Commhealthwrapissue3

2016

Best of Local Living Community Health

Community Health & Dental Care Senior Safety Meet Our Dental Team

Your Home. Your Community. Your Life.

Volume 6, Issue 3

Meet the Staff GARY DAVIS, MD

IRENE SHEPHERD, CPNP

Chief Medical Officer Board Certified, Family Medicine Residency, Family Medicine, Abington Memorial Hospital, Abington, PA (2001) M.D., Dartmouth Medical School, Hanover, NH (1996) B.A., Biology, Dartmouth College, Hanover, NH (1992)

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)

WILLIAM HAUG, DO

Doctor of Optometry, Pennsylvania College of Optometry (1982) Bachelor of Science in Biology, Pennsylvania State University (1978)

Internship, Delaware Valley Hospital (1971-1972) D.O., Philadelphia College of Osteopathic Medicine (1971) B.S., Miami University, Oxford, OH (1967) A.S., York Junior College (1965)

JACEK OBARA, MD

Board Certified, Family Medicine Residency, Southern Illinois University Family Practice, Springfield, IL (2005-2008) M.D., Memorial University of Newfoundland, St. John’s, NF Canada (2003) B.A., New York University, NY (1997)

DEBORAH CELLERS, CRNP

Certification ANP (2012) MSN, Neumann University (2012)

JOEL MESSNER, OD

MARLELLE FROMUTH, M.ED, MSW/LCSW

Licensed Clinical Social Worker (2010) MSW, Temple University (2007) M.Ed, Alvernia University (2004) BASW, University of Pittsburgh (2001)

PAMELA DELORETTA MSW, LSW

Licensed Social Worker (2014) MSW, West Chester University (2013) BSW, Shippensburg University (2008)

DENTAL PROVIDERS KRISTA DANKIW-LUDWIG, MSN, CRNP, WHNP-BC

Women’s HealthCare Nurse Practitioner, Board Certified (2012) Thomas Jefferson University, MSN (2012) Thomas Jefferson University, BSN (2008) Millersville University, BA in psychology, biology minor (2005)

SAFWAN SHAAYA, D.D.S.

D.D.S., New York University College of Dentistry, NY (1998-2001) National Dental Boards & TOEFL, Kaplan Education Center, New York City (1994-1997) Intensive English, Long Island University, Brooklyn Campus, New York City (1997-1998) D.D.S., Hama University College of Dentistry, Syria (1984-1989)

MARIA A. TUCKER, MD

Board Certified, American Board of Obstetrics and Gynecology, Pennsylvania Residency, Lankenau Hospital, Wynnewood, PA (1991-1995) M.D., University of Pittsburgh, Pittsburgh, PA (1991) B.A., University of Virginia, Charlottesville, VA (1987)

STEVEN LUBIN, DMD

D.M.D., Temple University Dental School, Philadelphia, PA (1982 to 1986) Minor Biology, Rutgers University, Camden, NJ (1979 to 1982)

B.A., Psychology, LaSalle University, Philadelphia, PA (1975 to 1979)

JESSICA N. WILLIAMS, MD

Residency, Albert Einstein Medical Center, Philadelphia, PA (2008-2012) M.D., West Virginia University, Morgantown, WV (2008) B.S., Carnegie Mellon University, Pittsburgh, PA (2003)

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)

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Local Living Volume 6 | Issue 3

REEME SREEDHARAN, DMD

Doctor of Dental Medicine, ADA Accredited, Boston University Goldman School of Dental Medicine (May 2011) Student Dentist, Boston University (July 2009-May 2011) Residency at Government Dental College, Kerala, India (May 2000-April 2001) Bachelor of Dental Surgery, Government Dental College, Thiruvananthapuram, India (May 2000)

Local

Living

TM

Blue Water Media LLC

Karen A. Kovacs Publisher Sherilyn Kulesh / Kulesh Design Group Art Director Blair Johnson Director of Sales Susanna Koppany Marketing & Sales Manager Lori Papp Senior Account Executive 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

Now Open and Accepting New Patients!

New Dental Site located at 800 Heritage Drive, Suite 802

No part of this publication may be reproduced without the expressed written permission of Blue Water Media LLC. This magazine purpose is for information & entertainment only.

It is NOT an attempt to solicit business.

Designed In the United States 2016

Vis

g .or

e at www.c onlin h-d s c ti u

11 Robinson Street, Suite 100 700 Heritage Drive, Suite 701 800 Heritage Drive, Suite 802 Pottstown, PA 19464 www.ch-dc.org Phone: 610.326.9460 or 610.326.9463 (Hours are subject to change without notice.)

Walk-in medical hours at 700 Heritage Drive, Suite 701 for established CHDC patients. Mon. 9-5, Wed. 9-7, Fri. 9-3 11 ROBINSON ST., STE. 100 Monday 8am - 8pm Tuesday* 8am - 7pm Wednesday* 8am - 7pm Thursday 8am - 8pm Friday** 8am - 5pm Saturday 8am - 3pm *Dental only closes at 6pm. **Dental only closes at 4pm.

700 HERITAGE DR., STE. 701 Monday 8am - 5pm Tuesday 8am - 7pm Wednesday 8am - 7pm Thursday 8am - 5pm Friday 8am - 5pm Saturday Closed

800 HERITAGE DR., STE. 802 Monday 8am - 5pm Tuesday 8am - 5pm Wednesday 8am - 5pm Thursday 8am - 5pm Friday 8am - 2pm Saturday Closed

and performing oral cancer screenin everyone but here at CHDC we hav region. Let’s meet them.

Meet Our Dental Hygienists

Beth Desch

Dental hygienists are the preventative professionals at CHDC. Not only do they provide dental prophylaxes (cleanings), but their scope of practice in-cludes placing sealants, fluoride treatments, taking radiographs (x-rays), scaling and root planning, oral hygiene instruction, recording oral findings and performing oral cancer screenings. Working in patient’s mouth is not for everyone but here at CHDC we have 6 of the finest Dental Hygienists in the region. Let’s meet them.

RDH 1979 from Temple University 5 REASONS TO KEEPPHDHP A DENTALLicense VISIT WITH 2010 YOUR HYGIENISTS M.A. 2016 in Healthcare Leadership 1. Saves Money—Early detection means less ex-pensive treatment.

2. Fresher breath & whiter teeth—whiter teeth are more youthful looking.

Claire Donahower

3. Helps keep gums & bone healthy—gum disease is the RDH 2004 from MCCC #1 cause for tooth loss.

PHDHP License 2010 Local Anesthesia 2010 4. Stay in good overall health—keeping your mouth healthy

www.ch-dc.org

may prevent heart disease, lung disease, diabetes, kidney disease, cancer, and rheumatoid arthritis.

Not Pictured

5. It could save your life! - oral cancer if detected early may radically the effects and even save your life!

Janet minimize Wronowski

RDH 1987 from NACC PHDHP License 2014

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

Claire Donahower

Hilary Boscoe

Not Pictured Janet Wronowski

Janell Dickson

RDH 2004 from MCCC PHDHP License 2010 Local Anesthesia 2010

RDH 1987 from NACC PHDHP License 2014

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Local Living Volume 6 | Issue 3

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

RDH 2008 from MCCC EFDA License 2013 from Harcum.College PHDHP License 2016

Falls Are Serious and Costly • One out of five falls causes a serious injury such as broken bones or a head injury.

• Each year, 2.8 million older people are treated in emergency departments for fall injuries.

• Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.

• Each year at least 300,000 older people are hospitalized for hip fractures.

• More than 95% of hip fractures are caused by falling, usually by falling sideways.

• Falls are the most common cause of traumatic brain injuries (TBI).

• Adjusted for inflation, the direct medical costs for fall injuries are $31 billion annually. Hospital costs account for two-thirds of the total.

What Can Happen After a Fall?

Many falls do not cause injuries. But one out of five falls does cause a serious injury such as a broken bone or a head injury.

These injuries can make it hard for a person to get around, do everyday activities, or live on their own.

• Falls can cause broken bones, like wrist, arm, ankle, and hip fractures.

• Falls can cause head injuries. These can be very serious, especially if the person is taking certain medicines (like blood thinners). An older person who falls and hits their head should see their doctor right away to make sure they don’t have a brain injury.

• Many people who fall, even if they’re not injured, become afraid of falling. This fear may cause a person to cut down on their everyday activities. When a person is less active, they become weaker and this increases their chances of falling.

What Conditions Make You More Likely to Fall?

Research has identified many conditions that contribute to falling. These are called risk factors. Many risk factors can be changed or modified to help prevent falls.

They include: • Lower body weakness

• Vitamin D deficiency (that is, not enough vitamin D in your system) • Difficulties with walking and balance • Use of medicines, such as tranquilizers, sedatives, or antidepressants. Even some over-the-counter medicines can affect balance and how steady you are on your feet.

• Vision problems • Foot pain or poor footwear • Home hazards or dangers such as • Broken or uneven steps • Throw rugs or clutter that can be tripped over • no handrails along stairs or in the bathroom.

Most falls are caused by a combination of risk factors.

The more risk factors a person has, the greater their chances of falling.

Healthcare providers can help cut down a person’s risk by reducing the fall risk factors listed above.

What You Can Do to Prevent Falls

Falls can be prevented. These are some simple things you can do to keep yourself from falling.

Talk to Your Doctor

• Ask your doctor or healthcare provider to evaluate your risk for falling and talk with them about specific things you can do.

• Ask your doctor or pharmacist to review your medicines to see if any might make you dizzy or sleepy. This should include prescription medicines and over-the counter medicines.

• Ask your doctor or healthcare provider about taking vitamin D supplements.

Do Strength and Balance Exercises

Do exercises that make your legs stronger and improve your balance. Tai Chi is a good example of this kind of exercise.

Have Your Eyes Checked

Have your eyes checked by an eye doctor at least once a year, and be sure to update your eyeglasses if needed.

If you have bifocal or progressive lenses, you may want to get a pair of glasses with only your distance prescription for outdoor activities, such as walking. Sometimes these types of lenses can make things seem closer or farther away than they really are.

Make Your Home Safer

• Get rid of things you could trip over.

• Add grab bars inside and outside your tub or shower and next to the toilet.

• Put railings on both sides of stairs.

• Make sure your home has lots of light

Favorite Pie Recipes Apple Butter Pie

Imagine a pumpkin pie made with jarred apple butter in place of the usual canned pumpkin. It’s the perfect homebaked treat to cap off a cozy autumn supper. We suggest a sprinkling of pecan pieces over the whipped cream or ice cream before serving. We also opted for grated fresh nutmeg.

Ingredients • 1 1/2 cups apple butter • 1/2 cup packed dark brown sugar • 1/4 teaspoon salt • 1/2 teaspoon ground cinnamon • 1/2 teaspoon ground nutmeg • 3 large eggs, slightly beaten • 1 cup evaporated milk • Whipped cream or vanilla ice cream (optional) • Chopped pecans and/or freshly grated nutmeg (optional) • 1 9-inch unbaked pie shell (recipe follows) Directions 1. In a large bowl, stir together apple butter, brown sugar, salt, cinnamon and nutmeg. Stir in eggs. Gradually add evaporated milk, mixing well.

2. Pour mixture into prepared pie crust. Bake in a 350-degree oven 1 hour to 1 hour 15 minutes, or until a knife inserted near the center comes out clean. Let cool 6

Local Living Volume 6 | Issue 3

completely on a wire rack. If you like, serve with whipped cream, pecans and/or grated nutmeg.

Pumpkin-Gingersnap Pie

Crushed gingersnap cookies and pumpkin-pie spice add zip to the filling of this creamy pie. It’s an Amish recipe served at special occasions such as weddings.

Ingredients • 1 4-serving-size package cook-and-serve vanilla pudding mix • 1 1/2 cups half-and-half, light cream, or milk • 2 teaspoons pumpkin pie spice • 1/2 cup canned pumpkin • 1 cup whipped cream • 1 cup coarsely crushed gingersnaps (about 12 to 14) • 3/4 cup chopped pecans • 1 recipe Graham Cracker Crust* (see recipe below) • Crushed gingersnaps (optional) • Whipped cream (optional) Directions 1. In a medium saucepan, cook pudding mix according to package directions, except substitute the 1-1/2 cups halfand-half for the 2 cups liquid and stir in pumpkin pie spice before cooking.

2. Remove saucepan from heat. Stir in the pumpkin.

Cover surface with plastic wrap. Let stand for 1-1/2 hours or until nearly at room temperature. Stir mixture gently.

Fold in the 1 cup whipped cream and the 1 cup coarsely crushed gingersnaps.

3. Sprinkle 1/2 cup of the pecans on the bottom of Graham Cracker Crust. Transfer pumpkin mixture to piecrust. Cover and chill in the refrigerator for 3 to 4 hours or until firm.

Before serving, sprinkle with remaining pecans. Garnish with additional crushed gingersnaps and whipped cream, if you like. Store in refrigerator. Makes 8 servings. * If you wish to start with a purchased graham cracker crust, buy 1 deep-dish crust or 2 of the shallow crusts.

Graham Cracker Crust

Ingredients • 1/3 cup butter • 1/4 cup sugar • 1 1/4 cups crushed graham crackers (about 18 crackers) Directions Melt butter. Stir in sugar. Add graham cracker crumbs.

Toss to mix well. Spread mixture evenly into a 9-inch pie plate. Press onto bottom and side to form a firm, even crust. Chill in the refrigerator about 1 hour or until firm.

Triple Pear Pie with Walnut Crust

You can’t mistake the fruit in this cardamom-spiced beauty.

Pear nectar and dried pears complement thick slices of fresh, juicy Bosc pears.

Directions 1. In a food processor, combine the walnuts, 2 tablespoons brown sugar and the salt, pulsing with several on/off turns until walnuts are finely ground. Add 2 1/2 cups flour and pulse until combined. Add cold butter and shortening and pulse until mixture resembles coarse crumbs. Drizzle the cold water, about a tablespoon at a time, through feed tube while pulsing until mixture just begins to come together (do not over process). Mixture should still be slightly crumbly, but come together with your hands when gently squeezed. Gather dough into a ball, divide it in half and shape each half into a disk. Wrap disks in plastic wrap and chill while preparing pie filling.

2. In a small saucepan, bring pear nectar to a simmer over medium-high heat. Add dried pears, cardamom, and nutmeg; remove from heat and set aside.

3. In a large bowl combine 1/2 cup brown sugar and 3 tablespoons flour. Peel, core, and slice pears 1/2-inch thick; add to sugar mixture in bowl. Toss pears to coat with sugar mixture. Add undrained dried pear mixture and toss to combine.

4. On a lightly floured surface roll out one disk of dough into a 12-inch circle. Ease pastry into a 9-inch pie plate, allowing pastry to extend over edge. In a small bowl combine egg and 2 teaspoons water. Lightly brush pastry with some of the egg mixture. Spoon pear mixture evenly into pastry-lined pie plate. Trim pastry to edge of pie plate.

5. Roll out remaining pastry on the floured surface to an 11-inch circle. Cut slits in top pastry and place over filling.

Fold top pastry under bottom pastry and crimp edges to seal.

Brush with egg mixture and sprinkle with coarse sugar.

Ingredients • 1/3 cup walnuts, toasted • 2 tablespoons packed brown sugar • 1 teaspoon salt • 2 1/2 cups all-purpose flour • 1/2 cup cold unsalted butter, cut up • 1/4 cup shortening, chilled and cut up • 1/3-1/2 cup ice water • 2/3 cup pear nectar or apple juice • 3/4 cup chopped dried pears or golden raisins • 1/2 teaspoon ground cardamom • 1/4 teaspoon ground nutmeg • 1/2 cup packed brown sugar • 3 tablespoons all-purpose flour • 8 ripe bosc pears • 1 egg, lightly beaten • 2 teaspoons water • Coarse white decorating sugar

Volume 6 | Issue 3 Local Living

7

Bathroom, Kitchen and Drug Safety

BATHROOM SAF ET Y

DRUG SAF ET Y

• Leave a light on in your bathroom at night.

• Use recommended bath aids, securely installed on the walls of the bath/shower stall and on the sides of the toilet.

• Skid-proof the tub and make sure the bath mat has a non- slip bottom.

• To avoid scalds, turn water heater to 120 degrees Fahrenheit or below.

• Mark cold and hot faucets clearly.

• Use door locks that can be opened from both sides.

• If possible, bathe only when help is available.

• Review your medicines frequently with your doctor or pharmacist and when you take new medication.

• Make sure medicines are clearly labeled.

• Read medicine labels in good light to ensure you have the right medicine and always take the correct dose.

• Dispose of any old or used medicines.

• Never borrow prescription drugs from others.

• Check with your doctor or pharmacist before you mix alcohol and your drugs.

• Have medication dispensed in a bubble pack or convenient dispenser.

• Check with your doctor or pharmacist before mixing non- prescription drugs and prescription drugs.

KITCHEN SAF ET Y • Keep floors clean and uncluttered.

• Illuminate work areas.

• Mark “on” and “off ” positions on appliances clearly and with bright colors.

• Store sharp knives in a rack.

• Use a kettle with an automatic shut-off.

• Store heavier objects at waist level.

• Store hazardous items separate from food.

• Avoid wearing long, loose clothing when cooking over the stove.

• Make sure food is rotated regularly and check expiration dates.

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Local Living Volume 6 | Issue 3

From this site: http://www.aplaceformom.com/senior-careresources/articles/home-safety-tips-for-seniors

Senior Citizens are Online Too Senior citizens are embracing the digital age in greater numbers every year. Fifty-three percent of adults ages 65 and older now use the Internet and online tools such as email, according to the Pew Internet & American Life Project. Among those Internet users, seventy percent report going online daily.

Not surprisingly, the Internet offers many benefits to older Americans, including the ability to better stay in touch with family members, near and far and across generations. A 2012 study by Microsoft and AARP found that online communication often was credited for improving dialogue among family members.

The Internet helps senior citizens connect with society, bringing vital information and resources to them. For instance, they can bank and shop from the convenience of their homes. There are many sites geared toward the needs and interests of senior citizens, and growth of such sites is expected to continue.

Older Americans should be wary of the following types of emails, websites, or social media messages that: Offer “free” gifts, prizes or vacations, or exclaim, “You’re a winner!”

Offer discount prescription medications or other “can’t miss” deals.

Appear to be from friends or family members, but the message is written in a style not usually used by that person, has numerous misspellings, or otherwise seems unusual. This is an indication your friend or family member’s account may have been hacked.

Appear to be from official government agencies, such as Social Security Administration, or banks, requesting personal information.

Set ultimatums such as “your account will be closed,” or “the deal will expire” to create a sense of urgency, and trick the victim into providing personal information.

What are the risks?

Though there is a lot of focus on cyberbullying among children and teens, cyberbullying affects senior citizens as well.

There are risks associated with being online, and, sadly, many scammers target senior citizens.

Cyberbullying of Senior Citizens

Volume 6 | Issue 3 Local Living

9

STOP. THINK. CONNECT.

If you think you, or someone you know, is a victim of cyberbullying, report it to the local law enforcement, or a local senior center for further advice and assistance.

Cyberbullying (mostly through e-mail) of seniors can take several forms, but the most common are: Emotional abuse with rage, threats, accusations, and belittling comments, often followed with periods of silence or ignoring the victim.

Financial abuse aimed at obtaining the victim’s account information, setting up online access to their accounts, and stealing their money.

Speaking out against cyberbullying can be particularly difficult for seniors who may not even know what the term means. As with victims of any age, seniors may feel violated and powerless, be confused and in denial over what’s happening, feel shame and self blame for being a victim, and fear even more bullying or being ignored if they speak out. Additionally, according to the Washington State Office of the Attorney General, in many cases, seniors are the victims of cyberbullying by family members.

What to do: STOP. THINK. CONNECT.

To protect against these online threats, there are several basic precautions all Internet users should take, regardless of age or experience online. The following tips are provided

by STOP. THINK. CONNECT., the national online safety awareness campaign.

Keep a Clean Machine

Keep security software current and updated: Have the latest security software, web browser and operating system installed on your computer. Enable the autoupdate feature to ensure you have the most up-to-date security, if that’s an option.

Protect Wireless Network: Ensure your wireless router requires a secure password.

Protect Your Personal Information

Make passwords long, strong and unique. You have should have a different password for each online account, using a combination of upper and lower case letters, numbers and symbols.

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Local Living Volume 6 | Issue 3

Think before you act: Most organizations - banks, charities, universities, companies, etc., - will not ask for personal information via email. Be wary of requests to update or “confirm” your information.

Post with caution: Information you post online, especially on social networking sites, can be collected in an attempt to steal your identity. Keep information such as birthdates and addresses confidential unless you are on a secure and reputable website.

Own your online presence. Understand how privacy settings work on social networks and websites you frequent. Set them to your comfort level of sharing.

Connect with Care

Protect Your Money: When banking or shopping online, enter information only into security-enabled sites that begin with https://. The “s” means the data is encrypted in transit. Never enter bank or credit card information into a website that begins http://

Be Web Wise

When in doubt, throw it out: Links in emails, social media posts, and online ads are often how scammers access your computer. If you are instructed to click a link in a message you don’t trust, even if you know the sender, delete the message or mark it as junk mail.

Back it up: Store valuable work, photos, music and other information on a backup hard drive or online “cloud.”

Recognize Cyberbullying

If you think you, or someone you know, is a victim of cyberbullying, report it to the local law enforcement, or a local senior center for further advice and assistance.

New Dental Site Now Open!

800 Heritage Drive, Suite 802, Pottstown • www.ch-dc.org

Conveniently Located

Near Our Health Center on Heritage Drive (Patient entrance is through main double doors at 800 Heritage Drive)

FREE Transportation Available! • Accepting Commercial Insurance

High Quality Services Offered • Medical

• Dental • OB/GYN and Prenatal • Behavioral Health • Nutrition Services • Discount Pharmacy • Healthcare Discounts • Case Management

• Referral Assistance

• Translation and Interpretation Services • FREE Transportation Program • New for 2016! Vision Services Plus many more exciting programs! www.ch-dc.org

Senior Dental Care Tips • Use an electric brush if dexterity is difficult.

• Insert the end of your toothbrush into a rubber ball to gain grip strength or a bicycle grip for a firmer hold.

• Attach your toothbrush to your hand using a rubber band for better control or extend your toothbrush using a ruler for a longer reach.

• See your dentist regularly even if wearing dentures for oral cancer screenings, gum assessments, and denture adjustments • Remove and soak dentures over night for healthy gums and brush without toothpaste before inserting • Patients with dry mouth may use products like Biotin to help lubricant the oral tissues

Shots aren’t just for kids.

Vaccines for adults can prevent serious diseases and even death. Ask your doctor about what immunizations you need. Because staying healthy at any age isn’t kid stuff.

Vaccines can prevent Influenza (flu), shingles, diphtheria/tetanus, pertussis, and pneumococcal diseases.

CS213468-A

http://www.cdc.gov/vaccines/adults