development of a DNA-guided clinical management tool will result from it. There is an urgent public health need to improve the medical management of individuals on TZD therapy for their diabetes,” said article co-author Steven Hanks, M.D., HCC Chief Medical Officer. Other HCC co-authors are endocrinologists James Bernene, M.D., and William Petit, Jr., M.D.

Hartford-based Genomas Inc. is a biomedical company that advances DNA-guided medicine and personalized health care. It has developed other PhyzioType Systems for diagnosis and prevention of metabolic disorders induced by drugs used to treat diabetes, and cardiovascular and psychiatric illnesses.

The Joslin Diabetes Center Affiliate at The Hospital of Central Connecticut provides individualized care for people 18 and older with Type 1 or Type 2 diabetes, as well as pregnant women with diabetes. More than 23 million Americans have diabetes.

Published on January 21, 2009