healthfocusSummer 2012

Page 3 Is Your Vision Blurry?

Page 8 Finding the Nonsmoker

in You

Page 5 What Puts a Man at Risk for

Prostate Cancer?

Page 9-10 Finding A Doctor Near You

5 Tips for Safe Summer Fun1. Seek the Shade. Simply minimizing exposure to UVA and UVB rays can go a long way toward protecting your skin. Taking a break from direct sun is especially important between the hours of 10 a.m. and 4 p.m., when rays are strongest. And remember, clouds don’t block UV rays.

2. Apply Sunscreen. Use a broad spectrum (UVA/UVB) sunscreen with SPF 15 or higher.

3. Protect Your Skin. Apply 1 ounce of sunscreen to the entire body 30 minutes before going outside.

4. Do Not Let Yourself Burn. Sunburn is the most immediate and obvious sign of UV damage. When immune cells race to the injured skin site to start healing the damage, they produce the reddening and swelling.

5. Check Your Skin Regularly and Ask Your Doctor for a Skin Cancer Exam Annually. One in five Americans will develop skin cancer. Tans and burns can be the first step. Intermittent but intense UV exposure is more closely associated with melanoma, the most deadly variety of skin cancer, than chronic sun exposure. One blistering sunburn in childhood or five in a lifetime doubles the risk of melanoma.

Source: http://www.shorenewstoday.com/snt/news/index.php/freetime/outdoors/27018-five-tips-for-safe-summer-sun.html

Greetings!!Summer is upon us and with it comes our latest edition of the Unity Health Focus.

Many of the newsletter topics relate directly to summer medical problems. An important part of any summer health regimen is skin care and protection. Dr. Reed provides us with some timely tips on how to protect yourself in the sun and make sure the heat is not “blistering” your skin.

August is cataract awareness month and we provide useful advice on preventing cataracts and helpful reminders that “unprotected eyes” in the summer sun can also lead to cataracts and other eye problems.

In this issue, we introduce Dr. Todd Detar, the newest member of our group and his practice in Rensselaer. Welcome to Unity, Todd! One final area to highlight are some tips to quit smoking, even more important now that Indiana has adopted a clean air act that was effective July 1st. To improve your health, our Unity Healthcare physicians and staff encourage you to quit smoking.

As always, thanks for taking your time to read our newsletter and we thank you for your feedback andcomments.

Dr. Ketan Sheth, Medical Director

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Please Welcome New Physician: Clinic of Family MedicineUnity Healthcare is pleased to announce that D. Todd Detar, DO joined the Clinic of Family Medicine on July 1st, 2012. Dr. Detar will practice with Dr. Stephen Spicer, Dr. Robert Darnaby, Dr. Mallik Chaganti and Dr. James Wakefield, III.

Dr. Detar obtained his medical degree from the Philadelphia College of Osteopathic Medicine in Philadelphia, PA. He completed his internship at Doctor’s Hospital in Columbus, Ohio and his residency in Family Medicine at Philadelphia College of Osteopathic Medicine in Philadelphia. He completed a National Health Policy Fellowship at the Ohio University in Athens, Ohio and a Community-Based Educator Leadership Fellowship (CELTIC) at the Medical University of South Carolina in Charleston, South Carolina where he served as a Clinical Professor in the Department of Family Medicine caring for individuals and families with all stages of acute and chronic illnesses over the past 15 years.

Dr. Detar is board certified by the American Board of Osteopathic Family Physicians. He is a member of the American Osteopathic Association, American College of Osteopathic Family Practitioners; Society of Osteopathic Medical Educators and is a Certified Balint Leader.

His practice emphasis is in Comprehensive Family Medicine, Prevention and Addiction Medicine.

In his spare time, he enjoys gardening, camping, hiking and traveling.

Dr. Detar is currently accepting new patients. He will be fully participating in the many health plans, in which Unity Healthcare currently participates.

Clinic of Family Medicine is a Unity Healthcare Partner and located at 1103 East Grace Street in Rensselaer, Indiana. To schedule an appointment, please call 219.866.4135.

For more information, visit www.unityhc.com.

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o you know the most common cancer in the United States? I know this, right?…. Breast Cancer in women and Prostate Cancer in men. You would be right, if you excluded skin

cancer. In fact, 1 in 5 people will be diagnosed in their lifetime with skin cancer, or an abnormal growth of skin cells. Skin cancer includes basal cell carcinoma, squamous cell carcinoma, and, the most danger-ous, melanoma. Risk factors that increase the chances of skin cancer include sunny, warm climates and excessive sun exposure, history of sunburns, and fair skin, along with several others. Prevention and Screening are very important to help protect you and your family from this common cancer.

According to the Centers for Disease Control, the major strategy for skin cancer prevention is protection from dangerous Ultraviolet (UV) radiation and, thus, subsequent skin damage. Peak UV exposure from 10 A.M to 4 P.M should be avoided, and seeking shade when available should be encouraged. Wearing light clothing, wide brim hat, and sunglasses would be beneficial. Sunscreen that protects against UVA and UVB exposure with a sun protection factor (SPF) of 15 or higher should be utilized. Sunscreen should be applied 15 minutes prior to sun exposure and reapplied frequently. Extreme caution should be utilized with indoor tanning. All of these options will help prevent excessive UV exposure and subsequent skin damage and, hopefully, skin cancer.

Despite the best preventative options, skin cancers still occur and occur frequently. However, with screening and early detection, skin cancers can be cured before long-term problems arise. You and your family should perform thorough skin examinations every few months for concerning, changing, or unresolved skin lesions. For melanoma, understating the pneumonic ABCDE (Asymmetry, Irregular Borders,

Color variations, large Diameter, and Elevation) or “the ugly duckling” (mole not like theothers) are important to remember. If any of these ABCDE features or “the ugly duckling” are present, thenplease seek advice from your doctor or dermatologist for further evaluation and possibly a skin biopsy. A yearly thorough skin examination for certain high risk groups for skin cancer may be necessary. Overall, Skin Cancer is a relatively common condition that, through cautious prevention and diligent screening, may be avoided and effectively treated early.

For more information, please call: Pickerill, Adler & Associates Family Medicine: 765.807.2320

Protecting Your SkinFrom Skin Cancer

By: Darren Reed, DO, Pickerill, Adler & Associates Family Medicine

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No Time Like the PresentCataract eye surgery is becoming so common today that many ophthalmologists perform the surgery right in their office. There is little reason to postpone the procedure for fear of complications, as they are so rare these days and the results are so worthwhile. Leaving cataracts in place will not usually harm your eyes, and the progression of the sight impairment may be slow. But with so few complications, you can find little reason to postpone the inevitable.

When Darkness Comes EarlySymptoms of cataracts include blurred vision and cloudiness to everything you see, even when the sun is shining and your windows are clean. You may find that you have to change your eyeglass prescription more often to see well. The early stages of cataracts can be diagnosed even before you even experience any symptoms. When you get a routine eye exam also get a dilating procedure done. However, you shouldn’t feel any need to rush to surgery until you have problems. Some cataracts are genetic and will lay dormant behind the eye forever.

Assume the PositionIn the doctor’s office or in a surgical setting, you will lie on a chair similar to a dentist’s chair that reclines. Typically, only a local anesthesia is required. Your eye is numbed, and the doctor uses ultrasound to break up the offending cataract. The pieces are then removed with a fine suction instrument. The new lens is placed in the eye. It is implanted and will become a part of the eye in a short time. The procedure takes no more than about an hour.

Back in the SaddleMost implants are so tiny that they do not require incisions, meaning you can get back to normal activities in a day or two. Arrange for help if you don’t have anyone at home because your doctor may require you to lie still during that time. Some people wear a pad over the eye that had the surgery just to keep from rubbing it when it itches. You’ll visit the doctor the next day, with a follow-up visit in a month.

Is Your Vision Blurry?

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I Can See Clearly NowSometimes another smaller, less invasive cataract will appear following the initial surgery. This secondary cataract develops in the back of the lens capsule, where the lens implant is located. A five-minute laser procedure will clear the cloudiness and improve vision. If you have cataracts in both eyes, doctors prefer to do one at a time, waiting a month or more between procedures. They want to make sure that you take to the surgery and that the clear eye is working well with no lingering effects or problems.

August is National Cataract Awareness Month One of the best ways to help prevent cataracts and problems with the retina of the eye is to wear proper eye protection from the sun. UV blocking sunglasses should be worn anytime you are exposed to the sun’s rays. Also, the American Academy of Ophthalmology recommends eating a diet rich in antioxidants such as spinach, broccoli, and eggs. Some studies also suggest Vitamin C and E supplements may help to decrease your risk of developing cataracts.

It is vital that you receive regular checkups with your eye doctor, especially after age 40 to help diagnose cataracts and other common eye problems early. Before then, adults should have an eye exam every 2-3 years. If an early cataract is detected, eyeglasses and contact lenses will be used until surgery becomes necessary.

For more information, please call:Burgett Kresovsky Eye Care - 765.446.5130 Jason Burgett, MD Seth Kresovsky, MD Magnante Eye Care - 765.449.7564 David Magnante, MD

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55 Things You Need to Know About Your Cataract Eye Surgery

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Source: American Academy of Pediatrics, http://www.healthychildren.org/English/Pages/de-fault.aspx?nfstatus=401&nftoken=00000000-0000-0000-0000-000000000000&nfstatusdescription=ERROR%3a+No+local+token (accessed May 8, 2012)

Almost all infants and toddlers use bottles, pacifiers, and sippy cups for supplying nutrition, comfort, and convenience, but are these products always as safe as parents think?

In the study, “Injuries Associated with Bottles, Pacifiers, and Sippy Cups in the United States, 1991-2010,” in the June 2012 Pediatrics, data from the National Electronic Injury Surveillance System for children treated in an emergency department for an injury caused by a bottle, pacifier, or sippy cup were examined. In the U.S., 45,398 children under age 3 were treated in the hospital emergency department between 1991 and 2010 -- or approximately one child every 4 hours. Most injuries (86 percent) occurred from falls while using the products, and 83 percent of falls resulted in lacerations or contusions to the mouth and face. Study authors also found that two-thirds of injuries occurred among 1-year-olds, an age when children are unsteady on their feet and prone to falls.

RecommendationGiven the high number of injuries associated with using bottles, pacifiers, and sippy cups, it is recommended that children not use these products beyond the intended ages, and that parents help their children transition to a cup around age one.

For more information, please call:Froberg Pediatric Center - 765.447.6936 Lara Boggess, MD Linda Froberg, MD M. Ann Jonkman, MD Anna Wildermuth, MD

Bottles, Binkies And Sippy Cups Not As Safe As You Think

7 Tips For Cleaning Fruits & VegetablesFederal health officials estimate that nearly 48 million people are sickened by food contaminated with harmful germs each year, and some of the causes might surprise you.

Although most people know animal products must be handled carefully to prevent illness, many don’t realize that produce can also be the culprit in outbreaks of foodborne illness. In recent years, the United States has had several large outbreaks of illness caused by contaminated fruits and vegetables—including spinach, tomatoes and lettuce.

Fresh produce can become contaminated in many ways. During the growing phase, fruits and veggies may be contaminated by animals, harmful substances in the soil or water, and poor hygiene among workers. After produce is harvested, it passes through many hands, increasing the contamination risk. Contamination can even occur after the produce has been purchased, during food preparation, or through inadequate storage.

To avoid illness, you should choose produce that isn’t bruised or damaged, and make sure that pre-cut items—such as bags of let-tuce or watermelon slices—are either refrigerated or on ice both in the store and at home. In addition, follow these recommendations:

• Wash your hands for 20 seconds with warm water and soap before and after preparing fresh produce. • Cut away any damaged or bruised areas before preparing or eating. • Gently rub produce while holding under plain running water. There’s no need to use soap or a produce wash. • Wash produce BEFORE you peel it, so dirt and bacteria aren’t transferred from the knife onto the fruit or vegetable. • Use a clean vegetable brush to scrub firm produce, such as melons and cucumbers. • Dry produce with a clean cloth or paper towel to further reduce bacteria that may be present. • Throw away the outermost leaves of a head of lettuce or cabbage. • Store perishable produce in the refrigerator at 40 degrees or below.Source: U.S. Food and Drug Administration, http://www.fda.gov/ForConsumers/ConsumerUp-dates/ucm256215.htm (accessed June 17, 2011).

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How much do you need to think about prostate health? About one in six men will be diagnosed with prostate cancer during his lifetime. Though scientists are still uncertain about what causes prostate cancer, they do know that some men have a higher risk of getting the disease than others.

RISK MEN CAN’T CONTROLHere are three unavoidable risks for prostate cancer: • Age. The risk for prostate cancer increases with age. More than 64 percent of all diagnosed prostate cancers are found in men ages 65 and older. • Family History. The risk for prostate cancer doubles if a man has a father or brother with the disease. • Race. African-American men are at greater risk for prostate cancer compared to men from other racial groups.

WHAT MEN CAN CONTROLEating a diet rich in fruits and vegetables may help men lower their risk for prostate cancer. The American Cancer Society recommends that men eat at least five servings of fruits and vegetables each day.

Also, men age 50 and older should talk with their doctors about annual testing options. Men at high risk may want to begin screenings at age 45. However, not all experts advise routine screenings for prostate cancer. A doctor can help decide if annual testing is the right choice.

For more information, please call: Lafayette Clinic of Urology: 765.447.9308Jeffrey Cooper, MD Richard Selo, MDwww.unityhc.com

Source:“Prostate Cancer Risk Factors: Age, Race, Diet, and Other Risk Factors.” WebMD. WebMD, 1 Feb. 2011. Web. 27 June 2012. <http://www.webmd.com/prostate-cancer/guide/prostate-cancer-risk-factors>.

What Puts a Man at Risk for Prostate Cancer?

September is National Prostate Cancer Awareness Month We emphasize our commitment to winning the battle against prostate cancer and raising awareness of the risk factors, prevention and treatment of this disease.

All men can develop prostate cancer, yet studies have shown that risk increases with age. Although the exact cause of the disease is not yet known, factors that may affect the likelihood of developing prostate cancer include race, diet, general health and family history. Because the chances of surviving prostate cancer may be higher when it is diagnosed and treated in its early stages, men should speak with their doctors about their risk and screening options.

As we observe National Prostate Cancer Awareness Month, we recognize the strength and courage of the men battling prostate cancer and of those who love and support them. We also pay tribute to the medical professionals, the researchers, and all those whose tireless efforts are making a positive difference in the lives of those living with prostate cancer. All Americans can raise awareness and help fight this disease by talking with their friends and families about the risk of prostate cancer and the ways to prevent, detect and treat it.

Source: National Cancer Institute, http://www.cancer.gov/cancertopics/factsheet/Detection/early-prostate (accessed June 26, 2009).

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More than 38 million children and adolescents participate in organized sports in the United States each year. Still more participate in informal recreational activities. Although sports participation provides numerous physical and social benefits, it also has a downside: the risk of sports-related injuries.

Sports injuries are by far the most common cause of musculoskeletal injuries in children treated in emergency departments. They are also the single most common cause of injury-related primary care office visits.

The Most Common Sports-Related Injuries in KidsAlthough sports injuries can range from scrapes and bruises to serious brain and spinal cord injuries, most fall somewhere between the two extremes. Here are some of the more common types of injuries.

Sprains and StrainsA sprain is an injury to a ligament, one of the bands of tough, fibrous tissue that connects two or more bones at a joint and prevents excessive movement of the joint. An ankle sprain is the most common athletic injury.

A strain is an injury to either a muscle or a tendon. A muscle is a tissue composed of bundles of specialized cells that, when stimulated by nerve messages, contract and produce movement. A tendon is a tough, fibrous cord of tissue that connects muscle to bone. Muscles in any part of the body can be injured.

Growth Plate InjuriesIn some sports accidents and injuries, the growth plate may be injured. The growth plate is the area of developing tissues at the end of the long bones in growing children and adolescents. When growth is complete, sometime during adolescence, the growth plate is replaced by solid bone. The long bones in the body include: • long bones of the hand and fingers (metacarpals and phalanges) • both bones of the forearm (radius and ulna) • the bone of the upper leg (femur) • lower leg bones (tibia and fibula), and • foot bones (metatarsals and phalanges).

If any of these areas become injured, it’s important to seek professional help from an orthopaedic surgeon, a doctor who specializes in bone injuries.

Repetitive Motion InjuriesPainful injuries such as stress fractures (a hairline fracture of the bone that has been subjected to repeated stress) and tendinitis (inflammation of a tendon) can occur from overuse of muscles and tendons. Some of these injuries don’t always show up on x-rays, but they do cause pain and discomfort. The injured area usually responds to rest, ice, compression and elevation (RICE). Other treatments can include crutches, cast immobilization and physical therapy.

Heat-Related IllnessesHeat-related illnesses include: • dehydration (deficit in body fluids) • heat exhaustion (nausea, dizziness, weakness, headache, pale and moist skin, heavy perspiration, normal or low body temperature, weak pulse, dilated pupils, disorientation and fainting spells) • heat stroke (headache, dizziness, confusion, and hot dry skin, possibly leading to vascular collapse, coma and death).

Heat injuries are always dangerous and can be fatal. Heat-related injuries are a particular problem for children because children perspire less than adults and require a higher core body temperature to trigger sweating. Playing rigorous sports in the heat requires close monitoring of both body and weather conditions. Fortunately, heat-related illnesses can be prevented.

Preventing and Treating InjuriesInjuries can happen to any child who plays sports, but there are some things that can help prevent and treat injuries.

Prevention • Enroll your child in organized sports through schools, community clubs and recreation areas that are properly maintained. Any organized team activity should demonstrate a commitment to injury prevention. Coaches should be trained in first aid and CPR, and should have a plan for responding to emergencies. Coaches should be well versed in the proper use of equipment, and should enforce rules on equipment use. • Make sure your child has—and consistently uses—proper gear for a particular sport. This may reduce the chances of being injured. • Make warmups and cool downs part of your child’s routine before and after sports participation. Warmup exercises, such as stretching and light jogging, can help minimize the chance of muscle strain or other soft tissue injury during sports. Warmup exercises make the body’s tissues warmer and more flexible. Cool down exercises loosen muscles that have tightened during exercise. • Make sure your child has access to water or a sports drink while playing. Encourage him or her to drink frequently and stay properly hydrated. Remember to include sunscreen and a hat (when possible) to reduce the chance of sunburn, which is a type of injury to the skin. Sun protection may also decrease the chances of malignant melanoma—a potentially deadly skin cancer—or other skin cancers that can occur later in life. • Learn and follow safety rules and suggestions for your child’s particular sport.

TreatmentTreatment for sports-related injuries will vary by injury. But if your child suffers a soft tissue injury (such as a sprain or strain) or a bone injury, the best immediate treatment is easy to remember: RICE (rest, ice, compression, elevation) the injury. Get professional treatment if any injury is severe. A severe injury means having an obvious fracture or dislocation of a joint, prolonged swelling or prolonged or severe pain.

For more information, please call: Lafayette Orthopaedic Clinic - 765.447.4165 Robert Hagen, MD Peter Torok, MD Michael Highhouse, MD Daniel Daluga, MD John Bauman, MD Mark Page, MD Michael Krauss, MD

Source:National Institutes of Health, http://www.niams.nih.gov/Health_Info/Sports_Injuries/child_sports_injuries.asp (accessed May 23, 2011)

Childhood Sports Injuries: A Guide For Prevention

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Attention Gardeners:Get VaccinatedVaccinations can prevent many diseases and save lives. All adults should get a tetanus shot every 10 years. Tetanus lives in the soil and enters the body through breaks in the skin. Because gardeners use sharp tools, dig in the dirt and handle plants with sharp points, they are particularly prone to tetanus infections.

Before you start gardening this season, make sure your tetanus/diphtheria (Td) vaccination is up to date. Ask your health care provider if you need any other vaccinations.

Source: “Explore.” Health: Health and Safety Guide for Gardeners. N.p., n.d. Web. 27 June 2012. <http://www.housekeepingchannel.com/a_647-Health_and_Safety_Guide_for_Gardeners>.

The Good News About Gardening You know that a calcium-rich diet is important for building strong bones, but have you heard that gardening and yard work are also good for bone strength?

Researchers from the University of Arkansas-Fayetteville found women 50 years and older who actively worked in their yards showed higher bone density readings than those who performed other types of exercise.

Weight bearing physical activities cause muscles and bones to work against gravity, strengthening them. In addition to garden-ing, there are other weight bearing physical activities you can try this summer to make your bones stronger: ● Walking ● Running ● Dancing ● Climbing Stairs ● Jogging ● Hiking

Finding the Nonsmokerin You Millions of Americans have quit smoking. Here’s how you can too: • Make a list of the reasons you want to quit. Keep your list handy. • Find alternatives to smoking. For example, if you smoke to keep calm, try other ways to relax, such as listening to music. • Choose a quit day. On the day you quit, throw away all your cigarettes, lighters, and ashtrays. • Notice physical changes. Your breath smells better, you breathe easier, and you have more energy. • Change your routine. Stay away from places where you used to smoke. • Reward yourself. After a week, buy something special, such as a CD. • Don’t get discouraged if you have a puff of a cigarette. Most people try several times before they stop for good.

Talk with your doctor about nicotine patches, gum, and sprays as well as medications that may help you. Use every resource you can to stay smoke-free and you’ll soon see the benefits.

New Smoking Ban Takes Effect in IndianaThe new smoking ban was effective July 1, 2012. Smoking is prohibited in most public places and places of employment. Smoking is also prohibited in state-owned vehicles and school buses under certain circumstances.

Smoking is prohibited within eight feet of a public entrance to a public place and place of employment.

Source: “How to Quit Smoking.” : A Guide to Kicking the Habit for Good. N.p., n.d. Web. 27

Dehydration is a sure-fire way to ruin your summer fun. A few tips to stay hydrated this summer: • Avoid alcohol and caffeine - Supplement your intake with water, juice, or sports drinks throughout the day. • Pace yourself - if you feel overheated, seek relief in an air- conditioned building or someplace well shaded. • Plan for sun exposure - Avoid strenuous outdoor activities between 10am and 4pm, and wear light, loose clothing. • Understand age factors - If you are over 65, drink additional fluids since your body does not adapt as easily to temperature change.

Eating Well -Summer & Dehydration

Healthy Recipe Asian-Style Chicken Wraps IngredientsSauce:1 small Jalapeno chili pepper, rinsed and split lengthwise—remove seeds and white membrane, and mince (about 1 Tbsp); for less spice, use green bell pepper1 Tbsp garlic, minced (about 2–3 cloves)3 Tbsp brown sugar or honey½ C water½ Tbsp fish sauce2 Tbsp lime juice (or about 4 limes) Chicken:1 Tbsp peanut oil or vegetable oil1 Tbsp ginger, minced1 Tbsp garlic, minced (about 2–3 cloves)12 oz boneless, skinless chicken breast, cut into thin strips 1 Tbsp lite soy sauce1 Tbsp sesame oil (optional)1 Tbsp sesame seeds (optional) Wrap:1 (small) head red leaf lettuce, rinsed, dried, and separated into single leaves large enough to create wrap8 fresh basil leaves, whole, rinsed and dried 2 cups bok choy or Asian cabbage, rinsed and shredded

Directions:Sauce:To prepare the sauce, add all ingredients to a saucepan, and bring to a boil over high heat. Remove from heat, and let sit in hot saucepan for 3–5 minutes. Chill in refrigerator for about 15 minutes or until cold.

Chicken:Prepare the chicken by heating oil in a large wok or sauté pan. Add ginger and garlic. Stir fry until cooked but not brown (about 30 seconds to 1 minute). Add chicken and continue to stir fry for 5 to 8 minutes. Add soy sauce, sesame oil (optional) and sesame seeds (op-tional) and return to boil. Remove from heat and cover with lid to hold warm in hot sauté pan. Assemble each wrap by placing one large red lettuce leaf on a plate, then add ½ cup chicken stir-fry, 1 basil leaf and ¼ cup shredded cabbage and fold together. Serve 2 wraps with ¼ cup sauce. Makes 4 servings.Serving Size: 2 wraps, ¼ cup sauce

Nutrition Information (per serving): Calories 242, Total Fat 10g, Saturated Fat 2g, Cholesterol 47mg, Sodium 393 mg, Fiber 3g, Protein 21g

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Healthy Kids = Back to School PhysicalsSummer is in full swing, but back-to-school time is just around the corner. To ensure your child has a healthy start at school, make an appointment soon for a back-to-school physical.

Routine physicals allow physicians to assess your child’s growth and development, as well as check for weight, blood pressure, cholesterol, vision, hearing and other physical, emotional or social health concerns.

The annual visit is also a good time to update immunizations. Most children receive their basic immunizations before age two, but tetanus, MMR, and hepatitis B require booster shots in later years, and newer vaccines may not have been available when your children were younger.

The best tip? Beat the back-to-school rush by making an appointment with your primary care doctor today.

For more information, please call:Family Medicine Diane Begley, MD - 765.446.5161Benton County Medical Center - 765.884.1111 Steven Martin, MD Clinic of Family Medicine - 219.866.4135 Mallik Chaganti, MD Robert E. Darnaby, MD D. Todd Detar, DO Stephen C. Spicer, MD James G. Wakefield III, MD Louck Family Medicine - 219.866.4300 Christopher Louck, MD Pickerill, Adler & Associates - 765.807.2320 Jeremy Adler, MD Casey Pickerill, MD Darren Reed, DO Rossville Family Medicine - 765.379.2222 Duane Estep, MD Wanda Estep, MD Southside Family Practice - 765.471.9146 John Cusack, MD Shadi Resheidat, MD

Immediate CareUnity Immediate Care Center - 765.446.1362 Internal MedicineAbramovitz 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

PediatricsFroberg Pediatric Center - 765.447.6936 Lara Boggess, MD Linda Froberg, MD M. Ann Jonkman, MD Anna Wildermuth, MD

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Choosing A Primary Care Physician - The Smart WayChoosing a new physician can be a difficult task. Asking for recommendations is a good way to start, but ultimately you will have to decide which physician is best suited to your individual needs and situation.

It is important to establish a relationship with a primary care physician (PCP), especially before you ever get sick. Primary care doctors should be the first line of defense in protecting your health, but millions of Americans don’t have a PCP. Even patients who regularly visit specialists don’t always have a PCP, leaving them unprepared when the flu or an infection strikes.

Everyone gets sick at some point, so selecting a PCP ahead of time means you don’t have to scramble around when you need medical care.

Here are some questions and answers that can help you select a PCP who understands your particular needs.

What information should I find out about the doctor?It may help to ask the doctor’s office these questions: • At which hospitals does the doctor have privileges? • How long does it take to get in to see the doctor for a routine visit and for urgently needed care? • Who covers for the doctor when the need arises? • Is the doctor board certified? (This means he or she has had training after medical school and has passed an exam to be certified as a specialist in a certain field.)

What personal qualities should I look for in a doctor?Find a doctor who listens carefully, explains things clearly, anticipates your health problems and allows you to ask questions.

What information should I bring to my appointment?It is important to provide your doctor with the following: • Your health history • A list of medications you’re taking • Any vitamins or supplements you take • A description of any current health problems you’re having. If you have symptoms, the doctor will want to know when they first appeared, how often • A list of questions. Ask your doctor to explain any answers you don’t understand

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Find A Doctor...Near You. Allergy & Asthma Lafayette Allergy and Asthma Clinic Ketan Sheth, M.D. 1345 Unity Place, Suite 145 A Lafayette, IN 47905 PH: 765.446.5040 | FX: 765.446.5041 Esthetics Lafayette Regional Vein & Laser Center Marlin Schul, M.D. 985 South Creasy Lane Lafayette, IN 47905 PH: 765.807.2770 | FX: 765.807.0348

Family Medicine Diane Begley, M.D. 3801 Amelia Avenue, Suite C Lafayette, IN 47905 PH: 765.446.5161 | FX: 765.446.5160

Benton County Medical Center Steven Martin, M.D. 1004 South East Street Fowler, IN 47944 PH: 765.884.1111 | FX: 765.884.1605

Clinic of Family Medicine Mallik Chaganti, M.D. Robert E. Darnaby, M.D. D. Todd Detar, D.O. Stephen C. Spicer, M.D. James G. Wakefield III, M.D. 1103 East Grace Street Rensselaer, IN 47978 PH: 219.866.4135 | FX: 219.866.0803

Louck Family Medicine Christopher Louck, M.D. 716 South College Street Rensselaer, IN 47978 PH: 219.866.4300 | FX: 219.866.7591

Pickerill, Adler & Associates Jeremy Adler, M.D. Casey Pickerill, M.D. Darren Reed, D.O. 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 Lafayette Gastroenterology Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905 PH: 765.807.0531 | FX: 765.807.0534

Murray Gastrointestinal Health Services Robert Murray, D.O. 114 Executive Drive, Suite A Lafayette, IN 47905 PH: 765.446.5060 | FX: 765.446.5061

General Surgery Lafayette Surgical Clinic John Francis, M.D. Jerry Jefson, M.D. Nathan Huber, 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 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

Neurology

Lafayette Neurology Khaled Hammoud, M.D. 1345 Unity Place, Suite 310B Lafayette, IN 47905 PH: 765.446.5220 | FX: 765.446.5221

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Gastroenterology Lafayette Gastroenterology Ravish Mahajan, M.D. 5 Executive Drive, Suite B1 Lafayette, IN 47905 PH: 765.807.0531 | FX: 765.807.0534

Murray Gastrointestinal Health Services Robert Murray, D.O. 114 Executive Drive, Suite A Lafayette, IN 47905 PH: 765.446.5060 | FX: 765.446.5061

General Surgery Lafayette Surgical Clinic John Francis, M.D. Jerry Jefson, M.D. Nathan Huber, 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 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

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 ROCC Michael Krauss, 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

Outpatient Physical / Occupational Therapy

Lafayette Rehabilitation Services 1411 S. Creasy Lane, Suite 100 Lafayette, IN 47905 PH: 765.447.5552 | FX: 765.449.1054

Miracles Rehabilitation Lafayette / West Lafayette 3806 Amelia Avenue Lafayette, IN 47905 PH: 765.807.2773 | FX: 765.807.2774 917 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 Lara Boggess, M.D. Linda Froberg, M.D. M. Ann Jonkman, M.D. Anna Wildermuth, M.D. 324 N. 25th Street Lafayette, IN 47904 PH: 765.447.6936 | FX: 765.447.2536

Phlebology Lafayette Regional Vein & Laser Center Marlin Schul, M.D. 985 South Creasy Lane Lafayette, IN 47905 PH: 765.807.2770 | FX: 765.807.0348

Plastic Surgery Lai Plastic Surgery Khoa Lai, M.D. 1345 Unity Place, Suite 210 Lafayette, IN 47905 PH: 765.446.5432 | FX: 765.446.5431

Podiatry Family Foot Clinic Nicholas Costidakis, D.P.M. 975 Mezzanine Drive, Suite B Lafayette, IN 47905 PH: 765.447.4776 | FX: 765.447.4809

Greater Lafayette Foot Care 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

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

Hoover Foot Clinic James Hoover, D.P.M. 2020 Union Street, Suite 100 Lafayette, IN 47904 PH: 765.447.7644 | FX: 765.448.9009

Psychology Sycamore Associates Patricia Moisan-Thomas, 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. Irene Gordon, M.D. Mary Margaret Rhees, M.D. Bedatri Sinha, M.D. Faith, Hope & Love Cancer Center 1425 Unity Place Lafayette, IN 47905 PH: 765.447.7460 | FX: 765.447.8396

Radiology Unity Radiology John Fiederlein, M.D. Steven Hossler, M.D. Kent Lancaster, M.D. Stephen Matthews, M.D. InnerVision Advanced Medical Imaging 1411 S. Creasy Lane, Suite 130 Lafayette, IN 47905 3801 Amelia Avenue, Suite A Lafayette, IN 47905 3750 Landmark Drive, Suite A Lafayette, IN 47905 InnerVision West 3482 McClure Avenue, Suite 100 West Lafayette, IN 47906 PH: 765.447.7447 | FX: 765.447.1767

Urology Lafayette Clinic of Urology Jeffrey Cooper, M.D. Richard Selo, M.D. 1345 Unity Place, Suite 110 Lafayette, IN 47905 PH: 765.447.9308 | FX: 765.447.2387

1250 South Creasy Lane Lafayette, IN 47905

765.447.8133 | www.unityhc.com

Jamie Proffitt | Marketing Designer

Unity Immediate Care CenterNo Appointment Necessary When 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. • Full service with lab and x-ray capabilities.

No Appointment Needed. Open 8 am to 8 pm.

7 days a week, except Holidays.

765.446.1DOC (1362) 1321 Unity Place | Lafayette

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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.