Coordinated Health Magazine Sept./Oct. 2011

The Magazine “Your Prescription for Better Health”

Turn Back the Clock on Your Age Concussions in Athletes The Common Cold To Tan or Not to Tan

From Lazy Boy to Running Rebel

Handy Guide to Dupuytren’s Disease

Flu Vaccination Fact Sheet

September/October 2011

Letter From The Editor Dear Patients, Fall is a wonderful time of year, full of fun activities the whole family can enjoy.

It’s a time for people to enjoy football games, hikes to take in the breathtaking fall foliage and Halloween and Thanksgiving. However, fall also marks the beginning of cold and flu season. In this issue, we have some tips on how you can protect your family from falling victim to the common cold or flu. We’ll also help you differentiate between whether you have a cold or the flu.

While almost everyone catches a cold at some point during the fall or winter, the flu is more serious, but much easier to prevent. Colds are transmitted through contact. Therefore, if someone in your home or office has a cold, you are at a greater risk of catching it yourself. While the flu is also contagious, there is a vaccine available that greatly lowers your risk of being infected.

The Center for Disease Control recommends a yearly flu vaccine, which are available through your primary care physician and most drug stores.

It’s not always easy to tell whether you have a common cold or the flu since both conditions have similar symptoms including, sore throat, headache, cough and fatigue. However, colds are rarely accompanied by a fever and are treated with over the counter medications and while you may have fatigue and muscle aches and pains, they generally disappear within days. Meanwhile, flu patients often run a fever and have muscle aches and pains that can last up to a few weeks. There are also antiviral drugs available to treat the flu, which is given 24-48 hours from the onset of symptoms.

The biggest difference between the flu and the common cold is the severity of the condition. The flu is much more serious. In fact, each year thousands of people die from the flu and many more or hospitalized. Those most at risk for contracting the flu are young children, pregnant women, and people over the age of 65 and those with a weakened immune system.

Remember, the flu can be prevented with a simple vaccine. Now is the time to make an appointment with your doctor and ensure a happy and healthy fall season for your whole family. We have plenty of additional information pertaining to common colds and preventing the flu as well as information on other medical conditions in this issue so keep reading!

Amanda Boyce 2

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2 Editor’s Letter

7 Turn Back the Clock on Your Age

5 Contributing Team 16 What our patients are saying 26 Who’s New at Coordinated Health 32 Coordinated Health Locations

10 Concussions in Athletes

Issue

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14 The Common Cold

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September/October 2011

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Features 19 To Tan or not to Tan

22 From Lazy Boy

to Running Rebel

24 Handy Guide to Dupuytren’s Disease 28 Flu Vaccination Fact Sheet 4

September/October 2011

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Our Contributing Team Amanda Boyce Hannah Ropp Editor

Writer

Rick Woods Design & Layout

Molly McNeil, MS, ATC Jason Rudolph, MD

Certified Athletic Trainer

Orthopedic Surgeon

Patrick Yoder, BS, ATC, MS

Ellen S. Novatnack Director of Infection Prevention

Melissa Trader, OTR/L, CHT Certified Hand Therapist

Certified Athletic Trainer

Christina T. Wise, MS, ATC Certified Athletic Trainer

Debra A. Moyer L. Esth.

Cosmetic Patient Coordinator coordinatedhealth. com

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OPEN Coordinated Health

East Stroudsburg Campus

Care on Demand Medical and Injury Care Walk-ins and Appointments Accepted Coordinated Health East Stroudsburg Campus 511 VNA Road East Stroudsburg, PA 18301 Care on Demand hours: Mon. - Fri. 7am - 11pm Sat. & Sun. 8am - 8pm

(877) 247-8080 | coordinatedhealth.com | (610) 861-8080 6

September/October 2011

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Turn Back the Clock on Your Age Debra A. Moyer

You may have heard of Botox速 and Juvederm速 in reference to cosmetic procedures and beauty treatments.

However, these treatments may still remain a mystery to others. Let me try to explain how these non-surgical treatments work.

The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment. These in office procedures take very little time and the results can help take years off your face!

The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement. For example, Botox is used to correct wrinkles between eyebrows, forehead, and crows feet.

Juvederm is used for the fold going from your nose to mouth, wrinkling around the mouth, and to enhance the size of your lips! Aging can sometimes thin your lips and make you look years older than what you actually are! continued on next page coordinatedhealth. com

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Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses. In tiny doses, it relaxes wrinkling muscles and stops them from working for an average of 3-6 months.

Juvederm is not an active biochemical.

Although it is made by bioengineered bacteria, it consists of hyaluronic acid, which is a structural molecule within the skin that has no chemical activity on nerves or muscles. Juvederm acts by filling a depression in the skin and plumping the area. Juvederm is FDAapproved and lasts up to 1 year in skin folds. It can be used anywhere there are deep wrinkles.

Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles. A combination of these two treatments can give a more youthful look to an otherwise aging face!

When considering cosmetic injectables, your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options.

Click here to learn more about the Plastic, Cosmetic and Reconstructive surgeries offered at Coordinated Health.

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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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Concussions in Athletes Jason Rudolph, MD

Gone are the

Typically there is a short lived neurologic

days when

impairment that occurs directly after the

it is OK to

injury, and then resolves spontaneously.

get your “bell

These impairments are highly variable, and

rung”. It is not

may include; confusion, amnesia, feeling like

OK to be “little

they are in a fog, headaches, disorientation,

dizzy” after

mood changes, sensitivity to light, and many

banging heads

others. Concussions occur in both contact

on the soccer

sports (football, lacrosse, etc) as well as

field. Taking

noncontact sports (soccer, baseball, etc).

a few aspirins

The true incidence of concussions in sports

after football

is unknown, due to the significant under-

practice for

reporting by athletes, coaches and parents.

a persistent

Typically concussions may account for 2-9%

headache is no longer acceptable. The

of all injuries in high school sports, and up to

sports section headlines for the past year

19% in contact sports.

have been replete with stories of athletes who have suffered multiple concussions, some leading to chronic headaches,

Helmet use in contact sports does decrease the incidence of

neurologic deficits, or other permanent conditions.

A concussion is a pathologic process that may occur to the brain after a direct or indirect

Concussions typically account for 2-9% of all injuries in high school sports, and up to 19% in contact sports.

blow to the head.

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skull fractures and brain bleeds, but does not decrease the incidence of concussions. Proper fitting of equipment (helmets, chin straps), however, may help to decrease the

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studies (Xrays, CT scans or MRI’s) that can diagnose a concussion. Treatment is therefore heavily based on comparing an athlete’s pre-injury condition to his postinjury state. In general, once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury.

Only after an athlete is symptom free (no headaches, tiredness, dizziness, etc.), both at rest and during activities, is it safe to incidence of concussions. Enforcing rules

return to sports.

that decrease the risk of head injuries (eliminating spearing, head on head contact, leading with the head) may also

One of the key elements in our ability to determine the return of an

decrease the chances

athlete to sports is our ability

of head injury. The most

to obtain objective (computer

important aspect of

testing) information, rather

preventing head injuries

than relying purely on

is educating parents, coaches and players.

subjective (the athlete telling how he feels) information. One of the objective tests available, ImPACT testing,

Managing concussions requires a team effort, including not only team doctors, but also, parents, coaches, trainers, teachers and school administrators. In general, the duration of symptoms after the injury has a strong correlation to the severity of the concussion.

Therefore, the severity of the injury cannot be determined until after all of the symptoms have

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is essentially a computer based test of memory and reaction time. Of course, it always to better to compare an athlete’s score on the test, to his score before the injury ever occurred.

This is where preseason, or baseline testing, becomes important. Preseason screening is becoming more commonly offered either through the athlete’s school, or through the team physician. ImPACT concussion testing is readily available at Coordinated Health.

Concussions are very real injuries, and are going to occur on a daily basis across the country. Our ability as physicians, to work towards prevention, diagnosis, and treatment is equally important as our responsibility to educate athletes, their parents, and coaches about these significant injuries.

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!

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A joint effort.

Coordinated Health now at Orthopaedic Associates of Bethlehem & Easton

For the physicians at OAB Orthopaedics, the choice is clear. Nowhere else can they give their patients the efficient, integrated healthcare they deserve.

Welcome Dr. Thomas Sauer, Dr. Peter Kozicky, Dr. John Williams, Dr. James Sunday and Dr. Scott Sauer and their patients to the Coordinated Health team.

Allentown • Bethlehem • Brodheadsville • Easton • East Stroudsburg • Hazleton • Lehighton • Phillipsburg (877) 247-8080 | coordinatedhealth.com | (610) 861-8080 coordinatedhealth. com

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Colds are responsible for many people missing school and work each year. The common cold can be caused by over 200 viruses and while you can catch a cold at any time, you are most vulnerable during winter and rainy seasons.

Colds are passed to individuals through contact and are most contagious for the first two to three days. Symptoms of a cold

Molly McNeil, MS, ATC

include nasal congestion, runny nose, sore throat, sneezing, coughing, headache, watery eyes, and mild body aches.

See a doctor if symptoms last longer than ten days, is not relieved by over-the-counter medications, or you have a temperature over 100.4째F. In some instances, colds can lead to bronchitis, ear infection, pneumonia, and sinusitis.

The best way to fight off a cold is to get plenty of rest and fluids. Over-the-counter cough medication will help alleviate the symptoms, but will not make your cold go away any faster. Antibiotics should not be taken for a cold; they will not make the cold better and could even make it worse. Some alternative treatments to help with your cold are chicken soup, Vitamin C, Zinc, and Echinacea.

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The best way to avoid a cold is prevention. Always wash your hands after wiping your nose or before preparing food. Clean commonly touched surfaces with a disinfectant, choose a smaller daycare class for your child to decrease the risk of spreading germs. Use antibacterial hand sanitizer when soap and water is not available, use paper towels instead of hand towels, always cough and sneeze into a tissue, and do not share anything with someone with a cold.

You should also support your immune system. Try to avoid second hand smoke, which can lead to cold or other health problems. Also, avoid unnecessary antibiotics to prevent antibiotic resistance. Breastfeeding can help prevent upper respiratory infections even years after being breastfed. It’s also important to make sure you are drinking plenty of water to ensure your immune system is working properly. Eating yogurts can help prevent a cold by beneficial bacteria or “active cultures” that some yogurts contain. Also, always make sure you are getting enough sleep. Lack of sleep can leave you more susceptible to illness.

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W h at o u r pat ie nts a re s ay

Dr. James H in 1996, my offman - Dr. H did back then (a husband, daughter an my first orthopedic su many of our t least 25 surgeries bet d myself have followedrgery back long as he p relatives and friends, ween us) and we, as w him since surgeon as wractices being an orthopwill stay with Dr. Ho ell as with him. H ell as an understandin od. We think he is a sffman as g e also explai u ns everythingdoctor at any appointmperior ent we have in a way tha t w e can unders My only ex a n perience is d tand h e will answe with Dr. DiIorio who r any I had for questions tha torn menis He came re t we may ha cus. commende a d n b d ve y m believe me, w y mother who had D r. Di Iorio e always hav for her 2 k plenty. He’s replacemen nee e ts and 1 h m o ip replacem r e t h We were bo a n just ent. a doctor, he’ th very ple a s s e d a friend (if with his treatment s plan and h e e h we i m is handling outside of th both our c of ases. I wo e office, he knows us uld not he to recomm s it a te by name, we end Dr. Di Iorio to an n o ’re t j who has jo u st a number) yone int problem s whether o . Fantastic they need r not surgeon a surgery inte n d all around r vention o Dr. Di Iorio r n p o e t. r s on. does not j ump rig ht surgery as to the first lin Paul and D e of treatm He explore onna B. ent. s other tre atmen

t options before sug gesting sur g ery as the option. last M. Susan U .

tor at r c o d e t daughte ri o y v m a f g n r u ti ut is o as been trea 8 years or o b d o G h y tt e ximatel f her knees Dr. Bre ed Health. H o r p p a at s for both o e e n enters n o Coordin k e y h r r s e e h g s r a r o be su ful eye te who will Kelly f s performed h c t a w e a a h hl so. He to keep ege as an at basketball at g s e u n i t n ll and con r year of co on of women’s bout for taki o s d i a her sen y her 4th se Thanks Dr. Go l e . complet town College er! h t ht Elizabe e of my daug ar great c Kim S.

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i n g a b o u t o u r p h ys i c i a n s sionate, s a p m o -- he is c s m a r Dr. McCarroll - My hu b and he is Dr. A , r sband, son e n e t t lis a e r an g d t da a a ug , ht er m , as well as myself. detailed at 9:30p n e v E W ! e are all athletes and he ing! cessible n r c has a o s m y y a a d r alw u he t lp e a d us S al l to continue to be am on a 0 0 : 8 r o ac tive. Dr. McCarroll supp night orts ou . r fi tn A es s a goals and helps Aryann

us to heal our injuries and avoid future problems, while encouraging us to at co gre a nt had I in ue do our active lifestyle! Our Dr. Brigi teenage daughter has chronic instability interaction with the doc in her ankles and Dr. M cCarroll avoided leading up to and post surgery for years and finally performed surgery. I’ve referred a ankle Dr. Stol l has bee number of people to him for n surgery extreme l ally y eci esp e, h car le nk e lpful his foot/a which has in direct i n g m y care surgical procedures. been so and admi nistering helpful! I medicati Courtney G. ons, inje ctions have sent and enco urageme nt; MANY friends he recom mended Dr. and family to Duffy wh z t r o Dr. a h a ing instrumen s been Schw r him! a d c r , a t w n t e a i l t Ed i n helping s pa i Cathy R. me heal e . h d e e s a t n db au en e able to ri o bec l i s t a r sit t a e i g hter and d y r e e r v u w s a d l k “tall”.

Deb K. an akes m s y a t He alw etting the bes g you are takes his time e is H d To share thoughts about your favorite care an ith the issue. w Coordinated Health physician dealing ! !

CLICK HERE the best .

We’d love to hear from you!

Erika W coordinatedhealth. com

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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 will be located on our Bethlehem Campus at Highland Ave. Cardiology services begin in November 2011. 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

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To Tan or not to Tan

By: Patrick Yoder, BS, ATC, LAT, MS With autumn closing in, the temperatures dropping, and the number of daylight hours dwindling, you may consider resorting to indoor tanning to maintain your summer glow.

If that’s the case, it’s important to consider a few health related issues. Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions, the amount of UVR from indoor tanning remains consistent and unrelenting. These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma. A visible tan is your body’s response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage.

Despite the links between indoor tanning and cancer supported by research, many people continue to tan. A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States.

According to a study done at the University of Iowa, women under the age of 45 were found to have the greatest risk of melanoma. This population also demonstrated the most widespread use of indoor tanning. Another type of skin cancer,

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basal cell carcinoma, is a potential development in people age 29 and under who frequently tan indoors.

Until legislative action is taken to deter indoor tanning, awareness of the harmful effects may be the best preventive measure. A survey done by the Emory University School of Medicine found that 69% of parents never wanted their children to use tanning devices, but only 15% of parents discussed their feeling with their children. According to a recent survey from San Diego State University, factors that

A survey done by the Emory University School of Medicine found that 69% of parents never wanted their children to use tanning devices, but only 15% of parents discussed their feeling with their children.

increase adolescents’ probability of using indoor tanning include being white females, having a larger allowance, and having a parent that tans indoor. Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer.

There are currently new studies being done to investigate the addictive effects of indoor tanning. After establishing what constitutes addiction, researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners.

As the evidence shows, the best way to prevent skin cancer is to avoid indoor tanning.

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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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From Lazy Boy to Running Rebel Turn yourself into a 5k runner… anyone can do it!

Christina T. Wise, M.S., ATC “Every morning in Africa, a gazelle wakes up, it knows it must outrun the fastest lion or it will be killed. Every morning in Africa, a lion wakes up. It knows it must run faster than the slowest gazelle, or it will starve. It doesn’t matter whether you’re the lion or a gazelle-when the sun comes up, you’d better be running.” McDougall, Christopher.

Born to Run: A Hidden Tribe, Superathletes, and the Greatest Race the World Has Never Seen. New York: Knopf, 2009 After reading Born to Run by Christopher McDougall, I was convinced that we all possess the physical ability to get up off the couch and run to our heart’s desire, but do we actually believe in ourselves enough to give it a try? I hope to convince you that there is not as much to fear about running as you may think. I’m sure we can all attest to driving down the street in the pouring rain only to pass one of those “crazy runners”, looking like they’re pulling an invisible cart full of cement blocks, and wondering, are they insane? Well to answer your question, yes, I guess we are kind of insane…especially when we hit the road in torrential downpours and snow. For this reason, running is a sport for the most passionate of athletes; a way to exercise that doesn’t require any self-coaxing (usually) because we find it FUN just to take off with no equipment, but our sneakers and some good music. Running doesn’t require a gym membership,

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it doesn’t “hurt your knees” as some myths warn, and it can be done wherever and whenever your schedule allows. It’s cathartic and uplifting, not to mention, you’ll burn calories and keep your heart healthy…double bonus!

Unfortunately running gets a bad rap from those who are not only afraid to try it, but also those who have tried it and “failed” when they discovered it caused them pain. So let’s dispel a common misconception from the start: Running doesn’t cause injuries, a lack of stretching and improper warm-ups and cool-downs do. Additionally, it’s not healthy or smart to start at a pace you’re not accustomed to. As with any other exercise regimen, you need to correctly acclimate your body to the stresses you’re about to place on it. Most importantly, if you haven’t been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen.

Another important factor to consider is proper footwear. It is common practice to overcorrect foot issues that may not even exist, so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store. If soreness kicks in you should make sure to be very conscientious about icing after activity. It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs, aka Advil) if not contraindicated by your physician, as well as to maintain a proper pre- and post-running stretching program.

There are many programs out there to help you train for your first 5k. In fact, the internet is full of 5K programs that can help even the most inactive person become a runner.

There is even a Couch-to-5K® App for iPhone. The application tells you when to run and walk so there is no need to keep track of the time on your own. Also, each workout is recorded so you can monitor your progress.

For more information about starting your own exercise or running regimen, please consult your physician and check out the following websites: http://www.coolrunning.com/engine/2/2_3/181.shtml http://www.c25k.com/ http://www.fromcouchto5k.com/articles/training/the-couch-to-5k-training-plan/

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Handy Guide to Dupuytren’s Disease?

By: Melissa Trader, OTR/L

Have you ever noticed non-painful “lumps” in your palm? If so, you may suffer from a condition called Dupuytren’s Disease (“doo-puhtrenz”), also known as Dupuytren’s contracture, which is typically found in people of Northern European or Scandinavian descent.

What is Dupuytren’s Disease?

Dupuytren’s disease is thickening of connective tissue (also called fascia) underneath your skin, which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position. Functionally, the contracture can hinder your ability to put your hand in your pocket or in a glove, and can even make it difficult to shake someone’s hand.

The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign. The diagnosis is often confused with trigger finger, which is due to overuse/inflammation of the flexor tendons to your fingers.

Who is at risk?

Heredity plays a large part in who is affected by Dupuytren’s Disease. It was previously referred to as the “Viking disease” due to its connection with people of Scandinavian (Swedish, Norwegian, and Finnish) descent. It is also commonly found in people of Northern European descent (English, Irish, Scottish, French, and Dutch). Men are ten times more likely to be affected than women, and the diagnosis is typically made after the age of 40. There is currently no evidence indicating that Dupuytren’s Disease is associated with overuse, trauma, or specific occupational hazards.

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What is the treatment?

In mild cases when you are still able to lay your hand flat against a table, treatment is typically not recommended. In these mild cases, observation is recommended to look for progression of the disease and/or a worsening contracture. For some individuals, the disease may never progress to point of needing treatment.

The latest treatment indicated for Dupuytren’s disease is an enzyme injection. The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue. This is a procedure that can be performed at your hand surgeon’s office.

Another less invasive technique is a needle aponeurotomy. This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position, thus snapping the cord. Sutures are not needed and recovery time is generally quick.

The most invasive option is an open surgical release. This technique involves opening the skin and removing the diseased tissue. This procedure is typically performed when the affected fingers are significantly contracted. In some cases, skin grafting may be needed to regain full extension of the fingers.

Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function. coordinatedhealth. com

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Who’s New at Coordinated Health

Dr. Scott Bleazey Podiatry Fellow

Dr. Gayllyn Faust-Rakos GYN

Dr. Peter Kozicky Orthopedic Surgeon

Dr. Karen Morris-Preister Anesthesiologist

Dr. Scott Sauer Orthopedic Surgeon

Dr.Thomas Sauer Orthopedic Surgeon

Dr. David Scoblionko Cardiology

Dr. James Sunday Orthopedic Surgeon

Dr. John Williams Orthopedic Surgeon

Carolyn Phillipi CRNP - Cardiology

Virginia Quaglio CRNA

Kimberly Westra CRNA

MaryBethZazzera CRNA

John Fitzell PA-C

Scott Roman PA-C

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Who’s New at Coordinated Health

Mark Llewellyn PT

Scott Wescott PT

Donna Wilk PT

Kim Boucher PTA

Cathleen Car PTA

Paula Dreiling PTA

Amy Garrison PTA

Stacy Rissmiller PTA

Philip Weaver PTA

Jennifer Roeder Director of Rehabilitation

Jan Hill District Manager Bethlehem at OABE

Kathleen Hoernle District Manager Easton at OABE

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Flu Vaccination Fact Sheet 2011-2012 Ellen S. Novatnack, Director of Infection Prevention

Influenza (“flu�) is a contagious disease caused by the influenza virus. Flu viruses are spread mainly by droplets which form when people with the flu cough, sneeze or talk. These droplets can land in the mouth/ nose of people nearby. A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth, eyes or nose.

Symptoms include: fever, chills, sore throat, cough, muscle or body aches, fatigue (very tired), headache, runny or stuffy nose, vomiting & diarrhea (more common in children than adults).

You may be able to pass the flu to someone else before you know you are sick, as well as while you are sick. Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming Most healthy adults are able to sick. Young children and people with weakened infect others beginning 1 day immune systems may be able to infect others for before symptoms develop up to an even longer time.

5-7 days after becoming sick.

Certain people are at greater risk for serious complications if they get the flu including: those > 65 years, young children, pregnant women, and people with certain health conditions - such as asthma, diabetes, weakened immune systems, heart disease - and persons who live in facilities like nursing homes.

Complications of flu can include bacterial pneumonia, ear infections, sinus infections, dehydration, and worsening of chronic medical conditions.

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Each year thousands of people die from influenza and even more require hospitalization. Flu seasons are unpredictable and can be severe. Over a period of 30 years from 1976 and 2006, flu-associated deaths in the United States are estimated to range from 3,000 - 49,000 people annually.

The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease. By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others. Annual influenza vaccination is recommended because the flu viruses are always changing. About two weeks after vaccination, antibodies develop that protect you against influenza virus infection and they last about a year. The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season. This year’s shot (Northern Hemisphere 2011–2012 seasonal influenza vaccine) contains the following three vaccine viruses: A/California/7/2009 (H1N1)-like virus; A/Perth/16/2009 (H3N2)-like virus; and B/Brisbane/60/2008-like virus. coordinatedhealth. com

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All people age 6 months of age and older should get flu vaccine. Vaccination is especially important for people at higher risk and their close contacts, including healthcare providers and contacts of children <6 months. Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season. Timing and duration of flu season varies, but usually ranges from October through May. Talk to your doctor first if you had a severe, life-threatening allergic reaction - including a severe allergy to eggs, a severe reaction after a dose of flu vaccine, or if you had GuillainBarrĂŠ Syndrome. People who are moderately or severely ill should usually wait until they recover before getting flu vaccine. People with a mild illness can usually get the vaccine.

The viruses in the inactivated influenza vaccine have been killedâ&#x20AC;Śso you cannot get influenza from the flu shot! Mild problems include: soreness, redness, or swelling at the injection site, hoarseness; sore, red or itchy eyes; cough, fever, body aches, headache, itching, fatigue. If these problems occur, they usually begin soon after the shot and last 1-2 days. Severe problems include: Life-threatening allergic reactions from vaccines are very rare. If they do occur, it is usually within a few minutes to a few hours after the shot. Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown, Bethlehem, East Stroudsburg, and Lehighton in mid-October for $25. Schedule an appointment or walk-in to receive your flu shot.

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September/October 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