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The Latterman Letter Ed ito r: J ani ce Ch an , M D April 2013 Volume 12, Issue 1 A WORD FROM THE RESIDENCY DIRECTOR Spring is finally here after a long winter. It is a favorite season for many people and it is certainly easy to understand why this is so. It is when the earth comes back to life after a cold winter. Flowers begin to bloom and the green world returns after the bleakness of winter. It’s during this time we begin to make plans to welcome new residents and lay a solid foundation for their growth during their time with us. We also see our senior residents begin to ready themselves to enter another phase of their careers. For those whose physicians are graduating, we look forward to helping you in your transition to a new doctor. In this edition of the newsletter you will find articles to help you spring into Spring. We have included information on healthy eating, things to keep you active as well as local places to do those activities. We are also joining in support of the Kiwanis McKeesport community garden; the article contains information on how you can participate too. Make the most of this time of year that promises renewal and reawakening after the short days and long nights of winter. Tracey Conti, M.D. LATTERMAN STAFF SPOTLIGHT Raynell Wilson began at Latterman about 2 years ago. She is the electronic health record (EHR) coordinator. She must know the ins and outs of the medical record system we use, called Epic Care. She helps fix things in the record and generally helps everyone who works here to better understand the electronic record. She trains all the residents on the EHR and makes sure all staff members are documenting properly. Latterman also has a program called the Healthy Woman Program. This program grew out of the Breast and Cervical Cancer Mortality Prevention Act of 1990 to improve access to screening. The program helps low income, uninsured, and underinsured women gain access to breast and cervical cancer screening and other services. Services include breast examinations, mammograms, pap tests, pelvic examinations, other tests as needed, and referral to treatment. Raynell is the coordinator of this program and quite a few women are enrolled at Latterman. Raynell also goes to the Mon-Yough Behavioral Health Center once a week with a doctor or physician assistant. Latterman patients who also are seen at Mon-Yough can make their medical appointments there if this is more convenient. They can see their therapist and their primary care provider both at Mon-Yough. Raynell creates templates, manages schedules and appointments, registers and triages patients and does check out at Mon-Yough once a week. “These things are some of what I do, but my most important job is being the best mother I can be. I have two beautiful children, a girl and a boy. They are in the 1st and 4th grades and I am always learning from them. Their father has just graduated from law school and in the future I hope to become a nurse anesthetist. I love helping others and the Latterman FHC helps me do just that.” Nature often holds up a mirror so we can see more clearly the ongoing processes of growth, renewal, and transformation in our lives. -Unknown Page 2 The Latterman Letter RESIDENT SPOTLIGHT Belinda Siu, MD was born and raised in Hong Kong and finished medical school there. Her family has been living in Portland, OR for many years and this attracted Belinda to come to the U.S. “I will be starting a geriatric fellowship in Portland this July and will be leaving McKeesport. I have enjoyed my time here but am looking forward to going back to the Pacific Northwest. I have a 3-year old cat named Milo who keeps me great company.” Matthew Walton, DO has lived in Southwest PA most of his life and graduated from greater Latrobe high school. He has one brother and two sisters and is the oldest in his family. He graduated from Allegheny College in Meadville, PA with a BS degree in chemistry and attended Lake Erie College of Osteopathic Medicine in Erie, PA. “My interest in medicine started when I was a patient. At age 5, I was hit by a motorcycle and was in a body cast for three months. At age 13, I developed a malignant brain tumor. I am now a cancer survivor and am cancer free! There were always doctors I met along the way that inspired me and that I admired. These experiences are what drove me into the medical profession. My family is very near and dear to me and I spend most of my free time with them. The rest of my off time is currently spent writing a book with my father relating to my experience with cancer. Perhaps you will see the book in the stores one day.” Lakshmi Kodey, MD graduated from Rangaraya Medical College, India, and moved to the USA for training in Family Medicine. After graduating this summer she plans to pursue her career in a family practice in Etna, PA. “Residency has been an important part of my life, where I have met many people, made new friends and learned from my experiences. I enjoy spending my free time painting, watching Indian movies and cooking.” Dr. Kodey is married to Dr. Ravi Kiran Sathi, an Internal Medicine physician. Get Fit! Out & About In Our Area It is time to get moving and breathe new life into your body. Our communities are filled with opportunities and events to help you get fit. Individuals can always benefit from just walking, but more advanced activities are also fun and healthy. 1. Renziehausen Park in McKeesport, 412-675-5068, has an all-purpose field, groves and pavilions, a rose garden and arboretum. Also there are the McKeesport Heritage Center, summer concerts at the Lion’s Band Shell and local events all summer. http://www.pghrosesociety.org/Renzie-Park-Rose-Garden.html, http://www.mckeesport-pa.gov/upcoming-events/ 2. White Oak Park in White Oak, 412-678-3774, has an all-purpose field, children’s playground, groves and shelters, the ash grove, wedding garden, walking trails and off-leash dog areas. http://www.alleghenycounty.us/parks/wofac.aspx 3. Great Allegheny Passage (GAP), McKeesport Trailhead, McKeesport, biking and hiking trails connecting Pittsburgh to Washington, DC. Along the GAP are opportunities for biking, hiking, boating and horseback riding. http://www.atatrail.org/tmi/map5.cfm 4. Youghiogheny River Trail (part of GAP and Rails to Trails), runs from McKeesport to Connellsville. Travel and Leisure Magazine named the Youghiogheny River Trail one of the world’s best walks in 1994. http://www.railstotrails.us/pa_youghiogheny_river_trail_north_trail.htm 5. Pittsburgh Marathon, Point State Park, Pittsburgh, May 5th, 2013. There are multiple events and activities including the marathon, half-marathon, marathon relay, 5K kids marathon and the pet walk. http://pittsburghmarathon.com/ 6. Susan G. Komen Race for the Cure, Schenley Park, Pittsburgh, May 12th, 2013. There is a 5K run, 5K walk and 1 mile Fun Walk. http://www.komenpittsburgh.org 7. YMCA of McKeesport 604 Evans Ave., McKeesport, 412-672-9622. There are family programs, group exercise classes, after-school programs, wellness programs and member-ship. Mon-Thurs 6:30am-7pm, Fri 6:30am-6pm http://www.ymcaofpittsburgh.org/locations/mckeesport-ymca/ Dog-Friendly Locations April 2013 Volume 12, Issue 1 Page 3 H EALT H Y EAT I N G A balanced diet and healthy eating plan are very important to maintain health and prevent chronic illness. Emphasize fruits, vegetables, whole grains and fat-free or low-fat milk and milk products, Include lean meats, poultry, fish, beans, eggs and nuts, Emphasize a diet low in saturated fats, trans fats, cholesterol, salt (sodium) and added sugars, Stay within your daily calorie needs You should focus on all the good foods you can eat, rather than on what you should not eat. The “healthy eating plate”, devised at the Harvard School of Public Health, is a helpful way to visualize your food. Fill half your plate with produce such as colorful vegetables and fruits (remember potatoes and French fries don’t count!). Save a quarter of the plate for whole grains. The other quarter is for a healthy source of protein such as fish, poultry, beans or nuts. The glass bottle is a reminder to use healthy oils, like olive or canola, in cooking, on salad and at the table. Complete your meal with a delicious cup of cool water or if you prefer, coffee or tea with little or no sugar. The figure scampering across the bottom is a reminder that staying active is the other secret to good weight control. Finally, your meal should have only modest portions that meet your caloric needs, so the plate should not be too large! Quick tips: Fresh fruits, such as apples and peaches are great. It is OK to try the more exotic fruits too, but tropical fruits tend to be higher in carbohydrates. Frozen, canned or dried fruits are OK if the fresh fruit is not in season, but many canned fruits contain added sugar and syrup that is not healthy. Canned fruits should be packed in water or their own juice. Fresh vegetables are always good. You might like them grilled or steamed and mixed with an herb such as Rosemary. You can sauté vegetables in a non-stick pan with a small amount of cooking spray. Frozen or canned vegetables warmed in a microwave make a quick side dish. Try to avoid canned vegetables with added salt, butter or cream sauce. For calcium, you probably think of a glass of low-fat or fat-free milk. However, you can also use low-fat or fat-free yogurt (without added sugars). These come in a variety of flavors and are great dessert substitutes. Finally instead of preparing chicken fried or breaded, try baking or grilling it instead. Some recipes use beans instead of higher-fat meats. There are many healthy recipes on the internet and in magazines for meals with lower calories. When at a restaurant: Select foods that are steamed in their own juice, broiled, baked, roasted, poached or lightly sautéed. Ask the restaurant to serve margarine instead of butter, serve fat-free milk rather than whole milk or cream, trim visible fat from poultry or meat, serve the salad dressing on the side, use less cooking oil when cooking and leave butter, gravy, and cream sauces off a dish. Healthy eating will help you feel and look better and give you a healthier longer life. ______________________________________________________________________________________ Adapted from CDC. Healthy Eating for a Healthy Weight. http://www.cdc.gov/healthyweight/healthy_eating/ The Healthy Eating Plate is Copyright ©2011, Harvard University. For more information about the Healthy Eating Plate, please see The Nutrition Source, Department of Nutrition, Harvard School of Public Health, www.thenutritionsource.org, and Harvard Health Publications, health.harvard.edu. The Latterman Letter The Latterman Family Health Center—UPMC 2347 Fifth Avenue McKeesport, PA 15132 Phone: 412-673-5504 Summer is coming! Are you eating healthy? Why not learn to garden and grow your own vegetables this summer! Latterman and the Family Medicine Residency Program have been actively involved with the McKeesport SH I P (State H ealth I mprovement Plan) and a new logic model called the Kiwanis Community Garden. Rev. Frank Zeman serves as the head of this initiative. This community garden is a place for individuals, families, and organizations to grow vegetables that they can use themselves or sell by the growers at the farmer’s market. They can also donate their food to local food banks and soup kitchens. The garden focuses on social health and community cohesion for all. The community garden provides you with an opportunity to: Grow your own vegetables Learn about fresh, healthy foods Learn about organic gardening practices And have a place that strengthens community relationships to improve the quality of life for everyone. The Latterman Family H ealth Center/UPMC Family Medicine Residency Program will have a plot as part of this program! I f you are interested in education on healthy eating, growing and gardening, please let us know. You may talk to Shari H olland, D r. Shenouda or Toni W ilson at the center for more information. I f you are interested in having a plot yourself, you can call 412-678-1340 for more information.