healthfocus
FEBRUARY 2015
February is
HEART HEALTH AWARENESS MONTH
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Pages 3-4
Page 6
Kids Ear Nose & Throat
5 New Rules for a
Memory Loss:
Health Month
Healthy Heart
Is It Time To Worry?
Pages 11-12 Finding A Doctor Near You
UNITY HEALTHCARE News Melanie Hayes, MD Joins Froberg Pediatric Center Unity Healthcare is pleased to announce that Melanie Hayes, MD joined Froberg Pediatric Center on February 1, 2015. Dr. Hayes is practicing with Dr. Linda Froberg, Dr. Lara Weeks and Dr. Anna Wildermuth.
Dr. Hayes is currently accepting new patients. For more information, please contact Froberg Pediatric Center at 765.447.6936.
PROTECT
Your
Dr. Hayes was born and raised in Indianapolis. She attended college at Purdue University, majoring in general health sciences and graduating in 2003. Although essentially a lifelong Hoosier, Dr. Hayes attended medical school at the University of Michigan Medical School in Ann Arbor, Michigan. She returned to Indiana for her pediatrics residency training at the Indiana University School of Medicine. She practiced for three years in the South Bend area before returning to central Indiana after marrying husband, Richard, in July 2014.
Unborn Baby From Infections If you are pregnant or plan to become pregnant, find out how to protect your unborn baby from infections that can cause serious health problems. A few of the infections that affect unborn babies or newborns include: • Group B Strep — About 1 in 4 women carry Group B Strep. This bacteria is usually not harmful to you, but it can be passed on to your baby during childbirth and lead to a potentially deadly infection in your newborn. If you test positive for Group B Strep, you can protect your baby by getting IV antibiotics during labor.
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• Cytomegalovirus (CMV) — Some babies born with CMV infection will develop permanent health problems, such as hearing or vision loss or mental disabilities. Help protect your unborn baby by washing your hands often, avoiding contact with saliva and urine, and taking additional precautions to reduce your risk of exposure to CMV.
FEBRUARYis Kids Ear Nose & Throat
HEALTH MONTH National health statistics reveal that pediatric ear, nose, and throat disorders remain among the primary reasons children visit a physician, with ear infections ranking as the number one reason for an appointment. From earaches to choking hazards, kids can suffer from a variety of ailments that require prompt diagnosis and treatment. For more information, please call:
• Listeriosis — Pregnant women are 13 times more likely than the general population to get listeriosis, a serious infection caused by eating food contaminated with the bacteria Listeria. Protect yourself and your unborn baby by avoiding certain foods while you’re pregnant. For more information, please call: Pediatrics Froberg Pediatric Center - 765.447.6936 Lara Boggess, MD Linda Froberg, MD Melanie Hayes. MD Anna Wildermuth, MD Preferred Pediatrics of Lafayette - 765.807.8180 Ann Jonkman, MD Jewel Marino, MD Source: http://www.cdc.gov/features/prenatalinfections/
Otolaryngology Ear Nose & Throat of Lafayette - 765.807.2784 Sam Davis, MD Pediatrics Froberg Pediatric Center - 765.447.6936 Lara Boggess, MD Linda Froberg, MD Melanie Hayes, MD Anna Wildermuth, MD Preferred Pediatrics of Lafayette - 765.807.8180 Ann Jonkman, MD Jewel Marino, MD Source: http://www.entnet.org/KidsENT
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NEW RULES for a
Healthy Heart
ARE YOU DOOMED TO HEART DISEASE? Given the fact that it’s the most common killer of men, you’d be forgiven for thinking as much. But that’s nonsense. Science has produced some nearly surefire strategies for not only treating a stricken ticker but also avoiding heart trouble in the first place. And research is coming out almost daily that improves on what we already know. Our advice: Act on this wisdom. Sixty percent of young adults who did—by eating right, working out, keeping their BMIs in check, avoiding smoking, and going easy on the booze—kept their heart-disease risk low well into middle age, according to a new study from Northwestern University. Of people who ignored these basics, less than 5 percent stayed in the low-risk category. “Your environment and the choices you make influence your risk more than genetics does,” says study author Donald Lloyd-Jones, M.D., chairman of Northwestern’s preventive medicine department. “This is true even of the choices you made as far back as your youth and early adulthood.” We placed our finger on the pulse of heart research to find out which new approaches were most likely to improve your cardiovascular health. Follow our experts’ advice and you’ll be a lifelong member of the low-risk club, too. STARTING POINT: ESTIMATE YOUR RISK In the past century, researchers have begun trying to predict heart-disease risk by manipulating key numbers. The Framingham Heart Model—an algorithm that factors in your age, blood pressure, cholesterol, and other figures—remains a widely used prediction tool. “If you know your basic numbers, you can run an estimate yourself online
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and bring a printout to your doctor,” says Michael Steinman, M.D., an assistant professor of medicine at the University of California at San Francisco. “It’s important to know at least your estimated risk.” New Rule: Broaden the equation. Current research suggests that the Framingham Heart Model has some limitations: It doesn’t consider family history, lifestyle, and body mass index. And according to a recent study published in BMC Medicine, roughly a third of heart trouble occurs in people labeled as low risk by common prediction models. So if you use the online tool, don’t place a lot of stock in the results until you and your doctor have fully analyzed your family history and any bad habits you have, such as smoking or excessive drinking. Furthermore, be careful about which Framingham model you use. There’s a more complex equation-based version and a simpler points-based version. In a 2010 study, Dr. Steinman and his colleagues found that the pointsbased system was the less accurate one: It classified 17 percent of men into treatment categories that differed from ones they would have wound up in had the equation-based model been used. “For some people on the borderline, this can make a difference in how aggressive their treatment will be,” says Dr. Steinman.
STARTING POINT: TRAIN WITH INTERVALS Swimming, running, biking: They’re all terrific for your heart. And inserting periods of ultra-heavy heart pumping into your cardio routine (i.e., interval training, during which you reach 90-plus percent of your maximum heart rate) further boosts your heart’s efficiency over time. “You’re pushing the mitochondria in your cells to perform and adapt at a higher level,” says Conrad Earnest, Ph.D., director of exercise biology at Pennington Biomedical Research Center in Baton Rouge, Louisiana. Intervals boost your heart’s stroke volume as well as its efficiency, which is measured by peak oxygen uptake, or VO2 max. The impact is huge: After training with intervals, participants in a 2010 study in the International Journal of Sports Medicine saw an average improvement of 23 percent in stroke volume and a 17 percent increase in VO2 max. “Someone with a higher VO2 max tends to have a lower risk for metabolic and heart diseases,” Earnest says. New Rule: Throw your weights around too. You can snare additional heart benefits by incorporating resistance training into your routine, says Earnest. According to a 2010 study in the Journal of Strength and Conditioning Research, weightlifting may improve bloodflow throughout your extremities, which eases your heart’s workload. The study also found that your post-workout blood-pressure dip tends to last longer after weightlifting than after cardio exercise. Researchers speculate that the improved bloodflow could be the result of a boost in endothelial function, a measure of the health of your blood vessels. In the weight room, go for circuit training, during which you alternate between different muscle groups with minimal rest between them. “There tends to be a larger circulatory response with circuit training,” Earnest says.
STARTING POINT: CUT CHOLESTEROL WITH FIBER Oatmeal, barley, and psyllium are rich sources of soluble fiber, which can help reduce your cholesterol. Barley and oatmeal contain betaglucans, soluble fibers that help lower your LDL cholesterol by preventing it from being absorbed into your bloodstream. Psyllium, found in cereals and fiber supplements, may slash your LDL by triggering an increase in your body’s excretion of bile acid, the digestive fluid that cholesterol is converted into. New Rule: Add tomatoes. Okay, maybe not to your oatmeal. But pour yourself a daily glass of tomato juice; it’s rich in lycopene, a nutrient that may cut your body’s production of LDL cholesterol. People who drank about a glass and a half of tomato juice and ate 2 tablespoons of ketchup every day for 3 weeks reduced their LDL levels by an average of 8.5 percent, according to a study in the British Journal of Nutrition. Make sure you opt for low-salt varieties of ketchup and tomato juice, since sodium can raise blood pressure. STARTING POINT: WATCH YOUR STRESS That 60-hour-a-week job could send you to the ER. In a study in the journal Stress, researchers measured levels of the stress hormone cortisol in hair samples from 56 men who’d been hospitalized for heart attacks and from 56 men hospitalized for other reasons. For 3 months before the test, the heart-attack victims had cortisol levels that were a third higher than the control group’s. “It’s a high-stress world,” says John Ratey, M.D., an associate clinical professor of psychiatry at Harvard medical school. “People are willing to take on more than ever.” If stress is making your head spin, walk up and down a short flight of stairs three times, he suggests. The exercise will release a calming concoction of chemicals in your brain, so you’ll be more focused when you return to your desk. New Rule: Banish the blues as well. Stress can kill, but
so can depression. After studying twins with genetic predispositions for depression and heart disease, researchers at Washington University in St. Louis concluded that depression—past or present—raises a man’s risk of heart disease more than genetic or environmental factors do. “The higher risk may come from the inflammation that certain mental health problems can cause,” says Men’s Health advisor Prediman K. Shah, M.D., director of the division of cardiology at the Oppenheimer Atherosclerosis Research Center at Cedars-Sinai Medical Center. Seek help for your head and you might help your heart: People who took SSRIs, a class of antidepressants, showed improved bloodflow as a result of slower platelet clumping, according to a 2010 study from Loyola University medical center. STARTING POINT: GO FOR A BLOOD TEST Prescription statins are the gold standard for reducing cholesterol. For people at risk of heart disease, statins can lower the chance of having a heart attack by as much as 30 percent, according to the British Medical Journal. The trick is determining when you need to start popping the pills. “For people with borderline cholesterol, the situation is murky,” says Michael Blaha, M.D., a cardiology fellow at Johns Hopkins University. Many doctors use a blood test that measures C-reactive protein (CRP), an inflammatory marker, to help make the final call. Your body makes more CRP when there’s inflammation, which can be caused by the plaque buildup in your arteries. High cholesterol could be the culprit.
shows that if you have borderline LDL and an elevated CRP, you should consider, well, another final call: a CT scan. This test can take the guesswork out of diagnosing atherosclerosis by allowing your doctor to see firsthand whether arterial buildup is a problem. The study concluded that many patients who’d been prescribed statins because of elevated CRPs may not have needed the drugs after all. If your doctor’s analysis does ultimately suggest that statins should be part of your treatment plan, he or she might give you 6 months to reduce your cholesterol before writing out a scrip. If that’s the case, circle back to the cholesterol-reduction strategies mentioned earlier in this article, and work on bringing those levels down without an Rx. Hey, the clock’s ticking... Source: http://www.menshealth.com/health/hearthealthy-tips
New Rule: Also consider a CT scan. The problem with the CRP test: Cholesterol may not be the only cause of inflammation, or even its main cause. Arthritis or a sinus infection, for example, can also inflame your insides, Dr. Blaha says. A 2010 study he coauthored
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GOT A
Cold?
10 Tips to Help You Feel Better Faster When sneezes, sniffles, and coughs start, you might reach for over-the-counter cold remedies. Yet they can’t shorten or cure your cold. Plus, they may bring unwelcomed side effects, such as drowsiness or insomnia. There are plenty of natural and less costly ways to quickly combat a cold and its symptoms. Here are a few suggestions:
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Drink lots of noncaffeinated fluids every day. Fluids keep mucus loose, making it easier to clear out. Suck on a zinc lozenge every couple of hours. Taken for fewer than three days, zinc is generally safe. But it can cause harm if used regularly. Pregnant women should avoid it altogether. Breathe in hot vapors from the shower or a steaming bowl of water. Steam may relieve congestion.
Gargle with warm salt water to help soothe a sore throat.
Try raw garlic or garlic supplements. Both may speed recovery and relieve symptoms.
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Take two to six grams of vitamin C daily at the start of symptoms. Vitamin C may shorten a cold and lessen symptoms. But avoid mega-doses: they can cause diarrhea and other harmful effects. Drink a bowl of chicken soup. Soup helps thin mucus and may ease a runny or stuffy nose. Sip a cup of Echinacea tea. If used at the start of symptoms, this herb – and its tinctures – may make a cold go away quickly. However, it can affect your immune system if taken on a regular basis. Seek heat. Cold viruses cant grow stronger in warm temperatures.
Get rest to strengthen your body against infection. You’ll also feel less groggy.
For more information, please turn to pages 9-10 and look under: Family Medicine Immediate Care Internal Medicine Pediatrics
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Source: Mainlinehealth.org
Memory Loss: Is It Time To Worry? It’s normal to forget things and to do some more often as you age. However, you can take steps to improve your memory and make your forgetfulness less of a liability. Occasional memory lapses – your next-door neighbor’s dog’s name or where you parled your car at the mall – are normal and not a symptom of memory disorder. It is not so much the forgetting of where you placed the keys, it is the forgetting of what they are used for. When those lapses occur regularly or when they involve significant information, it is a cause for concern. If your forgetfulness is increasing, it’s helpful to know if you have a serious problem and what you can do about it. Severe memory problems can signal Alzheimer’s disease. This condition gradually destroys more and more brain cells over time. Alzheimers most often develops in those older than age 65. Most people who have memory disorders or Alzheimer’s aren’t self-aware enough to notice their memory is declining. Could it be Alzheimer’s? The first sign of Alzheimer’s disease is usually mild forgetfulness, or gradual loss of short-term memory. Though we all forget thigns occassionally, people in
the early stages of Alzherimer’s tend to forget things more often. They begin to have trouble remembering recent events or the names of familiar people or things. Other signs include:
* Difficulty learning and remembering new information * Problems finding or speaking the right word * Frequently failing to turn off the stove, close windows or lock doors * Forgetting conversations, appointments or where they put things * Trouble performing tasks that require multiple steps, such as balancing a checkbook or cooking a meal * Difficulty solving everyday problems at work or at home * Confusion while driving or navigating once-familiar routes Sometimes mood and personality changes occur, including agitation, depression and unusually poor judgement. No single test can diagnose this disease. Your medical history, a physical exam and neurological and mental status tests can help a doctor decide what’s causing memory problems. A brain scan or lab tests may be needed to rule out diseases that can cause similar mental problems. Protect Your Mind For those with nothing more than memory slips, the following strategies can help boost your memory: Like your body, your brain does better when you take good care of it and keep it mentally and socially active. Optimizing your health by regularly visiting your primary
care physician, exercising daily, getting enough sleep, eating a low-fat diet, maintaining a healthy weight and avoiding known brain toxins – such as tobacco, illegal drugs and too much alcohol – can keep your mind and your memory functioning better, for longer.
The following tips are to help exercise your memory: * Be a lifelong learner. Reading a lot, learning new things and staying curioius about the world can help maintain mental acuity. * Play games. Crossword puzzles and sudoku puzzles are a great way to keep the mind active and have fun at the same time.
For more information, please call: Neurology Khaled Hammoud, M.D. 1345 Unity Place, Suite 310B Lafayette, IN 47905 PH: 765.446.5220 | FX: 765.446.5221 Source: Sharp.com
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Promote SCHOOL SUCCESS
Children who are physically fit absorb and retain new information more effectively than children who are out of shape, a new study finds, raising timely questions about the wisdom of slashing physical education programs at schools. Parents and exercise scientists (who, not infrequently, are the same people) have known for a long time that physical activity helps young people to settle and pay attention in school or at home, with salutary effects on academic performance. A representative study, presented in May at the American College of Sports Medicine, found that fourth- and fifth-grade students who ran around and otherwise exercised vigorously for at least 10 minutes before a math test scored higher than children who had sat quietly before the exam.
testing their aerobic fitness on a treadmill, and then asking 24 of the most fit and 24 of the least fit to come into the exercise physiology lab and work on some difficult memorization tasks. Learning is, of course, a complex process, involving not only the taking in and storing of new information in the form of memories, a process known as encoding, but also recalling that information later. Information that cannot be recalled has not really been learned. Earlier studies of children’s learning styles have shown that most learn more readily if they are tested on material while they are in the process of learning it. In effect, if they are quizzed while memorizing, they remember more easily. Straight memorization, without intermittent reinforcement during the process, is tougher, although it is also how most children study.
More generally, in a large-scale study of almost 12,000 Nebraska schoolchildren published in August in The Journal of Pediatrics, researchers compiled each child’s physical fitness, as measured by a timed run, body mass index and academic achievement in English and math, based on the state’s standardized test scores. Better fitness proved to be linked to significantly higher achievement scores, while, interestingly, body size had almost no role. Students who were overweight but relatively fit had higher test scores than lighter, less-fit children.
In this case, the researchers opted to use both approaches to learning, by providing their young volunteers with iPads onto which several maps of imaginary lands had been loaded. The maps were demarcated into regions, each with a four-letter name. During one learning session, the children were shown these names in place for six seconds. The names then appeared on the map in their correct position six additional times while children stared at and tried to memorize them.
To date, however, no study specifically had examined whether and in what ways physical fitness might affect how children learn. So researchers at the University of Illinois at Urbana-Champaign recently stepped into that breach, recruiting a group of local 9- and 10-year-old boys and girls,
In a separate learning session, region names appeared on a different map in their proper location, then moved to the margins of the map. The children were asked to tap on a name and match it with the correct region, providing in-session testing as they memorized.
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A day later, all of the children returned to the lab and were asked to correctly label the various maps’ regions. The results, published last week in PLoS One, show that, over all, the children performed similarly when they were asked to recall names for the map when their memorization was reinforced by testing. But when the recall involved the more difficult type of learning — memorizing without intermittent testing — the children who were in better aerobic condition significantly outperformed the less-fit group, remembering about 40 percent of the regions’ names accurately, compared with barely 25 percent accuracy for the out-of-shape kids. This finding suggests that “higher levels of fitness have their greatest impact in the most challenging situations” that children face intellectually, the study’s authors write. The more difficult something is to learn, the more physical fitness may aid children in learning it. Of course, this study did not focus specifically on the kind of active exercise typical of recess, but on longer-term, overall physical fitness in young children. But in doing so, it subtly reinforces the importance of recess and similar physical activity programs in schools, its authors believe. If children are to develop and maintain the kind of aerobic fitness that amplifies their ability to learn, said co-author Charles Hillman, a professor of kinesiology at the University of Illinois and a fellow at the university’s Beckman Institute for Advanced Science and Technology, they should engage in “at least an hour a day” of vigorous physical activity. Schools, where children spend so many of their waking hours, provide the most logical and logistically plausible place for them to get such exercise, he said.
Or as he and his co-authors dryly note in the study: “Reducing or eliminating physical education in schools, as is often done in tight financial times, may not be the best way to ensure educational success among our young people.” For more information, please call: Family Medicine Diane Begley, MD - 765.446.5161 Clinic of Family Medicine - 219.866.4135 Zeba Ali, MD Robert E. Darnaby, MD Louck Family Medicine - 219.866.4300 Christopher Louck, MD Pickerill, Adler & Reed Family Medicine - 765.807.2320 Jeremy Adler, MD Casey Pickerill, MD Darren Reed, DO Mark Williams, MD Rossville Family Medicine - 765.379.2222 Duane Estep, MD Wanda Estep, MD Southside Family Practice - 765.471.9146 John Cusack, MD Shadi Resheidat, MD
Pediatrics Froberg Pediatric Center - 765.447.6936 Lara Boggess, MD Linda Froberg, MD Melanie Hayes, MD Anna Wildermuth, MD Preferred Pediatrics of Lafayette - 765.807.8180 Ann Jonkman, MD Jewel Marino, MD Source: nytimes.com
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Healthy Recipes Beef Stroganoff
INGREDIENTS: 4 teaspoons canola oil 1 pound top round, London broil, or flank steak, thinly sliced 1 small onion, thinly sliced Two 8-ounce packages white button mushrooms, cleaned, stemmed, and sliced (about 5 cups) 2 cloves garlic, minced 1 tablespoon all-purpose flour 2 cups low-sodium beef broth 1/2 cup dry red wine 3/4 teaspoon salt 1/2 teaspoon freshly ground black pepper 2/3 cup plain Greek-style nonfat yogurt For Serving: 4 cups cooked whole-wheat egg noodles 4 teaspoons minced fresh parsley DIRECTIONS Heat 2 teaspoons of the oil in a large skillet over medium-high heat. Add the beef and cook until browned on all sides, about 5 minutes. Transfer the meat with its juices to a plate. Heat the remaining 2 teaspoons of oil in the skillet over medium-high heat. Add the onions and cook, stirring, until soft and translucent, about 3 minutes. Add the mushrooms and garlic and cook, stirring occasionally, until the mushrooms are soft and have released most of their water, about 5 minutes. Return the beef and juices to the pan and stir to incorporate. Sprinkle with the flour and stir until well combined. Add the beef broth, wine, salt, and pepper and bring to a boil. Reduce the heat and simmer until the mixture thickens and reduces slightly, 5 minutes. Stir in the yogurt and cook for 1 minute more.
Roasted Yukon Potatoes with Rosemary INGREDIENTS: 6 to 8 medium (about 1 1/2 pounds), Yukon gold potatoes, cut in wedges 8 cloves garlic, left in their skins 1 tablespoon chopped fresh rosemary leaves 3 tablespoons extra-virgin olive oil Kosher salt freshly ground black pepper
Spoon the mixture over the noodles and garnish with parsley.
DIRECTIONS HEAT oven to 450째F. Preheat oven to 425 degrees F. Toss the potatoes, garlic, and rosemary with the oil, salt and pepper on a baking sheet. Arrange potatoes cut side down and roast until fork tender, 20 to 25 minutes. Serve hot.
Per Serving: Calories 520; Total Fat 15 g (Sat Fat 3.5 g, Mono Fat 6.5 g, Poly Fat 2.5 g); Protein 40 g; Carb 51 g; Fiber 2 g; Cholesterol 85 mg; Sodium 560 mg
Total Time: 35 Minutes Prep Time: 10 Minutes Cook Time: 25 Minutes Yields 4 Servings
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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
Lafayette Allergy and Asthma Clinic Ketan Sheth, M.D. 1345 Unity Place, Suite 145 A Lafayette, IN 47905 PH: 765.446.5040 | FX: 765.446.5041
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
Zeba Ali, M.D. Robert E. Darnaby, M.D. 1103 East Grace Street Rensselaer, IN 47978 PH: 219.866.4135 | FX: 219.866.0803
Louck Family Medicine
Christopher Louck, M.D. 118 West Drexel Parkway Rensselaer, IN 47978 PH: 219.866.4300 | FX: 219.866.7591
Pickerill, Adler, Reed Family 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
Gastroenterology
Gannamaneni Gastroenterology
Premier Gastroenterology Jitender Bhandari, M.D. Amar Pinto, M.D. Dan Selo, M.D. Bret Spier, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905
PH: 765.807.2787 | FX: 765.807.2786
General Surgery Lafayette Surgical Clinic
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
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
Gagan Chadha, M.D.
166 Sagamore Pkwy W West Lafayette, IN 47906 PH: 765.497.2428 | FX: 765.497.4251
Gary Prah, M.D.
1318 Main Street Lafayette, IN 47901 PH: 765.742.5254 | FX: 765.742.4991
West Lafayette Internal Medicine 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
Krishna Gannamaneni, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2787 | FX: 765.807.2786
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
Lafayette Gastroenterology
Nephrology
Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905 PH: 765.807.0531 | FX: 765.807.0534
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
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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