Health News You and Your Family Can Use to Achieve Optimal … · 2019-12-12 · ine fibroid embolization (UFE) is a viable non-surgical alternative to hysterectomy, which provides

Visit us online at www.guidetogoodhealth.comSUM

MER 2008

FREEFREE

Health News You and Your Family Can Use to Achieve Optimal Health

Debunking PlasticSurgery Myths

Special Focus

Women’sHealth

LivingSuccessfullyWithOvarian Cancer


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New Guidelines Issued for Breast MRI

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LOCAL NEWS 16DENTAL HEALTH 20REHABILITATION 24HEALTHY AGING 27

BOOMER & SENIOR LIVING OPTIONS 31CHILDREN WITH SPECIAL NEEDS 36

ON THE CUTTING EDGE 38HEALTHY EATING 41

New!CommunityConnections

See page 32

New Diabetes CenterFeatures Help In

One LocationPage 17

2 GUIDE TO GOOD HEALTH www.guidetogoodhealth.com Summer 2008

Armando Avolio, Jr. MDGregory B. Christiansen, MD

John M. Gibbons, MDPatrick T. McCulloch, MD

Vincent J. Ripepi, DOMichael J. Scheel, MDJoseph P. Stracci, DODavid M.Welker, MD

Southwestern PA Orthopedic Associates moved their Washington office to 125 North Franklin Drive, Washington (near CONSOL Energy Park)

(724) 225-8657 • (800) 828-2278 (CAST)

MCMURRAY - 5000 Waterdam Plaza Drive, Suite 240 • (724) 941-0111

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Orthopaedic Surgery • Foot & Ankle Reconstruction • Joint Replacement Hand and Upper Extremity • Sports Medicine • Rehabilitation

Kathleen V. Barton, CRNP • Jaime L.Anderson, PA-CKristen L. Hopes, PA-C • Madeline A.Wahl, PA-C

Adam M.Yesenosky, PA-C

Southwestern Pennsylvania Orthopedic Associates and Tri-County Orthopaedics have combined to become…

Over the most recent Fourth of July weekend—amidst the parades,backyard barbecues, and fireworks, all in celebration of our inde-pendence—it struck me how dependent we Americans have become

on our government to ensure our life, liberty, and pursuit of happiness.We run to the courts to solve even the most trivial disputes between

neighbors, we abdicate our responsibilities for teaching our children moralsto public school teachers, and we seek government bailouts when we makebad decisions, such as purchasing a home with a risky mortgage.

While we citizens turn increasingly to elected officials to make our pathsmooth and easy, politicians are happy to oblige, at least by issuing promiseafter promise that if we only trust them, life will be infinitely better than ifwe depended on ourselves and each other.

No where is this more obvious than in health care, which has emerged—along with the war in Iraq and the cost of gas—as a primary issue in thisyear’s presidential race. Whether one supports Senator McCain or SenatorObama, the hope of many is that the next administration will fix our health-care system and provide quality, affordable care to everyone.

This hope is understandable. Like millions of other Americans, one of mybiggest fears is not having health insurance for me or my family. A huge con-cern of many baby boomers is that they will lose their jobs and not have anycoverage after their COBRA runs out. I can’t imagine the horror of being toldthat a spouse or child needs life saving treatment, the cost of which willbankrupt the family.

Certainly, then, there is a role for government to play in providing healthcare for all; the cliché is true that the greatest country on earth, one that cansend a man to the moon, should be able to ensure the health of its citizen-ry, and provide some sort of cushion that augments other coverage. But isturning the whole challenge over to government really the solution?Shouldn’t we, as individual citizens, accept some of this responsibility?

After all, we are partially to blame for this predicament. We exacerbate itevery time we run to the doctor and demand a prescription for every little

malady or a procedure just because it is available. We create myr-iad end-of-life challenges because many don’t take the time to cre-ate a living will. And with the growing number of obese Americans, thegrowing abuse of illegal and legal drugs, and the increase in smoking amongyoung people, just to name a few not-so-positive trends, it’s frightening tothink what the long term effects these will have both on the overall healthof Americans and the cost to treat them.

We need to become less dependent on elected officials (few of whichclaim any particular healthcare experience or expertise), whose incentivesusually are at odds with individual desires and who have less than a stellartrack record running other national programs (for example, social security)and become more innovative ourselves. To that end, I would encourageindividuals within the healthcare industry, including physicians, adminis-trators, patient advocates, business leaders andrepresentatives of the insurance industry to devel-op solutions that address the concerns of all sec-tors. Maybe the proposals won’t meet everyone’sneeds completely, but I have no doubt they wouldbe preferable to the solutions mandated by BigBrother.

Nancy LammieYou can reach Nancy Lammie

at (412) 835-5796 or e-mail [email protected].

ONE opinion, WHAT’S YOURS?

E-mail your thoughts and “solutions” to [email protected].

Summer 2008 www.guidetogoodhealth.com GUIDE TO GOOD HEALTH 3

PUBLISHER’S NOTE

ALL WOMEN ARE AT RISK OFOVARIAN CANCER• Symptoms include bloating, pelvic or

abdominal pain, difficulty eating orfeeling full quickly, and urinary symp-toms (urgency or frequency)

• A Pap test DOES NOT detect the isease

• If symptoms persist for two or moreweeks, see your gynnecologist

KNOW YOUR BODYknow the symptoms

Talk to your doctor about risk factors and screening for ovarian cancer. Its a conversation that can save your life.

Visit www.ovarian.org or Contact NOCC Pittsburgh at 412-661-1095 to learn more.

DeclaringIndependence Again


By Nathalie Kuffer

Recently, a Suave commercial boldly stated that 89% of womenclaimed to have ‘let themselves go’. What a sad but believablestatistic! But when was the last time you saw a slim mother of

three with gorgeous locks, painted nails, stylish clothes and a brightwhite smile to complete the package? It is easy to assume that a goodmom/wife can’t possibly look that good and take good care of her fam-ily at the same time. Impossible! Or so it seems.

What we have forgotten is that in order for us to be a good womanand be everything to everyone, we need to make ourselves a priorityfirst. It may sound like a selfish thing to do, but self love will make youa better person.

BELOW ARE A FEW SIMPLE IDEAS ON HOW TO MAKESMALL COMMITMENTS TO NOT ‘LET YOURSELF GO’:

• Take advantage of the mobile wellness industry. Many well-ness professionals are able to cater to clients by going to theirhome or office. If you need a massage, pedicure, personal traineror even a haircut, no need to go anywhere. Save time and moneyand don’t feel guilty about it – you just did yourself a favor.

• Exercise whenever you can. It can be difficult to squeeze in a work-out everyday. Going to the gym for a workout is overrated. For example,you can get a good mini workout by climbing your stairs 10 times in 10minutes. In the very least, stay active and commit to moving vigorouslyin short 10 minute bouts a few times a day so as to not get overwhelmedwith a long and lagging routine.

• Make a date with your friends. When lifehappens, it can take over your schedule. If youcount on running into your friends and havingquality time; think again. Be sure to set time asidefor the people who matter in your life. Take outyour calendar, make the call, set a date. Sharingyour life with people other than your family iscrucial to your health!

• Stop, breathe, and appreciate. This simpletask of looking on the bright side (no matter howdark) will only make the day more pleasant. Callit the law of attraction, call it ‘optimism’ –Researchers at the Mayo Clinic have proven that“Optimists live longer than pessimists – about 19percent longer.”

A good woman will always think about puttingher family and/or career first. A better womanknows to pamper herself once in a while and taketime to decrease the odd of becoming yet anothersad statistic.

Did You Let Yourself Go?

>

More than 25 millionAmerican women have amedical condition that can

adversely impact their lives—uter-ine fibroids.

Uterine fibroids are common,benign noncancerous tumors thatgrow on or within the muscle tissueof the uterus. While some womenmay have fibroids and never experi-ence symptoms, fibroids can have asignificant effect on many women’squality of life. Every woman shouldsee a physician if she suspects thatshe has uterine fibroids.

Fibroids are typically diagnosedthrough a pelvic exam or an ultra-sound done by a gynecologist.While hysterectomy still remains theprimary treatment for fibroids, uter-ine fibroid embolization (UFE) is a

viable non-surgical alternative tohysterectomy, which provides reliefof major symptoms and a relativelyquick recovery time. A recentnational survey from the NationalWomen’s Health Resource Center(NWHRC) reveals that more womenwith symptomatic uterine fibroidsare discussing UFE with their med-ical professional. In fact, 40 percentof those surveyed were told aboutUFE by their physician, whodescribed it as a safe, effective alter-native treatment to hysterectomy.

“This survey data tells us moreabout the lives of women who haveuterine fibroids, and it is clear thatprogress has been made to educatewomen about the treatment alterna-tives available,” said ElizabethBattaglino Cahill, RN, executivevice president of NWHRC.“However, there is still plenty ofopportunity to continue to increasethe awareness of less invasive thera-pies and for women to discuss thosetherapies with their physicianbefore making a treatment decision.”Approximately six millionAmerican women have symptomssevere enough to require medicaltreatment. In fact, according to the

survey results, just over a third ofemployed women stated that theymiss at least one day of work amonth due to their fibroid symp-toms, and about half of theemployed women in this surveymiss more than two to three days ofwork per month while experiencingfibroid symptoms.

Additional survey findings in-clude:• Over 40 percent of women sur-

veyed discussed UFE with theirmedical professional, and ofthose, about 35 percent choseUFE as their treatment for theirfibroid condition

• About three in eight patients (38percent) say that their fibroidcondition “severely” or “sub-stantially” limits their recre-ational/athletic activities andtheir sex life

• The vast majority (60 percent) ofwomen who underwent UFE oruterine artery embolization(UAE) procedures experiencedless than two weeks of recov-ery—the shortest timeframe ofany of the three proceduraloptions which also includedmyomectomy and hysterectomy.

WHAT WOMEN NEED TO KNOWAlternative Option For Treating Uterine Fibroids

HYSTERECTOMY IS STILL THE MOST

COMMON TREATMENT OF SYMPTO-

MATIC UTERINE FIBROIDS, DESPITE

THE PROVEN EFFECTIVENESS OF A

LESS-INVASIVE PROCEDURE CALLED

UTERINE FIBROID EMBOLIZATION

(UFE).

Did You Know?

For more information, visitwww.ask4UFE.com andwww.healthywomen.org.>

WOMEN’S HEALTH

COMMON SYMPTOMS MAY INCLUDE:

• Heavy bleeding • Pelvic discomfort• Bloated abdomen• Anemia• Painful intercourse• Leg pain• Pressure on other organs

Nathalie Kuffer is a certified Personal Trainer,Aerobics Instructor, Nutrition and Wellness

Consultant and Pilates Instructor. She is owner and founder of

Fun 'n Fit - Mobile Fitness Services and canbe reached by going to www.funnfit.us

or calling (724) 290-7172.

By Vanessa Orr

For years, women who suf-fered from urinary inconti-nence or who required a hys-

terectomy didn’t have many surgi-cal options available. In order tofind relief, they often had to under-go major surgery, which waspainful, required long recoverytimes and increased the risk ofinfection or other complications.But today there are minimally inva-sive options that successfully treatthese conditions, greatly improvinga woman’s quality of life.

“At Ohio Valley General Hospital(OVGH), we are performing a spe-cial sling procedure, called a trans-vaginal tape sling, that has a 90percent cure rate for stress inconti-nence,” explained Vladimir Niki-forouk, M.D. “It also has a 40 to 50percent cure rate in women suffer-ing from combined urge and stressincontinence.”

Urge incontinence is leakage ofurine due to bladder muscles thatcontract inappropriately; stressincontinence is the involuntaryloss of urine that occurs duringphysical activity, such as coughing,sneezing, laughing or exercise.

A transvaginal sling restores uri-nary function by returning apatient’s anatomy to its original posi-tion. Instead of making an abdomi-nal incision, the sling is placedthrough a small incision in the vagi-nal area and two small tacks areplaced in the pubic bone to hold thebladder neck. The sling remains inthe body to provide support.

This minimally invasive proce-dure takes about 10 minutes toperform, and can be used as a treat-ment option for most women suf-fering from incontinence. “Thesling procedure is much betterthan the traditional method oftreating incontinence, whichrequires the surgeon to make acut—similar to a traditional hys-terectomy cut—on the patient,”said Dr. Nikiforouk. “Patients whohave the traditional surgery have ahigher risk of infection and com-plications and spend about sixweeks recovering from the proce-dure.” This traditional form ofsurgery results in a 70 percent curerate for patients with stress incon-tinence.

After undergoing the sling pro-cedure, patients can usually returnhome within six to 12 hours andeven return to work the same day.“We are seeing magnificent out-comes with this surgery,” said Dr.Nikiforouk, who has performedbetween 150 and 200 of the proce-

dures to date.Women who come to Ohio

Valley General Hospital for a hys-terectomy can take advantage ofminimally invasive options as well.While patients in the past mighthave been required to undergo atraditional hysterectomy followedby a six-week recovery, patientstoday can undergo a laparoscopichysterectomy, which requires farless recovery time. “Laparoscopichysterectomies are an excellentoption for women who suffer fromsevere cramping and bleeding andwho need to find resolution forthese symptoms,” said Dr.Nikiforouk. “Because this is a min-imally invasive surgery, patientsusually recover within three toseven days, instead of six weeks.”

“The procedure itself takesbetween 45 minutes and an hour-and-a-half, and requires extremelysmall incisions,” he added. “Thishelps to decrease the chance ofinfection, bleeding and pain.”

According to Dr. Nikiforouk,who has been performing laparo-scopic hysterectomies for the pastfive years, he and his partner, Dr.Jennifer Stull, have performedapproximately 30 of these proce-dures in the past five months atOhio Valley General Hospital.“Only five percent of physicians inthe United States can offer thisoption, which we believe is thedefinitive treatment,” he said.“Because this is a new subspecialtyin the field of gynecology, most res-idents don’t learn this procedure.”

Last year, Drs. Nikiforouk andStull started offering laparoscopichysterectomies at Ohio ValleyGeneral Hospital. “One of thebiggest benefits of coming to OVGHis that Dr. Stull and I work togetheras a team during each surgery,” saidDr. Nikiforouk. “Because we assisteach other, patients’ procedures gomuch smoother and faster.Instrumentation has also improvedsignificantly in the past year, which

has streamlined the procedure evenmore.”

According to Dr. Nikiforouk, theprocedure is appropriate for mostwomen. “People come from all overwestern Pennsylvania, Ohio andWest Virginia to have this surgeryperformed at OVGH,” he said.

“It’s really a great option for themodern woman who needs to getback to work, or to her life, morequickly. The majority of womendon’t require many pain medica-tions within 24 hours of the surgery,and within seven to 10 days, mostwomen can go back to work.”

OVGH Offers Minimally Invasive Treatment Options for Incontinence, Hysterectomy

Dr. Jennifer Stull Dr. Vladimir Nikiforouk

“Laparoscopic

hysterectomies are

an excellent option

for women who

suffer from severe

cramping and

bleeding and who

need to find

resolution for

these symptoms.

Because this is a

minimally invasive

surgery, patients

usually recover

within three to

seven days, instead

of six weeks.”

-Dr. Vladimir Nikiforouk

For more information on minimally invasive optionsoffered at Ohio ValleyGeneral Hospital, visit www.ohiovalleyhospital.orgor call (412) 777-6161.

>


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By April Terreri

When Lynn Giglione, 54,first discovered shehad ovarian cancer

eight years ago, she was deter-mined to cope successfullydespite the odds. A nurse for 30years, she well understood thechallenges facing her. “It is a dev-astating disease. Of all the gyne-cological cancers, it has the worstprognosis because it’s the mostlethal of these cancers.” It is alsoa disease with very subtle symp-toms that, many times, are over-looked. An alarming number ofwomen finally discover they haveovarian cancer when it is in thelater stages of developmentbecause of these subtle symp-toms. [See sidebar]

Lynn’s journey began when shewas diagnosed with the diseaseduring a routine gynecologicalexam. Despite the frighteningnews that she had ovarian cancer,the fact that it was in the earlyphase of Stage 1 offered a glim-mer of hope. “Statistically, there isusually no recurrence of the dis-ease when it is discovered inStage 1,” she says. She underwenta hysterectomy immediately. Butthree years later, the cancerrecurred and in the last eightyears, she has had four recur-rences which required three surg-eries, four courses of chemother-apy, and one course of radiation.

CHOOSING A TREATMENT APPROACH

Believing in combining the bestof both worlds, Lynn chose acomplementary approach to hertreatment. She sees both a gyne-cological oncologist as well as aholistic physician. “I take a lot ofdifferent vitamins orally. I alsotake a high dosage of Vitamin Conce a week. I believe theVitamin C helps my immune sys-tem to better tolerate treatmentand I am hopeful it also will helplengthen the time between recur-rences. I really believe I wouldnot have been able to work fulltime through all of this over thelast eight years if I wasn’t usingsome of these complementarytherapies.”

Lynn says the approach awoman chooses is really a verypersonal decision and that somewomen choose to use a tradition-al approach exclusively. “My feel-ing was I needed to be doingsomething else and I think I amcoping better because I believe Iam covering all my bases.”

Knowing that working wouldhelp her cope better, Lynn contin-ued to work full time as a health-care administrator, taking timeoff only for her surgeries. Withher mind focused on her work,she didn’t have time to thinkabout the disease. “I workedthrough my chemotherapy andradiation treatments. I think Iwas able to do this because of themedications available to treat theside effects of these treatmentssuch as anemia, nausea, andreduced white blood cells.”

In addition to her work, Lynn’spersonal support network playeda major role in lending her thestrength she needed to cope suc-

cessfully both physically andemotionally. Her husband andtwo sons, several close friends,and her faith were extremelyimportant to her during the try-ing times. She also found a broadbase of support through the peo-ple at the Pittsburgh chapter ofthe National Ovarian CancerCoalition (NOCC).

When she had her first recur-rence of the disease, Lynn con-tacted NOCC who linked her toanother survivor through itsPicking up the Pieces (PUP) pro-gram. “It was helpful to havesomeone to be able to talk to whohad gone through the samethings I was going through. It wasa wonderful experience becausethe woman they linked me toreally clicked with me. She alsohelped me through the process ofhospital and insurance issues.”

SEEK A GYNECOLOGICONCOLOGIST

Women diagnosed when theirdisease has reached Stage 3 orStage 4 face a ‘grim’ prognosis,but Lynn still is hopeful forthem. “I am a person who seesthe glass half full. Even at thesestages, about 90 percent ofwomen can get into remissionwith surgery and chemotherapy.But that doesn’t mean it won’trecur.”

She urges women to seek helpfrom a specialist in the treatmentof ovarian cancer, namely a gyne-cologic oncologist. “They will dothe best job to get rid of themajority of the tumor while rec-ommending the best type ofchemotherapy.”

There are no known causes forthe disease, but a woman’s familyhistory offers clues to her risk ofdeveloping ovarian cancer.Having a mother or sister withthe disease increases her risk fac-tor. Yet only 5 percent to 10 per-cent of ovarian cancers are con-sidered to be familial. Other fac-tors that increase risk includeage, infertility, and a personalhistory of previous cancers. Themedian age at diagnosis is 63.

“About the only thing we doknow that substantially increasesyour risk is if you have a muta-tion in a particular gene,” Lynnreports. Blood tests (BRCA 1 andBRCA2) can indicate if thatmutation is present. If the gene ismutated, a woman can expecther risk to increase between 40percent and 60 percent. Lifetimerisk for the general population is1.8 percent.

LivingSuccessfully

with OvarianCancer

“About 80

percent of all

women with

ovarian cancer

are diagnosed in

Stage 3 or Stage 4

and this is very

alarming… there is

no diagnostic

screening tool for

ovarian cancer. So

this means we have

to rely on women

to know their own

bodies so they can

recognize the

symptoms in order

to detect the dis-

ease early.”

-Lynn Giglione

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412-833-6166

FEATURE


LISTEN TO YOUR BODYAbout 90 percent of women who have the disease report they experi-

enced some symptoms, but those symptoms are very subtle. “A lot of thesesymptoms may mimic other diseases,” explains Lynn. “For instance,women might think the extra weight in their bellies is due to menopause.Or that a change in their bowel habits could be due to irritable bowels. Sothe symptoms are so vague that women might think nothing of them,thereby delaying diagnosis.”

Having one of the more aggressive forms of the three types of ovariancancer and delaying diagnosis could be brutal because the disease couldspread out of the pelvic area into the abdominal cavity. “About 80 percentof all women with ovarian cancer are diagnosed in Stage 3 or Stage 4 andthis is very alarming,” Lynn notes. “This is another reason I am so pas-sionate about education and outreach because there is no diagnosticscreening tool for ovarian cancer. So this means we have to rely on womento know their own bodies so they can recognize the symptoms in order todetect the disease early.”

Lynn’s advice to all women is to watch for those subtle signs. “If youhave symptoms that persist for two weeks or longer, make sure you get anappointment with your gynecologist right away.” She urges women to beaggressive if they are not satisfied with what they expect from their doc-tors. “A delay in diagnosis candecrease your odds for survivalsignificantly.”

For women with ovarian cancer,Lynn advises them to get treatmentin a national center of excellencein a hospital in a major metropoli-tan area with gynecological oncol-ogists on staff. “You want to makesure you are getting the most up-to-date treatment and clinical tri-als that are available. You alsowant to make sure you have astrong support network through-out your journey with this dis-ease.”

Recently elected president ofNOCC (for which she served as aboard member for two years),Lynn is active in education andoutreach programs, speaking to awide range of community and pro-fessional groups includingwomen’s clubs, church groups,schools of nursing, physician orga-nizations, and nurse practitionerprograms. She is determined tospread the word about earlier diag-nosis of this disease.

NOCC offers monthly educa-tional sessions at Magee-WomensHospital of UPMC or Gilda’s Clubof Western Pennsylvania. Theschedule of sessions is available atthe NOCC Web site, or by calling(412) 661-1095.

“Women with ovarian cancerand their families can find lots ofsupport here,” Lynn says. “We alsodo several fund-raising eventsannually to support our mission.”

The upcoming fund-raisingevent will be the Walk for OvarianCancer in North Park on Sunday,September 14.

Gennady Geskin, MD, FACCBoard Certified in Vascular and Endovascular MedicineJefferson Cardiology AssociationSuite 403, 575 Coal Valley RoadJefferson Regional Medical Center Medical Office BuildingPittsburgh, PA 15236

(412) 469-1500

www.jeffersoncardiology.com

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> If you have any additionalquestions regarding ovariancancer, you can reach LynnGiglione at (412) 733-1910.

See page 32 for more information on the National

Ovarian Cancer Coalition (NOCC)

The National Cancer Institute reports that ovarian cancer is thefourth-leading cause of cancer deaths among women.Although ovariancancer accounts for about 4 percent of all cancers in women, it has thehighest mortality rate of all gynecologic cancers. The reason is that itis usually diagnosed at an advanced stage because there are no provenscreening tests and because the symptoms are very subtle. So health-care professionals urge women to be their own first line of defense inrecognizing symptoms.Women should get an immediate medical examwith their gynecologist if any of the following symptoms persist fortwo weeks.

• Bloating or abdominal distension• Difficulty eating or feeling full quickly• Pelvic or abdominal pain or discomfort• Urinary urgency or frequency in the absence of infection• Gastrointestinal symptoms such as nausea or changes in bowel habits

Ovarian Cancer Symptoms

By Lois Thomson

TWENTY BILLION DOLLARS. THAT IS

THE ESTIMATED COST OF OSTEO-

POROSIS-RELATED FRACTURES IN A

SINGLE YEAR. "I THINK IT'S IMPOR-

TANT TO UNDERSTAND WHAT IT

COSTS," SAYS DR. JAY KARPEN. "IT'S

ABSOLUTELY ASTOUNDING."

Dr. Karpen continued, "It falls under one of the morepainful metabolic bone disorders, which also caus-es frequent chronic pain. Being a pain physician,

one of the most painful and disabling conditions I treat isosteoporosis, and it affects predominantly women."

According to Dr. Karpen, osteoporosis is an atrophy ofthe bone, which leads to low bone mass, fragility, and even-tually susceptibility to fractures. He said the most commonareas for fractures are the spine, the hip or the lower part ofthe arm, "but any bone can be affected."

However, he pointed out, "Anyone can fall and break abone. But an osteoporotic doesn't necessarily have to fall.Because their bones are so brittle, I've had cases wherethey've fractured a rib just by sneezing."

Sometimes there is no fracture, but the patient is experiencing consider-able pain. Dr. Karpen said he also sees signs of loss of height and backachethat may be the result of vertebral compression fractures, that can be excru-

ciating. "Since pain management is my specialty, it's absolute-ly vital to get that under control. So we try to immobilizethem, but not for a long period of time because it gets worsethe longer they're immobile. We are also able to sometimes donerve blocks or epidural blocks with either local anesthetic ornarcotics.

"You do this because the patient may have other ailments,and if they have rib fractures or vertebral fractures and theirpain is severe, they could then have problems with respira-tion. And with prolonged immobilization, you start gettinginto other issues such as cardiovascular problems."

Dr. Karpen said some groups are predisposed to osteoporo-sis, particularly women over the age of 50 or those who arepost-menopausal, because of their lower estrogen levels."Some conditions can predispose you to developing osteo-porosis, such as long-term steroid treatment, inactivelifestyle, heavy smoking, and alcohol abuse. Medical condi-tions such as gastrointestinal diseases, where they're not ableto absorb the necessary nutrients, renal failure, and hyper-parathyroidism are also a predisposition."

To help prevent, or at least slow, osteoporosis, he encour-ages women to watch their diet and get plenty of calcium andvitamin D supplements. Weight-bearing exercise, such as lift-ing weights or running, is also recommended, because bonesneed stress to regenerate.

And have a bone mineral density test. "That is a test every-one should have as a baseline."


Cost of Osteoporosis is 'Astounding'

> For more information, call Dr. Jay Karpen at the Center for Pain Relief at (724) 942-5188.

"Some

conditions

can predispose

you to

developing

osteoporosis,

such as long-term

steroid treat-

ment, inactive

lifestyle, heavy

smoking, and

alcohol abuse.

--DDrr.. KKaarrppeenn

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Heavy Periods? Pelvic Pain?Frequent Urination? Constipation/Bloating?

You might have uterine fibroids

Uterine fibroids are non-cancerous tumors that grow on or in the muscles of the uterus (womb). At least 25 percent ofwomen in the U.S. have fibroids.

Uterine Fibroid Embolization (UFE) is a safe, non-surgical procedure for treating uterine fibroids and providing symptom relief.

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By Vanessa Orr

Just like death and taxes, aging isinevitable. But just becausewomen are getting older doesn’t

mean that they should stop takingcare of themselves. In fact, with a lit-tle care and maintenance, somewomen find that the best years lieahead.

“Time and hormones can cause alot of changes in women’s bodies,ranging from the development ofskin tags and liver spots to weightgain and a loss of muscle mass aftermenopause,” explained board-certi-

fied plastic surgeon Dr. Amelia Paré.“But many of these conditions aretreatable, and can be taken care of bydermatologists, plastic surgeons oreven a person’s primary care physi-cian. I’ve often heard the comment,‘why should I go to a doctor? Theyonly find problems.’ But the fact is,as you get older, you have to makemore of an investment in yourhealth.”

This is true not only for the treat-ment of issues like skin tags andliver spots, but also for a woman’soverall health. “Women need to dobreast health exams, and see their

doctors at least once a year for anannual check-up,” said Dr. Paré.“Mammograms should begin at age40, though they may be prescribedearlier, depending on a person’s riskfactors.”

Women should also see their doc-tors about any unexplained bodychanges, such as weight gain or loss,or growth of facial hair. “Whileweight gain often occurs aftermenopause, if a person is workingout and still not losing weight, Iwould recommend seeing a doctorto make sure that the thyroid iswithin normal limits,” said Dr. Paré.“Facial hair and weight gain can becaused by insulin-resistant diabetes,which can be diagnosed by anendocrinologist.”

If a woman is experiencing nor-mal weight gain as a part of gettingolder, Dr. Paré recommends exercis-ing three to four times a week. “Welose muscle mass after menopause,but working out can make a big dif-ference in how we look and feel,”she explained. “It’s just like owninga car; if you don’t maintain it, it’s notgoing to get you very far. If you takecare of it, it will take care of you.”

There are also medical treatmentsavailable to help in the battle againsttime. Depilatories and lasers canhelp reduce unwanted hair, and liverspots can be treated by lasers as well.“Lasers work in about 40 percent ofpatients,” said Dr. Paré. “If you havetremendous darkening on the face itmay be worth the cost; but if youjust have liver spots on your arms, itmight not be worth it.” Dr. Paréadds that although hydroquinone isoften used to treat the condition, itisn’t very successful.

“Women should also wear sun-screen so that liverspots don’t get worse,”she added. “Pigmentin the skin caused bymelanocytes willlighten up over time,but the sun will causeit to flare up.”

As unbelievable asit may seem, womenwho get older also suf-

fer from the onset of adult acne.“Who would have thought that wewould have wrinkles and acne at thesame time?” said Dr. Paré. Whileoral contraceptives can help treatthis condition, so can reducingstress and getting more rest.

“Women have had great successwith the oral contraceptive YAZ,which is just as effective as othercontraceptives but also helps todecrease middle-age acne,” said Dr.Paré. “I also suggest that patientslearn to compartmentalize stress sothat they don’t try to deal witheverything at the same time, and toask for help if they need it.” Creams,peels and Accutane can also be usedto help women who develop acne asthey age.

For women who are thinking ofhaving major surgery to correct theeffects of time, liposuction can be anoption. “The important thing tounderstand about liposuction is thatit is more of a contour procedurethan a weight-loss procedure; weonly take out about four liters of fat,or eight pounds, during an outpa-tient procedure,” said Dr. Paré.

Breast-lifting, or mastoplexy, canhelp women who are suffering fromthe effects of gravity, though breastaugmentation might be recommend-ed if the patient has suffered tissueloss. “The softer the breast tissue,the more we need to augment it sothat the breast does not remain com-pressed,” said Dr. Paré.

In the ongoing war against aging,Dr. Paré has some simple advice.“Water, water, water and sunscreen,”she says. “The cumulative effect ofyears in the sun and dehydrationshows in the skin. Stop smoking andgo walking; changes in your lifestyle

can make a big differencein how you look and feel.”

Lifestyle Changes, Medical Treatments Can

Help Women As They Age

For more information, callDr. Amelia Pare´

at (724) 941-8838;www.amypare.com.

>


By Theodore A. Lazzaro, D.M.D., M.D.

SOME THINGS ARE MYTHS RATHER THAN FACTS.COMMONLY HELD AS BEING TRUE, THESE CONCERNSARE FAR FROM THE TRUTH. FOR ME, IT’S IMPORTANTTO GET PATIENTS TO THE RIGHT DOCTOR FOR THECARE THEY DESIRE AND THINK THEY ARE RECEIVING.

Nothing could be further from the truth!The easiest way to know that the plasticsurgeon you are going to is a BoardCertified Plastic Surgeon, is that he/shewill freely and openly exhibit the two logos that distinguish his / her prac-tice. Look for these logos (pictured above) – it's as simple as that!

More and more individuals are opting for elective procedures. Familieswith annual salaries between $36,000 - $50,000, are one of the fascinatinghealth-conscious groups to watch in terms of selecting elective cosmeticprocedures.

Last year, men had over 1.2 million procedures performed. The top threeprocedures chosen by gentlemen include Rhinoplasty, Hair Transplantationand Liposuction.

When plastic surgery is performed in the right hands, for the right reasons,utilizing the right techniques, the "less is more" principle applies. Surgeryand treatments should provide an enhancing effect rather than a totalmake-over or stunningly different effect. Ultimately, the surgeon knows thatthere is not a change in basic personality, but rather in the body image orhow persons see themselves.

Debunking Plastic Surgery Myths

Dr. Theodore A. Lazzaro, Founder andExecutive Director of Aestique MedicalCenter in Greensburg, PA, is weekly co-hostof PCNC’s Aesthetic Medicine televisionshow, airing from 7:30 – 8:00 p.m. onThursday evenings. For more information, call1-800-832-6501 or visit the website atwww.aestique.com.

>

MYTH # 1: ALL PLASTIC AND COSMETIC SURGEONS ARE THE SAME.

MYTH # 2: ONLY THE WEALTHY GET PLASTIC SURGERY PROCEDURES.

MYTH # 3: MEN DON'T GET PLASTIC SURGERY.

MYTH # 5: PLASTIC SURGERY CHANGES A PERSON'S WHOLE APPEARANCE AND PERSONALITY.

Advertise in the Fall IssueWestern Pennsylvania

Guide TO Good Health

Call for a media kit 412-835-5796

or e-mail [email protected]


Osteoporosis – A Slow Process

By Lois Thomson

It's called a silent disease because you don't knowyou have it unless you get tested for it. Andbecause osteoporosis is such a slow process, doc-

tors generally don't even begin testing until a womanreaches age 65. That's why it's important for womento see if they are candidates to receive a screening atan earlier age.

Dr. Jennifer Lewis, a physician at WaterdamMedical Associates, said osteoporosis is a loss ofbone mass, in which the bone becomes weakened and prone to fracture. Thecause really isn't known, although several risk factors are involved; and it'sthose risk factors that women should be aware of.

She mentioned a personal history of a fracture, specifically, "Women whohave a fracture with minimal trauma. Say you're walking down the road andyou slip and twist your ankle, and it breaks. Or you have a slight fall and youend up with a hip fracture. If you're in a car accident and you fracture, that'snot unusual, but these circumstances are."

Dr. Lewis said a familyhistory of osteoporosis or ahip fracture is another fac-tor, as are alcohol abuse orsmoking. "Small-framedwomen, or women ofCaucasian or Asian descentare at higher risk. Chronicsteroid use—such as for

asthma or rheumatoid arthri-tis—definitely acceleratesbone loss. In the diet, notgetting enough calcium and

vitamin D. And the other key contributor is a loss of estrogen. That's whymenopause is the key timeframe."

Even though physicians don't know the exact cause of osteoporosis, Dr.Lewis said women can take action to help prevent it. "The main prevention ismaintaining a healthy body weight, and participating in regular weight-bearingexercise. People who have good muscles to support their bones are less likelyto get fractures.

"Calcium supplementation and vitamin D supplementation are two thingswe recommend —even before menopause, because women actually start losingbone mass around age 30," she continued. "And of course, smoking cessation."

Women who are over 65, or who have the risk factors, should see their physi-cian about a screening. Dr. Lewis said the test is a form of X-ray, and you lay ona table during the process. The idea is to get a baseline bone density, and thencompare the figure with a new screening every two years after that.

She said that figure refers to the number radiologists use to determine yourbone strength. "From 0 to –1.5 is low bone mass. Minus 1.5 to –2.4 is osteope-nia—our term for weak bones—and greater than –2.5 is osteoporosis."

For more information, call Dr. Jennifer Lewis at Waterdam Medical Associates at (724) 941-6697 or visit www.wpahsprimarycare.org/wma/index.html.

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"Small-framed

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Chronic steroid

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asthma or rheumatoid arthri-

tis—definitely accelerates

bone loss. -Dr. Jennifer Lewis

>


By Mary E. Peterson, M.D.

Menopause is a time of greatchange in a woman’s life.Her body experiences wide

fluctuations in hormones which cancause mood swings, skin changes,decrease in sex drive, insomnia, andbone loss. One of the most commonsymptoms of menopause is hotflashes. Up to 75% of all women willexperience hot flashes and nightsweats. They can last anywherefrom 6 months to 6 years, but onaverage last about 2 years. Hotflashes can be mild – a feeling ofwarmth in the upper chest,neck and head; moderate – amild hot flash additionally asso-ciated with sweating; or severe –a moderate hot flash which issevere enough to interfere withdaily functioning.

Much of the attention in deal-ing with hot flashes has beengiven to women with severe hotflashes, those which are fre-quent and associated with dis-ruption of activities. Thesesevere hot flashes frequentlyrequire hormones for control.Less attention has been given tothe women with mild or moder-ate hot flashes. While these hotflashes may not interfere withdaily activities, they are stillbothersome. Much of the timethe mild/moderate hot flashescan be controlled with non hor-monal treatments.

The first step in treating allhot flashes is lifestyle changes.Hot flashes are frequently “trig-gered” by something. Common“triggers” include: stress, alco-hol (especially red wine),fatigue, and spicy foods. Once atrigger is identified, try to avoidit – this is easier to accomplishwhen the trigger is food ordrink, not so easy when it isstress. Other life style modifica-tions which can help includegetting adequate rest, exercisingregularly to help reduce stress,eating a healthy diet, and prac-ticing meditation or yoga.

Another treatment for hotflashes is to perform pacedbreathing. This is also known asbiofeedback or yoga breathing.When a woman feels a hot flashshe should start to take slow,deep abdominal breaths.Studies have shown that pacedbreathing can decrease thelength and intensity of hotflashes by 40-50%. In studies,paced breathing worked betterthan most herbal therapies inhelping to control hot flashes.

Acupuncture can also be used forhot flashes. This tends to be moreeffective in women who are havingmoderate or severe hot flashes.

There are also some non-hor-monal medication options whichcan help control hot flashes. Thefirst of these are the antidepressantsknown as the SSRIs (Prozac, Paxil,Effexor, etc). These can be taken inlow doses for hot flashes, and stud-ies show a 37-63% improvement insymptoms. In addition, they mayhelp to decrease the mood swings

that often occur during menopause.Two other medications, clonidineand gabapentin, have also beenshown to be effective in reducinghot flashes. However, these twomedications have a high rate of sideeffects, and are used less frequently.

Menopause is a natural change ina woman’s body and doesn’t have tobe “treated” as long as the symp-toms are tolerable. If the symptomsbecome intolerable, there are manyoptions, hormonal and non-hor-monal, for treating them.

>

Cooling Hot Flashes Without Hormones

Dr. Mary E. Peterson,Director, Women's MidlifeHealth Center at Magee, can be reached at (412) 641-8889.


Soft Mammography at ACMH Hospital

The American Cancer Society (ACS) recommends every woman should have yearly mam-mograms starting at age 40. Mammography is a safe, low dose x-ray procedure used main-ly to screen healthy women for signs of breast cancer. It is the best way to find breast can-

cer early at its most successfully treatable size. It usually takes less than 30 minutes (each breastis compressed for a few seconds two times for a total of 4 pictures)

If all this is true, then why don’t women get their yearly mammograms? Why do 1 in 8 womendevelop breast cancer? Who wouldn’t anyone want to find a cancer early so that it can be treat-ed quickly and completely? The answer is multi-faceted.

It is partly due to the fact that it is necessary to tightly compress one of the most sensitive areason a woman’s body between two cold, hard cold surfaces; this tends to put some women off. Inaddition, if women do self breast examinations and don’t feel anything, have no overt symptoms,and no family history, they do not feel it is necessary to voluntarily put themselves through a bitof an uncomfortable, if not somewhat painful, procedure.

In order to address some of these concerns, ACMH Hospital provides “soft mammos.” Duringa soft mammo, a mammo pad (foam cushion) is placed on the breast plate (buckey) providing awarmer, softer surface to decrease the discomfort. It is very important to remember that the actual compression ofthe breast tissue lasts only a few seconds for each picture. As one woman said on the ACS video regarding discom-fort/pain during mammograms, “Yes, it was uncomfortable, but come on, … women have babies, for crying outloud!”

As for symptoms, or lack thereof, mammograms detect potential problem areas long before they can be palpatedby hand, thereby increasing chances for minimal surgical intervention and complete cure. Lastly, women should notbe lulled into a sense of false security if they have no family history of breast cancer – 70 – 80% of women withbreast cancer have no family history of the disease.

Another significant deterrent to following the ACS guidelines for yearly mammograms is insurance. People maybe underinsured or have no insurance to cover the cost. There are organizations that are able to offer assistance. Ifyou call the ACS at (412) 919-1100 or contact them through their website at www.cancer.org, they will help youfind an organization near you.

Please – many women’s lives will be saved through this simple procedure. Love yourself, love your family, loveyour friends and get a mammogram.

For more information, contact the ACMH Hospital Imaging Services Department at (724) 543-8131or visit www.acmh.org.

(l-r) Billie Jean Hess and Marcy Hiles,Mammography Radiologic Technologists in the

Women's Services Department at ACMH.

>

women should

not be lulled into

a sense of false

security if they

have no family

history of breast

cancer – 70 – 80%

of women with

breast cancer

have no family

history of the

disease.

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THURSDAY OCTOBER 2, 2008

H O S T E D B Y G O V E R N O R E D W A R D G . R E N D E L L A N D T H E P E N N S Y L V A N I A C O M M I S S I O N F O R W O M E N

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By Michelle R. Straka, M.D.

At Weinstein Imaging Assoc-iates, a comprehensive breastdiagnostic center serving the

tri-state region, we are committed tooffering our patients and the com-munity the latest information regard-ing breast cancer detection.

Recently, studies have shown thatbreast MRI has higher sensitivitythan mammography for the detec-tion of breast cancer. However,breast MRI is expensive and gener-ates more false-positive results,leading to additional breast biopsiesand follow-up exams.

To assist women in the proper useof this technology, the AmericanCancer Society has issued newguidelines. They now recommendyearly screening breast MRI andmammography for a select group ofwomen at high risk for developingbreast cancer.

These include those with aknown genetic mutation (such asBRCA1 or BRCA2), a first-degreefamily member (e.g. mother or sis-ter) with a known genetic mutation,a genetic syndrome associated withan increased risk of breast cancer

(such as Li-Fraumeni syn-drome, Cowden's syn-drome or Bannayan-Riley-Ruvalcaba syndrome), ahistory of radiation thera-py to the chest betweenthe ages of 10 and 30years, or a calculated life-time risk of breast cancerof greater than 20-25 per-cent.

The lifetime risk ofbreast cancer is also elevat-ed in women with breastcancer in a male relative, two ormore first-degree relatives with pre-menopausal breast cancer, one fam-ily member with a history of two ormore breast cancers, or one relativewith both ovarian and breast cancer.

The indications for screeningbreast MRI currently do not includewomen with dense breast tissue,women with a previous personalhistory of breast cancer or thosewith a personal history of an atypi-cal breast biopsy. These are condi-tions that carry an intermediate riskof breast cancer.

As opposed to screening MRI,which is done when there are nobreast symptoms or complaints,

diagnostic MRI is performed in cer-tain specific clinical situations.Some of these reasons are newlydiagnosed breast cancer, suspectedimplant rupture, nipple retraction,bloody or clear nipple discharge or abreast lump. In some cases of breastcancer, the effects of chemotherapymay be assessed with serial MRIexams.

Dr. Michelle R. Straka, is aradiologist with WeinsteinImaging Associates and isactive in the women’s imag-

ing community. For more informa-tion, visit weinsteinimaging.com.

New Guidelines Issued for Breast MRI

Breast-ImagingSpecialists atWeinsteinImagingAssociates are:(l-r, seated) Dr. Michelle R.Straka and Dr. MarcelaBöhm-Vélez. (l-r, standing) Dr. Thomas S.Chang and Dr.Barbara H. Ward.

Breast Cancer At A Glance

• One in every eight women inthe United States develops breastcancer.

• The causes of breast cancerare not yet fully known although anumber of risk factors have beenidentified.

• There are many types of breastcancer that differ in their capabilityof spreading (metastasize) to otherbody tissues.

• Treatment of breast cancerdepends on the type and locationof the breast cancer, as well as theage and health of the patient.

Source: www.medicinenet.com and theNational Cancer Institute (www.cancer.gov).

>

Orthopedic MergerBenefits Everyone


By Lois Thomson

The merger of Southwestern PennsylvaniaOrthopedic Associates (SWPAO) and Tri-CountyOrthopaedics is an example of the sum total

being better than the parts. That's not to say that eachindividual "part" wasn't good. But when the twogroups ultimately pieced together the final plans fortheir merger this summer, to become AdvancedOrthopaedics & Rehabilitation, the result was one thatbrought increased benefits to everyone involved.

As their original names imply, both groups provided orthopedic servicesfor patients. As Valerie Molinaro, Manager of Tri-County, explained, "Wespecialized in total joint replacement, arthroscopic surgery, general ortho-pedic surgery and sports medicine."

At the same time, Molinaro pointed out that Dr. David Welker of SWPAOis a foot and ankle specialist, while Dr. Patrick McCulloch is a specialist inproblems of the hands and upper extremities, helping to complement totalorthopedic care.

Harry Cartwright of SWPAO was the driving force behind the merger,which had been in the works for about a year, and he is happy with the out-come. "One thing I'm most pleased about is the result of the discussionswhen the two practices realized there was a real opportunity to collaborate.As we talked about the areas of collaboration, we realized our objectives, ourgoals, our vision, were very much aligned. So we thought, 'Why don't welook at becoming one entity?'"

Cartwright is now serving as CEO of Advanced Orthopaedics, whileMolinaro has become Director of Operations. Aaron Kubistek from SWPAOis Director of Rehabilitation Services.

Not only will patients benefit from having more services brought togeth-

er, but also from the combined experience of the doctors. "When you seethese doctors together, you're putting the best minds together behind thecare," Cartwright said. "They are constantly seeking each other's opinionon different cases, so there is a lot of in-house consultation."

Advanced Orthopaedics will have more than 50 staff members, in addi-tion to the eight physicians, to serve patients in six offices throughoutWestern Pennsylvania.

SWPAO closed its previous office in Washington, Pa., and moved into Tri-County's new space on North Franklin Drive in Washington. Molinaro saidthe new facility "will make visits much easier (for patients). There's moreparking, easier access, a large waiting room—it's just more convenient.

"It has all worked out very well and it's a great opportunity for Tri-Countyand Southwestern," she concluded.

And Cartwright added, "It's been an unbelievably easy merger both forthe doctors and the administrative side. And by blending our resources, we

can achieve the objectives of the two groups."

To make an appointment with one of our specialists, call (724) 225-8657, or visit www.advancedorthopaedics.net.

Advanced Orthopaedics has eight physicians, including (left to right) Front row: Dr. David Welker, Dr. Patrick McCulloch, Dr. Michael Scheel, Dr. Vincent Ripepi. Back row: Dr. John Gibbons, Dr. Armando Avolio, Dr. Gregory Christiansen and Dr. Joseph Stracci.

LOCAL NEWS

Waterdam Medical AssociatesJeffrey R. Gretz, D.O., FACP

Jennifer L. Lewis, M.D.

157 Waterdam RoadSuite 120

McMurray, PA 15317(724) 941-6697

We are currently accepting new patients.Most insurance plans accepted.

>


Diabetes patientsno longer havean excuse. Dia-

betes is a complicateddisease with manyfacets involving symp-toms, care and educa-tion. But now patientscan find all the infor-mation and help theyneed at the new StClair Hospital Dia-betes Center. Locatedin the South Hillsacross from SouthHills Village, the Center opened inApril.

Contained all in one location isday-to-day assistance, along witheducational programs that are vitalto helping people keep the problemunder control. The key is havingeverything under one roof.

Dr. Camille Buonocore, a special-ist in diabetes and endocrinology,sees patients at St. Clair Hospital andpoints to what she believes is animportant feature of the Center. "Iwould hope that it would be lessintimidating," she said, "that peoplewouldn't be as reluctant (to comein). Because once they're in, all ofthe information is here.

"But the idea is to get them in.This Center fits the lifestyles of ourpatients and I think that's a goodthing. You could present the sameinformation in a different setting andit can have a different impact."

The type of information patientsreceive, according to Dr. Buonocore,is "mainly help with the educationalmaterials. They meet with the dia-betes educator and the nurse educa-tor who determine what the patients'needs are, and how to make (theinformation) more available andmore organized so it's easier forpatients to get."

Some of the topicscovered in the pro-grams include BasicDisease Process, Re-lated Conditions, MealPlanning, Blood Glu-cose Monitoring, Pre-venting Complications,and Diabetes Medi-cations Additionally,educators at the Cen-ter will instruct onhow to use an insulinpump and a glucome-ter, and how to per-

form insulin injections. A dieticiancan also meet with individuals tooffer dietary guidelines.

Most important, the Centerworks with patients and their pri-mary care physicians to provide thecomprehensive education and sup-port patients need to stay healthyand lessen the risk of long-termcomplications.

Dr. Buonocore has been at theDiabetes Center since March, andshe said the patients who havebeen coming in "are very happyabout it."

Aside from the essential informa-tion available, the Center is simply anice place to go. "It's easy to find,and the parking is free," Dr.Buonocore said. "And once you getinside, it's very spacious and pretty."

To conclude, she said, "I thinkthe information (we had previous-ly) was good, but we can reachmore people by knowing we cankeep in touch with whoever isbeing discharged with diabetes.That's the big change (by openingthe Center), we're not losing thosepeople. We're giving them theopportunity to come in." Shepointed out that a physician refer-ral is necessary for insurance to payfor the educational programs.

> For more information on the new St Clair Hospital DiabetesCenter, or to schedule an appointment, call (412) 942-2151.

New Diabetes Center Features Help In One Location

Dr. Camille Buonocore

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By Lois Thomson

Canonsburg General Hospitalopened its new EmergencyDepartment in July 2006,

and in April of this year received theHospital Association of Pennsyl-vania's Achievement Award for itsoperational excellence. The Hos-pital's submission was one of 16hospital programs selected forrecognition from more than 100entries.

Kim Malinky, president and CEOof CGH, said she is very proud ofreceiving the award, but added: "It'snot the award itself, but the changeswe've made that are important."

She said those changes includehaving the patients being takenimmediately to the treatment areaand being triaged and registered atthe bedside. "It decreases their anx-iety in waiting for treatment in theEmergency Department, and as apatient safety measure, you don'thave ill patients waiting in the wait-ing room—they're back where theycan be observed and monitored bythe staff."

Dr. Jonathan Lan-dis, medical directorof the Emergency De-partment, describedthe process in moredetail. "We put thepatients in a room andtake care of them in alinear fashion, or con-currently—meaningthere are times whenwe've had the triage nurse gettingthe vital signs, the registration clerkgetting the registration information,and the physician examining thepatient all at the same time. In theend we were able to shave quite a bitof time on a patient's visit, just bydoing things in a more streamlinedfashion."

Another innovation that has beenadded is TUG, the robot that deliv-ers specimens to the laboratory."The nurses draw the blood and putthe specimen in this robot," Dr.Landis explained. "Basically it's abox on wheels that has some com-puter chips, and it has a pre-pro-grammed path from its docking sta-tion down to the lab. Once the lab

receives the specimen, they pusha button and the robot comesback to the Emergency De-partment."

Malinky emphasized that thespecimens are secured. "Theyare labeled with the appropriatepatient identifiers and locked inthe unit itself, so nobody couldtamper with them. It has savedvaluable time in that we don'thave to wait for somebody fromthe lab to come to theDepartment."

All of this has increasedpatient satisfaction, as evidencedby survey results from PressGaney, a national companybased in Indiana. "They sendsurveys to patients to rate theirvisit to the EmergencyDepartment, including in suchareas as registration, how longdid it take you to get to a room,etc.," Dr. Landis said. "So ourscores have gone up."

And this has resulted inincreased patient volume. Headded, "I think it's a combina-tion of having a new facility, andalso that the people who comehere and have that good experi-ence of being treated immediate-ly will come back to this facility."

For more information, visit www.wpahs.org.

Tips for Coming tothe Emergency

DepartmentDr. Jonathan Landis, Medical

Director of Canonsburg GeneralHospital's Emergency Department,offers these tips to patients coming toa hospital emergency department, toensure the smoothest possible visit:• If you are on medications,

always, always, always bring alist of the medications as wellas the doses.

• Be sure to bring the appropri-ate insurance, registration andidentification information.

• Bring a complete history (ascomplete as possible) of whatyour medical problems are.

• If you have questions aboutyour care, ask them immedi-ately. If you wait until after youleave and then you questionsomething that happened, it'ssometimes hard to answerthose questions.

• The Emergency Departmentdoes not offer medical adviceover the phone. If you have aquestion about your healthcare, the first place to call isyour family doctor. If you call anEmergency Department, wereally can't tell you anything(on the phone), except that ifyou're having a problem andfeel you need to come to theEmergency Department, thencome on in.

Canonsburg GeneralHospital Receives

HAP Award

>

(l-r) Dr. Jonathan Landis, medical director;Cheri Rinehart, HAP’s Vice President forIntegrated Delivery Systems; Kim Malinky,president/CEO and Joseph Macerelli, chair-man/board of directors.

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You make sure your house is clean. The oil in your car is clean. Youeven filter the water our fish swim in. So why don’t you purify the airin your home? The Infinity™ Air Purifier by Carrier captures and killsairborne germs and allergens in 100% of your home’s conditioned air.


You are off to the grocery storeto buy all of the food youneed for you and your family

for the week. The key for healthyand cost effective shopping isPLANNING. Before leaving yourhome to go shopping, be sure youhave eaten something substantial —protein. Protein takes longer todigest, staving off hunger as well askeeping the metabolism pumped upwhile walking down the aisles, help-ing you not to be sabotaged\ by highfat, sugar and salt temptations

Plan nutritious meals for theentire week. Make a list of every item you will need to purchase. Don’t go tothe store without a list. Shopping blindly can result in unwise decisions andoverspending. Stick to the list and cross off items as you go. If you know yourgrocery store well, write your shopping list in the order of how you would

walk through the store. There are a few areas of the grocery store that should be avoided. Actually,

most of the middle aisles should be bypassed. This is where you will findshelves packed with high-fat, high-sugar, high-salt, and high-calorie fooditems. Beware of items that use “healthy” sounding names. All too often theyare loaded with fat, sugars, and salts. Avoid the frozen food section unlessyou are picking up some frozen vegetables, fruits, or fish.

Don’t even bother walking down the candy, cookies, chips and soda aisles.You may say, “Oh, but my kids really love Oreos and Pepsi.” Think about thisstartling statistic – children today are consuming about 21 teaspoons of sugareach day. Consider what this sugar is doing to your child. It is paving the waytoward obesity and diabetes!

What about all of the canned foods? Look at the label, in particular, at thesodium content. Is salt one of the first three ingredients listed? Most cannedfoods are quite high in sodium, and this amount of salt in your system isneedless and potentially harmful. Stick to 1000-1500mg. of sodium for theday.

So back at the perimeter, spend lots of time in the produce section stock-ing up on fresh vegetables and fruit. Go for turkey and chicken breasts at thedeli. Try a variety of fish and seafood at the fish counter. Don’t forget eggsand skim milk in the dairy case. These are wonderful sources of lean protein.Choose whole grain breads and cereals with no added sugar.

By following some of these basic steps when at the grocery store, you willsave significantly on the amount of time spent in thestore, the amount of money spent at the register, andthe amount of weight that you could possibly gain.

The results from your perimeter stroll — increasedenergy, weight loss, and financial savings.

Dr. Bridget M. Chufo, Owner,Healthy Performance, can be reached at 1-800-900-THIN orwww.HealthyPerformance.net.

>

Purified Air is Healthier AirBy April Terreri

According to the National Institute of Allergy and InfectiousDiseases, seasonal allergies affect about 10 percent of the popula-tion. This could explain why more and more homeowners are pur-

chasing air cleaners and air purifiers in greater numbers than ever. Oneproduct on the market is the only product available today that can makethe claim that it captures and kills airborne particles like the cold and fluviruses.

The Infinity Air Purifier from Carrier is not a portable unit, but is cen-trally installed right into a home’s hot-air furnace system. “People arespending lots of money on ionizers and other types of air cleaners thatonly work in one room,” explains Tom Baney, vice president of StandardAir, a Carrier distributor in Crafton. “The Infinity Air Purifier purifiesevery room in the house through your central furnace system.”

Baney says that people used to buy air cleaners for dust relief. “Nowthey are looking for systems that provide allergy relief and air comfort.They want relief from airborne particles that cause allergies. This tech-nology is different from electronic air cleaners in that it actually capturesand kills spores and viruses in the air. This is the difference between theair purifier and an air cleaner.”

The air purifying system captures airborne particles, which stick ontoan electronic field media paper filter, explains Baney. Once captured, theviruses and spores are killed. “Electronic air cleaners only get the dust par-ticles, but they do not capture the smallest particles, as does the air puri-fier.”

Another plus when factoring the cost of operating the system is that theair purifier runs off variable-speed motors. “This means that the fans canrun at slow speed all the time, increasing the performance of central air-purifying devices better than ever before,” notes Baney. “So these motorsmove the air constantly and slowly, thereby increasing the performance ofthe purifier.”

The Infinity Air Purifier has a MERV (Mechanical Efficiency RatingValue) of 15, the highest rating possible. MERV is a standard used to mea-sure the overall efficiency of a filter and the MERV ratings rate the abilityof an air-conditioning filter to remove dust from the air as it passesthrough the filter. A high MERV rating means fewer dust particles andother airborne contaminants pass through the filter.

The cost to run an air purifier in conjunction with a variable-speed fur-nace is comparable to running an 80-watt light bulb, reports Baney. “Soperformance tied to variable speed is very important. Variable-speedmotors add efficiency to the system and it is the state-of-the-art technolo-gy available in heating and cooling systems today.”

For more information, contact Tom Baneyat (412) 720-5764 or [email protected].

Shopping on the Perimeter By Bridget M. Chufo, Ph.D., R.N.

>“Electronic air cleaners only get the dust

particles, but they do not capture the

smallest particles, as does the air purifier.”


By Lois Thomson

“We've all watchedthose extreme make-over shows, and it'sexciting to see whatcan be done," says Dr.Steven R. Crandall. "Alot of that dentistryappears to be donevery quickly, and thatcertainly suits peoplewho have the need forimmediate gratification. There aresome cases where this will work,but that's not always the best route."

Dr. Crandall has chosen a differ-ent method, one that he believes isbetter for the patient: "It's typicallybetter to take a little bit slowerapproach and really evaluate whatyou're doing before beginning treat-ment in order to get the results thepatient is happy with. It is impor-tant to have the work done in thecorrect order so that the work willbe long-lasting. This enables us toobtain a result that is cosmeticallyand functionally correct.

"Unfortunately in today's world,that doesn't happen often enough. A

lot of decisions are madequickly at cleaning appoint-ments, and treatment isstarted before the dentistsreally know the specifics ofthe patient's situation. Wehave to re-do a lot of dentalwork done elsewherebecause the function andesthetics were notaddressed properly."

A common misconcep-tion develops because so

many dentists advertise themselvesas cosmetic dentists, but that maynot be the case in the truest sense."That could mean something assimple as a white filling or bleach-ing. But a lot of cosmetic issues arecomplex cases that require andmore time to determine what thepatient is starting with and whatresults they are trying to accom-plish.

"Occasionally some orthodontic(straightening of the teeth) or peri-odontal work (adjusting the gumtissue) prior to the restorative workwill mean the difference between amediocre result and a fantasticresult."

In fact, Dr. Crandallpointed out that nottaking proper care atthe beginning couldresult in further prob-lems. For example, hesaid patients some-times go to a dentistwith a broken or worntooth, and the dentistis just eager to put on acrown to cover it. "Butif the cause of the wearhas not been deter-mined, and handledproperly, the person will just frac-ture the (new) restorations or causesore muscles, joints or teeth. So theywill have dental work done thatmay look nice, but it won't last or becomfortable because they neverreally determined what caused theproblem and dealt with that issue.

"My training at the PankeyInstitute (Florida) taught me a dif-ferent approach that gives betterresults that are longer lasting, morecomfortable and more satisfying tothe patient. Our approach is morecomprehensive in that we take timefor the examination, the diagnosis

and treatment-planningportion up front, whichenables us to reallyassess what could bedone and what optionsare available."

Dr. Crandall cau-tioned: "If the work is done wrongthe first time—if it isn't comfort-able, doesn't look good and thenfails—patients end up having it re-done, so they pay for it twice. If thedental work had been done proper-ly the first time, they would havesaved money and, more important-ly, valuable tooth structure.

"There's a lot more that goes intoexcellent cosmetic dentistry thanmeets the eye."

DENTAL HEALTH

Slower Approach Better in Cosmetic DentistryBefore

AfterBefore

After

For more information, call (412) 833-6166 or visitwww.stevenrcrandalldmd.com.>

Dr. Steven R.Crandall


By Lois Thomson

It's safe, it's long-last-ing, it's reasonable,and it works. If you

are looking to whitenyour teeth, you couldn'task for anything more.

Dr. Robert Luther, Jr.speaks highly about theeasy-to-use take-hometray whitening systemavailable from his officefor patients who want tobrighten their smile. Dr.Luther designs the tray, which isclear, thin, and flexible, and is"almost like a skin that fits overyour teeth. It's very comfortable."

At home, thepatient squirts alittle whitening gelinto the tray foreach tooth, thenfits the tray overthe teeth. "It fitssnugly, like amouth guard," Dr.Luther said, "andyou wear it forabout 1/2 hour aday. It’s so easy,some of mypatients use their

trays during their morning routine,while they’re drying their hair. Inthe course of two weeks or so, yourteeth will lighten several shades,

and it gives wonderfulresults."

The idea is similar toproducts seen on tele-vision, but what is dif-ferent is vital. "Therecan be problems withthose," Dr. Lutherwarned. "First of all,they're not supervised;and second, you're notgoing to get the properfit with the tray thatyou're going to get witha custom-made tray.And that's the key—thegel spreads over your teeth whenyou place the tray in your mouth,and for that to happen, the tray hasto fit extremely accurately."

Dr. Luther said that whereas hisoffice whitening system will last fortwo or three years, the over-the-counter products aren't that effec-tive. "They don't have the sameendurability. The whitening stripswill whiten your teeth to someextent, but they only last sixmonths. So in the long run you'llpay more because you have to keepbuying the system over and over."

He said, "We tell people whenthey come in for their checkup thatthey can get an extra tube ofwhitening gel. They keep their tray,so they can do a touch-up. You canthink of it as permanent (whiten-ing) if you do your maintenance."

Dr. Luther added that the agerestriction is minimal. "It's for any-body 12 and over. I've whitenedteeth for people who are in their80s. People are living longer andtheir quality of life is very vibrant,and they want to look good. Itworks for everybody."

What’s Happening in Your Mother’s Mouth?

Caring for Your Elderly ParentsBy Joseph M Curley, DMD, FAGD

Among all the issues that arise when caringfor an elderly parent, it is common fororal health to take a back seat. The

impact of this fact however, has consequencesreaching far beyond an overlooked cavity ordenture sore spot. Rather, the effect of an infect-ed tooth or accumulations of dental plaque, canlead to life threatening conditions in the elderlyif they are not managed properly.

For example, pneumonia is the fourth leadingcause of death in the elderly, with a 20-30% hos-pitalization mortality rate. A recent studylooked at thirteen patients with pneumoniaand found that eight had bacteria in their lungs that genetically matchedtheir dental plaque. This implies a direct connection with dental diseaseand bacteria and pneumonia .

The negative impact of unmanaged disease in the elderly on wholebody health is often not well understood by routine caregivers. It isessential for all family members to help direct oral care for our aging par-ents. A few tips to may help:1. If a denture is lost, replace it right away. Success of replacement goes

down dramatically with time due to the loss of muscle memory.2. Get Mom (and Dad!) and electric toothbrush. As dexterity diminish-

es, so does how well teeth are being cleaned. An electric tooth brushhelps. One that uses sonic vibrations to aid cleaning are very effective.

3. Make sure dentures and partials are removed and cleaned everyday.4. If you ever see blood on their pillow, consult a dentist right away, and

request a blood test from the physician to see if clotting factors arenormal.

5. This is the BIG ONE, … get regular check-ups. Higher frequency forseniors is a must. Every three to four months could head off smallproblems before they become big ones.

6. Request fluoride varnish from their dentist. Preventing cavities onexposed roots of teeth goes a long way towards dental health.

Dr. Joseph Curley of transcenDENTAL [centre] in Shadyside isan exclusive provider of Stay Put Denture Enhancement, usingmini implants for long-term denture stabilization. For more infor-

mation, visit www.ExperienceComfort.com or call (412) 235-2500.

This information was taken from a lecture given by Gregory J Folse, DDS. Dr Folseis an expert in Geriatric Dentistry. He testified with the Surgeon General before a U.S.Senate Forum on the oral health of our nation’s seniors.

Dr. Robert Luther, Jr.

For more information, call (412) 788-6300 or visit www.pittsburghlaserdentist.com.>

WHEN YOU WAKE UP, DO YOU FEEL TERRIFIC?Or is a morning headache from a sore, stiff jaw,

and sensitive teeth keeping you from feeling your best?

If you suffer from these problems,

you should know about

A MAJOR BREAKTHROUGH !

The ONLY FDA-approved dental device to help stop

headaches, sore jaw, stiff neck and sensitive teeth.

■ No pills ■ No surgery

■ No shots ■ No side effects

To learn how NTI

can help you, call Dr. Luther

today at 412-788-6300

and ask for a free brochure.

“Before getting fitted for my NTI, I frequently woke

up with headachesand a painful jawfrom clenching my

teeth. Since I’vebeen using the

device, I haven’t had headaches inthe morning and

my jaw neverbothers me. My

symptoms seemedto disappear immediately

after using the NTI.”

. . . Brandi Z.

Dr. Robert Luther, Jr.Comprehensive Dental Services

412-788-6300www.pittsburghlaserdentist.com

Teeth Whitening Best Done By Professional

>

Dr. Joseph M Curley

BEFORE AFTER


AtlasburgDan G. Alexander, M.D. (I)

724-947-5535Dan Alexander, MD

AvellaAvella Family Practice, LLC (F)

724-587-3472Sean Porbin, MD

BentleyvilleCenterville Clinics, Inc. (F)

724-239-2390Sheila Anderson, DOTheresa Lacava, MDBrian Szklinski, MD

BurgettstownCornerstone Care (F)

724-947-2255Julie DeRosa, MDAparna Taylor, MDColeen Wheeler, MD

Sharpnack & Maskarinec Medical Group, PC (F)

724-947-4770Bruce Maskarinec, DOBruce Sharpnack, MD

CaliforniaWPSO/California Family Medicine (F)

724-938-7466Lisa Chadwick, MD

CanonsburgCanonsburg Family Medicine Center (F)

724-745-4100Peter Martina, DOW. Paul Slomiany, MDMonica Speicher, MDSteven Wolfe, DO

CarmichaelsCenterville Clinics, Inc. (F)

724-966-5081Joseph Chadwick, MD

Golden Rule Family Care (F)724-966-2601Jonathan Yates, DO

CecilCecil Family Medicine Center (F)

724-873-7414Robert Ackerman, MDSarah Duncan, MDDonald Faith, MDMelissa Kashlan, MD

ClaysvilleClaysville Family Practice (F)

724-663-7731Frederick Landenwitsch, MDJanine Rihmland, MDJohn Six, MDJay Ziegler, MD

CokeburgAlvaro N. Changco, MD, Inc. (F)

724-945-6128Alvaro Changco, MD

Eighty-FourKevin G. Boehme, MD/Family Medicine (F)

724-228-2488Kevin Boehme, MD

FredericktownCenterville Clinics, Inc. (F)

724-632-6801Yong Cho, MD

HickorySharpnack & Maskarinec Medical Group, PC (F)

724-356-2273Bruce Maskarinec, DOBruce Sharpnack, MD

HoustonWPSO/Houston Family Medicine (F)

724-745-9150Paul Reardon, MD

McDonaldShien S. Hsu, MD, Inc. (F)

724-926-8300Shien Hsu, MD

WPSO/McDonald Family Medicine (F)724-926-8001Elizabeth Restino, MD

McMurrayWaterdam Family Practice (F)

724-942-4372David Mittell, MD

WPSO/Henry A. Folb, MD (I)724-942-6480Henry Folb, MDRobert Lesnock, MD

WPSO/McMurray Family Medicine (F)724-942-4011Kurt King, MD

WPSO/Waterdam Pediatrics (P)724-942-6499Gary Smith, MDDamian Ternullo, MD

WashingtonCenterville Clinics, Inc. (F)

724-223-1067Daniel Holt, MDMark Mamros, MDJennifer Muhly, MDRebecca Plute, MDJill Sharer, MDEugene Skiffington, MD

Cornerstone Care-Pediatric Associates ofWashington (P)

724-228-7400Edward Foley, MDKaren Jooste, MD

Crossing the Jordan Christian Health Center (F)724-222-7159Michael Falcione, MD

Robert J. Fagioletti, MD, Ltd. (F)724-225-7865Robert Fagioletti, MD

Craig D. Fox, MD (F)724-228-4550Craig Fox, MD

Internal Medicine andGeriatrics of Washington (I)

724-222-4464Richard Hahn, MDWilliam Kottner, MDJames Krebs, MD

Tylerdale Family Medicine (F)724-222-7240Nicholas Fuerst, MDSean Kelly, DODennis Kitsko, DO

Washington Family Medicine Center (F)724-223-3100Paul Cullen, MDJeffrey Minteer, MDT. Grant Phillips, MDMatthew Stantspainter, DOKimberle Vore, MDMaryann Weinstein, MD

Washington Internal Medicine, Ltd. (I)724-222-9300Douglas Corwin, MDPatricia Friedsam, MDHarry Silvis, MD

WPSO/Dennis Davis, MD (F)724-223-8626Dennis Davis, MD

WPSO/Richard Hart, MD (I)724-229-7570Jamie Etzel, DORichard Hart, MDWilliam Pendergast, MD

WPSO/Washington Pediatric& Adolescent Medicine (P)

724-250-6001Michael Faust, MDCivie Felice, MDTina Lengauer, DORichelle Sommerfield, MD

WPSO/WASHPA Family Medicine (F)724-225-9970Christa Malinak, MDSunaina Nangia, MD

WaynesburgWPSO/Waynesburg Family Medicine (F)

724-627-8080Dylan Deatrich, MDRachel Schroer, DOSherry Zimmerman, MD

Tri-State SurgeryCenter . . .

WashingtonThe Washington Hospital —inpatient and outpatient services including:

Cancer CareCardiac CareEmergency CareHealth and Wellness InstituteRuth York Morgan Health Education

Learning PlaceWomen’s Health Services

Wilfred R. Cameron Wellness Center of The Washington Hospital

Health and Fitness CenterOutpatient Physical and

Occupational TherapyCardiac RehabilitationWork Conditioning Services Diabetes Education and

Management ProgramSpaSleep CenterPulmonary Support CenterWound and Skin Healing Center

Neighbor Health CenterLaboratoryRadiologyOccupational Medicine CenterWomen’s Health Center

Hospice Care of The Washington Hospital

Greenbriar Treatment CenterInpatient Drug and Alcohol

Rehabilitation Services

Strabane Trails of WashingtonSenior Independent Living

Strabane Woods of WashingtonSenior Assisted Living

BurgettstownDiagnostic Center

LaboratoryRadiology

CanonsburgDiagnostic Center

LaboratoryRadiology

ClaysvilleDiagnostic Center

Laboratory

McMurrayWaterdam Medical Plaza

LaboratoryRadiologyEKGs

Children’s Therapy Center Sleep Center

WaynesburgGreene County Medical Plaza

LaboratoryRadiologyEKGsDiabetes Education and

Management ProgramSleep Center

Hospice Care of The Washington Hospital

Outpatient Surgical Services

95 Leonard AvenueWashington, PA 15301724-225-8800

Urgent CareCenter . . .Affiliated with The Washington Hospital

Urgent Care Services3515 Washington RoadMcMurray, PA 15317724-969-4321

www.washingtonhospital.org 724-225-7000

Our Primary Care PhysicianPartners . . .When choosing a PCP, lookfor one of these WPHO doctors so you can get thehigh quality healthcare youneed close to home!

F – Family PracticeI – Internal MedicineP – Pediatrics

WASHINGTON PHYSICIAN HOSPITAL O

The WashingtonHospital . . .The Washington Hospitaloffers comprehensive services at convenient locations in Washington and Greene counties.


Allergy and ImmunologyAllergy & Asthma Care

724-941-6780Nikhil Davé, MD

Samuel C. Mines, MD, Inc.412-942-5750Samuel Mines, MD

Ohio Valley Asthma & Allergy Institute800-473-8912Kumar Patel, MDKrishna Urval, MD

AnesthesiologyKeystone Anesthesia Consultants, Ltd.

724-222-7167Lee Bischof, DOGray Goncz, DOJames Massucci, MDChristopher Merck, DODavid Odasso, MDCharles Tullius, MD

Cardiac ElectrophysiologyCharn S. Nandra, MD, PC, Inc.

724-222-0436Maninder Bedi, MD

CardiologyBryan C. Donohue, MD, PC

724-222-1125Christopher Allen, MDBryan Donohue, MDJohn Pensock, MDFrancis Redican, MDSanjaya Saheta, MDYadavendra Rajawat, MD

Frazier-Hart, Inc.724-225-6500Charles Brown, MDDavid Campsey, MDJohn Costello, MDJohn Frazier, MDNeil Hart, MDMichael Pecora, MDJohn Wilson, MD

Cardiovascular andThoracic SurgeryThree Rivers Cardiac Institute

724-228-8585Ross DiMarco, MDHazem El-Khatib, MDAlice Pierce, MDAntonio Sortino, MDG. Frederick Woelfel, MD

ChiropracticChiropractic Care Center

724-223-9700Duane Marasco, DC

DermatologyAnn B. McCune, MD

724-942-0610Ann McCune, MD

M. M. Vujevich, MD, PC412-429-2570Kristina Paley, MDMarion Vujevich, MDJustin Vujevich, MD

Endocrinology and MetabolismWPSO/Endocrine and Metabolic Consultants

724-229-3300Ralph Schmeltz, MD

GastroenterologySouthwest Gastroenterology Associates

724-941-3020Philip Joson, MDRichard Panicco, DOMohan Phanse, MD

General SurgeryAngott Surgical Associates

724-222-9500Brent Angott, DO

Natalie Furgiuele, MD412-833-9722Natalie Furgiuele, MD

Pareso and Brown Surgical Associates, Ltd.

724-225-7300Dennis Brown, MDJames Pareso, MD

Washington Surgical Services724-229-1344Carlos Valladares, DO

Medical OncologyOncology HematologyAssociation

724-223-3816Patrick Kane, MDAlexis Megaludis, MDWayne Pfrimmer, MD

NephrologyDialysis Clinics, Inc.

724-229-8834Amit Nahata, MD

Southwestern Nephrology, Inc.724-228-1303Subramoniam Jayakumar, MD

Teredesai, McCann & Associates, PC724-228-2611Cynthia West, MD

Neurological SurgeryAllegheny General Hospital Department of Neurosurgery

724-228-1414David Cohen, MDPatrick Flannagan, MDMichael Oh, MDE. Richard Prostko, MDFrank Vertosick, MDDonald Whiting, MD

NeurologyAdult Neurology Center, PC

724-229-6195Kent Berkey, MDBruce Cotugno, MD

SW PA Neurology Associates, Ltd.724-228-4011Melvin Alberts, MDKaren Tobin, MD

Obstetrics/GynecologyFrank J. Brooks, DO, OB/GYN

724-942-3180Frank Brooks, DO

WPSO/Washington OB/GYN Associates724-225-3640Jennifer D’Abarno, MDWilliam Mitsos, MDMalay Sheth, MDKathryn Simons, MDKevin Stocker, MDMarianne Wizda, MDMichael Zinsser, MD

Occupational MedicineThe Washington HospitalOccupational Medicine

724-223-3528George Schmieler, MD

OphthalmologyE. Ronald Salvitti, MD, Inc.

724-228-2982E. Ronald Salvitti, MDJennifer Salvitti Davis, MD

Frederick J. Scheib, MD, PC724-223-0700Frederick Scheib, MD

Washington Eye Center, Inc.724-222-3937Paul Caimano, DO

Oral/Maxillofacial SurgeryJoseph S. Nawrocki, MD, DMD

724-225-3022Joseph Nawrocki, MD, DMD

Western PA Oral & Maxillofacial Surgery724-223-0579Steven Krakora, MD, DMD

Orthopedic SurgeryAdvanced Orthopaedics & Rehabilitation, LLC

724-225-8657800-828-CAST (2278)Armando Avolio, Jr., MDGregory Christiansen, MDJohn Gibbons, MDPatrick McCulloch, MDVincent Ripepi, DOMichael Scheel, MDJoseph Stracci, DODavid Welker, MD

Anthony C. Canterna, MD, LLC724-222-5940Anthony C. Canterna, MD

Steel City Orthopedics Associates, Ltd.724-941-3886Steven Theis, MD

OtolaryngologyEugene F. Paluso, MD, Ltd.

724-228-0782Eugene Paluso, MD

Jeffrey B. Banyas, MD, LLC724-942-3502Jeffrey Banyas, MD

Washington Ear, Nose and Throat, LLC724-225-8995Howard Goldberg, MDEdward Stafford, MD

Pain ManagementInterventional Pain Institute

724-222-5471W. Michael Fussell, DO

PathologyPathology Associates of Washington

724-223-3137Lawrence Lee, MDAlden McBee, MDRichard Pataki, MD

Physical Medicine andRehabilitationAssociates in PhysicalMedicine & Rehabilitation

724-223-9270Wenhui Cao, MDMichael Platto, MD

Debra J. Panucci, MD, LLC724-745-3908Debra Panucci, MD

Anthony N. Ricci, MD, PC724-228-4106Anthony Ricci, MD

Plastic SurgeryAmelia Paré, MD

724-941-8838Amelia Paré, MD

PodiatryCanonsburg Podiatry Associates

724-746-1870Kathryn Weldy, DPM

Cynthia B. Hatfield, DPM724-222-8883Cynthia Hatfield, DPM

Grossman Podiatry Center724-222-5230Adam Grossman, DPM

McMurray Ankle and Foot Care724-745-6055Mark Hofbauer, DPMJames Marks, DPM

Philip S. Pinsker, DPM724-225-7410Philip Pinsker, DPM

PsychiatryPsychiatric Care Systems, PC

724-941-4070Oscar Urrea, MD

Pulmonary MedicineDaniel A. Iracki, MD

724-228-3733Daniel Iracki, MD

Southwestern PA Pulmonary and SleepMedicine, Ltd.

724-222-2577Charles Koliner, MDRafael Morales, MDRaed Wahab, MD

Radiation OncologyTriangle Radiation Oncology – UPMC

724-223-3788Michael Dougherty, MD

RadiologyGreater Washington Radiologists, Inc.

724-223-3300Giovanna Aracri, DOWilliam Castro, MDWilliam Conroy, MDCarl DiGiorgio, DOWilliam Downer, MDKenneth Edgar, MDNatasha Eshbaugh, MDJeffrey Hilger, MDStephen Kelminson, MDMichelle Kirshen, MDDavid Leukhardt, MDPhyllis Walters, MDPhilip Wildenhain, MD

RheumatologyArthritis and RheumatologyAssociates of SW PA

724-228-8856David Seaman, MD

Urgent Care Urgent Care Center

724-969-4321Douglas Corkum, MDMary Lamb, MD

UrologyAnand Karamcheti, MD

724-222-8871Anand Karamcheti, MD

Triangle Urological Group724-225-0990George Jones, MD

Timothy P. Weyrich, MD724-942-3963Timothy Weyrich, MD

Our Specialist Physician Partners . . .WPHO is associated with over 130 specialists who have offices conveniently located in the community.

ORGANIZATION PROVIDER NETWORK

REHABILITATION

By Lois Thomson

The certified hand therapists atthe Hand Center of Pittsburghdon't want to just help you

recover from injuries to your handsor upper extremities: They want tohelp you prevent those injuries.

Susan Christie is a physical thera-pist who works with Paul Brach atthe Hand Center. She commented,"We see repetitive strain injuries allthe time," but added that by using alittle caution and awareness, "manyof them can be avoided."

One sweeping activity is the use ofelectronic devices, such as texting oncell phones, portable video gamesand iPods. Christie said the use ofthese devices is so common that theuser may not be aware the repetitiousmovements can be harmful. Sheoffered the following suggestions:• When an activity becomes

painful, stop! Pain may resultfrom overexerting a particularmuscle group.

• Use a neutral grip when holdingthe device, and avoid excessiveextension or bending of the wristto decrease the pressure in thecarpal tunnel

• Take regular breaks. Repetitivemotions like pushing buttons canlead to overuse injuries such astennis elbow, carpel tunnel syn-drome, or trigger finger.

• If possible, support the device ona tabletop or desk. This allowsthe spine to remain neutralavoiding excessive head-forwardposture, which can lead to neckstrain.

• Switch hands frequently to allowtendons and muscles to rest.

Another activity specifically relat-ed to summer is gardening. It can beenjoyable and even therapeutic, butsometimes the repetitive actions canbe harmful. "Raking, weeding, prun-ing and digging may put stress onhands and wrists, causing stressinjuries, including tendonitis,"Christie said. She offered these tips:• Warm up by walking and stretch-

ing to increase the blood flow tothe muscle and soft tissue

• Wear gloves. Bacteria and fungusin the soil may enter small cutsand could lead to severe handinfections.

• Take regular breaks and changeactivities frequently; sustainedgrip while pruning, and activitiessuch as digging, may lead torepetitive strain

• Use well-designed tools, withnon-slip or padded handles thatmay protect small hand joints

• Avoid awkward motions andavoid a tight grasp. Keep the wristneutral and alternate betweenboth hands when engaging inheavy activities.

Christie said, "People often wantto relate an injury to one specificincident, but it's usually a cumulativeeffect (of repetitive motions)." Ifpatients come to the Hand Center forthese or similar injuries, Christie candetermine the best type of treat-ment—whether rest, specific exercis-es, joint-splinting, medication, oranother healing method.

PreventingSummer

Hand Injuries

> For more information, call The Hand Center of Pittsburgh at (412) 429-1980 or visit the web site www.handcenterpgh.com.

Susan Christie with a patient atthe Hand Center of Pittsburgh.

Physical Fitness is Key to Recovery

By Dr. Tyson Swigart

The best therapeutic measures cannot prevent some individuals fromdeveloping chronic pain after a cervical spine whiplash injury.Various research studies have listed as high as 62% of individuals as

still recovering from neck pain 6 months after their initial whiplash.Individuals who receive therapy have a better chance at success, but thepercentages are still high. The results are even worse for victims of multi-ple automobile accidents. These startling statistics, and the healthcare costsassociated with these statistics, has led many researchers to probe into whysome individuals recover quickly while others do not. One of the keys isphysical fitness.

Physical exercise both prior to and after a soft tissue injury, such as awhiplash, is predictive of a quick recovery and a good outcome. Re-exam-ing the 6 month recovery rates mentioned in the prior paragraph demon-strates that 80% of individuals with a high fitness level recovered, whileonly 35% of low fitness level individuals had done so.

After an injury, individuals who were able to maintain moderate levelsof activity were able to recover more quickly and to return to their dailyactivities with less difficulty. Those with sedentary lifestyles or those withdiscontinued exercise were less likely to recover. Interestingly, those indi-viduals with very high fitness levels who attempted to quickly return tohigh level fitness activities did poorly. This was attributed to inadequaterecovery.

A number of conclusions can be made from the research regarding fitnessand whiplash recovery. If you have an injury and have a lower level of fit-ness, expect that your recovery will likely take longer. Be prepared for morephysical therapy and perhaps a longer period of time before you can returnto your regular activities. When choosing what type of therapy you mayreceive, look for practitioners that encourage exercise in addition to otherproven types of therapies, such as massage, ultrasound and spinal manipu-lation. Those individuals who spend extended periods of time drivingshould be more diligent of their fitness levels due to their increased risk ofmotor vehicle injuries. Lastly, be patient with the healing process. Evenwith the best treatment and fitness, some soft tissue injuries will not recov-er quickly.

Don’t assume that your injuries will go awaywith time. Improve your chances by finding a fit-ness minded doctor or therapist to guide youthrough the process of recovery.

Dr. Tyson Swigart is founder and owner ofSouthpointe Chiropractic and Fitness, 673Morganza Road, Suite 105, Canonsburg, PA15317. To make an appointment or for

more information, you can reach Dr. Swigart at(724) 873-0700.

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To receive a complementary copy of Hospital News,call (724) 468-8360 or email [email protected]

Visit us online at www.pittsburghhospitalnews.com


Rehabilitation and Pain Specialists

An Interview WithMARC J. ADELSHEIMER, M.D.Dr. Marc Adelsheimer is co-founder and co-owner of Rehabilitation and Pain Specialists, apain medicine practice based in Fox Chapel.RAPS now has three locations, serving patients inShadyside and Mount Pleasant as well. Dr.Adelsheimer is a physiatrist who sub specializesin pain medicine.

“Physiatrists often bridge the gap between physical therapy andsurgery and are the answer to those patients who are told they mustlive with their pain. The practice of pain medicine incorporates mul-tiple treatment options to ensure the comprehensive evaluation andtreatment of the patient. The practice of pain medicine often includesspecialties in anesthesiology, internal medicine, neurology, neurolog-ical surgery, orthopedic surgery, physiatry, and psychiatry. What sep-arates a physiatrist from other pain specialists is not only in theirexpertise in pain, but also in evaluating a person’s functional abilities.Eliminating pain is one important component of treatment, butimproving a person’s ability to do their normal daily activities is evenmore important. As people age, this is a more pressing concern.Lower back and neck pain are very common problems, but they aretreatable, and 95 percent of patients will not need surgical interven-tion. Our goal is to eliminate or reduce the pain, and then help a per-son improve their functional abilities, so the pain does not return.

“There are certain things you can control and certain things youcan’t. What you really do have control over is the muscles and soft tis-sue, meaning how strong and flexible you are. The way these improveis through exercise. I spend a lot of time with my patients emphasiz-ing that fact. I often send people to physical therapy to get them start-ed so someone can work with them at their level. Following physicaltherapy, it is important for individuals to then continue to exercise ontheir own through an individualized home exercise program.”

“Arthritis is extremely common in hips, knees, and the spine espe-cially in women over 50. Age and heredity cause arthritis, which arethings that we have no control over. Obesity can also significantlycontribute to the early onset of arthritis. I can help their pain by giv-ing them an injection or providing appropriate medication, but I can’timprove their function. Function is what it is all about. A lot ofpatients avoid activity because of pain; however, sedentary behaviorcan increase pain. I address the pain issue first, and then when apatient starts to feel better, I start dealing with their function. WhenI do a procedure like an injection to help pain, if I don’t take it to thenext step and ask them what they are going to do to improve theirfunction, I’m not doing my duty to them as their doctor.”

Dr. Marc J. Adelsheimer can be reached at (412) 963-6480 or you can visit the website www.rapsmd.com

>

Q: What is a physiatrist and who needs your services?

Q: What are some of your tips on aging gracefully and controlling weight as we age?

Q: Can you explain how Rehabilitation and Pain Specialists would work with an overweight patient who has arthritis or another common pain ailment?

OUTPATIENT LOCATIONS:

CONSIDER A PHYSICAL THERAPYEVALUATION BEFORE

YOU PARTICIPATE

Aphysical therapist should evaluateyour muscle strength and flexibilityprior to your participation in any

sport or activity.You know its coming. Is it the golf season?

Is it the company softball game? Is it the 5kwalk/run for charity? Is it just about presea-son for the sport you love? Maybe you’vestarted a little jogging routine, trained reallyhard or have done next to nothing. You wantto do well and you would really like to behealthy during and after right?

Your family physical therapist can make abig difference by providing you with a veryspecific muscle strength and flexibility evalu-ation. This evaluation can identify importantareas of muscle inflexibility or weakness thatmost likely, are going to be sources of severepain, injury or nagging soreness.

No matter what your goal, preseason orprevention, a physical therapy muscle andflexibility evaluation can help you avoidinjury and keep you involved, active, and per-forming at your best.

High performing athletes in all sports haveproven that getting in condition prior to theseason or event can help you perform andparticipate at a more satisfying level. We’ve allheard it described as “being in the zone”. Youcan too!

Following the evaluation your family phys-ical therapist will provide you with a specificand effective strength/flexibility program. Thehighly worthwhile evaluation can give youthe edge you need to maintain your confi-dence and succeed.

Centers for Rehab Services (CRS) has many highly trained physicaltherapists who work either as educators at, or work very closely with theUniversity of Pittsburgh school of Physical Therapy so we’re as up todate on the latest techniques as anyone in the profession. The fact thatwe’re so current means you can be confident that you’re getting the bestadvice and most up to date methods to keep you injury & pain free.

As highly visible members of the medical community CRS physicaltherapists can refer you to excellent orthopedic care locally or to theUPMC Center for Sports Medicine if needed. • We work closely with the top physicians in the region to provide you

with direct access to the highest quality care available today.• You expect your physical therapist to know about the mechanics of

the human body. However, what you’ll find with your CRS physicaltherapist is that we also understand that we’re really in the “peoplebusiness”.

• Our focus is to provide you with a comprehensive high quality phys-ical therapy experience. We will help you prevent or recover frominjury in a positive and motivating environment.

• CRS offers a variety of services including comprehensive orthopedicpost surgical care, sport performance and sports rehabilitation pro-grams, specialty care for women, specialty care for hands, specialtycare and post amputee programs and much more. With over 40 loca-tions to serve you were closer to you than you think.

If it hurts there, come here - Centers for Rehab Services - physicaltherapy at more than 40 locations.

High

performing

athletes in

all sports

have proven

that getting

in condition

prior to the

season or

event can

help you

perform

and partici-

pate at a

more satisfy-

ing level.

For more information about a muscle strength and flexibilityevaluation or any of the other services offered at Centers forRehab Services call 1-888-723-4277 and press 5 or visitwww.centers4rehab.com.

>


SENIOR RESOURCESASSISTED LIVINGCAMBRIDGE BRENTWOOD4220 Clairton Blvd., Rt 51 SouthPittsburgh, PA 15227(412) 882-8400www.cambridgebrentwood.comFresh off a multi-million dollar com-plete renovation, CambridgeBrentwood is committed to being“Pittsburgh’s Best Value in AssistedLiving”. Never worry about unpredictable monthly bills or extracharges with our simple all-inclusive rates that feature every-thing a resident could need. Tourtoday to experience the new standard in affordable quality care.

INTEGRACARETHE RESIDENCE ON FIFTH4700 Fifth Ave., Pittsburgh1-866-906-4046www.IntegraCare.com

THE RESIDENCE AT WILLOW LANE412-331-6139

EMERGENCY RESPONSE SERVICEST. CLAIR HOSPITAL LIFELINEPROGRAM412-942-2093

HOME CARECOMMUNITY LIFE1-866-419-1693www.commlife.org

HOME INSTEAD SENIOR CARE1-866-245-1106homeinstead.com

HOMEWELL SENIOR [email protected]

LIKEN HEALTH CARE412-816-0113www.likenservices.com

RETIREMENT LIVINGSHERWOOD OAKS100 Norman Dr., Cranberry Twp.1-800-642-2217www.sherwood-oaks.com

SCHENLEY GARDENS3890 Bigelow Blvd., Oakland412-621-4200www.schenleygardens.com

SOUTHWESTERN GROUP, LTD.500 Lewis Run Rd., Pleasant Hills412-469-6955www.southwesternhealthcare.com

HEALTHY AGING

Proudly serving all of Westmoreland CountyHourly and Live-In Companionship Available

♥ Meal Preparation ♥ Shopping♥ Personal Care & Hygiene ♥ Light Housekeeping♥ Errands ♥ Much More

116 East Pittsburgh St., Greensburg, PA

[email protected]

National background and abuse checks • Bonded and InsuredVOTED ONE OF THE BEST HOME HEALTH AGENCIES IN WESTMORELAND COUNTY.

HomeWell is there.B ecause you care…

CaregiversCan't Do It All

By Lois Thomson

"YOU CAN'T DO IT ALLBY YOURSELF!" THAT'SNITA HECK'S MESSAGETO CAREGIVERS, THOSE PEOPLE WHO PROVIDE CAREAND SUPPORT TO OTHERS WHILE OFTEN NEGLECT-ING THEIR OWN WELL-BEING IN THE PROCESS.

Whether giving round-the-clock attention or helping with certainduties on a regular basis, caregivers "have a tough time," said Heck,a Patient Care Manager at Gateway Hospice. "There's a lot of

responsibility and a lot of stress, and we don't (realize) it until we do it."So what advice can she offer? "Caregivers need to realize that they can't do

it all, and they need to ask for help—whether from their family, their extend-ed family, or others. Set up designated times when they will come in for awhile so you can get out."

Heck pointed out that caring for a loved one with health problems can oftentake a toll on the caregiver's much-needed sleep. "Typically somebody who issick or on hospice is not going to sleep through the night. So if the person isin your home and you're responsible 24/7, it's like having a toddler or a baby—you're not necessarily going to get your eight hours."

She added that caregivers can look for outside help. "Utilize resources thatare out there. For example, at hospice we have the luxury of having socialworkers involved in a team approach, and they are great at using communityresources. There are a wealth of organizations that have information aboutsupport for the caregiver, and our social workers are very adept at finding thatinformation."

Michele Beth Miller, LCSW, is a social worker at Gateway who assists withpatients and families. She agreed with Heck that there is a "huge degree ofcaregiver stress," and, with regard to social work, said that "we do spend quitea lot of time supporting families."

Miller mentioned providing emotional counsel for the caregivers, as well asresource assistance. "We can offer anywhere from one to five days of respitethat is paid for by hospice. For instance, we will take the patient out of theirhome and provide relief if the caregiver gets sick or needs to take a break."

She also talked about Gateway Hospice's volunteer program, where a sitterwill go into a home or facility to sit with the patient while the caregiver goesout to run some errands.

Heck concluded, "You can't take care of others if you don't take care of your-self. You can't keep filling up everyone else's glass if your pitcher is empty."

For more information, call (412) 536-2020 or visit www.gatewayhospice.com.>


To be included in our Directory Listing, call 412-835-5796 or e-mail [email protected]

Miranda Roach of HomeWellSenior Care in Greensburgrelates “We received a

wrong number phone call one dayfrom a man who thought he wascalling meals on wheels. He hadchecked himself out of the skillednursing facility he was in to comehome alone.” After finding that hehad called a home care service, hewas ecstatic about the mistake anddecided it was what he needed, afterall. “We helped him with his dailyADLs and cared for him until hispassing. Sometimes when you needhelp, a wrong phone call can be ablessing.” says Miranda.

It seems obvious that seniors andcaregivers should take advantage ofall of the help that is available tothem, but the average person has lit-tle or no formal assistance in theirsearch for resources. Many find it tobe a confusing, time-consuming,

and overwhelming experience. At atime when emotions and stress lev-els can already be high, and urgentneeds add pressure for quickresults, it’s not surprising that manypeople don’t extend their search.

Debbie W. of North Hills recalls“It all happened so fast when mymom got sick. If only we hadknown then what we know now!We pretty much just went alongwith whatever was suggested to us,we really didn’t understand whatwas available.”

Families may or may not be satis-fied with their choices, and somewill never know about alternativesthat might exist, or they may findout about them too late. Lucy Seger,owner of Home Instead Senior Careoffices in the South Hills andWashington County, says “We heartime and time again … I wish I hadknown about your service when I

was caring for my mother, it reallywould have helped my mom andour family.”

The odds are, if you aren’t alreadyinvolved in caring for an older adultyou eventually will be, especiallyhere in the Pittsburgh Region wherethe percentage of senior citizens inour population is one of the highestin the country. Becoming a caregiv-er can happen suddenly, or it cangradually sneak up on you. Eitherway, knowing your options willenable you to make the best deci-sions for you and yours.

F.R., a participant in a local PACEprogram in Pittsburgh, was physi-cally eligible for nursing homeplacement when she chose a differ-ent option. “LIFE Pittsburgh is thebest kept secret in Pittsburgh. Best,caring place that keeps people outof a nursing home." says F.R.

Access to comprehensiveresource information is fundamen-tal in maximizing the quality of lifefor seniors and their loved ones.Karla McGee, Coordinator atLifeSpan’s Lafferty Senior Center inBaldwin adds “The biggest problemthat seniors, their children and care-givers face is that information is soscattered.”

Look for a complete source thatgives you more than a few provideroptions, one that offers more than

their own, or their advertiser’s. Themore all-inclusive the source is, thebetter informed you will be.

Accidental Elder CareBy Cheryl Nemanic

WOULD YOU BE SURPRISED TO KNOW THAT A LARGE NUMBER OF SENIORS ANDFAMILY CAREGIVERS FIND HELP, MORE OR LESS, ACCIDENTALLY? SOMETIMES IT’S ASUGGESTION FROM A FRIEND, THE FIRST LISTING IN THE PHONE BOOK, OR EVENA CALL TO A WRONG NUMBER.

• Senior Centers, AreaOffices on Aging and othercommunity organizationsoften have information andreferral services.

• Several local publicationsoffer printed resourceguides, or articles gearedtoward support for care-givers.

• Your state representativesprovide assistance and infor-mation with many local andgovernment related needs.

• Many websites on the inter-net offer information andsupport, and some will helplocate senior housing orother services. Look for aregional website with all-inclusive, local information.

• Hire a Geriatric CareManager who is familiarwith local services to help.

RESOURCES

Cheryl Nemanic is the founder of TodaysSeniorResource.com,an all-inclusive regional source for senior and caregiver services,products, information, and support in Allegheny, Beaver, Butler,Washington, and Westmoreland counties. Contact her [email protected].

>


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Baby Boomers may dream ofowning a second home as theyhead into their retirement

years. But instead of caring for avacation house, adult children oftenfind themselves helping an agingmom and dad avoid the safety pit-falls of the family home.

There’s no doubt where seniorswant to be as they age. The majorityof seniors polled in recent industrysurveys – typically 90 percent – saythey want to stay at home. But in a2007 AARP independent livingstudy, two-thirds of Boomer womensurveyed said they are concernedabout their parents’ ability to liveindependently as they get older, with43 percent being very concerned and26 percent somewhat concerned.1

“There are many potential pitfallsthat we’ve seen during the homesafety reviews that our companyconducts before starting service in aclient’s home,” said Reed Kovalan ofHome Instead Senior Care. “Ourreviews cover 50 different itemsthroughout a home including theentrance, living areas, kitchen, bed-room, bathroom and stairways.Important safety areas to highlight in

a senior’s home run the gamut fromaccessibility to lighting to trip andfall hazards.”

Many home safety improvementsare simple and inexpensive, expertssay. Convincing seniors, on the otherhand, is another story. DaniseLevine, assistant director of theIDEA Center at the SUNY (StateUniversity of New York) BuffaloSchool of Architecture, said thatdenial often comes into play withseniors.

These issues can result in seniors’adapting behavior to their environ-ment, creating a potentially danger-ous situation, said Levine, whoseIDEA Center is dedicated to improv-ing the design of environments andproducts by making them moreusable. “If a senior has problems get-ting off the toilet, he could develop aseveral-step process of using a win-dow sill, shower curtain and towelbar to get up.”

“That first, important step is tomake an objective review of whatneeds to be done to keep them athome,” Kovalan said. “It’s one of themost important services that HomeInstead Senior Care provides.”

Liken Health 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 house-

keeping, medication, and more.

The region’s

most trusted

source for

care in

the home.

412-816-0113 www.likenservices.com

Call for a free assessment and more information, or visit our Web site:

The Parent TrapBOOMERS HELP MOM AND DAD

AVOID A HOME’S POTENTIAL PITFALLS

For more information, contact any of the eight local HomeInstead Senior Care Offices: Allegheny County: Central (412)731-0733, Northwest (412) 264-4700, Southwest (412) 276-2400, Southeast (412) 884-6122 and Northeast (412) 457-0066,

Beaver and Butler Counties (724) 452-6691, Washington County (724)222-7700 and Westmoreland County (724) 836-5795. Visit the website atwww.homeinstead.com/greaterpittsburgh.

>


By April Terreri

There is a new buzz among seniors living at the Residence on Fifth. “It’sa computer program that helps seniors keep their minds workinghealthy,” reports Lindsay Painter, director of sales and marketing.

“The program offers seniors fun ways to exercise their minds through mem-ory games and word games for brain fitness.”

The programs is brand-new to the Residence on Fifth. “We decided toinvest in it because we are always looking for new ways to benefit our resi-dents,” says Painter. “It focuses on improving seniors’ attention, perception,memory, learning, and reasoning skills.”

According to Yuval Malinsky, the founder of Vigorous Mind, the programoriginated in Europe about four years ago and is currently used in over 400assisted living facilities throughout Europe. About a year ago, VigorousMind got the exclusive rights for North American use and Malinsky devel-oped a version with new features and content unique to the US and Canada.

“Our goal is to help people 45 and older to stay sharp as they age,”explains Malinsky. “So we developed this software tool that can stimulatethe brain and provide cognitive training.”

Malinsky reports there is growing evidence that cognitive stimulation isgood for brain wellness. A study in the Journal of Neurology concluded thatpeople who are cognitively inactive are 2.6 times more likely to developAlzheimer’s disease than people who are cognitively active. Another con-clusion was that frequent cognitive activity was associated with reducedincidents of mild cognitive impairment and with slowing down of cognitivedecline.

Vigorous Mind has a scientific advisory board consisting of leadingresearchers in the areas of dementia, Alzheimer’s, and geriatrics, explainsMalinsky. The chairman of the board is also the director of the RushAlzheimer’s Disease Center in Chicago, one of the largest research centers ofits kind in the country.

“Everything we develop is sci-entifically based,” continuesMalinsky. “We utilize a broadapproach to brain wellness mean-ing that it is not enough just to dobrain exercises. It is also impor-tant to help seniors socializebecause people who socializehave better memories.”

This is accomplished through asimplified e-mail module thatallows seniors to see photos of peo-ple they are communicating with.“When they see the photo every-day and the name of the personwho is important to them, thathelps them retain those names andfaces which is something peoplelose in later stages of Alzheimer’s,”explains Malinsky.

Another tool to help seniorssocialize is a program calledAlbums that helps them keep intouch with people who are impor-tant in their lives. “They can sendphotos of what they are doing andcreate photo albums so they can stay in touch with family members andfriends,” Malinsky says. “So these are some examples of how we help themkeep connected.”

The emotional component of the program helps seniors reduce stress lev-

Claude Weagraff’s daughter recommended IntegraCare to him.

Now he’s recommending IntegraCare to you.

When you recommend something to someone, it means you really believe in it.That’s why we’re pleased when our residents and their families express thatby recommending us to others.

We believe this happens so often because of what makes us so unique —our Three Dimensional Care focus.

The first “dimension” is our employees. Because the key to great care is greatcaregivers. That’s why we treat our employees so well. If they are delighted tobe here, then our residents (the second “dimension”) will be well cared for.

If our residents are well cared for and delighted to be here, then their familiesand friends (the third “dimension”) will be glad they chose anIntegraCare community.

We call it a win-win-win. We believe you will too.

So if you’re considering AssistedLiving, talk to the provider that comes highly recommended.

Dear Alison,

I would like to tell you how pleased I amto be a resident of an IntegraCarecommunity. I am thankful my daughter,Wendy, recommended this place....

...I was impressed by the beauty of mynew home and the friendliness of thestaff.... I would recommend anIntegraCare community without reservation.

Sincerely, Claude Weagraff

Dear Alison,

I would like to tell you how pleased I amto be a resident of an IntegraCare community. I am thankful my daughter,Wendy, recommended this place....

...I was impressed by the beauty of mynew home and the friendliness of thestaff.... I would recommend anIntegraCare community without reservation.

Sincerely, Claude Weagraff 1-866-906-4046

4700 Fifth Avenue, Pittsburgh www.IntegraCare.com

Vigorous Mind is an Engaging Tool for Keeping Senior Minds Sharp

My Vigorous Mind Main Menu – a broad variety with nine

brain stimulating activities.

Brain fitness exercises such as Take 2 Challenge and

Train Your Memory.

Continued on following page


Boomer &Senior

Living Options

What is Independent Living for Seniors?

Growing older inWestern PA used tobe pretty simple. As

long as you were able, youlived in your own home. Ifyou needed a little helpwith household chores,meals or personal care, afamily member could pro-vide it. When you neededquite a bit of help with care, you went to a nursing home. During the last 3decades, much has changed in the world of senior housing, and choices nowexist that provide for all levels of safety, care and quality of life.

Among the many options available to seniors when choosing housing,Independent Living provides the greatest versatility and freedom.Independent Living for seniors refers to residence in an easy to maintain pri-vate apartment or home within a community of your peers. As a general rule,Independent Living Communities also provide services such as meals, house-keeping, transportation and activities. Typically, residents do not require“hands-on” personal care or medical assistance. If such care does become nec-essary, residents in Independent Living are permitted to bring in their choiceof outside services.

Arrowood Independent Living community offers distinctive retirement anda carefree lifestyle to area seniors. Established in 1997, Arrowood offers 123apartments, situated in a peaceful, wooded setting. Available units range insize from the efficiency level to a two bedroom, two-bath suite. Every apart-ment is furnished with a kitchenette that includes a small refrigerator andmicrowave. Incoming residents utilize a month-to-month lease, and entrancefees are not required. Fine dining is available from 7 a.m. to 6 p.m. daily,housekeeping is provided on a weekly basis. Other services include localtransportation, 24-hour security, paid utilities (including cable) and individ-ual climate control. A full schedule of activities and outings makes this life atArrowood even more enjoyable. Residents can look forward to card clubs,afternoon parties, dinner outings, their favorite entertainer – or simply spenda quiet evening in the privacy of their own apartment.

Arrowood Independent Living is located on the campus of the Southwestern Group, Ltd. in West Mifflin. For more information, call (412) 469-3330 or visit our website at southwesternhealthcare.com.

els. “People who are depressed many times suffer from memory problems andsometimes they are even misdiagnosed as having Alzheimer’s,” explainsMalinsky. “But once the depression is gone, their memory returns. So wefound it is very important to help people with their emotional health and takecare of their depression.”

Vigorous Mind’s recollection module displays pictures of cities and townsacross the country from the 1920s through the 1970s. “They can see wherethey grew up and where they spent their early adult life and reminisce, whichis an activity that reduces stress and is also an enjoyable experience,”Malinsky explains.

Key cognitive skills such as memory, processing speed, and reasoning canbe monitored using a brain fitness module. Each resident has his or her ownpersonal and private user name and password they use to log in. The systemcollects information and produces reports so residents can see their scoresand check their progress on particular brain exercises. “With the resident’spermission, caregivers can review these reports to see if a physician needs tosee the resident to help them with any problems they might have,” Malinskysays.

Because Vigorous Mind is a Web-based program, residents’ general practi-tioner or neurologist can review their scores from remote access and helpguide them on which exercises they need to focus on.

Malinsky reports he and his company are in discussions with medical col-leges throughout the country regarding running clinical trials. “Since this ver-sion has been out for only six months, we have only anecdotal data from theretirement facilities using the product. But the feedback is outstanding so far.”

For more information, call Lindsay Painter at the Residence on Fifth at (412) 621-0900.>

>

Vigorous Mind, (Continued from previous page)


You’ll feel right at home at Arrowood’s independent living community.Decorate your apartment any way you like. And don’t worry aboutcleaning, dinner or getting around; we take care of those details.

Whether it’s Arrowood’s independent living or the onsite assisted living andskilled nursing care, Southwestern Group’s Continuum of Care providesongoing care in one location – a picturesque, 40-acre wooded campus.

Call for a personal tour, 412-469-3330,or visit southwesternhealthcare.com.

Lewis Run Road, Pleasant Hills

Call ForMove In

Specials!


A Community Guide toHealthcare Resources

Did you know that more than20,000 women will be diag-nosed with ovarian cancer

this year and more than 15,000 willdie from the disease, making it themost deadly of all women’s repro-ductive cancers? Focusing on thiscritical women’s health issue, theNational Ovarian Cancer Coalition(NOCC) is committed to raisingawareness and promoting educa-tion about ovarian cancer and toimproving the survival rate andquality of life for women with ovar-ian cancer.

In 2006, NOCC commissioned anational survey which revealed analarming lack of women’s aware-ness about ovarian cancer.

• Only 15% are familiar with the

symptoms of ovarian cancer.

• 67% of women incorrectly believe

that a yearly Pap test is

effective in diagnosing ovarian

cancer. In fact, it’s only a

screening tool for cervical cancer.

Without a consistently reliable,accurate screening test to detectovarian cancer, 75% of women are

diagnosed when the disease isadvanced and prognosis is poor.NOCC is striving to facilitate earli-er diagnosis to ultimately improvesurvival rates. Through its “Breakthe Silence” awareness campaign,NOCC empowers women withinformation and gives them toolssuch as the “Conversation Starter,”an online educational piece avail-able at www.ovarian.org. This pieceteaches women what questions toask before initiating a discussionwith their doctor.

Locally, the NOCC PittsburghChapter offers newly diagnosedwomen, survivors and their fami-lies ongoing programs, includingPicking Up the Pieces peer support,educational speakers and frequentupdates on research and advocacyissues.

Outreach initiatives include par-ticipation in health fairs andwomen’s events, as well as speakingengagements throughout westernPennsylvania. The 8th AnnualNOCC & PureOlogy’s Walk toBreak the Silence on OvarianCancer will take place on Sunday,September 14 at North Park at10AM.

By Cindy Thomas

With summer finally here,use the better weather as atool in your effort to quit

smoking.Many smokers use cigarettes to

help cope with stress in their day today life. If you’re one of them, you’llneed to learn new ways to getthrough stressful times after youquit. Nicotine is actually a stimulantthat causes your heart to beat fasterand your blood pressure to go up, sosmoking may actually make you feelmore stressed. Craving nicotinecauses stress, so when you smoke thecraving stops and you feel morerelaxed. Identifying the ways smok-ing helped you cope with stress canlet you replace smoking with otherhealthier ways of coping.

Now that being outdoors is a treat,when you feel that urge to smoke gofor a walk instead and remember todrink plenty of water. It helps keepyou hydrated, but also helps flushthe toxins from your system. Ifsmoking makes you feel calmer - trysome deep breathing or other relax-ation techniques, in the evening takea long, hot bath. Spend time each

day with activities you enjoy, maybestart a new hobby. Eat well and getplenty of rest, you’ll be better able tohandle the stress.

Cindy Thomas is the ExecutiveDirector of Tobacco Free Allegheny.

For many people,joining a class or getting phone counsel-

ing, along with NRT or othermedicines is the most effectiveway to quit. For informationabout free quit smoking classescontact Tobacco Free Alleghenyat 412-322-8321, visitwww.tobaccofreeallegheny.org,or call 1-800-QUIT-NOW (1-800-784-8669)If you haven’t quit made thedecision to quit, visitwww.determinedtoquit.com foronline social support,motivations tools and otherquitting resources.

TRYING TO QUIT? We Can Help

>

TALK TO YOUR KIDS ABOUT THEDANGERS OF TOBACCO

It's an addiction that attracts more kids than marijauna,alcohol or cocaine. Kids who use tobacco are more

likely to experiment with other drugs.

Need more information?

TobaccoFreeAlleghenyOne Allegheny Center • Suite 101 • Pittsburgh, PA 15212

412.322.8321www.tobaccofreeallegheny.org

Funding provided by the Pennsylvania Department of Health and Allegheny County Health Department

For more information contactNOCC Pittsburgh at (412) 661-1095 or visitwww.ovarian.org and go to the Pittsburgh Chapter.

NOCC Committed to Raising Awareness of Ovarian Cancer

>


By Rafael J. Sciullo,MA, LCSW, MS

Children often feel alone intheir grief. Their family may be dealingwith their own grief. Schoolteachers may

be unprepared to address the many issues thatarise from a child’s grief. And peers are not able torelate to these intense feelings. When someonedies there are many that feel the loss. Sometimesthose who experience it the most intensely arethe children – those who have the least avenuesof support. In response to this critical need,Family Hospice and Palliative Care is offering ouryoungest community members a chance toattend Camp Healing Hearts in August.

Camp Healing Hearts is a day camp for griev-ing children. In this peaceful and supportive set-ting, the young campers will discover that theirfeelings of anger, sadness, regret, and guilt are notunique and are, in fact, quite common. Throughthe validation of these feelings, the children willlearn that they are not alone in their grief.Participants will also discover, through art, phys-ical activity, and drumming exercises that thereare many ways to cope with these strong feelings.Finally, by completing an obstacle course thecampers will understand that some aspects ofgrief are simple to master, while others are morechallenging and may require additional help andsupport.

In many cases these young campers will taketheir cues from the adults in their lives. Therefore

Camp Healing Hearts invites the parents orguardians of these young campers to participatein the camp activities. The adults will take anactive role – helping campers to create memoryboxes, as well as participating in organizedgames. These adults will also have the opportu-nity to discuss their own grief and explore waysto support their grieving child. For children andteens it is imperative that the adults in their livesare walking this journey with them.

Children and teens grieve differently thanadults. They feel many of the same feelings, butthey may express their feelings in a different way.Young people often express their emotionsthrough their behavior as well as through wordsand tears. Children and teens grieve in cycles.Even when everyone else in the family may begrieving intensely, children may fluctuatebetween tears and playing. When a signifi-cant loss has been experienced, children mayrevisit their grief throughout the future astheir development allows them to under-stand it differently. Finally, grieving familiesoften feel a need to pull together for support.Since adolescence is increasingly a time forbreaking away and relaying on peer support,these conflicting needs can place parents andteens at odds with one another. At the sametime, these children and teens can feel differ-

ent from their peers because of theirsignificant loss. In an attempt to fit inwith their peers, they may try to ignoretheir own grief reactions.

As is true in many cities, Pittsburgh needsmore resources to help heal these children, tosupport their parents, and to educate the manyprofessionals who work with children and teens.Highmark has made tremendous inroads withThe Caring Place, but it is impossible for oneorganization to address the variety of needs inour community. As we explore avenues to sup-port the bereaved we cannot forget our youngestand most vulnerable. Camp Healing Hearts willbe a source of healing for these children and fam-ilies during this most difficult time.

* * *The camp is being held on August 16, 2008 at

Family Hospice and Palliative Care’s Center forCompassionate Care in Mt. Lebanon. Registration

is for children ages 6-12. For more informationabout Camp Healing Hearts call (412) 572-8829.

Camp Healing Hearts

Rafael J. Sciullo, MA,LCSW, MS, is presidentof Family Hospiceand Palliative Care.

He may be reached at [email protected] or at(412) 572-8800.

>

Gateway RehabilitationCenter’s new youthhalfway house, named

Liberty Station, stands aloneas the only halfway house inthe Commonwealth for malesages 13 through 21 who are inrecovery from alcohol and/ordrug addiction. The 24-bedprogram, located south ofPittsburgh in Bridgeville(South Fayette Township), is for young men whocomplete a regular course of treatment but need alonger period of supervised living to maintain on-going sobriety. Over a period of three to ninemonths, patients focus on basic life skills issueswhile keeping their recovery a priority.

The South Fayette Township location providesseveral resources to help the adolescent patientslearn to access recovery in the community. “Oneof the most important aspects of halfway houseprograms is giving patients the opportunity topractice their new recovery skills on a dailybasis,” said Jill Perry, director of Gateway Rehab’sExtended Care Division. “The ability for patientsto experience ‘real-life triggers’ and return to thesafety and support of the halfway house to processthose experiences is vital to maintaining long-term sobriety.”

Gateway Rehab recently received a grant of$148,000 from The Pittsburgh Foundation tosupport Liberty Station. “Liberty Station offers anearly second chance for the residents to reclaimtheir lives and to grow and move on in a positivedirection. We are happy to have The PittsburghFoundation as a partner in this effort," said JimAiello, Gateway Rehab’s executive vice presidentof treatment programs.

In addition to the grant, another piece of goodnews for Liberty Station is that it recently recog-nized its first four graduates of the program. “Ithas been incredible to watch the vision of LibertyStation unfold into reality. We can now see thechanges the program is making in the lives ofthese young patients who we call the ‘LibertyBrothers’,” said Perry.

According to Perry, the name chosen for the

youth halfway housestands for freedom or“Liberty” from thedepths of addictionwhile “Station” repre-sents one of the stopsthese young peopletake on their journeyto recovery.

Gateway also hastwo 25-bed halfway

houses for men: the Tom Rutter House, whichopened in 1990 in Aliquippa, PA and the MoffettHouse, established in 1997 and now located inBeaver Falls, PA.

Gateway Rehab was founded in 1972 by Dr.Abraham J. Twerski, an internationally recog-nized authority in the field of chemical depen-dency treatment, psychiatrist, frequent lecturer,and author of more than 50 self-help relatedbooks. More than 100,000 individuals havereceived treatment within the Gateway system,with locations through western Pennsylvania andOhio.

For more information on Liberty Station orany other Gateway Rehab programs, call(800) 472-1177 or visit www.gatewayrehab.org.

Gateway Rehab OffersOnly Halfway House

in Pennsylvania forYouth in Recovery

from Addiction

>


LLOONNGG--TTEERRMM AACCUUTTEE CCAARREE HHOOSSPPIITTAALL ((LLTTAACC))

HealthSouth Hospital of Pittsburgh in Monroe-ville is unique from its other two area hospitals,which are rehab hospitals, notes Brian Bricker,director of marketing operations. “We serve as ahospital for patients who need more intensive med-ical care. Although they might be stable enough toleave an ICU hospital setting, they might not yet beready for a less-intensive level of care.”

Patients stay here for about 25 days, where aphysician sees them six days of the week. “Thenursing ratio and physician involvement is a lothigher here, because patients require higher levelsof care,” says Bricker. “I don’t think many peopleknow about our unique LTAC level of care availableright here in Pittsburgh for people recuperatingfrom complex medical issues.”

Many patients here are recovering from acuteconditions like heart surgery. Others still need to beon a ventilator. “One of our big programs here isventilator weaning, which helps people recovertheir ability to breathe on their own,” Brickerreports.

Another service the hospital provides – unique tothe region – is its lymphedema program that helpspatients achieve positive results in their recoveries.A nationally certified lymphedema specialist over-sees these patients.

CCOOMMPPRREEHHEENNSSIIVVEE CCAARREE AANNDD RREEHHAABBIILLIITTAATTIIOONNHealthSouth Harmarville and HealthSouth

Sewickley are acute care rehab hospitals, says AimeeDeinert, director of marketing operations. “We treata range of diagnoses, and we are most renownedhere in Harmarville for our stroke program, forwhich we’ve received the Stroke Center ofExcellence award,” says Deinert. Harmarville wasthe first hospital in the country to receive this awardand it was also the first comprehensive in-patientrehab hospital in the country when it was estab-lished in 1954. Since that time, the hospital hascared for over 150,000 patients.

All programs at each of the two hospitals are ledby a specialized care team that includes physiatry,occupational therapy, physical therapy, speech ther-apy, nursing, and respiratory and case management.“Patients are also followed by an internal medicaldoctor and any specialists patients require such as acardiologist, pulmonologist, or psychiatrist,”explains Deinert.

One of the missions of the two hospitals is to pur-sue aggressively state-of-the-art technology forpatients, Deinert says. This includes equipment anddevices engineered to help people regain their bal-ance, their gait, their ability to walk, and their abil-ity to strengthen motor skills lost through injury.

Stimulation therapy helps treat dysphagia and thereare a number of mobility systems available to helppeople regain their independence. The INDEPEN-DENCE iBOT, AutoAmbulator, Bioness L300, andNeurocom BalanceMaster are just a few of the tech-nologies available to patients.

OOUUTTPPAATTIIEENNTT PPRROOGGRRAAMMSSLinda Parkinson is the director of Outpatient

Services for HealthSouth’s six outpatient sitesaround Pittsburgh. “We offer physical therapy,occupational therapy, and speech therapy at eachsite, which is unique because many facilities onlyoffer physical therapy.”

Three of the sites have pools and offer aquatictherapy for patients who can’t tolerate weight-bear-ing therapy. Parkinson adds her department also hasa home health agency to serve people throughoutthe region with home health visits.

CCOONNTTIINNUUUUMM OOFF CCAARREEProbably the most notable feature of HealthSouth,

notes Bricker, is the progression of care it offerspatients throughout the various levels of theirrecoveries. “The progression typically begins aspatients enter an intensive care unit, where theyreceive their medical care in an acute care hospital,”explains Bricker. “They might come to our LTAChospital in Monroeville first and then move on toone of our rehab hospitals. Once they’ve reached theoptimum level of recovery there, they might receiveoutpatient therapy or home health care to continueto achieve their full recovery. So we do have thiscontinuum of care that allows us to serve every levelof patients’ needs throughout their recoveries.”

Deinert adds that HealthSouth’s three hospitalsoffer a higher level of care than a typical post-acutedischarge facility. “We are very different from nurs-ing homes in that we offer more medical and nurs-ing monitoring as well as intensive and comprehen-sive therapy.”

Another unique aspect of the hospitals is theirability to admit patients right from their homes.“We have a team of clinical liaisons who visitpatients’ homes to do a free evaluation to determineif they need the higher level of care one of our facil-ities can provide to them,” says Deinert.

Patients and their families really need to take itupon themselves to investigate their medicaloptions, adds Bricker. “They really need to be thebase advocates themselves. This is why we encour-age them to tour our facilities and learn what theiroptions are. We feel strongly that once they recognize the level of care weprovide, they will think of us as a viable option.”

For more information on HealthSouth, call 1-877-937-7342.

HealthSouth Offers Unique Medical Services

By April Terreri

Right in our own backyard, we have some of the finest specialtymedical services available anywhere. When we or loved ones arestricken with a serious health condition, our minds could be focused on the getting well part of the journey. Therefore, we might nothave the energy to think of where to go for specific services that could enhance and speed the healing process. This is why we arehighlighting some of the available programs HealthSouth offers at its three area hospitals.

>

“I don’t

think many

people know

about our

unique LTAC

level of care

available

right here in

Pittsburgh

for people

recuperating

from complex

medical

issues.”

-Brian Bricker

“We offer

physical

therapy,

occupation-

al therapy,

and speech

therapy at

each site,

which is

unique

because

many facili-

ties only

offer physi-

cal therapy.”

-Linda Parkinson

“We treat a

range of diag-

noses, and

we are most

renowned

here in

Harmarville

for our

stroke pro-

gram, for

which we’ve

received the

Stroke

Center of

Excellence

award.”

-Aimee Deinert

The INDE-

PENDENCE

iBOT, is just

one of many

technologies

available to

patients.

A Community Guide toHealthcare Resources


AUGUST 6-27 WRESTLING FOR CHILDREN

Wrestling for children of all skill levels. This program atthe Chartiers-Houston Community Library, 730 WestGrant St., August 6-27, will provide children with tools,technique, motivation, and step-by-step training and is awonderful introduction as well as being valuable to currentwrestlers interested in refining their technique. Theemphasis is on drilling; proper technique will be consis-tently reinforced. Each student will receive individualizedattention so that they successfully master each move. Thisprogram will instill confidence needed for the upcomingmatch/tournament season. Ages 5 - 7: 6-7pm Ages 8 - 10:7-8pm $50 per child. Class size is limited, so please besure to register early by coming in or by calling (724) 745-4300.

AUGUST 8-10LIVING WELL WITHPARKINSON DISEASE

The Parkinson Foundation of Western Pennsylvaniawill present “Living Well with Parkinson Disease,” a week-end retreat for those with Parkinson disease, their familiesand caregivers on Friday, Saturday and Sunday, August 8-10, at the Antiochian Village Conference and RetreatCenter in Ligonier, PA.

At this one-of-a-kind event, participants will learn how tomanage the disease and connect with others on the samejourney through the weekend’s programs and activities.For more information, call David Von Hofen at theParkinson Foundation of Western Pennsylvania, at (412)365-2086, or visit www.pfwpa.org.

AUGUST 221ST ANNUAL ALF GOLF CLASSIC

The 1st Annual American Liver Foundation Golf Classicwill be held Friday August 22nd, 1 p.m. Shotgun Start, atLongue Vue Club. For more information, contact KaraHartner at (412) 434-7077 or visit the [email protected].

SEPTEMBER 3-24 WRESTLING FOR CHILDREN

Wrestling for children of all skill levels. This program atthe Chartiers-Houston Community Library, 730 WestGrant St., September 3-24, will provide children with tools,technique, motivation, and step-by-step training and is awonderful introduction as well as being valuable to currentwrestlers interested in refining their technique. Theemphasis is on drilling; proper technique will be consis-tently reinforced. Each student will receive individualizedattention so that they successfully master each move. Thisprogram will instill confidence needed for the upcomingmatch/tournament season. Ages 5 - 7: 6-7pm Ages 8 - 10:7-8pm $50 per child. Class size is limited, so please besure to register early by coming in or by calling (724) 745-4300.

SEPTEMBER 8CANONSBURG GENERAL HOSPITALSPONSORS 24TH ANNUAL GOLFTOURNAMENT

Canonsburg General Hospital’s 24th Annual BenefitGolf Tournament is scheduled for Monday, September 8 atValley Brook Country Club in McMurray. Proceeds fromthe tournament benefit the hospital. The event, cospon-sored by the Canonsburg General Hospital Medical Staffand Angelo Falconi’s Moon Township Dealerships,

includes brunch, dinner, a raffle and skill prizes. For moreinformation about corporate sponsorship or to register toplay, call Becky Biddle, Director of Development at (724)745-3913.

SEPTEMBER 28FLAVORS OF PITTSBURGH 2008

The American Liver Foundation is excited to announcethe 5th Annual Flavors of Pittsburgh will be held Sunday,September 28, 2008 at the Westin Convention Center indowntown Pittsburgh.

In the event's fifth and largest year, twenty-six of thearea's finest chefs will create individual culinary achieve-ments. Tables of ten are the canvas upon which each chefwill craft an inspired meal using his own flair for fine food,wine and decor. The event is complemented by entertain-ment, live and silent auctions and most importantly thechance to contribute to the American Liver Foundation inits mission to provide research, education and advocacyfor those affected by liver disease. The 5th annual Flavorsof Pittsburgh is proudly presented by UPMC-Thomas E.Starzl Transplantation Institute. For more information, con-tact Kara Hartner at (412) 434-7077 or [email protected].

OCTOBER 1-22 CHILDREN S KICKBOXING CLASS

Instructor Bill Poland, a 2nd degree blackbelt, will guidechildren through this exciting introduction to kickboxing atthe Chartiers-Houston Community Library, 730 WestGrant St., October 1-22. Ages 5 - 7: 6 - 7pm Ages 8 - 10:7 - 8pm $50 per child for the four week class. Class size islimited, so please be sure to register early by coming in orby calling (724) 745-4300.

MARK YOUR CALENDAR

E-mail your calendar listings to [email protected]

By Vicki R. Skraitz, M.Ed.

There is a connection betweenhow well a child can spelland how well a child can

read. Spelling is a language skill.Teaching spelling improves readingskills. Reading and spelling requirethe ability to segment and blend syl-lables and phonemes (phonologicalawareness). If a child demonstratesdifficulties in reading by omitting oradding sounds when decoding,omitting or adding letters whenspelling, or demonstrates letterreversals when spelling (flod forfold) then a consideration should begiven to having the child work witha licensed Speech LanguagePathologist.

The Speech Language Pathologistcan help the child develop thephonological and phonemic aware-ness skills necessary to improvereading and spelling skills.Attention needs to be paid to devel-oping the orthographic knowledgeneeded for spelling. Both readingand spelling required knowledge of

sound-symbol correspondences.Difficulties with orthographic skillsmay show up in letter-sound confu-sions or substitutions (cas forcatch). A child who demonstratesdifficulty with rules of combiningletters may spell the word ‘cry’ as‘kry’ or ‘jrum’ for ‘drum’. There arepatterns that govern spelling withinroot/base words. Children experi-encing difficulty with vowel recog-nition and sounds may spell ‘rain’ as‘ran’. They have been taught that theletter [a] has different sounds andusually they choose the ‘long’ vowelsound when spelling words thathave vowel combinations [ai].

Reading and spelling becomemore fluent when clear mentalorthographic images of words areestablished. Children need to beable to remember what the wordslook like in addition to knowinghow they sound. Difficulties withmental orthographic image (MOI)include reading words adequatelybut not spelling them correctly. Achild may also read words or spellwords differently each time they are

encountered – thesame word is spelleddifferently each timeor pronounced dif-ferently each time.

To improvespelling a childneeds to improvephonemic awareness(the letter-soundconnection). They also need toimprove orthographic knowledgeand morphological awareness (unitsof speech, words). Improving theMOI (mental orthographic image)will also help to enhance a child’sability to spell and read.

In summary, the SpeechLanguage Pathologist can help pre-vent written language problems byfostering language acquisition andemergent literacy. The SLP can alsoidentify those children at risk forreading and writing problems.Interventions can be provided thathelp a child who demonstrates diffi-culty with spelling and reading inorder to improve those skills result-ing in better grades. There are posi-

tive effects of differentiated instruc-tion that focuses on a multiple lin-guistic factors approach for teachingspelling. There is also a positiveimpact of spelling instruction onword-level reading skills when nodirect reading instruction is beingprovided in addition to the regularclassroom curriculum. Spellingtrained children perform better onword reading tasks.

Vicki R. Skraitz, M.S., aLicensed Speech LanguagePathologist at the

Waterdam Academy for SpecialNeeds, can be reached at (724) 941-2100 or (724) 255-4263.

CChhiillddrreenn wwiitthh SSppeecciiaall NNeeeeddss

Waterdam Academy forSpecial Needs

Support and Instruction For• Language Disorders • Speech Therapy

• Autism Spectrum Disorder• Reading & Comprehension Difficulties

• Processing Disorders

VICKI R. SKRAITZ, M. ED.,LICENSED SPEECH & LANGUAGE PATHOLOGIST

4160 Washington Road, Suite 202 • McMurray, PA 15317

724-941-2100 • 724-255-4263

Spelling and the Reading ConnectionHow the Speech Language Pathologist Can Help

>


w w w. e l e g a n t p h o t o g r a p h y o n l i n e . c o m

Elegant Photography

Nicholas BostaphDawn [email protected]

��

Elegant Photographycapture memories for a lifetime

Call today to make your appointment for your senior picture!

Looking for past issuesof the Guide To Good Health?

Visit our Web sitewww.guidetogoodhealth.com

Also check out our Calendar online!


A placement option for school districtsin Allegheny and surrounding

counties, serving kidsK-9 with emotional challenges or autism

Our mission is toprovide educational

and therapeuticservices that enableany child to thrive.

Pace School utilizes the Sanctuary�� Modelto create a trauma sensitive

environment where healing can occur.

2432 Greensburg Pike, Pittsburgh, PA 15221Phone: 412-244-1900 Fax: 412-244-0100

www.paceschool.org

MVH Center for Children’s Rehabilitation Helps Children Reach Their Optimal Potential

MVH’s Rehabilitation Teamstaff The Children’sCenter for Rehabilitation

to provide specialized services tomeet the rehabilitation needs ofchildren and adolescents in the mid-Monongahela Valley. The Center islocated in Suite 202 at 1029 CountryClub Road in Carroll Township.

The Center for Children'sRehabilitation serve children, ado-lescents and young adults, frombirth to age 21, who have been diag-nosed with any of a variety ofdeficits, delays and disorders.

MVH’s goal in offering this serviceis to provide comprehensive rehabil-itation services to help children and adolescents with special needs reachtheir optimal potential physically, socially, emotionally and intellectually.The Center staff therapists are trained in pediatric rehabilitation to identifyand understand the developmental needs of children.

The team coordinates care for various needs including physical, occupa-tional, speech and social/psychological therapies. MVH enjoys a profession-al partnership with California University of Pennsylvania to accommodatedevelopmental evaluations using the university’s Child and Family StudiesInstitute.

The therapists and developmental specialists assess the child or adoles-cent’s needs, establish goals, and create an individualized intervention plan.Families and caregivers play an important role in the process and progress oftheir plan. An emphasis is placed on family and caregiver involvement,including education and training. In addition, MVH therapists serve as avaluable resource for helping families coordinate with other assistance in thecommunity.

Ruth Sepesky, PT, Director of MVH’s Rehabilitation Services said, "helpingall residents in the community including children and adolescents reachtheir optimal potential fulfills our MVH mission. We recognized the need forthese invaluable services for children and adolescents in the mid-Monongahela Valley and expanded the rehabilitation program to accommo-date those needs.

“The earlier children are diagnosed and therapies begin, the better chancethey have of coping with these issues throughout life. Children and adoles-cents with special needs often have physical and cognitive barriers that hin-der their inclusion into the classroom or society. We want to give them everyopportunity by offering comprehensive and progressive services," saidSepesky. “We receive referrals from a variety of sources that include physi-cians, educational institutions and social services agencies throughout themid-Monongahela Valley.”

The MVH Center for Children’s Rehabilitation is open Monday through Friday throughout the day and evenings. For an appointment, call 724-258-2971.>

The Impact of Chronic Stress on Children

Stress or trauma is a challenge for everyone, butour children are particularly vulnerable. A child’sbrain goes through crucial developmental stages

constantly until they reach 21 years. Growing brainsneed nourishment just like growing bodies.

According to Sandra Bloom, M.D., “too much stressearly in a child’s life can make it difficult for a child to

learn new things, difficult for them to remember important things, and difficultfor them to put ideas together in their heads. As a result, many very smart chil-dren end up doing badly at school because they have not had enough protec-tion to give their young and vulnerable brains a chance to develop properly.”

The two most profound emotions for children are love and fear. Trauma orstress frightens children. Because they are helpless, children are far more easi-ly frightened than adults. Because the brain is still developing, childrenrespond to fear in ways that are hard to understand. Because they still don’thave the language to express their fear, they “show” how they feel throughbehavior like fighting or running away. We know these reactions as “fight orflight” and they are basic biological instincts for all human beings.

Children can be calmed and comforted by parents after a stressful event. Theeffects of love and nurturing are profound. But chronic stress from domestic orcommunity violence, abuse and neglect, mental or emotional illness can causea spiral of fear that inhibits brain development and learning. The behaviors thata child exhibits when they are stressed can cause angry reactions from adultsthat frighten them even more.

The next time your child or a child you know is behaving in an aggressiveor very withdrawn way, stop and think about what it feels like to be a child –helpless, eager for love, dependent and vulnerable. Then remember that behav-ior is how a child demonstrates what they are feeling. Even when they arebeing very aggressive, the basis for that behavior deep down is fear. Whetherthey are toddlers or teens, their brains are still growing and our job is to helpthem learn a different way to manage that very strong emotion.

To learn how parents can help their children cope with stress, visitwww.sanctuaryweb.com/Documents/Parenting%20points.pdf for a copyof Children and grownups are different by Sandra L. Bloom, M.D.>

Parents of Children With Special Needs…Go to www.guidetogoodhealth.com for more stories, information just for you!

By Lois Thomson

STATISTICS INDICATE THAT APPROXIMATELY 50TO 55 PERCENT OF WOMEN, AND 40 TO 45 PER-CENT OF MEN, SUFFER FROM SOME TYPE OFPROBLEM WITH THEIR VEINS, AND THAT VARI-COSE VEINS AFFECT ONE OUT OF TWO PEO-PLE AGE 50 AND OLDER. BUT WHAT IF YOU'RE34? AND HAVE BEEN SUFFERING WITH SUCHPROBLEMS SINCE YOU WERE A TEENAGER?

That was the difficulty incurred by Nicole Lavelle. For yearsshe lived with the discomfort, but said that after havingfour children, "It became extremely painful. I couldn't get

out of bed without support hose."Lavelle had one procedure after the birth of her third child,

but it did not solve her problems. Recently, however, she went toDr. Gennady Geskin and tried a new procedure he offers—Endovenous Laser Treatment, or EVLT. Rather than cutting theleg and taking out the vein, EVLT uses a laser to treat the veinand close it. The procedure is done in the office and little pain isinvolved, and Lavelle couldn't have been happier.

"It was wonderful," she said. "I had two treatments because I had so many

(varicose veins) and I've had them for so many years. But therewas hardly any pain."

Dawn Barnett is another of Dr. Geskin's patients, and sheadmitted she was "scared to death" about having her problemveins taken care of, especially after the experience her sister-in-law had. "She had a vein removed and she was off for 1-1/2weeks," Barnett said. "I own my own business so I couldn't dothat."

However, she needn't have worried. "I was able to go backto work the next day," she said.

Barnett had had three surgeries on her left knee, and whileshe didn't have many physical problems with varicose veins,her concern was cosmetic. "I was very self-conscious," shesaid. "I never wanted to wear a skirt because my legs lookedblack and blue; I never liked the way my legs looked becauseof the veins."

And now? "The (discoloration) is gone," she said. "I'mreally happy."

Both of these women were pleased with the procedure itselfand the results.

Dr. Geskin is a cardiovascular specialist who is part ofJefferson Cardiology Association. Lavelle commented, "I real-ly liked him. I was very pleased and I would recommend him."And Barnett added, "They were extremely professional and Iwas totally pleased."

Patients Pleased With EVLTSurgery for Varicose Veins

>Dawn Barnett

Nicole Lavelle

Dr. Geskin's practice, Jefferson CardiologyAssociation, is located in the medical building adjacent to Jefferson Hospital. For more information,call (412) 469-1500or visit www.jeffersoncardiology.com

ON THE CUTTING EDGE

For more information please call 412-563-8800 orgo online to www.willclower.com/ppd.

Brought to you by The Path and Pathways to SmartCare Wellness Program

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Electrophysiology Studies Record Heart Activity

Doctors! Health-Focused Businesses!If you need more copies of the Guide To Good Health for your

waiting room, call (412) 835-5796 or e-mail [email protected]

By Lois Thomson

Did you know your heart runs by electricity? But just like the elec-tricity that powers your home, sometimes things can go wrong withyour heart’s electricity, such as an irregular heartbeat, or fatigue or

dizziness. And if that happens, it's good to have an "electrician"—or elec-trophysiologist—like Dr. Maninder Bedi, to take care of it.

In his practice, Dr. Bedi performs electrophysiological (EP) studies,which record the electrical activity of the heart. He can then use these stud-ies to determine the cause of an abnormal heart rhythm and to locate thesite or origin of the abnormal heart rhythm.

"The symptoms are palpitations, people feel their heart going too fast, orthey may pass out or have fainting spells," he said. "They may have cardiacarrest or they get admitted to the hospital with heart failure. Or they getshort of breath. Any symptom pretty much related to the heart, they canhave."

When patients come to him with such problems, Dr. Bedi, on staff at TheWashington Hospital, can also use the results of the EP studies to determinethe best form of treatment. He talked about what some of those might be,including various types of implants:

"We implant pacemakers or we implant defibrillators—that's the treatmentfor heart failure. Then there is also something called cardiac resynchroniza-tion therapy, and we can implant these monitor devices with three wiresgoing into the heart, which makes people feel better."

Dr. Bedi mentioned that another aspect of the EP studies is the detectionof arrhythmia, which is an abnormal heart rate or rhythm. He described theprocess: "We go through the venal system of the heart, through the groin,and put catheters into the heart. And then we test the different electricalparts of the heart and find out why you're having fast heart rhythms or slowheart rhythms. Once we find out which part of the heart is causing the prob-lem, we can fix it, by ablation, or radio frequency lesions. It's like a laser, wego in there and burn that part away."

The education involved to learn this is quite extensive. As Dr. Bediexplained, "You go to med school, do internal medicine, and then do threeyears of cardiology. When we're a board certified cardiologist, we can decideto do electrophysiology and spend a couple of more years in the field."

Dr. Bedi did both his training and his cardiology training at UPMC, fin-ishing in 2007, and has been at The Washington Hospital for about a year.He also did a fellowship in heart failure and cardiac transplant.

For more information, visit www.washingtonhospital.org.

Dr. Maninder Bedi in the EP Lab.

>

During flu season andthroughout the year,many people are suscepti-

ble to the flu virus in the air intheir home. Now, new researchconducted by the Harvard Schoolof Public Health, along with sci-entists at Environmental Healthand Engineering Inc., (EH&E)shows that Trane CleanEffects™,a whole-house air filtration sys-tem, removes more than 99 per-cent of the common flu, orinfluenza A virus, influenza B,influenza C, and avian influenza(also a strain of influenza Avirus) from filtered air.

The tests involved releasing thecommon flu virus into the airinside a test heating, ventilationand air conditioning duct. Theremoval efficiency was calculatedfrom the amount of the commonflu virus measured in air samplescollected before and after passingthrough the Trane CleanEffects™system.

“In a home with central forcedair and a conventional 1-inch fil-ter, the average virus particlewould circulate through thehome about seven times beforedepositing on a surface or being

transported outdoors. That’s morethan enough time to breathe inthe virus, and cleaning the air inyour home is an important step toimprove the health of your homeenvironment,” said Dr. DavidMacIntosh, instructor at theHarvard Extension School, andprincipal scientist at EH&E.

“People with allergies and asth-ma are potentially at a greater riskof catching the airborne flu virus.We recommend that anyone withasthma take all measures to pre-vent acquiring the flu. These testresults are very importantbecause they demonstrate thatinstalling a whole-house aircleaner, such as Trane Clean-Effects™, can add another layerof protection against the flu forpatients with allergies and asth-ma,” said Dr. Paula Busse, M.D.,allergy and immunology special-ist, Mount Sinai Medical Center.

Trane CleanEffects™ utilizespatented breakthrough air clean-ing technology to eliminate aller-gens and particles such as dust,pollen, bacteria, pet dander, moldspores, smoke and now the com-mon flu virus when connected toa Trane heating and air condition-

ing system. It even removes parti-cles as small as .1 microns –1/1,000th the diameter of ahuman hair – the size that eludesmost air cleaners. A singleinfluenza virus is around .1micron in diameter. TraneCleanEffects™ is 100 times moreeffective than a standard 1-inchfilter, removing up to 99.98 per-cent of airborne particles andmore than 99 percent of the com-mon flu virus from the filtered air.

For further information,please visitwww.TranePA.com.


New Study Shows Breakthrough Technology Removes Common Flu Virus From a Home’s Filtered Air

>

These test results

are very important

because they

demonstrate that

installing a whole-

house air cleaner,

such as Trane Clean-

Effects™, can add

another layer of pro-

tection against the

flu for patients with

allergies and asthma

PUBLISHER

Nancy Carroll Lammie

EDITORIAL MANAGER

Judy Gramm

ACCOUNT EXECUTIVES

Cathy Emanuele, Harvey D. KartAlison Wilkie, Margie Wilson

DESIGN & LAYOUT

JMC [email protected]

CONTRIBUTING WRITERS

Nancy KennedyVanessa Orr, Ron PagliaLois Thomson, April Terreri

Andrea Zrmsek

MARKETING/CIRCULATION

Robert & David Lammie_________________

HOW TO REACH US:[email protected]

PHONE: 412-835-5796FAX: 412-835-8190

2574 Oldfield AvenuePittsburgh, PA 15102

SUBMISSIONS: Unsolicited storiesand photographs are welcome forconsideration.

The Guide To Good Health is publishedquarterly (4 issues per year) by JMCPublications. The contents of this publicationmay not be reproduced in whole or in part.All rights reserved.

Visit Us Online Atwww.guidetogoodhealth.com

Healthy Home Living

Walk the Course in ComfortBy Dr. Karen Luther

For some people, golf is a hobby. For others, it is a lifelong passion. Many golfers do notknow that they might be able to improve their game and comfort on the course with vis-its to our office.

In golf, a smooth and accurate swing is the result of a strength moving throughout parts ofyour body in one smooth action. When all of the muscle groups work together, the result is atype of fluid motion observed in the likes of many professional golfers. When the parts of thebody do not work well, the kinds of slices that put the ball in the rough are more the norm.

Having a good golf stance is the foundation of your game. Foot and ankle alignment can heav-ily influence the back swing. Even more important is even distribution of weight on both feet. Toget your feet and ankle into line for golfing, you need to be sure that they are functioning prop-erly and not pronating (walking on the insides of the feet) or supinating (walking on the outsides).A visit to our office can correct such problems, often with specially designed innersoles, which cangive you the correct stance and support you need to play the game comfortably and adequate align-ment every time you play a round.

The right golf shoes are as essential as a good partner. Tips for picking the proper golf shoe areas follows: walk around in them, even try a few swings in the store to make sure that they arecomfortable whether you are addressing the ball or walking the links. Always shop for your golfshoes late in the afternoon, even after a round of golf, when your feet are somewhat swollen forthe best fit. Also, be sure when trying on your golf shoes that you are wearing the same type ofsocks that you will be wearing when golfing and that your socks are constructed of a moisture-absorbing material to avoid excessive perspiration and athlete’s foot.

For more information regarding golf-related problems, custom orthotics, or supportive golf shoes, pleasecontact Dr. Karen Luther at Pittsburgh Family Foot Care at www.PFFCPC.com or (724) 941-9440.>

Surprise! You Have toEat Everyday!

By Diana Fletcher

Planning ahead can make the whole foodthing easier. Some of us like to cook,some of us hate it. Some people don’t

mind grocery shopping, others dread it and put it off as long as possi-ble. Many times, we have no time to fix dinner because we are runningaround like nuts to the next activity, meeting, etc. Whatever our views,a lot of time and stress can be avoided with some simple preparation.

Keep a grocery list on the refrigerator where everyone in the familycan write down items as they notice supplies running low. Some peoplelike having a standard list of necessities they buy every week. They runoff copies, leaving spaces to fill in other items. (These can be groupedthe way the grocery store is set up so you can follow your list with min-imum backtracking.) Once a week, make your list and at the same timeplan dinners and lunches so that you make sure the needed items are onthe list.

If you hate shopping, take turns with your partner/spouse or hiresomeone to do it. If this is not possible, make it as efficient as possibleso it takes the minimum of your time.

Planning ahead for the shopping and the food prep creates hours oftime a week. One hour on the weekend, working on the list and plan-ning the meals will give you huge amounts of time later in the week.

Older children can take one turn a week to make dinner. Don’t be toopicky about what they fix. Soup and sandwiches can be a great meal ifsomeone else prepares it and it gives you time to sit together as a fami-ly. As children grow into this responsibility, they will start planningahead and helping with the grocery list. If things are ready to be made,you will find you are not stopping to grab fast food which is sounhealthy and a money waster to boot.

Keep fresh fruit and vegetables in the house already washed and readyto go. Make lunches the night before, for you and your children. Keephealth food bars in your car, so you always have food handy in times ofdelays and long appointments. Try to find recipes to double and freeze.Two meals for the time it takes to make one. A little planning goes a longway.

You have to eat everyday. Make it healthy, satisfying and easy.

This article is an excerpt from Diana Fletcherand Weston Lyon’s book, Creating Space: 38 Strategies to Help You Make Time for

What’s Important (available at www.creatingspacebook.com or amazon.com).


>

HEALTHY EATING

To receive Diana’s free monthly e-zine, visit www.dianafletcher.com or call (724) 733-7562

By Will Clower, Ph.D.

SUMMER’S IN FULL SWING NOW. HOW CAN YOU STILLBE HEALTHY WHEN YOU’RE TRAVELING? YOU CAN EATWELL WITH THESE TECHNIQUES.Quantity

The real problem on the road is that you have no home to go back to, butdon’t feel like you need to eat it all.

A great strategy to deal with the road-food portion control issue is to bringa cooler with you.

When your entrée is served estimate the amount you would normally havefor a lunch portion, set that into your cooler. Your next meal is ready — andalready paid for!

Ask the waiters to serve the lunch or child’s portion for dinner. Always makeit a habit to leave what you could not finish on the plate.

Here’s the rule: Waste it or waist it.

QualityChoose restaurants that use primarily whole foods and prepare their food

onsite. Grocery stores are wonderful for this. For example, buy an avocado, freshly

baked bread, cheese and a tomato. Along with the sandwich you can get sum-mer fruits. Grapes are a perfect to-go food for the car, as are apples.

You could bring a spice mixture with you from home so you’re ready to jazzup anything!

Finish your meal with a good chocolate or a nice coffee. You can also findsalad bars, nuts, and dried fruit in most grocery stores.

Don’t forget to bring baggies with you to store leftovers.If you’re staying in an area for a long period of time, book a room with a

kitchenette.

Car TripsIf you do need to eat on the road a good a restaurant is Cracker Barrel. They

have whole food, like beans, fish, corn, potatoes, and the like. (Their portionsare large, so split the plate whenever you can, or get appetizers to share.)

Bagel shops and bakeries like Panera that make their products fresh each dayare also good. Just make sure the bagels are not enormous or split them.

Or have picnics planned. This gets you out of the car and into the open sum-mer air.

If you will be stopping at a hotel, try to get one with a pool.

The Good SideIf you’re traveling to Louisiana, sample the real jambalaya or crawfish etouf-

fee. Try the Texas barbeque, Maine lobster, or San Francisco sour dough. Focus on quality over quantity. When you’re on

vacation, more than any other time, you finally havethe chance to sit and relax at your meal. Rememberyou signed up for some rest and relaxation!!

Dr. Will Clower is the creator of the PittsburghPound Down program, part of the Pathways toSmartCare Wellness Program. For more information, call (412) 563-7807,

e-mail [email protected] or visitwww.pathwayswellnessprogram.com.

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Road Food

ADDICTIONGATEWAY REHAB 800-472-1177www.gatewayrehab.org

AIR QUALITYSTANDARD AIRhealthyairexpert.com1-800-CARRIER

TRANE“Breathe Better. Live Better.”Contact your local Trane dealer at trane.com

BOXING & PERSONAL TRAININGDIPOFI SCHOOL OF BOXING &PERSONAL TRAININGEdward DiPofi, Coach & Trainer,United States Amateur Boxing Assoc.Certified Personal Trainer, ISSA412-680-8142

CANCER TREATMENT CENTERSTHE RICHARD G. LAUBE CANCERCENTER AT ACMH HOSPITAL(724) 543-8682

CARDIOLOGYJEFFERSON CARDIOLOGYASSOCIATION412-469-1500www.jeffersoncardiology.com

CAREERS IN HEALTHCAREACMH SCHOOL OF RADIOLOGIC TECHNOLOGY724-543-8206

LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE814-866-6641 www.lecom.edu

CHIROPRACTICSOUTHPOINTE CHIROPRACTIC & FITNESSDr. Tyson Swigart724-873-0700www.southpointechiropractic.com

COMMUNITY HEALTH/ STROKE SURVIVOR CONNECTIONHEALTH HOPE NETWORK412-937-8350www.healthhopenetwork.org

COSMETIC SURGERYAMELIA PARE´, M.D.724-941-8838amypare.com

AESTIQUE800-832-6501Monroeville, Fox Chapel, Greensburgaestique.com

DENTISTDR. ROBERT LUTHER412-788-6300www.pittsburghlaserdentist.com

STEVEN R. CRANDALL, DMDCosmetic, Implant & Restorative Dentistry412-833-6166

TranscenDENTAL Centre412-235-2500www.ExperienceComfort.com

DIABETES CENTERST. CLAIR HOSPITAL DIABETES CENTER412-942-2151www.stclair.org

EMERGENCY RESPONSE SERVICEST. CLAIR HOSPITAL LIFELINE PROGRAM412-942-2093

FINANCIAL ADVISORSAMERIPRISE FINANCIALJohn Pojeta412-319-2000

FITNESS CENTERSHEALTHTRAX FITNESS &WELLNESS412-835-0500www.healthtrax.com

HEALTH MANAGEMENT SERVICESAMERICAN HEALTHCARE GROUP412-563-8800www.american-healthcare.net

HEALTHY LIVINGTHE HEALTHY ROOTS PROJECTDo you know what’s in your soil?Healthyrootsproject.com412-221-5056

HEARINGTRINITY HEARING AID1-800-309-3888

HOLISTIC BODYWORKMARY CICCOLAAccredited Bowen Practitioner724-747-6272BowenworkAcademyUSA.com

HOME CARELIKEN HEALTH CARE412-816-0113www.likenservices.com

HOSPICE FAMILY HOSPICE AND PALLIATIVE Care1-800-513-2148www.familyhospice.com

GATEWAY HOSPICE 1-877-878-2244

HEARTLANDHome Care • Hospice • IV Care1-800-497-0575heartlandhospice.com

HOSPITALSACMH HOSPITAL One Nolte Drive, Kittanning 724-543-8500 • www.acmh.org

CANONSBURG GENERAL HOSPITAL1-877-284-2000 • www.wpahs.org

MONONGAHELA VALLEY HOSPITAL724-258-1000www.monvalleyhospital.com

PITTSBURGH’S OHIO VALLEYGENERAL HOSPITAL1-800-441-6550www.ohiovalleyhosptal.org

ST. CLAIR HOSPITAL412-942-4000www.stclair.org

THE WASHINGTON HOSPITAL724-225-7000www.washingtonhospital.org

LIFE COACHINGDIANA FLETCHERConfidential, telephone coaching sessions. 724-733-7562www.dianafletcher.com

MEDICALBIOSPHERE MEDICAL, INC.800-394-0295www.biospheremed.com

MOBILE FITNESS SERVICESFUN ‘N FIT724-290-7172 • www.funnfit.us

OB/GYNACMH HOSPITAL OBSTETRICSERVICES 724-543-8182 www.acmh.org/services/ob.html

ROBINSON OB-GYN& ASSOCIATES27 Heckel Road, McKees RocksPark West One, 1000 Cliff Mine Road412-722-0055

ORTHODONTICSGOOD ORTHODONTICS111 Washington Street, Washington724-225-111422 Old Clairton Road, Pittsburgh412-655-4660677 Washington Road, [email protected]

ORTHOPEDICSADVANCED ORTHOPAEDICS & REHABILITATIONBethel Park, Charleroi, McMurray,Washington, Waynesburg724-225-8657

OVARIAN CANCERNATIONAL OVARIAN CANCERCOALITION412-661-1095www.ovarian.org

PAIN MANAGEMENTCENTER FOR PAIN RELIEF, P.C.Jay L. Karpen, M.D.(724) 942-5188

OHIO VALLEY GENERAL HOSPITALPAIN TREATMENT CENTER412-777-6400www.ohiovalleyhospital.org

THE PAIN MANAGEMENT CENTERAT ACMH HOSPITAL Kittanning, PA 724-543-8622 acmh.org/services/pain/index.html

PERSONAL TRAININGRDP STUDIO LTD.412-818-1599www.rdp-studio.com

PHYSICIANS ACMH HOSPITAL See our web page for a complete list ofACMH Hospital physicians! acmh.org/physician/index.php

DIRECTORYIn order to choose a health professional who is right for you, you need information. The following guide is a good place to start.


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.

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MEDICAL PROFILES: Dr. Joseph P. Stracci • Hand & Upper Extremity Rehab Specialists

• Center Pointe Sleep Centers • Dr. Bart A. Chess pages 34-39


Eating DisordersPage 10

Chronic PainReliefPage 15

Eye CarePages 24-27

Healthy EatingPage 28

Healthy AgingPage 30

What’s New InMartial Arts?

Page 16

New TreatmentsAvailable For

Varicose VeinsPage 4

Children'sTherapy Center: Serving theSpecial Needsof ChildrenPage 38

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PHYSICIANS (continued)WASHINGTON PHYSICIANHOSPITAL ORGANIZATIONPROVIDER NETWORKSee pages 22-23 for listing of WPHO Doctors!

WATERDAM MEDICAL ASSOCIATESJeffrey R. Gretz, DO, FACPJennifer L. Lewis, MD724-941-6697

PODIATRYDR. KAREN LUTHER & DR. DARLENE N. SAHETAPittsburgh Family Foot Care, P.C.724-941-9440

PHILIP S. PINSKER, DPMBoard Certified Podiatrist724-225-7410Call for free book on foot pain andwhat you can do about it.

RADIOLOGY ACMH HOSPITAL IMAGING SERVICES 724-543-8131

ARMSTRONG OUTPATIENTIMAGING, LLC 87 Glade Drive, Kittanning724-543-8787

WEINSTEIN IMAGING ASSOCIATESNorth Hills – 412-630-2649Shadyside – 412-441-1161South Hills – 412-440-6999weinsteinimaging.com

REHABILITATIONACMH HOSPITAL REHAB SERVICES 724-543-8145 acmh.org/services/rehab.html CENTERS FOR REHAB SERVICESA Partner of UPMCOver 40 locations in Western PA1-888-734-4CRS (4277)

HEALTHSOUTH1-877-937-REHAB

THE HAND CENTER OF PITTSBURGH 1145 Bower Hill Road 412-429-1980 www.handcenterpgh.com

MVH HEALTHCARE – CENTER FORCHILDREN’S REHABILITATION724-258-2971

REHABILITATION AND PAIN SPECIALISTS412-963-6480

SLEEP DISORDERSACMH SLEEP DISORDERS LAB724-543-8846

SMOKING CESSATIONTOBACCO FREE ALLEGHENY412-322-8321www.tobaccofreeallegheny.org

SPECIAL EDUCATIONPACE SCHOOL412-244-1900www.paceschool.org

WATERDAM ACADEMY FOR SPECIAL NEEDSVicki R. Skraitz, M.S.724-255-4263724-941-2100

VITAMINSJUDI’S VITAMINS & HERBS412-403-8233www.mynsp.com/jrobbins

WOUND CAREOHIO VALLEY GENERAL HOSPITALWOUND CARE CENTER412-250-2600www.ohiovalleyhospital.org

THE WOUND HEALING CENTER AT ACMH HOSPITAL 724-543-8536 acmh.org/services/wound.html

YOGASCHOOLHOUSE YOGA412-401-4444

Your Comfort. Our Caring.

1-800-513-2148www.familyhospice.com

Mt. Lebanon • Pittsburgh • Bellevue • Hermitage

Family Hospice and Palliative Care cares for patients and their loved ones

throughout Western Pennsylvania. We provide a wide range of services,

all based on the foundations of patientchoice, dignity, and respect.

DR. TYSON SWIGARTCertified Sports Physician

Certified Conditioning Specialist(724) 873-0700

Morganza Road, Suite 105, Canonsburg, PA 15317www.southpointechiropractic.com

Combining Chiropractic care with corrective exercise, advanced flexibilitytraining and therapeutic massage to eliminate pain. Specialty exercise program for joint replacement and gastricbypass patients, lowback pain, neck pain and scoliosis.

Blue Cross/Blue Shield, Health America, and UPMC network providers. Most insurance accepted without referrals.

SPECIALIZING IN EXCELLENCE

The most comprehensive diabetes center in the South Hills is opening its doors. The

St. Clair Hospital Diabetes Center. Led by Medical Director, Dr. Camille Buonocore and

some of the region’s most prominent endocrinologists. From now on, you'll find the

educators you want, the dietitians you need and the caring you deserve, under one roof.

And close to home. At 2000 Oxford Drive in Bethel Park, right across from South Hills Village.

WE’RE MAKING IT EASIER TO live with diabetesBY PUTTING EVERYTHING YOU NEED RIGHT WHERE YOU LIVE.

2000 Oxford Drive, Suite 130 . Bethel Park, PA 15102 . 412-942-2151 . www.stclair.org