The Magazine “Your Prescription for Better Health”
November/December 2011
Letter From The Editor
Winter Safety Tips
Winter is upon us, which can be a particularly dangerous time of year. If you aren’t careful, ice and snow can open up the opportunity for winter mishaps. However, we’ve got some great safety tips to help you get through the treacherous winter months unscathed. People often end up hurting their backs during the winter. Remember; always protect your back when shoveling and removing snow. Since shoveling snow can be an aerobic activity, be sure to take 10 to 15 minutes to warm up with some light stretching. Also, if at all possible, try to push the snow rather than throw it. If you do have to throw it, make sure to bend at your knees. Another way people end up with winter injuries is by falling on slippery surfaces. This can be easily avoided by wearing non-skid shoes, replacing worn bottoms on canes or walkers and avoiding icy sidewalks and surfaces. Driving can be treacherous in our area during the winter months because of icy and unpredictable weather. Make sure you’re paying attention to the road and the conditions rather than your cell phone or electronic devices. While this is important advice regardless of the season, it is especially important to keep in mind during winter. Also, get your car winter ready by checking the tires, filling all the fluids and getting an engine tune up. It’s also a good idea to have some basic safety supplies on hand like blankets, a flashlight and water. While winter can be dangerous, it can also be a lot of fun as long as you stay safe. In addition to winter safety, we’ve got some more great topics inside this edition of Coordinated Health’s magazine. We’ve got some ways athletes can stay in shape and advice for those of you who have had or are considering knee replacement surgery. From everyone at Coordinated Health, have a happy and safe holiday season!
Amanda Boyce
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In Every Issue 2 Editor’s Letter
Features 7 It’s All Mental:
Keeping Yourself Healthy This Holiday Season
5 Contributing Team 30 What our patients are saying 32 Who’s New at Coordinated Health
10 Keeping Athletes Healthy
34 Coordinated Health Locations
Issue 8 - Nov./Dec. 2011
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Features 14 Winter Safety
Winter is a particularly hazardous time of the year. Here is a quick check list of things to do to have a safer winter.
18 Knee Replacement One of the most important orthopedic surgical advances of the twentieth century is the total knee replacement, which was performed for the first time in 1968.
24 Women’s Heart Health
There is an urgent need for greater awareness of heart disease in women. Read the following information to learn more about your risk factors and ways that you can become informed and take control of your health.
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Our Contributing Team Amanda Boyce Hannah Ropp Writer
Editor
Rick Woods Design & Layout
Amy Pucklavage
Tom Merkel
Physician Assistant
Physical Therapist
Mike Price Physical Therapist
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Thank you for choosing Coordinated Health as your healthcare provider. We appreciate your suggestions and will continue to strive to meet and exceed all your healthcare needs, both in person and online. The entire staff of Coordinated Health wishes you and your family a peaceful and safe holiday and a happy and healthy new year.
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It’s All Mental: Keeping Yourself Healthy This Holiday Season By: Amy Pucklavage, PAC The World Health Organization describes health as “A state of complete physical, mental and social wellbeing, and not merely the absence of disease.” We often remember the physical aspect and each New Year, many Americans attempt to “get healthy” and resolve to lose the extra holiday pounds. However, we can lose sight of the other side of health, which are the mental and social health aspects. As the end of the year looms closer, increased pressures and stresses can take a toll on the mind and body, which make good mental health an even more important priority. Anxiety and stress are common concerns for people of all ages for a variety of reasons. During the holidays, preparation and accommodations for family, traveling, demands of gift giving and bills can add stressors to an already demanding life. Consequently, people try to treat their stress by eating unhealthy, drinking alcohol in excess, and smoking instead of seeking appropriate outlets. Try to cut down on stress by asking for help if you need it, whether it is cooking a turkey, wrapping presents, or asking your doctor for advice. If stress and anxiety seem to control your life and limit functionality, you should speak to a health care professional. continued on next page coordinatedhealth. com
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In addition to the extra end of the year stressors, the late fall and early winter season are notorious for other mental health concerns. It is a well known fact that suicide rates increase during the holiday season. One possible culprit maybe a seasonal form of depression called SAD (Seasonal Affective Disorder). As the daylight hours decrease, there are fewer chances for activities or a willingness to be outside. Decreased sunlight exposure leads to an altered production of serotonin and melatonin, which are the body’s mood and sleep regulators. Symptoms of SAD can be fatigue or decreased energy, weight gain or loss, change in sleeping or eating habits, and even thoughts of suicide and worthlessness. Although it is normal to have a bad day, a continual recurrence of bad days is not normal and deserves some looking into. Treating a mild case of SAD can be as simple as going outside more often, or artificial light therapy. 8
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More severe cases may need formal psychiatric care, therapy, or medication. Even though the holidays can be overwhelming, try to keep an optimistic outlook as people often forget to think about the positives. Prevent stress by discussing concerns and brushing over trivialities. Soak in the happy moments. Use exercise as an alternative to other bad habits. It can do a lot more than just keep the pounds off; it helps release your natural feel good hormones, gives you energy, and helps develop a positive body image. However, if life feels unmanageable, you should seek medical help from your Primary Care physician. Ultimately, the holidays are a joyous time reserved for celebration, togetherness, and love. Everyone deserves to enjoy it.
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Keeping Athletes Healthy Like most Americans, even very healthy
often than people who lead a less active
athletes can get down-and-out with an
lifestyle. This is in part due to the stresses
illness. The problem is, often, they are
of training and the compromised immune
not able or willing to rest and take a break
response that has been shown to occur
from their sport when they are sick due
post training.
to practices, games, and the rigors of competition.
Most colds are caused by Rhinoviruses and may include a runny or stuffy nose,
The average athlete suffers four colds a
sneezing coughing, sore throat and
year, mostly in winter, but not exclusively. It sometimes even swollen glands. However, is a fact that athletes do become sick more
large glandular swelling is unlikely to be a simple cold. Colds rarely last longer than a week and any “cold� lasting longer than two weeks needs to be addressed as it may have become a secondary bacterial infection such as Sinusitis or Bronchitis. Flu, or Influenza, is a more serious viral infection that can occur and often spread rapidly, infecting a large number of people. A major flu epidemic is widely predicted as being overdue. The symptoms of flu include those similar to a cold, but with much more severe effects such
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as muscle aches, bone and joint aching, headache, light irritation and major fatigue. Influenza is more likely to progress into complications such as a chest infection. Prevention of colds and flu include avoiding contact with anyone who has symptoms. This can be very difficult for athletes who are part of a sports team involving physical contact or those who spend hours practicing in indoor facilities. Incubation for some illnesses can often be 7-10 days which means exposure/contact to infected individuals and actual onset of symptoms has a lag time.
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The average athlete suffers 4 colds a year, mostly in winter, but not exclusively. November/December 2011
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So how do you prevent the sick athlete from spreading infection to the whole team?
1.
Hand washing is priority number one! Proper hand washing is a must and although alcohol based hand sanitizers will minimize infection potential, they are
not a substitute for hand washing.
2.
Keeping an individuals own immunity as strong as possible can be protective. Measures that can help are good quantity and quality of sleep. Adequate
hydration and nutrition are also important.
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Here are some recommendations for exercise when an athlete is affected by a cold or flu: • If symptoms above the neck only such as nasal congestion, runny nose and mild sore throat then he or she can exercise at reduced level of intensity. • If symptoms below the neck such as chest congestion, dirty productive cough, aching bones or muscles, fever, shivering or chills, or pus on throat then it is very unwise to exercise. • Confirmation of Streptococcus(strep) or mononucleosis (mono) should require a total stoppage of all physical training immediately until treated. • A good rule of thumb to follow is that the patient should be at least 24 hours fever free until they return to strenuous activity .
problems if an athlete continues to train while ill. Much of the body’s energy needs to be used in immune defense and not for physical work. Rest is most important during and just after any sickness. It is also crucial to realize that having the sick athlete take a few practices off may prevent the spread of the illness to the entire team. It is important that athletic trainers be aware of the risks of the sick athlete. Certified athletic trainers often exclude athletes from practice until they see a primary care provider. Finding a doctor to see in a timely manner should never be a problem. Coordinated Health offers walk-in (no appointment necessary) Care on Demand services for athletes and individuals of all ages.
The risks of exercise with the above symptoms include Viral Myocarditis [the virus invades the heart muscle causing significant damage]. Resumption of exercise post infection should be gradual and much reduced in intensity. Most importantly, coaches need to respect and regard sickness as a serious illness and be aware that even common colds/ influenza can lead to serious health coordinatedhealth. com
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WALK-IN Medical and Injury Care 2310 Highland Ave
1503 N. Cedar Crest Blvd
Bethlehem, PA 18020
Allentown, PA 18104
877-247-8080
877-247-8080
Hours: Monday-Friday 7am-11pm Saturday/Sunday 8am-8pm
Hours: Monday-Friday 8am-5pm
511 VNA Road
239 N. First Street
East Stroudsburg, PA 18301
Lehighton, PA 18239
877-247-8080
877-247-8080
Hours: Monday-Friday 7am-11pm Saturday/Sunday 8am-8pm
Hours: Monday-Friday 8am-4:30pm
CARE on CALL
Designed to eliminate the headache and hassles of the ER, our physicians are available 24/7 to answer all your medical questions and provide you with any necessary treatment. Simply call for immediate physician access.
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Winter Safety By: Mike Price, PT
Winter is a particularly hazardous time of the year. The plummeting temperatures, slippery and treacherous conditions and lack of preparation make us all more prone to injury. Elderly people and people with pre-existing medical conditions are even more prone to injury. Here is a quick check list of things to do to have a safer winter.
Keep Warm
When your body loses heat, you are more prone to hypothermia and frostbite. Individuals with heart disease and circulatory issues are even more prone to these conditions. Ways to keep warm: Keep your thermostat set appropriately for outdoor temperatures, keep moving and movement naturally keeps the body warm and dress appropriately.
Avoid Falls
1. Don’t walk on icy or snowy sidewalks or paths 2. Wear shoes with non-skid soles 3. Replace bottoms of canes or walkers that may be worn 4. Use a walking stick if needed 5. Don’t stay out too long, you
will fatigue quicker in colder temperatures making you more prone to falls 6. Avoid carrying heavy objects that may throw your center of mass off (for examples heavy groceries and even too much snow on shovel while cleaning up driveway
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Safe Snow Removal
You are much more prone to back and muscle injury or even a heart attack when you go out to clean snow and ice off your driveway. Why? Because it’s harder to get blood flow to your muscles to warm them up and your body is using energy just to keep you warm. To avoid injuries while shoveling, warm up and stretch first, either indoors or at the least walking in place in the garage before you go out to start shoveling. 10-15 minutes of warm-up is optimal. Once you are shoveling, use a light weight shovel and push the snow rather than trying to throw it, remove small amounts more often rather than trying to move huge loads all at once. If you have to throw the snow, bend your knees and let your arms help with the throwing instead of only lifting and twisting with your back. Lastly, stop and rest if you are tired and get help if necessary, fatigued muscles are more likely to lead to an injury.
Car Accidents
Accidents occur much more often in the winter than in any other months. Don’t travel alone if at all possible. Have your car checked out before winter is here to make sure it is ready for the winter. Check weather reports before going out and avoid icy routes. Slow down, the higher the speed, the higher the risk for an accident and lastly, have basic emergency supplies such as blankets, food, water and cell phone with you when you travel. Winter can be a fun time but it can also be a dangerous time. Keep these tips in mind to help you have a safe, injury-free winter. 16
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Women’s Health Services now at
As we develop the depth of our specialty hospital network with the addition of Women’s Health, we’re honored to welcome Dr.
Gayllyn Faust-Rakos.
She joins the Coordinated Health Team as our first Gynecologist and is Board Certified in Gynecology. Dr. Faust-Rakos brings a tremendous wealth of expertise and experience in the Lehigh Valley as we start our new Women’s Health Team. Call now to schedule with Dr. Faust-Rakos.
Women’s Health services available at: Lehighton Campus 239 N. First Street Lehighton, PA 18235
Allentown Campus at Pond Rd. 1611 Pond Road, Suite 102 Allentown, PA 18104
(877) 247-8080 | coordinatedhealth. com | (610) 861-8080 coordinatedhealth. com
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Knee Replacement Thomas Merkel, PT
One of the most important orthopedic surgical advances of the twentieth century is the total knee replacement, which was performed for the first time in 1968. Since then, research has provided surgeons with several improvements in surgical material and different techniques that have greatly increased its effectiveness and outcomes. In the United States, approximately 581,000 knee replacements are performed each year. Between the years of 1971 and 2003, research has shown there to be a 400% increase in the incidence of total knee replacements. It is projected that the number of primary total knee replacements will increase to an astounding 3.48 million people by the year 2030. Although it is expected that more knee replacements are performed on older patients, the number of younger patients receiving this procedure is on the rise. Therefore, as more active patients are in need of knee replacements, implant longevity will require further enhancements. Patients of all ages should expect that following surgery and subsequent rehabilitation, they will return to their prior level of functioning. There will be certain activity restrictions based on the inherent nature of the prosthesis, but the majority of people should be able to resume their household, occupational, and recreational activities.
In the United States, approximately 581,000 knee replacements are performed each year.
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In order to understand knee replacements, you must understand the anatomy of the knee. Your knee is actually comprised of two joints with articulations between the femur (thigh bone) and the tibia (shin bone). There is also an articulation between your kneecap and femur. A healthy knee has layers of smooth, articular cartilage that cover the ends of your femur, tibia and, backside of the kneecap. This cartilage acts as a cushion and allows the surfaces of your bones to glide smoothly as you bend your knee. The muscles and ligaments around your knee joint support your weight and help move the joint smoothly so you can perform normal activities without pain. Many people question whether they need a knee replacement. If we live long enough, chances are many of us will require a knee replacement. Whether it’s from normal wear and tear (osteoarthritis), prior trauma or an auto-immune disease, such as rheumatoid arthritis, the articular cartilage begins to break down becoming rough or pitted. Now, instead of gliding smoothly when you move your knee, the bones grind and catch. This can cause stiffness, swelling and pain. The majority of individuals who decide to have a knee replacement will do so because pain significantly impacts their daily, occupational, or recreational activities causing them to alter or restrict many of these activities. It is this change in lifestyle that typically results in the decision to have the surgery. Many people delay having the surgery for a variety of reasons (denial, fear of surgical risks, pain, cost, or loss of salary). Delaying surgery may allow your joint and surrounding limb to deteriorate, causing more damage. Physical therapy before joint replacements can be beneficial in preparing your knee and body for surgery. Studies have shown that the
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better function and strength patients have preoperatively, the better outcome they will have postoperatively. In a knee replacement, surgeons create a new knee joint by making an incision exposing the underlying patella, femur and tibia. The patella and attached quadriceps muscles will be moved off to one side. The ends of the femur and tibia forming the joint are surgically removed. An appropriately sized replacement is then cemented in place. The femoral component is metal, usually a cobalt/chromium or titanium alloy. The tibial component is metal with a polyethylene liner pressed on top. In the majority of cases, only the femur and tibia are replaced. Occasionally, the kneecap will need to have a plastic “button� attached to replace the degenerative surface. The patella is then returned to its anatomical position and the muscles and subcutaneous tissues are sutured into place. The skin is typically held in place by staples. The underlying stitches will dissolve over time. The staples will be removed 10-14 days after surgery.
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Following surgery you will usually remain in the hospital for three to four days. A Constant Passive Motion machine (CPM) is used to assist in moving your knee during this time. You should use it for several hours each day. A Physical Therapist works with you twice a day during your Coordinated Health hospital stay. Your goals during this time will be to learn how to walk with an appropriate assistive device (walker or crutches), restore quadriceps function, and achieve full extension (straightening) of your knee. Constant Passive Following discharge from the Motion machine (CPM) hospital, you begin out patient physical therapy, typically three times per week for an average of eight weeks. During this time your rehab team performs stretches and exercises to help restore your motion, strength, balance and function. You are given a home exercise program. It is very important to be compliant with this home program. Remember, you are in a supervised therapy setting for only about 3 hours per week. Therefore, it is imperative you follow through with your home program to achieve a successful knee replacement result. You can expect your knee to be moderately painful for about 5-7 days with gradually reducing soreness over the next 2-3 weeks. Be sure to inform your surgeon or therapist of any unusual symptoms, including
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excessive pain, swelling or redness, fever, chills or night sweats as these can be signs of infection. By the end of the fourth post-operative week, you should not have any pain at rest and have only slight pain after activities. While your therapy may last only eight weeks, you need to continue your rehabilitation independently, as full recovery can take nine to twelve months. During this time, you may experience discomfort and mild swelling after excessive, repetitive or strenuous activities. However, these symptoms will resolve over time. A knee replacement has the potential to significantly improve the quality of life for those individuals restricted by pain, loss of motion, weakness and limited function. The ability to once again walk, dance, golf, swim, shop and interact with our friends and families without pain is a tremendous incentive to have the surgery. Research contribution: Rachel Febert, Moravian College Intern
Check Out Coordinated Health On Facebook Learn tips and tricks to treat your pain from CH physicians and therapists Get the latest updates on what’s going on at CH Post your questions & comments We want to hear what you think! 22
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OPEN Coordinated Health East Stroudsburg Campus
Ambulatory Surgery Center • Now open 5 days a week for out-patient surgeries and procedures • Ask your physician about having your procedure performed close to home at our new E. Stroudsburg ASC. • Brand new OR’s and equipment • Comfortable and relaxing surroundings • Supported by the CH Hospital Network and our Care on Demand walk-in medical and injury care facility • Specialties performing surgeries and procedures include: Orthopedics, Podiatrists, Physical Medicine and Rehab, and more
511 VNA Road | East Stroudsburg, PA 18301 (877) 247-8080 | coordinatedhealth.com | (610) 861-8080
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Women’s Heart Health
An estimated 42 million American women live with cardiovascular disease, or heart disease. Too many of these women are unaware of the threat that they face from this disease. There is an urgent need for greater awareness of heart disease in women. Read the following information to learn more about your risk factors and ways that you can become informed and take control of your health. 24
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Heart disease in women is more common than you may think! Y More than 42 million women are currently living with some form of cardiovascular disease. Y More than 8 million women have a history of heart attack and/or angina. Y Five and a half million women will suffer from angina. Y Although heart disease is sometimes thought of as a “man’s disease,” around the same number of women and men die each year of heart disease in the United States. Unfortunately, however, most women do not perceive themselves to be at risk for heart disease.
Heart disease in women is more fatal than any other disease! Y Heart disease is the leading cause of death of American women, killing more than a third of them. Y Heart disease killed 26% of the women who died in 2006, more than one in every four. Y 35.3% of deaths in American women over the age of 20, or more than 432,000, are caused by cardiovascular disease each year. Y More than 200,000 women die each year from heart attacks. This is five times as many women as breast cancer. Y More than 159,000 women die each year of congestive heart failure, accounting for 56.3% of all heart failure deaths. Y Almost two-thirds of the women who die suddenly of coronary heart disease have no previous symptoms. Even if you have no symptoms, you may still be at risk for heart disease.
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Who are the women at risk for heart disease? Nine out of 10 heart disease patients have at least one risk factor. Several medical conditions and lifestyle choices can put women at a higher risk for heart disease, including: Y High cholesterol Y High blood pressure Y Diabetes Y Cigarette smoking Y Overweight and obesity Y Poor diet Y Physical inactivity Y Alcohol use Y Cigarette smoking results in a 2-3 times increased risk of dying from heart disease. Y 48% of adult women have a total cholesterol of at least 200mg/dL. Y 50% of Caucasian women, 64% of African-American women, 60% of Hispanic women, and 53% of Asian/ Pacific Islander women are sedentary and get no leisure time physical activity. Y 58% of Caucasian women, 80% of African-American women, and 74% Hispanic-American women are overweight or obese. Y Women with diabetes are 2.5 times more likely to have heart attacks.
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Welcoming Cardiologist
Dr. David Scoblionko
to the Coordinated Health team We continue to develop the depth of our specialty hospital network with the addition of cardiology services. Our cardiology clinical and diagnostic facility is located on our Bethlehem Campus at Highland Ave. With our expansion into cardiology, we strengthen our clinical care teams and improve our ability to impact our patient’s continuum of care. We’re excited to have Dr. David Scoblionko join the Coordinated Health team as our lead cardiologist. He is Board Certified in Internal Medicine – Hypertension and Cardiology. Dr. Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team. To expand our cardiac services and diagnostics, we are assembling an experienced heart care team that includes invasive cardiologists, nurse practitioners and technicians.
For more information visit coordinatedhealth. com or call (610) 861-8900
Allentown • Bethlehem • Brodheadsville • Easton • East Stroudsburg • Hazleton • Lehighton • Phillipsburg coordinatedhealth. com
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Heart Disease affects more women than men! Y More women than men die of heart disease each year. Y 23% of women and 18% of men will die within one year of a first recognized heart attack; 22-32% of women and 15-27% of men heart attack survivors will die within five years. Y 12-25% of women and 7-22% of men heart attack survivors will be diagnosed with heart failure within five years.
Y Women are less likely than men to receive appropriate treatment after a heart attack.
Y Women comprise only 27% of participants in all heart-related research studies.
Heart disease is preventable! Many women can significantly reduce their risk of heart disease if they have the information they need, know the questions to ask their health providers and receive the support to make heart-smart changes in their lives. Talk to your Primary Care physician or Gynecologist at your yearly exam and ask about your risk factors and testing that can be done to help you assess your risk such as cholesterol levels, Body Mass Index, and nutrition and exercise counseling. For more information, visit the following websites: CDC National Heart Disease and Stroke Prevention Program: http://www.cdc.gov/dhdsp/programs/ nhdsp_program/index.htm Wisewoman Screening and Evaluation: http://www.cdc.gov/wisewoman/ American Heart Association Go Red For Women Campaign: http://www.goredforwomen.org
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#1 in Patient Satisfaction Based on Medicare Data, 2009-2011. Visit hospitalcompare .hhs .gov.
coordinatedhealth.com ALLENTOWN / BETHLEHEM / EASTON / HAZLETON / PHILLIPSBURG BRODHEADSVILLE / E. STROUDSBURG / LEHIGHTON coordinatedhealth. com
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W h at o u r pat ie nts a re s ay
no question s a w e r e th , h lt a Coordinated He f o e e y on. After lo ti p n e m v e r r e te m in r l a fo ic a g stra - As nd possible sur a e r a c ral doctors at e ic v Dr. Daniel Terp d e e s p t o e th m r I o , k is e it e r ould s a. He followed ative osteoarth r tr e s n p e r as to where I w g e e T d l ie ly n r a a e D ear with fortable with Dr. ough that I needed a cane to m o c t s o suffering for a y m e th got bad en uge alth and felt Coordinated He l months and once the hip pain cement. I was fearful of this h ent era l hip repla and confid ta le to b a ta r r fo fo my case for sev e m o m c ti l e alized it was he made me fe is as easy t u th b e , k ld a o m s r ld a u e ambulate, we re o y w ly 51 alth step as I am on at his team at Coordinated He th as possible. Dr. DiIorio - I ‘ve been rocedure and p e th d a h I D o r. g a patient sin DiIorio’s One week ce 2005 fo inated Health d r r o o a C k d n nee injury e m I was very m o . must c pleased wit pital care s o h ir e th h f o h o ts w he treated me in all aspec . He explain us for such a p m a c n e w d to e n e v ll e rything so I could at the A y family understand m r fo e c n ie r e p x what he wa talking ab wonderful e s out. I d id ursing staff, n e th m o r n F o . t lf e h ave to feel embar and mys trative staff, is in rassed or m d a , ts is p a ner vous w I asked qu physical ther hen ervice (which s estions reg d o fo d n a ff a ta rd ing my injury and medical s grateful to o s m a I the treatm ). y r a in ent option was extraord plan. He wa and three y r e g r u s y m s very kind g and caring em all for makin ity a remarkable one. th as well. I would nev ir facil er hesitate day stay at the recommen to ealth for taking H d te a d Dr. Diior in d r o o C io as a do Thank you and as a te ctor me. acher. He is h great care of c u excellent w s teaching a ith nd present in g Karen M. t h e mate to t
he au d ienc rial e (“Art of M e d icine” Show). Tha nks to Dr. D iI orio I am continuing to dance a nd lead an ac tive life. arroll Sylvia P. Dr. McC
lity, a n o s r e astic p n a f a imple s s a n h i e m h proble e h t n d he i n a a l p , x d e n ime to on and ndersta i u t p I o e t r takes t ening reatmen to ensu e t s e e g n l a e b u e i g lan I’ve b ry poss e . v s e t c s e t eff d never l e u d presen o i w s d l an ts to tia n s n e r e i a t t e o a y p p any t many east 10 n l e s t a e v r ’ him fo ing. I g n a h c r conside mie D. a J . l l we him as
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i n g a b o u t o u r p h ys i c i a n s
Without a doubt, Dr. St oll. Truly he is like Doctors used to be whe n our country was functioning better. It is obvious that he love s his job being a Doctor. He makes it very clear that he cares ab out me and my health condition. He was very accessible when an emergency situation ar ose and that took away the fear I was ex periencing. He patiently answers my qu estions in ways that are easily understa ndable to me and he is a very kind gentleman. Dr Kooch, he patiently I feel very safe ha vi ng D r. Stoll treat my hands an met my needs for the neck d would not Dr. Edw pain problems I’ve been ard Sch wa is consid hesitate having. He is very kind erate, ki rtz. He nd and h compass to bring as ion for h and understanding and i s My husb patients. any and was ins pla ex as ll stroke impaired listens as we health and diab e c t o i c u . l & on d get q what is going condition agitated uite cranky and ,b to him Cari W. had patie ut Dr. Schwartz n for able to c ce with him & wa al s diagnosis his feet m him down, chec a k nd cut hi It and . r H s e t D o i e s n n a d a e l r i s e l o s a s d . m h e n y doctor is helped m I hav McCarroll a treatment. . & has e s o o e h c s . o h r o t t and D eated me wi st aching feet, much with Wonderful i t t e h c r e b t r u e Lu n e ion, bone and arth h hav my best int t spur Doctor. o r b i t i y c e a h n t th k i l e best! . He is th and w I have come Donna A. t e c e p s e r n N e w e a h ncy V. an .W n mind m with
t job on a e r g a - He did io g g e l a rything Dr I e v E . t n e eplacem r ip h y s done. a m w it e r ed befo in a l p x e was e. Went n o d s a after it w in a p o N eeks. w o w t work in back to . Dar win S
i the f o r em e h t to ei , neither of th end concern shed to recomm conservative have ru and have used their surgery s first. I trust e measur s. opinion R. Kathie
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Who’s New at Coordinated Health
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Joyce Dobish CRNP Cardiology
Amanda Lucik PA-C Orthopedics
Nathan Carr PA-C Care on Demand
Joseph Conway PT Hazleton
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309 Hazleton Campus
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115 Brodheadsville Campus
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Winchester Rd.
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Easton Campus at Greenwood Ave.
William Penn Hwy.
Coordinated Health at OABE (Easton)
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Southmont Shopping Center Freemansburg Ave.
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coordinatedhealth. com
November/December 2011
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610-861-8080
coordinatedhealth.com
877-247-8080
Allentown
1503 N. Cedar Crest Blvd. Allentown, PA 18104
Brodheadsville
Rte 115 & Switzgable Rd. Brodheadsville, PA 18322
1611 Pond Rd., Suite 102 Allentown, PA 18104
East Stroudsburg 505 Independence Ave. East Stroudsburg, PA 18301
Bethlehem 2775 Schoenersville Rd. Bethlehem, PA 18017
511 VNA Rd. East Stroudsburg, PA 18301
2300 Highland Ave. Bethlehem, PA 18020
Hazleton
50 Moisey Dr., Suite 202 Hazleton, PA 18202
2597 Schoenersville Rd. Bethlehem, PA 18017
Lehighton
239 N. First Street Lehighton, PA 18235
Easton
400 S. Greenwood Ave. Easton, PA 18045
Hospitals
1503 N. Cedar Crest Blvd. Allentown, PA 18104
3101 Emrick Bivd., Suite 112 Bethlehem, PA 18020
2310 Highland Ave. Bethlehem, PA 18020
2111 Washington Blvd. Easton, PA 18042