Unity HealthFocus Newsletter: July 2015 by Unity Healthcare

healthfocus

JULY 2015

NATIONAL ICE CREAM

DAY-July 19National Ice Cream Day is celebrated each year on the 3rd Sunday in July and is a part of National Ice Cream Month. This day is a fun celebration enjoyed with a bowl, cup or cone filled with your favorite flavor of ice cream. Thousands of years ago, people in the Persian Empire would put snow in a bowl, pour grape-juice concentrate over it and ate it as a treat. They did this when the weather was hot and used the snow saved in the cool-keeping underground chambers known as “yakhchal”, or taken from the snowfall that still remained at the top of mountains by the summer capital. It is believed that ice cream was first introduced into the United States by Quaker colonists who brought their ice cream recipes with them. Their ice cream was sold at shops in New York and other cities during the colonial era.

▪ Ben Franklin, George Washington and Thomas Jefferson were known to have been regular eaters of ice cream. ▪ First Lady Dolley Madison served ice cream at the Inaugural Ball in 1813. ▪ 1832 – African American confectioner Augustus Jackson created multiple ice cream recipes as well as a superior technique to manufacture ice cream. ▪ 1843 – Philadelphian Nancy Johnson was issued the first U.S. patent for a small-scale hand-cranked ice cream freezer. ▪ It is said that today there are over 1,000 ice cream flavors. Source: http://nationaldaycalendar.com/days-2/ national-ice-cream-day-third-sunday-in-july/

Page 2 Picnic Eating & Outdoor Dining

Pages 5-6 8 Summer Steps to Healthy Living

Page 7 What is Group Strep B?

Page 10 Finding Melanoma

Pages 11-12 Finding A Doctor Near You

UNITY HEALTHCARE News Eben True, MD Joins Lafayette Surgical Clinic Unity Healthcare is pleased to announce that Eben True, MD joined the Lafayette Surgical Clinic on July 1st, 2015. He is practicing with Dr. Gerritt Smith, Dr. Thomas Summer, Dr. Jerry Jefson, Dr. John Francis, Dr. Nathan Huber and Dr. Bryce Nattier. Dr. True graduated from Purdue University with a Bachelor of Science degree in Chemical Engineering. He obtained his medical degree from Indiana University School of Medicine in Indianapolis, Indiana. He joins us from Peoria, Illinois where he was the Chief Resident of General Surgery. Dr. True is board eligible with the American Board of Surgery. He is a member of the American College of Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons. His practice focus is in general surgery with an emphasis in minimally invasive surgery, robotic surgery and gastrointestinal endoscopy. In his spare time, he enjoys spending time with his wife and two sons, and cheering on the Indianapolis Colts. Dr. True is currently accepting new patients. He will be fully participating in the many health plans, in which Unity Healthcare currently participates. For more information, please contact Lafayette Surgical Clinic at 765.446.5065.

Picnic Eating OUTDOOR DINING TIPS FOR SAFE OUTDOOR

The sunny days of summer bring hot temperatures and outdoor gatherings. It’s also a time of increased risk of food poisoning. While most Americans realize that May through September poses the biggest threat of food poisoning, a recent survey conducted by the Academy of Nutrition and Dietetics shows that consumers are not practicing correct outdoor food safety procedures. So, before you pack the picnic basket, remember these simple tips to ensure that unwanted bacteria won’t have a place at your table. WASH HANDS OFTEN • Bring moist towelettes or soap and water to clean your hands and surfaces often. Also, make sure your cooler is clean. KEEP RAW MEATS, POULTRY, SEAFOOD, EGGS AND READY-TO-EAT FOODS SEPARATE • Bring extra plates - one for handling raw foods and another for cooked foods to prevent cross-contamination. • Marinate foods in the refrigerator. • Don’t reuse marinade used on raw meat or poultry unless boiled.

& EATING

MORE RESOURCES • Keeping Your Cooler Clean • Packing the Perfect Cooler • Food Safety Changes through the Ages • Food Poisoning: The Basics • Properly packing a cooler can help reduce cross-contamination that might lead to food poisoning. COOK TO PROPER TEMPERATURES • Cook your favorite foods to the right temperature by using a food thermometer; hamburger to at least 160°F and chicken breasts to 165°F. • Never partially grill meat or poultry to finish cooking later. REFRIGERATE PROMPTLY BELOW 40°F • Pack food in a well-insulated cooler with plenty of ice or icepacks to keep temperature below 40°F. • Transport the cooler in the back seat of your air-conditioned car instead of in your hot trunk. • Remove from the cooler only the amount of raw meat that will fit on the grill. • Defrost meat, poultry and seafood in the refrigerator before taking them to the grill. • Don’t leave food outside in hot weather (90°F or above) for more than one hour. Source: http://www.homefoodsafety.org/separate/picnic-eating

PLAY IT

SAFE

12 Tips to Help Kids Avoid Sports Injuries Along with the joys and thrills of playing sports comes the possibility of getting injured. Each year, sports and recreation injuries send more than 2.6 million children and teens to U.S. emergency rooms, according to the Centers for Disease Control and Prevention. With that in mind, here are some ways to keep youngsters safe this summer and beyond. 1. Find a good coach. Youths need a proactive coach that listens and welcomes input. The coach should be willing to seek help from other professionals when needed. 2. Don’t skip sports physicals. They’re an opportunity to pick up on health issues, such as scoliosis and heart problems, that might otherwise get overlooked. Children should see their pediatrician as they are well equipped to discuss a variety of issues, such as mental and sexual health. 3. Be mindful of equipment. Make sure your kids have proper gear and that it fits correctly. You don’t want a kid in shoulder pads that are too big or a knee brace that’s going to cause them to trip and fall. Seek advice from an expert. 4. Make sure kids are trained well. Seek out good training programs that can cut down on problems, such as anterior cruciate ligament (ACL) injuries.

5. Ease into it. Encourage kids to gradually increase their training instead of jumping into things too fast. Make sure they’re taking time for basics, such as warming up and cooling down. 6. Monitor the environment. Is the playing surface in good condition, or is the soccer field full of holes that need to be repaired? 7. Give kids time to rest. Repetitive stress injuries are seen, such as little leaguer’s elbow and shoulder, in teens and preteens who fail to take time off from playing their sport. For instance, instead of pitching 4 months a year, they are pitching 11 or 12 months a year which can lead to growth-plate fractures and surgery. Full year sports are not recommended until high school, about the age of 16. Even when they are moving from sport to sport, the body needs time to recover. It is also recommended to take at least one day off per week from a sport and to take breaks during practice and games. 8. Watch for signs of injury. Kids can be reluctant to reveal their injuries. It’s imperative for coaches and parents to watch for kids that look like they’re holding back a little bit or limping. Athletic trainers can be helpful in spotting such problems, determining whether kids should go back and play and offering advice about injury prevention. 9. Seek prompt medical attention. Soreness typically subsides in a couple of days, but pain is an indication something bigger is going on and it needs to be looked at.

10. Know concussions. Get familiar with concussions, including the signs and symptoms. Head trauma can occur in, really, any sport, including soccer, baseball and basketball, it’s not just football. Anytime your child takes some sort of contact to the head, you want to be aware of these symptoms and keep your eye on them. 11. Guard against Melanoma. Is your child playing outdoors? Make sure he or she has sun protection to reduce the risk of skin cancer. 12. Fight dehydration. Staying well hydrated is important, even in cooler weather. Youngsters can become dehydrated without even realizing it. The coaches need to work in at least one water break per hour. Source: Darla Carter, The Louisville CourierJournal. 4/15/2015.

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

CARPAL TUNNEL SYNDROME

Prevention

There are no proven strategies to prevent carpal tunnel syndrome, but you can minimize stress on your hands and wrists by taking the following precautions: • REDUCE YOUR FORCE AND RELAX YOUR GRIP. Most people use more force than needed to perform many manual tasks. If your work involves a cash register, for instance, hit the keys softly. For prolonged handwriting, use a big pen with an oversized, soft grip adapter and free-flowing ink. This way you won’t have to grip the pen tightly or press as hard on the paper. • TAKE FREQUENT BREAKS. Give your hands and wrists a break by gently stretching and bending them periodically. Alternate tasks when possible. If you use equipment that vibrates or that requires you to exert a great amount of force, taking breaks is even more important.

For more information, please call:

ORTHOPAEDICS Lafayette Orthopaedic Clinic: 765.447.4165 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. www.lafayetteortho.com

• WATCH YOUR FORM. Avoid bending your wrist all the way up or down. A relaxed middle position is best. If you use a keyboard, keep it at elbow height or slightly lower. • IMPROVE YOUR POSTURE. Incorrect posture can cause your shoulders to roll forward. When your shoulders are in this position, your neck and shoulder muscles are shortened, compressing nerves in your neck. This can affect your wrists, fingers and hands. • KEEP YOUR HANDS WARM. You’re more likely to develop hand pain and stiffness if you work in a cold environment. If you can’t control the temperature at work, put on fingerless gloves that keep your hands and wrists warm. Source: http://www.mayoclinic.org/diseases-conditions/carpal-tunnel-syndrome/ basics/prevention/con-20030332

SUMMER steps for

Healthy Living

In the warmer, longer, lazier days of summer, the living may not be easy, but your life probably feels less chaotic. Even adults tend to adopt a “school’s out!” attitude in summer. That’s why this is a perfect time to improve your health in a fashion so seasonally laid back you’ll barely notice the effort. 1. GIVE YOUR DIET A BERRY BOOST If you do one thing this summer to improve your diet, have a cup of mixed fresh berries -- blackberries, blueberries, or strawberries -every day. They’ll help you load up on antioxidants, which may help prevent damage to tissues and reduce the risks of age-related illnesses. Blueberries and blackberries are especially antioxidant-rich. A big bonus: Berries are also high in fiber, which helps keep cholesterol low and may even help prevent some cancers.

2. GET DIRTY -- AND STRESS LESS To improve your stress level, plant a small garden, cultivate a flower box, or if space is really limited, plant a few flower pots -- indoors or out.

Just putting your hands in soil is “grounding.” And when life feels like you’re moving so fast your feet are barely touching the stuff, being mentally grounded can help relieve physical and mental stress. 3. FLOSS DAILY You know you need to, now it’s time to start: floss every single day. Do it at the beach (in a secluded spot), while reading on your patio, or when watching TV -- and the task will breeze by. Flossing reduces oral bacteria, which improves overall body health, and if oral bacteria is low, your body has more resources to fight bacteria elsewhere. Floss daily and you’re doing better than at least 85% of people. 4. GET OUTSIDE TO EXERCISE Pick one outdoor activity -- going on a hike, taking a nature walk, playing games such as tag with your kids, cycling, roller blading, or swimming -- to shed that cooped-up feeling of gym workouts. And remember, the family that plays together not only gets fit together -- it’s also a great way to create bonding time.

5. BE GOOD TO YOUR EYES To protect your vision at work and at play, wear protective eyewear. When outdoors, wear sunglasses that block at least 99% of ultraviolet A and B rays. Sunglasses can help prevent cataracts, as well as wrinkles around the eyes. And when playing sports or doing tasks such as mowing the lawn, wear protective eyewear. Ask your eye doctor about the best type; some are sport-specific. 6. VACATION TIME! Improve your heart health: take advantage of summer’s slower schedule by using your vacation time to unwind. Vacations have multiple benefits: They can help lower your blood pressure, heart rate, and stress hormones such as cortisol, which contributes to a widening waist and an increased risk of heart disease. 7. ALCOHOL: GO LITE Summer’s a great time to skip drinks with hard alcohol and choose a light, chilled alcoholic beverage (unless you are pregnant or should not drink for health or other reasons).

A sangria (table wine diluted with juice), a cold beer, or a wine spritzer are all refreshing and light. In moderation -- defined as one to two drinks daily -- alcohol can protect against heart disease. 8. SLEEP WELL Resist the urge to stay up later during long summer days. Instead, pay attention to good sleep hygiene by keeping the same bedtime and wake-up schedule and not drinking alcohol within three hours of bedtime. It’s also a good idea to avoid naps during the day unless you take them every day at the same time, for the same amount of time. There they are: Eight super simple ways to boost your health this summer. Try one or try them all. They’re so easy you won’t even know they’re -- shhhh -- good for you. Source: http://www.webmd.com/women/features/8-summer-steps-for-healthyliving

WHAT IS GROUP B STREP? Group B strep (GBS) is a type of bacteria that is naturally found in the digestive and reproductive tracts of both men and women. About 1 in 4 pregnant women “carry” or are “colonized” with GBS. Carrying GBS does not mean that you are unclean. Anyone can carry GBS. Unfortunately, babies can be infected by GBS before birth through several months of age due to their underdeveloped immune systems. Only a few babies who are exposed to GBS become infected, but GBS can cause babies to be miscarried, stillborn, or become very sick and sometimes even die after birth. GBS most commonly causes infection in the blood (sepsis), the fluid and lining of the brain (meningitis), and lungs (pneumonia). Some GBS survivors experience handicaps such as blindness, deafness, mental challenges, and/or cerebral palsy. Fortunately, most GBS infections that develop at birth can be prevented if women who have tested positive receive at least 4 hours of IV (through the vein) antibiotics just prior to delivery. HOW DO I KNOW IF I CARRY GBS? Although most women do not have any symptoms, GBS can cause vaginal burning/irritation and/or unusual discharge which may be mistaken for a yeast infection and treated incorrectly. If you have “vaginitis” symptoms, see your care provider promptly for an exam and possible GBS testing. GBS can also cause bladder infections, with or without symptoms. Your provider should do a urine culture for GBS and other bacteria (this is not the standard prenatal urine “dipstick” check) at the first prenatal visit. GBS in your urine means that you may be heavily colonized which puts your baby at greater risk. If your urine tests positive, your provider should consider you as “GBS colonized” for this pregnancy so that you receive IV antibiotics for GBS when labor starts/your water breaks. It is now the standard of care in the US and several other countries for all pregnant women to be routinely tested for GBS at 35–37 weeks during each pregnancy unless their urine already cultured positive in the current pregnancy. (Since levels of GBS can change, each pregnancy can be different.) Your provider will perform a swab test of both your vagina and rectum and receive the test results in 2–3 days. Inform your provider if you are using antibiotics and/or vaginal medications which may cause false negative results. Some hospitals will offer rapid, DNA-based tests which can be performed during labor or any time during pregnancy with results in just a few hours. These tests can help supplement your routine GBS testing because: - Your GBS status can change by the time you go into labor - Culture tests can show a false negative - Your culture test results may not be available HOW CAN I HELP PROTECT MY BABY…during pregnancy? Ask to have a urine culture for GBS and other bacteria done at your first prenatal visit. If you have a significant level of GBS in your urine, your provider should prescribe oral antibiotics at the time of diagnosis. GBSI advocates a recheck (“test of cure”) one month after treatment. See your provider promptly for any symptoms of bladder (urinary tract) infection and/or vaginitis symptoms. Be aware that bacteria can be passed between sexual partners, including through oral contact. Contact your provider immediately if you experience either: - Decreased or no fetal movement after your 20th week - Any unexplained fever Get tested at 35–37 weeks. If the test result is positive, you should receive IV antibiotics when labor starts or your water breaks.

Get a copy of all culture test results and keep them with you! Plan ahead if you have short labors or live far from the hospital. The IV antibiotics you receive in labor generally take 4 hours to be optimally effective. Ask about a late third-trimester penicillin shot as a possible safeguard. (Note: not a widely accepted strategy.) Tell your provider if you are allergic to penicillin. There are IV antibiotic alternatives. Know that “alternative medicine” treatments such as garlic or tea tree oil have not been proven to prevent your baby from becoming infected. Some are unsafe. Avoid unnecessary, frequent, or forceful internal exams which may push GBS closer to your baby. (Knowing how far you are dilated does not accurately predict when your baby will be born.) Vaginal or perineal ultrasounds are a less invasive option. Discuss the benefits vs. risks of possible methods of induction with your provider well before your due date as not all providers ask before “stripping” (also known as “sweeping”) membranes. Ask your provider to not strip your membranes if you test positive for GBS. (Be aware that you may test negative, but be GBS positive later.) GBS can cross even intact membranes and procedures such as stripping membranes and using cervical ripening gel to induce labor may push bacteria closer to your baby. If you are having a planned C-section, talk to your provider about the risks vs. benefits of starting IV antibiotics well before your incision. C-sections may not completely prevent GBS infection although the risk during a planned C-section is extremely low if performed before your labor starts/water breaks. Talk to your provider about whether or not to use internal fetal monitors and/or have your water broken before you have had IV antibiotics for at least 4 hours. Source: http://www.groupbstrepinternational.org/what-is-group-b-strep-2/

PUT CAR SEAT On Your Summer

Travel Checklist

As you plan summer car trips with your young children, you should also consider car seat safety. Car seats reduce the risk of death in infants and children by up to 71 percent, the U.S. Centers for Disease Control and Prevention says. But CDC research suggests 72 percent of car and booster seats are used improperly, which reduces their effectiveness. Using a seat belt instead of a car seat for young children can be dangerous. “No matter how short the trip, if your child is in the car, he or she should be in a child safety seat,” said Dr. Bridget Boyd, assistant professor of pediatrics at Loyola University Chicago Stritch School of Medicine. “If your child is shorter than 57 inches, a seat belt will lay across the child’s neck and belly,” Boyd noted in a Loyola news release. “In the event of an accident, this puts pressure on sensitive areas with the potential for serious injuries, including spinal cord and abdominal injuries, or even death.” Boyd said recent changes to improve safety can be confusing for parents. Here, she offers tips: Keep your child’s age, height and weight in mind when you choose a car seat. From birth to 2 years, a rear-facing car seat in the back seat is appropriate. From ages 2 to 5, or until a child has reached the upper height and weight limit for a seat, the child belongs in a forward-facing seat with a harness (a “convertible car seat”) in the back seat.

DRINK LOTS OF WATER By Diana Kohnle Playing on a team is a great way for kids to learn sportsmanship and to get exercise, but it’s also important to take precautions aimed at reducing the risk of injury. Make sure children get a physical exam before playing. Pack a water bottle during practice and games, encouraging kids to drink frequently. Promote stretching before practice and games to reduce the risk of muscle injury. Ask if coaches are certified in CPR and first aid. Coaches also should be familiar with the signs of concussion and how to prevent overuse injuries. Source: http://www.nlm.nih.gov/medlineplus/news/fullstory_152235.html

A booster seat is appropriate when children are too big for the forward-facing harness seat but not ready for a seat belt because it doesn’t fit properly. Seat belts fit when the lap belt goes across the upper thigh, not the stomach, and the shoulder belt goes across the chest, not the neck. In general, seat belts properly fit people taller than 57 inches (4 feet 9 inches). For the highest level of safety, children who don’t need a booster seat belong in the back seat until they’re 13. Visit seatcheck.org to find a location near you -often a police or fire station -- that will check and install a car seat for you. Don’t use car seats more than 6 years old. “Car seats and seat belts really could mean the difference between life and death for kids and parents,” Boyd said. “Many of us remember running to the car yelling ‘first’ to nab the front seat, but it’s safest to not even let the front seat be an option for kids, even if they are older.” Be a good role model, she added. “Talk about safety with your kids. It can make a world of difference,” she said. Source: http://www.nlm.nih.gov/medlineplus/news/fullstory_152274.html

Foods that help KEEP the pounds off

AS YOU AGE

A new look at what kinds of foods might help people keep their weight in check as they age found that not all calories are created equal and some foods are not as bad for the middle-aged waistline as many believe. While men and women who ate lots of nuts, peanut butter, fish, yogurt and low-fat cheese tended to lose weight, other foods commonly seen as “unhealthy” -- such as eggs, full-fat cheese and whole milk -- did not seem to make a difference in weight. On the other hand, sugary drinks and refined or starchy carbohydrates -- including white bread, potatoes and white rice -- had the opposite effect. The idea that the human body is just a bucket for calories is too simplistic. It’s not just a matter of thinking about calories or fat. What’s the quality of the foods we are eating? And how do we define quality? In general, the researchers reported, adults gained more weight as the “glycemic load” in their diets rose. Glycemic load measures both the amount of carbohydrates in the diet, and the quality of those carbohydrates. A white-flour bagel, for instance, has a glycemic load (GL) of about 25 units. In contrast, a serving of quinoa -- a whole grain -- has a GL of around 13 units, and a serving of chickpeas has a GL of only 3. In this study, every 50-unit increase in a person’s daily glycemic load -- the equivalent of two bagels -- was tied to an extra pound gained over four years. What’s more, certain foods -- like eggs and cheese -- were connected to weight gain only if people also boosted their intake of refined or starchy carbs. Red and processed meats, meanwhile, were also tied to weight gain. Again, though, some of the harm was reduced if a person’s glycemic load was kept in check. So, eating that burger with a salad rather than fries could be a smarter move. Better yet, eat it without the bun. The findings, reported online in the American Journal of Clinical Nutrition, are based on 24 years

of diet information from nearly 121,000 U.S. health professionals. At the outset, all were healthy and normal-weight, on average. Over time, the study found, people’s weight crept up -- as it tends to with age -- but the odds differed depending on the typical quality of their protein and carbs. That was the case even when the researchers accounted for other lifestyle factors, including overall calorie intake. That means counting calories is not enough to maintain a healthy weight in the long run. Dietary fat was once demonized and that only led to people eating more refined carbs. A lot of people still think you need to avoid fat to lose weight. Now, researchers worry that “counting calories” is the new “low fat.” Putting calorie counts on menus, he said, could send consumers the wrong message: If that deli sandwich has a relatively low calorie count, people may assume it’s a good choice -- even if it’s mainly processed meat and refined carbs. A spokeswoman for the Academy of Nutrition and Dietetics agreed that the quality of protein, carbs and fat is vital. This study really brings that to light. But they don’t want people to think calories don’t matter. There are also no “magic bullet” foods that will melt off the pounds. Nor can people avoid weight gain, and stay healthy, simply by avoiding a few “bad” foods. Instead, choose healthy carbs, including vegetables, fruits and fiber-rich grains; proteins like fish, chicken and nuts; and “good” fats such as those in vegetable oils and fatty fish. You could have chicken breast on whole-grain bread, plus a salad, for lunch. For a snack, have almonds, or hummus and vegetables. Then for dinner, have salmon and vegetables. But, “calorie balance” -- including the calories burned through exercise -- is still important. Source:http://www.nlm.nih.gov/medlineplus/news/fullstory_152179.html

FINDING Melanoma Finding melanoma early is important. When melanoma is found early and treated, it is almost 100% curable. This is true even if you have had melanoma. If melanoma spreads, it can be deadly. Here is what you can do to find melanoma early: Check your skin for signs of skin cancer. To help people find melanoma early, the American Academy of Dermatology created the body mole map, which: • Illustrates how to examine your skin. • Shows you what to look for (ABCDEs of melanoma). • Gives you a place to write down where your moles appear on your body. When examining your skin, be sure to check your scalp, feet, nails, and genital area. Melanoma can appear on parts of the body that people do not think to check. And check your scalp, palms, soles, fingernails, and toenails. Melanoma can appear under a nail. Beneath a nail, the most common early warning sign of melanoma is a brown- to black-colored nail streak. Another early warning sign is a spot that looks like a bruise. The bruise may fade and then come back. Make an appointment to see a dermatologist. If you find a mole or growth on your skin that is growing, unusual, bleeding or not like the rest, you should see a dermatologist. Get a free skin cancer screening. The American Academy of Dermatology offers free skin cancer screenings throughout the United States. Most free screenings happen in the spring. If you do not find a screening in your area, you can sign up to receive an email that lets you know when the next free screening will take place in your area.

If you have had melanoma You should know that you have a higher (5 times higher) risk of getting another melanoma. But, there is good news. Finding melanoma early still leads to a high cure rate. You should: • Examine your skin for signs of skin cancer. • Keep all appointments for follow-up exams. The sooner melanoma or another skin cancer is found, the better the outcome. During follow-up exams, the doctor may do more than look at your skin. You may need to see an eye doctor. Melanoma can develop in the eye. You may need blood work or an x-ray. Preventing skin cancer The following can help everyone reduce their risk of getting skin cancer: • If you tan, stop. Tanning outdoors, using tanning beds, and sitting under sun lamps are not safe. Research shows indoor tanning increases a person’s melanoma risk by 75%. And forget about getting a base tan before going on a tropical vacation. A base tan will not protect you. It just increases your risk for getting skin cancer. A tan is not a sign of good health. It is a sign that you have damaged your skin. • Spend time outdoors when the sun is less intense. Before 10 a.m. and after 2 p.m., the sun’s rays are less intense. • Wear sunscreen every day. Even on cloudy, rainy, and snowy days, you need to wear sunscreen. Here what to look for in a sunscreen: ▪ A Sun Protection Factor (SPF) of at least 30. ▪ UVA and UVB protection. ▪ Wear sunglasses that have UV protection. Melanoma can develop in the eyes. How to apply sunscreen • Apply at least 20 minutes before you go outside. • Put sunscreen on all skin that will not be covered by clothing. • If you spend time outside, reapply the sunscreen every 2 hours. Source: https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/ m---p/melanoma/tips

BACK PAIN

Prevention You may be able to avoid back pain by improving your physical condition and learning and practicing proper body mechanics. TO KEEP YOUR BACK HEALTHY AND STRONG: • Exercise. Regular low-impact aerobic activities — those that don’t strain or jolt your back — can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. Talk with your doctor about which activities are best for you. • Build muscle strength and flexibility. Abdominal and back muscle exercises (core-strengthening exercises) help condition these muscles so that they work together like a natural corset for your back. Flexibility in your hips and upper legs aligns your pelvic bones to improve how your back feels. Your doctor or physical therapist can let you know which exercises are right for you. • Maintain a healthy weight. Being overweight puts strain on your back muscles. If you’re overweight, trimming down can prevent back pain. USE PROPER BODY MECHANICS: • Stand smart. Maintain a neutral pelvic position. If you must stand for long periods of time, alternate placing your feet on a low footstool to take some of the load off your lower back. Good posture can reduce the amount of stress placed on back muscles.

• Sit smart. Choose a seat with good lower back support, arm rests and a swivel base. Consider placing a pillow or rolled towel in the small of your back to maintain its normal curve. Keep your knees and hips level. Change your position frequently, ideally at least once every half hour. • Lift smart. Let your legs do the work. Move straight up and down. Keep your back straight and bend only at the knees. Hold the load close to your body. Avoid lifting and twisting simultaneously. Find a lifting partner if the object is heavy or awkward. Learning to lift properly may be more effective at preventing a recurrence of back pain than a first episode. BUYER BEWARE Because back pain is such a common problem, there are numerous products available that promise to prevent or relieve your back pain. But there’s no definitive evidence that special shoes, shoe inserts, back supports, specially designed furniture or stress management programs can help. In addition, there doesn’t appear to be one type of mattress that’s best for people with back pain. It’s probably a matter of what feels most comfortable to you. Source: http://www.mayoclinic.org/diseases-conditions/back-pain/basics/prevention/con-20020797

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

Healthy Recipes

Red, White & Blue Parfait INGREDIENTS: 2 cups raspberries 2 cups pitted cherries, sliced 2 cups blueberries 2 teaspoons fresh lemon juice 6 cups plain Greek yogurt 1 tsp vanilla extract 1 tablespoon lemon zest

DIRECTIONS In another bowl, mix yogurt, vanilla, and lemon zest. In 6 small glasses (or mason jars for easy transport!) layer ½ cup fruit mixture, followed by ½ cup yogurt, ½ cup fruit, and another ½ cup yogurt. Top with a sprig of mint, a few blueberries, or lemon zest. Enjoy!

Red, White & Blue Nachos INGREDIENTS: 12 baked blue corn tortilla chips 3 tbsp shredded mozzarella cheese 2 tbsp finely diced cooked chicken breast 2 tbsp salsa DIRECTIONS Preheat the oven to 400°. Place the chips on a baking sheet, and sprinkle each with a small pinch of cheese. Evenly distribute the chicken on top of the cheese. Bake at 400° for 46 minutes, or until the cheese melts and begins to bubble. Cool for 2 minutes before serving with the salsa.

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.)

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. Eben True, 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

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 & Williams 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

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.

Rossville Family Medicine

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.

Southside Family Practice

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 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

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

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

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

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.

For more information regarding our upcoming and ongoing events, please visit our website at www.unityhc.com/news

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