Patient news from the health care team you trust Summer 2018
Vol. 2, Issue 3
Hepatitis A: What you need to know It is common for children 6 and under to not have symptoms when they have hepatitis A.
To vaccinate or not to vaccinate
As pockets of our region experience outbreaks of hepatitis A, or hep A, let’s talk about the facts and what you need to know when it comes to hepatitis A in both adults and children.
even exposed, during that time period. The incubation period for hepatitis A is 15 to 50 days, although some may have symptoms for as long as six months.
First, hepatitis A is a communicable disease that is transmitted personto-person via the fecal-oral route or by consumption of contaminated food and water. So, washing your hands after using the restroom and before eating and practicing good personal hygiene are important roles in prevention.
The most common symptoms of hepatitis A include: fever, nausea and/or vomiting, fatigue, abdominal pain, low appetite and jaundice.
Symptoms In many ways, hep A can, at first, appear similar to a stomach bug with abdominal pain and/or vomiting. You are most contagious during the one to two weeks prior to the onset of jaundice. Unfortunately, you may have no idea that you’re infected, or were
If you’ve already received the hep A vaccine, then you don’t need to do anything further. Hep A has been part of the standard vaccine recommendations for children since 2007. They typically receive the vaccine 12 - 23 months of age. Hep A is among the vaccinations required for pre-K and kindergarten program entry in West Virginia. If you have been exposed within two weeks to hepatitis A and have not been vaccinated, the recommendations are: • Less than 12 months of age: Immune globulin
IF EXPOSED TO HEP A
• 12 months through 40 years old: Hepatitis A vaccine
• Contact your local health department so they can document your exposure and administer the vaccine or immune globulin as necessary. • Seek treatment from your primary care physician or a walk-in clinic as soon as possible. Our primary care locations, walk-in clinics and pharmacies have the vaccine.
• 41 years old and older: Immune globulin, but hepatitis A vaccine can be used if immune globulin is unavailable
For more information about the prevention and treatment of hep A, read the full article at: healthy.marshallhealth.org
Hepatitis A, B & C – What’s the difference? HEPATITIS A
HEPATITIS B
HEPATITIS C
Transmitted fecal-oral route or by consumption of contaminated food or water.
Contracted through blood, semen or anoth- Blood-borne virus, commonly contracted by er body fluid during sexual contact, sharing sharing needles or other equipment used to needles/syringes or from mother to baby inject drugs with an infected person(s). during childbirth.
Prevented by hepatitis A vaccine
Prevented by hepatitis B vaccine
There is no vaccine for hepatitis C. The best way to prevent hepatitis C is by avoiding behaviors that spread the disease.
Self-limited – does not result in chronic infection; antibodies produced in response to infection protect against reinfection
Acute, short-term illness for some; longterm chronic liver infection for others
Chronic, long-term illness for the majority of people infected with hepatitis C.
Marshall Health - Teays Valley opens 3D mammography suite Marshall Health now offers 3D mammography at its Teays Valley location. A mammogram is a specific type of breast exam that aids in the early detection and diagnosis of breast diseases in women. This quick medical exam uses a noninvasive x-ray on each breast that produces pictures that your doctor can use to identify and treat any abnormal areas. At this time, we only provide routine screenings. If the radiologist recommends further diagnostic imaging, you will be contacted by your provider and referred to a facility of your choice. Screenings are currently available to Marshall Health patients. To establish with a Marshall Health provider, call 304-691-6800. To schedule a mammogram or for more information, call 304-691-1800.
MANGO SMOOTHIE
Cool off with a summertime smoothie 1 c. frozen diced mango 1 c. frozen sliced banana
1 c. apple juice ¼ c. vanilla yogurt
Directions: Blend all ingredients together to make (2) servings. Nutrition Facts: 182 cal., 44g carb. per serving Courtesy of Jessica Meek, MS, RD, LD, Bruce Chertow Diabetes Center
Change up the recipe and still keep it healthy by adding in greens such as spinach or kale, chia or flax seeds or protein powder. Or, make a diabetes-friendlier version by substituting a low-carb vanilla yogurt and light apple juice. These trades save you about 46 calories and 12 grams of carbohydrates per serving.
UPCOMING EVENTS FREE SPORTS PHYSICALS Tuesday, June 5 / 4:30 to 7 p.m. Marshall Health – Teays Valley 300 Corporate Center Drive, Scott Depot Info: 304-691-6710 Schedule for students: • 4:30 p.m. – Buffalo High School • 5 p.m. – Winfield High School • 5:30 p.m. – Poca High School • 6 p.m. – Hurricane High School Thursday, June 7 / 5:30 to 7 p.m. Marshall Sports Medicine Institute 2211 Third Avenue, Huntington Info: 304-691-1100 Schedule for students: • 5 p.m. – Wayne High & St. Joseph Catholic High School • 5:30 p.m. – Spring Valley High School • 6 p.m. – Lincoln & Tolsia High School • 6:30 p.m. – Huntington High School • 7 p.m. – Cabell Midland High School Middle school students should show at the appropriate time of their feeder high school. Bring the following documentation with you: camp forms, proof of insurance and immunization records (if primary care provider is not at Marshall Health) for the student.
DINING WITH A DOC
Topic: Preventing back & neck pain Orthopaedic spine surgeon Tom Reinsel, MD, will join you in preparing a healthy meal along with Chef Marty Emerson Tuesday, June 5 / 6 to 8 p.m. Huntington’s Kitchen 911 Third Avenue, Huntington Free Registration: 304-522-0887
DIABETES SUPPORT GROUP
Topic: Chair Refit, led by Mallory Mount, MS, RD, CDE Monday, June 11 / 6 p.m. Erma Ora Byrd Center | 2nd Floor 1249 15th Street, Huntington Info: 304-691-1660 The Diabetes Support Group will not meet in July or August.
Save on prescriptions with the new CHHRx program Through the newly created CHHRx program, Marshall Pharmacy, in collaboration with Cabell Huntington Hospital, is offering discounted pricing on prescriptions to individuals with incomes below the 200% federal poverty level. Those who benefit are uninsured or underinsured; are within a Medicare coverage gap; have a medical hardship or need copay assistance; and/or require specialty drugs with large copays. If approved, patients will pay $10 per prescription plus the discounted pricing. Pricing varies based on the type of medication. The cardholder and all household members will receive discounts through the program. The card can be used at any Marshall Pharmacy location. For more information about the program or to schedule an appointment with a financial counselor, call 304-691-6872 or stop by the Marshall Pharmacy located in the Marshall University Medical Center.
Leading medical institutions form PROACT, substance use recovery group Health care leaders in the Huntington/ Charleston region have joined forces to form PROACT, the Provider Response Organization for Addiction Care & Treatment, to address the clinical, behavioral, spiritual and professional issues of those affected by the epidemic of substance use. Partner institutions include Cabell Huntington Hospital, St. Mary’s Medical Center and Marshall Health, which have each committed financial and human resources to the collective nonprofit organization. Additionally, Thomas Health and Valley Health have become members of PROACT, extending the reach of and expanding the partnership. PROACT services will be provided to individuals on a referral and walk-in basis. The PROACT system is designed to fill the gaps at critical access points that currently exist in the substance use disorder arena for both patients and providers. More information about PROACT and the partner organizations is available at www.proactwv.com.
Chronic care managers join Marshall Health care team The new Chronic Care Management (CCM) program at Marshall Health focuses on maintaining excellent communication between the patient and their medical care team by offering direct access to a health care team member. CCM is a non-faceto-face care coordination service provided by a clinical staff member under the direct supervision of the patient’s primary care provider. The goal of this program is to reduce unnecessary doctors’ appointments, emergency room visits and urgent care visits by discussing current symptoms and working with the physicians to manage these symptoms quickly and prevent further complications. To qualify for the CCM program a patient must have two or more chronic medical conditions expected to last at least 12 months and put the patient at risk for exacerbation or death. Chronic conditions include: • Alzheimer’s and related dementia • Arthritis • Asthma
• Atrial fibrillation • Autism • Cancer • COPD
• Depression • Diabetes • Heart failure • Hypertension
• Ischemic heart disease • Osteoporosis
CCM is available through Marshall Family Medicine and Marshall Internal Medicine. Chronic care coordinators are Amber Byard, LPN, Linda Ferrell, RN, and Janet McCann, RN. For questions, contact Vanessa White, RN, chronic care management director, at 304-691-5384 or whitv@marshall.edu.
MEET OUR NEWEST PROVIDERS ORTHOPAEDICS
INTERNAL MEDICINE
Matthew W. Bullock, DO, MPT Orthopaedic Surgery Dr. Bullock joined Marshall Orthopaedics and specializes in all aspects of hip and knee replacement including revision surgery and infections. He is certified by the American Osteopathic Board of Orthopaedic Surgery.
Marc A. Subik, MD Gastroenterology Dr. Subik, board-certified gastroenterologist, recently returned to Marshall Internal Medicine, bringing years of experience in treating gastrointestinal disorders to our patient community.
Appointments: Call Marshall Orthopaedics at 304-6911262 (Huntington).
Appointments: Call Marshall Internal Medicine at 304691-1000 (Huntington) or 304-691-6910 (Teays Valley).
To learn more about our newest providers, go to: marshallhealth.org/doctors/new-providers/
Copyright © 2018 by Marshall Health. All rights reserved. For inquiries or suggestions, contact Marshall Health at info@marshallhealth.org. This information is not intended to be used in place of medical advice. In case of a medical issue, contact your personal physician.
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