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10 20 EE ER M M SU FR Health News You and Your Family Can Use to Achieve Optimal Health Dr. Alan Bramowitz on Dramatic Changes in Heart Care Reduce Your Money Stress Page 8 Jefferson Regional Opens New Diagnostic Imaging Facility We Can! Pittsburgh Helps Kids Get Healthy Page 12 MEDICAL PROFILE: Dr. Samina Naseer: Problems With Balance And Dizziness? Page 29 Child’s Way® Encourages Families to A.C.T. See page 13 Page 32 Special focus on Orthopedics LOCAL NEWS 10 MAKING A DIFFERENCE 22 EYE CARE 24 See pages 16-21 Washington City Mission MEDICAL PROFILES What is Reiki? Find out inside Senior Care plus Senior Living Options See pages 36-44 Robert Luther, DMD Samina Naseer, M.D. CHILDREN’S HEALTH LIVING WITH A DISABILITY NATURAL HEALTH GOOD HEALTH DIRECTORY 28 29 30 35 48 50 Let Us Exceed Your Expectaons. For the eighth consecuve year research group Avatar Internaonal Inc. has awarded Ohio Valley General Hospital with the Internaonal Exceeding Paent Expectaons award. Avatar selected OVGH based on results from the hospital’s 2009 paent surveys. Avatar, a research and consulng company, specializes in evidence based intelligent surveys and innovave strategies to transform informaon into significant quality and efficiency of care improvement for the healthcare industry. Thank you to the paents who help us receive this award year aer year. We look forward to providing the same high-quality care to our local communies for many years to come. Visit our newly redesigned Web site to learn how we can help you. 25 Heckel Road • Kennedy Township, PA 412-777-6161 • www.ohiovalleyhospital.org 2 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 Suffering from Migraines or Chronic Pain? Try Yoga By Louise Schultz Julie Booth, a yoga instructor and massage therapist at the Wilfred R. Cameron Wellness Center of The Washington Hospital, has seen first-hand how practicing gentle yoga has helped some of her students with migraines find welcome relief. I f you’re seeking relief from migraine headache pain, consider giving yoga a try. According to the National Headache Foundation, more than 29.5 million Americans suffer from migraines and turn to remedies from medication to alternative therapies in efforts to ease the often-debilitating pain. Julie Booth, a yoga instructor and massage therapist at the Wilfred R. Cameron Wellness Center of The Washington Hospital, has seen first-hand how practicing gentle yoga has helped some of her students with migraines find welcome relief. “It’s not a cure, but they’ve found that hatha yoga can help reduce the frequency, duration and intensity of migraines,” said Booth, who has practiced yoga for 15 years. She credits yoga’s ability to promote inner calm and alleviate stress with relaxing the body’s nervous system, helping to minimize the onset and severity of migraines. Although Booth does not suffer from migraines, she began researching the potential benefits of yoga after seeing how much pain the headaches caused several of her friends. She put her findings into practice through special workshops where she teaches specific yoga postures – known as asanas – and breathing techniques to prevent or delay migraines as well as ease symptoms. “It’s important to stick to gentle, restorative yoga practice,” she explained. “You should also try to practice regularly, either at home or in a class.” Booth has found that helpful poses for persons with migraines typically include the child’s pose, seated forward bend, cobra pose, standing forward fold and tree pose. “A lot of these poses incorporate forward folding that draws you inward, calms you, soothes your nerves, and reduces sensory overload,” she said. Yoga also may help relieve symptoms for people with other chronic conditions such as back and neck pain, carpal tunnel syndrome, arthritis and multiple sclerosis. Jamie Thornton, lead mind/body instructor at the Wellness Center, observed that by encouraging correct postural alignment, yoga loosens unconscious muscular gripping that may cause chronic pain. “You line up your spine, pull your head back, and pay attention to the natural curve of your spine and neck,” she said. “The stretching from the asanas also promotes flexibility and movement, which lessens pain.” Thornton and Booth also find They’ll look at your that yoga’s emphasis on breathing legs for a whole exercises helps reduce the stress new reason. and tension that can exacerbate pain. Booth, who has helped a student with multiple sclerosis find symptom relief through yoga, noted, “There probably can’t be enough said for breathing, relaxing and being in the moment. The whole nervous system benefits when yoga helps you stay relaxed and keep your muscles long and stretched.” Leap into Summer with New & Improved Legs! Louise Schultz is Wellness Coordinator at Wilfred R. Cameron Wellness Center of The Washington Hospital. For information on yoga workshops, call (724) 250-6282. > Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 3 Reiki? I Heard of it, But What Does it Mean? By Tabatha Knox, NHP, CEI, RMP T here are so many holistic healing modalities that at times we may all feel challenged about what direction to take in our healing journey as our thoughts go through our mind wondering if this is something that is honest and true, or, an encounter that will turn out to be a disappointment. Reiki is honest and true and not a new holistic healing modality. It was actually developed by a Japanese man in the early 1900s. We are just starting to hear about it more frequently as we as individuals are in search for modalities that can complement our current protocols. A Reiki session is noninvasive. You will simply lie on a massage table fully clothed. A practitioner will place their hands on or above specific energy locations of the body. This may help dissolve energy blockages and tension. The goal is to create a state of natural balance within the body. This is not only physically, but, emotionally, mentally and spiritually as well. A session will last approximately 50 minutes. Reiki is not a massage. Their is no pressure or manipulation during the session. Relaxation music is usually played. The more balanced and relaxed we feel, the greater our chances become of creating the state of natural balance within ourselves. According to the Cleveland Clinic Center for Integrative Medicine, people are seeking Reiki for all types of cancer, fertility issues, Parkinson’s disease, psychological illnesses, fibromyalgia, chronic pain, digestive problems and stress related diseases. Hospitals around the country are adding Reiki as part of their wellness programs. The International Association of Reiki Professionals may help you feel more comfortable in choosing a Reiki Practitioner. The members of this association must show proof of their qualifications to become a member. If they are part of the Association and have certificates with years of experience, they more than likely care deeply about their practice. The most important part in choosing a Reiki Practitioner is that you feel comfortable with the Practitioner and their compassion towards Reiki. > Tabatha Knox, Reiki Master since 2003, can be reached at (412) 613-4480 or [email protected] or visit www.alternativewellnessnaturally.com. Summer: Time for Swimmer’s Ear By Mary Kendall Rago M.D., FACS B elieve it or not, summer is upon us, and swimmers young and old will develop swimmer’s ear, or acute otitis externa (AOE). This is a rapidly developing, painful swelling of the ear canal, often with hearing loss or jaw pain, and is almost always because of a bacterial infection. In the U.S., there will be approximately 1 million cases of AOE per year, and 10% of us will have at least one episode in our lifetime. There are a few key reasons for developing AOE. Increased water exposure and sweating definitely increase the risk, but so does self cleaning of the ear canals with Q-tips, bobbypins, etc. This not only removes earwax which is important to protect the ear canal from moisture and infection, but can also cause trauma to the skin of the ear canal or push a dam of earwax down deep into the ear canal. Water exposure and self cleaning change the acid/base balance of the ear canal to make it less acidic and let the bacteria grow more readily. Other factors that predispose to AOE are skin conditions of the ear canal (eczema) and wearing hearing aids. Treatment of AOE is a 5 day course of a prescription topical ear drop containing a steroid to decrease the swelling and an antibiotic to treat the bacterial infection. If the canal is too swollen for the eardrops to get down to the infection, a wick or sponge 1/2 inch long may need to be placed in the ear canal temporarily. Oral antibiotics are usually not needed to cure AOE. The key for recurrent AOE is prevention. Measures need to be taken to dry and acidify the ear canals with over-the-counter ear drops (usually containing alcohol and either glycerine or vinegar) immediately after water exposure and/or use of earplugs to avoid water exposure all together. Hair dryers can also be used to dry the ear canals, and the use of Q-tips and the other “tools” such as rolled up tissues should be stopped. Please see an otolaryngologist (ENT) if problems persist. Have a happy summer! > Dr. Rago, of Bell, Froman, Orsini & Associates, can be reached at her Greentree office at (412) 922-5315 or her Robinson office at (412) 787-3400. For more information, you can also visit the website www.entallergywesternpa.com. Your Comfort . . . Our Caring for 30 years in Western PA • • • • 24/7 quality compassionate care Accredited palliative care physicians 12-bed inpatient unit Partners with leading health care providers 1-800-513-2148 • www.familyhospice.com Family Hospice and Palliative Care does not discriminate on the basis of race, color, religion, national origin, disability, sex, age sexual orientation, marital or Veteran status in any respect, including but not limited to employment, the admission of patients and/or the treatment available to patients. The reaffirmation of this commitment is made in conformance with Federal, State and local laws and regulations. 4 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 No Cure for Rheumatoid Arthritis, But Specialist Can Help With Pain By Lois Thomson T here's osteoarthritis…and then there's rheumatoid arthritis. Osteoarthritis affects joints associated with degeneration and is marked by considerable pain. Rheumatoid arthritis, however, is considered a systemic disease, meaning that it affects other organs as well as joints. Dr. Jay Karpen, an authority on chronic pain, says, "I treat a number of patients with this condition. What we typically see in rheumatoid arthritis is that patients have this chronic joint inflammation, which causes swelling, pain, stiffness, and redness of the joints, as well as in the surrounding structures, the tendons, ligaments, muscles, and the synovial membrane, which is a membrane that lines the joints." He said that in the most severe cases, rheumatoid arthritis can cause terrible deformity of the joints. "Because it commonly affects the small joints of the hands and wrists, the classic sign is that you see people whose fingers are almost at right angles. "It can cause the hands and wrists to become so dysfunctional that what we take for granted in daily living is very difficult for a patient with rheumatoid arthritis, even something as simple as opening a jar or turning a doorknob. So there is the loss of function and quality of life that we see with all other forms of chronic pain." What can be done? Dr. Karpen said this kind of condition can be treated by a person's PCP or rheumatologist; but when it becomes associated with chronic pain, the patient should seek the care of a pain specialist. As for Dr. Karpen, he starts with a physical history of the patient. However, since there is no cure, "We use a combination of medications—the first-line medications used are anti-inflammatory medications, what we call non-steroidal, that would include Motrin, naproxen, things like that. In certain cases we'll use steroidal medications, like cortisone, prednisone." He mentioned other types called disease-modifying medications, or specifically, disease-modifying anti-rheumatic drugs. "Those act slower and for a longer period of time, and patients can be on them for years. They're used in an attempt to slow the progress and destruction that the disease causes of the joints." Dr. Karpen also recommends exercise, especially swimming, joint strengthening and protection, rest, minimizing stress, educating patients about the disease, and what they can do to self-help themselves. In severe cases, patients may need surgery to correct the deformity, or total joint replacement. Rheumatoid arthritis affects more than 1 million people in the United States, far more women than men, affects all races equally, and its onset is most commonly seen between the ages 40 and 60. Unfortunately, as Dr. Karpen expressed, there is no known cure. But it's good to know that specialists like Dr. Karpen are available to help alleviate the pain associated with rheumatoid arthritis. > For more information, call Dr. Karpen at the Center for Pain Relief at (724) 942-5188. Dr. Jay Karpen Pain Relief . . . Every Step of the Way! DonÕt Wait Until Each Step Causes Pain . . . Pittsburgh Family Foot Care, P.C. doctors don’t just work wonders for aching arches, swollen ankles, and painful heels. They are experts in foot pain prevention! Treatments and techniques for: • Bunions • Digital Custom-made orthotics and shoes • Sports injuries • Traumatic foot and ankle injuries/fractures • On-site X-rays • Skin problems such as warts • Hammertoes (crooked toes) • Diabetic and arthritic foot care • Endoscopic procedures with less cost, discomfort, and recovery time • Extracorporeal Shock Wave therapy for heel pain Evening, lunchtime appointments. Handicapped accessible, payment plans and most insurance plans accepted. Dr. Karen Luther • Dr. Darlene N. Saheta Dr. Charles R. Dushack Pittsburgh Family Foot Care, P.C. 2001 Waterdam Plaza Drive, Suite 207 Centralized Scheduling (724) 941-9440 Visit our doctors and many locations: www.pffcpc.com South Hills • UPMC Mercy Primary Care • Deer Lakes Medical Greensburg • UPMC Mercy Greentree Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 5 Which Form of Exercise is Best? The One You Stick to! Reduce Your Money Stress By Diana Fletcher ARE MONEY ISSUES AFFECTING YOUR FAMILY LIFE OR YOUR SLEEP? One of the best ways to reduce the stress of a money problem is to look at it squarely in the face and resolve to take care of it. That first step is the hardest, but then you are on your way. I would like to share three important steps to get you started to reduce your money stress. 1) You need to look at where your money is going. Carry paper with you, and write down every penny you spend. At the end of a week, total up the amounts and see where the money went. I guarantee you will be surprised and will be able to spot changes you could make to lower your spending. Continue to do this as a way of staying aware of your habits. (It is hard to look honestly at ourselves sometimes, but it is the only way to make healthy changes.) 2) Leave the credit cards at home. Keep one with you if you absolutely have to, for emergencies, but leave the others at home. It will be easier to resist temptation. Another tip is to use cash instead of a bank card. This can make you more aware of the amounts you are spending. 3) Make a date with yourself and if pertinent, with your partner. You need to spend some time thinking about your goals. Attitudes about money can differ wildly. You need to get those attitudes out on the table without argument and bitterness. Do not wait until you get into trouble to discuss where money should go. Work on a plan, and then discuss the difference between needs and wants, and what you want to save for in the future. If you need more help, you may want to explore working with a financial advisor, consolidating loans, or getting counseling. Ignoring the issues will not make them go away, and you will keep on worrying. So - take control of the things you can take control of! > Diana Fletcher is the Stress Reducing Expert Life Coach, Author and Speaker. For 25 Free Stress Reducing Tips, visit her website at www.dianafletcher.com or contact Diana at (412) 612-5977. 6 GUIDE TO GOOD HEALTH By Michael F. Hyek, Ph.D. G entler forms of exercise and activity are capturing the time and attention of more Americans. Elliptical-trainer workouts, yoga and tai chi are among the fastest-growing fitness activities in the United States. In contrast, high-impact aerobics has been declining since 1998. Credit the aging baby-boomers, some say! To hear baby boomers tell it, some are looking to preserve their joints - especially knees and ankles - that have been jarred or stressed during other activities. Other exercisers are seeking activities that promote the mind-body connection. Some simply want to add variety to or round out their regimen with activities that enhance flexibility or are low-impact. More people also are taking the time to work on strength. More are using dumbbells and resistance machines than other types of strengthtraining equipment. It’s probably because dumbbells and resistance machines are more user-friendly. Treadmills remain the most widely used exercise machines across the nation. However, elliptical trainer use is on the rise having increased nearly 315% over the past 6 years compared with 28% for treadmill use. What equipment is becoming less popular? The cross-country ski machine and stair-climber. Although both provide a good workout without pounding the joints, these machines are probably spending more time gathering dust in the den than burning someone’s calories. While these trends underscore an evolution in fitness, they don’t discount the activities and machines that are no longer in vogue. If you are using a machine or form of exercise that you enjoy and is safe, stick with it. Trends aside, the most effective exercise machines and activities are the ones you enjoy every day and the ones you will actually commit to use! > Dr. Michael F. Hyek, Director, The Lake Erie College of Osteopathic Medicine, Medical Fitness and Wellness Center, can be reached at (814) 868-7800 or visit www.lecomwellness.com. www.guidetogoodhealth.com Summer 2010 By Peggy Gregor, BA M any of us were encouraged to place a book on the top of our heads and walk to promote positive posture. This simple task is no longer done, however, the focus on good postural alignment remains. In relation to exercise, postural alignment can mean the difference between gaining benefits and incurring an injury. This is why more emphasis is being placed on how you sit, stand and maintain your back’s alignment when performing movement. Good posture also helps to strengthen our core musculature – abdominals, back, hips and shoulders. Daily rigors of life can weaken the back. Sitting at a desk, driving, and standing for long periods of time can cause our bodies to slouch. This places excessive strain on the cervical, thoracic and lumbar spine. Over time our bodies become strong in this poor alignment causing back and neck pain and even decreasing our lung capacity. Muscles in the back of the body become ‘loose’ and ‘weak’ while the muscles in the front of the body become ‘tight’. The poor posture creates a muscular imbalance which greatly affects the function and mobility of the arms and legs. Sitting/standing tall may feel unnatural or even uncomfortable. It takes a conscious effort, which is why good posture is encouraged by health and fitness professionals. With practice, we can begin to strengthen weak muscles and stretch tight muscles leading us to perform daily activities more efficiently and pain free. Before performing any exercise, it is crucial that the spine be properly aligned and that posture is maintained throughout the exercise. This will serve to keep the back safe and will allow the proper muscle group to engage. This is not limited to mind/body exercises or strength training. Proper alignment during cardiovascular work is crucial as well. While at your computer or driving your car, remember to sit tall. Moving your seat closer to the desk/wheel and sitting up on your ‘sits bones’ will help. Your head ‘guides’ your spine. If you look down, the head can pull the spine out of alignment. Keeping the eyes on the horizon and reaching tall through the top back of your head will help correct poor posture. Be mindful of your movement whether exercising or performing daily activities. Misalignments of the spine can take years, but with effort and awareness we can change our posture and in turn enhance our daily living and benefit more from the exercises we perform. > Peggy Gregor, group exercise director at Healthtrax Fitness and Wellness in Bethel Park, PA, can be reached at (412) 835-0500 or [email protected]. Acupuncture It’s all about your health. “Acupuncture can be integrated with traditional medical care to treat the whole person.” Melissa Murtha, LAc, MA, certified and licensed acupuncturist. Appointments also are available with Lisa Wang, O.M.D. (China), Dipl. Ac. ROM. For more Health News you can use, go to www.guidetogoodhealth.com Acupuncture has been successfully relieving pain and treating illnesses for thousands of years. It has been shown to successfully treat a large number of medical conditions such as: • Chronic pain • Back pain • Migraine headaches • Asthma • Depression • Arthritis • GERD The reason for the growing popularity of acupuncture at Spa Harmony is simple — it works! © 2010 Wilfred R. Cameron Wellness Center Posture Perfect Call 724.250.5238 now to find out how acupuncture can work for you! spaharmony.org Take an active role in your life 240 Wellness Way, Washington, PA 15301 724.225.WELL • wrcameronwellness.org • Open to the Public Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 7 HEART HEALTH Dramatic Changes in Heart Care By Lois Thomson "In the 1960s, if a person would come into a hospital with a heart attack, that individual would be in the hospital for four to six weeks and would have a mortality rate of 20 to 30 percent. And now, with the same heart attack, the person may have a mortality rate of less than 5 percent and could be out of the hospital in less than three days." D He tied medications in with heart transplants, saying that r. Alan D. Bramowitz, cardiologist at Jefferson while transplants initiated in the 1970s and the outcomes Cardiology, has seen a lot of changes in cardiac have improved since then, the need for transplants has care in his 30-plus years of practicing, and as he decreased because more people can be treated with today's pointed out, "The whole field of heart disease, both in superior medications. Also, some persons can benefit from terms of techniques for diagnosis and treatments, has mobile heart pumps that may assist end-stage persons, and changed very dramatically over the past 35 to 40 years." may replace the need for transplants. He was kind enough to discuss some of the improvements Still more improvements, according to Dr. Bramowitz, that have taken place during that time: include catheterization techniques used in some individuals "The first pacemakers were introduced probably in the to replace aortic valves; and even techniques for using mid-1960s," he began, "and they've been improved over robots to assist with mitral valve and coronary bypass time to where now they're not only used for treatment of surgery. slow heart rates, but certain types of pacing systems can "The whole field of ultrasound has developed and has also be used for heart failure. And defibrillators intronow had much more widespread application," he continued. duced around 1990 may prevent sudden death caused by "It can be used not only for detection of heart valve probabnormal heart rhythms." lems, as was the initial application, but it has also been able He continued, "Initial cardiac catheterizations introto be used at the bedside and in doctors' offices for evaluaduced in the 1950s led to coronary angiography in the Dr. Alan D. Bramowitz, tion of heart muscle function. There are also applications for early 1960s, allowing visualization of the coronary circucardiologist at Jefferson predictions for people who may be at risk for stroke. These lation. Coronary balloon angioplasty was initiated in the Cardiology, has seen a lot of are just some of the major things that have happened." late 1970s and ultimately led to devices resulting to curchanges in cardiac care in Dr. Bramowitz couldn't have conceived of such ideas rent stents that can abort heart attacks and stabilize his 30-plus years of when he first started his practice. "None of these things were threatened coronary patients." practicing medicine. anticipated," he agreed. "The first time I saw an angiogram Further advancements in the 1960s include the first it was totally shocking." At the same time, he said these coronary bypass procedure that was done in 1967. developments helped to keep him captivated by his career. "Oh yes, they're Echocardiography was introduced in the middle of that decade and became more widespread in the early 1970s. Likewise, the concept of coronary care very dynamic. The idea of looking at a cardiogram with signs of acute heart units started around that time, and nuclear cardiology—which uses non- attack that would normalize, would have been totally unexpected 20 or 25 invasive techniques to evaluate the pumping function of the heart, evaluate years ago." Does he see anything new emerging on the horizon? Yes. "I think the big areas deprived of blood flow, and visualize the size and location of a heart thing for the future will be the benefits of Human Genome Project," he said, attack—was developed in the early 1970s and progressed from there. Dr. Bramowitz also discussed medications, saying, "Many of the basic by which chromosomes can be analyzed to help understand the genetic drugs were introduced over the past 30 years. Prior to the late 1960s, there makeup of humans. As Dr. Bramowitz explained, "Currently, isolated problems have been were no potent diuretics for treatment for heart failure; and a number of the rhythm medicines were introduced in subsequent years. Beta blockers intro- identified for special circumstances, meaning those persons who may have duced in the late '60s and calcium channel blockers in the '70s may help a tendency for certain genetically transmitted diseases, or who may have both coronary and hypertensive patients. The concept of effective-treatment resistance to medications that could be predicted by genetics. This is somemedications for cholesterol may have come in the mid- to late-1980s. thing that's just beginning and there are certain specialized illnesses—some Certain classifications of medications called ACE inhibitors (angiotensin- of which that are not common that have now been localized to certain chroconverting enzyme) that have been very effective for blood pressure and mosomes, and certain sequences of chromosomes. This is a very dynamic heart failure were developed probably in the early 1980s. Other medica- field." Pacemakers. Echocardiography. Coronary stents. Ultrasound. Genetics. tions, which were related to them with similar efficacy, came about in the 1990s. And clot-busting drugs developed in the 1980s improved survival for Sometimes we take for granted those phenomenons that may have been around for a good part of our lives. But Dr. Bramowitz's summarization is heart attack victims. "Statin drugs, made possible by Nobel-Prize-winning research, were an excellent reminder of how fortunate we are to have exceptional cardiac introduced more than 20 years ago and have been demonstrated to result in care available to us, with more improvements likely for the future. major cholesterol reduction and anti-inflammatory effects. The combined For more information or to make an appointment, you can reach effects have been shown to result in major reductions in death, heart Dr. Bramowitz at Jefferson Cardiology Associates at attacks, stroke, and the need for coronary bypass surgery and coronary (412) 469-1500 or visit www.jeffersoncardiology.com. angioplasty." > “Statin drugs, made possible by Nobel-Prize-winning research, were introduced more than 20 years ago and have been demonstrated to result in major cholesterol reduction and anti-inflammatory effects. The combined effects have been shown to result in major reductions in death, heart attacks, stroke, and the need for coronary bypass surgery and coronary angioplasty." 8 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 RADIANCE A Private Outpatient Surgery Center, LLC We are proud to introduce you to RADIANCE – A Private Outpatient Surgery Center, LLC. Radiance has undergone the most stringent evaluations and inspections, such as those our local and university hospitals have undergone. The Pennsylvania State Department of Health, Medicare, and the Joint Commission for Accreditation of Hospitals have licensed Radiance as a first-class surgical center. Radiance Surgery Center has recruited the best of our region’s nurses, technicians and anesthesia providers to assist in your care. Radiance Surgery Center’s location, just off Interstate 79, provides easy accessibility to patients from western Pennsylvania, West Virginia, and eastern Ohio. Your family can relax in our cozy waiting room with refreshment bar, flat-screen TV and music. Our pre-op nurse will check your vital signs and allergy alerts, help you change into a robe, and see that all your needs are met. You will then be interviewed by our boardcertified anesthesiologists and registered nurse anesthetists of Radiance Anesthesia, LLC. Our anesthesia group’s expertise is outpatient anesthesia – quick emergence, nausea-free, and near-painless return to home and function. Our skilled and talented board-certified surgeons will carry out your surgery in our beautiful sterile OR’s, complete with the best and latest technology. Surgeons and Specialties The following physicians perform outpatient surgery at Radiance Surgery Center: Plastic Surgery: Lori L. Cherup, M.D. (412) 220-8181 Plastic Surgeon Howard Edington, M.D. (412) 641-4274 Surgical Oncologist, Plastic Surgeon Orthopedic Surgery: South Hills Orthopedics Derrick Fluhme, M.D. (412) 429-0880 Sports Medicine Christopher Manning, M.D. (412) 429-0880 Hand and Shoulder Surgeon Eric Nabors, MD. (412) 429-0880 Spine and Orthopedic Surgeon The Orthopedic Group Alexander Kandabarow, M.D. (412) 276-7022 Spine Surgeon Podiatry: South Hills Orthopedics Damon Combs, D.P.M. (412) 429-0880 Podiatrist Gynecology: Patricia Bulseco Associates Deborah Lenart, M.D. (724) 941-1866 Gynecologist Douglas Mackay, M.D. (724) 941-1866 Gynecologist Shannon McGranahan, M.D. (724) 941-1866 Urogynecology/Gynecologist Vascular Surgery: Georgevich Associates Philip Georgevich, M.D. (412) 249-8997 Vein/Vascular Surgeon Happel Laser & Vein Center John Happel, M.D. (724) 969-0600 Vein/Vascular Surgeon Pain Management: Premier Pain Management Bud Lateef, M.D. (412) 466-7246 Pain Management The Orthopedic Group Jose Ramirez-DelToro, M.D. (412) 276-7022 Pain Management 701 Boyce Road at Washington Pike • Bridgeville, PA 15017 Phone: 412-220-2336 • Fax: 412-220-2279 • www.drcherup.com • [email protected] Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 9 LOCAL NEWS Community Turns Out for MVH Regional Cancer Center Silver Anniversary Members of the community and SRMC staff discuss the services offered at the Occupational Medicine Center. (l-r) Jason Roberts, Paramedic; EMS Southwest Director Rob Bowman; SRMC CEO Cindy Cowie; Occupational Medicine Director Kelly Fath; Waynesburg Area Chamber of Commerce Executive Director Melody Longstreth; and John Owens, Northwood Realty. Cancer survivor C. Garret Cooper is applauded by Drs. Andrew J. Zahalsky and Judith H. Figura as he prepares to address the crowd who gathered to celebrate MVH's Regional Cancer Center's 25th anniversary. The spotlight was on cancer survivors when Monongahela Valley Hospital commemorated 25 years of regional cancer care. While the event marked the 25th anniversary of the Charles L. and Rose Sweeney Melenyzer Pavilion and Regional Cancer Center, President and CEO Louis J. Panza Jr. said the primary focus was to share “The Vision of Hope Cancer Care Program” with the residents of the midMonongahela Valley and with our survivors. “The patients and their families who have utilized and benefited from our oncology services are the most important reason for this celebration,” Panza told the gathering of more than 300 people in the Anthony M. Lombardi Education Conference Center, half of them cancer survivors. Also offering similar sentiments were Andrew J. Zahalsky, M.D., director of medical oncology and Judith H. Figura, M.D., a radiation oncologist at the MVH Regional Cancer Center who listed the technological achievements of the Center. C. Garret Cooper, 29, a former Charleroi resident, presented a special survivor’s story describing the outstanding care and assistance he received at the Center. “I am very thankful that this facility is here,” Cooper said. Southwest Regional Medical Center Occupational Medicine Center Answer for Employee Health For local employers, the Southwest Regional Medical Center Occupational Medicine Center is the all-encompassing answer for employee health. The center offers pre-employment and regulatory physicals, workers compensation services, lab testing and case management, as well as additional services. The center officially opened on February 1, and offers fully computerized pulmonary testing, audiology testing and eight different types of vision testing. These tests can be performed and evaluated on site. According to Occupational Medicine Center Director Kelly Fath, the center strives to complete patient visits within 30 minutes, depending on the treatment needed. All blood testing is drawn right on site and diagnostic imaging services are performed through SRMC. Patients are pre-registered to expedite the testing needed at the hospital. “Dr. Vaughan and his staff are a great asset to this community,” said Pennsylvania Services Corporation [an affiliate of Alpha Natural Resources] Senior Human Resources Representative Debbie Gresh. “This center will be successful and continue to grow. The location is convenient, and it helps to build relationships between the hospital, mines and the community.” According to Vaughan, the center has already established relationships with local businesses as well as out-of-state companies. “We get calls from Texas and Alabama from the companies who have people working on the gas wells,” said Vaughan. If a company or business has an account through Southwest Regional, the Occupational Medicine Center can access their information, making the process simple and convenient for the employer. Vaughan stressed the top-to-bottom care provided by the facility. “We do all follow-up for injuries. Employees are taken care of from diagnosis through recovery, and we have regular communication with their employer,” said Vaughan. “We can coordinate specialty referrals for injuries; we do returnto-work exams, pre-employment physicals and acute injury care, all the way through follow-up exams.” > For more information about the Occupational Medicine Center, call (724) 627-1950. Child’s Place at Mercy and the Fred Rogers Company Announce ‘When Your Baby Cries … Ways to Soothe Your Baby’ Most people would agree that being a parent is the most rewarding and fulfilling job they have ever experienced. It also is probably the most challenging. Research shows that about 20 percent of babies cry for several hours a day without physical cause – something many parents and caregivers know from firsthand experience. For most infants, crying is a baby’s way of letting us know that he or she is hungry, needs to be changed, or is simply tired. Some babies go through fussy periods of crying for no apparent reason. These periods can last until the baby is four to six months old, which can seem endless for parents who are unsure of what to do. A Child’s Place at Mercy, the official Allegheny County Child Advocacy Center, an accredited member of the National Children’s Alliance and a part of the Pittsburgh Mercy Health System, announces the release of “When Your Baby Cries … Ways to Soothe Your Baby,” a 15-minute educational DVD designed to teach new parents understanding of and tolerance for normal amounts of infant crying, techniques that can help soothe a crying infant, increase the quality of parent-child bonding, and help to deter child abuse. Parents delivering a baby at hospitals in Allegheny County will be eligible to receive a free DVD over the next year. DVDs will also be available for purchase. > For online support and more information, check the website www.babycries.org. In addition, A Child’s Place at Mercy is developing a training curriculum it will use with health care and social services professionals, and others. For more information about “When Your Baby Cries,” contact A Child’s Place at Mercy at (412) 232-7200. 10 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com E-mail us YOUR News Items to [email protected] Summer 2010 Seamless Takeover at Washington Hospital By Lois Thomson "We have a terrific medical staff, and we are not just a health care provider but also an educational institution." He pointed out that the hospital has 21 residents in family medicine at any given time; the school of nursing graduates approximately 50 nurses every year; and the school of radiologic technology graduates 12 to 15 techs each year. Replacing a long-time executive who held the top position at a facility might cause concerns on all fronts—about maintaining the flow of operations and whether the new person would be able to handle the responsibilities. That is not happening at The Washington Hospital. G ary Weinstein, who is taking over for Telford W. Thomas as President and CEO, has been there for 29 And even though a number of publications have listed years and worked with Thomas as executive vice The Washington Hospital in the top 5 or 10 percent for Gary Weinstein president for the past 18, so the move looks to be seamless, services such as orthopedics and cardiology, Weinstein particularly with Weinstein's outlook. believes it remains a challenge to continue to stand out: "Every leader has concerns, but I feel like I have tremendous assets to "A top priority for us is to maintain and recruit top-level primary care and work with," he said. "We have a terrific medical staff, and we are not just a specialty physicians, and to work to get our physicians more closely aligned health care provider but also an educational institution." He pointed out with the hospital. Traditionally, physicians have had private offices in the that the hospital has 21 residents in family medicine at any given time; the community, they come to the hospital in the morning to see their inschool of nursing graduates approximately 50 nurses every year; and the patients, and then they go back to their offices to see their out-patients. But school of radiologic technology graduates 12 to 15 techs each year. "It's more and more physicians are looking to be employed by the hospital, and unusual for a community hospital to have those kinds of academic compo- we are doing more of that." nents." He is also looking toward the continued growth of out-patient services. Weinstein joined the staff as a planner in 1981, and in 1989 became assis- "We have between 30 and 40 sites, and I expect you'll see that number grow tant vice president for operations. Then, "in 1992, when Mr. Thomas as we take the services closer to where the people live." became the president, he asked me to become the executive vice president, Such considerations might seem overwhelming for some, but not for and (when he retired) I was asked by the board of trustees to succeed him." Weinstein. "This is a wonderful institution. It has a long and very proud hisThe fact that Weinstein is familiar with The Washington Hospital doesn't tory, and so it is truly a tremendous privilege that the board of trustees has mean that he doesn't anticipate any problems. "The concerns going forward given to me to be able assume a leadership position here at Washington." are the ones that have been pretty well publicized during the health care reform debate," he said, "dealing with the highest quality care at the lowest For more information, visit www.washingtonhospital.org. cost." > SANE Program Provides Complete Care for Victims By Lois Thomson T he subject is a difficult one, but one made a little less difficult by the SANE program at The Washington Hospital. SANE stands for Sexual Assault Nurse Examiner, and it offers treatment and services to victims of sexual assault of all ages. Michelle McIntyre, one of the program's nurses, talked about the services they provide. For adults who come into the Emergency Department and say they were sexually assaulted, one of the SANE nurses will collect any evidence from the crime that has been committed and document the details of the event. "We offer treatment of potential STDs and offer pregnancy prevention, then we recommend follow-up with the S.T.T.A.R.S. (Sexual Trauma Treatment And Recovery Services) Program, and their family doctor." As for children, McIntyre pointed out, "Children don't disclose (sexual assault) right away. It could be two years down the road before a child tells someone about that." When dealing with children, McIntyre said SANE involves the Child Advocacy Center of Washington County, which is housed at The Washington Hospital, along with Children and Youth Services. For both types of victims, SANE also works with the district attorney's office, law enforcement, and the S.T.T.A.R.S. Program. McIntyre said that no police training is required to collect and document the evidence; Summer 2010 Members of the SANE staff at The Washington Hospital try to make the atmosphere as pleasant as possible for children who are victims of sexual assault. rather, the nurses take a 40-hour course in becoming a sexual assault nurse examiner. A separate 40-hour course is required to work with children. According to McIntyre, when a victim comes in, any medical concerns are addressed first. www.guidetogoodhealth.com "Then we proceed to collect our forensic evidence from the sexual assault. And the whole emotional support is intertwined in that." The atmosphere is also made as pleasant as possible. McIntyre said the children have a separate exam room, which is painted as an underwater scene. "It's to alleviate fear and distract the children, so when they walk in it's like they're in the ocean. And we have an 'I Spy' chart on the wall and ask, can you find this, can you find that." Similarly, for the adults, "It's a very relaxed environment, it's not rushed like a normal emergency department would be. We take our time with these people, we make sure they're taken care of. I'm not going to send anybody out of here who doesn't feel safe." Eric Rohrer, a member of the SANE staff, added, "We're also trying to educate the public about what we do and the services we provide. We're putting some programs together so that we can speak with students in schools. We've also contacted the local police departments and hospitals to let them know about the program." McIntyre admits that being a SANE nurse can be very tough emotionally. "But we are part of a multi-disciplinary team in Washington County, and we all work together to take care of any victims of sexual assault, male, female, any age." > For more information, call (724) 223-3774 or visit www.washingtonhospital.org. GUIDE TO GOOD HEALTH 11 Dr. Valerie Drnovsek Jefferson Regional Opens New Diagnostic Imaging Facility in Bethel Park By Nancy Kennedy I n the very near future, residents of Bethel Park and neighboring communities will receive a wonderful gift from Jefferson Regional Medical Center (JRMC): a beautiful, brand new, state-of-the-art diagnostic imaging facility that will transform the way that patients experience x-rays, scans and other diagnostic studies. With an emphasis on service, convenience and patient comfort, the new full service facility promises to simplify and streamline the process of undergoing outpatient diagnostic imaging studies. JRMC Diagnostic Services, LLC, will open the spacious new facility in July at 1100 Higbee Drive, adja- cent to, and connected to, the Jefferson Regional Health Pavilion. It has been thoroughly equipped with the latest, leading-edge, hightech imaging devices, including the Toshiba Vantage Titan MRI, to assure that patients receive the most advanced diagnostic care available. The Bethel Park center will offer a full range of high quality imaging and other clinical capacities, including: • High field MRIs featuring a 70cm. opening for greater patient comfort • Multi-slice CT scans • Digital mammography, stereotactic and needle localizations • Breast MRIs • Digital x-rays )FBMUIUSBY¥JTNZGJUOFTTQBSUOFS *NIFSFCFDBVTF*EFNBOEUIFCFTUJOGJUOFTT "TTPPOBT*BSSJWFE*LOFXUIJTXBTUIFSJHIU QMBDFGPSNF .BLFJUZPVST "U )FBMUIUSBY¥ PVS GSJFOEMZ USBJOFST HJWF ZPV TVQQPSU UP BDIJFWF ZPVS HPBMT BOE HFU UIF SFTVMUT ZPV XBOU JO B DPNGPSUBCMFNPEFSOTQBMJLFFOWJSPONFOU 'SFF TVQFSWJTFE DJSDVJU USBJOJOH NPUJWBUJOH HSPVQ DMBTTFT BOE UIF MBUFTU DBSEJP BOE TUSFOHUIUSBJOJOH FRVJQNFOU BUUIF+3.$)FBMUI1BWJMJPO )JHCFF%SJWF#FUIFM1BSL 7BMJEGPSTUUJNFHVFTUTPWFSUIFBHFPGBOEBMPDBMSFTJEFOU )FBMUIUSBYHVFTUQBTTQPMJDZBQQMJFT 12 GUIDE TO GOOD HEALTH XXXIFBMUIUSBYDPN • Ultrasounds • EKGs The JRMC Diagnostic Services Bethel Park site matches excellence in clinical care with excellence in customer service, environment and amenities. According to Michael Miller, executive director of JRMC Diagnostics, the new facility represents the medical center’s philosophy of patient-centered care. “It’s a gorgeous setting and we’re proud of it, but our greatest source of pride is the way this new facility reflects our focus on patients. It provides comfort and convenience beyond anything that patients will have experienced before. All of our planning was driven by our mission to put the needs of the patient first.” Towards that goal, the Bethel Park site was designed to ease the patient experience in every way possible. From the abundant, free parking to the coffee and juice bars and the easy, one-floor access, the facility extends a warm welcome to the patients and invites them to a new, improved healthcare experience. For seniors and persons with disabilities, the building is easily navigated, with no stairs or elevators. Comfortable waiting rooms ease stress for patients and family members, while “sub” waiting rooms ensure privacy and personalized attention. There is a restful courtyard area and plenty of seating. The building was designed by the Pittsburgh architecture and interior design firm of Radelet, McCarthy and Polletta. “Diagnostic imaging” refers to the various technologies that physicians and radiologic technologists utilize to look at internal organs in order to diagnose or monitor a medical condition. X-rays, MRIs, CT scans and ultrasounds are among the technologies used in diagnostic imaging. These studies are safe, painless, relatively easy and non-invasive, meaning that they require no surgical incisions or insertion of instruments. Diagnostic > imaging is an extremely valuable tool for physicians in the process of making a diagnosis, and physicians who refer their patients for testing to JRMC Diagnostics will benefit from the facility’s streamlined processes. Study results will be available online within 12-24 hours and patients will be able to make same-day appointments in many cases. The facility is fully accredited, with board certified radiologists available on a 24-hour basis for consultation and interpretation of studies. A highly credentialed, expert staff of technologists performs the imaging studies. Future plans include having a radiologist on site at each location, says Georgine DeMarino, M.D., Medical Director. “This new facility is beautiful and convenient. It gives me as a radiologist an avenue to provide a level of quality care that one would expect to find in a hospital, but with the convenience, efficiency and accessibility of an outpatient location.” In addition to Dr. DeMarino, who specializes in women’s imaging, the medical staff includes radiologist Teresita Enriquez, M.D., and Valerie Drnovsek, M.D., a neuroradiologist. Albert Ragan, Vice-President Freestanding Outpatient Services at Jefferson Regional Medical Center, says that the Bethel Park facility represents a multi-million dollar investment in the community by Jefferson Regional Medical Center. “We have invested $20 million in the Bethel Park community. This investment enables us to serve more people, and to serve them better. Having this center means that residents of this region no longer have to face the stress and inconvenience of going to the hospital for diagnostic imaging tests. They can look forward to a more efficient, personalized and comfortable experience at JRMC Diagnostics, Bethel Park.” There will be an Open House for the entire community on September 18. For more information about Jefferson Regional Medical Center Diagnostics, visit the web site www.jeffersonregional.com. Michael Miller can be reached at [email protected]. www.guidetogoodhealth.com Summer 2010 An OVGH balance specialist assists a patient with a “balance and fall prevention” examination. Do You Have Problems With Balance and Dizziness? New Fall and Prevention Department at Ohio Valley General Hospital Can Help By Laurie Bailey D izziness can range in severity from lightheadedness to vertigo, or that feeling that your surroundings are moving. It affects about 30% of American over 65 while over 35% of adults over 40 have inner ear disorders (vestibular dysfunction), according to the Vestibular Disorder Association. Thanks to the new Balance and Fall Prevention Department, part of the Rehabilitation Department of Pittsburgh’s Ohio Valley General Hospital, patients are receiving the most effective means for diagnosing problems with balance and dizziness. Up and running in full force since May, the new department boasts a new NeuroCom Balance Manager machine that allows thorough evaluation of a patient’s balance issues. Before being evaluated with the use of the NeuroCom equipment, the patient is assessed for basic range of motion, strength and coor- Summer 2010 dination by one of the Rehab Department’s nine physical therapists. The machine can check vestibular (equilibrium in the inner ear) somato sensory (how the muscles provide information to the brain) and visual (how you use vision to help with balance) systems. Here’s how it works. The NeuroCom machine is a computerized “booth” with a footplate, much like that of a Wii gaming system, in which the patient stands, explained Colleen Hamm, director of Ohio Valley’s Balance and Fall Prevention Department. The walls of the booth are colorful and patterned. Tests are usually performed first with the patient’s eyes open, then closed. The footplate and surrounding walls may be still or moving. “These tests can pinpoint where balance problems are coming from,” said Hamm. For example, the NeuroCom can monitor a patient’s response to the surface on which he is standing, whether it be a hill or flat. This provides information about the body’s position and a patient’s comfort zone for maintaining balance. It measures how far someone can reach before becoming unbalanced. “This process can rule out inner ear or neurological disorders,” said Hamm. For example, the patient may have a neurological issue if he shows slow reaction times to the moving floor and surround. A person may require a NeuroCom evaluation if they experience frequent falls, typically seen www.guidetogoodhealth.com in older patients, or dizziness, which can occur at any age. To be considered for an evaluation ask your family physician, neurologist or ear nose and throat specialist. For some diagnoses, patients may continue to improve their balance issues with further treatment in the Rehab Department. “They can do strengthening and stretching exercises for muscle groups that aren’t strong, mat exercises for hips and core stabilizing exercises like Pilates,” said Hamm. There are also functional exercises like walking with head turns, if the problems are vestibular. > For more information, contact Pittsburgh’s Ohio Valley General Hospital at (412) 777-6231. GUIDE TO GOOD HEALTH 13 New Cosmetic Treatments Available Despite Economic Downturn “What concerns me is that of women who require mastectomies, only 71 percent are aware of reconstructive options, which is a big shortfall for plastic surgeons. It behooves us to let women know what options are out there.” By Vanessa Orr million women being treated last year, a decrease of 9 percent from the previous year,” said Dr. Paré. ver the past year, there are a lot of things that the econAccording to the American Society of Plastic Surgeons, 289,000 omy has affected, ranging from the housing market to breast augmentations were performed in 2009, making it the most job opportunities. But one thing that has not gotten as Dr. Amelia Paré popular procedure. Liposuction was down by 20 percent and much notice, perhaps, is the fact that market ups and downs tummy tucks decreased by 5 percent with 115,000 procedures permay also be affecting the way people look. “In 2009, cosmetic surgery procedures were down nine percent overall,” formed. Rhinoplasty numbers were also down about nine percent to total 256,000 explained board-certified plastic surgeon Amelia Paré, MD. “Minimally invasive procedures, such as Botox®, are down by one percent, and other areas, procedures, and patients underwent 203,000 eyelid procedures as well. such as chemical peels and microdermabrasions, have remained relatively “Insurance will pay for the operation if a person has trouble breathing, but will not pay for external reshaping of the nose,” explained Dr. Paré. “In eyeflat.” Approximately 4.8 million people had Botox last year, and 1.7 million lid surgery, insurance may cover the cost of removing skin around the eye, patients were treated with soft tissue fillers like Restylane®. Roughly 1.1 mil- but will not pay for brow reshaping, etc.” As far as cosmetic surgeries go, there are a number of new treatments availlion patients underwent chemical peels; 900,000 patients had microderable to patients that include dermal fillers which fill in wrinkles as opposed mabrasion and the same number had laser hair removal. “Women account for 91 percent of cosmetic procedures, with about 12.5 to cutting them out, and different types of Botox®. “People are still considering liquid nitrogen for the removal of age spots since hydroquinone creams are not as effective,” Dr. Paré added. While some people are choosing to use permanent fillers, such as Artefill and Sculptra®, temporary fillers, like Restylane® and Juvéderm™ are still more popular. Temporary fillers are made of hyaluronic acid, a natural protein, and last between four and six months. A person can also have his or her own fat injected into the face, but it will grow with weight gain, and can only be removed through liposuction. Other popular cosmetic procedures include sclerotherapy for veins and fat injections in hands. “Some South American countries are injecting fat into breasts, which is very controversial in the U.S.,” added Dr. Paré. “It is thought that this may affect mammograms, and with one in eight women already diagnosed with breast cancer, doctors here aren’t doing anything that might make that diagnosis more complicated.” Silicone breast implants have also been reintroduced to the American market, though they require patients to have an MRI every two years. On the reconstructive side, 3.9 million procedures for cancer were performed in 2009. “What concerns me is that of women who require mastectomies, only 71 percent are aware of reconstructive options, which is a big shortfall for plastic surgeons,” said Dr. Paré. “It behooves us to let women know what options are out there. “What a woman thinks will be a breast conserving surgery may not be,” she added. “A surgeon may need to take onethird of a breast, which is quite noticeable in small breasts. That’s why it’s so important to talk to your doctor; you need to know all of your options before surgery.” Choosing the right options for your body extends beyond the surgical arena as well. “One issue people are currently focusing on is whether to wear chemical or organic sunscreen,” said Dr. Paré. “Oxybenzones are chemical sunscreens that sit on the skin, which studies show are not as safe as chemical-free sunscreens. Zinc oxide looks hideous, but it works—and it’s as safe as it gets.” A new drug for melanoma, Ipilimumab, is also helping those who stay out in the sun. “Where there were not effective treatments before, this drug helps the immune system fight off melanoma,” said Dr. Paré. As people age, it’s important that they take care of the body that they’re in, whether through plastic surgery or simply wearing sunscreen. “Get your mammograms, PAPs and colonoscopies,” said Dr. Paré. “Take care of what you have, because the decisions you make now impact your future happiness.” O $R2OBERT,UTHER*RISALIMITEDPARTNEROF,UTHER.OEL$ENTAL!SSOCIATES,,0 14 GUIDE TO GOOD HEALTH > www.guidetogoodhealth.com For more information on Dr. Paré’s practice, call (724) 941-8838 or visit www.amypare.com. Summer 2010 The Technical Details of Breast Reduction Surgery 2. YOUR SURGERY n the past two articles When you arrive at our on breast reduction, I Surgery Center or the explained to you Hospital on the day of common misconceptions your surgery, we will conand symptoms that can firm your insurance has be alleviated by breast preauthorized the surgery reduction surgery. Now, I and an allergy-band and would like to explain to an identification bracelet you the process of breast will be put on your arm. reduction surgery to help An anesthesiologist will you understand this operation and decide if By Lori. L. Cherup, review your medical hisM.D., F.A.C.S. tory, confirm your allerthis operation would gies, and give you inforbenefit you, a family mation about the anesthesia that member, or a friend. will be utilized. Your IV will be inserted and IV fluids started. 1. THE PREOPERATIVE We will mark the design of the PROCESS During our preoperative consul- skin pattern that we will maintain tation we measure the dimensions the new location for your nippleof your breasts and take photos of areolar complex and the skin that your breasts (you will not be identi- will be removed. We will give you a fiable in any way). We determine preview of what your new breasts which surgical bra and size you will will look like. Our nurses will walk you into the wear after your operation. Lastly, we will answer any questions you have operating room, cover you with blankets, and lay an air blowing regarding the surgery. We will give you instructions warmer on you. The next thing you about laboratory tests and a mam- know you will drift into sleep. The surgery starts by injecting mogram, which will have to be obtained preoperatively, and into your breast a dilute solution to instruct you on preparations prior constrict the blood vessels and help to surgery. You will also be given with numbing. The incisions are instructions not to eat or drink any- made with a scalpel to delineate the skin that we will maintain as we thing from midnight the day prior. I begin the resection of the breast tissue. At first, we resect the inferior breast segment below the areola. Then, we gently lift up the side walls of the breast and resect the breast tissue from the outer lateral, upper lateral and superior portion of the breast tissue. The nipple-areolar complex is maintained with a large amount of breast tissue behind it, mostly coming from the superior and medial (inside portion of the breast). We then rotate the breast tissue and anchor it up on to the chest wall at a much higher location with large sutures. The skin paddles of the inner and outer breast skins are then brought together in the midline and sutured together. All of the wounds are brought together and a small fluted drain is inserted into the underneath portions of the breasts. The same process is carried out on the opposite breast. Two-thirds through the operation, we sit you up. We compare the right side to the left and the nipple level. When I am sure that I am pleased with the dimensions, we recline you back on the table. After all the wounds are closed, dressings are placed. I inject the skin with a long acting numbing medicine (Marcaine) and you are then wheeled into the recovery room. 3. POSTOPERATIVE RECOVERY After being at home for two days, taking antibiotics and pain medication, you will come back to the office where we will remove the dressings and drains. That evening, you may take a shower and replace your dressings. I will see you again to note the continuation of healing one and two weeks after surgery. You are advised to wear your surgical sports bra for up to three weeks after the surgery. Around three weeks after the surgery, you are in a normal bra and feeling very comfortable with some tension during some movements. Your breasts will have a wonderful shape and you will have much less pain in your neck and back. I hope I have given you all the information you need to make a good decision about whether this wonderful surgery could benefit you. > For more information, you can reach Dr. Lori L. Cherup, Diplomate, American Board of Plastic Surgery, and Medical Director and CEO, Radiance Plastic Surgery, at (412) 220-8181 or [email protected] or visit www.drcherup.com. Endovascular Ablation of Varicose Veins at RADIANCE Surgery Center Minimally invasive treatment of varicose veins • One hour out-patient procedure • Back to normal activity usually by the next day • Less painful recovery than laser • COVERED BY MOST INSURANCES Dr. Philip Georgevich has over 20 years of vascular surgery experience in Western Pennsylvania. Schedule your appointment at RADIANCE Surgery Center Today. 412-249-8997 RADIANCE Surgery Center 412-220-2326 701 Boyce Road at Washington Pike Bridgeville, PA 15017 Summer 2010 www.guidetogoodhealth.com Before After GUIDE TO GOOD HEALTH 15 > Focus: ORTHOPEDICS Dr. Habib Finds Orthopedics ‘Better Than Football’ By Lois Thomson "I was amazed by it. I couldn't believe there was actually something better than football." Something better than football? What could it possibly be, and who could possibly think that?? Well the "what" is orthopedic surgery, and the "who" is Dr. Gregory Flinn Habib. Growing up, Dr. Habib was all about sports, having played five sports in high school, and track and football in college. However, as he said, "Unfortunately as an athlete, a lot of us end up getting hurt and we have to meet orthopedic surgeons. So I was introduced to (surgery) when I was at the University of Pittsburgh years ago. I got injured, was put in a cast and couldn't do anything. So I just started asking questions (of the doctors)." Dr. Habib became so intrigued that he was permitted to observe a surgeon operating on a pelvic fracture. "That really excited me," he exclaimed, "I thought it was amazing. I was like a little kid again because I couldn't believe there was something that was as good as football. And the only thing in my life at that time was football." Now, Dr. Habib's practice has priority in his life: "I deal with the world of not only sports medicine but also joint replacements. A lot of times, sports medicine and doctors are the segue with people, especially young people in their 20s and 30s. We see patients now with bad joints at a younger age because people are really stretching the envelope in terms of what they can and can't do in terms of exercise." But rather than tell them to stop, Dr. Habib says, "We try to keep our patients busy and active, and figure out how to fix what ails them." The downside, he continued, is that such extremes often lead to bigger problems, with some of those people needing joint replacements at earlier ages. And he handles them as well. "A lot of what we do is the arthroscopic type of procedures—whether it be the shoulder, hip, elbow, wrist, knee, ankles. We can pretty much do arthroscopy in all the joints of the body. And the nice thing about it is, it is very minimally invasive." Dr. Habib's love of his work carries through to his patients—he wants them to feel as welcome and comfortable as a memDr. Gregory Flinn Habib ber of his family. "I take pride in it, I sit down with them and explain everything to them and make sure they understand. I run a busy practice, but sometimes it's not about the quantity, but about the quality of work we do to keep our patients happy." And Dr. Habib is happy with the way things turned out. "I think orthopedics is the greatest profession there is. I don't miss sports any more. I love what I do, I'm passionate about it. I'm very fortunate." His patients are very fortunate as well. Ask the Orthopedic Surgeon Q: I have been told I need a knee replacement. What is it? A: Knee replacement, or joint replacement surgery, is a surgical procedure that is performed to replace worn-out cartilage (the lining on the ends of the bones). Once cartilage wears out, there are not many alternatives aside from joint replacement. Cartilage can be worn out from overuse, trauma, or as a result of previous surgery. By Allan Tissenbaum, One of the largest contributing factors in M.D. our society is being overweight, which may Washington Orthopedics lead to the development of arthritis quicker. and Sports Medicine Excess weight puts more stress on the lining of the bones, and once this cartilage begins to wear away the body is unable to rebuild it. With a knee replacement the goal is to restore function and to decrease pain. Before considering knee replacement a person should have gone through a trial of conservative therapy. This may include medications, knee injections, weight loss and/or physical therapy. If you have tried these treatments and your pain and function are still a problem, you might consider replacement surgery. During knee replacement surgery, the surgeon will replace the worn out cartilage with a knee made of metal and plastic. The metal parts sit on the bottom of the femur and the top of the tibia (these are the two big leg bones). Between these metal parts there is a plastic liner that is placed in the knee. The surgery can be customized to the patient. Depending on what part of the knee is worn, a surgeon may elect to only replace the worn out part and leave the more normal parts of the knee alone. These partial knee replacements tend to function better and have a quicker recovery. Patients say that these feel more like their normal knee. Joint replacement surgery is major surgery. Most patients spend 2-4 days in the hospital. Prior to undergoing this type of surgery there are a few very important concepts to understand. You have to be patient and very compliant with your post-operative care and therapy. The physical therapy after surgery can last anywhere from 3- 8 weeks. In addition to this formal therapy, it is very important to do daily exercises on your own. You can expect a complete recovery in 2-6 months. The goal of this or any replacement surgery is to restore function and to decrease pain, to enable patients to lead a more normal and full life. > 16 GUIDE TO GOOD HEALTH For more information or to make an appointment, you can reach Dr. Habib at (412) 921-5101. For more information or to make an appointment, you can reach Dr. Tissenbaum at (724) 206-0610 or visit www.washortho.com. www.guidetogoodhealth.com Summer 2010 Mutschler Institute, Rehab Unit, Work Well for Patients SOUTH HILLS ORTHOPAEDIC SURGERY ASSOCIATES By Lois Thomson Y ou could say that the Mutschler Orthopedic Institute and Canonsburg Hospital's Rehabilitation Unit work hand in hand. Or maybe knee in knee. Or hip in hip . . . Dr. Thomas A. Mutschler, who specializes in knee and joint replacement, opened his Institute in 2007 to better serve his patients. He had been working from three different hospitals and believed that he would have better control of their experience by conDr. Thomas A. centrating his practice in one building. About the same time, the Canonsburg Hospital's Mutschler Rehabilitation Unit opened to care for the patients following their surgery, helping to create a seamless transition. "We see patients right out of surgery in our hospital setting, and then if they come to the rehab unit, we provide therapy for them," said Anne M. Veres, Director for Rehabilitation Services. "And we also handle outpatient services." She went on to explain how advantageous this arrangement is. "Dr. Mutschler's office is right next to our office, so it's very convenient for the patients. They can see him and then come over to physical Anne M. Veres therapy or occupational therapy and schedule their appointments. Plus, we kind of have a direct line – we can call (the Institute) and say this patient is experiencing a problem, can you come over and see them. We have that relationship where they might just pop over during the patient's therapy visit to see how they're doing, especially if we want them to look at something in particular." Dr. Mutschler agreed. "It's working very well for the patients. We've not had any complaints about the continuity or the quality of the care. It's very good. We do a lot of bilateral knee replacements, and insurances pretty much automatically allow those patients to go over. Dr. (Debra) Panucci runs 2 North, the inpatient rehabilitation unit, and she's very good. The patients love Dr. Panucci, she does a great job with them. So I think when they go home they're quite comfortable that they can do everything they need to do." Along with rehabilitation following the surgery, Veres said the center provides education prior to the surgery. "The Mutschler Orthopedic Institute has classes for patients who are considering joint replacement, and one of the therapists goes and speaks at the classes. We also have exercises we've designed in conjunction with Dr. Mutschler for the patients to be doing prior to their surgery. So we're trying to be a part of it from the beginning." Dr. Mutschler added, "The nurse does an educational program that's very good. It's very informative for the patient about the Institute and also what they'll experience after their hip or knee replacement – it lets them know what is going to be expected of them, and what they can expect from the hospital and the Institute and the Rehabilitation Unit." All of which translates into top-notch care for the patients. > For more information, call (724) 873-5955 or visit www.wpahs.org. South Hills Orthopaedic Surgery Associates’ team of highly trained medical professionals provides a wide variety of orthopaedic care to patients of all ages. Common procedures and treatment performed by our orthopaedic physicians include: • Arthroscopic Surgery • Herniated Discs • ACL and Rotator Cuff Repair • Kyphoplasty • Treatment of Sports Injuries • Epidural Steroid Injections • Surgery of the Hand and Wrist • Surgery of the Foot and Ankle Nurses Night at PNC Park Saturday, Sept. 18th @ 7:05pm Pirates vs. Arizona Diamondbacks Zambelli Fireworks Night ____ L/R Field Box @ $21 each = ______ Name:___________________________________ (Roberto Clemente Jersey w/ Ticket) ____ Grandstand seat @ $10 each Shipping/handling per order Grand total = ______ = $1 = ______ Address:_________________________________ MasterCard AMEX Summer 2010 • Total Joint Replacement • Back and Neck Surgery • Fracture Care For appointments, please call 412-429-0880 or 888-817-2019 Visit our website at: www.southhillsortho.com Phone:________________________ Discover CC#: ______________________________ Exp:______ Check#: ________ • Carpal Tunnel Release City:__________________ State: ____ Zip:_____ Method of Payment: Visa John S. Beachler, M.D. I Damon Combs, DPM Eric D. Nabors, M.D. I David K. Mayer, CRNP Derrick J. Fluhme, M.D. I Christopher M. Manning, M.D. Kristina L. Ferenac, PAC Mail orders to: Attn: Brandon Lawrence PNC Park 115 Federal Street Pittsburgh, PA 15212 Phone orders to: (412) 325-4964 Fax orders to: (412) 325-4410 www.guidetogoodhealth.com 363 Vanadium Road Pittsburgh, PA 15243 Waterdam Commons 159 Waterdam Road, Suite 120 McMurray, PA 15317 GUIDE TO GOOD HEALTH 17 ORTHOPEDICS Dr. Jon B. Tucker Constant Learning Benefits Physician and His Patients By Ron Paglia e earned his Medical Degree from the University of Pennsylvania School of Medicine more than a quarter of a century ago but Jon B. Tucker, M.D., never quits learning about his profession. And that penchant for education beyond the traditional classroom and residency settings continues to be beneficial to Dr. Tucker, an orthopedic surgeon on staff at St. Clair Hospital and his patients. “An excellent medical education prepares future physicians with the insight and capability to absorb, adapt, and advance along with the ever changing practice of medicine,” Dr. Tucker said. “It’s amazing to reflect upon the 26 years since I was granted my medical degree, but it’s just as amazing to remember that it took 26 years of education and sacrifice to get that degree.” “A good part of that time was spent learning how to continue learning, evaluate, and implement advances in medicine,” he said. “There is very little that I do now that I learned as a resident, but the foundation of medical practice and learning has never changed.” How have the ongoing changes in medicine impacted Dr. Tucker’s specialty and his patients? “There are more conditions that I can now predictably, safely, and effectively treat with less morbidity than ever,” he said. “In some disorders, invasive procedures such as partial and total joint replacement are more easily recommended due to lower morbidity, more predictably positive outcomes and long lasting results. In other disorders such as chronic tendinitis, surgery is performed less frequently due to effective non-surgical biological treatments.” Dr. Tucker, who received his Medical Degree in 1984, has a private practice with a primary office at 1082 Bower Hill Road in Mount Lebanon. Tucker Orthopedics offers a variety of services in joint disorders and orthopedic surgery including joint replacement, minimally invasive knee and shoulder, surgery, 1200 Brooks Lane, Suite 240 Jefferson Hills, PA 15025 (412)469-1660 1000 Higbee Drive, Suite 106 Bethel Park, PA 15102 (412)854-5664 H Our physicians are on staff at Jefferson Regional Medical Center, St. Clair Memorial Hospital and Southwestern Surgery Center. David J. Stapor, MD • Edward D. Poon, M.D. • Mark L. Lesh, M.D. Jeffrey M. Matheny, M.D. • Amy L. Best, PA-C • Anna M. Martin, PA-C 18 GUIDE TO GOOD HEALTH small incision knee replacement, sports medicine and treatment of arthritis. One of most advanced procedures provided by Dr. Tucker at St. Clair Hospital is Reversed Total Shoulder Replacement (R-TSA), which was approved by the U.S. Food and Drug Administration about eight years ago. “The Reversed Total Shoulder Replacement is a novel implant that essentially inverts the biomechanics of the shoulder joint to restore mobility in older patients who suffer from a condition called rotator cuff tear arthropathy, Dr. Tucker, 50, said. “This disorder is relatively common and is caused by progressive deterioration of the cuff of muscles and tendons which stabilize the shoulder joint. If the rotator cuff becomes deteriorated and incompetent, the shoulder becomes not only arthritic but very mechanically unstable, painful and unable to support the arm for lifting. “When a surgeon implants an RTSA, the ‘socket’ of the shoulder is replaced with a hemispherical implant, and the ’ball’ is replaced with a concave socket. This construct restores the ability of the large deltoid muscle to move the shoulder without a rotator cuff support. R-TSA is arguably the most significant advance in orthopaedic surgery of the past 20 years, offering mobility and pain relief to an entire class of patients for whom our specialty previously had very little to offer. R-TSA is also being used for certain patients suffering from complex shoulder fractures.” Dr. Tucker’s commitment to the medical profession goes beyond the realm of direct patient care, but those that he cares for and cares about remain his top priority. “Just about every day I encounter people in my community that I’ve helped through a difficult injury or arthritic condition,” Dr. Tucker, board certified by the American Board of Orthopedic Surgery, said. They are a living legacy and collectively represent my greatest achievement.” On a professional level, Dr. Tucker’s service as president of the Pennsylvania Orthopaedic Society in 2007-08 “represented a terrific opportunity to give back to the profession and advance the quality of care for orthopaedic conditions in Pennsylvania,” he said. He also started “as a sideline” as an inventor and now holds three medical device patents. www.guidetogoodhealth.com Dr. Jon B. Tucker “One of these I actually licensed to a medical device manufacturer,” he said. “It was a refreshing departure from day-to-day medical practice to work with the engineers and manufacturer, see my invention take form, and enter the medical marketplace.” Dr. Tucker also recently started a company with my his wife, Bobbi Britton Tucker, Esq, and sister-inlaw, Blayre Britton, Esq., that helps the legal and insurance industry evaluate and manage difficult injury cases. “We match cases with our panel of subspecialist physicians and provide expert analysis and opinions in these important matters,” he said. “So we have a family business, too, and that is also a wonderful achievement. Dr. Tucker acknowledged that there is “a tremendous amount of fear and uncertainty amongst patients and physicians regarding the future affordability and availability of health care.” “We as patients and doctors owe each other the obligation of spending our health care resources wisely and effectively so that health care is there when we need it and for the right reasons,” he said. “Everyone needs to be mindful not only of the risks versus benefits of a treatment but also the incremental benefit of some treatments versus cost. Just as important is the advancement of ethical medical practice coupled with the quest to eliminate conflicts of interest in the profession. “Medical liability reform may eventually be enacted, but I predict the price to pay by the profession will take the form of a loss of autonomy and flexibility in the treatment of patients, as treatment protocols would become mandatory in order to limit liability.” > Dr. Jon B. Tucker can be reached at (412) 276-0267 or by visiting www.tuckerorthopedics.com. Summer 2010 Steel Valley Orthopedic Associates Non Operative Treatment of Knee Arthritis By David J. Stapor, M.D. O steoarthritis is one of the most prevalent health problems in the United States. The knee is one of the most common weightbearing joints involved with osteoarthritis. Symptoms include pain, swelling and stiffness (inflammation). Moderate to severe arthritis can be distinguished by development of deformity and progressive disability. The arthritis process involves the destruction of the cartilage coating of weight bearing joint surfaces. This results in the collapse and destruction of the joint and ultimately produces "bone-on-bone" wear at the end stage of the disease. The initial treatment recommendations are non-operative. The goals of treatment are pain relief and improvement of function. It is often difficult to distinguish fact from fiction with many treatment recom- mendations, and even various nonoperative treatments for osteoarthritis of the knee can have risks as well as benefits. The knee is one of the most commonly involved joints with symptomatic osteoarthritis. Surgery is performed after failure of conservative treatment and it is always the last resort. Weight loss takes a tremendous amount of stress off of arthritic knee joints. General exercises, including quadriceps muscle-strengthening, flexibility and aerobic conditioning, can be effective to minimize joint pain of osteoarthritis of the knee. Various medications are available for the treatment of osteoarthritis. Tylenol/acetaminophen is commonly used as a pain reliever, Antiinflammatory medications, such as Advil, Aleve, Motrin, and Naprosyn, are designed to reduce the inflammatory effects of osteoarthritis, and Celebrex a Cox II anti-inflammato- ry medicine has less gastrointestinal side effects than the other antiinflammatories. In general, daily use of all of these medicines for arthritis relief should be discussed with treating physician. Cortisone is an injectable medication that works rapidly to relieve pain and swelling in the knee with sustained relief potentially of up to a few months time. These injections can be repeated and are usually performed for those individuals with moderate to severe disease. Glucosamine and chondroitin are oral supplements that are taken in divided doses. Typically a two to three month period of treatment is necessary to determine benefits of these medications. Hyaluronic acid (Synvisc, Euflexxa, Supartz, and Hyalgan) is an injectable form of treatment for osteoarthritis of the knee. It promotes lubrication and improved function of the remaining cartilage Dr. David J. Stapor and also provides a degree of pain relief. The discussion of treatment options is individualized, and is a decision that should ultimately be made by the patient and the treating physician. > For more information or to schedule an appointment, call Steel Valley Orthopedic Associates, P.C. at (412) 469-1660 or visit our website at www.steelvalleyortho.com. Coming this Fall! SPORTS INJURIES Don’t forget to check out our website www.guidetogoodhealth.com for more Health News You Can Use! Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 19 ORTHOPEDICS South Hills Orthopaedic Surgery Associates Patients Find Relief from All Types of Musculoskeletal Injuries at South Hills Orthopaedic Surgery Associates By Vanessa Orr O rthopaedic problems can affect people of any age, from young athletes who suffer injuries on the field to senior citizens dealing with the effects of degenerative bone disease. At South Hills Orthopaedic Surgery Associates, physicians have a combined five decades of experience helping patients recover from all aspects of musculoskeletal injuries. Established in 1979, the five-physician practice includes co-founder and general orthopaedist John Beachler, M.D.; foot and ankle specialist Damon Combs, D.P.M.; spine and total joint specialist Eric Nabors, M.D.; sports medicine specialist Derrick Fluhme, M.D.; and hand and upper extremity specialist Christopher Manning, M.D. “One of the things that’s unique about our practice is that four of our surgeons are fellowship trained,” explained Practice Administrator Patricia Evans. “Fellowship training is important because it provides physicians with the opportunity to spend an extra year concentrating on a particular specialty. While most surgeons have a three-year residency after medical school, those who are fellowship trained undergo another year of intensive learning, specializing in areas such as spine surgery or sports medicine.” In addition to this advanced training, surgeons at South Hills Orthopaedic Surgery Associates also participate in continuing education programs throughout the year, traveling outside the region to gain more experience and training on the latest orthopaedic surgical techniques, such as advancements made in total joint implants. The team’s experience helps them to treat all kinds of conditions, ranging Physicians at South Hills Orthopedic Associates include: from left to right: Dr. Damon Combs, foot and ankle specialist; Dr. John Beachler, general orthopaedics; Dr. Eric Nabors, spine and total joint specialist; Dr. Derrick Fluhme, sports medicine specialist; and Dr. Christopher Manning, hand and upper extremity specialist. from repetitive motion injuries to damage caused by arthritis of the knees and hips. “We perform a lot of total joint replacements, carpal tunnel surgeries and ACL reconstructions, and treat quite a number of athletic injuries,” explained Evans. The practice also holds a Sports Injury Clinic for students involved in high school sports each fall. In addition to staying on top of the latest surgical techniques, doctors also utilize the most advanced technology. “Two years ago, we installed an Electronic Medical Record (EMR) system, making us one of the few totally digital orthopaedic practices in the area,” said Evans. “This is a big benefit to patients, especially on weekends when doctors aren’t in the office and need to pull up their charts. The surgeons can look at their records anywhere that they have Internet access, so they’re not relying on memory. And if a patient usually sees one doctor but another doctor is on call, the on-call doctor can pull up all of their pertinent information within minutes without having to make the patient wait until they are in the office.“ A year-and-a-half ago, South Hills Orthopaedic Surgery Associates also installed a PACS (Picture Archiving and Communication System), that enables them to send patients’ X-rays to other offices and health care facilities as needed. “Through PACS, we can also access MRIs from other facilities to provide our patients with faster, more accurate care,” said Evans. If a patient needs copies of his or her X-rays, the practice will provide it on a CD. While most of South Hills Orthopaedic Surgery Associates’ patients are from Pennsylvania, Ohio and West Virginia, its surgeons also treat patients from further away. “We do have patients who used to live in the area and who now live out of the country in Canada, Europe and the Caribbean,” said Evans. “Because they’ve established good relationships with our physicians and they trust them, they come back to see us when they need to have something done. That’s a nice compliment.” One of the goals of the practice is to get patients in to be seen as quickly as possible; usually within two or three days. “A lots of places have much longer waiting times, but we don’t want people to be in any more pain than they have to,” said Evans. Patients may be referred by a PCP, the emergency department or can refer themselves. The practice’s surgeons are affiliated with St. Clair Hospital, Washington Hospital, Radiant Surgery Center, Mercy Hospital and the UPMC South Hills Surgery Center. “With our breadth of subspecialists and fellowship trained surgeons, patients can find help for just about any orthopaedic issue, and they can find it close to home,” said Evans. > 20 GUIDE TO GOOD HEALTH South Hills Orthopaedic Surgery Associates’ main office is located on Vanadium Road in Scott Township and they have a satellite office on Waterdam Road in McMurray. For more information, call (412) 429-0880 or (888) 817-2019 or visit www.southhillsortho.com. www.guidetogoodhealth.com Summer 2010 UPMC Passavant Designated a Blue Distinction Center for Knee and Hip ReplacementSM and a Blue Distinction Center for Spine SurgerySM H ighmark Blue Cross Blue Shield has designated UPMC Passavant as a Blue Distinction Center for Knee and Hip Replacement and as a Blue Distinction Center for Spine Surgery. Blue Distinction Centers are part of the Blue Cross and Blue Shield Association’s expansion of its Blue Distinction® designation. The Blue Distinction designation is awarded to medical facilities that have demonstrated expertise in delivering quality healthcare in the areas of bariatric surgery, cardiac care, complex and rare cancers, knee and hip replacement, spine surgery and transplants. The program is part of The Blues® efforts to collaborate with physicians and medical facilities to improve the overall quality and safety of specialty care. “Blue Distinction puts a high value on research and evidence-based health and medical information,” said Allan Korn, MD, Blue Cross and Blue Shield Association chief medical officer. “Blue Distinction Centers show our commitment to working with doctors and hospitals in com- munities across the country to identify leading institutions that meet clinically validated quality standards and deliver better overall outcomes in patient care.” More than 8,000 spine procedures have been performed at UPMC Passavant to date. “The best indicator of our spine surgery program is the hospital’s outcome measurements, which include hospital stay, patient satisfaction, infection prevention and clinical recovery times,” said Matt El-Kadi, MD, clinical professor and vice-chairman, Department of Neurosurgery, UPMC, and chief of Neurosurgery at UPMC Passavant. “In addition to the Blue Distinction Center designation from Highmark Blue Cross Blue Shield, UPMC Passavant has also been found to be among the top reported outcomes not only in Pennsylvania, but in the nation based on CMS (Centers for Medicare and Medicaid Services) reporting measures.” Resource Directory ORTHOPAEDIC PRACTICES CENTER FOR ORTHOPEDICS AND NEUROSCIENCES THE WASHINGTON HOSPITAL 155 Wilsn Ave, Washington, PA 724-250-2824 www.washingtonhospital.org /orthoneuro MUTSCHLER ORTHOPAEDIC INSTITUTE Canonsburg General Hospital 100 Medical Blvd., Canonsburg 724-873-5955 THE ORTHOPEDIC GROUP Mt. Lebanon – 412-276-7022 Belle Vernon – 724-379-5802 Charleroi – 724-483-4880 Uniontown – 724-425-0300 SOUTH HILLS ORTHOPAEDIC SURGERY ASSOCIATES 363 Vanadium Rd, Pittsburgh 412-429-0880 SPORTS MEDICINE & JOINT REPLACEMENT SPECIALISTS Dr. Gregory Flinn Habib 995 Greentree Rd., Pittsburgh 412-921-5101 STEEL VALLEY ORTHOPEDIC ASSOCIATES, P.C. 1200 Brooks Lane, Suite 240, Jefferson Hills, 412-469-1660 1000 Higbee Dr., Suite 106, Bethel Park, 412-854-5664 TUCKER ORTHOPEDICS 1082 Bower Hill Rd., Suite 100, Pittsburgh - 412-276-0267 WASHINGTON ORTHOPEDICS & SPORTS MEDICINE 95 Leonard Ave, Building 1 Suite 202, Washington, PA 724-206-0610 www.washortho.com Coming this Fall! Sport Injuries Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 21 Washington City Mission Takes a Holistic Approach to Helping the Homeless By Nancy Kennedy A t Washington City Mission, the staff and volunteers are committed to not only treating the complex problems associated with homelessness, but with ending homelessness by addressing its root causes and raising awareness of its many dimensions. The Mission is the largest homeless shelter in Southwestern Pennsylvania, and has been in operation since 1941. Over the course of almost seventy years, the facility has expanded in size and scope of services, growing and improving constantly to meet the needs of the region’s poor and homeless. But that is not easily done, and as City Mission strives to meet the increasing demand created by the current economy, the staff is reaching out to the community to become involved. “We take a holistic approach to homelessness,” says Dean Gartland, Washington City Mission president. “We consider the whole person rather than simply tackle symptoms and problems. Our ultimate goal is self-sufficiency, and we begin with the most fundamental MAKING A DIFFERENCE for those residents who have no insurance, have inadequate insurance, or are unable to navigate the healthcare system. Cindy Slivka, CRNP, the clinic’s director, says the clinic “fills in the gaps” by offering some primary, preventive and health education services. “We have a network of volunteer physiDean Gartland, Cindy Slivka, cians, but we need more docWashiington City Director of the free tors and nurses to help us in Mission President Medical Clinic our weekly clinic. Many of our clients need mental needs, for food and shelter, to help health care and have to be monithe person get stabilized. Each tored for their response to medicaclient then goes through an assess- tions.” ment process with our case manSlivka states that the goal of the agers in order to identify the barri- clinic is to get clients into primary ers that prevent them from manag- care and help them become better ing their lives independently. An health care consumers. “Our clients individualized service plan is devel- tend to stay away from doctors oped, addressing five core areas: unless they are sick or in pain, so housing, employment, income we emphasize preventive and self development, recovery (from med- care. We teach them to navigate the ical, mental health or substance health care system and act as advoabuse issues) and spirituality.” cates for them. We serve all ages One of the most significant barri- but we link children to pediatric ers to self sufficiency is lack of professionals.” access to preventive and therapeuCity Mission operates emergency tic medical care. City Mission’s free and long term shelters and operates medical clinic acts as a safety net at capacity. The average length of stay is 90 days, although Gartland says that they see better success rates with stays of 120-180 days. “We define success by having an ideal outcome for each of our core areas. If a client is able to integrate 75% of those outcomes into their life, that is success. “People need to understand that homelessness can happen to anyone. At City Mission, we’re committed to ending homelessness one person at a time, and to changing the perception. The nameless, faceless image of homelessness can be erased by hands-on involvement from the community. We are a nonprofit, supported largely by individual donations and while we are grateful for that financial support, we encourage people to contribute their time and talents also. Our volunteers are critical to our continued success and there are many ways to help and be connected.” IF YOU WOULD LIKE TO LEARN MORE ABOUT VOLUNTEER OPPORTUNITIES at The Mission, contact Cortney Brock at (724) 228-9240 ext 236; [email protected] or visit www.citymission.org. > Medical Imaging at Canonsburg General Hospital We see it clearer, shouldn’t you and your doctor? Canonsburg General Hospital offers the latest technology, experienced and caring staff, and hours of operation that are convenient for you and your specific schedule. CANONSBURG GENERAL HOSPITAL 22 GUIDE TO GOOD HEALTH Canonsburg General Hospital offers: • New Digital Mammography • Expanded hours for PET/CT Scans • MRI • Stereotactic Biopsy Procedures • Breast MRI For more information or to schedule an appointment call 724-745-3904. www.guidetogoodhealth.com Summer 2010 UPCOMING EVENTS TO BENEFIT THE MISSION July 17 Gospel Sing July 31 City of Washington Bicentennial Celebration 10 am to Noon – History, Heritage & Heroes Parade, Mission surprise guest 11 am to 6 pm – Mission Booth in the Community Tent, Fun for Kids! August 15 September 14 September 30 Jazz in the Park 5th Annual Ladies Golf Scramble 2nd Annual Celebrate Success October 10 “Hope for the Homeless” Art Auction February 13, 2011 17th Annual Sweet Sunday Dessert Festival MINISTRIES of WASHINGTON CITY MISSION Washington City Mission Men’s Shelter • • • • • James Arbuckle Medical Clinic The Legal Clinic “Feed My Sheep” Dining Room Donation and Recycling Center Vehicle Donation Program (100% of the sale of donated vehicles goes to the Mission) • Maintenance and Repair Facility • Samaritan Outreach WE CARE Street Outreach Online Sales Store Hidden Treasures Stores of: Canonsburg 48 W. Pike Street 724-745-5512 Donora 567 McKean Avenue 724-379-7434 Washington 770 Jefferson Avenue 724-228-8670 Waynesburg 78 W. High Street 724-852-1519 Visit www.citymission.org for details about events and ministries. Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 23 The COMPASS Clinical Study EYE CARE August is Cataract Awareness Month By Laurie Bailey How do you 20.5 million Americans over the age of 40 have know if you cataracts – one of the most curable causes of vision loss. And the surgery to remove them is one of the have a cataract? safest and effective. “You get almost instant return of vision,” said Dr. • Gradual painless Ivan Baumwell of Sewickley Eye Group, adding that blurring of vision the surgery has a 98% success rate. A cataract is not a growth. Painless and slow form• Double vision in one ing, cataracts cloud the eye’s normally clear lens. As eye or fading or they develop, they block the passage of light required yellowing of colors Dr. Ivan Baumwell for vision. • Sensitivity to glare “Now, we don’t hesitate to offer cataract surgery to people who feel that and/or bright light they are ready for it,” said Dr. Baumwell, dispelling the age-old rumor that a while driving at night cataract must be “ripe,” or when the entire lens is opaque, before it is removed. • Frequent changes to Decades ago, cataract surgery meant a 2-week stay in the hospital with glasses or contact your head immobilized in sandbags. Recovery time was much longer and the lens prescription only way to rehabilitate vision was with thick “cataract glasses.” “It really wasn’t worth going through until you were virtually blind from the cataract,” said Dr. Baumwell. Now, cataracts are removed through a procedure called phaco emulsification. The cataract is liquefied so that it can be delicately sucked through a self-sealing incision that is one-tenth of an inch or less in length. A new, clear lens is surgically implanted. It’s a fairly quick procedure, usually lasting no more than 15 minutes. Patients are awake during the surgery with intravenous sedation that is monitored by an anesthesiologist. Following the surgery, there are very little restrictions. “The day of surgery, we ask that patients take it easy because of the sedation. We see them the day after, and they can resume normal activity,” he explained. Patients usually are able to bend or lift, but they shouldn’t swim for two weeks. The American Academy of Ophthalmology suggests that if you think you have a cataract, and it is interfering with your lifestyle, you don’t have to live with it. Talk to your eye doctor about your options. > Pittsburgh area residents have the opportunity to participate in a clinical research study of an investigational treatment for patients with glaucoma who also are in need of cataract surgery. Dr. John Nairn, an investigator at Associates in Ophthalmology, is conducting a study of an investigational device designed to reduce pressure in the eye. Buildup of eye pressure can damage the optic nerve of the eye causing glaucoma. The device, called the CyPass Implant, is placed in the eye at the time of cataract surgery. The CyPass Implant is “investigational”, which means it has not been approved by FDA for sale in the U.S. AM I A CANDIDATE? You may be a candidate for this study if you: • Are at least 45 years of age • Have primary open angle glaucoma, and • Have a cataract that needs to be removed. Your eye doctor must also review your medical and ophthalmic history and perform a series of eye tests to further assess your eligibility to participate in the clinical study. If you are interested in learning more details about the COMPASS Clinical Study, contact Michelle Colwell at Associates in Ophthalmology. She can be reached at (412) 653-3080 ext. 1041 or [email protected]. For more information, contact the Sewickley Eye Group at one of their four locations: Sewickley, (412) 741-4610; McKees Rocks, (412) 777-4300; Monaca (724) 770-9000, Avalon, (412) 766-4800. Lifestyle Intraocular Lenses and Cataract Surgery C that will generate a more spectacle ataracts play a normal role in independent lifestyle. For those the aging process of the eye. patients who enjoy near-vision activAlthough the majority of ities such as reading or for those who cataracts are found in those over wish to be less glasses dependent, the age of fifty-five, they can also be multifocal lens and accommodative apparent in younger eyes. A lens offer a fuller range of vision. cataract is a clouding of the natural Patients implanted with these lens of the eye, resulting in blurred “lifestyle lenses” enjoy glasses indeor distorted vision. pendence eighty-five percent of the Cataract surgery entails the time during their daily visual activiremoval of the eye’s cloudy lens and ty. replacing it with an artificial The AcrySof ReSTOR, a multifocal By Lisa M. Cibik, intraocular lens or IOL. Before lens, approved by the FDA in 2005, M.D., F.A.C.S. IOLs were first performed in 1981, works to create a consistent transia patient was left dependent on contact lenses or thick cataract glasses. The basic tion of light between near, intermediate and disand most common IOL is the monofocal lens, tant focal points. Accommodation is the ability of the eye’s natwhich sets the vision at one focal point, typically ural crystalline lens to quickly adjust and focus for distant-vision, near vision or monovision. Today’s IOL technology has given cataract throughout the range of vision. Crystalens, an patients the opportunity to choose a lens implant accommodative lens, is an implant that aims to imitate the natural lens’ ability to accommodate. This IOL moves and flexes with the eye in a natural manner in order to maintain a clear image as it focuses on near, intermediate and far objects. IOL advancement has also wrestled the refractive obstacle of astigmatism through the development of the Toric IOL. Astigmatism is defined as an irregular oblong corneal shape that can distort vision at all distances and affects twenty percent of cataract patients. Before the Toric lens, a patient with significant astigmatism was left to depend on glasses to correct both astigmatism and near vision. With the new technology lenses, the cataract patient can now choose to have more “youthful,” uncorrected visual acuity. Dr. Lisa Cibik is with Associates in Ophthalmology. Offices are located in West Mifflin, Butler, Greensburg, Meadville, Monroeville, Uniontown, and Wheeling. For more information, call (888) 634-9800. > Visit our website at www.guidetogoodhealth.com for more information on Medical Studies 24 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 25 WASHINGTON PHYSICIAN HOSPITAL O Our Primary Care Physicians . . . provide the high quality healthcare you need close to home. F – Family Practice I – Internal Medicine P – Pediatrics Fredericktown Washington Family Medicine Center (F) 724-223-3100 Jeffrey Minteer, MD T. Grant Phillips, MD W. Paul Slomiany, MD Matthew Stantspainter, DO Kimberle Vore, MD Centerville Clinics, Inc. (F) 724-632-6801 Yong Cho, MD Hickory Sharpnack & Maskarinec Medical Group, PC (F) 724-356-2273 Bruce Maskarinec, DO Bruce Sharpnack, MD Washington Internal Medicine, Ltd. (I) 724-222-9300 Patricia Friedsam, MD Harry Silvis, MD Houston Atlasburg Dan G. Alexander, M.D. (I) 724-947-5535 Dan Alexander, MD WPSO/Houston Internal Medicine (I) 724-745-9150 Henry Folb, MD McDonald Avella Avella Family Practice, LLC (F) 724-587-3472 Sean Porbin, MD WPSO/McDonald Family Medicine (F) 724-926-8001 Aaron Lenhart, DO Matthew Stantspainter, DO Bentleyville McMurray Centerville Clinics, Inc. (F) 724-239-2390 Sheila Anderson, DO Brian Szklinski, MD Burgettstown Cornerstone Care (F) 724-947-2255 Julie DeRosa, MD Coleen Wheeler, MD Sharpnack & Maskarinec Medical Group, PC (F) 724-947-4770 Bruce Maskarinec, DO Bruce Sharpnack, MD offers comprehensive services at convenient locations in Washington and Greene counties. Waterdam Family Practice (F) 724-942-4372 David Mittell, MD Washington WPSO/McMurray Internal Medicine (I) 724-942-6480 Henry Folb, MD Robert Lesnock, MD WPSO/McMurray Family Medicine (F) 724-942-4011 Kurt King, MD Canonsburg WPSO/Waterdam Pediatrics (P) 724-942-6499 Gary Smith, MD Centerville Clinics, Inc. (F) 724-966-5081 Rebecca Plute, MD Cecil Cecil Family Medicine Center (F) 724-873-7414 Sarah Duncan, MD Matthew Eisley, MD Melissa Kashlan, MD Claysville Claysville Family Practice (F) 724-663-7731 Frederick Landenwitsch, MD Elizabeth Oshnock, DO Janine Rihmland, MD John Six, MD Abigail Templeton, MD Jay Ziegler, MD Cokeburg Alvaro N. Changco, MD, Inc. (F) 724-945-6128 Alvaro Changco, MD Eighty-Four Kevin G. Boehme, MD/Family Medicine (F) 724-228-2488 Kevin Boehme, MD 26 GUIDE TO GOOD HEALTH The Washington Hospital — inpatient and outpatient services including: Cancer Care Cardiac Care Emergency Care Ortho-Neuro Services Ruth York Morgan Health Education Learning Place Women’s Health Services Centerville Clinics, Inc. (F) 724-223-1067 Daniel Holt, MD Mark Mamros, MD Jennifer Muhly, MD Jill Sharer, MD Eugene Skiffington, MD Wilfred R. Cameron Wellness Center of The Washington Hospital Health and Fitness Center Outpatient Physical and Occupational Therapy Cardiac Rehabilitation Work Conditioning Services Diabetes Education and Management Program Spa Harmony Corporate Wellness Services Sports Medicine Pulmonary Support Center Wound and Skin Healing Center Cornerstone Care-Pediatric Associates of Washington (P) 724-228-7400 Edward Foley, MD Karen Jooste, MD Neighbor Health Center Laboratory Radiology Occupational Medicine Center Women’s Health Center Washington Crossing the Jordan Christian Health Center (F) 724-222-7159 Michael Falcione, MD Craig D. Fox, MD (F) 724-228-4550 Craig Fox, MD Internal Medicine and Geriatrics of Washington (I) 724-222-4464 Richard Hahn, MD William Kottner, MD James Krebs, MD Tylerdale Family Medicine (F) 724-222-7240 Nicholas Fuerst, MD Sean Kelly, DO Dennis Kitsko, DO WPSO/WASHPA Family Medicine (F) 724-225-9970 Christa Malinak, MD Sunaina Nangia, MD Waynesburg WPSO/Waynesburg Family Medicine (F) 724-627-8080 Dylan Deatrich, MD Rachel Schroer, DO Sherry Zimmerman, MD Hospice Care of The Washington Hospital Greenbriar Treatment Center Inpatient Drug and Alcohol Rehabilitation Services Strabane Trails of Washington Senior Independent Living Strabane Woods of Washington Senior Assisted Living WPSO/California Family Medicine (F) 724-938-7466 Mylaina Sherwood, MD Carmichaels WPSO/Southwest Internal Medicine 724-229-7570 Douglas Corwin, MD Richard Hart, MD The Washington Hospital . . . Complete Family Care (F) 724-260-0830 Frederick Landenwitsch, MD Elizabeth Oshnock, DO Janine Rihmland, MD John Six, MD Abigail Templeton, MD Jay Ziegler, MD California Canonsburg Family Medicine Center (F) 724-745-4100 Lisa Goss, MD Peter Martina, DO Kristen Romesburg, DO Monica Speicher, MD WPSO/Dennis Davis, MD (F) 724-223-8626 Dennis Davis, MD WPSO/Washington Pediatric & Adolescent Medicine (P) 724-250-6001 Michael Faust, MD Civie Felice, MD Tina Lengauer, DO Richelle Sommerfield, MD www.washingtonhospital.org Burgettstown Diagnostic Center Laboratory Radiology Canonsburg Diagnostic Center Laboratory McMurray Waterdam Medical Plaza Laboratory Radiology EKGs Waynesburg Greene County Medical Plaza Laboratory Radiology EKGs Hospice Care of The Washington Hospital 724-225-7000 Tri-State Surgery Center . . . Outpatient Surgical Services Urgent Care Center . . . Urgent Care Services Affiliated with The Washington Hospital www.guidetogoodhealth.com 95 Leonard Avenue Washington, PA 15301 724-225-8800 3515 Washington Road McMurray, PA 15317 724-969-4321 Summer 2010 ORGANIZATION PROVIDER NETWORK Our Specialist Physicians . . . have offices conveniently located in the community. Allergy and Immunology Allergy & Asthma Care 724-941-6780 Nikhil Davé, MD Ohio Valley Asthma & Allergy Institute 800-473-8912 Kumar Patel, MD Krishna Urval, MD Anesthesiology Keystone Anesthesia Consultants, Ltd. 724-222-7167 Lee Bischof, DO Joseph Brula, MD Gray Goncz, DO Ajoy Katari, MD James Massucci, MD Christopher Merck, DO David Odasso, MD Cardiac Electrophysiology Regional Cardiovascular & Medical Center, Inc. 724-222-0436 Maninder Bedi, MD Kataneh Maleki, MD Cardiology General Surgery Ophthalmology Podiatry WPSO/Angott Surgical Associates 724-222-9500 Brent Angott, DO Natalie Furgiuele, MD 412-833-9722 Natalie Furgiuele, MD Pareso and Brown Surgical Associates, Ltd. 724-225-7300 Dennis Brown, MD James Pareso, MD Jason Tomsic, DO Washington Surgical Services 724-229-1344 Carlos Valladares, DO E. Ronald Salvitti, MD, Inc. 724-228-2982 E. Ronald Salvitti, MD Jennifer Salvitti Davis, MD Frederick J. Scheib, MD, PC 724-223-0700 Frederick Scheib, MD Washington Eye Center, Inc. 724-222-3937 Paul Caimano, DO Canonsburg Podiatry Associates 724-746-1870 Kathryn Weldy, DPM Cynthia B. Hatfield, DPM 724-222-8883 Cynthia Hatfield, DPM Grossman Podiatry Center 724-222-5230 Adam Grossman, DPM McMurray Ankle and Foot Care 724-745-6055 Mark Hofbauer, DPM Philip S. Pinsker, DPM 724-225-7410 Philip Pinsker, DPM WPSO/Marks Podiatry Associates 724-222-5635 James Marks, DPM Hospitalist Medicine HMP of Washington County, LLC 724-579-1654 Donald Faith, MD Rick Greco, DO Stephen Keen, MD Mahamadu Maida, MD Amy Meister, DO Jaime Mullin, DO Thomas Parambil, MD William Pendergast, MD Andrew Reibach, MD Infectious Diseases WPSO/Washington Infectious Diseases Associates 724-206-9149 Atif Saeed, MD Bryan C. Donohue, MD, PC 724-222-1125 Christopher Allen, MD Bryan Donohue, MD John Pensock, MD Yadavendra Rajawat, MD Francis Redican, MD Sanjaya Saheta, MD Medical Oncology Frazier-Hart, Inc. 724-225-6500 Charles Brown, MD David Campsey, MD John Costello, MD John Frazier, MD Neil Hart, MD Michael Pecora, MD James Richardson, MD John Wilson, MD Nephrology Cardiovascular and Thoracic Surgery McGinnis Thoracic & Cardiovascular Associates 412-359-6137 Mathew Van Deusen, MD Oncology Hematology Association 724-223-3816 Patrick Kane, MD Alexis Megaludis, MD Wayne Pfrimmer, MD Dialysis Clinics, Inc. 724-229-8834 Jessie Ganjoo, MD Amit Nahata, MD Southwestern Nephrology, Inc. 724-228-1303 Shirley Dopson, DO Subramoniam Jayakumar, MD Teredesai, McCann & Associates, PC 724-228-2611 Cynthia West, MD Neurological Surgery Three Rivers Cardiac Institute 724-228-8585 Ross DiMarco, MD Hazem El-Khatib, MD Alice Pierce, MD Antonio Sortino, MD G. Frederick Woelfel, MD Allegheny General Hospital Department of Neurosurgery 724-228-1414 David Cohen, MD Patrick Flannagan, MD Michael Oh, MD E. Richard Prostko, MD Frank Vertosick, MD Donald Whiting, MD Chiropractic Neurology Chiropractic Care Center 724-223-9700 Duane Marasco, DC Dermatology Ann B. McCune, MD 724-942-0610 Ann McCune, MD Vujevich Dermatology Associates 724-228-7006 Kristina Paley, MD Marion Vujevich, MD Justin Vujevich, MD Emergency Medicine EmCare 724-223-3085 Douglas Corkum, MD Amarjith Mally, MD Pascal Phares, MD Thomas Pirosko, DO Gastroenterology Southwest Gastroenterology Associates 724-941-3020 Philip Joson, MD Richard Panicco, DO Mohan Phanse, MD WPSO/Pezzone Gastroenterology Associates 724-503-4637 Michael Pezzone, MD Summer 2010 Adult Neurology Center, PC 724-229-6195 Kent Berkey, MD Bruce Cotugno, MD Evgeniy Shchelchkov, MD SW PA Neurology Associates, Ltd. 724-228-4011 Melvin Alberts, MD Tatyana Barsouk, MD Karen Tobin, MD Obstetrics/Gynecology Frank J. Brooks, DO, OB/GYN 724-942-3180 Frank Brooks, DO WPSO/Washington OB/GYN Associates 724-225-3640 Jennifer D’Abarno, MD William Mitsos, MD Malay Sheth, MD Kathryn Simons, MD Kevin Stocker, MD Marianne Wizda, MD Michael Zinsser, MD Occupational Medicine The Washington Hospital Occupational Medicine 724-223-3528 George Schmieler, MD Oral/Maxillofacial Surgery Joseph S. Nawrocki, MD, DMD 724-225-3022 Joseph Nawrocki, MD, DMD Sherman Spatz, DMD Associates in Oral & Maxillofacial Surgery 724-222-3422 Sherman Spatz, DMD Western PA Oral & Maxillofacial Surgery 724-223-0579 Steven Krakora, MD, DMD Orthopedic Surgery Advanced Orthopaedics & Rehabilitation, LLC 724-225-8657 800-828-CAST (2278) Armando Avolio, Jr., MD Gregory Christiansen, MD John Gibbons, MD Patrick McCulloch, MD Vincent Ripepi, DO Michael Scheel, MD Joseph Stracci, DO Steven Theis, MD David Welker, MD Anthony C. Canterna, MD, LLC 724-222-5940 Anthony C. Canterna, MD WPSO/Washington Orthopedics & Sports Medicine 724-206-0610 Steven Frey, MD Allan Tissenbaum, MD Otolaryngology Eugene F. Paluso, MD, Ltd. 724-228-0782 Eugene Paluso, MD Jeffrey B. Banyas, MD, LLC 724-942-3502 Jeffrey Banyas, MD Washington Ear, Nose and Throat, LLC 724-225-8995 Howard Goldberg, MD Edward Stafford, MD Psychiatry Psychiatric Care Systems, PC 724-941-4070 Oscar Urrea, MD WPSO/Washington Behavioral Health Associates 724-579-1075 Nicholas Carosella, MD Pulmonary Medicine Integrated Pulmonary Physicians 724-222-3215 Rajashekar Adurty, MD Omer Bajwa, MD Bryan Veynovich, DO Daniel A. Iracki, MD 724-228-3733 Daniel Iracki, MD SW PA Pulmonary & Sleep Medicine, Ltd. 724-222-2577 Jeffrey Godwin, MD Charles Koliner, MD Raed Wahab, MD Radiation Oncology Triangle Radiation Oncology – UPMC 724-223-3788 Michael Dougherty, MD Radiology Interventional Pain Institute 724-222-5471 W. Michael Fussell, DO Greater Washington Radiologists, Inc. 724-223-3300 Giovanna Aracri, DO William Castro, MD William Conroy, MD William Downer, MD Kenneth Edgar, MD Michelle Kirshen, MD David Leukhardt, MD Dina Novitskaya, MD Phyllis Walters, MD Palliative Medicine Radiology - Interventional Pain Management Washington Hospital Hospice and Palliative Medicine 724-250-4500 Jeffrey F. Minteer, MD Pathology Pathology Associates of Washington 724-223-3137 Lawrence Lee, MD Alden McBee, MD Richard Pataki, MD Physical Medicine and Rehabilitation Associates in Physical Medicine & Rehabilitation 724-223-9270 Michael Platto, MD Debra J. Panucci, MD, LLC 412-862-6938 Debra Panucci, MD Anthony N. Ricci, MD, PC 724-228-4106 Anthony Ricci, MD Medical Rehabilitation, Inc. 724-206-0293 Todd Franco, DO Plastic Surgery Amelia Paré, MD 724-941-8838 Amelia Paré, MD www.guidetogoodhealth.com Interventional Radiology Specialists, Inc. 724-223-3059 Carl DiGiorgio, DO Jeffrey Hilger, MD Stephen Kelminson, MD Brian Schiro, MD Philip Wildenhain, MD Rheumatology Arthritis and Rheumatology Associates of SW PA 724-228-8856 David Seaman, MD Urgent Care Urgent Care Center 724-969-4321 Mary Lamb, MD Ediri Montoya, MD Susan Pilossoph, MD Urology Anand Karamcheti, MD 724-222-8871 Anand Karamcheti, MD Triangle Urological Group 724-884-0883 George Jones, MD Timothy P. Weyrich, MD 724-942-3963 Timothy Weyrich, MD GUIDE TO GOOD HEALTH 27 Dr. Robert Luther, Jr / Dental > Dr. Luther Treats Patients As Himself By Lois Thomson D espite the advancements that have been made in the past couple of decades, many people still fear going to the dentist. Perhaps it's time for those people to meet Dr. Robert Luther, Jr. "My philosophy for every patient I see," Dr. Luther said, "is to place myself in the chair and hope I can treat them the way I would want to be treated when I'm in the chair. And if you do that you'll do a good job." When Dr. Luther started his practice more than 30 years ago, he wanted his patients to appreciate having work done by people they were familiar with. "We made an effort to educate ourselves broadly in dentistry so our patients could have a lot of services performed here. We started doing orthodontics and ultimately started placing implants and doing a lot of surgery and root canals, things that aren't typically done in a general practice. By having a broad knowledge of the different aspects of dentistry, it helps you to plan your cases better and deliver a better product for the patient. Our patients appreciate the convenience and familiarity." That caring attitude extends to the staff as well. "This is a cliché, but we want to use the personal touch, and do everything we can to DR. TYSON SWIGART Certified Sports Physician Certified Conditioning Specialist (724) 873-0700 Morganza Road, Suite 105, Canonsburg, PA 15317 www.southpointechiropractic.com make the procedures as comfortable as we possibly can. I think developing a staff that is warm and caring is absolutely critical, and I owe a lot to my staff because they provide that. Our patients know the staff and they're comfortable with them." Dr. Luther has put a lot of thought into the practice of dentistry since his Dad first suggested it. "He had thrown it out as something I ought to think about. He thought it was a profession that was well-respected in the community and provided a nice lifestyle, but that you still had a life of your own with a fairly regular schedule. I wrote my career report in 8th grade on dentistry, and I decided around that time that I'd like to be a dentist." The idea of dentistry was attractive to Dr. Luther because it combined his interest in science with his love of working with his hands, a skill he nurtured early-on as he built many models as a child. "It had an appeal, I think, because it had that combination that's not always present—using your brain, and also using your hands, and making the two work together to help people." Dr. Luther was born in New Jersey, and lived in Ohio and Syracuse, New York, before arriving in Pittsburgh. He attended Virginia Military Institute, then transferred to the University of Pittsburgh to For more information, call (412) 788-6300 or visit www.pittsburghlaserdentist.com. graduate, and went on to earn his degree in dentistry there. It was during his college days that he became passionate about something in addition to dentistry. "I'm a history buff and I love the Civil War in particular," he said. "That's been my major hobby since I started college at VMI. The school fought in the War as a unit for the Confederacy, so it was steeped in Civil War history." Dr. Luther was therefore both pleased and amazed when he opened his practice in Oakdale, to learn that two of his ancestors who fought in the Civil War are buried in a cemetery just three miles from his office. He said his grandmother had heard a rumor about his family being in the War, "So I took it upon myself to be the family historian and did my research, and I was very fortunate to find that I had ancestors who fought in the Civil War, and that my ancestry in Pennsylvania went back into the 1700s. It was very exciting for me to find direct participants in my family. And that opened up a whole world because I could visit the (battlefields) and study the battles. Isn't that some sort of Divine Providence?" Although Dr. Luther has been in practice for 34 years, he has no plans to retire from his practice. "I'm going to keep doing this as long as I can, because I enjoy it. Things progress and you have to stay up with techniques and technology, so it's always challenging to get better, both in the services you deliver and also in the way you care for patients. I’m still interested in doing that and I plan to continue for quite a while." So those folks who fear visiting a dentist still have time to make an appointment with Dr. Luther. St. Clair Hospital’s Chairman of Emergency Services Named 2010 Emergency Physician of the Year Combining Chiropractic care with corrective exercise, advanced flexibility training and therapeutic massage to eliminate pain. Specialty exercise program for joint replacement and gastric bypass patients, lowback pain, neck pain and scoliosis. Blue Cross/Blue Shield, Health America, and UPMC network providers. Most insurance accepted without referrals. 28 GUIDE TO GOOD HEALTH The Pennsylvania Chapter, American College of Emergency Physicians (PA ACEP) has named Christopher DeLuca, M.D., FACEP, its 2010 Emergency Physician of the Year. Dr. DeLuca is Chairman of Emergency Services at St. Clair Dr. Christopher Hospital, Mt. Lebanon. In a statement, the PA DeLuca ACEP said: “Dr. DeLuca is a dedicated and outstanding clinician and manager. During his tenure as department chair, his ideas, leadership, and process improvements resulted in improved patient care and satisfaction, and his hospital receiving three awards for clinical improvement, patient flow innovation, and teamwork. www.guidetogoodhealth.com Summer 2010 Dr. Samina Naseer Living with Pain... Is Now in the Past. Treating All Ages at Pittsburgh’s Primary Care Center By Laurie Bailey S amina Naseer, M.D., of Pittsburgh’s Ohio Valley General Hospital always knew she wanted to be a doctor. And she has never regretted her decision since entering medical school and completing degrees in medicine and surgery. Dr. Naseer completed her residency in Family Medicine at Western Pennsylvania Hospital - Forbes Regional Campus in 2008. “I wanted to have a taste of everything,” she says of her specialty. And as director of Pittsburgh’s Primary Care Center at Mt. Nebo Commons she is getting just that, treating patients of all ages from childhood to the elderly. Offering services from women’s health to minor procedures, Dr. Naseer also lends her expertise as a wound consultant. At the wound care center, she treats a myriad of wound-related uses, including chronic non-healing ulcers and post-surgical issues (for example a wound not closing). “More than 60% of what we see are diabetic-related,” she says. It is a joy for her to treat patients of all ages. Her young patients are full of energy and interesting questions. “I had a child ask me if I could see what was in his brain while I examined his ear,” she laughs. But there’s a special place in her heart for her geriatric patients. “They have many issues. They have so much to carry,” she says. “They can be in distress because of their multiple medical issues.” Dr. Naseer finds the older population is much more compliant than the younger. In fact, it’s one of the best reasons, she believes, for practicing medicine in Western Pennsylvania. As a whole, geriatric patients are more diligent about taking medications, are on-time for their appointments, “and they are friendly,” she adds. “Maybe it’s because they have lived through phases (past anger) of accepting their illnesses and are to the maintenance phases,” she says. The older patients realize they need to take care of themselves. You really have to be very patient,” she says. Patience and being a good listener are key components to being a successful physician. “I think it’s most important to get acquainted with your patients and develop a relationship and listen to what they have to say,” she explains. In addition to their pain, patients may have other issues, like divorce or loss of a loved one, contributing to their overall health. “Tight control of health insurances in Western Pennsylvania sometimes restricts the physician to provide the quality of care to the patients which really saddens me," she adds. “It’s a very, very demanding profession, especially for females who still have to take care of their family … kids always seem to want their mother,” she graciously admits. Dr. Naseer says she admires her own mother because it was from her that she learned patience. As a teacher, her mother was required to listen to her students, and work through learning difficulties to help them succeed. As a physician, Dr. Naseer listens to her patients, working through their medical issues to help them lead healthy lives. For now, she is focusing on establishing her practice at the Primary Care Center and strengthening the doctor-patient bond. *********** Pittsburgh’s Primary Care Center is currently offering a FREE HEALTH CHECK BLOOD SCREENING, including hemoglobin, kidney, liver enzymes, cholesterol and more, with each health physical. Blood can be drawn on-site and if completed in the morning, results will be back by evening. For more information, call the Mt. Nebo Common office at (412) 847-7580 or visit pghprimarycarecenter.org. Summer 2010 At thee Innstitutee forr Paiin Diagnosticss and d Carre, our teaam wiilll develop p a multidisciplinaryy treatmentt plan to hellp you gett bacck to doingg thee activitiess thhatt you enjo oy.. And mostt impo or tantly,, help p reliievee yourr debilittatiingg and d chronicc pain. Leed byy board d certified d painn treatmentt expertt d A.. Provenzano,, M.D.,, thee IPDC C bringss clinicall experieence Davvid d researchh knowledgee to o everyy patientt treatmentt plan.. and Some conditions we treat: • Low back pain • Neck pain • Herniated discs • Spinal stenosis • Compression fractures • Pain from cancer • Muscle and joint pain • Post-laminectomy pain syndrome (continued pain after back surgery) We’ree readyy to o seee youu now.. Oncee youu enterr thee ou’lll bee one Institutee forr Painn Diagnosticss annd Carre,, yo p closerr to o enjoyingg yourr lifee thee waay itt used d to step 0 to o schedulee an appointment. be.. Calll 412-777-6400 Visit www.ifpdac.org to learn more. Free parking is available. Now with two convenient locaons Mt. Nebo Commons 107 Mt. Nebo Pointe Drive Pisburgh, PA 15237 412-847-7550 www.guidetogoodhealth.com Kenmawr Plaza 500 Pine Hollow Road McKees Rocks, PA 15136 412-777-6400 GUIDE TO GOOD HEALTH 29 We Can! Pittsburgh Helps Kids Get Healthy CHILDREN’S HEALTH C When Heel Pain Hits the Kids M any adults suffer from heel pain, but the problem is not common in children. When it does strike a young person, it is most often caused by a phenomenon called Sever's disease. Sever's disease is characterized by inflammation of the growth plate near the back of the heel bone. This problem is also called calcaneal apophysitis, which refers to inflammation of the growth plate. A child's heel grows in a very interesting way. When children are still very young, this area is mostly cartilage with a small amount of bone. Eventually, two areas of bone grow and spread toward each other. By the time the child is in his or her late teens, the two areas should fuse together to form the healthy adult heel. When this area suffers some type of interference, such as a trauma or damage from overuse, Sever's disease can be the result. There may be some relation to exercising on hard surfaces. Children who suffer from this problem have pain that strikes the side and back of the heel, and sometimes the sole. It is usually most acute when the child is active. Tightness in the calf muscle is common as well. Children who suffer from Sever's disease generally get complete relief from the condition as the bone fills in the area occupied by cartilage. However, treatment is recommended to help relieve pain. This may include heel raises that cushion the foot, reducing the number or intensity of workouts, icing the area, and sometimes orthotics. In extreme cases. casting may be necessary. Foot and ankle pain should never be ignored, whether it occurs in a child or an adult. Seek out a definitive diagnosis. Then, follow treatment recommendations to relieve pain and ensure healing. > For more information, contact Pittsburgh Family Foot Care, P.C. at (724) 941-9440 or visit www.pffcpc.com. Coming this Fall...Special focus on DIABETES If you provide services to patients with diabetes, don’t be left out of our Fall Issue. Call 412-835-5796 or e-mail [email protected] today! The Early Learning Institute Serving Children for Over 50 Years • In-home and community-based early intervention programs • Customized programs to meet the unique needs of every child: • Physical Therapy • Occupational Therapy • Speech/Language Therapy • Educational services including vision, hearing and nutrition > • Social workers available Servicing all of Allegheny County • telipa.org • 412.922.8322 30 GUIDE TO GOOD HEALTH hildhood obesity is a major health issue in the United States. Over the past 30 years, obesity rates among children have increased significantly to a point where, according to the National Institutes of Health (NIH), childhood obesity has now become an epidemic. To address this important issue, the NIH developed We Can!® (Ways to Enhance Children’s Activity & Nutrition), a science-based national education program to help children ages 8 to 13 maintain a healthy weight through improved nutrition, increased physical activity, and reduced screen (TV, computer) time. We Can! is unique among existing youth obesity-prevention initiatives in its focus on reaching parents and families as a primary group for influencing young people. This year, We Can! is celebrating “Five Years of Progress” with various activities, including a video contest, We Can! displays on buses and subway stations in select markets, various public service announcements, and information on social media outlets. We Can! Pittsburgh is a local movement that embraces the philosophy of We Can! by developing programming to promote healthy eating and active lifestyles for the youth of the region. UPMC Health Plan spearheads the We Can! Pittsburgh initiative with other participating Pittsburgh-area organizations: the Children’s Museum of Pittsburgh, Children’s Hospital of Pittsburgh of UPMC, Children’s Community Pediatrics, the City of Pittsburgh, H.J. Heinz Company, and the Jewish Community Center of Greater Pittsburgh (JCC). As a result of this partnership, Pittsburgh was named a We Can! City, the fifth in the nation. “UPMC Health Plan is committed to keeping families in western Pennsylvania healthy and reducing the prevalence of childhood obesity,” says Michael Culyba, M.D., Vice President of Medical Affairs at UPMC Health Plan. “The We Can! Pittsburgh initiative is a great opportunity to create a community awareness of good nutrition, the value of increased physical activity, and decreased screen time.” In the past two years, the Children’s Museum of Pittsburgh has presented over 75 creative, family-friendly public programs to more than 8,000 program participants. It continues to offer regular We Can!-related activities and has special events planned for this summer and fall. The JCC has offered two sessions of the We Can! Energize Our Families program this year and continually seeks ways to incorporate the We Can! curriculum into its programming. It plans to run another program this fall. HEALTHY Armstrong, a collaborative in Armstrong County, utilizes the We Can! curriculum in the Armstrong School District. After-school programs at the various schools and regular health-focused community events further support this philosophy. To help increase awareness of the We Can! program, UPMC Health Plan sponsored a two-day We Can! Regional Training event in April. At that time, representatives from interested organizations had an opportunity to learn more about We Can!, receive training from national experts from NIH, and understand the program’s many turnkey, flexible resources available for implementing programs in their location. More than 100 individuals registered for this event, representing six states nationwide. Future plans for We Can! Pittsburgh include supporting partner organizations’ We Can!-related activities and events, working closely with We Can! on new program opportunities, exploring Latino-focused programming, and identifying other local organizations that may fit well with We Can! Pittsburgh. For parent resources, healthy tips, and more helpful information for your family or organization, visit the We Can! Pittsburgh website at www.upmchealthplan.com/about/wecan.html. www.guidetogoodhealth.com Summer 2010 Even those younger than 6 months old should wear sunscreen. It is recommended to test a small area of your child’s skin with the product before fully applying it to the body. Splash Into Summer Safety By Dr. Kimberly Pezzone SUMMER IS A GREAT TIME FOR FUN. KEEP YOUR CHILD SAFE WITH THE FOLLOWING TIPS: S unscreen is one of the most important ways to keep your child safe in the summer, although this does not replace appropriate attire, shading and hats. Sunscreen should be applied to all children, including babies, prior to outdoor sunlight exposure. Even those younger than 6 months old should wear sunscreen. It is recommended to test a small area of your child’s skin with the product before fully applying it to the body. Use a sunscreen that protects from both UVA and UVB rays and that has at least SPF 15. Regardless of SPF, all sunscreen should be reapplied every 2 hrs, or after swimming or sweating. Take extra caution when your child is in an environment with water, sand or concrete, as these substances reflect additional sunrays and can contribute to sunburn. Sunscreen should also be applied on cloudy days, as sun rays can still penetrate the cloud cover and may lead to sunburn. Call your pediatrician if your child sustains a sunburn for additional advice on evaluation and treatment. Pools are a great way to have fun and get exercise, but they can also be dangerous. NEVER leave a child alone near a pool, and ALWAYS be sure an adult is within arm’s reach of a child in or near a pool. Be sure pools have fence and gate with a lock surrounding the area. Floatation devices and life vests do not substitute appropriate child supervision. Be sure rescue devices and portable phones are near the pool in case of emergency. If an unsupervised child falls into a swimming pool, call 911 IMMEDIATELY. Helmets should be worn each time your child rides a bicycle, scooter, or inline skates. Accidents can happen at any time, anywhere, so enforce helmets even in your own driveway. Children of all ages should always wear a helmet that fits well, and the straps/clasps should always be secured. Beginning healthy, safe habits when your child is young will continue into safe practices as they grow. > Dr. Kimberly Pezzone is with Pediatric Alliance, St. Clair Division. For more information, call (412) 221-2121 or visit www.pediatricalliance.com. Dr. Kimberly Pezzone Exceptional care for your children, confidence and convenience for you. Pediatric Alliance, P.C. Providing Pediatric and Adolescent Medicine Pediatric Alliance is proud to be the largest physician owned pediatric practice in our area. We offer quality, personalized, patient-centered care at 12 different locations. Pediatric Alliance strives to provide innovative services to our community and takes a progressive approach to meet the needs of busy families. Visit our website for accurate health information and more about our practice: w w w. p e d i a t r i c a l l i a n c e . c o m LOCATIONS: North: Arcadia Division: 412-366-7337 Fox Chapel Division: 412-767-0707 North Hills Division: 412-364-5834 Cranberry Office: 724-776-4344 Northland Division: 412-366-5550 Cranberry Office: 724-776-6030 Summer 2010 South: Chartiers Division: 412-221-0160 McMurray Office: 724-941-2747 Greentree Division: 412-922-5250 St. Clair Division: 412-221-2121 Specialty Divisions: Division of Pediatric Endocrinology: 412-371-3000 Division of Allergy, Asthma, and Immunology: 412-348-6868 www.guidetogoodhealth.com We Care A b o u t Yo u r Kids! GUIDE TO GOOD HEALTH 31 CHILDREN WITH SPECIAL NEEDS Child’s Way® Encourages Families to A.C.T. Early Intervention Service Coordination for Allegheny County Do you have a child between the ages of birth &three? Are you concerned about their development? The Alliance for Infants and Toddlers can help. We Can: • Complete an assessment of your child’s skills • Coordinate appropriate services or supports • Monitor your child’s developmental progress Services Are: • Provided in the home or other community settings • Offered at no cost to the family Call 412-885-6000 www.afit.org read to them for 20 minutes each day. At Child’s Way, children participate in circle time each morning with trained child care associates, where they sing, read stories, and create craft projects while pediatric registered nurses take care of their medical needs. T hroughout the region, many families are helping their medically fragile children thrive and grow in a variety of environments. At Child’s Way®, The Children’s Home of Pittsburgh & Lemieux Family Center’s day care for medically fragile children, families are aided in the care of their children and are encouraged to A.C.T. (advocate, care, and teach) to further enrich their children’s lives. TEACH. The strongest networks families with medically fragile children can have are with each other. Families are encouraged to talk with each other to help minimize stress While at Child’s Way®, The Children’s and lessen the feelings of Home’s day care for medically fragile being alone in raising a spechildren, Gabe, 7, is able to receive the cial needs child while at medical care he needs from registered Child’s Way. Families should nurses like Lynn Wray, as well as the also get involved with comopportunity to socialize and receive ther- munity education by participating in awareness events apies in an educational environment. and by talking to others in the community about the needs of their children. As Child’s Way continues to offer support to families in the Pittsburgh area, The Children’s Home hopes that CARE. Although medically fragile children require more care than typically developing children, this care families throughout the entire region will continue to encourages families to go above and beyond for their A.C.T. for their children. children. Families should take time to ensure that their For more information about The Children’s children are given the same educational foundation as Home, visit www.childrenshomepgh.org typically developing children. Families are encouraged or call (412) 441-4884. to talk about colors and letters with their children and ADVOCATE. Parents should advocate for their medically fragile children. This can be done by obtaining physician prescribed therapies to ensure consistent physical and occupational therapy and audiology consultation for their children. At Child’s Way, children receive therapies through collaboration with Children’s Hospital of Pittsburgh of UPMC. Parents can also track their children’s development closely by accessing community services that provide evaluations, such as the Alliance for Infants & Toddlers. > PUBLISHER Nancy Lammie DESIGN & LAYOUT JMC Graphics [email protected] (412) 835-5796 CONTRIBUTING WRITERS Laurie Bailey, Lisa Bianco, Daniel Casciato, Ron Cichowicz, Vanessa Orr, Nancy Kennedy, Ron Paglia, Lois Thomson ACCOUNT EXECUTIVE Amy Bailey, Mary Etta Nader Lynette Tomasetti MARKETING/CIRCULATION David Lammie _________________ Don’t Be Left out of our Fall Issue: HOW TO REACH US: [email protected] PHONE: 412-835-5796 2574 Oldfield Ave, Pittsburgh, PA 15102 E-mail your Editorial Submissions to [email protected] 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. VISIT US ONLINE AT www.guidetogoodhealth.com 32 GUIDE TO GOOD HEALTH Positive Behavior Support A ll parents have experienced it! Your child’s behavior is inappropriate and you are at your wit’s end. Every child has his or her moments, but what can you do if it goes beyond the occasional incidents and your child’s claim to fame becomes bad behavior? Developmental Specialists in the Early Intervention Program at accessAbilities are now able to help families address challenging behaviors that may keep their child from achieving his or her full potential. The agency’s early childhood education teachers are trained in TBASE, which is short for Technique-Based Applications for System Effectiveness, a professional development program designed to help address the most challenging behavior situations. The program used techniques grounded in the field of applied behavior analysis to design, implement, and evaluate behavior interventions. The process includes evaluating the child’s environment to consider and understand the circumstances when the behavior occurs, and determining what existing resources in that environment can be used as part of the new behavior plan. The specialists meet with the family to help them decide what new positive behavior could be introduced to replace the unwanted behavior, while still helping the child to meet his or her need. As a team, keeping the fam- www.guidetogoodhealth.com ily’s priorities and daily routines in mind, proactive steps are planned to make it easier for the child to use a new strategy to get what they want. The child needs time to learn this new technique, so the developmental specialist also helps the parents and other individuals who are involved plan what they will do if the unwanted behavior occurs, as well as how to reinforce the new behaviors. Throughout the process, the Early Intervention staff from accessAbilities will help the family to review the results and tailor the plan as needed to assist the family in addressing those unwanted behaviors. Ultimately, the program can help families teach their child more productive and acceptable ways of having their needs met, and eliminate those unwanted behaviors that might prevent their child from achieving childhood milestones. For more information, contact accessAbilities, Inc. at (724) 832-8272 or visit www.accessAbilities.org. > EDITORIAL MANAGER Judy Gramm Summer 2010 Concerned about Your Child’s Development? The Watson Institute Can Help The Watson Institute Psychological Services Department Diagnostic Evaluations By Joseph R. McAllister, Ph.D. T he Watson Institute provides comprehensive developmental evaluations when the family or doctor has questions about a child’s developmental progress, whether the questions concern autism, generalized delays, or learning issues. We can generally schedule initial appointments within 2 weeks and provide detailed written reports within 2 weeks of the evaluation. Our staff includes psychiatrists, developmental psychologists and neuropsychologists. We have good working relationships with early intervention providers in the area and can direct families to appropriate services if needed. The American Academy of Pediatrics recommends that all children be screened for autism spectrum disorders twice by the age of 2, even if they have no symptoms. As part of a well-child visit, your child’s doctor should conduct a developmental screening asking specific questions about your child’s progress. Wraparound Social Skills Group Therapy Individual Therapy Summer Camps Medication Management Learn more about our school programs, services and resources for special needs students, their parents and special education professionals on our website: www.thewatsoninstitute.org 412-741-1800 866-893-4751 (toll free) BEHAVIORS THAT SIGNAL THE NEED FOR FURTHER EVALUATION INCLUDE: • • • • • • • Does not babble or coo by 12 months Does not gesture (point, wave, grasp) by 12 months Does not respond to name being called Does not smile at others Does not say single words by 16 months Does not say two word phrases on his or her own by 24 months Has any loss of language of social skills at any age Having any of these behaviors does not mean a child has autism, only that parents should consider an evaluation. Insurance will often cover the costs of the evaluation. > To make a referral or get additional information, contact our intake coordinator at (412) 749-2889 or toll free at 1-866-8934751 ext. 2889 or visit our website at www.thewatsoninstitute.org. Dr. Joseph R. McAllister is Director of Psychological Services, The Watson Dr. Joseph R. McAllister Institute. &KLOG·V:D\HQKDQFHVWKHOLYHVRIPHGLFDOO\IUDJLOHFKLOGUHQ :KLOHSDUHQWVDUHDWZRUNVFKRRORUWDNLQJFDUHRIDKRXVHKROG 7KH&KLOGUHQ·V+RPH·VGD\FDUHSURYLGHVDVDIHHGXFDWLRQDO HQYLURQPHQWIRUPHGLFDOO\IUDJLOHFKLOGUHQWRVRFLDOL]HSOD\DQG UHFHLYHWKHUDS\ I kept my hands to myself and got all my work done! Pace School Programs teach children with emotional disorders and autism to break through social and emotional barriers to school success. 6WDIIHGE\SHGLDWLFUHJLVWHUHGQXUVHVDQGWUDLQHGFKLOGFDUH DVVRFLDWHV&KLOG·V:D\SURYLGHVDQDOWHUQDWLYHWRLQKRPHQXUVLQJ FDUH,I\RXUFKLOGGRHVQRWTXDOLI\IRUDW\SLFDOGD\FDUHEHFDXVH RIRQJRLQJPHGLFDOQHHGV&KLOG·V:D\PD\EHWKHDQVZHU Locations: 116 Browns Hill Rd. Valencia, PA 16059 724-903-0083 Summer 2010 2432 Greensburg Pike Pittsburgh, PA 15221 412-244-1900 www.guidetogoodhealth.com &KLOG·V :D\ &UHDWLQJ3DWKZD\VWR*URZWK 3HQQ$YHQXH 3LWWVEXUJK3$ ZZZFKLOGUHQVKRPHSJKRUJ GUIDE TO GOOD HEALTH 33 CHILDREN WITH SPECIAL NEEDS Baby Steps W hen Luke was born at 28 weeks without a heartbeat and not breathing, his mother Amy was terrified. She had no complications during pregnancy but a placental abruption would change everything. Doctors were able to resuscitate Luke quickly and he was whisked away to the Neonatal Intensive Care Unit (NICU) where he would spend the next 69 days. He was placed on a ventilator, diagnosed with chronic lung disease, jaundice, anemia, and would need blood transfusions and IV nutrient treatments. After his stay in the NICU, Luke was moved to a transitional care unit for the next 14 days since he was not yet ready to return home. When Luke finally came home after nearly three months, he was a pretty sick baby. Luke was on an AB monitor for his heart, oxygen 24 hours a day, given breathing treatments twice a day and was on Resource Directory ACCESSABILITIES, INC. It’s about possibilities, not disabilities. 724-832-8272 www.accessAbilities.org ALLIANCE FOR INFANTS AND TODDLERS 412-885-6000 www.afit.org CHILDREN WITH SPECIAL NEEDS THE EARLY LEARNING INSTITUTE 412-922-8322 • telipa.org THE WATSON INSTITUTE CENTER FOR CHILDREN’S REHABILITATION Monongahela Valley Hospital 724-258-2971 412-741-1800 • 866-893-4751 www.thewatsoninstitute.org WESTERN PENNSYLVANIA SCHOOL FOR THE BLIND 412- 621-0100 • www.wpsbc.org DEPAUL SCHOOL FOR HEARING & SPEECH 412-924-1012 www.speakmiracles.org JUSTIN HARTMAN EDUCATION ADVOCACY, INC., WESTERN PENNSYLVANIA SCHOOL FOR THE DEAF 412-371-7000 • www.wpsd.org WOODLANDS FOUNDATION 724-935-5470 • www.woodlandsfoundation.org 412-779-1701 www.jheap.com diuretics since he had fluid retention in his lungs. Because of all of his medical equipment, Amy turned the family’s dining room into Luke’s bedroom and the couch into her bed. Since he did spend the first three months of his life in the hospital, Luke didn’t move much. His mother noticed he wasn’t doing what other babies his age were doing like rolling over or moving his head around. This is when Kay, a physical therapist with The Early Learning Institute (TELI), was introduced to Luke. Kay began doing physical therapy with Luke and working on small movements. At first, they would stop therapy after only five minutes since Luke’s breathing would become labored. “She’d (Kay) take a break at these points and kind of talk to us a little bit and reassure us that it was okay and we were going to move on from this,” said Amy. Then, step by step, the transformation really started happening. Little by little, he started doing more movements, turning his head side to side, rolling over, doing tummy time, and then, the progression of sitting, crawling and walking. Today, Luke is climbing and becoming more stable. Amy said she would absolutely recommend TELI because “the staff is very supportive, well educated, and they know what they are doing.” When asked about what advice she would give other parents in similar situations, she said, “It is an absolute roller coaster ride. They tell you that from day one in the hospital…that you are going to have a lot of ups and downs. I would suggest getting to know your doctors and nurses and the support staff that you have. Ask a ton of questions. That’s what they are there for … to help you.” Now 18 months and weighing over 25 pounds, Luke is no longer on oxygen and is enjoying all of the things toddlers his age enjoy. In fact, he has been discharged from physical therapy completely. Luke is enrolled in TELI’s Baby Butterflies socialization program, which Amy says, “has been great. He is interacting with other kids his age now, starting to learn how to play and getting used to other people.” Kay says she will miss Luke and his family very much. “Amy and I hugged and shed a few tears. We promised to keep in touch via PACE SCHOOL 412-244-1900 www.paceschool.org Parents of Children With Special Needs… Go to www.guidetogoodhealth.com for more stories, information just for you! 34 GUIDE TO GOOD HEALTH At The Early Learning Institute (TELI), we know how challenging life can be for parents of children with special needs or developmental delays.You want to make the best decisions possible to ensure your child is given every opportunity to succeed.And, though the road isn’t always an easy one, there are some suggestions we have to make your journey a little smoother. • Be Informed – Read as much as possible on your child’s specific diagnosis and speak to professionals who work with that population. Having knowledge not only helps you to make the best decisions for your child, but also gives you piece of mind. • Network with Other Parents – Build a support network.Talking to other parents who are going through the same experience will help you to cope. Other parents may even be able to offer creative ideas or alternative therapies that are helping their child. • Connect to the Right Services – Choose providers with whom both you and your child feel comfortable.Your child will progress even further when they feel safe and at ease with service providers. • Get Involved – Become an advocate for your child.This is probably the most important role you can play.Talk to others about your child and what they can do to support your family. Stay involved in local organizations working on behalf of the cause and keep government officials informed. Butterflies.” Luke can teach us all one of life’s greatest lessons: sometimes, it’s learning to take baby steps. > For more information The Early Learning Institute’s early intervention programs, visit www.telipa.org or call (412) 922-8322. Please join us for the 2010 Preemie Conference Saturday, August 14, 2010 at the Western PA School for Blind Children THE CHILDREN’S HOME & LEMIEUX FAMILY CENTER 412-441-4884 www.childrenshomepgh.org Good Advice for Parents of Children with Special Needs www.guidetogoodhealth.com Plus, over 18 breakout sessions. Approximately 8 CEUs are available for the day. To register: www.PARENTRESOURCENETWORK.org or call with questions 877-647-4373. Summer 2010 LIVING WITH A DISABILITY Benefits of Exercise in Parkinson’s Patients: Maintaining Safety, Function, and Quality of Life By Tyson Swigart P arkinson’s disease is a progressive neuromuscular disease that affects over a million people in the United States. Those affected with the disease tend to present with symptoms of bradykinesia (slowing of voluntary movement), resting tremor, rigidity during movement, poor balance, dysfunctional gait, and cognitive decline. These symptoms result from decreased production of the neurotransmitter dopamine in the basal ganglia. Although no cure has been found for Parkinson’s disease, a myriad of research has been published regarding treatments used to slow the progression of this chronic disease. While pharmacological treatments merely treat the symptoms of Parkinson’s disease, exercise programs have been shown to slow the progression of the disease as well as improve symptoms. Interestingly, those who workout regularly early in life seem to develop a “neuroprotective” quality that prevents their brains from being affected by Parkinson’s later on. Because patients with Parkinson’s disease, as well as other neurodegenerative diseases, tend to have difficulty with balance and walking, they are at an increased risk for falls. Patients generally walk with a “Parkinsonian gait” which is characterized by a forward flexed posture, lack of arm swing, and small, shuffling steps. The patient may also have difficulty starting to walk and changing directions. They will Summer 2010 appear as though they are about to fall forward during “normal” gait. In order to address these problems that are obviously a safety concern, exercise programs focusing on trunk strength and postural control are critically important. Incorporating these components into an exercise program will allow the Parkinson’s patients to normalize their gait pattern for a longer period of time. With a normalized gait pattern as well as increased trunk control, patients are not as likely to fall. In addition to decreasing the risk of falls, exercise has also been shown to improve cognition in patients with Parkinson’s disease. Research has shown that Parkinson’s patients who participate in an exercise program twice weekly over the course of twelve weeks exhibit improvements in frontal lobe based executive function activities including organization, problem solving, and memory. With the maintenance of executive function, Parkinson’s patients can continue to excel in their careers despite the presence of pathology in their central nervous system. By being proactive about preventing falls and maintaining brain function Parkinson’s patients allow themselves to stay active without sacrificing quality of life. Before starting an exercise program, it is important that patients consult with their physician regarding exercise response and tolerance. Patients with Parkinson’s disease should also consider a supervised training program as an option. In a research study published this year, exercise programs under the supervision of a physiotherapist were found to be more effective at improving activities of daily living, motor, mental, emotional functions and general health quality in patients with Parkinson's disease compared with a self-supervised home exercise program. A qualified exercise physiologist or other fitness professional can design a dynamic exercise program that is critical for combating the progression of Parkinson’s disease. There is increasing support for engagement in activities that are both physically and mentally challenging. The martial arts, for example, incorporate strategy with physical activity. That being said, Parkinson’s patients appear to benefiting greatly from utilizing movement-based treatments and should do in order to maintain safety, function, and quality of life throughout the lifespan. Dr. Tyson Swigart is founder and owner of Southpointe Chiropractic and Fitness. To make an appointment or for more information, you can reach Dr. Swigart at (724) 873-0700. > www.guidetogoodhealth.com "ONAR!VENUEs7AYNESBURG0! 4ELEPHONE GUIDE TO GOOD HEALTH 35 SENIOR CARE TWO CAMPUSES, ONE MISSION... How to Give a Bed Bath By Bryna Smith, R.N. A Our comprehensive service package lets you tailor your lifestyle according to your wants and needs, encouraging vitality and independence. Access to our continuums of care gives you the freedom to make decisions for healthcare on your terms, now or in the future. We’re always here for you - today and tomorrow. Independent Living On-site Medical Clinic Rehabilitation Services Assisted Living Services Memory Support Skilled Nursing Wellness Programs complete bed bath not only cleanses the skin, it stimulates circulation, provides mild exercise, and promotes comfort. Take this opportunity to observe the skin for abnormalities. Encourage the senior to assist with bathing to promote independence. Offer the bedpan or urinal prior to bathing. Move the body joints through a full range of motion during the bath. Provide warmth and privacy by covering STEPS FOR FOLDING the senior with a bath sheet. Avoid unnecA WASH CLOTH essary exposure. Place an absorbent pad INTO A MITT beneath the incontinent senior. Use a mitt, 1. Fold washcloth into it retains water and heat longer than a thirds. loose washcloth. 2. Place your hand halfway Fill bath basin two-thirds full of warm into open end, palm up water. Avoid scalding or chilling by testing 3. Fold cloth downward the water temperature with your elbow. toward palm, tucking in Place lotion bottle in basin to warm; cold loose ends. lotion may startle the senior and induce muscle tension. Use gentle strokes when HOW TO MAKE A bathing, always moving toward the heart SHAMPOO TROUGH (wrist to shoulder and ankle to hip) to 1. Roll a towel into a log. stimulate venous circulation. Place a towel 2. Shape the log into a “u” under each body part when washing and and place in a large plastic rinsing. Immediately rinse and dry each bag. area thoroughly, especially skin-fold areas, 3.Arrange the bag under to avoid itching and irritation. Apply the head with the end of lotion. Wear gloves. the bag extending over the Begin the bath with the face, working edge of the bed and into downward and ending with the private the bucket on the floor, areas. Gently wipe each eye with a separate with the head resting inside section of the mitt without soap, working the trough made by the from the inner eye to the outer eye. Put arms of the “U” soap on the wash cloth and wash the rest of the face. Bathe the chest and armpits with firm strokes to avoid tickling before moving to the arms. Soak each hand in a basin to remove dirt and soften nails. The abdomen and groin are next, followed by the legs. Do not use vigorous strokes or massage the legs, as this may dislodge existing blood clots. After washing each leg, place the basin on bed, flex the leg at the knee, and place the foot in the basin to soak. Clean toenails. Do not soak the hands or feet of a diabetic senior. Change the bath water. Roll senior onto his side to wash back and buttocks. Bathe the anal area from front to back, replace washcloth, and change bath water again to avoid contamination. Turn senior onto back and wash genital area gently from front to back, using a different part of the mitt for each downward stroke, avoiding the anal area. Eldercare 101: For information about upcoming events, call or visit us online. Enhancing Quality of Life Through Effective Caregiving that Nurtures the Mind, Body & Spirit Pittsburgh’s first choice in retirement living 489 Castle Shannon Blvd - Mt. Lebanon, PA 15234 412.563.6550 - www.BaptistHomes.org 500 Providence Point Blvd - Scott Township, PA 15243 412.489.3550 - www.ProvidencePoint.org Baptist Homes Society has provided for your residential and healthcare needs since 1910 with our Baptist Homes campus in Mt. Lebanon. We are now proud to introduce a new, enhanced lifestyle option for seniors at our second community, Providence Point. 36 GUIDE TO GOOD HEALTH > To reach Bryna Smith, Owner, May I Help You, Inc., call (412) 853-0125. www.guidetogoodhealth.com Summer 2010 Alzheimer’s Care Alzheimer’s Care Needs Increasing Exponentially Across the Nation T here are now more than five million people in the United States living with Alzheimer’s disease, which is a 10 percent increase from the previous nationwide estimate. For many families, Alzheimer’s care begins and ends at home. Medical research indicates the stress associated with caregiving can lead to a weakened immune system and in some cases take years off the caregiver’s life. Those risks increase when they manage caregiving responsibilities while working or raising a family. “Caregiving for a loved one with Alzheimer’s is a huge responsibility,” said Tom Donohue, owner of the Comfort Keepers franchise in Pittsburgh. “There is a risk of emotional burnout and a decline in health for family caregivers who do not make it a point to take much needed breaks.” DONOHUE SHARED THE FOLLOWING TIPS FOR FINDING IN-HOME CARE SUPPORT. 1. Identify Job Details – Identify the specific functions you expect the help to perform to eliminate confusion. Details such as dressing the client, bathing, and eating need to be addressed. 2. What Kind of Person Should You Look For? – Qualifications you may require are: a bonded and insured worker, licensed driver and experienced in handling clients with Alzheimer’s disease. 3. Some questions you should considering asking • What did your duties consist of? • What was your daily schedule? Helpline Available for You 24/7 The Alzheimer’s Association 24/7 Helpline provides reliable information and support to people with memory loss, caregivers, health care professionals and the general public. Just call the Helpline tollfree anytime day or night at 1-800-272-3900. Confidential care consultation provided by highly trained and knowledgeable master’s-level clinicians offer assistance with: • Understanding memory loss, dementia and Alzheimer’s • Medications and other treatment options •General information about aging and brain health • Skills to provide quality care and to find the best professional care options • Legal, financial and living-arrangement decisions • Referrals to local community programs, services and ongoing support The Helpline offers help in a caller’s preferred language from among more than 140 languages and dialects. Its services also are provided to the online community at www.alz.org through message boards and chat rooms, which care consultants monitor daily. Helpline staff does not perform diagnosis. If you or someone you care for is having memory problems, please see your doctor. 1-800-272-3900 HELP FOR FAMILIES Many Alzheimer’s patients can safely stay in their own home for a period of time, and that’s where organizations like Comfort Keepers can provide inhome care assistance. “Our caregivers have been trained in how to provide in-home care for Alzheimer’s disease clients. This training includes assisting the client with dressing or grooming, improving eating habits and how to enhance home safety to prevent wandering or driving,” added Donohue. > For more information, contact Comfort Keepers at (412) 653-6100. Sign Up Today for the Alzheimer’s Association Memory Walk® The Alzheimer’s Association is inviting the Washington and Greene County Area residents to become Champions in the fight against Alzheimer’s by participating in the annual Alzheimer’s Association Memory Walk®. Peterswood Park will be the site of the Memory Walk on Saturday, September 25 at 8:00 a.m. In addition to the short walk, participants will enjoy food, beverage, music, raffles, and door prizes. For more information, call 412-261-5040. /URMULTIMILLIONDOLLAR STATEOFTHEART HEALTHCARE FACILITY %VERY DAY WE PROVIDE HEALTHCARE TO MORE FAMILIES IN THEIR HOMES THAN JUST ABOUT ANYONE 7HETHER YOURE RECOVERING FROM SURGERY DISABLED OR JUST NEED A LITTLE HELP TO MAINTAIN YOUR INDEPENDENCE OUR TRAINED EXPERIENCED CAREGIVERS WILL COME TO YOUR HOUSE AND TAKE CARE OF YOU /N A PARTTIME FULLTIME OR LIVEIN BASIS 7ERE )NTERIM (EALTH#ARE¤ ANDWEPROVIDEHEALTHCAREFORTHEPEOPLEYOULOVE'IVEUSACALL Summer 2010 www.guidetogoodhealth.com WWWINTERIMHEALTHCARECOM GUIDE TO GOOD HEALTH 37 Older adults can age safely in their own homes with our help. Call now: 1-877-9-LIFE-NOW A Better Way, A Better Life PART 2: Checklist for Loved Ones By Brenda Metal A REVIEW OF YOUR PARENTS FINANCES Are the taxes paid? Are the utilities paid? Are their accounts up to date and accurate? Are there investments or accounts that need regular maintenance or decision making? Is this a good time to discuss protecting your parent’s assets? Do they have pre-paid burial arrangements or life insurance policies? Do they have a will? Do they have a safety deposit box? Do they have a fire proof box for important documents or at least a specific place where records are kept? How are their records organized? Where are their ID cards and insurance cards? A REVIEW OF YOUR PARENT’S HEALTHCARE DECISION MAKING CHOICES Do they have a living will? Do they have a formal power of attorney? Does it cover both medical and financial? Have they named a surrogate decision maker? What hospital do they prefer? www.lifepittsburgh.org A REVIEW OF YOUR PARENT’S SUPPORT STRUCTURE Who can your aging parent depend on for help? Is there a close neighbor, relative or friend that they can call in case of an emergency? Do they have an emergency response device (i.e. Lifeline)? Do they have someone to clean snow off of sidewalks, cut grass, bring in groceries in inclement weather? Do they receive meals on wheels? Do they have a church group or senior center that they are active in and is there a contact person? Do you have a list of these people so that you can contact them if needed? Making a " Checklist for Loved Ones” will allow you to identify your aging parent’s needs, familiarize yourself with their situation and make suggestions to help them maintain their independence. Making the checklist may reveal changes in mental status and their ability to organize and accurately remember. Once you’ve started the list you can easily update it when you visit and in some cases over the phone. Starting the “Checklist For Loved Ones” creates a baseline for the adult child and a way to measure changes from visit to visit. Remember that when you’re making the list you should do so in a way that respects your aging parent’s dignity and need for autonomy. It is important to discuss the current situation and make suggestions that involve collaboration rather than the child simply assuming control. Keep in mind that it is often difficult to accept help and that it should be presented as a way to remain safe and independent. When reviewing your aging parent’s situation remember that there are in home services that can assist with everyday chores, physician visits, etc. A service like this is an extension of your aging parent’s family and involves caregivers who often become friends. > Brenda Metal is CEO of Caring Companions. For more information, call Caring Companions at (724) 337-7581 or visit www.stayathomecare.net BRANDON KOENIG __________________________ HOME MAINTENANCE & HANDYMAN SERVICE __________________________ When you need to find a reliable and trustworthy handyman, call Brandon at (412) 527-1166 RESIDENTIAL 38 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com OR COMMERCIAL Summer 2010 Family Hospice and Palliative Care Invaluable Gifts of Service By Rafael J. Sciullo, MA, LCSW, MS S ervice takes on many forms. From those who bravely serve our country in the armed forces, to measuring the way customers are treated in a restaurant or retail setting. In the hospice industry, service speaks to the dedication, hard work and compassion with which we devote ourselves to patients and families. At Family Hospice and Palliative Care, we have an extraordinary group of people that serve alongside our employees. Our corps of 400 volunteers keep our organization running smoothly and help the patients and families we serve experience a real quality of life. Volunteer duties include office administrative support, bereavement support, staffing our fundraising events – and perhaps most importantly, offering patient and family companionship. Some of our volunteers are teens, like the ones who offered their time during our first ever Memorial River Walk, last fall. Still others are actively engaged in life-enrichment activities, such as helping to facilitate our monthly community bereavement support groups, which are free to the public. Our volunteers perform a range of valuable services – always with a smile and a giving heart. Those smiles were aplenty recently when Family Hospice and Palliative Care held our annual Volunteer Recognition Luncheon at The Center for Compassionate Care. The guest speaker was KDKA-TV news anchor Jennifer Antkowiak, whose presentation focused on care giving. Relating her own experience helping take care of her father-in-law and mother-in-law, Antkowiak’s message was particularly useful to our volunteers. Many of them help care for our patients – and many others joined our volunteer force because of a patient experience in their own family. Antkowiak reminded our volunteers KDKA-TV’s Jennifer Antkowiak and Nick Petti, Family Hospice manager of Volunteer Services, congratulate 30-year volunteers Vera Beck (second from left) and Carol Vockel (far right). to take care of themselves as well – talking about how physically and emotionally overwhelming the duties of a care giver can become. Despite our huge advancements in medicine and technology, Western Pennsylvania is still very much an area that respects an old-fashioned work ethic. Hospice volunteers exemplify that spirit as well as anyone, because they have answered the call to truly give of themselves for completely selfless reasons. Saying “thank you” barely seems adequate. The services they provide are invaluable gifts from the heart. > Rafael J. Sciullo, MA, LCSW, MS, is President and CEO of Family Hospice and Palliative Care and Past Chairperson of the National Hospice and Palliative Care Organization. He may be reached at [email protected] or (412) 572-8800 or visit www.familyhospice.com. The region’s most trusted source for care in I NEED D HELP P TAKING G CARE E OF F MOM! What Services Does SeniorLIFE Provide? the home. SeniorLIFE Services Can Include: *Physician Services *Nursing *Therapies *Transportation *Home Care Services *Medication Monitoring *Meals & Nutritional Counseling *Social Services & Counseling *NonEmergency services must be approved by SeniorLIFE. To qualify, you must be 60 years of age or older and live in an area served by SeniorLIFE. Call today to determine if you are financially eligible to receive services at no cost, are medically eligible and determine if you are able to be safely served in the place that you call home. SeniorLIFE Summer 2010 1877998LIFE “Complete Care For Seniors Living At Home” Liken Home Care’s goal is to provide superior service while enhancing the independence, comfort, and dignity of our clients. Our Companions, Aides, LPNs, and RNs have been helping individuals at home for over 30 years in Western Pennsylvania with: bathing, personal care, overnight care, mobility, meals, light housekeeping, medication, and more. Call for a free assessment and more information, or visit our Web site: 412-816-0113 www.guidetogoodhealth.com www.likenservices.com GUIDE TO GOOD HEALTH 39 Senior Living Options Your family member deserves the best, so don’t compromise when life’s demands or care needs change. Have peace of mind knowing your family member is in the experienced hands of Presbyterian SeniorCare, providing award-winning care and services for more than 80 years. For care and services as unique as your loved one. Join us for an Open House and light refreshments at either campus. WEDNESDAY SEPT. 15 3pm -5pm 40 GUIDE TO GOOD HEALTH www.SrCare.org Southminster Place Washington Campus 880 S. Main Street Washington, PA 15301 1-888-448-5779 www.guidetogoodhealth.com Westminster Place Oakmont Campus 1215 Hulton Road Oakmont, PA 15139 1-866-797-6326 Summer 2010 Playing Safe This Summer: Top Six Senior Hazards By Sue Janosko S ummer offers an endless selection of activities both indoors and out, but beware of increased health risks associated with this time of year. Seniors are especially vulnerable to the challenges warmer weather brings. 1. DEHYDRATION: Drink eight or more 8-ounce glasses of water or fruit juices every day to keep the body hydrated. Avoid or limit caffeinated and alcoholic beverages. Wear loose-fitting, natural-fabric clothes in lighter colors that will reflect the sun and heat better than darker colors. 2. HEAT STROKE: Avoid dehydration. Wear hats outdoors. Stay in the shade. Remain indoors on extremely hot days. If you do not have air-conditioning, go somewhere that does. Visit a senior center, mall, restaurant, or movie theater. If you can’t leave home, use fans, and take cool showers or baths. Know the signs of heat stroke. Take immediate action if they occur. • Flushed face and elevated body temperature • Rapid breathing and pulse • Headache and nausea • Lack of perspiration • Dizziness and confusion 3. EYE DAMAGE: Sunglasses are a must protection for outdoor wear all year round but even more so in the bright summer sunshine especially around pools or water where light is more reflective. Sunglasses should be 100% UV protective otherwise they may actually let in more light as the pupils enlarge to compensate for the darkness. 4. FOOD POISONING: Barbecues and outdoor picnics can be enjoyed without food-poisoning outbreaks if we follow simple guidelines of food safety and food handling. Wash your hands frequently when preparing, serving or eating food. Keep raw meats away from any serving surface. Plan your meal-times. Don’t allow food to set out all day. Keep cold foods cold and hot foods hot. 5. BUG BITES: Pesky insects can cause more than annoying itching. Serious infectious diseases such as West Nile Virus or Lime disease can be prevented by avoiding typically infested areas; covering exposed skin when in a buggy location; and using appropriate bug repellents. 6. SKIN CANCER: Avoid direct sun when possible. During the hottest hours of the day, cover up or find shade and always wear an FDA approved sunscreen. Read the labels. Watch the SPF rating and be sure the sunscreen you choose blocks both UVB and UVA rays. Inspect your skin routinely for changes in texture, color, or size of moles. If caught early, skin cancer is usually the easiest cured form of cancer. Oliver Wendell Holmes once said, “We do not stop playing because we grow old; we grow old because we stop playing.” Enjoy the summer months! > For more Senior Tips, contact Liken Home Care at (412) 816-0113 or visit our website www.likenservices.com. Sue Janosko is Director of Operations for Liken Home Care. > For more Senior Resources and Health News You Can Use, go to www.guidetogoodhealth.com Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 41 SENIOR LIVING OPTIONS WHEN YOU NEED A VACATION... L A ET US HELP YOU PLAN A RESPITE STAY FOR YOUR LOVED ONE ! s a caregiver, you work hard every day to care for and nurture your loved one. However, sometimes you need a break, whether its a vacation or some much needed time for yourself. Let Five Star Senior Living help you plan a short-term respite stay for your loved one. Five Star Senior Living communities offer: • Flexible respite stays available from five days to several weeks • Supportive, caring help with daily needs • Spacious, private accommodations • Restaurant-style dining • Engaging social & recreational activities • On-site physical, occupational & speech therapy WE LOOK FORWARD TO CARING FOR YOUR LOVED ONE! C ALL TODAY TO SCHEDULE YOUR COMPLIMENTARY LUNCH AND VISIT. Mount Vernon of Elizabeth Franciscan Manor 145 Broadlawn Dr • Elizabeth 71 Darlington Rd • Beaver Falls 412-751-0430 724-891-1150 • Assisted Living • Alzheimer’s/Memory Care • Assisted Living Mount Vernon of South Park 1400 Riggs Rd • South Park 412-655-3535 • Assisted Living • Alzheimer’s/Memory Care Ridgepointe Overlook Green 5250 Meadowgreen Dr • Whitehall 5301 Brownsville Rd • Baldwin 412-881-8300 • Assisted Living 412-653-6870 • Assisted Living • Alzheimer’s/Memory Care www.fivestarseniorliving.com © 2010 Five Star Quality Care, Inc. S TAY 7 DAYS AND RECEIVE YOUR 8 TH DAY FOR FREE! 42 GUIDE TO GOOD HEALTH Mom, We Need a Vacation: Five Star Senior Living Communities Offer Summer Respite Stay and/or Short-term Care W hether you’re caring for an older parent, or have been thinking about senior living for yourself, you have lots of options in Pittsburgh for Respite Care. What is a Respite stay and/or Short-term Care? A Respite Stay will allow you to move into a senior living community for a few days, weeks, or even longer. For many seniors and their families, they offer a welcome change of pace. “It’s a short stay with no long-term commitment, and it can do so much for your family,” says Jennifer Scarfone, Regional Director of Sales and Marketing for Five Star Senior Living. “It’s truly a vacation from the everyday.” A Respite stay is a resource for children caring for their parents while facing the demands of a career and their own children at the same time. When it’s time for a family vacation, business trip, or just some time needed for yourself, many find reserving a respite stay for their parent can help. “A respite stay is also great if Mom or Dad needs a little extra attention following a hospital stay or surgery,” adds Scarfone. “It’s different than moving in – our guests enjoy a fully furnished apartment – plus dining, activities, 24hour support, rehabilitation and all of the same Five Star amenities as our residents.” Our South Hills communities offer the added benefit of assisted living, for seniors who could use a little help with activities like dressing, walking, personal care, and managing their medications. “A respite stay is also a great way to try assisted living and see if it’s right for you,” says Scarfone. Five Star Senior Living invites area seniors and their families to discover a Respite stay this season. “To see if a respite stay may be right for you or someone you love, simply call one of our communities to reserve a complimentary lunch and gift. We hope to see you soon!” To learn more about a Respite Stay and/or Short-term Care at one of Five Star Senior Living’s communities, visit www.fivestarseniorliving.com or call us today. > University of Pittsburgh Part of National Study to Explore the Health Benefits of Aspirin in Elderly The University of Pittsburgh Graduate School of Public Health is recruiting participants for a new study that will explore whether aspirin can not only prolong life, but also help prevent physical disability and dementia in healthy older people. The Aspirin in Reducing Events in the Elderly (ASPREE) study is the largest international trial ever sponsored by the National Institute on Aging, and includes researchers from across the United States and Australia. Aspirin is known to prevent heart attacks and strokes in people with established heart disease – benefits which clearly outweigh any associated risks, such as bleeding – but the role of aspirin in older people without a history of cardiovascular disease is less certain. “ASPREE will help determine whether the potential benefits of low-dose aspirin outweigh the risks for people age 70 and over, especially important now since people are living longer than ever.” said Anne B. Newman, M.D., M.P.H., director of the Center for Aging and Population Health at the University of Pittsburgh Graduate School of Public Health and principal investigator of the Pittsburgh site. Additional information about the study is available at www.ASPREE.org. People in the Pittsburgh-area interested in finding out whether they may be eligible should call the University of Pittsburgh at 800-872-3653. www.guidetogoodhealth.com Summer 2010 World-Class Residences from a Leader in World-Class Care UPMC is known for its world-class care and now we’re extending that expertise to independent and assisted living options. UPMC Senior Communities offers retirement living as it should be, providing all the comforts of home with the care of UPMC you’ve come to expect. Our warm and welcoming environment makes residents at UPMC Senior Communities feel right at home. Independent Living Residences Assisted Living Residences Beatty Pointe Village, Monroeville Canterbury Place, Lawrenceville Cumberland Woods Village, North Hills (opening in August) Cumberland Crossing Manor, North Hills Hampton Fields Village, Allison Park Seneca Manor, Penn Hills Lighthouse Pointe Village, O’Hara Township Strabane Woods Manor, Washington Seneca Hills Village, Penn Hills Weatherwood Manor, Greensburg Strabane Trails Village, Washington Vanadium Woods Village, Scott Township To schedule a free lunch or to tour one of our beautifully designed residences, call 1-800-324-5523 or visit upmcseniorcommunities.com. Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 43 SENIOR RESOURCES Alzheimer’s Support ALZHEIMER’S ASSOCIATION – GREATER PA CHAPTER 1-800-272-3900 • www.alz.org/pa Assisted Living SOUTHWESTERN ASSISTED GROUP RESIDENCE 500 Lewis Run Rd., Pleasant Hills 412-896-1501 www.southwesternhealthcare.com FIVE STAR SENIOR LIVING www.fivestarqualitycare.com Ridgepointe - Baldwin Overlook Green - Whitehall Mount Vernon of South Park Franciscan Manor - Beaver Falls Mount Vernon of Elizabeth UPMC SENIOR COMMUNITIES 1-800-324-5523 upmcseniorcommunities.com Canterbury Place, Lawrenceville Cumberland Crossing Manor, North Hills Seneca Manor, Penn Hills Strabane Woods Manor, Washington Weatherwood Manor, Greensburg HAWTHORNE WOODS 791 Locust Avenue Washington, PA 15301 724-228-8662 Contact: Joe Mastrangelo - [email protected] Community Programs for Seniors INTEGRACARE The Pines of Mount Lebanon – Pittsburgh The Residence at Willow Lane – McKees Rocks Willow Heights – McKees Rocks Newhaven Court – Butler Newhaven Court – Greensburg www.IntegraCare.com THE RESIDENCE AT WILLOW LANE 412-331-6139 “ INTERFAITH VOLUNTEER CAREGIVERS OF SOUTHWESTERN PA/FAMILY SERVICES 412-345-7420 [email protected] • www.ivcswpa.org Home Care COMFORT KEEPERS 412-831-2270 www.comfortkeepers.com Medical Emergency Alert HANDS THAT CARE 1-888-308-8284 Retirement Living INTERIM HEALTHCARE 800-447-2030 www.interimhealthcare.com LIFE PITTSBURGH 1-877-9-LIFE-NOW www.lifepittsburgh.org LIKEN HEALTH CARE 412-816-0113 www.likenservices.com MAY I HELP YOU 412-853-0125 www.mayihelpyouinc.net SENIORLIFE 1-877-998-LIFE(5433) Uniontown – 724-434-LIFE www.seniorlifeuniontown.com Washington – 724-222-LIFE www.seniorlifewashington.com CARING COMPANIONS 724-337-7581 [email protected] www.stayathomecare.net SOUTHWESTERN HOME CARE OF SOUTHWEST REGIONAL MEDICAL CENTER 724-627-2607 • www.sw-rmc.com CELTIC HEALTHCARE 1-800-355-8894 • celtichealthcare.com Living & Care Options PRESBYTERIAN SENIORCARE 1-866-797-6215 • www.SrCare.org AUTOMATED SECURITY ALERT 800-338-7114 • www.asamate.com ARROWOOD AT SOUTHWESTERN 412-469-3330 www.southwesternhealthcare.com BAPTIST HOMES www.BaptistHomes.org • 412-563-6550 PROVIDENCE POINT www.ProvidencePoint.org • 412-276-4500 UPMC SENIOR COMMUNITIES 1-800-324-5523 upmcseniorcommunities.com Independent Living Residences: Beatty Pointe Village – Monroeville Cumberland Woods Village – North Hills Hampton Fields Village – Allison Park Lighthouse Pointe Village – O’Hara Township Seneca Hills Village – Penn Hills Strabane Trails Village – Washington Vanadium Woods Village – Scott Township Senior Placement ENHANCED SENIOR PLACEMENT AGENCY, LLC 724-612-3294 www.enhancedseniorplacementagency.com Skilled Nursing Care & Rehabilitation KADE SKILLED NURSING & REHABILITATION FACILITY 1198 W. Wylie Ave., Washington 724-222-2148 > If you would like to be included in this directory, call (412) 835-5796 or email [email protected] We needed someone to help care for Mom, so we both felt safe. ” “It was our mission for Mom to remain independent and happy, and we knew that we needed some extra help. We searched for the perfect caregiver, and we found her. She loves Mom and Mom loves her. Celtic Healthcare has exceeded our expectations from day one – and will continue to be our partner with all Mom’s home healthcare needs.” 1.800.355.8894 celtichealthcare.com G E R I AT R I C C A R E M A NAG E M E N T • L I VIN G A S SISTA N CE • H OM E C A R E R E H A B ILITATION • HO SPICE / PA LLI AT I VE C A R E • DISE A SE M A NAG E MEN T 44 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 Peace of Mind is just a Ph ne Call Away... HEALTHY HOME LIVING Summertime and a Clean House Can Be Easy! By Anna Johnson hen summertime comes, you can spend your weekends having fun instead of cleaning—and still enjoy a fresh and pleasant home. Caroline Behun, owner of Maid With Care, a leading cleaning company in the area, recommends the FOLLOWING EASY 5 TIPS: W 1. Don’t give paperwork a chance to take over. Each day when you get the mail, walk directly to the trashcan and throw away unimportant papers immediately. Designate places for store circulars, bills, magazines, etc., and put them away at the same time. The same goes for kids’ school papers. 2. Keep just one or two items on coffee tables, end tables, dressers, etc. To make dusting quick and easy, keep surfaces clear of knick-knacks, frames, vases, etc. 3. Keep kitchen countertops clear, too. The less you store on your countertops, the less there is to get greasy, sticky, or in the way of a quick countertop wipe-down. 4. Clean something while you’re waiting for something else. If you’re going to be in a room any way, make good use of your time. Dust or vacuum when a commercial comes on.Wipe down kitchen appliances while a pot boils. Clean your bathroom mirror, sink, and toilet bowl until the water warms up in your shower.You can get a lot done in 5 minutes when you don’t allow dirt or grime to build up. MAY I HELP YOU, INC. Senior Care Ser v ice s MOST REQUESTED SERVICES: ❤ Personal Care ❤ Companionship ❤ Meal Preparation ❤ Health Promotion ❤ Recuperative Care ❤ Shopping/Driving ❤ Household Management ❤ Light Housekeeping ❤ Respite Care “Through the bond of caring, we are committed to maximizing our client’s quality of life by enhancing mind, body, and spirit, as we help them REMAIN INDEPENDENT.” Alzheimer’s Care is Our Specialty www.mayihelpyouinc.net 412.853.0125 Enriching Lives Since 1990 5. Spray your tub and shower with a shower cleaner every day. Give this job to the last person to use the shower. Fifteen seconds each morning will save a half-hour of elbow grease later in the week. The old saying that “an ounce of prevention is worth a pound of cure” is never truer than when we talk about cleaning. By preventing clutter and nipping dirt and grime in the bud throughout the week, you’ll leave your summer weekends free and clear to make treasured memories with family and friends! When a busy schedule makes upkeep too great a challenge, consider a professional cleaning service like Maid With Care to get you back on track. > Caroline Behun invites anyone interested in learning more about Maid With Care to call her at (412) 221-8500 or (724) 942-1034 or visit the website at www.maidwithcare.com. ATTENTION ADVERTISERS Look what’s coming in the FALL Issue of the Guide To Good Health... • Diabetes Update • Women's Health • Breast Cancer Update • Home Care & Hospice • Sports Injuries • Advances in Rehabilit ation • Brain Health • Senior Living Options For more information on advertising, call (412) 835-5796 or e-mail [email protected] Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 45 Mark Your Calendar For more events, visit our CALENDAR section on our website at www.guidetogoodhealth.com at Southpointe Iceoplex ~ September 11th 2010 AN EXPO JUST FOR WOMEN! Fun, Fitness, Health, Beauty, Fashion, Jewelry, Home, Leisure, Lifestyle, Prizes and more! www.womensshowsp.com A portion of the gate admission will be donated to the Washington County Women’s Shelter 10 a.m. - 5 p.m. • Admission: $5.00 • Don’t Miss IT! Senator Jane Clare Orie, Majority Whip In Conjunction with UPMC Passvant invites you to attend her 14th Annual Fall Senior Expo Free Breakfast & Hot Lunch Hundreds of Door Prizes Entertainment & Demonstrations 46 GUIDE TO GOOD HEALTH ENTIRELY FREE OF CHARGE NO RESERVATIONS NEEDED ALL SENIORS ARE WELCOME Questions? Contact Jenna Morgan at 724-776-3500 or via email at [email protected] Friday, September 24, 2010 9:00 a.m. to 1:00 p.m. Butler County Airport 475 Airport Road Butler, PA 16002 www.guidetogoodhealth.com Flu Shots Special Guests Grand Prize Drawnings Summer 2010 Please join us for the 2010 Preemie Conference Saturday, August 14, 2010 at the Western PA School for Blind Children Featured program, “Preemie for a Day” will be available to the first 150 registered. Plus, over 18 breakout sessions. Approximately 8 CEUs are available for the day. To register: www.PARENTRESOURCENETWORK.org or call with questions 877-647-4373. Are you planning a Senior Expo or Health Fair? Call (412) 835-5796 or [email protected] to see how we can help you promote your event. Memory Walk is the Alzheimer's Association’s national signature event to help those battling Alzheimer's disease. 9:00 a.m. - 4:00 p.m. Washington Memory Walk • Saturday, September 25th Peterswood Park Registration 8:00 a.m. • Walk Start 9:00 a.m. For more information please call 412-261-5040. We hope to see you there! EVE ENSLER Playwright HOSTED BY GOVERNOR EDWARD G. RENDELL & THE PENNSYLVANIA COMMISSION FOR WOMEN ELLEN ALEMANY CEO Citizens Financial Group KELLY CORRIGAN Best-Selling Author YOUR TIME IS NOW! Be fearlessly resilient. Rebound with purpose & power. Lead with intention. Discover what you want —and go get it. Summer 2010 MAE JEMISON First African-American Female Astronaut OCTOBER 14 PITTSBURGH DAVID L. LAWRENCE CONVENTION CENTER REGISTER NOW! PAGovernorsConferenceForWomen.org www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 47 REIKI: SUPPORT FOR YOUR INNATE ABILITY TO HEAL NATURAL HEALTH InsomniaHow Kundalini Yoga Can Help! By Heather Ferri I t is very common to have student's walk into a yoga class and announce they are not interested in chanting or doing meditation work. Why? Through my teaching experiences around the world I have found people have misread much information on yoga. I also believe we have hired people to teach yoga who are not certified nor educated in the science. Chanting is vital in creating a sound vibration that heals the body from within. The science behind the chanting involves the positioning of the tongue with having 84 meridians in the mouth that stimulate different glands in the brain. Chanting certain vowels opens the chambers to the brain and relaxation occurs. The first reason people may be having insomnia is they are not capable of shutting down their nervous system. In Kundalini Yoga we have specific sets to focus on the nerves and reprogram the body to begin to feel a calm release and a deeper breath. Second, using one of the meditations Sa Ta Na Ma, which you press on each finger with the thumb while chanting those sounds over and over again, begins the process of cleaning the sub-conscious part of the brain. This is the part of the brain that focuses on the past. The goal in meditation is to get to a place where you can be completely in the present moment. Finally, doing meditation work right before you go to bed will build better habits for the brain and body to process. In time I have found student's to experience a shift in their sleeping patterns and feel a window of clarity enter their minds. This window then creates a healthier mind during the day from having the ability to properly shut down at night. Heather Ferri, Certified Kundalini Yoga Practioner, master trained, motivational speaker, and life coach. Heather teaches classes for corporations, privates located in Greentree, and she also travels to clients’ homes. Call (412) 276-2466 to register for a class. Her yoga space in Greentree holds beginner to advance classes in the morning, lunch-time and at night! > Natural Health “Reiki” is a Japanese word representing vitality or life force and is often associated with the eastern healing arts such as Acupuncture, Yoga, and Tai Chi, as well as Therapeutic Touch, taught in many American nursing schools. Reiki Healing In fact, Reiki was developed in Japan during the last cencan help tury by Dr. Mikao Usui, and is taught and practiced world-wide. enhance the Pronounced 'ray-key', Reiki Healing is effectiveness recognized as a holistic and natural therapy of other which considers the total human being, rather than separating it into various physitherapies and ological, psychological and spiritual parts. reduce During a treatment, the focused caring unpleasant side touch of the trained practitioner conveys Reiki energy to the client. It is a hands-on effects, such as energy healing system that supports individthe nausea and ual healing processes and allows the recipifatigue ent to control when and where the Reiki energy is used. associated with Reiki effectively addresses a wide variety chemotherapy. of physical, emotional, mental and spiritual healing needs, such as stress, cancer, fibromyalgia, migraines, arthritis, asthma, pain management, mental health issues including depression, end of life care… the list goes on! Reiki is also very effective in supporting existing wellness. Reiki Healing can be used in conjunction with your regular medical program. In fact, Reiki can help enhance the effectiveness of other therapies and reduce unpleasant side effects, such as the nausea and fatigue associated with chemotherapy. Other frequently reported general benefits include: pain relief; reduction and often elimination of mental and emotional stress; deep relaxation; support for addiction withdrawal; and acceleration of the healing process. A Reiki treatment is very gentle and relaxing. A typical session lasts about 60 minutes and consists of light placement of a practitioner’s hands on or above prescribed points about your head, torso and back, while you sit or lie comfortably, fully clothed. It’s the perfect opportunity to fully relax, let go of stress and allow your body to utilize its innate ability to heal. > Key Stone Reiki is an alliance of practitioners based in Pittsburgh trained in the Usui System of Reiki Healing. They are available to help you explore this effective and versatile approach to healing. Key Stone Reiki has offered Reiki treatment and training in the Pittsburgh area and beyond since 1994. Call (412) 727-1731 or visit our web site at www.KeyStoneReiki.com for an introductory, discounted appointment. > For more stories on leading a healthy life, go to www.guidetogoodhealth.com Alternative Wellness Naturally Directory “Achieving Good Health Begins in your thoughts.’ Specializing in Emotional Iridology and Sclerology (Iris & Sclera Analysis) Homeopathic approach is applied to the analysis using Vibrational Essences. Chinese Acupuncture & Herbs Center Offering Reiki Energy Sessions Since 2003 Tabatha Knox, NHP, CEI, RMP • Back/Neck Pain • Headaches/Migraines • Anxiety/Depression • Infertility • IVF/IUI Support • Facial Rejuvenation • Weight Control • And MORE 412-563-3328 Mt. Lebanon Professional Building, 20 Cedar Blvd. Suite 301, Mt. Lebanon, PA 15228 Cheng Charlie Yang, L. Ac Xuan Maggie Liu, L. Ac www.pittsburghacupuncture.com 48 GUIDE TO GOOD HEALTH • Board Certified through the American Association of Drugless Practitioners • Member of the International Iridology Practitioners Association • Member of the International Association of Reiki Professionals www.guidetogoodhealth.com 568 3rd Street, 2nd Floor Same Floor As Art Studio Beaver, PA 15009 412-613-4480 www.alternativewellnessnaturally.com Summer 2010 Acupuncture and Natural Facial Rejuvenation A cupuncture and Traditional Chinese Medicine (TCM) can provide a safe, effective, natural, and drug-free approach to reducing the signs of aging. A facial rejuvenation using this ancient technique can improve muscle tone of the face and neck while addressing underlying imbalances that may have contributed to the aging Acupuncturists (l-r) Cheng Charlie Yang, L. Ac process. Why does skin sag? and Xuan Maggie Liu, L. Ac are certified by According to TCM, wrin- the National Certification Commission for kles begin internally from a Acupuncture and Oriental Medicine and also constitutional imbalance are licensed by the Pennsylvania Medical and fundamental weakness Board. Xuan Maggie Liu specializes in infertilof Qi. Qi circulates through- ity, IVF support, women’s care and facial rejuout the body within a series venation. of pathways called meridians. Flowing though these pathways, Qi provides nourishment, support, and energy to every cell, tissue, muscle, and organ. As we get older it becomes more difficult for Qi to flow upwards to “lift ” the face. This leads to inadequate muscles tone, and over time, wrinkles and sagging skin. A variety of factors can contribute to this-poor diet , digestion and circulation, or emotional and environmental stresses. Give your skin a lift. A facial rejuvenation using acupuncture, tightens pores, improves muscles tone and dermal contraction, while enhancing and increasing the elasticity of the skin. Acupuncture can reduce signs of aging by strengthening and stimulating the circulation of Qi within the meridian pathways, especially those of the face. You will look and feel more energetic, calm, vibrant and healthy. Acupuncture treatment may be combined with herbal supplement, exercise and acupressure in order to maximize results. Facial rejuvenation with acupuncture and TCM is virtually painless, and a non-surgical method to reduce the signs of aging. Before using drugs or surgery to improve appearance, consider acupuncture. It is an effective, natural, safe, drug free and painless alternative. It helps your whole body to look and feel younger. > For more information, call Chinese Acupuncture & Herbs Center, LLC, at (412) 563-3328 or visit their office at Mt Lebanon Professional Building, 20 Cedar Blvd, Suite 301, Pittsburgh. You can visit the website at www.pittsburghacupuncture.com. From 2009 Acupuncture Media Works THE POWER OF THE BREATH: Healing the Mind with T’ai Chi and Qigong By Dr. David Clippinger T When a person breathes softly and slowly, the heart relaxes and generates serotonin (a neurotransmitter that enhances mood), which generates a sense of calm. ’ai Chi and Qigong have been used for thousands of years to heal the diseases of both body and mind. The use of T’ai Chi and Qigong for diseases such as high blood pressure, diabetes, arthritis, cancer, and the like is welldocumented, but the mental health benefits of these practices are often overlooked. Yet, countless people for thousands of years have turned to T’ai Chi and Qigong to successfully treat mental diseases such as anxiety, depression, bi-polar disorder, schizophrenia, autism, and other mental disorders. The secret to the effectiveness of T’ai Chi and Qigong is the emphasis upon the breath, which restores the balance between the mind, emotions, and the physical body. When a person breathes softly and slowly, the heart relaxes and generates serotonin (a neurotransmitter that enhances mood), which generates a sense of calm. Such focused breathing establishes the connection between the emotions and the logical mind wherein the mind stops “racing,” the emotions are brought under control, and the physical body relaxes. The immediate benefits are profound, and under proper guidance, breath healing can be harnessed so that the individual has greater control over mental states. One such famous technique is called “Lama Breathing”—a reference to its use in Buddhist Monasteries in Northern China by monks and their teachers, called “Lamas.” To perform this exercise, assume a comfortable seated position. Cover the right nostril with the thumb of the right hand and inhale through the left nostril. Next, cover the left nostril with the middle finger of the right hand and exhale through the right nostril. Then inhale through the right nostril, close the right nostril, and exhale through the left nostril. Repeat the exercise through at least ten breath cycles, and with the mind focusing upon the physical qualities of the breaths themselves, which should be natural, soft, deep, and slow. The technique of Lama Breathing bridges the heart and the brain and centers the practitioner. This same technique is the mainstay of T’ai Chi and Qigong, and it is the “secret” of regaining the balance of body and mind and achieving “calm stability”—or what we know as being healthy, grounded, and feeling well. To learn these techniques is to harness the power of the breath in order to cure diseases as well as to preserve and maintain health. > Dr. David Clippinger is a T’ai Chi and Qigong Master, who has studied with a number of famous and respected T’ai Chi and Qigong teachers. More information about T’ai Chi, Qigong, and meditation can be found at www.stillmountaintaichi.com or (412) 480-9177. “Exercise isn’t torture...but getting into those jeans sure is!” Personal Training & Fitness Classes for Adults and Kids See our website for class schedule Located at 88 Fort Couch Road, Suite 102, Pittsburgh, PA 15241 phone: (412) 835-5411 t web: www.lockespersonalfitness.com Certified KUNDALINI YOGA TEACHER KEY STONE REIKI Heather Ferri, master trained, motivational speaker and life coach... CLASSES AVAILABLE: • Greentree location • Private in-home • For corporations To Register Call Heather at 412-276-2466 www.heatherferri.com Summer 2010 www.keystonereiki.com » Relieves Pain » Accelerates Healing » Reduces Stress » Induces Deep Relaxation » Increases Vitality » Improves Mental Health » Supports Addiction Withdrawal » Enhances Other Treatments & Therapies For Introductory-Discounted Appt: 412.727.1731 or [email protected] www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 49 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. Alzheimer’s Support Fitness Centers ALZHEIMER’S ASSOCIATION – GREATER PA CHAPTER 1-800-272-3900 • www.alz.org/pa WILFRED R. CAMERON WELLNESS CENTER OF THE WASHINGTON HOSPITAL 724-250-5228 wrcameronwellness.org Cardiology JEFFERSON CARDIOLOGY ASSOCIATION 412-469-1500 www.jeffersoncardiology.com Careers In Healthcare LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE 814-866-6641 • www.lecom.edu Children With Special Needs See page 35 Chiropractic SOUTHPOINTE CHIROPRACTIC & FITNESS Dr. Tyson Swigart 724-873-0700 southpointechiropractic.com Cleaning Service HEALTHTRAX® FITNESS & WELLNESS 1000 Higbee Drive, Bethel Park (412) 835-0500 • www.healthtrax.com Cosmetic Surgery AMELIA PARE´, M.D. 724-941-8838 • amypare.com RADIANCE PLASTIC SURGERY Lori Cherup, M.D., FACS 701 Boyce Rd., Bridgeville (412) 220-8181 • www.drcherup.com Dentist DR. ROBERT LUTHER 412-788-6300 www.pittsburghlaserdentist.com Diabetes Care ST. CLAIR HOSPITAL DIABETES CENTER 412-942-2151 • www.stclair.org Diagnostic Services JRMC DIAGNOSTIC SERVICES Bethel Park – 412-854-7100 Brentwood – 412-886-2700 Waterfront – 412-325-0990 Jefferson Hills – 412-460-8300 Jefferson MRI – 412-469-1701 www.jrmcpittsburgh.com Emergency Response Service Health News You and Your W IN TE R Family Can Use to Achieve Hospice CELTIC HEALTHCARE 1-800-355-8894 celtichealthcare.com FAMILY HOSPICE AND PALLIATIVE CARE 1-800-513-2148 www.familyhospice.com HEARTLAND Home Care • Hospice • IV Care 1-800-497-0575 heartlandhospice.com Hospitals CANONSBURG GENERAL HOSPITAL 1-877-284-2000 • www.wpahs.org PITTSBURGH’S 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 Fitness Trends for 2009 MEDICAL MIRACLES 16 • UFE’s Alternative to Hysterectomy • New Procedure for Knee Replacement REHABILITATION 18 DENTAL HEALTH 25 BOOMER & SENIOR LIVING OPTIONS 28 HOSPICE 30 CHILDREN WITH SPECIAL NEEDS 32 34 New! MEDICAL STUDIES HEALTHY HOME LIVING 38 Does Your Back Go Out More Than You Do? Researchers Study for Signs of Early Detection of Autism ElderC26are Baby Boomers Facing Addiction a life limiting There are options for those with See page illness … Consider Gateway listen and respond. We you call home Providing home based services…wherever Mastectomy & Wig Boutique EAGLE MEDICAL EQUIPMENT CORP. 7937 Steubenville Pike, Oakdale 724-218-1051 www.pittmedicalsupply.com Natural Health ALTERNATIVE WELLNESS NATURALLY Tabatha Knox, Reiki Master 412-613-4480 www.alternativewellnessnaturally.com CHINESE ACUPUNCTURE & HERBS CENTER 412-563-3328 www.pittsburghacupuncture.com KEY STONE REIKI 412-727-1731 [email protected] www.keystonereiki.com STILL MOUNTAIN T’AI CHI AND CHI KUNG, PITTSBURGH Dr. David Clippinger 412-480-9177 [email protected] www.stillmountaintaichi.com Orthodontics GOOD ORTHODONTICS 111 Washington Street, Washington 724-225-1114 22 Old Clairton Road 412-655-4660 677 Washington Road 412-344-4663 [email protected] See page 21 Pain Relief THE INSTITUTE FOR PAIN DIAGNOSTICS AND CARE www.ifpdac.org 412-777-6400 Pediatrics PEDIATRIC ALLIANCE, P.C. See ad on page 31 for locations 12 different locations www.pediatricalliance.com Physicians WASHINGTON PHYSICIAN HOSPITAL ORGANIZATION PROVIDER NETWORK See pages 26-27 Podiatry PITTSBURGH FAMILY FOOT CARE, P.C. Dr. Karen Luther Dr. Darlene N. Saheta Dr. Wayne E. Clouse Dr. Charles R. Dushack 724-941-9440 www.pffcpc.com Primary Care Physicians PREFERRED PRIMARY CARE PHYSICIANS Walter J. Robison, M.D. Ashith Mally, M.D. Stephanie Colodny, M.D. 724-941-8877 www.ppcp.org Radiology SOUTHWEST REGIONAL MEDICAL CENTER Waynesburg, PA 724-627-2622 www.sw-rmc.com Rehabilitation HEALTHSOUTH 1-877-937-REHAB NOVACARE REHABILITATION 159 Waterdam Road, McMurray 724-942-1511 Physical, Occupational and Aquatic Therapy. Incontinence Rehab. Massage Therapy open to the public. Senior Resources See page 44 Social Services WASHINGTON CITY MISSION 724-222-8530 www.citymission.org A non-denominational, Christian, social services organization, which provides critically needed goods and services to homeless, poor, and needy of Western Pennsylvania without regard to race, color, creed, national origin or religion. Special Needs, Adult & Children ACCESSABILITIES, INC. It’s about possibilities, not disabilities. 724-832-8272 www.accessAbilities.org Support Organizations AMERICAN RESPIRATORY ALLIANCE OF WESTERN PENNSYLVANIA 1-800-220-1990 • www.healthylungs.org Varicose Vein Treatment & Cardiology JEFFERSON CARDIOLOGY ASSOCIATION 412-469-1500 www.jeffersoncardiology.com RADIANCE SURGERY CENTER Dr. Philip Georgevich 701 Boyce Rd., Bridgeville 412-220-2336 WEIGHT LOSS HEALTHY PERFORMANCE® 1-800-900-THIN HealthyPerformance.net Wound Care OHIO VALLEY GENERAL HOSPITAL WOUND CARE CENTER 412-250-2600 www.ohiovalleyhospital.org Yoga HEATHER FERRI 412-276-2466 www.heatherferri.com Call (412) 835-5796 or [email protected] to see how you can be included in this directory. 20 09 REMEMBER Medicare: What People Want to Know DIANA FLETCHER 724-733-7562 www.dianafletcher.com Medical Equipment If you are interested in this study, contact Michelle Colwell at 412-653-3080 ext.1041 for more information. Optimal Health Tips for HEART CARE CENTER FOR PAIN RELIEF Jay L. Karpen, MD, DAAPM McMurray, Monroeville, Waterfront, Greensburg 724-942-5188 Glaucoma Research Study FR EE g Life Coaching THE WELLNESS CENTER Southwest Regional Medical Center 724-627-2511 • www.sw-rmc.com AUTOMATED SECURITY ALERT 800-338-7114 • www.asamate.com Visit us online at www.guid Orthopedics K&J’S COMPLETE WOMAN BREAST FORMS, BRAS, WIGS A WOMAN'S SPECIALTY BOUTIQUE Our selection and 20 years experience will help you achieve a look that's right for you. Monroeville: 412-646-4661 Bethel Park: 412-835-5093 www.kjcompletewoman.com LOCKE'S PERSONAL FITNESS 91 Fort Couch Road, Pittsburgh 412-835-5411 www.lockespersonalfitness.com Health Management Services AMERICAN HEALTHCARE GROUP 412-563-8800 www.american-healthcare.net MAID WITH CARE 412-221-8500 www.maidwithcare.com THE WASHINGTON HOSPITAL 724-225-7000 www.washingtonhospital.org to sign up for your subscription Hospice. www.gatewayhospice.com 1-877-878-2244 LOW INTRODUCTORY PRICE OF $7.99. 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: _________________________________________________________ ______________________________________________________________________________________________ 50 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2010 Taking Care of Caregivers D absorbs all the nutrients o you know that from the foods we eat and there are 44.4 distributes it throughout million carethe body. Unless this organ givers in the United is healthy, the nutrients States and that there are cannot be absorbed and 22.9 million people you will feel tired, lethargic being cared for by these and simply worn out. caregivers? With the A good probiotic will average age of death in give the body the good bacthe United States being teria of the body which will 78 for men and 81 for keep the immune system women, we are living working up to par. By Dr. Bridget longer than ever. Everyone needs probiotics Modern medicine and Chufo if you have ever taken an technology have kept us alive longer but everything comes antibiotic or eat meat or fowl. with a price. That price is that many Probiotics are also a great suppleof these older folks need someone to ment for skin, hair, nails and brain take care of them. But, who takes development. Another great supplement is a care of the caregiver? The staff at Healthy Performance good antioxidant which strengthens does. We do that by offering nutri- the immune system that will weaken tional counseling, advice for exercis- without proper care. An antioxidant ing and great nutritional supple- works against the negative effects of ments. So often, the caregiver aging. Another key vitamin is depletes their vitamins and minerals Vitamin D which is necessary for the by not eating in a healthy manner. absorption of calcium, which is All too often the caregiver eats on needed in preventing brittle bones the run and fast food becomes a which leads to breakage. Add a good “normal” way of eating. There is no protein drink or protein bar when on time for preparing nutritious meals. the run and you’ve already made a Yet, the caregiver is the one who has huge difference in taking care of the to have an abundant amount of ener- caregiver. By following these simple steps, you can ease your emotional, gy just to get through the day. Our bodies, when under stress, physical and mental stress. deplete the B vitamins first. It also is Dr. Bridget Chufo is vital in the production of energy, President of Healthy including the metabolism of fats, Performance. carbohydrates, and protein. Without For more information, call them, the body cannot function to its optimum. We also need to have a 1-800-900-THIN or visit the website healthy gut. The intestinal tract www.healthyperformance.net. > $:$5(1(66 ('8&$7,21 6(59,&( 5(6($5&+ Guide To Good Health Directory NON-MEDICAL HOME CARE TRUSTED CAREGIVERS & COMPANIONS Quality, Trusted In-Home Care Companionship, meal preparation, transportation, medication reminders, family respite, grooming & hygiene, shopping, errands, light housekeeping, laundry, schedule appointments, water plants, organize household, play cards, make crafts, write letters, HANDS retrieve and read mail, discuss current events. THAT CARE 1-888-308-8284 EAGLE MEDICAL EQUIPMENT CORP. PRODUCTS AND SERVICES • • • • • • Back Braces Bath Safety Beds & Accessories Canes & Crutches Commodes Diabetic Shoes • Personal Care • Patient Room Home Care • Powered Mobility • Pressure Prevention • Respiratory • Electrotherapy • Glucose Meter • Incontinence Products • Jobst Products • Lift Chairs • • • • • Rollators Orthopedic Walkers Wheelchairs Wound Care Products We accept Medicare, Medicaid, Highmark, and most private insurances. FREE 7937 Steubenville Pike Oakdale, PA 15071 Delivery & Set Up Phone (724) 218-1051 • Fax (724) 218-1165 www.pittmedicalsupply.com Greater Pennsylvania Chapter Information, Referral, Education and Care Helpline 1.800.272.3900 www.alz.org/pa We’re here to help and offer hope. All day. Every day. In-Home Care For Your Loved Ones Do you or someone you know need help with the following? • Respite (Family Relief) • Transportation / Errand 24 hr. care available - Pharmacy Supplies • Meal Preparation - Grocery Shopping • Bed/Tub Transfers limited assistance - Gift Shopping Phone: 724-337-7581 [email protected] • www.stayathomecare.net • Additional Services include: - Light House Keeping - Laundry and Linen Washing - Medication Reminders “The care you need to stay at home!” 276814 • Walter J. Robison, M.D. • Ashith Mally, M.D. • Stephanie Colodny, M.D. 5000 Waterdam Plaza, Suite 120 (724) 941-8877 www.ppcp.org ____________________________________________________________________________________________ All board certified Internal Medicine. • Additional location on 1039 Brookline Blvd, Pittsburgh. DIANA FLETCHER CLC Speaker • Author • Life Coach [email protected] • www.dianafletcher.com 412-612-5977 Summer 2010 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 51 ADVANCED outpatient care AT V ILLAGE SQUARE . Lab Services • MRI General X-rays CT • • • Diabetes Center Physical Therapy • • Mammography • EKG Bone Densitometry All backed by the staff and expertise of a hospital that’s minutes away. SPECIALIZING IN EXCELLENCE Village Square at Fort Couch Road & Oxford Drive . 412-942-7100 . www.stclair.org