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Medical

colon cancer infographic

March 10, 2017

Colorectal Cancer: If Early Detection is Key, He Just Missed Out

When you think about colorectal cancer…wait, do you even think about colorectal cancer? Maybe not frequently but the term may bring some thoughts or people to mind. Many celebrities have been affected by colorectal cancer including Audrey Hepburn, Katie Couric, and Jack Lemmon. The Centers for Disease Control (CDC) reports that every year, about 140,000 Americans are diagnosed with colorectal cancer, and more than 50,000 people die from it. This may not seem like a significant number, but when you think about how easy it is to be screened and that early treatment equals good outcomes, you might wonder why you don’t hear more.

colon cancer infographic

When I think of colorectal cancer, I automatically think of my grandfather, Elwood Schlerf. Elwood was a hardworking farmer and father to five children in rural Maryland. In 1971, long before I was even close to being a twinkle in my mother’s eye, my grandfather died at the age of 59. My mom, who was 14 at the time, doesn’t talk about him much but the anecdotes I’ve heard make me ache for her and my grandmother. At the end of his life, he could not care for himself at all, and with them being farmers meant that money was tight and there was no one else to take care of him except my mom and grandmother. I’ve heard mom talk about sitting by his skeletal frame in bed and feeding him like a child while he wasted away in front of her eyes.

Only two years prior to his death, colonoscopy was introduced as a method for detecting colorectal cancer but at that time it was not a widely spread or accepted procedure. Colorectal surgeon Dr. Arie Pelta explains, “Colonoscopy expanded and became more widely accepted in the 1970’s and 1980’s” and in time became a common procedure. My grandfather just missed out, at the time of his diagnosis, his cancer had progressed significantly and there wasn’t much that could be done for him.  Now 40 years later we have excellent screening tools and technology that is widely utilized that can detect colorectal cancer early. Cancer research UK reports, since 1971, deaths due to bowel cancer have dropped from 29 in every 100,000 people to 17. This is largely due to the availability and expansion of screening methods like colonoscopy.

Screening is easy, if you’re 50 years or older, your Family First Health provider can refer you for screening and discuss your risk for colorectal cancer. If you have had a change in bowel habits, pain, cramping, or bloody stools, or if there is a history of colorectal cancer in your family, be sure to talk to your Family First Health provider today because early detection is key.


Shannon L. McElroy, Marketing and Outreach Coordinator

health disparities infographic

February 2, 2017

Health disparities in York City: Nothing for you, without you

A recent health assessment conducted in York City emerged with information that may be shocking to some, but for those that work in local healthcare, it was no surprise at all. Disparities exist between York City and Pennsylvania as a whole, while the health disparities between York City and York County are even more distressing. There is more than a $34,000 difference in the average incomes between York City and York County households, and the gaps do not end there. Poverty in York City overlaps with a lack of general health resources; specifically, accessing mental health services are much more difficult for city residents than for county residents.

FFH-HNA-Infographic-C_02 smaller
Poverty Overlaps with Lack of Health Resources

Health equity is central to the well-being of a community, but how can we obtain health equity if our communities are so disparate? There are steps we can take but we have to take them together. Instead of remaining in isolated and “siloed” in our separate groups, we must engage in a broader conversation for local change in our community. That is where we need your help.

Family First Health, along with York Daily Record and WITF’s Transforming Health initiative, are hosting a community conversation concerning healthcare in York City, taking place on February 23 at 6:30pm at Martin Library in York, PA. This conversation is just the beginning of bringing health equity to the community and is your chance to hear about, and give input on, local change.

A panel of healthcare stakeholders will be discussing the current state of healthcare in York City, what other areas are doing to address health disparities, and programs needed to drive change for our community. We do nothing for you without you, and we want to work with the community, moving outward to illicit positive change. We encourage you to come out and join the first of many discussions around health disparities in York City. You can register online here: https://www.eventbrite.com/e/york-city-community-health-conversation-tickets-31264480904?aff=ehomecard

For more information regarding the health market research study, please visit: https://www.familyfirsthealth.org/community-health

 

 

Doctor greeting patient

May 24, 2016

Patients tell us how we did

Our Quality Improvement team is always looking for ways to better serve our patients and one of the ways they do that is by asking patients for input. Let’s take a look at some of the key points from the most recent survey.

  • Of the 4,588 people who responded – 41% of them came to our George Street Center for medical services and about 50% also came to George Street for dental.
  • We asked about your experience with our staff while receiving care and waiting. The three most high-rated categories were convenience of office location, office hours and how quickly an appointment could be scheduled.
  • Comparing all of our sites, patients overall had a positive experience. Hannah Penn patients were particularly pleased with how quickly they got appointments and the office location.
  • When it comes to staff, patient experience ranks extremely positive. Hannah Penn had a slightly higher rating, which could be attributed to patient flow there. Hannah Penn doesn’t see quite as many patients as others which means they have more time to spend with each one!

As always, we welcomed any comments from patients. Here’s some of what you had to say.

  • Every time I come to this facility, I know that I’m in good care. (Aww, shucks. We like caring for you, too!)
  • Need a way to prioritize calls. On hold for too long.
  • Hand out stickers to kids. (We love stickers!)
  • Later dental hours so kids don’t have to be pulled out of school.
  • Saturday office hours?
  • Have separate “sick” appointments
  • Get a diaper changing station in the bathroom.
  • I have no suggestion – FFH is great and I’ve advised family and friends to come here. (Thanks!)
Lawrence Spector

May 4, 2016

Meet the staff: Lawrence Spector

Lawrence Spector

Lawrence Spector was working in New Hampshire doing internal medicine but felt as though he was lacking something when it came to providing overall care for patients.

That’s what drew him to Family First Health — the idea of having one organization that has medical, dental and social services. The whole package for the whole patient.

York might seem like a random jump from 25 years in New Hampshire, but Spector has family here. His sister lives in the area and had a baby a few years ago. The rest of the family came down to be close to his nephew. So in a way, moving to York is like moving home for him.

Lawrence Spector spent time in the U.S. Army in the early 2000s before completing nursing school, working 10 years in an ICU and going back to graduate school for more education. He brings all that background to our Lewisberry Center where he’s just starting as a new provider.

When he’s not working or house hunting, Spector says he’s looking forward to spending more time with his family and checking out the outdoors in central Pennsylvania. From hiking trails to teaching his nephew to fish, he’s excited to see what the area has to offer. He also loves taking his nephew to Hersheypark.

This is NOT Adam but I had to Google English sheepdog puppies. How cute are they!?

Lawrence Spector also has his hands full with his old English sheepdog puppy — Adam.

group in parenting class

April 27, 2016

Hanover parenting classes kick off

20160426_180207

Our free Hanover parenting classes kicked off this week with “Parenting the Love and Logic Way” with our friends from Family-Child Resources.

Over six weeks, those in attendance of the parenting classes will learn tools to help them better raise responsible, respectful kids.

The goal? To love our kids so much that we’re willing to set limits. And to do so with sincere compassion and empathy. Logic happens when we allow our kids to make decisions and affordable mistakes.

In each class – held every Tuesday at our Hanover Center – the parents will learn a skill. They’re asked to experiment with the skill as homework. Each week will add another which builds off the previously-learned skill. The first week was putting an end to arguing, back talk and begging (something we think all parents know too well).

20160426_181859

Our parents started off with a video that explained some tips for when you’re arguing with your child.

Step one: Go “brain dead.” The less your lips move, the more effective you become.

Step two: Simply repeat the same, calm, one-liner. “I know.” Don’t be angry, don’t be sarcastic. Give them very little ammunition.

Why’s this so important? Kids crave attention. So if you’re calm and give them little to work with, they’ll likely move on.

We also learned some great tips to help build a relationship like – at least once a day notice something special about them. Love them when they’re behaving not so lovable, and more!

It was a great start to the six-week program of parenting classes. Thanks to our parents for attending and to Patient Care Coordinator Hyacinth Gayle for organizing!

Celebrating National Nurses Week

April 26, 2016

Celebrate nurses this National Nurses Week

nfp
May 6 to 12 is National Nurses Week so let’s take the time to celebrate all of the nurses we have here at five Family First Health sites!

During the week-long celebration, we want to draw some attention to our Nurse-Family Partnership program, which connects qualifying first-time mothers with an at-home nurse who visits through the baby’s second birthday.

It’s a great program that’s proven to bring success. Three randomized, controlled trials demonstrate that Nurse-Family Partnership delivers against its goals of better pregnancy outcomes, improved child health and development, and increased economic self-sufficiency. These outcomes contribute to preventing child abuse, reducing juvenile crime, and increasing school readiness.

In 2015, our nurses served 188 mothers with a total of 2,036 visits!

One of our mothers, Suleyka was attending Vo Tech when her daughter was born. She wanted to be done with school, but her nurse Judy kept encouraging her to go back and finish.

“If it wasn’t for her [Judy], I was going to get out of school. I was ready to finish, I wasn’t going to go back. She encouraged me to think about other options, think about the baby.”

Judy helped to walk her through a choices facilitator that outlined some the impact of choosing not to go back to school. Judy said, “So you don’t go back to school, so what is this going to do. You’re not going to graduate from high school, not going to be able to get a good paying job, not going to be able to provide the things your daughter needs or wants.”

When asked the best thing about her nurse, Suleyka shared: “When she helped me to think about things before I quit school. I thought nobody cared about it, but she really really cared and she was there for me.”

You can help us help more first-time mothers like Suleyka succeed through our Nurse-Family Partnership program by making a donation during this National Nurses Week.

There are four donation levels that let you make a DIRECT impact in one of our NFP homes. Making a donation is as easy as clicking on this link.

$25 –  Keeping them fed and clean – You get diapers and formula into the hands of a first-time mother for her child.

$50 – Get a move on – A mother gets an umbrella stroller for getting around in ease.

$75 – Checking in – This covers a developmental assessment for a child to determine that milestones are being met at certain stages.

$100 – Riding in style – This donation gets a car seat for a first-time mom and her child to keep them safe on the road.

 

 

Victoria Lorenz

April 11, 2016

Meet the staff: Victoria Lorenz

Victoria-Lorenz-PA-CMichigan native Victoria Lorenz was looking to try something new. So she left the only place she’d ever lived to move to Pennsylvania and attend school at Salus University. She wasn’t totally alone though, since her sister — 4 years her senior — lived in nearby Lancaster.

Once she graduated from school, she started looking around for options. She knew she wanted to work with the underserved. And she was always interested in family medicine. She stumbled across Family First Health online, liked our website and the rest is now history — or at least the start of a new story.

“I always wanted to do this,” she said. So far, she’s loving what she does working with patients at our George Street Center. She thinks the staff is pretty great, too.

When she’s not working at George Street, Lorenz admits she’s a Netflix addict. Some of her favorite shows to binge watch include The Walking Dead, Grey’s Anatomy, Scandal and The Vampire Diaries. She also loves watching movies, reading and shopping. When it comes to sports, Victoria Lorenz played volleyball in school and is also a fan of basketball, baseball and soccer.

Her teams? All Michigan, of course.

Asceline Go

April 5, 2016

Dr. Go on her dream of being a doctor

On Doctor’s Day last week, our CEO Jenny Englerth sent out a note thanking our providers for choosing Family First Health and for the work that they do.

Our Medical Director Asceline Go responded to Jenny to say how working at a community health center like ours fulfilled her dream of being a “village” doctor. Read more below.

Thanks to Dr. Asceline Go and the rest of our providers for everything they do!

Asceline Go 046

Growing up, I have always dreamed of being a “village” doctor and always had a feeling of guilt having chosen to practice in a first world country. Unbeknownst to me, serving our community and working in a Community Health Center actually fulfilled that dream.

Years ago when I did my citizenship examination, the CIS/Citizenship and Immigration Services officer hardly asked me any exam questions in order to pass for citizenship eligibility which I had painstakingly prepared for and was ready to sing the Star Spangled Banner on his prompting. When asked, he merely thanked me for doing my work and deciding to serve my chosen community.

I appreciate the recognition given to physicians today. I believe though that it is a collective effort with not one more important than the other and so everyone needs to be recognized and appreciated.

I am blessed to find my niche.

Thank you Jenny for your leadership and support.

Dr. Filer

April 1, 2016

Dr. Filer wins Women Leaders in Medicine Award

filerOur very own Dr. Wanda Filer has been a busy doctor lately.

You may remember that back in September she was named to be the president of the American Academy of Family Physicians. 

And today, she received a  2016 Women Leaders in Medicine Award from the American Medical Student Association (AMSA).

Dr. Wanda Filer was in Washington, D.C., today (Friday, April 1) to receive the award at the AMSA’s 66th Annual Convention & Exposition.

According to the AMSA (who received an “impressive” number of nominations this year:

To have been nominated is an honor: It represents the fact that one or more members personally identified you as a source of inspiration, leadership and support during their time in medical training.

AMSA says the nation’s oldest and largest independent association for physicians-in-training, created the award in 2007 “to recognize women physicians and educators who serve as role models and sources of inspiration for women who are currently in their medical training.”

Congrats, Dr.Wanda Filer! 

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From Our Patients

  • This is the most friendly, caring, and compassionate doctors office I've ever been to. You are a person with concerns and issues and ailments to them and they do everything they can to help. Everything is explained so you completely understand what the next step is.
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