Western Pennsylvania Guide to Good Health – Summer 2024
Health News You and Your Family Can Use
Bone & Joint Health: Put Your Best Foot Forward and Practice Safety First PROFILE: Dr. Anthony Mustovich
It’s Official: WHS Is Now UPMC Washington and UPMC Greene
Wesley Family Services Opens Autism Center for Growth
Women’s Health Center in Robinson Township: Meeting the Special Healthcare Needs of Women
Routine Checkups Can Detect Kidney Disease Before Problems Arise UPMC Washington Makes Progress with Parkinson’s Disease Important Medicare Dates
Senior Guide
Senior Living Options, Medicare, Hospice, Senior Resources See pages 24-33
8 EXPERIENCED DOCTORS, EACH SPECIALIZED IN
ORTHOPAEDIC CARE & PROCEDURES. Joint
Medicine/Arthroscopic
General
Orthopaedic Shoulder, Arthroscopic, Sports Medicine, Regenerative Orthopedics, Foot/ Ankle Surgeries and Hand Surgeries
BECOME A VOLUNTEER!
Volunteer Opportunities Include:
•PA MEDI
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•Open Your Heart to a Senior
•In Service of Seniors
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Thank you for your interest in volunteering to help those in your community! Just an hour of your time each week or month can make
Who Should Volunteer
•Individuals (young adults to older adults)
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For more information, please call 412-850-5535 or send an email to volunteer@wfspa.org
Volunteer Options
We have diverse volunteer opportunities across our over 40 programs and across are available with our younger children all the programs that need help with hands-on work, such as landscaping and painting, or being a phone companion for an older adult, or even
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It’s Official: WHS Is Now UPMC Washington and UPMC Greene
By Andrew Wilson
There were broad smiles and lots of emotions at the press conference on June 12, when Washington Health System (WHS) officially became the newest addition to UPMC’s health network as UPMC Washington and UPMC Greene.
“I am extremely pleased that our hospitals, outpatient centers, and physician offices have joined one of the nation’s largest and most successful integrated health care providers and insurers,” said Brook Ward, president of UPMC Washington. “This affiliation not only guarantees local access to health care services for community members, but it also preserves jobs.
WHS was one of the largest employers in Washington County with more than 2,700 employees. All of those employees are now part of UPMC Washington and UPMC Greene.
“It was a long time coming, but Washington Health System is now part of the UPMC family,” said Leslie C. Davis, president and CEO of UPMC, at the press conference on June 12. “Throughout this process, it has been clear how deeply you care. We will proceed with the same tenacity and fervor, and we are committed to keeping health care local, and will grow UPMC Washington and UPMC Greene.”
UPMC has committed to invest at least $300 million over 10 years to enhance clinical services and upgrade facilities at UPMC Washington and UPMC Greene. These investments by UPMC, combined with contributions the WHS Foundation has made and will continue to make, ensures UPMC Washington and UPMC Greene can provide state-of-the-art health care for local residents for years to come and maintain its position as one of the largest employers in Washington and Greene counties.
Clinical collaborations between WHS and UPMC for oncology (UPMC Hillman Cancer Center joint venture), pediatric specialties (UPMC Children’s Express Care and Specialty Care), women’s health (UPMC Magee-Womens) and heart and vascular care (UPMC Heart and Vascular Institute), have been in place for more than a decade, providing care for more than 10,000 patients annually. UPMC will continue to invest in and advance key services locally, including inpatient and emergency care, women’s health, cardiology, surgical services, diagnostics, primary care and specialty and outpatient services.
“By joining UPMC, our providers will gain access to world class resources and scientific expertise to better serve our patients,” said John Six, MD, vice president of Medical Affairs at UPMC Washington. “Becoming a part of UPMC best positions us to maintain our commitment and longstanding desire to provide high quality, compassionate care to our local community.”
Dr. Six provided a few statistics on how vital UPMC Washington and UPMC Greene are to the region. He said there are 47,000 emergency room visits, 15,000 inpatient visits, one million lab tests, and 310,000 outpatient visits annually. He shared there were 600 babies delivered annually, a few of whom
Getting ready to raise the flag over UPMC Washington (l-r) Dr. John Six, Vice President of Medical Affairs, UPMC Washington; John Surma, Chair of the Board of UPMC; Dan Miller, Chair of the Board of UPMC Washington; Leslie Davis, President and CEO of UPMC; Brook Ward, President, UPMC Washington; Jojo Burgess, Mayor of the City of Washington; and Joel Yuhas, FACHE, Executive Vice President of UPMC and President UPMC Hospitals Health Services Division.
were in the audience, like JoJo Burgess, mayor of the city of Washington.
“I have a long history with these hospitals,” he said. “My grandmother and aunts worked here, and I was born here. Rural hospitals are dying every day. If we had not had UPMC come in and save this hospital, we would have failed our residents. I’m honored to say that UPMC would not let that happen.”
Mayor Burgess and Dan Miller, board chair of UPMC Washington related stories of how UPMC made a difference in the lives of Mayor Burgess’ father and Mr. Miller’s granddaughter.
“We are bringing quality health care from the big city to our residents,” said Burgess.
“It’s about healthcare in this community for the long term,” said Miller.
John Surma, chair of the UPMC Board of Directors, said that a lot of work went into making this affiliation a reality since the announcement was made in June 2023 that WHS and UPMC were seeking to affiliate. At the press conference, he had a simple message for all those who care about UPMC Washington and UPMC Greene.
“The future is very bright – and the best is yet to come.”
For more information or to watch the full press conference, please visit whs.org/upmc.
Choosing the Right Care for You
By Dr. Elissa Charbonneau
After a hospital stay, your physician or case manager may recommend you transition to another setting of care as part of your recovery. However, not all settings are the same.
If you are recovering from a stroke or other serious injury or illness, inpatient rehabilitationwhere you receive intensive therapy and a hospital level of carecould be right for you. While your care team could refer you to a different setting, as a patient, you have a choice in where you go. In fact, it is your right.
Know Your Options Before You Need Them
Post-acute care is rehabilitation or palliative care that a patient receives after a stay in an acute care hospital, or in some instances, in lieu of a hospital stay. That care can take place in the home or in a facility, depending on the patient’s needs. The most common forms of postacute care are home health, inpatient rehabilitation, skilling nursing and long-term care.
Inpatient rehabilitation provides a hospital level of care with intensive therapy to help you regain your independence and ultimately return to your community. While at an inpatient rehabilitation hospital, you will receive three hours of therapy a day, five days week. You will also have frequent visits from a rehabilitation physician and other physicians, depending on your needs. Nursing care is provided around the clock, and a multi-disciplinary team that includes rehabilitation physicians, nurses, therapists, dietitians, pharmacists and case managers will design a unique care plan to fit your goals.
Conditions commonly treated at rehabilitation hospitals include stroke, head or spinal cord injuries, neurological disorders such as Parkinson’s and multiple sclerosis, and amputation and hip fractures.
Will Insurance Cover
Inpatient Rehabilitation?
That depends on your insurance and your coverage. You do have to meet certain medical requirements for the different settings of care to receive Medicare coverage. Also, some Medicare plans, such as Medicare Advantage ones, limit you to providers within their network. Work with your care team or primary care physician to determine if you meet the requirements for inpatient rehabilitation. Make sure to discuss your goals, so they can fully understand your long-term needs. In some circumstances, you can consult with your preferred provider to see if they can work with your insurance to help you receive coverage.
Do Your Research
Your care team is required to provide you and your loved one with information concerning the quality of care of providers in your area, but take time to do a little research yourself. Look at patient reviews on websites. Ask family and friends with similar conditions who have had good outcomes and experiences. Where and who you receive care from matters, so take time to look around and find the best provider to help you reach your recovery goals.
Perhaps a family member can tour a facility you are considering or take a virtual tour online. By understanding your options, you are already taking a step in the right direction.
Dr. Elissa Charbonneau is Chief Medical Officer, Encompass Health. For more information, visit encompasshealth.com/ pittsburghrehab
For those recovering from an injury, illness or stroke, regaining your best quality of life begins with your ability to choose. Choose Encompass Health for exceptional results.
Bone & Joint
Put Your Best Foot Forward and Practice Safety First
By Andrew Wilson
Whether having fun or working outdoors, summer is a time to be active. However, any enjoyment can quickly turn sour if an injury occurs.
Robert W. Mendicino, DPM, is a foot and ankle surgeon who practices with St. Clair Medical Group Orthopedic Surgery. He has seen many summer injuries that could have been prevented if only proper precautions were taken, or preparations were made.
“The types of injuries can vary a bit based on age, but after a winter spent being mostly sedentary, we can get active too quickly when the warm weather gets here and injuries can result,” said Dr. Mendicino.
Older Adults
Dr. Robert W. Mendicino
For older individuals, Dr. Mendicino says falls are the number one cause of serious injuries. Seniors are also susceptible to heel, knee, and hip soreness from becoming active too quickly in the spring and summer.
“When people sit for long periods over the winter, their posture can suffer and they can develop weakness in their hips and buttocks,” he said. “They need to work on having good posture with stretching exercises against a wall and building strength in the muscles that may have gone soft over the winter.”
Dr. Mendicino recommends seniors start their exercise regimen by getting up and sitting back down in a chair as many as 100 times a day. He then suggests undertaking a combination of stretching exercises for the hips and back before engaging in many activities.
Younger Adults
“For younger people, in the 30- to 50-year-old age range, the injuries we see are tendonitis, plantar fasciitis, stress fractures and sprains. And we’re seeing a lot of Achilles injuries,” he said. “We want to get moving, but you can overdo it very quickly.”
As an avid runner himself, Dr. Mendicino recommends stretching out the leg muscles thoroughly before any activity for people of any age.
If someone wants to run a 5K or longer race but hasn’t been training consistently, he suggests starting slowly with a mile and then taking a day off to see how the body responds. Do that
repeatedly – one day on and then one day off –while trying to build up stamina and endurance.
“For younger people, the cardiovascular system may be okay to run every day, but the musculoskeletal system may not respond as quickly, and then stress fractures, shin splints, and sprains are the result,” he said. “It’s important for you to get moving, but it’s also important to know your body and know when to back off a bit.”
If injuries occur to your foot or ankle, Dr. Mendicino recommends following the acronym RI-C-E: Rest, Ice, Compression, and Elevation. Essentially this means get off your feet, take it easy, apply ice to reduce swelling, wear compression socks or an ace bandage, and elevate your leg above the heart level, if possible.
“Most injuries will respond well to this treatment, but if it gets worse or there is no improvement, then call us for an appointment,” he said.
Other injury prevention tips
Physicians also see accidents involving lawn mowers, hedge trimmers, weed trimmers and chain saws which can cause severe cuts, bruises, or broken bones. Dr. Mendicino says they see a lot of yard work injuries in the spring when people are getting acclimated to using this high-powered equipment again, or in the fall when the use of such equipment is routine and people tend to be less cautious.
To combat these types of injuries, Dr. Mendicino recommends wearing a boot with a non-slip sole, preferably with a steel toe, and long pants, long sleeve shirts, work gloves, hats, and both eye and ear protection.
“If the work you are doing is above your head, you also should wear head protection such as a hard hat,” he said.
Long sleeves and pants can also help protect you from exposure to insects (ticks and mosquitoes) and plants (poison ivy, sumac, and oak). For insects, he recommends wearing light-colored clothing so you can see the ticks (which can carry Lyme disease) and bathing after you complete your outdoor activity to wash off any that may be on your skin. You can also use a Thermacell or citronella candles to help keep mosquitos away if you’re sitting outdoors.
Skin irritation caused by poison ivy, sumac or oak is called contact dermatitis. To combat and prevent this, Dr. Mendicino recom-
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mends washing any exposed area thoroughly with soap and water as soon as possible. Additionally, use caution with your pets as they can carry pests and poison ivy on their fur.
Dr. Mendicino spends a great deal of time outdoors in the summer himself. He advises that it really comes down to some simple rules of thumb.
“I tell people to use common sense, be aware of your environs, and enjoy the summer,” he said.
Robert Mendicino, DPM, practices with St. Clair Medical Group Orthopedic Surgery. He sees patients at Dunlap Family Outpatient Center on 1000 Bower Hill Road, Suite 730, Pittsburgh, PA 15243, and the Peters Township Outpatient Center at 3928 Washington Road, Suite 270, McMurray, Pa., 15317. Call to request an appointment at (412) 942-7262.
Bone & Joint
Tips for Choosing the Right Running Shoe
With countless options, it can be difficult to determine which shoe is best for you. As a foot and ankle surgeon and an avid runner, Robert W. Mendicino, DPM, knows how to choose the right running shoe
“A lot depends on the person’s foot type,” said Dr. Mendicino. Generally, there are three foot types – supinators, who have a rigid high arched foot and the outer edge bears the brunt of impact; pronators, who roll inward and have a flat foot structure, and, normal which is between the two. Supinators generally need better shock absorbing shoe gear, while pronators need supportive shoe gear and the normal foot type needs can vary depending on the surface and terrain they are running on.
“I recommend trying on different brands because different brands may vary in sizes,” he said. “Make sure the shoe fits. You need some room for expansion in the shoe as you run.” Shoe size can vary between running shoe companies and from his personal experience that could be one to two sizes depending on the cut and style of the shoe.
A good rule of thumb – literally – is that you should have enough room between the end of your toes and the end of your shoe. Using the end of your thumb to where it bends at its first joint to determine the distance from the end of the shoe to the toes will provide a good starting point when picking your running shoes.
“I also recommend changing your shoes every 250 to 500 miles,” he said. “For a dedicated runner that works out to a new pair of shoes every four to six months.”
Treatment of Bone and Joint Issues Differ: Understanding the Difference
Joints are made up of two bones coming together in the body, which means the interaction between them is considerable.
For example, bones are affected by arthritis, even though arthritis starts in the joints. That's why it's important to determine the problem, because without proper treatment, bone and joint issues can lead to chronic pain and disability.
Different types of diseases are associated with each, and the specialists you see and the treatment they recommend can be quite different. Bone issues can include:
• Osteoporosis
• Fractures
• Bone cancer
• Scoliosis (curvature of the spine)
Among the diseases associated with joints are:
• Arthritis, including osteoarthritis and rheumatoid arthritis
• Lupus
• Gout
• Bursitis
The symptoms may be joint stiffness, decreased range of motion, bone or joint pain during activity, bone pain even while at rest, painful swelling in wrists or hands, gradual loss of height. In treating the symptoms, and because of this diversity, physicians may want to do a complete examination, not just one of the area that's affected. Imaging tests and blood tests may help to identify the severity of the condition, and can help the doctor determine the best treatment. Treatments may range from physical therapy to medications, and finally, to surgery for relief.
Returning to His Roots: Dr. Anthony Mustovich’s Journey from Military Medicine to Pittsburgh’s Orthopedic Care
By Daniel Casciato
Dr. Anthony Mustovich's journey to becoming a distinguished orthopedic surgeon is deeply rooted in his bluecollar western Pennsylvania upbringing. Growing up working with his father as a contractor, he developed a passion for working with his hands, which naturally led him to the field of orthopedics. "As an orthopedic surgeon, I enjoy getting my patients back to doing things they enjoy, restoring their function, reducing their pain, and overall improving quality of life,” he says, emphasizing the immediate positive impact he has on their lives.
His previous tenure as an orthopedic surgeon at Bassett Army Community Hospital in Fort Wainwright, AK, and earlier as an army flight surgeon, was marked by treating sports-related injuries and maintaining the health of pilots.
Reflecting on this period, he recalls, "I got to see firsthand the amazing things our brave men and women can do while serving their country."
This experience instilled in him a deep respect for the resilience and dedication of soldiers, shaping his approach to patient care.
"Each patient is unique. We all have different backgrounds, activity levels, goals, occupations, and as a result, ‘one size fits all’ does not always work."
-Dr. Anthony Mustovich, Sports Medicine Joint Replacement Specialists
In his civilian practice, Dr. Mustovich encounters various orthopedic issues, with sports-related injuries, hip, knee, and shoulder arthritis, and broken bones being the most common. He tailors treatment plans to each patient's unique needs, drawing from his background in osteopathic medicine, which emphasizes
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treating the whole person—body, mind, and spirit.
"Each patient is unique. We all have different backgrounds, activity levels, goals, occupations, and as a result, ‘one size fits all’ does not always work," he explains. His holistic approach ensures that his patients receive comprehensive care that addresses their physical ailments and overall well-being.
Dr. Mustovich is particularly excited about advancements in orthobiologics, AI, and robotics, and he continually seeks ways to incorporate these technologies into his practice. "These are all tools that I use and incorporate into my practice, but also I'm always looking for ways to add new advancements and technologies to always deliver state-of-the-art and world-class care," he says.
He also highlights significant strides in non-narcotic pain management, allowing for quicker recoveries. "Now, with the kind of multimodal pain control regimens that we have, we're able to get our patients out on the same day after surgery."
This progress is a testament to his commitment to minimizing patient discomfort and enhancing recovery times.
Transitioning to practice with the Sports Medicine Joint Replacement Specialists in Pittsburgh, Dr. Mustovich is eager to contribute to his hometown's community.
"My philosophy has always been to treat my patients as they would be members of my own family," he notes, underscoring his
Common Orthopedic Health Issues as You Get Older
Arthritis, osteoporosis, and fractures are some of the common problems that older people face. Here are three tips that might help to ease the problems associated with those conditions:
1. Walk more – as people get older it's not uncommon for them to become more sedentary. However, there's no better way to take care of your bones than by remaining physically active. Walking is an excellent exercise; make it a point to get up and move around in the morning, after dinner – or any time! Walking helps build and strengthen bones.
2. Adjust your daily diet – what you eat plays a vital role in your orthopedic health. The older you get, the more your bones start losing mass, and the more important it is to make sure you are getting the proper nutrients. Calcium, vitamin C, vitamin D, vitamin B12, magnesium, and protein are all important for the nourishment of bones. In addition, regularly partaking of milk, nuts, sardines, greens, beans, tofu, and salmon is good for the diet.
3. Visit an orthopedic doctor regularly – even if everything seems to be fine, it's good to see a doctor who can determine if there are any issues and can recommend medications or further treatment, if necessary. Early diagnosis can result in better and more effective treatment.
commitment to personal and compassionate care. His goal is to grow the practice and continue to provide world-class care. "I'm very excited to return to the city where I grew up," he shares, ready to embrace the beauty, diversity, and hardworking spirit of Pittsburgh.
In addition to his professional pursuits, Dr. Mustovich is also passionate about community engagement. He plans to involve himself in local initiatives and outreach programs aimed at promoting health and wellness. By fostering strong relationships within the community, he hopes to build a practice that provides excellent medical care and is a supportive resource for Pittsburgh residents.
Dr. Mustovich's dedication to his patients and his community shines through in his practice. Whether treating elite athletes or weekend warriors, his personalized approach and commitment to incorporating cutting-edge advancements make him a trusted and respected figure in orthopedic surgery.
His return to Pittsburgh marks not just a professional milestone, but a heartfelt homecoming. He looks forward to making a lasting impact on the community he holds dear, continuing his journey of healing and innovation.
For more information, visit https://www.smjrscorp.com/
By Andrew Wilson
Routine Checkups Can Detect Kidney Disease Before Problems Arise
The National Kidney Foundation says one in three people in the U.S. are at risk for kidney disease, but many will not realize it until kidney disease is quite advanced.
“Kidney disease can be silent until it is quite advanced,” said Matthew Pesacreta, M.D., Chief of Nephrology at St. Clair Health. “Most people who have kidney disease do not show visible symptoms. The way we detect kidney disease is through a blood test called ‘creatinine,’ which is a muscle breakdown product that is supposed to be cleared out of the body through the kidneys. So, when the kidneys are not functioning properly, the creatinine level accumulates. We are then able to utilize a formula that takes into consideration the blood level of creatinine, patient's age and gender to determine an estimated percent of kidney function, the glomerular filtration rate, or ‘GFR.’ Urine tests can also be helpful. The presence of blood or protein in the urine can sometimes indicate a kidney issue even if the GFR is normal, or above 90 ml/min.”
it is for lung cancer, as a nephrologist, I can say smoking tends to accelerate every bad process in the human body,” he said. “Smoking accelerates heart disease and can make high blood pressure more difficult to control, which can then cause kidney disease.”
Dr. Pesacreta considers one oft-repeated piece of advice for keeping kidney disease away to be a myth, and that is the belief that increased fluid intake will reduce your risk of developing kidney disease. He says that there is no evidence to suggest that is true, instead he suggests practicing a healthy lifestyle.
“A healthy lifestyle helps reduce your chances of developing kidney disease,” he said. “Drink when your thirsty, maintain a reasonable weight, eat a healthy diet, get regular exercise, and follow-up regularly with your primary care physician. High fluid intake is sometimes recommended, but that is in preventing kidney stones and for people with earlier stages of Polycystic Kidney Disease - the most common type of inherited kidney disease - but not the general patient with chronic kidney disease.”
That doesn’t mean that there are never any visible symptoms though. In an advanced state, Dr. Pesacreta says that compromised kidney function can lead to accumulation of fluid in the body, which manifests as swelling in the legs or shortness of breath. In addition, the buildup of toxins the damaged kidneys are unable to eliminate can lead to poor appetite, weight loss and fatigue. These signs are usually not present until the kidney function is 15 percent or less.
The color or consistency of the urine is often less important, but there are certain conditions that present with abnormal urine. “If the urine is exceptionally foamy or very dark, or cola colored, that potentially indicates kidney disease,” he said.
Patients are usually referred to a nephrologist when kidney function is about 40 to 60 percent. Although kidney function declines as we age, that doesn’t mean that all older people have kidney disease.
“An average 70-year-old without kidney disease may only have 80 percent kidney function when measured by the estimation calculators. We all lose some kidney function as we age, approximately 1% per year as we reach our 5th decade,” he said. “The two most common causes of kidney disease are diabetes and high blood pressure.”
Dr. Pesacreta notes a sedentary lifestyle and cigarette smoking aren’t direct causes of kidney disease, but they complicate treatment of high blood pressure and type 2 diabetes, which do cause kidney disease.
“While I can’t say smoking is a direct cause of kidney disease, like
Kidney disease is rarely able to be reversed, but that doesn’t mean that there is no hope. The same advice about maintaining a healthy lifestyle applies for people who have already been diagnosed with kidney disease.
“If you’ve been diagnosed with kidney disease, let’s control what we can control; the underlying factors,” Dr. Pesacreta said. “Get your diabetes under control, get your blood pressure under control. While a healthy lifestyle and weight loss doesn’t directly improve kidney function, if you improve the underlying factors then you can slow the progression of kidney disease.”
He said there are first line blood pressure agents (Angiotensin converting enzyme inhibitors and Angiotensin receptor blockers) and medications that were initially developed for diabetes, SGL2 inhibitors, that are demonstrating very good results and extending kidney life far more than it was even five or 10 years ago.
For those with very advanced disease, dialysis may be the only option. The National Kidney Foundation reports that 557,000 people are currently on dialysis.
“Some people hear the word ‘dialysis’ and equate it to a death sentence,” Dr. Pesacreta said. “That isn’t the case. People are living with dialysis longer than ever before, and we are aggressive with getting our patients evaluated for transplant once their kidney function is less than 20 percent, so some patients never end up on dialysis, they are transplanted first.”
One group of over-the-counter medication to be aware of is non-
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Dr. Matthew Pesacreta
steroidal anti-inflammatories (NSAID), better known as ibuprofen or by brand names like Motrin, Naproxen, Meloxicam, or Aleve.
“The vast majority of over-the-counter medications don’t cause kidney damage, and short-term usage of NSAIDs won’t cause problems either, but excessive or prolonged usage can cause kidney damage,” Dr. Pesacreta said.
Treatment options depend on a number of factors, including age of the patient, cause of the kidney disease, and especially how early they are referred to a nephrologist.
“If someone is referred late, there is less in our wheelhouse to intervene. For instance, the SGLT2 inhibitors are not recommended for a GFR less than 25 ml/min, and the use of ACE or ARB therapy to control high blood pressure may be more complicated in advanced kidney disease related to other electrolyte problems. Lastly, once patients see us it is a bit of a wakeup call that they need to be more aggressive with their overall health,” he said. “The best advice continues to be maintaining regular visits with your primary care physician, which can lead to early detection, and being cognizant of the elements of a healthy lifestyle.”
Dr. Matthew Pesacreta is Chief of Nephrology at St. Clair Health. Dr. Pesacreta is affiliated with Teredesai, McCann and Associates and was named a Top Doctor by Pittsburgh Magazine in 2024. He sees patients at 1597 Washington Pike, Suite A22, Bridgeville, PA, 15107.
Dr. Matthew Pesacreta, St. Clair Health, can be reached at (412) 489-6919.
Flu ... or Kidney Stones?
By Lois Thomson
You're experiencing nausea and vomiting, fevers and chills. Could it be a case of the flu? Possibly. But you could also have a kidney stone.
Each year, more than half a million people go to emergency rooms for kidney stone problems, and an estimated one in 10 people will experience one sometime in their lives. A kidney stone is a hard object that is made from chemicals in the urine. Urine has various wastes dissolved in it, and when there is too much waste, crystals begin to form. When that happens, the stone may stay in the kidney or travel down the urinary tract. Tiny stones are sometimes flushed out of the body in the urine, but ones that don't move may cause a back-up of urine in the kidney, ureter, the bladder, or the urethra. This is what causes the pain.
The symptoms could be one or more of the following:
• Severe pain on either side of your lower back
• More vague pain or a stomach ache that doesn't go away
• Blood in the urine
• Nausea or vomiting
• Fever and chills
• Urine that smells bad or looks cloudy
Doctors try to let the stone pass, but if it is too large or if it blocks the flow of urine, it is removed with surgery. Lithotripsy is a noninvasive procedure that uses high-energy sound waves to blast the stones into fragments, which are then more easily passed out in the urine. Drinking sufficient fluid can help avoid the concentration of waste products in urine, and is one way to help combat kidney stones from forming. Another way is to add more fruits and vegetables to your diet. Kidney stones elevate the risk of developing chronic kidney disease. If you have had one stone, you are at increased risk of having another.
ADVANCED
WOMEN’S CARE OF PITTSBURGH: State-of-the-Art
Imaging Technology and Advanced GYN Procedures In-Office
By Nancy Kennedy
At Advanced Women’s Care of Pittsburgh (AWC), an exemplary team of obstetrician-gynecologists provides personal, comprehensive, state-of-the-art health care to women throughout the greater Pittsburgh region, including Washington and Allegheny counties and beyond. AWC physicians provide individualized, whole person OBGYN care to their patients at every life stage, from adolescence through the senior years. Their services includes prenatal and pregnancy care, gynecological treatments and surgery, health screenings and a broad range of additional, specialized diagnostic and therapeutic strategies, utilizing the most advanced technologies and diagnostic methods. One of those specialty services is in-office hysteroscopy, a procedure that utilizes a state-of –the-art imaging technology called Endosee. Mary Sims, M.D., explains that this minimally
invasive procedure makes it possible for the physician to look at the interior of the uterus, for diagnostic and therapeutic purposes. The Endosee device consists of a thin instrument with a camera which can be inserted through the dilated cervix, allowing the doctor to view the endometrial lining of the uterus. It uses no radiation and there is no incision.
“Hysteroscopy is a common procedure but it’s normally done in the hospital, in the OR,” Dr. Sims explains. “At AWC, we give our patients the option of having it here, in our offices, in order to avoid hospitalization and an operation which requires anesthesia. It’s typically well tolerated when a patient takes over-thecounter medication prior to the procedure. You usually can resume your regular activities the next day.”
Hysteroscopy is mostly used to diagnose abnormal uterine bleeding. It can be useful in locating structural masses in the
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uterus, such as fibroids, polyps, and cancer and in repositioning IUDs. The procedure is completed without sedation.
Women’s Health
“Hysteroscopy is a common procedure but it’s normally done in the hospital, in the OR. At AWC, we give our patients the option of having it here, in our offices, in order to avoid hospitalization and an operation which requires anesthesia.”
-Dr. Mary Sims
Dr. Sims says that the greatest advantage of this procedure is that with the Endosee camera’s special sensitivity and clarity, the physicians can see real-time images and achieve very specific results. Advanced Women’s Care has been offering in-office hysteroscopy for the past six years, and all of the board-certified physicians on the medical staff – Kristen Peske, D.O.; Michelle Harvison, M.D.; Amy Turner, D.O.; Stephanie Shaw Brown, M.D.; Mary Sims, M.D.; and Karrah Dattilo, D.O. –perform the procedure.
>Dr. Sims encourages women who are interested in the procedure to speak to their AWC OBGYN about the advantages of in-office hysteroscopy. “You can have a conversation about it with me or one of my colleagues. It’s an option. We can give you a general overview of the procedure and answer your questions.”
Established in 1986, Advanced Women’s Care of Pittsburgh has three locations, in McMurray, Caste Village and at St. Clair Health. To learn more about Advanced Women’s Care or to make an appointment, call (724) 941-1866 or visit www.advancedwomenscareofpgh.com.
WOMEN’S HEALTH CENTER IN ROBINSON TOWNSHIP
At Heritage Valley, we want to make sure that every woman has access to the services she needs and the support she deserves. The Women’s Health Center in Robinson Township is designed to treat the special healthcare needs of women, and is a hub for our comprehensive BreastCare program, which offers a range of services from screening and diagnostic breast imaging to treatments for breast cancer.
All these services are available within the Heritage Valley Health System network. Care is delivered by committed, high-quality physicians, so regardless of your situation and treatment plan you don’t have to travel far for service. Our BreastCare Navigator is specially trained to work with patients and compassionately coordinate all services.
• Mobile MRI
Meeting the Special Healthcare Needs of Women >
The Heritage Valley Women’s Health Center, designated as a Breast Imaging Center of Excellence by the American College of Radiology (ACR), provides the following services for women 18 years and older:
• Screening & Diagnostic full-field Digital Breast Tomosynthesis
(also known as 3D Mammograms)
• Self-Requesting Screening Mammography (No prescription needed!)
• Non-Surgical Breast Biopsy (Ultrasound, Stereotactic and MRI-Guided)
• Osteoporosis Heel Screening
• Bone Material Density Scan (DEXA)
• Routine Ultrasound Exams
• Routine Diagnostic Radiology Exams
• Phlebotomy (Bloodwork)
• EKG
• Mobile CT
The Robinson Township Women’s Health Center is located inside the Heritage Valley Robinson Township Medical Neighborhood (2201 Park Manor Blvd., Pittsburgh) and is open Monday through Saturday from 7:30 am – 4:00 pm. For more information, call (724) 773-4720 or visit https://www.heritagevalley.org/services/womens-health/
To schedule Breast Imaging services, including diagnostic mammograms and imaging exams, call 1-866-901-IMAG (4624). Screening mammograms can be scheduled online using Heritage Valley’s My Care Link. Simply download the Heritage Valley Health System app (iHVHS/aHVHS); create a My Care Link account; click on the Mammography Exam icon and follow the prompts to schedule an appointment at one of our screening locations.
Living Well With A Disability Voices for Independence Looking Forward to Upcoming Fundraisers
By Lois Thomson
VFI – Voices for Independence – is currently celebrating its 30th anniversary, following the opening of its newly renovated facility on West Maiden Street in Washington, Pa. Since that time, Steve Johnson, director of marketing for VFI in both Washington and Erie, has been putting together client testimonials, and he said the one thing mentioned across the board was how VFI's services have impacted their lives.
"But the thing that keeps popping up is that there's still a lot more work to do, with a lot more people to serve." Johnson pointed out that there are a variety of reasons making it difficult to reach everyone currently in need.
According to Johnson, "As a nonprofit working to provide services to the disability community, we look to serve everyone who comes to our door, as quickly as possible, without sacrificing quality. However, for every group of individuals that we are currently serving, there are still many more waiting in line to receive assistance. That's why our fundraising efforts are so important –to allow us to hire additional staff and begin the process of helping more people."
Johnson said that the organization is looking forward to hosting events throughout the rest of the year that will both raise funds and engage the community. "In addition to our upcoming Consumer Pig Roast events that will be held at both of our Erie and Washington offices for the individuals we serve, we are also excited to take part in Miss Rain Day's 'Walk for Hearing' in Rices Landing; host our 4th Annual No Limits Adaptive Fitness Challenge in Erie; and hold our 8th Annual Golf Outing at Lone Pine Country Club in Washington. Many individuals who speak to us have been waiting to receive services for some time, due to things beyond our control, such as red tape, processing times, etc. These events will allow us the opportunity to not only show the
community who we are and what we do, but to also raise funds to help expedite those wait times and get people the vital help they need."
For more information on all of these events, simply visit www.vficil.org and view the scrolling header images.
Johnson concluded, "We're celebrating our 30th anniversary, and we're so proud of that milestone, but at the same time, there's so much work to do to make sure we're still around for another 30 years. The end goal is for everyone we interface with to not just make ends meet, but to thrive. Proceeds from these events, and donations made to Voices for Independence, will help us achieve that goal for many more in need."
For more information, call (724)223-5115 or visit www.vficil.org.
UPCOMING VFI EVENTS INCLUDE THE FOLLOWING:
• Miss Rain Day's "Walk for Hearing" – Saturday, July 20, 8:00 a.m., Greene River Trail (125 Main Street, Rices Landing, Pa. 15357)
• VFI & TRPIL Washington Golf Outing – Monday, September 9, 10:30 a.m., Lone Pine County Club (2755 Park Avenue, Washington, Pa. 15301)
Children With Special Needs
Wesley Family Services Opens Autism Center for Growth Provides Early Autism Support in
There is a new program – and approachfor families looking for autism support in Allegheny County – and its goal is to provide support earlier in a hands-on, integrative environment.
“The need is obviously there," said Carrie Winner, Program Director for Intensive Behavioral Health Services. “We’re really hoping to alleviate some of the pressure for families waiting for services. And most importantly, early autism intervention is key.”
Wesley Family Service’s new Autism Center for Growth officially opened its doors on April 1st of this year. Families will find a welcoming atmosphere which includes a sensory room (pictured), a gym area, and multiple classrooms and spaces to interact with clients and their families.
The school-like setup is intentional, as children at the Autism Center for Growth will take part in extensive early-childhood skill development geared toward preparing them for success in school and social situations.
The program provides Applied Behavior Analysis (ABA) services through evidence-based practices and is specifically for children aged 12 months through seven years (or entry to kindergarten).
Winner says it is designed to cater to this group's cognitive strengths.
"It is really based on the knowledge that our brains can absorb and learn much more quickly at this early age,” she said.
The Center utilizes natural environment teaching methods, which includes play-based interventions to focuses on teaching communication skills, play skills, imitation skills, and limited daily living skills. In a nutshell, the program emphasizes building skills needed in a kindergarten setting.
“We work on things like potty training, if that needs to be
Allegheny County
addressed. We're targeting skills like sitting at a table and eating, as opposed to running around,” said Winner. “We also work on incorporating increased food preferences, because our little ones with autism sometimes can be very picky eaters.”
More specifically, the Center also focuses on various developmental challenges, including communication delays, difficulties with imitation, aggressive behavior, self-injurious actions, restricted play abilities and other gaps in adaptive skills.
Additionally, the program will also focus on providing parents and caregivers with their own skills through individualized training.
>Families looking for more information can call (412) 342-2270 or fill out a form on the website.
As of now, the program is only available to families in Allegheny County. An Autism Spectrum Disorder diagnosis is required for enrollment. For more information, visit Wesley Family Services website, at WFSPA.org.
Ways to Help Your Kids Have a Healthy School Year
By Lois Thomson
With kids heading back to school in the fall, here are some tips that can help the process go more smoothly:
• Prioritize sleep, exercise, and nutrition. Ensure that students partake of healthy meals, sufficient sleep, and ample physical activity. All are important to both academic and social success.
• Make sure checkups and immunizations are up-to-date. Especially if your child is participating in sports, check to see if he or she needs any related exams or screenings. If your health insurance coverage is through Medicaid or Children's Health Insurance Program (CHIP), make sure your contact information is current.
• Be mindful of your child's mental health. Many children and teens have experienced mental health struggles over the past few years. Let your child know it's OK to talk about how they're feeling, and let them feel comfortable about discussing difficult issues with you. In addition, watch for any changes in behavior that worry you, or any signs of anxiety, depression, or distress.
• Talk about difficult, current issues. Bring out into the open, topics such as racism and hate. Encourage them to ask questions and to seek help from a trusted adult if they are involved in something personally, or if they see happening to others – any acts of bullying or discrimination. Emphasize the importance of being kind and treating others with respect.
• Determine a balanced plan for media use. Whether television programming, internet sites, or social media, set limits for your child and explain the potential dangers or misuse of certain sites. Social media in particular can be both beneficial and harmful; help your child distinguish the difference between the two.
UPMC Washington Makes Progress with Parkinson’s Disease
By Kevin Brown
Therapists at UPMC Washington are making progress in helping people with Parkinson’s disease. By offering the LSVT Big and LSVT Loud therapy programs at the Wilfred R. Cameron Wellness Center in Washington, Pa., therapists are significantly improving movement and communication deficiencies common to people with Parkinson’s disease. The therapy programs have been offered there since 2019.
Parkinson’s disease affects the production of dopamine in the brain, which causes neurological movement and speech difficulties, among other symptoms. It is commonly considered a disease of aging, although younger people are diagnosed with early-onset Parkinson’s as was the actor and author Michael J. Fox in 1991 at age 29.
Individuals with Parkinson’s can exhibit a variety of movement disorders such as tremors, slowness, stiffness, and shuffling, as well as speech issues including soft talking, mumbling, and hoarseness, among others.
According to Scott Gilbert, M.A., CCC/SLP, speech-language pathologist at UPMC Washington, the disease is progressive, so symptoms are expected to get worse.
“The LSVT program, from its inception, has been designed to bring people back from that deterioration, to stop and/or slow the progression of symptoms and reverse some of the communications deficits. It is not a cure for Parkinson's, however,” he says.
LSVT stands for Lee Silverman Voice Training and is named after Mrs. Lee Silverman, a person with Parkinson’s who was the first to receive the Loud therapy from Dr. Lorraine Ramig 40 years ago at the University of Colorado-Boulder. LSVT Big is modeled after the same principles as LSVT Loud but involves physical and occupational therapy to improve movement issues. The word Big describes the emphasis on large, definitive movements patients are encouraged to make. Similarly, Loud represents the use of a louder voice to improve the soft and mumbling speech patterns.
April Eddy, PT, DPT, physical therapist at UPMC Washington, describes LSVT Big as dealing with the physical aspects of Parkinson’s. “We focus on addressing the motor symptoms of Parkinson's disease, as well as the non-motor symptoms such as the slow, shuffling walk, small movements, and not being able to do two things at the same time. I have a lot of gentlemen who say ‘I can't keep up with my wife. I used to be able to walk right next to her, and now she's leaving me in the dust.’”
Scott says that people with Parkinson's disease can have a low speaking voice and a vocal quality that is hoarse, even monotone. “Not having a lot of change in the loudness creates a very rigid voice without a lot of character and the ability to express oneself,” he explains. “The way it deteriorates over time can affect the person to the extent that they're just not understood anymore.”
When individuals with Parkinson’s are referred to the programs, the first step is an evaluation. Scott and April interview the patients to find out what made them seek help in the first place. What
symptoms do they notice? Have there been any changes to their Parkinson's medication? When were they diagnosed with Parkinson's? “After the interview, we’ll do an examination with walking tests, balance tests, and strength tests,” April says. Scott conducts similar tests related to speech and communication. Following the evaluations and testing, Scott and April develop an individual treatment plan for each patient that comprises 16, one-hour sessions, four days a week for four weeks. “We only work with one person in a one-hour session,” April says. “We are wholly one-on-one with each patient because, with the intensity and the amplitude of LSVT, it needs our full attention.”
The therapists see patients in all different phases of their progression through Parkinson's from early stages to very late stages. Research has shown that this protocol can benefit people with Parkinson's at any stage. It can be very adaptable to what that patient needs at that time.
“By the end of the 16 sessions, we hope to see progress with their movement — they're standing straighter and taller, their postures are better,” April says. “Also, their walking speed is improved, and they are taking larger steps. They're able to keep up with their wives again.”
Scott says the LSVT Loud therapy focuses on a louder voice and improved pronunciation with the ultimate goal of increasing that until it becomes a learned behavior. “In addition to the therapy, the patients learn techniques so that when they finish the program, they'll have improvement in their speech as well as tools they can use after that,” he explains.
The LSVT Big and LSVT Loud therapy programs require a physician referral and are covered by most insurances, including Medicare.
For more information about the programs, call UPMC Washington Outpatient Rehabilitation at (724) 250-6280, or visit www.whs.org and click on Care & Treatment and Rehabilitation. The Wilfred R. Cameron Wellness Center also offers exercise classes and a support group for patients with Parkinson’s.
Additional information about the LSVT therapy programs is available at www.lsvtglobal.com
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WASHINGTON PHYS ICIAN
Our Primary Care Physicians
WPHO, a partnership of 275 local primary care and specialist physicians and the Washington Health System, was founded in 1994 to assure access and availability of high quality healthcare within our community for your benefit and convenience. Look for these local physicians and healthcare services in your health plan’s provider network. That way, you can receive the quality care you need at a location close to home.
Atlasburg
Dan G. Alexander, M.D. (I) (724) 947-5535
Dan Alexander, MD
Bentleyville
Centerville Clinics, Inc. (F) (724) 239-2390
Danielle M Zachar, DO
Burgettstown
Cornerstone Care (F) (724) 947-2255
Jihad S. Irani, MD
Julie Orlosky, DO
Hickory/Burgettstown Family Practice PPCP (F) (724) 356-2273
Michael Falcione, MD
Bruce Maskarinec, DO
Courtney McCoy, DO
California
Washington Health System
Family Medicine-California (F) (724) 938-7466
Ethan Kobe, MD
Canonsburg
Washington Health System
Family Medicine-Canonsburg (F) (724) 745-4100
W. Paul Slomiany, MD
Monica Speicher, MD
Michael Zanic, MD
Rebecca L. Plute, M.D., P.C. (F) (724) 746-7030
Rebecca L. Plute, MD
Carmichaels
Centerville Clinics, Inc. (F) (724) 966-5081
Thomas Gregory Wittman, MD
Cecil Washington Health System
Family Medicine-Cecil (F) (724) 873-7414
Sarah Duncan, MD
Caitlin Matthis, DO
Lauren O’ Brien, MD
Bridget Peterson, MD
Mylaina Sherwood, MD
Claysville
Claysville Family Practice (F) (724) 663-7731
Mark A. Mamros, MD
Elizabeth Oshnock, DO
Kristen Romesburg, DO
Brian Szklinski, MD
Sarah White, DO
Kailey Yancey, MD
Fredericktown
Centerville Clinics, Inc. (F) (724) 632-6801
Alvaro Changco, MD
Tara Lemaire, MD
Greensboro
Cornerstone Care (F) (724) 943-3308
Matthew A Heselton, MD
Hickory
Hickory/Burgettstown Family Practice PPCP (F) (724) 356-2273
Michael Falcione, MD
Bruce Maskarinec, DO
Courtney McCoy, DO
McMurray Complete Family Care (F) (724) 260-0830
Mark A. Mamros, MD
Elizabeth Oshnock, DO
Kristen Romesburg, DO
Brian Szklinski, MD
Sarah White, DO
Kailey Yancey, MD
Lamb Medical (F) (724) 969-5262
Mary Lamb, MD
Washington Health System Primary Care-Lakeside (F) (724) 969-1001
Matthew Diiulio, DO
Lisa A Goss, MD
Robert Koschik II, MD
Ellen Phillippi, DO
Katherine M. Tadolini, MD
Monongahela
Christa Malinak, MD Family Practice (F) (724) 565-5393
Christa Malinak, MD
Mount Morris Cornerstone Care (F) (724) 324-9001
Amber Renee Warren, DO
Republic Centerville Clinics, Inc. (F) (724) 246-9434
Tara LeMaire, MD
Rogersville Cornerstone Care (F) (724) 499-5188
John Allison, DO
Washington Central Outreach Wellness Center LGBTQ+ Focused Care (724) 249-2517
Centerville Clinics, Inc. (F) (724) 223-1067
Shweta Arora, MD
Maria R Bening, MD
Daniel Holt, MD
Jennifer Muhly, MD
Cornerstone Care - Pediatric Associates of Washington (P) (724) 228-7400
Kyeiwaa Amofa-Boachie, MD
Edward Foley, MD
Cornerstone Care - Community Health Center of Washington (P) (724) 228-1089
Internal Medicine and Geriatrics of Washington (I) (724) 222-4464
Richard Hahn, MD
William Kottner, MD
PPCP Tylerdale (F) (724) 222-7240
Sean Kelly, DO
William Sharpnack, DO
The Health Center for Integrative Medicine (F) (724) 906-4798
Janine Rihmland, MD
Washington Health System
Family Medicine-Neighbor Health (F) (724) 223-3100
Darcy Billisits Giger, DO
Donald Lee Ours, II, DO
Wesley Schettler, MD
Washington Health System
Family Medicine-North Main (F) (724) 225-9970
Sara Casile, DO
Ethan E. Kobe, DO
Carrie D. Schoonover, DO
Steffen Villarma, MD
Washington Health System
Internal Medicine (I) (724) 229-7570
Richard Hart, MD
Thomas Tambouratzis, MD
Washington Health System
Washington Pediatrics (P) (724) 250-6001
Michael Faust, MD
Tera Faust, DO
Benjamin W. Kleifgen, MD
Tina Lengauer, DO
Molly Philbin, DO
Richelle Sommerfield, MD
Waynesburg
Cornerstone Care Pediatric And Family Medicine Center of Way (P/F) (724) 627-9696
John Allison, DO
Max Chen, MD
Washington Health System
Family Medicine-Waynesburg (F) (724) 627-8080
Lindsey Beabout, DO
Sherry Zimmerman, MD
WVU Medicine Children’s Pediatric and Adolescent Care (F)
Daniel Alan Church, MD
HOSPITAL ORGANIZATION PROVIDER NETWORK
Neurological Surgery
Allegheny General Hospital
Our Specialist Physicians
We have offices conveniently located in the community.
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Richard O. Ajayi, MD (724) 579-1075 Wash. y
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Mohamad Al-Abed, MD (724) 222-2577
Nadine Dandachi, MD
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Mark Sperry, MD MD oulou, pova S
Radiation Oncology
Washington Health System
Radiation Oncology in Partnership
724) 223-3788 ( with UPMC Cancer Center
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Radiology
724) 223-3300 (
Giovanna Aracri, DO
Kevin Birnie, MD
William Castro, MD
William Conroy, MD
William Downer, MD O o, D nisro y C nohtnA
Michelle Kirshen, MD
David Leukhardt, MD
Dina Novitskaya, MD
Wilson Pyle, MD
WHS Pulmonology, Thoracic Thoracic Surgery
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Mathew A. Van Deusen, MD (724) 222-2577
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WHS Center for Recovery & Sleep Medicine (724) 249-2517
(724) 579-1075 Wash. y Wellness
Richard O. Ajayi, MD
Urology
Damon Hoffmann, DO 724)4242-92 2 ( Urolo SHW
Timothy Weyrich, MD 724) 942-3963 ( DO ch, ita K er xa elA
Vascular Surgery
UPMC Heart & Vascular
Wound Care D , M aga . Hy M esdniL D , M d E nomyaR (412) 802-3333
Washington Health System
Wound Center
(724) 627-1600 (724) 223-6903
Nicholas J. Lowery, DPM , D hcre . Ln J
Hope Has a Home at GRC: An Advanced Recovery Network
Something new is here: something that represents the history and future of Pittsburgh’s largest nonprofit addiction recovery network.
What is GRC’s mission?
To help all those affected by addictive diseases to be healthy in body, mind, and spirit.
What is GRC’s vision?
Eliminate barriers to recovery from addiction and sustained wellness.
What does GRC offer to the community?
The community drives GRC’s cause. GRC is a provider that can be trusted to invest in person-focused care, tailored co-occurring programs, and telehealth access. When connecting with GRC for treatment, a family will feel the compassion, experience, and lifelong support of GRC’s recovery leaders.
What impact does GRC have on addiction in the region?
GRC brings hope and healing to hundreds of communities through accessibility, evidence-based treatment, relapse prevention, and family support. GRC has been serving the greater Pittsburgh region since 1972.
What programs does GRC provide?
GRC operates a full continuum of care which can treat a person for a year or more. Levels of care include withdrawal management, residential treatment, outpatient counseling, telehealth counseling, community-based peer recovery support, and halfway house programs.
What values drive programming at GRC?
At GRC, every individual is a being of worth, deserving of treatment and respectful service. Addiction is a primary, chronic disease that involves healing of all dimensions of a person. Recovery from addiction is not one-size-fits-all; success in all forms should be celebrated.
How can someone connect with GRC for help?
GRC offers 24-hour assessment and admissions. The team is available when your loved one is ready to receive help. Call 1-800-472-1177 or connect with a team member of the clinical team online at www.gatewayrehab.org.
Stay Cool and Hydrated: The Key to Summer Fitness Success
by Katy Walker, Fitness Supervisor Township of Upper St. Clair
As the sun ascends higher in the sky and temperatures reach their peak, the importance of staying hydrated cannot be overstated, especially if you're active outdoors. Hydration isn't just about quenching your thirst, it's a fundamental pillar of maintaining health, enhancing performance, and ensuring safety during summer workouts.
When you exercise in hot weather, your body's natural cooling system kicks into gear aka you sweat. This mechanism is essential for regulating body temperature and preventing overheating. However, every drop of sweat represents water and electrolytes lost from your body. Proper hydration ensures that you can sweat efficiently, keeping your body cool and reducing the risk of heatrelated illnesses like heat exhaustion or heat stroke.
Beyond temperature regulation, staying hydrated plays a crucial role in optimizing physical performance. Even mild dehydration,
equivalent to losing just 1-2% of your body weight in fluids, can lead to noticeable declines in endurance, increased fatigue, and impaired cognitive function. For athletes and fitness enthusiasts alike, maintaining adequate hydration levels can make the difference between achieving peak performance and struggling through a workout.
Hydration isn't just about fluids; it's also vital for muscle function and recovery. Water is essential for transporting nutrients to your cells and removing metabolic waste products. This process supports muscle contraction, energy production, and tissue repair—all critical aspects of athletic performance and recovery post-exercise. Moreover, staying hydrated promotes overall health beyond exercise. Proper hydration supports digestion, circulation, and nutrient absorption. It also helps maintain healthy skin and joint lubrication, essential for staying active and injury-free.
To ensure you stay hydrated throughout the day, consider these practical tips:
• Carry a reusable water bottle and sip regularly, not just when you're thirsty.
• Monitor your urine color: pale yellow or clear urine indicates adequate hydration, while darker urine may suggest dehydration.
• Incorporate water-rich foods into your diet, such as watermelon or cucumbers.
• During prolonged exercise or intense sweating, replenish electrolytes lost through sweat with sports drinks or coconut water.
• Limit alcohol and caffeinated beverages, as they can contribute to dehydration.
Before exercise, aim to drink about 16-20 ounces of water a few hours beforehand to ensure you start adequately hydrated. During exercise, especially in hot weather or intense workouts, aim to drink 7-10 ounces of water every 10-20 minutes to replace fluids lost through sweat. After exercise, rehydrate with water or a sports drink to replenish electrolytes and support recovery.
As you embark on your summer fitness journey, remember that hydration is not just a recommendation but a necessity. By prioritizing hydration, you support your body's ability to perform optimally, recover effectively, and stay healthy throughout the season. Whether you're running, cycling, hiking, or simply enjoying the outdoors, make staying hydrated a top priority. Your body will thank you with improved endurance, enhanced performance, and a more enjoyable summer fitness experience overall.
Use Westmoreland County Transit Authority for Your Travels
Thinking of planning a day with friends for a trip to the city? Westmoreland County Transit Authority can safely and reliably take you to and from your destination. Whether you choose to take one of our Westmoreland Transit fixed-route buses or decide to utilize the GO Westmoreland, shared-ride program, we’ll work with you to coordinate your trip. If you would like to travel with Westmoreland Transit using the fixed-route service, you can review all our service areas and schedules online at www.westmorelandtransit.com/schedules/. After choosing where and when you and your group would like to go you can either call us at (724) 834-9282 or email us at customerservice@westmorelandtransit.com and we’ll help you coordinate your day!
The GO Westmoreland Senior Shared-Ride Program is a feasible alternative to driving, that strives to assist older adults with active aging and independent living. Riding with GO Westmoreland allows older adults to confidently get to their destination, no matter the occasion. Funding for this door-to-door program is provided by the Pennsylvania State Lottery. Once enrolled in the program, older adults 65+ may travel at a discounted rate.
If you decide to use GO Westmoreland for your travels, just give us a call at (724) 832-2706 or email us at customerservice@westmorelandtransit.com with the details of your event and we will get everything coordinated for your day! Whether you’re taking a trip with friends for lunch, or visiting a museum for the day, Westmoreland County Transit Authority would be happy to take you there!
www.guidetogoodhealth.com
PUBLISHER
Nancy Carroll Lammie
ACCOUNT EXECUTIVE
Paul Crowe
DESIGN & LAYOUT
JMC Graphics (412) 877-5321
EDITORIAL MANAGER
Judy Gramm
CONTRIBUTING WRITERS
Kevin Brown
Ron Cichowicz
Daniel Casciato
Vanessa Orr
Nancy Kennedy
Lois Thomson
Andrew Wilson
WEB SITE DESIGNER
Keith Trageser keith.trageser@gmail.com
HOW TO REACH US: ADVERTISE / SUBSCRIBE goodhealthmag@aol.com (412) 877-5321
Important Medicare Dates
Several important dates are associated with Medicare enrollment and follow-up. Make a note so you can keep track:
• September and October – the time to review and compare plans. Carefully look over any notices you receive from your plan about changes for the coming year. Compare available plans to see what best meets your needs.
• October 15 – Open Enrollment begins. The fall Medicare Open Enrollment Period is the one time every year when most Medicare beneficiaries are allowed to make changes to their health and drug plans for the next year. October 15 is the first day you can change your Medicare coverage for the next year during open enrollment.
• December 7 – Open Enrollment ends. December 7 is the last day of the open enrollment period, so you need to make your decision in time to meet that deadline.
• January 1 ¬– Coverage begins. If you switch to a new plan, the new coverage begins January 1. Likewise, if you remain with the same plan, any changes for the new year also will begin January 1.
• January 1 – March 31 – Medicare Advantage Open Enrollment Period. Between January 1 and March 31, a Medicare Advantage Plan member can leave that plan and switch to another Medicare Advantage Plan, with or without drug coverage, or to Original Medicare (Part A and Part B).
By Lois Thomson
Get local help with your Medicare questions.
I’m Teresa Scott-Carano, a licensed sales agent in the Greater Pittsburgh area. When it comes to Medicare, it’s important to consider all of your options. What works well for your neighbor may not be the best fit for you. I know the ins and outs of Medicare, and I’m ready to answer your questions and help you find a plan that fits your needs.
What do I need to know about Medicare? Medicare is a complex program and can sometimes be confusing. The best way to start is by familiarizing yourself with the different parts, what they cover, and when you are eligible to sign up.
What are the four parts of Medicare?
• Part A provides inpatient/hospital coverage
• Part B provides outpatient/medical coverage
• Part C offers an alternative to the way to receive your Medicare benefits
• Part D provides prescription drug coverage Am I eligible for Medicare? To qualify, you must be a citizen of or lawfully present in the United States. You must also: (a) Be age 65 or older, (b) Be under age 65 but have certain disabilities, or (c) Have permanent kidney failure that requires dialysis. Your age and retirement date also determine whether you are eligible for Medicare.
When can I enroll in Medicare? You can enroll in the month of your 65th birthday, as well as three months before or three months after. If you currently receive health care benefits
through your employer, your employer can help you understand what you need to do before you retire. What are my coverage options? Everyone is different and therefore has different health care needs; the coverage that is right for your friends or family may not be right for you. For example, you might choose to enroll in Original Medicare, or decide that you prefer a Medicare Advantage Plan. If you are currently covered by employer insurance, you may decide not to enroll in Medicare until you have retired. Review the differences between available plans and determine which one best suits your needs.
Does Medicare cover dental and vision expenses? Medicare does not consider dental and vision care to be medically necessary, so it does not cover exams, procedures, supplies, or related services.
Where can I get more information?
The following sources may be able to help with additional questions:
• 1-800-MEDICARE
• Social Security Administratio
• State Health Insurance Assistance Program (SHIP)
• Medicare Rights Center
Part D prescription drugs or other pay for your Are you struggling to • Medicare? h t i w p l he d e e n u
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By Lois Thomson
Senior Guide
Silver Sneakers – the Good vs. the 'Bad'
The Silver Sneakers program features many excellent components. With its emphasis on physical activity and socialization, Silver Sneakers is a fitness benefit available to adults aged 65-and-older at fitness and exercise facilities, including certain gyms, YMCAs, municipal recreation centers, community exercise classes, and other community-based facilities.
In addition to in-person classes, members can take advantage of online classes, as well as on demand videos. These classes focus on such topics as fall prevention, flexibility, nutrition, stress relief, and cardiovascular health. Overall, Silver Sneakers offers members a combination of fitness and mental health enrichment.
And best of all, you can access all of these services at no cost. However, as wonderful as Silver Sneakers is, there is a downside: it's not open for everyone. While Silver Sneakers is designed for those 65-plus, it is not available through Medicare, but instead through certain Medicare Advantage plans and Medicare supplement carriers. To check to see if you are eligible in your current plan, click: Check Your Eligibility | SilverSneakers
To find a plan that does offer it, go to Medicare.gov, or talk to an independent Medicare insurance broker. A local senior center may also be able to answer questions. A word of caution: as beneficial as it is, Silver Sneakers should not be your sole requirement when choosing a Medicare health care plan. You need to weigh other options and benefits to determine which plan best fits your budget and still meets your needs. Making sure that you can maintain your preferred doctors and that the prescriptions and pharmacy you use are included in your chosen network should take precedence. Also, note that insurers are not required to offer Silver Sneakers in their benefit package, so your plan could withdraw it in the future.
A SAMPLE OF THE MANY LOCAL FACILITIES THAT CURRENTLY OFFER SILVER SNEAKERS MEMBERSHIP ARE:
Bethel Park Community Center, JCC of Greater Pittsburgh, Planet Fitness, Webb's World of Fitness, IC Fitness, Platinum Fitness Center, Anytime Fitness, LA Fitness, Powerhouse Gym.
A LIFE OF YOUR OWN
Community LIFE helps keep seniors independent and in their homes with an all-inclusive program and insurance plan. With eight Health and Wellness Centers throughout the region, you can drop by and have a cup of coffee, laugh with friends, and take care of your health all at once. And for your convenience, this program offers transportation to and from the centers and to medical appointments.
This friendly, vibrant community is created
through Community LIFE’s commitment to inclusivity and diversity, as they welcome seniors from all walks of life to join their program. They offer a complete network of medical specialists to cover the full spectrum of medical and health care needs, from diseases like dementia to physical disabilities. Comprehensive health care teams help coordinate care with access to physical and occupational therapists, dietitians, social workers, and more.
“My life just completely turned around.”
-James Y.
Community LIFE services:
• Medical care
• Pharmacy
• In-home care
• Transportation
• Recreation
• Meals
• Rehabilitation
Let Community LIFE handle your everyday care, so you can spend more time with the people you care about.
Visit commlife.org to apply or call 1-866-419-1693 to learn about program eligibility.
Senior Living
Reasons To Consider Transitioning To a Senior Care Facility
By Lois Thomson
If the time comes when it's necessary for a loved one to move into a senior care facility, some up-front planning will help make the transition easier. Considering the reasons ahead of time could also help make the decision more agreeable.
Ease of life phase transitions – Choosing to do so earlier in life, rather than waiting until it's necessary, can make the decision feel more comfortable.
A need to socialize – As we grow older, our social circle diminishes. Interaction with others is vital, and a senior facility can offer new friendships and activities.
Complex health conditions – Performing everyday tasks can seem more complicated as you age, and can be a source of stress. A senior care facility can help remove that concern when independent care becomes overwhelming.
Mental health issues – Mental health is often tied to independence, and loss of the ability to bathe and eat by oneself is associated with the greatest decline in mental health status. Being able to receive assistance with such activities may improve the situation.
A need to downsize – If you have lived in your residence for a number of years, it may have become unmanageable regarding upkeep, not to mention negotiating several rooms or floors. It's possible that your home is also filled with keepsakes from throughout the years. Transitioning to a senior care facility can be a chance to eliminate the concern for navigating, and to downsize and choose which cherished household items can be passed to future generations.
Declining ability for complex tasks – If your ability to handle more complex tasks, like grocery shopping, managing medications, arranging appointments, etc., has become overwhelming, moving to a senior facility could relieve the burden.
Independent living has become unsafe – If the danger of falls or wandering outside and getting lost are a concern, it may be time to consider a senior facility for the safety it can provide.
The Importance of Physical Balance
When people think about improving their physical fitness, balance may not be something that comes to mind. But it should be. Good balance is a vital part of being fit, no matter what your age. While older people are the ones most affected by poor balance, nearly half of young adults acknowledged falling – mostly while walking or participating in sports – during a 16-week study.
While age is definitely a contributor, other factors that can affect balance include medication, changes in vision, brain injuries, neuropathy, obesity, and generally not being in good shape. In addition, simply not working to maintain your balance can be detrimental.
If your balance isn't as good as it should be, you can improve it with some practice. One of the easiest ways is to simply practice balancing on one leg. Stand next to something you can hold onto in case you become unsteady. Walking up stairs is another exercise that enhances your balance. You can even practice while going about daily routines, such as standing on one leg while brushing your teeth or waiting in line.
Senior Guide
By Lois Thomson
The National Institute on Aging refers to a Geriatric Care Manager (GCM) as a "sort of professional relative," who can help identify and meet the needs of older family members by managing the activities of daily living and coordinating health care.
Because many are licensed nurses or social workers, GCMs are particularly helpful when an elderly person has more complicated health concerns: they are trained to understand medical terminology and the complexities of the health care system. As a result of that training, a GCM can accompany seniors to doctors' appointments and help them understand their condition and care plan. They can also relay that information to family members.
GCMs can help with the following:
Can a Geriatric Care Manager Help with Your Loved One? >
• Making home visits and suggesting needed services
• Addressing emotional concerns
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• Evaluating in-home care needs
• Selecting care personnel
• Coordinating medical services
• Evaluating other living arrangements, if necessary
• Providing relief for caregivers
When should you think about hiring a GCM? Generally, when you notice that your loved one is struggling with daily activities, such as feeding, dressing, personal hygiene, managing finances and medications, housekeeping, shopping and meal preparation, communicating with others via mail or telephone, or driving or arranging other means of transportation.
GCMs can be especially beneficial when family members live far away.
To learn more about how a Geriatric Care Manager can assist you, call Lynne Robb, Geriatric Care Manager, CarePatrol, at (412) 254-8077 or lrobb@carepatrol.com.
Encompass Health encompasshealth.com/pittsburghrehab
• Encompass Health Rehabilitation Hospital of Harmarville – 877-937-7342
• Encompass Health Sewickley at Heritage Valley Kennedy –412-749-2396
• Encompass Health Rehabilitation Hospital of Sewickley – 412-749-2396
SENIOR LIVING
Brightwood Plaza Apartments 4940 Brightwood Rd, Bethel Park 412-831-9454 brightwoodplaza@verizon.net
Christian Housing, Inc
412-646-5193 www.christian-housing.org
Safe, comfortable, community living for adult seniors and persons with disabilities at 15 facilities throughout Pittsburgh area, as well as Greensburg, Elk County and Indiana, PA.
SENIOR LIVING
CMS Housing
800-545-1833 • www.cmshousing.com
Heritage Valley Senior Living 412-331-6139
https://www.heritagevalley.org/ services/senior-living/ Independent Living; Personal Care, Memory Care
Housing Authority City of Pittsburgh 412-456-5000 • www.hacp.org
Offers seniors safe housing and a high quality of life. Amenities such as security cameras, appliances, digital literacy services, Tenet Council events and more.
Westmoreland Manor / Eagle Tree Apartments 2480 S Grande Blvd, Greensburg 724-830-4000
To be included in this directory, email goodhealthmag@aol.com
SENIOR SERVICES
Community Life 1-866-419-1693 www.commlife.org
LIFE Pittsburgh 412-388-8050 www.lifepittsburgh.orgSenior Services
