Healthwaves Southern Edition Fall 2018 by Bayhealth

SOUTHERN DELAWARE EDITION

healthwaves B AY H E A LT H

IN THIS ISSUE: 8

Finding peace of mind close to home

A winning way to go back to school

Paving the way for new information technology

FALL 2018

healthwaves Healthwaves is a quarterly publication of Bayhealth. The information is intended to inform and educate. It’s not a substitute for consultation with a physician. Always consult your physician for individualized care.

Bayhealth does not discriminate against any person on the basis of race, color, national origin, disability, or age in admission, treatment, or participation in its programs, services, and activities, or in employment. If you have any questions, please call JoAnn Davis at 302-744-7405. Bayhealth’s TDD or State Relay number is 1-866-237-0174.

TERRY M. MURPHY, FACHE President and CEO, Bayhealth

JENNIFER DAILEY Writer, Healthwaves

MICHAEL ASHTON, FACHE Vice President of Operations/ Administrator, Bayhealth Milford Memorial

Marketing Specialist, Bayhealth AMANDA DOWNES Writer, Healthwaves Marketing Specialist, Bayhealth

PAMELA J. MARECKI Senior Editor, Healthwaves

GWEN GUERKE Writer, Healthwaves

Assistant Vice President Marketing Communications, Bayhealth

Marketing Specialist, Bayhealth BRANDON HOWIE Photographer, Healthwaves

AMANDA C. BOWIE Editor, Healthwaves

Marketing Videographer, Bayhealth

Marketing Operations Manager, Bayhealth

JENNIFER MYERS Writer, Healthwaves

DANIELLE PRO-HUDSON Editorial Assistant, Healthwaves

Marketing Specialist, Bayhealth

Media Center Coordinator, Bayhealth LEIGH ANN COLEMAN Photographer, Healthwaves

ALICE RAUSCH Contributor, Healthwaves Southern Region Strategy & Brand Program Manager, Bayhealth

Webmaster, Bayhealth

PAUL STECCA Designer, Healthwaves J&P Stecca LLC

IN THIS ISSUE feature story: 4 Ending ●

the nag of knee pain PICTURED ON COVER Terry Gorlich is enjoying her new life living at the beach closer to some of her family members. She credits her successful knee surgery to her positive outlook.

To view Healthwaves online visit: Bayhealth.org/HealthwavesSouth

7 ●

Quality care for families just got more convenient

17 ●

Honoring a pioneer in Milford Memorial’s history

8 ●

Finding peace of mind close to home

18 ●

10 ●

A winning way to go back to school

Spotlight on the Bayhealth Sussex Campus: Paving the way for exciting new information technology

12 ●

Shopping for the right ingredients

20 ●

14 ●

Weighing the risks and benefits of playing a single sport

The historical role of doctors in southern Delaware: A long-time local doctor’s perspective on its progression

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Taking care of caregivers

22 ●

2018 Fall Classes

BAYHEALTH HOSPITAL, KENT CAMPUS

BAYHEALTH MILFORD MEMORIAL

640 South State Street Dover, Delaware 19901 302-674-4700

21 West Clarke Avenue Milford, Delaware 19963 302-422-3311

Letter from the President DEAR NEIGHBORS, Our goal at Bayhealth is to help the members of our communities live their healthiest lives. For some, it may mean undergoing a joint replacement surgery to live a life free from pain, and for others it could mean changing their eating habits to lose weight. This issue of Southern Delaware Healthwaves is filled with stories to inspire you to take control of your health. Terry Gorlich of Lewes, Delaware, suffered from knee pain. She started grocery shopping every day because her knee wasn’t strong enough to do a week’s worth of shopping at one time. That’s when she turned to orthopaedic surgeon Dr. Stephen Manifold and the Bayhealth Division of Orthopaedics. Now Gorlich is living her best life once again. Read her story on page 4. Sometimes medical care can’t wait for an appointment. Bayhealth Walk-In Care, Milford now has expanded hours of service, including weekend hours, to be there for your busy family. Details of the new hours can be found on page 7. And of course our emergency departments in Smyrna, Dover, and Milford are available 24 hours a day, 7 days a week for patients requiring emergent care. Walter Hepford and his wife Sharon have lived just miles away from the Emergency Department at Bayhealth Milford Memorial for years. While they liked living close, they never thought they would need it. Until one day back pain struck so strong, Walter knew it required immediate attention. After a few tests, Walter had the answers he needed about his health and a clear path to recovery. His story is on page 8.

Wallace know this all too well. They met with a Bayhealth dietitian who showed them how to meal plan and lose weight. Learn about how they navigate the grocery store on page 12. Work continues on the new Bayhealth Sussex Campus, which will open in February 2019. In addition to the interior and exterior work, Bayhealth’s Information Technology team has been hard at work preparing for the technology needs of the new campus. Read more about their efforts on page 18. As we move closer to the Bayhealth Sussex Campus opening, we continue to reflect on all that we’ve accomplished at Milford Memorial Hospital. This issue, one of our long-time physicians looks back on how care has changed over the last few decades, and how it will continue to improve. Read more on page 20. These stories and more are featured in this latest installment of Southern Delaware Healthwaves. I hope you enjoy reading them. Sincerely,

Terry M. Murphy, FACHE President and CEO Bayhealth

The start of the fall season can be a challenging time for many parents as they navigate sending their children back to school. Pediatrician Dr. Lowell Scott offers tips for parents on page 10. Each changing season also tends to bring with it the resolve to eat better. Jerid and Tuesday

Ending the nag of knee pain Following years of knee pain, Terry Gorlich decided it was time to consider surgery after she couldn’t even get her grocery shopping done in one trip. And she hasn’t looked back since. Gorlich’s motto: A good outlook leads to a good outcome. Terry Gorlich is full of spunk. After spending nearly 40 years working for the state government in Dover, Delaware, she relocated to Lewes to enjoy retirement closer to some of her grandchildren. She’s spent her days making her new house a home and enjoying the local beach culture. But nagging knee pain was getting in the way of living her life to the fullest. That’s when she asked Bayhealth Orthopaedic Surgeon Stephen Manifold, MD, what she could do to alleviate the pain. “I’ve been a patient with Dr. Manifold for years. When my knee pain first came on we treated it with medication, which worked for a while,” said Gorlich. “But I knew the pain was getting worse and I needed to do something about it.” Gorlich remembers she finally had enough when she found herself going to the grocery store several times a week — she couldn’t finish a full trip in one visit because of the pain. There would be times when she would have to stop shopping because the pain was so unbearable. “I remember it was a dramatic change for me when the pain was just too much,” said Gorlich. “I was active and then suddenly I couldn’t be. I mow my own grass, but then it was taking me three times as long. I loved to garden and then I felt like I couldn’t. I even used to do a boot 4

camp group workout. I loved the atmosphere. But I definitely couldn’t do that anymore. That’s when I knew it was time for a change.”

I LOVE HAVING MY LIFE BACK...I’M MOWING MY GRASS AGAIN. I’VE EVEN PLANTED FLOWERS IN MY GARDEN. AND I CAN’T WAIT TO DO EVEN MORE IN THE GARDEN NEXT YEAR. — TERRY GORLICH

Further tests confirmed the osteoarthritis in Gorlich’s knee had worsened. After another appointment with Dr. Manifold, they both decided Gorlich needed a total knee replacement. During a total knee replacement, an orthopaedic surgeon removes damaged cartilage and bone, and then positions the new implants to restore the alignment and function of the knee. Most patients who undergo a total knee replacement are able to reduce their pain while also improving their ability to do daily tasks again. Gorlich had the surgery earlier this year at Bayhealth Milford Memorial. She started a physical therapy regimen a few weeks before the surgery and continued to go for several weeks after. She did both traditional physical therapy and aquatic therapy. She loved the aquatic therapy so much, she still goes several times a week as part of a maintenance program. — continued on page 6

“One of the reasons Terry has done so well after surgery is her positive attitude and goal-oriented thinking,” said Dr. Manifold. “Terry knew what she needed to do to get the best outcome and she put in the work to achieve that. How a patient approaches that type of surgery is as important as the procedure itself in achieving a good outcome.” “I was apprehensive at first — surgery is scary,” said Gorlich. “But I know my body. I knew I had to do something to get back the life I love. I credit so much of my success following my surgery to the physical therapy. It wasn’t always easy, but it made such a difference. I said from the beginning, a positive attitude leads to a positive outcome.”

WHEN IS IT TIME TO START THINKING ABOUT A JOINT REPLACEMENT? 1 ONCE YOU REQUIRE HELP FOR EVERYDAY ROUTINE TASKS. 2 WHEN YOU FEEL LIKE YOU CAN’T TAKE THE PAIN ANYMORE. 3 WHEN TESTS SHOW SIGNIFICANT JOINT DAMAGE. 4 ONCE YOU’VE EXHAUSTED ALL NONSURGICAL OPTIONS SUCH AS ORAL MEDICATIONS, INJECTIONS, AND THERAPY. 5 WHEN THE PAIN INTERRUPTS YOUR LIFE AND KEEPS YOU FROM THE THINGS YOU LOVE.

If you’re experiencing these symptoms, speak to your doctor about your options. Bayhealth’s Division of Orthopaedics is recognized by the Joint Commission. The division received total knee and total hip certification for Bayhealth Kent General and Bayhealth Milford Memorial from the Joint Commission in January 2017.

TERRY KNEW WHAT SHE NEEDED TO DO TO GET THE BEST OUTCOME AND SHE PUT IN THE WORK TO ACHIEVE THAT. — STEPHEN MANIFOLD, MD

Just weeks after her knee replacement surgery, Gorlich felt like her old self. She’s back to doing the things she loves, even planting flowers in her garden. “I love having my life back. Now I can go downtown and shop or see friends. I can go to the grocery store without any trouble,” said Gorlich. “I’m mowing my grass again. I’ve even planted flowers in my garden. And I can’t wait to do even more in the garden next year. I did this for a better quality of life, and I’ve achieved it. It’s wonderful.” ■ Go to Bayhealth.org/Orthopaedics to learn more about the conditions we treat and treatment options.

Quality care for families just got more convenient Not all patients have a primary care physician (PCP) to see when they’re ill or suffer an injury. Many have a PCP but aren’t always able to get in to see their doctor when needed. Because of this, patients often end up in their local emergency room even though their ailment may not require it. This is where walk-in medical facilities like Bayhealth Walk-In Care, Milford offer another option. Staffed by Bayhealth doctors, nurse practitioners, and a physician assistant, Bayhealth Walk-In Care, Milford offers treatment for minor illnesses and injuries. With a goal of providing better access to medical care, the location now offers extended hours — Monday through Friday from noon to 8 p.m., and weekends from 9 a.m. to 5 p.m.

understands the need for the service; she spent three years working as an emergency room nurse. With the Bayhealth Walk-In Care, Milford patients can find the care they need, and be in and out. “By expanding our hours, we’re better serving the community, and taking pressure off of doctor’s offices and ERs,” Carter said. “I like treating patients, making them feel better and helping put them on the path to good health.” ■ No appointment is necessary. Bayhealth Walk-In Care, Milford is located at 301 Jefferson Ave., Milford, DE 19963. Many insurances, as well as credit cards, checks, and cash are accepted. Call 302-430-5705 for more information.

“Extending our hours helps patients get the medical care they need when they need it,” said Nurse Practitioner Marie Carter, NP-C. “The walk-in is helpful when patients can’t see their doctor during the week or are unable to secure same-day appointments. In those moments, we’re available and here to help them.” An added benefit is the hope that giving patients somewhere to go will decrease how many people go to emergency rooms for non-life-threatening concerns. “We see more common illnesses and injuries like upper respiratory infections, urinary tract infections, ear infections, and rashes,” Carter said. Staff can treat minor injuries such as cuts and abrasions, simple fractures and sprains, and more. Being able to provide walk-in healthcare to patients is important to Carter, who 7

Finding peace of mind close to home Walter Hepford was enjoying a weekend afternoon with his wife Sharon when sudden pain struck. It had them both so worried that they went straight to the Bayhealth Emergency and Trauma Department, Milford Memorial, where they found the peace of mind both were looking for. The Hepfords have lived in Milford for the last 13 years. They relocated from suburban Philadelphia when they were looking for somewhere quiet and affordable to retire. Both Walter and Sharon are ingrained in the culture of community in Milford. They donate their time to the Farmers Market, Art League, and Downtown Milford, Inc., as well as other community initiatives. So when Walter was hit with pain he couldn’t ignore, the Hepfords knew exactly where to go.

Walter explained to the staff at the Emergency and Trauma Department at Bayhealth Milford Memorial that he was experiencing back and flank pain, which he described as unbearable and debilitating. Physician Assistant Dan Kemp, PA-C, took Walter’s vitals, and while they were all normal, he suspected something more was going on. “What I’m most proud of in this case is how quickly and smoothly things progressed,” said Kemp. Walter had a prior history of kidney stones, but he told his medical team he didn’t think this pain was the same. An abdominal CT scan showed Walter was correct. He was suffering from gallstones this time. But there was also something else. “When looking at CT scans, I was immediately concerned with the appearance of Mr. Hepford’s aorta. Ultimately, that reading determined he also had an aortic aneurysm,” said Kemp.

Kemp and his attending physician, Julianne Wysocki, DO, immediately contacted the vascular surgery team at Bayhealth Hospital, Kent Campus. Walter is now receiving care with Bayhealth Cardiothoracic Surgeon Daniel Marelli, MD. Additionally, Walter was also connected with a surgeon regarding his gallstones and the best course of treatment for that issue. He was sent home with medication for his pain and the peace of mind in knowing what was going on. Walter and his wife made a lasting impression on Kemp. “I appreciated the opportunity to care for Mr. Hepford. He and his wife were aware and also understanding of all the steps we needed to take along the way for his care. Unfortunately, I don’t always have the luxury of seeing things go well, so this was a pleasure for me,” said Kemp. Sharon was by Walter’s side the whole time. She recalls how hard it was to watch her husband in pain, but also the comfort she had knowing he was in good hands. “It was awful seeing how much pain Walter was in, and knowing I couldn’t fix it,” said Sharon. “But I felt so much better once we got to the emergency room, knowing that we were exactly where we needed to be. Everyone was so calm, but we could tell how much work they were doing behind the scenes to get answers for us. I was just so impressed with everyone.”

WHEN LOOKING AT CT SCANS, I WAS IMMEDIATELY CONCERNED WITH THE APPEARANCE OF MR. HEPFORD’S AORTA. ULTIMATELY, THAT READING DETERMINED HE ALSO HAD AN AORTIC ANEURYSM. — DAN KEMP, PA-C

Walter echoes a similar sentiment about his time in the emergency department. “I wouldn’t have known about nor done anything about the gallstones or aneurysm if I hadn’t gone to the emergency department,” said Walter. “All the great people working there gave me the answers I needed and helped me find the path to figure everything out. For that, we’re eternally grateful.” ■ If you or a family member need a doctor for routine care, visit Bayhealth.org/Find-A-Doc or call 1-866-BAY-DOCS (229-3627) to be matched with a physician who meets your needs.

WHERE TO GO DURING A MEDIAL EMERGENCY Call 911 if you are experiencing signs of heart attack or stroke. This allows emergency personnel to begin giving lifesaving care immediately, and also allows EMS to alert the hospital to be ready. Go to the emergency department if you experience: • Chest pain • Signs of stroke • Serious burns • Sudden confusion • Seizures • Heavy bleeding 9

A winning way to go back to school As summer winds down, going back to school is top of mind. This may be a time of excitement for some and anxiety for others. Regardless of a child’s age or the nature of their anticipation, Pediatrician Lowell F. Scott, MD, believes that taking steps to prepare can make for a smooth back-to-school transition. GET HEALTH RECORDS IN ORDER Dr. Scott stresses the importance of having all necessary physical examinations and vaccines completed prior to school entry. Schools have become more stringent about this requirement in recent years, and there is a risk that a student without proper immunization records would be

excluded from attending. Take time to schedule medical appointments to ensure that recommended tests are completed well before the first day of school. START THE ROUTINE EARLY Weeks before the start of school, Dr. Scott recommends following the routine that children and adolescents will continue throughout the school year. “They should start going to bed about the time they will normally go to bed for school about two weeks ahead of time,” he says. Getting an adequate amount of sleep leading up to the first week, and maintaining consistent sleep throughout the academic year, is essential for students to feel and do their best. Parents might also consider adjusting meal times and reducing screen time so homework and study time can be reintroduced. “Set a schedule that really mimics what students will deal with while in school — breakfast time, lunchtime, what homework time would be, and limiting video games,” says Dr. Scott.

For first-time preschoolers or kindergarteners, Dr. Scott points out they should be competent in general habits, such as going to the bathroom on their own and washing hands properly, as well as social behaviors. “They should be comfortable interacting with other kids — not being aggressive, understanding boundaries such as personal space, and knowing how to respect others,” he adds. Parents should be reinforcing these behaviors and having conversations with their children months before school starts to ensure they understand the expectations.

DO SOME PREP WORK

HELP THEM ACCLIMATE

BE POSITIVE!

For students facing a school transition, whether attending for the first time or starting at a different school, the acclimation process is even more important. Dr. Scott suggests that parents take children to the school ahead of time for a tour or open house.

Parents should remember to reinforce the positives, says Dr. Scott. School should be an enriching and enjoyable experience, so playing up the fun factor and all that the child has to look forward to is key. Being exposed to new surroundings and making friends may be daunting at first, but children and adolescents can benefit from parents’ optimistic cues and anecdotes about how these experiences can turn out for the best. ■

HELP THEM FACE FEARS Each school year typically brings new teachers, experiences, and challenges. It is natural for a student of any age to be fearful or nervous about the unknown. “For children who may be anxious about getting into the school setting, take them through what their day would normally be so they know what to anticipate,” advises Dr. Scott.

To help alleviate worries about finding friends, do some research to see who else attends the school, explains Dr. Scott. For students beginning at a new school, walking or driving the route beforehand may help increase their comfort level. And a little preparation can go a long way in making school mornings less stressful for all. This includes preparing backpacks and lunches the day before, so everyone is less rushed and in a better frame of mind to start the day.

Talk to your child’s primary care doctor for more tips and tricks to have a winning start to the school year. If you need a doctor, visit Bayhealth.org/Find-A-Doctor of call 1-866-BAY-DOCS (229-3627) to learn about doctors in your area.

Shopping for the right ingredients A three-hour trip to the grocery store changed the trajectory of Jerid and Tuesday Wallace’s lives for the better. Weighing in at 327 pounds, Jerid, along with a 265-pound Tuesday, decided it was time to meet with a Bayhealth dietitian. Bayhealth Nutritional Services team is made up of clinical dietitians, certified nutrition support dietitians, and certified diabetes educators. They offer a full outpatient program to meet the nutritional needs of the community. The team focuses on weight reduction counseling, diabetes counseling, a weight loss support group, infant and child nutrition, and food allergies. After meeting with a dietitian, the Wallaces walked confidently into the grocery store. They followed instructions by shopping for items that were located on the perimeter of the store where produce, meats, dairy, and frozen fruits and vegetables can be found. They learned most foods available in the middle aisles are filled with processed foods high in fat, calories, sugars, and carbohydrates. “We finally knew how to read labels accurately,” said Jerid who says he looked for items with high protein and low sugar. Bayhealth Dietitian Amanda Buehler, RD, LDN, says she encourages people to follow the five-ingredient rule, meaning you shouldn’t purchase any food items that have more than five ingredients. Taking it one step further, “If you don’t know what an ingredient is, don’t put it into your body,” said Buehler.

Jerid is the self-proclaimed cook for his household, and he admits struggling to find foods that were nutritious and would please his family of five. He learned lessons along the way, like the importance of portion control and finding flavorful meats that didn’t require adding condiments. Instead, he cooks with olive oil and fresh herbs and spices. And he purees vegetables like cauliflower to mimic mashed potatoes.

IF YOU DON’T KNOW WHAT AN INGREDIENT IS, DON’T PUT IT INTO YOUR BODY. — AMANDA BUEHLER, RD, LDN

The Wallaces have even made changes to their drink selections. “When we first met with the dietitian, she asked us what we drank,” said Tuesday. “I drank Mountain Dew and sweet tea, not realizing how much sugar was in each.” Now they keep 20-ounce bottles of water readily available, put honey and Stevia in unsweetened tea, use sugar-free creamers for coffee, and choose alternatives like Crystal Lite to flavor water.

PLOT YOUR PLAN TO EATING BETTER Bayhealth Dietitian Amanda Buehler, RD, LDN, shares these quick tips to get you started on your quest to eating healthier: • Keep a food journal

• Have one cheat meal per week

• Focus on small goals

• Know how to read labels and look for high protein with low fat, sodium, and sugar

• Eat smaller portions throughout the day to keep your body burning fat 12

• Follow the five-ingredient rule

• Marinate your foods in fresh herbs and spices • Shop the perimeter of the grocery story • Ditch sugary drinks

In their quest to help their three children make healthier food choices, Jerid and Tuesday keep 100-calorie snack bars, fresh fruits and vegetables, yogurt, and cheese sticks in stock. “We decided we’re not going to have chips, cake, and ice cream readily available,” said Tuesday. “We can still have those things, but it’s a treat for us now, not the norm. Our youngest son Aaron has found his favorite healthy snacks — mandarins, strawberries, and fresh green beans.” To help their children understand portion control, the Wallaces bought lunch containers with serving sizes built in. Jerid also says that helping his family understand how to measure food was important. “You should always measure food,” he said. “Some people use large bowls for cereal and will eat too much because of it. You have to know the correct portions to eat.”

Tuesday has taken Zumba® classes with her daughter and frequents the pool with her son. Jerid is a big advocate of health bands that allow you to track your fitness levels — and he gets quite the workout walking their dog Grizzy, a mastiff. Losing the weight has allowed them to try kayaking. Jerid and Tuesday made these changes to prepare them for weight loss surgery they underwent at Bayhealth in spring 2013. Now living their healthiest lives, Jerid weighs in at 160 pounds and Tuesday at 144 pounds. They keep the weight off by following the guidelines given to them by their Bayhealth dietitian years ago. ■ Stop carrying extra pounds. Get the support you need. Visit Bayhealth.org/Nutrition-Services to learn more.

After making positive changes to their eating and drinking habits, the family turned their focus on fitness. “It’s important to keep our children busy and active,” said Tuesday, who finds that her kids tend to eat more snacks when they’re bored.

Weighing the risks and benefits of playing a single sport Do you have a child or teen that shines in one sport over all others? If your first thought is to encourage him or her to specialize in that sport, you might increase the chance of your athlete getting hurt. A 2017 study published by The American Journal of Sports Medicine shows that athletes are more likely to sustain a lower extremity injury when they play a single sport year-round. Bayhealth Athletic Trainer Taylor Hatfield, ATC, says that all sports involve a repetitive motion. As the athlete goes through those motions it can cause stress that can build up over time and cause overuse injuries. When an athlete plays different sports, stress is limited over a shorter period. For example, a softball pitcher can rest her shoulder and arm for the spring season by playing soccer over the summer.

As the Head Athletic Trainer at Milford High School, Hatfield has seen her fair share of injuries from overuse of muscles, tendons, and ligaments. For those athletes who insist on specializing in one sport, Hatfield recommends getting rest, allowing the body to recover after practice, stretching, hydrating, fueling, and getting ready for the next day. This means athletes shouldn’t do extra reps in the weight room or go for a two-mile run following practice or a game. “Athletes need time to allow their bodies to recover,” said Hatfield. “Often, they will go an entire season without taking any time for rest even when they have muscle aches and pains. Ignoring these signs of discomfort can put the athletes at risk. It’s important for single-sport athletes to take at least two months off from their sport to adequately recover.” Hatfield, who participated in soccer, field hockey, karate, and softball, says there are many benefits to playing multiple sports. “Athletes will be exposed to new environments, be a part of different team dynamics, train numerous parts of the body to be a more versatile player, develop new hand-eye coordination patterns, train their muscles in different ways, and keep them from the boredom that can come with playing one sport,” said Hatfield.

BAYHEALTH’S TAYLOR HATFIELD, ATC, IS THE HEAD ATHLETIC TRAINER AT MILFORD HIGH SCHOOL, WHERE SHE WORKS WITH STUDENT ATHLETES TO ASSESS, MANAGE, TREAT, REHABILITATE, AND RECONDITION THEM THROUGHOUT THE SCHOOL YEAR.

IT’S IMPORTANT FOR SINGLE-SPORT ATHLETES TO TAKE AT LEAST TWO MONTHS OFF FROM THEIR SPORT TO ADEQUATELY RECOVER. — TAYLOR HATFIELD, ATC

No matter if your child is a single- or multi-sport athlete, Hatfield says cross-training can help activate muscles in different ways. “Cross-training is a type of exercise regimen that uses several types of training to develop a specific component of fitness,” she explained. “Cross-training spreads the stress over additional muscles and joints. Athletes are able to exercise more frequently, for longer durations, and without repetitive stress to one part of the body.” For mental health and to deter burnout, Hatfield suggests that athletes also need to rest their minds by learning to cook, fishing, helping in the yard, weight lifting, reading a book, or finding a different downtime activity. “Whatever the activity, it needs to be enjoyable,” she said. Hatfield’s final bit of advice to athletes is to stay hydrated, stretch more than you think you need to, have rest days, and don’t wait until the pre-season to get in shape. “Listen to and take care of your body,” said Hatfield. “One injury can change the trajectory of your ‘sports picture’ as it did mine.” ■ When injuries strike, Bayhealth Sports Medicine Therapy offers therapy services to get athletes back in the game. Visit Bayhealth.org/Sports-Medicine to see how we can help you recover.

SOPHOMORE ALEX HERKA FOCUSES ON SHOULDER CONDITIONING TO PREPARE HIM FOR A HEALTHY LACROSSE SEASON. JUST ONE POINT SHY OF HIS 100TH CAREER LACROSSE GOAL, HERKA IS READY TO MAKE HIS RETURN TO THE FIELD IN THE 2018-2019 SEASON.

Taking care of caregivers The role of caregiver can take on many forms. From feeding, dressing, grooming, and bathing to grocery shopping, providing transportation, and giving medication, the role is varied, challenging, and time-consuming. When a patient is discharged from one of our hospitals, it’s often up to the patient’s spouse, child, or other relatives or friends to assume a full-time caregiver role. Bayhealth offers a Palliative Care Program at Bayhealth Hospital, Kent Campus and Bayhealth Milford Memorial. The program places a focus on the health of our patients as well as their caregivers to give them the tools, guidance, and support needed for the road ahead. PALLIATIVE CARE EXPLAINED Palliative care is specialized medical care for patients living with a serious illness. The aim is to provide relief of pain, lessen physical and emotional stress, and improve the quality of life for patients and their caregivers. During a patient’s inpatient stay, the Bayhealth Palliative Care team consults with the patient and caregiver to create a tailored plan of care. Often confused for hospice care, palliative care is appropriate for all stages of any illness and can coincide with curative treatment. ROLE OF THE CAREGIVERS There are 43 million caregivers nationwide. The support they provide is invaluable. “We value family and caregivers and see them as part of the healthcare

team,” says Palliative Care Nurse Practitioner Suzette Flores, DNP, BSW, APRN, NP-C. The palliative care meetings help the patient and caregiver understand how an illness will progress, the treatment plan, what to expect, and how to make preparations for future needs. They also talk about the patient’s goals and wishes, and help the patient and caregiver tailor a life around those expectations. SUPPORT TO CAREGIVERS Caregivers spend so much time taking care of their loved one, their own needs often go unmet, leading to caregiver burnout. They’re exhausted — physically, emotionally, and mentally — and this can affect the patient’s care. During palliative care meetings, the staff assesses the willingness and ability of caregivers to fulfill the role. This includes finding resources to help them, answering questions, educating on the patient’s care, and identifying potential stressors. “What we find is caregivers in palliative care are more capable of navigating effective interventions and experience a sense of comfort through spiritual and psychosocial support within the framework of what we can offer,” Flores said. “If the caregiver feels supported, it ultimately improves the health of the patient.” ■ Palliative Care is an inpatient program. Referrals into the program come from a hospital-based physician. Visit Bayhealth.org/Palliative-Care for more information.

Honoring a pioneer in Milford Memorial’s history The Hollands have a long-standing history in the Milford community. At age five, Dr. Ilona Holland moved to southern Delaware with her mother, Ilona T. Szucs, MD, who was hired to work as a pathologist at Milford Memorial Hospital. She met the Honorable Randy Holland at Milford High School. They would later marry and raise their family in Milford. Ilona Holland received her master’s in reading from the University of Delaware in 1978, and then completed her doctorate at Harvard University. She later commuted from Milford to teach at Harvard Graduate School. Today, she is an author of children’s books. Randy Holland has an equally impressive resumé. He is the youngest person to be appointed to the Delaware Supreme Court and also the longestserving justice in Delaware history — serving for more than 30 years. Prior to his work for the Delaware Supreme Court, he served as legal counsel for Milford Memorial Hospital. He is currently a member of the Bayhealth, Inc. Board of Directors and the author of numerous publications.

not a complainer, but I know it wasn’t easy. She paved the way for many professional women with grace, determination, and very high standards. The work she did in the lab really made a difference.” Dr. Szucs’ love for Milford Memorial Hospital is one of the reasons the Hollands chose to make a donation to the Campaign for Bayhealth — Phase III. “While she made a tremendous impact on the hospital, she also appreciated the many opportunities the hospital granted her. She was a role model and a mentor for many,” said Randy. “I couldn’t have asked for a better role model,” said Ilona. “We are so pleased to dedicate space in the new Bayhealth Hospital, Sussex Campus to acknowledge her work.” ■ Visit BayhealthSussex.org for more information about the new Bayhealth Sussex Campus.

A PIONEER IN THE MEDICAL FIELD The Hollands credit many of their accomplishments to life lessons they learned from Dr. Szucs, who was the first female member of the Milford Memorial Hospital medical staff.

DR. SZUCS WAS THE DIRECTOR OF THE MEDICAL LAB FOR MORE THAN 25 YEARS. “She was a pioneer,” said Ilona Holland. “Under her leadership, the Milford Memorial laboratory became the first in the state to be accredited by the College of American Pathologists. My mother was 17

SPOTLIGHT ON THE BAYHEALTH SUSSEX CAMPUS

Paving the way for exciting new information technology Nearly three years ago, Bayhealth’s Information Technology Infrastructure leadership began working with CannonDesign to design the data center and structured cabling and network infrastructure components for the new Bayhealth Sussex Campus. In February 2018, these elements began to take shape when a team of Bayhealth network engineers started configuring and building the infrastructure for the new Bayhealth Hospital and Outpatient Center, Sussex Campus. Most of the preliminary work was completed inside a secured space at Bayhealth Hospital, Kent Campus, and later everything was moved and installed in the new facility. This was an important step, as it allowed staff to test the equipment before it was installed. “The pre-configuration work also set the stage for a smoother, plug-and-play type installation, with only minor adjustments needed once it was put into the Sussex Campus data center,” explained Bayhealth Director of Infrastructure Support Jim Welsh. CATALYST FOR OTHER BUSINESSES IN SOUTHERN DELAWARE The Bayhealth IT team worked with a leading fiber vendor to have 14 miles of fiber optic cable built between Harrington and Milford. The new fiber optic cable not only guarantees patients receive the best care and service possible, but it also allows for other businesses in the northern part of Sussex County and southern Kent County to tap into broadband and fiber capabilities.

“Over the years, the state of Delaware has placed a high priority on high-speed connections and broadband capability across the state, so this just links into the broader state initiative,” said Bayhealth Vice President and Chief Information Officer Richard Mohnk. The new fiber optic cable also established a second path of highly reliable network connectivity between the Bayhealth Kent Campus and the Bayhealth Sussex Campus, meaning if one data network fails, there is a backup in place. HIGHLY RELIABLE SYSTEMS In addition to the highly reliable data network that was created via the new fiber path between the two Bayhealth campuses, backup equipment and systems were purchased and installed. Therefore, if one piece of equipment or system fails, there’s another one that can take over. This helps ensure the facility stays up and running at all times, which is essential for staff to provide top-quality patient care around the clock.

CUTTING-EDGE INTERNET-BASED EQUIPMENT AND SYSTEMS Internet-based, wireless technology was expanded beyond computers and other equipment and systems that are typically hooked into the IT network. New Internet-based components on the Bayhealth Sussex Campus include everything from refrigerators to security cameras to medical equipment. This further demonstrates the organization’s commitment to investing in state-of-the-art equipment and technology that will increase efficiency among the staff and enhance patient care and experience. PEAK PERFORMANCE AND SECURITY In order for all of the equipment and systems to operate at peak levels, networks were designed to separate specific types of traffic. For example, security cameras won’t impact medical equipment, and if one fails, it won’t affect another. This separation also limits potential security issues and increases patient safety. PRIVATE DISTRIBUTED ANTENNA SYSTEM (DAS) Bayhealth will have its own Distributed Antenna System (DAS) for the first time ever when the Bayhealth Sussex Campus opens. The DAS guarantees adequate multi-carrier cellular service is available throughout the campus. It also supports paging and the two-way radios used by Bayhealth’s Public Safety, Plant Operations, and Materials Management departments, as well as Emergency Medical Services (EMS). The Bayhealth Sussex Campus will be a secondary data center for the organization as a whole. This provides opportunity for growth and additional system and application disaster recovery options. ■ Visit BayhealthSussex.org to learn more about the new Bayhealth Sussex Campus.

BAYHEALTH PLANS TO PURCHASE PROPERTY ON ROUTE 9 FOR FUTURE GROWTH Bayhealth has entered into an agreement to purchase 18 acres of land along Route 9 at the intersection of Hudson Road in Sussex County.

“We are excited to expand our footprint in southern Delaware,” said Bayhealth President and CEO Terry Murphy, FACHE. “As more services are available on an outpatient basis, we hope that one day this property will allow Bayhealth to expand access to care, improve convenience, and add choices for the rapidly growing population of consumers seeking high-quality healthcare services in Sussex County.”

THE HISTORICAL ROLE OF DOCTORS IN SOUTHERN DELAWARE

A long-time local doctor’s perspective on its progression Bayhealth Primary Care Physician Vincent Lobo, DO, DACFD, has been practicing medicine in southern Delaware for nearly five decades and has served in numerous other positions in the community. Given his extensive experience, Dr. Lobo is well suited to share how being a doctor and providing healthcare in southern Delaware has changed over the years. CARING FOR PATIENTS IN MANY PLACES When he opened his medical practice in Harrington in 1967, Dr. Lobo worked 10–12 hours per day, six days per week, and saw roughly 45–50 patients per day. Afterward, he would take care of any house calls (an average of two per week), provide coverage for three area nursing homes, and then be on call. He

also served as a doctor at the Delaware State Fair because there were not any paramedics at the time. “I would receive calls on the telephone beside my bed all through the night,” said Dr. Lobo. “After office hours, I had to call the hospital to see if there were any calls for me. In the late ’70s or early ’80s, the beeper system began, but you still had to find a phone. I remember one time I got paged while I was out and it was pouring rain. I finally found a pay phone, but I got drenched.” Dr. Lobo says his favorite thing about house calls was getting to know the patient and their family on a personal level. “Even today, I enjoy hearing about their families.” SPECIALISTS CHANGE ROLE OF FAMILY MEDICINE Dr. Lobo says during the late ’60s and early ’70s he would do minor surgeries in his office, because there weren’t many specialists at the time. “For example, there were not any orthopaedic specialists in Kent and Sussex counties. Eventually, a general surgeon who did some orthopaedic work came on board. Prior to that, one orthopaedic surgeon would come down from Wilmington once per week. We also only had one psychiatrist, and there weren’t any cardiologists back then. There was a family medicine doctor in Milford who also did a lot of internal medicine work at the hospital. Now, we have many specialists available, including nephrologists, cardiologists, and so on.” Additionally, there’s a closer relationship between doctors and the hospital care team today — mostly because of hospitalists. “Before the hospitalists, I would align myself with the internists, and they would take care of my hospitalized patients,” explained Dr. Lobo. “The cooperation among the doctors and specialists, as well as hospital staff, today is excellent.”

BACK WHEN I WAS IN MEDICAL SCHOOL, THE FOCUS WAS ON PHYSICAL DIAGNOSIS. NOW THERE IS A GREATER EMPHASIS ON LABS AND TECHNOLOGY. — VINCENT LOBO, DO, DACFD

TECHNOLOGY CREATES FASTER RESULTS New technology has made a significant impact on how doctors practice medicine. “Technology is fantastic,” said Dr. Lobo. “Years ago, you had to send patients to the hospital for an x-ray and wait a long time for the results. Now, they can go next door [to an Outpatient Center] and have one, and you get the results right away. This is also true for EKG methods, which are much quicker, and MRI and CT scans and other advancements in diagnostic imaging have eliminated the need for exploratory surgery.” “Lab availability is much better these days as well,” he added. “Sometimes you can get results the same day. It used to be several days, or even weeks, before you would get results from the lab.” CHANGES IN EDUCATION AND ROLES IMPROVE PATIENT CARE Dr. Lobo also remarked on changes in training and education and the role of the doctor in patient care. “Back when I was in medical school, the focus was on physical diagnosis. Now there is a greater emphasis on labs and technology. Computer skills are also important, especially for the medical assistants. The doctor used to be the head of the ship, but now patient care involves a real team approach. Doctors, nurses, medical assistants, technologists all work together. This has greatly improved the quality of care for the patient.” ■ Visit BayhealthSussex.org to learn more about the new Bayhealth Sussex Campus and to reflect on the history of Bayhealth Milford Memorial.

THE ROLE OF DOCTORS ON THE BAYHEALTH SUSSEX CAMPUS With the design and construction of the new Bayhealth Sussex Campus, the role of doctors has continued to evolve. As part of the project, many Bayhealth doctors recognized and weighed in on the impact the design of the new facility will have on the patient experience. “We had the chair of the anesthesia department working with support services, such as laundry and materials, to maximize the efficiency of the design of the new hospital,” said Bayhealth Milford Memorial Vice President of Operations/Administrator Michael Ashton, FACHE. “Everyone’s input has been important.” A new medical office building on the site — The Nemours Building — will also bring more doctors to the Bayhealth Sussex Campus, creating convenient access for care in Sussex County. It’s scheduled to open in 2020.

VISIT BAYHEALTH.ORG/CLASSES FOR A COMPLETE LIST OF CLASSES AND EVENTS.

Maternity BIRTH INN AND BEYOND TOURS AT MILFORD MEMORIAL Come for a tour of our unique facility, where we offer the convenience of birth and recovery in the same private room. For more information, call 302-430-5739. BREASTFEEDING 101 Come learn the basics about breastfeeding. Support persons are encouraged to attend. This class is offered the first Tuesday of every month at Milford Memorial and the third Tuesday of each month at Bayhealth Hospital, Kent Campus. Visit Bayhealth.org/Classes to register. BREASTFEEDING SUPPORT GROUP While breastfeeding is natural, it’s not always easy for new moms. Our Breastfeeding Support Group offers an encouraging environment. For more information, call 302-744-7233.

MOVE ON OVER 5K RUN/WALK Join us on Saturday, Nov. 17, for the Move on Over 5K Run/Walk. This point-to-point race will have you starting at the new Bayhealth Sussex Campus, where you’ll be bussed to Milford Memorial for the start of the race. This symbolic race will celebrate more than 100 years of caring for our community at Milford Memorial and celebrate what’s to come as the new Sussex Campus nears completion in February 2019. Run over to Bayhealth.org/Race to get all of the details and to register.

SOUTHERN DELAWARE HEART WALK Bayhealth is walking for a cause again at this year’s Southern Delaware Heart Walk. The first walk is Oct. 13 in Georgetown at the Delaware Technical Community College Owens Campus. The second walk is Oct. 20 in Dover at the Delaware Technical Community College Terry Campus. Registration starts at 8 a.m. and the walks begin at 9 a.m. Go to Heart.org/SouthernDEWalk to sign up.

Weight Loss SURGICAL WEIGHT LOSS INFORMATION SEMINAR Learn more about the Bayhealth Bariatric Program including the Laparoscopic Roux-en-Y Gastric Bypass and the Laparoscopic Sleeve Gastrectomy. Find out about the risks, benefits, and outcomes. Meet the surgeons and staff of the bariatric program, ask them questions, and see if you meet the criteria for bariatric surgery. These seminars are free of charge and all are welcome. To register, call the Bayhealth Bariatric Office at 302-430-5454.

Screenings CLINICAL BREAST EXAMS A clinical breast exam is a physical examination done by a healthcare practitioner trained to notice abnormalities in the breast tissue. Bayhealth offers free clinical breast exams to the community. Registration is required! To register, call Harriet Pinkston at 302-744-6528.

2018 FALL CLASSES

Go Pink! WITH BAYHEALTH & THE DELAWARE BREAST CANCER COALITION.

ORDER 2018 YOUR T T-SHIR Y! TODA

MAMMOGRAMS Each month, Bayhealth hosts regular mammogram screenings at multiple locations at no cost to those who are uninsured or underinsured. To register, call 302-430-5143 or 302-744-6528.

Healthy Aging A MATTER OF BALANCE A Matter of Balance is an award-winning program designed to manage falls and increase activity levels in older adults. The program is free, but registration is required! To register, visit Bayhealth.org/Classes or call 302-744-7135 or 1-877-453-7107. STEPS CARDIOVASCULAR CLINICS Your personal numbers — blood pressure, heart rate, pulse oximetry, and weight — can tell you

DON’T MISS THE 2018 GO PINK HEALTH FAIR! Join us on Friday, Oct. 5, from 10 a.m. to 2 p.m. at the Bayhealth Women’s Center, 540 S. Governors Ave., Dover, for free screenings, clinical breast exams, and information on cancer treatment and survivorship programs. Petch and Jhas from Eagle 97.7 will be doing a live broadcast to raise awareness of breast health. Purchase your own Go Pink! shirt at the Retail Shops at Bayhealth or visit BayhealthFoundation.org to place your order online.

a great deal about your health. Bayhealth nurses take careful readings when you come to one of our STEPS clinics. And it’s free! For more information, call 302-744-7135. STEPS EDUCATION LECTURES Led by expert speakers, these lectures cover a wide variety of health topics targeting the 50+ age group. For more information, visit Bayhealth.org/STEPS or call 302-744-7135.

Lung Care BETTER BREATHERS This support group is for people with chronic obstructive lung disease and their family members. For more information, please call Respiratory Therapy Navigators Crystal Hiser, RRT, at 302-744-7661 or Elizabeth Hurley, RRT, at 302-430-5902.

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