Wanda and Terri Faulk, Sisters and Breast Cancer Survivors

Wanda and Terri Faulk

For Wanda Faulk, the hardest part of cancer treatment came on the day she went to her salon to get her hair done for a wedding she was attending the following afternoon. During the appointment, her beautician suddenly emptied out the salon — telling everyone else to go get some food — then pulled Faulk aside and told her that her hair was falling out in chunks. This was a devastating blow to Faulk, who, before treatment, got her medium-length hair done almost every week.

“My mother and sister came to the salon. We cried together for a while, but then I told my beautician to just cut it and we went to Paterson to get a wig. The next day at the wedding, no one was the wiser,” Faulk says.

Faulk had had leakage in her breast and was referred to V. Merle McIntosh, MD, chief of breast surgery. “Upon further screening, she determined I did in fact have breast cancer,” she says.

Faulk underwent chemotherapy and a mastectomy. On the day of her surgery, Dr. McIntosh walked with her to the operating room — a gesture that she remembers and appreciates to this day.

It’s been several years since she finished cancer treatment at Englewood Health. As a long-time breast cancer survivor, she is the person to whom the women in her life turn when they are faced with the same diagnosis. She offers them the understanding that only a fellow woman who has contended with breast cancer can provide. Faulk imparts everything she learned during treatment, and in the years since.

“My treatment was exemplary. Everyone treated me well, from the ER nurses to the cafeteria staff. I refer everyone I know to Dr. McIntosh. My sister received treatment from Dr. McIntosh and so is my friend who was just diagnosed three months ago,” Faulk says.

When Wanda Faulk’s sister, Terri Faulk, was diagnosed just after her 50th birthday, she was shocked and frightened and experienced all the emotions one might expect — but she also had the benefit of having witnessed her sister go through it and survive.

“I’d like to think I was a good example of how not to fall apart. Terri had six-plus weeks of radiation done and, like was the case with me, the team at Englewood treated her extremely well. She made many friends there. They even played Marvin Gaye for her during treatment.”

As for herself, Wanda Faulk has chosen not to grow out her hair since treatment. She keeps it short because, as she explains, she is a changed woman and isn’t going back to who she was before.

Posted January 4, 2019

Lawrence D’Ercole Undergoes Pioneering Treatment for Lung Cancer

Lawrence and Janet D'Ercole

“I’ve been married to my sweetheart, Janet, for 59 years. We have three sons, three daughters-in-law, and nine grandchildren — all I can say is I’m so happy to still be here to see them,” says Lawrence D’Ercole. He made history for being the first patient in New Jersey and one of the first in the country to undergo a new kind of radiation therapy for lung cancer following its FDA approval in April 2018.

The initial symptoms were mild enough — a little weight loss and a cough. So, when he was diagnosed with stage I lung cancer, it came as all the more of a shock to him and his family. “They did a CAT scan and found a nodule on my upper left lung. The patient coordinator at Englewood Health recommended I see Dr. Dubin,” D’Ercole says.

Unbeknownst to D’Ercole, David Dubin, MD, chief of radiation oncology, and Michael Speiser, PhD, chief physicist, had just finished establishing stereotactic body radiation therapy (SBRT) with Varian Calypso® Anchored Beacon® transponders at The Lefcourt Family Cancer Treatment and Wellness Center.

Treating lung cancer with radiation therapy presents challenges. Ideal radiation treatment would target only the exact area of the tumor and no surrounding healthy tissue, but tumors in the lungs are constantly shifting position as the patient breathes. This motion typically requires larger treatment areas to ensure the moving tumor receives the full treatment. SBRT with Varian Calypso allows physicians to insert transponders — which act like a tiny GPS — around the tumor and track its whereabouts during radiation therapy 25 times a second. This makes the process much more precise and simultaneously spares the healthy tissue around the tumor.

“Mr. D’Ercole was a great candidate for this therapy,” says Dr. Dubin. “Not only was his tumor location appropriate, but he happened to be great at holding and controlling his breath, taking in the same amount of air with each inhale. Like any treatment, this won’t be appropriate in every case. Where the tumor is, the size of the patient, and the patient’s lung capacity all play a role. But this treatment should be the standard, in my opinion, simply because of how accurate it is,” Dr. Dubin says.

Two months after finishing radiation therapy, D’Ercole has started to feel better and has been spending a lot of time with his family. “I feel really lucky to have gotten to Englewood Health when I did. I’ve been there for other procedures and everyone is always great. I wouldn’t go anywhere else for treatment,” D’Ercole says.

Posted January 4, 2019

Englewood Health Awarded Advanced Certification for Primary Stroke Centers

December 27, 2018 — After a rigorous on-site review, Englewood Health has earned The Joint Commission’s Gold Seal of Approval® for Advanced Certification for Primary Stroke Centers for the fifth consecutive time since 2009. With this certification, Englewood Health joins an elite group of health care organizations focused on stroke care.

“Earning re-certification of The Joint Commission’s Gold Seal of Approval for Advanced Certification for Primary Stroke Centers is a strong testament to our ongoing efforts to bring the safest, highest-quality, and most technologically advanced care to our community,” said Warren Geller, president and CEO of Englewood Health. “We thank our doctors, nurses, and other staff for their tireless efforts to make us who we are and congratulate them on this recognition of excellence by The Joint Commission.”

Established in 2003, Advanced Certification for Primary Stroke Centers is awarded for a two-year period to Joint Commission-accredited acute care hospitals.

“Englewood Health has thoroughly demonstrated the greatest level of commitment to the care of stroke patients through its Advanced Certification for Primary Stroke Centers,” said Patrick Phelan, executive director, Hospital Business Development, The Joint Commission. “We commend Englewood Health for becoming a leader in stroke care, potentially providing a higher standard of service for stroke patients in its community.”

Ask the Doctors: Dr. Diane Schwartz, Dr. Alexandra Gottdiener, Dr. Samuel Suede, Dr. Jeffrey Cohen

Coughing, sneezing, feasting, treating, tripping, falling—it’s that time of year. Trying to make it through the winter months without putting your health at risk can seem near impossible. But there are some steps you can take to protect yourself, and they might be easier than you think.
The weather might be frightful, but your health doesn’t have to be. Diane Schwartz, MD, Alexandra Gottdiener, MD, Samuel Suede, MD, and Jeffrey Cohen, DPM shared some of their best advice for staying well over the next few months.

Everyone around me is getting sick. What can I do to avoid the winter bug?

Diane Schwartz, MD

Dr. Schwartz: First and foremost, make sure you’re getting enough sleep. Lack of sleep compromises the immune system, and that’s the biggest reason we get sick. Clean surfaces in your home or office that many people touch—refrigerators doors, microwave and faucet handles, and water fountain and vending machine buttons. Never touch your eyes, nose, mouth, or face after touching handrails, doorknobs, or shopping carts in public places. The nose and mouth are the main portals of entry into our bodies for bacteria and viruses.

I think I’m having flu symptoms, but I’m not sure if it’s just a cold. How can I tell?

Alexandra Gottdiener, MD

Dr. Gottdiener: The flu comes on suddenly, typically with a fever, cough, sore throat, muscle or body aches, runny nose, and headaches. A cold comes on gradually and symptoms are not as severe. If you think you have the flu, call your doctor as soon as possible. Medication can help you recover more quickly but is only effective if started within 48 hours of symptom onset.

I’m trying to be more conscious of heart health this year. Where should I start?

Sam Suede, MD

Dr. Suede: There are some pretty simple lifestyle changes you can make to be more heart healthy. Limit your alcohol intake to one drink per day. Prepare food with little or no salt—cut back a little at a time. If you smoke, even casually, make this the time to QUIT. And keep the sweets in your love life, not in your food: Read labels and minimize the amount of sugar you consume in beverages and prepared foods.

I’ve been prone to falls in the winter before. Is there anything I can do to protect myself?

Jeffrey Cohen, DPM

Dr. Cohen: Invest in a good pair of all-weather boots to prepare for rain, snow, and ice. Look for a waterproof exterior and a comfortable, breathable interior. Boots are better than high-quality sneakers because they usually have a high upper portion to properly stabilize your ankle and tendons on unstable terrain. If you’re wearing dress shoes, carry them in a bag and change later, or consider wearing shoe covers with rubber gripping on the soles that you can slip over what you’re already wearing.

Posted December 2018


Do you have a question for a doctor?

From your head to your toes, and everywhere in between, the Englewood Health Physician Network has you covered. Ask a question about your health. Selected questions will be answered in this column.

Ask the Doctor: Dr. Maria Paschalidis

Maria Paschalidis, DO, a family medicine physician, has started seeing patients on Kennedy Boulevard in Union City. Part of the Englewood Health Physician Network, Dr. Paschalidis is fluent in Greek and Spanish.

What is family medicine?

Dr. Paschalidis: A doctor who works in family medicine is able to care for all members of a family, at all ages —the kids, the parents and the grandparents. I was drawn to this field during medical school because I found I was able to get to know my patients much more closely. As a family doctor, you know everything about a family and they get to know you as well. I find my patients are more inclined to trust me and act on my advice if they know who I am and that I’m coming from a good place.

Is it important to see a doctor even if I don’t feel sick?

Dr. Paschalidis: Most of the diseases I see in my practice (prediabetes, diabetes and hypertension) do not cause physical symptoms that would typically prompt a patient to seek medical attention. For instance, a person who feels great on a day-to-day basis and falls within in a normal weight range, may actually be prediabetic, have high cholesterol or be hypertensive. Regular wellness visits allow us to detect an otherwise invisible illness or disease before it becomes a much larger issue down the road.

This is called preventive medicine, right?

Dr. Paschalidis: Right. Preventive medicine is all about getting checked out by a physician before you’ve developed a disease that can only be treated by medication, or other intervention. I encourage people of all ages to come in and get an evaluation so that, if there is a sign of something developing, we can manage it before the long-term consequences of the disease begin to manifest; whether that be a heart attack or stroke.

What advice do you give your patients with prediabetes?

Dr. Paschalidis: Lifestyle changes are hugely important. A regimen of diet and exercise can change everything for someone with prediabetes. I go into great detail with my patients about the specific changes they can make—providing handouts so that patients can refer back to the information after they leave my office. If we find we are unable to get their numbers under control through basic lifestyle changes, there are medicines available that can help prevent the development of diabetes.

How do you typically treat someone with high blood pressure?

Dr. Paschalidis: High blood pressure, or hypertension, is caused by a combination of stress, diet and genetic factors.Early treatment is similar to that for prediabetes—diet and exercise modifications. With hypertension there is the added element of stress, so I encourage patients to do whatever they can to lower their stress levels. In addition to lifestyle changes, most patients will require medication to control their blood pressure.

Posted December 2018


Do you have a question for a doctor?

From your head to your toes, and everywhere in between, the Englewood Health Physician Network has you covered. Ask a question about your health. Selected questions will be answered in this column.

Celebrating Achievements in Patient Safety and Quality

Englewood Health recognizes staff for achievements in patient safety and medical excellence at Celebration of Excellence presentation.

December 21, 2018 — Englewood Health has again been nationally recognized as a leader in providing exceptional and safe patient care by Healthgrades and CareChex®—an information service of Quantros, Inc.—as well as by the American Cancer Society and the NJ Sharing Network. According to an analysis by Quantros, the health system is among the top 10 percent in the nation and in New Jersey for overall medical care, medical excellence, and patient safety in major clinical areas.

At a recent award ceremony held at Englewood Hospital, representatives from Quantros and Healthgrades, another health rating agency, presented medical excellence and patient safety awards in the following clinical areas: cardiac surgery, cardiology, gastroenterology, general surgery, oncology, neurosurgery/orthopedic surgery, vascular surgery, and women’s health.

Additional awards included the Inaugural Community Partner Award presented by the American Cancer Society and the Health Resources & Services Administration (HRSA) Gold Award presented by the NJ Sharing Network. The College of Healthcare Information Management Executives (CHIME) also named Englewood Hospital as One of Healthcare’s Most Wired Hospitals for the fifth consecutive year.

“Receiving national recognition for our care is truly humbling,” said Warren Geller, president and CEO of Englewood Health. “Each and every one of these honors is a testament to the dedication of our staff to ensure that our patients have the best possible experience and outcome.”

Highlights

  • Named Among the Top 5% in the Nation for Patient Safety in 2018 by Healthgrades
  • Recipient of the Healthgrades 2018 Patient Safety Excellence Award
  • One of Healthgrades America’s 50 Best Hospitals for Vascular Surgery in 2019 (Only NJ Hospital)
  • Ranked Top 10% in the Nation for Patient Safety by CareChex for Overall Medical Care, Cancer Care, Heart Failure Treatment, Vascular Surgery, and Gastrointestinal Care; and Top 10% in the Nation for Medical Excellence by CareChex for Major Neuro-Surgery
  • Healthgrades 5-Star Recipient for Hip Fracture Treatment, Carotid Surgery, Vaginal Delivery, and C-Section Delivery

Full Listing of Awards

Hospital Wide

Healthgrades

  • Named Among the Top 5% in the Nation for Patient Safety in 2018
  • Recipient of the Healthgrades 2018 Patient Safety Excellence Award

CareChex Patient Safety Awards

  • Overall Medical Care – Top 10% in Nation; Top 10% in NJ
  • Trauma Care – Top 10% in NJ

CareChex Medical Excellence Award

  • Trauma Care – Top 10% in NJ

Cardiac Surgery

CareChex Patient Safety Awards

  • Coronary Bypass Surgery – Top 25 in Nation; Top 10% in Nation; Top 10% in NJ

Cardiology

CareChex Patient Safety Award

  • Heart Failure Treatment – Top 10% in Nation

Gastroenterology

CareChex Patient Safety Awards

  • Gastrointestinal Care – Top 10% in Nation; Top 10% in NJ
  • Gastrointestinal Hemorrhage – Top 10% in NJ

Healthgrades 5-Star Recipient

  • Appendectomy for 3 years in a row (2016-2018)

General Surgery

CareChex Medical Excellence Award

  • General Surgery – Top 10% in NJ

CareChex Patient Safety Awards

  • Gall Bladder Removal – Top 10% in Nation
  • Major Bowel Procedures – Top 10% in NJ

Healthgrades 5-Star Recipient

  • Gallbladder Removal Surgery

Oncology

CareChex Patient Safety Awards

  • Cancer Care – Top 55 in Nation; Top 10% in Nation; Top 10% in NJ

American Cancer Society

  • Inaugural Community Partner Award

Neurosurgery/Orthopedic Surgery

CareChex Medical Excellence Awards

  • Major Neuro-Surgery – Top 10% in NJ

CareChex Patient Safety Awards

  • Hip Fracture Care – Top 80 in Nation; Top 10% in Nation; Top 10% in NJ
  • Major Neuro-Surgery – Top 100 in Nation; Top 10% in Nation; Top 10% in NJ

Healthgrades 5-Star Recipient

  • Hip Fracture Treatment

Vascular Surgery

CareChex Patient Safety Awards

  • Vascular Surgery – Top 30 in Nation; Top 10% in Nation; Top 10% in NJ

Healthgrades

  • One of Healthgrades America’s 50 Best Hospitals for Vascular Surgery in 2019
  • Named Among the Top 10% in the Nation for Vascular Surgery in 2019
  • Recipient of the Healthgrades 2019 Vascular Surgery Excellence Award

Healthgrades 5-Star Recipient

  • Carotid Surgery

Women’s Health

CareChex Patient Safety Awards

  • Women’s Health – Top 60 in Nation; Top 10% in Nation; Top 10% in NJ

Healthgrades 5-Star Recipient

  • Vaginal Delivery for 3 years in a row (2016-2018)
  • C-Section Delivery for 3 years in a row (2016-2018)

Healthgrades

  • Recipient of the Healthgrades Obstetrics and Gynecology Excellence Award for 3 years in a row (2016-2018)
  • Recognized by Healthgrades for Superior Performance in Obstetrics and Gynecology for 3 years in a row (2016-2018)
  • Among the Top 10% of Hospitals Evaluated for Obstetrics and Gynecology for 3 years in a row (2016-2018)
  • Recipient of the Healthgrades Labor and Delivery Excellence Award  for 3 years in a row (2016-2018)
  • Recognized by Healthgrades for Superior Performance in Labor and Delivery for 3 years in a row (2016-2018)
  • Among the Top 10% of Hospitals Evaluated for Labor and Delivery for 3 years in a row (2016-2018)

Additional Awards

NJ Sharing Network

  • HRSA Award – Gold

College of Healthcare Information Management Executives (CHIME)

  • One of Healthcare’s Most Wired Hospitals (2014-2018)

Ask the Doctor: Dr. Marc Arginteanu

The spine is the backbone of human function. It allows us to stand upright, supports our weight, and enables movement. It also protects the spinal cord, which controls the body. So what can we do to guard it? Dr. Marc Arginteanu, chief of neurosurgery at Englewood Health, shared his advice.

It seems everyone complains about back pain. For those who seek help, what do you see most often?

Dr. Arginteanu: The most common issue in younger, more active people is a herniated disc in the lower back or neck, which can cause pain to run down the leg or arm. In older people, the most common issue is stenosis—pinching of the nerves. It can lead to sciatica and neurogenic claudication (inflammation of the nerves stemming from the spinal cord), limiting walking. It can also cause myelopathy, weakness in the arms and legs.

How can I avoid aches and pains in my back?

Dr. Arginteanu: First, maintain a healthy weight. Fat in males tends to be on the belly, which pulls them forward, putting stress on the spine. Second, don’t smoke. Smoking decreases the oxygen that goes to the spinal discs. Third, exercise regularly, staying active 3–5 times a week. Those who do heavy lifting at work should also see if their employers offer a “back class” demonstrating techniques to prevent injury. And be mindful. Many injuries result from motor vehicle accidents and whiplash, falls down the stairs, or lack of adequate training for seasonal activities.

With the winter weather and holidays here, what should we be aware of?

Dr. Arginteanu: When the holidays and cold weather roll around, we tend to eat more, exercise less, and rush too often. Weight puts stress on the spine, so make healthy diet choices and plan to exercise. Leave yourself extra time to travel and don’t speed if you’re late to a get-together. Wear appropriate footwear and be careful not to slip on ice. If you fall backward, tuck your chin and keep your shoulders, neck, and head off the ground. And when moving heavy gifts or boxes of decorations, lift by bending your knees.

What are the warning signs that a person should seek help?

Dr. Arginteanu: Pain is usually the body’s sign that things aren’t right. But certain conditions like myelopathy can be painless. Progressive weakness or numbness of the arms or legs can indicate a spinal problem—even without spinal pain. Neurogenic claudication can also be painless, but if you have it you may find that you’re able to walk less and less, or experience cramping or weakness in the legs when you do.

Posted December 2018


Do you have a question for a doctor?

From your head to your toes, and everywhere in between, the Englewood Health has you covered. Ask a question about your health. Selected questions will be answered in this column.

Local Bergen County Family Names The Gregory P. Shadek Behavioral Care Center

Gregory P. Shadek Behavioral Care Center dedication
(L-R) Jay Nadel, chairman of the Board of Trustees, Englewood Health Foundation; Thomas Senter, Esq., chairman of the Board of Trustees, Englewood Health; Laurence and Patricia Shadek; Debra Albanese, executive vice president of the Englewood Health Foundation; and Warren Geller, president and CEO of Englewood Health.

December 20, 2018 – The Englewood Health Foundation is the recipient of a leadership gift set to benefit Englewood Health’s new outpatient behavioral health program. The Gregory P. Shadek Behavioral Care Center is named in honor of Gregory Shadek, son of Laurence and Patricia Shadek of Alpine.

“The issue of mental health is real, and the effects it can have on a family and the community are far-reaching. We are proud to support Englewood Health and the many patients that it serves,” says Laurence and Patricia Shadek.

The Gregory P. Shadek Behavioral Care Center — with the primary location at 25 Rockwood Place in Englewood — features a dedicated care team of psychiatrists, licensed clinical social workers, an addiction specialist, and other healthcare professionals. Collaborating with existing nonprofit and governmental agencies, the team has developed an education/prevention program rooted in promoting healthy lifestyles for children and adults living in the community. Such programs will help to address the opioid epidemic, with community training in the use of Narcan, stigma free initiatives, and mental health first aid training programs.

“There is great need for access to behavioral health services in our communities, and Englewood Health is ready to answer the call,” says Warren Geller, president and CEO of Englewood Health. “Through this new outpatient program and thanks to the generosity of the Shadeks, our patients and community will benefit from a stronger clinical team and improved access to services and resources for those struggling with mental health issues.”

According to the National Institute of Mental Health, nearly one in five U.S. adults lives with a mental illness. As such, and to no surprise, a recent community health needs assessment of Bergen County, completed by a consortium of the local hospitals, revealed mental health as one of the top significant health needs with the community.

“Access and affordability are very common hurdles for patients seeking behavioral health services,” says Kathleen Kaminsky, senior vice president patient care services and chief nursing officer at Englewood Health. “Our new outpatient program will help patients access a network of services and establish a continuum of care. Ongoing education, guidance and support are key to improved mental health and we want to lead in the delivery of this care.”

The Englewood Health Foundation raises philanthropic funds to benefit Englewood Health. A $50 million capital campaign came to a successful close earlier this year. “Philanthropy is becoming increasingly important for many nonprofit organizations, including healthcare systems like Englewood Health,” says Debra Albanese, executive vice president of the Englewood Health Foundation. “Healthcare is a round-the-clock commitment and with every new turn, we find better ways to deliver services to our patients. Each investment made translates to new opportunities, and we are grateful to benefactors like Laurence and Patricia for their foresight and commitment.”

Northeast Podiatry Group Joins Englewood Health Physician Network

December 18, 2018 – Northeast Podiatry Group has joined the Englewood Health Physician Network and Englewood Hospital. Its foot and ankle specialists Jeffrey M. Cohen, DPM; Ritchard C. Rosen, DPM; Gregory T. Kaufman, DPM; and Katherine Chen, DPM; welcome new patients to its practice locations in Englewood, Teaneck, and Rockleigh.

“Our team includes specialists in diabetic foot care, foot and ankle trauma, sports medicine, joint replacement surgery, and wound care,” says Jeffrey Cohen, DPM, chief of podiatric surgery at Englewood Health. “By joining the Englewood Health Physician Network, we’ll be able to collaborate more closely with other specialists, such as endocrinologists, orthopedists, and internists, on behalf of our patients. Through a shared electronic medical record and greater coordination of care, we look forward to being a valuable resource for patients and referring physicians alike.”

“We are very excited to welcome Drs. Cohen, Rosen, Kaufman, and Chen to our team of renowned specialists and providers. Their expertise in podiatry will help meet an important need in our community,” said Dr. Stephen Brunnquell, president of the Englewood Health Physician Network. “As our network continues to grow, we remain focused on ensuring that our patients have access to leading care right here, in their own backyard.”

Jeffrey Cohen, DPM

Dr. Cohen is chief of podiatric surgery at Englewood Health and director of the hospital’s podiatric medical and surgical residency program. He is board certified in foot and ankle surgery and is a certified wound specialist. His clinical interests include diabetic foot care, foot and ankle trauma, joint replacement surgery, and wound care. Dr. Cohen received his DPM from the Pennsylvania College of Podiatric Medicine (now Temple University School of Podiatric Medicine) and did his podiatric surgery residency at Memorial Hospital Washington, in Turnersville, NJ. He is a fellow of the American College of Foot and Ankle Surgeons and of the American College of Certified Wound Specialists, and a member of the American Podiatric Medical Society, the American Academy of Wound Management, and the New Jersey Podiatric Medical Society.

Ritchard Rosen, DPM

Dr. Rosen is board certified in foot and ankle surgery. His clinical interests include ankle arthroscopy, diabetic foot and wound care,foot and ankle trauma, joint replacement surgery, reconstructive foot and ankle surgery, radiofrequency ablation and sports medicine. Dr. Rosen received his DPM from the Pennsylvania College of Podiatric Medicine (now Temple University School of Podiatric Medicine) and did his podiatric surgery residency at the Giuffre Medical Center, in Philadelphia. He is a fellow of the American College of Foot and Ankle Surgeons, and a member of the American Podiatric Medical Association, the American Professional Wound Care Association, and the New Jersey Podiatric Medical Society.  In addition to English, Dr. Rosen speaks conversational Hebrew.

Gregory T. Kaufman, DPM

Dr. Kaufman is board certified in foot surgery. His clinical interests include ankle arthroscopy, diabetic foot care, foot and ankle trauma,joint replacement surgery, reconstructive foot and ankle surgery and sports medicine. Dr. Kaufman received his DPM from the New York College of Podiatric Medicine and did his podiatric medicine and surgery residency at St. Michael’s Medical Center/Seton Hall University, New Jersey, where he was chief resident.He is a fellow of the American College of Foot and Ankle Surgeons, and a member of the American Podiatric Medical Association, and the New Jersey Podiatric Medical Society.

Katherine Chen, DPM

Dr. Chen is board certified in podiatric surgery. Her clinical interests include ankle arthroscopy, diabetic foot care, foot and ankle trauma, joint replacement surgery, reconstructive foot and ankle surgery,and sports medicine. Dr. Chen received her DPM from the New York College of Podiatric Medicine and did her reconstructive foot and ankle surgery residency at the University Hospital/University of Medicine and Dentistry of New Jersey,where she was chief resident. She is a fellow of the American College of Foot and Ankle Surgeons, and a member of the American Podiatric Medical Association,and the New Jersey Podiatric Medical Society. In addition to English, Dr. Chen is fluent in Chinese and Spanish.

Northeast Podiatry Group offers a full complement of podiatric services to help patients maintain healthy feet, including foot surgery, ankle surgery, foot dermatology, diabetic foot care, pediatric foot care, geriatric foot care, sports medicine, and trauma. Its offices are located at 142 Engle Street in Englewood; 222 Cedar Lane, Suite 300, in Teaneck; and 10 Link Drive in Rockleigh.

To reach any of the podiatrists in Northeast Podiatry Group,or to find a physician at Englewood Hospital, visit englewoodhealth.org or call 833-234-2234.

Ask the Doctor: Dr. Harvey Gross

With age comes wisdom—and adjustment. We all want to have a good quality of life, function at the highest level possible, and age gracefully and with health. Though this requires some lifestyle changes as the years go by, we should strive to be active and continue to involve ourselves with family, friends, and community, regardless of age.

I’m getting older and my children are encouraging me to see a geriatrician. What are the advantages compared to seeing my regular primary care doctor?

Dr. Gross: Geriatricians are specialists in diseases of aging; we provide continuity of care for patients 65 to 100-plus. As geriatricians, we have a greater awareness and sensitivity to the complex needs of the older person. We understand that older patients frequently have co-existing chronic conditions, see multiple specialists and may be on numerous medications—that each patient has their own spectrum of health issues.

How is geriatric care tailored to meet specific patient needs?

Dr. Gross: When patients come to our office, we recognize that they are older and we keep that in mind. We have special electric exam tables that raise and lower so patients can easily reach the table. As geriatricians, we are helping patients understand, and adjust to, the concept of getting older, and dealing with issues of aging. My focus is to enable each patient to have the best quality of life possible, regardless of age.

Aside from fleeting aches and pains, what should I be concerned about as I get older?

Dr. Gross: A lot of patients are concerned about potential loss of control and independence. They often seek clarification on whether they are experiencing symptoms of natural aging or something more serious. One of the major fears of growing older is the development of memory loss. A geriatrician helps distinguish between normal aging versus the onset of dementia. Hearing loss is also common as people get older, but many patients deny loss of hearing to avoid using hearing aids—even though they improve quality of life. Many also worry about losing the freedom to drive, but it is critically important to evaluate whether driving is safe for the patient and others on the road.

Why is it important to discuss common health issues from a geriatric standpoint?

Dr. Gross: Sometimes a fall is not just a fall, but a sign of an underlying medical issue such as loss of muscle strength or gait imbalance. Patients tend to deny and minimize why they fell, but, as geriatricians, we strive to address the issues that may cause falling and try to prevent further falls. Medications may also play a significant role as they can have interactions and are metabolized differently as patients age. Over-the-counter medications and herbal supplements need to be taken into consideration as they often interact with prescribed medication. Benefits must outweigh the risks. This also applies with screening and vaccination.

Posted December 2018


Do you have a question for a doctor?

From your head to your toes, and everywhere in between, the Englewood Health Physician Network has you covered. Ask a question about your health. Selected questions will be answered in this column.