advancing health care in the upper allegheny region fall 2011

Prevention and MorePage 6

ExPanding Our rEach

Bringing New Services to

Bradford and Olean

Page 4 & 5

a guidE tO hOliday Eating

Resist the Urge to Overindulge

Page 8

The Facts About

brmc.com

Message From the CEO

advancing health care in the upper allegheny region

f a l l 2 0 1 1

Sincerely,

Timothy J. Finan, President & CEO Upper Allegheny heAlth SyStem, with member hoSpitAlS brAdford regionAl medicAl center And oleAn generAl hoSpitAl

Dear Friends,

I hope you enjoy the fall issue of Elevate magazine, Upper Allegheny Health System’s premier publication for health and wellness information.

With summer behind us, it’s time to prepare for cooler temperatures and our beautiful fall season. This issue highlights various activities to help you stay healthy and fit this fall. Additionally, to provide a schedule of key preventative measures that play a vital role in maintaining sound health, we’ve included a comprehensive list of screening guidelines.

We’re also pleased to provide updates on the new Outpatient Surgery Center at Olean General Hospital and the current renovation of Bradford Regional Medical Center’s Critical Care Unit (CCU). Construction is progressing on schedule for both projects. The new Outpatient Surgery Center at Olean General will allow individuals to receive same-day surgery in a state-of-the-art facility that will provide enhanced patient amenities. The new CCU at Bradford Regional Medical Center will allow our physicians to care for our most critically ill patients in a comfortable environment more conducive to healing. Bradford Regional Medical Center has also implemented a tele-intensivist program, which allows patients in Bradford to receive access to intensivists at Olean General Hospital via the use of a two-way video connection. The communities we serve have generously supported both projects for which we are most grateful.

We hope that you find the information in this latest issue both informative and helpful. Thank you for your interest, and enjoy the fall season!

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Table of Contents

©2011. All rights reserved. The contents of this publication may not be reproduced in whole or in part without written permission from the publisher. This publication in no way seeks to serve as a substitute for professional medical care. Consult your physician before undertaking any form of medical treatment or adopting any exercise program or dietary guidelines.

130 S. Union StreetOlean, New York 14760

866.498.1724

For a free subscription, contact us at communications@uahs.org.

www.ogh.org www.brmc.comon The web:

ConTACT inFormATion:

page 2

CEO Letter

page 3

In the Know: Breast Cancer

pages 4 & 5

New Developments at UAHS

pages 6 & 7

The Facts About Diabetes

page 8

Combating Holiday Pounds

page 9

Back to Your Life—Faster

Sweet Dreams

page 10

Events

Know Your Numbers

page 11

Health Screenings

quick rEfErEncE guidE

quick

rEfErEncE

guidE

2

Women 40 and older

should have a mammogram

and clinical breast exam every year.

3ogh.org

» excess body weight » drinking alcohol

“Any woman—even someone with very few risk factors—can develop breast cancer,” said Helen Layman, Director of Radiology Services at Olean General Hospital. “That’s why regular screenings to detect breast cancer early should be every woman’s first line of defense.”

GEt ChECkEdTo help increase breast cancer survival rates, schedule

recommended screenings and encourage friends and loved ones to do the same.

Depending on your risk factors, your physician may recommend mammograms and clinical breast exams earlier or more often.

“Within a year, breast cancer can progress from being treatable to untreatable,” said Tim Brown, Director of Clinical Ancillary Services at Bradford Regional Medical Center. “You can’t change your genes, but you can increase your chance of survival by staying up to date on recommended screenings.”

From 2003 to 2007, roughly 125 out of every 100,000 women were diagnosed with invasive breast cancer in Pennsylvania and New York. Thankfully, as mammography screening rates have increased, more cases of breast cancer have been discovered in early stages when treatment is most successful. According to the experts, the keys to fighting breast cancer are prevention and early detection.

PraCtiCinG PrEvEntiOnWhile the main risk factors for breast cancer—such as age,

family history, genes and ethnicity—cannot be changed, some risk factors can be modified. These include:

Bradford Regional Medical Center offers a complete range of breast diagnostic services for women, including breast MRI, full-field digital mammography and stereotactic breast biopsy. BRMC also offers educational services for women, including self-exam education during mammography appointments and community events. Mammography is available from 7 a.m. to 5 p.m. every

Breast CancerDespite national efforts to increase breast cancer awareness, incidences of advanced-stage breast cancer haven’t decreased significantly in the last 35 years. Find out what you need to know about breast cancer and how you can help fight the disease.

To schedule a screening appoinTmenT aT Bradford regional medical cenTer, call 814.362.8480. To schedule a screening appoinTmenT aT olean general hospiTal, call 716.375.6400.

Screening Servicesweekday. Saturday and evening appointments are also available.

Olean General Hospital also offers comprehensive breast cancer screening services including digital mammography, breast MRI and stereotactic breast biopsy. In addition, OGH partners with the Cancer Services Program of Allegany and Cattaraugus counties to provide free mammograms for uninsured or underinsured women. Breast cancer screenings are available by appointment Monday through Friday, as well as Tuesday evenings and some Saturdays.

To schedule an appointment at brmC, call 814.362.8480. To schedule an appointment at oGh, call 716.375.6400.

In the Know

Beginning in their 20s, all women should be familiar

with how their breasts normally look and feel and examine them regularly. Changes or suspicious

findings should be reported to a physician.

Women younger than

40 should have a clinical breast exam at least every three years starting at

age 20.

» too little physical activity » smoking

brmc.com

Upper Allegheny Health System:

AddItIonAlly, through the use of two-way video equipment, patients in the unit will now receive direct access to intensivists at Olean General Hospital. The new tele-intensivist program at Bradford Regional Medical Center is designed to significantly enhance the treatment and safety of critical care patients by providing them with the highest level of care.

Intensivists are physicians who specialize in the care of critically ill patients. Each intensivist at Olean General Hospital has completed a primary residency and board certification in a specialty such as emergency medicine, surgery, internal medicine or anesthesiology, as well as a fellowship in critical care medicine.

OGH’s intensivists now have the capability to see patients at Bradford Regional Medical Center via high-quality, two-way video coordination. Intensivists can visualize and assess patients in Bradford, and are available to directly speak with BRMC nurses, physicians, patients and their families.

Research shows that critical care units managed by intensivists experience a 40 percent reduction in mortality, as well as significantly shorter lengths of stay for CCU patients. Fewer than 20 percent of hospitals in the United States have intensivists directing their critical care units.

As part of the renovation, the CCU’s medication room will be enlarged, and the nurses’ station will be completely redesigned. The entire unit will be repainted, and flooring, lighting and furniture will all be updated.

The Critical Care Unit (CCU) at Bradford

Regional Medical Center is currently undergoing

an extensive renovation. The project, planned

for completion in December 2011, is designed to

ease the flow of patients while increasing staff

efficiency and the overall safety of the facility.

a shorter trip.

making the road to

the rehabilitation

center at the pavilion

• Provides a seamless transition

for patients needing further

exercise, therapy and life-skill

retraining after a medical or

surgical procedure.

• Expedites the healing process

to help patients return to

functional independence

more quickly.

• Creates customized care

plans to meet each patient’s

physical, cognitive, medical

and emotional needs.

• Offers dedicated exercise and

therapy facilities in a newly

renovated unit with modern

patient rooms.

After your surgery or medical stay,

you have a choice in where you

go for short-term rehabilitation.

Only the rehabilitation center

at the pavilion combines the

physicians, nurses and therapists

from Bradford Regional Medical

Center with individualized care

plans for your recovery, in a newly

remodeled home-like setting.

Conveniently located

adjacent to the hospital.

call 814.362.8293

ogh.org

the new center will allow patients to park close by, register for their surgery, and receive their pre-operative care, surgery and post-operative care all in one brand new facility. Construction of the facility will also help recruit new surgeons to the region, allowing Olean General Hospital to expand its already broad scope of advanced surgical opportunities in orthopedic, gynecological, head-and-neck, colorectal, neurological, oral, podiatric, thoracic and vascular surgeries.

“Free-standing outpatient surgery centers are at the forefront of modern health care,” said Timothy J. Finan, President and CEO of Olean General Hospital. “The construction of this center will provide patients with an advanced level of care right here in our service area. By consolidating outpatient surgery in one stand-alone center, we hope to improve not only our ability to offer excellent surgical care, but also to provide the highest levels of patient satisfaction as a result.”

the integration of our two hospitals will position us to provide

even greater care and service to the 180,000 area residents who

depend upon us for healthcare services.”

—timothy J. Finan, President and CEO of Upper allegheny health System

Listening. Learning. L�a�ing.

• 3-d echocardiography• 64-slice ct scanner• behavioral health services• center for wound healing and hyperbaric medicine• chest pain center• dialysis center• gundlah dental center• high-Field open mri• immediate treatment center• mildred milliman radiation medicine center — A Premier Affi liate Site of Roswell Park Cancer Institute• salamanca health center

• sleep disorder center (located at the Hampton Inn)• sub-acute rehabilitation• valet parking (free)• ambulatory surgery center (coming soon!)

premiere services at olean general hospital:

RIGHT HERE. RIGHT NOW. RIGHT CHOICE.

Follow Us on: w w w . o g h . o r g

Work began nearly a year ago on

the construction of an outpatient

surgery center located on the

Olean General Hospital campus.

The 22,000-square-foot project

will significantly enhance surgical

service options in the region by

providing patients with same-day

surgery capabilities outside the

main hospital building.

Initial funding for the project was provided by hospital financing, existing capital and the generous support of the community. An annual campaign will be held later this year to help raise money to complete the project in time for its anticipated grand opening in the spring of 2012.

brmc.com

dIAbetes Is chArActerIzed by high blood glucose levels that result from defects in the body’s ability to produce and/or use insulin. After a meal, the digestion process breaks food down into nutrients and fuels, such as glucose. For glucose to be used properly, insulin—a hormone made in the pancreas—must move glucose from the blood stream into the body’s cells, a process that stimulates growth and creates energy.

For someone who has diabetes, the digestion process is a little different. When glucose enters the blood stream, it can’t pass into cells. This may be caused by overproduction or underproduction of insulin in the pancreas. In some cases, the cells may reject the insulin. Blood glucose levels rise until this vital fuel source is filtered out of the blood and passed through the urine.

COUnt thE tyPESAccording to the National Institute of Diabetes

and Digestive and Kidney Diseases, 25.8 million Americans have diabetes. The vast majority— about 90 to 95 percent—has Type 2 diabetes, a condition in which the pancreas produces an insufficient amount of insulin or cells reject insulin.

Only five percent of people who have diabetes have Type 1 diabetes, an autoimmune disease in which the immune system destroys the body’s insulin-producing beta cells. Type 1 diabetes is most commonly discovered in early childhood.

For about four percent of pregnant women, gestational diabetes develops around the 24th week of pregnancy as hormones in the placenta that aid the baby’s growth block the natural insulin process.

The Facts AboutDiabetes

If you can focus on one day at a time and keep small goals in reach, the outcomes will be amazing.”— Kristine Scanlan, MS, RD, LDN, Bradford Regional Medical Center

If you’re shocked to learn an estimated 7 million

Americans are living with undiagnosed diabetes, this

may be even more surprising: With just 30 minutes

of moderate exercise per day, combined with a 5 to

10 percent loss in body weight, roughly 58 percent of

people with diabetes could get rid of the condition.

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SPOt thE riSkS“While diabetes awareness has improved, there should be

more work done in terms of prediabetes education,” said Cindy Simms, RN, CDE, Program Coordinator of the Center for Diabetes at Bradford Regional Medical Center. “A healthy lifestyle can prevent the onset of Type 2 diabetes.”

Prediabetes is a serious medical condition, but it doesn’t always lead to Type 2 diabetes. In fact, those who have prediabetes can delay and even prevent the development of Type 2 diabetes simply by cutting out extra calories, improving exercise habits and speaking with a primary care physician about management options for prediabetes risk factors, including a body mass index higher than 25, a family history of Type 2 diabetes and a sedentary lifestyle.

takinG aCtiOnA diabetes diagnosis may seem daunting, but a

multidisciplinary healthcare team can provide the proper resources and support required for whole-body care.

“Diabetes care should be managed through a coordinated effort,” said Mary Fay, RDN, CDC, Clinical Nutrition Manager at Olean General Hospital. “One of the most important people on your team is a certified diabetes educator who meets the standards of the National Certification Board for Diabetes Educators.”

Depending on a person’s individual case, appointments with an endocrinologist, nephrologist, optometrist, podiatrist and/or registered dietitian may also be necessary.

“It can be so easy for people to become overwhelmed by a diabetes diagnosis and feel frustrated by the lifestyle modifications they are having to make,” said Kristine Scanlan, MS, RD, LDN, Registered Dietitian at Bradford Regional Medical Center. “If you can focus on one day at a time and keep small goals in reach, the outcomes will be amazing.”

ogh.org 7

To conTacT a cerTified diaBeTes educaTor aT Bradford regional medical cenTer, call 814.362.8717. aT olean general hospiTal, call 716.375.6297.

Make three sections on your dinner plate. Create one portion that takes up half of the dish and two that account for one-fourth each. Chose a dark, leafy green vegetable, such as collards or spinach, for the largest portion. Fill the first small section with a starchy food, such as fiber-filled beans, magnesium-packed whole-grain pasta or brown rice, or a vitamin A-rich sweet potato.Pick a lean protein for the second small portion. Salmon is a great choice, as it is loaded with omega-3 fatty acids. Fulfill your dairy requirement by pairing your meal with an eight-ounce glass of fat-free milk or a six-ounce serving of Greek yogurt. Finally, satisfy your sweet tooth with a naturally sweet piece of fruit.

If you have diabetes, maintaining a diet that meets your medical needs—while still incorporating the foods you love—may seem impossible. Take the headache out of cooking with six simple steps:

1.

2.

3.

4.

5.

6.

power your plate

brmc.com8

Combating Holiday PoundsAs the holidays near, you’re ready to celebrate, relax and spend some extra time with friends and family, but the abundance of unhealthy foods and beverages can be tempting. Follow these easy tips to enjoy the holidays while keeping your nutritional health on track.

Enjoy the health benefits of antioxidant-rich sweet potatoes in this tasty holiday recipe.

inGredienTs 5 cups sweet potatoes, thinly sliced

(about 1 ½ sweet potatoes)2 cups apples, thinly sliced¼ cup brown sugar2 tablespoons reduced-calorie

pancake syrup½ teaspoon ground cinnamon½ cup apple juice or orange juice¼ cup chopped walnuts

direCTionsPreheat oven to 375 degrees Fahrenheit. Mix the sweet potatoes, apple slices and brown sugar in a large mixing bowl, and place them in a nine-inch square baking dish. Stir syrup with cinnamon and apple or orange juice in a smaller bowl, and pour the sauce evenly over sweet potato mixture. Sprinkle walnuts on top. Cover baking dish, and bake for 30 minutes. Remove cover, and bake for 15 minutes longer.

nuTriTion inFormATionServings: 6 calories: 128total fat: 3gcarbohydrates: 24gSodium: 24mgprotein: 2gSource: www.medicinenet.com

aMP UP ExErCiSE.

During the busy holiday season, exercise may fall by the wayside. Instead of neglecting physical health, engage in 150 minutes of moderate exercise each week.

BUrn a FEw Extra CalOriES.Find ways to exercise a little more each day. Try

taking the stairs instead of the elevator or parking farther away to create a longer walk to your destination.

havE a SnaCk.Before heading to a

holiday party where you could be tempted with unhealthy treats, eat a healthful snack to tame your hunger.

rEward yOUr hard wOrk.

Eating wholesome foods and exercising regularly can be a difficult task, so treat yourself to a moderate portion of a holiday favorite every now and then.

whEn in dOUBt, SUB it OUt.

If your recipe calls for less-than-healthy ingredients, investigate ways to reduce calories, fat and sugar. Instead of topping pie or cake with ice cream, substitute a spoonful of fat-free vanilla yogurt. Trade Splenda® for sugar and applesauce for oils in baked goods.

Apple and Sweet Potato Bake

ogh.org

short-term rehAbIlItAtIon can play a critical role in the healing process. The Rehabilitation Center at The Pavilion in Bradford Regional Medical Center combines the physicians, nurses and therapists from BRMC with individualized care plans for optimal recovery.

An eight-bed unit designed to expedite patients from the hospital back home, The Rehabilitation Center helps individuals achieve the highest level of independence. The center provides a seamless transition for those requiring further exercise, therapy, and life-skill retraining following a medical or surgical procedure, and offers dedicated exercise and therapy facilities in a newly renovated unit with modern patient rooms.

Care teams, including physical and occupational therapists, speech and language pathologists, dietitians, physicians, and a social worker, collaborate to develop a specialized plan for each patient at the center.

“We’re one of the few hospital-based skilled nursing facilities in our area,” said Tracy Colosimo, RN, Awdministrator of The Pavilion. “We offer this because it’s the safest transition for our patients. By evaluating patients on an individual level, we are able to meet their specific needs and give them the best opportunity to return to an independent lifestyle.”

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most Adults requIre seven to nine hours of sleep each night, according to the National Sleep Foundation. However, recent data shows 30 percent of adults sleep an average of six hours or less nightly.

For optimal sleep:» AvOID EATING LARGE MEALS CLOSE TO BEDTIME.» BAN COMPUTERS, TVS AND OTHER ElECTRONICS FROM THE BEDROOM.» BE SURE THE TEMPERATURE IS COOl BUT NOT COlD.» KEEP THE ROOM qUIET AND DARK.

diaGnOSinG SlEEP diSOrdErSSleep insufficiency has been linked to an increased risk for cardiovascular

disease, depression, diabetes and obesity. Diagnosing and treating sleep disorders, including insomnia, narcolepsy, restless leg syndrome and sleep apnea, can improve sleep and overall health.

Combating Holiday Pounds

Sleep is not simply “down time.” Instead, it’s an important component of overall health. Minimize your risk for chronic disease with healthy habits for sound sleep.

Back to Your Life—Faster

for more informaTion aBouT sleep services aT olean general hospiTal or Bradford regional medical cenTer, visiT www.ogh.org or www.Brmc.com.

olean General hospital’s sleep disorder Center at the hampton inn is an accredited member of the American Academy of Sleep Medicine. The center offers free Sleep Apnea Clinics the third Wednesday of each month at 12:30 and 5:30 p.m. Free equipment checks for patients who use continuous positive airway pressure (CPAP) machines are also available.

The sleep Center at bradford regional medical Center is located within the hospital and recently doubled occupancy to four beds. Medical Director Frank Arnal, MD, FCCP, was chosen as one of “America’s Top Doctors” in Western New York by Buffalo Spree Magazine.

When recovering from surgery, illness or injury, a positive rehabilitation experience can help people return home and regain independence more quickly.

To learn more aBouT The rehaBiliTaTion cenTer aT The pavilion, call 814.362.8293.

Sweet Dreams

brmc.com

BlOOd PrESSUrEA blood pressure reading tells a

healthcare professional how much pressure your blood places on the artery walls, both when your heart beats and when it rests.

Ì Aim for a blood pressure reading of 120/80 mmhg or lower; some experts believe 115/75 is ideal. However, blood pressure can be too low, so be sure to speak with your primary care provider about what’s right for you.

BlOOd SUGarGlucose—a sugar substance that comes

from carbohydrates you consume—is a major source of energy. Too much glucose in the blood may indicate conditions such as diabetes or hyperthyroidism. Too-low blood glucose levels often indicate hypothyroidism.

Ì According to the National Institutes of Health (NIH), a fasting glucose test result of 100 milligrams per deciliter (mg/dl) is normal.

Ì A fasting glucose test result between 100 and 125 mg/dl may indicate prediabetes.

Ì Higher than 126 mg/dl often leadsto a diagnosis of diabetes.

BOdy MaSS indExBody Mass Index, or BMI, is a number that

indicates whether or not a person is at an ideal weight for his or her height. BMI can be calculated using a simple equation:

bmi = weight in pounds x 703

height in inches2

If you don’t have a pencil and paper handy, calculate your BMI at nhlbisupport.com/bmi. Then use the following to gauge your number:

Ì BMI lower than 18.5: underweight Ì BMI between 18.5 and 24.9:

normal weight Ì BMI between 25 and 29.9: overweight Ì BMI of 30 or higher: obese

ChOlEStErOlHigh levels of low-density lipoproteins

(LDLs, or bad cholesterol) are often a precursor to heart disease. A fasting cholesterol check identifies levels of both LDLs and HDLs (high-density lipoproteins, or good cholesterol) in the blood. According to the American Heart Association:

Ì A result of less than 200 mg/dl is ideal. A result between 200 and 239 mg/dlis borderline high.

Ì A result of 240 mg/dl or higher is considered high and places a person at much greater risk for heart disease.

Know Your NumbersChances are, you know the final score of last night’s game, the projected high and low for today’s temperature, and how long it takes to run through the drive-thru to grab a cup of coffee before work. But do you know how the following vital health numbers measure up for you?

brAdFord reGionAL mediCAL CenTer:Alzheimer’s support Group Last Thursday of each month at 6:30 p.m. First Floor Activity Room

bereavement support Group Last Tuesday of each month at 4 p.m. Third Floor Chapel (East Wing)

breast Cancer support Group Second Tuesday of each month at 5 p.m. Ground Floor Assembly Room diabetes support Group Third Monday of every other month at 6 p.m. Same Day Surgery Waiting Area

Labor and delivery Classes Third Monday of every other month at 6 p.m. Classroom B

ostomy support Group Third Monday of every other month at 7 p.m. Classroom D

sleep screening and education Clinics Second Tuesday of each month from 3 to 6 p.m. Fourth Tuesday of each month from 9 a.m. to noon Outpatient Services Center, Suite 32

sleep Clinic support Groups First Wednesday of each month at 6 p.m.Education Room B

halloween PartyHosted by the BRMC AuxiliarySaturday, Oct. 29, 2011 at 7:30 p.m. Pennhills Club

Visiting nurses’ Association PresentationTuesday, Oct. 11, 2011 at 7 p.m.Catholic Women’s Club in Bradford

oLeAn GenerAL hosPiTALChildbirth Preparation Classes Available classes run weekdays, evenings and Saturdays at various times. Education Center

diabetes education workshops One workshop series of three classes each month Offered at various days and times Education Center

diabetes support Group Third Tuesday of each month at 6:30 p.m. Education Center

Total Joint Classes First Tuesday of each month at 10 a.m. Sub-Acute Rehab Department

Advanced Cardiac Life support Community Providers Class Thursday, Nov. 17, 2011 from 8 a.m. to 2 p.m.Education CenterPre-registration is required as class size is limited. Please call Olean General Hospital 716.375.6217.

basic Life support Class Wednesday, Nov. 11, 2011 from 1 p.m. to 4 p.m. OGH Education CenterCost is $60 for the basic life support class and books.Pre-registration is required as class size is limited. Please call Olean General Hospital 716.375.6217.

sleep Apnea Awareness meeting Third Wednesday of each month at 5:30 p.m.The Hampton Inn 101 Main Street, Olean

diabetes Awareness health FairTuesday, Nov. 15, 2011 from 2 to 6 p.m.Education Center

For more information about any support group, class or clinic, call bradford regional medical Center at 814.368.4143 or olean General hospital at 716.373.2600.

Calendar of Events

ogh.org 11

Recommended Screening When and for Whom? Why?

bLood Pressure annually for women and menThe American Heart Association (AHA) explains that high blood pressure—or hypertension—may lead

to vascular scarring and plaque build-up in the arteries, among other complications.

bLood suGAr annually for women and men who are overweight or have high blood pressure or high cholesterol

People with these conditions are at increased risk for diabetes.

ChoLesTeroLevery five years starting at age 20

for women and men

According to the AHA, people with high blood cholesterol levels are at increased risk

for heart disease and stroke.

CLiniCAL breAsT exAmevery three years for women ages 20 to 39 and

annually for women 40 and olderbreast cancer detection

CoLonosCoPy every 10 years starting at age 50 for women and men detection of polyps and colon cancer

GenerAL PhysiCAL annually for men and women comprehensive health evaluation

mAmmoGrAm annually for women ages 40 and older breast cancer detection

PAP smeArfirst test for women three years after becoming

sexually active but no later than age 21 (Speak with your gynecologist about how frequently

you should receive a Pap smear.)

cervical cancer detection

ProsTATe-sPeCiFiC AnTiGen TesT And/or diGiTAL

reCTAL exAm

At age 50, men should speak with their primary care providers about the potential benefits of screening.

prostate cancer detection

For the Grown Ups

*PLeAse noTe: IF YOU ARE AT INCREASED RISK FOR A DISEASE DUE TO FAMILY HISTORY OR LIFESTYLE FACTORS, SCREENING GUIDELINES MAY vARY. SPEAK WITH YOUR PRIMARY CARE PROvIDER ABOUT WHAT SCREENINGS ARE RIGHT FOR YOU.

For the BaByAccording to the National Institutes of Health (NIH), babies should have well checkups at 2, 4, 6, 9, 12, 15 and 18 months.

For the KidsThe NIH recommends well checkups for children at ages 2, 3, 4, 5, 6 and 8 years. Annual checkups are recommended for children ages 10 to 21 years.

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Get Checked: Screening GuidelinesYou visit the doctor when you’re not feeling well—but by making time for screenings and checkups, you can potentially prevent some illnesses altogether. Pull out this guide to screenings for the whole family to ensure you’re all up to date.

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