healthfocus AUGUST 2016
August is...
Immunization Awareness Month! Page 2 Does Your Child Need Glasses?
Page 3 Backpack Safety for Your Kids
Page 4-5 Vaccine Myths: What You Need to Know
Page 6-7 Breastfeeding Benefits for Mom & Baby
Pages 9-10 Finding A Doctor Near You
UNITY HEALTHCARE News New Physician Joins Greater Lafayette Foot Care Unity Healthcare is pleased to announce that Katherine Cummins, DPM joined Dr. Oliver and Dr. Sullivan at Greater Lafayette Foot Care in July. Dr. Cummins received her undergraduate degree in Behavioral Neuroscience Psychology from Purdue University. She graduated from William M. Scholl College of Podiatric Medicine in Chicago, Illinois. Dr. Cummins completed her podiatric medicine and surgery residencies at Saint Joseph Regional Medical Center in Mishawaka, Indiana. She is a member of the American College of Foot and Ankle Surgeons, Indiana Podiatric Medical Association, American Podiatric Medical Association, and the American Academy of Podiatric Practice Management. Dr. Cummins' focus is on the biomechanics of the ankle, foot, sprains, surgical reconstruction of complicated foot disorders, trauma, arthritis, diabetic foot and wound care. Dr. Cummins is accepting new patients. To schedule an appointment, please call 765-449-2436. About Greater Lafayette Foot Care: Greater Lafayette Foot Care is a Unity Healthcare Partner and located at 1345 Unity Place, Suite 225 in the Unity Medical Pavilion.
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DOES YOUR CHILD NEED
GLASSES?
Did you know that about 80 percent of what children learn in school is taught visually? That means if your child has an uncorrected vision problem, it could severely affect his or her development.
CONSISTENTLY SITTING CLOSE TO THE TV OR HOLDING A BOOK TOO CLOSE.
While it is a myth that sitting too close to the TV will ruin your eyes, this habit could be a sign of a vision problem. If your child cannot see televised images clearly or read from books without leaning in close, it could mean he or she is nearsighted.
FREQUENT EYE RUBBING.
Yes, children do often rub their eyes when they're tired or upset. But if your child rubs his eyes while he's trying to concentrate on something, or while he is being active, it could mean that he has a vision problem.
CLOSING ONE EYE TO READ OR WATCH TV. Frequently closing one eye could indicate a refractive or binocular vision problem that interferes with the ability of the two eyes to work together comfortably as a team. Closing one eye to read or concentrate on other desk or computer work could be a sign of a specific eye teaming problem called convergence insufficiency.
RECEIVING LOWER GRADES THAN USUAL. If your child is having a hard time seeing what his teacher writes on the board because of poor vision, he may not tell you about it. As a result, his grades can suffer. If your child seems to be struggling in school, take him for a complete eye exam — glasses or contacts could be the answer.
AVOIDING USING A COMPUTER, BECAUSE IT "HURTS HER EYES."
Digital eye strain is common among children who are frequent users of computers or other digital devices. Have your child take a break every 20 minutes to look at something that is at least 20 feet away for 20 seconds while she is using a digital device. If the eye discomfort persists, take her to see an eye doctor.
SQUINTING OR TILTING THE HEAD TO SEE THE CLASS BOARD BETTER.
Teachers should be on the lookout for students who have to squint or tilt their heads to see the board. Until an eye exam can be performed, consider moving the child closer to the board for easier viewing.
LOSING PLACE WHILE READING OR USING A FINGER TO GUIDE EYES WHEN READING.
When kids learn to read and are sounding out words, they'll often use their finger to track which word they're on. But eventually they should be able to focus and not lose their place. If after a while your child still uses her finger, ask her to try reading aloud without pointing. If she has trouble, she may have a vision problem. SENSITIVITY TO LIGHT AND/OR EXCESSIVE TEARING. Are your child's eyes particularly sensitive to indoor lighting, sunshine or camera flashes? Children with photophobia, or extreme sensitivity to light, can develop headaches and nausea. And light sensitivity can be a symptom of several eye conditions.
For more information, please contact: Burgett Kresovsky Eye Care - 765.446.5130 Jason Burgett, M.D. Seth Kresovsky, M.D. Magnante Eye Care - 765.449.7564 David Magnante, MD Source: http://www.allaboutvision.com/parents/slideshow-warningsigns.htm
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Do your kids know the basics of
Backpack Safety? PURCHASING A SAFE BACKPACK Despite their potential problems, backpacks are an excellent tool for kids when used properly. But before you buy that trendy new backpack your kid or teen has been begging you for, consider the backpack's construction.
PROBLEMS BACKPACKS CAN POSE Although many factors can lead to back pain, some kids have backaches because they're lugging around their entire locker's worth of books, school supplies, and assorted personal items all day long. But most doctors and physical therapists recommend that kids carry no more than 10% to 15% of their body weight in their backpacks. When a heavy weight, such as a backpack filled with books, is incorrectly placed on the shoulders, the weight's force can pull a child backward. To compensate, a child may bend forward at the hips or arch the back, which can cause the spine to compress unnaturally. The heavy weight might cause some kids to develop shoulder, neck, and back pain. Kids who wear their backpacks over just one shoulder — as many do, because they think it looks better or just feels easier — may end up leaning to one side to offset the extra weight. They might develop lower and upper back pain and strain their shoulders and neck. Also, backpacks with tight, narrow straps that dig into the shoulders can interfere with circulation and nerves. These types of straps can contribute to tingling, numbness, and weakness in the arms and hands. And bulky or heavy backpacks don't just cause back injuries. Other safety issues to consider: • Kids who carry large backpacks often aren't aware of how much space the packs take up and can hit others with their backpacks when turning around or moving through tight spaces, such as the aisles of the school bus. • Students are often injured when they trip over large backpacks or the packs fall on them. • Carrying a heavy backpack changes the way kids walk and increases the risk of falling, especially places where the backpack puts the student off balance.
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The American Academy of Pediatrics (AAP) recommends that parents look for the following when choosing the right backpack: • A lightweight backpack that doesn't add a lot of weight to your child's load. • Two wide, padded shoulder straps; straps that are too narrow can dig into shoulders. • A padded back, which not only provides increased comfort, but also protects kids from being poked by sharp edges on objects (pencils, rulers, notebooks, etc.) inside the backpack. • A waist belt, which helps to distribute the weight more evenly across the body. • Multiple compartments, which can help distribute the weight more evenly. Although backpacks on wheels may be good options for students who have to lug around really heavy loads, they're extremely difficult to pull up stairs and to roll through snow. Check with the school before buying a rolling backpack; many schools don't allow them because they can pose a tripping hazard in the hallways.
USING BACKPACKS WISELY To help kids prevent injury when using a backpack: • Lighten the load. No matter how well-designed the backpack, doctors and physical therapists recommend that kids carry backpacks of no more than 10% to 15% of their body weight — but less is always better. If you don't know what that 10% to 15% feels like, use the bathroom scale (for example, the back pack of a child who weighs 80 pounds shouldn't weigh more than 8 to 12 pounds). • Use and pick up the backpack properly. Make sure kids use both shoulder straps. Bags that are slung over the shoulder or across the chest — or that only have one strap — aren't as effective at distributing the weight as bags with two wide shoulder straps, and therefore may strain muscles. Also tighten the straps enough for the backpack to fit closely to the body. The backpack should rest evenly in the middle of the back and not sag down to the buttocks.
For more information, please turn to pages 9-10 and look under: Family Medicine Pediatrics Source: http://kidshealth.org/en/parents/backpack.html#
MYTH: As long as other children are getting vaccinated, mine don't need to be.
Skipping vaccinations puts your baby at greater risk for potentially life-threatening diseases. The ability of immunizations to prevent the spread of infection depends on having a certain number of children immunized. Scientists refer to this as “herd immunity.” Unfortunately, the level of immunization required to prevent diseases such as measles from spreading from child to child is high—95 percent. In 2014, the national vaccination rate in children ages 19 to 35 months was only about 85 percent—though that number increases to the mid-90s when children reach school age.
VACCINE MYTHS What you need to know about vaccinating your children
MYTH: Getting so many vaccines will overwhelm my child's immune system.
No doubt about it, the immunization schedule recommended by the Centers for Disease Control and Prevention and the American Academy of Pediatrics (AAP) can seem daunting. Your child can receive up to 23 shots by the time she's 2 years old and as many as six shots at a single doctor visit. So it's not surprising that many parents have concerns about how vaccines might affect a child's developing immunity and often cite these as a reason to refuse a vaccine. But it should be the least of your worries. Children have an enormous capacity to respond safely to challenges to the immune system from vaccines. A baby's body is bombarded with immunologic challenges—from bacteria in food to the dust they breathe. Compared to what they typically encounter and manage during the day, vaccines are literally a drop in the ocean. In fact, studies show that in theory, healthy infants could safely get up to 100,000 vaccines at once. The bottom line: It's safe to give your child simultaneous vaccines or vaccine combinations, such as the five-in-one vaccine called Pediarix, which protects against hepatitis B, polio, tetanus, diphtheria and pertussis (also known as whooping cough). Equally important, vaccines are as effective given in combination as they are given individually.
These rates may not be high enough to provide herd immunity, especially as exemptions from school vaccines are on the rise. In studies from Colorado, where residents claim high numbers of vaccine exemptions for medical, personal and religious reasons, kids who are not immunized are at greater risk for disease. Case in point: They're 22 times more likely to come down with measles.
MYTH: Now that major illnesses have largely disappeared, we really don't need vaccines anymore.
Don't bet on it. Despite our relatively high vaccination rates in the U.S., many American communities still have outbreaks of diseases like measles and pertussis, a respiratory illness characterized by spasms of coughing that can last for weeks or even months. In 2014, 20 children died of the infection. Unvaccinated children can also spread infection to vulnerable family members. Those children are more likely to give a disease to those who can't fight it off, such as a six-month-old or a grandparent living at home. The incidence of whooping cough has been increasing since 1980, and the Centers for Disease Control and Prevention recently recommended a pertussis booster shot for 11-year-olds because the risk of passing the disease to a vulnerable relative is so high.
MYTH: Vaccines cause autism and other disorders.
Concerns about a link between a combination vaccine for measles, mumps and rubella—called the MMR vaccine— and the developmental disorder autism got kicked up by a case report from England seven years ago. But it has been roundly discredited. The notion has persisted because autism tends to emerge around the time that the vaccine is given—when a child is a year old.
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Experts stress, however, that this does not mean the vaccine caused the problem. Not only is there no evidence that it causes autism, there's evidence that it doesn't cause autism. In fact, there have been multiple studies that show your risk of getting autism isn't any different if you got the MMR vaccine or if you didn't. The Institute of Medicine backed up that conclusion in a report issued last summer. Doctors believe that worries linger because it's hard to un-ring the bell. People reasonably assume that if there is nothing to it, why was there so much smoke? Parents have expressed similar fears about vaccines and the incidence of sudden infant death syndrome (SIDS). Numerous vaccines are given to little babies over that first year, just when a lot of developmental changes are occurring. If something happens around the time a vaccine is given, it's easy to think the vaccine caused it.
MYTH: My baby might get the disease it's supposed to prevent.
Most vaccines we give today, such as meningitis and DTaP, contain killed vaccines—not live agents that could replicate. That's true of the scariest diseases doctors vaccinate against, such as polio, which was once made with live weakened polio virus. Until this type of vaccine was phased out, around 1994, a tiny fraction of people— one in 2.4 million—contracted polio from the vaccine itself. But since then, children in the U.S. have received polio vaccine made from killed virus, so there's no risk of contracting the disease from the shot. A few vaccines that are on the schedule do, however, contain live weakened virus to provoke an immune response. These include the MMR and chicken pox immunizations. These vaccines have the potential to cause some mild illness—a little fever and rash, but the illness is much less severe than if a child naturally contracted measles or chicken pox.
MYTH: You shouldn't give a vaccine to a child who has a cold.
It's reasonable to think that a sick child would be more likely to have a bad reaction to a vaccine or that it might present an added burden to her immune system if she's fighting off a cold. Yet studies show that having a mild illness doesn't affect a child's ability to react appropriately to the vaccine. Certainly if a child goes to the doctor with a fever of 102 and an ear infection, it's not the best time for a vaccine, but a low-grade fever, mild respiratory infection or a little diarrhea shouldn't be reasons to delay one, especially if the illness is on the way out. Of course, vaccines can themselves trigger side effects, including fever and rash, as well as soreness at the site of the injection, but these are rarely cause for alarm.
MYTH: I had chicken pox when I was a kid and it isn't a big deal.
Like several common childhood diseases, chicken pox isn't a big deal for most kids. But on rare occasions children can die from it.
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Before the vaccine was introduced, many children were hospitalized each year with serious complications, including pneumonia and dangerous skin infections. Chicken pox lesions can become infected with staph, including necrotizing fasciitis—the “flesh-eating” bacteria. Getting the vaccine is especially important now that less of the chicken pox virus is in circulation. Children who don't get chicken pox or the vaccine are at risk of getting it as an adult, which is a much more serious illness.
MYTH: Vaccines can provide 100 percent disease protection.
Not quite. The best vaccines are those made with live weakened virus, such as MMR and chicken pox, which are about 95 percent effective. The effectiveness of vaccines made with killed, or inactivated, virus is between 75 and 80 percent. That means there's a chance you could be vaccinated against a disease and still get it. But if all children are vaccinated against an organism, it's less likely to hang around. That's why vaccinating an entire population is so important. Not getting vaccinated is like failing to stop at a four-way stop. If three people get vaccinated but one doesn't, the risk is not bad. But if two people don't get vaccinated, the burden of risk is greater on everyone.
MYTH: It's best to wait until children are older before starting to give them vaccines.
Immunization schedules are designed to protect the most vulnerable patients from disease. If you wait to give the vaccine, you may miss the window when a child is most vulnerable. When you get off the schedule, you really put your child at risk.
For more information, please turn to pages 9-10 and look under: Family Medicine Pediatrics
Source: http://www.parenting.com/article/10-vaccine-myths---busted
20 Benefits of
Breastfeeding
for Mom & Baby
Reduced ear infections? Check. Lower risk for asthma? Yes. Bump in IQ? Sure. Breastfeeding your baby brings all these benefits—plus a whole lot more.
Lower SIDS Risk
Healthier Baby
Fewer Problems with Weight
"The incidences of pneumonia, colds and viruses are reduced among breastfed babies," says infantnutrition expert Ruth A. Lawrence, M.D., a professor of pediatrics and OB-GYN at the University of Rochester School of Medicine and Dentistry in Rochester, N.Y., and the author of Breastfeeding: A Guide for the Medical Profession (Elsevier-Mosby). Gastrointestinal infections like diarrhea—which can be devastating, especially in developing countries—are also less common.
Long-Term Protection
Breastfeed your baby and you reduce his risk of developing chronic conditions, such as Type I Diabetes, Celiac Disease and Crohn's Disease.
Stronger Bones
According to Lawrence, women who breastfeed have a lower risk of postmenopausal osteoporosis. "When a woman is pregnant and lactating, her body absorbs calcium much more efficiently," she explains. "So while some bones, particularly those in the spine and hips, may be a bit less dense at weaning, six months later, they are more dense than before pregnancy."
Breastfeeding lowers your baby's risk of sudden infant death syndrome by about half.
It's more likely that neither of you will become obese if you breastfeed him.
Calorie Incinerator
You may have heard that nursing burns up to 500 calories a day. And that's almost right. "Breast milk contains 20 calories per ounce," Lawrence explains. "If you feed your baby 20 ounces a day, that's 400 calories you've swept out of your body."
It's Good for the Earth
Dairy cows, which are raised in part to make infant formula, are a significant contributor to global warming: Their belching, manure and flatulence (really!) release enormous amounts of methane, a harmful greenhouse gas, into the atmosphere.
Better Healing Post-Delivery
The oxytocin released when your baby nurses helps your uterus contract, reducing post-delivery blood loss. Plus, breastfeeding will help your uterus return to its normal size more quickly—at about six weeks postpartum, compared with 10 weeks if you don't breastfeed.
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Lower Risk of Cancer
Breastfeeding can decrease your baby's risk of some childhood cancers. And you'll have a lower risk of premenopausal breast cancer and ovarian cancer, an often deadly disease that's on the rise.
An Unmatched Feeling of Power
"It's empowering as a new mother to see your baby grow and thrive on your breast milk alone," Lawrence says.
Custom-Made Supply
Formula isn't able to change its constitution, but your breast milk morphs to meet your baby's changing needs. Colostrum—the "pre-milk" that comes in after you deliver—is chock-full of antibodies to protect your newborn baby. "It's also higher in protein and lower in sugar than 'full' milk, so even a small amount can hold off your baby's hunger," says Heather Kelly, an international board-certified lactation consultant in New York City and a member of the Bravado Breastfeeding Information Council's advisory board. When your full milk comes in (usually three to four days after delivery), it is higher in both sugar and volume than colostrum—again, just what your baby requires. "He needs a lot of calories and frequent feedings to fuel his rapid growth," Kelly explains. "Your mature milk is designed to be digested quickly so he'll eat often."
More Effective Vaccines
Research shows that breastfed babies have a better antibody response to vaccines than formula-fed babies.
Menstruation Vacation
Breastfeeding your baby around the clock—no bottles or formula— will delay ovulation, which means delayed menstruation. "Breastfeeding causes the release of prolactin, which keeps estrogen and progesterone at bay so ovulation isn't triggered," Kelly explains. "When your prolactin levels drop, those two hormones can kick back in, which means ovulation—and, hence, menstruation—occurs." Even if you do breastfeed exclusively, your prolactin levels will eventually drop over the course of several months. Many moms who solely nurse will see their periods return between six and eight months after delivery, Kelly adds; others don't for a full year.
Less Time Off of Work
Your baby will be ill less often, so that means fewer sick days for you.
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It's Cheap
According to La Leche League International, the cost of formula can range anywhere from $134 to $491 per month. That's $1,608 to $5,892 in one year!
Great Way to Learn About Your Baby "You have to read your baby's 'satiety cues' a little better, because unlike with a bottle, you can't see how much he's eaten," Kelly says. "You have to rely on your own instincts and your baby's behavior to know when your baby is full."
Stash the Contraceptives - For Now
Breastfeeding can be 98 percent to 99 percent effective as a post-baby birth control option if a few guidelines are followed: Your period must not have resumed; you must breastfeed at least every four hours around the clock; you must not give your baby any pacifiers, bottles or formula; and you must be less than six months postpartum. According to Kelly, nighttime feedings are the most important to the "lactation amenorrhea method," so do not let your baby (or yourself ) sleep through a feeding. "Going long stretches at night without nursing seems to be directly responsible for the return of ovulation," she says. Prematurely sleep training your baby can also hasten ovulation.
It's Easy
Simply pull up your shirt and nurse. Breast milk is always available and always at the right temperature.
Benefits for All
According to a study published in the journal Pediatrics, the United States would save about $13 billion per year in medical costs if 90 percent of U.S. families breastfed their newborns for at least six months.
Better Friendships
"Breastfeeding helps cultivate relationships with other moms," Kelly says. Whether it's talking about parenting styles, nighttime feedings or engorgement, nursing allows women to forge positive postpartum relationships. Adds Kelly, "Women are supposed to be sitting together, nursing and taking care of babies."
For more information, please contact: Lactation Support Center of Lafayette - 765.807.8180 Glenda Clossin, RN, IBCLC Source: http://www.fitpregnancy.com/baby/breastfeeding/20breastfeeding-benefits-mom-baby
Healthy Recipes Easy Garden Tomato Sauce 5 servings | Active Time: 10 minutes Cook Time: 35 minutes | Total Time: 45 minutes
INGREDIENTS: • 1 tbsp olive oil • 6 cloves garlic, chopped • 1 ½ lbs grape tomatoes, cut in half • Salt and pepper • 2 tbsp fresh chopped oregano (or fresh basil) • 1/8 tsp crushed red pepper flakes DIRECTIONS: • In a large non-stick pan, heat oil on high heat. Add garlic and cook until golden. • Add tomatoes, salt, crushed red pepper flakes and black pepper and reduce heat to low. Simmer, covered for 15 minutes. Add fresh oregano and cook another 15 minutes. • Makes 2 ½ cups. NUTRITION Per serving : 72.8 Calories; 2.7 g Fat; 11.5 g Carbohydrates; 0.3 g Protein Source: http://www.skinnytaste.com/easy-garden-tomato-sauce/
Easy Sweet Potatoes & Eggs 2 servings | Active Time: 5 minutes Cook Time: 20 minutes | Total Time: 25 minutes
INGREDIENTS: • 2 tsp unrefined coconut oil or ghee • 1 medium/large sweet potato, washed and ends cut • 3 large eggs • Shredded goat cheddar cheese or other sharp cheese • Salt and pepper DIRECTIONS: • Julienne your sweet potato (or use the large holes on a grater). Heat a 9-10-inch skillet that is oven safe over medium and add your coconut oil. Once hot place the sweet potato in the pan and stir frequently until done to your liking. About 8-12 minutes. • Set your oven to broil on high. Spread the sweet potato evenly around the pan and create 3 small wells for the eggs. Crack eggs one at a time and pour into each well. Let cook for about 2-3 minutes until the white just starts to solidify and turn opaque. Sprinkle with cheese and place under the broiler, watching closely, until eggs are cooked to your liking. • Sprinkle with salt and pepper, hold the pan at an angle over a plate, and slide out of the pan with a large metal spatula. Serve immediately. NUTRITION Per serving : 330 Calories; 36.4 g Fat; 28.8 g Carbohydrates; 33 g Protein Source: http://www.edibleperspective.com/home/2013/12/3/easy-sweet-potatoes-eggs.html
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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 and 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
Gastroenterology
Ketan Sheth, M.D. 1345 Unity Place, Suite 145 A Lafayette, IN 47905 PH: 765.446.5040 | FX: 765.446.5041
Krishna Gannamaneni, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2787 | FX: 765.807.2786
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
Gannamaneni Gastroenterology
Lafayette Gastroenterology Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905
PH: 765.807.0531 | FX: 765.807.0534
General Surgery Lafayette Surgical Clinic
Innovative Hearing Solutions Judy Marquess-Lara, Au.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.250.3279
John Francis, M.D. Jerry Jefson, M.D. Nathan Huber, M.D. Gerritt Smith, M.D. Thomas Summer, M.D. Eben True, M.D. 1345 Unity Place, Suite 235 Lafayette, IN 47905 PH: 765.446.5065 | FX: 765.446.5170
Family Medicine
Immediate Care / Lab
3801 Amelia Avenue, Suite C Lafayette, IN 47905 PH: 765.446.5161 | FX: 765.446.5160
Elizabeth Riggs, M.D. 1321 Unity Place, Suite B Lafayette, IN 47905 PH: 765.446.1362 | FX: 765.446.1007
Audiology
Diane Begley, M.D.
Clinic of Family Medicine
Robert E. Darnaby, M.D. 1103 East Grace Street Rensselaer, IN 47978 PH: 219.866.4135 | FX: 219.866.0803
Flora Family Medicine
Jordan Dutter, M.D. 203 North Division Street Flora, IN 46929 PH: 574.967.4523 | FX: 574.967.4994
Louck Family Medicine
Unity Immediate Care Center
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
Gagan Chadha, 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
Gary Prah, M.D.
Pickerill, Adler, Reed & Williams Family Medicine
West Lafayette Internal Medicine
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
1318 Main Street Lafayette, IN 47901 PH: 765.742.5254 | FX: 765.742.4991 Carlos Gambirazio, M.D. 152 Sagamore Parkway West West Lafayette, IN 47906 PH: 765.423.6556 | FX: 765.423.6024
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
Outpatient Physical / Occupational Therapy Lafayette Rehabilitation Services 1411 S. Creasy Lane, Suite 100 Lafayette, IN 47905 PH: 765.447.5552 | FX: 765.449.1054
Neurology
3451 Wyndham Way, Suite D West Lafayette, IN 47906 PH: 765.446.5250
Khaled Hammoud, M.D. 1345 Unity Place, Suite 310B Lafayette, IN 47905 PH: 765.446.5220 | FX: 765.446.5221
Miracles Rehabilitation Lafayette / West Lafayette
Lafayette Neurology
Occupational Medicine Regional Occupational Care Center
3806 Amelia Avenue Lafayette, IN 47905 PH: 765.807.2773 | FX: 765.807.2774
Jamie Kondelis, M.D. 1321 Unity Place, Suite A Lafayette, IN 47905 PH: 765.446.2450 | FX: 765.446.1083
257 Sagamore Parkway West West Lafayette, IN 47906 PH: 765.463.2200 | FX: 765.463.3625
Ophthalmology
Unity Surgical Center
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. Joel A. Virkler, D.O. 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
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
Outpatient Surgical Center 1411 S. Creasy Lane, Suite 200 Lafayette, IN 47905 PH: 765.446.5000 | FX: 765.446.5011
Pain Management 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
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 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
Nicholas Costidakis, D.P.M. 975 Mezzanine Drive, Suite B Lafayette, IN 47905 PH: 765.447.4776 | FX: 765.447.4809
Greater Lafayette Foot Care
Katherine Cummins, D.P.M. 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
Hoover Foot Clinic
James Hoover, D.P.M. 2020 Union Street, Suite 100 Lafayette, IN 47904 PH: 765.447.7644 | FX: 765.448.9009
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
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
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
Urology
Lafayette Clinic of Urology
Richard Selo, M.D. 1345 Unity Place, Suite 110 Lafayette, IN 47905 PH: 765.447.9308 | FX: 765.447.2387
Urology of Lafayette
Stephen Beck, M.D. 1345 Unity Place, Suite 110A Lafayette, IN 47905 PH: 765.446.5120 | FX: 765.446.5121
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1250 South Creasy Lane Lafayette, IN 47905 765.447.8133 | www.unityhc.com
Jamie Gordon | Marketing Director Katelyn Hopman | Marketing Coordinator
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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