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HEART TO HEART HEART TO HEART HEART TO HEART HEART TO HEART Newsletter of the Cape Cod-Hyannis Chapter #315- Mended Hearts, Volume 8, Issue 6 www.capecodmendedhearts.com Nov. – Dec. 2008 THE MENDED HEARTS, INC. Cape Cod-Hyannis Chapter #315 199 Ridgewood Dr. Brewster, MA 02631 508-896-5941 Email: [email protected] CHAPTER OFFICERS President: Patricia Boris (508) 896-5941 Vice President: Joanne Wiseman (508) 428-2860 Treasurer: Katherine Beach (508)896-9436 Secretary: Phyllis Kazin, (413) 279-1166 Past President: Bart Kazin 2002-2007 COMMITTEE CHAIRPERSONS Visiting Coord: Tim Crane 896-2560 Program Chair: Pat Boris 896-5941 Membership Chair: Phyllis Kazin (413)279-1166 Publicity Chair: Pat Boris 896-5941 Publicty-TV, Radio: Bob Silverberg 778-4578 Special Events, Co Chairs: Marion Cooke 398-5660 Louise VanDell 362-8882 Sunshine : Dorothy Fleischer 385-5749 Hospitality Co Chairs: Beverly Moberg 888-1117 Marylee Pelosky 385-2546 Ed. Newsletter: Bart Kazin (413)279-1166 Newsletter Medical Advisor Lawrence McAuliffe, M.D. National Award Winning Newsletter 2 0 0 4 2 0 0 4 Newsletter Mission: To Offer Current ideas, Suggestions, Observations, and Information on Heart Disease and to Inform members, of Chapter #315 Activities “It’s Great to be Alive and to Help Others” “It’s Great to be Alive and to Help Others” “It’s Great to be Alive and to Help Others” “It’s Great to be Alive and to Help Others” “Sometimes you just need a shoulder to lean on. Mended Hearts is ready when you are” Mended Hearts, Inc SUMMER FUND RAISER SPECTACULAR SUCCESS 1 HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS The winner of the “Heart Healthy Dinner for Six” prepared by Cape Cod celebrity chef Robert Calderone is.... Nancy Sipiora, Centerville, MA. She is a part-time Cape Cod Hospital employee in the Radiology Dept. and bought her winning ticket from Bill Lipsky while he was doing 'Transport' volunteer work (in addition to his Mended Hearts volunteer work - that's in- credible!) When notified by Chapter President, Pat Boris, she’d won, Nancy was excited and told Pat she was very familiar with the Barnstable Restaurant and knows of their great menu. She volunteered the informa- tion because of the wonderful reputation of the Restaurant. Nancy will have no trouble in getting 5 of her friends to join her! The idea of having such a dif- ferent fund raiser was the brain child of President, Pat Boris and picked up by member Ken Traugot who knows the chef and approached him asking if he’d consider donating a heart healthy dinner for the winner and 5 friends. Bob was delighted to help our chapter and suggested a 5-course meal with a different wine with each course! The Mended Hearts members were “knocked out” by his generosity. At the May regular meeting it was decided to sell tickets through the months of June, July, August, and up to September 18, 2008. Tickets were sold at the rate of $10.00 each or 3 for $25.00. Members Bill & Judy Lipsky volunteered to mastermind the “drive” and become the Chairper- sons. They did a phenomenal job run- ning the program to the point 243 tickets were sold. The prize has a value of $400.00. Ken Traugot, Bill & Judy Lip- sky, and everyone who sold tickets are to be congratulated. The chap- ter’s appreciation goes out to them.
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  • HEART TO HEARTHEART TO HEARTHEART TO HEARTHEART TO HEART Newsletter of the Cape Cod-Hyannis Chapter #315- Mended Hearts,

    Volume 8, Issue 6 www.capecodmendedhearts.com Nov. – Dec. 2008

    THE MENDED HEARTS, INC. Cape Cod-Hyannis Chapter #315

    199 Ridgewood Dr.

    Brewster, MA 02631

    508-896-5941

    Email: [email protected]

    CHAPTER OFFICERS

    President:

    Patricia Boris (508) 896-5941

    Vice President:

    Joanne Wiseman (508) 428-2860

    Treasurer:

    Katherine Beach (508)896-9436

    Secretary:

    Phyllis Kazin, (413) 279-1166

    Past President:

    Bart Kazin 2002-2007

    COMMITTEE CHAIRPERSONS

    Visiting Coord: Tim Crane 896-2560

    Program Chair: Pat Boris 896-5941

    Membership Chair: Phyllis Kazin (413)279-1166

    Publicity Chair: Pat Boris 896-5941

    Publicty-TV, Radio: Bob Silverberg 778-4578

    Special Events, Co Chairs:

    Marion Cooke 398-5660

    Louise VanDell 362-8882

    Sunshine : Dorothy Fleischer 385-5749

    Hospitality Co Chairs:

    Beverly Moberg 888-1117

    Marylee Pelosky 385-2546

    Ed. Newsletter: Bart Kazin (413)279-1166

    Newsletter Medical Advisor

    Lawrence McAuliffe, M.D.

    National Award Winning Newsletter

    2

    0

    0

    4

    2

    0

    0

    4

    Newsletter Mission: To Offer Current ideas, Suggestions,

    Observations, and Information on Heart Disease and to Inform members,

    of Chapter #315 Activities

    “It’s Great to be Alive and to Help Others”“It’s Great to be Alive and to Help Others”“It’s Great to be Alive and to Help Others”“It’s Great to be Alive and to Help Others”

    “Sometimes you just need a shoulder to lean on. Mended Hearts is ready when you are””””

    Mended Hearts, Inc

    SUMMER FUND RAISER SPECTACULAR

    SUCCESS

    1

    HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS HAPPY THANKSGIVING & HAPPY HOLIDAYS

    The winner of the “Heart

    Healthy Dinner for Six”

    prepared by Cape Cod

    celebrity chef Robert

    Calderone is.... Nancy Sipiora, Centerville, MA. She

    is a part-time Cape Cod Hospital

    employee in the Radiology Dept.

    and bought her winning ticket

    from Bill Lipsky while he was

    doing 'Transport' volunteer work

    (in addition to his Mended

    Hearts volunteer work - that's in-

    credible!)

    When notified by Chapter

    President, Pat Boris, she’d won,

    Nancy was excited and told Pat

    she was very familiar with the

    Barnstable Restaurant and knows

    of their great menu.

    She volunteered the informa-

    tion because of the wonderful

    reputation of the Restaurant.

    Nancy will have no trouble in

    getting 5 of her friends to join

    her!

    The idea of having such a dif-

    ferent fund raiser was the brain

    child of President, Pat Boris and

    picked up by member Ken Traugot

    who knows the chef and

    approached him asking if he’d

    consider donating a heart healthy

    dinner for the winner and 5 friends.

    Bob was delighted to help our

    chapter and suggested a 5-course

    meal with a different wine with each

    course!

    The Mended Hearts members

    were “knocked out” by his

    generosity.

    At the May regular meeting it

    was decided to sell tickets through

    the months of June, July, August,

    and up to September 18, 2008.

    Tickets were sold at the rate of

    $10.00 each or 3 for $25.00.

    Members Bill & Judy Lipsky

    volunteered to mastermind the

    “drive” and become the Chairper-

    sons.

    They did a phenomenal job run-

    ning the program to the point 243

    tickets were sold. The prize has a

    value of $400.00.

    Ken Traugot, Bill & Judy Lip-

    sky, and everyone who sold tickets

    are to be congratulated. The chap-

    ter’s appreciation goes out to them.

  • 2

    MEETING SCHEDULE FOR 2008 All meetings will be the third Thursday of each month

    No meetings: January, June, July, August, & December

    Meetings will be held in the Martins’ Conference Room - 2nd floor of the

    Cape Cod Hospital unless otherwise notified

    MARK YOUR CALENDARS

    FEBRUARY 21, 2008

    Susan Sarro

    Regional Vice President – AHA

    “Did you know?...An AHA Update”

    MARCH 20, 2008

    Kristine Whaples, MS

    Registered Clinical Exercise Physiologist at RHCI

    “The Bountiful Benefits of Maintaining Good Cardiac Health”

    APRIL 17, 2008

    “Motion Picture and discussion on Shopping for

    For Heart – Healthy foods – Collection of Recipes”

    MAY 15, 2008

    Robert Scarpato, M.D. F.A.C.S.

    Vascular Surgeon, The Cardiovascular Specialists

    “Understanding Venus Disease and Your Treatment Options“

    JUNE 19, 2008

    Installation Banquet

    Barnstable Restaurant and Inn – Barnstable, MA

    5:30 p.m. Reception

    6:00 p.m. Dinner; 7:00 p.m. Installation

    SEPTEMBER 18, 2008

    Adrienne Baumann

    Regional Director of the Cape & Islands

    American Heart Association “American Heart Association on Cape Cod”

    OCTOBER 16, 2008

    Jeanne Jackson, RN – Falmouth Hospital

    Integrative Health Coordinator

    “Using Relaxation to Explore the Heart‘s Wisdom”

    NOVEMBER 20, 2008

    Lawrence McAuliffe, M.D. F.A.C.C.

    Cardiologist – The Cardiovascular Specialists

    “Discussion of Pre-Operative Screening for Cardiac Patients

    Undergoing NON-CARDIAC Surgery”

    DECEMBER 6, 2008

    Christmas Party Luncheon

    Ardeo’s Grill – King’s Way

    VISITOR’S REPORT September/Octtober

    Cape Cod Hospital......16

    Cath. Lab (care-givers)......16

    Telephone………………….…3

    Home…………………………....0

    Email………………………….....0

    Cardiac Rehab…………....5

    Men.Hrts. Affair……...…1

    Total Visits : 41

    VISITORS: Katherine Beach, Pat Boris, Bobby Brown, Don Chenard, Tim, Crane, Bob Davis, Ken Ethier, John Gibson, Phyllis Kazin, Ray Levesque, Bill Lipsky, Don Moberg, & Bob Silverberg

    ACCREDITED VISITORS Tim Crane – Visiting Coordinator 896-2560

    Katherine Beach Brewster 896-9436

    Pat Boris Brewster 896-5941

    Ellie Brennen E. Dennis 385-7472

    Mike Brennan E. Dennis 385-7472

    Bobby Brown W. Yarmouth 775-2638

    Don Chenard Yarmouthport 774-994-1624

    Bob Davis E. Falmouth 457-4056

    Ken Ethier Hyannis 775-8675

    Maryse Ethier Hyannis 775-8675

    Charlie Fosgate Pocasset 563-6334

    Betsy Gerhardt W. Yarmouth 790-8758

    John Gibson Orleans 240—2101

    Phyllis Kazin via email (413) 279-1166

    Ray Levesque Dennis 385-6922

    Bill Lipsky Yarmouthport 362-8171

    Don Moberg E. Sandwich 888-1117

    Bob Silverberg Centerville 778-4578

    These members take regular turns visiting in the hospital. They are will-ing, if necessary, to converse via the telephone and home visits. Visits in

    the hospital will take place on Fridays. The time? To be determined by the

    Mended Hearts, Inc.

    is affiliated with:

    RECOGNIZING STROKE REMEMBER S-T-R

    Now doctors say a bystander can recognize a stroke by asking

    three simple questions: S * Ask the individual to SMILE. T * Ask the person to TALK to SPEAK A SIMPLE SENTENCE (Coherently) (i.e. It is sunny out today) R * Ask him or her to RAISE BOTH ARMS.

    *NOTE: Another 'sign' of a stroke is this: Ask the person to 'stick'

    out their tongue. If the tongue is 'crooked', if it goes to one side or

    the other, that is also an indication of a stroke. If he or she has

    trouble with ANY ONE of these tasks, call 911 immedi-

    ately !! and describe the symptoms to the dispatcher.

    “States with the highest percentage of senior citizens: FL, PA, IA, RI, WV”

  • 3

    Nov. / Dec. BIRTHDAYS Nov. / Dec. BIRTHDAYS Nov. / Dec. BIRTHDAYS Nov. / Dec. BIRTHDAYS

    2008200820082008 NovemberNovemberNovemberNovember Ann Bruni

    Stanley Gaffin

    Evelyn Johnson

    Louise Van Dell

    DecemberDecemberDecemberDecember Mike Brennen

    Francis Chenaille

    Richard Fewkes

    Dorothy Fleischer

    James Frame

    Robert French

    Ruth Righter

    Christy Stusse

    3

    PPPPRESIDENT’S MESSAGE RESIDENT’S MESSAGE RESIDENT’S MESSAGE RESIDENT’S MESSAGE by Pat Boris

    It is with excitement and much enthusiasm I write this message. We have lots to be thankful for and we have a really great meeting coming up on November 20th, followed by our Holiday Luncheon on Decem-ber 6th. As you read on the cover story, our fundraiser was a huge success!. My personal thanks to everyone who sold and bought tickets. Thanks again to Bill and Judy Lipsky, co-chairs of the event and a special thanks to Ken Traugot for securing the Barnstable Restaurant & Tavern as our prize sponsor. Please mark your calendars and plan on attending our last support meeting of the year on Thursday, Nov. 20th (4 to 6pm, Martins Conference Room at Cape Cod Hospital). I am delighted we will have the privilege of The Mended Hearts National President, Margaret Elbert, joining us. This is an incredible honor for our chapter. I am anxious for you to meet her, as I know you will just ‘love’ her! Also at the November 20th meeting, back by popular request…. our guest speaker will be cardiolo-gist Dr. Lawrence S. McAuliffe, once again returning for his yearly visit to educate our members as he has so graciously done since our chapter’s inception. Dr. McAuliffe will discuss pre-operative screening of car-diac patients needing non-cardiac surgical procedures. He plans to leave time at the end of his presentation for other cardiology-related questions. Lastly, our Holiday Luncheon is planned for Satur-day, Dec. 6th at Ardeo’s Grill in King’s Way, Yarmouth Port. It will be a buffet luncheon with many menu options to suit various dietary preferences. An invita-tion with all the specific details will be mailed to you. It’s sure to be a festive gathering and will put all of us in the holiday mood. As yet another year draws to a close, I want to wish you and yours a happy and healthy holiday season. As always, I welcome your ideas, comments and sug-gestions. Our chapter’s greatness is based on the knowledge and life experiences each member brings. Stay well. I hope to see you on Nov. 20th and again on Dec. 6th so that I can extend my holiday wishes to you in person.

    DONATIONS RECEIVEDDONATIONS RECEIVEDDONATIONS RECEIVEDDONATIONS RECEIVED

    NOVEMBER / DECEMBER NOVEMBER / DECEMBER NOVEMBER / DECEMBER NOVEMBER / DECEMBER

    Kathy St. George – aPrintery Robert Calderone – Barnstable Restaurant Sue Finegold – Barnstable Restaurant

    THANK YOUTHANK YOUTHANK YOUTHANK YOU

    “ States with the lowest percentage of senior citizens: AK, UT, CO, GA, TX”

    When the birthday months come around our Chapter #315 delights in honoring

    each recipient with a great big HAPPY BIRTHDAYHAPPY BIRTHDAYHAPPY BIRTHDAYHAPPY BIRTHDAY AND AND AND AND MANY MORE MANY MORE MANY MORE MANY MORE

  • 4

    Restaurant. The winner was: Nancy Sipiora / 105 Bridget’s Path /

    Centerville, MA / 02632. The alternate is Marion Rothman / 9 Ket-tle Drum Lane / E. Sandwich, MA / 02537. CONGRATULATIONS!

    Joanne Wiseman then introduced our speaker, Adrienne Bau-

    man, Regional Director of the AHA for the Cape and Island. She

    brought with her Lindsay Pietro, Youth Market Director, for Cape

    Cod and Southeastern Massachusetts.

    Between the two speakers we learned the AHA has an active

    board of directors volunteers, committed to the mission of the AHA

    mission statement: to reduce disability and death from cardiovascu-

    lar disease and stroke.

    In the local Cape Cod Hospitals the AHA provides updated scien-

    tific statements and guidelines used by many hospitals and physi-

    cians.

    The AHA promote excellence in hospitals and clinics. Their “Get

    With the Guidelines” quality initiative help to insure patients in partici-

    pating hospitals are treated according to the latest practice guide-

    lines, thereby preventing or reducing the risk of future CV events and

    stroke.

    Hospitals and physicians can order a multitude of various pam-

    phlets and brochures to educate patients about treatment and tests,

    lifestyle and risk reduction, and CV conditions.

    Both Adrienne and Lindsay mentioned the Mended Hearts and

    the valuable services we employ.

    The attendees learned the Go Red for Women Luncheon is the

    AHA’s call for women to take charge of their health – to learn and

    live – and recognize and reduce their risk for heart disease.

    We learned the signature fund raiser event for the AHA , The

    Start! Heart Walk promotes physical activity and heart healthy living

    in a family fun environment. The next Start Heart Walk will be on

    Sunday October 4, 2009 at locations on the Cape and Plymouth

    County.

    The speakers also mentioned the CPR/AED courses offered in

    locations on Cape Cod; in hospitals, clinics, fire departments, etc.

    They also offer 2-3 day courses in advanced life support (ACLS) and

    pediatric life support (PALS) for professionals.

    Lindsay added information on The Healthy Schools Program

    which is working to improve schools in the areas of nutrition, physical

    activity, and staff wellness.

    She also discussed the Alliance for a Healthier Generations

    Go Healthy challenge Kids’ Movement: Since 2005 the Alliance –

    a joint initiative of the AHA and the William J. Clinton Foundation has

    been creating a by kids, for kids movement inspiring millions of kids

    to live healthier lives. To date, nearly a million kids across the coun-

    try have engaged and taken the Go Healthy Challenge by making a

    commitment to learn about healthy lifestyles and committing to help

    themselves, their family, friends, and communities make positive

    changes.

    One last point made by our speakers was that in grocery stores

    standardized food labels that clearly identify the exact nutrient con-

    tent of foods; through the AHA efforts. This helps shoppers easily

    select foods that can be part of balanced heart-healthy eating plan.

    The meeting ended with a Q and A period.

    SECRETARY’S REPORT September 18, Meeting

    by Phyllis Kazin

    President Pat Boris opened the first meeting after the summer

    vacation at 4:15 PM. She welcomed new members and visitors by

    giving these folks information about the Mended Hearts, Inc; who

    we are, what we do, and how we do it. She explained we have over

    24,000 members in 240 chapters across the United States and Can-

    ada.

    Before getting into the meat of the meeting she called attention

    to the information table where the members and the visitors could

    pick up folders, pamphlets, and a booklet of all the physicians

    associated with the Cape Cod Healthcare Hospital & Clinics.

    Pat then called on Katherine Beach to give the Treasurer’s

    Report.

    Vice President, Joanne Wiseman, gave a short synopsis of her

    position as liaison between the chapter and the American Heart As-

    sociation including information on Go Red for Women and the next

    Heart walk in October.

    Tim Crane, our Volunteer Visiting Coordinator spoke about the

    Visiting Program over the summer and then went on to explain that

    the 132,000 visitors across the nation call on approximately 430

    hospitals. He told of the survey involving 218 chapters (a response

    rate of 91% ) Patients were asked what problems they had in the

    hospitals. The answers came back as, in no particular order, lack of

    understanding directions, lack of communication with the staff, cop-

    ing with noise, and worry about infections. It was also learned that

    what volunteer visitors say is very important to the patients.

    Next The President called on our TV & Radio Publicity Chairman,

    Bob Silverberg, to tell about the 30 minute TV program on Mended

    Hearts that Pat Boris, Tim Crane, and Bob made with the coopera-

    tion of Local Cape Cod Channel 17. It will be shown at various times

    during the next few months.

    Pat Boris formed a Greeting Committee consisting of Phyllis

    Kazin, Marylee Pelosky, and Bev Moberg to welcome visitors to our

    monthly meetings and assign them to sit with members having simi-

    lar CV difficulties.

    It was decided the chapter will have a Christmas holiday

    Luncheon, rather than a dinner to be held on Saturday December 6,

    2008. Chairperson of Special Events, Marion Cooke and member

    Louise Van Dell will locate a restaurant, how a menu will be pre-

    pared, and how payment will be completed.

    In that officers of the chapter have a two-year run, there will be

    no Installation Dinner in June, 2009. Most likely we will have a meet-

    ing.

    Our next meeting will be on Thursday October 16th. Same time

    same place. Our speaker will be Jean Jackson, RN, Integrative

    Health Coordinator, from Falmouth Hospital who will speak on un-

    derstanding relaxation in pre and post surgery.

    (Continued in next column)

    Last, the most important part of this meeting was the drawing for

    our Fabulous Fundraiser; a dinner for six at the Barnstable Tavern

    “ Poll results: 53% of U.S. Kids say they‘re more board in summer than during the school year”

  • 5

    MASSACHUSETTS

    TRIVIA QUIZ Subject: Geography (Answers on page 6)

    1. What city is the geographic center of

    Massachusetts?

    2. What is the color of the New England Aquarium

    building?

    3. The largest turtle shell ever found is at what

    University‘s museum?

    4. What revitalized wharf, complete with shops and

    restaurants is in Salem?

    5. By what name is Route 30 known in Boston?

    6. How long is Boston‘s Freedom Trail?

    7. How many beaches on the Cape Cod National Sea-

    shore are manned by life guards?

    8. What man‘s Boston statue has 4 bronze panels,

    one of which depicts experiments with lighting ?

    9. Why is the town of Norwell unique?

    10. What man-made lake is the largest in the

    northeast?

    5

    “Flamingos can only eat with their heads upside down”

    “Oh, I know that one, I know this one...

    It‘s Lake Erie”

    HEART SMART RECIPE CORNER (from the American Heart Assn.)

    Category: Entrée Poached Fish in Asian Broth

    BROTH

    3 cups low-sodium chicken broth

    2 tablespoons dry sherry

    2 tablespoons low-sodium soy sauce

    2 slices of lemon

    3 thin slices fresh gingerroot

    1/8 teaspoon cayenne

    1 pound orange roughy or other thick, mild fish fillets

    5 to 6 green onions (green part only) cut into 1” pieces

    1 medium red bell pepper, cut into 1/4 X 1” pieces

    1 celery rib, cut into 1/4 X 1” pieces

    1/2 teaspoon fragrant toasted sesame oil

    1 carrot, grated

    Freshly ground pepper to taste

    In a nonaluminum fish poacher, a wok , or a large skillet, bring broth

    ingredients to a boil over high heat.

    Rinse fish and pat dry with paper towels. Reduce heat and place

    fish in broth. Add small amount of water if needed, to just cover fish.

    Simmer fish in broth for about 10 minutes per inch of thickness at

    the thickest point, or just until fish is no longer translucent. Do not overcook.

    Remove fish with slotted spatulas and place equal portions in

    four soup bowels.

    Return liquid to a boil. Add green onions, bell pepper, and celery.

    Cook 2 to 3 minutes, or until tender-crisp. Discard lemon and gin-

    gerroot. Transfer vegetables to soup bowels. Stir sesame oil into

    broth. Pour into soup bowels. Sprinkle with carrot and pepper.

    Nutrients per serving:

    Calories: 203

    Total fat: 8 gram(s)

    Saturated fat: 2 gm(s)

    Monounsaturated fat: 3 grams

    Polyunsaturated fat: 2 gm

    Carbohydrates: 7 grams

    Protein: 24 grams

    Carbohydrate: grams

    Cholesterol: 77 mg.

    Fiber : 2 gram(s)

    Sodium: 418 mg(s)

    WELCOME NEW MEMBERSWELCOME NEW MEMBERSWELCOME NEW MEMBERSWELCOME NEW MEMBERS Ruth Albert

    George Biaculli Jeanne Shepardson

    Barbara Shippee

  • 6

    This newsletter contains health

    related topics.

    It is not intended as a substitute for the

    advice of your physician.

    Always check with your medical profes-

    sional about any symptoms or concerns you

    may be experiencing.

    WOULD YOU LIKE TO BE A MENDED HEARTS VISITING VOLUNTEER?

    (with help from chapter 262-Johnson City, NY)

    Would you like to share your experiences and be an encour-agement to other heart patients and their families? We would like to have you join us in such an endeavor. What is required? 1. That you and/or your spouse has had a diagnosis of heart disease and/or a heart procedure, e.g. Angioplasty, stent, valve repair, by-pass surgery, etc. 2. A Mended Hearts Membership. 3. Attendance at a Mended Hearts training session. 4. Attendance at a Cape Cod Hospital training session. Mended Hearts, Inc. has provided our chapter with an easy-to-follow, step-by-step training program. New volunteers start out with experienced volunteers to gain familiarity with procedures and to build self-confidence. For further information or to answer your questions, please contact:

    Tim Crane [email protected]

    508. 896.2560

    Answers to THE MASSACHUSETTS

    TRIVIA QUIZ...on page 5

    1. Worcester 2. Gray 3. Harvard 4. Pickering

    5. Commonwealth Ave 6. 1 1/2 miles 7. Six

    8. Benjamin Franklin 9. It is the only town in the U.S.

    with that name 10. Quabbin Reservoir

    “Sometimes you just need a shoulder to lean on. Mended Hearts is ready when you are”

    DO YOU NEED A RIDE?

    The following members are willing to drive folks to the monthly meetings and to other programs that may arise. If necessary please take advantage of their generosity.

    Ken Traugot Barnstable 362-6618 Katherine Beach Brewster 896-9436 Bill Lipsky( away Nov.-Apr) Yarmouthport 362-8171 Marilyn Branzetti Harwich 432-0105 As of this date 9/20/07, the above members are willing to help other members attend meetings and functions.

    VOLUNTEERS ARE A WORK OF HEART

    For their generous work and commitment the For their generous work and commitment the For their generous work and commitment the For their generous work and commitment the

    chapter wishes to honor the chapter wishes to honor the chapter wishes to honor the chapter wishes to honor the following membersfollowing membersfollowing membersfollowing members

    CERTIFICATE OF APPRECIATIONCERTIFICATE OF APPRECIATIONCERTIFICATE OF APPRECIATIONCERTIFICATE OF APPRECIATION

    Awarded to:

    FUND RAISER COFUND RAISER COFUND RAISER COFUND RAISER CO----CHAIRSCHAIRSCHAIRSCHAIRS

    Bill LipskyBill LipskyBill LipskyBill Lipsky Judy LipskyJudy LipskyJudy LipskyJudy Lipsky

    FOR WORKING WITH CHEF BOB FOR WORKING WITH CHEF BOB FOR WORKING WITH CHEF BOB FOR WORKING WITH CHEF BOB

    CALDERONE OF THE BARNSTABLE CALDERONE OF THE BARNSTABLE CALDERONE OF THE BARNSTABLE CALDERONE OF THE BARNSTABLE TAVERN & RESTAURANTTAVERN & RESTAURANTTAVERN & RESTAURANTTAVERN & RESTAURANT

    Kenneth TraugotKenneth TraugotKenneth TraugotKenneth Traugot

  • 7

    You can submit a “letter to the editor” and

    have your voice read by not only the members of

    our chapter but across the Northeast, the rest of

    the country...and the world!

    Heart to HeartHeart to HeartHeart to HeartHeart to Heart is sent to newsletter editors of the various Northeast chapters as well as across

    the country and around the world via our

    website: www.capecodmendedhearts.com.

    Send letters to [email protected].

    LETTERS TO THE EDITORLETTERS TO THE EDITORLETTERS TO THE EDITORLETTERS TO THE EDITOR

    CONSIDER A

    CONTRIBUTION TO CAPE COD-

    HYANNIS CHAPTER #315

    What better way to honor the memory of a loved

    one? Or pay respects for an anniversary or special

    event? Or support Mended Hearts?

    Acknowledgement will be made in the

    newsletter

    The donation is tax

    deductible

    Please make checks payable: Mended Hearts

    Chapter #315

    and mail to:

    Katherine Beach, Treasurer

    67 Leland Rd.

    Brewster, MA 02631

    THANK YOU

    “A “beer can fancier is called a canologist”

    PLEASE CONSIDER

    aPrintery for your printing

    and copying needs. Kathy St. George very graciously donates

    printing HEART TO HEART. Without this help we would be unable to print this

    newsletter.

    When you stop in please be sure you mention MHI

    NATIONALLY, MENDED HEARTS IS

    WITHIN REACH IN

    THE HOSPITAL

    Mended Hearts accredited volunteers visit with pa-

    tients and care givers in more than 400 hospitals.

    Ask your doctor or nurse about local chapter visiting

    programs. If they are unaware of a local chapter,

    you can call 1-800-AHA-USA1 and ask the location of

    the nearest chapter.

    If there is a chapter in your location ask that some-

    one stop by and visit with you and your caregiver.

    VERY INTERESING “STUFF”VERY INTERESING “STUFF”VERY INTERESING “STUFF”VERY INTERESING “STUFF”

    (from George David)(from George David)(from George David)(from George David) 1. Scientists say the higher your I.Q. the more you dream.1. Scientists say the higher your I.Q. the more you dream.1. Scientists say the higher your I.Q. the more you dream.1. Scientists say the higher your I.Q. the more you dream. 2. The largest cell in 2. The largest cell in 2. The largest cell in 2. The largest cell in the human body is the female egg.the human body is the female egg.the human body is the female egg.the human body is the female egg. 3. The smallest is the male sperm.3. The smallest is the male sperm.3. The smallest is the male sperm.3. The smallest is the male sperm. 4. You use 200 muscles to take one step.4. You use 200 muscles to take one step.4. You use 200 muscles to take one step.4. You use 200 muscles to take one step. 5. The average wom5. The average wom5. The average wom5. The average woman is 5” shorter than the average man.an is 5” shorter than the average man.an is 5” shorter than the average man.an is 5” shorter than the average man. 6. Your big toes have 2 bones each, while the rest have three.6. Your big toes have 2 bones each, while the rest have three.6. Your big toes have 2 bones each, while the rest have three.6. Your big toes have 2 bones each, while the rest have three. 7. A pair of human feet co7. A pair of human feet co7. A pair of human feet co7. A pair of human feet contain 250,000 sweat glands.ntain 250,000 sweat glands.ntain 250,000 sweat glands.ntain 250,000 sweat glands. 8. A full bladder is roughly the size of a soft ball.8. A full bladder is roughly the size of a soft ball.8. A full bladder is roughly the size of a soft ball.8. A full bladder is roughly the size of a soft ball. 9. 9. 9. 9. The acid in your stomach is strong enough tThe acid in your stomach is strong enough tThe acid in your stomach is strong enough tThe acid in your stomach is strong enough to dissolve razor blades.o dissolve razor blades.o dissolve razor blades.o dissolve razor blades. 10. Your thumb is the same length as your nose.10. Your thumb is the same length as your nose.10. Your thumb is the same length as your nose.10. Your thumb is the same length as your nose.

    APHORISMS 1. The nicest thing about the future is that it always starts tomorrow. 2. Money will buy a fine dog, but only kindness will make him wag his tail. 3. If you don’t have a sense of humor, you probably don’t have any sense at all. 4. A good time to keep your mouth shut is when you’re in deep water. 5. How come it takes so little time for a child who is afraid of the dark to become a teenager who wants to stay out all night. 6. Why is it at class reunions you feel younger than every-one else looks. 7. Scratch a cat and you have a permanent job.

  • 8

    “ What counterculture ? About 60 million Baby Boomers commute to work every day“

    Secretary’s Report October 16, 2008 Meeting

    By Phyllis Kazin

    President, Pat Boris, opened the meeting at 4:10 PM, welcoming

    and introducing two guests to the meeting, and offering information

    on Mended Hearts, Inc.

    The 50/50 drawing was won by Bill and Judy Lipsky – a gift certifi-

    cate to Trader Joe’s

    Pat Boris had the distinct honor of presenting Certificates of Honor

    to Bill and Judy Lipsky for outstanding service in coordinating the

    Dinner Raffle Fund Raiser. Joanne Wiseman sold the most tickets

    and Marilyn Branzetti was first runner-up.

    Ken Traugot was presented with a certificate for securing chef

    Bob Calderone and the Barnstable Restaurant and Tavern.

    Tim Crane, our Volunteer Visitor Coordinator reported we have 16

    hospital Volunteer Visitors. They made 173 visits from January

    through September.

    Joanne Wiseman, our liaison with the American Heart Association,

    explained the AHA meeting was cancelled until November.

    Katherine Beach offered the Treasurer’s Report which was ac-

    cepted as read.

    President Boris explained the Christmas Luncheon will be held on

    Saturday December 6, 2008. Those attending the meeting voted the

    affair be held at Ardeo’s Grill - King’s Way.

    It was explained, National will have a National by-law change and

    are meeting to see if the chapters will be able to vote by email.

    There was a recent Cluster Meeting in Seekonk, MA attended by

    President – Pat Boris, Vice President – Joanne Wiseman, and Treas-

    urer – Katherine Beach ( these meetings are set up to pick the brains

    of chapter members from around the Northeast). Forty members from

    the region were in attendance. Our friends,

    Raul Fernandes and Bob Scott were in charge. Our “team” was

    asked about the “Ask me about Mended Hearts” pins they wore; there

    was interest about our chapter’s liaison with the AHA; and the red

    jackets worn by the hospital volunteer visitors. Our members seem to

    have been the hit of the meeting.

    Our President was very excited to tell us about the surprise we’re

    going to have at our next meeting – November 20, 2008. Not only will

    we have will Dr. Lawrence McAuliffe speaking on “ Pre op. evaluation

    of Cardiac Patients Undergoing Non-cardiac Surgical Procedures,”

    but we’ll also have in attendance a very special guest – National President of Mended Hearts, Inc. – Margaret Elbert.

    Margaret is a very charming, knowledgeable, upbeat, and fun per-

    son to know and meet who has, in all her travels, never been to Cape

    Cod! Pat asks as many of our members, who can, attend this

    meeting. Dr. McAuliffe – as we all know – is an excellent speaker,

    whose topic is very current and will be helpful to anyone with heart

    disease.

    Pat closed the meeting and then introduced,

    Jeanne Jackson, RN – Falmouth Hospital

    Integrative Health Coordinator

    “Using Relaxation to Explore the Heart‘s Wisdom”

    Jeanne is a Registered Nurse who left nursing and went into real

    estate and then came back to nursing and made a proposal to the

    Emergency Department to see how pre op. patients could be helped

    with Relaxing Therapy.

    She started her presentation showing those of us present a simple

    relaxing breathing exercise: a deep inhale through the nose, purse

    the lips and exhale through the mouth. It works better if the eyes are

    closed. Doing 5 to 10 of this exercise can relax the patient.

    After waking two of us she went on with her lecture! Jeanne ex-

    plained the modality used to prepare patients for therapy:

    ENERGY WORK:

    describes a range of subtle energy therapies used to restore balance

    to the energy system. Practitioners of Energy Work frequently prac-

    tice multiples modalities within this field such as TT, HT, Reiki, Polar-

    ity, and others. The Benefits of this type of Modality:

    balances and restores the energy field, accelerates healing of

    wounds and fractures, reduces pain and edema, aids digestion,

    strengthens the immune system, relieves insomnia, promotes relaxa-

    tion, reduces anxiety, assists the grieving process, and aids medita-

    tion. What to Expect

    A session is usually done in a quiet setting with the client lying down

    on a treatment table fully clothed. The practitioner may gently touch

    or place hands in close proximity to the body. Clients report a sense

    of well-being, relaxation, and a feeling of being “lighter” after the

    treatment. Effects may last for several days, to several weeks or

    longer.

    Q and A lasted 15 minutes or so.

    Bill & Judy Lipsky – Certificate of Achievement Award

    Joanne Wiseman Most Fund Raiser

    tickets sold

    Pat Boris (center) Katherine Beach (left) Joanne Wiseman (right)

  • 9

    “ A year on the planet Jupiter is 12 times longer than a year on earth”

    Football Legend Emmitt Smith, Wife Joining Mended Hearts in Awareness Campaign for Heart Health

    From Mended Hearts Newsletter

    Two high-profile campaigns designed to raise awareness of heart health issues with prominent men-tion of Mended Hearts will be launched in October and November. In early October, football great (and

    ‘Dancing With Stars’ winner) Emmitt Smith and his

    wife Pat will encourage Americans to know their risk factors for heart disease and take action with a “Game Plan for A Healthy Heart.” Both have helped parents with heart disease and want to do what they can to help others, including increasing the awareness of the value of managing high triglycerides. Not as commonly known as other risk factors, triglycerides are simply fats in the blood that, in balance and moderate amounts, perform significant and important functions in the body. However, high triglycerides may raise a per-son’s heart risk. A national announcement of the cam-paign is due in early to mid-October – look for a “Game Plan Scorecard” on the Mended Hearts Web site next month. An additional spokesperson for the campaign is

    Dr. John La Puma, an internist who is trained as a professional chef and has appeared in national media before and is known as “Chef M.D.”

    National Advocacy Chairman Bob Scott to Represent Mended Hearts, Heart Patient Community at Important Social Security Policy Conference

    The Social Security Administration is hosting a confer-ence on “Cardiovascular Disorders in the Disability Pro-

    grams” in Maryland on Sept. 24-25. Bob Scott, chairman of MHI’s National Advocacy Committee, will provide all-important heart patient perspective in testimony for a ses-sion specifically focusing on issues related to chronic heart failure. The conference features nationally recognized lead-ers in cardiovascular care and treatment in an effort to as-sess and determine Social Security Administration policy and coverage.

    Update on the 2009-2011 Election

    September 5 was the deadline for all candidates to throw their hat

    into the ring for the next national MHI election. The nominating

    committee, chaired by Dennis Ragan and including Jeanece

    Varndell, Jack Hanahan, and Becky Witt, has reviewed all candi-

    dates for eligibility in order to meet the schedule to have the ballots

    ready to send chapters in early December. The election timeline

    calls for chapters to place their votes in January and December.

    Once again, chapters will be able to place their votes (each chap-

    ter has one vote) via regular mail or electronically. Details will be

    provided in the early December mailing. The Winter issue of Heart-

    beat, due to be mailed to members in mid-December, will include

    profiles of all of the candidates and this particular issue will focus

    on the subject of “Leadership”.

    Cape Cod Hospital Ranks Tops Again in National PCI Mortality Report

    (Hyannis, September 25, 2008) Cape Cod Healthcare is pleased to

    announce that Cape Cod Hospital ranks first among 771 hospitals

    nationwide in terms of risk-adjusted mortality for percutaneous

    coronary intervention (PCI) procedures, according to a recent data-

    base report issued by the American College of Cardiology (ACC).

    Percutaneous Coronary Interventions (previously called Angio-

    plasty, Percutaneous Transluminal Coronary Angioplasty, or Bal-

    loon Angioplasty) encompass a variety of procedures used to treat

    patients with diseased heart arteries that can result in reduced

    blood flow, or a heart attack caused by placque that completely

    blocks the artery.

    “This report again confirms Cape Cod Hospital as a first-rate

    center for cardiac care in line with the best hospitals in the coun-

    try,” said Richard Zelman, M.D., F.A.C.C., Director of Interventional

    Cardiology at Cape Cod Healthcare. “To be ranked at the top of

    this category validates once again the superior cardiac care our

    patients receive at Cape Cod Hospital.”

    The ACC releases its national report on a quarterly basis, using

    a rolling year as its reporting model. The latest report includes data

    from April 1, 2007 through March 31, 2008. During that time period,

    there was one mortality among 628 PCI cases at Cape Cod Hospi-

    tal. The ACC report comes out once year after the U.S. Centers for Medi-care and Medicaid Services named Cape Cod Hospital the only hospital

    in Massachusetts and one of only 17 hospitals nationwide with

    outcomes better than national averages for 30-day heart attack mor-

    tality rates. Combined, the two reports corroborate that Cape Cod

    Hospital’s cardiac care program has been and remains among the

    nation’s best.

    “On Cape Cod, there is a high incidence of heart disease due to the older population of the area,” said Richard F. Salluzzo, M.D., President

    and CEO of Cape Cod Healthcare. “We know that cardiac services are

    critically important for the population here. This report substantiates that

    we have world-class cardiologists and other cardiac care professionals,

    along with advanced technological capabilities and a comprehensive care

    program. We are very proud to have earned this recognition.”

    Eleven years ago, in 1997, Cape Cod Hospital became the first com-munity hospital in Massachusetts approved to perform emergency angio-

    plasty. Cape Cod Hospital in 2002 became one of only three community

    hospitals in Massachusetts approved for cardiac surgery. In 2003, the

    hospital received its license to perform elective angioplasty procedures.

    Building a complete cardiac care program included establishing a reputa-

    tion as an outstanding cardiac care facility. As such, significant invest-

    ments in personnel, equipment, and building renovations have al-lowed Cape Cod Hospital to surpass all initial goals and anticipate future

    needs in terms of caring for cardiac patients.

    “This means patients can continue to feel confident receiving cardiac

    services on the Cape, rather than in a major city,” said Michael Lauf, Chief

    Operating Officer, Cape Cod Healthcare. “They know that the care they will

    receive here is unparalleled.”

  • 10

    “Easy money: The average “Jeopardy” winner takes home $11,500 per show”

    BENEFITS OF BEING A MENDED HEARTS

    MEMBER

    Established Visiting Program Excellent and Uniform Visitor Training Medical Recognition and Acceptance

    Non-Profit Status Education in Heart Disease & Other health

    Topics Heartbeat Magazine

    BI-Monthly Newsletter Cluster Meetings

    Regional Workshops National Conventions

    Participation in National Research studies Availability of Promotional Items

    Free Supplies (Path Paks) Recognition & Affiliation with AHA Vast Network of Members & Friends

    Camp Madden

    Lose the Gut (from webMD)

    Tired of life as a flabby guy? Worried about the health risks of an expanding waist? Time to get down to a healthy weight. Read about good meal plans along with other ways to shed those pounds.

    Eating Like a Man Men on Diets: Do They Exist? Dieting is usually considered more of a woman’s thing. So how’s a guy supposed to lose his paunch and still maintain his dignity? Here are some tips for losing weight like a man. Diet Plans for Men Atkins vs. Ornish, South Beach Diet vs. the Zone — finding a good diet for guys isn’t easy. Here’s a review of hot weight loss plans and advice from one man who’s tried many of them. Causes of Obesity in Men. It’s time to face up to what obesity is doing to American men. What makes us fat? Is it what we eat? Is it how little we exercise? Or can we blame our genes? The prevalence of obesity among American men has doubled in only 25 years, and it’s killing us. A 2004 survey published in the Journal of the American Medical Association found that 71% of men 20 years old and over were overweight and 31% were obese. The same survey conducted in the late 1970s had found 47% of men were overweight and 15% were obese. Science is searching for the causes of obesity and exploring the role of genes, the diets of pregnant women, and the feeding habits of babies. But the bottom line is this: Most of us have settled into sedentary lifestyles and have trouble resisting the temptations of cheap, plentiful food our culture has served up.

    The biggest health issues for overweight men

    It isn’t good to be fat, but there’s just so much good food and so many ways of entertaining ourselves from a swivel chair or a couch. As a result, a host of health issues linked to obesity threatens us unless we learn how to push back from the table earlier and head out the door for a walk or something faster more often. “By the time you reach 35,” says George L. Blackburn, MD, PhD, “you don’t need to gain any more weight.” Blackburn holds the S. Daniel Abraham Chair of Nutrition at Harvard Medical School, and he tells WebMD that as men get older, muscle tends to be replaced by fatty tissue. Since fatty tissue doesn’t need the same amount of energy to maintain itself, you gain weight. But if you’ve gained more than 20 pounds since college, Blackburn says, something about your food selection and exercise program is out of balance. “You need to run, not walk,” he says, “to see a health care provider who’s experienced in finding healthy lifestyles.” While women put weight on their hips, breasts, and limbs, men gather it around the waist, where it circulates through the liver, caus-ing metabolic problems like diabetes. Added weight puts you at risk of heart attack, cancer, hypertension, and sleep apnea. It can also affect your sex life and make it harder to exercise and enjoy your kids.

    Can genes cause obesity in men? How did we get so fat? “Obviously there’s a genetic component to obesity, “ says Barbara Rolls, PhD. Rolls holds the Helen A. Guthrie Chair in Nutritional Sciences at Pennsylvania State Univer-sity. “But,” she adds, “the surge in obesity clearly can’t be due to genetic changes. We don’t evolve that quickly.” That said, when it comes to getting fat, not all men are created equal. The genetic differences are clear from studies conducted by Claude Bouchard, PhD, of the Pennington Biomedical Research Center at Louisiana State University. Controlled portions of food were given over 100 days to sets of identical twins. While weight gain was similar for each pair of twins, it varied dramatically among the pairs. Some sets of twins gained as few as eight pounds during the “overfeeding” experiment, while others put on as much as 26 pounds.

    The members of our chapter are unaware of any illnesses

    or hospitalizations if you don’t tell the

    Sunshine Chair,

    Dot Fleischer Her phone number is 508-385-5749

    HALF-BAKED IDEAS ON A WARM SUN-LIT AUTUMN AFTERNOON

    (by our own Bob Silverberg)

    Several hundred years ago Rene Descartes wrote: “Cogito ergo sum” - “I think, therefore I am.”

    Which makes me think – I instant message, therefore I AM

    And I eat sweet potatoes – therefore I yam

    Or As Popeye the sailor said, “I am what I am.” _____________________________

    Italian stand up comics do not live on improvalone.

    _____________________________

    I wonder if hundreds of years into the future, any-one will remember what we write today. However, I find some comfort in the probability that hundreds of years ago writers had the same Thought. Affiliated with

  • 11

    Name______________________________________ Today’s Date________________________

    Address_____________________________________________ Phone Number ( )__________________________

    City____________________________________________________ DOB_______________Retired ( ) Yes ( ) No

    State / Zip___________________________ Vocation____________________________________________________

    Family Membership – Names of Other Member(s)_________________________________________________________

    Medical Information (Please fill out completely where applicable)

    Email Address: ___________________________________________________________________________________

    Name of Heart Patient_______________________________________________________________________________

    Date of Surgery / Treatment__________________________________________________________________________

    Type of Surgery / Treatment

    ( ) Angioplasty ( ) Atrial Septal Defect VALVE: ( ) Mitral

    ( ) MI ( ) Pacemaker ( ) Tricuspid

    ( ) Bypass (how many_____) ( ) Transplant ( ) Aortic

    ( ) Aneurysm ( ) Stents ( ) Pulmonary

    National Membership Dues: Includes subscription to HEARTBEAT and one insignia pin for an individual or two pins for a

    family membership. Select type of membership and include chapter dues (unless you wish to become a member at large)

    Within United States National Individual – $ 17.00 ( ) plus Chapter Dues: $ 8.00 ( ) = $ 25.00 – First Year

    $ 12.00 ( ) plus Chapter Dues: $ 11.00 ( ) = $ 23.00 – Renewals

    National Family – $ 24.00 ( ) plus Chapter Dues: $ 8.00 ( ) = $ 32.00 – First Year

    $ 17.00 ( ) plus Chapter Dues: $ 15.00 ( ) = $ 32.00 – Renewals National Life Time– $ 150.00 ( ) plus Chapter Dues: $ 10.00 ( ) = $ 160.00

    National Family Life Time– $ 210.00 ( ) plus Chapter Dues: $ 10.00 ( ) = $ 220.00

    Dues Summary: National Dues $__________

    Chapter Dues $ _________

    TOTAL $ _________

    Applicant – Send check to chapter Membership Chairman. (Make checks payable to The Mended Hearts, Inc.)————————–>

    *I would like to support the work of Mended Hearts with my tax-deduction

    donation of: $__________________________

    Mended Hearts, a national non-profit organization, affiliated with the American Heart Association, has been offering the

    gift of hope to heart disease patients, their families, and caregivers for more than 50 years. Recognized for its role in fa-

    cilitating a positive patient-care experience, Mended Hearts partners with 460 hospital and rehabilitation clinics and of-

    fers services to heart patients through visiting programs, support group meetings, and educational forums. “Our mission

    is to inspire hope in these patients & their families.”

    THE MENDED HEARTS, INC. Founded in 1951 – Incorporated in 1955

    Chapter #315

    MEMBERSHIP APPLICATION

    Phyllis Kazin

    62 High Pine Circle

    Wilbraham, MA 01095

    (413)279-1166

    [email protected]

    Signature ______________________________________

  • 12

    The Mended Hearts, Inc. Founded 1951 - Incorporated 1955

    Cape Cod Hyannis Chapter # 315

    62 High Pine Cir.

    Wilbraham, MA 01095

    OBJECTIVES OF MENDED HEARTS The purpose of this organization is to offer help, support, and encouragement to heart disease patients and their families

    and to achieve this objective in the following manner: to visit,

    with physician approval.

    To offer encouragement and support to heart disease pa-

    tients and their families.

    To distribute information of specific educational value to

    members of the Mended Hearts, Inc. and to heart disease pa-

    tients and their families.

    To establish and maintain a program of assistance to

    OBJECTIVES OF MENDED HEARTS physicians, nurses, medical professionals, and health care

    organizations in their work with heart disease patients and

    their families.

    To cooperate with other organizations in education and

    research activities to heart disease.

    To assist established heart disease rehabilitation pro-

    grams for members and their families.

    To plan and conduct suitable programs of social and

    educational interest for members and for heart disease pa-

    tients and their families.