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2016

Best of Local Living Community Health

Happy Holidays!

Community Health & Dental Centers Easy Cookies Recipes That Are Sure to Please Santa Coping with Depression During the Holiday Season

Your Home. Your Community. Your Life.

Volume 6, Issue 4

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 4

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)

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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

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CONVENIENTLY LOCATED NEAR OUR HEALTH CEN 19464 O N H E R I T APottstown, G E D R I V E PA (PATIENT ENTRANCE IS THROUGH MAIN

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(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 Street, Suite 100 700 Heritage Drive, Suite 701 800 Heritage Drive, Suite 802 Pottstown, PA 19464

Phone: 610-326-9460 www.ch-dc.org

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

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Phone: 610-326-9 www.ch-dc.org

Holiday Health and Safety Tips 1

Wash your hands often.

2

Stay warm.

3

Manage stress.

4

Travel safely.

Keeping hands clean is one of the most important steps you can take to avoid getting sick and spreading germs to others. Wash your hands with soap and clean running water for at least 20 seconds. If soap and clean water are not available, use an alcohol-based product.

Cold temperatures can cause serious health problems, especially in infants and older adults. Stay dry, and dress warmly in several layers of loose-fitting, tightly woven clothing. Check on children, the elderly and pets.

The holidays don’t need to take a toll on your health. Keep a check on over-commitment and over-spending.

Balance work, home, and play. Get support from family and friends. Keep a relaxed and positive outlook. Get enough sleep.

Whether you’re traveling across town or around the world, help ensure your trip is safe. Don’t drink and drive, and don’t let someone else drink and drive. Wear a seat belt every time you drive or ride in a motor vehicle. Always buckle your child in the car using a child safety seat, booster seat, or seat belt according to his/ her height, weight, and age. Get vaccinations if traveling out of the country.

The holidays are a time to celebrate, give thanks, and reflect. They are also a time to pay special attention to your health. Give the gift of health and safety to yourself and others by following these holiday tips.

5 6

inside your home or garage. Install a smoke detector and carbon monoxide detector in your home. Test and change the batteries regularly.

Be smoke-free.

Avoid smoking and breathing other people’s smoke. If you smoke, quit today! Call 1-800-QUIT-NOW, or talk to your health care provider for help.

Get check-ups and vaccinations.

Exams and screenings can help find problems early or before they start. Vaccinations help prevent diseases and save lives. Schedule a visit with your health care provider for a yearly exam. Ask what vaccinations and tests you should get based on your age, lifestyle, travel plans, medical history, and family health history.

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Watch the kids.

8

Prevent injuries.

Children are at high risk for injuries.

Keep a watchful eye on your kids.

Keep potentially dangerous toys, food, drinks, household items, choking hazards (like coins and hard candy), and other objects out of kids’ reach.

Learn how to provide early treatment for children who are choking. Develop and reinforce rules about acceptable and safe behaviors for all electronic media.

Injuries from falls and fireworks often occur around the holidays. Use step stools instead of furniture when hanging decorations.

Leave the fireworks to the professionals.

Most residential fires occur during the winter months.

Keep candles away from children, pets, walkways, trees, and curtains. Never leave fireplaces, stoves, or candles unattended. Don’t use generators, grills, or other gasoline- or charcoal-burning devices

9

Handle and prepare food safely.

As you prepare holiday meals, keep you and your family safe from food-related illness.

Wash hands and surfaces often. Avoid cross-contamination by keeping raw meat, poultry, seafood, and eggs (including their juices) away from ready-to-eat foods and eating surfaces. Cook foods to the proper temperature.

Refrigerate promptly. Do not leave perishable foods out for more than two hours.

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Eat healthy, and be active.

With balance and moderation, you can enjoy the holidays the healthy way. Choose more vegetables and fruit. Select just one or two of your favorites from the host of tempting foods. Find fun ways to stay active, such as dancing to your favorite holiday music.

Be active for at least 2½ hours a week. Help kids and teens be active for at least 1 hour a day.

To learn more, including the holiday song The 12 Ways to Health, visit

www.cdc.gov/family/holiday

Centers for Disease Control and Prevention Office of Women’s Health CS228814

Warm Your Holiday Home with Freshly Baked Cookies

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Local Living Volume 6 | Issue 4

RASPBERRY-ALMOND LINZER COOKIES Ingredients 2/3 cup almonds 1/2 cup packed light brown sugar 2 1/2 cups all-purpose flour, spooned and leveled, plus more for the work surface 1/2 teaspoon baking powder 1/2 teaspoon kosher salt 1/4 teaspoon ground cinnamon 1 cup (2 sticks) unsalted butter, at room temperature 1 large egg 1 teaspoon pure vanilla extract 1 tablespoon confectioners’ sugar 1 12-ounce jar raspberry jam

1/2 cup packed brown sugar 1 egg 1 1/2 cups all-purpose flour 1/2 teaspoon baking soda 1 1/2 teaspoons ground ginger 1 teaspoon ground cinnamon

Directions Heat oven to 350°F. Spread the almonds on a baking sheet and toast, tossing occasionally, until fragrant, 6 to 8 minutes; let cool.

HOLIDAY SUGAR COOKIES Ingredients 3 cups all purpose flour 1/2 teaspoon salt 1 teaspoon baking soda 1 cup unsalted butter, room temperature 1 cup granulated white sugar 2 large eggs 2 teaspoons pure vanilla extract

In a food processor, process the almonds and ¼ cup of the brown sugar until the almonds are finely ground.

In a medium bowl, whisk together the flour, baking powder, salt, and cinnamon.

Using an electric mixer, beat the butter and the remaining ¼ cup brown sugar on medium-high speed until fluffy, 2 to 3 minutes. Beat in the egg and vanilla. Reduce speed to low and gradually add the almond mixture, then the flour mixture, mixing until just combined (do not over mix).

Divide the dough in half, shape into two disks, wrap in plastic wrap, and refrigerate until firm, at least 3 hours.

Heat oven to 350° F. On a lightly-floured surface, roll out each piece of dough to a ⅛-inch thickness. Using a 2- to 2 ½-inch round cookie cutter, cut the dough into rounds and place on parchment-lined baking sheets, spacing them 1 inch apart. Using a ¾- to 1-inch round cookie cutter, cut out the centers from half of the cookies. Reroll and cut the scraps as necessary.

Bake, rotating the baking sheets halfway through, until the edges are golden, 10 to 12 minutes. Cool slightly on the baking sheets, then transfer to wire racks to cool completely.

Sprinkle the confectioners sugar on the cookies with the holes. Spread 1 teaspoon jam on the remaining cookies and top with the sugared cookies. Store the cookies in an airtight container at room temperature for up to 5 days.

Realsimple.com SIMPLE GINGERBREAD MEN COOKIES Ingredients 1 (3.5 ounce) package “cook and serve” butterscotch pudding mix 1/2 cup butter

Directions In a medium bowl, cream together the dry butterscotch pudding mix, butter, and brown sugar until smooth. Stir in the egg. Combine the flour, baking soda, ginger, and cinnamon; stir into the pudding mixture. Cover, and chill dough until firm, about 1 hour.

Royal Icing Using Egg Whites 2 large egg whites 2 teaspoons fresh lemon juice 3 cups confectioners (powdered or icing) sugar, sifted In a separate bowl whisk together the flour, salt, and baking soda. In the bowl of your electric mixer (or with a hand mixer), beat the butter and sugar until light and fluffy (about 3 minutes). Add the eggs and vanilla extract and beat until combined. Add the flour mixture and beat until you have a smooth dough. Divide the dough in half and wrap each half in plastic wrap. Refrigerate for about one hour or until firm enough to roll.

Preheat oven to 350°F and place rack in center of oven.

Line two baking sheets with parchment paper.

Remove one half of the chilled dough from the refrigerator and, on a lightly floured surface, roll out the dough to a thickness of 1/4 inch (1 cm). (Keep turning the dough as you roll, making sure the dough does not stick to the counter.) Cut out desired shapes using a lightly floured cookie cutter and transfer cookies to baking sheet. Place the baking sheets with the unbaked cookies in the refrigerator for about 15 minutes to chill the dough which prevents the cookies from spreading and losing their shape while baking. Note: If you are not going to frost the baked cookies, you can sprinkle the unbaked cookies with sparkling sugar.

Bake cookies for about 8-10 minutes (depending on size) or until the edges are just starting to brown. Remove from oven and let cookies cool on baking sheet for a few minutes before transferring to a wire rack to finish cooling.

Read more: www.joyofbaking.com.

Volume 6 | Issue 4 Local Living

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5 Healthy Eating Tips for the Holidays Your recipe for staying on track no matter what’s cooking

‘T

is the season for family, festivity, and food—lots of food. Temptations are everywhere, and parties and travel disrupt daily routines. What’s more, it all goes on for weeks.

How do you stick to your diabetes meal plan when everyone around you seems to be splurging? Here are 5 tips that can help: 1. Holiday-Proof Your Plan You may not be able to control what food you’re served, and you’re bound to see other people eating a lot of tempting treats. Meet the challenges armed with a plan: • Eat close to your usual times to keep your blood sugar steady. If your meal is served later than normal, eat a small snack at your usual mealtime and eat a little less when dinner is served.

• Invited to a party? Offer to bring a healthy dish along.

• If you have a sweet treat, cut back on other carbs (like potatoes and bread) during the meal.

• Don’t skip meals to save up for a feast. It will be harder to keep your blood sugar in control, and you’ll be really hungry and more likely to overeat.

• If you slip up, get right back to healthy eating with your next meal.

2. When you face a spread of delicious holiday food, make healthy choices easier: • Have a small plate of the foods you like best and then move away from the buffet table.

• Start with vegetables to take the edge off your appetite.

• Eat slowly. It takes at least 20 minutes for your brain to realize you’re full.

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Local Living Volume 6 | Issue 4

• Avoid or limit alcohol. If you do have an alcoholic drink, have it with food. Alcohol can lower blood sugar and interact with diabetes medicines.

Also plan to stay on top of your blood sugar. Check it more often during the holidays, and if you take medicine, ask your doctor if the amount needs to be adjusted.

3. Fit in Favorites No food is on the naughty list. Choose the dishes you really love and can’t get any other time of year, like Aunt Edna’s pumpkin pie. Slow down and savor a small serving, and make sure to count it in your meal plan.

If you plan for it, no food needs to be on the naughty list.

4. Keep Moving You’ve got a lot on your plate this time of year, and physical activity can get crowded out. But being active is your secret holiday weapon; it can help make up for eating more than usual and reduce stress during this most stressful time of year. Get moving with friends and family, such as taking a walk after a holiday meal.

5. Get Your Zzz’s Going out more and staying out later often means cutting back on sleep. Sleep loss can make it harder to control your blood sugar, and when you’re sleep deprived you’ll tend to eat more and prefer high-fat, high-sugar food. Aim for 7 to 8 hours per night to guard against mindless eating.

Most of all, remember what the season is about—celebrating and connecting with the people you care about. When you focus more on the fun, it’s easier to focus less on the food.

It is Not a Normal Part of Growing Older Depression is a true and treatable medical condition, not a normal part of aging.

However older adults are at an increased risk for experiencing depression. If you are concerned about a loved one, offer to go with him or her to see a health care provider to be diagnosed and treated.

D

epression is not just having “the blues” or the emotions we feel when grieving the loss of a loved one. It is a true medical condition that is treatable, like diabetes or hypertension.

How Do I Know If It’s Depression?

Someone who is depressed has feelings of sadness or anxiety that last for weeks at a time. He or she may also experience: • Feelings of hopelessness and/or pessimism • Feelings of guilt, worthlessness and/or helplessness • Irritability, restlessness • Loss of interest in activities or hobbies once pleasurable • Fatigue and decreased energy • Difficulty concentrating, remembering details and making decisions • Insomnia, early–morning wakefulness, or excessive sleeping • Overeating or appetite loss • Thoughts of suicide, suicide attempts • Persistent aches or pains, headaches, cramps, or digestive problems that do not get better, even with treatment

How is Depression Different for Older Adults?

Older adults are at increased risk. We know that about 80% of older adults have at least one chronic health condition, and 50% have two or more. Depression is more common in people who also have other illnesses (such as heart disease or cancer) or whose function becomes limited.

Older adults are often misdiagnosed and undertreated.

Healthcare providers may mistake an older adult’s symptoms of depression as just a natural reaction to illness or the life changes that may occur as we age, and therefore not see the depression as something to be treated. Older adults themselves often share this belief and do not seek help because they don’t understand that they could feel better with appropriate treatment.

How Many Older Adults Are Depressed?

The good news is that the majority of older adults are not depressed. Some estimates of major depression in older people living in the community range from less than 1% to about 5% but rise to 13.5% in those who require home healthcare and to 11.5% in older hospital patients.

How Do I Find Help?

Most older adults see an improvement in their symptoms when treated with antidepression drugs, psychotherapy, or a combination of both. If you are concerned about a loved one being depressed, offer to go with him or her to see a health care provider to be diagnosed and treated.

If you or someone you care about is in crisis, please seek help immediately.

• Call 911 • Visit a nearby emergency department or your health care provider’s office • Call the toll-free, 24-hour hotline of the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255); TTY: 1-800-799-4TTY (4889) to talk to a trained counselor Volume 6 | Issue 4 Local Living

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To Fight Opioid Epidemic, Wolf Administration Implements 25 Additional Centers of Excellence Locations August 29, 2016

Harrisburg, PA – Governor Tom Wolf today announced that his administration will implement an additional 25 Centers of Excellence (COE) locations throughout the state

by January 1, 2017. The COEs will offer treatment to Pennsylvanians with opioid-related substance use disorder.

“As we all know, the opioid epidemic does not discriminate – it affects Pennsylvanians from all walks of life,” said Governor Tom Wolf. “With these additional locations, my administration is continuing its commitment to expanding high-quality treatment across Pennsylvania.”

Rather than just treating the addiction, the Department of Human Services will treat the entire person through team-based treatment, with the explicit goal of integrating behavioral health and primary care and, when appropriate, evidence-based medication assisted treatment.

“Adding the 25 new locations brings the total number of COEs to 45,” said DHS Secretary Ted Dallas. “The Department’s goal is to provide all Pennsylvanians with treatment that addresses not only their substance use disorder but also the underlying physical and behavioral health issues that often fuel that are at the root of their addiction.”

The 2016-2017 budget included $10 million in behavioral health funding and $5 million in medical assistance funding, totaling $15 million. This will allow DHS to draw down $5.4 million in federal funding for an overall total of $20.4 million.

During phase one, the Department of Human Services implemented 20 Opioid Use Disorder (OUD) Centers of Excellence by utilizing the $10 million in behavioral health funding. After working with its actuaries to analyze the impact of adding medication assisted treatment on Medicaid managed care rates and subsequently negotiating 2017 rates with managed care organizations, DHS has determined that they can implement 25 additional centers with the $5 million in state Medicaid funds and $5.4 million in federal funds.

The additional COEs announced today will serve at least 5,600 additional individuals. The COEs are a central, efficient hub around which treatment revolves. These centers will have navigators to assist people with opioid-related substance use disorders through the medical system, and ensure they receive behavioral and physical health care, as well as any evidence-based medication-assisted treatment needed.

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Local Living Volume 6 | Issue 4

The 25 selected recipients are: • AIDS Case Group/Sharon Hill Medical, Delaware County • Butler Memorial Hospital, Butler County • CASA of Livingston County, Inc., Bradford County • Clearfield-Jefferson Drug and Alcohol Commission, Clearfield, Jefferson Counties • Clinical Outcomes Group, Inc., Schuylkill County • Community Health & Dental Care, Inc., Montgomery County • Family First Health Corporation, York County • Family Service Association of Buck County, Bucks County • Geisinger Clinic/GIM Danville, Mifflin, Montour Counties • Hamilton Health Center, Dauphin County • Highlands Hospital, Fayette County • Lancaster General Hospital, Lancaster County • Magee-Womens Hospital of UPMC, Allegheny, Lawrence, Venango, Blair, and Butler Counties • Mon Valley Community Health Services, Inc., Westmoreland County • Mt. Pocono Medical, Monroe County • Neighborhood Health Centers of Lehigh Valley, Lehigh, Northampton Counties • Pathways to Housing PA, Philadelphia County • Penn Presbyterian Medical Center and Perelman School of Medicine Departments of Psychiatry and Obstetrics/ Gynecology, University of Pennsylvania, Philadelphia County • Public Health Management Corporation, Philadelphia County • Reading Hospital and Health System, Berks County • The Wright Center Medical Group, PC, Lackawanna County • Total Wellness Center, LLC. Clean Slate, Lycoming, Luzerne, Erie Counties • University of Pittsburgh Physicians: General Internal Medicine Clinic – Oakland, Allegheny County • West Penn Allegheny Health System, Allegheny County • WPIC of UPMCPS, Allegheny County For more information about the Centers of Excellence, visit www.dhs.pa.gov.

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

Poisoning Prevention

Poison Help 1-800-222-1222 Every day, over 300 children in the United States ages 0 to 19 are treated in an emergency department, and two children die, as a result of being poisoned. It’s not just chemicals in your home marked with clear warning labels that can be dangerous to children.

Everyday items in your home, such as household cleaners and medicines, can be poisonous to children as well. Medication dosing mistakes and unsupervised ingestions are common ways that children are poisoned. Active, curious children will often investigate—and sometimes try to eat or drink— anything that they can get into.

Thankfully, there are ways you can help poison-proof your home and protect the children you love.

Key Prevention Tips

Lock them up and away.

Keep medicines and toxic products, such cleaning solutions and detergent pods, in their original packaging where children can’t see or get them.

Know the number.

Put the nationwide poison control center phone number, 1-800-222-1222, on or near every telephone in your home and program it into your cell phone. Call

the poison control center if you think a child has been poisoned but they are awake and alert; they can be reached 24 hours a day, seven days a week. Call 911 if you have a poison emergency and your child has collapsed or is not breathing.

Read the label.

Follow label directions carefully and read all warnings when giving medicines to children.

Don’t keep it if you don’t need it.

Safely dispose of unused, unneeded, or expired prescription drugs and over the counter drugs, vitamins, and supplements. To dispose of medicines, mix them with coffee grounds or kitty litter and throw them away.

You can also turn them in at a local take-back program or during National Drug Take-Back events.

Happy & Healthy Holidays!

Click HERE for a video from the CDC

High Quality Services Offered • Medical • Dental • OB/GYN and Prenatal • Behavioral Health • Nutrition Services • Discount Pharmacy • Healthcare Discounts

• Referral Assistance • Translation and Interpretation Services • FREE Transportation Program • New for 2016! Vision Services

New Dental Site Coming Soon!

Plus many more exciting programs!

800 Heritage Drive, Suite 802, Pottstown • Case Management www.ch-dc.org CONVENIENTLY LOCATED NEAR OUR HEALTH CEN TER wAwI w ON HER A G E DStreet, R I V E Suite ( P A T I E N T E N T R A N C E I S T H RliOnU H M N .

11I T Robinson 100 n eGat

chdc

11 Robinson Street, Suite 100 700 Heritage Drive, Suite 701

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700 Heritage Drive, Suite 701 Free Transportation Available!

800 Heritage Drive, Suite 802 Pottstown, PA 19464 www.ch-dc.org Phone: 610.326.9460 or 610.326.9463

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DOUBLE DOORS AT 800 HERITAGE DRIVE)