Happy Women’s Health Week

I found a quote by the poet, Maya Angelou, that I thought suited the beginning of this post. “How important it is for us to recognize and celebrate our heroes and she-roes” As we hit the halfway mark of celebrating National Women’s Health Week, I think it is important to keep in mind all of the “she-roes” that are involved within our lives. Each individual has at least one woman in their life that they want to see maintain a healthy lifestyle and although we are surrounded my plenty of female celebrities and idols, we must acknowledge the everyday heroes who go unnoticed. Women often serve as caregivers for their families, putting the needs of their spouses, partners, children, and parents before their own. As a result, women’s health and well-being becomes secondary. Communities have a responsibility to support the significant women we know and provide assistance in any way to encourage longer, healthier, and happier lives. With that, I felt it was necessary to provide 5 easy steps for women to take towards a healthier lifestyle!

1.   Get a mammogram at least once a year

The most effective way to detect breast cancer is by mammography, and a clinical breast exam can complement mammography screening. Every woman has a chance of getting breast cancer. About 1 in 8 women will find out she has breast cancer at some point in her life. This might sound scary but today, most women with breast cancer survive it. With breast cancer screening, including mammograms, doctors often can find cancer early.

  • Yearly mammograms are recommended starting at age 40 and continuing as long as a woman is in good health.
  • For women in their 20s and 30s, clinical breast exams (CBE) are recommended about every 3 years.
  • Breast-Self exams (BSE) are something that should begin among women in their early 20s and continue regularly for life. The breast self-exam is a way that you can check your breasts for changes (such as lumps or thickenings). It includes looking at and feeling your breast. Any unusual changes should be reported to your doctor.

1.   Improve your daily food choices

A healthy diet gives you energy, supports your mood, maintains your weight, and keeps you looking your best. It can also be a huge support through the different stages in life. Healthy food can help reduce PMS, boost fertility, combat stress, make pregnancy and nursing easier, and ease symptoms of menopause.

How to make better food choices:

  • Use canola oil when baking.
  • Try low-fat frozen yogurt instead of regular ice cream.
  • Add lettuce, tomato, and other vegetables, rather than cheese, to your sandwiches.
  • Eat broiled, baked, roasted, or grilled chicken without the skin instead of fried chicken.
  • Try whole-wheat or multigrain bread instead of white bread.

The USDA (US Department of Agriculture) recommends an adult daily diet to include the following:

  • 3 ounces of whole grains and 6 ounces of grains total
  • 2 cups of fruit
  • 2 1/2 cups of vegetables
  • 3 cups fat-free or low-fat dairy

3.  Jumpstart your exercise routine

After just a few days of exercising, you can start to feel better, gain more energy, and even increase your chances of living a longer life! The health benefits of regular exercise and physical activity are hard to ignore. The positive effects from regular exercise routines among women are widely available, no matter their age, experience level, or body type. Here are a few easy ways to get up and get moving.

  • Use stairs instead of the elevator.
  • Walk or bike to work or to the store.
  • Take a break at work to stretch or take a quick walk.
  • If you have children, make time to play with them outside. Set a good example!
  • Go dancing with your partner or friends.
  • Wear a pedometer (a small tool worn on your belt) that counts the number of steps you take.
  • Try to walk a little more each day or week
  • Set specific, short-term goals, and reward yourself when you achieve them

4.   Find ways to maintain healthy stress levels

Mental health is a state of well-being in which an individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and is able to make a contribution to his or her surroundings. Stress can sometime have positive effects by making you more alert and giving you a burst of energy, but too much stress can be detrimental to your overall mental health which can easily make an individual put their own health needs aside. Everyone responds to stress a little differently. Your symptoms may be different from someone else’s. Here are some of the signs to look for:

  • Not eating or eating too much
  • Forgetfulness
  • Headaches
  • Lack of energy/focus
  • Poor self-esteem
  • Short temper
  • Trouble sleeping
  • Back pain

Ways to relieve stress:

  •  Get organized: start making daily to-do lists’
  • Take deep breathes and stretch: taking some tension off your muscles can help a person feel more in control.
  • Take time to do something you want to do.
  • Get enough sleep: most adults need 7-9 hours to feel well rested
  • Exercise: it can help relieve symptoms of depression and anxiety
  • Share your stress: talking about problems with a friend or family members can help provide constructive feedback
  •  Help others: volunteering can help you feel better about yourself

5.  Learn more about health risks among Women

In order to stay healthy, it is important to know what health risks you might have a higher risk of developing. Although each individual has their own unique health risks, the demographic of women have been found to have a higher chance of developing conditions such as depression, osteoporosis, and many heart related diseases. Here are a few things to keep in mind when it comes to women’s health and definitely speak with your provider about your own personal risks as well. Education is the key to knowing certain steps of prevention and early detection!

  • Osteoporosis threatens 44 million Americans, of which roughly 68% are women.
  • The American Heart Association lists risk factors for heart diseaseas:
    • Increasing age
    • Family history
    • Smoking
    • High blood pressure & cholesterol
    • Diabetes
  • Depression appears to affect more women than men. The National Institute of Mental Health reports that about 12 million women are affected by a depressive disorder each year compared to about 6 million men. Some common risk factors are:
    • Family history of depression
    • Substance abuse
    • Loss of a job or death in the family
    • Recent illness or surgery
    • Marital or social problems
  • Autoimmune diseases are a group of disorders in which the immune system attacks the body and destroys or alters tissues. There are more than 80 serious chronic illnesses in this category, including lupus, multiple sclerosis, and type 1 diabetes. According to the American Autoimmune Related Diseases Association (AARDA), about 75% of autoimmune diseases occur in women. Since autoimmune diseases are not very well understood, pinpointing specific risk factors is difficult. Symptoms can also be nonspecific, hampering proper diagnosis.

These are just a few of many health conditions that women should be keeping on their radar, but there are plenty more that require attention. If you want to know more, ask your primary care provider or check out http://www.womenshealth.gov/. To read more about Women’s Health Week, National Women’s Check-Up Day, and Teen Pregnancy Prevention month, please visit our patient resource page of our website: http://chc1.com/Transformational/PatientResource.html

 

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Ongoing Programs

Amidst all the excitement of the 40th Anniversary of CHC together with the opening of the new building in Middletown, it is easy to overlook many of the great ongoing programs at CHC.

Next Tuesday, New Horizons Domestic Violence Services is starting new support groups for children and adults in Middletown.  The groups are free and confidential. If you or anyone you know is interested please pass this information along to them. Call 860-344-9599 for info.

Also next Tuesday, a new group for our Food Smart and Fit program will begin in New London.  Designed for women and adolescent girls concerned about their weight, FoodSmart and Fit will help you adopt healthier eating habits and become more active. Each week will include fun activities, snacks and raffle prizes. Space is limited and enrollment will be granted on a first-come, first-served basis.  Patients should speak with their providers about participating in this group.

This month is also National Hepatitis Awareness Month.  Our Oasis Center is doing Hepatitis C testing all week at the Rushford Center and in the community. We now have rapid Hepatitis C tests available at Oasis and anyone can call for an appointment and get both HIV and Hepatitis C tests in 20 minutes.  For more information, call 860-347-6971 X 3908.

As we continued so many great ongoing programs, we are also starting new programs.  This week and next week, there will are special activities for patients and guests in our new building.  Please, come by and check some of them out.

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The New Britain Project Homeless Connect Event

On our journey of building healthy communities, our Wherever You Are program (WYA), along with other CHC staff members participated at the New Britain Project Homeless Connect Event on May 11th.

Special thanks goes out to Martha Trevey, Patricia Mik, Melissa Miranda, Irene Nurse-Cohen, Tasha Germain, Caroline Pawlak, Tara Tremblay, Callie, Moore, Roberto Henry, Asya Tsarkova and all the staff.  The services provided made a difference in many people’s life and was instrumental to the success of the event.

Below you’ll find a very cute video of a four-year-old getting his teeth cleaned by our hygienist, Tara.

The WYA program also sees people with medical needs every Monday at the Friendship Center from 8:30 until 4:00 pm.  As with many of our services, too often there is more demand than we are able to meet, so if you are visiting the Friendship Center, please sign up ahead of time.

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Tyler’s First Visit to the New Building

Life has not always been easy for Nicole Dzikiewicz.  Her road to a happy family has taken many twists and turns.  In 2008, she became a patient of CHC at our Meriden office and started seeing Dr. Patel.

“CHC connected me with so many resources.”

When she became pregnant, she took part in our Prenatal Program with Dr. Ozbek, Amy Gagliardi, Holly Naud and the prenatal team in Middletown.  It was a high risk pregnancy Nicole worked closely with the team to assure a safe and healthy pregnancy.

“If it weren’t for CHC Tyler probably wouldn’t be alive today”

Her son, Tyler was delivered by an emergency C-Section and he faced special challenges from his birth.  Nicole praised Dr. Ozbek for being there during the complicated birthing experience.  “She was just amazing and so dedicated”.  She speaks warmly of Holly sitting with her at the hospital and of Tyler’s smooth transition from hospital discharge to primary care with Ann Eddinger, APRN.

“He’s healthy and doing great, we couldn’t have done this without all the amazing staff at CHC.”

Tyler’s father, Steven Warburton also started at CHC Meriden in 2008.  This February, he and Tyler starting seeing Ann Eddinger in Middletown.

“He loves it, they come for visits together, he and his baby with their Nurse Practitioner – it’s a family visit and I look forward to coming to Middletown,” Nicole said of the wellness visits.

On Monday, May 14th, Tyler came in for his four month wellness visit.  He was the first patient to be seen in our new building at 675 Main St in Middletown, CT.  Nicole commented on how much better the parking is at the new building, how nice the waiting areas look and how comfortable the exam room is.  Tyler show his reactions with some nice smiles added to a report from the medical assistant that he’s showing healthy growth.

It’s been a long road for Nicole and her family, as it has been in many ways for CHC.  For Nicole, Tyler represents the hope for a happy future.  The new building represents the hope for a happy future for so many involved with CHC.  It only seems appropriate that Tyler should be the first patient at our new building.

 

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Lucy Golding Receives Nightingale Award

The following is a guest post from Margaret Flinter:

Last night, in four different venues across Connecticut, more than 1,000 people gathered in each one to honor outstanding nurses who have made an indelible difference and significant contribution to the profession of nursing, to their practice sites, and in the lives of patients and families.  The event is called the “Nightingale Awards”, and CHC, Inc. annually selects one nurse from among our ranks as the CHC “Nightingale Award Winner” of the year.  This year, we were honored to select Lucy Golding, Nurse Manager for our CHC sites in Fairfield County, who was honored along with eighty other nurses from Fairfield County is a celebration held at the Stamford Hilton.  As Lucy’s name was announced, the following citation was read, and I think it captures what we all know of Lucy’s extraordinary talent and commitment.

 “Lucy Golding, RN, is a primary care nurse engaged in nothing less important than leading the transformation of primary care in the United States.  Lucy is the nurse manager for all  of the Community Health Center’s Fairfield County sites (Danbury, Norwalk, and Stamford).

Lucy leads a team of nurses and medical assistants in ensuring that the highest standards of primary care, as defined both by CHC and by the NCQA Standards for a Patient Centered Medical Home are met.  She also is part of a multidisciplinary team, coordinating care and collaborating with medical, behavioral health and dental health providers to deliver truly comprehensive care to the uninsured, underserved, and special population.

Primary care nursing in a community health center follows a continuum that stretches right through the walls of the health center and into our neighborhoods, schools, and communities.  You will find Lucy working with patients individually and in groups, in person and via the electronic heath record. You will find Lucy supporting immigrants in their transition to a new land, and mentoring new nurses. You will find her leading “clinical Microsystems” in improving quality.

Wherever you are, you are fortunate indeed if Lucy Golding is your primary care nurse.

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Dr. Sonia Ehrlich Sachs, Director of Health, Millennium Villages Project

This week, Mark and Margaret speak with Dr. Sonia Ehrlich Sachs, Director of Health, Millennium Villages Project at the Earth Institute at Columbia University. Dr. Sachs discusses the Millennium Project Goals to eliminate extreme global poverty by 2015. This model has greatly improved maternal and infant health outcomes in targeted regions of Africa through the use of community health workers, improved agriculture and nutrition, and development of local health systems.

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Day Two of the Weight of the Nation Conference

Dr. Robert Dudley reports from the second day of the Weight of the Nation Conference:

The WON conference continued with the release of the Institute of Medicine’s plan for halting the obesity epidemic. An aggressive blueprint that calls for an integrated approach to preventing obesity, the report is available at their website.  


Dr. Dudley and Jayme Hanney completed a walking tour of a neighborhood that highlighted what can be done to make the built environment encourage communities to exercise and walk.

Meanwhile, back in Connecticut, the latest Food Smart and Fit group graduated and Recess Rocks is gearing up for the first of three classes Deans Mill School in Stonington where they will be checking the heart rate using new monitors for all of the 1st grade classes.

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Fighting Obesity

It is a big week for news about obesity and there are a couple quick updates that need to be shared.  Dr. Robert Dudley from our New Britain office,  together with  Jayme Hanney who has worked on various obesity related initiatives at CHC are at the Weight of the Nation conference in Washington, DC this week.  Dr. Dudley has sent in the following email:

Monday at WON had great science, policy and some very special guests!  Sesame Street has been recruited to the fight against childhood obesity- Cookie Monster now enjoys vegetables as well as his namesake “sometimes food”!  The First Lady taped an address to the conference and Sam Kass, White  House Chef, gave an update on the Let’s Move campaign.   Secretary Sebelius released the latest obesity data.   CHC was represented with our Photovoice poster- pictures to follow!   The day ended with the premier of part four of the Weight of the Nation documentaries- we are bringing back the director’s set of the DVDs with curriculum to share with staff and patients!


Meanwhile, up in Hartford, the State Legislature is considering educational reform.  Our Chief Medical Officer, Dr. Nwando Olayiwola forwarded on an email from the Connecticut Coalition Against Childhood Obesity which noted that the education bill, SB 458, as it is currently written, includes the text,

Each local and regional board of education shall require each school under its jurisdiction to … include in the regular school day for each student enrolled in grades kindergarten to five, inclusive, time devoted to physical exercise of not less than twenty minutes in total.

While it remains unclear what the bill will look like by the time it is signed, this is great news.

CHC continues to join with others in the fight against childhood obesity, through programs like Recess Rocks and the Photovoice project.

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Waiting rooms abuzz with activity!

A guest post from Emily Troll:

Have you heard? Next Monday, the new CHC building in Middletown will be opening its doors! And as part of the CHC’s focus on wellness, the waiting rooms will be abuzz with family-friendly activities each day Mon-Thurs from 11am-12pm.

The CHC is proud to receive the support of community volunteers who will be leading a variety of workshops including yoga, dance workouts, creative snack-making, storytimes, and even smoothies! Some volunteers are from a local business, like Megan and Bill from Raw Youniverse, a smoothie-centered food philosophy who you may recognize from the North End Farmers Market last summer. Or Amy Swanson, a nutritionist who is in the early stages of starting up her own “Guilt Free Foods” business.

Healthy food is just one of the healthy habits the CHC hopes to encourage! CHC is a member of Reach out and Read, a program that encourages reading aloud through health centers. And we are lucky enough to have reading volunteers who visit our Family Wellness programs as well, most notable Lois Kennedy from Russell Library. Commonly known as “Nana Goose,” Lois will be joining us for read-aloud story time in the waiting rooms! She’ll be collaborating with the Family Resource Center from Macdonough on a snacks and stories program as well.

Movement and dance are equally important, and several of our workshops will feature instructors from Vinnie’s Jump and Jive, another program of the CHC which offers dance and yoga classes right on Main Street. Lynn Agnew, known mainly for her enthusiastic tap teaching, will be bringing an energetic and joyful dance workout for all ages! And Jeff Hush will represent yoga with a workshop for all ages. Another CHC program, Recess Rocks, sends us even more exciting activities. Miss Kim will be leading several creative snack-making workshops, using fruits and veggies in fun ways to make healthy and delicious snacks. And Miss Lisa will visit us with a dance workshop as well.

The programs are open to anyone and everyone! We are thrilled to be bringing these local talents in to share their passions with us. We look forward to welcoming patients to the new space and sharing some of our favorite wellness activities.

(For more details, please see our series of Facebook events)

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The Hidden Treasures of 675 Main Street

The ribbon cutting of the new building is taking place on Saturday at 12pm sharp. As the week progresses, more and more people are getting the opportunity to tour the new 48,000 square foot, 3-story comprehensive primary care facility known as The New Community Health Center of Middletown. From my impression after the CHC staff New Building preview event on Tuesday, almost everyone who walked into the building was wide eyed in amazement as the tour progressed. With medical, dental, and behavioral health services all under one roof, the delivery of care will be more efficient, but many people are impressed with the unique features sprinkled throughout the building that are available to benefit both patients and employees.  Some are easy to spot, and others take a moment to realize the distinctness of what truly makes this new building one of a kind. One of my favorite parts of the entire building is the interior design. With tons of amazing bright colors and modern furniture that go hand in hand, this health center provides all visitors with a feeling of uniqueness and exclusivity while receiving the quality of care they deserve.

The first feature that new visitors might spot right away directly on the floor in the main lobby is the labyrinth. Embedded in blue speckled marble on the floor lies a circular maze in front of the reception desk which encourages both children and adults to stop and take a look at its unique shape and pathway.  Labyrinths have been used for ages and Native Americans used the labyrinth as a symbol that represents birth, rebirth and/or transition from one world to the next. There are many different purposes for a labyrinth and hopefully people will get a chance to walk through the foot maze and feel a little more at ease while they wait to see their provider.

Another great resource available to patients to make their visit run more smoothly is the check-in kiosks.  When a person walks into the main floor of the health center, they have the option to speak with a receptionist or if there is a line or they are short on time, they are able to use the touch screen tablet to check into their appointment. Before they reach the floor their appointment is on, their provider will have been notified that they have arrived and they will be that much closer to seeing their patient.

If you have had a chance to look into the medical pods, you might have noticed the luxury examination tables covered in economically friendly leather; these tables can show a patient that they are not in a typical doctors office, and they will be taken care of at all times. On the second floor, children can help time spent waiting pass by a little quicker with the help of the Xbox video game console equipped with the Kinect which is a motion sensing input device which turns the player into the controller. To follow along with technology, the new building also has a new staff member named Kobi who happens to be a fully functioning robot.

The top of the building is the home of the “green roof”, featuring a rooftop garden with flowers, vegetables, fruits and beautiful views of the Arrigoni Bridge, downtown Middletown, and the Connecticut River. The roof top has a beautiful glass walled conference room and a walking path that covers the perimeter of the entire roof space.  There is a Living Wall consisting of a vertical garden that is 100% self-sustainable and soil free. There are empty garden plots that will be used by the Macdonough Elementary School Gardening club to grow different produce and sell it at the farmers market. The roof top is definitely an amazing sight to see for employees, patients and the Middletown community.  There are tons of remarkable features invested into the roof that will contribute towards making it such a focal point of Main Street and the city.

Another really important part of the building is the basement level facility designed specifically for CHC staff. This level provides employees with a place to exercise, meditate, dance, work, and relax. There is a huge bike rack for transportation storage, a gym space with private showers, places for breastfeeding, a meditation room, and much more! It definitely will give staff a place to prepare for the day, regroup during lunch, or an after work meditation session. In general, the entire facility’s primary feature is the way it was designed to accommodate the community. The building is filled with spaces for members of the community to host different types of classes from dance and wellness to cooking. The Community room/staff commons even has an aerial view camera above the stove in the kitchen for the purpose of community cooking demonstrations. It is a beautiful building that looks like it has been in that same location for 40 years. I only skimmed through some of the wonderful things that this new building has, but it is definitely a great experience seeing how incredible everything truly is at 675 Main Street.

 

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