CONNECTIONSNEWS AND HEALTH INFORMATION FROM SUMMIT MEDICAL GROUP summitmedicalgroup.com

healthySPRING 2017

Diagnosing and Caring for Patients

WITH ARRHYTHMIAS

page 4

SMG Foundation Helps Meet

Community’s Needs

New Chronic Care Center

Opens

2 healthy connections ◆ Spring 2017

Connect with Us! Keep up with breaking health news,

new physicians, new services, events, videos, and more from

Summit Medical Group.

Summit Medical Group CentersIn addition to more than 80 medical services and specialties, Summit Medical Group offers coordinated, comprehensive care through specialized centers:

Ambulatory Surgery Centers—Patient-centered, state-of-the-art “same-day” surgical facilities for patients who do not need a hospital stay.

Arrhythmia Center— Diagnosis and treatment of heart rhythm disorders, in-cluding complex arrhythmic conditions and expertise in catheter ablation.

Behavioral Health and Cognitive Therapy Center—Counseling services for chil-dren, adolescents, and adults with a variety of emotional and situational problems.

Breast Care Center— Comprehensive support and care of benign breast health conditions and all stages of breast cancer.

FREE monthly healthy e-Newsletter. Sign up at summitmedicalgroup.com.

For more than 85 years, Summit Medical Group (SMG) has been keeping our neighbors healthy. But

four years ago, we realized we could—and wanted—to do more. We embarked on a mission to transform lives far beyond traditional medical care, and thus, the Summit Medical Group Foundation was formed. Since then, we’ve committed to providing underserved families in our community with access to personal health care and educating our future medical leaders. Find out how you can get involved on page 3.

Most of us can remember a person, place, or event that made our heart skip a beat! But if that happens to you on a regular basis, you may have an abnormal heart rhythm. Our specialists in our new Arrhythmia Center can

help; see pages 4 and 5 for details. If you’d like to develop a close relationship

with a physician who can treat your entire family, one who offers comprehensive screenings at your checkup, then a family medicine practitioner may be right for you. Learn more on page 8.

It’s another exciting season at Summit Medical Group! Live well. Stay well.

Yours in good health,

A Message to Our Co mmunity

Jeffrey Le Benger, MD Chairman of the Board and CEO Summit Medical Group

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Cardiopulmonary Center—Diagnosis of and treatment for conditions of the heart and lungs, including special-ized programs for adults and children.

Chronic Care Center—Fills the gap in care between hospital stay and doctor visit. Provides intense, multidisciplinary treatment and disease management for patients discharged from the hospital or with serious medical conditions.

Ear Specialty Center—For patients with hearing loss. Offers comprehensive surgical and nonsurgical treatment of pediatric and adult diseases of the ear and facial nerve.

Genetic Counseling Center—Risk assessment and genetic testing for individuals and couples with family concerns.

Plastic Surgery Center—A variety of surgical and nonsur-gical procedures for the face and body.

Sleep Disorders Center— Diagnostic and treatment options for a variety of sleep problems.

Spine Surgery Center—Specializes in cervical, thoracic, and lumbar spine disorders, including degenerative conditions, deformities, infections, tumors, and metabolic diseases.

Summit Medical Group MD Anderson Cancer Center—Offers access to the finest cancer, surgical, diagnostic, and therapeutic ancillary services.

Urgent Care Centers— A fast, reliable alternative to hospital emergency depart-ment visits. No appointment necessary.

Vein Care Center—Surgical and nonsurgical techniques to treat spider veins and varicose veins.

The Summit Medical Group Foundation

Gives Back to Our Community

F or more than 85 years, Summit Medical Group (SMG) has been keeping our neighbors healthy.

But four years ago, our physicians and staff wanted to do more—they wanted to transform lives far beyond traditional medical care.

As a result, the SMG Foundation was formed—a charitable giving organiza-tion dedicated to providing underserved families in our community with access to personal health care and educating our future medical leaders. Today, the foundation mobilizes SMG’s thousand-strong staff to provide free health care screenings, student scholarships and mentoring programs, and charitable campaigns, which includes giving more than 1,000 coats, backpacks, school sup-plies, and toys to families in need.

“We care deeply about the community we serve,” says Joe Finocchiaro, execu-tive director of the SMG Foundation. “From our leadership to the physicians and staff, there is a palpable energy and

philanthropic spirit in harnessing the power of medicine to help others.”

Wellness Screenings for Those in NeedNearly one in five low-income families delays or cuts back on medical expenses to afford household necessities. As a result, many individuals who visit food banks don’t realize they have, or are at risk for, chronic conditions like diabetes, asthma, and heart disease until serious complications surface.

“There are too many people right here in our community who do not receive basic medical screenings and

care because they are struggling simply to keep their electricity on or feed their children,” says Marnie Dardanello, MD, a pediatrician at SMG and secretary of the SMG Foundation Board of Directors.

The SMG Foundation has developed unique partnerships with the Commu-nity Food Bank of New Jersey and Boys and Girls Club of New Jersey to provide more than 2,500 free health screenings throughout northern New Jersey in the past 10 months for diabetes, heart health, and asthma.

“The SMG Foundation is working with these entities to build programs that not only screen for certain condi-tions but also educate individuals at risk for diabetes and heart disease about how to select foods from the pantry that correspond with their particular health and nutritional needs,” says Becky Levy, general counsel at SMG and vice president of the SMG Foundation Board of Directors.

Supporting Careers in Medicine By 2025, there is expected to be a signifi-cant shortage of physicians in the United States. The SMG Foundation has granted more than $140,000 in scholarships for young adults during the past two years to support the next generation of health care professionals. Students who are interested in pursuing a career in medi-cine can also apply for opportunities to shadow health care providers.

LOCAL SUPPORT

Yo u can give back to yo ur co mmunity in many ways. Support these programs by making a donation at smg-foundation.org.

Give a gift in honor of a physician or nurse who impacted your life as part of the Grateful Patient Program or attend the SMG

Annual Gala and Auction on May 6, 2017, hosted by Seth Meyers of NBC’s Late Night with Seth Meyers with musical guest,

Morgan James, and celebrity auctioneer, Paul Zekos.

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A Message to Our Co mmunity

The SMG Foundation’s annual backpack drive collects backpacks and school supplies for underserved students.

HEART CARE

4 healthy connections ◆ Spring 2017

A Grateful Patient Story: Marc Davis

Y ou may never notice it, but every minute, your heart beats between 60 and 100 times. The

heart has a complex electrical system. When you walk or run, it sends out a signal telling the muscle to pump blood faster, and when you sleep it says to slow down. But what happens when those signals misfire and your heart beats too fast, beats too slowly, or becomes erratic?

An arrhythmia is a medical condition in which your heart has an abnormal rhythm. Arrhythmias vary greatly; some people never notice anything unusual, while others feel intense symptoms, as if their hearts were “beating out of their chests.” When the heart’s workload is reduced or overtaxed for a long period of time, it can cause life-threatening events, such as a stroke or heart attack.

Know the Symptoms“Arrhythmias can be difficult to diagnose because the symptoms are

Arrhythmias: When Your

“I had no idea it was a heart condition.” For years, Marc Davis thought they were panic attacks.

His symptoms—heart palpitations, shortness of breath, and cold sweats—affected him almost daily and could last for hours. “I had a difficult life, a high-pressure job, and my tests were not alarming, so we assumed the episodes were from stress,” says the 64-year-old from Staten Island.

Then, after a surgical procedure for another condition, Davis went into a rapid heart arrhythmia. He was diagnosed with atrial fibrillation (A-fib)—an irregular heartbeat that affects 2.7 million Americans and causes nearly 20 percent of all strokes. Many people with A-fib

don’t even know they have a heart condition until a life-threatening event occurs.

Davis came to the Arrhythmia Center at Summit Medical Group for help. First, the team confirmed his diagnosis using an implantable cardiac monitor. Then, Robert Altman, MD, director of Clinical Cardiac Electrophysiology, treated his arrhythmia with a minimally invasive procedure called an ablation, which fixes structural heart defects.

“I fell in love with Dr. Altman right away. It was like talking to my brother,” describes Davis. “He saved my life. I haven’t had an episode in a month, and I’m back to enjoying my favorite activities, like umpiring softball.”

Heart Skips (or Adds) a Beat

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Summit Medical Group’s Arrhythmia Center works closely with other SMG physicians to manage conditions that may develop into or worsen heart rhythm problems. For more information, call Dr. Robert Altman at 973-436-1330 or Dr. Jonathan Steinberg, director of the SMG Arrhythmia Center at 973-436-4155.

Arrhythmias: When Your extremely variable and can affect everyone from healthy young adults to sick elderly patients,” says Jonathan Steinberg, MD, director of the Arrhythmia Center at Summit Medical Group (SMG). “Identifying these abnormal rhythms is critical because they range from being completely benign abnormalities to universally fatal heart conditions.”

Any potential sign of an arrhythmia should be investigated. Make an appointment with your primary care physician if you experience symptoms such as:• Heart palpitations—a feeling of pain,

fluttering, or banging in the chest• Fainting• Dizziness• Excessive fatigue• Shortness of breath

“As people age, they often think it is normal to feel weak or winded when they walk around or climb stairs, but this could be a sign of a dangerous underlying heart condition,” says Robert Altman, MD, director of Clinical Cardiac Electrophysiology.

The Arrhythmia Center Can Help Our cardiac electrophysiologists—“electricians of the heart” who specialize in understanding the heart’s timing and electrical system—diagnose and treat the broad spectrum of arrhythmias. With access to more than 80 medical services, they work closely with other physicians to help manage health conditions, such as sleep apnea and diabetes, that may worsen existing arrhythmias or cause them to develop.

After a physical exam and complete medical history, your physician will perform an electrocardiogram (EKG), a test that monitors the electrical activity of the heart. Since arrhythmias often come and go without warning and may not appear on a single office test, many patients are sent home with a portable EKG device that they wear for a day or longer. For patients

who require more prolonged monitoring, small devices can be implanted under the skin. Echocardiograms—ultrasounds that take pictures of the heart— may also be used.

Treating Irregular Heartbeats “Treatment really depends on the symptoms caused by the arrhythmia and the threat it poses to the patient’s health,” says Dr. Altman. “Some patients simply need reassurance or yearly monitoring, while others need medication or invasive interventions.”

Certain types of fast heart arrhythmias—known as tachycardias—can be controlled with medication. Others can be cured with a minimally invasive procedure known as cardiac ablation. A thin tube called a catheter is inserted through a vein in the groin to fix the defect in the heart muscle. Some patients who experience, or are at risk for, dangerous tachycardias will need an implantable device called a defibrillator, which helps the heart maintain a regular beat.

As people age and their heart muscles weaken, they are more likely to develop slow heart rhythms, called bradycardia. When these rhythms become too weak, they may require a pacemaker, which can increase the heart rate. Implantable devices are linked to the Arrhythmia Center and monitored remotely by our physicians.

“Managing arrhythmias is a lifelong process,” says Dr. Altman. “But with the proper treatment and screening, many serious events can be prevented. Discuss any potential symptoms with your physician.”

Heart Skips (or Adds) a Beat

6 healthy connections ◆ Spring 2017

Summit Medical Group (SMG) is filling the gap in care between the hospital and the doctor’s

office by offering its first Chronic Care Center (CCC), in Livingston, N.J.

When patients are discharged from the hospital or have several serious chronic conditions, they often need intense multidisciplinary treatment and disease management. These cases require more attention and resources than are possible in an office visit with a primary or specialty care physician. Patients at the CCC receive longer consultations and may be seen multiple times.

Chronic Care Center Transforms Care for

Seriously Ill Patients

The CCC can help very sick patients with multiple chro nic conditions in one coordinated setting. A referral from a hospitalist, primary care physician, specialist, or urgent care center is required.

“The CCC transforms treatment for our most complex patients,” says Amina Ahmed, MD, service line chief for Hospital Medicine and Post-Acute Care at SMG. “By offering a high-risk patient care facility, we can bridge the gap for our sickest patients who need intermediate care before they return to their primary care providers or specialists.”

The CCC is different from an urgent care service, which stabilizes very sick patients and sends them to the hospital. Instead, the goal of the CCC is to avoid rehospitalization and stabilize high-risk patients

experiencing an exacerbation of an active condition, such as chronic obstructive pulmonary disease (COPD), diabetes, chronic kidney disease, or dementia.

The multidisciplinary treatment center integrates on-site care management, social work, nutritional counseling, health education, and clinical pharmacy within the visit to support patient well-being. With a laboratory located on site, as well as X-ray and imaging, clinicians can identify serious conditions, such as heart failure or pneumonia, early and treat patients in the outpatient setting.

All lectures are held at Summit Medical Group, 1 Diamond Hill Road, Lawrence Pavilion, Conference Center (near Café), Berkeley Heights, N.J. 07922, unless otherwise noted. For your convenience, please park in lot 1 or 2 and enter through the Lawrence Pavilion. Reservations required: 908-277-8889 or summitmedicalgroup.com/events.

Calendar of EventsSpring 2017

SAVE & POST

Free LecturesApril Understanding Medicare Advantage and Your Medicare Options Wednesday, April 19, 7 p.m.Presented by United HealthcareAre you recently retired or approaching retirement, and reviewing changes to your health benefits? Learn more about your Medicare coverage options, such as Medicare Advantage, as well as how to enroll, when to act, and strategies for maximizing your benefits. Representatives from Horizon BCBSNJ, United Healthcare, Aetna, and SMG Billing Office staff will also be present.

Helping Your Child with AnxietyThursday, April 27, 7 p.m., Café Kristin Cole, LCSW, ACT and Allison Berry, LCSW Parenting an anxious child can feel extremely challenging. Come hear our pediatric clinicians give their thoughts and tips about how to best understand, respond to, and approach your anxious child. You’ll learn about how anxiety works and learn strategies for helping your child overcome her/his fears.

MayStress ReductionWednesday, May 3, 7 p.m. Diane Magee, LPC, ACT, and Cynthia Raines, LPC, PhDWe cannot always change a stressful situation, but we can change how we perceive it. Learn healthy coping skills and strategies that can help you to better tolerate the discomfort of stressful situations.

A Parent’s Guide to Illicit Drug Use & AbuseWednesday, May 10, 7 p.m., CaféBarbara McDevitt, MD, and Bruce Ruck, PharmD, RPh (NJ Poison Control)Concerned about the drug crisis affecting our kids? Join the NJ Poison Control Director of Drug Information Services and

an SMG pediatrician to learn about the new drugs of abuse, designer drugs, and the heroin and opioid crisis hitting the state. The presentation is geared for parents of children ages 11 to 21. A question-and-answer session will follow at the end.

Can the Orbera Intragastric Balloon Help You Lose Weight?Wednesday, May 31, 7 p.m.J. Scott Gillin, MD, FACP, and Hazar Michael, MDThis is the first minimally invasive option available for people who are not excessively obese and have been unsuccessful with traditional dieting, exercise, and behavioral modification. Learn how this device can help incentivize you to adopt a healthy lifestyle that will have a tremendous impact on your overall physical and mental well-being.

JuneUnderstanding and Overcoming PanicThursday, June 1, 7 p.m.Michael Likier, PhD, ACTParticipants will be able to differentiate between anxiety, panic attacks, and panic disorder; understand the cycle of panic and how to interrupt it; and learn the fundamentals of panic disorder treatment.

Demystifying Cataracts and Cataract SurgeryWednesday, June 28, 7 p.m.Monica Khalil, MDQuestions about cataracts? Come join us and we will help you understand what is involved in the process of having cataracts addressed. The latest intraocular lens options will also be discussed.

Series Considering Weight- Loss Surgery? Does being overweight or obese have a negative effect on your life? Learn how weight-loss surgery can help you improve your health, feel better, and get your life back! Join us for a review of surgical options, including discussion about lifestyle changes to keep you on track with a healthy weight after weight-loss surgery. To register, please call 908-277-8889 or visit summitmedicalgroup.com/events.Robert Bell, MD, Bariatric SurgeonBerkeley Heights Campus, Lawrence Pavilion Conference CenterMondays, April 10, May 8, and June 12, 7 p.m.Florham Park Campus, 140 Park Ave., Conference RoomWednesdays, April 19, May 17, and June 21, 7 p.m.Patrick LeMasters, MD, Bariatric SurgeonLivingston Campus, 75 E. Northfield Road, CaféMondays, April 3, May 1, and June 5, 7 p.m.Clifton Campus, 6 Brighton Road, BoardroomTuesdays, April 11, May 9, and June 13, 7 p.m.

Calendar of EventsSpring 2017

SAVE & POST

Classes and events take place at Summit Medical Group, 1 Diamond Hill Road, Berkeley Heights, N.J. 07922, unless otherwise noted.

Breast Cancer Support ProgramsAll Summit Medical Group patients are welcome to participate.Support Groups

Bariatric Surgery Support GroupRobert Bell, MD, Bariatric SurgeonBerkeley Heights Campus, Lawrence Pavilion Conference CenterMondays, April 3, May 1, and June 5, 5:30 p.m.Patrick LeMasters, MD, Bariatric SurgeonLivingston Campus, 75 E. Northfield Road, CaféMondays, April 3, May 1, and June 5, 5 p.m.Join the founder and former medical director of the Yale-New Haven Hospital Bariatric Surgery Program to share concerns, setbacks, and triumphs with weight-loss surgery.Get answers about recovery and ways to manage lifestyle changes. Call 908-277-8950 to learn more.

Living with a Vestibular Disorder?Wednesday, May 3, 6 p.m. Berkeley Heights Campus, Lawrence Pavilion, Café Dina Leyden, PT, certified in vestibular rehabilitation Mike Likier, PhD, PsychologistShare experiences and concerns and learn strategies to manage and cope with your symptoms. Reservations are required. To sign up, call 908-277-8889 or visit summitmedicalgroup.com/events.

Nutrition for Optimal Health After a Cancer DiagnosisThursdays, April 27, May 4, and May 11, 6 p.m. to 7:30 p.m.Berkeley Heights Campus, Conference Center, Room C1-100A three-part series presented by registered dietitians of Living Plate. To register, call 908-277-8889 and leave the program name “Nutrition,” your name and phone number. By registering, you are signing up for all three sessions.

Basic YogaWednesdays, 9:30 a.m. to 10:30 a.m.

Chair YogaMondays, 11 a.m. to noonDina Leyden, PT, teaches both Basic and Chair YogaLocated in the Berkeley Heights Campus, Lawrence Pavilion, Conference Center (near Café). A 10-class card ($100) is good at either class. To register for either class, call 908-277-8936.

Tai ChiThursdays, 10 a.m. to 11 a.m.Risa Silverstein, MS, LAC, MSWLocated in the Berkeley Heights Campus, Lawrence Pavilion, Conference Center (near Café). The cost for 10 classes is $80. To register, call 908-277-8936.

Classes

Breast Cancer Support Group for Newly Diagnosed Patients (within one year of diagnosis)  Mondays, April 3, May 8, and June 5, 5 p.m. to 6 p.m. Carol Boyer, APN-C, Breast Nurse Specialist, and Meredith Shufeld, MSWThis program is for those who have recently been diagnosed with breast cancer. Patients are able to share concerns and advice about their experiences with breast cancer treatments and more.

Breast Cancer Survivorship Group for Patients Who Are a Year or More Post-diagnosisMondays, April 17, May 22, and June 19, 5 p.m. to 6 p.m. Carol Boyer, APN-C, Breast Nurse Specialist, and Elizabeth Nikol, MSW, LCSW, ACTThis group is for breast cancer survivors who wish to receive support from others with similar experiences. It’s a forum for breast cancer survivors to share information and help each other manage common concerns. We alternate between traditional support groups and small group lectures of interest to survivors.

The breast cancer support groups meet from 5 p.m. to 6 p.m. at the Berkeley Heights Campus, Breast Care Center Waiting Area. Registration is not required. For more information, please call 908-277-8670.

Breast Cancer Support Group at Florham Park Campus140 Park Ave., Room 1706 (near Café), Florham Park, NJ 07932Tuesdays, April 4, May 9, June 6, noonKaren Loewen, RN, Breast Nurse Navigator, and Margaret Clarke, MSWThis group is for all Breast Cancer Patients—both newly diagnosed and survivors within 2 years. Registration is not necessary. For additional information, call 908-277-8670.

Look Good, Feel Better (Sponsored by American Cancer Society)Berkeley Heights Campus, Private Dining RoomMonday, June 12, 10 a.m. to 12 p.m.Florham Park, CaféMonday, May 8, 10 a.m. to 12 p.m.This free program teaches beauty techniques to women who are undergoing cancer treatment to help them combat the appearance-related side effects of radiation and chemotherapy. Visit lookgoodfeelbetter.org to find out more.

Komen Race for the CureCarol Boyer, Team CaptainJoin our SMG Breast Center team on Sunday, May 21, for The Race for the Cure, at Liberty State Park. To register, visit http://northjersey.info-komen.org/goto/summitmedicalgroup or call 908-277-8670 for more information.

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Summit Medical Group Welcomes 9 New Doctors

Liliana Cohen, MDChronic Care CenterLivingston973-436-1070

Jeffrey Segal, MDUrogynecologyLivingston973-436-1070

Jonathan Steinberg, MDCardiac ElectrophysiologyShort Hills: 973-436-4155Clifton: 973-436-4155

Susan Frankel, DOGeriatric ServicesLivingston973-436-1465

Shauna Schwartz, MDInternal MedicineFlorham Park973-404-7880

Adele Uglialora, MDChronic Care CenterLivingston973-436-1070

Tobi Ippolito, MDInternal MedicineChronic Care CenterLivingston973-436-1460

Jean Readie, DOEmergency MedicineSMG Urgent Care Centers

OUR NEWS

Scheduling Your Annual Colonoscopy? Request “DAC”

DAC (Direct Access Colonoscopy) allows healthy, age-appropriate patients to schedule a screening colonoscopy without a pre-procedure visit.

Not all patients will be able to safely undergo colonoscopy without a more detailed evaluation of their health history and their risks for the procedure. Patients with significant illnesses (poorly controlled diabetes, serious cardiac disease, severe breathing problems, kidney problems, etc.) are advised to schedule a consultation prior to the procedure so that a physician can review your medical history, assess your current condition, and determine how to best meet your health needs.

Is It Right for Me?If you have abdominal pain, bleeding, changes in bowel habits, or any other gastrointestinal issues, a DAC may not be the best initial examination for you. To ensure the highest quality care, we request individuals with these issues to schedule a regular office visit prior to any procedure.

If you are in good health and wish to proceed to scheduling your procedure, please visit summitmedicalgroup.com. Search “direct access colonoscopy” and you will be taken to the appropriate page with more information to complete and submit your DAC Request Form.

Looking fo r a physician? ... Visit summitmedicalgroup.com for information on providers, services, specialties, locations, and hours, plus breaking health news and events!

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HEALTHY CONNECTIONS Jeffrey Le Benger, MD, chairman and CEO of Summit Medical Group. Healthy Connections is published by Summit Medical Group. The information within this publication is intended to educate readers about subjects pertinent to their health and is not meant to be a substitute for consultation with a personal physician. To add or remove your name from our mailing list, please visit www.summitmedicalgroup.com/site/unsubscribe or call 908-977-9500.

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Is Family Medicine Right for You?

Family medicine physicians at Summit Medical Group (SMG) focus on treating the entire patient and keeping people healthy, rather than specializing in one condi-

tion or on one part of the body. They receive extensive training and experience in a variety of fields, including adult, pediatric, and gynecological care. Unlike an internist, who only sees adults, family doctors see patients of all genders and ages, from newborns to seniors.

“When you understand someone’s entire history and have a feel for their general appearance and mood, it can be very helpful in determining what might be wrong and what type of treatment would benefit them,” says Naomi Grobstein, MD, a family medicine physician at SMG.

A family doctor serves as an advocate for patients navigating the medical system also. They collaborate with other health care professionals to ensure every patient receives the best care possible.

Family physicians manage a variety of medical ailments, including minor injuries, short-term illnesses, and chronic conditions, which encompass diabetes, heart disease, and headaches. They also offer basic dermatological care and can address mental health concerns.

With an expertise in women’s health, family physicians provide the same routine services as a gynecologist, including pelvic exams and screening tests like Pap smears, contraceptive care, and family planning.

Family physicians also help identify disease before it starts. It’s important to have a checkup because you may not realize your blood pressure is elevated or you are prediabetic. Most chronic conditions don’t cause symptoms in the early stages.

Family medicine may be right fo r yo u and yo ur children. Trained in primary, pediatric, and gynecological care, our family doctors can treat infants, children, teenagers, adults, and the elderly.