March is Brain Injury Month. For more information: www.biausa.org

Thanks to the Brain Injury Association website http://www.biausa.org for the following information: Check out their site for more information and resources.

March is Brain Injury Awareness Month

In recognition of March as Brain Injury Awareness Month and the Brain Injury Association’s ongoing commitment to sports and concussions, BIAA and its nationwide network of 44 Chartered State Affiliates is launching a year-long, nationwide education and advocacy campaign: “A concussion is a brain injury. Get the facts.” The campaign will launch in March with radio and print public service announcements, awareness proclamations and special events. A state advocacy effort to introduce legislation to train coaches and protect youth athletes will continue throughout the year along with ongoing nationwide education.
A concussion is a brain injury period. BIAA believes coaches of every school athletic team and every extracurricular athletic activity should be trained to recognize the signs and symptoms of brain injury, including concussions and second impact syndrome. BIAA also believes young athletes who appear t have sustained a concussion should have written authorization by a health care professional before returning to play.
A concussion is caused by a bump, blow or jolt to the head, or from a blow to the body that causes the head to move rapidly back and forth. Most concussions occur without a loss of consciousness and according to the CDC, a lack of proper diagnosis and management of concussion may result in a serious long-term consequences, or risk of coma or death. Signs and symptoms may be noticeable immediately, or it may take days or weeks before they are present.
According to the Centers for Disease Control and Prevention, an estimated 3.8 million sports- and recreation-related concussions occur in the United State each year. Of that estimate U.S. emergency departments treat approximately 135,000 sports- and recreation-related traumatic brain injuries (TBIs), including concussions, among children ages 5 to 18.
To support year-long education and awareness efforts, click on the downloadable materials below to distribute throughout your community today! BIAA encourages the use and distribution of these materials throughout 2010.
To learn more about these initiatives or to learn more about awareness and advocacy events taking place in your state during the month of March and throughout the year, or to learn how you can get involved, contact your Chartered State Affiliate today! For more information on media materials contact the Brain Injury Association of America at 703.761.0750, ext. 622.

According to the Centers for Disease Control and Prevention (CDC) an estimated 1.6-3.8 million sports and recreation related concussions occur in the U.S. each year. Concussions occur even if an athlete doesn’t lose consciousness and in fact, is the most common type of brain injury sustained in sports.
What is a traumatic brain injury?
A traumatic brain injury (TBI) is defined as a blow or jolt to the head or a penetrating head injury that disrupts the function of the brain. Not all blows or jolts to the head result in a TBI. The severity of such an injury may range from “mild,” i.e., a brief change in mental status or consciousness to “severe,” i.e., an extended period of unconsciousness or amnesia after the injury. A TBI can result in short or long-term problems with independent function.
How many people have TBI?
Of the 1.4 million who sustain a TBI each year in the United States:
• 50,000 die;
• 235,000 are hospitalized; and
• 1.1 million are treated and released from an emergency department.1
The number of people with TBI who are not seen in an emergency department or who receive no care is unknown.
What causes Traumatic Brain Injuries?
The leading causes of TBI are:
• Falls (28%);
• Motor vehicle-traffic crashes (20%);
• Struck by/against (19%); and
• Assaults (11%).1
Blasts are a leading cause of TBI for active duty military personnel in war zones.2
Who is at highest risk for TBI?
• Males are about 1.5 times as likely as females to sustain a TBI.1
• The two age groups at highest risk for TBI are 0 to 4 year olds and 15 to 19 year olds.1
• Certain military duties (e.g., paratrooper) increase the risk of sustaining a TBI.3
• African Americans have the highest death rate from TBI.1
What are the costs of TBI?
Direct medical costs and indirect costs such as lost productivity of TBI totaled an estimated $60 billion in the United States in 1995.4
What are the long-term consequences of TBI?
The Centers for Disease Control and Prevention estimates that at least 3.17 Million Americans currently have a long-term or lifelong need for help to perform activities of daily living as a result of a TBI.5

According to one study, about 40% of those hospitalized with a TBI had at least one unmet need for services one year after their injury. The most frequent unmet needs were:
• Improving memory and problem solving;
• Managing stress and emotional upsets;
• Controlling one’s temper; and
• Improving one’s job skills.6
TBI can cause a wide range of functional changes affecting thinking, language, learning, emotions, behavior, and/or sensation. It can also cause epilepsy and increase the risk for conditions such as Alzheimer’s disease, Parkinson’s disease, and other brain disorders that become more prevalent with age.7,8

For more resources:

Guide to selecting legal representation for brain injury cases
https://secure.biausa.org/OnlineDirectory/Pdf/SelectingLegalRepresentation.pdf

A Guide to Selecting and Monitoring Brain Injury Rehabilitation Services
https://secure.biausa.org/OnlineDirectory/Pdf/SelectingRehabServices.pdf

Have a kind and respectful day.

February 14th-21st is “Alzheimer’s and Dementia Staff Education Week”

February 14th-21st is ALZHEIMERS AND DEMENTIA STAFF EDUCATION WEEK

This week is designed to bring awareness to the importance of both staff educators and their direct care staff being trained and certified in dementia care. For more information and free Tool Kit (download), visit www.nccdp.org, National Council of Certified Dementia Practitioners.

I want to thank all those who take such good care of our loved ones and who strive to be educated and updated about the new research and best practices in dementia and Alzheimer’s care.

Take time this week to acknowledge those experts who are making a difference in your loved one’s lives.

Have a kind and respectful day.

Life’s Simple 7 from the American Heart Association - February is American Heart Month

February is American Heart Month.

The American Heart Association has a new feature and tool on their website called: Life’s Simple 7.

1. Get active
2. Eat better
3. Lose Weight
4. Stop smoking
5. Control cholesterol
6. Manage blood pressure
7. Reduce blood sugar

I would encourage you to take the 7 minute assessment to take control of your heart health.
http://mylifecheck.heart.org/PledgePage.aspx?NavID=5&CultureCode=en-US

Then take the pledge to embrace Life’s Simple 7 at “My Life Check” at
http://mylifecheck.heart.org/Default.aspx?NavID=1&CultureCode=en-US

Have a kind and respectful day.

Moira Fordyce’s recommends the resources on the American Geriatric’s Society website

I was speaking with Moira Fordyce from the California Coalition for Caregivers and she told me about the wonderful resources available at the American Geriatrics Society website. http://www.healthinaging.org/public_education/index.php The great thing about this website is that you know you can trust this information because it is coming from physicians who specialize in helping the aging patient and their loved ones.

You may also want to take a look at the California Coalition for Caregivers as they are an advocacy organization and are fighting to make sure that resources and protections are in place for our aging population. http://www.californiacrc.org If you live in California, they will send you alerts when it is time to contact your local representatives about an upcoming bill or iss

Lastly, you might want to download some of the legal handbooks for senior care from Bet Tzedek Legal Services at  http://www.bettzedek.org/publications.html#guides.

Below I have listed the topics from the American Geriatrics Society’s site. They have Tip Sheets, What to Ask Your Doctor, and General Aging Topics. It is like having a trusted friend to turn to for help. Have a kind and respectful day and enjoy the resources.

Latest Foundation Tip Sheets

Caregivers

Guide to Advance Directives

Tips For Avoiding Caregiver Burnout

Healthy Aging

Advice for Improving Your Memory

Cognitive Vitality

“Geriatric Syndromes”

Good Health in Later Life for Older Men

Good Health in Later Life for Older Women

Improving Communication with Your Healthcare Provider

Overcoming Challenges to Healthy Aging

Persistent Pain Tips

Holidays

Tips for Beating the Holiday Blues New!

Top 10 Healthy New Year’s Resolutions for Older Adults New!

Safety

2009 H1N1 Flu (”Swine Flu”) Tips

Emergency Preparedness Tips

Falls Prevention Tips

Home Safety Tips

Hot Weather Safety Tips

Safe Travel Tips

Safe Sex Tips

Safety Tips for Seniors Considering Visits to Retail Medical Clinics

Walking Tips

Winter Safety Tips

Spanish

Spanish Language Health Tip Sheet: “Manejo del “Dolor Persistente” en la Tercera Edad”/“Managing Persistent Pain In The Elderly”

Surgery

Hip and Knee Joint Replacement Tips

Vaccinations and Medications

Avoiding Overmedication and Harmful Drug Reactions

Vaccination Tips

What to Ask?

Questions for Your Healthcare Provider

How We Age
• Physical Activity
• Prevention
Health Care Decisions and Issues
• Health Assessment
• Health Care Settings
o Community-Based Care
o Hospitalization
o Nursing Home Care
• Complementary and Alternative Medicines
• Drug Treatment
• Elder Mistreatment
• Ethical and Legal Issues
• Pain Management
• Palliative Care and Hospice
• Rehabilitation
Elder Health at Your Fingertips
• Cancer
• Diabetes
• The Digestive System
o Disorders of the Digestive System
o Disorders of the Mouth
• The Heart, Lungs, and Blood and Circulation
o Anemia and Other Blood Disorders
o Breathing Problems
o Fainting (Syncope)
o Disorders of the Heart and Circulatory System
o High Blood Pressure
• Hormone Disorders
• Joints, Muscles, and Bones
o Back Pain
o Falls
o Foot Problems
o Osteoporosis
o Walking Problems
• Mental, Neurological, and Psychological Conditions
o Anxiety
o Delirium (Sudden Confusion)
o Dementia
o Depression
o Diseases of the Nervous System
o Dizziness
o Mental Retardation
o Personality Disorders
o Psychological and Social Issues
o Psychoses (Delusions and Hallucinations)
o Sleep Problems
o Substance Abuse
• Nutrition
• Sexuality and Sexual Concerns
o Gynecological (Female) Disorders
o Prostate Disease
o Sexual Problems
• The Senses
o Hearing Loss
o Vision Loss and Other Eye Diseases
• The Skin
o Pressure Ulcers (Bed Sores)
o Skin Diseases
• The Urinary System
o Kidney Problems
o Urinary Incontinence

Topics at a Glance

How We Age
• The Aging Process
• Trends in the Elderly Population
• Physical Activity
• Prevention
Health Care Decisions and Issues
• Talking to Your Healthcare Providers
• Health Assessment
• Health Care Settings
o Community-Based Care
o Hospitalization
o Nursing Home Care
• Complementary and Alternative Medicines
• Drug Treatment
• Elder Mistreatment
• Ethical and Legal Issues
• Insurance, Financing, and Costs of Health Care
• Pain Management
• Palliative Care and Hospice
• Rehabilitation
Elder Health at Your Fingertips
• Cancer
• Diabetes
• The Digestive System
o Disorders of the Digestive System
o Disorders of the Mouth
• The Heart, Lungs, and Blood and Circulation
o Anemia and Other Blood Disorders
o Breathing Problems
o Fainting (Syncope)
o Disorders of the Heart and Circulatory System
o High Blood Pressure
• Hormone Disorders
• Infectious Diseases
• Joints, Muscles, and Bones
o Back Pain
o Falls
o Foot Problems
o Osteoporosis
o Problems with Joints, Muscles and Bones
o Walking Problems
• Mental, Neurological, and Psychological Conditions
o Anxiety
o Delirium (Sudden Confusion)
o Dementia
o Depression
o Diseases of the Nervous System
o Dizziness
o Mental Retardation
o Personality Disorders
o Psychological and Social Issues
o Psychoses (Delusions and Hallucinations)
o Sleep Problems
o Substance Abuse
• Nutrition
• Sexuality and Sexual Concerns
o Gynecological (Female) Disorders
o Prostate Disease
o Sexual Problems
• The Senses
o Hearing Loss
o Vision Loss and Other Eye Diseases
• The Skin
o Pressure Ulcers (Bed Sores)
o Skin Diseases
• The Urinary System
o Kidney Problems
o Urinary Incontinence

Caregiver Heroes

The other day, my 7-year-old nephew said to my husband, “I wish I had a super power, even if it was a pathetic one like folding towels.” Of course we had a good laugh about it when he shared it with me later that day. This kid has always had a magic way of expressing himself.

Later that day, my husband said to me, “Everyday things can be super powers. Like being able to have a caring heart or feeling empathy for someone’s suffering.” I realized that this is the daily journey of caregivers. So many caregivers wish they had super powers to get through their days. When in reality, you don’t have to be a superhero; you are already an everyday hero.

Have a kind and respectful day.

Shared Suffering - Doctors and Patients Are In This Together

I was speaking to a doctor the other day who is drowning under a sea of patients. He is expected to see 25 patients in the hospital per day as well as admitting those who are coming in through the emergency room. And what makes his day even harder is waking up each morning; knowing his day is already doomed. (This is a well-meaning, good doctor who is still fighting to take care of his patients in a broken system.)

The patients and families he sees are angry that they have had to wait so long. He ends up spending most of his valuable time explaining and apologizing for the delays rather than actually taking care of the patient. If you add up 5minutes of apologizing times 25 patients; that equal about 2 hours of his workday. No wonder he doesn’t have enough time. When he is over-booked, he loses minutes each time he walks into the room.

And unfortunately, even when patients are told that he is busy handling an emergency or life-or-death situation, the patient and/or family is upset about having to wait so long. I totally understand this. We all want to be seen right away and want our needs to be taken seriously. But I think we all need to face the reality of medicine today. Our doctors are overwhelmed and we are asking for more than is possible from them.

I know this is difficult to accept. Our standards and sense of entitlement have become so high that our expectations have outgrown the system. I am not saying that you shouldn’t advocate for your health, but please bring some patience with you in the process. Bring a book to read, a game to play or your phone charger with you so you can call your friends. Most of our doctors are really trying their best. Don’t waste your valuable minutes with the doctor complaining about the wait, but get right to the point and use your time wisely. You only get a few minutes with the doctor so use them well.

Have a kind and respectful day.

There is more to the people in our lives than we can see

I went to a funeral this weekend and it reminded me how little we know about the people in our lives. As the different people stood up and told stories about how this gentleman had affected their lives, the richness of who this man had been, came alive. I realized how much more I could have learned about him and the life he had led. I truly have missed out in not getting to know this person better.

I remember when I visited my aunt and one of her caregivers showed me a picture of my aunt on her phone. This caregiver considered my aunt her best friend. I was close to my aunt and had never even heard about this person. How could this be? Was I not asking the right questions or not showing an interest in my aunt’s life? I thought I was but now I don’t know. There was much more to her than I realized. I only saw her in relationship to who we were to each other. I didn’t see the many people she touched and how she affected the world.

It would be wonderful if we could take some time out and find out something new about the people we love. Try to see them as the world sees them. Find out more about how they make a difference in the world. Or if you can, try to see their world through their eyes. The people in our lives matter in more ways than we could ever imagine.

Have a kind and respectful day.

Taking Action to Solve the Healthcare Conflict

Quote of the day by William James: “Whenever you’re in conflict with someone, there is one factor that can make the difference between damaging your relationship and deepening it. That factor is attitude.”

Taking Action to Solve the Healthcare Conflict

It doesn’t matter who is the problem or who is at fault. You have to take action now to get the conflict resolved and to move forward taking care of your loved one. If you have been part of the problem, say you’re sorry. If you aren’t the problem, don’t worry about getting an apology. You don’t have time to stay angry. Your loved one needs help. The first thing you want to do is to deal with any conflicts when they first arise instead of letting them escalate. There are problem solvers throughout the hospital: The social worker, the charge nurse, the chaplain, the bioethics committee, the hospital administrator and in some places an ombudsman. These people have been trained to help facilitate the conflicts that occur in the hospital. If the conflict is happening in the doctor’s office, then you are on your own. But don’t worry, after you read the next few pages, you will be a much better problem solver yourself.

The first thing you need to do is to look at your role in the conflict. Am I making this situation better or worse? What could I do to make this situation better? Is this how I would react on a normal day? Or am I just overwhelmed, afraid, in shock or in grief and I’m having a hard time coping with this situation? Sometimes we need to take a timeout to catch our breath before we can interact with others and make any meaningful decisions. It is normal for you to feel the pressures and weight of these decisions. When any of us are in a crisis, we are not at our best. But unfortunately, you may not have the time to process what you’re going through and be able to feel like yourself again. Sometimes we have to make the decisions while we are stressed. Let people know how hard this is for you so they will understand what you are going through.

A couple of questions, you can ask yourself, may help you begin to see the situation differently. Are you making inaccurate assumptions? Sometimes we have misunderstood or not heard correctly what has been said to us. Before you get upset, make sure that you have the right information.

Are you more interested in “being right” or “getting it right”? This is a tough one. If you are determined that your way is the only way you, then you are going to have a difficult time resolving the conflicts with the healthcare team. Too often people discover that the way they thought things should go, turns out to be a mistake. I have seen this many times when the bioethics committee comes in to help with the ethical dilemma. The doctor is determined that his way is the right way and he is frustrated that the patient will not agree. Or the patient’s loved one comes in ready to do battle. Here’s what happens. As the meeting goes on, the people in the room hear the other parts of the story that they didn’t know before. Perhaps the doctor finds out that the reason the patient doesn’t want to do the surgery is because there’s no one at home to take care of them. The patient isn’t trying to be difficult, they are just feeling helpless. Or the patient’s family finds out that they have misunderstood what the doctors said about the disease or the possibilities of a cure. Once the misunderstandings have been cleared up, people calm down and new decisions can be made.

You have a lot of power in all of these interactions. You have the power to escalate or de-escalate the anger. You might say something like, “That’s the stupidest thing I’ve ever heard.” Well you can say this but it is only going to make the other person angry and you will still be no closer to getting what your loved one needs. Instead you might want to try a different approach. You might want to say, “Let me see if I understand what you are saying.” Or, “It seems like we both are trying to achieve the same thing but in different ways. Maybe if we …” If you think there is some miscommunication going on you can say, “I heard what you said. Let me repeat it back to you to see if I have understood you correctly.”

When I tell people this idea, people will say to me, “I don’t like what they are saying and I don’t agree with what they are saying.” Of course you don’t agree. You are in a conflict. But I never said you should agree. All I said was that you should listen to their point of view. This is the secret that mediators use to solve dilemmas all the time. One of the main things a mediator does is to help the people in the room to stop and listen to each other. You are listening to figure out if there is new information you didn’t hear before, or if there is some kind of misunderstanding or if you can understand more about why the other person is so passionate about their point of view.

This is where your power is in the middle of the conflict. It is not in raising your voice or pushing for everyone to do it your way. The power comes from understanding what is really going on and hearing what the other person needs you to know about what this means to them. I will never say that to listen means to agree; not at all. It just means to listen.

When you listen to resolve a conflict, the anger and emotions will decrease and your empathy will increase. You may surprise yourself when you finally hear what they are really saying because you may find yourself feeling more compassionate and understanding of their position. You will know that the listening is working when the other person begins to calm down. The more you listen, the more you will be able to hear the deeper message behind the other person’s words. Unless you have a really bad person in the room, you need to remember that the people helping your loved one want your loved one to get better too. (If there is someone who is really bad on the healthcare team, why are you keeping them on your team? You are allowed to change who is caring for you in a hospital. You can always ask for a different doctor to be your doctor.)

You are probably not disagreeing about the goal of getting your loved one better; you are probably just disagreeing on the how. Give the person you are arguing with the benefit of the doubt and stop and listen to what they have to offer. You may like what you hear. (I have seen in many bioethics meetings that people will completely change their minds and agree with the other side once they understand what is really going on.)

You won’t be able to solve the problem until you understand the interests behind the position. What does this mean? It means that what the person is saying he wants is only part of the issue. The trick is to figure out what the demand really represents. Let me give you an example. The loved one is demanding that the patient get CPR. The doctor wants the patient to be made a DNR (Do Not Resuscitate). Now there is a conflict.

If I was helping these two to solve their conflict, I would first listen to try to figure out why it is so important to them to have their way. I would ask the patient’s loved one, “Why it is so important to have the patient get CPR?” They may tell me that they are desperate for the person to recover so they can ask for forgiveness. They haven’t been a good son and they want to say I’m sorry. Or they might say that it is against the patient’s religion to be a DNR. Or they might tell me that the patient said he would want CPR and they are trying to honor his wishes.

Do you begin to see now why what they want matters? If I can figure out why they want ____, then I can figure out how to help them. (And I figure this out by listening.) The same thing goes for the doctor. Why does the doctor want the patient to be DNR? Well perhaps the patient is close to dying and the doctor knows CPR won’t work. Or the doctor doesn’t want to prolong the suffering of the patient. Or the doctor doesn’t want to lose the business. Again, do you see why the why matters?

This is the power of listening. You can discover what is really going on behind the person’s demands and begin to figure out a way to solve it together. When you are listening, focus on figuring out what you have in common. Are you both trying to get the patient better? Are you both trying to respect the patient’s wishes? Anything you can find in common will become a starting place for problem solving.

I would like to give you a couple of quick tips to help you problem solve. The first is to separate the person from the problem. How do we do this? In these situations, it becomes a conflict between “my way” and “your way”. And we just keep battling until either one of us wins or we both get more frustrated. This doesn’t do the patient any good and it wastes our time. Let me give you an example. The patient comes in and he hasn’t been taking his medication. Usually the doctor would say, “Why haven’t you been taking your medication?” And what the doctor really means is, “Why are you being a problem?” This approach rarely works. So, instead you might want to say to the patient, “How are you and I going to solve the problem of the medicine getting into you?” The problem becomes the third person in the room. You have separated the person from the problem. Now the patient isn’t the problem, the problem is the problem. This takes the pressure off the situation and the two of you can begin to brainstorm to figure out a workable solution.

One quick note before you start brainstorming, make sure you remember to understand what the real issue is before you start. It is a waste of your time to work on solving the wrong problem. Is the patient not taking his medicine because he can’t afford it? Is he not taking his medicine because he doesn’t like the way it makes him feel? Or is he not able to cut the pill in half or open the medicine bottle? These are just a few examples of the many reasons a patient might not be taking the medications. Figure out what the real issue is and you’ll be able to solve the problem together.

The second tip is to use brainstorming to come up with more options. Brainstorming is when everyone comes up with new ideas on how to solve the problem. One technique which mediators use is to make sure the people in the conflict come up with at least three alternatives. This begins to break the conflict right away. It is no longer my way versus your way. As you begin, you can start with my way, your way or do nothing then work from there. You will find that the more options you can think of, the more likely you will be able to find a solution that people can live with. As you continue to brainstorm, you might realize that you could do a little bit of what you want and a little bit of what they want. Or you could throw out both of your plans and start again. Not only does brainstorming create a safe place to come up with new options but because you two are doing it together, it will change the experience from a combative process into a collaborative process.

Another you might want to do is to take a “time-out”. Not only does it help people calm down but in it also allows people to think about what has been discussed and to process what they have learned about the situation. We have all heard the phrase, “I have to sleep on it.” Sometimes we have to have patience and allow the other person some time to think. If you try to push someone who is not ready into making a decision, you may get a decision but it probably won’t last. The person will come back the next day and say, “I changed my mind.” I am not surprised when this happens because the person wasn’t ready to decide in the first place. Also, in some cultures, people need to go home and talk with their family or religious and community advisors. Allow people the space and time to make good decisions.

The most important part of this process is to work together. If you stay in a battle mode, you will continue to battle. When you stay in the war, the patient loses. Take responsibility for your part and make the effort to fix the situation. Be willing to say, “I was wrong. Or, I didn’t understand.” Realize that you can disagree without being disrespectful and hurtful. Figure out how you can invite this person into the problem solving process with you, especially during healthcare conflicts. You are still going to have to deal with this doctor or person on the healthcare team tomorrow. So it is better to peacefully resolve the issues than to create a battleground. Take the time to listen so you can begin to understand and empathize with the other person. You have the power to turn the conflict into an opportunity for things to get better.

Have a kind and respectful day.

One more great medical office, Kathryn Fallon and Wendy Lit, Doctors of Optometry

MY FAVORITE DOCTOR’S OFFICE, by Susan Harris

Of all the doctors’ offices I have been to, (and there have been many), there is one that stands out as being “The Best”. It is the office of Kathryn Fallon and Wendy Lit, Doctors of Optometry. I found them in a rather unscientific way. At the time, I was wearing contact lenses, and was searching for an office in my vision plan which sold them at the lowest price. I started down the list, making phone calls. In some cases I was put on hold for way too long; in others, my call was answered by someone who sounded stressed and/or annoyed. And then I called Drs. Fallon and Lit’s office. The phone was answered by the office manager, Bonnie, whose voice was friendly, welcoming, and felt like a ray of sunshine. I knew instantly that I had found the office I had been looking for.

Having now been a patient for many years, I can tell you that I always feel welcome when I walk in the door and am greeted by name. Although I have been cared for primarily by Dr. Lit, who is charismatic and caring, I have the utmost confidence in the medical care given by both doctors. I rarely, if ever, have been made to wait to see the doctor, and when I do have to wait, it is always with apologies.

I always look forward to going to this office, and have even dropped by with a special treat just to say “thank you” to everyone in the office.

Whether or not this letter is accepted as a “winner”, the doctors and staff at this office are already “winners” in my book. I sing their praises regularly.

Another great medical office, Dr. Aaron Hertel from Hertel and Brown, Erie, PA

Submitted by Andrea Reynolds for her dad, Wesley Reynolds.

My 89 year old Dad’s DPT (Doctor of Physical Therapy (Aaron Hertel) is willing to put in
a handicap parking spot at his front door so Dad can get in and out of the van more
easily. See the photo of the front door at Frontier Place: http://www.hertelandbrown.com/
Most of their patients are young athletes. We already have the Handicap Placard, just not
the place to park.

Hertel and Brown, Frontier Place, 1337 West 6th Street, Erie, PA 16505

Andrea Reynolds, THE CRISIS CLINIC
I champion for justice if you’ve been
cheated, mistreated, or swindled. Retain
me to restore your money, property, reputation.
http://www.AndreaReynolds.com/crisisbrainstorm

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