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News and Tribune 05.30.2014


Gavin Toops, 4, of New Albany, shows off his temporary tattoos while Ivy Tech Community College nursing student Bobbie Kraft, of New Albany, takes his blood pressure during preschool assessments at Floyd County Head Start in New Albany. Twenty-one nursing students were on hand to perform eye examinations, analyze dental and vaccination records, test speech, and measure height, weight and blood pressure to assess income eligible, 3, 4 and 5-year-old Floyd County residents. Photo by Christopher Fryer

This may sting a little Indiana revamps vaccination rules for next school year By Elizabeth Beilman


ome students will have a few more sticks in the arm this summer to stay up to date on the newest statemandated immunization requirements. The Indiana Department of Health is requiring kindergartners get at least the first of two hepatitis A vaccinations and seniors get a meningococcal booster before they are allowed back into the classroom for the 2014-2015 year. Decisions on new requirements are made by a committee of the department of health, Indiana Department of Education, Indiana School Nurse Association and Indiana Immunization Coalition representatives. This committee meets every year to discuss recommendations by the Centers for Disease Control and the Advisory Committee on Immunization Practices as well as state and national disease incidences, said Dave McCormick, director of the immunization division for the Indiana Department of Health. McCormick said that the state recommends a vaccine the year before it makes that vaccine a requirement, and announcements are made in the fall before the school year requirements become effective. “So people have had two years to implement that,” he said. Indiana’s immunization gap for children aged 19 to 35 months without all vaccinations for 2012 was 38.6 percent, an almost 10 percent difference from the national gap of 29.5 percent, according to

SCHOOL DAYS Teresa Stengel, health services coordinator for Greater Clark County Schools, said these updates probably won’t be a problem for kindergartners who are brought in for immunizations anyway, but the case may be different for high school seniors. “I do kind of anticipate a lot of those seniors not knowing, or they’re kind of getting to the age where their parents

want them to make their own appointments, so it’ll take some extra steps to get them up to date,” she said. Stengel said though the requirements are the same across the state, each school corporation makes its own decisions about notifying parents of immunizations. For Greater Clark, new requirements are shared in the parent newsletter before the end of the school year, and letters are sent home over the summer. Kindergartners also get new requirements included in a packet distributed at Camp Kindergarten in April, Erin Bojorquez, supervisor of communications and public relations for Greater Clark, said in an email. Stengel said she wants to make seniors are aware of the updates, especially because a vaccination is not typical for that age. “I’m going to try to go ahead this year and send out something extra,” she said. Changes in immunization requirements for the state are usually announced around November. “As soon as I get the information from the state, I try to get it posted,” Stengel said. For kindergartners, only one of the two hepatitis vaccinations that are administered six months apart is required before the school year starts in August. Additionally, seniors who received the first meningococcal vaccinations after their 16th birthday are not required to get the booster. Students who do not meet requirements are not allowed back to school until immunizations are administered. “We try very hard not to hold anybody getting school, especially seniors who need to get their course work to graduate,” Stengel said. She estimates that Greater Clark has about 10 percent of its students that are not up to date on vaccinations at the beginning of each school year. She said most students are vaccinated through their pediatricians or the county health department. Those

without insurance go to a family health care clinic, and some go to drugstore clinics. Bridget McCurdy, public health nurse for the Clark County Health Department, said about 25 percent of county students get vaccinated at the health department. McCurdy immunization requirements are posted on the department’s website, in addition to notifications sent out by schools. “So they’re, in my opinion, are pretty well-notified,” she said. She said she doesn’t expect the new immunization requirements to be a huge issue for most people. “There’s always issues with people not being compliant,” McCurdy said.

MEDICAL MATTERS Dr. Stuart Eldridge, a Floyds Knobs pediatrician, said immunization requirements and recommendations change every few years. The meningococcal vaccine protects against meningococcal meningitis, bacteremia and septicemia. Meningitis, which has a high mortality rate, mostly affects college students living in residence halls because of close contact, Eldridge said. Symptoms include fatigue, malaise, fevers and the biggest marker of the disease — neck stiffness. The disease is treated with antibiotics and can be very contagious to those in close contact. The first meningococcal vaccine is given to sixth graders. “It’s important for the age group between about 16 and 24,” he said. “The late teens, early adults are the ones who are most at risk, so we’re trying to give it before that time.” Eldridge said that most immunizations need to be boosted. “And what [the Centers for Disease Control and Prevention] found is that by the time they get to going into college ... the vaccine immunity is continued on page A4

“We already give three shots at 5 years of age, so now we’re going to give four. And those 5 year olds aren’t real happy about that.” — Dr. Stuart Eldridge Floyds Knobs pediatrician


Here are the 2014-15 vaccination requirements for Indiana schools: • Children 3 to 5 years old: Three hepatitis B shots; four diphtheria, tetanus and pertussis shots; three polio shots; one measles, mumps and rubella shot; one varicella shot • Before kindergarten: Additional doses of diphtheria, tetanus and pertussis, measles, mumps and rubella and varicella are required; two doses of hepatitis A are now required; a fourth dose of polio is recommended • Grades 1-5: All of those listed above; hepatitis A is not required • Grades 6-11: A dose of tetanus and pertussis; a dose of meningococcal • Grade 12: A second dose of meningococcal

— Daily Journal of Johnson County

Ob/Gyn Associates of Southern Indiana Comprehensive Obstetric and Gynecologic Care

Guy Silva, Si MD - Stephen Baldwin, MD - Marilyn Mahan, MD - Carol Borden, MD (812) 945-5233 Jacqueline Riely, MD - Heather Lewis, MD - Braidi Huecker, MD

• Routine as well as High Risk Prenatal Care • Gyncologic Exams - Routine, menopausal, abnormal pap smear, pelvic pain, bleeding problems • Midwifery Services; Carla Layne, ARNP, CNM

• Treatment Options for Female Incontinence and Prolapse Disorders (Cystocele and Rectocele Repair) • Minimally Invasive Gynecologic Laser Surgery

• In Office Ablations & Ultrasounds including 3D/4D scans • Laser Hair Removal • Liposuction/Tummy Tuck • Breast Augmentation and Lift



News and Tribune 05.30.2014

SonBlest gives in-home care a personal touch When Gary Ward’s parents grew older and needed more care, they had to decide between a nursing home facility or staying at home. After his mother had surgery, it was decided to hire in-home care for both she and Ward’s father. In addition, Ward spent some of his own time caring for his parents toward the end of their life. In 2003 Ward was searching for a business to purchase, and when Helen Cullum was offering SonBlest Elder Care for sale, it was of course the perfect fit. “I always had a tendency for all phases of health care, and I was most familiar with care inside the home," Cullum said. “I think the Lord put it in my mind and gave me the strength to do that. Gary has been a lovely person to work with and he’s done a wonder with what I left, and he’s improved much," said Cullum who started the company in 1991, and her mission of bringing excellent care in the home continues. “We’ve been helping people in their home longer than any nonmedical agency in Southern Indiana,� Ward said. For SonBlest Elder Care, business has been increasing over the last few years, and it may be because of families keeping their loved ones at home. However, families may be choosing SonBlest because of the individual care that includes such important, and often overlooked everyday services such as answering the phone or door, caring for household plants or pets, laundry, meal planning, housekeeping and personal care assistance. Perhaps most treasured by the clients is the friendship developed with the caregivers contracted through SonBlest, whether the care is in their home, hospital, retirement or nursing home. A bulletin board is kept in the office for all the thank you notes the staff have received. SonBlest workers have even been recognized several times in client obituaries. “Sometimes they just want conversation, or help with a crossword puzzle. We’re also there for companionship,� said Ward. Ward said that he works with about 50 contractors who serve as caregivers for the senior citizen clients, which often leads to a perfect match between client and caregiver. “We try to match them on personal-

ity as well as the schedule and types of services needed. Maybe they want someone who likes pets, or an older person who can talk about the old days, or younger to lift them easier. We try to match people as best we can. SonBlest specializes in 24/7 care because those rates are much lower than the competition, but they also offer very reasonable rates for hourly visits at a three hour minimum for Clark and Floyd counties and a higher minimum outside those counties. SonBlest offers companionship, so consistency in care is key. “Most of our clients like to have the same caregivers all of the time,� said Ward. He explained that for the smaller, hourly assignments SonBlest will try to use the same caregiver, and with the larger jobs up to 24/7 they use the same few caregivers as much as possible. If a caregiver can’t work a shift SonBlest tries their best to cover that shift with a caregiver who already works in the home so someone new doesn’t have to be introduced. In order to work as a caregiver for SonBlest, one must go through a rigorous screening process that includes local, state, and national background checks. Ward also conducts thorough interviews and reference checks, which is all for insuring giving your loved ones the best, and most secure care. “Our caregivers are professionals. This is what they want to do with their life, as they enjoy taking care of the elderly and listening to their stories,� said Ward. Ward explained that many of the caregivers have been caring for senior citizens for years, and some even decades. SonBlest contracts with the most experienced caregivers because it’s important for one to be aware of the many different types of situations that could arise when caring for someone. A caring heart and patience are also important for caregivers contracted through SonBlest Elder Care. “We get a lot of referrals from both past and present clients who were very satisfied,� Ward says.

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News and Tribune 05.30.2014



Rasmussen Chiropractic gives the right adjustments New Albany business has been helping Southern Indiana get healthy for 26 years NEWS AND TRIBUNE When Dr. Chris Rasmussen had an injury to his lower back several decades ago, it left him paralyzed in his right leg. Faced with a decision between surgery and chiropractic treatment, he decided to take the latter route, and the results he saw inspired him to become a chiropractor. Twenty-six years later, Rasmussen continues to bring these healing procedures to his Southern Indiana patients. “The whole philosophy of chiropractic is based on natural healing,” he said. “The body is supposed to heal itself. No matter what any doctor does to you, the healing of the body takes place within the body — it does not take place from the doctor.” Dr. Douglas Breger, a licensed chiropractor who has also been at the practice since 2003, said in addition to spinal adjustments and massage therapy, they strive to educate patients on how lifestyle changes can affect their overall health. “Most people come through the door with a pain syndrome,” Breger said. “We’d like to think that our patients, after going through treatment, leave us with an idea of how to take care of ourselves better and be able to enjoy life as actively as they can. “The most common thing we get besides pain is: ‘Doc I can’t do this anymore,’ so it’s a way for us to help them re-establish some functional capacity maybe beyond what they’ve had in a long time.” Sherry Rasmussen, office manager and Rasmussen’s wife, said there are many different reasons for people to seek chiropractic care, and many diagnoses it can treat. “We’ve treated everybody from newborns to somebody who was 107,” Sherry said. “There is no age limit.” She said they treated a child who had anger issues, and after being treated with upper cervical adjustments, his mother reported a huge difference in his behavior. “He couldn’t verbalize it,” Sherry said. “This little boy was 3 years old and he couldn’t get people to understand He thought it was normal to hurt like that.” She said they have even had parents stop in with newborns on their way home from the hospital. “The birth process is the most traumatic on the body. It’s where most problems originate but gravity takes its toll as we get older, pulling us down, so there’s a lot of different forces in effect,” Sherry said. “People are not easy on their bodies. We don’t wear overcoats made of bubble wrap

to keep us from getting banged up and hurt.” She said the treatment program for each patient will depend on the severity of the problem and the age and overall health of the person. “As people are getting older and looking at alternative medicines versus going to get a pain pill or a shot or whatever, they’re looking for something that will correct the problem, not patch the problem,” she said. A consultation at Rasmussen Chiropractic is free. Based on what the doctors determine, a plan for treatment may be discussed. Rate cards are available to all patients. Sherry said though insurance companies often cover chiropractic care, the current health care climate has left many with high deductibles — and some choose to go the cash route. The practice offers packages of visits for purchase as an option to patients. She said the website,, has a coupon, and they also advertise with Valpak and coupons can be found on that website as well. “We’re honest with everybody, Sherry said. “We’re not after the almighty dollar. We are eking out a living, so to speak. We try to keep our prices fair and we do what we can to help those in need.” Rasmussen said he believes his business has seen success over the years in part due to their dedication to personal care and patient communication. “Our business as a whole, most people comment that it’s a very friendly atmosphere and it’s a very fun place to come to,” he said. “Our success rate with our patients is over 92 percent. And probably 85 to 90 percent of our patient flow is from referrals, so it’s the people that come here that basically bring us our new patients on a regular basis.” Sherry agreed, saying that they feel as though their patients become part of their family. “We know pretty much everything there is to know about most of the patients that come in here; we know when their children are graduating high school, we know when they’re graduating college, we have a lot of patients who have been with us since we opened,” she said. “Everybody is family.” Breger said he loves his work and feels very fortunate to be a part of this practice. “Dr. Chris [Rasmussen] has been in practice for over 20 years and that’s really the foundation for this practice — the good work that he’s done over the past 20 years, Breger said. “That’s hard to gain. That takes a long time to gain that kind of a trust and his reputation in the community.”

For more info Rasmussen Chiropractic, LLC

• SERVICES OFFERED: Spinal adjustments, massage therapy, dietary and lifestyle consultation • ADDRESS: 2652 Charlestown Road, New Albany • PHONE: 812-949-2273 • WEBSITE: • YEARS IN OPERATION: 26 (started in Jeffersonville in 1988, moved to New Albany 1991) • EMPLOYEES: 9

Floyd Memorial Hospital grows in and out

TOP: TOP: Back row, L-R: Stephanie Sampson, Jennifer Whittier (massage therapist), Douglas Breger, Chris Rasmussen, Christen Rasmussen, Stella Crowe, Front row, L-R: Alison Rorrer, Sherry Rasmussen, Rosie Rasmussen BELOW: Chris Rasmussen and Rosie Rasmussen

Suresh Lohano, medical director of Floyd Memorial Hospital's hospitalist program, consults with Mary Sandullo, a patient. Hospitalists serve a critical role in providing care to inpatients while communicating with their primary care physicians.

New programs, more doctors help patients BY JEROD CLAPP Huge growth in their network of physicians hasn’t just helped patients on their campus, but also a whole host of them in five counties. Floyd Memorial Hospital and Health Services’ medical group has expanded to 91 practices in Floyd, Clark, Scott, Washington and Harrison counties, more than eight times what they had in 2008. With more doctors in their network and spread across a wider region, many services are available to patients without the need for a hospital visit. Joy Whistine, vice president of physician relations for the hospital, said that growth has helped patients get the quality care they’re used to at Floyd Memorial, but allows them to stay closer to home. “In terms of supporting that community, it brings a local opportunity with the same services that, historically, would have only been available in a more metropolitan area,” Whistine said. “So not only do we have geographic outreach, we have diversity in our specialty offerings, particularly in our cardiac services.” With a bigger pool of physicians to work with, she said patients — including those receiving their cardiac care recognized by U.S. News and World Report — can get a variety of diagnostics performed at a doctor’s office in their own community. But Whistine said expanding that network also helps to put a focus on wellness, preventative care and management of chronic health issues as it relates to their future expectation of population health management. Frank Castro, an orthopedic spine surgeon in the network, said having a pool of physicians for referrals and other needs helps him in his own office, even if it’s looking at orthopedic doctors with a different focus. “Subspecialists bring a very narrow, specified body of knowledge toward certain problems,” Castro said. “Even within the field of orthopedics, we have eight or nine subspecialties. It allows up-to-date, more specialized care of the patient.” As they continue to seek more specialists for the Floyd Memorial Medical Network, she said they’ve also had the opportunity to add a new dedicated program at the hospital to aid in inpatient care. With their own group of hospitalists, Whistine said patients know who they’ll see during their stay and can rest assured that their primary care physician will know exactly what’s going on with them. But their doctors also have the opportunity to keep everything in line with their own practices. Suresh Lohano, medical director of the hospitalist program, said primary care physicians see a lot of benefit when they don’t have to leave their office to see patients in hospitals. “I think it helps with busy practices and when you’re

seeing all these patients, you need a dedicated time for them,” Lohano said. “As we get more and more sick patients in the hospital, you need a dedicated person who can take all of these patients.” From keeping in touch with each patient’s regular doctor and keeping records updated with treatment histories, Whistine said hospitalists also give patients faster access to any tests they need in the hospital or recovery plans when they leave. “The hospitalists are also working in concert with specialty consultants while the patients are in the hospital and will begin those assessments and relationships that may follow-up after the patient has been discharged,” Whistine said. “The hospitalists are also working with a clinical coordinator to solidify their process in transition of care and to confirm the patients have indeed received the care that’s indicative of the best outcomes after they’ve been discharged.” Mary Sundullo, a patient at the hospital, said she’s noticed the difference in having a hospitalist ready for any needs she has while she’s hospitalized. “It’s a lot more convenient having a doctor in-house to call if you need, rather than going on home and waiting for them to call back,” Sundullo said. “You get more of an immediate response.” But Lohano also said patients aren’t the only ones who benefit. While the hospitalist program has already garnered shorter stays and better outcomes for them, staff also get improved communication from the hospitalists. “The patient experience has improved. We’re here now, earlier and we’re more involved,” Lohano said. “Somebody’s here all the time, so that has improved not even just patient experiences, but also for staff. They can talk to someone face-to-face in the hospital.” Whistine said as the growth of the hospital has no end in sight, she’s glad to see the expansion and creation of

new programs like the hospitalists helps the people for whom they’re caring. “It optimizes excellent outcomes,” Whistine said. “Not just acute stays, but post surgery care all the way to rehab, critical care days. The hospitalists are involved in all phases of specialty care.”

Frank Castro, an orthopedic spine surgeon in the Floyd Memorial Medical Network, shows a medical device he developed to a nurse.

For more info

Floyd Memorial Hospital and Health Services • SERVICES OFFERED: Health care • ADDRESS: 1850 State St., New Albany • PHONE: 812-944-7701 • WEBSITE: • YEARS IN OPERATION: 61 • EMPLOYEES: more than 2,000



Vaccines continued from A1

starting to wane,” he said, which is why seniors are now required to get the meningococcal booster. Eldridge was unsure of reason the Indiana Department of Health is requiring the hepatitis A vaccine, a shot that was normally given to those traveling out of the country. The national Advisory Committee on Immunization Practices said in its latest report released in 2006 that the CDC has been implementing the immunization for hepatitis A in increments. “These updated recommendations represent the final step in the childhood hepatitis A immunization strategy, routine hepatitis A vaccination of children nationwide,” according to the report. McCormick said that Indiana has seen a few outbreaks of hepatitis A in recent years. “That was a recommendation from the advisory committee,” he said. “So we decided to go ahead and implement that.” Any time an outbreak occurs, McCormick said that the state will take action if a safe vaccine is available. “We would always want to do primary prevention over secondary prevention,” he said. Hepatitis A is a foodborne virus that saw a high number of cases in the United States until the vaccine was released. Symptoms include fatigue, malaise and most famously, jaundice. Eldridge said that the virus is selflimited, meaning it goes away on its own, and lasts about two weeks. “Under 6 years of age, you may actually be asymptomatic and never know you got it,” he said, adding that the disease can be unpleasant but usually not catastrophically so. In the United States, the incidence for hepatitis A is fairly low. “If it’s popped up recently in different states in schools, then the logic would be, ‘Well we’ve got a good vaccine, let’s protect them,’” he said. Eldridge said that any disease that keeps children out of school for up to two weeks costs schools and families money. “It’s expensive to have that

happen, so if you can protect against it, you don’t lose so much money,” he said. The hepatitis A vaccine was only a recommendation before the state changed it to a requirement, and Eldridge expects that the vaccine age requirement will be lowered to toddlers in a few years. “We already give three shots at 5 years of age, so now we’re going to give four,” he said. “And those 5 year olds aren’t real happy about that.” Eldridge said there is no health risk in adding to the list of required vaccinations. “The body can handle multiple vaccines at one time,” he said. He also expects high school seniors to have some trouble complying to the new meningococcal booster requirement because other than sports physicals, seniors don’t come to the pediatrician often. “If they don’t do anything like that, then the only way they’re going to do it is the college form,” he said, adding that next year’s forms may not even have the updated requirements yet. McCurdy said that children not complying with state vaccination requirements only contribute to spreading diseases. “You’re putting your child at risk, you may be putting other children at risk,” she said. Students who have miss school because illness creates more than just financial issues. “If a child is missing school days because of that reason, that is going to affect their education,” McCurdy said. McCormick said that the department of health is aware of some concerns about the possibility of harmful effects from vaccines. “That’s something that we do look at,” he said. “And right now, we haven’t seen many studies demonstrating links between certain vaccines and certain illnesses.” Although vaccinations may have some initial side effects — soreness at the injection area, low grade fever — McCormick said that none of them are serious. “The benefit far outweighs any risk,” he said. “What we’re trying to do is through vaccination, prevent childhood disease.”

News and Tribune 05.30.2014

OB/GYN Associates helping make healthy families Facility with a staff of seven doctors offers latest treatments available For more than 35 years, OB/GYN Associates of Southern Indiana has been offering a wide variety of medical care for women. The tradition continues, as the New Albany-based business provides Southern Indiana with more than 100 years of combined experience including the deliveries of more than 16,000 babies. The staff encourages women to have regular checkups to help them stay healthy no matter their age. Such preventative care measures help ensure that tests and immunizations that women need to keep them healthy are kept up-to-date. OB/GYN Associates has a dedicated staff, and the physicians there take pride in providing the best care for their patients. The center offers some of the latest treatment options available to women, and OB/GYN Associates continues to provide multiple services including routine and advanced gynecologic care and routine and high-risk prenatal care. Surgical services including minimally invasive outpatient surgeries are also offered at OB/GYN Associates. The center also evaluates and treats multiple gynecologic issues including menopausal symptoms, abnormal pap smears, pelvic pain, bleeding problems, female urinary incontinence and prolapse disorders. It’s all part of OB/GYN Associates’ effort to maintain a one-stop shop for Southern Indiana women to receive care. The staff realizes how important and memorable welcoming a baby into the family is, and OB/GYN Associates provides calm, nurturing care. The center features a staff of seven medical doctors, two nurse practitioners and a recently added certified nurse midwife, who is Carla Layne. Carla has more than nine years of midwifery experience and spent six years as a labor and delivery nurse prior to becoming a midwife. The physicians have enjoyed working with Carla and the addition of a midwife has allowed women to have the birth experience that they desire, whether that is with a physician or a midwife. The addition of a midwife allows women to have the birth experience that they desire, whether that is with a physician or a midwife. Birth plans can be for a natural birth, or one that utilizes all that modern medicine can provide. For those who can’t wait to see their baby, OB/GYN Associates of Southern Indiana offers elective 3D and 4D ultrasounds for its established patients. OB/GYN Associates continues to look for ways to improve customer experience, and the center recently introduced a patient portal that allows patients access to their health information at anytime. Patients can receive lab results, view and request ap-

pointments and receive appointment reminders via email or text, request prescription refills, send messages to the office and view and pay their bills through the secure patient portal. Nontraditional services such as laser hair removal are also available. Some physicians at the center have undergone additional training in order to offer other cosmetic services such as liposuction, tummy tuck, breast augmentation and facial enhancement services such as Botox and dermal fillers. Cosmetic surgery is the most commonly performed surgery in the United States today. It’s no longer a procedure done ‘just in Hollywood.’ By maintaining their board certification with the American Board of Obstetricians and Gynecologists through continuing medical education courses and yearly board examinations, the physicians stay up to date with the latest medical advances. As in any business, technology changes and continued education is critical. As a result, the physicians are able to help the women of Southern Indiana with gynecologic problems with the latest advances in treatment options.Two physicians are trained to perform robotic hysterectomies utilizing the DaVinci robot at the University of Louisville. Patients are provided complete and updated information allowing active participation in decisions and plans of treatment.

Jacqueline Riely, M.D., Guy Silva, MD Marilyn Mahan, M.D., Heather Lewis, M.D., Braidi Huecker, MD. Carol Borden, M.D., Stephen Baldwin, MD

For more info

OB/GYN Associates of Southern Indiana • SERVICES OFFERED: Routine and advanced gynecologic care and routine and high-risk prenatal care; surgical services; diagnosis and treatment of gynecological issues; cosmetic procedures. • ADDRESS: 1919 State St., Suite No. 340, New Albany • PHONE: 812-945-5233 • WEBSITE: • YEARS IN OPERATION: More than 35 years

Doctor brings experience to new practice Dr. Chowhan offers hematological, oncological care at American Health Network NEWS AND TRIBUNE

Dr. Naveed Chowhan, who has been practicing quality hematological and oncological care for more than 28 years, brings his dedication to ongoing patient care to his new practice, just over a year old, to New Albany. The practice is part of American Health Network, on organization which has more than 70 locations in Indiana and Ohio and strives to “nurture a culture focused on quality and innovation toward continuous growth and improvement,” to “provide the best care and service possible for our patients,” according to the website, Chowhan is on the medical staff at Floyd Memorial Hospital, Clark Memorial Hospital and Kentuckiana Medical Center. Prior to opening his New Albany practice, he was at the Floyd Memorial Cancer Center of Indiana. Now in their new spot, Chowhan, along with part-time physician Dr. Ram Chillar, two nurse practitioners, Cindy Bowling and Nancy Breslin, and a dedicated staff of 13, provide the community with hematology and oncology research and treatment, including chemotherapy, iron therapies, IV IGS, IV antibiotics and bone marrow biopsy. An on-site laboratory facilitates quicker results. Gina Borden, RN, BSN, and director of the New Albany office, has worked with Chowhan for 16 years. She said it speaks highly of Chowhan that when he decided to start this practice, he had 10 staff members that went with him, and 95 percent of his patients followed him to the new business. Borden said she believes it is due to his personal touch and dedication to treat the whole person. “You can ask any patient, he is just so personable in his bedside manner,” Borden said. “He gives you the time — he’ll answer any question that you have before he would ever leave the room. He does have a busy schedule, but every person is given the amount of attention that they require.” Chowhan’s practice participates in both oncology and hematology clinical trials, Borden said. “It’s not only the newer chemotherapy agents out there, some of them do have an indicated use and some of them are still in research, and there’s a lot of new oral drugs out there that are being researched as well and we will participate in those,” she said. The practice is also in the process of completing certification in the Quality Oncology Practice Initiative (QOPI) through the Society of Clinical Oncology. The last step of the process will be completed in June, Borden said. According to the website,, there are only three other practices listed in Indiana that have QOPI certification. Borden said she believes the practice is highly

focused on patient quality of care, and that this may set them apart. “We want to make sure that the patients get the treatment that they need and the best quality of care that they can get,” Borden said. “We have tweaked so much — we want to minimize patients’ wait time, we want to keep the patients as independent as they possibly can be. “When you have to come in here every day, that does take away your independence, and so we try to get them in and out of here as quickly as possible and still provide the quality of care.” In addition to board certifications in oncology, hematology and internal medicine, Chowhan is also certified in medical acupuncture. Borden said there are many different diagnoses acupuncture can be beneficial in treating. “A lot of people will come for migraines, some for back pain, some for nausea. We’ve even had patients contact him regarding fertility,” Borden said. An appointment for the acupuncture treatment does not require a referral from another physician. Borden said although most insurance companies do not cover it, she believes Chowhan’s rate of $75 per treatment is competitive and realistic. The acupuncture treatments are usually once a week until the patient either feels that it is helping or decided that it is not, Borden said. “Most patients that I talk to, it has helped,” Borden said. “Generally they come six to eight visits and they have the relief.” Borden said on a typical day, the doctors, nurse practitioners and nurses see close to 90 patients a day, whether it is for lab work, infusions or another treatment. She said they are also accepting new patients, and insurance coverage is not necessarily required. She said they assist patients finding programs which can help cover the cost of their care, whether it is state or federal government health care plans, or other organizations. “There’s a lot of foundations out there now that we can apply to for financial assistance for these patients,” Borden said. “A lot of your pharmaceutical companies have co-pay assistance programs, and it’s not necessarily just those that are uninsured but those that are underinsured. Unfortunately when it’s through the state or federal government, they don’t allow a pharmaceutical company to pay their co-pay but there are foundations that will assist with that,” she said. Chowhan’s office will host a luau-themed survivor’s day celebration and open house from 1 to 4 p.m. May 30, which will be open to the community. There will be tours of the facility, food, games and door prizes.

Names for photo, from left to right: Brittnie Rowland, Jordan Cook, Shelly Lee, Tara Umbreit, Dava Sprigler, Jackie Martin, Cindy Bowling, Millie Smith, Lesa Mackin, Gina Borden, Melissa Hoehn, and Naveed Chowhan, M.D., FACP

biopsy, medical acupuncture • ADDRESS: 825 University American Health Network/ Woods Drive, Suite 3 Naveed Chowhan, M.D. • PHONE: 812-981-1111 • WEBSITE: • SERVICES OFFERED: chowhan/index.html and ahni. Hematology and oncology com/Users/chowhnv/Profile research and treatment, including • YEARS IN OPERATION: one chemotherapy, iron therapies, IV • EMPLOYEES: 15 IGS, IV antibiotics, bone marrow

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Most insurance plans accepted.



A6 | PROGRESS HEALTH & WELL-BEING | News and Tribune | 05.30.2014

Sometimes, Life Just Takes Precision. If you and your doctor are trying to find a solution for a lingering health issue, maybe it’s time to consider the advanced options available from Precision Compounding Pharmacy. From chronic pain or wound care to respiratory problems, hormone imbalance and more, we can work with your physician or specialist to prepare a compounded solution just for you. In close consultation with your doctor, we formulate your medication specifically for your unique situation, in a medication that’s easy to take — a flavored liquid, a topical cream or another form. We use only the highest quality ingredients with advanced processes and equipment, then test regularly to ensure purity and quality.

In fact, our approach is exactly the same as the original pharmacy model — develop a specific medication for every patient’s individual needs. While most pharmacies today are more like dispensaries, we still compound every prescription just for you. We encourage you to talk with us, so that together, we can arrive at a compounded approach for you. Just ask your doctor or specialist to give us a call. Feel free to stop in (we’re next to McDonald’s on State Street in New Albany) or call us yourself at 812-941-9300. We’re here to help!

WHY PRECISION? s7EAREthe only PCAB Accredited Pharmacy in southern Indiana.


s7EINSISTONUSINGONLYthe highest quality ingredients.

s7ETAKEthe time to talk with every patient and answer all your questions.

s7EINVESTINadvanced technology for more accurate measurement.

s7Ework with your physician to find the best solution for you.

s7ESEEKOUTANDADOPTbest practices and improved processes.

s7EOFFERMORETHAN16 years of combined compounding experience.

s7EREGULARLYtest for potency and sterility.

Precision Compounding PHARMACY t WELLNESS CENTER t BOUTIQUE 2113 State Street, Suite 2, New Albany | 812.941.9300


News and Tribune 05.30.2014


Southern Indiana welcomes first full-service cancer resource center. Clark Memorial Hospital is committed to supporting and caring for this community. The Cancer Care Program recently earned the prestigious Outstanding Achievement Award, the highest designation given by the American College of Surgeon’s Commission on Cancer. Clark Memorial is one of only 82 hospitals in the US – and the only hospital in the metro area – to receive this award. But beyond advanced medical treatments, those living with cancer also need the highest level of support along with comprehensive resources to help them throughout their fight. That’s why Clark Memorial Hospital is working in collaboration with the Norton Healthcare Foundation to establish the first full-service cancer resource center in Southern Indiana. Norton is an ideal partner for this endeavor, with three Cancer Resource Centers already providing expert cancer support in Louisville for more than 10 years.

seminars, complementary therapies - including massage, art and music therapies - nutritional counseling, information about clinical trials, a lending library with current educational information, a prosthetics center and a wide variety of wigs, turbans and hats. A financial counseling center will be invaluable to families whose loved ones are undergoing treatment. Multiple therapy rooms allow for groups of any size to meet with resource center staff and support one another. And, just outside this free-standing center, spacious green gardens are designed for peaceful meditation sessions or as quiet places to relax. Best of all, these services are completely free for patients and their families, no matter where they are in their cancer journey or where they chose to receive care.

The visionary for this new center is Pat Harrison. After her own diagnosis and treatment, Pat realized The new center will be that cancer patients in named the Norton Cancer Southern Indiana need a Institute Pat Harrison warm, welcoming place Resource Center at Clark for healing and support Memorial Hospital. without having to leave “Cancer treatment outcome their community. Her hope for a resource center where is much improved when cancer patients can feel patients have hope,” said good about themselves has Dr. Elisabeth von Bun, a Medical Oncologist at Clark been the inspiration for this project. Memorial Hospital and Norton Healthcare. “In the Of course, to develop a past, patients were forced high-quality resource to travel to larger cities in center, both Norton order to receive the highest Healthcare Foundation level of comprehensive and Clark Memorial cancer care. Now, thanks to Hospital Foundation are this addition, they can find making efforts to raise the comfort, compassion and necessary funding. support just around the For example, proceeds from corner from home.” the 2014 Triumph Gala While Clark Memorial has always offered support opportunities for cancer patients, this new facility hopes to provide unmatched services, including private educational sessions with oncology-certified nurses, community support and counseling groups for the whole family, classes and

Clark Memorial Hospital Foundation’s annual Derby Eve celebration - have gone to supporting the Norton Cancer Institute Pat Harrison Resource Center at Clark Memorial Hospital. This was the 6th year for the Gala, which was held at Huber’s Winery, Orchard and Vineyards in Starlight,


,QWHULRUYLHZLQFOXGLQJWKH*URXS7KHUDS\5RRP Indiana. The event featured live music from Jamey Aebersold Jazz, 100% Poly and other artists along with a red carpet entrance for every guest. A silent auction featured hundreds of unique items, including a guitar autographed by Melissa Etheridge, John Jones’ toy yellow Camaro, a Chamilia bracelet from Endris Jewelers and a wide variety of Coach and Vera Bradley handbags. “The Triumph Gala is our largest event of the year, and something our entire community looks forward to attending,” said Rondi Langdon,

event coordinator. “And the fact that the 2014 Gala supported such an important cause made this a very special year.” The Norton Cancer Institute Pat Harrison Resource Center at Clark Memorial Hospital is sure to be a welcome addition to Southern Indiana. If you would make a donation or establish a gift to help those battling cancer in this community, please contact the Clark Memorial Hospital Foundation at (812) 283-2401.




News and Tribune 05.30.2014

'ETTING"ACKTO"ASICSWITH0RECISION serves any patient, at any age, whose unique needs may vary even a little from the “average.� FOR ADULTS Precision Compounding provides solutions for adults in a number of areas. Bio-identical hormone replacement therapy (BHRT) for both women (menopause) and men (andropause) 3TRESS AND HORMONE BALANCE ˆ ALSO KNOWNASh!DRENAL&ATIGUEv


hen the ďŹ rst pharmacists began serving patients — and for many years after — theirs was a very individualized profession. Each prescription was created from its basic ingredients for that particular patient, based on his or her speciďŹ c circumstances. Today, the typical pharmacy is actually more like a dispensary. The medication you receive is manufactured somewhere else, and the pharmacy simply provides you with the dosage and quantity directed by your doctor. Precision Compounding Pharmacy is modeled after the original pharmacies. Working with your doctor, each prescription they create is compounded speciďŹ cally for you from the highest quality ingredients, according to your unique needs, using advanced technology and methods. In many ways, they represent the pharmacy of the future, combining state-of-theart technology with deep expertise to develop individualized solutions for every patient. WHO BENEFITS? s! WOMAN WHO IS EXPERIENCING ALL the side effects of menopause — loss of energy, hot ashes, loss of libido and so on — can take advantage of bio-identical hormone replacement therapy from Precision Compounding. s!CHILDWHOHASDIFlCULTYSWALLOWING medicine can have a prescription created as a avored liquid or even as a compounded cream that can be absorbed through the skin. s3OMEONE WHO IS ALLERGIC TO ONE OR more of the ingredients contained in typical prescription medication can have that same prescription compounded without those ingredients. s! PATIENT WHO CANNOT TOLERATE THE “standardâ€? dosage of a particular medication can have a compounded solution created that may solves this problem. s0ATIENTS SUFFERING FROM CHRONIC PAIN may ďŹ nd that a compounded topical pain medication may be an option for patients suffering from chronic pain.

s%VENPETSWHOARERELUCTANTTOSWALLOW needed medications can beneďŹ t from having that same medication created in a compounded form that is easier for the pet’s owner to administer. In short, Precision Compounding


Denise Orwick, RPh Registered Pharmacist


FOR KIDS When kids are sick or facing surgery, getting them to take medication can be a challenge. The easiest way to get your child to take the prescribed medication may simply be to ďŹ nd a delicious mAVOR THE CHILD ENJOYS AND TURN IT into a medicated lollipop! Precision Compounding can be the difference in

“My objective as a compounding pharmacist is to be a problem solver that various medical disciplines and patients can resource for medication challenges. I hope to achieve positive outcomes for patients with solutions through compounding.�

$ENISE /RWICK HAS A DIVERSE pharmaceutical skill set, a result of her experience working in retail pharmacy, compounding pharmacy, hospital pharmacy, and long-term-care pharmacy settings. Denise earned her Bachelor of 3CIENCE DEGREE IN 0HARMACY FROM THE 3T ,OUIS #OLLEGE OF 0HARMACY IN 1985. Passionate about continuing education, she has attended numerous symposiums and seminars over the YEARS 3HE IS LICENSED BY THE )NDIANA Board of Pharmacy. Her broad experience includes eight YEARS AS 3TAFF 0HARMACIST AT &LOYD -EMORIAL (OSPITAL WHERE HER DUTIES ALSO INCLUDED !DVERSE $RUG 2EACTION Program Coordinator and Pharmacy

3UPERVISOR AND SEVEN YEARS AS president and Pharmacist of Davis Drug 3TORE PRIOR TO CO FOUNDING 0RECISION #OMPOUNDING0HARMACYIN3HE continues to be a presenter for a variety of public education presentations and nursing inservices, and is an active community volunteer in health-related areas. ! RECIPIENT OF NUMEROUS AWARDS she is a member of Professional #OMPOUNDING #ENTERS OF !MERICA )NTERNATIONAL !CADEMY OF Compounding Pharmacists, Indiana 0HARMACIST !LLIANCE #OMMUNITY 0HARMACIST!SSOCIATIONAND.#0#!

Laura Pfaffenberger, Pharm.D Doctor of Pharmacy “I am passionate about helping people improve their quality of life. Solving medication problems by creating customized formulations for our patients allows me to do this daily. Quality is of the utmost importance to me.�

Through work in the hospital and retail settings, clinical experiences and her ROLEASEDUCATOR ,AURAHASDEVELOPEDA rich and varied body of knowledge and skills to serve patients. 3HERECEIVEDHER$OCTOROF0HARMACY (PharmD) from Butler University, College of Pharmacy and Health 3CIENCESIN$EVOTEDTOCONTINUAL learning and expanding her knowledge base, she continues to attend a variety of conferences, symposiums and seminars. !N !DJUNCT !SSISTANT 0ROFESSOR IN Pharmacy Practice at Butler University and Purdue University, she is licensed by the Indiana and Kentucky Boards of Pharmacy. ,AURAS EXPERIENCE INCLUDES BOTH retail pharmacy settings and serving as

3TAFF 0HARMACIST AT .ORTON 3UBURBAN (OSPITAL IN ,OUISVILLE BEFORE CO founding Precision Compounding Pharmacy in 2006. Enthusiastic about sharing her knowledge, she makes many case presentations, nursing inservices and public education presentations, and is an active community volunteer in health-related areas. ! MEMBER OF 0ROFESSIONAL #OMPOUNDING #ENTERS OF !MERICA )NTERNATIONAL!CADEMYOF#OMPOUNDING Pharmacists, Indiana Pharmacist !LLIANCE AND 0HI $ELTA #HI 0HARMACY &RATERNITY SHEHASBEENHONOREDWITHA variety of professional awards.

a compliant child medication regime.

/THERCOMMONPEDIATRICNEEDSINCLUDE BUTARENOTLIMITEDTO s !NALGESICS s $IAPERRASH s "ABYPACIlERDELIVERY s 0SORIASISECZEMA s !NTIBIOTICSANTIVIRALS s (EADLICE s 0EDIATRICDOSINGBOTTLE s 0EDIATRICSUPPOSITORIES FOR PETS Unfortunately, humans aren’t the only creatures who get sick. If you have ever had to give your dog or cat a pill, you now how hard it can be! Precision Compounding Pharmacy offers a variety of solutions, from simply avoring the dog or cat’s medicine. The compounding pharmacists at Precision Compounding Pharmacy can create a customized formula for any of your veterinary needs.

!S ALWAYS THE &$! DOES NOT REVIEW any compounded medication for safety or ethnicity.

News and Tribune 05.30.2014



Gastroenterology of Southern Indiana Combines Expertise, Experience, Comfort and Care.


n 1985, Gastroenterology of Southern Indiana was founded with a vision of providing superior care and expertise to southern Indiana patients with medical issues related to the health and function of the digestive system. In the nearly thirty years since, the practice has grown as the need for such services has increased dramatically.

MEASURINGP(LEVELSINTHEESOPHAGUS and transmitting readings to a receiver EUS (Endoscopic Ultrasonography) - combines endoscopy and ultrasound in order to obtain images and information about the digestive tract and the surrounding tissue and organs

WHY GSI? Why choose Gastroenterology of Southern Indiana for your care? Expertise, experience, comfort and care.

Expertise The GSI team is widely recognized and diagnose the cause of conditions Back row from left to right: Dr. James C. Strobel, Dr. Steven P. Harrell, Dr. David M. Dresner, for its expertise. In fact, the practice such as abdominal pain or abnormal Dr. Matthew D. McCollough, Dr. Huey T. Nguyen; Front row from left to right: Dr. Emori B. Carrara, Dr. Stuart H. Coleman, Dr. Abdul Jabbar weight loss. was the only one in Kentuckiana and one of only ten in the entire UnitColonoscopy A mEXIBLE INSTRUMENT INFUSION THERAPY Gastroenterology of Southern Indied States chosen called a colonoscope transmits a “The practice is the only one in Kentuckiana to participate in ana also offers a specially-designed — and one of only ten in the U.S. — chosen a study by the Infusion Therapy Center for patients to participate in a study by the Mayo Clinic.â€? needing these services. Our experiMayo Clinic. enced infusion nurses use the latest In addition, the treatment regimens and techniques physicians conaccurate diagnosis and treatment of tinually seek out new advances and to deliver antibiotics or other drugs, problems affecting the esophagus, procedures for their patients. As an electrolytes, or nutritional solutions stomach, liver, pancreas, intestines into the bloodstream or tissue. example, they will be the ďŹ rst in the and colon, including: With a goal of making on-site treatregion to offer a small device similar s#IRRHOSIS ment as comfortable as possible, the to a pacemaker, but implanted in the s#OLITIS Center includes four state-of-the-art, hip, which can beneďŹ t patients deals#ROHNS$ISEASE ing with incontinence. semi-private infusion bays with comsignal to a large video screen to s$IVERTICULOSIS$IVERTICULITIS fortable recliner chairs, WiFi access, examine the inside of the colon for any s'ALLSTONES Experience INDIVIDUAL mAT SCREEN TELEVISIONS abnormalities, often as a screening for s '%2$(EARTBURNAND2EmUX snacks and beverages, comfortable The board-certiďŹ ed physicians at colon cancer, or to facilitate biopsies Esophagitis GSI have been caring for Kentuckiseating for family and friends, and inor the removal of polyps. s(0YLORIAND0EPTIC5LCERS ana patients for nearly three decades, dividualized care. EGD (Esophagogastroduodenoscs(EMORRHOIDS with a combined eighty years of exIn 2012, GSI was instrumental in opy) - also known as upper endoscopy, s(EPATITIS forming an afďŹ liation with similar perience in patient care. They offer a thin, ďŹ ber optic tube is passed s)RRITABLE"OWEL3YNDROME every service available in the metro PRACTICESFROM,OUISVILLECALLED'ASthrough the mouth to view the upper s,ACTOSE)NTOLERANCE area, including infusion therapy for TROENTEROLOGY(EALTH0ARTNERS7HILE GI tract (the esophagus, stomach, s0ANCREATITIS each practice continues to operate inpatients with conditions such as rheuand the upper duodenum), identify dependently, this partnership allows matoid arthritis or Crohn’s disease. abnormalities, and facilitate removal PROCEDURES them to share resources, control costs of polyps or obstructions, and so on. Many of the most common proceand share expertise and best practicComfort ERCP %NDOSCOPIC 2ETROGRADE dures performed by the doctors of es. GSI made a long-term decision to Cholangiopancreatogram - the gold Gastroenterology of Southern Indiinvest in state-of-the-art facilities deana are routine, non-surgical procesigned for the maximum comfort and dures performed in the ofďŹ ce, where care of patients and their families. it is not necessary for the patient to be under anesthesia, including: Care M2A Capsule Endoscopy - using The team at Gastroenterology of a pill-sized video capsule, with its Southern Indiana understands that own lens and light source, the doctor you’re likely to be apprehensive when examines the lining of the small intestine, viewing the images on a video monitor. Sometimes called “GSI enjoys a 99% patient wireless endoscopy. Flexible Sigmoidoscopy - in this satisfaction rate.â€? SHORTPROCEDURE AmEXIBLEENDOSCOPE is directed around the bends in the Infusion Therapy Center at Gastroenterology of Southern Indiana. lower colon and rectum, with the approaching the types of procedures ability to help obtain tissue samples they provide. In light of this, their pristandard for evaluation of biliary and (biopsies) or to remove polyps. mary goal is to help you experience If your doctor informs you of pancreatic abnormalities, using an G-Tube Removal - a simple the best, most comfortable and most the need for any of the procedures endoscope to remove gallstones in procedure involving the removal of mentioned here, Gastroenterology professional care available today. As THEEXISTINGFEEDINGTUBE$EPENDING the common bile duct, evaluate the a result of this commitment to care, of Southern Indiana invites you to pancreas, treat gallstone pancreatitis on the type of tube, a gastroscopy choose their team for the best possiGSI enjoys a 99% patient satisfaction and more. may be done by passing a narrow rate. Bravo Probe HOURSP(TESTING ble care, close to home. mEXIBLE TUBE THROUGH THE MOUTH INTO A CATHETER FREE WAY TO MEASURE P( the stomach. CONDITIONS TREATED for evaluating patients with acid The GSI team may also perform the Today, the board-certiďŹ ed physiREmUX IN WHICH A CAPSULE ABOUT following procedures at an afďŹ liated cians of Gastroenterology of Souththe size of a gel cap, is temporarily hospital: ern Indiana continue to focus on the attached to the wall of the esophagus,



News and Tribune 05.30.2014

Mental Multivitamins

Recommended Dose: 1 per day, 6 days a week. Side Effects: Increased awareness and ability to recall information. Stimulates conversation and broadens social interaction skills. Enhances mental alertness. Can be very addictive and habit forming (but that’s good). Will never cause drowsiness or boredom. PLEASE DON’T READ and DRIVE.




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PROGRESS HEALTH & WELL-BEING | News and Tribune | 05.30.2014 | B5

The Mayo Clinic says we’re kind of a big deal.


When it comes to seeing what’s up with your digestive system, no one in the region gets it right like Gastroenterology of Southern Indiana. In fact, GSI is one of only ten practices in the U.S. chosen to participate in a trial being run by the Mayo Clinic.

t Gallstones

But even though we’re constantly improving and looking for new tools and techniques, we don’t rest on medical expertise alone. Everyone on our team works hard to keep you informed and comfortable at every stage of care. We even designed our facilities to ensure the highest level of patient comfort and care. That may be why we enjoy a 99% patient satisfaction rating.

Here’s why. There’s something called the “adenoma detection rate.� It’s the percentage of colonoscopy patients in whom a practice detects polyps — growths that could later become cancerous.

From a colonoscopy or infusion therapy to a more complex procedure, ask your doctor to refer you to the experts at Gastroenterology of Southern Indiana. When it comes to what’s going on inside, we’re kind of a big deal.

When we perform a colonoscopy, our ADR is more than twice the national average — even matching the rate at the Mayo Clinic. We’re especially adept at ďŹ nding and removing hard-to-detect polyps. And that’s a big deal. Studies show that a higher ADR means fewer deaths from colorectal cancer.

t Cirrhosis t Colitis t Crohn’s Disease t Diverticulosis & Diverticulitis t GERD/Heartburn and Reux Esophagitis t H. Pylori and Peptic Ulcers t Hemorrhoids t Hepatitis t Irritable Bowel Syndrome t Lactose Intolerance t Pancreatitis


A division of Gastroenterology Health Partners 2630 Grant Line Road, New Albany




B6 | PROGRESS HEALTH & WELL-BEING | News and Tribune | 05.30.2014

To support a healthier community,

I chose Clark. Martin Padgett, President & CEO of Clark Memorial Hospital

T he mission of Clark Memorial Hospital is to provide superior

health services to the people and communities we serve. That promise is realized every day by offering patients advanced medical treatments such as Clark’s Heart Center and Fast Track Total Joint Replacement Program. And our Family Birth Place offers families a customizable birthing experience. Martin Padgett, President and CEO of Clark Memorial Hospital, considers it a privilege to lead Clark’s group of dedicated physicians, clinicians and support staff. Delivering state-of theart health care in a comforting environment focused on healing, this passionate team makes Clark Memorial a hospital the community can be proud to call their health care partner of choice.

(812) 282-6631 • 1220 Missouri Avenue, Jeffersonville, IN •

Progress 2014: Health & Well-Being  
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