CONQUER CANCER PERSONALIZED CARE HELPS A YOUNG WOMAN - FALL 2019 SAY GOODBYE TO EXTRA POUNDS | WHAT'S KEEPING - Main Line Health
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PERSONALIZED CARE
HELPS A YOUNG WOMAN
CONQUER
CANCER
FALL 2019 SAY GOODBYE TO EXTRA POUNDS | WHAT’S KEEPING
YOU FROM A GOOD NIGHT’S SLEEP? | MANAGING STRESS
IN A ‘MOMMY WINE CULTURE’
H E L P I N G T O B U I L D H E A LT H I E R C O M M U N I T I E S
PRESCRIBE-A-TRAIL:
FREE COMMUNITY WALKS
Join our health practitioners to
learn how to achieve maximum
health during a brisk walk. In
inclement weather, the walk may be
cancelled. For full details on walk
locations and where to meet, visit
mainlinehealth.org/prescribeatrail.
Stoneleigh:
A natural garden
• September 12, 10:00 am:
Lyme disease awareness
• October 17, 10:00 am:
Healthy eating
Radnor Steps/
Radnor Trail
Get moving, stay safe • September 27, 9:00 am:
Diabetes and prediabetes
• October 25, 9:00 am:
With cooler temps and colorful trees, autumn is a great time to Stress management
be active outdoors. Activities like walking or bicycling are easy
for people of all ages to enjoy. Just don’t forget about safety. Friends of Haverford Trails
• September 28, 9:00 am,
Walk this way Gear up for family biking Haverford College Trail:
If the shoe fits
“Walking is great exercise, especially as Regular family bike rides teach kids • October 12, 9:00 am,
we age,” explains Stephen Sizer, DO, positive exercise habits and get you all Merry Place: Fall prevention tips
orthopedic surgeon at Lankenau Medical moving. A properly fitting helmet is a
Center and Paoli Hospital, part of Main must (yes, even for adults!). And make
Valley Forge
Line Health. “It’s easy on the joints and sure everyone’s bicycle is the right size
Park Alliance
helps maintain bone mass. But if you’re for their body. • October 15, 10:00 am:
an older adult, it’s wise to take a few “If your bike is the wrong size, it Trauma updates and
precautions.” increases the risk of overuse injuries and falls prevention
Dr. Sizer says the right walking shoes makes the ride harder than it has to be,” • November 5, 10:00 am:
are key to preventing injury. Trade the says Ryan Algeo, PT, MPT, certified Cardiac and stroke health
flip-flops for shoes with adequate cushion strength and conditioning specialist with
and support. He also recommends setting Bryn Mawr Rehab Hospital, part of Main
a realistic walking goal and sticking with it Line Health. “A local bike shop can check
for at least three days before increasing all your equipment.”
your time or distance. To keep interest levels up, vary your
“Whether you’re walking one block routine. “Take a long flat route one day
or one mile, it’s important to allow and a shorter hilly ride the next,” suggests
enough time to evaluate how your body Algeo. “Just keep in mind everyone’s
responds,” explains Dr. Sizer. “Minor joint fitness level.”
pain or stiffness after exercise is normal. If you or a family member needs a low-
But if you experience severe soreness, cost/high-quality certified bike or BMX/
check with your doctor.” skate helmet, contact our Community
Health and Equity department. You’ll find
bicycle and skate helmet order forms at
mainlinehealth.org/helmets. ●
2 WOMEN’S HEALTH SOURCE FALL 2019
Say goodbye to extra
pounds and find a new you
Extra pounds can take a toll on The program offers the following
your health and your overall quality treatment options:
of life. Main Line Health’s brand-new ●● Customized medical management,
Comprehensive Weight and Wellness during which patients meet regularly
Program emphasizes lifestyle changes with the bariatrician and dietitian in a
and individualized care coordinated by an traditional office-based setting
interdisciplinary team of bariatric special- ●● Bariatric surgery, with preoperative
ists. The program is under the leadership and long-term postoperative care
of obesity medicine specialist Stephanie managed by the bariatric team
McKnight, MD, and metabolic and ●● The comprehensive program,
bariatric surgeon Richard Ing, MD. The which offers a more intensive approach.
interdisciplinary team also includes dieti- Patients meet regularly with the bariatri-
tians, nutritionists, exercise physiologists, cian, dietitian, exercise physiologist and
nurse practitioners, medical assistants and emotional wellness provider, while
emotional wellness providers. attending weekly classes. An
GET ON
“Everything people associate with optional meal replacement
THE ROAD TO
weight loss and wellness is under one roof program is also available.
GOOD HEALTH
Take the first step. To learn more,
at Main Line Health,” says Dr. Ing.
contact Main Line Health’s
Are you a candidate?
Comprehensive Weight and Wellness
How the program works The program is open to those 18
Program at 484.476.6230 or visit
“When patients enter the program, they years or older with a body mass
mainlinehealth.org/weight.
are evaluated by a provider with specialty index (BMI) of 30 or greater or those
certification in managing obesity as a with a BMI of 27 or greater with
chronic disease,” says Dr. McKnight. “The weight-related health conditions.
provider addresses each individual’s risk “One of the program’s great benefits
factors, then makes a plan to help them is that it enables patients to prevent or
achieve their best health. Regular inter- reverse the course of weight-related
disciplinary team meetings allow us to illnesses,” notes Dr. Ing. “It can help
create a plan that’s better than anything people live longer by reducing weight-
one provider could do alone.” related mortality.” ●
CREATIVITY ABOUNDS AT BRYN MAWR REHAB’S ART ABILITY
Creative expression is part of the healing process. At Bryn Mawr world. Today, the Art Ability collection transforms hospital halls
Rehab Hospital’s Art Ability Program, we are making that possible into an art gallery. Traveling exhibits bring artwork into the local
for our patients. The Art Ability Program at Bryn Mawr Rehab community. And a special fund set up in memory of former
Hospital, part of Main Line Health, focuses on celebrating abilities. patient and Art Ability artist, Dana Jones, supports art therapy at
“The mission of Art Ability is to help people with disabilities Bryn Mawr Rehab. Creative activities, such as watercolor painting,
reach beyond their limitations and find fulfillment in art,” explains can relieve stress, aid communication and strengthen body-brain
Cristine Largoza, program coordinator. connections.
Professional painter Carol Spiker, who became paraplegic “Being able to do therapy in a creative way is very freeing for
after a car accident, adapts her art practice to her abilities. our patients,” reports Largoza. “Whether or not they’ve had any
For others, like brain-injury survivor Sal Panasci, art becomes prior experience with art, it’s healing.”
an all-new hobby.
Art Ability began in 1996 as an annual juried exhibit and sale ➜ The upcoming Art Ability exhibit runs from November 2, 2019 to
of art and fine crafts by people with disabilities from around the January 26, 2020. Visit mainlinehealth.org/artability to learn more.
mainlinehealth.org MAIN LINE HEALTH 3
‘Exceptional’ breast cancer care
MAIN LINE HEALTH EXPERTS WHO HELPED A YOUNG WOMAN CONQUER
HER CANCER SHOW WHY THE BEST TREATMENT IS PERSONALIZED
I
n September 2018, life was full for A creative surgical solution Together, Drs. Claytor and Sabol came
Anastasia Colletti. The healthy, active A physical exam and ultrasound suggested up with a creative solution: To enable her
Havertown resident was enjoying her Colletti’s tumor was large, which meant to preserve her nipples, they would
career as an X-ray technician, spending she would probably need a mastectomy. perform Colletti’s surgery in stages. The
time with friends—and had just celebrated When an MRI showed the tumor was first stage took place in November 2018.
her 26th birthday. Then she found a lump actually much smaller, there was hope she Dr. Sabol removed the breast tumor with a
in her breast. might instead be a candidate for breast- lumpectomy, and Dr. Claytor performed a
Colletti saw her Main Line Health nurse conserving surgery, called a lumpectomy. reduction in both of Colletti’s breasts,
practitioner, Melanie Winter, CRNP, who Then the picture changed again. shaping them and placing the nipples in
referred her for a mammogram and an Genetic testing showed that Colletti had their proper position. The next stages of
ultrasound. After testing, she met with a mutation in the BRCA1 gene, raising her surgery would involve the nipple-sparing
Mary Beth Merola, RN, BS, CBCN, a nurse risk for developing a second primary breast mastectomy and breast reconstruction,
navigator at Lankenau Medical Center, cancer. At that point, Dr. Sabol recognized now with smaller implants.
part of Main Line Health. that a prophylactic bilateral mastectomy “Breast reconstruction has dramatically
“Mary Beth sat me down and said they was the smartest long-term approach. evolved over the past 15 years,” Dr. Claytor
were unsure whether the mass was “The bilateral mastectomy was explains. “We’ve increased our under-
cancerous. They were speeding up my important,” Dr. Sabol says, “but Anastasia standing of how tissue can be moved to
appointment with the breast surgeon,” was hoping to minimize her scarring and help maintain the most essential part of
Colletti recalls. preserve as much of her natural self as the breast, the nipple. By reconciling the
The breast surgeon, Jennifer Sabol, possible. Preserving her nipples was very patient’s goals with the limitations we
MD, also the director of the symbolic to her.” have, based on the disease, we can
Comprehensive Breast Center at It would also be a challenge. A large- custom-design a surgical plan.”
Lankenau, performed a biopsy. Colletti breasted woman, Colletti was not a good
soon learned she had breast cancer. candidate for a nipple-sparing mastectomy.
“The breast implants that would have been
Exploring every option required during reconstruction would have
Colletti’s journey highlights the impor- been too large,” adds Dr. Claytor, the plastic From left to right: R. Brannon
Claytor, MD; Zonera Ali, MD;
tance of having a multidisciplinary breast surgeon. “It wouldn’t have been possible to Anastasia Colletti; and Jennifer
cancer care team that tailors treatment to correctly position the nipples and Sabol, MD, reunite for a picture in
each individual. In the weeks ahead, ensure an adequate blood the Comprehensive Breast Center
at Lankenau Medical Center.
as testing gave her doctors more supply.”
information, new challenges—and new
options—emerged. Colletti’s Main Line
Health medical team, consisting of Dr.
Sabol along with oncologist Zonera Ali,
MD, and plastic surgeon R. Brannon
Claytor, MD, worked collaboratively to
explore every possibility.
“Breast cancer’s actually a hundred
different diseases all under the same
name. Each needs to be treated differ-
ently, based on each person’s unique
disease process,” Dr. Sabol says. “Patients
need physicians who see the big picture,
who take the time to get to know them
and understand which treatment will
provide the best outcome—because it
can be overwhelming. Patients may not
be thinking about how today’s decisions
might affect them in the future.”
4 WOMEN’S HEALTH SOURCE FALL 2019
After receiving treatment and care for
breast cancer at Main Line Health,
Anastasia Colletti rings the bell to
WHEN TO CONSIDER
celebrate her final day of chemotherapy
and looks forward to getting back to
GENETIC TESTING
her life!
At least 10% of breast cancers are
hereditary—caused by an abnormal
gene passed from one generation to the
next. While the most recognized genes
associated with hereditary breast cancer
risk are BRCA1 and BRCA2, other genes
increase the risk as well.
“The goal of identifying patients with
inherited risk for cancer is to personalize
medical management,” says Terri
McHugh, DO, director of Main Line
Health’s Genetics and Risk Assessment
Program. Dr. McHugh recommends meet-
ing with a genetic counselor to review
www.mikearrisonphotography.com
photo credit this page and cover:
your personal and family history and
understand your genetic test options.
Testing involves submitting a blood or
saliva sample for DNA analysis. The cost
is covered by most health insurances if
eligibility criteria are met.
You might consider genetic testing if
your personal or family history includes:
●● Any type of cancer diagnosed at or
Empowered during treatment My team became my second
younger than age 50
After the first stage of surgery, Colletti had family. I could text my doctors ●● More than one type of cancer in the
chemotherapy, which treated her cancer at any time of the day; when I same person
and gave her nipples time to heal and was scared or had questions, ●● Metastatic breast cancer, metastatic
adjust to their new blood supply. Dr. Ali they always answered me in a prostate cancer, or prostate cancer
helped Colletti research “cold caps,” chilled reassuring way. with a Gleason score of 7 or more
hats that narrow the blood vessels in the
●● Unusual cancers (such as ovarian
scalp. Cold caps lessen the amount of ‘My second family’
cancer or male breast cancer)
chemotherapy that reaches the hair folli- In May 2019, Drs. Sabol and Claytor
●● A total of 10 or more colorectal
cles, making the hair less likely to fall out. teamed up again at Bryn Mawr Hospital to
polyps over one’s lifetime
Wearing cold caps enabled Colletti to keep perform Colletti’s bilateral mastectomy.
●● Multiple relatives with cancer
most of her long, thick locks all through She is scheduled for one more surgery to
●● A relative who tested positive for a
treatment. The cold cap system is available receive her breast implants.
gene known to increase risk
at Lankenau Medical Center. “I love every single one of my doctors,”
“We’ve come a long way in treating Colletti says. “My team became my second
Of note, some cancer-related genes are
chemotherapy side effects, like nausea, but family. I could text my doctors at any time
more common among certain ethnic
until recently, there hasn’t been as much of the day; when I was scared or had
backgrounds, so knowing your ancestry
focus on preventing hair loss, which is a major questions, they always answered me in
is helpful.
side effect both physically and emotionally,” a reassuring way.
A genetic counselor can help inter-
Dr. Ali says. “People look in the mirror and are “They came together to support me,
pret your results and explain ways to
reminded every day that they’re getting to talk things through so I understood
reduce your cancer risk. You may also be
chemotherapy. The goal is to empower our them. My care at Main Line Health
able to participate in clinical trials for
patients as much as possible.” was exceptional.” ●
screening, preventing or treating cancer.
A SIMPLE, LIFESAVING TEST
Early detection of breast cancer with screening mammography can save lives. ➜ Contact the Genetics and Risk
Assessment Program at 484.565.GENE
Contact Main Line Health today and our health care team will help schedule your
(4363).
mammogram at one of our nine convenient locations. Call 484.580.1800 or visit
mainlinehealth.org/3D.
mainlinehealth.org MAIN LINE HEALTH 5
calendar
Registration is required for most programs unless otherwise noted. To register for an
upcoming event in this calendar, call toll-free 1.888.876.8764 or visit mainlinehealth.org/events,
where you’ll find a complete list of classes with their dates, times and locations.
WELLNESS HEALTHYWOMAN
DISEASE
& PREVENTION
PROGRAM
Free health screenings for
MANAGEMENT ♥ AN EVENING
WITH HEART
uninsured or underinsured Join the Women’s Heart
SMOKEFREE DIABETES AND YOU Initiative for an evening
women whose income
Main Line Health’s FREE six- qualifies. Screenings include This program held at all of health education and
week behavior modification mammography, pelvic Main Line Health hospitals empowerment:
program helps smokers quit. exams and Pap tests. Call will help you manage What’s on the horizon:
Participants may be eligible 484.476.8554 (Lankenau) or your diabetes. Cost is Emerging trends in the
for free nicotine-replacement 484.337.1881 (Bryn Mawr), covered by most insurance prevention of heart disease
therapy. For locations and or visit mainlinehealth.org/ companies. To register, call in women
dates, visit mainlinehealth. healthywoman. 484.565.8031. Visit mainlinehealth.org/
org/smokefree or call hearthealthy for details.
484.227.FREE to register. HEART-TO-HEART FREE WIG PROGRAM • October 24, 6:00 pm,
CONVERSATIONS Lankenau Medical Center
This program is for female
HIP AND KNEE
The Women’s Heart Initia- cancer patients preparing
PAIN SEMINARS
tive hosts cardiac support to undergo or currently
Keep the spring in your step! groups for women looking undergoing chemotherapy A MATTER
Learn about hip and knee for emotional support and or radiation treatment. Call OF BALANCE
anatomy, common causes encouragement during the 484.337.5215 to schedule an This eight-week, evidence-
of joint pain, the latest healing process. Registra- appointment. based program provides
treatments, and how to tion is free and open to all strategies to reduce the risk
prevent a hip or knee injury.
For locations and dates,
women no matter where
they received treatment.
FOR OLDER of falling and remain active
and independent. Registra-
visit mainlinehealth.org/ Register at 484.476.3WHI ADULTS tion required.
hipandknee. or email mlhwomensheart@ • Fridays, September 6–
mlhs.org. STRETCH YOUR LIMITS October 25, 9:30 am,
BLOOD PRESSURE 60 Surrey Way in Devon
This exercise program for
SCREENINGS MEN’S HEALTH AND • Wednesdays and
adults older than 55 includes
PROSTATE CANCER Thursdays, September 18-
Main Line Health provides strength training with elastic
free screenings at locations Join John Munshower, DO, tubing and dumbbells and October 10, 10:00 am,
across the region. Visit primary care physician, for a balance training and stretch- Riddle Hospital
mainlinehealth.org/ presentation on men’s health ing with modified yoga and • Tuesdays and Thursdays,
bloodpressurescreenings issues with emphasis on chair tai chi. Fee: $5/class; October 3-29, 10:00 am,
for the current list. prostate cancer information. pay as you go. Class is held 9000 Parkway Drive in
• September 19, 5:00 pm, year-round at Bryn Mawr Haverford
AMERICAN RED CROSS Riddle Hospital Hospital. For details, call • Thursdays, October 3–
BLOOD DRIVES 484.337.5206. November 21, 1:30 pm,
ADAPTIVE EQUIPMENT Paoli Hospital
Be part of a lifesaving team. • Fridays, October 4–
PRESENTATION SAFER STEPS
Donate at our upcoming November 22, 1:00 pm,
blood drives. Someone in Harly Sides, PT, DPT, will Learn how to stay indepen- Lankenau Medical Center
need will be thankful you explain how adaptive equip- dent by preventing falls. • Tuesdays, October 8–
did. For locations and dates, ment in a variety of settings This class points out common November 26, 10:00 am,
visit mainlinehealth.org/ can help individuals remain safety hazards in the home Paoli Hospital
blooddrives. independent in their homes and teaches the importance • Mondays and Wednesdays,
and community. of exercise. Registration October 28-November 20,
• October 16, 10:00 am, required. 10:00 am, 933 Haverford
933 Haverford Road in • September 19, 1:00 pm, Road in Bryn Mawr
Bryn Mawr Lankenau Medical Center
• September 24, 10:00 am,
Main Line Health Center
in Newtown Square
• October 2, 10:00 am,
Paoli Hospital
6 WOMEN’S HEALTH SOURCE FALL 2019
MATURE DRIVING STOP THE BLEED CANCER SCREENING:
AARP CHILDBIRTH WHAT YOU NEED
AND CHILD Do you know what to do
TO KNOW
This driver safety program CARE CLASSES if you or someone you
addresses the challenges of love has a life-threatening Learn the latest research on
drivers older than 55. We We’re here to help you injury with uncontrolled various cancers. Prevention
offer both full and renewal and your family prepare bleeding? That knowledge tips, new and innovative treat-
courses. For the renewal for your newest addition can make the difference ment procedures, and more.
course, you must bring with a variety of classes. between life and death. To Led by oncologist Jennifer
proof of attending the full For locations and dates, register for this free training, Armstrong, MD.
course. Fee: $15/person visit mainlinehealth.org/ visit mainlinehealth.org/ • October 22, 6:30 pm
AARP members; $20/person childbirthclasses. stopthebleedtraining.
nonmembers. View upcom- • September 10, 4:00 pm, UNDERSTANDING
ing dates and locations at Lankenau Medical Center PREDIABETES
mainlinehealth.org/aarp. BLS PROVIDER • September 17, 6:00 pm,
This diagnosis is a wake-up
CPR COURSE Main Line Health Center in
call that you are on a path to
SENIOR Concordville
This two-day course, diabetes. But it’s not too late
ENTERTAINMENT • September 25, 6:30 pm,
designed for any licensed to turn things around. Led
Paoli Hospital
Fun and informative or certified BLS (basic life by Joan DiOrio and Virginia
• October 8, 6:00 pm,
evenings for the over-60 support) provider, covers Goldschmidt, Main Line Health
Main Line Health Center in
crowd. Led by Ross Kershey, CPR and obstructed airway Diabetes Program.
Newtown Square
local historian and educator. care for adults, children and • October 29, 6:30 pm
• October 14, 6:30 pm,
Held 5:00 pm at Paoli infants and includes one- Paoli Hospital
Hospital. Fee: $5/person. and two-person CPR. Held at DIABETES 101
• November 12, 5:00 pm,
• September 26: Riddle Hospital. Fee: $75. Lankenau Medical Center Learn all about diabetes—
Theodore Roosevelt
medications, nutrition tips and
• October 23: SAFE SITTER
Andrew Jackson BABYSITTING COMMUNITY more. Led by Main Line Health
Diabetes Program Manager
SENIOR SUPPERS An intensive one-day train- PROGRAMS Janet Wendle.
ing program for boys and Held at Main Line Health • November 19, 6:30 pm
An evening of dinner, girls ages 11 through 14. Center at Exton Square
conversation and a healthy Participants learn to care
living seminar for the over- ARTHRITIS FROM
★
for younger children and SEE YOU
60 crowd. Fee: $7/person. prevent avoidable injuries NECK TO KNEE
At Paoli Hospital, 5:00 pm: IN KOP!
while babysitting. Held at Learn about types of arthritis
• September 17: Lyme disease Riddle Hospital. Fee: $60. We’re getting excited for
and how they affect your
• October 16: Podiatry the opening of our new
posture, body and mechanics.
• November 13: Hearing GRANDPARENTS Women’s Specialty Cen-
Led by Paoli Hospital’s Joint
disorders AS SITTERS ter in King of Prussia in
Replacement Program
• December 2: Holiday party Spring 2020. Join us for
This course is designed Manager Donna Levan, DPT.
At Riddle Hospital, 4:30 pm: these events to preview
for grandparents, nannies • September 16, 6:30 pm
• September 25: Flu and colds what’s to come. Register
• October 23: Heart disease or anyone who cares for for these and other
children ages newborn to CARDIAC HEALTH
• November 20: Alternative events at mainlinehealth.
6 years old. Covers safety, FOR WOMEN
approaches for care of org/kopevents.
Alzheimer’s electronics, child-care equip- Learn the latest research on
ment, CPR and choking. women’s heart disease and Be Strong, Be Healthy
Held at Riddle Hospital at
CPR & 8:30 am. Fee: $40.
stroke. Prevention tips, new
and innovative treatment Road Runner Sports
FIRST AID • September 21
• October 5
procedures, and more. Led • October 22, 6:30 to
8:30 pm
by Women’s Heart Initiative
HEARTSAVER AED Program Manager Heather
COURSE Forgione. Shop with a Doc
• October 1, 6:30 pm Wegman’s
This two-session American
Heart Association course • November 12 and
teaches CPR and AED use December 10
in adults and children, relief
of choking in adults and Healthy Alternatives
children, and CPR and chok- to Holiday Favorites:
ing in infants. Participants Cooking
receive an American Heart Demonstration
Association certification Upper Merion
valid for two years. Held at Township Building
Riddle Hospital. Fee: $65. • December 11
mainlinehealth.org MAIN LINE HEALTH 7
Young women’s hearts at increased risk
Heart disease kills more U.S. women Know the warning signs But don’t wait for an emergency to
than all forms of cancer combined. As with men, the most common symptom think about your heart health. “I would
And it’s not just older women who are at of a heart attack in women is chest discom- much rather see a patient for a
risk. Heart attacks and heart disease fort. “Many women don’t describe it as preventive visit than in the hospital,”
deaths are on the rise in younger women. chest pain, however,” says Dr. Hawthorne. Dr. Hawthorne says. ●
Three out of 10 heart attacks in women “They’ll refer to it as chest tightness or
now occur in those younger than 55. pressure.” Other symptoms include arm,
“This rise is strongly tied to increases in back, neck, jaw or upper abdominal pain; JOIN US FOR
cardiovascular risk factors such as high shortness of breath; nausea or vomiting; AN EVENING
blood pressure, high cholesterol and and lightheadedness. WITH HEART
diabetes,” says Katie Hawthorne, MD, a On average, women wait longer than Join the Women’s Heart Initiative for
cardiologist at Lankenau Heart Institute, part men to seek help for a heart attack. an evening of health education and
of Main Line Health. “We’re seeing these risk This delay in treatment may lead to more empowerment: “What’s on the horizon:
factors come into play earlier in life.” extensive heart damage. Avoid making Emerging trends in the prevention of heart
In young women, such risks often go that mistake: If you are experiencing disease in women.” October 24, 6:00 pm
undetected and unmanaged until a serious symptoms that don’t feel normal, listen at Lankenau Medical Center. Visit
problem occurs. “Women tend to put their to your body and call 911. mainlinehealth.org/hearthealthy for details.
families first—and their own health last,”
Dr. Hawthorne says. “Many put off seeing
a doctor for too long.”
Protect your heart health
“The good news is that 80% of heart
attacks are preventable,” says
Dr. Hawthorne. Here’s what you can do
to take good care of your heart:
●● Eat a nutritious diet that’s low in
salt and fat.
●● Set aside dedicated exercise time.
●● Work more movement into your
daily life.
●● Avoid smoking and excessive
alcohol use.
●● Find healthy ways of dealing
with stress.
●● Get regular checkups and ask your
doctor about your heart health risks.
MAIN LINE HEALTH RECOGNIZED
FOR TREATMENT OF SEVERE HEART ATTACKS
Main Line Health’s acute care hospitals— The Mission: Lifeline program works to reduce barriers to
Lankenau Medical Center, Bryn Mawr prompt treatment for heart attacks, beginning with the 911 call,
Hospital, Paoli Hospital and Riddle to EMS transport and through hospital treatment and discharge.
Hospital—have received a Mission: Lifeline® The initiative provides training and resources to support heart
Quality Achievement Award. This award recognizes hospitals that attack care following evidence-based treatment guidelines.
have implemented quality improvement measures outlined by the William Gray, MD, system chief, cardiovascular diseases, and
American Heart Association for the treatment of patients with president, Lankenau Heart Institute, says, “It is an honor for all of
severe heart attacks. Lankenau Medical Center received the Gold our hospitals to receive this award in recognition of our dedica-
Plus Award, and Bryn Mawr, Paoli and Riddle hospitals received tion and achievements in cardiac care. We are incredibly proud of
the Gold Award. Main Line Health is the only health system in the our teams and our EMS providers, who ensure patients receive
region to achieve this recognition. timely initial treatments before reaching the hospital.”
8 WOMEN’S HEALTH SOURCE FALL 2019
BEFORE YOU REACH FOR A GLASS …
Managing stress in a ‘mommy wine culture’
You’ve seen the memes on social Make time for self-care
media and the cute quips on tea To address stress in a positive way, Smith Help and hope
towels. The message is clear: a glass (or encourages women to pause for moments for substance
three) of wine is Mom’s little helper to get of self-care. You might: abuse
through the difficult days of parenthood. ●● Take mindful breaths throughout
Mirmont Treatment
For sure, being a parent is stressful. your day
Center, part of Main Line Health,
But the Women’s Emotional Wellness ●● Sit, savor and truly enjoy your meals
provides treatment programs for
Center (WEWC), part of Main Line Health, ●● Go outside to take short walks and
those struggling with substance
encourages women to step back from the notice nature
use disorders. Mirmont offers a
“mommy wine culture” and find healthier ●● Say no to additional responsibilities
unique mind-body approach to
ways to cope.
drug and alcohol recovery. Using
“The idea that you need alcohol to deal “You may think you don’t have time, but
evidence-based practices, we
with life has been normalized in our finding even a few moments to be kind to
integrate mindfulness and
society,” explains Amanda Smith, LCSW, yourself can help you better handle the
body-centered therapies into each
psychotherapist with WEWC. “But habitual stresses of the day,” says Smith.
patient’s treatment plan. With this
drinking can lead to dependency and is
holistic approach to addiction
poor modeling for our kids. It acts as a Get the help you need
treatment, we’ve helped thousands
bandage without addressing the real If you’re unable to stop drinking or have diffi-
of people on the journey to
problem.” culty managing life’s pressures, seek help.
recovery. With locations in
“Don’t wait for a crisis to occur,” advises
Broomall, Exton and Media, we are
Try mindfulness Smith. “Getting the help we need allows us
here to help you or someone you
Smith recommends taking a break from to better care for others.”
know who is struggling with
alcohol and, instead, checking in with your The WEWC offers programs for women
addiction. Call 1.888.227.3898 or
emotions throughout the day. How are you struggling with a variety of issues, such
visit mainlinehealth.org/mirmont.
feeling? What do you need? as stress, anxiety, depression, parenting
“The key is to practice being more pressures and low self-esteem. Services
mindful, more aware of yourself in the include a Women’s Intensive Outpatient
present moment,” she says. “Living inten- Program; individual psychotherapy; group
tionally and engaging in the task at hand psychotherapy, including mindfulness groups
is empowering. It actually allows us to and a parenting group; and psychiatry.
achieve more than when we multitask, and “There is so much pressure placed on
it reduces the need to reach for a glass.” women today. The WEWC is a space for
women to support each other and gain the
tools they need to thrive,” says Liz Bland,
LCSW, director of the WEWC. ●
SUPPORT
IS HERE
The Women’s Emotional
Wellness Center is located in
Newtown Square and will soon
expand to King of Prussia.
To learn more, visit
mainlinehealth.org/wewc.
mainlinehealth.org MAIN LINE HEALTH 9
What’s keeping you
from a good night’s sleep?
If you’re a woman between the ages of 40 and 59 and
you’re having trouble sleeping, the symptoms of meno-
SLEEP TIGHT
A sleep study at Main Line Health can help determine
pause—such as hot flashes, anxiety and depression—may be to
the origin and severity of a sleep problem, as well as
blame. According to a 2017 study by the Centers for Disease
recommend therapies to help you obtain better sleep.
Control and Prevention, middle-aged women in perimenopause
Visit mainlinehealth.org/sleep to learn more.
were more likely to sleep less than seven hours, on average, than
women not in menopause. And close to 20% of women ages 40
to 59 said they had trouble falling asleep several nights a week.
The good news? There’s a lot you can do to improve your
sleep. Elizabeth Daly, MD, a family physician at Main Line Health
in Conshohocken, offers this advice:
●● Go to bed and wake up around the same time every day.
●● Avoid nicotine completely, and avoid caffeine before sleep.
●● If you drink alcohol, do so in moderation.
●● Get 30 minutes of aerobic activity at least five times a week.
●● Make sure you’re exposed to plenty of bright natural light
during the day (don’t forget the sunscreen!).
●● Avoid bright lights from electronic screens in the hour before
going to sleep.
●● Keep the house cool, dark and quiet for 30 to 60 minutes
before bedtime.
●● If you’re prone to hot flashes at night, keep a cool, wet cloth
by your bed to use if you wake up.
Talk with your primary care physician, who can help with lifestyle
changes or medications to treat insomnia and its causes. He or
she may also refer you to a specialist for menopause symptoms
or sleep difficulties. ●
WHEN WAS YOUR
LAST CHECKUP?
Whether the issue is sleep, menopause or any
other health concern, your primary care
physician is there to help. If you’re looking for a
doctor, visit mainlinehealth.org/doctors.
EXPLORING NEW TREATMENTS FOR GYNECOLOGIC CANCERS
Women who have been treated for cancer of the ovaries, Participants are randomized into three treatment groups:
fallopian tubes or peritoneum (the membrane lining the ●● Group 1 patients receive standard chemotherapy.
abdominal cavity), whose cancers have returned or not ●● Group 2 patients take cediranib maleate and olaparib.
responded favorably to chemotherapy, may qualify to ●● Group 3 patients take cediranib maleate only.
participate in an important clinical trial.
Main Line Health researchers seek to understand if the Patients receive follow-up care for up to five years.
experimental medication cediranib maleate, given alone or in This clinical trial (#NRG GY005) is being held at Lankenau
combination with the FDA-approved drug olaparib, may stop Medical Center and Paoli Hospital, part of Main Line Health.
the growth of tumor cells by blocking enzymes needed for To learn more, contact the Cancer Trials Team at
cell growth. They are comparing the drug regimens to 484.476.2649 or cancertrials@mlhs.org.
standard chemotherapy.
10 WOMEN’S HEALTH SOURCE FALL 2019Help for those annoying leaks TREATMENT
Think you have to live with urinary also offer biofeedback services, which is FOR URINARY
leaks and frequent urges to “go” as
you age? Not true! Mitchell Berger, MD,
another way to train pelvic floor muscles,”
says Dr. Berger.
INCONTINENCE
PhD, who specializes in female pelvic Try to consume fewer foods and bever- AND PELVIC
medicine and reconstructive surgery at
Main Line Health, explains that there are
ages that contain caffeine and artificial
sweeteners, which can irritate the bladder.
DYSFUNCTION
different causes of urinary incontinence and Decaffeinated drinks and sodas can also
Are you dealing with annoying urges
many effective treatments. bother your bladder because they are
and bladder leaks? Main Line Health
acidic. In general, avoid drinking too many
urogynecology experts can identify
Different causes liquids. “But drinking too little can also
the source of your problems and
The two most common types of urinary irritate the bladder,” Dr. Berger says. “If
build a treatment plan that’s right for
incontinence are stress incontinence and your urine is pale yellow, you are drinking
you. Our specialists, including pelvic
urgency incontinence. “Stress incontinence the right amount. If it’s dark yellow, you
floor therapists, manage a range of
is caused by a weak valve that normally aren’t drinking enough. If it’s totally
conditions that affect pelvic health,
keeps the urethra closed during physical clear, you can cut back a bit.”
including:
activity. Symptoms include leaking when
●● Pelvic organ prolapse
you sneeze or exercise. This problem may More treatment options
●● Prolapsed bladder
affect women who have given birth or who Medications are available for treating
●● Bladder dysfunction due
play high-impact sports,” says Dr. Berger. overactive bladder. They interfere with
to nerve problems
“Urgency incontinence, also called over- the nerve signals between your bladder
(neurogenic bladder
active bladder, is a sudden urge to void and brain. But they don’t work for
dysfunction)
your bladder. This can cause a leak before everyone, and some women cannot take
●● Urinary incontinence
you get to the bathroom.” them because of other health conditions,
●● Overactive bladder
like high blood pressure.
●● Painful bladder syndrome
Simple solutions to try first “Botox injections may be the next
(interstitial cystitis)
Your doctor may suggest some simple good option. Botox paralyzes the
solutions to these problems. For leaks bladder muscle and limits the signals
Main Line Health has the largest
caused by stress incontinence, it can help between the bladder and brain,” says
and most experienced team
to lose weight if you are overweight and Dr. Berger. In clinical trials, most patients
specializing in female pelvic
strengthen your pelvic floor muscles receiving Botox had at least a 50%
medicine, reconstructive surgery
with exercises. For overactive bladder, reduction in leakage. About one in four
and pelvic floor rehabilitation.
strategies to calm annoying urges include participants reported that their leaks
For a consultation, call
toe-tapping, pelvic floor exercises and stopped completely.
610.627.4170. Learn more at
extending the time you wait to go to the The most important step to take?
mainlinehealth.org/urogyn.
bathroom. “Main Line Health has full-time “See your doctor,” Dr. Berger says.
pelvic floor physiotherapists on staff. We “There’s no reason to suffer in silence.” ●
mainlinehealth.org MAIN LINE HEALTH 11MAIN LINE HEALTH
Non-Profit Org.
130 South Bryn Mawr Avenue U.S. Postage
Bryn Mawr, Pennsylvania 19010 PAID
Main Line Health
Lorraine DeLuca Placido
System Director, Physician Relations & Recruitment,
Interim System Director, Marketing
Shaun Moran
System Manager, Women’s Health Services Marketing
September 2019 Women’s Health Source is published by Main Line Health.
The information is intended to educate women about subjects pertinent
to their health, not as a substitute for consultation with a personal physician.
© 2019 Printed in U.S.A. Developed by StayWell.
This publication is part of the Women’s Health Source health and wellness
program. You may unsubscribe at any time by emailing whs@mlhs.org.
Proud sponsor of the Main Line Society of Professional Women 018M Printed on Recyclable Paper
A NEW DESTINATION FOR WOMEN’S HEALTH AND WELLNESS:
The Women’s Specialty Center in King of Prussia
Spring 2020 will bring the opening ●● Headache center ●● Skin care
of Main Line Health King of Prussia. ●● Heart and vascular care ●● Urogynecology
The $32 million, 94,000-square-foot facility ●● Imaging services ●● And the new Comprehensive Weight
will serve as a premier destination for ●● Integrative and functional medicine and Wellness Program
enhancing health and wellness in our ●● Lab services
region—especially for women. In collabora- ●● Neurology A demonstration kitchen and specialized
tion with Axia Women’s Health, the facility ●● Orthopedics retail also will be part of the center. ●
will feature a new Women’s Specialty Center. ●● Physical, occupational and speech
“Our focus at Main Line Health—and therapy JOIN US!
our primary focus throughout the planning ●● Reproductive endocrinology See our Calendar of Events on page 7 for
of this new health center—is on delivering ●● Rheumatology and autoimmune health classes and events planned at Main
safe, high-quality care that can help treatment Line Health King of Prussia.
advance the health and wellness of our
community members,” says Jack Lynch,
FACHE, president and CEO, Main Line
Health. “As never before, our patients are
increasingly looking to us not just to help
them live longer lives, but to help them
live longer, healthier lives. This facility will
help our community do just that.”
Located within the building, the
Women’s Specialty Center will focus on the
distinct preventive, diagnostic and treat-
ment needs of women. The center will
address women’s physical, emotional and
wellness needs in a seamless, coordinated
manner embedded within a warm, healing
environment. Some of the services will
include:
●● Primary care, including after-hours
●● Obstetrics and gynecology
●● Breast health
●● Digestive health
●● Emotional wellness
●● Endocrinology
●● Fertility care
●● General surgeryYou can also read
