Do-it-yourself

The advantages

of at-home

dialysis

Page 5

Body, mind, spirit

The essential

work of

Pastoral Care

Page 8

Health News

& Information

for Healthy

Living

Breathing room

Safer, more

effective sinus

surgery

Page 4

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no matter how deep

Healing wounds:

‘I thank God for bringing me to them.’

Healing wounds:Healing wounds:Healing wounds:

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no matter how deep

no matter how deep

no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter no matter how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deep how deepno matter how deep

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www.altoonaregional.org

ER expands for faster service

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Healthy LivingAltoona Regional

Health System’s

Healthy Living

Magazine is published

four times a year by

the Marketing and

Communications

Department.

Senior Vice President, Corporate Development

Ronald J. McConnell

Director, Marketing and Communications

Dave Cuzzolina

Staff Writers

Patt Frank

Jay Knarr

Anne Stoltz

Design

Barash Advertising,State College, PA

For more information, please call or write to:

Altoona Regional Health SystemMarketing and Communications Dept.Altoona Hospital Campus620 Howard Ave.Altoona, PA 16601-4899814.889.2271814.889.3115 FAXinfo@altoonaregional.org

Welcome to another issue of Altoona Regional’s Healthy Living Magazine. It was one year ago, in June 2005, that we launched this publication so we could “speak to all ages about health and wellness” and about how you and your family can achieve and maintain good health.

Our goal remains today as it was then — to showcase not only the people and services of Altoona Regional but also your friends and neighbors who have come to us for their health care needs. As I wrote then, “Theirs are the stories that will make Healthy Living Magazine entertaining as well as informative.”

I also wrote that “... our health system has a lot of stories to tell. Good

A message from Jim Barner, President/CEO

stories about people — the healers and the healed — that will both inspire and educate.”

In this issue are several such stories, starting with the one on Page 3 about Dennis Fasekas of Duncansville and his experience at our Wound Care and Ostomy Program. The program produces so many stories of success — many with heartwarming overtones — it was diffi cult to choose just one. But Dennis’ stood out as an illustration of exceptional staff members who treat not just wounds but people. Because wounds are often deeper than they appear.

This holistic approach is also the theme of the article on Page 8 about how our Pastoral Care

It’s been a year of inspiration, education

staff’s spiritual ministering complements our clinical healing efforts.

Our Page 5 article about Dick Moore of Martinsburg is a story of a man with a serious kidney problem who has opted for a unique dialysis method available at Altoona Regional. By doing his own dialysis at home while he sleeps, he is free to fi ll his days with the pursuit of things that are important to him — his family and his work.

And, fi nally, two stories that demonstrate Altoona Regional’s commitment to our community through investments not only in technology but in people:

On Page 4 is an example of bringing the latest technology to our region. Our image-guided

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endoscopic system makes sinus surgery safer and more effective.

And the article on Page 10 tells about our investment in making certain that the working uninsured of our region still get the care they need.

Please enjoy this issue of Altoona Regional’s Healthy Living Magazine. If you have comments or suggestions for us, please let me know by calling 814.889.2271.

Sincerely,

In a continuing effort to increase patient satisfaction, Altoona Regional has expanded the Altoona Hospital Campus Emergency Department by adding eight beds. The the Altoona Hospital Campus Emergency Department by adding eight beds. The the Altoona Hospital Campus Emergency Department by adding eight beds. The expansion will help staff see patients faster and treat and discharge them sooner. The Emergency Department now has 31 total beds and handles 45,000 visits a year — nearly 125 a day. That’s up from 28,000 in 1999.

With a growing volume of visits, Emergency Department staff frequently had to place patients in beds in hallways, where privacy was a challenge. Now, to ensure privacy, beds are separated by walls, not curtains.

Also, the ED staff has two areas for patient evaluation, along with areas for consults and behavioral health treatment and observation. And bedside registration allows the staff to follow the national trend, which is to begin treatment as soon as possible after triage.

Feedback from patients and family members, as well as the Medical Staff, has been very positive, according to R. Scott Magley, M.D., senior vice president and chairman of the Department of Emergency Medicine.

Wound care program’s

What our PATIENTS are saying...

“I believe the staff saved my leg.

Dr. Maitra and the rest of the staff are truly incredible. The treatment I received was exceptional, and the quality of care I received cannot be matched anywhere else. The staff defi nitely left an impression on me.”— Alicia M. Brown

Virginia Beach, VA, traveled to Altoona to receive treatment

“The RN I had in the hospital, Bonnie Fleegle, was the same nurse I had as an outpatient. She was very, very compassionate and concerned about me. Everyone was.”— Barbara Johnson

Altoona

“They cared about me. It’s like a family, and they treat you like you are the only patient they have.”— Polly Boore

Tyrone RR2

“If I had questions, they answered them. A lot of times, even before I could ask a question, they answered them because they would explain things before they did them.”— Rocco DelBaggio

Tyrone

3

George Zlupko, M.D., FCCP, CWS, FCCWSCertifi ed Wound SpecialistBoard certifi ed internistBoard certifi ed in hyperbaric medicine

Harry Penny, DPM, CWSPodiatry/foot and ankle specialistCertifi ed Wound Specialist

Guy Werkhoven, DPM, CWS, FACFAS Podiatry/foot and ankle specialistCertifi ed Wound Specialist

Donald Mrdjenovich, DPM, CWS, FCCWSChairman of the College of Certifi ed Wound Specialists Immediate past president of the American Academy of Wound ManagementBoard certifi ed foot and ankle specialistCertifi ed Wound Specialist

OUR PHYSICIANSOUR PHYSICIANSOUR PHYSICIANSNeil Kaneshiki, M.D., FACS, CWSMedical DirectorBoard certifi ed in general surgeryBoard certifi ed in general surgeryCertifi ed Wound SpecialistCertifi ed Wound Specialist

Gerald E. Gronberg, DPM, CWSPodiatry/Foot and Ankle SpecialistPodiatry/Foot and Ankle SpecialistCertifi ed Wound Specialist

Dennis Fasekas at work: “It’s like being reborn.”

PROGRAM ALERT: The Healing Mission of Wound CareSee Page 11 for date, time.

For more information, call the Wound Care and Ostomy Program at 814.889.4164

HEALING MISSION doesn’t stop with the wounds you can see

Dennis Fasekas, 50, of Duncansville, enjoys amusement park rides, hiking and camping — which is a big deal for someone who once weighed more than 600 pounds and suffered from a debilitating leg ulcer.

In the fall of 1998, Dennis reached his peak weight of 635 pounds. He could no longer work. He had high blood pressure and sleep apnea, a condition where you stop breathing for short periods during sleep. To make matters worse, the open, oozing wound on his lower left leg was not responding to any of his home remedies.

“This wound would drain so much that my sweat pants would be soaked by the end of the day,” Dennis recalled.

Little did he know that the compassionate care he’d receive at the Wound Care and Ostomy Program would literally heal all fac-ets of his life –– physical,

emotional and spiritual.

“If it weren’t for this won-derful department, I wouldn’t be where I am today. I may not even beliving. I thank God for bringing me to them,” said Dennis, his voice cracking with emotion.

A key to the program’s success is the dedication of its nursing staff and the fact that the same nurse sees a patient every time he or she visits, according to Administrative Director Ellen Schraff, a registered nurse and certifi ed wound specialist.

“Primary nursing care continues to play a large part in the successful treatment of our patients,” she said. “We have recog-nized this as the best way to meet both physical and emotional needs in our commitment to provide holistic care. And if it be-comes necessary to admit a patient to the hospital, they are seen by the same wound care staff.”

Amy Swires, R.N., was Dennis’ primary nurse. “It was amazing to watch the (psychological) changes in him,” she related. “He became more outgoing, and more of his personality emerged as we cared for him and he lost weight.”

With the wound clinic staff’s support and encourage-ment, Dennis lost 123 pounds. His other health problems resolved as the weight came off. His treatment team also included physical therapist Amy Flick, who specializes in lymphedema treatment, and medical doctors Neil Kaneshiki and Shuba Maitra, who specialize in wound care.

“I can’t say enough positive things about Drs. Kaneshiki and Maitra,” Dennis said. “They are honest and up-front, and I like that in a doctor.”

After Dennis was discharged from the program, he made sure to stay in touch with the staff.

Wound care program’s

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Robert B. Louton, M.D., FACSBoard certifi ed plastic surgeonBoard certifi ed plastic surgeon

Shuba Maitra, M.D., FACS, CWSBoard certifi ed in vascular and Board certifi ed in vascular and general surgerygeneral surgeryCertifi ed Wound SpecialistCertifi ed Wound Specialist

On the cover: Dennis Fasekas reunites with Amy Swires (right) and Michelle Black on the wound care unit.

“They are like family to me,” he said. “I miss to me,” he said. “I miss them. So I still keep in them. So I still keep in touch and stop in to touch and stop in to say hello.”

After the healing of his After the healing of his wound and his initial weight loss, Dennis had weight loss, Dennis had surgery to remove 40 surgery to remove 40 pounds of excess abdominal skin that was hindering his movement. In 2005, he had gastric bypass he had gastric bypass surgery and has lost surgery and has lost an additional 200 pounds.

Today, he works as an Today, he works as an offi ce manager in a physical therapy prac-physical therapy prac-tice in State College — tice in State College — for Lemont Physical Therapy, a practice owned by his former physical therapist.

“It’s like being reborn,” “It’s like being reborn,” he said. “It really is.”

A month after undergoing sinus surgery, Kathleen Hasselback remains infatuated with being able to breathe freely.

“I’ll be out with friends and I’ll take my fi nger, block one of my nostrils and say, ‘Listen to this!’” the 56-year-old DuBois woman shares. “And you can hear how the air moves freely in and out. It’s just great!”

Equally great is the absence of the killer sinus headaches, facial swelling and pressure she endured before her surgery.

“It feels so good not to have the headache, the pressure or the edema,” she said. “I was not a pretty person in the morning. My voice, which had gotten deeper and huskier from the constant cough and postnasal drip, is starting to clear up. My body in general is starting to feel better now that I’m not having constant sinus infections.”

Kathleen was among the fi rst patients locally to benefi t from image-guided endoscopic sinus surgery using The Navigator — “a global positioning system for the head,” according to Charles Howells, M.D.,

chief of the section of ear, chief of the section of ear, nose and throat surgery at nose and throat surgery at Altoona Regional.Altoona Regional.

On the morning of surgery, On the morning of surgery, the patient’s CT scan the patient’s CT scan data are loaded into a data are loaded into a special computer. The special computer. The scans reveal the soft tissue scans reveal the soft tissue and bony structures in and bony structures in and around the sinuses. and around the sinuses. Using the scans, the Using the scans, the computer creates a three-computer creates a three-dimensional map of the dimensional map of the sinus cavities.

During surgery, a computer During surgery, a computer monitor displays the 3-Dmonitor displays the 3-Dmodel and an infrared model and an infrared camera and sensors help camera and sensors help track and display the real-track and display the real-time movement of surgical time movement of surgical instruments, while the instruments, while the computer mathematically computer mathematically compensates for any compensates for any patient movement. Thus, patient movement. Thus, the surgeon can pinpoint the surgeon can pinpoint the location of the the location of the surgical instruments surgical instruments within the patient at within the patient at all times.

In the operating room In the operating room recently with patient recently with patient Ronald Lundquist, Ronald Lundquist, Dr. Howells used the cordless “smart” the cordless “smart” instruments to verify his instruments to verify his position, “seeing through” position, “seeing through” scar tissue from previous scar tissue from previous surgeries, and polyps.surgeries, and polyps.

“The surgical techniques “The surgical techniques

Dr. Howells practices with Drs. Leonard Zimmerman and David Higgins at 501 Howard Ave., phone 814.944.5357.

B r eathi n gB r eathi n gE A S I E R

Using infrared technology, the CT scan data of patient Ronald Lundquist and The Navigator mask (right) allow Dr. Howells to pinpoint the location of surgical instruments within the sinuses.

4

and philosophies philosophies are no are no different,” different,” he said. he said. “I’m using “I’m using the same the same endoscopic endoscopic instruments instruments to widely to widely open the open the sinuses using sinuses using a minimally a minimally invasive invasive approach. approach.

New system makes New system makes sinus surgery safer, more effectivesinus surgery safer, more effective

The Navigator adds additional patient safety. I’m able to identify the sinus boundaries –– the orbital wall and the base of the brain cavity –– more quickly and accurately, minimizing the risk of complication.

“This technology is not a replacement for surgical skill. It’s a tool that adds to surgeon confi dence, and the patient benefi ts with a safer, more thorough sinus procedure.”

As for Ronald, he’d recommend the surgery: “I took no pain medicine afterward. I had no discomfort in my head at all. I had this surgery before and had quite a diffi cult time recovering. They are

doing something right these days, I can say that.”

And his symptoms?

“I have no trouble breathing at all; there’s no discharge, no more headaches and no more stuffed-up feeling. It’s real good. It’s 100 percent recovery,” he said. “And everyone at the surgery center was extremely courteous. I’d recommend this to everyone.”

Using infrared technology, the CT scan data of patient Ronald Lundquist and The Navigator mask (right) allow Dr. Howells to pinpoint the location of surgical instruments within the sinuses.

Using infrared technology, the CT scan data of patient Ronald Lundquist and The Navigator mask (right) allow Dr. Howells to pinpoint the location of surgical instruments within the sinuses.

Martinsburg native Richard “Dick” Moore, 65, loves Martinsburg native Richard “Dick” Moore, 65, loves swapping stories with customers at his local barbershop. swapping stories with customers at his local barbershop. And thanks to a therapy known as peritoneal dialysis, And thanks to a therapy known as peritoneal dialysis, his time behind the chair is never cut short.his time behind the chair is never cut short.

Dick suffers from end-stage renal disease (ESRD), or Dick suffers from end-stage renal disease (ESRD), or irreversible kidney failure. In order to maintain the irreversible kidney failure. In order to maintain the chemical balance his body requires to stay healthy, chemical balance his body requires to stay healthy, he needs regular kidney dialysis to clean his blood. But he needs regular kidney dialysis to clean his blood. But instead of making frequent visits to Altoona Regional’s instead of making frequent visits to Altoona Regional’s Nephrology/Dialysis Unit for treatment, Dick chooses Nephrology/Dialysis Unit for treatment, Dick chooses to perform peritoneal dialysis at home, at night, to perform peritoneal dialysis at home, at night, while he sleeps.

Peritoneal dialysis is one of two options for ESRD Peritoneal dialysis is one of two options for ESRD patients. The other option — hemodialysis — requires patients. The other option — hemodialysis — requires a visit to Altoona Regional three times a week.a visit to Altoona Regional three times a week.

“Peritoneal dialysis differs from hemodialysis in that it “Peritoneal dialysis differs from hemodialysis in that it requires patients to receive the training necessary to requires patients to receive the training necessary to perform treatments in their own home,” explained Diane perform treatments in their own home,” explained Diane Selfridge, administrative director of Nephrology at Altoona Selfridge, administrative director of Nephrology at Altoona Regional. “There is no blood contact with this treatment. Regional. “There is no blood contact with this treatment. Waste products are removed using special solutions and Waste products are removed using special solutions and the lining of the abdomen as a fi lter.”

With the support of his wife, Elouise, whom he married With the support of his wife, Elouise, whom he married 45 years ago, and special training from Altoona Regional 45 years ago, and special training from Altoona Regional staff, Dick found that his choice for treatment was simple.

Altoona Regional is your fi rst choice for nephrology and dialysis services. Our experienced and highly trained staff have provided exceptional care to patients with kidney disease for over 30 years.

Altoona Regional’s Nephrology/Dialysis Unit offers:

• Licensed professionals who coordinate care with board-certifi ed nephrologists.

• Both hemodialysis and peritoneal dialysis with state-of-the-art equipment.

• Full-time renal dietitian to provide counseling.

• Full-time renal social worker to provide assistance with insurance, transportation, setting up treatments when traveling, obtaining medications, and counseling or support.

• Compliance with all safety and quality standards.

• Continuous monitoring of patient outcomes to exceed government recommended standards.

• Patient involvement in care decisions.

• Hours to accommodate patient needs, such as employment or transportation.

• Twenty-four-hour dialysis coverage on both hospital campuses.

• Pre- end-stage renal disease teaching program, one-on-one or in a group.

• A team of nurses to assist with referrals to transplant centers and schedule required tests for transplant work-ups.

• Plasmapheresis with 24-hour nursing

coverage.

At-home dialysis offers Martinsburg barber more time

to enjoy workand family

Altoona Regional’s Nephrology/Dialysis Unit is located on the 6th Floor of the F Building at Altoona Hospital Campus. For more information, please call 814.889.2847.

“People seem to be afraid of peritoneal dialysis and I try to reassure them,” Dick said. “It’s really easy once you get used to it, and it helps to have a good partner like my wife.”

Another benefi t of dialysis at home is the ability to travel. Dick, who served as mayor of Martinsburg for 28 years, looks forward to vacations, especially camping adventures.

“My medical supplier delivers my dialysis equipment to me on vacation, no matter where I am,” he said.

The supplier also equips Dick with a manual dialysis bag in case anything would go wrong. In that case, though, he always has a list of nearby dialysis units he can go to for treatment.

For Dick, having peritoneal dialysis services and training available at Altoona Regional has been a blessing.

“Peritoneal dialysis allows me to lead a normal life and continue working at the shop,” he said. “And I’m able to spend most of my time with Elouise and our grandchildren, and that’s very important to me.”

CuttingLoose

5

“Peritoneal dialysis allows me to lead a normal life and continue working...”

— Dick Moore

Experience, convenience, service

“Peritoneal dialysis allows me to lead a normal life and continue working...”

— Dick Moore

“Peritoneal dialysis allows me to lead a normal life and continue working...”

— Dick Moore

Here are some tips from the Consumer Product Safety Commission and Safe Kids Blair County to help keep your Fourth of July holiday happy:

• Know the laws regarding fi reworks where you live or where you are vacationing during the Fourth of July. Pennsylvania, 38 other states and the District of Columbia enforce federal regulations and applicable state restrictions and allow some consumer fi reworks –– those containing no more than 50 milligrams of powder — and novelty items.

• Never allow children to play with or ignite fi reworks.

• Read and follow all warnings and instructions.

• Be sure other people are out of range before lighting fi reworks.

• Only light fi reworks on a smooth, fl at surface away from houses, dry leaves and fl ammable materials.

• Never try to relight fi reworks that have not fully functioned.

• Keep a bucket of water nearby in case of a malfunction or fi re.

6

“Unsupervised children

are 11 times more

likely

to be

injured

by fi reworks.

“The key is to enjoy the pyrotechnics safely and leave the aerial light displays to the professionals,” says Sherry Turchetta, R.N., community education specialist with Altoona Regional and coordinator of Safe Kids Blair County.

Sherry reports that of the more than 4,300 children ages 14 and under treated in U.S. emergency rooms each year for injuries result-ing from fi reworks, most

related activities are more related activities are more frequently injured and sustain more severe injuries than bystanders,” according to R. Scott Magley, M.D., chairman of the Department of Emergency Medicine.

“Unsupervised children are 11 times more likely to be injured by fi reworks. This is because young children lack physical

coordination to handle fi reworks safely.However, what they lack in coordination they greatly in coordination they greatly make up for in curiosity and excitement.”

Sherry noted that sparklers, while legal and considered “safe” by many, burn at a very high temperature and can ignite clothing.

“Often, children cannot understand the danger involved and can’t act appropriately in case of emergency,” she warned.

For more information, contact Safe Kids Blair County at 814.889.7802.

Tips for k

eeping

your F

ourth of J

uly

accid

ent-f

ree!

”

occur within a few weeks of this summertime holiday.

In 2005, Altoona Regional Trauma Center treated two male patients for fi reworks-related injuries. One’s left hand was injured on July 4; the other suffered facial burns July 3 from an exploding fi recracker.

Males account for 72 percent of all fi reworks-related injuries, according

Fireworks are as much a part of the traditional Fourth of July celebration as baseball, hot dogs and apple pie.

to the U.S. Consumer Product Safety Commission. In 2003, emergency departments nationwide treated 9,300 people for fi reworks-related injuries and four people died. Almost half of these injuries occurred among children ages 14 and younger.

“People who are actively participating in fi reworks-

7

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Take your healthy habits along!

PROGRAM ALERT:

ass Index

You can EAT RIGHT even on vacation

PROGRAM ALERT: All About Body Mass IndexSee Page 11 for date, time.

On your next vacation, clinical dietitian Randy Grabill (right) encourages you to stay committed to your healthy eating efforts.

“Be realistic about the possibility of gaining weight while on vacation,” Randy says. “You can’t really avoid it, but you can defi nitely minimize it.”

Enjoy your next vacation by following Randy’s rules:

• “Winging it” won’t cut it! You need to plan. Save up your calories by watching what you eat the week before vacation.

• Book a hotel with kitchen accommodations to prepare healthy meals.

• Make smart breakfast choices like fruits, yogurts and whole grain cereals.

• Opt for menu items containing the words “steamed,” “roasted” or “broiled.”

• Avoid creamy, high-calorie salad dressings. Instead, choose olive oil and vinegar or a light dressing.

• Sample small amounts of high-calorie foods, like desserts.

• Watch your portion sizes. Try sharing a large entrée

with a friend.

• Be extra careful at buffets because it’s easy to overeat.

• If you’re starved, you tend to eat too much, so spread meals throughout the day.

• Monitor your alcohol intake. Fruity drinks, like strawberry daiquiris, are high in calories.

• Offset the extra calories you take in with proper exercise.

“If you fi nd it diffi cult to eat healthy while on vacation, don’t fret,” Randy said.

“Just get back on track when you return home.”

For more information, contact Safe Kids Blair County at 814.889.7802.

Tips for k

eeping

your F

ourth of J

uly

accid

ent-f

ree!

Ah, summer vacation! Get ready to kick back, relax and enjoy some well-deserved time away. And as you gather items to pack your suitcase — shorts, camera, book, toothbrush — don’t forget your favorite pair of jogging shoes.

That’s right. Vacation is no excuse to forgo exercise. After all, people typically consume more, and burn less, calories each day while on vacation. Your body needs exercise to offset that annoying side effect of all-you-can-eat buffets — weight gain.

Fellowship trained in sports medicine, William A. Tyndall, M.D., Ph.D., of University Orthopedics Center, believes vacation is an excellent time to maintain, add some variety, and even increase your exercise program.

“Vacations are often planned at destinations of great beauty, such as the ocean or the mountains,” he said. “These sites provide easy distractions to sneak a program of walking, running, swimming or biking into your daily routine.”

Before boarding the plane or getting in the car, remember to have realistic expectations about exercising while traveling. There’s a good possibility that you will break from your normal fi tness routine. But instead of feeling guilty about it, or giving up altogether, fi nd alternate ways to incorporate physical activity into your vacation.

“Start by booking a hotel with a fi tness center or swimming pool,” Dr. Tyndall advised. “If you can’t fi nd a hotel with its own facilities, check out the fi tness “If you can’t fi nd a hotel with its own facilities, check out the fi tness clubs or community pools in the area.”

Next, plan to have fun on vacation even as you exercise. Next, plan to have fun on vacation even as you exercise.

Vaca

tion i

s Next, plan to have fun on vacation even as you exercise.

Vaca

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no ex

cuse

Next, plan to have fun on vacation even as you exercise.

no ex

cuse

Dr. Tyndall recommends the following activities that focus Dr. Tyndall recommends the following activities that focus

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Dr. Tyndall recommends the following activities that focus

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Dr. Tyndall recommends the following activities that focus

no ex

cuse

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Dr. Tyndall recommends the following activities that focus

to fo

rgo on increasing your heart rate:

• Go hiking in the mountains and enjoy the view.

• Go swimming at your hotel or in the ocean. Swimming is great for the heart and lungs and easy on the joints.

• Get off the beach blanket and play Frisbee or volleyball with your family.

• Go for a brisk walk on the beach. Walking or running on sand generally burns more calories than on smooth pavement.

• Steer clear of cabs, and take a walking or bicycle tour of the area. The more places you can get to by foot, the better, and that includes taking the stairs instead of the elevator.

Regular exercise has been shown to help control weight, cholesterol, blood pressure and blood sugar. It’s also a natural antidepressant and can help you generally feel better. In order to reap those rewards, Dr. Tyndall believes you need to develop good habits at home and take them with you anywhere you go, including vacation.

“I encourage you to incorporate exercise into your daily routine,” he said. “So, if you exercise at home, then it should be continued on vacation.”

Contact:William A. Tyndall, M.D., Ph.D.Orthopedic surgeon, fellowship trained in sports medicineUniversity Orthopedics Center2525 9th Ave., Suite 2B, Altoona, PA 16602814.949.4050

Try these

healthy,

tasty recipes

Try these

healthy,

tasty recipes

8

To learn about the services provided by Pastoral Care, call 814.889.4323.

Staff chaplains Rev. Mark A. Rhodes (left) and Rev. Ronald M. Khoury are members of a team trained to meet a broad range of spiritual needs.

a prestigious international network of professionals.

“We’ll always continue to educate ourselves about other faiths and religions, as well as about our role within the health system,” Pastor TM said. “The common thread we all share is healing through God’s care, through an expression of faith.”

While ministering, Pastor TM may listen to, talk with or pray with patients, family or staff; don a Jewish prayer shawl, or distri-bute communion from a chalice.

For Pastor TM, the Pastoral Care director, and the fi ve full-time and nine part-time chaplains on staff, it may be a tray table in a patient’s room or some available space on a trauma bay bed where the altar is set and work continues on healing the whole patient — body, mind and spirit.

“We want to be where the person is,” Pastor TM said. “The question we ask, both literally and fi guratively, physically and spiritually, is how are we ministering to the person right now where they are.”

When you’re lying on your back looking up, Pastor TM said, you have a very different perspective than when you’re standing next to a bed.

ministers to the spirit in everyone

Healing Service intended for individuals of any faith whose life has been touched by illness or tragedy.

As it always has, Pastoral Care still visits nearly all new admissions and is on call 24 hours a day, seven days a week, and is part of the Trauma Team, responding to each Regional Trauma Center case. In fact, Pastor TM

is certifi ed by the American Academy of

Experts in Traumatic

Stress,

“When you come into the hospital, a lot of things can happen to you,” Pastor TM explained. “You may sacrifi ce your privacy, or your dignity, but the one thing you always have is your spirit. No one can ever take that away. That’s the part to which we minister.”

Defi ning the line between religion and spirituality, two unique concepts, Pastor TM said, is the strength of her department.

“Spirituality and religion are two very different things,” she explained. “Everyone has a spirit, but not everyone is religious. This department is equipped to minister to the spiritual side.”

Before the November 2004 merger of the hospitals, Pastor TM admitted, neither Pastoral Care department was designed to address a broad range of spiritual needs. Bon Secours-Holy Family Hospital was sponsored by a national Catholic health care organization and offered predominantly Catholic rites and services, while Altoona Hospital employed only one full-time Catholic priest and one part-time layperson, and simply could not address the volume of patient and staff needs.

But with a unifi ed staff — the fi rst within the merged system — and a plan to spiritually minister rather than be religious representatives, Pastoral Care crossed denominational lines to serve any religion or faith tradition — Catholic, Protestant, Jewish, Muslim, Hindu, Buddhist and more.

Now, along with the Catholic Mass, optional daily Eucharist and Prayer Partners, Pastoral Care is breaking new ground by offering an Interfaith

Pastoral Care

When you think about it, a hospital room or emergency room bed and a combat zone aren’t all that different from one another.

Each can be a scene of inspiration and hope and incredible sorrow, and all are often places where one’s spirituality or religious faith is invoked in an attempt to fi nd peace or make sense of a traumatic situation.

Pastor Terryann Talbot-Moses (known as Pastor “TM”) uses the metaphor to describe the work of Altoona Regional’s Pastoral Care staff.

“I like to think about the image of the hood of an army jeep covered with a cloth and transformed into an altar for a battlefi eld

service or Mass,” Pastor TM explains. “It didn’t matter that they weren’t in a building designed and built for worship; they worked with what they had and ministered to the soldiers right where they were.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

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always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have always have

is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit. is your spirit.

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ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take ever take

that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.” that away.”

“... the one

thing you

always have

is your spirit.

No one can

ever take

that away.”

Enjoy a Picnicking

Safety

Checklist

Try these

healthy,

tasty recipes

Try these Try these Try these

healthy, healthy, healthy,

tasty tasty tasty tasty tasty tasty tasty tasty tasty tasty tasty recipesrecipestasty recipestasty recipes

Try these

healthy,

tasty recipes

thatata won’t spoil your waistlineThis summer, don’t let standard picnic fare turn an afternoon of dining al fresco into dining al fatso!

Rather than let high-calorie, high-fat foods be the rain that ruins your picnic — and your waistline — Laura Vasbinder, health system registered dietitian, says some subtle planning can provide healthier options that nobody’s taste buds will notice.

“The important thing to remember is that all foods can fi t into a healthier picnic,” Laura said. “Enjoy yourself, but don’t completely abandon your general healthy eating guidelines.”

Instead of chips, try fat-free pretzels and a low-fat dip, a dried fruit and nut mix, cheese and crackers, or celery sticks with peanut butter. Laura suggests making fruit salads with strawberries, peaches, apples or grapes, and a low-calorie vegetable dip to add more vitamins and nutrients to a picnic.For the entrée, step away from hamburgers and hotdogs. Grilled chicken or pork, fi sh such as salmon, halibut or trout, and grilled veggies with olive oil are excellent substitutes. Grilled corn on the cob can be a welcome and nutritious alternative. And if your picnic simply isn’t a picnic without burgers, try lean ground beef.“Grilling is a low-fat way to cook, so simply selecting leaner cuts of beef and leaner cuts of beef and leaner cuts of beef and leaner cuts of beef and leaner cuts of beef and ground beef makes a huge ground beef makes a huge ground beef makes a huge ground beef makes a huge difference,” Laura said. difference,” Laura said. difference,” Laura said. difference,” Laura said. difference,” Laura said. difference,” Laura said.

Picnicking offers a high risk for food-borne illness. Follow this checklist to help ensure your picnic doesn’t end with a trip to the emergency room.

Wash your hands with soap and clean water before handling food, especially raw meats or poultry, and always after using the bathroom, changing diapers or touching pets.

Pack food, especially raw meats, in separate containers to prevent cross-contamination. Pack meats at the bottom of the cooler to prevent juices from dripping onto other foods.

Use separate utensils and plates for raw meats and cooked meats.

Be sure to keep hot foods hot and cold foods cold until ready to eat.

Carry your cooler in the air-conditioned car — not the trunk. At the picnic site, put it in the shade with the lid closed. Remove food just before serving.

Serve food quickly and return food (including leftovers) to cooler within one hour.

Be sure to cook meats until they’re hot all the way through, the

meat is no longer pink, and juices run clear.

CHICKEN KABOB SALADINGREDIENTS1 20 Oz. can of pineapple chunks, juice reserved

1 20 Oz. can of pineapple chunks, juice reserved

1/3 cup olive or vegetable oil2 Tbsp. Mrs. Dash Chicken Grilling BlendFour 4 Oz boneless, skinless chicken breasts, cut into 1 inch cubes

1 red or green bell pepper, cut into 1 inch cubes1/2 cup red onion, cut into squaresPackage of salad greens, preferably RomaineDIRECTIONS1. Drain pineapple; reserve juice. Make dressing from reserved pineapple

juice, oil and Mrs. Dash Chicken Grilling Blend. Pour in a shaker jar.

2. Pour 1/4 cup of the prepared dressing into a cup to use as a marinade.

3. Set aside remaining dressing.4. Thread pineapple chunks, chicken, bell peppers and onions onto

skewers.5. Brush with reserved marinade. Discard any that remains.

6. Grill or broil 10 minutes or until chicken is no longer pink,

turning occasionally.7. Serve kabobs over salad greens with remaining dressing set aside earlier.

Serves: Four. Prep time: 15 mins. Cook time: 10 to 15 mins.

GRILLED MESQUITE

VEGETABLES

INGREDIENTS

2 to 3 Tbsp. Mrs. Dash Mesquite Grilling Blend

2 to 3 Tbsp. Mrs. Dash Mesquite Grilling Blend

1/2 medium eggplant trimmed and cut into 1/2 inch thick slices

1/2 medium eggplant trimmed and cut into 1/2 inch thick slices

1 medium zucchini, quartered lengthwise

1 medium zucchini, quartered lengthwise

1 medium red onion, peeled and halved

1 medium red onion, peeled and halved

1 each red and green bell peppers, cut into large slices

1 each red and green bell peppers, cut into large slices

2 Tbsp. olive oil, divided

1 Tbsp. balsamic vinegar

DIRECTIONS

1. Preheat barbecue to medium.

2. In a bowl combine Mrs. Dash Mesquite Grilling Blend and

1 Tbsp. olive oil.

3. Add vegetables and toss until well-coated with olive oil

mixture.

4. Lay vegetables on grill.

5. Cover and grill, turning pieces once during cooking.

6. Cook until tender and vegetables develop grill

marks, about 3 to 4 minutes on each side.

7. Remove vegetables as soon as they are cooked.

8. Coarsely chop vegetables into 1/2 inch pieces.

9. Mix remaining olive oil and balsamic vinegar

in a large bowl, add cut vegetables and toss

with dressing. Serve at room temperature.

“Try skipping the bun “Try skipping the bun altogether, or at least substituting whole-grain buns for white, or trading them both for a whole-grain pita or wrap.”

Macaroni salad and potato salad are staple picnic side dishes but not the healthiest choices.

“Beans are really healthy and very good for you, until you add bacon and brown sugar,” Laura said. “Even salads can be fattening and high in calories unless you substitute olive oil, canola oil or balsamic vinaigrette for the mayonnaise and thick, high-fat dressings.”

If a crunchy accompaniment is what you crave, Laura suggests substituting the baked version for regular chips, or a more radical alternative like low-calorie, low-carb baked tortilla chips and salsa, which is loaded with vitamin C and cancer- preventing lycopene.

What you drink can make a huge impact. Sweet, sugary high-calorie sodas can increase thirst, which leads to drinking more soda, which leads to more calories. An alcoholic beverage or two can lead to dehydration as well as pack on the calories.

“Water with fruit juice or just a squeeze of lemon is very refreshing and is what your body wants,” Laura said. “If soda is a must, go with diet.”

Picnic the emergency room.

Wash your hands with soap and clean water before

Pack food, especially raw meats, in separate

Use separate utensils and plates for raw meats and cooked meats.

Be sure to keep hot foods hot

ready to eat.

Carry your cooler in the air-conditioned car —

just before serving.

Serve food quickly and Serve food quickly and Serve food quickly and return food (including

Be sure to cook meats Be sure to cook meats Be sure to cook meats until they’re hot all

Picnic Enjoy a

at i tlin

Enjoy a

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Registered dietitianLaura VasbinderRegistered dietitianRegistered dietitianLaura VasbinderLaura VasbinderLaura VasbinderLaura VasbinderRegistered dietitianLaura Vasbinder

10

“It’s one

effective way

to deal with

a broken

health care

system.”

Combined clinics

for working for working uninsured

Operation Safety Net-Altoona and Partnering for Health Services combined their missions earlier this year so they could better serve the working uninsured of our region.

Prior to the merger of the two city hospitals in November 2004, Operation Safety Net was operated by Bon Secours-Holy Family Hospital, and Partnering for Health Services was operated by Altoona Hospital. They consolidated at 501 Howard Ave., Building B, Suite 204, Altoona, under the Partnering for Health Services name.

“It’s been great for our patients, there’s no doubt about that,” said Zane Gates, M.D., clinic medical director, about the consolidation. “I think there is a greater need for help now than there ever has been in our community. We are making it a whole community effort like in the old days. The merger has revived the spirit of the clinic.”

Evidence of that revived spirit has spread among the doctors, said volunteer physician Chris Kahlenborn, an internal medicine specialist.Chris Kahlenborn, an internal medicine specialist.

Drs. Gates and Kahlenborn are two of eight physicians, who along with three physician Drs. Gates and Kahlenborn are two of eight physicians, who along with three physician assistants and seven volunteer registered nurses care for 3,300 patients in the combined assistants and seven volunteer registered nurses care for 3,300 patients in the combined programs. They are assisted by fi ve clerical volunteers and several paid staff members.programs. They are assisted by fi ve clerical volunteers and several paid staff members.

Drs. Kahlenborn and Gates are two of seven physicians who, with three nurses, volunteer Drs. Kahlenborn and Gates are two of seven physicians who, with three nurses, volunteer their time to see the 3,300 patients of the combined programs.their time to see the 3,300 patients of the combined programs.

“After the hospital merger, the two clinics functioned independently,” said Marian “After the hospital merger, the two clinics functioned independently,” said Marian Fifer, executive director of the Altoona Hospital Partnership for a Healthy Community. Fifer, executive director of the Altoona Hospital Partnership for a Healthy Community. “Upon evaluation, the board of directors determined that resources could be used “Upon evaluation, the board of directors determined that resources could be used collaboratively for the greater good of the clinics’ patients.” collaboratively for the greater good of the clinics’ patients.”

Combining the clinics under the Partnership improves access to care by making more Combining the clinics under the Partnership improves access to care by making more physicians and more lifesaving medication available to patients.physicians and more lifesaving medication available to patients.

Patients like Sarah McElhinney.Patients like Sarah McElhinney.

Sarah fi rst visited Partnering for Health Services in 2002 when her work hours at a local nursing home were reduced from full to part time. She lost income and her health insurance and found herself unable to afford her nine medications, including three inhalers for her asthma. Leaving the asthma untreated landed her in the hospital with a severe attack.hospital with a severe attack.

“I feel great today,” she said. “If it wasn’t for them, I don’t know where I’d be. If I had “I feel great today,” she said. “If it wasn’t for them, I don’t know where I’d be. If I had to buy all my medicines, I’d probably be six feet under. Until I pay rent, utilities and to buy all my medicines, I’d probably be six feet under. Until I pay rent, utilities and food –– there’s not much left.”food –– there’s not much left.”

Making that kind of a difference in a patient’s life is what keeps Thomas A. Burk, M.D., Making that kind of a difference in a patient’s life is what keeps Thomas A. Burk, M.D., volunteering at Partnering for Health Services. volunteering at Partnering for Health Services.

“It’s very rewarding,” he said. “The patients are very nice and very cooperative. It’s one “It’s very rewarding,” he said. “The patients are very nice and very cooperative. It’s one effective way to deal with a broken health care system. We complain a lot and this is one effective way to deal with a broken health care system. We complain a lot and this is one way we can have a positive impact.way we can have a positive impact.

“I would encourage more doctors to do it.”“I would encourage more doctors to do it.”

Anyone with health care or offi ce skills is welcome to volunteer. For more information, Anyone with health care or offi ce skills is welcome to volunteer. For more information, call the clinic at 814-889-6111.

You may one day fi nd yourself as Dr. Gates does routinely — looking around the busy offi ce, phones ringing, staff scurrying. “This is one good thing,” he commented amid the rush. “This is one of my favorite things to do.”

E X P A N DS E R V I C E S

Medical professionals who volunteer at Partnering for Health Services include (from left) founder Zane Gates, M.D., Judith Jacobus, M.D., Chris Kahlenborn, M.D., Patricia Corbin, physician assistant, and Johannes deKoning, M.D. Others include Robert Bridenbaugh, M.D., Thomas A. Burk, M.D., Michael Schlechter, M.D., and Regina Smith, D.O.

Dr. Zane

Gates with clinic

patient Sarah McElhinney

of Bellwood.

Operation Safety Net-Altoona founder Dr. Zane Gates extends his sincerest appreciation to all physicians and volunteers who helped make Operation Safety Net-Altoona such a success, especially Sue Cuff.

Clinic income GUIDELINES

Family Income size limit 1 $19,140 2 $25,660 3 $32,180 4 $38,700 5 $45,220 6 $51,740

PR

OG

RA

MS

Healthy LivingJuly, August and July, August and September 2006

Programs are open to all adult age groups unless otherwise specifi ed.

Altoona Hospital Campus is at 620 Howard Ave.

Bon Secours Hospital Campus is at 2500 7th Ave.

DAYTIMEPROGRAMS

PR

OG

RA

MS

PR

OG

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11

Safe Sitter ClassThursday, Aug. 10 9 a.m. to 4 p.m.Trzeciak Suite, Education Center, Bon Secours Hospital Campus.Fee $20, includes materials, snacks and lunch. Registration required. Call 889.2630 or 1.888.313.4665. Class size limited.Certifi ed Safe Sitter instructors will prepare adolescents ages 11 to 13 to baby-sit infants and young children in a safe, responsible and competent manner. Participants will learn basic child-care skills; how to keep a house secure; how to take precautions to prevent accidents; basic fi rst-aid skills; how to recognize common signs of illness, and possible interventions; how to treat or reduce discomfort, and how to rescue a choking child or infant.

Who Gets Grandma’s Yellow Pie Plate?(This is a rescheduled program. No need to call if you are already registered.)Friday, Aug. 18 Lunch at 11 a.m. followed by program until 1 p.m.Trzeciak Suite, Education Center, Bon Secours Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Most of us have personal belong-ings that have special meaning for us and our families. What hap-pens when there is a death? Who gets the pie plate or family Bible, and who decides? This program discusses the transfer of nontitled property: what is fair, the special meaning of objects, along with options to distribute, and the consequences. The focus will be on collections, antiques, jewelry, furniture, etc. You are invited to bring a special family item and share the meaning it has to you. Dottie Bromley of Penn State Cooperative Extension will present this very interesting topic.

The Healing Mission of Wound CareThursday, Aug. 24Lunch at 11 a.m. followed by program until 1 p.m.School of Nursing Auditorium, Altoona Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Whether from diabetes, poor circulation or some other condition, many worry about wounds, cuts, abrasions — skin that just won’t heal. Wounds that resist the traditional modes of treatment are threatened by infection and the possibility of getting worse instead of better. Join Dr. Donald Mrdjenovich, certifi ed wound specialist, as he discusses the causes of wounds that won’t heal, how to prevent them, and the latest treatments available through Altoona Regional’s Wound Care and Ostomy Program.

PEPPI! (Peer Exercise Program Promotes Independence)Every Monday, Wednesday and Friday at 8:15 a.m. or 10 a.m.Fourth Lutheran Church, Altoona.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Are you 55 or older and looking to improve your strength, fl exibility and balance?Want to start toning up? PEPPI, a strength training and weight resistance exercise program, can help you do all this while combating chronic conditions such as arthritis and osteoporosis.

Child Safety Seat Installation Checkup StationFriday, July 14, 9:30-11 a.m.Altoona Hospital Campus parking garage, Blue Level.Friday, Aug. 11, 9:30-11 a.m.Bon Secours Hospital Campus, Seventh Avenue parking lot.Friday, Sept. 8, 9:30-11 a.m.Altoona Hospital Campus parking garage, Blue Level. Look for the Safe Kids Van.No fee. By appointment only. Call Safe Kids Blair County at 889.7802.Find out if your child’s safety seat is installed properly. Your child’s life may depend on it.

Hazards in the Sun: Are You at Risk?Friday, July 14Lunch at 11 a.m. followed by program until 1 p.m.Trzeciak Suite, Education Center, Bon Secours Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Find out what you need to know about skin cancer. Is sun exposure really a problem? How much is too much?What is a “safe” time to enjoy the sun? Join Dr. Jane Rowe, dermatologist at Blair Medical Associates, as she offers information on the types and prevention of skin cancer, how to recognize the signs of skin cancer, and treatment options. Also, did you know that your medications may make you more susceptible to the harmful effects of the sun? Hear what a pharmacist at Altoona Regional has to say.

Osteoporosis Screening: Free Heel ScansBy appointment only on Friday, Aug. 4, 12:30-3 p.m.Kaufman Dining RoomBon Secours Hospital CampusFor men and women.By appointment only on Friday, Sept. 1, 12:30-3 p.m.Allegheny Room, OP6Altoona Hospital CampusFor women only.No fee. To schedule your appointment, please call 889.2630 or toll-free 1.888.313.4665.Find out if you are at risk for osteoporosis. This bone mineral density screen is a noninvasive, painless tool that can help determine bone health and your risk for fractures.

Bird Flu: What’s Happening?Thursday, July 27Lunch at 11 a.m. followed by program until 1 p.m.School of Nursing Auditorium, Altoona Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Avian fl u virus, also known as “bird fl u,” is getting worldwide attention. What is bird fl u? How is it spread? Who is at risk? Is there a cure? What should be done to help prevent the spread of the virus? How is Altoona Regional prepared in the event of an outbreak? Join Dr. Scott Magley, senior vice president and chairman of the Department of Emergency Medicine, as he speaks about this very important topic.

Yoga Beginner and intermediate Beginner and intermediate

class available, six-week series.class available, six-week series.Tuesdays, Aug. 22 through Tuesdays, Aug. 22 through Sept. 26Sept. 26Beginners: 5:30-6:40 p.m.Beginners: 5:30-6:40 p.m.Intermediate: 6:50-8 p.m.Rotunda, OP6, Altoona Hospital Campus.Fee $30. Register now as class is limited to 25 for each session.Call 889.2630 or toll-free 1.888.313.4665. Gail Murphy, instructor in Hatha Yoga, leads this program, which offers mind/body exercise, breath control, stretching and strengthening to promote mental, physical and spiritual well-being.

Fall Craft: Painted Pilgrim Tea TowelsFriday, Aug. 256:30-8 p.m.Juniata Room, OPC 6, Altoona Hospital Campus.Fee $12. Register by calling 889.2630 or toll-free 1.888.313.4665. Class size limited to 25.Join Sharon Rydbom, our own craft diva, as she guides us in creating an adorable Pilgrim tea towel to welcome the fall season into your home. Materials needed: two pieces of cardboard at least 7 by 7 inches each, covered fi rst with aluminum foil, then wax paper; four paper towels, and a paint shirt, if desired.

Sign Language Classes Beginners class, 12-week course.Sept. 5 through Nov. 21 7-8:30 p.m. Trzeciak Suite, Education Center, Bon Secours Hospital Campus. Fee $25. Registration required. Class limited to 30 people. Call 889.2630 or 1.888.313.4665. Pastor Robert Smith of the Pastoral Care Department of Altoona Regional will be the instructor for this course in conversational sign language. There will be assignments with the lessons, and a certifi cate will be given upon completion of the course. A three-ring binder will be needed. Snacks will be provided.

BMI — What Is It? What Do the Numbers Mean?Wednesday, Sept. 136:30-8 p.m.Rotunda, OP6, Altoona Hospital Campus.No Fee. Register by calling 889.2630 or toll-free 1.888.313.4665. Class size is limited. Healthy refreshments will be served.Join registered dietitian Connie Plowman in a discussion about body mass index (BMI) and its relationship to health. Since the Pennsylvania Department of Health has mandated that children in local school districts have their body mass index recorded, shouldn’t we all be educated on interpreting the results? There will also be a discussion on healthy and fun recipes and snack tips.

How to Communicate With Your PhysicianThursday, Sept. 21Lunch at 11 a.m. followed by program until 1 p.m. School of Nursing Auditorium, Altoona Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Join Dr. Kathleen Sweeney, assistant director of Altoona Family Physicians’ Family Residency Program and director of Osteopathic Education at Altoona Regional, as she discusses issues you should consider when communicating with your physician. Emphasis will be placed on how to communicate effectively with your physician to provide essential information so he or she can make a correct diagnosis. Tips will be provided on how to become an empowered patient, how to obtain important medical information from your provider to make important medical decisions, and how to have a therapeutic alliance with your doctor. Ample time will be allotted for questions.

When the Name of the Pain Is ‘Arthritis’Friday, Sept. 22Lunch at 11 a.m. followed by program until 1 p.m.Trzeciak Suite, Education Center, Bon Secours Hospital Campus.No fee. Registration required. Call 889.2630 or 1.888.313.4665.Does everyone get arthritis as they age? What causes it and can anything be done to prevent it? Are there any new treatments available? What medication is best for long-term use? When is surgery indicated? Join Dr. Deniz Baysal, an orthopedic surgeon specializing in joint replacements and fractures at Lexington Orthopedics, as he offers helpful and interesting information on this topic.

AARP Driver Safety ProgramAll classes from 6-10 p.m. Logan Room, OP6, Altoona Hospital Campus.Tuesday, July 11, and Wednesday, July 12Or Tuesday, Aug. 8, and Wednesday, Aug 9Or Tuesday, Sept. 12, and Wednesday, Sept. 13Fee $10. Registration required. Call 889.2630 or 1.888.313.4665.This classroom refresher course covers age-related physical changes, perceptual skills, rules of the road and more. All automobile insurance companies in Pennsylvania provide a premium discount to graduates age 55 and older. Most require both spouses insured under the same policy to take the class to receive a discount.

EVENING PROGRAMS

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Rebecca L. DelBaggio, M.D., practices with Drs. Aslam Azad, David Galbraith and Kelly Kane at Blair Medical Associates Pediatrics, 1414 9th Ave., Altoona, 814.946.1655.

Rebecca L. DelBaggio, M.D.

Dr. DelBaggio received her medical degree from the University of Pittsburgh School of Medicine and performed her three-year pediatric residency at Eastern Virginia Medical School/Children’s Hospital of the King’s Daughters in Norfolk. She is board certifi ed in pediatrics and is a fellow of the American Academy of Pediatrics.

Some children experience a cough and runny nose, but these are usually very mild and do not cause signifi cant discomfort.

The fever and vomiting usually subside in two days, but the diarrhea can last from four to eight days. The length of the illness, from the start of symptoms to when the diarrhea ends and appetite is back to normal, is roughly 14 days.

How important is the rotavirus vaccine and who should receive it?

Because of the frequency and amount of diarrhea, the most common complication of rotavirus is dehydration, which can occur very rapidly and can potentially be life-threatening.

Rotavirus attacks the intestinal lining and prevents food from being digested and absorbed properly. As a result, the stool contains excess water and electrolytes, or minerals that help keep the body’s fl uid levels in balance. If electrolytes are lost in large amounts, a child can suffer from chemical imbalances,

The Food and Drug Administration has approved a vaccine to fi ght rotavirus, the most common cause of severe diarrhea in infants and children. How do people get rotavirus and what are the symptoms?

Rotavirus is spread Rotavirus is spread Rotavirus is spread from human to from human to from human to human when people do not properly wash their hands after using the bathroom. The virus can live on human hands for about four hours and on nonliving objects for several days. Rotavirus has often been found on toys, water fountains, toilet handles, doorknobs, telephone receivers and surfaces in daycares and hospitals.

Symptoms typically begin within 48 hours of exposure but can appear anywhere between four to seven days after exposure. Rotavirus begins with a low to moderate fever. Vomiting, stomach cramps and diarrhea will then occur. The diarrhea is usually very watery and can sometimes be mistaken for urine in the diaper.

seizures or neurological impairments.

In most cases, rotavirus is harmless, but due to its high incidence and its potential for serious complications, it’s very important for young children to get the vaccine. Careful hygiene and proper hand-washing, especially in hospitals and daycare centers, are also very important.

The vaccine, called RotaTeq, is given orally in three doses. It is recommended for children 6 weeks to 32 weeks of age. The fi rst dose is given at 6 to 12 weeks. The next doses are given at four- to 10-week intervals, with the last dose being given before 32 weeks.

As with any vaccine, side effects are possible, but the benefi ts of preventing rotavirus and its potential complications outweigh the risks. Children should not get the vaccine if they have weak immune systems or disorders of the blood or lymphatic system, are taking immunosuppressive

medications that prevent immune

system activity, or are receiving

blood products.