ADHD Awareness

 

 

 

 

Cornerstone Family Healthcare Pediatrician Dr. Alicia Pointer, DO

What is ADHD?

ADHD stands for Attention Deficit/Hyperactivity Disorder. All kids have times when they have a lot of energy, have trouble listening, get distracted or misbehave. Kids with ADHD have frequent symptoms or behaviors that make it hard for them to function at home and school. ADHD is a chronic condition that affects the way children’s brains work. ADHD impacts the part of the brain that focuses on things that children need to pay attention to and not things they enjoy. Many kids with ADHD can focus on a movie, game or something that interests them. Sometimes these kids are called “bad kids” because people do not understand ADHD, but there are treatments that can help them be very successful.

What are the symptoms of ADHD?

Some children with ADHD mainly have problems with paying attention and some have mostly hyperactivity. Many children with ADHD will have both. The following are some symptoms and behaviors you might notice if your child has ADHD. Remember, children without ADHD may have some of these issues as well.

  • Cannot sit still, always moving or squirming
  • Shouts out answers or interrupts
  • Seems to act first without thinking
  • Disorganized, may frequently lose things
  • Trouble following instructions especially multi-part instructions
  • Unable to focus or pay attention
  • Gets easily distracted
  • Acts as if he/she is driven by a motor

How is ADHD diagnosed?

If you are worried your child may have ADHD, talk to your child’s doctor. There are many other issues that look like ADHD including anxiety, depression, sleep trouble, learning problems or stress at home or school. There is no test for ADHD. When you talk to your child’s doctor, she may ask questions about your child’s health, mood, behavior and performance at school. Since ADHD runs in families, she may ask about your family history. She may ask you and your child’s teachers to fill out forms. These forms can help diagnose ADHD and rule out other causes of your child’s behavior.

How is ADHD treated?

There are many ways to treat ADHD. You, your child and your child’s doctor can work together to determine the treatment that will be most helpful for your child. It is also important to make your child’s teacher part of your treatment team. If the teacher knows your child’s struggles and knows that you want to work on them together, she will be more likely to help. Some treatments are:

  • Medication
  • Therapy or counselling
  • Behavior changes at home such as sticker charts or taking homework breaks
  • School interventions such as longer time for tests, sitting near the front of the class or breaks to stand up and walk around
  • Be creative. Every child with ADHD is different. With patience and some trial and error, you and your treatment team will find the best treatment for your child.

 

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The Clothesline Project

The month of October is recognized as Domestic Violence Awareness Month. Domestic violence is an ongoing issue that thrives on the silence of those affected. This observance gives communities the chance to become aware of the lasting effects domestic violence has had on families right in our backyard.

Safe Homes of Orange County hosts The Clothesline Project at several locations during Domestic Violence Awareness Month. The project includes a display of T-shirts with messages and illustrations designed by survivors of intimate partner and sexual violence, along with messages by friends and by family of victims. On Wednesday, October 11, 2017, Safe Homes will bring this display to Cornerstone Family Healthcare’s Newburgh location at 147 Lake Street.

According to the project’s website, The Clothesline Project originated in Hyannis, Massachusetts in 1990 when members of Cape Cod’s Women’s Defense Agenda learned that during the same period 58,000 soldiers were killed in the Vietnam War, 51,000 U.S. women were killed by the men who claimed to love them. The Clothesline is made up of T-shirts created by survivors of violence, or created in honor of someone who has experienced violence. It is a powerful witness of the violence many live with.

The mission of The Clothesline Project is to educate students and the community that violence is a problem everywhere, help is available, and that there is hope and a path to healing.

The Clothesline Project provides evidence that incest, domestic violence, and sexual violence exists in our communities. It is a visual reminder of statistics that we often ignore. It gives a voice to those who have been forcibly silenced. Hopefully, it stirs us to action.

The public must be informed about violence in order to act and prevent it. Information on how to recognize and prevent violence, reach out to survivors, and make a difference in the community is provided at each display of the project. Most importantly, this project provides survivors with a venue to courageously break the silence and make us aware.

Come “walk the line” and help to increase awareness about the impact of violence in people’s lives, celebrate survivors’ strengths, and break the silence that often surrounds violence.

Cornerstone Family Healthcare and Safe Homes of Orange County offer services to help those who have been affected by domestic violence. If you or a loved one needs immediate assistance please call the 24-hour crisis hotline at 845-562-5340.

For more information about resources and services, please visit www.cornerstonefamilyhealthcare.org or www.safehomesorangecounty.org.

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Combating Childhood Obesity

 

Cornerstone Family Healthcare’s Health Education Coordinator, Annia Reyes

 

September is Childhood Obesity Awareness month. Research shows that over the past four decades, childhood obesity has grown to epidemic proportions. Data from the Centers for Disease Control and Prevention shows more than 12.7 million American children and adolescents are obese or overweight. That’s roughly one child in every three. The World Health Organization also states that 41 million children under the age of 5 across the globe are obese.

When parents are busy at work all day, daycare and education providers play a critical role in maintaining a child’s health and safety. Many children are in early care and education settings for several hours during the day, which means this is the primary environment where many children eat, play, and grow. With families that spend large amounts of time outside of the home, it is becoming increasingly important for parents and children to eat and play together, giving parents the opportunity to be role models for healthy eating and physically active lifestyles.

At Cornerstone Family Healthcare, we recognize the challenges living in a fast-paced world creates, and we look for opportunities to reduce barriers to good nutrition and physical activity within our communities. Our board-certified pediatricians, together with registered dieticians specializing in adolescent and childhood weight management and our health education team work to offer programs that will help children and families build healthier lifestyles. One goal of Cornerstone’s health education curriculum is to provide classes that include fun, interactive games and activities that promote physical activity and engage families in meeting their wellness goals.

One of the programs the health education team hosts is Strong Families Eat and Play Together. This program is held once a month on Saturdays. Participants receive evidence-based information, healthy snacks, and free produce. In this program, all family members are engaged and learn how to make healthier food choices, discover a range of fun physical activities, learn how to read food labels, and develop many other strategies to building healthier families.

The Cornerstone team focuses on assisting families with making small, manageable changes that are appropriate for their needs. We have excellent resources to help families improve their health and prevent chronic diseases. Every day, we are seeing the impact of healthy weight as a primary factor in preventing diabetes in children and adults. The emphasis of our programs are not on “weight and obesity,” but rather on developing a lifetime of healthy habits.

For more information on health education programs for your family, please visit www.cornerstonefamilyhealthcare.org or call (845) 563-8043.

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Healthy Pool-Side Pasta Salad

 

 

 

 

 

 

Cornerstone Family Healthcare Nutritionist: Barbara Moschitta MPS, RD, CDN

Raw Zucchini Noodles with Tomatoes and Pesto      

Servings: 4 • Size: 1 1/4 cups • Old Pts: 3 pts • Points+: 4 pts
Calories: 148 • Fat: 12 g • Carb: 9 g • Fiber: 3 g • Protein: 4 g • Sugar: 3 g
Sodium: 102 mg (without salt)  • Cholesterol: 4 mg

Ingredients:

For the Pesto:

  • 1 cup packed fresh basil
  • 1 clove garlic
  • 1/4 cup fresh grated parmesan cheese
  •  kosher salt & pepper to taste
  • 3 tbsp extra virgin olive oil

For the zoodles (zucchini noodles):

  • 21 oz (3 medium or 4 small) zucchinis
  • 1 cup heirloom grape or cherry tomatoes, halved
  • kosher salt and black pepper to taste

Directions:

In a food processor pulse basil, garlic, parmesan cheese, salt and pepper until smooth. Slowly add the olive oil while pulsing. Set aside.

Spiralize the zucchini, cut it into smaller strands if they are too long and place them in a work bowl. Toss with the pesto and tomatoes and season with salt and pepper.

*Recipe provided by Skinnytaste.com

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National Health Center Week—Celebrating America’s Health Centers

National Health Center Week has been celebrated for more than 30 years to recognize the services and contributions of Community, Migrant, Homeless and Public Housing Health Centers. While there are countless reasons to celebrate America’s Health Centers, among the most important and unique is their long success in providing access to affordable, high quality, cost effective health care to medically vulnerable and underserved people throughout the United States.

From August 13-19th, hundreds of community events are being planned by over 1,200 health centers around the country with the goal of raising awareness of the critical role community health centers play in assuring access to health care.

Locally, Cornerstone Family Healthcare will participate in the week-long national campaign by hosting multiple events to promote the health center’s fifty-year mission of providing access to comprehensive primary and preventative health care services to thousands of people in the mid-Hudson Valley, especially those who are uninsured or experience other barriers to care.

Health centers not only prevent illness and foster wellness in the most challenging populations, they produce innovative solutions to the most pressing healthcare issues in their communities. They reach beyond the walls of conventional medicine to address the factors that may cause sickness, such as lack of nutrition, mental illness, homelessness and addiction. Because of their long record of success in innovation, managing healthcare costs, and reducing chronic disease, leaders in Congress have declared health centers a model of care that offers a “bipartisan solution to the primary care access problems” facing our nation.

Cornerstone community events in celebration of National Health Center Week:

 

Saturday, August 12

8 a.m.—10 a.m. Family Walk for Health at 147 Lake Street in Newburgh.

There will be blood pressure and dental screenings, activities for children, car seat exchange/fitting, blood drive, and raffles and prizes.

 

10 a.m.—1 p.m. Community Health Fair from also at 147 Lake Street in Newburgh.

Free consultations and activities including blood pressure and dental screenings, activities for children, car seat exchange/fitting, blood drive, and raffles and prizes.  

 

Wednesday, August 16

10 a.m.—1 p.m. Back to School Health Fest in honor of National Healthcare for the Homeless Day at 30 Seward Ave., Middletown.

Free dental and health screenings for children and adults at the shelter, eye exams and distribution of free back to school supplies.

 

For more information about Cornerstone Family Healthcare and National Health Center Week events, please visit: www.cornerstonefamilyhealthcare.org.

 

To learn more about National Health Center Week and the listing of national, state and local events, please visit: www.healthcenterweek.org.

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National Breastfeeding Awareness Month

Monica Bernard-Thomas from Cornerstone Family Healthcare’s Women, Infants & Children Center

August is National Breastfeeding Month.  During the month of August, around the world breastfeeding is celebrated and promoted.  At the Cornerstone Family Healthcare WIC Program, we also take part in the celebration by teaming up with other community agencies for our annual WIC Breastfeeding Walk.

How long should a mother breastfeed?

Infants should be exclusively breastfed until 6 months of age and then complementary foods introduced while continuing to breastfeed until at least 1 year.  If a mom can only breastfeed for a month – that is ok.  Any breastfeeding is good breastfeeding – but more and longer is better.

Should mothers who smoke breastfeed?

Absolutely.  The benefits of breastfeeding far outweigh any concerns.  However, all women should consider stopping or cutting down on how much they smoke and protect their baby from second hand smoke.

Why is it important to eat healthy while pregnant or breastfeeding?

Pregnancy and breastfeeding can be a good time for moms to look at what they eat and make healthy changes.  A mom who eats well has a healthy and happy baby and feels better too!  Flavors of foods can pass into breastmilk so if you eat your vegetables your baby might like vegetables when they are older.

I have questions about breastfeeding.  Whom can I speak to about my concerns?

Start asking your questions while you are still pregnant some breastfeeding problems are avoided if you understand baby’s behaviors and needs’ before you deliver.  Our Peer Counselors, women who have breastfed their babies and have received training in helping others, visit St. Luke’s Hospital in Newburgh during the week so feel free to ask your questions then.  Any other questions bring with you when you come into WIC for your appointment.  We have two IBCLCs (Internationally Board Certified Lactation Consultants) on staff and four CLCs (Certified Lactation Counselors) in addition to our two Peer Counselors.  We also have a breastfeeding mom support group “Mommy Talk” (pregnant women are welcome too).  This group meets the 1st and 3rd Tuesday of the month at 2pm in the WIC waiting room.

 

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Summer Wellness

How do you take advantage of the beautiful summer weather while also continuing or beginning a healthy and fit lifestyle? Check out the tips below to find out! These activities and ideas are great for the whole family.

  1. Choose water workouts and make a splash as you get fit and strong.
  2. Add color, variety, and flavor to your meals with fruits and vegetables fresh from your local farmers market.
  3. Visit museums, the zoo, or an aquarium and walk for hours without realizing it.
  4. When the sidewalks sizzle, get moving indoors with a fun fitness video or DVD.
  5. Start a small garden in your yard or in a community patch to exercise, grow healthy food, and have fun with family and neighbors.
  6. Plan a weekend hike through a park, a family softball game, or an evening walk around your neighborhood.
  7. Fuel your summer with nutrient-rich foods like whole grains, fat-free or low-fat milk and cheese, seafood, lean meats, poultry, eggs, beans, nuts, and seeds.
  8. Drink plenty of water before, during, and after exercise, especially when the temperature soars.
  9. Strengthen your muscles at least twice a week with push-ups, pull-ups, or lifting weights.
  10. Beat the heat with an early morning activity. Go for a walk or bike ride while watching the sun come up.

If summer fun gets the best of you and you need health care assistance you can always come visit Cornerstone Family Healthcare’s Urgent Care department at 147 Lake Street in Newburgh!

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Hepatitis—An Overview

 

 

 

 

Koreen Thomas, FNP

According to the Centers for Disease Control and Prevention, viral hepatitis caused 1.34 million deaths in 2015, a number comparable to deaths caused by tuberculosis and HIV combined. While deaths from tuberculosis and HIV have been declining, deaths from hepatitis are increasing. The World Health Organization (WHO) data show an estimated 325 million people worldwide are living with chronic hepatitis B or chronic hepatitis C.

Today, June 28th, is World Hepatitis Day and is an opportunity to learn the global burden of this disease, and the actions you can take to stay healthy. Koreen Thomas, FNP, a provider at Cornerstone Family Healthcare’s Highland Falls location, gave some useful information on a few types of hepatitis.

Hepatitis A:                

Hepatitis A is a virus that is contracted through the fecal-oral route. The symptoms are nausea, vomiting, diarrhea and jaundice. Jaundice is the yellowing of the eyes and skin. Poor sanitation or sexual contact with a person with hepatitis A allows for transmission. The good news, is that hepatitis A usually resolves spontaneously and does not require a specific treatment. Once a person has hepatitis A, they cannot be re-infected.

There is a vaccine to protect a person from getting hepatitis A. This vaccine is now a routine part of the childhood immunization series and is also available for adults.

Hepatitis B:

Hepatitis B is a virus that affects the liver. It is spread through bodily fluids. For example, sharing needles. The symptoms are jaundice, abdominal pain and dark urine. Some people do not have symptoms. Hepatitis B infection can cause cirrhosis of the liver. Cirrhosis is when the liver becomes scarred and no longer functions. There is also a higher risk for liver cancer in the hepatitis B population. There is treatment for hepatitis B.

Children are now vaccinated at birth. There is also a vaccine for adults.

Hepatitis C:

Hepatitis C is also a virus that affects the liver and can lead to cirrhosis and liver cancer. There is no vaccine for prevention but there is a cure for hepatitis C. People born in the Baby Boomer generation, between 1945-1965,  are encouraged to be tested due to the finding that they are 5 times more likely to have hepatitis C than other adults. There may be no symptoms of hepatitis C. Therefore, screening allows for diagnosis, treatment and a cure for those who have hepatitis C. It is contracted through blood exposure. For example, sharing needles, razors and toothbrushes.

Please discuss hepatitis with your health care provider, or call a provider from Cornerstone Family Healthcare at (845) 563-8000 and decide what is best for you to help prevent liver disease due to hepatitis.

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What is Dry Drowning and Secondary Drowning?

The idea that your child could “drown” on dry land is admittedly terrifying, and makes many parents feel helpless. But these rare incidents can be prevented. Get the facts you need to help keep your kids as safe as possible in and out of the water.

The terms “dry drowning” and “secondary drowning” (also called submersion injuries) are often used interchangeably but they’re actually different conditions. In dry drowning, someone takes in a small amount of water through his or her nose and/or mouth, and it causes a spasm in the airway, causing it to close up. In secondary drowning, the little bit of water gets into the lungs and causes inflammation or swelling that makes it difficult or impossible for the body to transfer oxygen to carbon dioxide and vice versa. Dry drowning usually happens soon after exiting the water, but with secondary drowning, there can be a delay of up to 24 hours before the person shows signs of distress.

Dry drowning and secondary drowning incidents, while incredibly scary, are rare and account for only about 1 to 2 percent of drowning incidents. Dry drowning or secondary drowning (submersion injury) doesn’t happen out of nowhere. You’re going to see warning signs.

No matter your child’s age, be on the lookout for:

  • Water rescue. Any child pulled from the pool needs medical attention.
  • Coughing. Persistent coughing or coughing associated with increased work of breathing needs to be evaluated.
  • Increased “work of breathing.” Rapid shallow breathing, nostril flaring, or where you can see between the child’s ribs or the gap above their collarbone when they breathe, means they’re working harder to breathe than normal.
  • Sleepiness. Your kid was just excitedly playing in the pool, and now he/she is fatigued? It could mean not enough oxygen is getting into to her blood. Don’t put them to bed until the doctor gives you the go-ahead.
  • Forgetfulness or change in behavior. Similarly, a dip in oxygen level could cause your child to feel sick or woozy.
  • Throwing up. Vomiting is a sign of stress from the body as a result of the inflammation and sometimes a lack of oxygen, also from persistent coughing and gagging.

Any time you’re concerned about your child and think he could have symptoms of dry or secondary drowning, whether you’re in your backyard pool or on a beach vacation, call the pediatrician right away for advice. Your child’s doctor should be able to talk you through it and might advise you to go to the hospital, a primary care doctor, or an urgent care center.

Prevention is the same for dry drowning and secondary drowning as it is for any other kind of drowning:

  • Swim lessons. Kids who are comfortable and skilled at moving around in the water are less likely to go under and take in water. Around age 4 is a good time to start.
  • Supervision. Monitor kids closely in and around the water, and enforce pool safety rules.
  • Water safety measures. Children should wear floatation devices on boats; pools should have four-sided fencing around them; and you should never leave standing water where a child could get into it.

As long as you practice water safety, pay close attention to your kids after swimming, and get them checked out if you notice any signs of trouble breathing, you shouldn’t have to stress about dry drowning or secondary drowning.

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Healthy Beginnings: Giving your baby the best start

 

 

 

 

Marian Seliquini, CM, LM, MS

The childbearing year is an incredible journey. Pregnancy, birth, and the early days with a new baby are significant and unique events in the life of any woman. This is a time full of huge physical, emotional, and psychological changes. Standard prenatal care appointments address important medical needs, but we know that women welcome the chance to engage more deeply during this time. With that in mind, Cornerstone Family Healthcare is excited to launch Healthy Beginnings, a new prenatal group program for patients receiving prenatal care in the Ob/Gyn department of our practice.

This program will consist of two sessions, with each session meeting monthly. Session 1, Pregnancy ABC’s, is aimed at women in the beginning of pregnancy and focuses on normal pregnancy changes, coping with common discomforts, healthy pregnancy habits, and stress reduction. Session 2, Birth and Baby’s First Days, is aimed at women in their third trimester and focuses on preparation for labor and birth, breastfeeding basics, early newborn care, and postpartum expectations. At all sessions, an Ob/Gyn provider is present for health assessments, healthy snacks are available, and local resources are highlighted.  Most importantly, these sessions aim to bring women together to share their experiences with each other. Whether expecting her first baby or her third (or her fifth!), every woman has something to share which is of value to the other participants in the group.

More information about the Healthy Beginnings program, including our current schedule of meetings, is available by contacting Cornerstone’s Health Educator at (845) 563-8043. Stay tuned for updates on this program!

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  • Blog Authors

  • Providers involved include:

    URGENT CARE
    Monica Francis, PA

    PEDIATRICS
    Avi Silber, MD, FAAP
    Tracy Lucas, FNP
    Adeola Ayodeji, MD, FAAP

    INTERNAL MEDICINE
    Chanchal Singh, MD
    Sneha Shrivastava, MD
    Penelope Guccione, FNP

    WOMEN’S HEALTH
    Julie A. O’Connor, CM, LM, MS
    Marian Seliquini, CM, LM, MS

    FAMILY MEDICINE
    Koreen E. Thomas, FNP
    Andrea Giovinazzo, FNP-C

    URGENT CARE
    Kate Michalak L.Ac., RPAC

    DENTAL
    Alban Burke, DDS

    OPTOMETRY
    Neha Dada, O.D.

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