A Full Circle Approach to Joint Replacement

295 Varnum Avenue, Lowell, MA 01854 I 978-937-6000 TTY: 978-937-6889 I www.circle-health.org

M A G A Z I N E Vol 1– 2016

A Full Circle Approach to Joint Replacement

Use Your Head – Wear a Helmet

To Stop Strokes, Remember to Think FAST

Upcoming Winter Health and Wellness Classes

Dear Friends,As we enter another new year, we take a moment to reflect on the year gone by. The winter of 2015 reminded us that we New Englanders are a tough breed. Snow, ice and cold is part of life in our corner of the world, and even in the worst of winters, we find a way to get through the other side. The hardest part for many of us isn’t the weather, it’s finding ways to stay active and healthy when the snow and cold keeps us inside. For that reason, I invite you to look in the back of this issue at the many programs our Center for Community Health and Wellness provides.

In this issue of For Your Health, we look at several of the ways we continue to follow through on our promise to provide Complete connected care to the Merrimack Valley as we strive to become one of the best community hospitals not just in the area, but in the entire nation. Our Orthopedic Center’s Total Joint Replacement Program provides a perfect example. From pre-surgery and the operation, to the recovery and rehabilitation process, we connect every service to get you back on your feet and enjoying the things you care about most. Our goal is to utilize the latest technology to help you through surgery, using minimally invasive techniques that improve recovery time. From there, we want you to recover in the comfort of your own home, with access to physical therapists and visiting nurses, and if needed, outpatient rehabilitation close by. It is truly a full circle of care right here in your community.

This issue also spotlights ways to keep you healthy and out of the hospital. From concussion prevention to recognizing the signs of a stroke, our job isn’t just to treat you when you come to us for care, but to help you maintain wellness throughout the year.

Finally, all of us at Circle Health want to thank you for choosing us as your healthcare provider. It’s a responsibility we take seriously every single day. Keep your families safe this winter, and think happy thoughts of spring.

In good health,

Norm DescheneCEO, WellforcePresident and CEO, Circle Health CEO, Lowell General Hospital

Circle Home Recognized as a HomeCare Elite™ AgencyNamed in Top 25% of Agencies Nationwide

Circle Home (formerly the VNA of Greater Lowell) was named a HomeCare Elite agency this fall by the National Research Corporation/OCS HomeCare, a provider of home health analytics, and DecisionHealth, an independent publisher and consultant for the industry.

The HomeCare Elite award is based on rankings from publicly available performance measures, including patient experience and outcomes, use of clinical best practices, quality improvement and consistency, and financial performance.

Also this month, Circle Home received a Top 25% status specifically for outstanding patient satisfaction scores. This recognition was announced by

Fazzi Associates, a federal contractor that manages the patient survey and reporting process for agencies across the country. The survey includes over 30 questions to obtain the patients’ perspectives on the care they received.

“We’re honored to be recognized for the excellent care we provide to our patients,” says Circle Home Executive Director Rachel Chaddock. “Our employees work diligently to meet the needs of individuals and families. Their efforts resulted in this recognition and I’m very grateful for their expertise and dedication.”

Founded in Lowell in 1909, Circle Home provides home health care and hospice services to residents of all ages in greater

Left to right, Cynthia Roche, Director of Home Care & Hospice Services; Rachel Chaddock, Executive Director; Sarah Andersen, Director of Quality & Performance Improvement.

Lowell, greater Lawrence, and southern New Hampshire.

For more information please visit www.CircleHomeHealth.org or call 978-459-9343.

03Circle Health’s For Your Health | www.circle-health.org

Welcoming New Providers to Circle HealthFor information on more than 700 physicians in over 30 specialties, call an advisor 24/7 at 1-877-LGH-WELL or visit www.lowellgeneral.org/findaphysician

Maureen Cook, MD Obstetrics & Gynecology, 978-250-6200 Dr. Maureen Cook is a board-certified obstetrician practicing at Harvard Vanguard Medical Associates in Chelmsford, MA where she is accepting new patients. Dr. Cook finished her residency in obstetrics

and gynecology at Lenox Hill Hospital in New York, NY and received her medical degree from New York Medical College in Valhalla, NY.

Catherine Elie, DNP, FNP-BC Family Nurse Practitioner, 978-788-7782 Catherine Elie is a board-certified family nurse practitioner practicing at Primary Care of the Andovers in North Andover, MA where she is accepting new patients. Ms. Elie completed her

Doctor of Nursing Practice education at the University of Massachusetts Lowell School of Nursing.

Elizabeth Emberley, DO Obstetrics and Gynecology, 978-250-6200Dr. Elizabeth Emberley is an obstetrician practicing at Harvard Vanguard Medical Associates in Chelmsford, MA where she is accepting new patients. Dr. Emberley finished her residency in

obstetrics and gynecology at Albany Medical Center in Albany, NY and received her medical degree from the University of New England College of Osteopathic Medicine in Biddeford, ME.

Michael Huang, MD Gastroenterology, 978-454-9811Dr. Michael Huang is a board-certified gastroenterologist practicing at Digestive Health Specialists, PC in North Chelmsford, MA where he is accepting new patients. Dr. Huang completed his

fellowship in gastroenterology at University of Miami Jackson Memorial Hospital in Miami, FL. He finished his residency in internal medicine at Boston University Medical Center in Boston, MA and received his medical degree from Tufts University School of Medicine in Boston, MA.

Richard Zuniga, MD Medical Oncology, 978-937-6258Dr. Richard Zuniga is a board-certified medical oncologist practicing at Cancer Care Associates at Lowell General Hospital in Lowell, MA where he is accepting new patients. Dr. Zuniga completed his

fellowship in hematology and oncology at the University of Texas at San Antonio in San Antonio, TX. He finished his residency in internal medicine at Henry Ford Hospital in Detroit, MI and received his medical degree from the Universidad de San Martin de Porres in Lima, Peru. Dr. Zuniga is fluent in English, French and Spanish.

Tania Menz, MDFamily Medicine, 978-251-3159Dr. Tania Menz is a board-certified family practitioner practicing at Chelmsford Family Practice in North Chelmsford, MA where she is accepting new patients. Dr. Menz finished her residency in family

medicine at Brown Family Medicine in Pawtucket, RI and received her medical degree from the University of Massachusetts Medical School in Worcester, MA.

Neil O’Regan, MDObstetrics & Gynecology, 978-452-2121Dr. Neil O’Regan is a board-certified obstetrician practicing at OB/GYN Associates of the Merrimack Valley in Lowell, MA where he is accepting new patients. Dr. O’Regan finished his residency in

obstetrics and gynecology at New York University Downtown Hospital in New York, NY and received his medical degree from Georgetown University Medical School in Washington, DC.

Michelle C. Liang, MDOphthalmology, 978-256-5600Dr. Michelle Liang is a board-certified ophthalmolo-gist practicing at Massachusetts Eye Associates in Chelmsford, MA where she is accepting new patients. Dr. Liang completed her fellowship in

vitreoretinal diseases and surgery at the Ophthalmic Consultants of Boston/Tufts Medical Center in Boston, MA. She finished her residency in ophthalmology at Tufts Medical Center in Boston, MA and received her medical degree from the University at Buffalo School of Medicine in Buffalo, NY.

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When preparing for a day on the slopes, packing a helmet has become just as vital as the skis and snowboards. According to the National Ski Areas Association, more than 70 percent of all skiers and snowboarders are now wearing helmets, including 9 out of 10 kids age 9 and under.

But while helmets go a long way to reducing the risk of head injury, they aren’t foolproof. Helmets must fit snugly and be strapped properly, and even then the possibility of a concussion remains.

As research reveals more and more about the long term impacts of traumatic brain injuries, from memory loss to increased suicide rates, it becomes clear that taking precautions before and after a head injury can be a life-changing decision.

“Research has shown that after a concussion, there are secondary injuries

that may develop later in life, especially from repetitive injuries,” says Vanessa Barrett, RN, BSN, CEN, Lowell General Hospital’s Trauma Program Coordinator.

Concussions can be difficult to diagnose, especially in children, which is why it’s important to get checked out if you suspect you or your child has suffered a head injury. This is just one reason Circle Health is the official healthcare provider for Nashoba Valley Ski Area, which is located just minutes away from Circle Heath Urgent Care located at 198 Littleton Road in Westford.

Classic symptoms of a concussion include confusion, a prolonged headache, blurry vision, dizziness, nausea, impaired vision and sensitivity to light. These symptoms can last days, weeks or even months in some people. If the injured person suffers

a second concussion before complete recovery from the first, much more serious and permanent damage, even death, can occur.

Bruce Cook, MD, FACS, a Lowell General Hospital neurosurgeon, says helmet protection shouldn’t take any season off.

“Helmets provide protection in decreasing the likelihood of concussion and other minor head injuries,” he says. “Though minor, these head injuries can have serious long-term consequences including diminished IQ and eventual dementia.”

To learn more about Circle Health Urgent Care, visit www.circle-health.org/urgentcare.

Use Your Head – Wear a Helmet

Circle Health’s For Your Health | www.circle-health.org

When it comes to identifying the symptoms of stroke and seeking treatment, time is of the essence.

“Just as somebody would think to call 911 to get to the hospital quickly when having a heart attack, it’s the same in regards to a stroke,” says cardiac nurse Alicia Habeshian. “The more time that goes by could result in loss of brain function.”

As the Community Heart Health Educator with Lowell General Hospital’s Center for Community Health and Wellness, Habeshian works to raise awareness about how to prevent heart disease, the leading cause of death in the U.S., and stroke, which ranks third.

A stroke occurs when a blood clot starves a portion of the brain of oxygen-rich blood causing worsening damage as time goes on. Once a stroke occurs, the best defense is a protein called tPA, a tissue plasminogen, which if given early on, can dissolve the clot and restore oxygen flow.

Importance of Diet & ExerciseThursday, February 4, 6:00-8:00pm, FREEJoin guest speakers to learn the importance of diet and exercise to help prevent the development of coronary artery disease (CAD). Together we can prevent and control coronary artery disease by taking action in managing risk factors with heart healthy lifestyle changes.

Get Heart Smart Health FairSaturday, March 5, 11:00am-2:00pm, FREEHeart disease is the No. 1 cause of death in the United States. Attendees will learn about blood pressure, cholesterol, heart disease, stroke and other heart attack risk factors. Heart health screenings will be provided at no cost — body mass index, body fat percentage, blood pressure,

To Stop Strokes, Remember to Think FAST

FACE ARMS

SPEECH TIME

FASTACT

glucose and hip-to-waist ratio. Register at the health fair for a full cardiovascular risk screening and have $25 fee waived (limited space).

Cardiovascular Risk ScreeningsFirst Thursday of every month, 30-minute appointments, 7:30-11:30am, $25Make an appointment for a full cardiovascular risk screening, which includes blood pressure, body mass index, body fat analysis, cholesterol, blood sugar and peripheral artery disease. Screenings will be performed by a registered nurse.

For a full description or to register for these and other programs, please visit www.lowellgeneral.org/health or call 877-LGH-WELL (877-544-9355)

Your Heart Health

The leading risk factors for both are the same – high blood pressure, high cholesterol, smoking,

diabetes, poor diet, physical inactivity and obesity.

Too often, patients suffering a stroke don’t get help in time. In 2014 at

Lowell General Hospital, approximately 63 percent of patients suffering a stroke

didn’t arrive in the emergency department in time for this treatment to be effective.

The best way to remember the symptoms is to think of one word – FAST –

which stands for Face, Arm, Speech and Time. Should someone show a

drop in their face, tingling or numbness in their arm or slurred speech, time is essential to

prevent major complications.

“Stroke impacts each person differently, depending on age, health and other factors,” Habeshian says, “but it’s important to know that stroke is treatable if caught in time. If you recognize the FAST symptoms, call 911 right away.”

For more information, visit www.lowellgeneral.org/stroke.

06 For more information, visit www.circle-health.org

Arthritis is often misunderstood, in part because there are several different types, each with different causes.

Arthritis is not a single disease – it is actually a way of referring to more than 100 different types of joint pain or disease. It is the leading cause of disability for Americans.

The most common type, osteoarthritis, causes the cartilage that protects the joints – typically in the fingers and weight-bearing joints like knees and hips – to break down over time. This deterioration is typically caused by a prior injury or wear and tear from rigorous activities like athletics, but often it’s simply part of the aging process.

That deterioration results in inflammation that can be painful and debilitating. The primary symptom is joint pain and stiffness. And while it can’t be cured, that pain can often be managed without requiring surgery.

“Many people believe arthritis is something they just have to live with. That is not the case,” says Dr. David Prybyla, a

A Full Circle Approach to Joint Replacement

board-certified orthopedist and Medical Director of Lowell General Hospital’s Joint Replacement Program. “While there are medicines to manage inflammation and aches, one of the best ways to manage arthritic joint pain is through low impact exercise and maintaining a healthy weight.”

Lowell General Hospital’s Center for Community Health and Wellness offers two

At Circle Health, we are fully committed to keeping our community active – after all, enjoying

the great outdoors or gatherings with family and friends are some of life’s greatest pleasures.

However, for the 50 million people in the country that suffer from joint pain or disease, simply

getting out of bed in the morning can be a frustrating and painful chore.

Our Circle Health physicians, providers, and member organizations – Lowell General Hospital

and Circle Home, together with our partners at Lowell Community Health Center – offer a

collaborative approach to orthopedic care and joint replacement with the prevention and

correction of disorders, injuries and diseases affecting the bones and joints. With a strong

focus on education, diagnostics, treatment and recovery, we work to improve quality of life

for thousands of residents throughout the Merrimack Valley.

types of slow movement exercise classes to help people develop and maintain flexibility.

Tai Chi Chi Kung is ideal for people with limited space and time. The class involves is a series of 13 movements done in a circular pattern in five directions.

YangTaoSM Tai Chi is a unique blend of two popular tai chi forms. By synchronizing slow flowing movements, deep rhythmic breathing, and a calm, mindful state-of-mind, this class can help you reduce stress and expand range of motion.

For those whose arthritis affects their ability to move or impacts their quality of life, joint replacement may be necessary.

“While joint replacement surgery is certainly an option for the most severe cases, surgery should always be a last resort,” says Prybyla. “Regular exercise will not only maintain flexibility in stiff joints, it will strengthen the muscles around the joint and prevent instability which can lead to further damage.” For more information please visit www.lowellgeneral.org/orthopedics.

Don’t Let Arthritis Keep You Down

DIAGNOSTICS

TREATMENT

RECOVERY

EDUCATION

DISEASEMANAGEMENT

Lowell General Hospital recently enhanced its orthopedic service offerings with the introduction of a new Joint Replacement Program. Led by Dr. David Prybyla, Medical Director, the program gives total hip and total knee replacement patients a highly personalized experience with the goal of returning them to an active lifestyle as quickly as possible.

“We have designed a patient experience based on a team approach with a strong focus on wellness,” says Barbara Viens, MSN, RN, CNML, ONC, Orthopedic Service Line Manager. “Research shows patients who are mobile after surgery recover much faster, and have a greatly reduced risk of complications.

“We tell our patients they aren’t sick, instead, they are taking steps towards a better life. On the same day of their surgery, most of our patients are up out of bed. The second day, our patients are dressed and ready for their first exercise class – no johnnies allowed.”

Another key element of the program is the group physical therapy class, where patients are taught exercises and educated about what they can and can’t do after surgery. In addition to drawing strength from each other, patients have a designated support person assigned as their “coach.” Daily newsletters arrive with breakfast to prepare patients for the day’s activities, as well as tips on how they should be feeling. There is “homework,” and their coaches have a daily checklist to complete.

A large 10-foot board hangs in the Orthopedic Center encouraging patients to “Ride the River to Recovery.” A large photo of the UMass Lowell Bellegarde Boathouse and various landmarks throughout the city provide a nice visual backdrop for patients to track their steps by moving their assigned magnet, shaped in the form of a crew boat, across

07Circle Health’s For Your Health | www.circle-health.org

best practice surgical protocols and procedures, from anesthesia to pain management after the procedures.

“A patient can interact with 50 or more different people when undergoing a surgical procedure – from the physician’s office, to pre-operative testing and preparation, in the operating room, on the unit, and then with rehabilitative services when they are discharged,” says Viens.

“What we’ve done here is make it a total team effort – from every aspect of their care inside and outside our walls. It begins at the consultation and continues with recovery at home with Circle Home and outpatient physical therapy. It’s truly Circle Health’s promise of Complete connected care.”

For more information on the Joint Replacement Program at Lowell General Hospital, visit www.lowellgeneral.org/orthopedics or call 978-788-7712.

designated distance intervals. The team hopes the board will drive a little friendly competition and encourage patients to push themselves.

Julie Grace, PT, DPT, Manager of Rehabilitation Services, says the response to the group physical therapy classes has been extremely positive.

“The patients are really excited and encouraging each other,” says Grace. “The ability to talk and share with other patients and having a support person with them makes them feel like they aren’t alone. Just being dressed and out of your room makes you feel better.”

Another quality feature of the program is the consistent, standardized approach that begins at the surgeon’s office and follows the patient throughout the entire continuum of care. The orthopedic surgeons at Lowell General have been part of The Joint Replacement Program planning from inception, from establishing

Joint Replacement Program Has Patients on the Move

A knee replacement patient tracks her steps as part of the new Joint Replacement Program at Lowell General Hospital.

What is Total Joint Replacement Surgery?Joint replacement surgery involves removing an arthritic, diseased, or injured joint and replacing it with a new artificial joint, most commonly made of metal and plastic.

Who is a candidate for this surgery? Most patients who undergo total hip replacement are over age 50, with the most common condition being osteoarthritis. This happens when the protective cartilage on the ends of your bones wears down over time. As this cartilage deteriorates, patients experience chronic pain while bending, walking, and going about daily activities.

We resort to total joint replacement only when all other methods of pain control have failed to provide relief, and a patient’s quality of life is severely affected. Patients go through a rigid diagnostic workup using X-rays and a physical exam to determine mobility, strength, and alignment.

What are the most common joints that are replaced?The knee and hip are the most common areas, as they bear the most body weight. In fact, during activity, 5-7 times a person’s body weight is transported across the hips.

What is involved with a total knee or hip replacement?In knee replacement surgery, a 5-8 inch incision is made in the front of the knee, and the worn out surfaces of the knee are resurfaced with metal and plastic components. In a total hip replacement, the surgeon may perform a posterior hip replacement (from the back with a 5-8 inch incision) or in some cases can perform an anterior (from the front) replacement. The artificial “ball and socket” component of the hip is then fitted into the bone or cemented into place.

Is there much pain after surgery? Pain after knee or hip replacement surgery varies from person to person, but modern medications and improved anesthesia techniques greatly help our ability to control pain and discomfort. We focus on multi-modal pain relief, which means approaching pain pathways from all different directions – including various types of anesthesia, local nerve blocks, medications applied locally at the site of surgery, and post-operative medications that help reduce pain and nausea.

How long is the recovery time? Most patients should be able to graduate from using a walker or

Joint Replacement Surgery – Is It for You?

crutches to a cane in 1-4 weeks and to independent walking and driving within 4-8 weeks.

What are some of the latest technologies that benefit patients?Over the last 10 years, there has been a strong focus to get patients mobile quickly to help reduce the risk of blood clots or other complications after surgery. The artificial joints are also made of better materials and technology. They used to last about 10-15 years, now we think they will last 20 years or more.

What do you find most rewarding about your work? Seeing patients up and moving within hours of their surgery – they are surprised and often tell me they wish they had done it sooner!

Motion is life – and if a patient can’t enjoy the things they love to do like golfing, walking through the mall, or chasing their grandchildren – that’s not living. There’s nothing more rewarding than helping restore a patient’s mobility, function, and quality of life.

For more information on the Joint Replacement Program at Lowell General Hospital, visit www.lowellgeneral.org/orthopedics or call 978-788-7712.

Dr. David Prybyla, Medical Director of the Joint Replacement Program at Lowell General Hospital, talks about total joint replacement. Board-certified in Orthopedics, Dr. Prybyla is a graduate of Yale University and Albany Medical College. He completed his residency training at the University of Massachusetts Medical School in Worcester, followed by his fellowship training in adult joint reconstruction surgery at the New England Baptist Hospital in Boston.

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Normal Arthritic Replacement

Illustration courtesy of Stryker Performance Solutions

For more information, visit www.lowellgeneral.org or call 1-877-LGH-WELL (1-877-544-9355)

Hip Replacement Surgery Gets Westford Dad Back in the Game

For Christopher (Chris) Cline, being sidelined with back and leg pain just wasn’t an option that fit his busy lifestyle. A father of 16-year-old twins and a 9-year-old, Chris enjoys coaching his kids’ soccer, softball, and baseball teams. To him, it’s precious time with them that is non-negotiable.

Five years ago, Chris started having lower back pain and discomfort in the back of his legs. With a busy career, Chris at times was uncomfortable even just sitting a desk or driving. Chalking it up to a bad back, he saw a chiropractor for a while. His disappointment and frustration grew during a family vacation to Hilton Head, South Carolina last year.

“The kids were begging me to play golf but my back just couldn’t take it. Finally, the pain got so bad I couldn’t bend over to put my own socks on. That’s when I said enough – I’m 58 years old and shouldn’t need help getting dressed!”

After X-rays revealed it was not a back problem but one stemming from arthritis in his hip, Chris went to see Dr. David Prybyla of Orthopedic Surgical Associates in Chelmsford. Additional testing revealed the arthritis was too advanced to get any relief from medications and physical therapy.

On Thursday, November 12, Dr. Prybyla performed the two-hour surgery, and Chris’s care team at Lowell General

Hospital’s Orthopedics Center had him walking early the next morning after surgery. That same day, Chris attended two group physical therapy classes and was able to go home on Saturday after another morning group therapy class.

“The new [Joint Replacement] program they have at Lowell General is great. It was extremely motivational, and I’m the first to admit that sometimes I’m just not that disciplined. But when you are in a group of 8-10 other people – it just pushes you that much farther.

“The physical therapists and nurses made me understand how important the exercises were to my recovery and in preventing any complications. I met another guy in the class who had a great sense of humor – I never expected to be joking around after having surgery.”

Chris said one of the things that made his journey much easier was knowing what to expect.

“Another great part of the program was the preparation. Before surgery, you are required to take a seminar that goes over everything you need to know and do before, during, and after surgery. It really set my expectations in terms of pain and recovery time. I was even given homework while was at the hospital to make sure I was ready to go home.”

The excellent care didn’t stop when Chris left the hospital. His nurses, physical therapists and case manager, together with the staff at Circle Home, ensured a smooth transition home and back to his daily activities. Visits by Circle Home nurses and physical therapists in the weeks following surgery helped ensure he didn’t overdo it and was healing well.

Chris is pleased with his progress. “I really didn’t need a walker for long; I pretty much went straight to crutches and was getting around with just a cane after a week. The program stresses that the more you move early and get up out of bed, the better you will do. I’m a testament to that.”

09Circle Health’s For Your Health | www.circle-health.org

Chris Cline of Westford gives some batting pointers to a young player during a youth softball game.

Dr. Prybyla examines Chris Cline at a recent follow-up appointment.

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For many who face a major surgical procedure such as a total joint replacement, recovery can be the most daunting challenge. It is also often the most important step toward getting back on your feet.

Though new technology has reduced the size of the incision and reduced recovery times, everyone recovers from surgery differently. There is much to consider to ensure a smooth transition home and recovery, which is why the visiting nurses and physical therapists with Circle Home aren’t just there after the patient is discharged.

“We will actually come into someone’s home before they have surgery,” says Rachel Chaddock, Executive Director of Circle Home. “We work with physicians, the orthopedic nurses, the surgical team – essentially all of the people that really touch that patient during the preoperative surgery process – then prepare the patient for discharge.”

As Lowell General Hospital developed its Total Joint Replacement Program, the therapists and nurses with Circle Home were an important part of ensuring patients receive Complete connected care through every step of the process.

The goal of the team is to let patients recover in the best healing environment, their own home, with access to all of their care needs just a short drive or phone call away.

Before surgery, the Circle Home team decides whether the patient’s support system is enough that the person can recover at home. Once the patient returns home, a physical or occupational therapist visits the patient within the first 24 hours.

Meanwhile, visiting nurses check and change bandages around the incision, and are on call 24 hours a day in case of any complications.

Initially, the therapist will visit several times per week to help get the patient on a rehabilitation routine. After about two weeks, the goal is to have the patient enrolled in outpatient physical therapy at Circle Health Village Square in Chelmsford.

“The advantage to the patient is they get to recuperate in their own home,” Chaddock says. “When they are leaving the hospital and need to relearn how to walk or what they need for equipment, they’re not doing it in a rehab setting. They’re learning it right in their own environment where they will have to use it and be able to function.”

To learn more about Circle Home and its many services to support your recovery from suergery at home, visit circlehomehealth.org or call 978-459-9343.

Joint Replacement ClassesA Matter of Balance — Fall Prevention Workshop Series Thursdays, April 21-June 9, 10:00am-12:00pm, FREE This workshop series acknowledges the risk of falling, but emphasizes practical coping strategies, including setting realistic goals for increasing activity, changing the environment to reduce fall risk factors and promoting exercise to increase strength and balance. The program’s goal is to reduce the fear of falling, increase activity levels and build confidence among older adults.

Chronic Pain Self-Management Workshop Tuesdays, March 1-April 12*, 1:00-3:30pm, FREE Chronic pain and discomfort may limit activities you enjoy. Learn to control your pain, manage frustration, fatigue, isolation and poor sleep. Discover how to eat well, start an exercise program, manage depression and increase your energy level. *No class March 22.

Exercise Before and After Joint Replacement Wednesday, April 27, 6:00-7:30pm, FREE Join a physical therapist to learn exercises and treatments that can be done to mitigate the deconditioning effects of pain before surgery and exercises to facilitate functional movement after surgery.

Joint Replacement Education Monday, February 1, 8, 22, 29, March 7, 14, 21, 28, April 4, 11 or 25, 11:00am-12:00pm, FREE Monday, February 1, March 7 or April 4, 4:00-5:00pm, FREE Are you having your hip or knee replaced? Attend one of our education classes to learn how to prepare for surgery, what to expect during your hospital stay, discharge planning, and the day-to-day recovery process.

For a full description or to register for these and other programs, please visit www.lowellgeneral.org/health or call 877-LGH-WELL (877-544-9355)

When Recovering From Surgery, There’s No Place Like Home

The Floating Hospital for Children at Tufts Medical Center Pediatric Specialty Centers

An expanded partnership with the Floating Hospital for Children at Tufts Medical Center has brought the expertise of some of Boston’s top pediatric specialists to North Chelmsford and Westford.

Dr. Eric Meikle, Chief of Pediatrics at Lowell General Hospital, says parents appreciate having access to the specialty centers right in their own backyard.

“Parents want the best for their child, and these are some of the greatest pediatric specialists in the world. The diagnosis and treatment of a complex disorder or genetic condition can cause a lot of stress on families. Having these top specialists right here in the community makes the experience so much easier — parents do not have to worry about long commutes into the city or having to arrange extended time off from work. The Pediatric Specialty Centers are extremely accessible, with free parking right outside and easy access to major highways.”

Dr. Anthony Rodrigues, a pediatric neurologist, sees patients at both the North Chelmsford and Westford centers, and appreciates the close-knit collaboration he has with local pediatricians. Dr. Rodrigues has special expertise in diagnosing and treating disorders of the nervous system, such as the brain, spinal cord, muscles, and nerves. He sees patients with such conditions as seizure disorders, learning disabilities, acute headache and migraines, as well as head injuries.

“In many cases, I work as part of a multidisciplinary team with pediatricians and other specialists depending on the child’s

medical condition,” says Dr. Rodrigues. Some conditions such as epilepsy or disorders due to a birth defect require ongoing care and close follow-up throughout childhood and adolescence. The ability to be close to these patients and work with their pediatricians in the community on the best course of treatment is a tremendous benefit to our patients and families.”

For more information on the Pediatric Specialty Centers, visit www.lowellgeneral.org/pediatricspecialtycenters. To make an appointment at either location, please call 978-937-6362.

Pediatric Cardiology Evaluation of all congenital and acquired forms of heart disease, as well as follow-up care for children who have had cardiac surgery in Boston.

Pediatric Gastroenterology Evaluation and care for children with a range of gastrointestinal, liver and nutritional disorders, such as reflux, chronic constipation and diarrhea, ulcerative colitis, Crohn’s disease, liver disease, and failure to thrive.

Pediatric Genetics Comprehensive medical genetic consultation and services to patients and their families in issues dealing with heredity and suspected

Boston-level Pediatric Specialists, Close to Home

genetic disorders, including birth defects and chromosomal abnormalities.

Pediatric Nephrology Specialized diagnosis and treatment of kidney and urinary tract problems in children.

Pediatric Neurology Evaluation and treatment for children with neurological disorders, including epilepsy, learning disabilities, attention deficit disorder, head injury, cerebral palsy, autism, spina bifida, and others.

Pediatric Pulmonology Comprehensive diagnosis and care for children with pulmonary (lung) conditions such as

asthma, chronic cough, pneumonia, respiratory illness or respiratory disorders related to prematurity.

Pediatric Urology*Comprehensive diagnostic evaluation, consultation and follow-up care in the management and treatment of the entire spectrum of urologic disorders in infants and children, as well as adolescents. *New specialty in Westford January 2016.

Pediatric Rheumatology Diagnosis, evaluation and treatment for children with arthritis and other chronic rheumatic diseases.

Pediatric Neurologist Anthony Rodrigues, MD, PhD meets with a patient at Circle Health Westford.

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For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355)12

Get Your Body Movin’Gentle/Moderate YogaTuesdays, January 19-March 8* or March 15-May 3*Wednesdays, January 20-March 16*, 5:00-6:00pm, Thursdays, January 28-March 17* or March 24-May 5, 6:30-7:30pm, $75The class is designed to create breath awareness, enhance your balance, increase flexibility and bring about inner peace. Classes include basic breathing practices, as well as a variety of standing, sitting and lying postures. *No classes on February 23, February 24, March 2, March 3 or March 22.

INSANITY®

Mondays, January 25-February 29 or March 14-April 25, 6:30-7:30pm, $45INSANITY is a cardio-based, total-body conditioning workout with cardio moves, plyometric drills, strength intervals, as well as core and abdominal training. You’ll work at your own level and build your strength and endurance a bit at a time. These intervals keep your body moving and in return will give you great results. *No class March 21

PiYo™Mondays, January 25-February 29 or March 14-April 25*, 5:30-6:30pm, $45PiYo is a unique class designed to build strength and gain flexibility. The class is filled with intense choreography that’s fun, challenging and will make you sweat. It’s about energy, power, and rhythm. Think sculpted abdominals, increased overall core strength, and greater stability. *No class March 21.

QigongTuesdays, January 12-March 8*, 9:00-10:00am or 6:00-7:00pm, $60Qigong, pronounced “chi-gung,” is a practice of aligning body, breath, and mind for health, meditation, and martial arts training. Qigong practice typically involves moving meditation, coordinating slow flowing movement, deep rhythmic breathing and calm meditative state of mind. *No class on February 23.

Tai Chi-Chi KungTuesdays, March 15-May 10*, 6:00-7:00pm, $60This Yang style tai chi short form is ideal for people with limited space and time. Tai Chi-Chi Kung is a series of 13 movements done in a circular pattern in five directions. The program has all of the benefits of Qigong and most of the benefits of long form (108 move) Tai Chi. *No class March 22.

YangTaoSM Tai ChiThursdays, January 21-March 10, March 17-May 5 or May 12-June 30, 6:00-7:00pm, $60YangTao Tai Chi is a unique blend of two popular tai chi forms to enhance the healing qualities of this moving meditation. By synchronizing slow flowing movements, deep rhythmic breathing, and a calm mindful state-of-mind, this tai chi style can help you reduce stress, improve balance (physical, mental, spiritual), expand range-of-motion, and enhance quality-of-life.

Zumba®

Thursdays, January 21-February 25 or March 10-April 21*, 5:30-6:30pm, $45This six-week class will consist of interval training sessions where fast and slow rhythms and resistance training are combined to tone and sculpt your body while burning fat. People of all ages are falling in love with its infectious music, easy-to-follow dance moves, and body-beautifying benefits. *No class April 14.

Lowell General Hospital’s

Health and Wellness ProgramsWinter 2016

Online EducationTo register call 1-877-LGH-WELL or visit www.lowellgeneral.org/onlineed

These programs can be completed at your own pace from the comfort of home. Courses consist of concise, learner-friendly modules that focus on personal development and provide strategies for aspects of your life.

- Conquer Your Anxiety

- Mental Health: E-Course Package (CCOHS)

- Preparation for Childbirth

- Understanding Key Warning Signs of Early-Onset Mental Illness in Children and Adolescents

- Workplace and Personal Skills Certificate

Support GroupsLowell General Hospital offers a variety of support groups for both new moms and patients. Our support groups include a range of areas, from diabetes and sleep disorders, to cancer, heart disease, stroke and more! For more information visit www.lowellgeneral.org/supportgroups.

Surf, Boot Camp and Boxing Classes!Classes are held on an ongoing basis, $149.99/6-week session

Through a partnership with SLS Fitness, Lowell General offers a youth program package for children ages 7 and up and includes surfing, boot camp and boxing classes. Classes are located at SLS Fitness, 345 Chelmsford Street, Lowell, MA.

Kids Boot Camp Tuesdays, 4:30-5:00pm The child-focused boot camp teaches the importance of health and fitness in a fun atmosphere. All aspects of fitness will be addressed, including nutrition tips, flexibility, strength and cardiovascular training, along with general guidelines for a healthier overall lifestyle.

Kids Boxing Mondays, Wednesdays, Thursdays, 4:30-5:00pm and Saturdays, 11:00-11:40am This boxing class is supervised by a boxing coach who teaches boxing basics, including how to properly hit the bag, and foot and handwork techniques.

Kids Surf Tuesdays, 5:00-5:30pm This class is designed to develop your child’s strength, flexibility, power and core control through the use of SURFSET® boards.

Parenting Programs: For Parents of Children of All Ages

Tweens and Teens ProgramsBabysitting Basics plus CPRSaturday, February 13, March 12, or April 9, 9:00am-1:00pm, $60Boys and girls ages 10 and older will learn babysitting skills, CPR and receive a CPR Anytime Kit to practice at home.

Dare to Prepare: What Teens Need to Know Before They Take the WheelThursday, March 31, 6:30-8:30pm, FREEThis pre-driver’s permit presentation presented by AAA© is for parents and teens. This program provides critical information for teens before they take the wheel.

Don’t Get Knocked Down By BullyingTuesday, April 5, 6:30-8:00pm, FREEThis dynamic workshop will give a new perspective about bullying, explain who is affected by it and provide tools to help identify, cope with and/or stop this behavior before its consequences are too severe.

Teen Talk Saturday, March 5, 9:00am-12:00pm, FREEThis class provides facts, not opinions, about health topics related to sexuality and relationships. This program is only for teens; parents who are interested in attending are invited to register for Let’s Be Honest.

For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355) 13

Basic Child Passenger SafetyMonday, March 14, 6:30-8:30pm, FREE New and expectant parents will learn how to keep children safe in a moving motor vehicle. Topics include Massachusetts’ Child Passenger Safety Laws, types of child car seats and how to properly install them.

Eating and Diabetes: What Does the Family Need to Know? Thursday, February 25, 6:00-7:30pm, FREEHealthy eating habits are critical to a family’s well-being. How is that different when a child has diabetes? Join one of our Registered Dietitians in a discussion on family meal planning and its health benefits for children with diabetes.

Family and Friends CPRSecond Monday of the month, 6:30-8:30pm, $40Learn important CPR techniques for all ages. This program is designed for parents, family members and those who want to learn lifesaving skills. This class is presented in partnership with Trinity EMS.

Helping Your Child Deal with BullyingTuesday, February 16, 6:30-8:00pm, FREE This workshop will differentiate between normal conflict and bullying and will identify problems caused by aggression. Attendees will find out how bullying happens and by whom, and will discuss how to know if your child is a bully or victim. They will also learn how to help their child get through this extremely difficult time.

Infant MassageTuesday, February 2 or April 19, 12:30-1:30pm, FREEInfant massage is a centuries-old tradition that offers benefits such as bonding, better sleep, improved colic, relaxation and better digestion.

Itsy-Bitsy Movement and SignsFridays, February 26-April 1, or April 15-May 13, 10:00-11:00am, FREE Explore new and different ways for parents and babies to utilize music and movement to benefit development and attachment. Infant sign language will be introduced and used in the songs each week.

Let’s Be HonestSaturday, April 2, 9:00am-12:00pm, FREEHelp your kids make the right choices with this interactive workshop. Parents will learn strategies for responding to their children’s hard-to-answer questions as well as techniques for talking about sexual health issues in a skilled, knowledgeable and comfortable manner.

The Pelvic Floor After ChildbirthThursday, April 28, 6:00-7:30pmThis informative and interactive class will discuss how the pelvic floor is part of the core and how these muscles can be strengthened safely after giving birth. Many women ignore these muscles and return to a strengthening or high intensity program too soon, creating back pain and stress incontinence. Learn common exercises to avoid after giving birth and tummy safe exercises that can be continued at home.

Teddy Bear ClinicSaturday, April 16, 12:00-3:00pm, FREELowell General Hospital and the Pheasant Lane Mall are teaming up to offer a FREE Teddy Bear Clinic! Kids, bring your favorite stuffed animal or doll to the Pheasant Lane Mall for a checkup, to learn tips to stay healthy, participate in fun activities and learn valuable health information for the whole family.

For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355)14

ABCs of Babies for New ParentsTuesday, February 23 or April 12, 7:00-9:00pm, FREEGet started as a parent with everything you need to know about infant care, feeding, development and achieving good sleep.

Big Brother & Sister Sibling ClassSaturday, February 20 or April 16, 12:00-1:00pm, $10Children ages 3-8 will explore their feelings concerning the arrival of a new baby. They will read a story, complete an art project and tour the Birthplace. Additional siblings are $5 each.

Boot Camp for New Dads®

Saturday, January 30 or March 26, 9:00am-12:00pm, $40This nationally-recognized workshop is taught by fathers and is for men only. Rookie dads (men expecting their first baby) are oriented to the joys and challenges of fatherhood with the help of a coach and veteran dads with their newborns.

Breastfeeding ClassSunday, January 31, February 28 or March 13, 12:00-2:00pm, FREEWednesday, February 3 or March 16, 6:00-8:00 pm, FREELearn the art of breastfeeding. Discover the benefits for mom and baby, valuable tips and other information.

Getting Ready for Your Baby

Childbirth ClassesLowell General Hospital offers a variety of classes to help you prepare for the birth of your child. Space is limited and registration is required. Birthplace tours included.

Call 1-877-LGH-WELL or visit lowellgeneral.org/health for full descriptions, dates, times and cost.

• Six-Week Prepared Childbirth

• One-Day Prepared Childbirth

• Weekend Prepared Childbirth

• Online Prepared Childbirth

• Hypno-Birthing®

• Teen Prepared Childbirth

Prenatal Wellness Package$149.99/6-week sessionPrenatal Yoga, Sundays, 9:30amPrenatal Strength Training, Tuesdays, 5:30-6:00pm and Wednesdays, 6:35-7:05pmDevelop and strengthen your body for the changes it will experience during pregnancy through yoga and strength training. Classes are held three days per week at SLS Fitness located at 345 Chelmsford Street in Lowell.

Quit Smoking for Your Baby WebinarTo register or for more information, visit www.lowellgeneralorg/health, FREE Designed for expecting families, this program provides facts about the dangers of smoking while pregnant, second hand smoke, the importance of having everyone in the family quit and strategies for quitting.

Can’t visit our gift shop in person?www.lowellgeneral.org/giftshop

Call us at 978-937-6373 (Main Campus) or 978-458-1411 (Saints Campus) or place an order

online at www.lowellgeneral.org/giftshop

Gift Shop Now Online

Tiny Fingers, Tiny Toes: Everything New Parents Need to KnowSaturday, March 5 or April 2, 9:00am-4:30pm, FREE This class teaches expectant parents about the care of their new baby, including newborn appearance, infant care basics, at-home safety and pediatrician visits.

Sign up today for our FREE

Health and Wellness

e-newsletters at

www.lowellgeneral.org/health

For a full description or to register for these and other programs, classes and support groups, please visit www.lowellgeneral.org/health or call 1-877-LGH-WELL (1-877-544-9355) 15

Wellness and YouAnger Management SeriesWednesdays, March 23-May 4*, 6:30-8:00pm, $92 (class & book fees)Participants in this six-week workshop will learn how to utilize the principles of deep relaxation, slow breathing, constructive affirmations and guided imagery as well as train in a variety of mind over body techniques to bring understanding and better control of anger issues. Whether they have anger issues themselves or live or work with people needing to get anger under control, participants will experience the benefits of meditation, quieting and self-hypnosis. *No class April 6.

Cholesterol Lowering FoodsWednesday, February 3, 5:30-6:30pm, FREELowell General Hospital and Stop & Shop have partnered up to provide you a number of ways to help manage your cholesterol. Whether you’ve been prescribed medication or advised to make lifestyle changes, join us for a store tour focused on foods to lower cholesterol and improve overall health. Held at Stop & Shop® Chelmsford, 299 Chelmsford Street, Chelmsford.

Diabetes Self-Management Workshop SeriesThursdays, April 21-May 26, 12:30-3:00pm, FREEThis series includes techniques to deal with the symptoms of diabetes, appropriate exercise for maintaining and improving strength and endurance, healthy eating, appropriate use of medication and working more effectively with healthcare providers. Participants make weekly action plans, share experiences and help each other solve problems they encounter during their self-management program and managing their diabetes. Family members, caregivers or friends may also attend.

Healthy Finds Under $1Wednesday, January 20, 5:30-6:30pm, FREEThe average grocery store holds about 40,000 products. Lowell General Hospital and Stop & Shop are here to give you the most nutritional bang for your dollar. Attendees will learn which healthy products cost less than $1 per serving. Held at Stop & Shop® Chelmsford, 299 Chelmsford Street, Chelmsford.

If Only: Substance Use and Abuse Wednesday, February 24, 6:00-7:30pm, FREEJoin Tyngsboro Police Department and other community members in an open discussion after viewing If Only, a short film intended for teens, parents and adults to raise awareness about the dangers of prescription drug misuse and abuse.

Introduction to Zentangle®

Wednesdays, February 3, April 6 or May 4, 6:30-8:30pm, $30Zentangle is an easy to learn, relaxing method of creating images from repetitive patterns while reducing stress, increasing focus and creativity, and increasing personal well-being.

More Zentangle®

Wednesday, March 2, 6:30-8:30pm, $25Learn new, more complex tangles and play with embellishments and shading. Paper will be supplied; bring your Zentangle mini kit (included in the intro class).

New Year, New You — Exercise & Fat LossWednesday, February 3, 6:00-7:30pm, FREEThis seminar teaches the principles of exercise and nutrition for fat loss and explains common fat-loss myths and how hormones affect fat loss. Eating the right foods at the right frequency works with the body’s natural physiology to help control hunger, raise energy, reduce cravings and improve disease prevention, as well as burn fat as fuel.

Older, Wiser DriverThursday, March 31, 2:00-3:30pmThis program presented by AAA© discusses changes that adults over 65 years old need to consider in maintaining and sharpening safe driving skills.

See Yourself to Success WorkshopTuesdays, February 2-March 1, 6:00-7:30pm, FREESee Yourself to Success is a personal success system that helps you reconnect what you really want to what truly makes you happy by creating a personal success system. In this five-week series, you will discover five simple and effective steps towards creating and succeeding at any goal.

Self-Defense for WomenApril 11, 13, and 15, 5:30-9:30pm, FREEThis three-day course utilizes RAD (Rape Aggression Defense) approach to provide self-defense education for women, focusing on awareness, risk reduction and options for physical self-defense. To register, call Alison at 978-937-6360.

Stress Management with Self-HypnosisTuesdays, March 8 and March 15, 6:00-7:30pm, FREELearn how to cope with stress and benefit from healthier techniques achieved through self-hypnosis: relaxation, breathing, affirming and visualizing. Participants will explore techniques of relaxation, reflection, meditation, and quieting will be taught in these two sessions on stress reduction that utilize self-hypnosis as an effective reinforcement.

Smoking Cessation and Managing Lung Disease Freedom from Smoking®

Mondays, February 8-March 28, 6:30-7:30pm, $30*This eight week American Lung Association program will give attendees the tools needed to end dependency on smoking and improve their health and wellness. *Fee refunded upon completion of the course.

COPD Education SeminarWednesday, April 6, 6:00-8:00pm, FREEJoin Dr. Irwin Buchwald and Lowell General Hospital’s Respiratory Department to learn about the disease process, medication administration and technique and how to control symptoms and exacerbations of COPD. Screenings for oxygen saturation, simple lung function, and spacer usage and technique will be offered.

Living With Asthma: Successful ManagementWednesday, March 30, 6:00-7:30pm, FREELearn about symptoms and treatment options available to ensure effective control of your asthma. This program is open to the whole family and well as childcare providers.

The Cancer Center at Lowell General Hospital Releases 2014 Annual Report

The Cancer Center at Lowell General Hospital is the leading regional provider of comprehensive cancer care services to improve both the quality of life and the health status of cancer patients. Each year, the Cancer Center publishes an annual report covering such topics as goals and accomplishments, quality measures, and findings from our site-specific multidisciplinary conferences. The reports can be found at www.lowellgeneral.org/cancer/annualreport.

Lowell General Hospital295 Varnum Avenue

Lowell, MA 01854-2193

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PAID Lowell, MA

Permit #362

www.circle-health.org TEL 978-937-6000 TTY 978-937-6889

For Your Health is published by the Marketing and Public Relations Department at Lowell General Hospital. The information is intended to educate people about subjects pertinent to their health, not as a substitute for consultation with a personal physician.

© 2016. Printed in U.S.A.

Monday–Friday, 7:00am–7:00pm

Saturday, 7:00am–1:00pm

978-323-0300

Located at Cornerstone Square,198 Littleton Road, this Patient Service Center offers a full complement of testing services including:

· Blood draws and specimen collection

· Diagnostic imaging services (X-ray and ultrasound)

· Electrocardiograms (EKG)

For your convenience, Lowell General Hospital has seven Patient Service Center locations in Lowell, Chelmsford, North Andover, Tewksbury, and Westford. Visit www.lowellgeneral.org/psc for hours and directions.

Circle Health Westford Patient Service Center Expands Hours!