Community Health & Dental Care Summer Issue

2017

BEST OF

Local Living Healthcare

COMMUNITY HEALTH & DENTAL CARE Kids & Immunizations Dental Care Tips Summertime Healthy Treats to Stay Cool Meet DASH

Your Home. Your Community. Your Life.

Volume 2, Issue 2 www.ch-dc.org

Introducing DASH! You know DASH from our website and now you can personally meet DASH! Look for him at our office from time to time, parades, events and schools.

Please give DASH a big high five when you see him out and about!

Welcome DASH!!

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NOTE FROM PUBLISHER Can you believe it is summer time already and the kids are out of school? This is a great time of the year to enjoy family fun with the kids no matter what their age! There are so many websites that offer fun things to do with kids of all ages and the best part is a lot of them have ideas that are very inexpensive!

Karen A Kovacs Publisher Patti Fitzpatrick/You & I Designs Art Director Blair Johnson Director of Sales Susanna Koppany Marketing & Sales Manager Melinda Kovacs Accounting Manager Local Living Magazine is published by Blue Water media LLC. For more information about Local Living Magazine please visit our website at www.Locallivingmag.com, email us at info.bluewatermedia@gmail.com or call at 609-788-0443 All Rights Reserved No Part of this publication may be reproduced without the expressed written permission of Blue Water Media LLC. This magazine purpose if for information & entertainment only.

It is NOT an attempt to solicit business.

Designed in the United States 2016

Here are some of my favorites: 101-fun-things-todo-with-kids-this-summer parents: 10-funthings-to-do-with-your-kids-this-summer teenlife: 10-summer-activities to do At CHDC, we promote healthy and happy lifestyles and it starts with infants who develop into toddlers, then before we know it they are teens!! Did you know children should have a dental visit in the first year of their life, even if they don’t have teeth!

CHDC offers integrated visits and you can have your child seen for both medical and dental on the same day. Make sure to ask if your child can be scheduled when you are requesting an appointment.

Don’t forget about the new law that was passed requiring that children have their immunizations up-to-date effective this upcoming school year! NewSchoolVaccination_parents_ required vaccinations (2).pdf For additional information regarding school immunization requirements, please click on the following link http://www. health.pa.gov-immunizations CHDC is offering a few Saturdays throughout the summer to increase access for parents to get your children in for an appointment if they are not up-to-date on immunizations.

Please look for signs throughout the health center and don’t forget to check your patient portal! If you haven’t signed up already, the patient portal is the best way to stay connected to CHDC! You can get everything you need in one place, such as; request records, send your clinical team a message, request an appointment and so much more! If you have trouble accessing your portal, it is very easy to reset your password and our staff can assist you as they all have been trained.

CHDC also offers a computer at our Robinson locaton in the waiting room for your convenience if you would like to log in to your portal.

Let’s make the best of summer as it goes by too quick! This is a great time to get outside and play with the kids or support your teenager by encouraging them to find a job or volunteer. We are all their role models and we need to show them support, love and make sure they are healthy. CHDC is here to ensure all your child’s medical, dental and vision needs are met!

Bridgette McGivern, CEO

Volume 2 | Issue 2

Local Living 3

Kids Dental Health Tips Many parents have a tough time judging how much dental care their kids need. They know they want to prevent cavities, but they don’t always know the best way to do so. Here are some tips and guidelines.

When Should Kids Start Brushing Their Teeth?

Good dental care begins before a baby’s first tooth appears. Just because you can’t see the teeth doesn’t mean they aren’t there.

Teeth begin to form in the second trimester of pregnancy. At birth, your baby has 20 primary teeth, some of which are developing in the jaw.

• Around age 2, your child should learn to spit while brushing.

Avoid giving your child water to swish and spit because this might make swallowing toothpaste more likely.

• Kids ages 3 and up should use only a pea-sized amount of fluoride toothpaste.

• Even before your baby starts teething, run a clean, damp washcloth over the gums to clear away harmful bacteria. This also helps the child get used to you cleaning their teeth

• Between birth and age 10, an adult should brush and floss their child’s teeth because the child does not have the dexterity to remove all the plaque. From age 10 to 12, supervise.

• Once your baby gets teeth, brush them with an infant toothbrush. Use water and a tiny bit of fluoride toothpaste (about the size of a grain of rice). Use fluoride toothpaste that carries the American Dental Association’s (ADA) seal of acceptance.

(If you are using baby toothpaste without the fluoride, keep it to the same amount because you still want to minimize any toothpaste that is swallowed.)

Even babies can develop tooth decay if good feeding habits aren’t practiced. Putting a baby to sleep with a bottle might be convenient, but can harm the baby’s teeth. When the sugars from juice or milk remain on a baby’s teeth for hours, they can eat away at the enamel, creating a condition known as bottle mouth. Pocked, pitted, or discolored front teeth are signs of bottle mouth. Kids with severe cases might develop cavities and need all their front teeth removed (permanent teeth will grow in later).

• Once your baby’s teeth touch, you can begin flossing in between them.

Parents and childcare providers should help young kids set specific times for drinking each day because sucking on a bottle throughout the day can be equally damaging to young teeth. Babies as young as 6 months are encouraged to switch to a sippy cup (with a straw or

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hard spout). By 12 months of age, they’ll have the motor skills and coordination to use the cup on their own.

When Should Kids See a Dentist?

The ADA recommends that children see a dentist by their first birthday. At this first visit, the dentist will explain proper brushing and flossing techniques and do a modified exam while your baby sits on your lap.

As your child’s permanent teeth grow in, the dentist can help prevent decay by applying a thin wash of resin (called a sealant) to the back teeth, where most chewing is done. This protective coating keeps bacteria from settling in the hard-to-reach crevices of the molars. By paying attention to thorough cleaning of teeth, caution regarding sugary snacks, and proper use of fluorides, a child can have a happy smile with no decay and no cavities.

These visits can help find problems early and help kids get used to visiting the dentist so they’ll have less apprehension about going as they get older.

Starting at age three, the child should have topical fluoride treatments every 6-12 months. Fluoride hardens the tooth enamel, helping to ward off the most common childhood oral disease — dental cavities.

How Can We Prevent Cavities?

Cavities happen when bacteria and food left on the teeth after eating are not brushed away. Acid collects on a tooth, softening its enamel until a hole — or cavity — forms.

• Start good oral habits early. Teach kids to brush at least twice a day with fluoride toothpaste and to floss daily.

• Get enough fluoride. Regular use of fluoride toughens the enamel, making it harder for acid to penetrate. Although many towns require tap water to be fluoridated, others don’t. If your water supply is not fluoridated or if your family uses purified water, ask your dentist for a fluoride supplements prescription. Most toothpastes contain fluoride but toothpaste alone will not fully protect a child’s teeth. For the most protection against tooth decay, fluoride is taken in the water supply or by dietary supplements until age 16, topical treatments every 6-12 months, and in the tooth paste.

• Limit or avoid certain foods. Sugary ( sucrose) foods, juices, candy (especially sticky gummy candy, gummy vitamins, or fruit leather or “roll-ups”) can erode enamel and cause cavities. If your kids eat these foods, have them eat them around meal times. In between meals, have them snack on non-sugary (sucrose free ) non-acidic foods like raw vegetables, fresh fruit, popcorn, cheese and triscuits ( read labels for sugar content).

Summertime Tooth Talk As we head into summer, it’s a good time to think about your teeth and smile. Many front teeth are damaged or lost while diving into swimming pools.

It is difficult to judge distances in water. You do not want to hit your mouth on the bottom of the pool.

So look before you leap and easy does it on the first couple of dives. Make sure your arms and hands are extended in front of your face. Also, pools tend to encourage running around on wet surfaces without sneakers or shoes. BE Careful!

If a tooth is completely knocked out of your mouth, find it, wash it off gently with water, and then place it inside your mouth, under your lower lip, or in a small amount of milk in a container. Immediately contact a dentist who can see you quickly. He may be able to re-implant that tooth.

Because of school and college schedules, there is more time to have your teeth and smile checked during the summer. It is also a good time to have them fixed before the return to school and the demands on time. Exams, dental cleanings, fluoride treatments, protective sealants and fillings are all available at CHDC. We have two dental facilities and soon will have a third location including dental in the Coventry Mall.

Richard Cohen, DDS, FAGD

Volume 2 | Issue 2 Local Living 5

DIPS & Snacks Recommended on Facebook Tweet Share

TRY THESE RECIPES FOR DIPS AND SNACKS

Fruit Dipping

Fastest Veggie Dip Around

Combine the applesauce and yogurt in a bowl and mix until well-blended. Pour into a serving bowl and serve with the sliced fruits.

Season the yogurt with the dressing mix or dry herbs. Add just enough for it to taste great! Presto, ready to dip with cut vegetables!

Ingredients:

Ingredients:

1 cup applesauce

1 cup plain non-fat yogurt

1 cup low-fat strawberry yogurt

Dry ranch dressing mix or other dry herbs such as basil or garlic.

Slices of your favorite fruits such as strawberries, apples, bananas, pears, kiwi, pineapple, or grapes.

Your favorite vegetables such as carrot sticks, broccoli, bell peppers, cauliflower, or celery.

Salsa and Corn Cheese Sticks

Corn tortillas

Wrap the corn tortillas around the cheese sticks. Dip the wraps into the salsa and enjoy!

Low-fat mozarella cheese sticks

Ingredients:

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Salsa (you can buy a jar from the store, or look under “veggies� to find out how to make your own!)

Fruit Freeze

Strawberry Orange Frozen Pops

Place yogurt and fruit in a blender container. Cover tightly.

Blend until smooth. Pour into paper cups. Freeze until thick and slushy, about 1 hour. Insert one spoon, handle up, into each cup of frozen fruit mixture. Return to freezer and freeze until solid, at least 2 more hours. To serve, remove from freezer and let sit for about 10 minutes. Peel paper cup off each treat and eat, holding the spoon as a handle.

Combine into blender and blend till smooth or not-sosmooth, depending on preference.

Preparation time: 10 minutes, plus 3 hours freezing time.

Makes 8 servings.

Ingredients: 1 8-ounce container non-fat lemon yogurt 2 cups cubed, seedless watermelon 1 basket fresh strawberries, tops removed 1 medium banana, peeled and sliced 8 7-ounce paper cups 8 plastic spoons

Pour into molds and freeze. Makes approximately 24 frozen pops. Serving size 1.

Ingredients: 1 quart orange juice 2 cups strawberries fresh or frozen 3 tablespoons sugar (omit if using sweetened strawberries) 1 cup vanilla yogurt

Frozen Fruit Treat Mix ingredients together. Freeze in small paper cups. Serve partially defrosted.

Ingredients: 1 3/4 cup strawberries 1 large can crushed pineapple 5 bananas (cut in cubes) 12 ounces frozen orange juice-concentrate 1 1/2 cup water

Pink Lemonade Yogurt Pops Mix together and pour into frozen pop containers or paper cups with popsicle sticks.

Freeze and eat. Makes 2-3 pops depending on size of container.

Ingredients: 1 cup plain non-fat yogurt 4 tablespoons of undiluted pink lemonade

Fruit-cicles Wash grapes or blueberries. Put a toothpick in each one.

Place them on a plate and put in the freezer for about 2 hours. Take them out and enjoy.

Ingredients: Bunch of seedless grapes or blueberries Toothpicks Plate

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CHILD HEALTH Your child spends more time at school than anywhere else except home. Make sure your school-aged children are ready for a healthy school year before and while they attend. Whether you’re a parent or educator, use these resources and tips to prepare for and work through common challenges, such as getting vaccinated, getting enough sleep and exercise, and eating healthy lunches and snacks.

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Check-Ups and Immunizations It’s a good idea to take your child in for a physical and eye exam before school starts. If your child will be participating in a sports activity, your family doctor may have to sign a release form to permit your child to participate.

Most schools require that your child’s immunization shots be upto-date. Remember, that each state has different immunization requirements. Let your healthcare provider know if you have any questions or concerns about the vaccines your child is scheduled to receive.

School entry may require documentation of immunization records.

Find out what your child’s school requires and bring any school forms for your healthcare provider to fill out and sign. Be sure to keep your own copy of any records. Failure to keep immunizations up-to-date could prevent your child from attending school.

Vaccines Stop Illness To prevent the spread of disease, it is more important than ever to vaccinate your child. In the United States, vaccines have reduced or eliminated many infectious diseases that once routinely killed or harmed many infants, children, and adults. However, the viruses and bacteria that cause vaccine-preventable disease and death still exist and can be passed on to people who are not protected by vaccines.

Some diseases (like polio and diphtheria) are becoming very rare in the United States. Of course, they are becoming rare largely because we have been vaccinating against them. Unless we can eliminate the disease, it is important to keep immunizing. Even if there are only a few cases of disease today, if we take away the protection given by vaccination, more and more people will be infected and will spread disease to others.

We don’t vaccinate just to protect our children. We also vaccinate to protect our grandchildren and their grandchildren. With one disease, smallpox, we eradicated the disease. Our children don’t have to get smallpox shots anymore because the disease no longer exists. If we keep vaccinating now, parents in the future may be able to trust that diseases like polio and meningitis won’t infect, cripple, or kill children.

Which Vaccines Do Kids Need, and When?

•

Tdap: A booster to protect against tetanus, diphtheria, and pertussis (whooping cough). Recommended for preteens (11-12), as well as any teens (13-18) who haven’t gotten this shot yet.

•

Meningococcal conjugate vaccine (MCV4): Protects against meningococcal disease.

First dose is recommended at age 11 or 12 followed by a booster (2nd shot) at age 16-18.

•

Human papillomavirus (HPV) vaccine: Protects against the types of HPV that cause most cervical cancers. HPV vaccine is given in three doses over a 6-month period to boys and girls starting at 11-12 years old.

•

Influenza (flu) vaccine: Protects against different strains of seasonal influenza. A yearly dose is recommended for everyone 6 months and older.

•

Also, check to confirm that your teen has received all recommended childhood vaccines, or if they need to catch up on any vaccines they have not yet received.

Community Health Centers Lower Cost of Care for Children By 35% New analysis published by researchers at the Geiger Gibson/RCHN Community Health Foundation Research Collaborative at Milken Institute School of Public Health shows that, compared to doctor offices and other providers, Community Health Centers lower the cost of children’s primary care by approximately 35 percent. Many children served by CHCs are low-income and entitled to broad coverage with no cost sharing through Med-

icaid’s early and periodic screening diagnosis and treatment (EPSDT) benefit. But despite the comprehensive range of services community health centers offer, children who receive their care at health centers incur substantially lower average annual costs than those who receive care in other settings. While prior research showed that Community Health Centers reduce overall medical costs for adults, this analysis is the first to document that

they provide comprehensive care for children at a significant savings, offering care that is demonstrably high value. Analyzing data from the Medical Expenditure Panel Surveys (MEPS), authors Leighton Ku and Brian Bruen found that on average, health centers saved about $618 in overall medical costs per child, per year. Health center care also was associated with significantly lower expenditures for ambulatory care and prescription drugs.

Volume 2 | Issue 2 Local Living 9

STEPS FOR

HEALTHY SWIMMING

Without your help, even properly treated pool water can spread germs.

Pool chemicals don’t work right away, and pee, poop, sweat, and dirt use up their germ-killing power.

Protect yourself, your family, and your friends from germs in the water.

Follow these easy steps to help keep germs out of the water and stay healthy: 1

Stay out of the water if you have diarrhea.

2

Shower before you get in the water.

3

Don’t pee or poop in the water.

Every hour— everyone out!

Keep the pee, poop, sweat, and dirt out of the water.

4

Don’t swallow the water.

• Take kids on bathroom breaks.

• Check diapers, and change them in a bathroom or diaper-changing area—not poolside—to keep germs away from the pool.

• Reapply sunscreen.

• Drink plenty of fluids.

Remember, we share the water—and the germs in it—with everyone.

Learn more at www.cdc.gov/healthyswimming CS255565-B

CHDC - PROVIDERS Kai Moy, M.D.

Board Certified, American Board of Pediatrics, Internship/Residency Pediatrics, New York University Medical Center, Bellevue Hospital Center, New York, NY (1983–1986), Albany Medical College, Albany, NY, M.D. (1983), New York University, B.A. cum laude (1979)

Irene Shepherd, CPNP

Board Certified, Pediatric Nurse Practitioner, C.P.N.P., M.S. Nursing, University of Pennsylvania, Philadelphia, PA (1996), B.S., Nursing, University of Pennsylvania, Philadelphia, PA (1980)

Dr. Dunn

D.M.D. 2003 Temple University School of Dentistry, B.S. 1995 Biology Saint Joseph’s University

Dr. Karnam

Doctor of Dental Medicine (DMD) Dentistry 2009, Temple University School of Dentistry Temple University – Philadelphia, Pa Bachelor of Science Biology 06/2004 Temple University – Philadelphia, Pa

Dr. Cohen

University of Pennsylvania School of Dentistry 1958/1962, Studied Orthodontics at The Institute for Graduate Dentist, NYC 1967/1970, , Completed over 3000 hours of continuing education 1962 / present, Emeritus Membership in The Academy of General Dentistry – 2002, Fellow in The Academy of General Dentistry – 1970, Member of Ada, PDA, Montgomery Bucks Dental Association, AGD – 1964 - Present

Janell Dickson

RDH 2008 from MCCC, EFDA License 2013, PHDHP License 2016

Beth Desch

RDH 1979 from Temple University, PHDHP License 2010, M.A. 2016 in Healthcare Leadership

Robert Miller

U.S. Army 1970-1972, RDH 1987 from MCCC, B.S. 1982 in Dental Hygiene, PHDHP License 2010, Local Anesthesia 2010

Hilary Boscoe

B.S. 2006 in Elementary Ed . from Liberty University, RDH 2010 from MCCC, PHDHP License 2014

Claire Donahower

RDH 2004 from MCCC, PHDHP License 2010, Local Anesthesia 2010

NOT PICUTRED: Janet Wronowski - RDH 1987 from NACC, PHDHP License 2014 Volume 2 | Issue 2 Local Living 11

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