Cherry Health recently installed new Narcan vending machines at two of its Grand Rapids locations. These Narcan vending machines provide expanded 24-hour access to free opioid overdose reversal kits.
Opioid overdose is a leading cause of accidental deaths and has led to a decrease in life expectancy nationwide. Naloxone/Narcan is a nasal spray drug that restores breathing by blocking opioids’ effects on the brain. It has no potential for abuse.
24-hour access to Narcan could potentially save lives (Courtesy, Cherry Health)
“Narcan is a life-saving medication that reverses the effects of an opioid overdose,” said Cherry Health Chief Behavioral Health Officer Bob Smith. “With the support from Blue Cross Blue Shield of Michigan, we are able to expand Narcan access throughout West Michigan and potentially save more lives by providing safe and effective overdose reversal medication in the communities we serve 24 hours a day, 7 days a week.”
Jeff Connolly, Senior Vice President and President of West Michigan and Upper Peninsula BCBS of Michigan recognizes that there is a stigma often associated with substance abuse disorders. “People may be reluctant to seek treatment due to the potential judgment or disapproval of those around them. That’s why programs such as these are critical in equipping people with the life-saving tools they need while navigating a long-term treatment option.
“We’re proud to be part of this live-saving initiative and shifting the stigma toward more positive recovery solutions.”
Four locations: Narcan vending machines
Cherry Health now has four Narcan vending machines in West Michigan. All locations are listed below:
Have you ever felt like you are running out of energy for life? I’m not talking about being tired after a long day, needing space after arguing with someone, getting stressed about bills, or worrying about what your boss thinks of you. I’m referring to a form of fatigue that creeps in slowly over time, somehow never fading and always getting stronger. It’s a phenomenon called burnout, a term seldom used in modern medicine, but a powerful word that reflects this problem.
Burnout is the process of dealing with chronic stress, anxiety, and mental or physical energy used that results in a person never seems to be able to ‘recharge’ and feel rested and relaxed. It’s like a single parent never having a break from caring for a newborn, whose free time is used to think about laundry, dinner, rent, and a mind full of other problems. As you can guess, a person who is constantly ‘on the go’ will eventually run out of energy. Unlike normal fatigue, burnout doesn’t allow us a chance to rest and recover. Instead, we push ourselves harder and longer until we can no longer do much of anything. Our mind and body ‘crash and burn,’ so to speak, and we may find ourselves hating our life and seeing few options.
Fortunately, burnout can be recognized as it starts to develop, and we can learn how to deal with it. Here are a few things you can ask yourself to determine if burnout is happening to you:
Do I feel that I have no energy or desire to do anything these days?
Am I typically on ‘auto-pilot’ when I am working or spending time with others?
Do I remember the last time I took a break and really enjoyed my time without worrying about something?
Am I afraid that I can’t do my responsibilities anymore?
Do I find myself fantasizing about quitting work or other responsibilities?
Am I losing my temper easily, or have little patience with people I love?
Preventing and recovering from burnout are similar. Here are some options to address burnout:
Recognize that you feel overwhelmed and need to do something about it.
Try to prioritize needs, and put aside tasks are not imperative.
Ask for help with responsibilities so tasks are not all up to you.
Find time for small breaks throughout the day to relax you mind and body.
Consider medication and/or mental health therapy for long term benefits.
A final note: Anyone can experience burnout, and it takes awareness, humility, and strength to recognize our limits so we can recover from burnout. If we ignore our self and our needs, our body will force us to stop, and we may wish we were had taken actions to prevent the damage.
Principals and nurses are reporting that students are talking about more anxiety, depression, suicidal thoughts and stressful situations at home. (School News Network)
Outpatient therapist Ashtyn Storms is stationed at Wyoming Junior High School, offering onsite mental health support to the diverse, 1,000-student body.
On staff at Cherry Health Health Services for four-and-a-half years, Storms has experience working with adolescents facing myriad issues that can weigh heavily on their minds. She is offering professional counseling services students otherwise may have to leave school for.
“I think sometimes it’s just availability,” said Storms, about how her presence helps students in need of immediate services. She started working at the seventh through ninth grade building in mid-September.
“It’s being there 40 hours a week during their school day,” she said. “A lot can happen in the course of the school day. You might start off the day wonderful, and then something happens by lunchtime and your day isn’t so wonderful anymore. I think just knowing there is someone in the building you can go to if you need something is huge.”
Ashtyn Storms is on site full-time at Wyoming Junior High School. (School News Network.)
Storms’ position is possible through a two-year state grant from the Michigan Department of Mental Health and Human Services, allocated through a partnership with Cherry Health Services for licensed, master’s level behavioral health providers. Wyoming Public Schools received $100,000 of the grant to hire the clinician. Statewide, 60 schools are sharing the $5 million grant.
“We felt that a lot of students in those teenage years were seeing increases in anxiety, depression and mental-health needs. We felt it was an excellent place to provide intervention for kids,” said Jason Maas, Wyoming Public Schools director of student services.
Grand Rapids Public Schools was allocated $300,000 from the grant to pay for three mental health staff members. The funds are being split evenly between Alger Middle School, Riverside Middle and City High School, said Kim Baron, a registered nurse and director of school health services. In October, two of the clinicians had been hired.
Needs are significant, Baron said. “In middle school and high school, our principals and nurses are reporting more anxiety, depression, suicidal thoughts and stressful situations that kids are talking about at home.”
According to statistics from the National Alliance on Mental Illness, one in five children ages 13 to 18 have or will have a serious mental illness. Also, suicide is the third leading cause of death in youth ages 10-24.
Baron said the clinicians offer a direct way to help students.
“What we know about middle schoolers is they are trying to figure out who they are, and they are struggling with identity issues,” she said. “If we can give those students some tools to better handle their different struggles with depression, anxiety, hopelessness, social situations, whatever they are struggling with at home at a younger age, maybe we can prevent their mental health issues from getting worse before they get into high school.”
On-site, Immediate Response
Storms provides another layer of support to Wyoming’s district-wide staff of counselors, social workers, psychologists, student advocates and staff from Kent School Services Network, which provides connections to outside community resources in their buildings.
“We do believe we have good support for our kids, but this is an opportunity to bring in someone who does clinical or therapeutic work with kids,” Maas said of hiring Storms.
Having clinicians onsite removes barriers, Baron said. “With a lot of urban school districts, families struggle with transportation and getting these kids to appointments.”
“It’s really hard to focus on your algebra when the anxiety of the trauma you’ve experienced is dominating your thoughts. This will give students tools so they can be successful,” Maas added.
GRPS has relied on its nursing staff– 21 district wide– and school academic counselors to field mental health issues and concerns.
“We are hoping these therapists will be able to provide some staff training, too,” Baron said. “We have an amazing team of nurses who are really good at addressing mental illness, but I think if our teachers and other support staff were given more tools to address mental health needs of students, then students would feel more supported.”- Sponsorship –
Thousands of children each year suffer from a variety of backpack-related injuries, including back and neck pain, shoulder pain, muscle strains and spasms, nerve damage and headaches.
These conditions are preventable with just a few quick tips:
Check weight: The total weight of the load should not exceed more than 10% of the child’s body weight. For example, if your child weighs 100 lbs., the weight of the backpack should not be more than 10 lbs.
Right size: choose a backpack that fits the child’s size. An 8-year-old needs a smaller backpack than a teenager.
Design: Thick, padded straps are best. A waist strap is also very important. Our shoulders are not meant to carry all that weight
Packing: Place the heaviest items closest to the child’s back. Using the bag’s compartments to even out the weight helps too.
Wear the bag right: Be sure to use both shoulder straps when carrying the bag. If the bag has a waist strap, use it! Do not lean forward when walking or standing with the bag. Stand up straight.
Hopefully these simple tips can save unwanted pain and injury this school year.
Most people think about going to their primary care provider’s office when they are sick, but did you know it’s also recommended to visit your health center, on average, once per year when you are healthy? This is commonly called a “yearly physical” or “annual preventive visit.” The goal of this visit is to promote health and prevent disease. There are several diseases we can either prevent or catch early before they cause you problems — and most of these don’t have any symptoms, meaning that you feel fine and might not know that something is wrong.
This includes:
High blood pressure
Diabetes or Pre-diabetes
High cholesterol
Certain cancers, such as cervical, breast, or colon cancer
Certain sexually transmitted infections
Coming in for a yearly physical is also a great chance to make sure you are up-to-date on the recommended vaccines (such as your yearly flu shot, tetanus booster, or pneumonia vaccine), and talk to your primary care provider about any other recommended screenings based on your age and risk factors. For example, did you know all baby boomers are advised to be screened for Hepatitis C? This is a virus that can be silent for years but ultimately cause liver damage or even cancer. The good news is we have a cure, and all it takes is a simple blood test to detect it.
At your annual physical, you and your primary care provider will together come up with a plan to ensure you stay healthy and work on any areas that might be holding you back or hurting your health.
Over time, the more you get to know your primary care provider, the more comfortable you will feel seeking help if something does go wrong. And believe it or not, the better your primary care provider knows you, the better care they will be able to give you.
Summer is a great time to schedule an appointment for your yearly physical. Call your health center today!
ByKatie Vinkovich, COA, Grand Rapids Lions Club Vision Clinic
Did you know that digital devices can negatively affect your vision? On average, Americans spend seven or more hours a day looking at their screens. Digital devices give off a high-energy blue light that can contribute to many eye-related problems. This overexposure to blue light can lead to sleep problems, blurred vision, eye strain, and headaches, among other things.
The average millennial spends nine hours per day on devices such as smartphones, tablets, computer monitors and flat-screen TVs which also emit blue light. Healthy eyes allow you to use technology comfortably for longer periods of time. Lack of comprehensive exams means that you may have unknown eye problems that can hold you back from using technology to its fullest.
Below are ways to limit blue light exposure and prevent future problems:
Turn off devices at least one hour prior to going to bed.
Maintain a comfortable distance away from devices, use the zoom feature to see small print instead of bringing devices closer to your face.
Turn down your screen brightness to reduce glare.
Schedule an eye exam.
Ask your eye care provider or optician about blue light filtering lens options for glasses.
Are you confident you can compare premiums and deductibles to find the best health insurance plan for you and your family?
Can you use a nutrition label to calculate how many grams of sugar are in a bowl of your breakfast cereal?
Are you able to locate the medical services you need, when you need them?
If so, you may have high health literacy! When we talk about health literacy, we are referring to a person’s ability to access and understand health-related information and services. It’s something we all possess to varying degrees, and we often use our health literacy skills without knowing we’re using them.
Health literacy can vary widely between people depending on someone’s level of education, cultural background, economic status, skill with numbers, and mental health. No matter our level of health literacy, we build our skills over a lifetime and there is always room for improvement. Health literacy skills include the following:
Being able to correctly dose and administer medications
Knowing the body systems and how to describe pain
Finding and understanding information on a medical topic
Being able to manage a chronic health condition
Knowing your own and your family’s health history
Comparing treatment options to decide what’s best for you
Understanding your provider’s instructions
Filling out complex forms accurately
Knowing a patient’s general level of health literacy is important to successful treatment, as people with lower health literacy are likelier to be hospitalized, end up in the emergency room, and to take medications incorrectly. Where appropriate, healthcare providers should use plain language to ensure that they and their patients are on the same page. For patients with a different cultural background than their providers, extra attention is needed to ensure that communication is clear and understood.
Delivering quality healthcare requires examining how health literacy influences every aspect of the medical experience, both at the office and at home. It is our responsibility to make sure the services we provide and the information we share are accessible and understandable to all.
Anyone who has ever had a bad habit to break knows that life would have been easier if they had never started the habit in the first place. Bad sleep habits in young children can cause fatigue for the caregivers along with irritability and learning difficulties for the child. The following are tips for starting your child off with a good night sleep:
Newborn babies typically go through cycles of playing, eating and sleeping every 3-4 hours. If your baby has been recently fed and seems fussy, try to calm them by walking or rocking them. When they seem calm but are not quite asleep, place them in a crib on a firm surface on their back with nothing extra present. Doing this while they are tired but still awake will help them develop the ability to fall asleep on their own, which eventually helps them get back to sleep when they awaken at night.
If the baby gets fussy when put in the crib, try rubbing their tummy and softly shushing or singing a lullaby.
Never let a baby fall asleep with the bottle or breast in their mouth, as this habit is very hard to break and can cause severe dental infections that are often painful and require surgery to fix.
Establish a firm bedtime routine. It is good to have bedtime at the same time every night. Choose 2-3 things to do the same prior to saying goodnight. For example, you could read a book, sing a song and say ‘goodnight’ to a favorite stuffed animal.
Avoid stimulating activities such as television, phone or tablet use for 30 minutes prior to bedtime. This tip can help people of any age sleep better!
By Dr. Jenny Bush, Cherry Health Pediatrician and Director of Pediatrics
National Poison Prevention Week is observed in the United States the third week of March every year. Over half of the 2.4 million cases of poisonings reported to poison control centers each year involve children less than 5 years of age.
To help keep your little ones safe, please check out these tips below:
Put the toll-free number for the Poison Control Center (1.800.222.1222) into your cell phone and post on the fridge.
Store all household products out of children’s sight and reach. Young kids are often eye-level with items under the kitchen and bathroom sinks. So, any bleach, detergents, dishwasher liquid or cleaning solutions that are kept there should be moved to a new storage location. This also applies to chemicals that may be in a garage or shed.
Keep cleaning products in their original containers. Never put a potentially poisonous product in something other than its original container (such as a plastic soda bottle) where it could be mistaken for something else.
Be aware of any medications that may be in your handbag. Ask visitors to place their handbags in an area that the children cannot get to.
Make sure that all medications, including vitamins, are stored out of reach and out of sight or children. Even if you are tempted to keep it handy, put medicine out of reach after every use. When you need to give another dose in just a few hours, it may be tempting to keep medicine close at hand. Accidents can happen fast. It only takes a few seconds for children to get into medicine that could make them very sick. Put medicine up and away after every use. And if you need a reminder, set an alarm on your watch or cellphone, or write yourself a note.
If you are interested in learning more about poisoning safety, please visit safekids.org.
The month of March means it is time for another celebration of National Nutrition Month! This annual campaign was created by The Academy of Nutrition and Dietetics to help inspire people to learn how to make healthier lifestyle choices and reduce chronic disease. The idea focuses on the importance of improving lifestyle eating and exercise habits to bring wellness.
Here are a few ideas to get started on building a healthy lifestyle:
If you haven’t done it and have a chance to, see a Registered Dietitian Nutritionist (RDN): This can take the guesswork out of knowing where to start or what to do. Registered Dietitians (RDs) or RDNs are specialized in medical nutrition therapy to reduce risk of disease or chronic conditions. Dietitians work in schools, doctor offices, hospitals, diabetes clinics and many other places. Ideas of topics that they can educate on include weight management, diabetes, blood pressure, exercise etc. You can ask to be referred to an RD or RDN at Cherry Health if you are interested.
Learn how to plan meals: Eating healthy may feel overwhelming sometimes, but it is easier than you think. The meal can be quick to make and doesn’t need to be large and complicated or expensive to be healthy. One idea is to use my plate for a balanced healthy meal since it includes: the grain, dairy, fruit, veggie, and protein group. Pick at least 3 foods from these groups for balance. A plan for breakfast can look like a fruit, a cup of milk and an egg. Use this idea for lunch, dinner or snacks. To make it healthier, you can include foods from the food groups. You can get recipes and portion sizes from choosemyplate.gov
Learn how to read ingredients and food labels: A Dietitian can be valuable to help teach you this since food labels can often be confusing and misunderstanding. If there isn’t a lot of time to sort this out, start with looking at the added sugars. If sugar, corn syrup, high fructose corn syrup is in the first 3 ingredients, it is usually added. A good example is yogurt. Added sugar is now appearing on the food label. Here is a trick: look at added sugar grams on the food label and divide by 4. This equals your teaspoons of sugar. This goes by servings size. The bigger the portion, the more sugar.
Make it simple: Ordering pizza can be simple but not always healthy. A healthier option might be bagged salad with light dressing, rinsed cubed lean ham on salad, 100% whole wheat bread with light butter, and an apple.
Go back to the basics: The basics to me as an RD aren’t in a box or a takeout bag for health. The food is close to the original form such as fruit, veggies, lean meats (not chicken nuggets), sweet or white potatoes, rice, a cup of milk, plain yogurt with added fruit and nuts. This seems to work very well over the long run for health and weight loss.
By Ronald Christian Rivera, LMSW, Outpatient Therapist, Leonard Street Counseling Center
Who is therapy for, anyway? Is it for me? How could I possibly benefit from talking to someone for an hour a week? These are questions I frequently hear as an outpatient therapist. I hope that sharing my thoughts on the topic of talk therapy will help to answer these questions.
Let me start by providing a short version of an answer: Most people stand to benefit from therapy for a variety of reasons. In general, it can be highly beneficial to have a trained professional to assist you through moments of crisis or simply to provide guidance and direction in times of doubt and confusion.
When I ask clients what brings them to therapy, I encounter a variety of universally held beliefs: “I’m weak and can’t fix my problems on my own.” “I must not be as strong as others think I am.” These responses reveal how mainstream society has stigmatized mental illness. This attitude stems from the belief that if you need help, then you must be weak. Due to this stigma, those who are affected by stress, anxiety, depression, and other problems begin to buy into the narrative that they are to blame. This serves as a roadblock to services for those who might otherwise be open to seeking help. Rather than stigmatizing and judging, we should acknowledge the strength and resilience necessary to endure tremendous pain and suffering. We should encourage suffering individuals with the message that there is hope, there is help in the form of professional counseling.
While society’s views about seeking help are a barrier for many, personal attitudes also play a role. Some refuse to ask for help due to pride; while others don’t feel they have a problem, they are not “sick” enough for therapy. Maybe these individuals have mild symptoms, or their problems pertain to relationships, life goals, or self-improvement. Avoiding professional help in moments of need may lead to bigger problems: worsening illness; impulsive decisions; increased likelihood of seeking drugs and alcohol to cope with stress. And, contrary to common belief, individuals with “minor” problems stand to gain tremendously from therapy: It serves as a tool to unlocking untapped potential, increased self-acceptance, and personal growth. In this sense, treatment offers a lens to the self. It deepens your understanding of what drives your thoughts, emotions, behaviors, and desires. In exploring these concepts, you experience higher levels of self-awareness and increased insight.
I’ve also had clients share that they’ve avoided treatment because they’d be wasting my time, which could be better spent on someone who really needs it. This is a common misconception. In reality, your perception of your situation is all that matters. If it’s important to you, if you believe it has affected you, then it has. Your stuff, however big or small, has an impact on you. You deserve validation.
Another barrier to treatment is the intimidation factor: the counselor’s office can be a scary place for many. We’re talking about opening up to a complete stranger, sharing things you don’t discuss with your loved ones, things you’d rather forget altogether. Talk about a leap of faith!
Truly participating in therapy means letting your guard down and allowing yourself to be vulnerable. Sure, this is a risk, but it’s risky to not seek help, and bear your burdens alone. I encourage your to consider the benefits of a trusting, collaborative relationship. Imagine the liberating experience of placing your burdens at another’s feet, and learning skills to navigate life’s troubled waters. Through therapy, you learn to become an expert at managing your thoughts, feelings, behaviors. You learn to address your needs in a healthy way, implementing permanent, lasting skills that equip you to deal with whatever comes your way.
If you’re still asking yourself, “Is therapy for me?” I encourage you to ask yourself, “Why not me?” When we reach the core of what the therapeutic relationship represents, we are talking about personal growth, a deeper understanding, a heightened awareness, an increased insight that illuminates the path in your personal journey. For some, personal growth simply means learning basic coping skills to reduce emotional pain and suffering. For others, it takes on a different meaning altogether. Whether you’re experiencing mild symptoms of anxiety, or you’re trying to discover your true calling in life, therapy is for you.
When you think about your life, what comes to mind? Do you reflect on your job, on how your day and week is largely structured around it? Perhaps you think about your family members and how your interactions with them affect your mood. But how often do you think about how you think?
Mindfulness is one way that we can examine how we think about our patterns of thinking. This skill helps us to change how we think. Contrary to some misconceptions, mindfulness is not a religious ritual or a belief system. While some of its origins come from the Eastern cultures, mindfulness has found its way into Western spheres of thought and practice. Some of its techniques even mirror modern day cognitive therapy.
You may ask yourself why mindfulness matters in our 21st century culture. Consider this: According to the American Psychological Association, chronic stress can cause a variety of mental and physical health problems, such as anxiety, depression, insomnia, muscle pain, high blood pressure, and heart disease1.
While it’s true that we can’t change some of the circumstances in our life, we can change how we think about them. This doesn’t mean we need to be happy about things that upset us in our life, but we can look at such events more objectively and have a calmer, more accepting attitude. Research also shows that mindfulness can help reduce symptoms of anxiety and depression2.
There are hundreds of books and articles about the origin and techniques of mindfulness, but I will highlight some of the most common techniques and concepts. In short, mindfulness means paying attention to something in the present moment, and refraining from trying to change the situation around us. Remember, mindfulness takes practice and time, and results may not come right away.
Breathing: We all do this, but we often change how we breathe based on how we think and feel. If we are angry or nervous, we tend to breathe quickly into our lungs. If we are tired or falling asleep, we breathe from our diaphragm. To practice mindful breathing, take a slow, deep breath into your diaphragm, hold it for a few seconds, and slowly release it. Repeat this process for a few minutes, and pay attention to this pattern of breathing. Your body will naturally calm itself and put you in a more relaxed state of mind.
Body scanning: We tend to hold stress in different areas of our body, but because our attention is often used for other tasks, it’s easy to overlook cues our body sends us. To practice this technique, sit comfortably in a chair, and close your eyes. Allow your attention to start from the bottom of your feet. Can you focus on the feeling of your socks or the hardness of the ground? Allow your attention to slowly drift up your body. What are you feeling in your ankles? Do your lower legs feel tense? Can you feel the sensation of your upper legs against the chair? You can do this with all areas of your body, from head to toe. The key is to observe sensations in your body without judging them as good or bad. When you first do this, resist the temptation to “fix” the pain you may feel. You may be pleasantly surprised that sometimes, just examining how you feel will allow your bodily sensation to pass.
Five senses: This skill involves paying attention to our sensations based on our five senses. For example, if you are outside on a summer’s day, you can find a comfortable place to observe your surroundings. Listen to each sound you hear: the wind blowing in the trees, the birds singing in the distance, the sound of cars passing by. How does the sun feel on your skin? What smells do you notice? Are you able to pay attention to the colors and shapes in the leaves? If you choose to take a drink of cold water, can you pay attention to its taste? These techniques can be done anywhere, such as the mall or your office. The point is to become comfortable noticing your senses. Doing so can help you appreciate the moment rather than judging it or worrying about other things.
Thought monitoring: From my experience, this is perhaps the most difficult technique to practice and become comfortable with. It involves simply monitoring your thoughts and feelings as they come up, and not attempting to judge or stop them. Your thoughts and feelings will arise, settle, and pass. If you are new to this approach, it can be unsettling to become aware of something you typically don’t notice. But with practice, the approach can improve your awareness and allow you greater freedom from your thoughts. To practice thought monitoring, sit in a comfortable position in a quiet area with your eyes closed. Allow your mind to become still and free of any concerns that you are having. As you relax and allow the darkness and quiet to envelop you, some thoughts and feelings will arise. Notice them without judging or attempting to change them, and allow your mind to return to calmness. If you need a little more grounding to help you return to a state of calmness, you can use mindful breathing. These videos can help you practice this concept.3,4
Mindfulness takes practice, and it’s something that many, including myself, struggle to incorporate into daily life. Like any technique, it takes a commitment to make it a regular skill that we use in our normal daily function. The good news is that you are probably using mindfulness already, and you may not be aware of it. The choice is yours as to how much mindfulness you will incorporate into your life. If you choose to be more mindful in your life, you may be pleasantly surprised at how much peace and calmness you will find.
By Bob Smith, LMSW, CAADC, Clinical Manager, Cherry Health
The way we speak often impacts the way we feel and changes the lenses in which we see the world. One area in which this has impacted those suffering from substance use disorders are common terms I hear of being either clean or dirty to describe one’s using status.
These terms are used widely to describe people suffering from addictions and present themselves in use through media, news organizations, agencies, providers, trainers and even those individuals suffering from addiction themselves. They have become so broadly used and interconnected in the treatment of addictions that at times it seems we have lost sight of the impact these statements have on how individuals, providers, and our country views addictions.
Addiction is a disease defined by the American Medical Association and the American Society on Addiction Medicine including changes in the way our body and brain function. Over time and left untreated, addiction is a progressive relapsing disease, severe, disabling and ultimately life-threatening. We do not label those suffering from heart disease, diabetes or cancer as clean or dirty, and instead we treat them with compassion and empathy.
We all need to take responsibility for shifting these perspectives to disrupt the cycle of placing individuals suffering from a disease into a category of being labeled externally and internally dirty. When individuals use substances, or are screened for substances in their body, the correct terms we should be using is testing positive or negative for substances. I would challenge all of us to actively confront these statements when we hear them.
We all can be part to making changes starting with educating our patients on how they speak about themselves, educating our co-workers, writing letters to our local and national news broadcasters and Congressmen when they use these terms, as well as advocating for continuing expansion of treatment services in our community.
Whether we are suffering from heart disease, diabetes, cancer, alcohol or opioid addiction, or any other chronic health concerns, we all deserve to be treated with dignity and respect.
By Ronald Christian Rivera, LMSW, Outpatient Therapist, Leonard Street Counseling Center
Courtesy Cherry Health
We know that sleep problems can cause some forms of obesity, irritability, memory problems, immune concerns, anxiety and depression. Check out this article with a list of 10 things we can do to promote a good night’s sleep:
Understand that every person needs at least 7 to 8 hours of sleep per night.
Develop a sleep hygiene plan that becomes routine every night, if possible.
Get rid of your television and i-technology in your bedroom.
Go to bed at the same time every night.
Do not eat a heavy meal before bedtime, but do eat some small carbohydrate before bed.
Exercise daily but not at night.
Avoid emotional conversations or arguments right before going to bed.
Don’t drink too much caffeine or alcoholduring the night.
Don’t nap during the day…exercise instead.
If you can’t sleep, get up and clean your toilet instead or wash your floors.
By Michelle Fitzgerald, LMSW, Maternal Infant Health Program Social Worker, Cherry Street Health Center
Parents and caregivers focus a great deal on a child’s health. Children go to regular doctor’s appointments, Women Infants and Children (WIC) teaches about healthy nutrition, and extra care is taken when there are sniffles and sneezes. Sometimes social-emotional health is overlooked, but adequate social-emotional development will help a child to live a healthy and happy life.
You might be wondering what social-emotional means; it’s about how your child interacts with the world around him/her, and how he/she manages and controls emotions. Good social-emotional development leads to success with friends as well as adjusting well to changes and challenges. Children with good social-emotional skills can focus more effectively in school, have fewer behavior problems and bounce back from difficult encounters. In short, these skills are very important!
How can you help your child develop these crucial skills?
Physical touch: This starts at birth with skin to skin contact and continues throughout childhood with hugs and positive physical touch.
Communication: Talk to your child at their level and listen to them– reading is also a great activity.
Realistic expectations: Familiarize yourself with developmental steps for your child’s age. You can sign up for free developmental questionnaires for your child from birth to age 5 here.
Be a good role model: Your child learns from you; show them how to handle frustration, how to listen and how to share.
Positive discipline: Set your child up for success. For example, don’t yell at your baby for putting something dangerous in their mouth; you know your baby will put everything in their mouth, so keep the dangerous items out of reach! Set good boundaries for your child and be consistent in enforcing those boundaries.
This is a very short list of activities to get you started! Find more information on social-emotional health below:
By Dr. Jenny Bush, Director of Pediatrics at Cherry Health and Pediatrician at Westside Health Center
As winter is coming we all worry about making sure our young ones are kept warm when we go out. We must remember though, that we also want them to be safe. The emergency room sees many young children with serious injuries in the winter due to big coats or snowsuits causing car seat straps not to work well. Even when the straps seem tight, the force of a car accident can squish down the coat and allow space for the child to slip from the straps and get hurt.
Here are some tips for keeping your child both warm and safe:
When possible, warm the car before you get in.
Have your kids wear their hats, mittens and warm shoes or boots.
For babies in an infant seat, place them in the car seat with the straps tight, then tuck a blanket around them or use a car seat cover. Make sure nothing is over the baby’s face. Store the seat inside when not in use so that the baby is not in contact with the cold seat. Nothing should ever be placed between the baby and the car seat, as that makes them less safe.
For toddlers or young children, have them wear their coat to the car, take it off to strap them in tight and then turn the coat backwards and place it over their arms (see picture below). Another option would be to have a blanket kept in the backseat for them to use.
Consider having a winter emergency kit in the car. Include back up clothing, socks, and mittens, a blanket and some snacks.
While these tips focus on kids, they do apply to adults as well. Large coats can also cause our seat belts to be ineffective. We need to be safe so that in the case of an accident we can focus on our kids and help calm them.
By Nicole Kooiker, DDS, Dentist at Heart of the City Health Center
Q: One of my teeth hurts when I drink ice tea. Do I need to see a dentist?
A: As a dentist practicing in Grand Rapids, I can tell you that pain in your mouth is not a feeling to ignore. While it doesn’t necessarily indicate a problem, you should contact your dental office if you are experiencing any of the following five symptoms:
Mouth pain could be caused by a cavity, gum disease, an abscess or impacted tooth. If not treated by a dentist, your tooth could die, causing an even bigger problem.
Experiencing pain in your teeth when you drink hot or cold beverages could indicate tooth decay, fractured teeth, worn fillings, gum disease, worn tooth enamel, or an exposed tooth root due to gum recession. Treatment options depend on the source of the sensitivity as determined by your dentist.
Bleeding or sore gums could simply be caused by brushing too hard or overzealous flossing; however, this could also be a sign of gum disease that only an oral health professional can address.
Mouth sores could indicate an infection, virus, fungus, or simply an irritation from dentures or a sharp edge of a broken tooth or filling. Consult your dentist if you’ve had a mouth sore for longer than one week.
Bad breath can indicate poor oral hygiene, dry mouth, gum disease, or a medication’s side effects. If you brush your teeth and tongue twice a day and floss daily, but still experience bad breath, consult your dentist to rule out an underlying medical condition.
If you’re experiencing any of these issues or have other concerns, please contact us today. We’re here to help!
By Dr. Nancy A. Pattison, FAAP, Child and Adolescent Psychiatrist, Heart of the City Pediatrics and Westside Health Center
Parents need to understand the behaviors they see are not on purpose. Their kids aren’t acting “bad” on purpose. All kids are born “people pleasers” and are trying to do the best they can. When they are not acting the way you think is healthy, please find out why they are acting this way and what you can do to help them. A good child therapist can help if you need to change how you parent your child in order to get the best out of them. Without being rude, I would ask you to consider how dogs are taught to not potty in the house. You train them with kindness and attention to let you know when they need to go outside. The same goes for kids in many ways. As kids don’t come with an instruction manual at birth, getting “training” advice may be helpful! Here are some ways to keep your child healthy:
Make sure they get 8-10 hours of good sleep (if your child snores talk to their primary care doctor and get that fixed!).
Eat food that is pulled off a tree, off a bush or out of the ground – not out of a box. Processed foods (food out of a box like cereal and mac and cheese) are bad for the brain.
Eat good protein (eggs, nuts, beans, chicken, turkey and some fish) and good fat.
Avoid fast food.
Help them go out and play in a green space (and away from video games and TV).
If medication is prescribed, know that it will work better if you do all of these things listed! Enjoy your talented, think outside the box, creative child!
By Dr. Meghan Condit, Dentist at Heart of the City Health Center
1. Eat healthy snacks: Fruits, vegetables, yogurt and cheese are good choices. Stay away from sweet foods that can stick to teeth, like fruit snacks, raisins and candy.
2. Avoid sweet drinks: Pop, sports drinks (like Gatorade), Kool-Aid, juice and even milk have sugar that can cause cavities! Make sure your child has only 4-6 ounces of juice per day and only during meal times. It is especially important to avoid milk and juice before bed, and your child should never sleep with a bottle or cup!
3. Drink lots of tap water: It has fluoride added to it, which protects teeth from cavities, and washes away all the food your child eats during the day.
4. Brush your child’s teeth: At least 2 times per day as soon as you see a tooth! Children should always be supervised, and an adult should brush until children turn about 8 years old. Use fluoride toothpaste or one that says “cavity protection.” Children 0-2 should use a “grain of rice-size” amount of toothpaste, and children 3-6 should use a “pea-sized” amount of toothpaste.
5. Take your child to a dentist: The first dental visit should be before their first birthday. A dental home will provide information about what to expect as your child grows. A fun and caring dental experience early in your child’s life will help them to feel comfortable and enjoy going to the dentist.
Are you one of many people missing out on fall activities because of cold or flu symptoms such as a stuffy or runny nose, cough and tiredness? When do you ‘push through the pain,’ and when do give up and get help?
Both the common cold and flu are caused by a virus, not bacteria, so running to the doctor at the first sniffle isn’t going to make the flu go away. In general, the flu has worse symptoms than the common cold, meaning fever above 100°, more joint pain, intense cough and extreme exhaustion. The flu is achier and colds are leakier. The common cold usually lasts for two weeks, whereas the flu can leave you flat in bed for up to three weeks, so it is best to do everything you can to prevent getting the flu.
Get the flu vaccine: This not only protects you, but prevents you from carrying it to others. You can get your flu shot at any Cherry Health medical site or by going to Heart of the City Pharmacy (walk-ins welcome!).
Get rest and nutrition: If you are battling flu or cold symptoms your body needs all the rest it can get to fight off the virus that’s ruining your weekend fun. Don’t be afraid to ask friends or family to ‘make you chicken soup.’ Studies show those who have people helping them get well actually recover faster, so if you know someone who is sick, a card or meal really does help them recover faster.
Zinc supplements: These can help your immune system even more than high doses of vitamin C. Eat fruits or using a juicer can also get you the fresh effect of enzymes in foods. If you’re interested in how the foods you eat can build a healthier you, come to Heart of the City Pharmacy any Thursday or Friday for the latest science on diet and supplement information. Enjoy the season!
Did you know that 1 in 4 children have problems with their eyes? These problems can impact many parts of their lives from school performance to sports. Unfortunately, vision problems in children can often go undetected. A full eye exam performed by an eye doctor is the best way to find out if your child has any vision problems. They can even provide recommended treatment if needed. This full eye exam checks how well a child can see at a distance and near, how well both eyes work together and the general health of the eyes.
The American Optometric Association recommends eye exams starting between the age of 6 and 12 months and every 2 years after. Eye doctors trained in working with children will be able to find vision problems even before a child has learned to talk! It is never too early to have a complete eye exam. Making sure your child has healthy eyes is just one step in giving them a successful future.
By Lori Nieboer, PA-C, MPH,Physician Assistant at Union High School Health Center
Parents dread “the talk.” Conversations about sex can feel uncomfortable, but remember… if your kids aren’t getting this information from you, they are likely getting bad information from friends, the TV or the internet. So, here are some tips for making sure you are prepared to discuss this hot topic with your kids at all ages:
It’s never too early to start. Find opportunities to talk to your kids to normalize these conversations.
Keep it simple; you don’t have to share it all at one time.
Use real names for private parts.
Keep your kid’s age in mind.
Young kids – talk about how boys and girls are different or name body parts.
Older kids – answer questions honestly and in small doses.
Look for teachable moments: a pregnant neighbor or a scene on TV can start a discussion.
Share with your children what your feelings and views are on sex.
Make yourself available; listen more than you talk.
Take time to explain what makes a relationship healthy.
Find a friend or family member you trust that your child can also go to with questions.
If you don’t know an answer to a question, be honest, look it up with your child and learn together.
By Alisha Walker, Bilingual Dental Referral Coordinator Team Lead at Cherry Street Health Center
Diabetes can affect every part of the body, including your mouth. If you or someone you care for has diabetes, you need to spend extra time and attention to maintain great oral health. Tooth and periodontal (gum) diseases are more common and serious for people with diabetes. Periodontal disease is a broad term used to describe various stages of disease that affect the gums and bone surrounding of the teeth. Periodontal disease can also make it harder for people with diabetes to control their blood sugar, however by taking better care of your oral health both periodontal disease and diabetes can improve.
Are you at higher risk for periodontal disease if you have diabetes?
Yes, when diabetes is not under control your mouth and your body’s germ-fighting powers are weakened.
What other oral health problems can develop if you have diabetes?
Diabetes also makes you prone to other mouth problems such as oral infections like thrush, dry mouth which can cause soreness, ulcers, infections and cavities and poor wound healing.
What are the early warning signs of periodontal disease?
Red or swollen gums
Bleeding gums
Painful or tender gums
Loose or shifting teeth
Constant bad breath or taste
Pus between teeth and when gums are pressed
Gums pulling away from teeth
Should you tell your dentist and dental hygienist that you have diabetes?
Yes, people with diabetes have special needs. Keep your dentist and dental hygienist informed of any changes in your condition and any medication(s) you might be taking.
How can I keep my gums and teeth healthy to prevent and/or fight off periodontal disease?
Keep blood sugar as close to normal as possible. That means taking medications that were prescribed as directed. It also means keeping the amount of consumed carbs in check.
Brush twice a day with a fluoride toothpaste.
Floss your teeth at least once every day.
See your dentist at least twice a year, or as often as your dentist recommends.
Remember, good dental care can result in a healthy mouth and a smile that will last a lifetime.
By Joy Fountain, Vision Technician Supervisor at Heart of the City Health Center
Do you use a computer, cell phone or tablet at work, school or home? You may have noticed symptoms related to excessive use of these digital devices. Computer vision syndrome, also known as digital eye strain, is the combination of vision and eye problems associated with the use of any device with an electronic display.
Some of the most common complaints reported with computer vision syndrome include:
Eyestrain
Tired eyes
Glare
Irritation
Redness
Blurry vision
The good news is an eye exam can help make your eyes more comfortable while using these devices. Anti-glare lens coatings are available for glasses. This will significantly decrease the computer screen glare (as well as glare from headlights). Often times, a person experiences blurry vision, because the eyes do not focus well. In this case, making the text larger on your device or using glasses would help.
If you experience any of these uncomfortable side effects with use of a digital device, please schedule an appointment to get your eyes checked today.
By Mary Menchinger, BS, RN-BC, Director of Nursing
There are several reasons people may need to be vaccinated against a disease as an adult:
They weren’t vaccinated as a child
The childhood vaccine may have worn off
The vaccine isn’t needed until later in life
The vaccine changes on a regular basis
Influenza (Flu)
Different strains of flu affect people every year. That’s one reason you need to get a flu shot annually. Each year the vaccine is designed to protect against the types of influenza virus expected to be most common. Getting a flu shot helps keep you healthy during the flu season which can start as early as September and last through May.
Tetanus
Tdap is a vaccine that protects against:
Tetanus
Diphtheria
Pertussis
Most people are vaccinated against these diseases in childhood. However, the protection can wear off.
Varicella (Chickenpox)
If you never had chickenpox as a child you may want to get the varicella vaccine. Chickenpox can be a serious illness in adults. Talk to your provider to see if it is a good choice for you.
MMR (Measles, Mumps, Rubella)
If you were born in 1957 or later you need at least one dose of this vaccine. Consult with your provider to determine if you need to get an adult MMR.
Pneumococcal
All adults over 65 are strongly urged to get this vaccine. It is also recommended for adults under age 65 with certain health conditions:
Long-term health problems
Compromised immune system
Asthma
A history of smoking
Hepatitis vaccines
Vaccine are available to protect people against hepatitis A and hepatitis B. These vaccines are generally offered to adults who work or live with high risk individuals.
Herpes Zoster (Shingles)
According to the Centers for Disease control and Prevention (CDC), one in every three Americans will develop shingles. Shingles is caused by a return of the virus that causes chickenpox. The one-time vaccine is recommended for adults over age 60. You should get the shot even if you had chickenpox as a child.
Talk to your provider to make sure you are up-to-date on the vaccines that are right for you. At a minimum, almost everyone needs a flu vaccine once a year.
Getting immunized is a lifelong, life-protecting job.
By Sonny Haskins, Master of Public Health Care Administration Intern at Wyoming Community Health Center
Colorectal cancer is the third most common cancer diagnosed in men and women. It is the third leading cause of cancer related deaths in women, and the second leading cause in men.
Lifetime risk of developing colorectal cancer:
1 in 21 for men
1 in 23 for woman
The American Cancer Society estimates that in the United States in 2017 there will be:
95,520 new cases of colon cancer
39,910 new cases of rectal cancer
Colorectal cancer is a concern throughout the United States, however death rates from colorectal cancer has declined over several decades for both men and women. This trend may be caused by the improved care to treat colorectal cancer over the years. The decline can also be credited to the ability to screen patients for early signs of the cancer; with these screenings, colorectal cancer can be prevented.
When you should get your colorectal cancer screening:
You should begin screening annually soon after you turn 50 years old
If you or a close family member have had colorectal cancer or signs of colorectal cancer
If you have been diagnosed with familial adenomatous polyposis (FAP)
If you have been diagnosed with hereditary non-polyposis colorectal cancer (Lynch Syndrome)
If you have not been screened for colorectal cancer contact your primary care provider to schedule your appointment today.
Remember with a colorectal cancer screening you can be preventing cancer!
By Chris Rivera, LMSW, CAADC, Outpatient Therapist, Leonard Street Counseling Center
Interview your potential therapist:
This might sound kind of silly, but the reality is that like most things in life there are good and bad options whenever we are looking for someone to provide us with any type of care. I would encourage anyone who is interested in trying therapy for the first time to call around to different therapy offices and maybe even check them out online to see if you can get more information on them. This is an easy first step that will help you filter through different candidates and should help you pick one that you believe might best suit your needs. Finding a credible therapist shouldn’t be too difficult if you take this approach. Just make sure that the therapist is licensed, credentialed and that they are open to sharing about their professional background, treatment style and areas of expertise.
Areas of expertise:
Now for the most part, the average therapist should be able to help you with just about anything that you want to bring to the table. However, like in other medical professions there are therapists that have different specialties. Are you looking for family therapy? Marriage counseling? Need help choosing your next career move? Whatever the case may be, it is useful to look for a therapist that has expertise and experience in your area of need.
Authenticity:
Genuineness in a therapist is a must. In my experience, the cornerstone of therapy is authenticity. From your first few sessions you ought to feel that the therapist is genuinely interested in assisting you, and their passion for helping others should shine through in their approach and in the way they engage you. Authenticity is engagement. Regardless of years of experience and style of therapy, the single most important factor in choosing the right therapist for you is level of comfort and sense of connectedness. Trust your gut on this one. Lastly, word of mouth is always a good way to start and may make this process much easier for you!
By Amy Hoogstra, MSN, FNP-BC, Nurse Practitioner at Ottawa Hills High School Health Center
Your child’s first vehicle is often a bicycle. Riding a bicycle is an opportunity for your child to develop a sense of accomplishment and balance, but if not ridden safely, it can also pose a risk to your child’s health. Each year “more children ages 5 to 14 are seen in emergency rooms for injuries related to biking than any other sport.”1 Here are some bicycling dos and don’ts to consider the next time your child asks to ride his or her bike:
Dos:
Do teach your child to ride their bike on the right side of the road, with traffic and not against it. Remind them to ride as far to the right as possible.1
Do teach your child to make eye contact with drivers. Before crossing the street, your child should know that approaching drivers are paying attention.1
Do make sure that your child’s helmet fits and that your child knows how to put it on correctly. Use these tips to make sure that your child’s helmet is protecting him or her as it should:1,2
Helmets should sit on top of the head in a level position
Helmets should not rock forward, backward, or side to side
Helmets should always have straps buckled
Your child should be able to see the bottom rim of the helmet when looking up
Straps should form a “V” under your child’s ears when buckled
Your child should feel the helmet hug their head when they open their mouth
Do a safety check before a bike ride. Ensure the reflectors are secure, brakes work properly, gears shift smoothly, and tires are appropriately inflated.1
Do teach your child how to use proper hand signals before allowing them to ride on the street. Hand signaling allows for important communication between cyclists and motorists.1
Do encourage your child to ride predictably by riding in a straight line and avoiding swerving between cars.1
Don’ts:
Don’t allow your child to ride on their own until you have ridden together and you are confident in his/her bicycling skills. 1
Don’t allow your child to wear a helmet designated for another sport (such as football). Bike helmets are made specifically to protect your child from biking-related injuries.3
Don’t purchase your child a bigger bicycle with the hope that your child will grow into it. When sitting on the bicycle seat, your child should be able to put the balls of both feet on the ground while holding the handlebars.3
Don’t allow your child to ride their bike at dusk or after dark. Riding at night requires specific skills and equipment that few young children have.3
Don’t allow your child to wear long or loose clothing while riding their bike.1
If your child is in need of a properly fitting helmet, please call 616.391.7233 to schedule an appointment for a $10 bike helmet. Location: Injury Prevention Program Office, Masonic Center, 233 E. Fulton, Suite 103.
By Maram Hekhuis, LMSW, Outpatient Therapist at Heart of the City Counseling Center
You probably opened this blog for a reason: you are tired of feeling sad, angry, anxious, hurt, hopeless and helpless, and you want to feel happy in your life. You are probably asking yourself “why me?” “why does everyone have it all, but not me?” “why can’t I be happy?”
You may feel victimized by questions that don’t seem to have the answers. As a result, you may feel your life is narrowing in around you, you may feel darkness surrounding you, and you may want to just find a way out. Happiness is not something you inherit or just find. Happiness is something that you need to build up. Building happiness is a process that requires time, patience, effort, hope, and commitment.
If you fail once in building happiness, don’t give up but rather try it again and again. Remember that life is not easy. There is the good, and there is the bad. Just believe that there are better days ahead of you.
So, what is happiness then? According to this article, research suggests that happiness is related to life satisfaction, appreciation of life, moments of pleasure, and the experience of positive emotions. But, how could we experience these factors to build our happiness? The answer is: what we think (thoughts/cognitions) and what we do (behaviors) influence our feelings.
Now that you have learned that our thoughts and behaviors affect how we feel, let’s learn how to make changes in our thoughts and behaviors to build our happiness.
Changes in Cognition:
Positive affirmations: Positive affirmations encourage us to believe in ourselves. These types of statements empower us and motivates us to self-change. You need to begin your statements with “I” or “I am”. For example, “I can do it”. You could write down a list of positive affirmation statements in your diary, on a piece of paper, or on your smart phone apps. Read or/and repeat them daily to yourself.
Be aware of your self-defeating thoughts. “If I’m not successful, then I’m a failure”. Stop and challenge them. What are the evidences that support and don’t support your thoughts? Remember thoughts are just ideas, they are not facts or necessary true. Sometimes our thoughts happen so quickly that we fail to notice them, but they can still affect our mood. These are called automatic thoughts. Remember positive thoughts lead us to feel good and negative thoughts can put us down.
Be aware of and challenge your perspectives about yourself, people and the world. We all give different meanings to situations and see things from our point of view. Therefore, broaden your perspective and see the bigger picture. Ask yourself: “is there another way of looking at this?”
Acceptance. Be comfortable with who you are. “it is as it is”. We tend to fight against distressing thoughts and feelings as if our mind is in a war zone. Learn to just notice them and don’t fight the war. Some situations we just cannot change. We can surf the waves rather try to stop them.
Be appreciative and mindful. Notice what you have rather than what you don’t have. Live in the present rather the past or future.
Behavioral Changes:
Do things for others. This will help you connect with others. Helping and giving to others make us feel valued, appreciated, needed, and happier. We could give our time, attention, and ideas, not necessary money and gifts. You may want to volunteer somewhere.
Connecting with others. Strong social relationships lead to happier and healthier life, give us meaning, and sense of belonging, improve our self-esteem, and make us feel loved, and valued.
Do what you enjoy doing. You could engage in exercise if you enjoy it as being active makes us happier and healthier as our body and mind are connected.
Learn new things or skills. Increase your interest and confidence as this will give you a sense of achievement and success. Find a job, meet new people, try out something new.
Have goals to look forward to and never stop dreaming and believing in yourself and abilities. Feeling good about the future is important for our happiness. Goals motivate us to move forward in life. Make your goals achievable.
By Ronald Christian Rivera, LMSW, Outpatient Therapist, Leonard Street Counseling Center
Summer is here, which means the weather is nicer, the days are longer and there always seems to be more fun things to do. Here are some tips from a popular Psychology Today blogger to make the most of your summer.
Reconnect with nature. Don’t love the gym? Head outside to get in your daily exercise. Also, who can resist the awesome farmer’s markets and those healthy fresh fruits and veggies?
Summer reading. Yes, it’s fun to see those summer blockbuster movies, but when was the last time you went to the beach and just relaxed and enjoyed a good book?
Vacation. Need we say more?
Be spontaneous. There are so many activities happening throughout the summer – enjoy them! Jet off to the beach, see that outdoor concert, take a bike ride. Summer is the perfect time to enjoy those non-planned outings.
Be in the moment. Summer is a great time for making memories. It always seems to be the season that passes the most quickly, so take the time to enjoy it while it’s here.
To read the entire Psychology Today blog, please click here.
By Lori Nieboer, PA-C, MPH, Physician Assistant at Union High School Health Center
Today’s injury focus is on the head (i.e. concussions or traumatic brain injuries). Concussions are important to know about, so we can prevent them and keep our kids safe from further harm if they do get injured. The sports we usually see the most head injuries are typically football, soccer, and basketball.
What is a concussion?
A type of traumatic brain injury that changes the way the brain usually works. It can be caused by a hit, blow, bump, or any movement that causes the brain and head to move quickly back and forth.
What are the symptoms?
Headache
Nausea and/or vomiting
Sensitivity to light
Sensitivity to noise
Confusion
Not feeling “right”
Memory problems
Irritability/mood changes
What are concussion danger signs?
One pupil larger than the other
Repeated vomiting or nausea
Becomes increasingly confused, agitated, or drowsy
Slurred speech
Seizures
Loses consciousness
What do I do if I think my child has a concussion?
Stop activity and seek medical attention
Rest is key:
Avoid all exercise, screen time, and mental activity (i.e. school, reading, homework)
Gradual return to mental and physical activity should take place over days and under the supervision of a health care provider
Inform your child’s school, so they can lighten coursework as needed upon your child’s return
Concussion myths:
I need to keep my child awake after a concussion.
MYTH! Rest is important to healing after a concussion. Seek emergency care if your child is overly drowsy or you are concerned they are acting odd.
I don’t have a concussion because the CT scan was normal.
MYTH! A CT scan will show any damage to the brain structures, but may not show a mild traumatic brain injury.
You can recover from a concussion in 24 hours.
MYTH! In fact, even if symptoms are gone, it typically takes the brain around seven days to fully recover from a concussion.
You can only diagnose a concussion if consciousness is lost.
MYTH! Many times, a person with a concussion does not lose consciousness; they still need to be monitored and returned to activity gradually.
What if we ate more fruits and vegetables in our diet? What would the benefits be? Here are a few good reasons:
You would get more nutrients like calcium, fiber, folate, iron, magnesium, potassium, vitamin A and vitamin C. This would also save on the cost of paying for supplements.
They are convenient. Grab a pack of carrots, snap peas, cut up cucumbers, an apple, banana, pear, cherry tomatoes or other fruit and veggies to take on the road for extra crunch and flavor.
More fiber and less trips to the doctor for irritable bowel syndrome (IBS), constipation, heartburn. Fiber makes you feel full, so you are likely to eat less, and take in less calories to prevent weight gain.
Fruits and veggies can be eaten in different forms: dried, cooked, raw, 100% juice, and canned, so you don’t get bored.
They are naturally low in calories, higher in water and have zero cholesterol.
You can grow them. This teaches kids where they come from, and they taste better (less or no pesticides can be used).
They can be bought in season, so they are less expensive(see list below).
You can have fun with them. You can kabob either fruit or veggies and have them with dip or on their own. A fun kid and adult idea is “ants on a log.”
Get started now! Here is an example of a short list of fruits and veggies in season thisfall, which means more flavor, better cost and ideas for fall recipes:
Pediatric services are available at Heart of the City Health Center and Westside Health Center. Babies and children need more doctor’s visits when they are changing and growing the fastest. Get your child on the right health care path by scheduling an appointment today. We provide a full range of services under one roof.
At Westside Health Center Pediatrics, we want to take care of the whole patient by working as a team. We are improving what we do by changing the way we care for you.
Asthma care is provided as a team. The doctor checks the patient to make sure they have a healthy body. The RN Health Coach teaches the patient and family how to make living with asthma easier.
We also have team visits with a doctor and Health Coach for weight check ups. The doctor provides the physical check up at the visit. The Health Coach teaches the patient and family about healthy behaviors that are part of a healthy lifestyle, and helps the family set healthy living goals.
Complete health means taking care of our minds, too. When minds are not healthy, home and school can be difficult. Counseling services are provided on site in a place where the patient and family already feel comfortable. A psychiatrist is also on site to provide specialized help when needed.
Services available
Well child visits, sports, work and camp physicals
Immunizations
Lab work and diagnostic testing
Treatment for minor illness and injuries
Treatment for asthma, obesity and other conditions
Referrals for more serious illness, injuries and additional care
Access to behavioral health, dental and vision services
On-site pharmacy services
Free interpretation services
Online Patient Portal
Nurses available 24 hours a day, 7 days a week for questions or assistance
Evening and weekend hours
Same day/next day appointments
Check out our new videos featuring asthma instruction and fun ways to get the kids moving!
Wyoming Community Health Center (courtesy Cherry Health)
Six of our locations participate in the national, research-proven school readiness program called Reach out and Read. This program, designed for children ages 6 months through 5 years of age provides a child with a new book at each regular check up to take home. Trained providers speak with parents about the importance of reading aloud and waiting rooms are filled with kids books. The goal of Reach out and Read is to help children be better prepared for kindergarten with larger vocabularies, stronger language skills and a six-month developmental edge.
Cherry Health collaborates with the Kent County Health Department to offer the Women, Infants and Children Program (WIC) at Cherry Street Health Center and Westside Health Center. This is a state-funded nutrition education and food supplement program for pregnant, breastfeeding, and postpartum women and children up to age five. A registered dietitian provides counseling and education, as well as healthy foods to encourage proper nutrition, growth and development during pregnancy and the formative years of childhood. Breastfeeding education and support are also offered in the WIC Program. Pregnant women seen at any of our sites are offered WIC services, based on specific nutritional needs and income eligibility. For additional information, please contact 616.776.2134.
Maternal Infant Health Program
The Maternal Infant Health Program (MIHP) is a parent support and coaching program for pregnant mothers and infants. If you are pregnant or have a baby under a year old, and are Medicaid eligible, you can receive MIHP as part of your insurance coverage.
MIHP services are provided by a team to support and encourage new parents. Services can be provided in your home, our office, or another place that you choose in the community.
We can help you:
Feel prepared for your baby’s birth
Make good choices for you and your baby
Understand your pregnancy and your baby’s development
Find medical care for you and your baby
Find the right resources in the community
MIHP involves a whole team in supporting families.
Your nurse will answer your questions and give you information about healthy pregnancy and infant development.
Your social worker will help you adjust to your pregnancy and parenting, handle stress, and find the resources you need.
The dietitian will help you understand healthy eating for pregnancy and how to feed your baby.
Community health workers can provide support, encouragement, and education as well as hands-on help connecting to resources in the community.
The community health workers are part of the Strong Beginnings program, which provides enhanced services for African-American and Latina moms participating in MIHP.
If you would like to receive MIHP and Strong Beginnings or learn more, please contact the MIHP Manager at 616.965.8332.
By Rebecca Pavlock, AmeriCorps Member at Heart of the City Health Center
As we age, our bodies go through many changes. It is important to discuss these changes with our medical providers as we observe them, as some changes may be normal and healthy symptoms of an aging body and mind while other changes may be symptoms of conditions that would require additional support from your team here at Cherry Health.
Below are some things to think about before your next appointment with your medical provider:
Do you understand your prescription medications and how to take them? The average senior patient takes five or more prescription medications to manage their health. With so many different prescriptions, it can be difficult to remember what medications are treating and how often each should be taken. If you are struggling to manage your medications, please consult your medical team.
Are you feeling more forgetful than usual? Many individuals face increased memory loss as they age in a normal process referred to as age-associated memory impairment. However, if you or family members are concerned about your memory, please discuss your concerns with your provider.
Are you having a difficult time seeing or hearing? Many older adults require glasses or hearing aids in order to see or hear properly, so do not hesitate to discuss any changes to your vision or hearing with your medical provider.
Have you noticed any changes in your energy levels or sleep habits? As we age we often experience changes to our normal sleeping patterns such as becoming sleepy earlier in the day, waking earlier, or not sleeping as deeply as we used to. These are all healthy, normal changes. However, if you are experiencing disturbed sleep, insomnia, or are waking up tired every day, this may not be a normal part of aging.
Does fear of falling keep you from your usual daily activities? It is important to keep an active lifestyle as we age in order to maintain independence. Your provider may have recommendations for how to overcome your mobility concerns.
Do you often feel sad, anxious, or worthless? About 15% of older adults struggle with mental health conditions. If you find yourself frequently feeling depressed or anxious, bring this up in your next medical appointment. You may benefit from meeting with a counselor or strengthening your support system.
Our team here at Cherry Health is eager to support you!
One in eight women will be diagnosed with breast cancer, but thanks to improved treatment and detection methods the survival rate has grown to over 90%. Mammograms should be performed every year once you are forty years old. Below is what you need to know before you go in for your screening.
What should I do to prepare for my appointment?
You will be asked to remove your shirt, so you may want to wear a skirt or pants and not a dress.
Do not wear deodorant or perfume. These often contain chemicals that can make the images unclear.
To reduce discomfort, schedule your mammogram at a time you know your breasts won’t be tender or swollen.
What should I expect at my appointment?
Your breasts will be x-rayed using a special machine specifically designed for mammograms. To get the clearest image possible your breasts will be compressed. This will likely cause some discomfort.
Appointments take about twenty minutes, but the actual mammogram is only a few seconds.
Let the technician know if you have been experiencing any breast changes or problems.
You will be contacted with the results of your mammogram within ten days. If you don’t receive a call back do not assume that your results were normal. Make sure to follow up with your doctor if they do not follow-up with you.
What if I don’t have health insurance?
The Breast and Cervical Cancer Control Navigation Program (BCCCNP) assists patients in paying for mammograms. BCCCNP has provided services for more than 5.2 million people since the start of the program. In 2015 alone, BCCCNP served 301,732 people.
What if other questions come up?
Please contact Jackie Demull, Women’s Cancer Screening Program Coordinator, at 616.965.8200 ext. 7099 or Zenaida Carcini, Clerical Assistant, at 616.965.8200 ext. 7373.
