healthfocus
OCTOBER 2015
OCTOBER
BREAST CANCER awareness month
Page 2 Breast Cancer Symptoms: What you need to know
Page 3 Physical Therapy Awareness Month
Pages 5-6 Are You at Risk for Breast Cancer?
Page 7 5 Tips to Keep Your Lungs Healthy
Pages 10-11 Finding A Doctor Near You
UNITY HEALTHCARE News Eben True, MD Joins Lafayette Surgical Clinic
Joel Virkler, DO Joins Lafayette Orthopaedic Clinic
Unity Healthcare is pleased to announce 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.
Unity Healthcare is pleased to announce Joel Virkler, DO joined the Lafayette Orthopaedic Clinic on September 1st, 2015. He will practice with Dr. Robert Hagen, Dr. Peter Torok, Dr. Daniel Daluga, Dr. Michael Highhouse, Dr. John Bauman, Dr. Mark Page and Dr. Michael Krauss.
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. Virkler received his undergraduate degree from Purdue University in Biomedical Engineering. He obtained his medical degree from Kirksville College of Osteopathic Medicine in Kirksville, Missouri. He completed his residency training in Orthopaedic Surgery at Botsford Hospital, affiliated with Michigan State University.
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.
Dr. Virkler pursued specialized fellowship training in sports medicine combined with primary and revision joint replacement surgery at Triangle Orthopaedic Associates, P.A. He gained further experience in the muscle sparing anterior approach total hip replacement and partial knee replacements utilizing minimally invasive approaches. Dr. Virkler is a member of the American Academy of Orthopedic Surgeons (AAOS), American Osteopathic Academy of Orthopedics (AOAO), Michigan Osteopathic Academy of Orthopedic Surgeons (MOAOS), American Osteopathic Association (AOA), and the International Congress for Joint Reconstruction (ICJR). In his spare time, he enjoys spending time with his family, running and snowboarding. Dr. Virkler 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 Orthopaedic Clinic at 765.447.4165.
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Judy Marquess-Lara, Au.D. Joins Innovative Hearing Solutions Unity Healthcare is pleased to announce Judy Marquess-Lara, Au.D. joined Innovative Hearing Solutions. Dr. Marquess-Lara has been practicing for over 16 years, specializing in diagnostic evaluations and hearing aid fittings. Dr. Marquess-Lara received her doctorate in clinical Audiology from A.T. Still University in 2007, her M.A. from the University of Illinois at Urbana-Champaign in 1999, and her B.S. from Purdue University in 1996. In addition to holding the position of department head for both major hospitals in the Lafayette area, Judy owned and operated a successful private practice in California for years prior to relocating to Indiana. Dr. Marquess-Lara maintains licensure in Indiana, is a Fellow of the American Academy of Audiology, and is nationally accredited by the American Speech, Language, and Hearing Association. Combining her extensive clinical practice with her own personal experience of living with hearing loss and hearing aids, Judy brings a unique level of understanding to her patients as she helps them maximize their hearing potential. For more information, please contact Innovative Hearing Solutions at 765.250.3279.
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Physical Therapy Tips to Help You Age Well
We can't stop time. Or can we? The right type and amount of physical activity can help stave off many age-related health problems. Physical therapists, who are movement experts, prescribe physical activity that can help you overcome pain, gain and maintain movement, and preserve your independence—often helping you avoid the need for surgery or long-term use of prescription drugs. Here are eight things physical therapists want you to know to age well.
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Chronic pain doesn't have to be the boss of you. Each year 116 million Americans experience chronic pain from arthritis or other conditions, costing billions of dollars in medical treatment, lost work time, and lost wages. Proper exercise, mobility, and pain management techniques can ease pain while moving and at rest, improving your overall quality of life.
can get stronger when you're older. 2. You Research shows that improvements in strength and physical function are possible in your 60's, 70's, and even 80's and older with an appropriate exercise program. Progressive resistance training, in which muscles are exercised against resistance that gets more difficult as strength improves, has been shown to prevent frailty.
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You may not need surgery or drugs for low back pain. Low back pain is often over-treated with surgery and drugs despite a wealth of scientific evidence demonstrating that physical therapy can be an effective alternative—and with much less risk than surgery and long-term use of prescription medications.
can lower your risk of diabetes with exercise. 4. You One in four Americans over the age of 60 has diabetes. Obesity and
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physical inactivity can put you at risk for this disease. But a regular, appropriate physical activity routine is one of the best ways to prevent—and manage—type 1 and type 2 diabetes.
can help you avoid falls—and keep your independence. 5. Exercise About one in three U.S. adults age 65 or older falls each year. More than half of adults over 65 report problems with movement, including walking 1/4 mile, stooping and standing. Group-based exercises led by a physical therapist can improve movement and balance and reduce your risk of falls. It can also reduce your risk of hip fractures (95 percent of which are caused by falls).
bones want you to exercise. 6. Your Osteoporosis or weak bones affects more than half of Americans
over the age of 54. Exercises that keep you on your feet, like walking, jogging, or dancing, and exercises using resistance, such as weight-lifting, can improve bone strength or reduce bone loss.
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Your heart wants you to exercise. Heart disease is the No. 1 cause of death in the US. One of the top ways of preventing it and other cardiovascular diseases? Exercise! Research shows that if you already have heart disease, appropriate exercise can improve your health.
brain wants you to exercise. 8. Your People who are physically active—even later in life—are less likely to develop memory problems or Alzheimer's disease, a condition which affects more than 40% of people over the age of 85.
For more information, please call:
Lafayette Rehabilitation Services - 765.447.5552 Miracles Rehabilitation Lafayette / West Lafayette - 765.807.2773 Source: http://www.moveforwardpt.com/Resources/Detail.aspx?cid=5418b4e9-6cac437e-9c3e-236179a4bd8f#.Vh-eQvlVikr
"Can you hear me?"
FACTS ABOUT HEARING LOSS
Approximately 36 million Americans suffer from hearing loss.
• More than half of the people with hearing loss are younger than age 65. • Untreated hearing loss can affect your ability to understand speech and can negatively impact your social and emotional well-being—hearing impairment can decrease your quality of life! • Hearing loss is the third most common health problem in the United States.
Signs you may have a hearing loss:
• Difficulty hearing people talk in noisy environments such as a restaurant, shopping mall, in a car, or at the movie theater. • People seem to “mumble” all the time. • Family, friends, or colleagues often have to repeat themselves when speaking with you. • You have trouble hearing people when they are not facing you or are in another room. • You have trouble following conversations. • You have ringing, buzzing, or hissing sounds in your ears.
What causes hearing loss?
• Exposure to excessive loud noise. • Ear infections, trauma, or ear disease. • Harm of the inner ear and ear drum from contact with a foreign object (cotton swabs, fingers, bugs). • Illness or certain medications. • Deteriorating hearing due to the normal aging process.
How to protect your hearing.
• Wear hearing protection when around sounds louder than 85dB for a long period of time. There are different types of hearing protection such as foam earplugs, earmuffs and custom hearing protection devices. Contact your local audiologist for custom hearing protection devices. • Turn down the volume when listening to the radio, the TV, MP3 player, or anything through ear buds and headphones. • Walk away from the noise. • And, other than hearing protection, do not put anything in your ear!
For more information, please call:
Innovative Hearing Solutions - 765.250.3279 Judy Marquess-Lara, Au.D. Source: http://www.howsyourhearing.org/FSHearingLoss.pdf
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ARE YOU AT RISK FOR
Breast Cancer?
HAVING CHILDREN Women who have not had children or who had their first child after age 30 have a slightly higher breast cancer risk overall. Having many pregnancies and becoming pregnant at an early age reduces breast cancer risk overall. Still, the effect of pregnancy is different for different types of breast cancer. For a certain type of breast cancer known as triple-negative, pregnancy seems to increase risk. BIRTH CONTROL Oral contraceptives: Studies have found that women using oral contraceptives (birth control pills) have a slightly greater risk of breast cancer than women who have never used them. Over time, this risk seems to go back to normal once the pills are stopped. Women who stopped using oral contraceptives more than 10 years ago do not appear to have any increased breast cancer risk. When thinking about using oral contraceptives, women should discuss their other risk factors for breast cancer with their health care team. Depot-medroxyprogesterone acetate (DMPA; Depo-Provera): is an injectable form of progesterone that is given once every 3 months as birth control. A few studies have looked at the effect of DMPA on breast cancer risk. Women currently using DMPA seem to have an increase in risk, but the risk doesn’t seem to be increased if this drug was used more than 5 years ago.
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HORMONE THERAPY AFTER MENOPAUSE Hormone therapy using estrogen (often combined with progesterone) has been used for many years to help relieve symptoms of menopause and to help prevent osteoporosis (thinning of the bones). Earlier studies suggested it might have other health benefits as well, but those benefits have not been found in more recent, better designed studies.
This treatment goes by many names, such as post-menopausal hormone therapy (PHT), hormone replacement therapy (HRT), and menopausal hormone therapy (MHT). There are 2 main types of hormone therapy. For women who still have a uterus (womb), doctors generally prescribe estrogen and progesterone (known as combined hormone therapy or HT). Progesterone is needed because estrogen alone can increase the risk of cancer of the uterus. For women who’ve had a hysterectomy (those who no longer have a uterus), estrogen alone can be prescribed. This is commonly known as estrogen replacement therapy (ERT) or just estrogen therapy (ET). Combined hormone therapy (HT): Use of combined postmenopausal hormone therapy increases the risk of getting breast cancer. It may also increase the chances of dying from breast cancer. This increase in risk can be seen with as little as 2 years of use. Large studies have found that there is an increased risk of breast cancer related to the use of combined HT. Combined HT also increases the likelihood that the cancer may be found at a more advanced stage. The increased risk from combined HT appears to apply only to current and recent users. A woman’s breast cancer risk seems to return to that of the general population within 5 years of stopping treatment. Estrogen therapy (ET): The use of estrogen alone after menopause does not appear to increase the risk of developing breast cancer significantly, if at all. But when used long term (for more than 10 years), ET has been found to increase the risk of ovarian and breast cancer in some studies.
BREASTFEEDING Some studies suggest that breastfeeding may slightly lower breast cancer risk, especially if it is continued for 1½ to 2 years. But this has been a difficult area to study, especially in countries such as the United States, where breastfeeding for this long is uncommon. The explanation for this possible effect may be that breastfeeding reduces a woman’s total number of lifetime menstrual cycles (the same as starting menstrual periods at a later age or going through early menopause). DRINKING ALCOHOL Consumption of alcohol is clearly linked to an increased risk of developing breast cancer. The risk increases with the amount of alcohol consumed. Compared with non-drinkers, women who consume 1 alcoholic drink a day have a very small increase in risk. Those who have 2 to 5 drinks daily have about 1½ times the risk of women who don’t drink alcohol. Excessive alcohol consumption is also known to increase the risk of developing several other cancers. The American Cancer Society recommends that women have no more than 1 alcoholic drink a day. BEING OVERWEIGHT OR OBESE Being overweight or obese after menopause increases breast cancer risk. Before menopause your ovaries produce most of your estrogen, and fat tissue produces a small amount of estrogen. After menopause (when the ovaries stop making estrogen), most of a woman’s estrogen comes from fat tissue. Having more fat tissue after menopause can increase your chance of getting breast cancer by raising estrogen levels. Also, women who are overweight tend to have higher blood insulin levels. Higher insulin levels have also been linked to some cancers, including breast cancer.
The connection between weight and breast cancer risk is complex, however. For example, risk appears to be increased for women who gained weight as an adult but may not be increased among those who have been overweight since childhood. Also, excess fat in the waist area may affect risk more than the same amount of fat in the hips and thighs. Researchers believe that fat cells in various parts of the body have subtle differences that may explain this. The American Cancer Society recommends you maintain a healthy weight throughout your life by balancing your food intake with physical activity and avoiding excessive weight gain. PHYSICAL ACTIVITY Evidence is growing that physical activity in the form of exercise reduces breast cancer risk. The main question is how much exercise is needed. In one study from the Women’s Health Initiative, as little as 1¼ to 2½ hours per week of brisk walking reduced a woman’s risk by 18%. Walking 10 hours a week reduced the risk a little more. To reduce your risk of breast cancer, the American Cancer Society recommends that adults get at least 150 minutes of moderate intensity or 75 minutes of vigorous intensity activity each week (or a combination of these), preferably spread throughout the week. For more information, please contact: Lafayette Cancer Care - 765.446.5050 Nancy A. DiMartino, M.D. Glen Papaioannou, M.D. Horizon Oncology Center - 765.446.5111 Wael Harb, M.D. Ajita Narayan, M.D. Source: http://www.cancer.org/cancer/breastcancer/moreinformation/breastcancerearlydetection/breast-cancer-early-detection-risk-lifestyle-related#
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Tips to Keep Your Lungs Healthy!
Sometimes we take our lungs for granted. They keep us alive and well and for the most part, we don't need to think about them. That's why it is important to prioritize your lung health. Your body has a natural defense system designed to protect the lungs, keeping dirt and germs at bay. But there are some important things you can do to reduce your risk of lung disease. Here are some ways to keep your lungs healthy.
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DON'T SMOKE Cigarette smoking is the major cause of lung cancer and chronic obstructive pulmonary disease (COPD), which includes chronic bronchitis and emphysema. Cigarette smoke can narrow the air passages and make breathing more difficult. It causes chronic inflammation, or swelling in the lung, which can lead to chronic bronchitis. Over time cigarette smoke destroys lung tissue, and may trigger changes that grow into cancer. If you smoke, it's never too late to benefit from quitting. The American Lung Association can help whenever you are ready. AVOID EXPOSURE TO POLLUTANTS THAT CAN DAMAGE YOUR LUNGS Secondhand smoke, outdoor air pollution, chemicals in the home and workplace, and radon all can cause or worsen lung disease. Make your home and car smoke-free. Test your home for radon. Avoid exercising outdoors on bad air days. And talk to your healthcare provider if you are worried that something in your home, school or work may be making you sick. EXERCISE Aerobic exercise helps improve your lung capacity. Specific breathing exercises can also help improve your lung function. Exercise and breathing techniques are also great for improving your mood and helping you relax.
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PREVENT INFECTION A cold or other respiratory infection can sometimes become very serious. There are several things you can do to protect yourself: • Wash your hands often with soap and water. Alcohol-based cleaners are a good substitute if you cannot wash. • Avoids crowds during the cold and flu season. • Good oral hygiene can protect you from the germs in your mouth leading to infections. Brush your teeth at least twice daily and see your dentist at least every six months. • Get vaccinated every year against influenza. Talk to your healthcare provider to find out if the pneumonia vaccine is right for you. • If you get sick, keep it to yourself! Protect the people around you, including your loved ones, by keeping your distance. Stay home from work or school until you're feeling better. GET REGULAR HEALTHCARE Regular check-ups help prevent diseases, even when you are feeling well. This is especially true for lung disease, which sometimes goes undetected until it is serious. During a check-up, your healthcare provider will listen to your breathing and listen to your concerns. For more information, please turn to pages 11-12 and look under: Family Medicine Immediate Care Internal Medicine Pediatrics Source: http://www.lung.org/lung-health-and-diseases/protecting-your-lungs/
BREAST CANCER SYMPTOMS:
What YOU need to know
An important way to keep up with your breast health is to be aware of how your breasts normally look and feel, and know what changes to look for. Finding breast cancer as early as possible gives you a better chance of successful treatment. But knowing what to look for is not a substitute for screening mammograms and other tests, which can help find breast cancer in its early stages, even before any symptoms appear. Below are some common breast symptoms and what they might mean. If you have any of them, get checked right away: A lump in your breast A lump or mass in the breast is the most common symptom of breast cancer. Such lumps are often hard and painless, though some may be painful. Not all lumps are cancer, though. There are a number of benign breast conditions (like cysts) that can also cause lumps. Still, it’s important to have your doctor check out any new lump or mass right away. If it does turn out to be cancer, the sooner it’s diagnosed the better. Swelling in or around your breast, collarbone, or armpit Breast swelling can be caused by inflammatory breast cancer, a particularly aggressive form of the disease. Swelling or lumps around your collarbone or armpits can be caused by breast cancer that has spread to lymph nodes in those areas. The swelling may occur even before you can feel a lump in your breast so if you have this symptom, be sure to see a doctor. Skin thickening or redness If the skin of your breast starts to feel like an orange peel or gets red, have it checked right away. Often, these are caused by mastitis, a breast infection common among women who are breast feeding. Your doctor may prescribe antibiotics to treat the infection. If your symptoms don’t improve after a week, though, get checked again, because these symptoms can also be caused by inflammatory breast cancer. This form of breast cancer can look a lot like a breast infection, and because it grows quickly it’s important to diagnose it as soon as possible. Breast warmth and itching Like skin thickening and redness, breast warmth and itching may be symptoms of mastitis — or inflammatory breast cancer. If antibiotics don’t help, see your doctor again.
Nipple changes Breast cancer can sometimes cause changes to how your nipple looks. If your nipple turns inward, or the skin on it thickens or gets red or scaly, get checked by a doctor right away. All of these can be symptoms of breast cancer. Nipple discharge A discharge (other than milk) from the nipple may be alarming, but in most cases it is caused by injury, infection, or a benign tumor (not cancer). Breast cancer is a possibility, though, especially if the fluid is bloody, so your doctor needs to check it out. Pain Although most breast cancers do not cause pain the breast, some do. More often, women have breast pain or discomfort that is related to their menstrual cycle. This type of pain is most common in the week or so before their periods, and often goes away once menstruation begins. Some other benign breast conditions, such as mastitis, may cause more sudden pain. In these cases the pain is not related to the menstrual cycle. If you have breast pain that is severe or persists and is not related to the menstrual cycle, you should be checked by your doctor. You could have cancer or a benign condition that needs to be treated. Again, while benign breast conditions are much more common than breast cancer, it is important to let your health care team know about any changes in your breast so they can be checked out right away.
For more information, please contact: Lafayette Cancer Care - 765.446.5050 Nancy A. DiMartino, M.D. Glen Papaioannou, M.D. Horizon Oncology Center - 765.446.5111 Wael Harb, M.D. Ajita Narayan, M.D. Source: http://www.burlingtonfreepress.com/story/life/2015/10/15/breast-cancersymptoms/73928858/
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a r c e t y i M L o h t n l th a e H
OCTOBER
“Health Literacy” is the ability to read, understand and act upon health information. A significant gap exists between the way health care issues are communicated and the ability of most people to understand them. All people, and not just those with limited reading skills or people for whom English is a second language, are affected by limited health literacy. According to the National Action Plan to Improve Health Literacy, nearly 9 out of 10 adults have difficulty using routine health information. When people struggle with understanding how to prevent and manage health conditions, they are more likely to skip necessary medical tests, have a harder time with their diabetes or high blood pressure and visit the emergency room more often. They also tend to make mistakes with their medications, and fail to understand nutrition labels. The good news is that health care facilities are trying to improve. One of the resources used is the National Action Plan to Improve Health Literacy. This Plan as well as others have given health care providers several tools to better deliver their messages to patients. They include simplifying written materials, using video or other ways to teach patients, and tips to help doctors speak more clearly with patients.
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There are also several things that you can do to improve your understanding of health related information: Improve Communication With Your Doctors and Other Health Professionals: • Before you leave for your appointment make a list of your symptoms and when they started. Bring a list of your current medications, write down your questions, and bring paper to take notes. • Ask your doctor, nurse or pharmacist to use familiar language and write down their information. • Ask questions if something is not clear. Let the health care person know if what they are telling you is confusing in any way. Ask for written materials written in plain language. • Make sure you know whom to call with any questions you may have after you get home. Take action within your community: • Ask your librarian how to find clearly written and relevant health information. Take classes offered by librarians on Internet and social media tools. • Attend health education programs at your public or hospital library, community centers, or faith-based organizations. Request these programs if they aren’t offered. • Request that local schools teach kids about health education and deliver clear health messages to kids, like proper hand washing techniques. Source: https://www.healthtradition.com/october-is-health-literacy-month/
Healthy Recipes Pasta with Lemon Olive Oil
8 servings | Active Time: 10 minutes | Cook Time: 10 minutes Total Time: 20 minutes INGREDIENTS: • 2 teaspoons fresh lemon zest • 1⁄4 cup lemon juice • 1⁄3 cup extra virgin olive oil • 2 large garlic cloves, minced • 1 pint cherry tomatoes, halved • 3 tablespoons basil, julienned • 1 lb fresh linguine • salt & freshly ground black pepper (to taste) • 1⁄2 cup kalamata olives, sliced (optional) • 1⁄4 cup grated parmesan cheese (optional) DIRECTIONS: • Combine the lemon zest, lemon juice, extra virgin olive oil, garlic cloves, cherry tomatoes and kalamata olives. • Cook pasta and reserve 1/4 cup (60mL) pasta water. • Drain and toss pasta with olive oil mixture and reserved pasta water. • Toss with basil and parmesan cheese, season with salt and pepper. • Garnish with extra parmesan cheese if desired. NUTRITION Per serving : 266.6 Calories; 11.3 g Fat; 2 g Sat; 44.2 mg Cholesterol; 33.6 g Carbohydrates; 8.1 g Protein; .6 g Fiber; 64.9 mg Sodium
Apple Crisp 4 servings | Active Time: 10 minutes | Cook Time: 30 minutes Total Time: 40 minutes INGREDIENTS: • 3 large (7-8 oz each) Fuji apples, peeled, cored and sliced into ½-inch-thick slices • ¼ cup (packed) brown sugar • ½ teaspoon ground cinnamon • ½ cup rolled oats (not instant oats) • 2 tablespoons unsalted butter, melted • ½ teaspoon pure vanilla extract DIRECTIONS: • Preheat oven to 375°F. Layer the apple slices in a square 9-inch baking dish, in one or two layers. • In a medium bowl, using a fork, mix together the brown sugar, cinnamon, oats, butter and vanilla. Using a spatula, pour the mixture over the apples, spreading evenly. • Bake 30 minutes, until topping is golden and crunchy and apples are fork-tender. Gently stir to evenly coat the apples in the melted sugar that has accumulated in the bottom of the pan. Serve immediately. NUTRITION Per serving : 228 Calories; 6 g Fat; 48 g Carbohydrates; 2 g Protein; 5 g Fiber; 108 mg Sodium
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Choosing A Primary Care Physician - The Smart Way Choosing a new physician can be a difficult task. Asking for recommendations is a good way to start, but ultimately you will have to decide which physician is best suited to your individual needs and situation. It is important to establish a relationship with a primary care physician (PCP), especially before you ever get sick. Primary care doctors should be the first line of defense in protecting your health, but millions of Americans don’t have a PCP. Even patients who regularly visit specialists don’t always have a PCP, leaving them unprepared when the flu or an infection strikes. Everyone gets sick at some point, so selecting a PCP ahead of time means you don’t have to scramble around when you need medical care. Here are some questions and answers that can help you select a PCP who understands your particular needs. What information should I find out about the doctor? It may help to ask the doctor’s office these questions: • At which hospitals does the doctor have privileges? • How long does it take to get in to see the doctor for a routine visit and for urgently needed care? • Who covers for the doctor when the need arises? • Is the doctor board certified? (This means he or she has had training after medical school and has passed an exam to be certified as a specialist in a certain field.) What personal qualities should I look for in a doctor? Find a doctor who listens carefully, explains things clearly, anticipates your health problems and allows you to ask questions. What information should I bring to my appointment? It is important to provide your doctor with the following: • Your health history. • A list of medications you’re taking. • Any vitamins or supplements you take. • A description of any current health problems you’re having. If you have symptoms, the doctor will want to know when they first appeared and how often. • A list of questions. Ask your doctor to explain any answers you don’t understand.
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Find A Doctor...Near You. Allergy & Asthma
Lafayette Gastroenterology
Ketan Sheth, M.D. 1345 Unity Place, Suite 145 A Lafayette, IN 47905 PH: 765.446.5040 | FX: 765.446.5041
PH: 765.807.0531 | FX: 765.807.0534
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
Audiology
Innovative Hearing Solutions 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.250.3279
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
Rossville Family Medicine
Duane Estep, M.D. Wanda Estep, M.D. 5450 West State Road 26, Suite 300 Rossville, IN 46065 PH: 765.379.2222 | FX: 765.379.3222
Southside Family Practice
John Cusack, M.D. Shadi Resheidat, M.D. 3554 Promenade Parkway, Suite F Lafayette, IN 47909 PH: 765.471.9146 | FX: 765.477.0277
Gastroenterology
Gannamaneni Gastroenterology Krishna Gannamaneni, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2787 | FX: 765.807.2786
Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905
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. Eben True, 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
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. Joel A. Virkler, D.O. 1411 South Creasy Lane, Suite 120 Lafayette, IN 47905 PH: 765.447.4165 | FX: 765.447.4168
Orthopaedics Spinal Surgery Indiana Spine Center
John Gorup, M.D. Mario Brkaric, M.D. 1345 Unity Place, Suite 310 Lafayette, IN 47905 PH: 765.446.5210 | FX: 765.446.5211
Otolaryngology
Ear Nose & Throat of Lafayette Samuel Davis, III, M.D. 3930 Mezzanine Drive, Suite D Lafayette, IN 47905 PH: 765.807.2784 | FX: 765.807.2786
Outpatient Physical / Occupational Therapy Lafayette Rehabilitation Services 1411 S. Creasy Lane, Suite 100 Lafayette, IN 47905 PH: 765.447.5552 | FX: 765.449.1054 3451 Wyndham Way, Suite D West Lafayette, IN 47906 PH: 765.446.5250
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
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
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
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
Greater Lafayette Foot Care
Urology
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 Katelyn Hopman | Marketing Coordinator
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