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INSIDE: SUMMER CAMP DIRECTORY FOR CHILDREN WITH SPECIAL NEEDS FR SP RI NG EE 20 14 Health News You and Your Family Can Use Infertility Treatments Offer Hope for Couples Autism in 2014: Progress, But No Clear Answers Senior Guide Resources for Aging Parents, Home Care & More! See pages 42-51 HOW TO LIVE TO BE 100 ADDICTION: From Rehab to Home D E P A R T M E N T LOCAL NEWS INSURANCE MEDICAL PROFILES HEARING HEALTH WOUND CARE CHRONIC PAIN CHIROPRACTIC HEALTH CHILDREN’S HEALTH AUTISM ADDICTION SENIOR GUIDE SENIOR LIVING OPTIONS SENIOR RESOURCES New!ACCEPTING NEW PATIENTS DIRECTORY S : 6 8 12 17 18 20 26 34 36 41 42 48 51 52 54 Medical Profiles: FOR WOMEN OBSTETRICS AND GYNECOLOGY, page 14 PITTSBURGH INTEGRATIVE MENTAL HEALTH, page 16, eKIDZCARE HOME HEALTH AGENCY, page 40 Washington 100 Trich Drive, Ste. 2 Washington, PA 15301-5892 Main Office: 724-225-8657 1-800-828-(CAST)2278 Waynesburg 112 Walnut Ave., Ste. B Waynesburg, PA 15370 724-225-8657 Charleroi Charleroi Medical Plaza 1200 McKean Ave., Ste. 106 Charleroi, PA 15022 724-225-8657 McMurray Physicians Nine experienced Doctors, each specialized in specific orthopaedic care & procedures. 5000 Waterdam Plaza Drive, Ste. 240 McMurray, PA 15317 724-941-0111 Pittsburgh 363 Vanadium Road Pittsburgh, PA 15243 724-225-8657 Hospital Now providing care at the new Advanced Surgical Hospital located in Washington, PA. Therapy Advanced therapists & equipment for precise treatment for all types of musculoskeletal ailments. www.advancedorthopaedics.net 2 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Greater Access and Convenience for Highmark Medicare Members www.guidetogoodhealth.com PUBLISHER Nancy Lammie EDITORIAL MANAGER Judy Gramm ACCOUNT EXECUTIVE Robert Gross Barbara Levenson Ann Ciotoli Soroka Margie Wilson By Amy N. Puntureri, R.Ph F or years, Highmark’s Medicare Security Blue HMO and Freedom Blue PPO members have purchased their diabetic testing products and other items through mail order facilities only. In the beginning of November, Giant Eagle Pharmacy was granted access to fill these and other Medicare B items at our retail stores. This is a great opportunity for patients, allowing them to use their local pharmacies to get their products without having to use mail order services. Giant Eagle Pharmacy’s ability to medically bill patient’s Medicare Part B coverage for eligible items gives Highmark members more choices in how to manage their healthcare, and in some cases lets them get all of their medications and supplies from one single location. This coordination of care by a patient’s retail pharmacy can be crucial for patient therapy success. Another benefit for these Medicare members is that they can receive fuelperks!® on their out-of-pocket expenses. In addition to diabetic testing supplies, Highmark Medicare members can also fill other prescription products at Giant Eagle Pharmacy, including inhaled nebulizer drugs, insulin used in pumps, oral anticancer and anti-nausea drugs, methotrexate used for cancer therapy, and immunosuppressant drugs for Medicare approved transplants. Giant Eagle Pharmacy is proud to be the first retail pharmacy to be able to fill these medications for Highmark’s Security Blue HMO and Freedom Blue PPO members, and looks forward to servicing Highmark’s Medicare community. > To learn more about Giant Eagle Pharmacy, visit GiantEagle.com/Pharmacy. Spring 2014 www.guidetogoodhealth.com Amy N. Puntureri DESIGN & LAYOUT JMC Graphics [email protected] (412) 835-5796 CONTRIBUTING WRITERS Lisa Bianco Vanessa Orr, Nancy Kennedy Lois Thomson WEB SITE DESIGNER Keith Trageser www.keithtrag.com [email protected] SUMMER ISSUE DEADLINES: EDITORIAL: JUNE 2 AD MATERIAL: JUNE 13 HOW TO REACH US: ADVERTISE / SUBSCRIBE [email protected] 412-835-5796 2574 Oldfield Ave, Pittsburgh, PA 15102 The Guide To Good Health is published quarterly (4 issues per year) by JMC Publications. The contents of this publication may not be reproduced in whole or in part. All rights reserved. GUIDE TO GOOD HEALTH 3 Take Precautions this Summer to Avoid Skin Cancer By Vanessa Orr I t’s hard to believe after this long winter, but summer is actually on its way. And while the warm temperatures and sunny days make us happy, it’s important to remember that the sun can also cause permanent damage if precautions aren’t taken. According to Dr. Dinakar Golla, a board-certified plastic surgeon at Washington Health System, most people over the age of 60 should expect to develop some type of skin cancer at some point in their lives. “Skin cancer is extremely prevalent and melanoma rates are increasing; one in every 11 people now has melanoma,” he explained. “Sun is the main culprit; it is the #1 reason why people develop skin cancer, followed by unusual heredity issues and exposure to carcinogens.” There are three types of skin cancer: melanoma, which is the most life-threatening; squamous cell, a fairly aggressive skin cancer, and basal cell, which is very common and less dangerous. “It’s important to see a doctor for anything that doesn’t heal, including areas that are red, raised, bleeding or itching,” said Dr. Golla. “Changing moles are also at a higher risk of melanoma. “An important rule of thumb is to follow the letters ABCD—check for asymmetry of moles, borders that are irregular, color that varies, and a diameter greater than .5 centimeters. All of these are indicators that it could be a melanoma,” he added. While skin cancer is a treatable disease, it’s important to recognize the symptoms and get treatment immediately. “The sooner the better,” said Dr. Golla, adding that most people who have one type of skin cancer develop another type within two years, often in a different area of the skin. While basal cell cancer will continue to get larger, it is rarely fatal. However, both melanoma and squamous cell cancers have high a mortality rate if the person is not treated. “The most likely reason that a person will have serious consequences is if they neglect the areas that need to be evaluated,” said Dr. Golla. “Most surgeries can be done quickly and efficiently as outpatient procedures with local anesthesia, and the patient can go home the same day without any issues.” As a board-certified plastic surgeon, Dr. Golla uses specialized techniques to preserve the health and “...most appearance of patients suffering from skin cancer. “The most important thing to remember people over the age is that it’s a treatable disease if you catch it of 60 should expect to early,” he said. Dr. Golla also specializes in cosmetic surgery including rhinoplasty, develop some type of skin blepharoplasty, face lifts, brow lifts, ear cancer at some point in their surgery and facial implants; breast augmentation, reduction, lift and recon- lives. Skin cancer is extremely struction; liposuction and abdomino- prevalent and melanoma rates plasty, and reconstructive surgery. To avoid developing skin cancer, Dr. are increasing; one in every Golla advises people to avoid sunburn by 11 people now has wearing SPF 30 or higher. “Earlier sunmelanoma.” burns can cause damage to the skin that is irreversible,” he said. “Tanning machines also Dr. Dinakar Golla have some link to skin cancer as well. Anything with UVB light can damage the skin—it’s not as bad as the sun, but it can still cause damage.” > To learn more about skin cancer or other cosmetic or reconstructive procedures, call Dr. Golla’s office at (412) 963-6677 or visit www.gollaplasticsurgery.com. The office is located at 95 Leonard Avenue, Suite 400, Washington, PA 15301. Improve Your Health and Reduce Your Risk of Serious Disease S tart a new fitness routine this spring and get healthier. Exercise is a miracle drug, if you only take it. Just 30 minutes of exercise a few days each week can give you so many great results: • lower your risk of diabetes, stroke, high blood pressure, cancer and osteoporosis • improve the health and functioning of your heart • maintain a healthy weight • build muscle • increase flexibility and balance • reduce stress and keep depression at bay • sleep better You get even greater benefits when you combine aerobic exercise, such as running or cycling, with strength-training. > 4 GUIDE TO GOOD HEALTH Healthtrax Fitness & Wellness in Bethel Park offers many ways to get healthy through exercise. For more information, call (412) 835-0500 or visit www.healthtrax.com, choose Bethel Park, and get more information, class schedules, and directions. www.guidetogoodhealth.com Spring 2014 The Mediterranean Diet By Claire Marshall, MS, RD, LDN C an you call something a “diet” that doesn’t dictate a strict eating regimen? Is there an evidence-based healthy lifestyle that you can model your diet after? The answer is, yes, when the diet in question is the Mediterranean diet. Both researchers and physicians seem to agree that this is a plan that works. For those who follow the Mediterranean principles, there’s positive feelings about a diet that not only helps them lose weight, but also keep it off. For physicians, evidence seems to be that persons on a Mediterranean diet tend to live long, healthy lives with lower risk of developing chronic diseases. The key to the Mediterranean diet is that it is not a short-term eating plan, but rather a way of life. The combination of good nutrition and physical activity is essential for a long and healthy life. Moderation in terms of food and alcohol consump- Spring 2014 tion is also important. Choosing nutritious foods is key. The Mediterranean diet follows simple principles. This diet is rich in fruits, vegetables, whole grains, nuts, beans and seeds that also provide micronutrients (antioxidants, vitamins and minerals) that may protect against conditions such as cancer, heart disease, Alzheimer’s disease and other conditions. A simple way to follow the Mediterranean diet is to take advantage of fresh, local whole foods that are in season. Some Simple Tips • Add fruits and vegetables to each meal. • Buy foods in their raw form rather than canned, boxed, or frozen. The fewer ingredients, the better. • Opt for low-fat protein sources – mostly fish, poultry, low-fat dairy, or plant-based proteins. • Incorporate whole grains, nuts, legumes, and seeds to obtain a variety of nutrients. The Mediterranean diet has a dietary pattern that it recommends: Eat mostly plant-based foods, limited amounts of animal protein, and healthy sources of fat. Know Your Limits • Avoid large amounts of red meats or full-fat dairy products, which are high in saturated fat. • Limit sweets, added sugar, and foods that are high in calories with limited nutritional benefit (such as soda). • Avoid excessive amounts of processed, refined bread and grain products. • Choose heart healthy fats, like extra virgin olive oil, instead of butter or margarines that contain trans-fat. • Try to limit your alcohol intake to one serving a day for women and two daily for men. Alcohol, in moderation, has been associated with a reduced risk of heart disease in some research studies. Healthy Fats The Mediterranean diet stresses consumption of plant-based fats. Saturated fats and hydrogenated oils (or, trans fats) are discouraged. The primary source of fat in a Mediterranean diet is olive oil. It > contains monosaturated fat, the type of fat that can reduce LDL cholesterol levels. Olive oils labeled “extra virgin,” or “virgin,” are the least processed forms and contain the highest levels of the protective plant compounds that provide antioxidant effects. Fatty fish – including mackerel, lake trout, herring, sardines, albacore tuna and salmon – are rich sources of omega-3 fatty acids that are associated with decreased chance of sudden heart attack and help to moderate blood pressure. As a general rule, the Mediterranean diet stresses making meal times all about tasting and enjoying your food. Eating meals as a family on a regular basis is encouraged. Enjoying red wine and other alcohol should be done in moderation. The important thing is that a healthy lifestyle – and not a shortterm diet – is the key to long-lasting good health. Claire Marshall, MS, RD, LDN, is a Senior Health Coach at UPMC Health Plan. For more information about health coaching, visit upmchealthplan.com/health/coaching.html. www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 5 Local News... Local News... New St. Clair Urgent Care Promises Excellent Care Delivered with Efficiency By Nancy Kennedy O nly 50 minutes. That is the average amount of time that a patient spends at the new St. Clair Urgent Care in Bethel Park. Streamlined, efficient, comfortable and quick – those are the words most frequently used by patients who have experienced the sparkling and spacious new Urgent Care, St. Clair Hospital’s first. It provides immediate medical care for problems that are not life-threatening emergencies, but nevertheless require professional attention, such as sprains, simple fractures, animal bites, minor burns, upper respiratory infections, cuts in need of suturing and urinary tract infections. Staffed by board-certified physicians and nurses experienced in emergency and critical care, the Urgent Care brings a high level of clinical expertise and the St. Clair Hospital standard of excellence to this growing subspecialty of outpatient ambulatory care. Urgent care is not emergency Pictured is the check-in desk at St. Clair Hospital’s new Urgent Care Center in Bethel Park. care, nor is it primary care. It’s a relatively new option for those times when one needs to have an acute problem assessed and treated, but one’s own primary care doctor is unavailable. It fills that gap and meets a common need, for unscheduled care for adults and children with minor problems that are not serious enough to warrant a trip to the hospital. It solves the problem patients often face in off-hours and Pictured is an exam room at the new Urgent Care Center. Patients are typically seen within 15 minutes, then treated and released in another 45 minutes. on weekends, when they have a problem that is causing discomfort and creating anxiety, but doesn’t seem serious enough for emergency care. Rachel L. Schroer, D.O., Medical Director of St. Clair Urgent Care, explains the difference. “In urgent care, we treat people who come in with a focused problem that we are able to fix. Urgent care is not a mini-emergency department; we take care of urgent illnesses and injuries. If a patient is more critically ill or needs higher level testing or monitoring, such as with chest pain or abdominal pain, they need to be evaluated in an emergency room.” Dr. Schroer is a graduate of Lake Erie College of Osteopathic Medicine. She completed a residency and is board-certified in family medicine and transitioned into urgent care after five years in private practice. Urgent care is satisfying and rewarding work, she says. “It’s wonderful to be able to see a patient quickly and resolve the problem right away, and we see a broad range of conditions. This facility is a great work setting; we have top-of-theline technology and beautiful aesthetics. In addition to myself, the other two physicians who work here - Matthew S. Cooper, D.O., and Ediri Montoya, M.D., - are boardcertified. Patients love the facility, the excellent care and the convenience.” At St. Clair Urgent Care, patients are typically seen within 15 minutes, then treated and released in another 45 minutes. David Kish, R.N., Director of Emergency Services and Patient Logistics for St. Clair Hospital, manages St. Clair Urgent Care and cites this efficiency as a top priority to patients. “People appreciate the effort we make to examine and treat them as quickly as possible. They know they’re getting top-notch care from St. Clair physicians. This efficiency also applies to the process by which we communicate to the primary care physician, via the electronic health record. The record, a summary of the patients visit to our Urgent Care, is customized to urgent care services and can be accessed by physicians in the St. Clair Hospital system. It interfaces electronically right into the Hospital medical record or the physician office record.” St. Clair Urgent Care also facilitates continuity of care, Kish explains. “The care provided here is easily integrated into our primary care network. We’ve had patients with orthopedic injuries who were able to be taken directly to the orthopedic practice in the building. This location in Suite 100 of the St. Clair Hospital Outpatient Center – Village Square is ideal; it means ‘one-stop shopping.’ There’s full service diagnostic imaging at the Outpatient Center.” St. Clair Urgent Care opened January 13 in Village Square, just across Fort Couch Road from South Hills Village mall. This convenient location offers plenty of free, valet parking, and patients and their families have easy access to the Outpatient Center’s café for food and beverages. > To contact St. Clair Urgent Care, call (412) 942-8800. Urgent Care is open 9 a.m. to 9 p.m. seven days a week (9 a.m. to 5 p.m. on major holidays). There is always a board-certified physician, registered nurse and x-ray technologist on site. E-mail your news briefs to [email protected] 6 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Local News... Local News... Bariatric Surgeries Now Being Performed at Washington Health System By Vanessa Orr types of bariatric surgery. “Gastric bypass surgery has the most staying power and its data is the most reproducible,” said Dr. Wilcox. “Patients will lose approximately 70 percent of their excess weight, though some lose more. Sleeve gastrectomy is gaining in popularity, but I think that’s mainly because it doesn’t require as much experience on the -Dr. Geoffrey H. Wilcox part of the surgeon to perform this operation, so more of them are being done. To do gastric bypass laparoscopically takes a lot more training.” Dr. Wilcox only recommends adjustable lap band for patients who are not candidates for either of the other surgeries because the weight loss is not as predictable. Both sleeve gastrectomies and gastric bypass surgeries work by limiting the amount of food a person can eat, though gastric bypass also has a malabsorption component which means that the body is not absorbing certain sugars, fats, proteins or vitamins. While there are few surgical risks to gastric bypass, there are many benefits. “We’ve had patients who were taking four or five pills a day to treat their diabetes, and by the time they left the hospital, they didn’t need to take any medications,” said Dr. Wilcox. Most patients spend two days in the hospital after the surgery with 95 percent able to go home on the second day. “Patients will lose approximately 70 percent of their excess weight, though some lose more.” N ow that winter is finally over, it’s time to consider shedding some of those excess clothes—as well as those excess pounds. Beginning this year, Washington Health System has begun offering gastric bypass surgery as well as sleeve gastrectomy and adjustable lap banding. These surgeries are being performed by Geoffrey H. Wilcox, M.D., FACS, metabolic and bariatric surgery director at Heritage Valley Sewickley, and Michael D. Felix, M.D., FACS, metabolic and bariatric surgery director at Jefferson Regional Medical Center, Washington Health System, and St. Clair Hospital. “Bariatric surgery is recommended for those patients who are technically obese, which is defined by the government as having a BMI (body mass index) of greater than 40,” explained Dr. Wilcox, who added that most patients they see are approximately 100 pounds or more overweight. “Candidates might also have a BMI between 35 and 40 with co-morbidities and health problems such as sleep apnea, hypertension and diabetes. “The main reason to have bariatric surgery is to get healthy; almost all of the patients we see suffer from other conditions including degenerative joint disease and diabetes,” he added. “Within the first month after the surgery, patients report having more energy, are no longer short of breath, and are able to do things like walk up the stairs again,” he added. “Within six months, many of them are able to stop taking their medications and they report that their knees no longer hurt.” On average, a person who has had gastric bypass surgery loses eight to 12 pounds a month during the first year. Candidates at Washington Health System can choose from three different > To learn more about bariatric surgery at Washington Health System, call (412) 741-8862 or visit www.hopebariatrics.com to watch an online seminar. Dr. Michael D. Felix Duquesne to Launch New BSN Program This Fall for Registered Nurses D uquesne University’s School of Nursing is unveiling a new program for the fall that will make it easier for registered nurses (RNs) to obtain a Bachelor of Science in Nursing (BSN) degree. Nationwide, nurses are licensed to practice after passing the test for the Registered Nurse (RN) credential. Frequently, RNs opt to earn associate's degrees or a nursing diploma at a hospital-administered nursing school rather than devoting four years to obtaining a BSN. According to Dr. Mary Ellen Glasgow, dean of the School of Nursing, the timing for the new RNBSN program is ideal. National trends - including an aging popula- tion, the increased demand for health care services through the Affordable Care Act and the need to improve health care outcomes - are fueling the need for the program. Glasgow added that a recent report from the Institute of Medicine (IOM), a congressionally chartered but non-governmental group of health care experts, made recommendations about the nursing profession, including that 80 percent of the country’s nurses should have a baccalaureate degree by the year 2020. The IOM is widely respected, Glasgow said, and its recent report emphasized that nurses who have a BSN are much better equipped to make decisions based on evidence. She added that Pittsburgh is an ideal place to launch an RN-BSN program because only 33 percent of nurses in the city have a BSN. The national average is 50 percent. Duquesne’s RN–BSN degree requires 126 credits, which is the same as its regular BSN program. Every course will be offered online and can be completed in seven-and-a-half weeks, a structure that allows a student to easily take six credits per semester. “We're looking for students who wish Dr. Mary Ellen will be offered in the program to advance their eduGlasgow through the School of cation in a supportLeadership and Professional ive environment,” said Advancement. RN-BSN stuDr. Cindy Walters, the dents will receive 60 transfer RN-BSN coordinator credits for their previous and a former RN-BSN lower-division nursing coursstudent. es, and other college credits Walters, an assistant can be transferred as well. clinical professor in An RN-BSN program comthe nursing school, plements Duquesne's mission, said that because the Dr. Cindy Glasgow observed, because program is online, it Walters the program's timeliness and appeals to the adult working nurse, who often works flexibility will attract a new group around-the-clock shifts and on of students to Duquesne. “We have weekends. Many of the potential created a program that honors students, Walters added, may also what RNs have already accombe responsible for child rearing or plished," Glasgow said. "This prohave other family or caregiving gram will be a great way to diversify our student body and the nursresponsibilities. All of the non-nursing courses ing profession." The RN-BSN program is now accepting applications for the first class of students, which will begin matriculation in Fall 2014. For more information, visit the Nursing School's RN-BSN website at www.duq.edu/nursing Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 7 Congress Likely to Change Veterans Affairs Benefits This Year HEALTHCARE PROFESSIONAL'S CONFERENCE SET FOR MAY 13 By Julian E. Gray W hile only a small percentage of the millions of veterans and their families use the Aid and Attendance benefit offered by the Department of Veterans Affairs, it is clearly a vital program for those in need of medically related assistance with their daily activities. While this program is financially "means" tested, there is currently no penalty for applicants who divest themselves of assets and subsequently applied for benefits. A Senate bill was introduced into Congress in 2012 that imposed a three-year "look back" period for uncompensated transfers prior to the filing of the VA application. The bill did not get traction, but was replaced in 2013 by a new House bill that contains similar provisions (H.R. 2189). It appears from the movement of this bill that legislation may be forthcoming in 2014 that will drastically affect veterans and their family members who use the Aid and Attendance benefit. Pension (aka Aid and Attendance) - The bill provides "that if a veteran eligible for a pension for service or for a non-service-connected disability, or the spouse of such veteran, disposes of a resource that was part of such veteran's estate for less than its fair market value within three years before applying for such pension, the Secretary shall deny or discontinue the pension payment for months beginning on the date of such disposition and ending when the uncompensated value of such resource is reached." This language appears to mean that the VA pension program will soon review financial transactions of an applicant much like the federal/state long-term care services program (i.e. nursing home care). Given the budget constraints on government, it was inevitable that this gifting ability would be restricted. You can anticipate the VA looking to the rules used by the Centers for Medicare & Medicaid Services, which currently imposes a five-year look-back period for asset transfers prior to application for long-term care benefits. A side effect of a proposed three-year look-back rule is that it may actually delay the processing of VA claims. Those wishing to take advantage of the present law may want to investigate their options quickly. > To contact Julian Gray, Certified Elder Law Attorney, call (412) 833-4400 or visit GrayElderLaw.com. Julian Gray Associates will present the 2014 Western Pennsylvania Healthcare Professional's Conference on Tuesday, May 13th, at the Doubletree Hotel Green Tree. After the rave reviews from the 2013 program, the program has been extended to a full day. The regional conference is intended for those who work in the elder care field, in a clinical, administrative or academic capacity, and will offer CEU's for nurses, social workers and nursing home and personal care home administrators.The conference will present sessions on the latest information on Avoiding ReHospitalizations, current changes in Medicare regulations, the most recent advances in dementia care, and legal aspects regarding the new VA 3-year look back, family support laws and understanding the POLST. SPEAKERS INCLUDE: • Joseph Angelelli, PhD. Director Health Services Administration at RMU • Bill McKendree, Director, Apprise • Katherine Pearson, Esquire • Rollin Wright, MD, UPMC Benedum Geriatric Center • Peg Chabala, Dementia Care, Asbury Heights • Judith Black, M.D. Senior Medical Director, Senior Markets, Highmark, Inc. • Marian Kemp, RN Julian Gray, CELA, Julian Gray Associates To register, visit www.grayelderlaw.com What You Need to Know About Long-Term Care Insurance By Anthony J. Camill, CLTC WHAT IS LONG TERM CARE INSURANCE? Insurance designed to cover long-term services and supports, including personal and custodial care in a variety of settings such as your home, a community organization, or other facility. WHAT IS THE PENNSYLVANIA PARTNERSHIP FOR LONG-TERM CARE? To encourage residents to purchase long term care insurance Congress passed the Deficit Reduction Act of 2005 (DRA). The new law allows the consumers to benefit from asset protection through these partnership programs. All long term care insurance companies are not Pennsylvania Partnership Approved. Long-term care insurance will allow the consumer to choose where they can receive care (assisted living facilities, personal care homes, home care, nursing homes). It’s importance to get a better understanding and get the facts about your health care, and whether long-term care insurance is appropriate for your personal situation. We are living longer lives than ever before. Improvements in health care and increase in longevity are guaranteeing more people will reach their 80’s than ever before. As our longevity increases so too does our need for some type of care. Alzheimer’s disease is one of the major reasons for consumers to pay attention, and is discussed more than it was twenty years ago. DOES MEDICARE COVER MY LONG-TERM CARE COST? Medicare covers only the highest level of care. This specific type of care can only be provided in a skilled nursing facility and after a hospital stay. A failure to plan is a plan for failure. Circumstances can change tomorrow. It’s important to speak with a specialist and determine whether long-term care insurance is right for you. > 8 GUIDE TO GOOD HEALTH For more information, you can reach Anthony J. Camill, Regional Marketing Director for Western PA/NY Long Term Care Insurance Brokers, at (412) 445-6171 or [email protected]. www.guidetogoodhealth.com Spring 2014 UPMC's Doctors and Hospitals Accept ALL Local Medicare Plans — Even Highmark's. You’ve worked hard to reach retirement — a time when you can focus on the important things in life. And staying healthy is key to doing what you’ve always wanted. UPMC understands the importance of keeping a close relationship with your doctor. That’s why seniors will never have to worry whether their UPMC doctors will accept their Medicare plan. They will. UPMC’s doctors and hospitals accept ALL local Medicare plans — even Highmark’s. And we’re committed to accepting them for years to come. Have questions? UPMC is always here to help. Just call our toll-free Senior Info Line at 855.946.8762. Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 9 Spring is Here (and So Are My Allergies!) By Lauren D. Loya, M.D. I f you suffer with allergies, especially in the spring and fall, you are an expert in misery! Most people do one of two things: 1. use over-the-counter medications to alleviate the symptoms or 2. get tested and subject themselves to painful, weekly allergy shots for years. There is a third alternative: allergy drops. An allergy is a reaction of your immune system to what are usually harmless, run-of-the-mill substances that most people's bodies don't perceive as dangerous. The body over-reacts to the allergen. Histamine is released when the body is exposed to the allergen and causes inflammation of the sinuses, nose, mucus membranes of the eyes as well as other uncomfortable symptoms. Allergy drops consist of natural allergens in a glycerin base – the same vaccine that allergists use through injections. Like injection immunotherapy, allergy drops stimulate the immune system to protect against environmental airborne allergens without drug side effects. The drops can be selfadministered under the tongue without the risk of dangerous reactions (such as anaphylactic shock). • Approximately 55 percent of all U.S. citizens test positive to one or more allergens. • Allergies are the 6th leading cause of chronic disease in the United States. • Allergic rhinitis, or hay fever, is the reason for over 15 million doctor office visits each year. • People who suffer from sinusitis miss about 4 days of work each year because of their illness. • Allergic dermatitis (itchy rash) is the most common skin condition in children younger than 11 years of age. The percentage of children diagnosed with it has increased from 3% in the 1960s to 10% in the 1990s. • If one parent has allergic disease, the estimated risk of a child to develop allergies is 48%; the child’s estimated risk grows to 70% if both parents have a history of allergies. Allergy Drops are medically proven based on protocols back by hundreds 10 GUIDE TO GOOD HEALTH of medical studies and articles in top medical journals over the past 20 years. The drops can reverse symptoms and usually begin working within a few months and sometimes within a few weeks. They can be used in children as young as four and adults of all ages. Frequently Asked Questions 1. Is it safe for patients to administer the drops at home? Yes. Patients are taught how to self-administer the drops. The initial dose is administered in the physician’s office to ensure the proper following of procedures. 2. Do the drops really work? What types of studies have been done? There have been numerous scientific studies and medical articles in the past decade that confirm the effectiveness of sublingual immunotherapy. The World Health Organization reported in 1998 that “well designed studies employing high-dose sublingual-swallow immunotherapy provide evidence that this form of therapy may be a viable alternative to injections therapy in the treatment of allergic airway disease.” 3. Are allergy drops FDA-approved? Allergy Vaccines are currently FDA-approved for injections only. Although chemically the drops contain the same vaccines as allergy injections, providing them sublingually is considered “off-label” and therefore is not FDA approved. 4. Are the allergy drops covered by insurance? Since the drops are considered “off-label” they are not covered by insurance. However the office visits and testing may be covered depending on the insurance plan. 5. Can I get my allergy drops from my regular pharmacy? No. Allergy drops are considered a biological vaccine. It is not a drug that must be processed by the liver or kidney. The drops work to build your immune system. The drops are customized in a physician’s office. > For more information, visit www.PittsburghAllergy.net. Dr. Lauren Loya of the Hormone Restoration Center, can be reached at (412) 432-7909 or visit www.hormonecenter.net. www.guidetogoodhealth.com Spring 2014 Cross Training: The Perfect Combination for a Healthier Life By Melissa Mattucci Lindberg, M.S. Exercise Physiology W hat is cross training? Simply stated, cross training is the combination of aerobic activities (running, swimming, biking) and resistance training performed in an alternating sequence to achieve an overall total body workout. Commonly used by athletes, this training method allows individuals to train at higher The Community & intensity levels more frequently without the Recreation Center negative side effects that may result from repetlocated at 1551 itive exercise. It is important, however, that you Mayview Road is open do not let the term “athlete” deter you. Cross to both Upper St. Clair training, when done properly, can produce great and surrounding comresults for anyone at any fitness level. munity residents. For There are many reasons one should consider more information, visit cross training. First, the risk of overuse injuries our website at significantly decreases. Because the body experiwww.twpusc.org/crc/cr ences a variety of training methods there is less c-home or call (412) muscle imbalance, and therefore, less injury. 221-1099. Secondly, cross training diminishes the typical boredom that is caused by the same, stagnant daily routine many people fall into. Participants are much more likely to stay motivated by a program that keeps him or her looking forward to a new activity. Lastly, since there is a continuous change in activity, the body is always challenged. As a result, your body works harder, and burns more calories; a significant component in any weight loss (or maintenance) program. Whether you are new to exercise or a seasoned athlete now is the time to give cross training a try. At the Community & Recreation Center, we offer a variety of high and low intensity group exercise classes on land and in the water. We also provide personal training and private swim lessons for those individuals interested in one on one instruction. No matter what your age or fitness level, there is something for everyone at the C&RC. > Melissa Mattucci Lindberg is Marketing/ Membership Services Supervisor at the Community & Recreation Center at Boyce Mayview Park. St. Clair Hospital Conducts Free Skin Cancer Screening St. Clair Hospital is sponsoring its annual FREE Skin Cancer Screening from 6 to 7:45 p.m. Thursday, May 29 in Sipe Infusion Center, Third Floor, St. Clair Hospital, 1000 Bower Hill Road, Mt. Lebanon. Board-certified dermatologist Jason G. Whalen, M.D. and Nicole Funt, MPAS-PA of Mt. Lebanon Dermatology will be performing targeted screenings. These screenings of suspicious areas are by appointment only and space is limited. The American Journal of Medicine states that only 16 percent of men and 13 percent of women over the age of 50, the group with the highest risk of developing melanoma, reported having a skin examination in the past year. Please register by calling 412.942.5082 between 8 a.m. and 4 p.m. Mondays through Fridays. Receive daily updates on local events, health fairs and health news you can use and more. Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 11 Dr. Scott Kauma Infertility Treatments Offer Hope for Couples A s a reproductive endocrinologist and infertility specialist, Scott W. Kauma, M.D., has what he considers one of the best jobs in the world. “I help turn couples into families,” he says. “It’s wonderfully rewarding to be able to help people realize their dream of having a family.” Along with his colleagues, Dr. Kauma provides a full spectrum of state-of-the-art infertility services for both men and women at The Center for Fertility and Reproductive Endocrinology, a subspecialty of the Department of OBGYN of Magee-Womens Hospital of UPMC. Reproductive endocrinology and infertility (REI), he says, is an exciting field with tremendous advances in recent times. “I’ve always been deeply interested in how a fertilized egg becomes an individual. The process is fascinating. Clinically, what we do in REI is look at that process and correct problems, so that people can have children. To 12 GUIDE TO GOOD HEALTH “It’s wonderfully rewarding to be able to help people realize their dream of having a family.” -Scott W. Kauma, M.D., have a pregnancy, you need three things: sperm, an egg and a means for them to get together. The obstacles can be with any of those three factors. Our main focus in REI is infertility diagnosis and treatment; we work with couples who have experienced recurrent pregnancy loss. The role of the reproductive endocrinologist is to optimize the opportunities for conception and pregnancy to occur.” About half of all conceptions never make it to pregnancy, Dr. Kauma explains. Research shows that this is usually due to abnormalities in the chromosomes that keep the fertilized egg from developing. “They may make it to implantation, but even then, 35-50% of implanted embryos are lost. It’s actually a very inefficient process, and as women age, it becomes more difficult for their bodies to get rid of extra chromosomes.” Dr. Kauma says there are many promising infertility treatment advances on the horizon, including research currently taking place on animal models in which skin cells are taken by biopsy and made into stem cells. “It’s amazing. The skin cells can actually become mature sperm and eggs. This technology is still in the research stages and will be available in 30 years or so.” Fertility preservation is also one of Dr. Kauma’s areas of expertise. He is Clinical Director of the Fertility Preservation Program at Magee, a multidisciplinary effort to protect the reproductive capacity of women and men of childbearing age who have treatment for cancer. Chemotherapy, radiation and surgery can compromise and even destroy fertility, but Magee’s physicians and researchers have solutions that greatly improve the odds that cancer survivors can become pregnant or father a child, by intervening before cancer treatment begins. Preservation of fertility can take many forms, but the standard is cryopreservation (freezing) of eggs, sperm, embryos and even ovarian or testicular tissue. New technologies are always being developed, and Magee-Women’s Research Institute is one of the leading centers for this pioneering research. A native of Wisconsin, Dr. Kauma attended the School of Medicine and Public Health at the University of Wisconsin at Madison. He completed an OB-GYN fellowship at the University of North Carolina – Chapel Hill and spent the next 15 years at Virginia Commonwealth University and the Medical College of Virginia, where he served as a www.guidetogoodhealth.com professor of OB-GYN. In 2003, he moved to Pittsburgh, to West Penn Allegheny Health System, to launch an In Vitro Fertilization (IVF) program there. The program was created in alliance with the Jones Institute for Reproductive Medicine of Eastern Virginia Medical School, the first IVF program in the U.S. Dr. Kauma is board-certified in both OB-GYN and Reproductive Endocrinology. This year, he moved to Magee, where, he says, the research environment is exceptional. “Magee is second to none for the quality of care and ground breaking research taking place here. It is one of the top-funded research centers for women’s health, and there is excellent work being done at Magee by very smart people. When I was at MCV, I did a lot of NIH-funded research, while at West Penn I focused on clinical care, teaching and administration. Magee attracts research-minded people, and I’m happy to be there.” Dr. Kauma is also happy to be in Pittsburgh. “This is my favorite city. It’s a hidden gem! There’s so much to enjoy here, from sports to the arts. I like to snow ski, water ski and bike, and Pittsburgh has opportunities to do those things.” Dr. Kauma is available to offer his expert guidance to couples in the south and west regions of greater Pittsburgh at Magee-Womens Specialty Services on Bower Hill Road in Mount Lebanon. Magee opened the outpatient center last year to offer a convenient location where women can receive obstetric and gynecological specialty care in high risk obstetrics, uro-gynecology, midlife health, infertility, gynecologic oncology, maternal fetal medicine and other gynecologic specialties. > Magee-Womens Specialty Services offers woman-centered care in a convenient, comfortable setting. Women come to the outpatient center from as far away as Erie, eastern Ohio and West Virginia. Women’s Specialty Services is located at 1082 Bower Hill Road, Suite 125. For more information or if you would like to make an appointment, call (412) 429-3900. Spring 2014 Dr. Karen Hacker New Allegheny County Health Department Director Sets Priorities By Vanessa Orr O n September 3, 2013, Karen Hacker, M.D., MPH, began her tenure as the new director of the Allegheny County Health Department, a role that seems well suited to her abilities to bring diverse groups together for the greater good of the community. “I would describe myself as a coordinator and a convener,” explained Dr. Hacker. “Our resources are limited and the scope of our work is large, so we will never be able to solve problems with any one organization. My goal is to get all of the area’s organizations to work together to find ways to effectively and efficiently deal with the challenges that we face.” Dr. Hacker was formerly the executive director of the Institute for Community Health, a community research organization within the Cambridge Health Alliance (CHA), where she also held the title of senior medical director for public and community health. Dr. Hacker also served as an associate professor in medicine at Harvard Medical School and School of Public Health. She received her undergraduate degree from Yale University, her medical degree from Northwestern University and her master’s in Public Health from Boston University. "I knew that I wanted to be a doctor from a very young age,” said Dr. Hacker, whose mother is a psychiatrist. “I wasn’t clear on what type of doctor I wanted to be until college and medical school, when I began doing volunteer work with a lot of different populations. At the time, I had no idea what ‘public health’ was, but I enjoyed working with different cross-sections of the population, especially adolescents—I felt like I could make a difference within that group.” As a result, Dr. Hacker’s research interests have focused on adolescent risk and resiliency, child mental health, and the social determinants of immigrant health. She has led efforts to incorporate behavioral health screening into pediatric primary care and worked with communities on issues of substance abuse and overdose prevention and youth suicide. She has most recently been involved in evaluating the transformation of safety net institutions into accountable care organizations. At the Allegheny County Health Department, Dr. Hacker will be Spring 2014 responsible for assessing and ensuring the health of the community. “The department is responsible for the health and wellness of the entire community, which includes environmental health, such as air, water and housing issues, as well as clinical programs, including those focused on sexually transmitted diseases, tuberculosis, immunizations and chronic diseases,” she explained. “The department also monitors the general health of the public to identify hot spots or identify and contain infectious disease outbreaks.” One of Dr. Hacker’s first priorities in her new position is to improve the infrastructure of the health department. “It needs a lot of work; a lot of revitalization to bring it into the 21st century,” said Dr. Hacker, who has already added two deputies and a chief epidemiologist to the staff. “We also need to understand the disparities in the county—racial, economic and geographic—and focus attention on those.” Dr. Hacker also plans to concentrate on obesity prevention and physical activity promotion, and to continue to work on air quality issues in the county. “As an outsider, I face some challenges in getting to know the environment, the players and the dynamics,” she said of her move to Pittsburgh. “I wasn’t born and raised in this area, so that creates some advantages and disadvantages. I still need to learn the lay of the land. “There are numerous people doing lots of things, so my hope is that I can coordinate these groups so that we are all moving in the same direction,” she added. “Working together, we can move the needle; we can get some of these issues resolved.” > To learn more about the Allegheny County Health Department, visit www.achd.net or call (412) 687-ACHD. Welcoming New Patients: Magee-Womens Specialty Services Magee-Womens Hospital has a wide range of specialty services and world-class physicians right here in your neighborhood to help women with a variety of conditions. Gynecologic Oncology State-of-the-art, compassionate, comprehensive care to women who have gynecologic malignancies. Reproductive Endocrinology and Infertility Infertility services for males and females including advanced reproductive technologies. Minimally Invasive Gynecology Experts in the field of minimally invasive surgery who use the latest techniques to treat many gynecologic problems. Midwives Board-certified, independent health care practitioners, licensed in the disciplines of both nursing and midwifery. Maternal Fetal Medicine Physician, nurse, and obstetric team specializing in high risk pregnancies, and medical conditions that affect pregnancy. Urogynecology The Women’s Center for Bladder and Pelvic Health treat women with disorders of the pelvic floor, including urinary and fecal incontinence and pelvic organ prolapse. For more information, or to schedule an appointment with a Magee specialist near you, call 412-429-3900 or visit, UPMC.com/Magee. Magee-Womens Specialty Services • 1082 Bower Hill Road, Suite 125 Affiliated with the University of Pittsburgh School of Medicine, UPMC is ranked among the nation’s best hospitals by U.S. News & World Report. www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 13 Dr. Roberta Renzelli-Cain and Dr. Merrideth Leggat For Women Obstetrics and Gynecology Provides Comprehensive Care for Women of Every Age W omen experience a unique set of health issues at each stage of their lives. That’s why it’s important for women to see a board-certified OB/GYN specialist who understands their changing needs and concerns. At “For Women Obstetrics and Gynecology,” Roberta Iris RenzelliCain, D.O., MHS, and Merrideth Leggat, M.D., strive to meet the specific needs of each patient—from adolescence through their childbearing years, then into mid-life and beyond. Both Dr. Renzelli-Cain and Dr. Leggat believe that an individualized, holistic approach to healthcare helps adolescent girls and women stay healthy and enjoy a higher quality of life. “We feel that because every woman is unique, her healthcare should be, too,” said Dr. Leggat. “Our practice offers services that are tailored to the needs of each patient. We think that approach helps women achieve the best possible outcomes.” Adds Dr. Renzelli-Cain: “The female body is an intricate system and is interconnected in many ways. A woman’s femininity is defined by more than her reproductive organs. We believe that it is important to serve the full patient by caring for the body, mind and spirit. Through that balanced approach, we help women to create wellness in their lives.” For Women Obstetrics and Gynecology is a “one-stop shop” that offers exams, lab tests and screenings; wellness education; and a wide array of treatment options. When treating a disease or condition, Drs. Renzelli-Cain and Leggat first try the latest medical therapies. If surgery is necessary, they offer minimally invasive surgical techniques that reduce pain and scarring as well as speed up the recovery process. Some of these surgical options include endometrial lining ablation and laparoscopic hysterectomy. For the convenience of patients, many of these procedures can be performed without hospitalization. In addition to offering annual exams and routine gynecologic care, For Women Obstetrics and Gynecology provides specialized services for the following age groups: Adolescent Years • Abstinence education and contraceptive options • Adolescent healthcare and education • Disorders of puberty • Eating disorders • PCOS (polycystic ovarian syndrome) • Screenings for STDs • Vaccinations Childbearing Years • Genetic counseling • Infertility and pre-conception counseling • Management of medical issues that coexist during a pregnancy (e.g., diabetes, high blood pressure, thyroid disease) > Pictured (l-r) Dr. Roberta Renzelli-Cain and Dr. Merrideth Leggat • Minimally invasive robotic surgery • Obstetric care, including ultrasound, fetal non-stress testing, lab draw and childbirth classes • Prenatal care and delivery Mid-Life and “Beyond” Years • Breast health • Genetic counseling • Hormone replacement therapy and menopausal care • In-office procedures and treatment for management of abnormal PAP smears, heavy menstrual bleeding and urinary incontinence • Management of incontinence • Osteoporosis management • Sexual dysfunction • Weight management For Women Obstetrics and Gynecology is located in the Outpatient Care Center – Peters Township at 122 Gallery Drive, Suite 200, in McMurray, PA. Appointments can be scheduled for Mondays, Noon to 8 p.m.; Wednesdays, 11 a.m. to 8 p.m.; Thursdays, 8 a.m. to 5 p.m.; and Fridays, 8 a.m. to 5 p.m. Evening appointments are also available. Major insurance plans are accepted. For referrals or to schedule an appointment, call (724) 260-7230. Log on to www.guidetogoodhealth.com for our Healthcare Directory. Specializing In Treatment For The Incontinent Patients 159 Waterdam Road, Suite 120 McMurray, PA 15317 Tel: 724-942-1511 • Fax: 724-942-1513 14 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com ____________________ NovaCare Rehabilitation offers a wide variety of programs and services. ____________________ Judith Post, MPT, COMT Physical Therapist • Center Manager Spring 2014 Cynthia Cowie Southwest Regional CEO Recognized for Impactful Career By Vanessa Orr W hen Cynthia Cowie first entered the medical field, she was looking for a rewarding career that enabled her to help people. Starting as a certified nursing assistant (CNA), she went on to earn her LPN (licensed practical nurse), RN (registered nurse) and BSN (bachelor of science in nursing) degrees, and now serves as the CEO of Southwest Regional Medical Center. Looking back at her success, one thing is clear; Cowie has never stopped focusing on the people in her care. “I always appreciated and understood science, and back when I was making career decisions, the options were limited for a female. If you had a science background, becoming a nurse was the best way to enter the medical field,” she explained. “I think what I liked best about the field was that it gave me the opportunity to impact and work with a lot of people. Health care at the bedside level is very rewarding.” While raising two small children, Cowie studied for an earned her LPN and RN degrees, and later earned her BSN from Waynesburg Spring 2014 University. In 2004, she joined the staff of Southwest Regional Medical Center as the chief nursing officer, which at the time, was a risky career decision. “I came to the hospital nine months prior to it being sold; it was a community not-for-profit, struggling financially to keep the doors open,” she said. In 2007, Cowie was named the hospital’s CEO. During her tenure, the hospital has enhanced and added many new programs including the Center for Recovery and Wellness behavioral health services, the SRMC Wound Care and Hyperbaric Center, private rooms for patients, an enhanced emergency department and InstaCare Urgent Care. “Health care has changed massively since I first entered the field, in areas ranging from improved technology to increased learning and proficiency in skills,” she explained. “When I started, we were working with a 2-slice CT scanner; now you can actually purchase a scanner with over 200-slice capabilities. Surgical technology practically eliminates the need for making large incisions that may cause patients to have longer recoveries or “Recognize that what you see now or in the past will be very different in the future; if you think that health care will be this way in 20 years, you’re in for a rude awakening.” complications. It’s like going from the Stone Age to where we are today.” While working at a small, rural community hospital has its challenges, Cowie says that she loves working with employees and patients. “I am a hands-on manager; I’m very passionate about health care and passionate about what I do,” she said. “And being a Type ‘A’ personality probably doesn’t hurt.” This passion has led to Cowie being named to the Pennsylvania Business Central’s Top 100 People of www.guidetogoodhealth.com 2013. Recipients are selected based on several factors including the impact they have had on the business community, from job creation and building improvements to fiscal growth or community involvement. As a leader in the field, Cowie encourages others to pursue a career in the medical field, but she cautions them as well. “Recognize that what you see now or in the past will be very different in the future; if you think that health care will be this way in 20 years, you’re in for a rude awakening,” she said. “It’s a very challenging field that you shouldn’t enter into lightly. “But if you’re still passionate about health care—about learning, caring and providing help to those who need it, you will find that sometimes your hard work is rewarded—and that’s a great feeling.” > For more information, call (724) 627-3101 or visit the website www.southwestregionalmedical.com. GUIDE TO GOOD HEALTH 15 Pittsburgh Integrative Mental Health, LLC Packaging Your Wellness Under One Roof Bodywork, Mindfulness and udith Gusky, LPC, took a leap of Meditation for Mental Health faith in November of last year and Sometimes the best way into the put into motion a long-time dream. emotions is through the body. She shifted her mental health counselBodywork, such as CranioSacral ing practice to an integrative model Therapy, acupressure, massage, Reiki, providing both traditional and alternaand variety of other techniques can tive therapies for better mental health. open the door to past trauma, chronic Along with the switch came a new depression, anxiety, and any number of business name: Pittsburgh Integrative emotional issues. Meditation pracMental Health (PIMH). Judith Gusky tices also can help quiet the mind and Gusky no longer has to refer people out for many specialized treatments. PIMH ser- relax the body enough to unearth the roots of vices now include a broad range of options for deep emotional and psychic pain. Treatments treatment of mind, body, and spirit—all under offered include: • Light-touch massage one roof. • CranioSacral therapy Although it is a client's choice to select his or • Reiki her preferred treatment, Gusky encourages • Mindfulness practices clients to consider the benefits of treatment from • Deep relaxation meditation multiple perspectives. • Guided Imagery and Music (GIM) PIMH’s integrative approach includes: • Mental health counseling for a range of psySpirituality in chological and emotional problems. Mental Health Counseling • Bodywork, music therapy, and meditaMany of the experiences we have throughout tion/mindfulness techniques for emotional healing, stress relief, and management of chronic life are not definable in rational terms. They may be moments of coincidence or serendipity or conditions. • Spiritual counseling for those experiencing a something more profound, such as a spiritual spiritual crisis, past life memories, psychic abili- transformation. Society today tends to explain ties, or extraordinary experiences that occur these things away as wishful thinking, exaggeration, or even mental illness. Spiritual explowhen a loved one has passed. ration may be as important as delving into the psyche to resolve painful emotional problems. Mental Health Counseling PIMH provides counseling and consultation Religious beliefs need not be a barrier to this on a range of mental health issues for individu- kind of soul searching. Experience can tranals, couples, and families. GLBT clients are wel- scend beliefs without sacrificing the latter. It's just a matter of following your intuition and letcome. ting your inner voice come through. Issues and • Grief treatments include: • Depression • Past life memories in children • Relationship problems • Past life regression for adults • Pregnancy loss • Extraordinary experiences after a • Anxiety loved one's death • Impulse control • Embracing your psychic gifts • Early life loss/trauma • Understanding spiritual emergence/ • Stress emergency • Caretaker stress • Coping after a Near-Death • Life transitions Experience (NDE) • Seasonal depression • Chronic illness/pain For more information, visit our website • Aging at www.pimhservices.com or • End-of-life J > 16 GUIDE TO GOOD HEALTH call (412) 687-1234. www.guidetogoodhealth.com An Integrative Treatment Case Study A client comes to see a counselor after the sudden loss of a loved one.The client saw her partner gasping for his last breath and reaching out as if in anguish. She is still horrified. She regrets not having been able to save or comfort him. Her life now feels mechanical and without purpose. She is exhausted most of the time and continues to isolate herself. She worries about her health and her financial situation. Grief is not mental illness. But it is deep mental, emotional, and physical suffering that lingers. In an integrative approach we consider three interrelated aspects of her story: 1) The horror and regret. 2) The absence of meaning and purpose. 3) Her physical exhaustion and health concerns. The first issue is treated from a spiritual angle. “What did your partner’s reaching out signify to you? Is it possible that he was reaching out to a vision of something before him and that the look was that of awe rather than anguish? The client’s beliefs and experiences with matters of spirit are explored. She finds comfort. The second aspect of her story is the absence of meaning and purpose in life.This is treated as an existential question, rather than a mental health concern. Meaning and purpose change with loss.Yet, there is something that we know deep within that has always had meaning; has always guided us. We explore the threads of her life and then consider how she may use what she discovers in a meaningful way. She finds hope and direction. In the process of counseling and spiritual exploration, the client undergoes physical therapies and energy healing that relieve the sense of fatigue and heaviness that makes each day a burden. She begins to regain energy and a sense of peace. She feels more self-assured and less anxious about the future. It is these treatments that help release physical and energic restrictions in her body brought on by emotional trauma.They contribute to the client’s physical improvements and sense that she is perhaps her own best authority on healing and thriving. She finds renewed strength. Spring 2014 call 412-364-8338 Spring 2014 www.guidetogoodhealth.com For North Hills GUIDE GTGH414 TO GOOD HEALTH 17 Wound Care A Wound Care Patient’s Remarkable Journey Ohio Valley General Hospital's Wound Care Center staff works together to help treat patients like Joyce Carney (seated). J oyce Carney is one of the healthiest 77 year olds around. That’s what her doctors have always told her. Which is why when a sudden cyst-like wound broke out on her arm about three years ago, she was concerned. Unsure of what exactly it was, Joyce tried to have it removed by a surgeon. The wound wouldn’t heal, and more started popping up across her back and down her arms, so she went to a dermatologist. “I felt drained, and tired. No one knows what caused the sores, or how to stop them from spreading,” she said. Joyce’s dermatologist sent her to the Ohio Valley Wound Care Center, where they tried to determine a cause. The OVGH Wound Care Center is one of the oldest and bestestablished practices in the region. As a Healogics-managed center, they are part of a nationwide network of wound-healing specialists, and they are used to treating wounds of all kinds, from diabetic ulcers to traumatic injuries. But this case was different. Debbie Cardillo, Clinical Manager of the wound center said, “Joyce’s case is unique. After months of tests such as biopsies, x-rays, blood work and different compounds of creams and ointments, the wounds would make progress but never completely > 18 GUIDE TO GOOD HEALTH heal.” It was then that Dr. Samina Naseer, the Wound Care Center’s Medical Director, talked with Joyce about Pyoderma Gangrenosum. It is a rare condition that causes ulcerlike sores to appear on your body. While the medical field is puzzled as to how this disorder starts in your body, many believe it stems from the immune system. While continuing treatment at the wound center, Dr. Naseer also keeps in contact with Joyce’s dermatologist on a regular basis. “When doctors refer a patient to us, we like to include them so we can work together on treatment. We even give them monthly updates on how their patient is doing,” added Cardillo. Joyce has now been at the Wound Care Center for months, and has seen remarkable improvements to her open wounds. She has not had a new break out in several months. While she may never know what causes the sores to develop, or have them heal completely, Joyce doesn’t mind coming to the Wound Care Center for treatment…she says they treat her like family. “They’re just so congenial. They bend over backwards for me. They even call me on the weekends after a big treatment to see how I’m doing. It’s just a nice feeling when you come in.” If you would like more information about getting help from Ohio Valley General Hospital’s Wound Care Center, visit them online at www.ohiovalleyhospital.org. The Wound Care Center has two convenient locations in Kennedy Township and Ohio Township. You can call (412) 250-2600 to make an appointment at our Kennedy Township Location, or (412) 847-7500 to reach our North Hills branch. www.guidetogoodhealth.com Spring 2014 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 19 Chronic Pain Spinal Cord Stimulation Lessens Symptoms of Pain W Whitehall 412-884-3500 Greentree 412-344-7744 Bethel Park 412-831-6050 Peters Township 724-941-3080 20 GUIDE TO GOOD HEALTH hat started as a pinched nerve from piggyback rides with his daughter became severe pain with no relief for Jim Kinter, a Pittsburgh native. Back surgery, which commonly would relieve the growing pain in his leg, instead gave him unbearable back pain. For years, this meant sleepless nights, uncomfortable mornings, and a lot of tension within his family. In December of 2012, after trying everything from nerve blocks to opiates, Kinter decided to try one last option: Spinal Cord Stimulation. Spinal Cord Stimulation is a reversible implant that provides relief from consistent nerve pain. A pulse generator, manufactured by medical device companies such as Boston Scientific, sends electrical impulses to the brain that mask pain signals. These tiny pulses, or tingles, help manage-and relievethe burning, stabbing, and throbbing sensations chronic pain patients’ experience. This action helps manage-and relieve- the aching in your body. It typically works for people dealing with chronic pain or severe discomfort in their back and extremities. At Ohio Valley General Hospital, Pain Treatment Center physician Ankur Gosalia, M.D., believes spinal cord stimulation can help improve your quality of life. “When we treat your (leg) pain, your function tends to get better. You’re able to use your legs more easily.” He and his partner, David DeChellis, D.O., routinely see patients for whom they recommend and treat with Spinal Cord Stimulation. When a patient is interested in the procedure, he or she consults with the physicians to see if it is right for them. The patient is then given a temporary stimulator— one attached outside of the body. If the trial gives the patient at least a 50% increase in pain relief, they move ahead by scheduling the patient for an outpatient procedure at Ohio Valley General Hospital. The physicians continue to monitor the patient’s stimulator-and their lessened pain- through follow-up appointments. To control the device once it’s been implanted and in between physician visits, a wireless remote control that looks much like a smart phone allows the wearer to adjust the stimulator settings, which allow www.guidetogoodhealth.com Dr David DeChellis of Ohio Valley General Hospital's Pain Treatment Center discussing pain treatment options. the patient to adjust their settings to levels that soothe their pain. The rechargeable battery comes with a 12-year battery life and ensures you never have to turn it off—something Dr. DeChellis calls, “One of the biggest breakthroughs in spinal cord stimulation.” Jim Kinter agreed, “I tried to turn mine off once. I lasted about an hour. I’ll never do it again!” Kinter is more than happy with the new lease on life Spinal Cord Stimulation has provided him, and his family. “I feel twenty years younger.” In fact, Kinter wished he had followed his physician’s advice to try the implant years earlier. According to Dr. Gosalia, Spinal Cord Stimulation used to be an end of the road procedure-after a patient tried everything else. Now, physicians are willing to try it much earlier in the treatment plan. “Why put a patient through years of misery with opioids when they have a problem that can be treated.” In comparison to the cost of yearly medications, the procedure is cost-effective. Most insurance companies will cover the cost of the implant. > For more information, and to find out if spinal cord stimulation is right for you, contact the Pain Treatment Center at (412) 777-6400. You can also learn more information about the facility at the website www.ohiovalleyhospital.org. Spring 2014 REINVIGORATING EXPERIENCE Rehab to Home in No Time The best way to get better — and go home faster — is to follow doctor’s orders. Our experienced physical rehabilitation experts do just that. From individualized care plans created in concert with your physician to a hospitality mindset, we’re here to help you get home faster. Ask about our Prehab Services to get home even sooner! Explore careers at www.srcare.org/careers Spring 2014 www.SrCare.org Oakmont Campus t 1.877.740.2179 Washington Campus t 1.877.706.6610 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 21 Mark Your Calendar SW HealthCare HealthCare Center: The Best Kept Secret in the South Hills By Angela Knauff 30 Years of Progressive Healthcare Services and Counting Through expertise and adaptability, SW HealthCare Center is staying responsive to the needs of the local and surrounding communities it serves. With a recent transfer of ownership from Southwestern Group LTD to a new entity for operation, SW HealthCare Center LP, the new operators are anxious to share their vision for the future including a focus on our campus environment and services with new and innovative ideas for customer service. Joins Major Healthcare Initiative to Prevent Avoidable Hospital Readmissions Southwestern Nursing Care Center is pleased to announce its participation in the major healthcare initiative developed by the Centers for Medicare and Medicaid Services (CMS) – preventing avoidable hospital readmissions. The initiative brings hospitals, skilled nursing providers, health plans, home health agencies and physician practices together that coordinate and care for patients after a hospitalization. Southwestern Nursing Care Center will be participating in the Quality Assurance and Performance Improvement Program because not only can we help residents and families in our facility for short-term recovery or long-term care, we will help make healthcare more affordable. 13 Years Enriching Lives, Transitional Senior Living Southwestern Assisted Care Residence focuses on taking care of the details while providing a helping hand when needed. Nearly one in every five seniors hospitalized return to the hospital within 30 days. Southwestern Assisted Care Residence offers the type of transitional support and services in preventing avoidable hospital readmissions in addition to providing a worry free and maintenance free lifestyle for those who seek that support.We blend tradition and charm with lovely suites and the availability of support staff around the clock to provide assistance when needed. Exceptional Retirement Living, 18 Years of Lifestyle Satisfaction Arrowood at Southwestern offers retirees a multitude of benefits beyond the cost and worry of staying in your own home.All inclusive rent, maintenance and worry free living, socialization, entertainment and peace of mind. Not sure if you’re ready to make the decision to down size? Trial Stays are available in the same well appointed apartments available for permanent residence and include our exceptional hospitality and superior amenities. Arrowood at Southwestern makes retirement so much more enjoyable.Ask any neighbor in our community. Integral Role in Healthcare and Patient Satisfaction Everyone in a local community benefits from a collaborative environment with direct access to our on campus multi-specialty physicians and services, outpatient surgery center, restaurant access and ample parking. Complimented by partnerships with physicians and other healthcare providers located in the Southwestern Medical Office Building of the campus, partnering South Hill’s and surrounding Pittsburgh providers, we cater to you. Are you planning a Senior Expo, Health Fair, Fundraising Event or Conference? Call (412) 835-5796 or e-mail [email protected] to see how we can help you promote your event. 22 GUIDE TO GOOD HEALTH > Stop by for a tour. We are taking a new hands-on, team approach to our services and would love to show them off. Angela Knauff is Executive Director, SW HealthCare Center. You can reach Angela at (412) 469-6959. Visit us at the webste www.southwesternhealthcare.com. www.guidetogoodhealth.com Spring 2014 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 23 Wigs Offer New Options for Hair Replacement 5 Common Hair Problems Women Face What causes hair loss and thinning hair for women? By Lisa Bianco A t Greg Jockel Hair Colour Dezign in Wexford, you’ll find the kind of excellent salon services you’d expect: hair design, hair color, manicures, pedicures, skin care and even reflexology. But you may not be aware of a service actually getting known these days by word of mouth, when clients spread the word among friends and family. What’s being referred to is the growing reputation Greg Jockel salon is building for its wig services. Delivered by professional wig consultant Carol Opalisky, Carol is a licensed board-certified cosmetologist with extensive training in the artistry of hair replacement and a more than 40 year career of running upscale salons. “Eighty percent of our wig customers are word-of mouth referrals. And yes I do work with lots of clients who are chemotherapy and cancer patients. But about a quarter of my clients just want to change their look. Some of my clients are CEOs who need to attend an evening event and want the option to throw on a wig to get ready quickly. I have clients from age 4 to 99.” says Carol. “For women who have lost their hair the salon has a reassuring feel since it doesn’t look like a clinic. There’s a private room in the back for wig consulting.” When asked what clients like in particular about her manner, Carol is candid. “They like the intimacy and privacy of our salon and the fact that I give them real knowledge about wigs. I share with them the tricks of the trade so to speak.” Carol recommends that chemotherapy patients come to the salon before they've lost all their hair. "That way I can duplicate their current color and style," she asserts, and adds, "It's the best time to get a wig." For clients with alopecia areata who lose their hair when the immune system mistakenly attacks hair follicles, Carol often relies on photos, or matches a wig based on the person's color and complexion. Once these clients receive their wigs, begin wearing them and feel normal again Carol says unequivocally, "It's life altering! They're so incredibly relieved to feel pretty again. As women it's really important for us to have our hair. Many of my clients feared they would be stared at or Unlike male pattern balding, female hair loss is often caused by things other than DHT. Stress, menopause, birth control, medication, changing hormones, and the plethora of hair styling products women use are most of the cause. What are the causes of dandruff? “...I do work with lots of clients who are chemotherapy and cancer patients. But about a quarter of my clients just want to change their look.” -Carol Opalisky shunned if people saw them without hair. It's a sad fact that our society is comfortable with men going bald, but not women. These are the times when I feel that I'm really helping people and it reminds me of why I went into this kind of work." Carol's extensive training in hair replacement gives her a sharp eye for good wig construction, and a thorough understanding of what makes a quality wig. She deals mostly with synthetic wigs in a high quality price range — between $250 to $500. Human hair wigs turn out to be much more pricey — with good quality starting at $800 to $1000. "I look at the quality of the wig's cap, its weft and durability, the quality of the hair... people want to wear a wig that doesn't even look like a wig. High quality synthetic wigs fit the bill. That's what I aim for. Plus synthetic wigs are so much easier to care for. Once a month you shampoo with a wig shampoo and the style stays in. Shake it out and it's ready to wear. Synthetic wigs are easy care compared to human hair wigs which must be treated just like human hair — with a wash, set and blow dry." With more than 40 years of salon experience Carol has operated her own salon in State College and Harrisburg. What started her off in the wig business was her own mother's need for a wig 15 years ago after being hospitalized. This led to Carol's decision to open a wig boutique. Her special interest and passion for hair replacement has blossomed from there. REMEMBER to sign up for your subscription No hair problem are as common as dandruff. Dandruff is the appearance of scaly particles that cling to the root of the hair. Some reasons for the accumulation of dandruff are a poor diet, infection, a slow rate of metabolism, or even stress. How do split ends occur? A split end happens when the end of the hair, becomes dry and brittle and begins to split — usually caused by the various styling efforts woman’s put their hair through.This includes over combing or over brushing hair, giving your hair a perm time and time again, improperly using heated hair appliances, constant coloring of hair, etc. Lack of conditioning can also go a long way in giving rise to split ends. Can any hair type suffer from frizzy hair? Yes, many women are cursed with frizzy hair. This is due to dropping moisture levels in the hair below normal levels. Too much hair brushing can lead to this condition, as hereditary factors. Can tap water contribute to dull, gummy hair? Often, hair can gum up after treatment.This can be a big problem for women who want to style their hair regularly. One of the causes of this condition is hard water that gets into the hair when you wash it. > For more information about Greg Jockel Hair Colour Dezign, and wig services with Carol, call the salon at (724) 934-0211, or visit www.gregjockel.com. LOW INTRODUCTORY PRICE OF $12.00. To receive your own copy direct mail, send your check to Western Pennsylvania Guide To Good Health 2574 Oldfield Avenue, Pittsburgh, PA 15102. Name: ________________________________________________________________________________________ Address: ______________________________________________________________________________________ City: __________________________________________ State:______________ Zip: ___________________ Phone:_________________________________________ E-mail:_______________________________________ Your thoughts on the GTGH/Story ideas: _________________________________________________________ ______________________________________________________________________________________________ 24 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Non-Invasive Medical Imaging Available for Breast Screening By Bethany Narey, Certified Clinical Thermographer W omen are being diagnosed with breast disease at younger ages. It is imperative we have breast health screening options available to younger women. The standardized age for a woman to receive a mammogram is 40 years old, this leaves a potentially dangerous gap in breast health care. Posing the question, is 25 the new 40? And what options are out there? Thermography Digital infrared thermal imaging also known as thermography is a 15 minute non-invasive test of our bodies’ physiology. In short- thermography studies how your body is functioning. The detection of disease is achieved by displaying thermal abnormalities and patterns present in the body. Thermography can aid in the detection of subtle physiologic changes that accompany pathology, whether it is cancer, fibrocystic disease, an infection, or a vascular disease. Thermography is; radiation-free, painless, and requires NO contact with the body This makes thermography a valuable procedure for alerting your doctor to changes that can early indicate early stage dysfunction or disease. centage of women under the age of 40 being diagnosed it is important to have additions to our breast health screening. Thermography offers the opportunity of earlier detection of dysfunction in any area of the body than has been possible through self-examination, doctor examination, mammography, ultrasound, or x-ray alone. Thermography is not a stand-alone test. When thermography and mammography are used together the best possible evaluation can be made. > We invite you to visit Health Enhancing Thermography at our Ft. Couch. Bethel Park location. Schedule an appointment and receive 15% off your first appointment. Call Health Enhancing Thermography at 855-254-4328 or visit us online at www.heat-images.com. Bethany Narey LECOM.edu Who Can Benefit? All women can benefit from thermography breast screening. However, it is especially appropriate for women 23-55 whose denser breast tissue makes it more difficult for mammography to be effective. Also for women of all ages who do not want exposure to radiation, have implants, are fibrocystic, have had a mastectomy, or are unable to undergo routine mammography. Thermography can provide a clinical marker for a specific area of the breast that needs particularly close examination OR a general baseline for your overall breast health. Why Thermography? Thermography can see activity and changes outside of other tests such as mammography and ultrasound. Where mammography looks for anatomical changes or structure, thermography looks for physiological changes or how the body is functioning. Medical doctors analyze heat temperature differences and patterns that indicate cell change and vascular dysfunction. Thermography allows for an earlier look at your breast tissue and can potentially identify dysfunction before a structure has developed. Your doctor can then plan accordingly and layout a program to further diagnose and monitor your health. With 1 in 8 women developing breast disease and the per- Spring 2014 MIND BODY SPIRIT When mind, body and spirit work together. Truly together. The impossible becomes suddenly possible. This is what we teach at LECOM. To see human potential taken to the next level and beyond. To prevent disease and treat it. To give hope. It’s what can happen when you learn to truly believe in yourself; when mind, body and spirit become one. This is the calling we can help you fulfill. CAN YOU HEAR Campuses in Erie and Greensburg, Pa. and Bradenton, Fla. www.guidetogoodhealth.com THE CALLING? GUIDE TO GOOD HEALTH 25 Chiropractic Health What is Nerve Gliding and Can It Help with Diabetic Neuropathy in the Feet? Introducing Spinal Decompression Therapy By Dr. Amy M. Jennings W Ask Dr. Amy e live in a compressed world where we sit or stand for the majority of our days. Bulging discs, herniated discs, degenerative disc disease, pinched nerves, sciatica, and arm pain or leg pain can often be attributed to the spine asserting pressure on the discs. Repetitive stress, poor posture or bad body mechanics can cause vertebrae to compress the discs or to slip out of alignment which then applies pressure to the discs. Compressed discs lead to two major problems: a bulge or herniation pressing on a nerve; and brittleness of the disc. The problem is often perpetuated because the compressed disc restricts the flow of nutrients to itself which is necessary to heal. Traditional treatments for compressed discs, depending on their severity, include chiropractic adjustments or surgery. Spinal Decompression Therapy is an alternative FDA approved treatment option that has shown excellent results and kept patients out of surgery. It is a non-invasive treatment that both your surgeon and chiropractor can agree on and recommend. The decompression table applies a distraction force in between periods of relaxation. This gently pulls and elongates the spine, which creates a small vacuum between the vertebrae allowing the disc to come back into shape. Over time these treatments have a cumulative effect on the discs, allowing them to reshape, heal and get the proper flow of nutrients going to fend off future injuries. This method of treatment is non-invasive and has been shown to keep people from having costly surgeries. > Please e-mail questions to Dr. Amy Jennings at [email protected], fax to (412) 283-1062, or mail to 1010 Clifton Road, Bethel Park, PA 15102. By George W. Kukurin, DC, DACAN A common complication of elevated blood sugar or diabetes is damage to the nerves throughout the body. This is known as peripheral neuropathy and can produce debilitating pain, numbness and other distressing symptoms in patients. Typically the symptoms of diabetic neuropathy start in the feet and progress to the hands and other parts of the body. The sustained elevated blood sugar found in diabetes causes damage and degeneration to the nerves via a number of different metabolic pathways. Our knowledge about the deranged metabolism that is the actual cause of diabetic nerve damage has increased dramatically, unfortunately there are currently few, if any, medications specifically designed to treat the underlying cause of the condition. For patients suffering with the symptoms of neuropathy associated with diabetes, current treatment consists of strict blood glucose control and several drugs that may relieve the symptoms of diabetic neuropathy. Regrettably the current state of treatment for most patients suffering from diabetic neuropathy is truly inadequate. But some new research showing that the nerves in diabetic patients may become fixed, may offer hope to patients suffering from neuropathy. A technique called nerve gliding or sometimes called nerve flossing may do the trick. Basically nerve gliding treatment seeks to mobilize fixed and entrapped nerves to restore their normal motion. The technique consists of gentle stretches applied across the fixated nerve. While the foot is stretched the patient simultaneously will flex and extend the head and neck. This produces a “flossing” type motion on either side of the nerve fixation. Over time this reciprocal nerve mobilization may break down adhesions and decompress the nerve. According to the theory of nerve gliding this type of nerve mobilization may non-surgically decompress and restore motion to entrapped nerves. This means that, at least in theory, patients suffering from diabetic neuropathy could benefit from nerve gliding techniques applied to the feet and legs. Because these techniques can mobilize the nerve with gentle stretches and foot positioning they appear to be an exciting potential new treatment option for diabetic peripheral neuropathy patients. What is more they are non-surgical and safe. > For more stories on chiropractic health, log on to www.guidetogoodhealth.com To receive our FREE monthly enewsletter, email [email protected] Dr. George W. Kukurin, Kukurin Chiropractic, Acupuncture & Nutrition, can be reached at (412) 381-4453 or visit www.alt-compmed.com. Chiropractic Care Relief is right here in the Pittsburgh area. Dr. Kukurin was named a Top Chiropractor by the Consumers’ Research Council of America. He is listed in Who’s Who in Medicine and Healthcare. With over 20 years experience using laser acupuncture, chiropractic and science based nutritional therapies, the results produced by his methods have been featured on local TV newscasts, published in scientific journals, indexed in the National Library of Medicine and have been presented at medical conferences at Johns Hopkins and the Peripheral Nerve Society. Find help now call Directory Jennings Chiropractic DR. AMY M. JENNINGS, D.C. _________________________________ 412.381.4453 “Gentle Healing Hands of Chiropractic” KUKURIN CHIROPRACTIC, ACUPUNCTURE & NUTRITION George W. Kukurin DC DACAN, Jason S. Franchi DC & Kristopher C. Adolph DC 2415 Sarah Street • Pittsburgh, PA 15203 • 412.381.4453 • www.alt-compmed.com Preferred provider for most insurance plans including BCBS, UPMC, Cigna & more. 26 GUIDE TO GOOD HEALTH Accept most Insurances (UPMC, BC-BS, Auto, Ect.) 1010 Clifton Road • Bethel Park, PA 412-283-1060 HOURS: Monday: 8:30 - 11:30 a.m. & 4 - 8 p.m. • Tuesday: 11 a.m. - 4 p.m. Wednesday: 8:30 a.m. - 6 p.m. • Thursday: 4 - 8 p.m. • Friday: 10 a.m. - 3p.m. • Saturday: 8 - 11a.m. www.guidetogoodhealth.com Spring 2014 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 27 28 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 29 30 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 2. Right Outlook HOW TO LIVE TO BE 100 De-Stress whenever possible -15 minutes a day can change us from inflammation to anti-inflammation state in the body 3. Sense of Purpose Can add 7 years of longevity. Ikigai - this is the Okinowan word for “the reason for which you wake up in the morning” If we stop being purposeful our lives may lose meaning. By Susan Merenstein T here is no magic pill to increase longevity as is evidenced by three main areas of longevity in the world or Blue Zones where there are 10x the number of Centenarians as compared to other parts of the world. Sixty-five-year-old ages 120 times faster than a 12-year-old. Best science shows our lifespan capacity is 90 years. Average in the U.S. is 78 years. America’s Blue Zone is Loma Linda California where the average lifespan is 89 for women and 87 for men. They follow a Bible diet of green plants and legumes, little meat and they treasure their Sanctuary Time which is from sunset Friday to sunset Saturday. During this time all work is halted, family time is of the utmost importance and they spend time walking in nature. The ground zero of longevity are the Okinawan Islands (where the oldest living female population live AND the largest disability free life expectancy in the world). Also the Okinawans live 7 good years longer than the average American and have 1/5th the rate of breast and colon cancer and 1/6th the rate of cardiovascular disease. They do have a word for “retirement.” The Island of Sardinia 125 miles off the Italian coast (where the men live longer than women and there is a wine with three times the polyphenol antioxidant content of any wine in the world called Konenow). MANTRAS OF LONGEVITY: 1. Move Naturally Physical Activity - steady moving lifestyle with regular low intensity sustained physical activity and no conveniences. Walk - the only proven way to stave off cognitive decline Spring 2014 4. Eat/Drink Wisely No diet ever works for more than 2% of the population. • Colorful Plant-based diet • Eliminate burdensome food (i.e. gluten, dairy, genetically modified) • Organic/home grown - no pesticides, Aspartame, or other known food poisons • 80% rule - stop eating when 80% full - goes back to Confucius saying that Okinawans abide by daily all of their lives. 5. Connection “Isolation Kills” Family first and care for the elderly in the family - if an older person is treated with respect and appreciation, life expectancy goes up 4-6 years. Belong to a faith based community - this adds 4 - 14 years extra life expectancy if one does it 4x a month 6. Balance Your Hormones They are the foundation of health. Fill your day with purpose, courage to follow your dreams, surround yourself with your support team (family and friends), love and allow yourself to be loved, move and eat wisely, practice daily solitude when you hear God, be humble and grateful for what you have! > Susan Merenstein, Pharmacist and Owner, Murray Avenue Apothecary, can be reached at (412) 421-4996. For more information, visit www.maapgh.com, www.labnaturals.com, www.yourgoddessroom.com. www.guidetogoodhealth.com GUIDE TO Susan Merenstein GOOD HEALTH 31 “The service is free; the patient pays only for co-pays as usual. The quality of service makes Hometown Pharmacy a “concierge pharmacy.” RxMap Helps Patients Navigate a Clear, Error-free Path through Medication Regimens By Nancy Kennedy F or anyone with a medical condition or chronic disease, the right medication can make a critical difference in their health, safety and quality of life. But when people with acute illnesses or chronic conditions fail to improve, despite appropriate medical treatment, the reason is often a complex problem that perplexes healthcare professionals: medication non-compliance, also called medication nonadherence. The term refers to the failure or inability of patients to take their prescribed medications as directed, and it’s an enormous and costly problem in the U.S. and around the globe. In the U.S., the problem is so widespread that it is now a primary contributing factor in medical complications of illness and hospital re-admissions. Medication non-compliance takes many forms: taking too many, or too few doses; taking them at the wrong time, or under the wrong conditions; skipping or forgetting them; or stopping the medication before completing the prescribed number of days. Often, non-compliance is due to practical issues that present obstacles for patients, explains pharmacist Shawn Nairn, R.Ph., owner of Hometown Pharmacy in the Green Tree Shop' n Save and Hometown Pharmacy in Kuhn’s Market on Banksville Road. “Medication non-compliance is not as simple as it may sound. It isn’t that patients are simply refusing their medications, as the term “non-compliance” seems to suggest; rather, it’s that there are numerous obstacles that keep patients from adhering to their regimens. Nonadherence has many causes; some are practical, while others are systemic, part of healthcare industry policies and practices.” For many patients, the most immediate issue is cost. Co-payments, especially when one is taking multiple medications, can be beyond the patient’s budget, especially if they are on a limited income. For others, access to the pharmacy may be a challenge, if they are homebound and lacking in support systems that might provide transportation. Not every pharmacy makes deliveries, and those who live in rural areas may be far from the nearest pharmacy. Sometimes, the problem is with the medication regimen itself. Patients with chronic illnesses often take multiple medications, at all different times of the day. “It can be a challenge to keep track of it all and even to remember what was already taken,” Nairn says. This is not just a problem for the elderly; young people can also have a hard time keeping track of their medications, as can parents whose children have complex medication schedules. Busy schedules and distractions can make anyone forget to take a medication. Another factor may be a lack of understanding on the part of the patient, about their condition or their medication. “A knowledge deficit is often an issue for patients. They may not have received adequate patient education, or they may have been given instructions at a stressful time when they were unable to absorb the information, such as at discharge. They simply don’t understand the importance,” says Nairn. Whatever the reason, failing to take enough medication means that one does not receive the full benefit of the medication, and symptoms may worsen. In the worst case scenario, this can be a matter of life and death. Taking too much medication can lead to overdose. Fortunately, there are efforts underway at many levels to address -Shawn Nairn, R.Ph. the problem, and one of the most effective strategies is also one of the most practical: the RxMap, a pill packaging system that is designed to assure compliance with multiple medication regimens. “RxMap means ‘medication adherence packaging.’ It organizes medications in an easy-open bubble card that contains the pills and clear labels directing when they’re to be taken,” says Nairn. “It’s completely individualized and physically easy to use. There are no bottles, and no risk of spilling the pills.” The process could not be easier: the patient or caregiver makes one phone call to a pharmacist at Hometown Pharmacy to enroll, and the service then takes care of every detail. The package of medication is delivered monthly to the patient’s home; the pharmacy takes care of refills and changes, and communicates with the patient’s physician directly. The patient’s only responsibility is to take the medications. The service is free; the patient pays only for co-pays as usual. The quality of service makes Hometown Pharmacy a “concierge pharmacy.” Developed by MTS Medication Technologies, RxMap simplifies and facilitates medication adherence, promotes patient safety and convenience, and offers caregivers peace of mind. Most importantly, it keeps patients healthy. When they are taken correctly as prescribed, medications can be nearly miraculous. They can lower blood pressure, reduce inflammation, ease pain, lift depression, correct imbalances and perform countless other functions that restore health, improve quality of life, and even prolong the lives of those who take them. RxMap is a proven system that reduces the incidence of complications, emergencies and re-admissions due to medication non-compliance. > For more information or to enroll, call (412) 539-1331 to speak with a Hometown Pharmacy pharmacist. Need Help Finding a Physician or other Healthcare Provider? Check out our Healthcare Directory online at www.guidetogoodhealth.com. 32 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Advertorial Hepatitis C— A Growing Threat for Baby Boomers Baby Boomers may be young at heart— but they are also the group most at risk for hepatitis C. Hepatitis C is the leading cause of liver cancer, liver transplants and death from liver disease. In fact, the Centers for Disease Control urges anyone born between 1945 and 1965 to ask their physician for a hepatitis C test. Hepatitis C-related deaths are on the rise, with 7,000 to 15,000 deaths attributed to the virus each year. About 3 million people in the U.S. are living with the infection, according to the CDC. Most of them don’t know how or when they contracted the virus, which is usually spread through contact with an infected person’s blood. Intravenous drug use – even once – is a risk factor. So is receiving a blood transfusion before 1992 or undergoing frequent dialysis. Even if you don’t feel sick, you may still be infected. Some people experience symptoms such as fever, joint pain or dark-colored urine, but most hepatitis C cases are asymptomatic. Only a simple, one-time blood test can tell you for sure. Quest Diagnostics, the world’s leading provider of diagnostic testing, offers a comprehensive menu of tests that can pinpoint exactly what type of hepatitis virus you have. If you do test positive for the virus, help is available. Treatment usually lasts about 6 to 9 months and is effective at preventing further liver damage in the majority of patients. Spring 2014 For more information on Hepatitis C virus screening, visit QuestDiagnostics.com/HepC. To schedule an appointment for your test at your nearest Quest Diagnostics location, visit QuestDiagnostics.com. When your doctor orders blood work, choose Quest Diagnostics. • Prompt, caring service • Appointments Encouraged; Walk-ins Welcome • Open early • Trusted by physicians To find a location or schedule an appointment: QuestDiagnostics.com or 1-866-MYQUEST (1-866-697-8378) www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 33 CHILDREN’S HEALTH Outdoor Play for Children with Visual Impairment: The FUNdamentals By Beth Ramella, M.Ed., TVI/COMS I offs with a bright, contrasting color. Tactile or auditory maps are wonderful tools for those who are unable to read print materials. Warning tiles, sometimes called truncated domes, are tiles with bright color contrast and bumpy patterns that allow cane users to identify such spaces as the bottom of the slide, around the base of the swings, or an opening in a platform. But even without a budget for a total playground transformation, there are other ways to make your outdoor play space more accommodating for kids with visual disabilities including: • Use equipment with bright and contrasting colors • Add auditory elements such as chimes, sound tubes or musical components • Provide tactile stimulation with things such as sand, water or large blocks t is often said that play is a child's work, and it’s true, all kids learn essential skills through play. In addition to the physical benefits, research indicates that children who play outdoors demonstrate better visual motor integration, imagination and verbal and social skills. Children, both visually impaired and sighted, learn from naturally occurring, sensory adventures such as splashing in a pond, popping bubbles or picking flowers. Playgrounds, a traditional childhood favorite for outdoor play, are also a great spot for children to build interpersonal relationships while running, swinging and developing the social A student and his teacher zoom down concept of taking turns the slide while playing in the adapted The campus of the Western Pennsylvania School Children’s Garden at the Western for Blind Children, features outdoor play spaces Pennsylvania School for Blind Children. tailored for this meaningful type of learning. But unfortunately, most neighborhood playgrounds are For more information, contact Beth Ramella, WPSBC Director of not accessible for children with visual impairments. Outreach, at (412) 621-0100 or [email protected]. There are many ways in which playground activities and equipment can be adapted for children with visual impairments. For a child who is visually impaired, choose a time when there are fewer children around and consider turning your trip to the playground into an obstacle course. Just as their sighted peers, children with visual impairments should be encouraged to develop physical strength, independence, motor skills and social interaction. Show your child how to climb, move and crawl over the equipment. Some accessibility and safety features that benefit children who are blind or visually impaired include highlighting the edges, railings, steps or drop > How to Help Your Child Deal with Asthma By Marianne Drevna, BS, LRCP W hether your child has been newly diagnosed with asthma or has dealt with the condition for years, as a parent, you may at times get frustrated with the lack of control over medication changes and sudden symptoms recurring. Knowing the early warning signs of an asthma attack helps you and your child prepare to take control: • Dry cough/wheeze • Stuffy nose, watery eyes, sneezing, itchy throat • Tiredness • Stomach ache or headache • Shortness of breathe • Fast heartbeat • Tight chest Proper education covering selfmanagement of asthma can make a huge difference in your child’s ability to confidently live with asthma. Children with exercise-induced asthma can and should participate in sports and other physical activities. Only in the most severe cases are children not able to adequately prepare for engaging in those types of activities. Parents should also make sure to reach out to the school nurse, any sports coaches and the physical education teacher regarding a child’s asthma, so they can make sure that the child takes 34 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com the medication prescribed by his or her physician prior to the activities that set off asthma. In many cases, using an inhaler prior to physical activities can help significantly. But, not all children suffer from exercise-induced asthma. Some children may suffer from asthma resulting from infections, emotions, medications, sleep, household products, allergies (animals, pollen, dust, mildew, or foods) or irritants (cold air, strong odors, weather changes or cigarette smoke). If this is the case, it’s important to be aware of where the child will be throughout the day. Get to know your child’s friends and the friends’ parents to protect your child from unwanted situations – something as simple as an allergy to a family cat or dog at a friend’s house could trigger the symptoms of asthma. Surprise reactions will undoubtedly happen from time to time, but through consistent education and compliance with your doctor’s orders, symptoms can be much more manageable. > Marianne Drevna is with Breathe Pennsylvania. For more information, call 1-800-220-1990, e-mail [email protected] or visit www.breathepa.org. Spring 2014 Fight Childhood Obesity: Make Changes, Improve Lives MAKE A PLEDGE TO BECOME A HEALTHIER FAMILY OVERALL. START NOW WITH THESE EASY TIPS: 1. Cut back on meals away from the home. Approximately 32% of Americans caloric intake is consumed outside the home. This includes fast food, take out and sit down restaurants. Foods consumed while dining out are often higher in sodium, fat, cholesterol and calories. 2. Prepare more meals at home and dine together as a family. Silence the TV and enjoy conversation. This is a great time for interaction. Turn off electronic devices and other distractions during your meals for better portion control. 3.Allow your children to help during meal preparation or in choosing the foods for the week. Make a game out of it. For example: each family member can choose one new food a week to try and take responsibility to come up with a recipe or way the food can be incorporated so everyone tries it. By Jacqueline Ely, RD, LDN T he obesity epidemic affects over one-third of U.S. adults and on average 17% of children and adolescents age 2-19. Despite ongoing research and education to combat this problem, very minimal changes have occurred. An article by the New York Times reported that for the first time in two centuries the current generation of children in America may have a shorter life expectancy than their parents. Obese children have an increased risk of developing high cholesterol and blood pressure, early heart disease, diabetes, bone problems and skin conditions. It is never too late to make changes and improve the health and wellbeing of the entire family. 4. Replace all sugary beverages with water and milk. Eliminate soda, juices and other sweetened beverages. These drinks are “empty calories.” One can of soda typically contains 10 teaspoons of sugar or more. Drinking high calorie beverages does not fulfill hunger pains the same way whole foods do. Fill up on fruits, vegetables, whole grains and lean proteins, not beverages. 5. Get Moving! Children need a minimum of 60 minutes of play with moderate to vigorous activity every day. Take a walk as a family after dinner, give kids active toys such as bikes and kites, or encourage kids to join sports groups or try a new activity. > For resources on how to help your family and children be healthy, check out wrcameronwellness.org Kids Programs. Washington Health System Wilfred R. Cameron Wellness Center offers kids’ activities such as Swimming Lessons, Hip Hop Dance, Martial Arts, Nutritional Counseling, and Fit Kids Summer Camp where children spend their summer days learning how to treat their bodies well, make healthful choices, build self-confidence, and play as part of a team. For more information, call (724) 225-WELL (9355) Jacqueline Ely NOW ENROLLING! SUMMER CAMP Fit Kids Summer Camp – Begins June 16 Entering 1st Grade – 12 years old Discover health and fitness in a fun environment • Full-day, half-day, week, half-summer and full-summer options • 8am – 5pm, Monday – Thursday, 7am drop-off available • Physical activities, swimming, martial arts, music, art and FUN • Kids Camp Questions? Please contact Emily Mahoney 724.250.5202 Health & Fitness Discovery Camp – Begins June 23 Ages 3 – Entering Kindergarten VISIT US: 240 Wellness Way, Washington, PA 15301 (Route 19 and Manifold Road – behind the Ford dealership) FOR MEMBERSHIP INFO: Contact Louise Schultz at 724.250.5208 or [email protected] www.wrcameronwellness.org Spring 2014 Explore physical activities in a fitness setting • 9am – 12pm, Monday – Thursday • Experienced School Teacher Instruction • Fitness games for mobility and coordination, yoga, music, art, social skills and teamwork • Toddler Camp Questions? Please contact Rebecca Feist 724.250.5249 Check out weekly themes, a sample day, and pricing online at www.wrcameronwellness.org www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 35 CHILDREN’S HEALTH: AUTISM Autism in 2014: Progress, But No Clear Answers Part One of a 3 Part Series By Nancy Kennedy A pril is Autism Awareness Month, a perfect time for a “progress report” on autism, its treatment and ongoing research efforts to identify its’ origins. Much progress is being made in autism research and top-level researchers at many universities and healthcare institutions, including several in Pittsburgh, are involved in unraveling the mysteries of autism, which is believed to be a disorder of brain development. But, the answers to what the disorder actually is and what causes it continue to be elusive. Last month, the Centers for Disease Control and Prevention issued new figures on the prevalence of autism. The study was carried out in 11 states and revealed that 1 in 68 children in the U.S. has some form of autism, or autism spectrum disorder (ASD). Although the figures varied by geographic region, they show that the prevalence of autism is increasing. In 2012, the national figure was 1 in 88 – thus the new figures represent a 30% increase. The data also revealed that autism spectrum disorders are nearly five times more common in boys than girls, and more common in white children than AfricanAmerican or Hispanic children. In the Pittsburgh region, local autism expert Luciana Randall, executive director of the nonprofit Autism Connection of Pennsylvania, formerly known as ABOARD, agrees that there are no clear answers, but she believes that research is moving autism science forward significantly. “The research seems to point to a constellation of factors, primarily genetic differences and environmental toxins, and how they interact. We know that environmental toxins can damage genes. We know that autism is a disorder of the brain, and is not a mental illness or intellectual condition. In autism, the brain is over wired with nerves, creating a traffic jam of signals. The brain has trouble sorting it all out. Persons with autism take in a lot of information and process it differently; they can feel bombarded and overwhelmed by stimuli.” Randall’s organization is focused on providing supportive services to children and adults with autism, 36 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Two young fans enjoy a special performance of The Lion King for children with autism. and to their families, to help them overcome the challenges of autism and fulfill their potential. The Autism Connection serves over 10,000 people, offering support groups, conferences, a lending library, and information and resources on everything relevant to autism, from getting a diagnosis, learning about research studies, dealing with insurance issues and finding the best treatment and education for your child. The Autism Connection of PA is also is known for innovative, creative approaches to providing support. One is what Randall calls “reverse inclusion” – meaning that the organization brings people into the autism world, letting them experience things from the viewpoint of a person with ASD. “Usually, we expect persons with autism to try to adapt to our world and our culture. Reverse inclusion is the opposite – it’s about experiencing the autism culture and trying to fit into it.” The best recent example of this came in the form of a special performance of Disney’s “The Lion King,” performed in September at the Benedum Theatre for an audience of persons with ASD and their families. The performers, for a change, had to adapt to the audience. Special accommodations, such as leaving the house lights up, eliminating strobes and reducing loud noises, made the performance a softer one, comfortable for those in attendance who might otherwise find such a show overwhelming. > To learn more about the Autism Connection of Pennsylvania, visit www.autismofpa.org Spring 2014 Parent Child Interaction Therapy Brings Joy Into a Family’s Home A bout 6 months ago, a family telephoned Wesley Spectrum Services in Pittsburgh, PA, asking for help. Their child, Ben, had been diagnosed at the age of 3 with Pervasive Developmental Disorder, Not Otherwise Specified. Pervasive Developmental Disorder NOS is one of the Autism Spectrum Disorders. It is characterized by severe and pervasive impairment in social interactions or communication skills. Ben played with toys in a ritualistic fashion, had frequent temper tantrums, and refused to do anything his mother and father asked. He had poor relationships with every member of his family and with his classmates and teachers. Ben and his family had been receiving in-home services for the past 3 years. The in-home services had been helpful to the family in establishing household routines and family life was less disruptive, but Ben’s mom was concerned that she didn’t have a connection to Ben; He didn’t want to be around her and she felt rejected and a failure as a mother. Ben’s mom came to us asking that we help Ben manage his emotional outbursts and help the family show their love for each other. Ben’s dad was concerned that Ben would not listen to what he was told to do and was not disciplined for his disobedience. The family was referred to Parent Changes in Early Intervention Eligibility What You Need to Know By Deborah Uram, M.S. CCC/SLP Child Interaction Therapy (PCIT). PCIT is a behavior management therapeutic technique for children ages 2- 7 who demonstrate disruptive behaviors such as temper tantrums, hitting and kicking, bolting from parents, and fighting with siblings and peers. It uses live coaching of parent and child in a specially built playroom. The treatment focuses on changing the interactional patterns between the parent and child through two phases of treatment; enhancing parents’ relationship to their child during child directed play and using consistent, predictable discipline techniques during parent directed interactions. During the first session in the playroom, Ben sat as far away from his mother as possible. He refused to allow her to touch the toys and told her to get away from him. The pain that caused was clearly seen in the mother’s face. As the therapist coached the mother in the use of the positive interaction skills, the child and mother moved closer to each other so that by the end of the session, the child’s and mother’s cheeks were touching and they were playing cooperatively and happily together. Mom said that she had not lovingly touched her child in many years. As the sessions went on, Ben looked forward to coming to therapy with his mother and played with her daily at home as well. When the discipline techniques were introduced, Ben readily followed mom’s directives exhibiting only one temper tantrum in the 18 weeks of treatment and almost no temper tantrums at home. Following treatment, mom told us “Where there was chaos and disruption in our home, there is now happiness and cooperation. I always loved my child and now I like him as well. PCIT has changed our family life.” PCIT is offered by behavioral health organizations throughout the United States and in many other countries as well. This evidenced based treatment is highly effective with children with disruptive behaviors. > More information can be found at www.pcit.org. Please also feel free to contact Joyce Blackburn at Wesley Spectrum for additional information. Joyce can be reached at [email protected] or (412) 342-2340. E arly Intervention is a federal program that is managed differently from state-to-state. Its purpose is to provide an opportunity for children, birth-age three, who demonstrate a delay in development, to receive supports that may reduce the need for special education and related services in the future. Early Intervention under IDEA requires that children be seen in their “natural environment”, which includes the home and community-based settings. In PA, children are found eligible for Early Intervention based upon a 25% delay in at least one developmental area (Communication, Cognitive, Physical, Social/Emotional, Adaptive) OR a physical or mental condition that could result in a developmental delay OR a qualified evaluator’s use of well-documented clinical opinion. Once eligible, children can receive a variety of services, some of which are: Speech Therapy, Occupational Therapy, Physical Therapy, Developmental Therapy, Social Work, Hearing and Vision, all of which are available at The Early Learning Institute (teli). Until December, 2013, PA’s Early Intervention program found children eligible in the five developmental areas plus subtest scores in Communication (Receptive and Expressive) and Physical Development (Fine and Gross Motor). Effective Dec. 13, 2013, The Office of Child Development and Early Learning (OCDEL) changed the eligibility criteria and those individual subtest scores are no longer used to determine eligibility. PA is still in compliance with federal law. Input was received from parents, professionals and early intervention leaders. The Early Learning Institute (teli) has been providing Early Intervention services for children birth-age three for almost 30 years. If your child is no longer eligible for Early Intervention due to the changes in eligibility and you still have concerns about their development, contact us. > Deborah Uram, M.S. CCC/SLP-L is the Director of Out-Patient Speech & Occupational Therapy services at The Early Learning Institute (teli) and President of the Early Intervention Providers Association of PA. For information on Early Intervention or Outpatient therapies, call (412) 922-8322 ext. 12 or visit www.telipa.org. Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 37 ACTIVITIES and SUMMER CAMPS... ACTIVITIES and SUMMER CAMPS... SUMMER CAMPS FIT KIDS SUMMER CAMP and HEALTH & FITNESS DISCOVERY CAMP Washington Health System Wilfred R. Cameron Wellness Center offers several camps for children where children spend their summer days learning how to treat their bodies well, make healthful choices, build self-confidence, and play as part of a team. Fit Kids Summer Camp begins June 16 for kids entering 1st Grade – 12 years old and is available for full-day, half-day, half-summer and full-summer. The children will discover health and fitness in a fun environment and enjoy physical activities, swimming, martial arts, music, art and fun. For more information, contact Emily Mahoney at (724) 250-5202 or log on to www.wrcameronwellness.org. The Health & Fitness Discovery Camp begins June 23 for June 23 for ages 3 through kindergarten. Children explore variety of physical activities in a fitness setting, including fitness games for mobility and coordination, yoga, music, and art. Social skills and teamwork is encouraged. The camp is held 9 a.m. – 12 p.m., Monday – Thursday. For more information, contact Rebecca Feist at (724) 250-5249 or visit www.wrcameronwellness.org SUMMER CAMPS FOR CHILDREN WITH SPECIAL NEEDS ACCLAIM PROGRAM The Autism College and Community Life Acclimation and Intervention Model (ACCLAIM) of The Watson Institute is specifically designed for college-bound teenagers with Asperger's disorder and high-functioning autistic disorder. The program focuses on the development of skills necessary to succeed at college and includes therapeutic, learning, and social components. Watson developed ACCLAIM to help adolescents get a "preview" of college prior to enrollment. The program is intended to acclimate academically capable candidates to campus life, reducing the anxiety associated with a major life transition, and developing the social and organizational skills that are requisites for success in college. For more information, contact Kristine Gorby at 412-749-2894 or [email protected]. CAMP ACHIEVA Weekends Camp Weekends are offered through June 2014 for individuals of all ages with intellectual and developmental disabilities. Locations vary from month to month and include Camp Fitch on the shores of Lake Erie, Camp Guyasuta in Pittsburgh, Oglebay in West Virginia, Raccoon and Moraine State Parks. Most weekends begin on Friday evening and end Sunday afternoon.The cost of the two-night weekend is $212. Funding can be made by waiver, family support service (FSS) or private pay. A Camp ACHIEVA Registration form must be completed and received one month prior to attending a weekend. The form will be kept on file for future weekends. Contact Karen Vodenichar at The Arc of Beaver office at (724) 775-1602 x10 or [email protected] to request a brochure, receive forms or with questions. ACHIEVA DAY CAMP IN BEAVER COUNTY Day Camp is a summer recreational camp available to school age children with intellectual and developmental disabilities. The camp runs Monday Friday from 9 a.m. - 3 p.m. and is based out of Brady's Run Park. Swimming, crafts, hiking, fishing and other outdoor activities are provided. Transportation services are available for children living at home with their families in Beaver County. Please contact Karen Vodenichar at The Arc of Beaver office at (724) 7751602 x10 or via emailkvodenichar@ achieva.info to request a brochure, receive forms or with questions. BLIND & VISION REHABILITATION SERVICES SUMMER CAMP FOR TEENS Blind & Vision Rehabilitation Services of Pittsburgh’s Summer Youth Program for students who are blind, deaf blind or visually impaired will be held June 30 through August 1, 2014. This five-week summer Career and Community Adjustment Program helps students ages 16 through 21 transition smoothly into work and adult life. For information, call 412-368-4400 ext. 2246. CAMP CAN DO This special summer camp program sponsored by the Pennsylvania Commonwealth Division of the American Cancer Society provides children with cancer the opportunity to enjoy a traditional summer camp experience. Any child (age eight to 17) who is or has been treated for cancer in Pennsylvania or Delaware, or who lives in Pennsylvania regardless of where they receive treatment, is eligible to attend Camp Can-Do. Two week-long sessions are held each August at beautiful Mt. Gretna in Lebanon County. Camp-Can-Do is provided free of charge to cancer patients. For more information, contact Cindy Gebhard at (717) 533-6144 ext. 3071. CAMP FROG Sunday, July 6 through Saturday, July 12 at YMCA Camp Fitch, North Springfield, PA (near Erie). Camp Frog is a fully integrated week-long overnight camp for children ages 8-17 (having completed 3rd grade but not yet graduated high school) with a primary diagnosis of epilepsy. Camp Frog staff includes a neurologist, nurse, and specially trained counselors. Please call for more information and eligibility requirements 1-800-361-5880. CAMP HUFF-N-PUFF Camp Huff-n-Puff is a four-day overnight camp adventure for children aged 8-13 with asthma. Camp is held each August at the Jumonville Camp and Conference center in Hopwood, PA. A dedicated group of volunteer physicians, nurses, and respiratory therapists work alongside camp counselors to ensure that all campers have a safe and fun experience. Camp Huffn-Puff 2014 will be held August 7 - 10. To register, visit www.healthylungs.org or call (800) 220-1990. CAMP STAT The Summer Therapeutic Activities for Teens (STAT) program of The Watson Institute is specifically designed for adolescents with Asperger’s disorder and high-functioning autism.The program focuses on the development of social competencies and includes both therapeutic and recreational components. Appropriate candidates need to have the ability to benefit from verbally based intervention methods. STAT operates at The Watson Institute's Sewickley, Sharpsburg, and Upper St. Clair sites. Each program runs for a period of four weeks. For more information, contact Daryl Ault at (412) 749-6425 or [email protected]. CAMP SUCCESS Since its inception in 1999, Camp Success has provided summer programming for low-income families who have a child or children with special needs. Camp Success accommodates children ages 6-12 with physical, sensory, emotional, behavioral and cognitive needs and their siblings.The Children’s Institute remains committed to providing Camp Success free of charge to families in need. For more information, contact Amy Haid at (412) 420-2316 or [email protected]. CAMP WISP The Watson Inclusive Summer Program (WISP) is an inclusive therapeutic summer camp program for children with autism and related disorders. WISP is a model inclusive summer program that enables children with autism to be integrated successfully into typical summer camps with their peers. The program operates in multiple sites, providing children with services near their own neighborhoods. The program time and duration vary according to the camp schedule. Typically, a camp program lasts eight weeks, from mid June to early August, and runs from approximately 9:00 a.m. to 4:00 p.m. Monday through Friday. For more information about WISP, contact Carolyn Belich at (412) 7492895 or [email protected]. CHATTERBOX EXPRESS BASIC SOCIAL SKILLS TRAINING Chatterbox Express is a program to help preschoolers through teenagers (ages 6 to 14) build confidence and express themselves effectively when interacting with others.The program is offered by the Department of Audiology and Speech-Language Pathology at Children’s Hospital of Pittsburgh of UPMC. Sessions are held at the Center for Independence in Wexford and at Children’s South Communications Disorders in Bethel Park and is open to all children who may be experiencing difficulties with social communication, regardless of diagnosis. More information is available at (412) 692-5580 or www.chp.edu. NEW STORY SUMMER THERAPEUTIC ACTIVITY CAMPS New Story’s summer camp program is designed to meet the needs of children with the most serious and complex behavioral challenges. New Story offers social opportunities found at other summer camps, but within a therapeutic environment to help support each child’s continued growth and development. New Story camps are intended for children with an autism spectrum disorder and children with an intellectual disability and/or a mental health diagnosis. Summer therapeutic camps are located in the following areas in Western PA: Indiana, Greensburg, Dubois, Monroeville, Cranberry Twp., and Mt. Lebanon. For more information regarding New Story Summer Camps, contact Sara Woodward at (412) 373-5235 ext. 113, by email [email protected], or visit www.NewStory.com. ON THE WEB: For more Activities and Summer Camps for Children, log on to www.guidetogoodhealth.com 38 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 CHILDREN’S HEALTH Summer Camp: An Experience to Remember By Dr. Dana Monroe S ummer camp is a great experience for both parents and children. For parents, it’s a milestone that helps in letting go. For the child, camp encourages them to experience independence in a new way. As with any new experience in your child’s life, it is important to communicate about what is happening day to day. Communication is also key to keeping everyone (summer camp provider, school district, other professionals, etc.) on the same path, and ultimately provide the best care for your child. Finding the right camp is important, especially if your child has special needs or a health condition. Choose a camp that offers activities related to your child’s interests, and also has experienced and knowledgeable staff that can meet your child’s needs. The more you understand what the camp offers, the easier it is to prepare your child for the exciting summer ahead. Before camp starts, ask any questions you or your child have about what to expect. Discuss safety precautions at the camp, special events that may take place and what daily activities are scheduled. It is important that camp offers an enriching program that suits your child’s and your family’s needs. As the school year comes to a close and the excitement builds for the summer ahead make sure requirements are met prior to the first day of camp such as: • Appointments and/or documentation of physical exams, vaccines, etc. • Make arrangements for prescription medication, dietary restrictions, allergies or any agency services your child may receive. • Transportation to and from camp. • The items your child will need to bring on a daily basis, and what items are not allowed at camp. Remember camp is a chance for growth and new experiences. Your enthusiasm about camp will prepare your child to be confident and excited about their summer adventure. > Dr. Dana Monroe, Vice President and Chief Operating Officer, New Story Western Region, can be reached at [email protected] or 1-877-622-7245. NutraMetrix Offers Products for Healthcare Practices and Children with Special Needs Wellness Products and Solutions for Healthcare Practices Jean McQuillin, R.N., is a registered nurse with a background in pediatric nursing. She is also a consultant for nutraMetrix, a company that offers a comprehensive range of customized products and services to support health care professionals whose clients want to improve their own health or that of their families. nutraMetrix is a division of Market America, a product brokerage company. According to McQuillin, “We work with health care professionals to help them integrate wellness solutions into their practices. But often healthcare professionals don’t have the time or sometimes even the information to provide wellness solutions. We provide a turnkey system including a nutraMetrix consultant to allow health care professionals to respond to their patient’s questions about wellness without taking time away from the services already offered by the practice. Our clients include physicians, dentists, chiropractors, podiatrists and other healthcare professionals.” Products for Children With Special Needs McQuillin has a passion for wellness and good self-care. She believes that those concepts also apply to children, including children with special needs, such as those with autism spectrum disorder and cerebral palsy. Her company offers products that are safe and effective for children, and many parents report that these products have made a difference for their children. “’Might-a-Mins Spectrum’ products are formulated for children who need metabolic and neurological support, with appropriate ingredients and dosages for children. They are specifically intended for special needs children, such as those on the autism spectrum, who often have gastrointestinal symptoms such as diarrhea, constipation, nausea and stomach pain,” McQuillin says. “Sometimes, their bodies absorb nutrients poorly, or they may have difficulties with eating. Our supplements are designed for efficient absorption; 95% of the product can be absorbed in five minutes. That’s the next best thing to intravenous delivery.” There are five products in the Might-a-Mins Spectrum” line, including “Might-a-Mins Spectrum Isotonix OPC3”, which assists in providing antioxidant defense, maintaining brain health, and supporting the production of neurotransmitters; Might-a-Mins Spectrum Isotonix Digestive Enzymes, which promotes stomach comfort and bowel regularity in children by enhancing enzymatic breakdown of food so it can be more easily absorbed; Might-a-Mins Spectrum Isotonix Multivitamin, to provide a strong micronutrient foundation; Might-a-Mins Spectrum Probiotics (in chewable form), five carefully selected bacterial strains – four lactobacilli strains and one streptococcus strain – each with a role to help support children’s health, to help restore the normal gastrointestinal bacteria; and Might-a-Mins Spectrum Essential Omega 3 (in liquid form) to support brain health and immune function. One mother, whose 4 1/2 year old son is autistic, has been giving Spectrum isotonix to her son. “Two months of Spectrum supplements cleared up the rash he has had all his life. His eye contact has improved. I am getting positive letters from his teacher on a regular basis. Most importantly, he is connecting and communicating more with people. I believe that the Spectrum supplements are playing a crucial role in his progress.” For more information on NutraMetrix products, contact Jean McQuillin at (412) 759-4199 or email [email protected]. For more information, visit www.nutraMetrix.com. ADVERTORIAL Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 39 eKidzCare Home Health Agency Provides Support, Peace-of-Mind to Families of Kids with Special Needs By Vanessa Orr T aking care of a child with special needs can be a very rewarding experience. It can also be challenging at times, which is why it’s important that parents are able to find the help that they need. eKidzCare, with offices in Pittsburgh and Meadville, is a pediatric-focused, home health agency that provides assistance to children with a range of health care needs while providing peace-of-mind for parents. “We provide the full spectrum of pediatric care from something as simple as a ‘well baby’ visit to make sure that babies are eating and that moms are doing okay, to private duty nursing for children with seizure disorders or children who are ventilator-dependent,” explained Jennie Ransom, director of eKidzCare’s Meadville office, adding that the staff’s expertise extends to dealing with medically complex conditions including autism, cerebral palsy, cancer, congenital anomalies and tracheostomies. “We care for children from birth to age 21, whether they requires a one-time visit or longer-term care.” eKidzCare professionals also provide chemotherapy, infusion therapy and wound therapy services, as well as serve as patient educators, teaching families how to perform injections or how to deal with conditions such as diabetes. “We don’t operate on a numbers system—our patients and their families are our families,” said Ransom. “We take care of them—we know everyone by name.” This personal relationship has made such an impact on families that much of eKidzCare’s referrals are word-of-mouth. Hospitals, health insurance companies and pediatricians also recommend the agency’s services. “You have to be compassionate when dealing with pediatric patients, especially when you’re providing home care,” said Ransom. “Every family dynamic is different, so you have to be flexible—you have to be willing to adapt to meet their needs.” In addition to keeping children safe and well cared for, eKidzCare also provides respite for their families. “Probably the most crucial thing that we do is enable parents to keep on working,” said Ransom. “They are able to go to work, knowing that they have qualified and competent help in their homes to care for their children. It provides them with a sense of security as well as allows things to go back to normal; when you have a special needs child, life doesn’t stop.” While most of eKidzCare’s staff works in individual homes, some school districts also contract with the agency to take care of children with special needs while they are in school or on field trips. “Our nurses are also available to serve as school nurses on field trips; it doesn’t require that there be children with special needs,” added Ransom. > eKidzCare’s services are available to families and school districts from Pittsburgh to Erie, and the agency accepts most insurance plans. To learn more, call the Pittsburgh office at (412) 324-1121 or the Meadville office at (814) 807-1162 or visit www.ekidzcare.com. 40 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Addiction... Addiction... Addiction Power to the PARENTS: From Rehab to Home: Managing the Transition Power to the Parents is a feature that appears in every issue of the Guide to Good Health to help parents who are concerned about the widespread problem of young people and substance abuse. If your child is using drugs or alcohol and you’re trying to deal with that, or if you’re working to prevent your child from using, you’ll find practical advice here from the expert professionals at Gateway Rehabilitation Center. In this issue, Frank J. Salotti, M.S., Director of Outpatient Services at Gateway Rehab Center, talks about how parents can best manage the transition to home after their child has been in rehab. For parents whose teenaged children have been in treatment for substance abuse in an inpatient setting, discharge can be a mixed blessing. Parents may feel relieved that their son or daughter has completed a treatment program, but that is simply one stage in their journey as a family. The next stage, the transition back to the home and school environment, is a worrisome time for parents. What is the best way for parents to approach this? > For more information about Gateway Rehab, call 1-800-472-1177 or visit www.gatewayrehab.org. Many parents are especially concerned about their child reuniting with a former peer group, with whom they used drugs. How can the parent best handle that? Going back to school, seeing old friends that they used with, is clearly a high-risk situation. Some schools have a Student Assistance Team, and parents can tell them what has been going on so that they can help monitor the situation at school. This issue is a very uncomfortable one for both parents and kids; kids are at an age when their friendships and peers matter so There are so many challenges for families in this situamuch. But the old peer group can be dangerous when the kids come out “They tion. They worry about relapse, about the child’s socializing and returning to school, and about their own may not have, or of rehab. We encourage families to take the kids to 12-step meetings, to relationship with their child. At Gateway Rehab, we know of, available search for one that has a lot of younger people so that the kids can strongly encourage families to be involved while their develop new relationships there. It’s best if the kids can develop a child is receiving inpatient care, and to continue with resources, so we recovery-focused friendship. It’s not easy; lots of kids resist going. outpatient treatment on some level. There are differhelp them find Parents themselves should go to meetings, to Nar-anon or Al Anon. ent levels of outpatient care, and the family should be those.” involved in outpatient treatment, in structured family How do you give support to families through this process? group activities. We also offer consultation for families We recognize that parents are holding their breath when their kids come outside of the group, and provide a lot of telephone support. We help families develop a “cooperative agreement structure” before home, for many reasons. They feel alone with their fears and isolated by their discharge that defines expectations and sets limits. Every family is unique; experiences. It’s tough to talk about this with friends and family, when they we look at the family history and the parent’s greatest concerns and help feel so much shame, anger and fear. They may not have, or know of, availguide the family through this process, of setting and negotiating limits. able resources, so we help them find those. Going to a group is encouraged because it “normalizes” the experience, in Parents have to put it on the table. the sense that they are likely to discover that their experience is not so rare. They will see families going through the same thing, and they feel less alone. What might some of those limits be? The kids have to earn their parents trust again. That might mean that At group meetings like Al Anon and Nar Anon, you get personal support. they have to give up their cell phone for a specified period of time, or trade In general, how should parents act with their kids, after rehab? the use of the cell phone for something. It may mean that parents delete Be assertive without being harsh. Respect your child’s strength and let him the contacts that are stored in the child’s cell phone and defriend them on Facebook, to limit their access to dealers and peers who sold them drugs or her know that you’re proud of them for completing their rehab treatment. in the past. It may mean a curfew. This is a lot to ask of kids: to give up Most likely, the parents, and other family members, have had some signifidrugs, friends, a lifestyle. It’s very hard for them and it’s hard for parents cant discord and mutual loss of trust with the child who has been in treatto insist on it. It’s really a matter of daily decision-making, and the rela- ment. It’s essential to have patience with the process of restoring trust; it can take a long time. tionship is the key. They’ll thank you for this second chance. Get treatment now for drug and alcohol problems. More than 20 locations throughout Western PA and Ohio including: UÊi} iÞÊ6>iÞ UÊ À>LiÀÀÞ UÊ-ÕÌ ÊVÕÀÀ>Þ® UÊ*i>Ã>ÌÊÃ Spring 2014 www.guidetogoodhealth.com www.GatewayRehab.org 1-800-472-1177 GUIDE TO GOOD HEALTH 41 Senior Guide Western Pennsylvania Guide to Senior Living, Home Care & Hospice Can We Afford Senior Care? By Karen Schaeffer M oney, and the cost of care, is always a concern when an aging senior requires care. Sadly, the discussion about care needs and cost is often delayed or avoided by the family. The presumed cost of care whether it is, homecare, personal care or nursing care, can frequently frighten a family from any type of action. Delays in quality care often compromise the safety and well-being of the senior, so avoidance of the topic can prove to be even more costly. A generalized uneasiness is often present when an adult child is forced to discuss money and care costs with a parent. Often, adult children are frequently not privy to their parent’s financial balance sheet, and make assumptions that may not be accurate. Mom and Dad could have lived a modest life, and now have substantial savings and a comfortable retirement income. A more extravagant couple could have spent every penny they earned. Adult children are often surprised when they take a first-time look at their parent’s financial situa- 42 GUIDE TO GOOD HEALTH tion. Every personal balance sheet reveals the true ability to pay for care—this truth can be either frightening or liberating as it reveals limitations or advantages in senior care choices. Clearly, the decision to hire senior care assistance must be based on the needs and well-being of the senior. The cost of care is always dependent upon the level of care needed, with the realization that care needs tend to grow and change over time. For “After an informed this reason a senior care consultant can help guide the family discussion with a during this difficult and confusing time. After a professional assessment, she can help educate the fam- senior care profesily about the true costs of care. She can instruct the family about sional, families may federal funding options such as VA Benefits. She can dispel be pleasantly surassumptions and rumors of hyper-inflated senior care costs, and prised to discover provide current pricing. After an informed discussion with a senior care professional, affordable care families may be pleasantly surprised to discover affordable care options to enhance options to enhance the quality of life of their loved one, and be the quality of life of moved to action. > Karen Schaeffer, Senior Care Consultant, can be reached at (724) 933-7350 or visit www.ageanddignity.com. www.guidetogoodhealth.com their loved one, and be moved to action.” -Karen Schaeffer Spring 2014 Do you want doctor, hospital, and prescription drug coverage all in one Medicare Advantage plan? Toll-free: 1-877-381-3765, 8 a.m. to 8 p.m., Monday through Friday TTY: 1-800-361-2629 www.upmchealthplan.com/medicare UPMC for Life has a contract with Medicare to provide HMO and PPO plans. Enrollment in UPMC for Life depends on contract renewal. Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 43 Hospice Care: What to Expect When Your Loved One is at Home By Jennifer Malko A main concern for most people faced with terminal illness is whether they’ll be able to die wherever they call “home.” Hospice care helps eliminate that worry, making it possible for people to spend their final moments of life in their preferred surroundings. Below are some important questions and answers about in-home hospice care: TO GOOD HEALTH 3.What role can family members have in patient care? Family members play an important role by providing personal care when hospice teams are not present. The hospice team does not “take over,” rather they teach and support families so they can provide the best inhome care possible. 1. How will pain be managed? Hospice is an end-of-life care option tailored to the needs of each patient and family. It includes expert pain management while providing emotional and spiritual support. The care is provided by interdisciplinary teams of palliative care experts, including physicians, nurses, home health aides, social workers, chaplains, bereavement specialists and volunteers. 4. What kind of spiritual and emotional support do patients and families receive? Many psychological, spiritual and emotional aspects of end-of-life experiences can be very difficult for patients and their families. For that reason, hospice social workers and chaplains have extensive training and experience in psychosocial counseling, spiritual awareness, end-of-life issues and bereavement. 2.What kind of assistance and in-home care is available to patients? Routine home care is available in accordance to the patient’s individualized plan of care. Continuous care, during a brief period of crisis, can be available for up 5. What does hospice care cost? Medicare pays for hospice services. Many states have established Medicaid coverage for hospice, and almost all private insurers and managed care plans provide coverage for hospice care as well. > 44 GUIDE to 24 hours a day. When there are questions or concerns after business hours, families can often get immediate answers and help by calling an after-hours service. Jennifer Malko is Director of Market Development, VITAS Innovative Hospice Care of Pittsburgh. For more information, contact VITAS of Pittsburgh at (412) 799-2101 or visit www.VITAS.com. www.guidetogoodhealth.com Spring 2014 ARE YOU DIABETIC? Steps to Help Manage Your Diabetes Do you know that insurance covers one pair of shoes a year? By Dr. Judith Black M ore than 25 million people in the United States are living with diabetes, according to the American Diabetes Association. A large portion of this number are seniors, with 27 percent of individuals who are 65 or older having diabetes. With statistics this high and the risk of developing type 2 diabetes increasing with age, this should be a concern for all seniors. Diabetes can lead to such serious complications as heart disease, stroke and kidney disease. Fortunately, you can work with your doctor to develop a plan that will help you manage diabetes, or, if you don’t have it, avoiding it altogether. Exercising regularly and eating a well-balanced diet are a couple ways that will help you manage your diabetes. Another important piece of diabetes management is receiving regular screenings. These tests will help you and your doctor catch any issues early on and begin treatment. These include the following: • Cholesterol Checkup: Blood tests will help monitor cholesterol and triglycerides. You should have this test twice a year. • A1C Test: This blood test monitors your average blood glucose level between the previous two to three months. You should have your A1C checked at least twice a year. • Kidney Function Test: Urine tests help ensure your kidneys are functioning correctly. Be sure to have this test once each year. • Retinal Eye Exam: This test, which is performed by an eye care specialist, helps to detect disease and prevent loss of vision. Make an appointment with your eye care specialist once a year. In addition to your doctor, create a “diabetes care team” by enlisting the help of a registered dietitian, diabetes educator and a family member or close friend. Managing diabetes will become easier if you surround yourself with supportive individuals. Your doctor is your best resource if you have any questions or concerns, but remember, your diabetes care team is there to help when you need it, too. > Dr. Judith Black is Medical Director for Senior Markets at Highmark Inc. For more information about Highmark’s commitment to health and wellness, visit www.highmark.com. Dr. Comfort Diabetic Shoes Diabetic Shoes covered by Insurance - Highmark, UPMC and Medicare. Little to no cost and FREE DELIVERY! FREE Glucose Meter With Order of Supplies EAGLE MEDICAL EQUIPMENT CORP. PRODUCTS AND SERVICES • Aqua Relief Systems • Back Braces • Bath Safety • Beds & Accessories • Canes & Crutches • Commodes • Diabetic Shoes • Electrotherapy • Patient Room Home Care • Patient Room Institutional • Personal Care • Powered Mobility • Pressure Prevention • Respiratory • Rollators • Walkers • Wheelchairs • Wound Care Products We accept Medicare, Medicaid, Highmark, UPMC and most private insurances. Dr. Judith Black 5944 Steubenville Pike McKees Rocks, PA 15136 Phone (724) 218-1051 Fax (724) 218-1165 www.pittmedicalsupply.com Home Health And Hospice Services Proudly Serves Patients and Families in the following counties: Allegheny, Beaver, Fayette, Washington, Westmoreland. Also, Parts of: Butler and Greene. 1.888.266.8211 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 45 Family Hospice and Palliative Care The Main Event(s) By Barbara Ivanko A CONFUSED ABOUT YOUR MEDICATION? • RxMap is a medication compliance packaging system designed to alleviate the confusion out of taking multiple daily doses of medication. Rx Map is offered exclusively by Hometown Pharmacy your locally owned and operated independent neighborhood pharmacy. For additional information please visit us at: www.myrxmap.com www.hometownpharmacy.biz Or give us a call at 412-539-1331 to speak with one of our RxMap pharmacists. • It’s a pill cup that can be torn out, it’s a calendar to keep your medications on schedule, and it’s reassurance for caregivers and patients that medication are taken they way they were prescribed. • With automatic refills, free delivery in the Western Pennsylvania area, and ongoing medication reviews, it’s the best way to ensure compliance with your medication. CALL 412-539-1331 2103 Noblestown Road, Pgh, PA 15205 46 GUIDE TO GOOD HEALTH side from our winter of “polar vortexes,” the last several months have been pretty busy: • Pittsburgh inaugurated a new Mayor. • The Grammys were telecast – and featured a Beatles reunion, of sorts. • Facebook celebrated ten years on the web, with nearly Thomas, pictured here with the French 1.2 billion users. Consul, shared his “big event” As these and other events with Family Hospice. take place, we find that life goes on. No matter who gets elected, no matter who wins a Grammy, life continues. For the patients and families we serve at Family Hospice and Palliative Care, big events are taking place all the time. And they’re much more important than awards or elections. I think of Donna, a patient at our Family Hospice Inpatient Center in Lawrenceville, who wanted to renew her marriage vows before she died. So, with the help of our staff, a wedding ceremony was staged in the chapel, complete with flowers. Thanks to Donna’s sharing spirit, the video of that event may be found on our Family Hospice YouTube channel. There’s Ann and Tim, a sister and brother who donated $1,000 to have their father’s name placed on our Celebration of Life Wall in Mt. Lebanon. They were so passionate about the care Dad received that they chose to give back by honoring him permanently on a beautiful granite structure. And there’s Thomas. A World War II veteran, he already had earned two Purple Hearts, four Bronze Stars and a Presidential citation. Thanks to Thomas’ service in Normandy and at the Battle of the Bulge, he was honored a couple years back by the French government. He graciously allowed members of our staff to be on-hand when the French government presented him with the prestigious “Legion d’ Honneur” medal. The truth is, Family Hospice patients display their graciousness daily by allowing us to be witness to - and participants in – these major life events. As the world continues to swirl around us, I find myself grateful for what I learn from our patients: that no wish is too small; that every event is meaningful and that it’s totally worth taking the time to stop and put it all into perspective. > Barbara Ivanko, President and CEO of Family Hospice and Palliative Care, may be reached at [email protected] or (412) 572-8800. Family Hospice and Palliative Care is a non-profit organization serving nine counties in Western Pennsylvania. More information at www.FamilyHospice.com and www.facebook.com/FamilyHospicePA. Receive daily updates on local events, health fairs and health news you can use and more. Eight out of every 10 couples will have an individual who requires long-term care. ARE YOU FINANCIALLY PREPARED? GO TO PAGE 8 FOR MORE INFORMATION www.guidetogoodhealth.com Spring 2014 LECOM Institute for Successful Aging Invests in Patient Care Through 'Revolutionary' Device AlterG Bionic Leg Helps Patients Walk Again T he Lake Erie College of Osteopathic Medicine’s (LECOM) Institute for Successful Aging, a regional leader in the care of older adults, has begun using a revolutionary new technology in the rehabilitation of its patients. The Institute’s Inpatient Rehabilitation Unit (IRU) has been using the AlterG Bionic Leg™, the world’s first wearable, robotic mobility assistance device activated by the patient’s intent to move. It gives patients with impaired or diminished mobility resulting from illness or injury the support and confidence to take the proverbial next step. “We’re excited to be the first health care provider in northwestern Pennsylvania to treat patients with the leading mobility assistance product,” said Danielle Hansen, D.O., Associate Director of the LECOM Institute for Successful Aging and Vice President of Acute Care Services and Quality/Performance Improvement at Millcreek Community Hospital. “It will be an important complement to our existing treatment options.” A 37-year-old man who had considerable weakness in his left side after suffering his second stroke is the first patient to be treated at the IRU with the AlterG device. “Wearing the device on his left leg, the patient has been able to walk progressively further and in more of a straight line with each session,” said Shelly Mayes, Director of Therapy for the IRU. The AlterG Bionic Leg helps patients rebuild neuromuscular pathways and improves active motor learning by providing functional strength and dynamic stability; the leg facilitates increased neuroplasticity, thereby helping patients improve stance and gait. It is ideal for orthopedic physical therapy patients and those recovering from nervous-system related injuries as well as stroke victims and individuals with degenerative diseases. The device was designed to be lightweight while also providing the assistance needed to help patients more actively participate in sit-to-stand, overground walking and stair-climbing exercises. When the patient begins to stand or ascend a stair, the software’s sensors detect the weight shift and the knee angle changes; the device applies assistive force to help lift the patient. When the patient sits or goes down stairs, the device offers resistance to facilitate a smooth, controlled descent. > For more information about the LECOM Institute for Successful Aging, call (814) 868-7850, email [email protected] or visit http://maerie.org/aging.php. NEED HELP FINDING A DOCTOR, REHAB OR SENIOR LIVING FACILITY? Check out our HEALTHCARE DIRECTORY at www.guidetogoodhealth.com You’ll find the kind of healthcare - and people - you’re looking for! Spring 2014 www.guidetogoodhealth.com Patrick Beason, a physical therapy assistant with the Lake Erie College of Osteopathic Medicine’s Inpatient Rehabilitation Unit, helps a stroke victim learn to walk again with the help of the AlterG Bionic Leg. GUIDE TO GOOD HEALTH 47 Senior Living Options Presbyterian SeniorCare: Respect Experience Being an expert. That phrase means something. It means showing a clear path to excellence that builds trust in the experience of a person or organization. It means having in-depth and often unique knowledge and experience in what you do, and having the best reputation for how you do it. It is why you turn from a generalist to a specialist when you want the best. At Presbyterian SeniorCare, our singular focus for the past 86 years has been to make aging easier. It’s why we do what we do. We are specialists in helping older adults age with grace and quality of life. How do we do this? Through a continuum of services and living options that provides seniors with a level of comfort, continuity, and choice in meeting their needs and desires at whatever point they are in life’s journey. The goal is to have a culture that translates into a truly rewarding daily life for residents and staff alike. Whatever service, setting or care you need - at-home, independent, personal care, skilled nursing, Alzheimer’s care, short-stay rehabilitation and more - you’ll find the respect and experience you deserve at Presbyterian SeniorCare. Respecting experience is not just about our high-quality services and reputation for helping older adults live positively, it’s also about us as an organization recognizing and respecting the experiences, talents and interests of each individual we are privileged to serve. We do this every day through the personalized services we offer both in-home and on our campuses. And during the month of May, we take extra time to celebrate the lives of all of those we serve. Every year since 1963, our nation celebrates May as Older Americans Month. It’s an opportunity to appreciate and embrace the vitality and aspirations of older adults and their contributions to our communities. Take a few moments during this special month to reflect on the wisdom and experiences of the older adults who have inspired you, and share your memories on the Presbyterian SeniorCare Facebook page. Be sure to check our Facebook often, we’ll be sharing plenty of touching stories the entire month of May. To learn more about the living and care options at Presbyterian SeniorCare, visit www.SrCare.org or call 1-877-PSC(772)-6500. ADVERTORIAL 48 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 “I’ve been so happy since I came here. I wouldn’t change a thing.” -Dorothy York, retired flower show judge At UPMC Senior Communities, we focus on improving and enriching each resident’s life. From independent living and personal care, to assisted living and skilled nursing, we make every resident feel cared for and at ease. For more information or to schedule a complimentary lunch and tour, call 1-800-324-5523, or visit UPMCSeniorCommunities.com. Independent Living: Personal Care: Cumberland Woods Village – Allison Park Canterbury Place – Lawrenceville Beatty Pointe Village – Monroeville Sherwood Oaks* – Cranberry Twp. Lighthouse Pointe Village at Chapel Harbor – Fox Chapel Assisted Living: Hampton Fields Village – Hampton Cumberland Crossing Manor – Allison Park Strabane Trails Village – Washington Seneca Manor – Penn Hills Seneca Hills Village – Penn Hills Strabane Woods of Washington – Washington Vanadium Woods Village – Bridgeville Weatherwood Manor – Greensburg Sherwood Oaks – Cranberry Twp. Skilled Nursing and Rehabilitation: Canterbury Place* – Lawrenceville Cranberry Place – Cranberry Twp. Seneca Place – Penn Hills Sherwood Oaks – Cranberry Twp. Heritage Place – Squirrel Hill Sugar Creek Station – Franklin *Memory Care Also Available No large up-front payment • Month-to-month or Lifecare contracts • Move-in specials Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 49 Outdoor Safety and Fall Prevention Tips By Sharon Boschini T he Pennsylvania Long-Term Care Commission recently noted that the number of people over the age of 85 is expected to grow by 42% over the next decade while the general population will grow by only 2%. Our focus in this country is shifting to a concentration on the care and safety of our older population. Harvard Medical School research has concluded that the majority of illness and injury in our growing senior population stems from falling. Several reasons for this “fall-epidemic” in the older population are loss of traction, tripping, reflexes are slower, changes in muscle mass, diminished vision, taking more than 3 prescription medications, consuming alcoholic beverages and non-acceptance of age related abilities. With Spring upon us, outdoor safety for our older citizens is a major concern. Certainly, being outside is one of the best medicines for senior citizens, especially after the recent long, hard winter. We all want to be assured that the older members in our family are able to safely go outside and enjoy the beautiful weather without the risk of falling or being hurt. We can be proactive in assisting the elderly in our family to remain fallfree and safe when outdoors, by taking the following simple preventative measures. tshould fit well, be comfor • Your loved one’s shoes e. f sol able and have a slip-proo in carrying their purchases • Assist your loved ones use. from their car to their ho for or even ground or decks el lev ain int ma or tall Ins • decks should be loved ones to walk on. orways and on patios and do in ks, dec on s rug • Throw ping hazards. removed as they are trip ed in place. sturdy and securely fasten is ling rai all • Make sure k. dar be well lit at dusk and material in place. • Outdoor areas should tive lec ref and ip have nonsl cell phone with • Walking surfaces should d rge keep a fully cha ays alw uld sho es on ed • Your lov ). them (and a charger too their car. kit in their house and in y enc erg • Keep an em An emergency kit should consisting of the following: a hat, sun block, bottle of water, flashlight, umbrella, list of current medications, copy of insurance cards, phone numbers for health care providers, brief current health assessment with any current diagnoses, current photo, a snap towel (this is activated with water and provides a cooling effect when it touches the skin) and a first aid kit. By following these safety tips, we can all enjoy the welcomed warmth and beauty of the outdoors that Spring and Summer provide. > Sharon Boschini is Owner and Director of Visiting Angels of North Hills Pittsburgh. For more information, call (412) 366-4860 or (888) 235-1205 or visit www.visitingangels.com/northhills. For more information on Senior Living Communities, visit the Guide To Good Health at www.guidetogoodhealth.com 50 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 HOME CARE/HOSPICE Anova Home Health Care Services Pittsburgh - 412-859-8801 Belle Vernon - 724-929-4712 www.anovahomehealth.com Celtic Healthcare 1-800-355-8894 • celtichealthcare.com Family Hospice & Palliative Care 1-800-513-2148 • www.familyhospice.com Hospice Care of The Washington Hospital 724-250-4500 www.washingtonhospital.org Interim Health Care 800-447-2030 www.interimhealthcare.com LIFE Pittsburgh Living Independence For The Elderly All inclusive Health Plan providing medical care, adult day, and home care at no cost to qualified older adults who wish to remain independent in their own homes. 412-388-8050 www.LIFEPittsburgh.org Visiting Angels 800-365-4189 www.VisitingAngels.com VITAS Innovative Hospice Care 1-877-647-1129 • VITAS.com Spring 2014 SENIOR RESOURCES Visit www.guidetogoodhealth.com for more resources HOME MODIFICATIONS Safe Harbor Home Modifications & Assistive Technologies, Inc. 412-862-1992 • www.safeharborusa.com. HORMONES The Hormone Restoration Center 412-432-7909 • www.hormonecenter.net PATIENT ADVOCATE Senior Assistance Senior Assistance is a patient advocacy agency providing, “Peace of Mind” to families by helping them navigate the complex world of healthcare. Our team of administrator, nurse, therapist and social worker, work on behalf of the family to assure the best healthcare possible both at home , hospital, or nursing home. 6414 Landview Rd., Pittsburgh 412-952-6944 www.seniorassistanceadvocate.com PHARMACY Giant Eagle Specialty Pharmacy GiantEagle.com/Specialty-RX RETIREMENT & SENIOR LIVING Southwestern Assisted Care Residence 412-460-1099 www.southwesternhealthcare.com UPMC Senior Communities 1-800-324-5523 UPMCSeniorCommunities.com Hometown Pharmacy Exclusively offering Rx Map 1-877-3RXMAPS • www.myrxmap.com SENIOR PLACEMENT Age & Dignity 724- 933-7350 • www.ageanddignity.com The Medicine Shoppe Pharmacy A part of the Allegheny County community since 1993. Our main goal has always been, and will continue to be a providing friendly, professional pharmacy service with a smile. Call us to get set up with free prescription delivery today. 412-586-5410 www.medicineshoppe.com/1278 Senior Lifestyle Connections 724-787-7030 www.seniorhelpfree.com Murray Avenue Apothecary A Compounding & Wellness Pharmacy 412-421-4996 • www.MAAPgh.com RETIREMENT & SENIOR LIVING Arrowood at Southwestern 412-469-3330 www.southwesternhealthcare.com Chartiers Manor 412-250-2020 The Devonshire® Mt. Lebanon 412-343-2200 • www.brookdaleliving.com www.guidetogoodhealth.com SKILLED NURSING CARE & REHABILITATION ManorCare Health Services – Bethel Park - 412-831-6050 Greentree - 412-344-7744 McMurray - 724-941-3080 Whitehall - 412-884-3500 www.hcr-manorcare.com Presbyterian SeniorCare 1-888-448-5779 • www.SrCare.org Southwestern Nursing Care Center 412-466-0600 www.southwesternhealthcare.com To be included in our Senior Directory, call (412) 835-5796 or e-mail [email protected] GUIDE TO GOOD HEALTH 51 G N I T P E C AC new S T N E PATI 52 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 Featured Provider: PLASTIC SURGEON: Dr. Dinaker Golla Specialty: Board-certified plastic surgeon Practice Name: Golla Center for Plastic Surgery Years in Practice: 10 Education: Graduated summa cum laude and Phi Beta Kappa from Boston University and magna cum laude from Boston University School of Medicine. General surgery and then a fellowship in plastic and reconstructive surgery at the University of Pittsburgh Medical Center. Why did you choose your specialty? The variety of cases on all parts of the body. What symptoms do patients ignore most? Skin lesions.They think they will just go away on their own. What advice do you wish patients would take seriously? Treat your body as the most valuable possession you have. What questions do patients most often ask? Can you make me look like a celebrity? Tell us about your most compelling case. A patient who neglected a skin cancer for years until it eroded through her chest. She was married and bled every night on her sheets, and she used to wash them so that her husband would never know. What innovations have changed treatment in your specialty? Biologic material. I use these products in many things that I take care of, from hernias to wounds. What is the biggest myth that you deal with and what is the truth? Skin cancer is a big deal to take care of.The surgery takes 190 minutes and can be done without anesthesia. Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 53 Visit www.guidetogoodhealth.com for more local health resources for you and your family D IRECTORY In order to choose a health professional who is right for you, you need information. The following guide is a good place to start. Addiction Gateway Rehab 1-800-472-1177 www.GatewayRehab.org Audiology Swift Audiology 724-222-9010 www.swiftaudiology.com Careers In Healthcare Duquesne University School of Nursing 412-396-4945 www.duq.edu/nursing Lake Erie College of Osteopathic Medicine 814-866-6641 www.lecom.edu Children With Special Needs eKidzCare Pittsburgh: 412-324-1121 Meadville: 814-807-1162 www.ekidzcare.com New Story 412-373-5235 Monroeville 724-463-9841 Indiana www.newstory.com Wesley Spectrum Services 412-342-2300 www.wesleyspectrum.org Western Pennsylvania School for Blind Children 1-800-444-1897 www.wpsbc.org Chiropractic Jennings Chiropractic 412-283-1060 Kukurin Chiropractic, Acupuncture & Nutrition George W. Kukurin DC DACAN, Jason S. Franchi DC & Kristopher C. Adolph DC 412-381-4453 www.alt-compmed.com Diabetes Care St. Clair Hospital Diabetes Center 412-942-2151 www.stclair.org Ear, Nose & Throat Washington Ear, Nose & Throat 724-225-8995 www.washingtonent.net Fitness Centers Wilfred R. Cameron Wellness Center 240 Wellness Way Washington, PA 15301 724-225-WELL (9355) www.wrcameronwellness.org www.facebook.com/CameronWellness 70,000 square-foot facility featuring state-of-the-art cardio and resistance equipment, climbing wall, indoor track, lap pool, therapy pool, whirlpool, sauna, steam room, basketball court/gymnasium, spin/aerobics studios. Community & Recreation Center at Boyce Mayview Park 412-221-1099 www.twpusc.org/crc/crc-home HealthTrax® Fitness & Wellness 412-835-0500 •www.healthtrax.com Hearing & Deaf Services Center for Hearing & Deaf Services, Inc. 412-281-1375 •www.hdscenter.org Hormone Treatment Hormone Restoration Center 412-432-7909 www.hormonecenter.net Hospitals Ohio Valley General Hospital 412-777-6161 www.ohiovalleyhospital.org Southwest Regional Medical Center Waynesburg, PA 724-627-3101 www.sw-rmc.com St. Clair Hospital 412-942-4000 www.stclair.org The Washington Hospital 724-225-7000 www.washingtonhospital.org Imaging Health Enhancing Thermography 1-855-254-4328 (HEAT) www.heat-images.com Insurance UPMC Health Plan www.upmchealthplan.com Laboratory Testing Quest Diagnostics 1-800-LAB-TEST (1-800-522-8378) QuestDiagnostics.com To be included in this Directory, call (412) 835-5796 or email [email protected]. Long-Term Care Insurance Anthony J. Camill Long Term Care Insurance 412-445-6171 [email protected] Medical Equipment Eagle Medical Equipment Corp 7937 Steubenville Pike, Oakdale 724-218-1051 www.pittmedicalsupply.com Mental Health SRMC Center for Recovery and Wellness 130 Greene Plaza, Waynesburg 724-627-2756 Mental Health & Wellness Pittsburgh Integrative Mental Health Judith Gusky, LPC 412-687-1234 www.mentalhealthoptions.info Orthopedics Advanced Orthopaedics & Rehabilitation 1-800-828-CAST (2278) www.advancedorthopaedics.net Pain Relief Ohio Valley Pain Treatment Center 412-777-6400 www.ohiovalleyhospital.org Pharmacy Giant Eagle Specialty Pharmacy GiantEagle.com/Specialty-RX Hometown Pharmacy Exclusively offering Rx Map 1-877-3RXMAPS www.myrxmap.com Medicine Shoppe Pharmacy A part of the Allegheny County community since 1993. Our main goal has always been, and will continue to be a providing friendly, professional pharmacy service with a smile. Call 412-586-5410 to get set up with free prescription delivery today. www.medicineshoppe.com/1278 Mission Pharmacy Services 1-877-758-2039 www.missionpharmacy.com Physical and Spiritual Health Westminster Presbyterian Church 2040 Washington Road Pittsburgh, PA 15241 412-835-6630 www.westminster-church.org Westminster seeks to be a caring community of faith committed to bringing people to Christ and developing their faith through worshiping God together, teaching the faith, and serving in mission. Westminster Recreation & Outreach Center (WROC) wroc.westminster-church.org WROC Mission: "To reach out to people for Jesus Christ and develop their faith through recreational activities and Christian fellowship." Physicians Washington Physician Hospital Organization Provider Network See pages 28-29 Preferred Primary Care Physicians Walter J. Robison, M.D. Ashith Mally, M.D. Stephanie Colodny, M.D. 724-941-8877 www.ppcp.org Please make a note of our new address in the St. Clair Outpatient Center on Washington Rd Spa Services Spa Harmony At the Wilfred R. Cameron Wellness Center 240 Wellness Way Washington, PA 15301 724-250-5238 www.spaharmony.org www.facebook.com/spaharmonyCWC Pamper yourself at Spa Harmony. We offer an array of treatments and services including massage therapy, acupuncture, reflexology, reiki, manicures/pedicures, waxing/sugaring, skincare and body treatments. Wigs Greg Jockel Hair Colour Dezign 724-934-0211 www.gregjockel.com Women's Health For Women 724-884-0898 Magee-Womens Specialty Services 412-429-3900 Woman's Specialty Boutique K&J's Complete Woman Bethel Park - 412-835-5093 Monroeville - 412-646-4661 Wound Care LECOM Institute for Advanced Wound Care & Hyperbaric Medicine 814-863-3999 Radiology Southwest Regional Medical Center SRMC Wound Care and Waynesburg, PA Hyperbaric Center 724-627-2622 • www.sw-rmc.com 220 Greene Plaza, Waynesburg 724-627-1600 Rehabilitation ManorCare Health Services – Ohio Valley General Hospital Bethel Park - 412-831-6050 Wound Care Center McMurray - 724-941-3080 412-250-2600 www.hcr-manorcare.com www.ohiovalleyhospital.org Novacare Rehabilitation 159 Waterdam Road, McMurray 724-942-1511 Physical, Occupational and Aquatic Therapy. Incontinence Rehab. Massage Therapy open to the public. Presbyterian SeniorCare 1-888-448-5779 • www.SrCare.org Murray Avenue Apothecary A Compounding & Wellness Pharmacy 412-421-4996 • MAAPgh.com YourGoddessRoom.com PittsburghsPetPhamarcy.com Yoga & Pilates Live Well Yoga & Pilates At the Wilfred R. Cameron Wellness Center 240 Wellness Way Washington, PA 15301 724-225-WELL (9355) www.wrcameronwellness.org www.facebook.com/CameronWellness Challenge your mind and body with Yoga and Pilates Mat classes. For beginners through the experienced participant, classes range from Gentle Yoga to Power Flow. Visit www.guidetogoodhealth.com for More Local Health Resources for you and your family! 54 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Spring 2014 She‘ll thank you for this second chance. Get treatment now for drug and alcohol problems. Inpatient programs available at our Main Campus. Special programs for teens and adults ages 45+ UÊi} iÞÊ6>iÞ UÊ>`i UÊ À>LiÀÀÞ UÊÀiiÊ/Àii UÊÀiiÃLÕÀ} UÊVÕÀÀ>Þ UÊÀiÛi UÊ*i>Ã>ÌÊÃ UÊ-µÕÀÀiÊ www.GatewayRehab.org 1-800-472-1177 Spring 2014 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 55 ^ RANKEDAMONGTHE 100TOP ® OSPITALS IN THE NATION. St. Clair Hospital has again been named among the nation’s 100 Top Hospitals.® The annual award — now in its 21st year — ranked nearly 3,000 hospitals based on an objective analysis of patient safety, clinical outcomes, patient satisfaction, and value. St. Clair salutes its outstanding physicians and employees for this prestigious achievement. To learn more about this honor, please visit our website, www.stclair.org. 1000 BOW E R H I L L R OA D . M T. L E B A N O N , P E N N SY LVA N I A 1 5 2 4 3 . 412.942.4000 . WW W. S TC L A I R . O R G