Hallmark Health System Magazine Fall 2014 importance primary care The of From the CEO Thank you for taking the time to read through the fall issue of Hallmark Health System Magazine. I hope that you and your loved ones enjoyed all that the summer had to offer and stayed healthy while doing so. In this issue, we highlight the importance of primary care. Our primary care physicians offer a special level of care and services focused on the personal needs of their patients. Building a strong relationship with your primary care physician is important to ensure that you are getting the most from the comprehensive services we offer. By teaming up with your primary care physician, you can take an active role in your own care. Also in this issue, learn about the Hallmark Health System Vein Center at Melrose-Wakefield Hospital, our awardwinning mobile food market and more. These stories are just a small sample of the robust community programs and services Hallmark Health System offers the region. If you are already a patient of Hallmark Health System, I thank you for entrusting us with your care. If not, I urge you to consider checking out our website to learn more or come for a visit to see what we are all about. Our organization is full of dedicated physicians, nurses, therapists and support staff who come to work each day intent on making a difference and helping people. Whether it’s for a quick outpatient visit or a long hospital stay, our staff is here to help you. We hope you will give Hallmark Health System the privilege of serving you and your family. To learn more, please visit www.hallmarkhealth.org. Michael V. Sack, FACHE President and Chief Executive Officer Hallmark Health System 2 Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org Primary care plays primary role in keeping patients healthy Primary care physicians are key partners in patients’ health. By jointly developing individualized care plans, primary care physicians engage patients in taking an active role in their own care. They do this in three key ways: coordinating care, maintaining a comprehensive repository of patient records, and offering long-term management of chronic conditions. Houtan Golzari, MD, an internist in the Revere office of Hallmark Houtan Golzari, MD Health Medical Associates (HHMA), agreed and said that his role in keeping patients healthy includes prevention as well as diagnosis and treatment. “An important prevention measure, in addition to routine physical examinations, is to work with my patients to ensure they receive all recommended tests, screenings and immunizations based on their age and family history,” he said. “I also assist my patients who smoke to quit.” y g hy And what is the secret to a good relationship between patients and their primary care physicians? “Providing quality care and having respect for patients and their families,” he added. About Hallmark Health Medical Associates Hallmark Health Medical Associates (HHMA) comprises more than 70 physicians and nurse practitioners in family medicine and internal medicine plus specialties including obstetrics/gynecology, gastroenterology, surgery, endocrinology, hematology/oncology and infectious disease. HHMA has 23 offices in nine northern Boston suburbs: Malden, Medford, Melrose, Reading, Revere, Saugus, Somerville, Stoneham and Winthrop. HHMA is part of Hallmark Health System, which includes Lawrence Memorial Hospital of Medford, Melrose-Wakefield Hospital and Hallmark Health VNA and Hospice. SCHEDULE APPOINTMENTS ONLINE WITH ZOCDOC Hallmark Health Medical Associates (HHMA) now offers online appointment-scheduling through ZocDoc. Online scheduling offers many advantages for patients, including: 1. Convenience. Patients can schedule an appointment 24/7 rather than having to call during busy office hours. 2. Reminders. Appointments are added to a patient's electronic calendar and email and text reminders are sent. 3. Access and timeliness. Patients can view appointment availability and schedule times convenient for them. “Our offices field more than 130,000 calls a year for scheduling,” said Rob Wasserman, HHMA chief operating officer. “Patients who use ZocDoc can streamline the process for themselves, and fewer scheduling calls into our offices mean better access for patients who call us for other reasons.” To learn more, visit www.hhma.org. Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org 3 Vein Center takes comprehensive view of varicose vein diagnosis and treatment Varicose veins are quite common. Between 15 and 20 percent of all adults have them. In people (particularly women) over 50, the incidence jumps to 50 percent. Many people consider varicose veins to be a cosmetic problem. If left untreated, however, they can lead to leg swelling and pain, blood clots, skin changes such as discoloration or thickening and, occasionally, open sores (ulcerations) that do not heal. The Hallmark Health System (HHS) Vein Center at MelroseWakefield Hospital diagnoses and treats the full spectrum of venous diseases. Leading the Vein Center team are two highly qualified interventional radiologists – Neil Denbow, MD, and Wayne Wivell, MD – who have extensive experience in treating venous disease. In fact, Denbow is one of the pioneers in the utilization of minimally invasive technology to treat varicose veins. The rest of the treatment team includes experienced nurses, vascular ultrasound technologists and a patient 4 liaison/navigator who work together to provide highly coordinated care. “Because of our team approach and our focus on coordination of care through our patient navigator, we are able to see patients quickly,” said Karen Kelleher, administrative director of the Vein Center. The HHS Vein Center is distinguished by its comprehensive focus, from initial diagnosis through a range of minimally invasive treatment options. For each patient, an ultrasound confirms the diagnosis of venous disease, necessary paperwork and insurance approval are processed by the patient liaison and the appropriate minimally invasive treatment option is offered. Potential non-surgical treatment options include catheter ablation, injection sclerotherapy and ambulatory phlebectomy – all same-day treatments. “In all cases, our goal is to provide the most effective, long-lasting and minimally invasive treatment options for our patients,” said Denbow. To learn more about the center, visit www. hallmarkhealth.org and select “Programs.” Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org In her own words Sandra Reyes, 44 Malden This summer I went in for my annual mammogram at MelroseWakefield Hospital. I do it every year, but the appointment is made so far in advance that I don’t give it much thought until the night before or day of. That was the case this time, too. What was different this time, however, was I got a call soon after my appointment saying the mammogram detected an abnormality and I needed to come back for an ultrasound. This time I would be seen at the Comprehensive Breast Center in Stoneham. They were able to give me an appointment the next day, which was great and really helped ease my growing concerns and anxiety. From the second I walked into the center I was impressed. The staff was amazing and went over everything, step-by-step, and made me feel very comfortable. I had the ultrasound, which also showed an abnormality so an appointment for a needle biopsy was made. Again, the center was able to give me an appointment within the week, which was great. You don’t want to have to wait for these things. ‘They were thoughtful, caring and made me feel special.’ When I came back to the center I was nervous. I met with Dr. Olga Efimova before the procedure. She went over everything and assured me she’d take care of me. That really struck a chord with me and put me at ease. She was so good at explaining what was going to happen. During the biopsy, I got really anxious and felt like I was going to be sick or pass out. I voiced this to Dr. Efimova and she talked me through it and reassured me I would be OK. It was incredible how well she handled it. She came to see me out in the waiting area afterward to make sure I was OK and the staff even followed up with a phone call later that day. They were thoughtful, caring and made me feel special. The needle biopsy showed I had a fibroadenoma, which thankfully is not cancerous. They tagged the area and I will go back in a few months for follow up. I cannot say enough about the Hallmark Health System Comprehensive Breast Center. I tell everyone I know about my experience. I have only good things to say about the care I received there. Comprehensive Breast Center • 781-224-5806 Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org 5 Meet Jennifer Lin, DO What motivated you to become a doctor? Growing up in a family of doctors, it wasn’t hard to become curious about life sciences at a very early age. My general surgeon grandfather’s idea of babysitting was taking me on rounds with him at the hospital. While in college I did medical research and volunteered at my own family doctor’s office. I quickly realized that I loved interacting and connecting with a wide variety of people. Why did you choose to specialize in family medicine? While in medical school, I realized I love to see patients of all ages from newborns to geriatrics. I really enjoy treating an entire multi-generation family, watching the kids grow and also being there for whatever aging has to bring. I am osteopathically trained and I believe in seeing the body as a whole and not focusing on just one of its parts. Why do you choose to practice at Hallmark Health? Hallmark Health is known for its high level of medical care and high patient satisfaction. Also, after finishing my residency, it was important to me to find an institution that supports practicing full-scope family medicine with osteopathic manipulation. I look forward to working with my new colleagues and starting my new practice in Malden with Hallmark Health. What is the most rewarding part of being a physician? There are many rewards that make the long hours worth it. One of the most satisfying experiences of primary care is being able to prevent progression of diseases and discover illnesses soon enough to make a difference. If you could have lunch with anyone, who would it be? The “Despicable Me” Minions – they make me smile no matter what. What do you do for fun when you aren’t caring for your patients? In the summer my husband and I like traveling, kayaking or hiking. In the winter we’ll be hitting the slopes on our skis. 6 Hallmark Health System Magazine | Fall 2014 | www.hallmarkhealth.org Meet Bindiya Thakkar, MD What motivated you to become a doctor? My dad wanted to be a doctor. So the initial inspiration came from him. Then through some childhood experiences, I came across doctors who were not only great physicians, but great people and loved what they did. I wanted to become like them. Why did you choose to specialize in endocrinology? I find endocrinology to be a very fun and stimulating field; it’s like constantly solving puzzles. It’s very rewarding both for the patient and the physician once the pieces are all together. Why do you choose to practice at Hallmark Health? I wanted be a part of an organization that gave compassionate and quality care to their patients, and Hallmark Health is just that. What is the most rewarding part of being a physician? The satisfaction and joy that comes with making patients’ quality of life better. If you could have lunch with anyone, who would it be? My husband. Our 22-month-old twins keep us very busy… What do you do for fun when you aren’t caring for your patients? Cooking or spending time with family. Hallmark Health System Magazine | Fall 2014 | www.hallmarkhealth.org 7 Mobile market offers fresh, healthy food to families in need It’s like a farmer’s market. Only it’s free to hundreds of families in Malden, Medford, Everett and surrounding communities who experience food insecurity. In these three cities alone, it’s estimated that more than 16,000 people are food insecure, which means they don’t have reliable access to enough affordable and nutritious food. For the past two years, Hallmark Health System (HHS) and the Greater Boston Food Bank (GBFB) have sponsored a mobile food market at the North Suburban Women, Infant and Children (WIC) office on Commercial Street in Malden. The GBFB is the program’s lead partner, providing and delivering the food, supplies and materials, conducting basic foodservice training and tracking data. Other partners include the Malden Zonta Club, a community service organization whose volunteers accept and sort the food, and the City of Malden, which provides police details to help with traffic management. Items in a recent The market is open from 1-2 p.m. on the second Saturday of each month and serves 600700 families. But long before that, volunteers are sorting and counting food and setting up the market. Nutritionists from the WIC program, staff and interpreters are on hand to answer questions. Often, HHS staff come to offer health education or a free screening. “Although the market’s primary purpose is providing free healthy, fresh, nutritious food, we also try to help with other issues and connect participants to needed resources,” said Eileen Dern, RN, HHS director of Community Services. “For example, last fall we administered 150 flu vaccines and many participants said this was the first time they’d ever gotten a flu shot.” The market has received statewide and national recognition – a Healthy Communities award from the Massachusetts Department of Public Health and a “Program of Promise” Service Award from Jackson Healthcare. But it’s the recognition from mobile food market shoppers that’s more important to Dern. “One mom told me the food she gets at the market can feed her family for several days. A man with diabetes told me having healthy food helps him keep on track. Others have said they couldn’t afford to buy fresh fruit and vegetables. We see this as a different way to approach health, to connect to the community, and to fill a need.” 8 Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org mobile food market “shopping cart” for a family of four: Yogurt Juice boxes Flatbread Lima beans Grapefruit Oranges Sweet potatoes Potatoes Onions Cabbage Apples Stride for Healthy Communities a success Hallmark Health System employees and supporters came out on a sunny Saturday morning in June for the Stride for Healthy Communities at Lake Quannapowitt in Wakefield. The event featured a three-mile walk around the lake and family-fun activities. This year’s event raised more than $25,000 for cancer care, cardiology programs, emergency services and the North Suburban Child and Family Resource Network. The walk is planned again for Saturday, June 6, 2015, at Lake Quannapowitt. Thank you to our sponsors: Hallmark Health System Medical Staff Jennifer S. Wu, M.D. Action Ambulance Service, Inc. Boston Medical Center HealthNet Plan Melrose Cooperative Bank New England Coffee Optum Promotional Solutions, Inc. Right at Home North of Boston Local. Social. Connected to the Community. Another way we can be your community health resource – join the conversation on Hallmark Health social media. www.facebook.com/HallmarkHealth @HallmarkHealth Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org 9 Ask the Physician Assistant What should I do if I’m stung by a bee? Bee stings can cause a wide range of reactions. Typically, the reaction is mild with instant burning at the site, temporary pain, localized redness and swelling. Some people may have a moderate reaction causing increased redness and swelling for a couple of days. People who have severe allergies to bees may develop a rash covering their bodies, have difficulty breathing, experience swelling of the throat and tongue and nausea/ vomiting. They may even lose consciousness. Treatment If your reaction is mild or moderate, remove the stinger by scraping it off the skin with a credit card or something similar. Don’t pinch the stinger. This will inject more bee venom. Then wash the area with soap and water. Apply ice or a cool compress to help with the discomfort. If the area becomes itchy, apply topical hydrocortisone cream (from your local pharmacy) or take Benadryl. Aimee Mitchell, PA, Urgent Care For people with more severe reactions, a bee sting could be life-threatening. Carry an Epi-Pen and use it if stung, then call 9-1-1. For people with more severe reactions, a bee sting could be lifethreatening. Carry an Epi-Pen and use it if stung, then call 9-1-1. 10 Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org What if I find a tick on me? Ticks usually appear in eastern Massachusetts from April to September. When walking in a wooded area or an area with tall grass, wear long pants and long-sleeved shirts, and apply insect repellant that contains DEET. Once indoors, check your entire body including your hair. Don’t forget to look in the armpits, groin, between your toes and behind your knees where ticks often like to hide. If you find a tick, remove it as soon as possible, using tweezers that have a very fine tip. Grasp the tick’s head as close to the skin as possible and pull straight back. Do the same for any remaining small pieces of the tick. Then clean the area with soap and water. Although most ticks are harmless, a few types can cause blood illnesses including Lyme disease. Follow up in the Urgent Care Center if you: • develop a rash where the tick was found • have sore muscles and joints • develop fever or fatigue • believe the tick has been embedded for more than 24 hours. Symptoms of the rash are: • red streaks and patches • itchiness • blisters with weeping then yellow crusting • minor swelling. If you do develop a rash, you can help relieve the itching with cool compresses, topical calamine or hydrocortisone creams and antihistamine medications such as Benadryl (all can be bought at your local pharmacy). Avoid scratching the rash and opening any blisters that may have formed. Seek medical assistance if you: • have difficulty breathing or swallowing • experience swelling around the eyes • have a rash that covers most of the body, face or genitals • see increased redness, drainage or pain around the rash • run a fever. I think I have poison ivy. Poison ivy, poison oak and poison sumac are found in Massachusetts. They produce the same oil, urushiol, which can cause a rash in up to 85 percent of people. Hallmark Health Urgent Care Locations There are three ways you can come in contact with the oil: 1. touch the plant directly 2. touch a pet, gardening tool or other object that has come into contact with the plant oil 3. through the air, if plant material is being burned in the vicinity. Lawrence Memorial Hospital Medford 170 Governors Avenue Next to the Emergency Department Exit 33 off Route 93 After contact, wash with soap and water. Also, wash all clothing worn and any tools/objects. 781-306-6100 The rash usually appears one or two days after exposure to the plant oil. Hallmark Health Medical Center Reading 30 Newcrossing Road Exit 39 off Route 128 781-213-5500 Hallmark Health System Magazine | Fall 2014| www.hallmarkhealth.org 11 NON-PROFIT U.S. POSTAGE PAID N. READING, MA PERMIT NO. 211 Hallmark Health System 170 Governors Ave. Medford, MA 02155-1643 www.hallmarkhealth.org Hallmark Health System Magazine is published by the Marketing & Communications Department of Hallmark Health System. The information in this magazine is not a substitute for medical advice or professional medical care. If you have a question about your health, please consult your physician. If you do not wish to receive this magazine, please call (781) 338-7243 and ask to be removed from our mailing list. Photo credits: Janet Stearns, cover, 2-3, 5, 6, 7, 8, 9 and 10 Lawrence Memorial Hospital of Medford | Melrose-Wakefield Hospital (Melrose) | Hallmark Health System Hematology & Oncology Center (Stoneham) The CHEM Center for MRI (Stoneham) | The CHEM Center for Radiation Oncology (Stoneham) | Hallmark Health Medical Center (Reading) Hallmark Health VNA and Hospice | Lawrence Memorial/Regis College Nursing and Radiography Programs (Medford) | Hallmark Health Medical Associates, Inc. New Physicians For more information on these physicians, search the online directory. Sarah Blake, MD Pain Management Melrose 781-662-7246 Jacob A. Howe, MD Psychiatry Medford 781-338-7270 Partha Sinha, MD Endocrinology Melrose 781-979-3400 Houtan Golzari, MD Internal Medicine Revere 781-286-1313 Jennifer Lin, DO Family Medicine Malden 781-321-3422 Kristin Smith, MD Breast Surgery Stoneham 781-279-1123 Winston Harper, DPM Podiatry Reading 781-944-4044 Jingli Ma, MD Critical Care Melrose-Wakefield Hospital 781-979-3000 Bindiya Thakkar, MD Endocrinology Melrose 781-979-3400
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