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Volume 6, Issue 1 locallivingmag.com

Meet the Staff GARY DAVIS, MD

Chief Medical Officer Board Certified, Family Medicine Residency, Family Medicine, Abington Memorial Hospital, Abington, PA (2001) M.D., Dartmouth Medical School, Hanover, NH (1996) B.A., Biology, Dartmouth College, Hanover, NH (1992)

WILLIAM HAUG, DO

Internship, Delaware Valley Hospital (1971-1972) D.O., Philadelphia College of Osteopathic Medicine (1971) B.S., Miami University, Oxford, OH (1967) A.S., York Junior College (1965)

MARLELLE FROMUTH, M.ED, MSW/LCSW

Licensed Clinical Social Worker (2010) MSW, Temple University (2007) M.Ed, Alvernia University (2004) BASW, University of Pittsburgh (2001)

PAMELA DELORETTA MSW, LSW

Licensed Social Worker (2014) MSW, West Chester University (2013) BSW, Shippensburg University (2008)

IRENE SHEPHERD, CPNP

JACEK OBARA, MD

Board Certified, Family Medicine Residency, Southern Illinois University Family Practice, Springfield, IL (2005-2008) M.D., Memorial University of Newfoundland, St. John’s, NF Canada (2003) B.A., New York University, NY (1997)

Board Certified, Pediatric Nurse Practitioner C.P.N.P., M.S. Nursing, University of Pennsylvania, Philadelphia, PA (1996) B.S., Nursing, University of Pennsylvania, Philadelphia, PA (1980)

DENTAL PROVIDERS DEBORAH CELLERS, CRNP

Certification ANP (2012) MSN, Neumann University (2012)

KRISTA DANKIW-LUDWIG, MSN, CRNP, WHNP-BC

Women’s HealthCare Nurse Practitioner, Board Certified (2012) Thomas Jefferson University, MSN (2012) Thomas Jefferson University, BSN (2008) Millersville University, BA in psychology, biology minor (2005)

MARIA A. TUCKER, MD

Board Certified, American Board of Obstetrics and Gynecology, Pennsylvania Residency, Lankenau Hospital, Wynnewood, PA (1991-1995) M.D., University of Pittsburgh, Pittsburgh, PA (1991) B.A., University of Virginia, Charlottesville, VA (1987)

GARY OTT, MD

Board Certified, American Board of Obstetricians and Gynecologists, Pennsylvania (2002) Residency, Reading Hospital and Medical Center, West Reading, PA (1997-2000) Intern, Reading Hospital and Medical Center, West Reading, PA (1996-1997) M.D., Penn State College of Medicine, Hershey, PA (1996) B.S., Houghton College, Houghton, NY (1992)

JESSICA N. WILLIAMS, MD

Residency, Albert Einstein Medical Center, Philadelphia, PA (2008-2012) M.D., West Virginia University, Morgantown, WV (2008) B.S., Carnegie Mellon University, Pittsburgh, PA (2003)

SAFWAN SHAAYA, D.D.S.

D.D.S., New York University College of Dentistry, NY (1998-2001) National Dental Boards & TOEFL, Kaplan Education Center, New York City (1994-1997) Intensive English, Long Island University, Brooklyn Campus, New York City (1997-1998) D.D.S., Hama University College of Dentistry, Syria (1984-1989)

STEVEN LUBIN, DMD

D.M.D., Temple University Dental School, Philadelphia, PA (1982 to 1986) Minor Biology, Rutgers University, Camden, NJ (1979 to 1982)

B.A., Psychology, LaSalle University, Philadelphia, PA (1975 to 1979)

REEME SREEDHARAN, DMD

Doctor of Dental Medicine, ADA Accredited, Boston University Goldman School of Dental Medicine (May 2011) Student Dentist, Boston University (July 2009-May 2011) Residency at Government Dental College, Kerala, India (May 2000-April 2001) Bachelor of Dental Surgery, Government Dental College, Thiruvananthapuram, India (May 2000)

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Living

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Karen A. Kovacs Publisher Sherilyn Kulesh / Kulesh Design Group Art Director Blair Johnson Director of Sales Lori Papp Senior Account Executive Susanna Koppany Marketing & Sales Manager Melinda Kovacs Accounting Manager Local Living Magazine is published by Blue Water Media LLC. For more information about Local Living Magazine please visit our website at www.Locallivingmag.com, email us at info.Bluewatermedia@gmail.com or call at 609- 788-0443 All Rights Reserved

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Designed In the United States 2016

R OUR HEALTH CEN TER

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RANCE IS THROUGH MAIN

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g .or

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Now Open!

New Dental Site located at

New11Dental Site Coming Soon!

Robinson Street, Suite 100

800 Heritage Suite 700 HeritageDrive, Drive, Suite 701 802, Pottsto 800 Heritage Drive, Suite 802

CONVENIENTLY LOCATED NEAR OUR HEALTH CEN 19464 O N H E R I T APottstown, G E D R I V E PA (PATIENT ENTRANCE IS THROUGH MAIN

www.ch-dc.org Phone: 610.326.9460Available! or 610.326.9463 Free Transportation DOUBLE DOORS AT 800 HERITAGE DRIVE)

(Hours are subject to change without notice.)

Walk-in medical hours at 700 Heritage Drive, Suite 701 for established CHDC patients. Mon. 9-5, Wed. 9-7, Fri. 9-3 11 Robinson Street, Suite 100 700 Heritage Drive, Suite 701 800 Heritage Drive, Suite 802 Pottstown, PA 19464

Phone: 610-326-9460 www.ch-dc.org

11 ROBINSON Monday 8am - 8pm Tuesday* 8am - 7pm Wednesday* 8am - 7pm Thursday 8am - 8pm Friday 8am - 5pm Saturday 8am - 3pm *Dental only closes at 6pm.

700 HERITAGE Monday 8am - 5pm Tuesday 8am - 7pm Wednesday 8am - 7pm Thursday 8am - 5pm Friday 8am - 5pm Saturday Closed

802 HERITAGE (Dental) 11 Robinson Street, S Monday 8am - 5pm 700 Heritage Drive, S Tuesday 8am - 5pm 800 Heritage Drive, S Wednesday 8am - 5pm Pottstown, PA 19464 Thursday 8am - 5pm Friday 8am - 2pm Saturday Closed

Phone: 610-326-9 www.ch-dc.org

Colorectal Cancer Screening

Basic Fact Sheet

Are You at High Risk?

Your risk for colorectal cancer may be higher than average if: • You or a close relative have had colorectal polyps or colorectal cancer.

• Youhaveinflammatoryboweldisease.

• You have a genetic syndrome such as familial adenomatous polyposis (FAP) or hereditary nonpolyposis colorectal cancer.

stomach small intestine colon (large intestine) rectum

anus

Colon and Rectum

People at high risk for colorectal cancer may need earlier or more frequent tests than other people.

Talk to your doctor about when to begin screening and how often you should be tested.

Screening Saves Lives

What Is Colorectal Cancer?

Colorectal cancer is cancer that occurs in the colon or rectum. Sometimes it is called colon cancer.

The colon is the large intestine or large bowel. The rectum is the passageway that connects the colon to the anus.

It’s the Second Leading Cancer Killer Colorectal cancer is the second leading cancer killer in the United States, but it doesn’t have to be.

If everyone aged 50 years or older had regular screening tests, at least 60% of deaths from this cancer could be avoided. So if you are 50 or older, start getting screened now.

Who Gets Colorectal Cancer?

• Both men and women can get it.

• It is most often found in people 50 or older.

• The risk increases with age.

1-800-CDC-INFO (1-800-232-4636) www.cdc.gov/screenforlife

If you’re 50 or older, getting a colorectal cancer screening test could save your life. Here’s how: • Colorectal cancer usually starts from polyps in the colon or rectum. A polyp is a growth that shouldn’t be there.

• Over time, some polyps can turn into cancer.

Colon Polyp

• Screeningtestscanfindpolyps,sotheycan be removed before they turn into cancer.

• Screeningtestsalsocanfindcolorectalcancer early. When it is found early, the chance of being cured is good.

Colorectal Cancer Can Start With No Symptoms Precancerous polyps and early-stage colorectal cancer don’t alwayscausesymptoms,especiallyatfirst.This means that someone could have polyps or colorectal cancer and not know it. That is why having a screening test is so important.

What Are the Symptoms?

Some people with colorectal polyps or colorectal cancer do have symptoms. They may include: • Blood in or on your stool (bowel movement).

• Stomach pain, aches, or cramps that don’t go away.

• Losing weight and you don’t know why.

If you have any of these symptoms, talk to your doctor.

These symptoms may be caused by something other than cancer. However, the only way to know what is causing them is to see your doctor.

Types of Screening Tests Severaldifferentscreeningtestscanbeusedtofind polyps or colorectal cancer. Each can be used alone.

Sometimes they are used in combination with each other. The U.S. Preventive Services Task Force (USPSTF) recommends colorectal cancer screening for men and women aged 50–75 using high-sensitivity fecal occult blood testing (FOBT), sigmoidoscopy, or colonoscopy. Talk to your doctor about which test or tests are right for you. The decision to be screened after age 75 should be made on an individual basis.

If you are older than 75, ask your doctor if you should be screened.

• High-­‐Sensitivity FOBT (Stool Test) There are two types of FOBT: One uses the chemical guaiac to detect blood. The other — a fecal immunochemical test (FIT)—uses antibodies to detect blood in the stool. You receive a test kit from your health care provider. At home, you use a stick or brush to obtain a small amount of stool.

You return the test to the doctor or a lab, where stool samples are checked for blood.

How Often: Once a year.

• Flexible Sigmoidoscopy Forthistest,thedoctorputsashort,thin,flexible, lighted tube into your rectum. The doctor checks for polyps or cancer inside the rectum and lower third of the colon.

How Often: Every five years. When done in combination with a High-­‐Sensitivity FOBT, the FOBT should be done every three years.

U.S. Department of Health and Human Services Centers for Disease Control and Prevention

• Colonoscopy Thisissimilartoflexiblesigmoidoscopy,exceptthe doctorusesalonger,thin,flexible,lightedtubeto check for polyps or cancer inside the rectum and the entire colon. During the test, the doctor can findand removemostpolypsandsomecancers.

How Often: Every 10 years.

Colonoscopy also is used as a follow-up test if anything unusual is found during one of the other screening tests.

Other Screening Tests in Use or Being Studied Although these tests are not recommended by the USPSTF, they are used in some settings and other groups may recommend them. Many insurance plans don’t cover these tests, and if anything unusual is found during the test, you likely will need a follow-up colonoscopy.

• Double Contrast Barium Enema — You receive an enema with a liquid called barium, followed by an air enema. The barium and air create an outline around your colon, allowing the doctor to see the outline of your colon on an X-ray.

• Virtual Colonoscopy — Uses X-rays and computers to produce images of the entire colon. The images are displayed on the computer screen.

• Stool DNA Test —You collect an entire bowel movement and send it to a lab to be checked for cancer cells.

Will Insurance or Medicare Pay? Many insurance plans and Medicare help pay for colorectal cancer screening tests. Check with your plantofindoutwhichtestsarecoveredforyou.Tofind out about Medicare coverage, call 1-800-MEDICArE (1800-633-4227) or visit www.medicare.gov.

The Bottom Line If you’re 50 or older, talk with your doctor about getting screened. For more information, visit www.cdc.gov/screenforlife or call 1-800-CDC-INFO (1-800-232-4636). For TTY, call 1-888-232-6348.

Click HERE to watch the video CDC Publication #99-­‐6949 • Revised March 2014

Food for Thought Shopping Cart

ESSENTIALS > Stocking Up on These Healthy Staples

By Liza Barnes

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Local Living Volume 6 | Issue 1

So, you’re going to start eating healthy. Congratulations are in order—and so is a trip to the grocery store. Stocking up on some new items is a must. If your pantry is full of healthy fare, you’ll stress less about meals, and you’ll be less likely to snack on nutritionally-empty junk.

B

ut should you buy 12-grain or whole wheat bread?

Low-fat milk or soy milk? Butter or margarine?

Grocery shopping isn’t rocket science, but it can be confusing, even for those with the best of intentions.

So to help, here’s a list of shopping cart essentials—an aisleby-aisle guide to supplies you’ll need to stock your kitchen for your healthy eating resolution.

Produce: Start Here

Fresh fruits and veggies are the foundation of a healthy diet.

Here are some of the best picks to help you reach your goals: • Apples are good to have on hand for a quick snack. They’re usually cheaper by the bag, and they last for a while, so don’t be afraid to stock up.

• Bananas are another handy snack. This fruit is also an essential if you’re a fan of smoothies. Wait for them to ripen (with a few brown spots), then peel, slice, and freeze in an airtight container for a quick, frosty addition to your favorite smoothie combo.

• Lettuce. Skip the iceberg (its low in nutrients) and grab a head of Romaine (for salads and sandwiches) and some mixed baby greens (also great for salads).

• Carrots are a simple snack (try dipping them in almond or peanut butter for a new twist) and a common ingredient in soup and stir-fry.

• Dark green, leafy vegetables. If you buy just one produce item, this should be it Greens are high in calcium, folate, and vitamin C, and delicious. There are lots of varieties of greens (broccoli, kale, chard, and spinach are popular examples).

• Avocados, those mysterious egg-shaped fruits, are rich in good fats, and delicious additions to sandwiches, wraps, or salads. Buy them when they’re green and allow them to ripen on your counter—they’re ready to eat when soft. Homemade guacamole makes a flavorful addition to veggies, burritos and baked chips.

• Whole wheat bread. To make sure you’re buying whole grain bread (which is superior in nutrition and arguably, flavor) make sure “whole” is the first word on the ingredient list. The same goes for buns, bagels, English muffins, pitas, and other bread products.

• Sprouted grain bread is usually sold in the freezer case or natural foods section. It’s made entirely of sprouted whole grains, which are more easily digestible for some people.

This bread also boasts protein (and all essential amino acids) and fiber.

• Whole grain pasta. Choose whole wheat pasta and couscous, or even brown rice pasta for variety.

• Brown rice is a healthy addition to many meals. For quicker cooking, you can soak it on the counter for a few hours before boiling it, or buy pre-cooked brown rice in the freezer section that you can reheat in the microwave in minutes!

• Healthy cereals are those made with whole grains and without additives. Oatmeal is a hearty breakfast staple that cooks in minutes. Buy (plain) instant or quick oats to save time. When cooking it on the stovetop, add a handful of frozen blueberries for a scrumptious breakfast truly fit for champions.

Bread & Cereal Aisles

Bread, cereals and other grain products can often be the most confusing to buy, and healthy sounding phrases on their packages (Health Nut, 12-Grain, and more) don’t make it any easier. For the best bet, ignore the claims on the front of the box and go straight to the nutrition label.

Volume 6 | Issue 1 Local Living

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Local Living Volume 6 | Issue 1

The Dairy Case

Most grocery stores place dairy in the very back so that you’ll have to walk through the whole store (and past its enticing food items) to get to it. But even though it’s in the back, dairy holds an important place in most people’s diets.

So what are the top picks?

• Skim milk has just as much calcium as other varieties, but far less saturated fat. If you’re intolerant of milk (or prefer not to drink it), try dairy alternatives like soy or rice milk.

The fortified varieties have as much calcium and vitamin D as dairy milk, but are free of saturated fat and cholesterol.

• Low-fat yogurt is getting more praise every day for supplying our bodies with probiotics, the healthy bacteria that keep our intestines happy. Choose low-fat and natural varieties, watch the sugar content. Soy yogurt, which is fortified with calcium and contains probiotics, is another good choice.

• Low-fat cottage cheese is a great source of protein and calcium, without any added sugar. It’s a versatile ingredient for both sweet and savory healthy dishes. Look for lowsodium varieties if you are watching your blood pressure.

• Keifer, basically, is drinkable yogurt. It’s mildly tangy, usually sweetened and whipped with fruit. It has many of the same health benefits as yogurt.

• Cheese. Admittedly, some low-fat cheeses don’t taste as good as the “real” thing, but this is improving. Cheese is high in calcium, so even if you splurge on the full-fat varieties, it’s still healthy to eat it in moderation and when you keep your portions in check.

• Butter is a food to be enjoyed in moderation. It has about the same amount of fat and calories as margarine, but is often a better choice since margarine can be loaded with transfats.

Eggs and egg whites are great sources of protein. Many experts and consumers agree that the best tasting (and possibly most nutritious) eggs come from organically-fed and pasture-raised birds.

Meat & Other Proteins

Meat is often more expensive than plant-based proteins, but you can buy meat on sale and freeze what you can’t use within a few days. Keep in mind that a healthy diet will include a variety of protein sources, so don’t be afraid of going meatless and opting for beans or the occasional tofu— both of which make healthy additions to any meal.

• Boneless, skinless chicken breasts are an ultra-simple and healthy source of protein. Go for hormone-free chicken when possible.

• Canned chunk-light tuna in water is healthy and convenient when making sandwiches and topping salads.

Avoid tuna packed in oil, and watch for added sodium.

Try canned salmon for variety.

• Fish is a heart-healthy protein source thanks its Omega-3 fatty acids. Choose fresh if it fits your budget and lifestyle, or frozen. Cod, flounder, haddock, halibut, trout, wild salmon and tuna are the best choices.

• Beans are good sources of protein, fiber and other nutrients.

You can buy them canned, but for superior flavor (and price), buy dried beans. Some staple varieties include black beans, garbanzo beans (chickpeas), and kidney beans. Add them to soups or salads, or over some brown rice, with grated cheese and salsa for a simple and satisfying supper.

• Tofu is a healthy source of plant protein that’s also cholesterol-free. Look for extra firm varieties in the refrigerator section to add to stirfry, or “silken” varieties to add a protein boost to smoothies.

• Lean beef isn’t that hard to find. Look for USDA Select or Choice grades of beef that are trimmed of fat or marked as “lean,” such as round, sirloin, flank steak and 95% lean ground beef.

Extras

• Salad dressing. Read labels to find ingredients that you recognize. When you find one you really like, you’ll likely eat more salad, which is a good thing!

• Olive oil. Buy extra virgin for the best flavor.

Herbs and spices—stock up! These add flavor to any dish without adding fat or calories. Some basics are cinnamon, cumin, black pepper, oregano, and basil. They can be expensive when you buy them all at once, so buy them as you need them for recipes, and check out the prices on the bag-and-weigh spices at your natural-foods grocery store, which are much lower in cost.

With a few good recipes and some creativity, the flavors of the toaster pastries and TV dinners of your past will fade faster than the green flesh of a freshly cut avocado. You’ll see! Now get shopping!

Volume 6 | Issue 1 Local Living

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nutrition

The Start to a Healthier Lifestyle

By Erika Ringwald

A

s a Registered Dietitian at a private practice, I get to work with people who are trying to manage a whole host of issues. But there is a common theme that I often come across, which is the majority of people want to take on a healthier lifestyle. There is a lot of information available with which to work. Some will try removing food groups; others will try adding in “miracle” foods. It’s overwhelming trying to understand all the information and put it into action. My job is to educate people and bridge the gaps. I start with each client in a similar fashion. I personalize the education and plan specific to their needs and goals, but a few behaviors are consistent and key to everyone.

First of all, you need to be honest with yourself. Journaling as you eat, as opposed to recalling the food you ate that day, will provide better insight into your eating habits and hold you accountable for everything that passes into your mouth. Moving forward and making a change requires seeing where you are coming from. Seeing what you are really doing, not choosing to remember what you are doing, can help identify those problematic issues.

in as much movement in the waking hours. Use a bathroom far away at work, take a walk during lunch or a break, every time you need to use the stairs, go up, come back down and go up again. You take in energy throughout the day, so you need to use it!

Stay active everyday. Including intentional exercise is important, but don’t underestimate the overall benefit of moving more throughout the day. Many people use exercise as an excuse to eat what they want to. This is not a good behavior.

If you exercise 1 hour a day, there are 23 hours remaining, some of which are sleeping. If you are sedentary the majority of the day, you cannot afford to indulge when you eat. Get

Erika Ringwald is a Registered Dietitian with Erika Ringwald Nutrition. She focuses on bridging the gaps between nutrition information and making it work within your lifestyle. Erika can be reached at erika@erikaringwaldnutrition.com.

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Local Living Volume 6 | Issue 1

Portion control is critical. Learning what reasonable portion sizes are and what they look like will prevent overeating at meals and snacks. Starting to measure out foods and seeing what an actual portion is can be eye opening. Highlight the word control. You control what and how much you eat.

Period.

Start each day with breakfast. There is caveat to this tip, however. Avoid highly refined foods and definitely avoid added sugars! Starting off with a whole, intact grain, like oatmeal and having some protein, like an egg, will set you up with even energy and better control throughout the day.

Once you are able to figure out what it is that is interfering with a healthy lifestyle, you can start to put the focus on where the change will reap the most benefits.

New Dental Site Now Open!

800 Heritage Drive, Suite 802, Pottstown • www.ch-dc.org

Join Us

May 11, 2016

ng Soon!

for an Open House at 800 Heritage Drive • 4:30pm - 6:30pm

New Dental Site

Come out to tour our new dental site, enjoy light refreshments and meet our staff.

802, Pottstown

800 Heritage Driv

Free health screenings, kid’s activities and free give-aways will be offered.

TriCounty Chamber of Commerce Ribbon Cutting Ceremony will be held at 4:30pm.

OUR HEALTH CEN TER

NCE IS THROUGH MAIN

Can’t wait to see you there!

CONVENIENTLY LOCATE ON HERITAGE DRIVE (PA

Conveniently Located Near Our HealthFree CenterTransportation on Heritage Drive Av DOUBLE DOORS AT 800 HERITAG

(Patient entrance is through main double doors at 800 Heritage Drive)

FREE Transportation Available!

Accepting Commercial Insurance

11 Robinson Street, Suite 100 700 Heritage Suite 701 Did You Drive, Know?

800 Heritage Drive, Suite 802 • About 1 of 5 (20%) children aged 5 to 11 years have at least one Pottstown, PA 19464 untreated decayed tooth.

• 1 of 7 (13%) adolescents aged 12 to 19 years have at least one

Phone: untreated610-326-9460 decayed tooth. www.ch-dc.org

• The percentage of children and adolescents aged 5 to 19 years with untreated tooth decay is twice as high for those from low-income families (25%) compared with children from higher-income households (11%).

New Dental Site Coming Soon!

800 Heritage Drive, Suite 802, Pottstown CONVENIENTLY LOCATED NEAR OUR HEALTH CEN TER ON HERITAGE DRIVE (PATIENT ENTRANCE IS THROUGH MAIN DOUBLE DOORS AT 800 HERITAGE DRIVE)

High Quality Services Offered Free Transportation Available!

• Medical • Dental • OB/GYN and Prenatal • Behavioral Health • Nutrition Services • Discount Pharmacy • Healthcare Discounts • Case Management

• Referral Assistance • Translation and Interpretation Services • FREE Transportation Program • New for 2016! Vision Services Plus many more exciting programs! www.ch-dc.org

11 Robinson Street, Suite 100 700 Heritage Drive, Suite 701