Western Pennsylvania Guide to Good Health – Winter2025

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INSIDE: Living With A Disability

Health News You and Your Family Can Use

Keep Winter Weather from Harming Your Joints

Preventing Heart Disease Begins Before There Is Heart Trouble

WVU Medicine and Dr. Bhatnagar

Bring Cancer Care Closer to Home

Heritage Valley … Rehab with Results

Making Wellness Your Priority This Winter

Need Help With Your Gas Bill? Use Peoples’ Online ProgramFinder for Assistance

As winter temperatures drop, heating your home becomes essential – but it can also add to your financial worries. At Peoples, we’re committed to supporting our customers during challenging times by connecting them with programs that can help.

Our ProgramFinder is an online, anonymous tool designed to help you explore assistance options based on your unique situation. Whether you’re navigating temporary financial difficulties or facing ongoing challenges, ProgramFinder is your first step toward finding the support you need. Visit www.peoples-gas.com/help to get started.

Programs That Help Keep You Warm

Several resources are available to ensure no family has to face the cold alone:

• Customer Assistance Program (CAP): CAP allows eligible customers to pay a gas bill based on their household income, providing an affordable monthly payment option. Additionally, CAP participants may earn credits to reduce their past-due balances faster. • Low-Income Home Energy Assistance Program (LIHEAP): This

federally funded program offers grants to eligible households to help cover heating costs. These funds are applied directly to your gas account, offering much-needed relief during the winter months.

“Every Peoples customer has options, but they are not always aware of them,” said Rita Black, Director of Community Assistance Programs. “Our mission is to help families and seniors stay safe and warm by connecting them with resources they need.”

Why ProgramFinder?

ProgramFinder simplifies the process of identifying what assistance you may qualify for. By answering a few basic questions, you can uncover which Peoples support programs are available to you. This tool is easy to use, confidential, and designed to guide you toward practical solutions.

Get Help Now

If you or someone you know is struggling with heating bills, Peoples is here to help. Visit www.peoples-gas.com/help or call 1800-400-WARM for more information.

Legal

Conti Law: Planning For Your Future

As we age, none of us likes to look ahead to the eventualities of life. Some may become unable to care for themselves. Passing away will occur to everyone. While we can’t avoid these events, we can prepare for them.

“At the end of the day, we're all going to pass away, and we've worked our entire lives for what we've accumulated and achieved,” says Michele Conti, a tax and estate planning attorney and founder of Conti Law, a premiere estate planning firm located in Oakdale.

“I always tell clients, I would much rather you make the decision as to what happens with the assets you have worked so hard for, rather than rely on a court system to make that decision for you. It makes sense to have all the ducks in a row so that the transition, while very sad when a loved one passes, is easy on the legal side of it,” she says.

Conti Law specializes in estate planning, estate administration, special needs trusts, guardianship, post-litigation planning and personal injury settlement planning. Michele also focuses on advanced planning strategies for clients to shelter assets from longterm health care, potential tax matters, guardianship and gifting consequences, according to the Conti Law website (www.contilawpgh.com). She founded Conti Law in 2016 after working for several Pittsburgh law firms.

While most people understand that they need to have a will to ensure their estate is distributed according to their wishes, estate planning encompasses a wide array of legal strategies and documents. Where does one begin with an estate plan?

“First, I see what they have in place, if anything,” Michele says. “A lot of clients have gone online and utilized some form they found, and we really have to make sure it's compliant with Pennsylvania law. I do a complimentary review of their documents. If they don't have anything, then we go through what their specific goals are and, based on their needs, we make sure that everything in their estate marries to their goals,” she explains.

“We always start, no matter what, with powers of attorney,” Michele notes. “Then we'll prepare a basic will. If they're younger and have small children, we have to take into account guardianship needs. Who's going to serve as a trustee of a minor's or even a young adult's inheritance? The same holds true for older clients. If they have children, they intend to leave funds to or assets to when they pass. I have some people who are simply concerned about avoiding probate for their family when they pass. We'll use a less restrictive trust such as a revocable living trust to house probatable assets. So, an estate plan is really comprised of a whole host of documents and vehicles. It just depends on what that person needs,” she says.

Financial and health care powers of attorney appoint legal representatives to make financial and health care decisions on your behalf if you become unable to make these decisions for yourself.

Health care powers of attorney are usually connected to a living will and advanced directive, which determine end-of-life healthcare decisions.

Many people believe that having a will prevents the estate from going into probate.

“Probate is a legal process when someone dies with a will or without a will, then we follow the intestacy law,” Michele explains. “For instance, if we have a house and it's just in mom's name and she passes, we need the court to appoint somebody, whether by will or otherwise, to sell that house. Probate is a multi-step process where the executor or administrator gets sworn in with the court and then goes through the steps,” she says.

Elder law is an area that deals with long-term care planning. As the baby boomers age, elder law is becoming more vital. According to Conti Law, studies show that nearly one in seven adults over the age of 65 will need long-term care at some point in their later years. “The sooner you build a complete long-term care plan, the better your chance of receiving quality care while still protecting your assets,” Michele notes. “Elder law attorneys have the knowledge to address legal issues related to elder care, such as long-term care planning, retirement planning, estate planning, understanding government benefits, caregiving, and health matters.”

While most estate planning focuses on older adults, it is valuable at just about any age including children, young adults, and newly married couples.

>Conti Law’s website has a number of informative articles about the various areas and stages of estate planning and administration. Visit www.contilawpgh.com. To make an appointment, call Conti Law at (724) 784-0239 or email to reception@contilawpgh.com. The firm is located at 7880 Steubenville Pike, Oakdale, PA 15071.

The Conti Law team (l-r) Kasey Duran, Kristin McManus, Michele Conti, Jason Conti, Angela Martin, Blake Birchmeier, Corrie Knabe.
Michele Conti, Founder of Conti Law

In winter, people warm up their cars for 10 minutes before driving but expect their bodies to be ready immediately once they step outside. Todd P. Balog, M.D., an orthopedic surgeon with St. Clair Medical Group, believes we should treat our bodies at least as well as we treat our cars.

“Our joints have natural lubrication with a substance called synovial fluid, and that can become thicker in the winter,” he said. “Changes in the barometric pressure can affect how our joints perform as well. Additionally, our muscles act as dynamic enablers of our joints and when they are cold, there will be extra pressure on the joint.”

Dr. Balog recommends warming up the muscles and joints before leaving the house with some simple warm up exercises such as leg swings, torso twists, and bodyweight squats.

• Leg swings – While holding on to a sturdy piece of furniture, keep one leg stationary and swing the other leg forward and back a couple of times. Then swing that same leg to the side and back a couple of times. Repeat this process with the other leg.

• Torso twists – Stand with your feet shoulder-width apart. Put your hands together in front of you and rotate your torso side to side several times to warm up your core, back, and hips.

• Bodyweight squats – Stand with your feet slightly wider than your hips. Keep your back in a neutral position and bend your hips and knees simultaneously lowering yourself until, ideally, your thighs are parallel to the floor. Due to age or previous injury, some people may find it difficult to lower themselves to the point where their thighs are parallel to the floor. Do the best you can. The point is to warm up cold muscles.

Undergoing a few warmup exercises before leaving the house may prevent muscle pulls or strains. And while they can be painful, pulled muscles aren’t the only risk – or even the most dangerous risk – that the winter months hold. Ice and snow can make footing treacherous.

“There is a higher rate of injuries in winter due to slips and falls,” Dr. Balog said. “The number of hip fractures that we see in the winter months increases.”

Because older people are most at risk for fractures from falling, Dr. Balog reiterates guidance from the Center for Disease Control and Prevention (CDC) that women 65 or older and men 70 or older have a Dexa test to determine bone density and strength. “Generally, females are more prone to osteoporosis, so that’s why it is recommended that they have a Dexa test for osteoporosis earlier than males.”

In addition to wearing boots with very good treads, Dr. Balog also recommends some simple steps in the winter months … quite literally.

“Take very small steps when the ground is snowy or icy. You may appear to be waddling like a penguin, but that’s okay if it keeps you safe,” he said. “Also, don’t be in a hurry. Give yourself enough time to get where you need to go. And use assistance –either a cane or walking stick or another person, whenever needed.”

Evaluating an Injury from a Fall

Although it may sound obvious, the level of pain that one feels following a fall will determine next steps. Dr. Balog says that if a

Keep Winter Weather from Harming Your Joints

patient is able to bear weight following an injury, then following the acronym R-I-C-E – rest, ice the injured area, compression (wrap the injured area with an ace bandage), and elevate the injured area – along with Tylenol or another anti-inflammatory, is likely the first steps that someone should follow.

“If the pain is at a point where you are unable to bear weight, then it is potentially more serious and an ambulance should be called to take you to the hospital,” Dr. Balog said. “If you are able to bear weight, but the pain persists or increases for several days, you should consult with your primary care physician or an urgent care center.”

When Might Surgery Be Needed?

In most cases, there are a number of therapies to try before surgery, but when it is required, Dr. Balog says the standard is fairly straightforward.

“When pain is preventing you from doing the daily activities that you have to do, as well as preventing you from doing the activities that you enjoy, then surgery is to be considered,” he said. “The goal of surgery is to restore function and also your quality of life.”

Surgery is only the beginning of the process toward restoring a patient’s quality of life. There is also physical rehabilitation following surgery. Following a knee replacement, for example, physical therapy (PT) will take place once a week for four to six weeks. With a hip replacement, PT is twice a week for four to six weeks. However, patients need to understand that the exercises need to be done at home as well as in the PT gym.

“Your full-time job is to recover and you can make a bigger impact by doing those exercises at home than only performing them in the PT gym,” he said. “The whole goal of doing surgery is to improve your quality of life, so we want you to get out there and enjoy doing the things you love.”

Dr. Todd Balog specializes in orthopedic surgery. He earned his medical degree at Uniform Services University of Health Sciences and completed a residency in orthopedic surgery at Madigan Army Medical Center, focusing in total joint replacement. He continued his education and completed his fellowship at New England Baptist Hospital. Dr. Balog is board-certified by the American Board of Orthopaedic Surgery.

He practices with St. Clair Medical Group and sees patients at St. Clair Health’s Dunlap Family Outpatient Center and Peters Township Outpatient Center.

Please call (412) 942-7262 to schedule an appointment.

Dr. Todd P. Balog

WVU Medicine Wheeling Hospital: Elevating Care Through a Commitment to CRNAs

At WVU Medicine Wheeling Hospital, the pursuit of excellence in healthcare and high-quality patient outcomes undoubtedly runs through the dedicated professionals who make that care possible. Certified Registered Nurse Anesthetists (CRNAs) are a cornerstone of WVU Medicine’s success, delivering expert anesthesia services and critical support in operating rooms, outpatient clinics, and beyond. Recognizing the essential role CRNAs play, WVU Medicine has made a resolute commitment to hiring and retaining the very best in the field.

CRNAs at Wheeling Hospital are trusted leaders in anesthesia care, playing a vital role in delivering highquality, cost-effective services across diverse patient populations. The organization’s investment in these professionals begins with its robust recruitment strategy, which highlights competitive compensation, comprehensive benefits, and opportunities for professional growth. For CRNAs seeking to advance their careers, Wheeling Hospital offers a work environment that fosters learning and col-

laboration alongside some of the nation’s top healthcare providers.

One key pillar of Wheeling’s approach is its dedication to creating a supportive and fulfilling workplace culture. CRNAs are empowered to practice at the top of their licenses, ensuring they can apply their full expertise while enjoying professional autonomy. The institution’s focus on teamwork and interdisciplinary collaboration enhances not only patient care but also job satisfaction among providers.

Retention is another area where Wheeling Hospital excels. Recognizing that CRNAs thrive in environments where they are valued and supported, WVU Medicine as a system has implemented initiatives to foster long-term engagement. Programs for continuing education, leadership training, and mentorship help CRNAs expand their skills and advance their careers without needing to look elsewhere. Additionally, flexible scheduling and wellness resources acknowledge the importance

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WVU Medicine and Dr. Bhatnagar Bring Cancer Care Closer to Home

For patients with cancer, an earlier diagnosis greatly increases the chances for successful treatment and improves the long-term survival rate. It stands to reason that getting quality care closer to home can benefit local residents.

“WVU Medicine has placed a major emphasis on offering state-ofthe-art cancer care closer to home,” said Tina Bhatnagar, D.O., director of Hematology and Medical Oncology at WVU Medicine. “Nobody wants to have cancer, and we can’t stop it, although we’re doing our best. What we can do is change the experience of having cancer.”

Part of changing that experience is understanding that cancer is a disease that can affect a patient’s body, mind, and spirit. There are stressors beyond the physical manifestation of the disease. Things like how far a patient may need to travel, where they will need to park, and how to navigate a hospital system creates extra anxiety.

“A diagnosis of cancer is stressful enough, but the physical diagnosis is only the first part,” Dr. Bhatnagar said. “The second part is: Where are you going to go to get your care? WVU Medicine’s regional affiliates have been offering more services for cancer care so patients can obtain care in an area where they are more familiar.”

One of the initiatives WVU Medicine is implementing is LUCAS, a mobile unit that travels the region providing a variety of cancer services and screenings, including a mobile CT scan.

“WVU Medicine has made a lot of strides in improving cancer detection,” said Dr. Bhatnagar. “Some people have difficulty getting to a screening, so LUCAS comes to them.”

Initiatives such as LUCAS are important in the tri-state area, and particularly in West Virginia.

“Cancer is disproportionately common in West Virginia,” she said. “In fact, West Virginia has the second highest rate of lung cancer in the whole country.”

There are a number of factors that go into comprising that ignominious statistic. The region’s high number of coal miners may play a part, as well as cigarette smoking, but occupational and lifestyle factors are not the only possible causes. Dr. Bhatnagar notes that some people have developed cancer who are both non-smokers and non-coal miners.

“Genetics also plays an important role in the development of lung

cancer,” she said.

When she came to WVU Medicine, Dr. Bhatnagar learned that patients from West Virginia were underrepresented in clinical trials, and wanted to change that result so patients would have the opportunity to participate in clinical trials of new medications. One of the reasons they were underrepresented, she discovered, is that no one had been discussing clinical trials with them.

“Clinical trials provide the necessary data to inform physicians’ decisions on cancer care,” she said. “Clinical trials help us improve on current therapies and have the potential to create new therapies; treatments that have helped change the way we treat cancer. Participating in clinical trials gives patients earlier access to drugs that may help them.”

Of course, the bottom line is patient care, which is something that Dr. Bhatnagar puts at the forefront of her practice.

“Holistic care means caring for the whole person instead of focusing on a single aspect of their condition,” she explained. “As director of hematology and medical oncology, I look beyond focusing on the patient’s malignancy, and focus on the patient as a whole. It’s also critical to understand and help support the patient’s support system as well.”

Dr. Bhavana “Tina” Bhatnagar is the director of Hematology and Medical Oncology at the WVU Cancer Institute at Wheeling Hospital. She is a graduate of Emory University in Atlanta and the Philadelphia College of Osteopathic Medicine. She completed her internship and residency at the Cleveland Clinic Foundation, a fellowship in hematology and medical oncology at the University of Maryland’s Marlene and Stewart Greenebaum Comprehensive Cancer Center, and is board certified by the American Board of Internal Medicine in internal medicine, hematology, and medical oncology.

Dr. Bhatnagar sees patients at: 1 Medical Park Road, Suite 300, Wheeling, WV 26003 (304) 598-6000

Elevating Care Through a Commitment to CRNAs

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of work-life balance, a critical factor in maintaining a sustainable and satisfied workforce.

Wheeling Hospital’s commitment to CRNAs is more than a recruitment strategy; it is a reflection of the organization’s broader mission to prioritize people—patients and providers alike. By investing in top-tier talent and creating an environment where CRNAs can flourish, WVU Medicine ensures the highest standard of care for its patients while cultivating a workforce poised for excellence.

As the healthcare landscape evolves, WVU Medicine Wheeling Hospital’s steadfast focus on CRNAs underscores its leadership in both patient care and provider satisfaction, making it a model for institutions nationwide.

For more information, visit WVUMedicine.org/Careers/Wheeling

Dr. Tina Bhatnagar

Valentine’s Day may seem like great marketing for February when American Heart Month is celebrated, but it’s also a great time to raise awareness about the effects of cold, wintry weather on people’s hearts.

Preventing Heart Disease Begins Before There Is Heart Trouble

“There is an increased risk of heart disease and cardiovascular disease in winter months,” said Michael Bashline, M.D., a cardiologist with St. Clair Medical Group Cardiology. “Cold weather causes blood vessels to constrict or narrow, which can worsen symptoms in patients with underlying blockages that can lead to a heart attack or stroke.”

According to the Centers for Disease Control and Prevention (CDC), heart disease is the leading cause of death for both men and women in the United States. Chest pain is the most well-known sign of a heart attack, but other warning signs and symptoms can be more subtle and differ from person to person, especially between women and men.

“There’s a difference between someone who is having an acute heart attack versus someone with discomfort in the chest, but it goes away. We call that stable angina,” Dr. Bashline said. “Someone with stable coronary artery disease may not describe chest discomfort as ‘pain’ but as a weird sensation or pressure in the chest, especially when it is caused by physical exertion. It could be a lung issue, but it could be a sign of underlying heart disease.”

In addition to chest pain or discomfort, symptoms can include nausea, indigestion, pain radiating down the left arm, or profuse sweating while at rest. How the symptoms first present can differ between men and women.

“There’s definitely a difference between men and women,” said Dr. Bashline. “In general, men tend to have heart disease earlier, while the risk for heart disease in females goes up after menopause.”

He said that females also present with less classic symptoms, less often chest pain and more often nausea or heart burn. That can lead to mistakenly believing that the problem is a gastrointestinal one, perhaps acid reflux or an ulcer.

“Anything that is unusual should be investigated,” said Dr. Bashline. “It’s never a bad idea to see a heart doctor. Our job is to focus on the heart.”

Part of that focus involves raising awareness of prevention through controlling the risk factors of heart disease. High blood pressure, high cholesterol – particularly lipids known as LDL or “bad cholesterol” – lack of physical activity, and smoking all increase a person’s risk of developing heart disease.

Dr. Bashline calls smoking the greatest risk factor for coronary artery disease, not only because it is addictive, but also because many people smoke out of habit – like when they are having a morning cup of coffee or following meals. Breaking those habits can be difficult psychologically, but it can be done. In fact, he says there are more effective methods to quit smoking than ever, including multiple medications.

A healthy diet and regular physical activity can go a long way to controlling blood pressure and cholesterol.

“Overall, the best diet is the Mediterranean diet, which is composed of less red meat and more fish and vegetables,” Dr. Bashline said. “The type of physical activity can vary depending on a person’s age, but most people are good at walking. The American Heart Association recommends a 30-minute session of activity for at least five days a week.”

Such a daily commitment may be difficult for some people, particularly those who are starting from a point of little to no physical activity but starting with two 30-minute sessions a week is an improvement over no activity whatsoever. Dr. Bashline says that how aggressive a person needs to be depends on a number of factors.

“Family history is important. Genetics are a huge risk factor,” he said. “Diabetes is a significant factor for heart disease, so patients need to control their blood sugars and their A1C levels. Both type 1 and type 2 diabetes are associated with an increased risk of heart disease.”

Of course, the biggest reason people may be more aggressive in controlling the risk factors is if they have already had a heart attack.

“Having a heart attack convinces people to make changes,” Dr. Bashline said. “After a heart attack, we talk about the exact same stuff we talked about before the heart attack, but afterwards people are much more receptive.”

There are a number of ways to prevent a future occurrence. There are medications for people at highest risk, such as blood thinners and statin therapy, but cardiac rehabilitation, where a regular exercise is prescribed and monitored, may show the greatest benefits.

“Patients who do cardiac rehab post-op live longer than people who don’t,” he said matter of factly, adding that the best approach to surviving a heart attack is preventing one from occurring in the first place. “I can’t urge prevention enough, especially for people with a strong family history of heart disease. It’s never a bad idea to see a heart doctor.”

Dr. Michael Bashline earned his medical degree from the Lewis Katz School of Medicine at Temple University. He completed his residency and a fellowship in cardiology at the University of Pittsburgh Medical Center. He is board certified by the American Board of Internal Medicine (CSQ – Cardiovascular Disease).

>Dr. Bashline practices with St. Clair Medical Group Cardiology and sees patients at St. Clair Health Village Square Outpatient Center located at 2000 Oxford Drive, Bethel Park, PA, 15102. He can be reached by calling (412) 942-7900.

Making Wellness Your Priority This Winter

Winter brings shorter days, colder temperatures, and the allure of cozying up indoors. While these seasonal changes might tempt you to hibernate, making wellness a priority during the winter is crucial for your physical and mental health. Winter weather can make outdoor activities challenging, but indoor workouts offer a great alternative.

From joining a gym to exploring online fitness classes, there are countless ways to stay active inside. You can engage in strength training to build muscle and improve your metabolism with resistance exercises. Yoga or Pilates can enhance flexibility, balance, and mental clarity, while dance workouts let you stay fit while having fun and boosting your mood.

Consistency is key to maintaining wellness year-round. Set a schedule that incorporates regular exercise, even if it’s just 20-30 minutes a day. Early morning workouts can help set a positive tone for the day, while evening sessions can help you unwind. If you enjoy outdoor activities like running or hiking, invest in quality cold-weather gear. Layering is essential to stay warm while allowing your body to breathe. Look for moisture-wicking fabrics and windproof outer layers to protect against the elements.

Winter cravings for comfort foods can derail your nutrition goals. Focus on wholesome, nutrient-dense meals to fuel your body. Incorporate seasonal produce like squash, sweet potatoes, and citrus fruits, which are rich in vitamins and minerals. Staying hydrated is equally important, even in the colder months. Winter is also flu season, so prioritize immune health. Regular exercise, a balanced diet, adequate sleep, and stress management are foundational to a strong immune system. Consider supplements like vitamin D, as sunlight exposure is limited during this time of year.

Social interactions can combat winter blues and keep you motivated. Join a fitness group, participate in community wellness programs, or schedule virtual meetups with friends. Accountability and camaraderie can make staying active more enjoyable. Winter can also be a time to slow down and recharge. Rest is a vital part of wellness, so don’t hesitate to take a day off when needed. Listen to your body and prioritize self-care, whether that’s through meditation, journaling, or simply enjoying a cup of tea by the fire.

Use the winter season as an opportunity to set and achieve new wellness goals. Whether it’s improving your strength, trying a new activity, or focusing on mental health, having a goal can keep you motivated and give you a sense of accomplishment. Winter doesn’t have to derail your wellness journey. By staying proactive and adapting your habits to the season, you can emerge healthier, happier, and more resilient.

Remember, the effort you invest in your health today will pay dividends in the spring and beyond. So lace up your sneakers, embrace the season, and make wellness your priority, no matter the weather.

Katy Walker, Fitness Supervisor, Township of Upper St. Clair, can be reached at kwalker@twpusc.org or (412) 221-1099 ext. 6190

Heritage Valley Health System offers extensive Outpatient Rehabilitation services, including Physical Therapy, Occupational Therapy and Speech Therapy, along with specialized services such as Certified Hand, Lymphedema and Vestibular Therapies.

Our experienced therapists evaluate, treat and educate, working in conjunction with your physician to make sure that treatment plans are individualized to meet your specific needs. We help you set realistic targets and work closely with you to meet those goals. We respect the relationship that you develop with your therapist and try to make your appointments with the same therapist each visit to maintain continuity of care.

Physical Therapy

Our physical therapists work with you to prevent or alleviate pain and dysfunction. We employ a variety of techniques to increase motion and strength, improve balance and decrease pain. Our therapists will listen to you, and ensure that your expectations for recovery are considered when establishing your treatment plan.

Occupational Therapy

Our occupational therapists provide services to people of all ages who, because of illness, injury, developmental or psychological impairment, need specialized assistance in learning skills to enable them to lead independent, productive and satisfying lives. Our therapists work in a variety of settings so that the needs of our patients are met in the appropriate environment.

Speech Therapy

Our speech-language pathologists offer a wide variety of adult diagnostic and therapeutic services. Speech, communication, cognition and swallowing greatly impact quality of life. Our speechlanguage pathologists are accredited by the American SpeechLanguage-Hearing Association and are dedicated to helping patients restore abilities in these areas.

Specialized Services

Certified Hand Therapy

Our Certified Hand Therapists specialize in rehabilitating patients with conditions affecting the hands and upper extremities. Diagnoses include fractures, arthritis, wrist tendonitis, wounds, scars and repetitive motion disorders such as carpal tunnel syndrome and tennis elbow. Exercise programs are aimed at improving strength, endurance and function, with the goal of returning patients back to optimum function in their daily lives.

Lymphedema Treatment

Lymphedema, the abnormal accumulation of protein-rich lymph fluid in tissue, may occur for many reasons, including lymph node removal, surgery, radiation treatment, deficiency in the lymphatic system, infection, obesity, injury/trauma or for an unknown reason. Our Certified Lymphedema Therapists will perform a thorough evaluation to determine your individual treatment plan.

Vestibular

Rehabilitation

Vestibular therapy aims to alleviate or improve problems related to many inner ear/balance disorders. Common symptoms include vertigo, dizziness, imbalance, frequent falls, visual disturbances, headaches and motion sensitivity. Our goal is to help you resume daily activities, reduce your risk of falling and improve your quality of life.

Want to Reduce Your Risk of Cancer? Drink Less Alcohol

The evidence is clear: recent research findings about alcohol and cancer clearly show that alcohol consumption is a cancer risk factor. Alcohol is the third leading preventable cause of a variety of cancers and even light drinking increases risk substantially. Seven types of cancer are especially affected by alcohol consumption: breast (women), liver, colorectal, oral, throat, larynx and esophageal. All types of alcohol - beer, wine and liquor - increase the risk of developing cancer.

On January 3, 2025, The U.S. Surgeon General presented the nation with a new Advisory entitled Alcohol and Cancer Risk, which highlights alcohol consumption as a leading preventable cause of cancer. An Advisory calls attention to an urgent public health issue and proposed actions to increase public awareness and education.

Despite efforts to warn the public, most Americans - 55% - do not recognize the risk and instead believe that alcohol is not a carcinogen. By comparison, 89% of American adults are aware that tobacco is a cancer risk. The World Health Organization classifies alcohol as a Class A carcinogen, which is the highest level. All alcoholic beverages contain ethanol, pure alcohol, which is known to produce tumors in the human body. Ethanol damages DNA, increases estrogen levels which contribute to breast cancer, increases inflammation and makes it easier for the body to absorb toxins.

The amount of alcohol consumed affects the risk of cancer. As consumption increases, risk rises. Binge drinking, consuming large amounts in a short period of time, raises risk significantly. The recommended limits from the U.S. Dietary Guidelines for Americans for safe consumption are two drinks per day for adult males and one

drink per day for adult women. An analysis of one’s personal alcohol use and risk can be found at www.cdc.gov/alcoholuse.

Every year, 20,000 U.S. adults die from alcohol-related cancer. These deaths and illnesses could have been avoided if the above limits were followed.

In 2019, nearly one million preventable cancer cases in America were related to alcohol use. Reducing your consumption of alcohol, or quitting all together, reduces your risk of many cancers. The individual risk of cancer is a complex issue, with both biological and environmental factors, but alcohol use, like tobacco use and obesity, are factors that can be modified or eliminated.

The Surgeon has listed many actions and recommendations to increase public awareness of alcohol consumption’s role in causing cancer. One of those actions is improved, more detailed labeling of alcohol products with clear warnings. Expanded public education, including billboards and public service announcements, are planned.

>The full report from the Surgeon General is available at www.hhs.gov

Honor Your Body Offers Couples Massage Workshops

Most people would agree that communication is key when it comes to interaction with others, but Carrie Shaley believes that is especially true when it comes to couples massage. Carrie and her mother, Carol, founded Honor Your Body –an LGBTQIA+ small business – that has been open since 2015 in the South Hills of Pittsburgh.

Honor Your Body is a massage therapy business, catering to both individuals and couples. With regard to the latter, Carrie said, "We basically teach couples very simple things, because a lot of people don't know where to start or what to do to create intimacy and the therapeutic touch within their partnership."

She explained what takes place during a session: Clients watch while Carrie works with someone on the massage table, usually her mother or brother. She does the face, scalp, sub-occipital release (a technique that helps for headaches or neck or shoulder tension), and hands. "I demonstrate and talk through everything, while demonstrating on my mom or my brother. Then the client can mimic what I'm doing (on his or her partner), and I try to give step-by-step instructions on what to do."

She said the clients are fully clothed, and she doesn't touch them during the sessions. "The interaction is between them, so I feel if I interject physically into their space, that might disrupt their connection.

"We talk a lot about communicating with your partner as to

what feels good, what may not, how much pressure to use. I give little tips in this area that it might feel better to use more pressure, or less." For example, she said when she talks about massaging the scalp, she'll say medium to firm pressure is usually preferred, and slow movement, to really relax the scalp. "I will mention that this is one of those spots where communication is important –maybe they want more pressure or maybe they don't want as much."

She used her mother and brother as an illustration, saying that both have sinus issues, but when she works on her brother "I could lift his cheekbones off his face" because he wants more pressure. On the other hand, her mother prefers a more gentle touch. Carrie reiterated, "It's all very simple, but it's creating that communication and therapeutic touch within your partnership."

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Dr. Leslie Pasco, a Wexford-based dentist for 26 years, has opened a new clinic, MyoWay Centers for Kids, to address breathing-related health issues through the use of innovative Myofunctional appliances and therapy exercises—leading to better physiological, behavioral, mental, and educational outcomes.

“Over nearly three decades of dentistry, I noticed children’s mouths were growing smaller while their teeth were growing more crowded, and I started to wonder why,” Dr. Pasco says. “When I dug into the research, I found this trend is universal: Society is changing, but our mouths aren’t adapting with it. Instead, our mouths and airways are getting smaller with each generation, and it’s negatively harming our children.”

Surprising findings in Dr. Pasco’s research:

• Approximately 90% of children show symptoms and consequences of sleep-related breathing disorders, including snoring, irritability, bedwetting, learning difficulties, slow growth, cardiovascular difficulties, obesity, teeth grinding, and enlarged tonsils.

• 81% of children who have speech/articulation delays also have orofacial myofunctional disorder, which results from underdeveloped muscles in the face, mouth, or throat.

• Orofacial Myofunctional Therapy, like the kind provided at MyoWay Centers for Kids, boasts an 80-90% success rate in correcting rest posture, swallowing, and other oral functions.

MyoWay Centers for Kids aims to change that.

“We use a multi-step approach to help kids grow properly and breathe better while toning their facial muscles and airways,” Dr. Pasco says. “We use FDA-approved silicon appliances custom fitted to the child’s mouth, then teach them how to breathe through their nose while holding their tongue in the proper position. From there, we work on developing muscles in their jaws, cheeks, and tongue

Honor Your Body

Continued from previous page.

Carol Shaley makes all of the lotions used in the classes. When clients first come in they are able to pick the lotion they would like to use from among dozens of scents. The classes last between 1 1/2 to 2 hours, depending on how many couples participate, and are offered Saturdays at 10:30 a.m. or 6:30 p.m., and Fridays at 6:30 p.m. Reservations may be made online.

Former Wexford Dentist Opens New Center to Address Breathing Health Problems In Children

for better function. You can think of our process like the corrective helmets infants wear to reshape their skulls; we’re helping to reshape the jaw and airways.”

Most children who enter the program finish within three to six months, often improving their health, grades, and behavior in the process. “It’s amazing how well it works,” Dr. Pasco says. “We’ve seen infants who can’t sleep finally sleep quietly and soundly after two weeks of treatment. We’ve seen children who put on the appliance and immediately have a rush of mucus come out of their noses because their airways are finally in the proper position. These children are seeing a lifetime of benefits: better health, better scholastic performance, better athletic performance, better employment opportunities… You can’t put a price on that.”

Learn more by visiting www.myowaycenters.com or calling (724) 765-0001.

For more information, call (412) 212-0231 or visit www.honoryourbodywellness.com.

At the end of the massage session, couples are given a Gift Basket to take home that contains the same materials used in the class – lotion, body butter, and foot scrub, along with a little heart soap and a massage candle. Also included is a sheet with instructions on everything that was gone over in the workshop – all perfect for a date night at home.

Living Well With A Disability

Connecting Through Inspiration: Building Bridges Through Art

In the heart of Canonsburg, a vibrant new space is redefining how our community views inclusion and creativity. Arc Human Services and The Arc of Washington County’s headquarters is also home to the "Connecting Through Inspiration" Art Gallery - a venue where artists of all abilities share their talents and stories with the world.

This gallery is more than a collection of art; it’s a celebration of diversity and a platform for inclusion. Each piece reflects the unique perspective and creativity of its artist, sparking conversations and challenging stereotypes about people with disabilities. The gallery’s mission is to foster greater awareness and appreciation for these individuals in our community.

The featured artists come from all walks of life, united by their passion for artistic expression. For some, it’s their first opportunity to showcase their work; for others, it’s recognition of years of dedication to their craft.

“We believe art has the power to connect people on a deeply human level,” says Michael Brownlee, Communication Coordinator for Arc Human Services. “The gallery is also an important step toward creating equitable opportunities for artists with disabilities, offering a professional venue to display and sell their work.”

Beyond its visual impact, "Connecting Through Inspiration" is a hub for community engagement. The Arc of Washington County hosts weekly all-inclusive art classes and exercise programs, as well as workshops for area self-advocates, artist meet-and-greets, and collaborative projects that invite participation from everyone, encouraging a culture of empathy and understanding.

The Arc of Washington County invites you to experience the "Connecting Through Inspiration" art gallery for yourself. Located at 111 West Pike Street in Canonsburg, the building is also host to Chicco Baccello, a wonderful coffee shop and deli. You can enjoy a latte as you stroll through the gallery. You can also sign up to participate in one of their classes by visiting www.archumanservices.org/calendar-of-events.

Whether you’re an art enthusiast, a supporter of inclusion, or simply curious, you’ll find something here that moves you. Together, we can break down barriers, one brushstroke at a time.

for Adults with Special Needs or a Disability

www.archumanservices.org

What is the most utilized service that you provide?

Arc Human Services provides Residential Services for adults with Intellectual and Mental Health diagnoses. These homes are staffed based on the needs of the individuals that reside in each home. Additionally, Arc Human Services provides In-Home, Companion, and Respite Supports.

Are there any services that you offer, that people may be unaware of?

Arc Human Services has a Clinical Department that offers Behavioral Support Services for adults with intellectual disabilities and training to outside entities. In addition, in conjunction with local school districts, Arc Human Services operates a Student Transition Program for students 16-21 years old. This program provides a transition experience with specific goals in mind. Students work toward the areas of community/competitive employment and independent living skills. We also provide Employment Services and Job Training to assist individuals with disabilities in securing gainful employment in their communities. Last but certainly not least, Camp-Laugh-A-Lot is an all-inclusive camp that is typically offered during the summer and winter breaks for ages 5 and up. It is an inclusive camp for children and adults, which specializes in individuals with intellectual and developmental disabilities and mental illness.

What would you say is the most significant obstacle that families face in getting the services their child needs?

Families are faced with trying to learn what services are available and how to access the available resources. Ongoing advocacy efforts and community outreach through school districts, health care facilities, local and state entities, and community providers have increased over the years but ongoing efforts are needed.

What makes your organization unique?

Arc Human Services takes a person-centered approach by wrapping services around the individual and family to provide services based on their specific needs. We strive to provide meaning and relevancy to each person we support and recognize the importance of trauma informed care. Our support staff are trained in trauma informed care and have the ongoing support of the Clinical Department to meet the individual needs of each person supported by Arc Human Services.

What is “trauma informed care?”

When we are "trauma informed" we recognize that individuals seeking service have experienced trauma at some point in their lives as a result of their disability as well as their life circumstances. This may be trauma from events - hospitalizations or medical interventions, not being able to be cared for by family, bullying by peers - or from systemic issues such as lack of access to care, poverty, discrimination or racism. By treating everyone in a manner that is respectful and seeking to understand, we ensure that we do not participate in further traumatization. This is important especially when we support individuals who may not be able to express or share their trauma experiences.

What resource have you found that you would like to share with others?

The Arc of Pennsylvania, the Office of Developmental Programs, Washington County Behavioral Health and Developmental Services, PA Department of Human Services, and the Substance Abuse and Mental Health Services Administration are sources of information for families. Additionally, the Office of Child Development and Early Learning (OCDEL) provides valuable resources for families.

Living Weith A Disability

VFI Cares for Consumers During Snowstorm

The Pittsburgh area has received its share of large snowfalls over the years, but they generally don't compare with those that hit Erie. However, whenever and wherever they strike, life must go on, especially for those who care for others. That's exactly what the workers at Voices for Independence in Erie learned when a winter storm hit northwestern Pennsylvania late in November.

Steve Johnson, director of marketing for VFI in both Washington, Pa., and Erie, talked about what took place and the problems the VFI workers faced during that time: "The snow started Friday morning and we didn't see a plow until Monday evening. It looked like a snow globe, and when there's that much snow and it accumulates at such a rapid pace, it's not manageable."

Johnson said when they realized the snowfall was going to be more than significant, the leadership at VFI started brainstorming on ways everyone could do his or her part. Questions like who is least affected, who has a vehicle that can get through, who can make phone calls, who can provide priority care, were all searching

for answers. "We have nurses on staff for higher level of care. We also have other members who graduated to the office from a caregiver position who said, 'I can do that, I've done that before.' It was a matter of all hands on deck; we had to do whatever was needed to get things done."

Those "things" began with determining who needed help and what kind. Johnson said some of VFI's consumers have needs every day, such as being transferred from their bed. Or they may have food at home but can't access it or can't feed themselves. "It's a scary situation if people can't get to you. When care is that vital to somebody's independence, they can't go days without it."

The VFI workers made lists of who would call whom, and who was high priority and required assistance for daily activities. "We checked in with everybody, whether they live alone or not. Then we determined how to figure shifts and get caregivers there. Coworkers stepped up in an attempt to meet consumers who needed care immediately.

"The underlying, common denominator is that they were thankful we were calling to check in. Some agencies just follow state mandates, but our CEO is an individual with a disability, so it's different; she uses the services herself, so she understands the

When a massive snowstorm struck Erie back in November, Steve Johnson said it gave him "a much bigger picture of what it's like for people to live in a community with a disability." Johnson, director of marketing for Voices for Independence, said VFI will do what it takes to make sure everybody is taken care of.

"Care doesn't just happen Monday through Friday, 9 to 5, and Voices for Independence is proud to ensure that individuals are served in ways that match their schedules – even during record snowstorms."

importance of how vital that care can be.

"Everyone came together to make sure everything that was needed, happened. It was tough on everybody, but it was a good reminder of who we are and why we do what we do."

For more information, call (724) 223-5115 or visit www.vficil.org.

for Adults with Special Needs or a Disability

42 W Maiden St., Washington, PA 15301 | 724-223-5115 1432 Wilkins Rd., Erie, PA 16505 | 814-874-0064 www.vficil.org

What is the most utilized service that your organization provides?

Our most utilized service would be Home Care, in which individuals with disabilities receive regularly scheduled visits from VFI caregivers to ensure that they can remain as independent as possible in their own home.

Do you offer any services that people may be unaware of?

We offer a variety of services that fly under the radar, but the top two would likely be Home Modifications, in which we build ramps and make homes fully accessible with bathroom modifications and more; and Nursing Home Transition, where we work with individuals with disabilities currently residing in nursing facilities to obtain accessible, affordable housing and return back to the community, where they can live independently with proper supports.

What would you say is the most significant obstacle that families face in getting the services they need?

Unfortunately, many families simply may not know where to even begin looking for assistance, with regard to disability services. Red tape is another significant obstacle when going through enrollment/ approval processes, but knowing who to call first and being able to navigate the system can be daunting in its own right.

What makes your organization unique?

Voices for Independence has been proudly serving Pennsylvanians with disabilities for more than 30 years. We are also a Center for Independent Living (CIL), which means that we offer much more than Home Care alone, and provide a wide variety of services and supports to the disability community.

What resource have you found that you would like to share with others?

We would like to think that Voices for Independence is the public's #1 disability resource, offering connections to support that empower individuals with disabilities and promote independent living; but we are always more than happy to work together to point someone in the right direction, if they need assistance from outside of our agency.

42 W Maiden St., Washington, PA 15301

724-223-5115

What is the most utilized service your organization provides?

Our most utilized service would more than likely be Peer Support/Skills Training, which allows for individuals with disabilities to meet with TRPIL staff who also have a disability, and create achievable, measurable goals to be more independent.

Do you offer any services that people may be unaware of?

In addition to providing lesser-known services like Advocacy support, in which we help empower individuals while also affirming liberty and justice for people with disabilities, TRPIL is the local Assistive Technology Resource Center (ATRC). As the region's ATRC, we work with individuals to obtain AT devices to use in their everyday life, and also gameplan with them to determine which AT can be used to allow them even more independence at home, such as voice-activated smart lights, 3-D printed items, etc.

What would you say is the most significant obstacle that families face in getting the services they need?

Unfortunately, many families simply may not know where to even begin looking for assistance, with regard to disability services. Red tape is another significant obstacle when going through enrollment/ approval processes, but knowing who to call first and being able to navigate the system can be daunting in its own right. Thankfully, TRPIL has a dedicated Information & Referral department that allows for those in need to speak with staff directly about their unique circumstances, and they will be made aware of all opportunities available to them. From there, families or individuals will be routed to the appropriate department, or even the proper agency, if the service is provided outside of TRPIL's four walls.

What makes your organization unique?

TRPIL has been proudly serving individuals with disabilities throughout Southwest PA for 35 years. We are also a Center for Independent Living (CIL), which means that we offer much more than just one single service.

What resource would like to share with others?

As the local Center for Independent Living, TRPIL is in touch with many different supports for those in need, but we would urge those who are looking for disability-related resources to contact us directly. That way, our dedicated Information & Referral staff can either connect them to the TRPIL staff that specialize in the matter at hand, or can even work to point them in the right direction, if they need assistance from outside of our agency.

Wisdom, Aging, and Personal Growth

I listened recently to a podcast featuring Seth Godin, an American author and entrepreneur who has founded several companies. He is best known for his innovative marketing ideas. During the podcast, he posed a profound question: “If I could whisper something in the ear of my younger self, what would I say?”

As a parent and grandparent, I can relate to this introspective moment. How many times have I wondered what wisdom I could pass on to the next generations to make their lives just a little easier, more comfortable, less stressful, and ultimately happier? The challenge, of course, is that advice to children and grandchildren often flows freely in one ear and out the other.

In countries like Japan and China, aging is viewed through a lens of respect and reverence. Traditions like “Respect for the Aged Day” celebrate elders, linking aging with wisdom and maturity. Confucian philosophy emphasizes respect and care for older generations as a moral imperative. Laws even mandate that adult children provide both material and emotional support, reflecting deeply rooted cultural values.

Native American communities offer another powerful example of elder respect. Elders are held as crucial keepers of culture, wisdom, and spirituality. They often occupy leadership positions,

serving as teachers who preserve tribal traditions and guide younger generations. The community takes collective responsibility for their well-being and continued importance.

In stark contrast, the United States demonstrates a different approach to aging. We have developed a culture that seems more committed to “warehousing” our elderly than honoring them. Ageism runs rampant, with older adults frequently portrayed as frail, unproductive, and burdensome. Media and societal emphasis on youth and individualism amplify these stereotypes.

Interestingly, Neil deGrasse Tyson offers a compelling scientific perspective on why humans, particularly women, often live decades beyond traditional “productive” years. He suggests this longevity provides significant societal and evolutionary advantages through elder wisdom and caregiving.

Humpback whale calves nurse for about 5 months. Dolphins stay with their mothers for 4-8 years, learning survival skills and social behavior. Polar bear cubs stay with their mothers for about 2.5 years, during which they learn essential survival skills. Humans, by comparison, require an extraordinarily extended period to raise their young.

In essence, grandparents serve a crucial role in carrying forward necessary wisdom that assists in societal advancement and growth.

Returning to Godin’s original question “What would I tell my younger self?” His advice diverges significantly from traditional wisdom. Instead of offering specific instructions, he would tell his younger self, “All of my failures have led to where I am today.” He continued: “You may experience failure, but everything is going to be okay. Failure is what you must live through to get to a better you, a better outcome, and a better result.” In other words, Godin is saying to live your life, make mistakes, and embrace your failures.

Godin advocates for having the confidence to recognize when something isn’t working—whether it’s an educational path, career, or life choice. His philosophy is straightforward: if you don’t acknowledge when something isn’t right, you’re settling for mediocrity. You need to have the confidence to say, “This is not for you.’’ You need to know “I’m here because I signed up for this.” “I’m here because I want to be.”

The message is clear: listen to your elders but also listen to yourself. Be comfortable making mistakes, learning from them, and most importantly, having the courage to change course when necessary.

As Godin suggests, true growth comes from understanding that being part of an organization or a life path should be a conscious choice not because you feel trapped or obligated.

Ultimately, it’s up to you to shape your journey, embrace your experiences—both successful and challenging—and continue growing.

Nick Jacobs is a partner with SMR, LLC and founder of the Academy of Integrative Health and Medicine, former board member of the American Board of Integrative Holistic Medicine, Jacobs maintains a website, Healinghospitals.com.

Time to Focus on Heart Health

Now that the holidays are over, many people try to concentrate on eating right by avoiding all the snacks and desserts and delicacies they consumed at parties and get-togethers during the previous months. The problem is that the healthy options don't sound nearly as good as chocolate truffles, chips and dip, or cheese platters.

But here are a few that might tempt the tastebuds and help in your healthy eating efforts:

• Oranges are not only sweet and juicy, but they also have potassium, which can help control blood pressure

• Walnuts and almonds can help lower cholesterol

• Sweet potatoes contain fiber, vitamin A, and lycopene

• Rich in omega-3s, Salmon is considered to be top food for heart health. Omega-3s are healthy fats that may lessen the risk of heart rhythm disorders and lower blood pressure.

• Barley can assist with lowering cholesterol levels and may lower blood sugar levels

• While a warm bowl of oatmeal fills you up for hours, it can also help stabilize blood sugar levels, and can help your heart by lowering bad cholesterol (LDL). Steel cut or slow cooked oats produce the best results.

• Low-fat yogurt is high in calcium and potassium, and can help control high blood pressure

• Cherries in any form – sweet, sour, dried – are good, and are filled with antioxidants

• Blueberries have a whole host of benefits: they are low in calories, and high in fiber, vitamin C, vitamin K, and manganese, and have antioxidants that can reduce the risk of heart disease

• Dark leafy greens, such as lettuce, spinach, Bok choy, mustard greens, and arugula, are full of vitamins and minerals, and high in nitrates

Get creative with how to incorporate these healthy options into your daily meals!

www.guidetogoodhealth.com

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Nancy Carroll Lammie

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Paul Crowe

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JMC Graphics (412) 877-5321

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Kevin Brown

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HOW TO REACH US: ADVERTISE / SUBSCRIBE goodhealthmag@aol.com (412) 877-5321

Senior Guide

Local Dementia Care Specialists Share Their Expertise with Patients and Families in These Three Things: a Guidebook for Navigating the Dementia Journey

It has often been said that good things come in threes. In fact, there is a Latin phrase, “omne trium perfectum,” which means that everything that comes in threes is perfect. This principle seems to apply perfectly to the Dementia Care provided by a trio of professional dementia care specialists who offer extraordinary expertise and empathy to the care of persons with dementia and their families.

Tina Opina, Lisa Jenkins and Terri Averi are a dynamic and deeply committed threesome for whom the care of persons with dementia is a mission and a passion. They represent three distinct professions but they blend their individual capa-

bilities with masterful synergy. Tina Opina,CDP, is a Certified Dementia Care provider and serves as Dementia Coordinator. Lisa Jenkins, MSSA, LSW, CDP, is a social worker and is Senior Behavioral Health Coordinator. Terri Averi, RN, MSN, is a registered nurse who serves as Supportive Care Manager. Together, the partners and other staff provide individualized, respectful care and supportive services that help persons with dementia live safely in the community.

Now, Tina, Lisa and Terri have taken an unusual and creative step - a giant leap, really - in their commitment to caring compassionately for their patients. They have written and published a book, “These Three Things: A Guide to

Continued on page 24

Get local he Medicare questions

lp with y

I’m Theresa 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. Make the most of my knowledge and experience to:

• T Taake the confusion out of Medicare

• Geet t help comparing plans

• Receive one-on-one service

• Make enrolling in a plan easier

I look forward to helping you explore your Medicare options so you can enroll in a plan with confidence.

v da Call to ay y to learn more about

TheresaScott-Carano

Licensed Sales Agent

614-570-2553, TTY 711 yoursolutionpartner@gmail.com www.myuhcagent.com/teresa.sc

Medicare Advaantage plans in your area

©2024 United HealthCare Services, Inc. All rights reserved. Y0066_SPRJ83891_C SPRJ83891

Senior Guide

Local Dementia Care Specialists Share Their Expertise

Continued from page 22

Navigating the Dementia Journey,” designed to help caregivers address common challenges in the care of persons with dementia. “These Three Things” is a toolbox for both professionals and family members who often face daily struggles with behavioral and communication issues.

According to Lisa Jenkins, the book was a joint and equal effort. “Tina, Terri and I work well together. When we meet, ideas just flow. We began writing the book a few years ago, writing together although each of us ‘owned’ a piece of it. It just evolved. We recognized that caregivers frequently need practical, immediate help, and we could provide that through this book,”

Three Things, three authors, three solutions for every problemand a treasure trove of valuable, proven, practical tips and techniques that provide genuine solutions. Tina explains that the book helps the caregiver respond in the moment, in a creative and effective way. “The book spans the entirety of dementia. It includes a self care section, acknowledging that this is hard work and you need to care for yourself with the same practicality. You cannot pour from an empty cup. It’s okay to have emotions, to feel exhausted and sad.” Adds Lisa, “I believe that our book provides hope to caregivers. It can be very lonely, but our book reassures the reader that someone understands. Here is a solution: you can pick up this book and find answers. Our book answers the question, ‘How??’”

“Three Things” is published by Springer Link and features a

format that facilitates its purpose of providing fast, practical help. “It is a small book, with information presented in a simple, readable style. Caregivers have little time so we made the book easy to read,” says Terri. There are nine chapters, each focused on one aspect of the dementia journey, including sensory changes, behavior and emotions, communication, and brain health. Each chapter describes common scenarios that might occur when providing care and offers three interventions or actions to solve the problem or keep it from escalating. “Caregivers have to think fast when there’s a problem, whatever the cause. It could be about mealtime, or morning hygiene, or going to see the doctor. What should I do, how can I manage this? Our book gives you help and also educates you,” says Terri. “There are 99 situations described.”

Tina, Lisa and Terri believe that “These Three Things” is a resource that can be transformative for caregivers. “It will help you develop skills and greater confidence. Many lives are touched by dementia and we want to help people find more joy in the caring and connection they have with their loved one,” says Terri.

“These Three Things: A Guide for Navigating the Dementia Journey” is available as a hardback, on Kindle, or as a downloadable PDF or eBook. It is available at Amazon, Barnes and Noble, Walmart and libraries.

>For further information about Community LIFE, visit www.commlife.org.

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.

Seniors Helping Seniors® In-Home Services Offers Advice for Rekindling Purpose and Joy After the Holidays Senior Guide

Seniors Helping Seniors® owners C.J. Girod and Travis Hudson are placing a spotlight on advice and insights for how seniors can find meaningful ways to stay engaged and motivated in the new year.

Seniors Helping Seniors® in-home care services, a franchisor with over 115 franchise partners and more than 300 territories nationwide, has grown rapidly in recent years. The company attributes its success to its skilled team of caregivers who foster meaningful connections with their senior care receivers. While the holiday season is often filled with joy and activity, the weeks that follow can be particularly challenging.

period can lead to sadness and make it difficult to maintain an active lifestyle.

“After the excitement of the holidays, it can be especially tough for seniors to stay active, particularly in colder climates,” said C.J. Girod, President of Seniors Helping Seniors® Southwestern PA, which serves southern Allegheny County and northern Washington County. “We see every year how the postholiday season can bring unique challenges for our elderly friends, family and neighbors.”

“The key to staying active once the holidays have passed is to find meaningful ways to stay engaged and motivated as the new year begins,” said Travis Hudson, Owner of Seniors Helping Seniors® Pittsburgh Northeast, which serves northern and eastern Allegheny County and western Westmoreland County.

According to a study by the American Psychological Association, 89% of U.S. adults report feeling the “holiday blues.” For older adults, this emotional slump can be even more pronounced. The shift from the holiday season’s energy to a quieter, more isolated

“We work closely with our senior care receivers and their families to cultivate routines and activities that inspire a sense of purpose and fulfillment throughout the year, but especially during the holiday season,” Girod and Hudson said.

Continued on following page

Continued from previous page

Some of Girod’s and Hudson’s tips for seniors looking to shake off the post-holiday doldrums include:

• Set small goals for the new year.

• Maintain social connections.

• Stay physically active.

• Look for opportunities to volunteer.

• Create a cozy, positive environment

Seniors Helping Seniors® in-home services has grown rapidly in recent years, extending its reach into more than 30 U.S. states as well as international markets.

Seniors Helping Seniors® services stand out from other brands in the elder care space partly through its commitment to hiring senior caregivers, which provides employment opportunities for seniors and better cultivates meaningful relationships between caregivers and care receivers.

Senior Guide

“What I truly appreciate about working with Seniors Helping Seniors® network is that its commitment to improving health and well-being goes beyond just our clients,” Girod said. “Our whole team is deeply committed to making a positive difference in the community as a whole, and we are always looking for new opportunities to offer support and care to those who need it most,” said Hudson.

“Caregivers are at the core of what we do, and their work is essential to the health and happiness of so many people around the world,” said Seniors Helping Seniors® President Namrata Yocom-Jan. Nearly half of all caregivers in the U.S. are over 50 and face their own health challenges. That’s why Seniors Helping Seniors® in-home service prioritizes hiring caregivers over the age of 65 and provides comprehensive support to promote their mental, physical and emotional well-being.

“Over the past 25 years, we’ve put a lot of work into ensuring that Seniors Helping Seniors® in-home care is not only the best option for our seniors but also for caregivers across the country,” Yocom-Jan said. “That’s something we are extremely proud of, but it’s not something we take for granted. We will continue to make sure anyone who has the passion and skills to be a great caregiver will find a great opportunity to grow and make an impact with Seniors Helping Seniors® services. Our caregivers truly have … a way to give and to receive®.”

For more information on Seniors Helping Seniors® in-home care, visit seniorshelpingseniors.com.

CONFUSED ABOUT MEDICARE?

Medicare Fun Facts

Having just completed another Annual Enrollment Period, grinding through coverage options and their related costs, I thought it might be appropriate to learn some interesting facts about the Medicare program.

Ever since President Lyndon Baines Johnson signed Medicare into law on July 30, 1965, hundreds of millions of Americans have relied on this program to help pay for their medical care.

Part A and Part B, called original Medicare, were included in the 1965 law. In 1997, Congress officially created Part C, now known as Medicare Advantage, the private insurance alternative to original Medicare. And in 2003, lawmakers added Medicare Part D, which covers prescriptions.

Today more than 67.4 million Americans are enrolled. Of those, more than 60 million are 65 and older, and 7 million are younger people with disabilities.

President and First Lady Truman were the first Medicare Beneficiaries.

The Centers for Medicare & Medicaid Services has 10 regional offices, which work to meet the health needs of approximately 125 million people with Medicaid and Medicare coverage.

Medicare was responsible for helping to desegregate hospitals after the Civil Rights Act went into effect. If hospitals wanted to receive federal funding, they had to comply with the Civil Rights Act and desegregate.

More than 51 million people are currently enrolled in Medicare Part B, which helps pay for physician, hospital, outpatient, some home health, and preventive services.

Last year, over 16 million people chose to enroll in a private Medicare Advantage plan, like an HMO or PPO, as an alternative to original Medicare.

Currently, 41 million people with Medicare have prescription drug coverage, which helps cover the cost of prescription drugs, through their Medicare health plan or stand-alone prescription drug plan.

Items and services Medicare doesn't cover include:

• Eye exams (for prescription eyeglasses)

• Long-term care

• Cosmetic surgery

• Massage therapy

• Hearing aids including exams for fitting them.

As we approach the 60th anniversary of the Medicare and Medicaid Act, keep in mind that if you need assistance with your Medicare decisions, a licensed Medicare advisor can help you narrow down your options and pick the best plan for you. To do this, they'll learn about your health goals and budget and present you with options to meet your needs, and help you enroll in the plan you choose.

Crystal Manning has over 35 years experience in helping clients. Contact her at (412) 716-4942 or crystalmanning33@gmail.com and her daughter Dvonya Sedlacko-Stephens at (412) 657-3889 or djsedlacko@gmail.com

Real Dangers of Loneliness in Seniors

In our current fast-paced world, in-person contact is becoming less frequent, particularly for older adults. As a result, loneliness and isolation in seniors is increasing and causing health concerns, and putting a number of them at risk for dementia and other serious medical conditions.

Isolation and loneliness can result in higher rates of depression, anxiety, and even suicide, as well as related health problems such as cognitive decline and heart disease. There is strong evidence that many adults aged 50 and older are socially isolated or lonely in ways that put their health at risk. This age group is at increased risk because they are more likely to be living alone, or are facing the loss of family or friends, or are dealing with chronic illness, or hearing loss.

Studies found that:

• Social isolation significantly increased a person's risk of premature death from all causes, a risk that may rival those of smoking, obesity, and physical inactivity

• Social isolation was associated with about a 50 percent increase

in the risk of dementia

• Poor social relationships (characterized by social isolation or loneliness) were associated with a 29 percent increased risk of heart disease and a 32 percent increased risk of stroke

• Loneliness was associated with higher rates of depression, anxiety, and suicide

• Loneliness among heart failure patients was associated with a nearly four times increased risk of death, a 68 percent increased risk of hospitalization, and a 57 percent increased risk of emergency department visits

National organizations such as AARP, Area Agencies on Aging, Eldercare Locator, National Council on Aging, and National Institute on Aging, can provide information on services to counteract this that may be helpful, and can guide you to local affiliates.

Senior Living Guide

The Dangers of Carbon Monoxide Poisoning

Carbon monoxide (CO) poisoning is dangerous for many reasons. CO has no odor, no color, and no taste, so it can easily go undetected.

CO poisoning can kill without warning, because it can come on gradually, and for people who are asleep, unconscious for any reason, or drunk, it can cause brain damage or death.

The issue occurs when carbon monoxide builds up in the blood, which happens when there is too much CO in the air, and the body replaces the oxygen in the red blood cells with carbon monoxide. Hundreds of people lose their lives every year, while thousands more become ill.

The source of CO is a number of household items that include

gas- and oil-burning furnaces, portable generators, and charcoal grills that are operated in an area that is not well ventilated, along with burning fuels like wood, propane, or charcoal.

Symptoms of carbon monoxide poisoning can include:

• Headache

• Weakness

• Dizziness

• Nausea or vomiting

• Shortness of breath

• Confusion

• Blurred vision

• Drowsiness

• Loss of consciousness

Anyone exposed to carbon monoxide needs to get into fresh air and seek medical care right away; the problem will not go away by itself, and without proper medical treatment, serious complications could develop.

“You made my day!”

Hospice Care

Music Therapy at VITAS: Meet Valerie Uschock

Those four words are music to the ears of Valerie Uschock, MTBC, music therapist for VITAS Healthcare. Valerie has been part of the VITAS team of caregivers for 14 years and has been there full time since 2017. She loves her job, providing music therapy services to patients who are receiving palliative and hospice care in their homes, in facilities or the hospital.

“I see patients in a variety of places, wherever they are ‘home.’ I have a caseload of about 35 patients; I see most of them individually but I also see groups.”

Valerie has been a musician throughout her life and plays a variety of instruments, including flute, guitar, piano, sax and drums. A native of Norwich, New York, Valerie initially came to Pittsburgh to attend Duquesne University’s School of Music. She received a bachelor’s degree in music therapy and maintains her board certification through continuing education. At VITAS, music therapy is an integral part of the multidisciplinary approach to care. “My role is essential and valued. I attend the team meetings and I am part of the referral process.Some patients are referred to me because of their

own personal interest in music therapy, while others are referred because they are experiencing pain or anxiety. Music therapy can enhance pain relief and promote relaxation. Music therapy can be helpful for many diagnoses and conditions.”

Valerie is excited by the growing interest in exploring the connection between music and the brain. New research efforts are finding that music has profound effects on brain health, with certain areas of the brain becoming activated and even shaped by music therapy.

“Music is a whole brain process,” Valerie explains. “It activates nearly every brain area. It can be helpful in so many ways because we respond to music emotionally, physically and cognitively. Music can improve your vital signs, ease pain, relax muscles, reduce insomnia and help with memory. It promotes visualization, bringing forth images.”

Valerie uses both live and recorded music with patients. She makes an assessment of the patient’s musical taste and preferences. “Classic country is popular here, but it’s a generational thing and

Continued on following page

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some like Big Band music, or Elvis. Others want to hear hymns. Sometimes, I get a better response than I expected. When I sing or play, I can tell when a patient is right there with me, even if just for a few seconds. I might sense relaxation, a moment of focused attention, or a patient may open her eyes for the first time in months. It’s a small but very profound acknowledgment of the value of music.”

Feedback from patients and families is positive and gratifying for Valerie. “I love my job. Being a music therapist for 30 years, I have had great experiences and I remember my patients. The best reward is when the patient or family says, “You made my day.” Fortunately, I get that a lot.”

“VITAS is a wonderful place to work and I have to give a shout out to my colleagues who are very supportive of music therapy.”

>VITAS Healthcare has been in the Pittsburgh market, serving the community here, for the last twenty years, and now has locations in 15 states. It is a leading provider of hospice and palliative care. To learn more about VITAS Healthcare and about hospice care, visit www.vitas.com or call (412) 799-2101.

DAY CARE

Prime Time Adult Care 412-835-6661 www.primetimeadultcare.com

ELDER LAW

Conti Law

724-784-0239 www.contilawpgh.com

HEATING ASSISTANCE

Peoples Gas – Dollar Energy Fund 1-800-400-WARM (9276) peoples-gas.com/help

HOME CARE

LIFE Pittsburgh 412-388-8050 www.lifepittsburgh.org

Seniors Helping Seniors 412-944-2470 – South/West 724-939-6625 – North/East SeniorsHelpingSeniors.com

HOSPICE

VITAS

800-723-3233. • VITAS.org

INCONTINENCE

Tri-Medical 800-541-0734 www.trimedonline.com

Fitness for Seniors

As people age, both the ability and the desire to exercise may wane, but just about 100 percent would agree that doing even a minimum amount of activity to keep in shape is important. The good thing is that many forms are available, so a little investigation may help you find something that works for you.

However, a good reminder is to start slowly if you haven't engaged in any activity recently. Don't try to make up for years' worth of inactivity in a few days. Also, be forgiving of yourself. If you find you aren't able to handle the exercises as you once could, remember that it may take a little time to work up to them, and attempting to do a little each day will help.

Once you're ready to get started, recommendations include working up to about 150 minutes – or 2-¬1/2 hours – per week of moderately intense activity, such as brisk walking or cycling. Swimming, including water aerobics, is especially good, as are yoga, Pilates, strength training, resistance band workouts, and group fitness classes. Activities to improve balance, such as standing on one foot, are also important. One of the most essential things to keep in mind is how beneficial any type of exercise is, and that it can improve not only your physical being, but your mental and emotional state as well.

SENIOR RESOURCES

MEDICARE

Crystal A. Manning, Licensed Medicare Advisor 412-716-4942 crystalmanning33@gmail.com

United Healthcare

Teresa Scott-Carano, Licensed Sales Agent 614-570-2553 yoursolutionpartner@gmail.com www.myuhcagent.com/teresa.sc

REHABILITATION

WVU Medicine Wheeling Hospital 304-243-3307

https://wvumedicine.org/wheeling/services/rehabilitation/?sub=home-home

SENIOR LIVING

Brightwood Plaza Apartments 4940 Brightwood Rd, Bethel Park 412-831-9454 brightwoodplaza@verizon.net

CMS Housing 800-545-1833 • www.cmshousing.com

SENIOR LIVING

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, Greensburg, Elk County and Indiana, PA.

Heritage Valley Senior Living 412-331-613 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

SENIOR LIVING

Presbyterian Senior Care 1-877-PSC(772)-6500

SENIOR SERVICES

Community Life 1-866-419-1693 • www.commlife.org

LIFE Pittsburgh 412-388-8050 www.lifepittsburgh.orgSenior Services

SKILLED NURSING & REHABILITATION

Presbyterian SeniorCare 1-888-448-5779 • SrCare.org

Westmoreland Manor 724-830-4022 www.westmorelandmanor.org

TRANSPORTATION SERVICES

Westmoreland Transit 1 (800) 221-9282

Door-to-door service to older adults 65+ and people with disabilities. Older Adults 65+ ride FREE, Commuter service to Pittsburgh

Healthcare DIRECTORY

In order to choose a health professional who is right for you, you need information. The following guide is a good place to start.

ADDICTION/SUBSTANCE ABUSE

Gateway Rehab 1-800-472-1177 • gatewayrehab.org

AUTISM

Wesley Family Center’s Autism Center for Growth (412) 342-2270 • WFSPA.org

CANCER CARE

WVU Cancer Institute at Wheeling Hospital

304-234-6442

https://wvumedicine.org/wheeling/ services/cancer-care/

CARDIOVASCULAR

Heritage Valley Health System 724-773-4502

HVMG Health & Vascular Center– Beaver HVMG Heart & Vascular Center –Calcutta/East Liverpool

HVMG Heart & Vascular Center –Ellwood City

HVMG Heart & Vascular – Kennedy 412-777-4386

HVMG Heart & Vascular Center –Leetsdale

John “Tito” Francona Heart & Vascular Center - Beaver www.heritagevalley.org/services/ cardiology/ www.heritagevalley.org/services/ cardiovascular-services/

St. Clair Health Cardiovascular Services 412-942-4000 stclair.org/cardiovascularservices

WVU Heart and Vascular Institute at Wheeling Hospital

304-242-4800

https://wvumedicine.org/wheeling/ser

CAREERS IN HEALTHCARE

WVU Medicine Wheeling Hospital https://wvumedicine.org/careers/wheeling1/vices/heart-and-vascular-institute/

CHILDREN WITH SPECIAL NEEDS

Wesley Family Center’s Autism Center for Growth (412) 342-2270 WFSPA.org

DENTAL

Chips Dental Associates

724-443-5710 • ChipsDental.com

ESTATE PLANNING, ELDER LAW

Conti Law

724-784-0239 • www.contilawpgh.com

Specializing in Estate Planning, Estate & Trust Administration, Guardianships, Elder Law, Special Needs & Tax Planning

HEALTH, WELLNESS AND FITNESS CENTERS

The Community & Recreation Center at Boyce Mayview Park

412-221-1099

www.twpusc.org/crc/cre-home

WVU Medicine Howard Long Wellness Center

304-242-9355

https://wvumedicine.org/wheeling/services/howard-long-wellness-center/

HEARING HEALTH

Rametta Audiology & Hearing Aid Center

• Tarentum - 724-604-4006

• Vandergrift – 724-571-2224

• Squirrel Hill – 412-422-8006

HOSPITALS

Heritage Valley Health System

HeritageValley.org • 1-877-771-4847

Heritage Valley Beaver 724-728-7000

Heritage Valley Kennedy 412-777-6161

Heritage Valley Sewickley 412-741-6600

St. Clair Health

412-942-4000 • stclair.org

WVU Medicine Wheeling Hospital 304-243-3000 https://wvumedicine.org/wheeling/

IMAGING

St. Clair Health Medical Imaging Services

Offered at outpatient centers in Mt. Lebanon, Bethel Park, and Peters Township 412-942-8150 stclair.org/medicalimaging

WVU Medicine Wheeling Hospital 304-243-3270

https://wvumedicine.org/wheeling/ services/imaging-services/

Heritage Valley Robinson Twp

Medical Neighborhood Positron Emission Topography (PET) CT Scans available, call 866-251-0710.

Tri-Medical

INCONTINENCE

800-541-0734 • www.trimedonline.com

LIFT CHAIRS, MATTRESSES, BEDS Sleep Pittsburgh 412-462-7858 www.SleepPittsburgh.com

MASSAGE THERAPY

Honor Your Body 412-212-0231 honoryourbodywellness.com

MEDICATION MANAGEMENT

ACORx Pharmacy 412-857-2922 acorxpharmacy.com

MENTAL HEALTH & WELLNESS

Wesley Family Services Family Based Mental Health Services https://wfspa.org/service/family-based-mental-health-services-fbmhs/

ORTHOPEDICS

Heritage Valley Orthopedics

Heritage Valley Beaver 724-775-4242

Heritage Valley Kennedy 412-787-7582

Heritage Valley Sewickley 412-262-7800 www.heritagevalley.org/services/ orthopedics/

St. Clair Health Center for Orthopedics 412-942-4000 stclair.org/centerfororthopedics

WVU Medicine Wheeling Hospital 304-243-3252 https://wvumedicine.org/wheeling/services/orthopedic-surgery/

PEDIATRICS

WVU Medicine Wheeling Hospital 877-945-7337 https://wvumedicine.org/wheeling/ services/pediatrics/

PHYSICAL THERAPY

FYZICAL Therapy & Balance Centers McMurray 724-941-7070 Bethel Park 412-347-0022

Cecil/South Fayette 724-338-2062 Monroeville 412-457-8200 Bridgeville 412-785-0111 www.fyzical.com

PHYSICAL THERAPY

WVU Medicine Wheeling Hospital 304-243-3307

https://wvumedicine.org/wheeling/ services/rehabilitation/ ?sub=physical-therapy

REHABILITATION

Heritage Valley Health System

https://www.heritagevalley.org/services/ outpatient-rehab/

Visit our website for more information on our services and to see our Outpatient Rehab locations.

WVU Medicine Wheeling Hospital 304-243-3307

https://wvumedicine.org/wheeling/services/rehabilitation/?sub=home-home

PHYSICIANS

Heritage Valley Robinson Township Medical Neighborhood HeritageValley.org

Variety of services and physician practices.

HVMG Park Manor

Medical Associates

2201 Park Manor Blvd 412-749-6920 • HeritageValley.org

Same Day Sick Visits, Self scheduling at cms.hvhs.org/carelink/

St. Clair Health

St. Clair Medical Group Network physicians.stclair.org

WVU Medicine Wheeling Hospital 304-243-2945

https://wvumedicine.org/ wvum-services/primary-care/

SCHOOLS

South Hills Catholic Academy SHCAcademy.com Register now for 2025-2026.

WOMEN’S HEALTH

WVU Medicine Wheeling Hospital 304-243-3235

https://wvumedicine.org/wheeling/ services/obstetrics-and gynecology/?sub=home-home

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