coordinated health magazine sept./oct. 2011
DESCRIPTION
Coordinated Health Magazine Sept./Oct. 2011TRANSCRIPT
ldquoYour Prescription for Better Healthrdquo
Turn Back the Clock on Your Age
Concussions in Athletes
The Common Cold
To Tan or Not to Tan
From Lazy Boy to Running Rebel
Handy Guide to Dupuytrenrsquos Disease
Flu Vaccination Fact Sheet
The Magazine
SeptemberOctober 2011
coordinatedhealth com2 SeptemberOctober 2011
Letter From The Editor
Dear Patients
Fall is a wonderful time of year full of fun activities the whole family can enjoy Itrsquos a time for people to enjoy football games hikes to take in the breathtaking fall foliage and Halloween and Thanksgiving However fall also marks the beginning of cold and flu season In this issue we have some tips on how you can protect your family from falling victim to the common cold or flu Wersquoll also help you differentiate between whether you have a cold or the flu
While almost everyone catches a cold at some point during the fall or winter the flu is more serious but much easier to prevent Colds are transmitted through contact Therefore if someone in your home or office has a cold you are at a greater risk of catching it yourself While the flu is also contagious there is a vaccine available that greatly lowers your risk of being infected The Center for Disease Control recommends a yearly flu vaccine which are available through your primary care physician and most drug stores
Itrsquos not always easy to tell whether you have a common cold or the flu since both conditions have similar symptoms including sore throat headache cough and fatigue However colds are rarely accompanied by a fever and are treated with over the counter medications and while you may have fatigue and muscle aches and pains they generally disappear within days Meanwhile flu patients often run a fever and have muscle aches and pains that can last up to a few weeks There are also antiviral drugs available to treat the flu which is given 24-48 hours from the onset of symptoms
The biggest difference between the flu and the common cold is the severity of the condition The flu is much more serious In fact each year thousands of people die from the flu and many more or hospitalized Those most at risk for contracting the flu are young children pregnant women and people over the age of 65 and those with a weakened immune system
Remember the flu can be prevented with a simple vaccine Now is the time to make an appointment with your doctor and ensure a happy and healthy fall season for your whole family We have plenty of additional information pertaining to common colds and preventing the flu as well as information on other medical conditions in this issue so keep reading
Amanda Boyce
coordinatedhealth com SeptemberOctober 2011 3
2 Editorrsquos Letter
5 Contributing Team
16 What our patients are saying
26 Whorsquos New at Coordinated Health
32 Coordinated Health Locations
7 Turn Back the Clock on Your Age
Issue
7SeptOct
2011
10 Concussions in Athletes
14 The Common Cold
coordinatedhealth com
Features
19 To Tan or not to Tan
22 From Lazy Boy to Running Rebel
24 Handy Guide to Dupuytrenrsquos Disease
28 Flu Vaccination Fact Sheet
4 SeptemberOctober 2011
coordinatedhealth com
Our Contributing Team
Jason Rudolph MD Orthopedic Surgeon
Ellen S Novatnack Director of Infection Prevention
Melissa Trader OTRL CHT
Certified Hand Therapist
Molly McNeil MS ATC
Certified Athletic Trainer
Patrick Yoder BS ATC MS
Certified Athletic Trainer
Christina T Wise MS ATC
Certified Athletic Trainer
Debra A Moyer L Esth
Cosmetic Patient Coordinator
Hannah RoppWriter
Rick Woods Design amp Layout
Amanda BoyceEditor
SeptemberOctober 2011 5
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com2 SeptemberOctober 2011
Letter From The Editor
Dear Patients
Fall is a wonderful time of year full of fun activities the whole family can enjoy Itrsquos a time for people to enjoy football games hikes to take in the breathtaking fall foliage and Halloween and Thanksgiving However fall also marks the beginning of cold and flu season In this issue we have some tips on how you can protect your family from falling victim to the common cold or flu Wersquoll also help you differentiate between whether you have a cold or the flu
While almost everyone catches a cold at some point during the fall or winter the flu is more serious but much easier to prevent Colds are transmitted through contact Therefore if someone in your home or office has a cold you are at a greater risk of catching it yourself While the flu is also contagious there is a vaccine available that greatly lowers your risk of being infected The Center for Disease Control recommends a yearly flu vaccine which are available through your primary care physician and most drug stores
Itrsquos not always easy to tell whether you have a common cold or the flu since both conditions have similar symptoms including sore throat headache cough and fatigue However colds are rarely accompanied by a fever and are treated with over the counter medications and while you may have fatigue and muscle aches and pains they generally disappear within days Meanwhile flu patients often run a fever and have muscle aches and pains that can last up to a few weeks There are also antiviral drugs available to treat the flu which is given 24-48 hours from the onset of symptoms
The biggest difference between the flu and the common cold is the severity of the condition The flu is much more serious In fact each year thousands of people die from the flu and many more or hospitalized Those most at risk for contracting the flu are young children pregnant women and people over the age of 65 and those with a weakened immune system
Remember the flu can be prevented with a simple vaccine Now is the time to make an appointment with your doctor and ensure a happy and healthy fall season for your whole family We have plenty of additional information pertaining to common colds and preventing the flu as well as information on other medical conditions in this issue so keep reading
Amanda Boyce
coordinatedhealth com SeptemberOctober 2011 3
2 Editorrsquos Letter
5 Contributing Team
16 What our patients are saying
26 Whorsquos New at Coordinated Health
32 Coordinated Health Locations
7 Turn Back the Clock on Your Age
Issue
7SeptOct
2011
10 Concussions in Athletes
14 The Common Cold
coordinatedhealth com
Features
19 To Tan or not to Tan
22 From Lazy Boy to Running Rebel
24 Handy Guide to Dupuytrenrsquos Disease
28 Flu Vaccination Fact Sheet
4 SeptemberOctober 2011
coordinatedhealth com
Our Contributing Team
Jason Rudolph MD Orthopedic Surgeon
Ellen S Novatnack Director of Infection Prevention
Melissa Trader OTRL CHT
Certified Hand Therapist
Molly McNeil MS ATC
Certified Athletic Trainer
Patrick Yoder BS ATC MS
Certified Athletic Trainer
Christina T Wise MS ATC
Certified Athletic Trainer
Debra A Moyer L Esth
Cosmetic Patient Coordinator
Hannah RoppWriter
Rick Woods Design amp Layout
Amanda BoyceEditor
SeptemberOctober 2011 5
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com SeptemberOctober 2011 3
2 Editorrsquos Letter
5 Contributing Team
16 What our patients are saying
26 Whorsquos New at Coordinated Health
32 Coordinated Health Locations
7 Turn Back the Clock on Your Age
Issue
7SeptOct
2011
10 Concussions in Athletes
14 The Common Cold
coordinatedhealth com
Features
19 To Tan or not to Tan
22 From Lazy Boy to Running Rebel
24 Handy Guide to Dupuytrenrsquos Disease
28 Flu Vaccination Fact Sheet
4 SeptemberOctober 2011
coordinatedhealth com
Our Contributing Team
Jason Rudolph MD Orthopedic Surgeon
Ellen S Novatnack Director of Infection Prevention
Melissa Trader OTRL CHT
Certified Hand Therapist
Molly McNeil MS ATC
Certified Athletic Trainer
Patrick Yoder BS ATC MS
Certified Athletic Trainer
Christina T Wise MS ATC
Certified Athletic Trainer
Debra A Moyer L Esth
Cosmetic Patient Coordinator
Hannah RoppWriter
Rick Woods Design amp Layout
Amanda BoyceEditor
SeptemberOctober 2011 5
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Features
19 To Tan or not to Tan
22 From Lazy Boy to Running Rebel
24 Handy Guide to Dupuytrenrsquos Disease
28 Flu Vaccination Fact Sheet
4 SeptemberOctober 2011
coordinatedhealth com
Our Contributing Team
Jason Rudolph MD Orthopedic Surgeon
Ellen S Novatnack Director of Infection Prevention
Melissa Trader OTRL CHT
Certified Hand Therapist
Molly McNeil MS ATC
Certified Athletic Trainer
Patrick Yoder BS ATC MS
Certified Athletic Trainer
Christina T Wise MS ATC
Certified Athletic Trainer
Debra A Moyer L Esth
Cosmetic Patient Coordinator
Hannah RoppWriter
Rick Woods Design amp Layout
Amanda BoyceEditor
SeptemberOctober 2011 5
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Our Contributing Team
Jason Rudolph MD Orthopedic Surgeon
Ellen S Novatnack Director of Infection Prevention
Melissa Trader OTRL CHT
Certified Hand Therapist
Molly McNeil MS ATC
Certified Athletic Trainer
Patrick Yoder BS ATC MS
Certified Athletic Trainer
Christina T Wise MS ATC
Certified Athletic Trainer
Debra A Moyer L Esth
Cosmetic Patient Coordinator
Hannah RoppWriter
Rick Woods Design amp Layout
Amanda BoyceEditor
SeptemberOctober 2011 5
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Medical and Injury CareWalk-ins and Appointments Accepted
(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
Coordinated HealthEast Stroudsburg Campus
Care on Demand
OPEN
Coordinated HealthEast Stroudsburg Campus511 VNA RoadEast Stroudsburg PA 18301
Care on Demand hoursMon - Fri 7am - 11pmSat amp Sun 8am - 8pm
6 SeptemberOctober 2011
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
You may have heard of Botoxreg and Juvedermreg in reference to cosmetic procedures and beauty treatments However these treatments may still remain a mystery to others Let me try to explain how these non-surgical treatments work
The use of Botox and facial fillers is a reasonable way to improve your facial appearance with very little investment These in office procedures take very little time and the results can help take years off your face
The major difference between Botox and Juvederm is that Botox is used for wrinkles caused by animation and Juvederm is a filler that fills in lines which are present regardless of movement For example Botox is used to correct wrinkles between eyebrows forehead and crows feet Juvederm is used for the fold going from your nose to mouth wrinkling around the mouth and to enhance the size of your lips Aging can sometimes thin your lips and make you look years older than what you actually are
Turn Back the Clock on Your AgeDebra A Moyer
SeptemberOctober 2011 7
continued on next page
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Botox is a chemical derived from bacteria that works by blocking the responsiveness of muscles to nerve impulses In tiny doses it relaxes wrinkling muscles and stops them from working for an average of 3-6 months
Juvederm is not an active biochemical Although it is made by bioengineered bacteria it consists of hyaluronic acid which is a structural molecule within the skin that has no chemical activity on nerves or muscles Juvederm acts by filling a depression in the skin and plumping the area Juvederm is FDA-approved and lasts up to 1 year in skin folds It can be used anywhere there are deep wrinkles
Juvederm and Botox are often used together since they work on different aspects of lines and wrinkles A combination of these two treatments can give a more youthful look to an otherwise aging face
When considering cosmetic injectables your best bet is to have a consulation with a physician who is certified in Plastic and Reconstructive Surgical procedures to fully explain and discuss your cosmetic treatment options
Click here to learn more about the Plastic Cosmetic and Reconstructive surgeries offered at Coordinated Health
8 SeptemberOctober 2011
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com SeptemberOctober 2011 9
Womenrsquos Health Services now at
(877) 247-8080 | coordinatedhealth com | (610) 861-8080
As we develop the depth of our specialty hospital network with the addition of
Womenrsquos Health wersquore honored to welcome Dr Gayllyn Faust-Rakos She joins the Coordinated Health Team as our first Gynecologist and is Board
Certified in Gynecology Dr Faust-Rakos brings a tremendous wealth of
expertise and experience in the Lehigh Valley as we start our new Womenrsquos
Health Team Call now to schedule with Dr Faust-Rakos
Womenrsquos Health services available at
Lehighton Campus 239 N First Street Lehighton PA 18235
Allentown Campus at Pond Rd 1611 Pond Road Suite 102 Allentown PA 18104
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Gone are the days when it is OK to get your ldquobell rungrdquo It is not OK to be ldquolittle dizzyrdquo after banging heads on the soccer field Taking a few aspirins after football practice for a persistent
headache is no longer acceptable The sports section headlines for the past year have been replete with stories of athletes who have suffered multiple concussions some leading to chronic headaches neurologic deficits or other permanent conditions
A concussion is a pathologic process that may occur to the brain after a direct or indirect blow to the head
Typically there is a short lived neurologic impairment that occurs directly after the injury and then resolves spontaneously These impairments are highly variable and may include confusion amnesia feeling like they are in a fog headaches disorientation mood changes sensitivity to light and many others Concussions occur in both contact sports (football lacrosse etc) as well as noncontact sports (soccer baseball etc) The true incidence of concussions in sports is unknown due to the significant under-reporting by athletes coaches and parents Typically concussions may account for 2-9 of all injuries in high school sports and up to 19 in contact sports
Helmet use in contact sports does decrease the incidence of skull fractures and brain bleeds but does not decrease the incidence of concussions Proper fitting of equipment (helmets chin straps) however may help to decrease the
Concussions in AthletesJason Rudolph MD
Concussions typically account for 2-9 of all injuries in high school
sports and up to 19 in contact sports
10 SeptemberOctober 2011
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
incidence of concussions Enforcing rules that decrease the risk of head injuries (eliminating spearing head on head contact leading with the head) may also decrease the chances of head injury The most important aspect of preventing head injuries is educating parents coaches and players
Managing concussions requires a team effort including not only team doctors but also parents coaches trainers teachers and school administrators In general the duration of symptoms after the injury has a strong correlation to the severity of the concussion Therefore the severity of the injury cannot be determined until after all of the symptoms have resolved There are no imaging
studies (Xrays CT scans or MRIrsquos) that can diagnose a concussion Treatment is therefore heavily based on comparing an athletersquos pre-injury condition to his post-injury state In general once an athlete has suffered a concussion it is unsafe to return that athlete to sports the day of injury Only after an athlete is symptom free (no headaches tiredness dizziness etc) both at rest and during activities is it safe to return to sports
One of the key elements in our ability to determine the return of an athlete to sports is our ability to obtain objective (computer testing) information rather than relying purely on subjective (the athlete telling
how he feels) information One of the objective tests available ImPACT testing
SeptemberOctober 2011 11
continued on next page
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
is essentially a computer based test of memory and reaction time Of course it always to better to compare an athletersquos score on the test to his score before the injury ever occurred This is where preseason or baseline testing becomes important Preseason screening is becoming more commonly offered either through the athletersquos school or through the team physician ImPACT concussion testing is readily available at Coordinated Health
Concussions are very real injuries and are going to occur on a daily basis across the country Our ability as physicians to work towards prevention diagnosis and treatment is equally important as our responsibility to educate athletes their parents and coaches about these significant injuries
Check Out Coordinated HealthOn Facebook
Learn tips and tricks to treat your pain from CH physicians and therapists
Get the latest updates on whatrsquos going on at CH
Post your questions amp comments - We want to hear what you think
12 SeptemberOctober 2011
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
A joint effortCoordinated Health nowat Orthopaedic Associates of Bethlehem amp Easton
For the physicians at OAB Orthopaedics the choice is clear Nowhere else can they give their patients the efficient integrated healthcare they deserve Welcome Dr Thomas Sauer Dr Peter Kozicky Dr John Williams Dr James Sunday and Dr Scott Sauer and their patients to the Coordinated Health team
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg(877) 247-8080 | coordinatedhealthcom | (610) 861-8080
SeptemberOctober 2011 13
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Colds are responsible for many
people missing school and work
each year The common cold
can be caused by over 200
viruses and while you can catch
a cold at any time you are most
vulnerable during winter and
rainy seasons
Colds are passed to individuals
through contact and are most
contagious for the first two to
three days Symptoms of a cold
include nasal congestion runny
nose sore throat sneezing
coughing headache watery
eyes and mild body aches
See a doctor if symptoms last longer than ten days is not relieved by over-the-counter
medications or you have a temperature over 1004degF In some instances colds can lead
to bronchitis ear infection pneumonia and
sinusitis
The best way to fight off a cold is to get
plenty of rest and fluids Over-the-counter
cough medication will help alleviate the
symptoms but will not make your cold go
away any faster Antibiotics should not be
taken for a cold they will not make the cold
better and could even make it worse Some
alternative treatments to help with your
cold are chicken soup Vitamin C Zinc and
Echinacea
Molly McNeil MS ATC
14 SeptemberOctober 2011
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
The best way to avoid a cold is prevention Always wash your hands after wiping your nose
or before preparing food Clean commonly touched surfaces with a disinfectant choose a
smaller daycare class for your child to decrease the risk of spreading germs Use antibacterial
hand sanitizer when soap and water is not available use paper towels instead of hand towels
always cough and sneeze into a tissue and do not share anything with someone with a cold
You should also support your immune system Try to avoid second hand smoke which can
lead to cold or other health problems Also avoid unnecessary antibiotics to prevent antibiotic
resistance Breastfeeding can help prevent upper respiratory infections even years after
being breastfed Itrsquos also important to make sure you are drinking plenty of water to ensure
your immune system is working properly Eating yogurts can help prevent a cold by beneficial
bacteria or ldquoactive culturesrdquo that some yogurts contain Also always make sure you are
getting enough sleep Lack of sleep can leave you more susceptible to illness
SeptemberOctober 2011 15
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
What ou r pat ients a re say i ng abo ut o u r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
My only experience is with Dr DiIorio who I had for torn meniscus He came recommended by my mother who had Dr Di Iorio for her 2 knee replacements and 1 hip replacement We were both very pleased with his treatment plan and his handling of both our cases I would not hesitate to recommend Dr Di Iorio to anyone who has joint problems whether or not they need surgery intervention or not Dr Di Iorio does not jump right to surgery as the first line of treatment He explores other treatment options before suggesting surgery as the last optionM Susan U
Dr Brett Godbout
is our favorite
doctor at
Coordinated Heal
th He has been
treating my daug
hter
Kelly for her kn
ees for approxim
ately 8 years or
so He has perfo
rmed surgery on
both of her knee
s
and continues to
keep a watchful
eye as she ente
rs
her senior year
of college as an
athlete who wil
l be
completely her 4
th season of wom
enrsquos basketball
at
Elizabethtown Co
llege Thanks Dr
Godbout for ta
king
great care of my
daughter
Kim S
16 SeptemberOctober 2011
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Dr Edward Schwartz
because he is patient caring
and very detail oriented
He always makes sure
you are getting the best
care and takes his time
dealing with the issue He is
the best
Erika W
What ou r pat ients a re say i ng about ou r phys ic ia nsDr James Hoffman - Dr H did my first orthopedic surgery back
in 1996 my husband daughter and myself have followed him since
back then (at least 25 surgeries between us) and we as well as
many of our relatives and friends will stay with Dr Hoffman as
long as he practices being an orthopod We think he is a superior
surgeon as well as an understanding doctor at any appointment we have
with him He also explains everything in a way that we can understand and he will answer any questions that we may have and believe me we always have plenty Hersquos more than just a doctor hersquos a friend (if we see him outside of the office he knows us by name wersquore not just a number) Fantastic surgeon and all around personPaul and Donna B
Dr Brigido - I had a great
interaction with the doc
leading up to and post
surgery Irsquove referred a
number of people to him for
his footankle care especially
surgical procedures
Courtney G
Dr McCarroll - My husband son and daughter as well as myself We are all athletes and he has helped us all to continue to be active Dr McCarroll supports our fitness goals and helps us to heal our injuries and avoid future problems while encouraging us to continue our active lifestyle Our teenage daughter has chronic instability in her ankles and Dr McCarroll avoided surgery for years and finally performed ankle surgery which has been so helpful I have sent MANY friends and family to himCathy R
Dr Abrams -- he is compassionate
detailed a great listener and he is
always accessible Even at 930pm at
night or 800am on a Saturday morning
Aryanna A
Dr Stoll has been extremely helpful in directing my care and administering medications injections and encouragement he recommended Dr Duffy who has been instrumental in helping me heal and be able to sit straighter and walk ldquotallrdquoDeb K
To share thoughts about your favorite Coordinated Health physician
CLICK HEREWersquod love to hear from you
SeptemberOctober 2011 17
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Welcoming Cardiologist Dr David Scoblionko
to the Coordinated Health team
For more information visit coordinatedhealth com or call (610) 861-8900
We continue to develop the depth of our specialty hospital network with the addition of cardiology services Our cardiology clinical and diagnostic facility will be located on our Bethlehem Campus at Highland Ave Cardiology services begin in November 2011 With our expansion into cardiology we strengthen our clinical care teams and improve our ability to impact our patientrsquos continuum of care
Wersquore excited to have Dr David Scoblionko join the Coordinated Health team as our lead cardiologist He is Board Certified in Internal Medicine ndash Hypertension and Cardiology Dr Scoblionko adds a tremendous wealth of expertise and experience in the Lehigh Valley to our new cardiology team
To expand our cardiac services and diagnostics we are assembling an experienced heart care team that includes invasive cardiologists nurse practitioners and technicians
Allentown bull Bethlehem bull Brodheadsville bull Easton bull East Stroudsburg bull Hazleton bull Lehighton bull Phillipsburg
18 SeptemberOctober 2011
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
To Tan or not to TanBy Patrick Yoder BS ATC LAT MS
With autumn closing in the temperatures dropping and the number of daylight hours dwindling you may consider resorting to indoor tanning to maintain your summer glow
If thatrsquos the case itrsquos important to consider a few health related issues Although the amount of ultraviolet radiation (UVR) from the sun can be mitigated by things like location and weather conditions the amount of UVR from indoor tanning remains consistent and unrelenting These sources of UVR have been associated with multiple types of skin cancer including malignant melanoma A visible tan is your bodyrsquos response to damage done to DNA in the skin by UVR in an effort to protect itself from further damage
Despite the links between indoor tanning and cancer supported by research many people continue to tan A review from the Wake Forest University School of Medicine found that skin cancer is the most rapidly growing cause of cancer deaths in the United States According to a study done at the University of Iowa women under the age of 45 were found to have the greatest risk of melanoma This population also demonstrated the most widespread use of indoor tanning Another type of skin cancer
SeptemberOctober 2011 19
continued on next page
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
basal cell carcinoma is a potential development in people age 29 and under who frequently tan indoors
Until legislative action is taken to deter indoor tanning awareness of the harmful effects may be the best preventive measure A survey done by the Emory University School of Medicine found that 69 of parents never wanted their children to use tanning devices but only 15 of parents discussed their feeling with their children According to a recent survey from San Diego State University factors that increase adolescentsrsquo probability of using indoor tanning include being white females having a larger allowance and having a parent that tans indoor Many of those who use tanning beds continue their habits because they believe it will enhance their appearance despite the risk of skin cancer
There are currently new studies being done to investigate the addictive effects of indoor tanning After establishing what constitutes addiction researchers at the Wake Forest University school of Medicine found that trial studies have demonstrated the induction of withdrawal symptoms in frequent tanners
As the evidence shows the best way to prevent skin cancer is to avoid indoor tanning
A survey done by the Emory
University School of Medicine found
that 69 of parents never wanted their
children to use tanning devices but only 15 of
parents discussed their feeling with
their children
20 SeptemberOctober 2011
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
1 in PatientSatisfaction
Based on Medicare Data 2009-2011Visit hospitalcompare hhs gov
coordinatedhealthcom
ALLENTOWN BETHLEHEM EASTON HAZLETON PHILLIPSBURGBRODHEADSVILLE E STROUDSBURG LEHIGHTON
SeptemberOctober 2011 21
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
From Lazy Boy to Running Rebel
Christina T Wise MS ATC
ldquoEvery morning in Africa a gazelle wakes up it knows it must outrun the fastest lion or it will be killed Every morning in Africa a lion wakes up It knows it must run faster than the slowest gazelle or it will starve It doesnrsquot matter whether yoursquore the lion or a gazelle-when the sun comes up yoursquod better be runningrdquo McDougall Christopher Born to Run A Hidden Tribe Superathletes and the Greatest Race the World Has Never Seen New York Knopf 2009
After reading Born to Run by Christopher McDougall I was convinced that we all possess the physical ability to get up off the couch and run to our heartrsquos desire but do we actually believe in ourselves enough to give it a try I hope to convince you that there is not as much to fear about running as you may think Irsquom sure we can all attest to driving down the street in the pouring rain only to pass one of those ldquocrazy runnersrdquo looking like theyrsquore pulling an invisible cart full of cement blocks and wondering are they insane Well to answer your question yes I guess we are kind of insanehellipespecially when we hit the road in torrential downpours and snow For this reason running is a sport for the most passionate of athletes a way to exercise that doesnrsquot require any self-coaxing (usually) because we find it FUN just to take off with no equipment but our sneakers and some good music Running doesnrsquot require a gym membership
Turn yourself into a 5k runnerhellip anyone can do it
22 SeptemberOctober 2011
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
it doesnrsquot ldquohurt your kneesrdquo as some myths warn and it can be done wherever and whenever your schedule allows Itrsquos cathartic and uplifting not to mention yoursquoll burn calories and keep your heart healthyhellipdouble bonus
Unfortunately running gets a bad rap from those who are not only afraid to try it but also those who have tried it and ldquofailedrdquo when they discovered it caused them pain So letrsquos dispel a common misconception from the start Running doesnrsquot cause injuries a lack of stretching and improper warm-ups and cool-downs do Additionally itrsquos not healthy or smart to start at a pace yoursquore not accustomed to As with any other exercise regimen you need to correctly acclimate your body to the stresses yoursquore about to place on it Most importantly if you havenrsquot been exercising you should consult your physician to make sure your body is healthy enough to begin an exercise regimen
Another important factor to consider is proper footwear It is common practice to over-correct foot issues that may not even exist so when you set out to purchase running shoes you may want to consult a specialist at your local running shop or sporting goods store If soreness kicks in you should make sure to be very conscientious about icing after activity It will also help to take NSAIDS (Non-steroidal Anti Inflammatory Drugs aka Advil) if not contraindicated by your physician as well as to maintain a proper pre- and post-running stretching program
There are many programs out there to help you train for your first 5k In fact the internet is full of 5K programs that can help even the most inactive person become a runner There is even a Couch-to-5Kreg App for iPhone The application tells you when to run and walk so there is no need to keep track of the time on your own Also each workout is recorded so you can monitor your progress
For more information about starting your own exercise or running regimen please consult your physician and check out the following websites
httpwwwcoolrunningcomengine22_3181shtmlhttpwwwc25kcom
httpwwwfromcouchto5kcomarticlestrainingthe-couch-to-5k-training-plan
SeptemberOctober 2011 23
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Have you ever noticed non-painful ldquolumpsrdquo in your palm If so you may suffer from a condition called Dupuytrenrsquos Disease (ldquodoo-puh-trenzrdquo) also known as Dupuytrenrsquos contracture which is typically found in people of Northern European or Scandinavian descent
What is Dupuytrenrsquos Disease Dupuytrenrsquos disease is thickening of connective tissue (also called fascia) underneath your skin which can lead to lumps and dimples in the skin and can eventually form cords that draw your fingers into a bent position Functionally the contracture can hinder your ability to put your hand in your pocket or in a glove and can even make it difficult to shake someonersquos hand The contracture is most common in the ring and small fingers on one or both hands and is non-painful and benign The diagnosis is often confused with trigger finger which is due to overuseinflammation of the flexor tendons to your fingers
Who is at risk Heredity plays a large part in who is affected by Dupuytrenrsquos Disease It was previously referred to as the ldquoViking diseaserdquo due to its connection with people of Scandinavian (Swedish Norwegian and Finnish) descent It is also commonly found in people of Northern European descent (English Irish Scottish French and Dutch) Men are ten times more likely to be affected than women and the diagnosis is typically made after the age of 40 There is currently no evidence indicating that Dupuytrenrsquos Disease is associated with overuse trauma or specific occupational hazards
Handy Guide to Dupuytrenrsquos DiseaseBy Melissa Trader OTRL
24 SeptemberOctober 2011
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
What is the treatment In mild cases when you are still able to lay your hand flat against a table treatment is typically not recommended In these mild cases observation is recommended to look for progression of the disease andor a worsening contracture For some individuals the disease may never progress to point of needing treatment
The latest treatment indicated for Dupuytrenrsquos disease is an enzyme injection The enzyme collagenase is injected into the affected tissue and acts to dissolve the contracted tissue This is a procedure that can be performed at your hand surgeonrsquos office
Another less invasive technique is a needle aponeurotomy This procedure involves a small needle that is used to divide the diseased tissue in order to allow the finger to be manipulated into a straight position thus snapping the cord Sutures are not needed and recovery time is generally quick
The most invasive option is an open surgical release This technique involves opening the skin and removing the diseased tissue This procedure is typically performed when the affected fingers are significantly contracted In some cases skin grafting may be needed to regain full extension of the fingers
Therapy and splinting are vital following any of the above-mentioned treatments in order to decrease the likelihood of a reoccurrence and maximize your range of motion and function
SeptemberOctober 2011 25
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Whorsquos New atCoordinated Health
Dr Scott BleazeyPodiatry Fellow
DrThomas SauerOrthopedic Surgeon
Virginia QuaglioCRNA
Dr Gayllyn Faust-Rakos
GYN
Dr David Scoblionko Cardiology
Kimberly Westra CRNA
Dr Peter Kozicky Orthopedic Surgeon
Dr James SundayOrthopedic Surgeon
MaryBethZazzeraCRNA
Dr Karen Morris-Preister Anesthesiologist
Dr John WilliamsOrthopedic Surgeon
John FitzellPA-C
Dr Scott Sauer Orthopedic Surgeon
Carolyn PhillipiCRNP - Cardiology
Scott RomanPA-C
26 SeptemberOctober 2011
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Whorsquos New atCoordinated Health
Mark LlewellynPT
Cathleen CarPTA
Paula Dreiling PTA
Jennifer RoederDirector of
Rehabilitation
Scott WescottPT
Amy GarrisonPTA
Jan HillDistrict Manager
Bethlehem at OABE
Donna Wilk PT
Stacy RissmillerPTA
Kathleen HoernleDistrict Manager Easton at OABE
Kim BoucherPTA
Philip WeaverPTA
SeptemberOctober 2011 27
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Flu Vaccination Fact Sheet 2011-2012
Influenza (ldquoflurdquo) is a contagious disease caused by the influenza virus Flu viruses are spread mainly by droplets which form when people with the flu cough sneeze or talk These droplets can land in the mouthnose of people nearby A person may also get the flu by touching a surface or object that has flu virus on it and then touching their own mouth eyes or nose
Symptoms include fever chills sore throat cough muscle or body aches fatigue (very tired) headache runny or stuffy nose vomiting amp diarrhea (more common in children than adults)
You may be able to pass the flu to someone else before you know you are sick as well as while you are sick Most healthy adults are able to infect others beginning 1 day before
symptoms develop up to 5-7 days after becoming sick Young children and people with weakened immune systems may be able to infect others for an even longer time
Certain people are at greater risk for serious complications if they get the flu including those gt 65 years young children pregnant women and people with certain health conditions - such as asthma diabetes weakened immune systems heart disease - and persons who live in facilities like nursing homes Complications of flu can include bacterial pneumonia ear infections sinus infections dehydration and worsening of chronic medical conditions
Most healthy adults are able to infect others beginning 1 day before symptoms develop up to 5-7 days after becoming sick
Ellen S Novatnack Director of Infection Prevention
28 SeptemberOctober 2011
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Each year thousands of people die from influenza and even more require hospitalization Flu seasons are unpredictable and can be severe Over a period of 30 years from 1976 and 2006 flu-associated deaths in the United States are estimated to range from 3000 - 49000 people annually
The CDC recommends a yearly flu vaccine as the first and most important step in protecting against this serious disease By getting the flu shot you not only protect yourself from influenza but also avoid spreading it to others Annual influenza vaccination is recommended because the flu viruses are always changing About two weeks after vaccination antibodies develop that protect you against influenza virus infection and they last about a year The seasonal flu vaccine protects against the three influenza viruses that research suggests will be most common for the current flu season This yearrsquos shot (Northern Hemisphere 2011ndash2012 seasonal influenza vaccine) contains the following three vaccine viruses ACalifornia72009 (H1N1)-like virus APerth162009 (H3N2)-like virus and BBrisbane602008-like virus
SeptemberOctober 2011 29
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
All people age 6 months of age and older should get flu vaccine Vaccination is especially important for people at higher risk and their close contacts including healthcare providers and contacts of children lt6 months Yearly flu vaccination should begin as soon as vaccine is available and continue throughout the flu season Timing and duration of flu season varies but usually ranges from October through May
Talk to your doctor first if you had a severe life-threatening allergic reaction - including a severe allergy to eggs a severe reaction after a dose of flu vaccine or if you had Guillain-Barreacute Syndrome People who are moderately or severely ill should usually wait until they recover before getting flu vaccine People with a mild illness can usually get the vaccine
The viruses in the inactivated influenza vaccine have been killedhellipso you cannot get influenza from the flu shot Mild problems include soreness redness or swelling at the injection site hoarseness sore red or itchy eyes cough fever body aches headache itching fatigue If these problems occur they usually begin soon after the shot and last 1-2 days Severe problems include Life-threatening allergic reactions from vaccines are very rare If they do occur it is usually within a few minutes to a few hours after the shot Flu shots will be available at all Coordinated Health Care on Demand locations in Allentown Bethlehem East Stroudsburg and Lehighton in mid-October for $25 Schedule an appointment or walk-in to receive your flu shot
30 SeptemberOctober 2011
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
JOINCoordinated Healthrsquos
Free VIP ProgramRegister now to receive
Subscription to Coordinated Healthrsquos new online Magazine - we make it easy to understand your medical injuries conditions and treatment options
All-access pass to Coordinated Health TV - be a part of our growing online community as we educate and inform on the medical topics that interest you
The latest Coordinated Health news - be the first to know the latest healthcare news and how it affects your care
Priority access to our educational seminars and events - yoursquoll be first in line to register for all our special events
Updates from your physicians on the services and treatments that matter most to you and your family
TO REGISTER NOW CLICK HERE
Coordinated Healthrsquos VIP Program is a Spam Free Zone Your email will NEVER be made available to anyone for any reason
SeptemberOctober 2011 31
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
32 SeptemberOctober 2011
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
coordinatedhealth com
Airport Bltwy
Tilghman St
Walbert Ave
Roth Ave
Ceda
r Cres
t Blvd
Ce
dar C
rest B
lvd
Office Center Rd
Winchester Rd
Pond
Rd
Schoenersville Rd
Roseberry St
Illicks Mill Rd
Jackso
nville
Rd
Airpor
t Rd
Catasauqua Rd
Highland Ave
Brodhead Rd
Township Line Rd
17th St
Warren Hospital
Southmont Shopping Center
Cres
t Plaz
a
Easton HS
Emrick Blvd
Freemansburg Ave Freemansburg Ave
William Penn HwyButler St
Washington Blvd
Westgate Dr
Broad St
Brown St
Prospect St
Pocono Hospital
Route 20
9
VNA Road
Route 447
BraesideAve
Northampton St
Northampton St
Greenwood Ave
Greenwood Ave
248
25th St
24th St
21st St
Bankway St
N 1st St
248443
LVH Muhlenberg
Macada Rd
Weis Market
22nd St
115715
80
81
81
80
80
22
22
78
78 78
33
33
93
378
191
611
512
PA NJ
309
78
80
476
476
309
209
HazletonCampus
Allentown HospitalAllentown Campus
CoordinatedHealth atPond Road
Bethlehem Hospital
Bethlehem Campusat Highland Ave
Easton Campusat Emrick Blvd
Bethlehem Campus at Schoenersville Road
CoordinatedHealth atOABE (Bethlehem)
East StroudsburgCampus
Brodheadsville Campus
Phillipsburg Campus
EastonCampus atGreenwood Ave
Coordinated Healthat OABE (Easton)
EastStroudsburgSurgeryCenter
LehightonCampus
wwwcoordinatedhealthcom
SeptemberOctober 2011 33
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom
Allentown 1503 N Cedar Crest Blvd Allentown PA 18104
1611 Pond Rd Suite 102 Allentown PA 18104
Bethlehem 2775 Schoenersville Rd Bethlehem PA 18017
2300 Highland Ave Bethlehem PA 18020
2597 Schoenersville Rd Bethlehem PA 18017
Easton 400 S Greenwood Ave Easton PA 18045
3101 Emrick Bivd Suite 112 Bethlehem PA 18020
2111 Washington Blvd Easton PA 18042
Brodheadsville Rte 115 amp Switzgable Rd Brodheadsville PA 18322
East Stroudsburg 505 Independence Ave East Stroudsburg PA 18301
511 VNA Rd East Stroudsburg PA 18301
Hazleton 50 Moisey Dr Suite 202 Hazleton PA 18202
Lehighton 239 N First Street Lehighton PA 18235
Hospitals 1503 N Cedar Crest Blvd Allentown PA 18104
2310 Highland Ave Bethlehem PA 18020
610-861-8080 877-247-8080coordinatedhealthcom