Health & Medical 2013

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People You Know... People Who Care!

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A Special Supplement to The Paulding County Progress

August 14, 2013

2013

Health & Medical


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2 - Paulding County Progress Health & Medical Wednesday, August 14, 2013

Bariatric Clinic offers weight loss programPAULDING Mahtab Ahmed,

MD, Paulding County Hospital,board certified in Obesity Medicine(ABOM), opened a MedicalBariatric Clinic in February 2013 andhas incorporated weight manage-ment and weight loss into traditionalmodels of medical practice.

Specifically, this subspecialtyrequires competency in and a thor-ough understanding of the treatmentof obesity and the genetic, biologic,environmental, social and behavioralfactors that contribute to obesity.

Most healthcare professionalswould agree that there has been an

increase in obesity over the last 10years.According to a Community

Healthcare Needs Assessmentreport, which was a survey done ofadults and youths in PauldingCounty about health facts andhabits, 34 percent of adults areobese. That is one out of every threeadults. The youth results were alsostaggering at 17 percent obese.

Paulding County Hospital and Dr.

Mahtab Ahmed decided to addressthe alarming incidence of obesity byforming a Medical Bariatric Clinic.A Medical Bariatric Clinic is a pro-

fessional medical office that special-izes in the care and treatment of obe-sity, not to be confused withbariatric surgery. Dr. Ahmeds med-

ical obesity pilot program was com-pleted with 13 hospital employeesundergoing a 12-week weight lossprogram under his direction.

The hospital employee group losta total of 334 pounds in the program.

The maximum weight loss for anindividual was 41 pounds with theminimum weight loss by an individ-ual being 20 pounds. The averageweight loss was 26 pounds per par-ticipant or 12 percent of the totalbody weight.

Along with Dr. Ahmed, a bariatrictrained physician, the program offersthe services of a registered dietitian,

exercise therapist and nurses.The goal of the clinic is to providecomprehensive care for overweightand obese patients and to reduce therisks of obesity related disorders.

Dr. Ahmed, a certified and trainedphysician, offers the patient a weightloss and metabolic management pro-gram, individualized for each personto ensure maximum benefit.

Dr. Ahmed attributes obesity topoor nutrition, behavioral issues,metabolic problem, psychologicalissues etc. He also said that 80 per-cent of weight loss is knowledge and20 percent is effort.

When you go in for an office visitto use the clinic, there is paper workto fill out, blood work will be doneand you will learn what is right foryour own personal needs. The pro-gram consists of learning and fol-lowing correct eating habits, exer-cise, and medicines can also be used.

Naomi Nicely-Brodbeck, PCHpersonal trainer, attributes the obesi-

ty epidemic to sedentary lifestyles.She believes it starts with youngpeople being content to just sit andwatch TV or play video games ratherthan going outside and being active.

Emily Cicero RD LD is able toprovide education and recommenda-tions to patients based on the

Paulding County Hospitals Dr. Mahtab Ahmed, who is board certified inobesity medicine, and his staff. His office is located in the PCH medicalbuilding at 11550 State Route 500.

Accepting

New

Patients

Family Health Care ofNorthwest Ohio, Inc.

1052 S. Washington St. Van Wert, OHServices will be provided by:

MedicareMedicaidPrivate Insurance

Self-PayClients on a sliding scale

(financial documents required)

Call 419-238-6747

Sue Fickel, CNP ThomasLautzenheiser, MD

As a part of the Anthem Early Childhood Oral Health Initiative, we provide free flouride

varnish to children up to age three when they are at their well child visits.

Family Health Care Provides

Primary healthcare for patients of all ages.

Family Health Care of Northwest Ohio, Inc.Accepts p

at

ients with

See BARIATRIC,page 11


3/12

Wednesday, August 14, 2013 Paulding County Progress Health & Medical - 3

Breakfast is more than the first meal of the day for kids(BPT) Most kids dont want us

to remind them that breakfast is themost important meal of the day astheyre running out the door to getto school on time. But they might

be interested in hearing that eatinga balanced breakfast will makethem feel better, inside and out,contributing to better grades, betterperformance on the field and betternutrition choices throughout theirdays.

A significant percentage of ele-mentary and an even greater per-centage of middle and high schoolstudents skip breakfast daily or afew times a week. On a given day,

up to 30 percent of teens in theU.S. skip breakfast. As they getolder, homework, jobs, sportsteams, the arts and the Internetresult in all-too-short nights forstudents, and the need to catch afew more moments of sleep in themorning.

Breakfast allows students tobreak the fast of nighttime, reignit-ing brains and concentration abili-ties.

Its everything youve heardabout in terms of it being a criticalmeal of the day, says Sue Moores,a registered dietitian and consult-ant to schools in the Twin Citiesarea of Minnesota. Miss or skipbreakfast and you start the dayplaying catch up.

According to Moores, many kidsalready lack important body-strengthening, body buildingnutrients such as calcium, vitamin

D, potassium, protein and fiber.Without breakfast, which is a mealthat can easily offer all of these,theres extra pressure to fill the

nutritional gaps with snacks andother meals.

Including carbohydrates in themorning meal (whole-grain carbs,says Moores) is key, as carbs are

the preferred source of energy forthe brain. Add in a bit of protein tohelp distribute the energy carbohy-drates offer, and you have the startof a great meal.

Skipping breakfast may not onlyput students behind the eight-ballfor morning nutrition, addsMoores, it may also set them backby way of poor food choices forthe rest of the day. Some studiesshow breakfast-skippers actually

crave salty, higher fat, sweet foodsthroughout the day compared topeople who eat a morning meal.What they eat in place of breakfastis far from nutritious fare.

Beginning this school year,school breakfasts are required tomeet the United States Departmentof Agricultures new food-basedmeal pattern, which outlinesincreased amounts of fruits/vegeta-bles, grains and milk food compo-

nents.Amy Harkey, a registered dieti-

tian and director of child nutritionoperations with Charlotte-Mecklenburg Schools, NorthCarolina, says that this fall theUniversal School BreakfastProgram is being implemented inher district, meaning that morethan 140,000 students will receivea balanced morning meal at nocharge. Previously, these break-

fasts were offered to all studentsbased on their eligibility.

We want to remove any misper-ceptions that breakfast is only for

those children who are economi-cally disadvantaged, says Harkey.Its important for all students tobreak the fast and get the nutri-tion they need to begin their busy

academic days.Harkey explains that they pro-vide a variety of quick bites forbreakfast, offering both hot andcold options that meet the com-plete school breakfast require-ments.

We learned in our pilot test ofthe program this spring that thestudents are reacting positively toour breakfast menus. They enjoyhaving the menu board outside the

cafeteria so that in the afternoonsthey can see what will be offeredthe next morning, says Harkey.

Some companies have steppedup to the plate, delivering wholegrain and protein-rich options that,when paired with a calcium-rich,low-fat milk, provide a solid startto the day.

Whether students catch a brain-boosting breakfast at home or atschool, its important to find a way

to fit nutrient-rich foods in for agood day of learning, saysMoores. It may seem inconse-quential to skip a morning meal,but results in the classroom showthat breakfast is key.

Breakfast helps students reignite their brains for a new day, improveconcentration and make better food choices the rest of the day.

August lunch & learntopic: Knee arthritis

HICKSVILLE William

Rutledge, MD, an orthopedic sur-geon who specializes in knee andshoulder surgery, will discussoptions for relieving knee pain at11 a.m. Wednesday, Aug. 28 inCommunity Rooms 1 and 2 atCommunity Memorial Hospital,208 N. Columbus St., Hicksville.

Dr. Rutledges talk will center onknee pain, but he will also be avail-able to answer other orthopedic-related questions. A representative

from Zimmer, a manufacturer of

joint replacements, will be on hand

with implant (joint) samples.This lunch and learn educational

session is geared towards seniorcitizens, but anyone is welcome toattend. There is no charge to attendthis event, and a complimentarybrunch is provided by the hospital.A nurse will also be on hand totake and record blood pressuremeasurements. Reservations arerequired and can be made by con-tacting Lori at 419-542-5560.

Specializing in knee and shoul-der surgery for over 30 years, Dr.Rutledge is board certified inorthopedic surgery and fellowshiptrained in sports medicine. Hetreats conditions such as rotatorcuff impingement and tears, frozenor stiff shoulder, adhesive capsuli-tis, shoulder instability, labraltears, shoulder dislocations, SLAPTears, biceps tendonitis, meniscaltears, ACL tears, arthritic kneepain, knee instability, patella pain,carpal tunnel syndrome, and tenniselbow.

Dr. Rutledge is an orthopedicsurgeon with the MusculoskeletalInstitute of Community MemorialHospital, Hicksville. He seespatients at both the Hicksville andHarlan, Ind. clinics.

4 P ldi g C t P g H lth & M di l W d d A g t 14 2013


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1. NO STITCH CATARACT SURGERY

with TOPICAL ANESTEHSIA

2. NO EYE PATCH REQUIRED

3. SURGERY FOR DROOPING EYELIDS

4. SURGERY PERFORMED at

PAULDING COUNTY HOSPITAL,

ProMEDICA DEFIANCE REGIONAL

HOSPITAL and HENRY COUNTY HOSPITAL

5. TREATMENT FOR DRYEYE CONDITIONS

Board CertifiedOphthalmologist

PPG Provider

Philip ODonnell, M.D. 1-800-453-8791

1490 Pinehurst Dr.

Defiance, Ohio

25% of all ER visits made by childrenWASHINGTON, D.C. As

summer winds down, millions ofkids are getting ready to return tothe classroom. When kids aremore active, they can be more vul-nerable to potential injury.

Of the 130 million visits toemergency rooms in 2010, almost25 percent were made by childrenunder the age of 18 and more ofthose emergency visits occur inthe summer compared with therest of the year, according to theCenters for Disease Control andPrevention (CDC).

A trip to the emergency depart-

ment for a sick or injured childdoesnt have to be a scary experi-ence. Its the responsibility of aparent or guardian to prepare forthe visit ahead of time.

ACEP recommends 10 thingsyou need to know when you take achild to the emergency depart-ment.

1. If its a life-or-death situation,call 911. If it is safe to drive,remain calm and drive carefully.

2. Plan ahead. Where is the clos-est emergency department? Howwould you get there in an emer-gency?

3. Communicate clearly to theemergency staff. Good communi-cation on all fronts makes theprocess run more smoothly.

4. Bring a list of the childs aller-gies and medications. Forms areavailable atwww.EmergencyCareforYou.org(see Emergency Manual tab).

5. Bring the childs immuniza-tion records and contact informa-tion for any physicians who may

have treated them.6. Provide consent-to-treat formsfor those who take care of yourchild (e.g., guardian, babysitter,daycare provider, school nurse).You can download one by going towww.emergencycareforyou.org/EmergencyManual/MedicalForms/Default.aspx

7. Explain to the child what ishappening. Be sensitive to the situ-ation and their age, but be honest.

Keep communicating with them.Explain to them what may be con-fusing and reassure them theemergency staff is there to helpthem. Also, let the child know it isokay for the physician to examinethem.

8. Dont let a child eat or drinkanything if you are taking them tothe emergency department. If theyhave a condition that requiresevaluation or specific treatment,the child may require certain med-ications or sedatives. Let thephysicians recommend when itsokay for them to eat or drink.

9. Bring a sleep-over bag in casethe child is admitted to the hospi-tal. This bag should include achange of clothes, pajamas andfavorite objects of theirs like asmall toy, a favorite blanket, abook or a stuffed animal.

10. Stay calm. Remember thatkids feed off cues given by adults.If you are impatient and panicked,most likely the child will be aswell. Dont add stress to an

already stressful situation.Taking a child to an emergency

department is something you hopeyou never have to do, said Dr.Andrew Sama, president of theAmerican College of EmergencyPhysicians (ACEP). But being

prepared both mentally and physi-cally can help make a difficult sit-uation much easier.

For more information on pediatricemergencies, go to the websitewww.EmergencyCareForYou.org.

Wednesday August 14 2013 Paulding County Progress Health & Medical - 5


5/12


Hours: 9-5 Mon - Thurs. Closed Fri. & Sat.

113 N. First St. Oakwood, OH 45873

419-594-3340

Comprehensive Eye

Examinations

Optical Dispensing

Services provided at our office include:

Dr. Wilken has 35 years of experience in

optometry with offices also in Celina.

Accepting new patients.

Surgery Co-Management

Eye Infections, Eye Injuries,

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Contact Lenses

Eye Diseases; Cataracts,

Glaucoma, Diabetes

Oakwood Family Eye Care

Four health checks every woman must do(BPT) American women spend

more time taking care of their fami-lies, homes and jobs than themselves.With so much time invested in caringfor others, women can overlook theimportance of their own health. Yet,neglecting their own health needs canmake it much harder for women toalso take care of those they love.

Women who consider themselvesgenerally in good health and who arevery busy may be less inclined to stayon schedule with important healthchecks. If putting off a doctors visitdoesnt seem like that big a deal, con-sider these womens health statistics:

A full-time working mom spends

more than 10 hours a day on house-hold activities, taking care of childrenand working outside the home, andjust 2.3 hours on me time of leisureactivities or sports, according to theBureau of Labor Statistics AmericanTime Use Survey.

Fifty-six percent of mothers sayits very difficult to achieve awork-life balance, according to PewResearch.

More than 14 percent of

American women age 18 and olderare in fair or poor health, according tothe Centers for Disease Control andPrevention.

Taking care of your own healthshould be a year-round pursuit. Hereare four health checks every woman

should have, and if its been a while(or never) since you had one, sched-ule a doctors visit right away:

Annual physical Kids get acheckup every year, and so do seniorcitizens. You should, too. No matterwhat your age or relative level ofhealth, its important to see your fam-ily doctor at least once a year for acomplete physical that includesblood pressure screening and a bloodtest that will check for diabetes, highcholesterol and other problems. Thischeckup can help your doctor spotany problems, provide you withguidance toward your weight andhealth goals, and give you peace of

mind when everything checks outjust fine. Skin check Skin cancer rates

have been rising for years, and nowone in every five Americans will getskin cancer, according to the Journalof the American MedicalAssociation. Its also one of the mostpreventable and treatable forms ofcancer, if caught early. In addition toperforming regular self-checks, itsimportant to have your skin thor-

oughly checked by a professional,too. Ask your physician to include askin check as part of your annualphysical, or schedule an appointmentwith a dermatologist.

Reproductive health From fer-

tility questions and cancer screen-

ings, to heavy periods and uterine

fibroids, women can face many

reproductive health issues. Its impor-

tant for women of every age to mon-

itor the health of reproductive organs,

so be sure to see your gynecologistonce a year. He or she can also tell

you what tests you should have to

monitor your health, such as an annu-

al pap smear or mammogram. Visit

Change the Cycle to learn more.

Mental/emotional well-being

Just as you take care of your own

physical health and the mental health

of your family members, its impor-

tant to take care of your own emo-

tional well-being. Theres nothingwrong with finding some me-time

for yourself every day. In fact, its

vital. Numerous studies show that

happy, relaxed people are healthier

than their stressed, tired, unhappy

peers. Whether your mental health

regimen includes meditation, a pedi-

cure or 15 minutes with a good book,

set aside time each day to do some-

thing that makes you relaxed and

happy.

You take care of others; what do you do to take care of yourself? Theresa few basic health checks that every woman must do for herself andthose she loves.

6 - Paulding County Progress Health & Medical Wednesday,August 14, 2013


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6 Paulding County Progress Health & Medical Wednesday, August 14, 2013

Exciting new developments at

Paulding County Hospital

xAnkle Brachial Index equipment - will help diagnose

peripheral artery disease.

xHome Sleep Studies now available.

xNuclear Medicine is now using a Dual Head Cam which will

perform tests twice as fast as before.

xDr. Ahmeds Office is offering a Medical Obesity Clinic

xEmergency Room remodeled and reconstructed for better

function with more rooms and better access.

xThe testing lab has moved to the east wing of the hospital andthe former lab is being renovated for ER use.

xA new family physician, Dr. Kate Gilreath, began her practice

in Paulding County Hospitals Medical Office Building.

xAn Open Bore MRI will be available in December 2013 -

this unit has a larger opening than a traditional Open MRI

1035 West Wayne St.

Paulding, OH 45879

419-399-4080

www.pauldingcountyhospital.com



8/12

Balance technology, outdoor play time for healthier kids(NewsUSA) - Many children are

too busy tweeting to go outside and

hear a real tweet. Kids today spend

an average of seven hours per day

using electronic media but only

four to seven minutes outside inunstructured outdoor play time.

The importance of media in

todays world is indisputable, but a

skys-the-limit approach to tech-

nology can have a powerful down-

side for kids if its not tempered

with something more down to

earth, said Lindsay Legendre,

manager of the National Wildlife

Federations Be Out There move-

ment an effort to get more chil-dren outdoors more often.

Research shows that spending

time outdoors makes kids grow

lean and strong, enhances their

imaginations and gives them time

to let off steam and just be kids.

The Kaiser Family Foundation

says children who spend too much

time with technology are more

likely to get fair or poor grades. As

a result of research like this,NWFs Be Out There movement

created the Outdoor Play for

Every Day: A Parents Guide for

Overcoming Common Obstacles to

Kids and Outdoor Play, which is

loaded with tips and activities to

help parents overcome the lure of

technology and other common

obstacles to getting kids outdoors.

Consider the following sugges-

tions to maximize outdoor time

while making peace with media

and technology:

Monkey See/Monkey Do. Set a

good example about limiting tech

time, and your kids will be more

likely to follow suit. Talk to your

kids, and let everyone have a say

on the amount of time that screenswill be used each week so ground

rules are clear up front.

Pay to Play. Encourage kids to

earn screen time by balancing it

with equal amounts of reading,

chores or playing outside. Len

Saunders, author of Keeping Kids

Fit and father of two, suggests that

for every hour of physical activity,

kids earn 30 minutes of tech time.

Let Em Pick. Offer kids a setamount of screen time each day

and let them decide how to use it

(watch TV, play video games or

surf the web). If the weather is

nice, and they want to trade their

screen time for playing outdoors,

they can bank their screen time for

use on a rainy day.

Go Geocaching. Take your kids

on an outdoor adventure that com-

bines popular GPS technology anda treasure hunt. Dont have a GPS?

There are several smart phone apps

that can do the trick. Learn more at

www.Rangerricktrails.com.

For parents who want their kids

to enhance their physical and men-

tal health by playing outside more

often, the Be Out There Parent

Guide is a valuable resource. Find

the Guide and more ideas for

enjoying outdoor time at

www.beoutthere.org.

Encourage your children to engage in outdoor play time by joining them.



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419.399.2255 after hours 419.769.4225

fax 419.399.9857 [email protected]

Office Hours by Appointment www.drtope.net

701 West Wayne Street, Paulding, OH 45879

Vision Exams Opthalmic Lenses & Frames Cataracts, Glaucoma

Macular Degeneration Diabetes Eye Infection & Diseases

Contact Lenses Ocular Allergies/Dry Eye

FAMILY CHIROPRACTIC CENTER

411 Hakes St. Oakwood, OH 45873

271 West Canal St. Ottoville, OH 45876

Regular adjustments are natures best health &maintenance program.

JOHN M. SAXTON, D.C. BRIAN J. SAXTON, D.C.

DANIELLE N. MATSON, D.C.

Call For Appointment

OAKWOOD (419) 594-3378

OTTOVILLE (419) 453-2279

Paulding County Hospital: Making changes for youPAULDING One of the most

important things that a hospital hasto do is to change with the times.New and improved technology isconstantly available and no heath-care entity can afford to ignore thisfact.

For example, Paulding CountyHospital chose not to purchase apermanent fixed MRI unit for sev-eral reasons, one of which wasconstantly changing and upgradingtechnology. If the hospital hadinvested a large amount of capitalin a MRI unit, the hospital wouldbe unable to upgrade when newtechnology became available.

A perfect example of this is theOpen Bore MRI. Everyoneknows a traditional MRI unit isuncomfortably small at best andpanic-inducing claustrophobic atits worst. PCH has chosen to utilizea traditional mobile MRI unit foryears because its magnet strengthwas superior to all of the openMRIs available in this area. PCHstraditional MRI has a magnetstrength of 1.5 Tesla, while an open

MRI typically is 1.0 Tesla or evensmaller. Larger Tesla magnetstrength equals better images of theproblem area.

Radiologists, doctors who inter-pret MRI images, can see smalldifferences and nuances in a MRIwith a stronger Tesla magnet. Sothe dilemma is, should you try tomake the patient more comfortablewith a larger opening of an openMRI with a smaller diagnostic

magnet, or go for the better qualityimages while possibly making thepatient uncomfortable?

With brand new Open Bore

technology, this problem no longerexists. Beginning Dec. 1, PauldingCounty Hospital will begin offer-ing Open Bore MRIs. As thename suggests, the opening thatthe patient fits through is muchlarger than the traditional MRIopening. As a matter of fact, thevertical opening is larger than theopen MRI units. The OpenBore MRI opening measures 70centimeters while an Open MRImeasures 45 centimeters.

Now the hospital no longer hasto make a choice of offering thepatient a larger opening with asmaller magnet because the mag-

net strength of the new OpenBore technology is 1.5 Tesla thegreater strength magnet that pro-vides better MRI images. This newmagnet is 50 percent-140 percentmore powerful than open MRIs. Alarger magnet also means quickerscan times.

The Nuclear MedicineDepartment is upgrading to a DualHead eCam, which can performscans twice as fast as the former

instrument. This device measuresthe presence of radioactive med-ications in targeted tissue such asthe bone, gallbladder, heart, lungsor thyroid. The presence orabsence of radioactive material intargeted tissue is helpful in deter-mining the presence of cancer,impaired blood flow, impaired airflow, and disease of the gall blad-der. This equipment is on par withthe instrumentation available at

Parkview and Lutheran Hospitals.PCH is now utilizing brand new

ankle brachial index equipmentwhich is a noninvasive test which

can help diagnose PAD, which isshort for peripheral artery disease.PAD is the partial or total obstruc-tion of blood flow in the extremi-ties. Untreated, the disease canlead to pain at rest, pain whenwalking, tissue loss, impaired heal-ing, and loss of the affected limb.Persons at risk for PAD includethose over age 50, smokers, diabet-ics, high blood pressure, high cho-lesterol, obese, history of heartattack, and history of stroke.Approximately 20 percent of peo-ple have no symptoms.

Sleep Care Clinic is a rapidlygrowing area as more and more

people are experiencing sleepapnea periods of sleep wherethey stop breathing. Patients areoften unaware that they have sleepapnea, but may have symptomsduring their waking hours includ-ing fatigue, and sleepiness.Untreated, sleep apnea can result inheart disease, stroke, high bloodpressure, abnormal heart rhythm,diabetes, and sleep-deprived driv-

ing accidents.To diagnose this condition, a

sleep study is often ordered by afamily physician. Paulding CountyHospital has two fully equippedsleep rooms where the patient ishooked up to monitors and recordssleep patterns throughout the night.Sometimes patients do not feelcomfortable sleeping in a strangebed or just cant make it in to do asleep study so there is new technol-ogy available now where a homesleep study can be performed.

The testing laboratory hasmoved to a newly renovated, morespacious, more efficient location

and the lab has upgraded the chem-istry analyzer with a faster, moreuser friendly instrument with abroader test menu. The turnaroundtime for results has improvedwhich means a lot to a patientwhile they are sitting in the emer-gency room waiting to get treatedand released.

Speaking of the emergencyroom, starting in late 2012, the ER

was moved to the east end of thehospital while the old ER wasincreased in square footage and theexisting space was renovated. InMarch 2013, the ER was movedback to a brand new state-of-the-art emergency department withfive exam rooms with line-of-sightto the centrally located nurses sta-tion.

The lab moved in July and theold lab space will be renovated toadd two trauma rooms to the ER,making a total of seven exam/trau-ma rooms.

The staff has more room to dotheir jobs and can be more efficient

in caring for multiple patients atthe same time. The new designaffords patients and their familiesgreater privacy.

In order to stay current and keepup with ever-changing advances inhealthcare, Paulding CountyHospital has made a commitmentto continue to research and utilizenew technology whenever possibleto better serve the community.

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10/12

Trouble on the horizon as cancer screenings decline?By Mary Kuhlman

Ohio News Connection

COLUMBUS The American Cancer Society and cancer experts across the nation have

promoted preventive cancer screenings as a way to cut cancer death rates, especially for

breast, colon and prostate cancer. In the past decade, however, the number of people seekingthose screenings has dropped.

Chuck Reed, a spokesman for the Iowa chapter of the American Cancer Society, thinks

part of the reason is confusion.

People arent sure when to go in and get that first screening, and I strongly suggest to

everybody to visit the American Cancer Society website and get our recommendations for

screenings because I believe we have the best ones there.

Another reason for the drop may be that people fear bad news, Reed says, but early detec-

tion means a better chance of a cure.

We can help people if they just follow the advice we give, so if they do indeed find can-

cer, we find it at an early stage. Im more concerned about whats going to happen down the

road as far as finding cancers at more advanced stages.Women who havent had a mammography by age 40 need to get one, Reed says, and peo-

ple who havent had a colonoscopy by age 50 should also make an appointment.

Other recommendations on when to get early cancer screenings are online at cancer.org.

American Cancer Society

Guidelines for the Early Detectionof Cancer

The American Cancer Society (www.cancer.org) recommends these

screening guidelines for most adults.

BREAST CANCER

early mammograms are recommended starting at age 40 and con-

tinuing for as long as a woman is in good health Clinical breast exam (CBE) about every 3 years for women in their

20s and 30s and every year for women 40 and over

Women should know how their breasts normally look and feel and

report any breast change promptly to their health care provider. Breast

self-exam (BSE) is an option for women starting in their 20s.

COLORECTAL CANCER AND POLYPS

Beginning at age 50, both men and women should follow one of the

testing schedules for tests that find polyps and cancer or tests that pri-marily find cancer.

CERVICAL CANCER

Cervical cancer screening (testing) should begin at age 21. Women

under age 21 should not be tested.

Women between ages 21 and 29 should have a Pap test every 3

years. Now there is also a test called the HPV test. HPV testing should not

be used in this age group unless it is needed after an abnormal Pap test

result.

Women between the ages of 30 and 65 should have a Pap test plus

an HPV test (called co-testing) every 5 years. This is the preferred

approach, but it is also OK to have a Pap test alone every 3 years.

Women over age 65 who have had regular cervical cancer testing

with normal results should not be tested for cervical cancer. Once testing

is stopped, it should not be started again. Women with a history of a seri-

ous cervical pre-cancer should continue to be tested for at least 20 years

after that diagnosis, even if testing continues past age 65.

A woman who has had her uterus removed (and also her cervix) for

reasons not related to cervical cancer and who has no history of cervical

cancer or serious pre-cancer should not be tested.

A woman who has been vaccinated against HPV should still follow

the screening recommendations for her age group.

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l BARIATRICContinued from Page 2

diet they have been placed on.

Dr. Ahmed, originally from Bangladesh,

earned his medical degree from Bangladesh in

1983. He moved to Ohio in 1985 to pursue

postgraduate education at Wright StateUniversity and Ohio State University. He fin-

ished his residency in family medicine in 1995

at Dayton.

He practiced as a family doctor in Troy, Ada

and Defiance before moving to Paulding in

2007. He then went on staff at the Paulding

County Hospital as a general practitioner and

family doctor. Dr. Ahmed and his wife, also a

doctor, and their two daughters, moved to the

Defiance area to be near family as his wife was

raised in Defiance.Dr. Ahmed is now scheduling weight loss

patients from the community. Dr. Ahmeds new

office is located on the south side of the PCH

campus, across from the ER drive up entrance.

For more information, please call 419-399-

1745.

Local doctor startsnew family practice

PAULDING Dr. Kate Gilreath, origi-

nally from Antwerp, started her family

practice at Paulding County HospitalMedical Office Building on July 29.

Dr. Gilreath graduated from Antwerp

High School in 2002, then attended Miami

University of Ohio. After graduation, she

attended medical school at

NYCOM/NYIT in Old Westbury, N.Y. For

the last three years, Dr. Gilreath has been a

resident in the Fort Wayne Medical

Education Program, spending time at

Lutheran, Parkview and St. Joe hospitals.

Dr. Gilreath is board certified in familymedicine and will accept patients of all

ages pediatrics to geriatrics.

She is a doctor of osteopathy so she will

be performing manipulations and has spe-

cific training in concussion management,

especially concerning athletes and concus-

sions received in sports activities and acci-

dents. She has been trained to treat and

evaluate athletes and certified to release

the athlete back to their sport after a con-

cussion. Her goal is to make people moreaware of the dangers of sending an athlete

back to their sport too soon.

Establishing a family practice in

Paulding County was a long-term goal for

Kate as she grew up in Antwerp watching

her father, Dr. James Gray, take care of his

community. She appreciates the small

community atmosphere and feels the peo-

ple in the county are like an extended fam-

ily. She is anxious to begin her practice

and looks forward to re-establishing

friendships and acquaintances from her

past.

Gary Adkins, CEO, said, Paulding

County Hospital is excited to bring Kate

back to the community. She is very ener-

getic and anxious to get started with her

practice. She has been a pleasure to work

with in ramping up things to get her prac-

tice going and I know that the community

will just love her.

Dr. Gilreath was married last summer to

Ryan Gilreath, who is originally fromHamilton, Ohio. They now reside in Fort

Wayne. Dr. Gilreath enjoys travel, golf,

gardening, painting, and playing the piano.

For more information on becoming a

patient of Dr. Kate Gilreath, please call the

Medical Office Building at Paulding

County Hospital at 419-399-1782.

Dr. Kate Gilreath, daughter of Dr. James

Gray of Antwerp, has opened her own familypractice at Paulding County Hospital MedicalOffice Building.



12/12

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Aquatic Therapy can make a remarkable difference after an il lness, injury, or

surgery, when a patient's sensitivity to pain may be increased or the ability to bear

weight on the injured area limited. Water supports the body, reduces joint stress,and provides both resistance and assistance to movement.

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Dr. Arata, a physician with Fort Wayne Orthopedics (FWO), has specialized in hip,

knee, and spine surgery for more than thirty years. Dr. Arata is one of the few

surgeons in the area who perform the anterior hip replacement. This approach is an

alternative to traditional hip replacement surgery that provides the potential for less

pain, faster recovery, and improved mobility.

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At Community Memorial Hospital, our high-field open MRI scanner enables us to

obtain high-resolution MR images for virtually any patient, including children,

individuals with limited mobility, and those who are claustrophobic or obese. When

your physician recommends an MRI, insist on Community Memorial Hospital.

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Health & Medical 2013