healthfocus
APRIL 2015
April is
awareness
NATIONAL AUTISM AWARENESS MONTH
action
acceptance inclusion
Page 2
Page 4
Pages 7-8
Ten Tips to Keep
Head to Toe Health
Your Allergies May
Your Feet Healthy
appreciation
Be to Blame
Pages 11-12 Finding A Doctor Near You
Daily Cola
‘Raises Cancer Risk’
Due to Caramel Coloring
The chemical process during the manufacture of the caramel coloring used in soft drinks such as cola produces a carcinogen that could be raising the risk of cancer to above the accepted threshold of one extra case in every 100,000 people consuming the drinks, suggests an analysis. Matching laboratory tests conducted by Consumer Reports on 11 different soft drinks, first reported last year, with an analysis of average consumption by Americans, the researchers found that one can a day could be enough to expose them to potentially cancer-causing levels of the chemical known as 4-MEI (short for 4-methylimidazole). The potential carcinogen is formed during the manufacture of the familiar caramel color that is added to many widely-consumed beverages. A law in California requires that drinks must carry warning labels if they contain enough 4-MEI to pose an excess cancer risk of more than 1 case in every 100,000 exposed people (an exposure of 29 mcg of 4-MEI every day). Testing on 110 samples of soda brands carried out by the Consumer Reports researchers, found that drinks contained levels ranging from 9.5 mcg per liter (mcg/L) to 963 mcg/L.
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Concentrations of 4-MEI varied considerably by soda brand and state of purchase, the researchers concluded, but were generally consistent across lots of the same beverage purchased in the same state/area. Routine consumption of certain beverages can result in 4-MEI exposures greater than 29 mcg a day - the level that triggers a new case of cancer in every 100,000 people consuming the drink, toxicity that was established by previous studies in mice and rats conducted by the US National Toxicology Program.
The researchers say there was not enough data from individual drinks samples to recommend one brand over another in terms of carcinogen exposure, but suggest: State regulatory standards appear to have been effective in reducing exposure to carcinogens in some beverages. For example, for diet colas, certain samples had higher or more variable levels of the compound, while other samples had very low concentrations. In the lab sampling, Malta Goya had the highest 4-MEI concentration while Coca-Cola produced the lowest value. California listed 4-MEI as a carcinogen in 2011, under the Safe Drinking Water and Toxic Enforcement Act of 1986 - better known as Proposition 65. The authors say their results suggest that federal regulation of 4-MEI in caramel color may be appropriate. VARIETY OF COLA-DRINKING HABITS To estimate consumers’ exposure to the potential carcinogen, the researchers took the laboratory readings and analyzed soft drink consumption using data from the National Health and Nutrition Examination Survey (NHANES). The data from this survey covered overall health and nutrition patterns between 2003 and 2010 for tens of thousands of US children and adults aged between 3 and 70 years. They analyzed consumption of all sodas, and further categorized soda into five mutually exclusive categories: 1) cola, 2) diet-cola, 3) root beer, 4) pepper cola and 5) other (non-diet) cola. They found the proportion of the population consuming each type of soft drink varied, with “colas being the most popular and root beer and pepper colas being the least popular.”
Adolescents and young adults consumed the most of any soft drink compared with young children and older adults. Average consumptions of any soda were: • Between 550 and 1,070 milliliters drunk each day by 16- to 20-year-olds • Between 457 and 864 milliliters drunk each day by 45- to 64-year-olds. LIFETIME CANCER RISKS This study sought to answer a critical question: “How much soda do American consumers drink on average?” This new analysis underscores our belief that people consume significant amounts of soda that unnecessarily elevate their risk of cancer over the course of a lifetime. We believe beverage makers and the government should take the steps needed to protect public health. California has already taken an important step by setting a threshold. Soft drink consumers are being exposed to an avoidable and unnecessary cancer risk from an ingredient that is being added to these beverages simply for esthetic purposes. This unnecessary exposure poses a threat to public health and raises questions about the continued use of caramel coloring in soda. Daily consumption of sugar-sweetened drinks is widely linked to diabetes and obesity, but less well-known include a link to girls starting their periods earlier and being put at a higher risk of breast cancer. Written by Markus MacGill Source: http://www.medicalnewstoday.com/articles/289687.php
TEN TIPS TO
KEEP YOUR FEET
healthy Healthy feet are important for feeling good and staying active. So if you neglect your feet, which can lead to unnecessary pain and other foot problems. Fortunately, it’s easy to keep your feet healthy. Use these tips to keep yourself active and your feet pain-free.
Choose breathable footwear. To help keep your feet dry and healthy, wear shoes made of leather to allow air to circulate. If you’re prone to excessively sweaty feet, look for shoes made of mesh fabrics for maximum breathability.
Keep your feet clean and dry. Healthy feet start with good hygiene. Thoroughly clean and scrub your feet with soap and water when you bathe. Afterward, dry them well. Fungal organisms love moisture, so depriving them of any wetness will make it more difficult for them to thrive. Be sure to dry well between each individual toe. Any excess moisture between the toes can create a great environment for a fungal infection to begin.
Wear shoes that fit properly. Shoes that are too tight can cause long-term foot problems. Shop for shoes at the end of the day to compensate for foot swelling that occurs later in the day, and wear the same type of socks or hosiery you’ll be wearing with the shoes. Choose a broad, rounded shoe with plenty of room for your toes and a wide, stable heel. Avoid pointy shoes, which can cramp your toes and cause ingrown toenails and calluses.
Examine your feet for problems. Perform a foot self-exam once a week when you take a bath or shower. As you’re drying off your feet, take a good look on the soles for any scaling and between your toes for peeling areas. That could signal athlete’s foot. Also look for discoloration of the nails, which could indicate a nail fungus. If you have diabetes, you should inspect your feet every day since diabetes leads to higher risk of foot sores and infections.
Know when to see a doctor. Don’t attempt to self-treat painful foot woes. Any pain, redness, swelling, or discoloration that persists should be checked out by a podiatric physician. Usually the problem can be cleared up with prescription medicine or a minor in-office procedure. Allowing a doctor to take a look will help prevent minor problems from becoming major ones.
Cut toenails properly. Cut nails straight across and avoid trimming too close to the skin or drastically rounding the corners of the nails, which can cause painful, ingrown toenails. Don’t hide “ugly” toenails with polish. A discolored, thick, cracked, or crumbling nail could signal a nail fungus. Applying nail polish to an infected nail could make the problem worse. Protect your feet in public areas. Be sure to wear shower shoes at the gym, in locker rooms, and at public pools. These places tend to be breeding grounds for fungi that can lead to infections. Avoid sharing footgear. You can get fungal infections by wearing other people’s shoes, as well as socks worn by another person. This includes rentals. Always wear your own footgear to help keep your feet healthy. Head off sweaty feet. Your feet have sweat glands galore — 250,000 in each foot! Perspiration creates the perfect environment for bacteria to set up shop. Wearing socks that keep feet dry will help your feet stay healthy. Socks made of synthetic fibers tend to wick away moisture faster than cotton or wool socks. Also avoid wearing excessively tight pantyhose, which trap moisture.
By following these 10 easy tips, you can help keep your feet healthy and pain-free. Source: http://www.everydayhealth.com/foot-health/tips-for-healthy-feet.aspx
For more information, please call:
PODIATRY Family Foot Clinic: 765.447.4776 Nicholas Costidakis, DPM
Greater Lafayette Foot Care: 765.449.2436 William Oliver, DPM David Sullivan, DPM Hoover Foot Clinic: 765.447.7644 James Hoover, DPM Christopher Moon, DPM: 765.449.4700
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ASTHMA in children
One of the surprising facts about asthma is that it is such a common disease. More than 23 million Americans have the condition and more than one-quarter of them are children younger than 18 years. The rates are steadily rising, though no one can state exactly why. There are probably many reasons for the increase. Not only are we learning more about what causes asthma, but we also have more accurate methods of diagnosing the disorder and better ways to treat it, even in very young children.
Symptoms may not always be there; instead, they may occur occasionally, such as when your child plays energetically, laughs or cries, or sleeps. Perhaps you notice that your child wheezes or coughs when visiting a home in which someone smokes or has a cat. If symptoms come on at particular times, be sure to mention the circumstances to your pediatrician. The more facts your pediatrician has, the easier it is to diagnose asthma and the sooner treatment can start.
Asthma may appear at any age; however, between 80% and 90% of children with asthma develop symptoms by age 4 or 5 years. Fortunately, in the vast majority of cases, symptoms are mild to moderately severe. When the condition is properly managed with medications and environmental measures, most severe, potentially incapacitating flare-ups can be prevented. There are often early warning signs that a child is at risk for developing asthma— eczema starting in the early months, frequent lower respiratory symptoms and problems appearing before the first birthday, and having a family history of asthma.
What Happens During an Asthma Attack? As an attack happens, your child may begin coughing as she breathes. She then may feel chest tightness.
Recognizing Asthma Many children suffer needlessly because those around them aren’t aware of the warning signs of asthma and do not bring the signs to their pediatricians’ attention. Asthma can masquerade for years as chronic or recurrent bronchitis, recurrent pneumonia, chronic cough, or lower respiratory infections. Discuss with your pediatrician the possibility that your child has asthma if he has these masquerading conditions. Also call your pediatrician for an appointment if your child: • Wheezes • Coughs regularly, especially at night or with exertion • Has a tight feeling in the chest • Is often short of breath
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Soon she starts to wheeze, beginning with a slight whistling sound and continuing with a shrill rasp as she tries to get air into her lungs. She breathes fast, working so hard that you can see her abdomen going in and out, and her chest being sucked in on every breath. This effect is particularly noticeable in children, whose chests are small and flexible. The child may appear restless and fearful. For a child who doesn’t yet know how to get symptoms under control and live with asthma, even the thought of an asthma attack is frightening. She panics at the thought of feeling starved for air and struggling to breathe— an action the rest of us can perform without thinking about it. Source:http://www.healthychildren.org/English/health-issues/conditions/allergies-asthma/ Pages/Asthma.aspx
For more information, please call: ALLERGY & ASTHMA
Lafayette Allergy & Asthma Clinic: 765.446.5040 Ketan Sheth, MD
PEDIATRICS
Froberg Pediatric Center: 765.447.6936 Preferred Pediatrics of Lafayette: 765.807.8180 Lara Boggess, MD Ann Jonkman, MD Linda Froberg, MD Jewel Marino, MD Melanie Hayes, MD Anna Wildermuth, MD
HEALTH Six foods to eat for your best body – inside and out. BRAIN Eat This: Curry Here’s Why: Turmeric, the spice that gives Indian curries their intense yellow color, contains curcumin, a phytochemical that has been shown to boost memory and slow the progression of Alzheimer’s disease. Did You Know? Curcumin has been used for centuries in both Ayurvedic and traditional Chinese medicine to treat wounds, digestive disorders, skin diseases and a host of other health problems. EYES Eat This: Kale Here’s Why: It’s loaded with lutein and zeaxanthin, two important nutrients that filter harmful, highenergy blue wavelengths of light and act as antioxidants in the eye, reducing the risk of cataracts and age-related macular degeneration. Did You Know? One cup of chopped kale provides 206 percent of your daily requirement of Vitamin A and a whopping 684 percent of Vitamin K.
BREAST Eat This: Grapes Here’s Why: They’re a rich source of the polyphenol resveratrol, which laboratory studies suggest may inhibit the formation of tumors in breast cells. Did You Know? The skin of grape contains the most resveratrol, and the red and purple varieties contain significantly more of the phytochemical than the green kind. HEART Eat This: Avocado Here’s Why: It’s a great source of monounsaturated fat, which can help lower LDL (“bad” cholesterol) levels while raising HDL levels. Avocado also aids in the absorption of carotenoids, powerful antioxidants that are essential for heart health. Did You Know? One cup of avocado provides nearly a quarter of the recommended daily intake of folate, a vitamin that reduces the risk of birth defects.
STOMACH Eat This: Onions Here’s Why: They’re members of the allium vegetable family, which has been shown to help prevent stomach cancer. According to a review of 21 research studies, people who ate the most allium vegetables were 46 percent less likely to develop stomach cancer than people who ate the least. Did You Know? Freezing your onions for 10 to 15 minutes before cutting them will help keep the tears at bay. BONES Eat This: Salmon Here’s Why: It’s high in several bone-boosting nutrients – calcium, vitamin D and omega-3 fatty acids (which recent research suggests may reduce the risk of hip fractures in postmenopausal women). Did You Know? Salmon is good for your skin! Those omega-3s replenish the lipids in the skin, helping to improve elasticity and reduce moisture loss. Source: Health & Life Magazine – Spring 2014.
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7
Healthy Reasons
Q
to
Spring is in the air!
SPRING
If the warmer weather isn’t reason enough to celebrate, these surprising health benefits will put an extra spring in your step.
Birds are chirping. Flowers are blooming. Love is in the air. When spring hits, it’s hard to feel down in the dumps. Add Spring Break, March Madness, and the return of short sleeves to the mix, and you just might find yourself wishing that spring would last forever. The good news is that all the things we love about spring are surprisingly good for us, too, so as you pack up your winter coat for next year, check out our favorite reasons to be excited about the new season.
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Extra daylight. Springing forward for daylight saving time feels rough the day after, but once you’re recovered from a night of sleep deprivation, the benefits are far-reaching. In addition to giving us more time to spend outdoors and serving as a natural mood booster, that extra hour of light may help reduce traffic accidents and fatalities. Multiple studies, including one recently published in the Journal of Economic Analysis and Policy, have found that daylight saving time prevents automobile accidents because daylight provides better visibility for motorists.
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A healthier home. During warmer weather, open your windows and let the sunshine in while you spring clean, declutter, and organize your home. Not only will a more streamlined space help you feel more in control of your dayto-day life, it could also make you fitter. Researchers at Indiana University found that the owners of tidy homes are more likely to be physically fit than those who live in messy environments. Plus, a little elbow grease can torch serious calories. According to Everyday Health’s My Calorie Counter, a 150-pound person can burn 133 calories in 30 minutes of vigorous cleaning.
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A spring-cleaned diet. Sweep the cobwebs about of your cold-weather diet with a dose of fresh spring produce. Peas, asparagus, kale, radicchio, and rhubarb are just a few of the fresh foods that reach their peak during spring. Chances are, you’ll find yourself wanting to eat less during warmer weather than you did during the dark winter months, so use your body’s natural cravings as a way to focus on filling up with whole, fresh foods.
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Outdoor exercise. If winter is too cold and summer is too hot, spring is just right for outdoor exercise, which according to a study published in the journal Environmental Science and Technology, can actually improve your mental and physical well-being better than an indoor sweat session. Whether it’s an after-dinner walk, an adult rec league, or an early-morning run, longer days and moderate temperatures are perfect reasons to take your workout outside.
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The return of America’s favorite pastime. For sports fanatics, no season is sweeter than the one that starts with NCAA March Madness and goes through opening day of Major League Baseball. And all that time obsessing over team sports has benefits, such as the emotional perks that come with social interaction and feelings of community around a sports team. According to a study conducted at the University of Kansas, sports fans are less likely to experience feelings of depression and alienation than their uninterested peers.
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No more winter skin. Gone are the freezing temps and harsh winds that wreak havoc on your skin and hair — and summer’s heat hasn’t yet arrived to turn up the frizz factor. It can be tempting to skip moisturizing once you no longer feel like you need it, but remember that sun protection with a daily SPF of at least 15 is essential year-round.
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Spring break! Whether spring vacation means tequila shots beachside or a relaxing staycation, getting away at the end of winter has definite health benefits. In 2009, researchers at the University of Pittsburgh confirmed that leisure activities — whether at home or away — can reduce risks for diseases such as breast cancer and cardiovascular disease, as well as help manage stress long-term. Source: http://www.everydayhealth.com/healthy-living/0320/healthy-reasons-to-lovespring.aspx
Spring Cleaning Calorie Burn SHAPE UP WHILE YOU CLEAN UP The messy kids, the hair-shedding pets, the chip-munching spouse, the sleet-splattered windows -- it’s spring cleaning time again! If only there were some redeeming virtue to housework (other than a cleaner house, of course). But wait, there is: Like any physical activity, chores you do around the house and garden can burn calories and stretch and tone muscles -- if you do them correctly. Forget the old “No pain, no gain” mantra. Doctors now believe that even short bouts of relatively mild exercise can help improve your fitness level -especially for people who are just getting started with exercise. Though it’s not likely to give you the body of a swimsuit model, doing some sort of moderate activity for 30 minutes every day can bring real health benefits. And if you add 30 minutes of chores to a 30-minute session of a more traditional fitness activity (like walking or biking), you end up with a full hour of exercise -- the amount experts recommend for people trying to lose weight. That can be easier on your schedule than trying to fit in a 60-minute workout all at once.
“If it doesn’t take additional time, people are more likely to do it,” says Joel Press, MD, a physiatrist with the Center for Spine, Sports, and Occupational Rehabilitation of the Rehabilitation Institute of Chicago. SPRING CLEANING WORKOUT As you might have guessed, you don’t get exercise benefits by strolling around with a feather duster. “Intensity is the key,” says Debbie Mandel, MA, a trainer and author of Turn On Your Inner Light: Fitness for Body, Mind and Soul. “I always say gyms should have classes where women are pushing a vacuum cleaner or wiping down the mirrors!” It’s also important to work quickly. “To get more benefit, speed up the time in which you do something,” says Mary Findley, a former professional housecleaner who now owns Mary Moppins, a mop-manufacturing company in Eugene, Ore. But here’s one case where efficiency is not a good thing. More steps and more movements are what you’re after. So forget that cleaning-product caddy organizer people always recommend you carry around. If you have to walk extra steps to get the broom, that’s golden.
Here are some other tips for making housework a workout: • Put on some fast music -- rock and roll, salsa, whatever you like. This helps you pick up speed, Findley says. A bathroom should only take 20 minutes to clean, she says. So get moving! • Whenever you’re doing chores, tighten your abs. This prevents you from slouching. • Stretch extra-high to knock down those cobwebs or prune that limb. You should feel it along your side. • Climb on a stepladder every chance you get. What’s the difference between this and a step class? • Do lunges while vacuuming (keep toes pointed straight ahead, and don’t bend your knees further than 90 degrees). You’ll feel it in your thighs. • When putting away dishes, face forward and twist to reach the cabinets. Source: http://www.webmd.com/fitness-exercise/ spring-cleaning-calorie-burn
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Blame
Sneezing, wheezing, watery eyes, and a runny nose aren’t the only symptoms of allergic diseases. Many people with allergic rhinitis also report feeling “slower” and drowsy. When their allergies are acting up, they have trouble concentrating and remembering. For instance, allergic rhinitis can be associated with decreased ability to concentrate and function, activity limitation, decreased decision-making capacity, impaired hand-eye coordination, problems remembering things, irritability, sleep disorders, fatigue, missed days at work or school, more motor vehicle accidents, and more school or work injuries.
Many parents of children with allergic rhinitis observe increased bad moods and irritability in their child’s behavior during the allergy season. Since children cannot always express their uncomfortable or painful symptoms verbally, they may express their discomfort by acting up at school and at home. In addition, some kids feel that having an allergic disease is a stigma that separates them from other kids. It is important that the irritability or other symptoms caused by nasal allergies not be mistaken for attention deficit disorder. With proper treatment, symptoms can be kept under control and disruptions in learning and behavior can be avoided. CAUSES Experts believe the top two culprits contributing to cognitive impairment of people with allergic rhinitis are sleep interruptions and sedating antihistamine (over-the-counter) medications.
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Secondary factors, such as blockage of the Eustachian tube (ear canal), also can cause hearing problems that have a negative impact on learning and comprehension. Constant nose blowing and coughing can interrupt concentration and the learning process, and allergy-related absences from school or work can cause people to fall behind. SLEEP DISRUPTION Chronic nasal congestion can cause difficulty in breathing, especially at night. Waking is a hard-wired reflex to make you start breathing again. If you have bad allergic rhinitis, you may waken a dozen times a night. Falling back asleep can be difficult, cutting your total number of sleep hours short. The average person needs about eight hours of sleep per night to function normally the next day. Losing just a few hours of sleep can lead to a significant decrease in your ability to function. Prolonged loss of sleep can cause difficulty in concentration and ability to remember things, and can contribute to automotive accidents. Night after night of interrupted sleep can cause serious decreases in learning ability and performance in school or on the job. OVER-THE-COUNTER MEDICATIONS Most allergy therapies don’t take into account the effects of allergic rhinitis on mental functioning – they treat the more obvious physical symptoms. Some allergy therapies may even cause some cognitive or mental impairment. The most commonly used over-the-counter medications for allergy symptoms are decongestants and first-generation antihistamines, such as diphenhydramine (Benadryl), both of which can cause sleep disturbances.
Decongestants constrict small blood vessels in the nose. This opens the nasal passageways and lets you breathe easier. Some decongestants are available over the counter, while higher strength formulas are available with a prescription. In some people, oral decongestants can cause problems with getting to sleep, appetite loss, and irritability, which can contribute to allergy problems. If you have any of these symptoms, discuss them with your doctor. Anti-histamines block the effects of histamine, a chemical produced by the body in response to allergens. Histamine is responsible for the symptoms of allergic rhinitis. First-generation over-the-counter antihistamines available in the United States also can cause drowsiness. Regularly taking overthe-counter antihistamines can lead to a feeling of constant sluggishness, affecting learning, memory, and performance. Newer second-generation anti- histamines are designed to minimize drowsiness while still blocking the effects of histamine.
If allergies are affecting your ability to concentrate or function, several treatment options may be beneficial. Getting allergy symptoms under control can help you sleep at night and function during the day. If you suspect that you or a family member may have an allergic disorder, make an appointment with an allergist for proper diagnosis. Treating allergies sooner rather than later can help prevent disruptions in learning and behavior. Source: http://copingmag.com/ana/index.php/feature_article/cant_concentrate
For more information, please call:
ALLERGY & ASTHMA
Lafayette Allergy & Asthma Clinic: 765.446.5040 Ketan Sheth, MD
SOLUTIONS The best way to control your symptoms is to avoid your triggers. This is often easier said than done. If your allergens can’t be avoided, your allergist can help you create an allergy treatment plan. Several types of nonsedating medications are available to help control allergies. If medications are not effective or cause unwanted side effects, your allergist may suggest immunotherapy (allergy shots). This therapy is used to treat allergy to pollen, ragweed, dust mites, animal dander, and other allergens, gradually desensitizing you to these substances by changing the way your body’s immune system responds to them.
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April is
Occupational Therapy Month April is Occupational Therapy Month, a time for practitioners, students and researchers to celebrate and showcase the importance of the profession. Occupational therapy enables people of all ages to live more productive lives with an injury, illness or disability. Occupational therapists and occupational therapy assistants focus on activities that are meaningful to patients, and they work to remove barriers that may prevent them from fully participating in life, whether it be modifying their surroundings, increasing physical access or teaching them new skills. OT is deeply rooted in science and is evidence-based — meaning that practice is supported by data, experience and best practices that have been developed and proven over time.
For more information, please call: Lafayette Rehabilitation Services - 765.447.5552 | www.lafayetterehabilitation.com Miracles Rehabilitation Lafayette/West Lafayette - 765.807.2773 | 765.463.2200 | www.miraclesrehab.com
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Healthy Recipes Chicken & Strawberry Salad DRESSING: 1 tablespoon sugar 2 tablespoons red wine vinegar 1 tablespoon water 1/8 teaspoon salt 1/8 teaspoon freshly ground black pepper 2 tablespoons extra-virgin olive oil SALAD: 4 cups torn romaine lettuce 4 cups arugula 2 cups quartered strawberries 1/3 cup vertically sliced red onion 12 ounces skinless, boneless rotisserie chicken breast, sliced 2 tablespoons unsalted cashews, halved 1/2 cup (2 ounces) crumbled blue cheese DIRECTIONS To prepare dressing, combine first 5 ingredients in a small bowl. Gradually drizzle in oil, stirring constantly with a whisk. To prepare salad, combine romaine and next 4 ingredients (through chicken) in a bowl; toss gently. Place about 2 cups chicken mixture on each of 4 plates. Top each serving with 1 1/2 teaspoons cashews and 2 tablespoons cheese. Drizzle about 4 teaspoons dressing over each serving.
Grilled Chicken & Pineapple Sandwiches INREDIENTS: 4 (6-ounce) skinless, boneless chicken breast halves 1/2 teaspoon salt 1/4 teaspoon freshly ground black pepper Cooking spray 1/4 cup fresh lime juice (about 2 limes) 4 (1/2-inch-thick) slices fresh pineapple 4 (1.5-ounce) whole wheat hamburger buns, toasted Light mayonnaise (optional) 4 large basil leaves
DIRECTIONS: Prepare grill. Sprinkle chicken evenly with salt and pepper. Place chicken on grill rack coated with cooking spray; grill 5 to 6 minutes on each side or until done, brushing occasionally with lime juice. Grill pineapple 2 to 3 minutes on each side or until browned. Spread mayonnaise on bottom halves of buns, if desired. Top each with 1 chicken breast half, 1 pineapple slice, 1 basil leaf, and 1 bun top. Serve immediately.
Strawberry-Avocado Salsa with Cinnamon Tortilla Chips INGREDIENTS: 2 teaspoons canola oil 6 (6-inch) whole-wheat flour tortillas 2 teaspoons sugar 1/2 teaspoon ground cinnamon 1 1/2 cups finely chopped peeled ripe avocado (about 2) 1 cup finely chopped strawberries 2 tablespoons minced fresh cilantro 1 teaspoon minced seeded jalapeño pepper 2 teaspoons fresh lime juice 3/8 teaspoon salt DIRECTIONS Preheat oven to 350°. To prepare chips, brush oil evenly over one side of each tortilla. Combine sugar and cinnamon; sprinkle evenly over oil-coated sides of tortillas. Cut each tortilla into 12 wedges; arrange wedges in a single layer on two baking sheets. Bake at 350° for 10 minutes or until crisp. Combine avocado and remaining ingredients; stir gently to combine. Serve with chips.
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Choosing A Primary Care Physician - The Smart Way Choosing a new physician can be a difficult task. Asking for recommendations is a good way to start, but ultimately you will have to decide which physician is best suited to your individual needs and situation. It is important to establish a relationship with a primary care physician (PCP), especially before you ever get sick. Primary care doctors should be the first line of defense in protecting your health, but millions of Americans don’t have a PCP. Even patients who regularly visit specialists don’t always have a PCP, leaving them unprepared when the flu or an infection strikes. Everyone gets sick at some point, so selecting a PCP ahead of time means you don’t have to scramble around when you need medical care. Here are some questions and answers that can help you select a PCP who understands your particular needs. What information should I find out about the doctor? It may help to ask the doctor’s office these questions: • At which hospitals does the doctor have privileges? • How long does it take to get in to see the doctor for a routine visit and for urgently needed care? • Who covers for the doctor when the need arises? • Is the doctor board certified? (This means he or she has had training after medical school and has passed an exam to be certified as a specialist in a certain field.) What personal qualities should I look for in a doctor? Find a doctor who listens carefully, explains things clearly, anticipates your health problems and allows you to ask questions. What information should I bring to my appointment? It is important to provide your doctor with the following: • Your health history. • A list of medications you’re taking. • Any vitamins or supplements you take. • A description of any current health problems you’re having. If you have symptoms, the doctor will want to know when they first appeared, how often. • A list of questions. Ask your doctor to explain any answers you don’t understand.
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Find A Doctor...Near You. Allergy & Asthma
General Surgery
Ketan Sheth, M.D. 1345 Unity Place, Suite 145 A Lafayette, IN 47905 PH: 765.446.5040 | FX: 765.446.5041
John Francis, M.D. Jerry Jefson, M.D. Nathan Huber, M.D. Bryce Nattier, M.D. Gerritt Smith, M.D. Thomas Summer, M.D. 1345 Unity Place, Suite 235 Lafayette, IN 47905 PH: 765.446.5065 | FX: 765.446.5170
Lafayette Allergy and Asthma Clinic
Anesthesiology
Lafayette Anesthesiologists
Barbara Conard, M.D. J. Joseph Farrell, M.D. David Gray, M.D. Robert Lempke, M.D. Cynthia Meyer, M.D. 1411 South Creasy Lane, Suite 200 Lafayette, IN 47905 PH: 765.446.5000
Family Medicine Diane Begley, M.D.
3801 Amelia Avenue, Suite C Lafayette, IN 47905 PH: 765.446.5161 | FX: 765.446.5160
Clinic of Family Medicine
Lafayette Surgical Clinic
Immediate Care / Lab Unity Immediate Care Center
Elizabeth Riggs, M.D. 1321 Unity Place, Suite B Lafayette, IN 47905 PH: 765.446.1362 | FX: 765.446.1007
Internal Medicine Abramovitz Internal Medicine
Ruth Abramovitz, M.D. 500 West Navajo Street West Lafayette, IN 47906 PH: 765.742.6774 | FX: 765.742.6914
Zeba Ali, M.D. Robert E. Darnaby, M.D. 1103 East Grace Street Rensselaer, IN 47978 PH: 219.866.4135 | FX: 219.866.0803
Gagan Chadha, M.D.
Louck Family Medicine
Gary Prah, M.D.
166 Sagamore Pkwy W West Lafayette, IN 47906 PH: 765.497.2428 | FX: 765.497.4251
Christopher Louck, M.D. 118 West Drexel Parkway Rensselaer, IN 47978 PH: 219.866.4300 | FX: 219.866.7591
1318 Main Street Lafayette, IN 47901 PH: 765.742.5254 | FX: 765.742.4991
Pickerill, Adler, Reed Family Medicine
Carlos Gambirazio, M.D. 152 Sagamore Parkway West West Lafayette, IN 47906 PH: 765.423.6556 | FX: 765.423.6024
Jeremy Adler, M.D. Casey Pickerill, M.D. Darren Reed, D.O. Mark Williams, M.D. 2525 South Street Lafayette, IN 47904 PH: 765.807.2320 | FX: 765.807.2330
Rossville Family Medicine
Duane Estep, M.D. Wanda Estep, M.D. 5450 West State Road 26, Suite 300 Rossville, IN 46065 PH: 765.379.2222 | FX: 765.379.3222
Southside Family Practice
John Cusack, M.D. Shadi Resheidat, M.D. 3554 Promenade Parkway, Suite F Lafayette, IN 47909 PH: 765.471.9146 | FX: 765.477.0277
Gastroenterology
Gannamaneni Gastroenterology Krishna Gannamaneni, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2787 | FX: 765.807.2786
Lafayette Gastroenterology
Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905 PH: 765.807.0531 | FX: 765.807.0534
West Lafayette Internal Medicine
Medical Oncology / Hematology Horizon Oncology Center
Wael Harb, M.D. Ajita Narayan, M.D. 1345 Unity Place, Suite 365 Lafayette, IN 47905 PH: 765.446.5111 | FX: 765.838.5119
Lafayette Cancer Care
Nancy A. DiMartino, M.D. Glen Papaioannou, M.D. 1345 Unity Place, Suite 135 Lafayette, IN 47905 PH: 765.446.5050 | FX: 765.446.5119
Nephrology
Lafayette Kidney Care
Sudha Rani. M.D. Paul Shin, M.D. 1345 Unity Place, Suite 145 Lafayette, IN 47905 PH: 765.446.5185 | FX: 765.446.5186
Neurology
Lafayette Neurology
Khaled Hammoud, M.D. 1345 Unity Place, Suite 310B Lafayette, IN 47905 PH: 765.446.5220 | FX: 765.446.5221
Occupational Medicine Regional Occupational Care Center Elizabeth Riggs, M.D. 1321 Unity Place, Suite A Lafayette, IN 47905 PH: 765.446.2450 | FX: 765.446.1083
Ophthalmology
Burgett Kresovsky Eye Care
Jason Burgett, M.D. Seth Kresovsky, M.D. 1345 Unity Place, Suite 245 Lafayette, IN 47905 PH: 765.446.5130 | FX: 765.446.5131
Magnante Eye Care
David Magnante, M.D. 975 Mezzanine Drive, Suite B Lafayette, IN 47905 PH: 765.449.7564 | FX: 765.807.7943
Orthopaedics
Lafayette Orthopaedic Clinic
John T. Bauman, M.D. Daniel J. Daluga, M.D. Robert J. Hagen, M.D. Michael E. Highhouse, M.D. Michael D. Krauss, M.D. Mark C. Page, M.D. Peter J. Torok, M.D. 1411 South Creasy Lane, Suite 120 Lafayette, IN 47905 PH: 765.447.4165 | FX: 765.447.4168
Orthopaedics Spinal Surgery Indiana Spine Center
John Gorup, M.D. Mario Brkaric, M.D. 1345 Unity Place, Suite 310 Lafayette, IN 47905 PH: 765.446.5210 | FX: 765.446.5211
Miracles Rehabilitation Lafayette / West Lafayette 3806 Amelia Avenue Lafayette, IN 47905 PH: 765.807.2773 | FX: 765.807.2774 257 Sagamore Parkway West West Lafayette, IN 47906 PH: 765.463.2200 | FX: 765.463.3625
Outpatient Surgical Center Unity Surgical Center
1411 S. Creasy Lane, Suite 200 Lafayette, IN 47905 PH: 765.446.5000 | FX: 765.446.5011
Pain Management
Innovations Pain Management Group Tonia Kusumi, M.D. 3738 Landmark Drive, Suite A Lafayette, IN 47905 PH: 765.807.2780 | FX: 765.807.2781
Pain Care Center
Robert Bigler, M.D. Ferdinand Ramos, M.D. 975 Mezzanine Drive, Suite C Lafayette, IN 47905 PH: 765.807.7988 | FX: 765.807.7989
Pediatrics
Froberg Pediatric Center
Linda Froberg, M.D. Melanie Hayes. M.D. Lara Weeks, M.D. Anna Wildermuth, M.D. 324 N. 25th Street Lafayette, IN 47904 PH: 765.447.6936 | FX: 765.447.2536
Preferred Pediatrics of Lafayette Ann Jonkman, M.D. Jewel Marino, M.D. 3774 Bayley Drive, Suite A Lafayette, IN 47905 PH: 765.807.8180 | FX: 765.807.8181
Plastic Surgery
Christopher Moon, D.P.M.
750 Park East Boulevard, Unit #4 Lafayette, IN 47905 PH: 765.449.4700 1256 S. Jackson Street Frankfort, IN 46041 PH: 765.659.1843 | FX: 765.654.5380
Psychology
Sycamore Associates
Patricia Moisan-Thomas, Ph.D. Ryan Oetting, Ph.D. Norman Phillion, Ph.D. 2020 Union Street, Suite 101 Lafayette, IN 47904 PH: 765.449.8286 | FX: 765.449.0445
Radiation Oncology Lafayette Radiation Oncology
Kazumi Chino, M.D. Mark Lobo. M.D. Mary Margaret Rhees, M.D. Bedatri Sinha, M.D. Faith, Hope & Love Cancer Center 1425 Unity Place Lafayette, IN 47905 PH: 765.447.7460 | FX: 765.447.8396
Radiology Unity Radiology
Outpatient Physical / Occupational Therapy
Nicholas Costidakis, D.P.M. 975 Mezzanine Drive, Suite B Lafayette, IN 47905 PH: 765.447.4776 | FX: 765.447.4809
John Fiederlein, M.D. Kent Lancaster, M.D. Peter Simmons, M.D. InnerVision Advanced Medical Imaging 1411 S. Creasy Lane, Suite 130 Lafayette, IN 47905 3801 Amelia Avenue, Suite A Lafayette, IN 47905 3750 Landmark Drive, Suite A Lafayette, IN 47905 InnerVision West 3482 McClure Avenue, Suite 100 West Lafayette, IN 47906 PH: 765.447.7447 | FX: 765.447.1767
1411 S. Creasy Lane, Suite 100 Lafayette, IN 47905 PH: 765.447.5552 | FX: 765.449.1054
Greater Lafayette Foot Care
Urology
Otolaryngology
Ear Nose & Throat of Lafayette Samuel Davis, III, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2784 | FX: 765.807.2786
Lafayette Rehabilitation Services
3451 Wyndham Way, Suite D West Lafayette, IN 47906 PH: 765.446.5250
Lai Plastic Surgery
Khoa Lai, M.D. 1345 Unity Place, Suite 210 Lafayette, IN 47905 PH: 765.446.5432 | FX: 765.446.5431
Podiatry
Family Foot Clinic
William Oliver III, D.P.M. David Sullivan, D.P.M. 1345 Unity Place, Suite 225 Lafayette, IN 47904 PH: 765.449.2436 | FX: 765.449.1817
Lafayette Clinic of Urology
Richard Selo, M.D. 1345 Unity Place, Suite 110 Lafayette, IN 47905 PH: 765.447.9308 | FX: 765.447.2387
Hoover Foot Clinic
James Hoover, D.P.M. 2020 Union Street, Suite 100 Lafayette, IN 47904 PH: 765.447.7644 | FX: 765.448.9009
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1250 South Creasy Lane Lafayette, IN 47905 765.447.8133 | www.unityhc.com
Jamie Gordon | Marketing Director Abby Everette | Marketing Assistant
Love Your Heart ~ Heart Healthy! Health questions or suggest a topic for our next newsletter...we want to hear. Please email us at marketing@unityhc.com.
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Unity Immediate Care Center No Appointment Necessary
When you, your family or employee needs immediate medical attention, you want quality care that’s close to home. That’s why Unity Immediate Care Center is open daily, to get you the care you deserve. Our experienced physicians see patients on a walk-in basis when your primary care physician may not be available. The Unity Immediate Care Center provides prompt medical attention for many of your health care needs while bridging the gap between your primary care physician and the emergency room. Some of the many advantages of using the Unity Immediate Care Center include: • Extended hours. • No appointments are necessary. • Walk-ins are always welcome. • Less costly than most emergency room visits. • Convenient and easy access. • Patient friendly environment. • Less intrusive than a hospital emergency room environment.
No Appointment Needed. Open 8AM to 8PM 7 days a week, except Holidays.
765.446.1DOC (1362) 1321 Unity Place | Lafayette