The Wright Center Encourages Men to be Proactive

The Wright Center believes stereotypes aside, it’s safe to say that men often tend to be less proactive about their health than women.

That’s why public health campaigns like Men’s Health Month in June play an admirable role. The annual monthlong observance raises awareness on the many ways in which males – boys and adults – need to take charge of their health care.

June is also home to International Men’s Health Week, which took place last week, and June 14’s Wear Blue Day, which is sponsored by the Men’s Health Network and encourages individuals, organizations, and employers to wear blue and host awareness and/or fundraising events on behalf of the cause.

If we’re being honest, society hasn’t done the greatest job of promoting proactive health care among males, no matter the age group. According to the Centers for Disease Control and Prevention, the average life expectancy for men in the United States is 5.4 years less than it is for women. Meanwhile, males are at a higher risk for a number of serious diseases, among them heart disease, lung cancer, and HIV, and experience illnesses completely unique to the gender, such as prostate cancer.

And for men from underrepresented groups, the numbers are even worse. So, it’s a good thing that for this year’s Men’s Health Month, the U.S. Department of Health and Human Services (HHS) Office of Minority Health (OMH) is focused on bettering health outcomes for racial and ethnic minority and American Indian/Alaska Native (AI/AN) men through its theme, “Be the Source for Better Health: Improving Health Outcomes Through Our Cultures, Communities, and Connections.” The initiative aims to understand better how the unique environments, cultures, histories, and circumstances – the social determinants of health or SDOH – of minority men impact their overall health.

OMH has committed to working with public health and community-based partners to provide racial and ethnic minority and AI/AN men and boys with high-quality medical care and services that are “responsive to diverse cultural health beliefs and practices, preferred languages, economic and environmental circumstances, and health literacy levels.” The thinking is that when patients are provided with culturally and linguistically appropriate information, they’ll ultimately have healthier outcomes for themselves, their families, and their communities as a whole. And by communities, we can certainly include our own right here in Northeast Pennsylvania.

With encouragement from health care professionals, as well as family members and friends, there’s no reason why men can’t adopt more healthful practices, whether it’s improving their diet and getting a gym membership or better managing their stress levels through yoga, meditation, or therapy. That also includes making a long-term investment in their medical care, from annual visits to their primary care physician to receiving regular prostate testing and colonoscopies, or Cologuard stool testing, to reduce the chance of metastatic prostate or colorectal cancer. Health education should also start at a very young age so families can instill the importance of lifelong healthy habits in their boys.

Most people do not seem to appreciate exercise’s profound impact on reducing the risk of most diseases and even slowing the aging process. Thirty minutes of exercise can prevent decline and decay for both men and women.

Let’s all do our part to promote better men’s health by encouraging the important men in our lives – fathers, husbands, sons, friends, coworkers, etc. – to take their long-term health seriously.

Douglas Klamp, M.D., is a board-certified internal medicine physician who serves as senior vice president, chief medical education officer, and physician chair of resident and fellow talent acquisition of The Wright Center for Graduate Medical Education, as well as program director of the Internal Medicine Residency Program. Dr. Klamp is accepting adult patients at The Wright Center for Community Health – Scranton, 501 S. Washington Ave.

Geisinger Doctor Discusses Headache Pain

By Geisinger neurologist Abigail Chua, DO

How to stop waking up with a headache:

Ever realized your head is pounding before you even get out of bed in the morning? Waking up with a headache is — well, a pain. Here’s why they happen and how you can find relief.

Like other common symptoms, headaches vary in cause and strength. Some intense headaches can last for hours. Others might be a minute or two of dull but manageable discomfort. Most headaches are grouped into primary and secondary categories.

Primary headaches are usually caused by pain sensors in your head that aren’t working right. These headaches may run in your family. Or you might get them from foods you eat (or don’t eat enough of), alcoholic drinks or changes in sleep patterns.

Primary headaches are what most people have. The good news is, these types of headaches are preventable and treatable.

The two most common kinds:

  • Tension headaches – This type causes mild pain around the head, face or neck.
  • Migraine headaches – This neurological disease can cause sharp pain on one side of the head and may last for hours or even days. 

Secondary headaches are typically caused by underlying medical conditions, including:

  • Dehydration – Not drinking enough fluids on a regular basis contributes to headaches.
  • Medication overuse – Taking too much of a variety of medications — like Tylenol or forms of ibuprofen, ironically — can make your head hurt. 

For most people, morning headaches result from lifestyle factors. The good news: You can adjust those to ease your pain. Lack of sleep, whether due to insomnia or just an occasional restless night, often leads to waking with an aching head. Others include:

  • Dehydration
  • Poor sleep quality
  • Medication side effects
  • Sleep apnea
  • Jaw clenching or teeth grinding

If poor sleep quality is causing your headaches, your doctor may recommend some changes to your sleep routine. 

Besides getting a better night’s sleep, minor adjustments to your daily routine to reduce the frequency of morning headaches. 

Simple changes you can make include everything from skipping that extra glass of red wine after dinner to drinking more water before bed. Luckily, there are a number of things you can do to make your morning headache go away.

  • Hydrate: Drink lots of water to start the day. Dehydration can bring on a headache or make an existing one worse. 
  • Dim the lights: Many people are sensitive to bright light, especially early in the morning. Give your eyes and head time to adjust.
  • Use a cold compress: Grab a bag of frozen veggies or a cold pack and put it on your forehead or the back of your neck. The cold eases pressure and can soothe a morning headache. 
  • Try light massage: It’s simple — but effective. Use your fingers to apply gentle pressure on the part of your head or neck where you’re having pain. This trick can help relieve a tension headache.
  • Get plenty of sleep: Some headaches are related to sleep apnea or other factors causing a lack of quality rest. Try going to bed a little earlier to give your body more time to rest.

Digging out the root cause is the first step in treating your early morning headaches. If you’ve tried to troubleshoot on your own with no success, it’s time to talk to your doctor — especially if you have frequent or daily morning headaches.

Once you and your doctor determine the right treatment plan, you can wake up refreshed, rested and ready to take on your day.

For more health and wellness tops, visit Geisinger.org/balance.

The Dime Bank Transitions to ‘.Bank’

The Dime Bank recently transitioned their website from thedimebank.com to thedime.bank domain to provide customers with an even more secure banking experience. This change provides another layer of enhanced security and verification requirements to reduce the risk of cyber threats and enable The Dime Bank to provide a greater level of digital security.

The American Bankers Association (ABA) reports that banking has consistently been one of the most targeted industries for phishing for over a decade. The accessibility of publicly available, unregulated, and affordable domains like .com and .net allow malicious entities to acquire similar-looking domains effortlessly for conducting business email compromises, phishing, and spoofing attacks, resulting in data breaches, identity theft, and financial fraud.

The Dime Bank’s email addresses and website URL will now use ‘.bank’ as their ending. Thedime.bank has enhanced security requirements which help mitigate the risk for fraud. There is an extensive vetting process in place so that only legitimate banking institutions can utilize ‘.bank’, thereby preventing bad actors from creating imposter domains.

To verify the authenticity of The Dime Bank’s emails and website, customers can easily spot the ‘.bank’. With the ‘.bank’ in place, consumers can quickly confirm emails and websites are real, and avoid interactions that could lead to identity theft and financial fraud. This authentication is also an additional layer of protection for internal and vendor communications, helping to further secure against potential breaches.

President and Chief Executive Officer Peter Bochnovich stated, “Customer security is a paramount concern at The Dime Bank, encompassing both personal and financial information. The ‘.bank’ domain is a gated domain, like .gov, and is exclusive for verified banks. Providing cutting-edge technology that caters to customers’ need for high-speed convenience along with security remains a key consideration in all our choices. By transitioning our domain name to ‘thedime.bank’ from ‘thedimebank.com’, customers can interact with confidence when they see the ‘.bank’ at the end of The Dime Bank’s email address and website URL.”

Emails from thedimebank.com will be forwarded to the new thedime.bank addresses, and the website previously ending in ‘.com’ will now redirect to the new ‘.bank’ site. Customers are advised to update their address books and bookmarks for thedime.bank.

The Wright Center and NE PA AHEC Workshop Collaboration

Nevena Barjaktarovic, M.D., a dually board-certified physician in internal medicine and rheumatology at The Wright Centers for Community Health and Graduate Medical Education, will present a free educational session on lupus for Northeast Pennsylvania primary care and emergency room doctors, nurse practitioners, and physician assistants.

The Northeast Pennsylvania Area Health Education Center (NE PA AHEC) is sponsoring the internal medicine didactic session, which will be held from 8-10 a.m., Wednesday, July 31, in The Wright Center for Community Health – Scranton Auditorium, 501 S. Washington Ave.

Participation is limited and registration is required by Friday, July 19. To register, visit bit.ly/3QRJqTf. Participants may join in person or virtually through Webex video conferencing. The video conferencing link will be provided after registration.

The session is a part of the American College of Rheumatology Rural Health Outreach Project, aimed at improving lupus referral, diagnosis, and treatment in underserved communities. It also will help raise awareness among health care providers of lupus signs and symptoms, what to do if lupus is suspected, and when to consider lupus in the differential diagnosis for individuals at high risk.

About 1.5 million Americans have a form of lupus, 90% of whom are women, with about 16,000 new cases annually, according to the Lupus Foundation of America. Lupus is two to three times more prevalent among Black, Hispanic/Latina, Asian American, Native American, Alaska Native, Native Hawaiian, and other Pacific Islander women than white women.

Those with lupus can experience significant symptoms, including pain, extreme fatigue, hair loss, cognitive issues, and physical impairments that affect every facet of their lives. Many suffer from cardiovascular disease, strokes, disfiguring rashes, and painful joints. For others, there may be no visible symptoms.

Dr. Barjaktarovic specializes in diagnosing and treating a broad spectrum of rheumatic and inflammatory conditions, such as arthritis, back pain, connective tissue disease, fibromyalgia, gout, joint pain, osteoporosis, psoriasis, and lupus. She also serves as a physician-faculty member at The Wright Center for Graduate Medical Education, where she mentors residents and fellows.

A Clarks Summit resident, Dr. Barjaktarovic joined The Wright Centers in 2020 and earned her medical degree from the Medical School of Belgrade University, Serbia. She completed her residency in internal medicine at the Icahn School of Medicine at James J. Peters VA Medical Center, affiliated with Mount Sinai School of Medicine in the Bronx, New York, and her rheumatology fellowship training at Albert Einstein College of Medicine-Montefiore Medical Center, also in the Bronx.

Geisinger-led Study on Weight Loss and Diabetes Drugs

A recent Geisinger-led study has determined that GLP-1s, a popular class of weight loss and diabetes drugs, may make it unsafe for patients to undergo a common gastroenterology procedure.

Researchers from Geisinger Medical Center and Geisinger Commonwealth School of Medicine collected data from 2019 to 2023 on 35,183 patients who had esophagogastroduodenoscopy (EGD) procedures. An EGD, or upper endoscopy, is one of the most common diagnostic procedures to examine the lining of the esophagus, stomach and first part of the small intestine. 

Among 756 patients with diabetes who took GLP-1s and had an EGD, those patients were:

  • Four times more likely to have retained food in their stomach during the procedure
  • About three times more likely to have aborted procedures
  • Twice as likely to need a repeat EGD

Among 166 patients without diabetes who took GLP-1s and had an EGD, those patients were:

  • About five times more likely to have retained food in their stomach
  • Five times more likely to have aborted procedures
  • As likely as nonusers to need another EGD

GLP-1s, such as the popular Ozempic medication, decreases how fast the stomach empties, regardless of a patient’s diabetes status, the study found. 

“Having food in the stomach during one of these procedures can increase the risk as well as decrease the ability of your doctor to perform a complete examination,” said Amitpal S. Johal, M.D., Geisinger chair of gastroenterology and one of the co-authors of the study.

The researchers cautioned that clinicians responsible for scheduling and performing EGDs on patients taking GLP-1s, should carefully assess the impact of the medication on the procedure’s safe completion, stating “healthcare providers must consider the implications of delayed gastric emptying when planning an EGD for GLP-1 patients.” 

“If you are taking a medication for weight loss, please let you doctor know before scheduling a procedure,” Dr. Johal said.

The Wright Center Announces Fellowship

Dr. Kristina Tanovic, a board-certified internal medicine hospitalist at The Wright Center for Community Health, has been elected a fellow of the American College of Physicians (ACP), the society of internists. The distinction recognizes achievements in internal medicine, the specialty of adult medical care.

Dr. Tanovic was elected upon the recommendation of peers and the review of ACP’s Credentials Subcommittee. She may now use the letters “FACP” after her name in recognition of this honor.

Dr. Tanovic see patients of all ages at The Wright Center for Community Health – Scranton Counseling Center, 329 Cherry St., where she is accepting new patients. Certified by the American Board of Internal Medicine and the American Board of Obesity Medicine, Dr. Tanovic is also a core faculty member of The Wright Center for Graduate Medical Education’s Internal Medicine Residency, where she trains the physicians of tomorrow. The Wright Center’s residency and fellowship programs are accredited by the Accreditation Council for Graduate Medical Education.

A graduate of the University of Belgrade School of Medicine in Serbia, Dr. Tanovic completed her internal medicine residency at Icahn School of Medicine at James J. Peters VA Medical Center, a Mount Sinai School of Medicine-affiliated facility in the Bronx, New York.

Dr. Tanovic and her husband, Dr. Ivan Cvorovic, live in Scranton, with their daughter Iskra Cvorovic.

The Wright Center, headquartered in Scranton, operates 10 community health centers in Northeast Pennsylvania, including a mobile medical and dental unit called Driving Better Health. Its locations offer affordable, high-quality, indiscriminate whole-person primary health services, meaning patients typically have the convenience of going to a single location to access integrated medical, dental, and behavioral health care, as well as community-based addiction treatment and recovery services. For more information, go to TheWrightCenter.org or call 570-230-0019.

ACP is the largest medical specialty organization and the second physician group in the United States. ACP members include 143,000 internal medicine physicians, related subspecialists, and medical students. Internal medicine physician are specialists who apply scientific knowledge and clinical expertise to the diagnosis, treatment, and compassionate care of adults across the spectrum from health to complex illness. For more information about ACP, go to acponline.org.

Marywood University’s Psy.D. Program Reaccredited

Marywood University’s doctoral program in clinical psychology (Psy.D.) was recently notified of its 10-year reaccreditation by the Commission on Accreditation (CoA) of the American Psychological Association. The next accreditation site visit is scheduled for 2033.

The CoA recognized the quality of training provided by Marywood’s Psy.D. Program and deemed it “in substantial compliance with the Standards of Accreditation.” Also noted in the reaffirmation letter was the alignment of the Psy.D. Program’s mission with the overall mission of Marywood University and the mission of Marywood’s College of Health Sciences, which houses the program. Additional positive citations included instilling discipline-specific knowledge through focused courses and the attainment of profession-wide competencies through required coursework, research, and clinical training experiences, as well as the monitoring of student progress to achieve proximal outcomes.

Jeffrey Rutter, Psy.D., Director of Marywood’s Psy.D. Program, noted that a 10-year reaccreditation is “a significant achievement” that demonstrates the quality and rigor of Marywood University’s doctoral program in clinical psychology. Marywood Psy.D. students develop competencies in nine areas, including: research, ethical and legal standards, individual and cultural diversity, professional values and attitudes, communication and interpersonal skills, assessment, intervention, supervision, and consultation and interprofessional/interdisciplinary skills. For the past five years, Marywood’s Psy.D. Program also has been ranked #30 among the top 50 respected Psy.D. programs in the nation by PsyDPrograms.org, a leading online social community for graduate-level psychology students.

Steamtown National Historic Site Offering Paid Internship Opportunity

Steamtown National Historic Site has an opening for a Community Volunteer Ambassador (CVA) – a paid 48-week internship with the National Park Service between September 9, 2024 – August 8, 2025.

The park is seeking a reliable, creative, and outgoing person to join our team and with a goal to build and develop a park-wide Safety Campaign.  

The CVA will be responsible for producing videos, social media content, graphic design, print publications, and safety-geared programming at Steamtown National Historic Site. Additionally, they will contribute to park efforts in community outreach, volunteer service, and interpretive and educational programming.
The position includes a weekly stipend of $600, limited health care/childcare benefits, housing allowance, and professional development funds PLUS eligibility for both an AmeriCorps Education Award $6,895.00 (pre-tax) AND Public Land Corps Hiring Authority upon successful completion of the program.

To be eligible, applicants must be high school graduates, between the ages of 18-30 (up to 35 for veterans), a US citizen or permanent resident, and comfortable working outside for extended periods of time.

Interested individuals must apply by July 7, 2024! 

Keystone College Opens Pet Friendly Residence Hall

Keystone College will soon have some new “residents” but it’s not accurate to refer to them as actual “students.” For the first time in its 156-year history, Keystone will offer a pet friendly residence hall as a housing option beginning in the fall 2024 semester. Tewksbury Hall has been designated as a “pet friendly residence” for students residing there. The new designation applies not only to pets, usually dogs, classified as emotional support animals, but also to other traditional, non-emotional support pets as well. The four-story residence hall has two floors of male residents and two floors of female residents.

“During the last few years, we have seen a steady increase in students requesting a pet friendly residence hall option, not just for emotional-support animals but for other pets too,” said Keystone Assistant Vice President of Student Life Carlyle Hicks. “Because of that, we felt the time has arrived to offer this new option to our students.”

Of course, there are specifications as to the number and types of pets’ students may bring into the residence hall, as well as other rules which must be followed. For example, each residence hall room may contain one dog, and one cat or two small caged animals such as gerbils, hamsters, guinea pigs, and rabbits. Dog breeds such as pit bulls, rottweilers, German shepherds, and wolf hybrids are not permitted. Other requirements include such items as certified spay and neuter records, pet tags, and photos of each animal. Liability insurance is also recommended, and roommates must agree to having a pet in the room. So far, a few students have asked to bring their pets to campus, but Mr. Hicks expects the number of requests to increase as word of the pet friendly option spreads.

“Certainly, maintaining safe and sanitary conditions is a priority and we expect students who bring pets into their room to abide by all the stipulations we have so that everyone has a positive experience, and that includes the pets themselves,” Mr. Hicks said.

In recent years, emotional support animals have become important factors in the therapeutic treatment of young people, including college students. Colleges and universities have also realized, that, in addition to providing support for students dealing with documented medical conditions, pets can often provide comfort, entertainment, and friendship while boosting morale and comradery in a residence hall setting. Other colleges which have opened some form of pet friendly residences in recent years include Penn Western University/Clarion, Lock Haven Commonwealth University, Johnson & Wales University, and Stetson University, among others. “We are always willing to explore new ways to bolster our students’ educational and life experiences at Keystone. The opening of our first pet friendly residence hall is definitely something that will provide that type of beneficial result,” said Mr. Hicks.

Allied Services Announces Promotion

Allied Services Integrated Health System is proud to announce the promotion of James Cooney, HSE, NHA, to the position of Senior Vice President of Skilled Operations. In his role, James oversees the operations of the system’s skilled nursing facilities, personal care facilities, and continuing care retirement community.

With over 25 years of experience in post-acute care, James brings a wealth of expertise to his position. His innovative approach to oversight and operational management has led his facilities to achieve superior outcomes, earning recognition for Excellence in Long-Term Care by U.S. News and World Report.

James’s extensive knowledge of regulatory affairs and strategic policy insight has also earned him an appointment as a Board Member of the Pennsylvania Health Care Association. In this capacity, he advocates for the needs of the more than 5,000 residents and patients served by Allied Services, as well as the broader population of older adults in Northeastern Pennsylvania.

Dedicated to modernizing long-term care, James is committed to providing high-quality services in upscale yet comfortable environments, tailored to the individual needs of the aging community. His efforts were recognized in 2020 when he was named one of Northeastern Pennsylvania’s Top 20 Business Professionals Under 40.

Colleagues commend James for his persistence in staying current with evolving regulations, a quality that greatly benefits his associates.