ANSwers #7_trifold_FINALSPREADS_NOcallout_Layout 1 1/17/13 9:46 AM Page 1 Good People, Good Times Live Your Life: Every Second Counts Atlantic NeuroSurgical Specialists hosted the first annual BBQ for the Partnership of Hope support group Thursday, September 27th. Friends and families came out and enjoyed great conversation, food, music, and even a dunk tank to dunk their favorite neurosurgeon! This was the first of many events ANS plans on hosting for its members and their families who are living with the diagnosis of a brain tumor. ANS encourages anyone who is living with the diagnosis of a brain tumor to attend its monthly meetings held on the fourth Thursday of every month at the ANS Morristown office. ▼ Allison Bradley woke up the morning of February 23, 2012 and began her day as usual. “I woke up and turned on the TV before starting to get ready for work,” she recalls as she begins to retell her story. “The next thing I remember, I lost all sense of my left side and standing became impossible as I fell to the ground. Starting to panic, I crawled to the phone and called my mom.” Later, her mother admits that she noticed Allison’s slurred Allison and her fiancé after finishing the speech, but didn't want to alarm her 2012 Blue Cross Broad Street 10-mile run. daughter. As a young human resource analyst and avid runner, the health-conscious 27-year-old didn’t ever think of herself as being at risk for stroke. Her mother instructed Allison to get off the phone and to dial 9-1-1. “I did what my mom told me. I hung up, dialed 9-1-1, and tried my best to explain that I was in trouble. Something was very wrong. Confused and disoriented, Allison waited helplessly for paramedics to arrive. When Allison arrived at Morristown Medical Center, the diagnosis was clear: Allison was suffering from a severe ischemic stroke and she needed medical intervention immediately. “It appeared that Allison had a major blockage of the main blood vessel on the right side of her brain,” says ANS neurosurgeon, Dr. Saphier. “I knew the best chance for recovery was to use the Merci Retrieval System®.” The Merci Retrieval System is used to remove or break up blood clots that have wandered into a small blood vessel, causing it to become occluded. This breakthrough technology can be performed up to 8 hours after a stroke occurs and can extend the treatment window significantly. “It was our best hope,” adds Dr. Saphier, “I administered it through her leg and guided the lead to her brain.” After the Merci Retrieval procedure removed the clot, Allison was up and walking the next day. She did complete outpatient treatment to gain strength back in her left hand, but, otherwise, suffered very few residual effects from the stroke. Looking back at her experience and her medical history, the only risk factor associated with Allison’s stroke was her use of oral contraceptives. “I had been on the pill for over 10 years,” she says. “I didn’t think I was at risk because up until that point I had no physical symptoms that would have warned me of the danger ahead.” Since her stroke, Allison has made tremendous strides. She has ran a number of races and is busy planning her wedding, to be held later this year. In November, Allison also plans to run with the NYC marathon team for stroke awareness. “I look forward to meeting other young stroke survivors and I believe that my story will continue to encourage others to never give up hope.” “When I think back to my experience with ANS, I am so thankful for them,” says Allison. “I had a lot of contact with the doctors and nurse, Carl Stopper. Carl actually stayed on the phone with my mother as she rushed to the hospital. He was very calming and assured her that they would take care of me.” Allison recalls a conversation between her and the doctors: “They made it clear I should ‘live my life,’” says Allison. “This procedure was done so I could live my life as I had done before. That is what I intend to do.” ▼ Top: Families came out to relax and mingle at our first annual BBQ. Bottom: Dr. Baskin takes a quick dip after one of his patients accurately hit the dunk tank target. ANS IS GOING LIVE! After successful radio guest spots that attracted listeners from across the state of NJ, ANS is set to launch its very own show on WMTR, 1250AM. Listeners can tune in every Sunday to hear our experts discuss an array of topics and answer all of your questions.Check www.ansdocs.com this spring for the start date and hear the promos! Atlantic NeuroSurgical Specialists Atlantic NeuroSurgical Specialists Winter 2013 Brain, Spine and Neurovascular Surgery Aneurysms Cerebrovascular Surgery Complex Spine Surgery Minimally Invasive Spine Surgery Minimally Invasive Neurosurgery Endoscopic Spine Surgery Strokes Vascular Malformations Tumors OUR PHYSICIANS HAVE BEEN TRAINED AT SOME OF THE MOST PRESTIGIOUS PROGRAMS IN THE NATION INCLUDING THE BARROW INSTITUTE, COLUMBIA UNIVERSITY, CORNELL UNIVERSITY, MASSACHUSETTS GENERAL, AND MOUNT SINAI. Whether it’s new technologies or our new locations, ANS remains synonymous with Jonathan J. Baskin, MD, FACS Dr. Baskin is a fellowship trained in spine surgery and specializes in minimally invasive and complex spine surgery, tumors of the spine, image-guided neurosurgery for brain tumors, spinal stabilization, CyberKnife® surgery, and kyphoplasties. Ronald P. Benitez, MD Dr. Benitez is a fellowship trained vascular neurosurgeon specializing in minimally invasive techniques. His specialties include the treatment of cerebrovascular diseases such as stroke, aneurysm, and AVMs using new and innovative techniques. Additionally, he specializes in skull base tumors. Brian D. Beyerl, MD, FACS Dr. Beyerl specializes in stereotactic neurosurgery and radiosurgery for brain tumors and AVMs. He also practices general neurosurgery, spinal, and carpal tunnel surgery. Kyle T. Chapple, MD Dr. Chapple is fellowship trained and specializes in neurovascular skull base surgery and endovascular neurosurgery as well as minimally invasive and complex spine surgery. His specialties include the treatment of cerebrovascular diseases such as stroke, aneurysms, and AVMs using new and innovative technologies. Jay Y. Chun, MD, PhD Dr. Chun is fellowship trained in spine surgery and specializes in complex and minimally invasive spine surgeries. Additionally, he specializes in general neurosurgery and the treatment of brain tumors. John J. Knightly, MD Dr. Knightly is a fellowship trained spine surgeon who specializes in complex and minimally invasive spine surgery. His other specialties include trauma, CyberKnife® stereotactic neurosurgery, and concussion treatment. Scott Meyer, MD Dr. Meyer is a fellowship trained spine surgeon. His areas of clinical expertise include complex cervical spine surgery, minimally invasive spine surgery, degenerative spine disease, adult spinal deformity (kyphosis and scoliosis), spinal tumors, and spinal trauma. Dr. Meyer also maintains a strong interest in neurotrauma and general neurosurgery. Joelle Stabile Rehberg, DO Dr. Rehberg is board certified by the American College of Osteopathic Family Physicians and her areas of interest include sports medicine and the treatment of concussion. Currently, she is the Medical Director and a Clinical Instructor for the Athletic Training Education Program at William Paterson University in Wayne, NJ. Joseph Rempson, MD Dr. Rempson specializes in the field of physiatry, which helps patients who suffer injuries to the muscles, bones, tissues, and nervous system. Dr. Rempson concentrates not only on musculoskeletal injuries, but on the rehabilitation of neurologic disorders such as strokes and brain tumors. Charles Blair Stillerman, MD, FACS Dr. Stillerman’s clinical interest is in thoracic and lumbar trauma. Named frequently as one of the Best Doctors in America in Castle Connolly’s Top Doctors, Dr. Stillerman has written and lectured extensively on spinal disorders, spinal injuries, and specifically on thoracic and lumbar spine stabilization. Igor Ugorec, MD Dr. Ugorec is one of the most highly regarded neurointensivists in the country. His expertise is invaluable to ANS and our patients. David Wells-Roth, MD Dr. Wells-Roth has specialized fellowship training in endovascular neurosurgery, cerebrovascular surgery, skull base surgery, and complex and minimally invasive spine surgery. His specialties include the treatment of cerebrovascular diseases such as stroke, aneurysms, and AVMs using new and innovative technologies as well as the latest spine surgery treatments. Edward J. Zampella, MD, FAANS, FACS Dr. Zampella’s specialties include surgical management of brain and spinal tumors, endoscopic surgery, pediatric neurosurgery, spinal cord stimulation, intraspinal drug infusion, neurosurgical treatment of movement disorders, epilepsy, stereotactic radiosurgery, and ® CyberKnife surgery. Dr. Zampella also has extensive experience in pediatric neurosurgery. forward progress. This photo was taken just west of our new office in Dingmans Ferry, PA. Atlantic NeuroSurgical Specialists Brain, Spine and Neurovascular Surgery 310 Madison Avenue Suite 300 Morristown, NJ 07960 973.285.7800 1 Robertson Drive Suite 22 Bedminster, NJ 07921 973.285.7800 3700 Route 33 Neptune, NJ 07753 732.455.8225 www.ansdocs.com 5 6 3799 Route 46 Suite 209 Parsippany-Troy Hills, NJ 07054 973.729.0266 89 Sparta Avenue Sparta, NJ 07871 973.729.0266 11 Overlook Road Suite 180 Summit, NJ 07901 908.516.2941 718 Teaneck Road Teaneck, NJ 07666 973.285.7800 1592 Route 739 Dingmans Ferry, PA 18328 973.729.0266 Sunset afterglow over Lake Wallenpaupack, PA Atlantic NeuroSurgical Specialists (ANS) is a premier neurosurgical practice based in Morristown, NJ. We are the largest private neurosurgical practice in the state with 8 offices conveniently located throughout NJ and PA. Our physicians are leaders in the areas of tumors and diseases of the brain, stroke and spine. ANS physicians have been trained at the most prestigious programs in the nation, and are proud to house this knowledge and expertise in your area. Our doctors are affiliated with hospitals all over the state of NJ, including Atlantic Health System, Meridian Health System, St. Barnabas Health System, and Saint Clare’s Hospital. In this issue we are honored to introduce 2 of our patients with whom we have worked closely since our last issue: Eileen Yutko, a dedicated wife and mother whose family was tragically struck by brain tumors, and Allison Bradley, a 27-year-old stroke survivor. Our patients are the heart of our practice and we hope you enjoy reading their stories. As always, we are proud of our patients’ resilience and the courage they have shown throughout their recoveries. ANS continues to grow and expand. We recently launched Partnership of Hope, a support group for anyone living with the diagnosis of a brain tumor. You can read more about this amazing group of people on the pages inside. We hope this newsletter finds you in good health. For more information about ANS, please visit us at www.ansdocs.com or call 973.285.7800. ▼ ANSwers #7_trifold_FINALSPREADS_NOcallout_Layout 1 1/17/13 9:46 AM Page 4 What’s Up, Doc? Overcome by Tragedy, a Local Family Finds Comfort and Support in Atlantic NeuroSurgical Specialists’ Partnership of Hope A neurosurgeon’s passion for photography Dr. Ronald Benitez’s interest in photography started on the sidelines. Photographing his 3 children at their many sports events, he quickly recognized his enthusiasm and talent in obtaining a great action shot. “Photography presents you with many opportunities to capture dramatic and vivid imagery that will last a lifetime,” says Dr. Benitez. It was only a matter of time before he turned his lens towards all the kids at the game. The feedback he received from appreciative parents prompted him to get more serious about the artistry. Dr. Benitez, being mechanically inclined, enjoys the very technical side of photography and is always looking to move to the next level. He ventured into taking landscape photos that required a lot of planning and methodical expertise. “Light is the paint a photographer uses,” says Dr. Benitez. “When capturing a sunrise or sunset, the light defines the composition. When attaining a shot of nature, the light complements the subject matter.” What is Minimally Invasive Spine Surgery? On January 7, 2007, Ronald Yutko was diagnosed with an acoustic neuroma; a slow-growing tumor of the nerve that connects the ear to the brain. His wife, Eileen Yutko, remembers asking herself, “How could this be? A brain tumor? No one in my family had suffered much more than a broken bone.” Left to Right: Ron, Lauren, Alyssa, Eileen. “We had a family friend who was an OR nurse at Overlook Hospital. After explaining our situation, she assured us that Dr. Ronald Benitez of ANS was the person to call. By February 16, 2007, my husband, Ron, was undergoing his first brain surgery," says Eileen. What is most remarkable is how Dr. Benitez relates photography to neurosurgery. Aside from the technical aspects they both share, for him, the similarities also lie in the process. “Before I perform surgery, I envision the entire surgery and how I will perform it. I also do this with my photography. I arrive somewhere and plan the entire shot.” For Dr. Benitez, photography has become a cathartic experience. He enjoys the serenity of being alone somewhere with only his thoughts and imagination. “It slows me down and grounds me," Dr. Benitez explains. He also enjoys placing these photos on unique mediums and playing with the processing. “The world of photography, just like neurosurgery, has become very rewarding to me. Seeing one of my pictures hanging on a wall or seeing a patient that was ill walk out of my office both bring me peace in their own unique way.” ▼ Today, Lauren is doing very well and is enrolled in her second year of college. Over the past few years, Eileen’s family has walked a treacherous road, but in the end, she still has her husband and daughters. “Two months ago my life was turned upside down, but look at where I am now. I’m okay. My family is okay. Not all families in the group are as fortunate, but we’ve all been brought together to share the same common ‘appreciation for life.’ And for that, we are grateful.” Thank you, ANS. ▼ In 2010, Ron’s tumor was back. Under the care of Dr. Benitez, Ron successfully made it through his second surgery, but he suffered from severe depression after his brain tumor, and each day was taken one step at a time. In September 2011, Eileen and Ron’s daughter, Lauren, started her freshman year at Raritan Valley Community College. During the end of Lauren’s second semester, Lauren scheduled an appointment for an MRI after noticing that one of her arms felt weaker than usual. Within 10 days of finding out about her brain tumor, Lauren had undergone surgery and was walking out of the hospital on her road to recovery. “Her spirits were high," says Eileen, “and the first thing she said to me when we left the hospital that Sunday was about a support group ANS had started for people with brain tumors and how she would like to go.” Just 7 days after Lauren’s surgery, Lauren and her family made it to that meeting. experienced with an open incision. Through these incisions, instruments along with a tiny camera are inserted allowing the surgeon and staff to view the operation from a flat panel monitor. Because minimally invasive surgery requires only tiny incisions, patients generally return to their normal daily activities much faster than with traditional surgery. Minimally invasive or less-invasive surgery is the FUTURE of medicine. In the past, traditional surgical treatments The next time you are suffering from back pain, let a neurosurgeon evaluate you. A neurosurgeon has a more complete understanding of the nervous system and is the most qualified specialist to diagnosis and treat your condition. required lengthy recovery times, long The support group, called Partnership of Hope, was started by ANS in April 2012. Employees of ANS volunteer their time to hold the support group once a month for patients and their loved ones suffering from brain tumors. During the 2- to 3-hour meeting, ANS provides dinner, dessert, and beverages. You can share your stories or just sit back and listen to others tell theirs. hospital stays, and considerable scarring. Now, a majority of surgeries can be Experts use sophisticated equipment to examine the most precious gems in the world. Why would you settle for anything less when it comes to your delicate nerves of your brain and spine? In addition to dinner and open discussions, ANS provides a guest speaker at every meeting. The doctors mingle with the patients and there are plenty of interactive activities for everyone to enjoy. Volunteers work outside of the meeting to accommodate the everyday needs of patients who are not able to care for themselves. Partnership of Hope offers patients transportation to doctors’ appointments, prepared meals, child care, grocery shopping, additional counseling, and more. Our neurosurgeons work tirelessly to offer minimally invasive, life saving techniques to treat our patients. Neurosurgeons are the most qualified doctors to mend your nervous system, and can understand the inner workings of your body like no other specialist. You should only consider a neurosurgeon to help you recover from the simplest to most complex injuries and illnesses. Whether you suffer from a tumor, back problems, or even stroke, you should only choose ANS. “Attending the Partnership of Hope has been one of the most moving experiences of my life and I would recommend it to anyone in a similar situation. If you or someone you know is dealing with a brain tumor, you can’t lose anything by trying it out. Even if you’re not a patient at ANS, you are still welcome to attend," encourages Eileen. 2 Above: Dr. Jonathan Baskin and assistant Our Precious Gem is You. Days later, while Lauren was finishing her exams, Eileen answered the phone call regarding her daughter’s MRI results. The hesitation in the neurologist’s voice was all too familiar: “Your daughter, Lauren, has a hemangioma, a brain tumor caused by an abnormal buildup of blood vessels in the skin or internal organs, and it’s big. She needs to find a neurosurgeon immediately.” To learn more about the latest advancements in treatment or to view a listing of all hospitals we are affiliated with in your area, visit www.ansdocs.com or call 973.285.7800. 3 performed using computer-assisted Minimally invasive techniques reduce the trauma asso- technology and highly specialized tools, ciated with surgical procedures. This allows patients to recover faster. Patients who choose minimally invasive giving patients a more attractive option surgery may experience: to surgery. • Shorter recovery • Less pain after surgery • Less scarring Minimally invasive surgery usually involves making tiny incisions, sometimes no more than a quarter-inch in length. This results in less trauma to the body then 4 At ANS, we are true believers that surgery should be a last resort for treating pain caused by a spine condition and should only be given as an option if all non-surgical treatments have failed. Non-surgical treatments can include pain medications, rest, and physical therapy. If you are a candidate for back surgery, the neurosurgeons at ANS specialize in back pain and are the leaders in minimally invasive spine surgery in the state. As always, we treat our patients as if they were our own family. Each patient is given a lengthy evaluation and the best treatment options available. Should surgery be necessary, patients are provided with a surgical scheduler and specific procedure planning tailored to each individual’s needs. ▼