Unity HealthFocus Newsletter: March 2015 by Unity Healthcare

healthfocus

MARCH 2015

Schedule Yours Today! March is

COLON CANCER AWARENESS MONTH

this year

50,000 PEOPLE are expected to

DIE of

colorectal cancer

find out how the other half

Screening could SAVE more than HALF of those lives*

ask your doctor about a

* American Cancer Society Cancer Facts & Figures 2013

Page 2

Pages 3-4

Page 6

March is Colon & Rectal

15 Super Foods for

Sleep Awareness Week:

Cancer Awareness Month

Kidney Health

A New Bedtime Routine for Children

LIVES â&#x20AC;&#x201D;

colonoscopy

American College of Gastroenterology www.gi.org

Pages 11-12 Finding A Doctor Near You

UNITY HEALTHCARE News Melanie Hayes, MD Joined 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 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. Dr. Hayes is currently accepting new patients. For more information, please contact Froberg Pediatric Center at 765.447.6936.

MARCH

COLON & RECTAL CANCER awareness month

March is Colon Cancer Awareness Month, so it’s a perfect time to be reminded that colon cancer is one of the most common and preventable cancers. It’s important to know your risk factors — like age, being overweight, and smoking. Diet and lifestyle changes, such as eating foods low in saturated fats and high in fiber like fruits and vegetables, as well as becoming more active are great steps toward lowering your risk. But one of the most significant risk factors for developing colon cancer is one you can’t change — your family history. So talk to your family and doctor about your history and get regular screenings. A colonoscopy can stop this cancer in its tracks. Source: http://www.everydayhealth.com/colon-cancer/colon-cancer-common-but-preventable-2762.aspx

For more information, please call:

GASTROENTEROLOGY Gannamaneni Gastroenterology: 765.807.2787 Krishna Gannamaneni, MD Lafayette Gastroenterology: 765.807.0531 Ravish Mahajan, MD Premier Gastroenterology: 765.807.2787 Jitender Bhandari, M.D. Amar Pinto, MD Dan Selo, MD Bret Spier, MD GENERAL SURGERY Lafayette Surgical Clinic: 765.446.5065 John Francis, MD Jerry Jefson, MD Nathan Huber, MD Bryce Nattier, MD Gerritt Smith, MD Thomas Summer, MD MEDICAL ONCOLOGY Horizon Oncology Center: 765.446.5111 Wael Harb, MD Ajita Narayan, MD Lafayette Cancer Care: 765.446.5050 Nancy A. DiMartino, MD Glen Papaioannou, MD Becky Cutchin, RN, ANP-BC, OCN RADIATION ONCOLOGY Faith Hope & Love Cancer Center: 765.447.7460 Bedatri Sinha, MD Mary Margaret Rhees, MD Kazumi Chino, MD Mark Lobo, MD

SUPER FOODS for

Kidney Health

Most of us know that eating a balanced diet is important for good health. Now scientists have pinpointed certain foods as super foods. In addition to promoting overall health, these are foods for kidney health as well.

Here’s a list of the top 15 kidney-friendly super foods. These foods are good for everyone, not just people with kidney disease, so by using them in your family’s meals, you’ll be helping your loved ones enjoy good health too.

To understand why they’re called super foods, we first have to understand oxidation and free radicals. Oxidation is a normal bodily process for producing energy and is part of many chemical changes in your body. However, it can sometimes lead to the production of molecules called free radicals. Free radicals are unstable molecules that bounce wildly around inside your body, damaging proteins, genes and cell membranes. Free radicals are believed to contribute to aging and many chronic diseases, including cancer, heart disease and Alzheimer’s disease.

1. RED BELL PEPPERS Red bell peppers are a good choice for those concerned about kidney health, because they’re low in potassium. In addition, they add color and taste to any dish, while packing a generous portion of vitamins A, C, B6, folic acid and fiber. They also contain the antioxidant lycopene, which protects against certain types of cancer. If you’re following the kidney diet, it’s easy to add red bell peppers to your food plan. Mix them into tuna or chicken salad or eat raw with dip. Roasted, they’re great for topping sandwiches or green salads. Chop them up for use in egg dishes, such as omelets or scrambled eggs, add them to kabobs for grilling or stuff them with a ground beef or turkey mixture for a tasty baked entrée.

The good news is super foods contain antioxidants that help neutralize free radicals. Even in relatively low amounts, antioxidants can help slow or stop the rate of oxidation caused by free radicals. Examples of antioxidants include flavonoids, lycopene and vitamins C, E and beta-carotene. Super foods for your kidneys If you are on dialysis or have chronic kidney disease (CKD), you’ll be glad to know that there are lots of super foods, containing antioxidants and other health-supporting properties, included in the kidney diet. People with kidney disease experience more inflammation and have a higher risk of cardiovascular disease than those without kidney problems. If you have kidney disease, it’s important that you consult a renal dietitian and follow a kidney diet. Including super foods in your kidney diet eating plan can help you increase your intake of nutrients and antioxidants.

2. CABBAGE Crunchy cabbage is a cruciferous vegetable filled with phytochemicals, chemical compounds found in certain fruits and vegetables. Phytochemicals work to break apart free radicals. Many phytochemicals are believed to combat cancer and support cardiovascular health. Inexpensive cabbage is a great addition to your eating plan, because it’s also high in vitamins K and C, high in fiber and a good source of vitamin B6 and folic acid, yet it’s low in potassium, so it’s especially kidneyfriendly.

If you’re following the dialysis diet, add cabbage by turning it into coleslaw or use as a topping for fish tacos. Cabbage can be boiled, steamed or microwaved and then enjoyed with a touch of butter or cream cheese and a sprinkling of pepper or caraway seeds. Other nutritious meal options include cabbage rolls and stuffed cabbage. 3. CAULIFLOWER Another kidney-friendly super food is cauliflower. This cruciferous vegetable brings lots of vitamin C to your plate, along with folate and fiber. In addition it contains compounds that help your liver neutralize toxic substances. Cauliflower can be eaten raw with dip or in salads. Steamed or boiled, it can be seasoned and turned into a great side dish. You can even mash cauliflower as a dialysis-friendly replacement for mashed potatoes. 4. GARLIC Garlic is good for reducing inflammation and lowering cholesterol. It also has antioxidant and anti-clotting properties. (Cooking garlic will not affect its antioxidant properties, but it will reduce its anti-clotting and antiinflammatory effects.) If you’re following the dialysis diet, use garlic powder instead of garlic salt to add extra flavor to your meals without adding extra sodium. Garlic can be used in cooking many dishes: meat, vegetables or tomato sauce, for instance. Once you start cooking with garlic, you’ll wonder how you ever got along without it. 5. ONION Another popular food used for seasoning is the onion. Onion is full of flavonoids, particularly quercetin. Flavonoids are natural chemicals that prevent the deposit of fatty material in blood vessels and add pigmentation (color) to plants. Quercetin is a powerful antioxidant that is believed to help reduce heart disease and protect against many forms of cancer. It also has anti-inflammatory properties. Low in potassium, onions are not only kidney-friendly; they also

contain chromium, a mineral that assists your body with the metabolism of fats, proteins and carbohydrates. Onions can be enjoyed raw or cooked in a variety dishes. 6. APPLES An apple a day really does help keep the doctor away! High in fiber and anti-inflammatory properties, apples help reduce cholesterol, prevent constipation, protect against heart disease and decrease your risk of cancer. Renalfriendly apples can be eaten raw or cooked. Or get their health benefits by drinking apple juice or cider. 7. CRANBERRIES Cranberries are great for preventing urinary tract infections, because they make urine more acidic and help keep bacteria from attaching to the inside of the bladder. They’ve also been shown to protect against cancer and heart disease. Although we think of cranberries as a holiday side dish, cranberry juice can be enjoyed daily for added nutrition. Or toss a handful of dried cranberries into your cereal or salad. 8. BLUEBERRIES These tasty berries get their blue color from antioxidant compounds called anthocyanidins. Blueberries get high marks for nutrition, thanks to natural compounds that reduce inflammation and lots of vitamin C and fiber. They also contain manganese, which contributes to healthy bones. Use blueberries to top off your morning cereal, whip them up in a fruit smoothie or enjoy them in a baked treat, such as muffins or crisp. 9. RASPBERRIES Raspberries contain a compound called ellagic acid, which helps neutralize free radicals. The berry’s red color comes from antioxidants called anthocyanins. Raspberries are packed with fiber, vitamin C and manganese. They also have plenty of folate, a B vitamin. Raspberries have properties that help stop cancer cell growth and the formation of tumors. Sprinkle fresh raspberries on cereal, or whip them up in a kidney-friendly fruit smoothie.

10. STRAWBERRIES Strawberries are rich in two types of antioxidants, plus they contain lots of vitamin C, manganese and fiber. They have anti-inflammatory and anti-cancer properties and also help keep your heart healthy. Like most berries, they’re wonderful on cereal or in smoothies. Add whipped topping for a quick dessert, or puree them for a fresh addition to pound or angel food cake. 11. CHERRIES Cherries are filled with antioxidants and phytochemicals that protect your heart. When eaten daily, they have been shown to reduce inflammation. Fresh cherries make a delicious snack. Of course, cherry pie is a popular dessert, but there’s also cherry crisp, cherry cheesecake and even cherry coffee cake. Cherry sauce makes a nice accompaniment to lamb or pork. 12. RED GRAPES The color in red grapes comes from several flavonoids. These are good for your heart, because they prevent oxidation and reduce the chance of blood clots. One flavonoid in grapes, resveratrol, may boost production of nitric oxide, which increases muscle relaxation in blood vessels for better blood flow. Flavonoids also help protect you from cancer and prevent inflammation. Choose those with red or purple skin grapes for the highest flavonoid content. Eat grapes as a snack. When frozen, they make a good thirst-quencher for those on a fluid-restricted diet. Add grapes to fruit or chicken salad. Or drink grape juice. 13. EGG WHITES Did you know that egg whites are pure protein? They provide the highest quality protein there is, along with all of the essential amino acids. If you’re on the kidney diet, it’s good to note that egg whites have less phosphorus than other protein sources, such as egg yolks or meats. Use egg whites for omelets or egg white sandwiches. You can also add them to smoothies or shakes. Hard boil eggs and use the whites to use in tuna or green salads.

14. FISH Another high-quality source of protein is fish. Both the American Diabetes Association and the American Heart Association recommend that you include fish in your meal plan two or three times a week. Besides being a great source of protein, fish contains anti-inflammatory fats called omega-3s. These healthy fats help prevent diseases, such as cancer and heart disease. They also help lower LDL (the bad cholesterol) and raise HDL (the good cholesterol). The types of fish that have the most omega-3s are salmon, albacore tuna, mackerel, herring and rainbow trout. 15. OLIVE OIL Research has shown that people in countries where olive oil is used instead of other types of oils tend to have lower rates of cancer and heart disease. This is believed to be due to olive oil’s many good components: oleic acid, an antiinflammatory fatty acid which protects against oxidation and polyphenols and antioxidant compounds that prevent inflammation and oxidation. Use virgin or extra virgin olive oil – they’re higher in antioxidants. Olive oil can be used in cooking or to make salad dressing, as a dip for bread and as a marinade for vegetables. Source: http://www.yourkidneys.com/kidney-education/Diet-and-nutrition/15-super-foods-for-kidneyhealth/2924

PROTECT YOUR

KIDNEYS 4

REGULAR COLONOSCOPIES

Cut Cancer Risk

40 Percent

olorectal cancer kills more than 50,000 people in the United States every year, but it’s been unclear just how beneficial regular screening is – until now. Researchers from the Harvard School of Public Health (HSPH) found that regular colonoscopy screenings, one every 10 years, could prevent 40 percent of colorectal cancers and save thousands of lives. Colonoscopy is the most commonly used screening test in the U.S., but there was insufficient evidence on how much it reduces the risk of proximal colon cancer [cancer in the ascending or transverse colon] and how often people should undergo the procedure. Our study provides strong evidence that colonoscopy is an effective technique for preventing cancers.

However, the findings were not surprising, Davids said, because colon cancer is so easily detected. “One of the things that makes colorectal cancer different is it is easy to diagnose, because that we know by looking if someone has cancer or pre-cancer,” Davids said. “But the absolutely magnitude of just how effective it is was unknown.” But while the study shows the effectiveness of one screening every 10 years for people who are at a normal risk, some people require more frequent testing, Davids said. “Patients with a family history of colorectal cancer or with a disease such as ulcerative colitis are at a much higher risk of developing the cancer,” she said. “Those types of patients should be screened earlier and more frequently.”

MARCH

The researchers analyzed data from more than 88,000 patients who filled out questionnaires every two years between 1988 and 2008 as part of the Nurses’ Health Study and the Health Professionals Follow-up Study. They found that 1,815 people were diagnosed with colorectal cancer over the time period, 474 of whom died. And when the researchers compared the number of people diagnosed to the number of people screened, they discovered that had all of the participants in the study undergone colonoscopies, 40 percent of those cancers would be been prevented, according to the study.

COLON & RECTAL CANCER awareness month

While guidelines recommending a colonoscopy every 10 years starting over the age of 50 have been in place since 2008, the exact effectiveness of the procedure was unclear, said Jennifer Davids, MD, an assistant professor of surgery and colorectal specialist at UMass Memorial Medical Center. The findings will make it easier to convince people to undergo the often uncomfortable procedure, she said. “Physicians are empowered by this data, because we can say to patients, based on this study, that there is strong evidence that a colonoscopy is effective at preventing colorectal cancer,” Dr. Davids said.

The findings, Davids said, could save thousands of lives in the long run, and said she hopes more people listen to their doctors and get screened. “We’ve had these guidelines for a long time,” Davids said. “Now we finally have data to back them up.”

For more information, please call:

Sleep Awareness Week A New Bedtime Routine for Children Sleep Awareness Week (March 3-10) should serve as a “wakeup call” for America, giving us the opportunity to get you and your child back on track to better sleep, health and learning. Here are five tips to get started.

Eliminate Electronics: Research has linked

electronics use with sleep disturbances, and has also found an association between sleep deficiency and lower grades among children and teens. Children and teenagers who are sleep-deprived are more prone to obesity and to attention problems at school. Depression is also common and may be due to the lack of sleep. Everything from smartphones to tablets and laptops should be taken outside the room one hour before bedtime. If your child uses their phone as an alarm clock, this is easily solved -purchase an inexpensive clock for an alarm instead. Televisions should not be allowed in the room, either.

Establish Routine: Bedtime should be

maintained each night. You should not allow your child to stay up studying late into the night. Multiple research studies have shown that getting adequate sleep after studying increases retention and test scores. It is okay if your child has one night during the week that they need to be up later due to sports or school activities. Just make sure you help them manage their time by studying extra the night before.

Soak Before Sleep -- Nighttime Baths:

Our need for sleep has not changed with our desire for a less routine schedule. It is up to us as parents to institute these routines and instill good sleep habits that will last our children a lifetime!

Ready the Bedroom -- Environment Counts: The bedroom should be designed for sleep!

For more information, please call: NEUROLOGY Lafayette Neurology:765.446.5220

A wind-down routine is crucial for a good night’s sleep. A great option is warm baths or showers before bedtime, which may help increase the quality of sleep.

If you and your children have different bedtimes, have your children sleep with a “white noise” machine to drown out sound from those that are still awake. Keep the room temperature cool, around 68 degrees. Make sure the room is dark. If your child needs a nightlight, a “low blue light” nightlight is best, and can be easily purchased online. Make sure that your child is sleeping on a mattress that is supportive for their body type. Most parents spend very little money on mattresses for their kids, thinking that they can sleep on “anything and anywhere.”

Prep for Bed: Have your children spend at least 30

minutes preparing for bed, but one hour is optimal. Make sure all electronics are off and dim the lights. Your child can read books or you can read to them. One of my favorite things to do is spend time talking with my kids. Talk about the day, what you and your children need to do tomorrow, and make plans for the future.

Khaled Hammoud, M.D.

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.huffingtonpost.com/dr-robertoexman/sleep-awareness-week_b_2805973.html

Your Vision Smoking is the single largest preventable cause of disease and premature death in the United States. It harms nearly every organ in your body — including your eyes. Adverse — and often fatal — health effects of cigarette smoking such as heart disease and cancer are all too familiar, but sight-threatening vision and eye problems generally are less well-known. Here are more reasons you should kick the habit: SMOKING AND CATARACTS Cataracts (clouding of the eye’s natural lens) are a leading cause of blindness in the world. More than 50 percent of Americans will have a cataract or have had cataract surgery by age 80. Smokers significantly increase their risk of developing a cataract compared with nonsmokers. In fact, studies show that people who smoke double their chance of forming cataracts, and the risk continues to increase the more you smoke. SMOKING AND MACULAR DEGENERATION Age-related macular degeneration (AMD) affects the center of the retina, which is responsible for sharp, central vision needed for everyday tasks such as reading and driving. Macular degeneration causes “blind spots” and often severely impairs central vision. AMD is the leading cause of permanent vision loss among Americans age 65 and older. Studies show smokers can have a three-fold increase in the risk of developing AMD compared with people who have never smoked. And

female smokers over age 80 are 5.5 times more likely to develop AMD than non-smokers of the same age. But it’s not all bad news: because smoking is the biggest controllable risk factor associated with AMD, quitting smoking at any age, even later in life, can significantly reduce your risk of developing AMD. Quitting smoking can reduce your risk of eye conditions that cause vision loss. SMOKING AND UVEITIS Uveitis (inflammation of the eye’s middle layer, or uvea) is a serious eye disease that can result in complete vision loss. It harms vital structures of the eye, including theiris and retina, and can lead to complications such as cataract, glaucoma and retinal detachment. Evidence shows smokers are more likely than non-smokers to have uveitis, and smoking appears linked to the development of uveitis. One study found smoking was associated with a 2.2 times greater than normal risk of having the condition. SMOKING AND DIABETIC RETINOPATHY Diabetic retinopathy damages the blood vessels of the retina and can result in vision loss. More than 5 million Americans age 40 and older have diabetic retinopathy due to type 1 or type 2 diabetes. And that number will grow to about 16 million by 2050, according to the U.S. Centers for Disease Control and Prevention. Smoking may as much as double the risk of developing diabetes. There also is a causal relationship between smoking and both the development and progression of diabetic retinopathy, in addition to numerous other diabetes complications.

n SMOKING AND DRY EYES Dry eye syndrome describes insufficient tears on the eye’s surface, which are needed to keep the eye lubricated and healthy. Sufferers of dry eye can experience eye redness, itchiness, a “foreign body” sensation and even watery eyes. Tobacco smoke is a known eye irritant and worsens dry eye — even among second-hand smokers — particularly for contact lens wearers. People who smoke are nearly twice as likely to have dry eyes. SMOKING AND INFANT EYE DISEASE Women who smoke during pregnancy transmit dangerous toxins to the placenta, potentially harming the unborn child. Smoking while pregnant increases the chance of many fetal and infant eye disorders, among other serious health problems. These include strabismus (crossed eyes) and underdevelopment of the optic nerve, which is a leading cause of blindness in children. Also, women who smoke during pregnancy are more likely to give birth prematurely; all babies born prematurely are at greater risk of eye problems than full-term babies. Vision problems of premature babies include retinopathy of prematurity, a potentially blinding disease. ARE YOU READY TO QUIT? It’s never too late to quit smoking and enjoy the benefits of a healthier lifestyle and, ultimately, a healthier body. Quitting smoking at any age can reduce your risk of developing many sight-threatening eye conditions. Visit www.smokefree.gov to get started, or see your doctor, who can recommend other methods to help you on your journey to a smoke-free life. Source: http://www.allaboutvision.com/smoking/

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

INTERNAL MEDICINE

Abramovitz Internal Medicine: 765.742.6774 Ruth Abramovitz, MD Gagan Chadha, MD: 765.497.2428 Gary Prah, MD: 765.742.5254 West Lafayette Internal Medicine: 765.423.6556 Carlos Gambirazio, MD

OPHTHALMOLOGY

Burgett Kresovsky Eye Care: 765.446.5130 Jason Burgett, M.D. Seth Kresovsky, M.D. Magnante Eye Care: 765.449.7564 David Magnante, M.D.

PEDIATRICS

Froberg Pediatric Center: 765.447.6936 Linda Froberg, MD Lara Weeks, MD Anna Wildermuth, MD Preferred Pediatrics of Lafayette: 765.807.8180 Ann Jonkman, MD Jewel Marino, MD

National Nutrition Month is a nutrition education and information campaign created annually in March by the Academy of Nutrition and Dietetics. The campaign focuses attention on the importance of making informed food choices and developing sound eating and physical activity habits. The theme for 2015 is â&#x20AC;&#x153;Bite into a Healthy Lifestyle,â&#x20AC;? which encourages everyone to adopt eating and physical activity plans that are focused on consuming fewer calories, making informed food choices and getting daily exercise in order to achieve and maintain a healthy weight, reduce the risk of chronic disease and promote overall health.

Healthy Recipes Pasta Primavera

INGREDIENTS: Kosher salt 12 ounces fusilli or other corkscrew pasta 1/2 pound sugar snap peas, halved lengthwise, or broccoli florets (or a combination) 2 carrots, shredded 1 yellow bell pepper, cut into thin strips 1/4 cup extra-virgin olive oil, plus more for drizzling 4 cloves garlic, thinly sliced 1 pint cherry tomatoes, halved 1/4 to 1/2 teaspoon red pepper flakes 1/2 cup roughly chopped fresh mint 1/2 cup grated parmesan cheese 4 ounces goat cheese, crumbled DIRECTIONS Bring a large pot of salted water to a boil. Add the fusilli and cook as the label directs. Add the sugar snap peas and/or broccoli, carrots and bell pepper to the boiling water during the last 2 minutes of cooking. Reserve 1/2 cup cooking water, then drain the pasta and vegetables and return to the pot. Meanwhile, heat the olive oil in a large skillet over medium heat. Add the garlic and cook until just golden, about 30 seconds. Add the tomatoes, red pepper flakes and 1 teaspoon salt; cook until the tomatoes begin to wilt, about 2 minutes. Stir in 1/4 cup of the reserved cooking water. Pour the tomato mixture over the pasta and vegetables. Add the mint, parmesan and half the goat cheese and toss to combine. Season with salt.

Chocolate-Dipped Banana Bites INGREDIENTS: 2 tablespoons semisweet chocolate chips 1 small banana, peeled and cut into 1-inch chunks DIRECTIONS Place chocolate chips in a heavy-duty zip-top plastic bag or small microwave-safe bowl. Microwave at HIGH 1 minute or until chocolate melts. Dip banana pieces in chocolate.

Divide the pasta among bowls. Top with the remaining goat cheese and drizzle with olive oil. Per serving: Calories 638; Fat 27 g (Saturated 10 g); Cholesterol 33 mg; Sodium 841 mg; Carbohydrate 77 g; Fiber 7 g; Protein 24 g

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.

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

1250 South Creasy Lane Lafayette, IN 47905 765.447.8133 | www.unityhc.com

Jamie Gordon | Marketing Director Abby Everette | Marketing Assistant

Love Your Heart ~ Heart Healthy! Health questions or suggest a topic for our next newsletter...we want to hear. Please email us at marketing@unityhc.com.

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Unity Immediate Care Center No Appointment Necessary

When you, your family or employee needs immediate medical attention, you want quality care that’s close to home. That’s why Unity Immediate Care Center is open daily, to get you the care you deserve. Our experienced physicians see patients on a walk-in basis when your primary care physician may not be available. The Unity Immediate Care Center provides prompt medical attention for many of your health care needs while bridging the gap between your primary care physician and the emergency room. Some of the many advantages of using the Unity Immediate Care Center include: • Extended hours. • No appointments are necessary. • Walk-ins are always welcome. • Less costly than most emergency room visits. • Convenient and easy access. • Patient friendly environment. • Less intrusive than a hospital emergency room environment.

No Appointment Needed. Open 8AM to 8PM 7 days a week, except Holidays.

765.446.1DOC (1362) 1321 Unity Place | Lafayette