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The Director's Corner
Summer is the time when we say goodbye to graduating residents and welcome the new incoming resident doctors.
Debra Gargiulo, MD, will be moving just a bit south to work at Green Primary Care at the Health and Wellness Center-Green in Uniontown, Ohio. She will do the full range of outpatient family medicine.
Cecile Jentner, MD, has joined Fairlawn Family Practice and will be doing a wide range of outpatient family medicine. She will also continue to follow patients that need hospitalization at Akron General.
James Dombroski, MD, will finish with us at the end of August and then seek further training as an Obstetric Fellow at the University of Alabama – Huntsville in Huntsville, AL. After a year of delivering babies and doing C-sections, he may return back to Ohio to practice.
Leon Gedeon, MD, plans to move to Florida and practice outpatient family medicine at Broward Health's Seventh Avenue Family Health Center in Fort Lauderdale.
Rubbiya Bhatti, MD, will be staying in Akron to practice and is presently pursuing several options.
We feel very fortunate to have had these outstanding doctors with us these last three years and wish them the best for the future.
Please Welcome Our Incoming Residents:
I also want to announce some awards our residents won recently at the Northeast Ohio Medical University Family Medicine Scholarship Day on May 21, 2013.
Dr. Debra Gargiulo won first place for a flawless oral presentation about her innovative project looking at developing the good habits of having a healthy diet and exercise program. She did this in collaboration with our our Lifestyle Programs at the Health and Wellness Centers.
Dr. Leon Gedeon won second place with a poised and scholarly oral presentation about Diabetic Group Visits.
Dr. Rubbiya Bhatti won second place for her poster on our ongoing Diabetic Group Visits.
As always, we greatly appreciate the opportunity to provide high quality medical care for you and your family and at the same time assist these new doctors in preparing for practice.
Elliot B. Davidson, MD,
Director, Center for Family Medicine
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Transition of Care
By Brian Bachelder, MD
"Transition of Care" is a new term that you may start to hear more about. It is the time period when the setting of health care changes, such as after being discharged from the hospital or a nursing home. During that time you are at a higher risk for problems because of a recent illness, a change in health, new medicines, or the need for additional care such as physical therapy.
Within two business days, your doctor’s office will call to check on you. This is more than just a call to arrange an appointment. You may be asked about how any new medications are working, about any new problems that may have arisen, about any new needs, or about how a new therapy is going.
A follow-up office visit will be scheduled within 1-2 weeks to check your progress and plan any further care. During this visit a "medication reconciliation (med rec)" will be done to be sure we know of all of your meds.
All of this extra effort is to help prevent you from becoming ill again and needing a second admission to the hospital. Transition to Care is to prevent any gaps in your care and keep you as healthy as possible.
So what can you do?
- Ask your hospital doctor to complete your hospital summary right away and send it to your doctor.
- Be ready for a phone call from the office within 2 business days and have any questions ready.
- Bring all of your meds to your office visit so we can match them against our med list.
- Follow all of your doctor’s directions. If there is a problem or a question, call your doctor’s office.
- Complete any additional care such as physical, occupational, or respiratory therapy. If you have trouble arranging this, call your doctor’s office.
- If you seem to worsen or are not improving as you would expect, call your doctor before going to the Emergency Room. We may be able to save you a trip and a long wait.
Your health, your care, our help. Center for Family Medicine at Akron General.
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Summer Heat – What you should know
By Deborah Plate, DO
Summer season brings warmer temperatures which can put us at risk for heat-related stress. Elderly people (65 and older) are more prone to heat intolerance than younger people for several reasons:
- Elderly people don’t adjust as well as young people to sudden changes in temperature
- They are more likely to have a chronic medical condition that changes normal body responses to heat
- They are more likely to take prescription medicines that impair the body’s ability to regulate its temperature or that block perspiration
Warning signs of possibly too much heat:
- Heavy sweating
- Muscle cramps
- Nausea or vomiting
- Skin: may be cool or moist
- Breathing: fast and shallow
Follow these prevention tips to protect you and your family from the heat:
- Drink cool, nonalcoholic beverages
- Take a cool shower, bath or sponge bath
- If possible, seek an air-conditioned environment (including public library or shopping mall)
- Wear lightweight clothing
- Do not engage in strenuous activities without periodic breaks
- Seek shade and avoid mid-day sun
We at CFM hope you have a safe and enjoyable summer season!
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Walk It Off
By Luann Beavers-Willis, MSN, RN, CDE, Education Coordinator
Walking is a great physical activity, it is free, and it can be done in a variety of settings in the summer time.
Benefits of walking include:
- Lowers blood sugar levels: muscle cells use the sugar for fuel and it helps the body use the insulin more effectively to move sugar from the blood to the cells
- Protects against heart disease and stroke: helps to reduce the LDL (bad cholesterol), increase the HDL (good cholesterol), and lowers blood pressure
- Aids in weight management: burns calories, burns body fat, and builds muscle
- Strengthens bones: lowers risk of thinning bones or osteoporosis by building bone mass along with toning muscles
- Increases energy and relieves stress: helps you feel better about your body and increases your sense of well being
Make a Plan Develop a walking workout over a 6 week period. A pedometer counts how many steps you take during an entire day. The American Heart Association recommends 10,000 steps a day to boost heart health. In weeks 1 and 2, determine how long you can comfortably walk and the distance. The goal is to make walking a habit. During weeks 3 and 4 your goal is to get stronger and walk longer. Begin to increase the length of each walk in 5 minute increments. Work toward a goal of walking 30 minutes per day. The goal for weeks 5 and 6 is to walk today and walk tomorrow. Increase the frequency of walking each week until you are doing this activity at least 5 days per week for 30 minutes.
Beyond 6 weeks the goal is to beat boredom and stay on the course of this habit. Vary your route and consider a different trail if walking in a metro park. If you have good balance, change your terrain and walk on a dirt path or sandy beach.
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Don't Let Your Heartburn "Burn" You
By Ekaete Jackson, MD
You may have heard about many medications for acid reflux. These medications include Proton Pump Inhibitors (PPIs). Examples are Prilosec, Nexium and Protonix.
Acid reflux in simple terms is heartburn. Heartburn is caused by stomach acid backing up to your throat. It can present as burning in the chest, upset stomach, nausea, sore throat and even cough.
Many serious illnesses can present just like heartburn. Some people with serious heartburn may require long term PPI use. If you think you have heartburn, first check with your doctor to make sure you do not have other serious problems. Some of those problems can include stomach ulcers, asthma, pneumonia, heart attack or even a blood clot in a lung. These can be life-threatening if not properly identified and treated. Another reason to check with your doctor is that recent studies have shown that heartburn medications can cause some side effects, particularly the PPIs. PPIs can cause decreased absorption of other medications you take. They can even make you more prone to infections like pneumonia and diarrhea. If used for too long, you can become dependent on them and have “rebound” reflux, a condition where reflux becomes worse if you stop the medications suddenly.
If you are already taking a PPI, please talk to your doctor to see if you need to continue, adjust, or discontinue the medication.
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By Jane Freeman, LISW, Director of Behavioral Science
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Summer is a great time to start new health habits. We all know that a healthy diet and regular exercise are essential to good health and to feeling good.
A healthy diet contains lots of fresh fruits and vegetables. Going with friends and family members to visit and buy fresh produce at the many farmers markets in Summit County is a fun way to spend an afternoon. Another great activity is picking your own fruit at the berry patches and orchards in the area. Making homemade jams and applesauce is a great activity to do with children and often leads them on the path of healthier food choices.
If you have a patch of land with some sunshine, it is not too late to plant some vegetables. Green beans and lettuce can be planted at intervals throughout the summer. For those in apartments who have a balcony, a potted tomato plant can be a rewarding way to get essential vitamins.
Exercise opportunities abound in the many parks in the Summit County Metropark System, (www.summitmetroparks.org), and Cuyahoga Valley National Park, (www.nps.gov/cuva). There are scenic places to take hikes, have picnics, or put a bike on the Cuyahoga Valley Scenic Railroad to take the train one direction and bike back. For those who are unable to find a walking partner, there is the Akron Hiking Club which schedules 3-5 mile hikes every week. Check them out at: akronhikers.org. This summer start you and your family on the path to a healthier, happier lifestyle!