I Got the Flu Vaccine. Now I Have the Flu.

Alicia Travis, CRNP, from the Penn Adolescent and Young Adult Medicine practice discusses some known – and not-so-known – drawbacks to flu season.

Alicia Travis, CRNP

As is required for all health care workers, I got my flu vaccine in October and figured this would protect me throughout this flu season. As I am writing this, though, I am under my heated blanket with a cup of green tea in one hand and a box of tissues in the other. My throat is sore, my nose is dripping, my temperature is 100.8° F, I have a deep chest cough, and worst of all, my body aches all over.

I have the flu and I am miserable!

The reality is that influenza is an ever-changing virus with several common strains that can cause an array of troublesome symptoms. These symptoms include fever, cough, congestion, sore throat, body aches, fatigue, headache, nausea, vomiting and generalized malaise. In immunocompromised patients, or people whose immune system is not capable of resisting the infection, influenza can be a much more severe, even fatal, illness. It is for this reason that every fall, your doctor and/or nurse recommends you get that pesky needle pinch (or inconvenient intranasal spray) to be protected.

Unfortunately, like most things in life, the flu vaccine is not 100% effective. When vaccine researchers formulate the components of the vaccine, they are speculating months in advance as to which strains will be dominant that year. Therefore, the effectiveness of the flu vaccine can vary year to year based on viral resistance patterns and the accuracy of vaccine researchers’ predictions.

According to an article published by the Center for Disease Control, researchers approximate the flu vaccine is around 60% effective most years. Meaning, this leaves me, and roughly 40% of the vaccinated population, at risk of contracting influenza despite getting the vaccine. That may seem like unfavorable odds, but 60% is better than nothing.

To put this in perspective, as a nurse practitioner in a busy adolescent and young adult practice, I have seen upwards of 100 patients in the past couple months with flu-like symptoms. Influenza is very contagious and, if I had not received the vaccine, I would have certainly been at a higher risk of contracting influenza.

The key to staying flu-free is to wash your hands frequently, stay away from anyone who has flu-like symptoms, stay well rested and get your flu vaccine.

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Whooping Cough: What You Need to Know

Paula S. Barry, MD, an internal medicine physician at Penn Family and Internal Medicine Longwood, explains exactly what whooping cough is and how it can be prevented.

Paula S. Barry, MD

At one point in history – during the early 1900’s – whooping cough was one of the most common and serious illnesses affecting children. As was the case with many childhood plagues, children began to receive regular immunizations and cases of the disease dropped dramatically.

Now, partially because of waning immunity, cases of whooping cough are on the rise – and affecting people of all ages.

What is Whooping Cough?

Whooping cough, also known as pertussis, is caused by an organism known as B. pertussis. A highly contagious bacterial disease, whooping cough is characterized by uncontrollable, violent coughing, which can sometimes end in a "whooping" sound when the person breathes in.

The first symptoms are similar to those of a common cold: runny nose, sneezing, mild cough and low-grade fever. After a week or so, the dry, irritating cough can evolve into coughing spells.

In the past, this was an illness mostly seen in children who had not been adequately protected by immunizations. Over the past few years, though, there have been more and more cases of adults being diagnosed. Adults and teens with whooping cough tend to have milder or atypical symptoms, such as a prolonged cough, rather than coughing spells, or coughing without the whoop.

How Do I Protect My Family From Whooping Cough?

As stated above, anyone can be at risk of catching pertussis. Health care and child care providers, as well as parents and grandparents that may be around an infant under one year of age, are at the highest risk. It is also important for pregnant women to speak with their obstetrician about being immunized.

The best way to prevent whooping cough is to get vaccinated. The recommended vaccine for infants and children is called DTaP. This is a combination vaccine that protects against three diseases: diphtheria, tetanus and pertussis. Tetanus can cause “lock jaw” and muscle spasms, while diphtheria can cause a thick coating on the back of your throat.

Tdap, a vaccine for adolescents and adults, has been approved as a booster against diphtheria, tetanus and pertussis. It is recommended that adults get Tdap rather than their next regular tetanus booster.

If you have additional questions, talk with your health care provider. A little bit of prevention can go a long way.

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What are Patient-Centered Medical Homes?

“Patient-Centered Medical Homes are models of health care that assemble a practice team of health care professionals and staff that put the patient needs at the center.”
- Charles F. Orellana, MD

Charles F. Orellana, MD, Chief Medical Officer of Clinical Care Associates for Penn Medicine, recently discussed how Patient-Centered Medical Homes are transforming the delivery of primary care, placing the patient at the center.

Numerous Penn internal and family medicine practices have received Level III certification from the National Committee for Quality Assurance (NCQA) for providing coordinated, efficient care through the Patient-Centered Medical Home program. This Level III certification is the highest designation granted by the NCQA.

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Penn Medicine in the Community: Upcoming Events

Don't let a little bit of cold, and possibly some snowy weather, keep you from getting out of the house and enjoying this time of the year.

This winter, Penn Medicine will host or take part in numerous events throughout the tri-state area. These events provide our physicians and staff an opportunity to be closer to the people we serve and allow us to be more than simply a health care provider, but also a part of the community.

Penn Medicine Valley Forge at Wilson Farm Park Turkey Trot

What better way to begin your Thanksgiving Day than by participating in an event that benefits a great cause! Join hundreds as they run, walk or stroll to raise money for various programs within the community.

Be sure to set a few minutes aside to say “hi” to the physicians and staff from Penn Medicine Valley Forge. A state-of-the art facility, Penn Medicine Valley Forge provides expert primary and specialty health care, plus a full range of services.

Date: Thursday, November 27
Time: Race begins at 8:45 a.m.
Location: Wilson Farm Park
               500 Lee Rd.
               Wayne, PA 19087

Rittenhouse Tree Lighting Festival

Begin the holiday season with holiday entertainment, character visits, complimentary roasted chestnuts, Santa Claus and more at the Rittenhouse Tree Lighting Ceremony. Once the switch is flipped, Rittenhouse Square will be illuminated by 5,000 multi-colored globes. These lights go along with Philadelphia’s largest Christmas tree - standing at more than 30 feet tall!

Don’t forget to visit Penn Internal Medicine Rittenhouse physicians and staff to learn how they can help you and your family members stay healthy. Penn Medicine Rittenhouse is home to both primary and specialty care physicians. Patients are able to see their primary care physician, and consult with a specialist – all in one location.

Date: Monday, December 1
Time: Festivities begin at 5:00 p.m.
Location: Rittenhouse Square
               18th and Walnut Streets
               Philadelphia, PA 19103

Be Part of the Largest Holiday 5K Race Series Aimed to Fight Arthritis!

Looking for a way to get into the holiday spirit?

Dress up in your best holiday-themed costume, decorate your sneakers with jingle bells and be one of the thousands of runners and walkers who hit the pavement across the nation this winter to fight arthritis, the nation’s most common cause of disability.

The Jingle Bell Run/Walk is a national signature event for the Arthritis Foundation where thousands of people come together to run, walk, and raise money to help fight arthritis in more than 200 cities.

In Pennsauken, meet up with members of Penn Medicine Cherry Hill to fight arthritis. Penn Medicine Cherry Hill is a state-of-the-art outpatient medical facility providing expert primary and specialty health care, plus a full range of medical services.

Pennsauken Event Details
Date: Sunday, December 6
Time: Registration begins at 7:30 a.m.
Location: Cooper River Park
               7050 North Park Drive
               Pennsauken, NJ 08109

Join staff from Penn Medicine Valley Forge for the 2014 Jingle Bell Run/Walk for Arthritis on Sunday, December 14 in Malvern, PA. Penn Medicine Valley Forge is once again proud to be a sponsor for this wonderful event, alongside Penn Radiology, which has locations throughout Pennsylvania and New Jersey.

Malvern Event Details
Date: Sunday, December 14
Time: Registration begins at 8:00 a.m.
Location: Great Valley High School
               225 Phoenixville Pike
               Malvern, PA 19355

National Diabetes Awareness Month: Know the Facts

As one of the most prevalent diseases in the United States, diabetes impacts nearly 9.3 percent of the entire population. That translates to around 29.1 million Americans who have diabetes -- with 8.1 million of them undiagnosed -- according to the American Diabetes Association.

There are two common types of diabetes, Type 1 and Type 2. To understand the differences between these types and what it means for the people who have it, it’s important to first understand a few key terms they share: insulin and glucose.

What is Insulin?

Insulin is a hormone produced by the pancreas. Insulin allows your body to use the carbohydrates (sugar) it gets from food sources. It acts as a “regulator” for carbohydrates in your body and prevents your blood sugar levels from becoming too high or too low.

When you eat carbohydrates (sugars), your body either breaks them down for energy, or stores them for future energy needs.

Insulin also helps your body store the sugars and allows the body to release the sugars into your blood stream when your body needs the energy.

What is Glucose?

Glucose, a simple sugar, is an important energy source needed by all cells and organs of our bodies. Glucose comes from various foods we eat, such as fruit, bread, pasta and cereals. Within our stomachs, foods are broken down and then absorbed into the bloodstream.

Type 1 Diabetes

People with type 1 diabetes are not able to make insulin. Without this important hormone to regulate blood sugar levels, they develop high blood sugar called hyperglycemia.

If left untreated, hyperglycemia can cause long-term complications such as:

• Nerve damage
• Kidney failure
• Cardiovascular disease
• Vision problems
• Neuropathy, or nerve damage
• Infections and non-healing wounds
• Foot complications

There is no current cure for Type 1 diabetes, which is usually diagnosed in children. The Juvenile Diabetes Research Foundation and the Children’s Hospital of Philadelphia are two of the leading global organizations focused on curing Type 1 diabetes, or T1D as it’s also known.

People with type 1diabetes need to take medications (insulin) in order to help their body process carbohydrates.

Type 2 Diabetes

People with type 2 diabetes have insulin in their bodies, but are unable to use insulin effectively. Over time, they become more and more insulin resistant, and their pancreas produces less and less insulin.

Like type 1 diabetes, if left untreated, people with diabetes can experience serious complications such as:

• Nerve damage
• Kidney failure
• Cardiovascular disease
• Vision problems
• Neuropathy, or nerve damage
• Infections and non-healing wounds
• Foot complications

Type 2 diabetes can be prevented or delayed by maintaining a healthy weight, staying active and eating a healthy diet. Type 2 diabetes is usually diagnosed in adults; however, more children are being diagnosed with type 2 diabetes.

People with type 2 diabetes may need a combination of medications to get their blood sugar levels stable. Depending on the severity of their blood sugar levels, people with type 2 diabetes may also be able to manage their disease with diet and exercise.

Diabetes treatment at Penn

Endocrinologists at the Penn Rodebaugh Diabetes Center specialize in the diagnosis and treatment of type 1 diabetes, type 2 diabetes, pre-diabetes, gestational diabetes (diabetes during pregnancy) and other related conditions.

They work closely with patients’ primary care providers to treat and manage diabetes and related conditions.

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Managing Holiday Stress

Elizabeth Y. Fung, DO, a primary care physician at Spruce Internal Medicine, located at the new Penn Medicine Washington Square building, discusses healthy tips for managing stress during the holiday season.

As the brilliant colors of the fall foliage fade and the crisp winter air settles in, a flurry of activities begin and it is now time to prepare for the holidays.

The holiday tradition started as a period of time set aside for religious or cultural celebrations. Today, many of us have an unrealistic or overly romantic notion of what the holidays should be, and often aren’t.

To help, here are a few tips to rekindle the holiday spirit:

Planning

• Put together a list of what you expect from the holidays and be realistic with what can be accomplished.
• If you’re looking to take it easy over the holidays, consider a vacation or simply a ‘stay-cation.’ Take it easy and relax, refresh and re-energize.
• If family, friends and feasts are on your holiday horizon, prioritize commitments and schedule them on your calendar. Don’t forget to include time for rest and relaxation.
• Plan your travels – purchase tickets in advance and arrive early for departure.

Holiday Gatherings

• If you’re hosting a holiday party, divide up the menu and give guests an opportunity to prepare and “show off” one of their favorite dishes.
• Prepare in advance – I have a patient who bakes 20 pies the week before her holiday parties in preparation to give to friends and relatives.
• Those who break bread make bread together - Share in the peeling, dicing, chopping and cleanup in the kitchen. It is a great opportunity for everyone to catch up while preparing the meal.
• Purchase prepared menu items to reduce the amount of cooking and increase the amount of family time.
• Avoid overindulgence - have a healthy snack before your holiday parties, continue to exercise and get a good night’s sleep.

Gift Giving

• Set a budget. You will be surprised how creative you can be with a budget in place.
• Ask people what they want for the holidays. This eliminates the guesswork and holiday returns.
• Online shopping – Shop at your leisure. Last year, I did most of my shopping online while on the train to/from work!
• Get creative with gift-giving. During my medical training, I gave my brother and his wife a “gift certificate” redeemable for a weekend of babysitting my nieces and nephews.

Holiday Blues

• Surround yourself with family and friends if you’re feeling lonely and sad. Reminiscing about the past, the loss of loved ones or being away from home during this time of the year can be difficult.
• Volunteer – Helping others can help us better appreciate what we have.
• Despite your best efforts, if you find yourself feeling severely anxious, persistently sad or hopeless and these feelings are affecting your daily activities, please talk to your doctor.

The holidays are an exciting time celebrating with family and friends. With some planning and a positive attitude, it is possible to be jolly during this season and to find peace and joy as we celebrate.

Happy Holidays!

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Tips To Stay Active This Fall

It seems as though everything is just a bit easier during the summer. People tend to be a little more laid back at work, there are less people on the road because many are on vacation and, with the added sunlight and warm temperatures, being active seems to be much less of a hassle.

Autumn, though, is here. Say goodbye to the warm temperatures and hello to shorter days and cooler weather. Perhaps it’s the fewer hours of sunlight, but this time of the year seems to be when many go into hibernation and ease up on their active summer lifestyles.

This doesn’t have to be the case as there are many fun things to do to stay fit during the cooler months.

“The change of seasons is a good time to focus on health and wellness goals," said Ngozi Onuoha, MD, FACP, of Penn Internal Medicine Mayfair. "Autumn is a great season to walk. Walking is a great form of exercise that does not require much preparation."

Here are some other tips to keep you moving and feeling healthy this fall.

• Make exercise fun: Autumn is synonymous with harvest season. What better way to stay active than to go pumpkin or apple picking with your family or friends? For the younger ones (or those simply young at heart, take part in physical activities such as corn mazes and haunted trails.
• Sign up for a holiday run: Fall is the season in which many fun runs and events occur. Participate in Halloween runs, turkey trots, reindeer romps, etc. Setting a specific goal, such as a race to train for, increases adherence to an exercise program. Signing up with friends or family will motivate you even more.
• Enjoy the colors: Grab a friend, and find a local park that has great trails to walk, run, or ride a bike on.
• Go to a farmer’s market: Many of the root vegetables are in season and are inexpensive. Grab some apples while you’re at it as they’re rich in antioxidants and flavanoids, both of which can reduce cholesterol.
• Take advantage of the cooler weather: Play catch, walk the dog, get a group of friends together to play ultimate Frisbee or touch football.
•  Make Fall chores fun: Raking your lawn can be a real workout. Have fun with it (perhaps by jumping in the leaves??).


Tell us how you plan on staying active this Fall.
Leave your thoughts below.

Is it Fall Allergies or a Cold?

Fall Allergies or a Cold?

The cooler temperatures have arrived and you aren’t feeling too well. You can’t stop sneezing, sniffing and coughing?

So, what’s the deal? Is it allergies? Are you sick? Should you be scheduling an appointment with your doctor?

Before picking up the phone, it’s important to know the difference between the two. The common cold is typically the result of a viral respiratory tract infection, but an allergy is a hypersensitivity disorder when a person’s immune system reacts to normally harmless substances in the environment.

“You should make an appointment to see your doctor for any cold symptoms that last more than 1-2 weeks, or for any persistent allergy symptoms that do not respond to over-the-counter antihistamines,” said Lauren Strohm, DO, of Penn Medicine Valley Forge.

Contrary to what many think, spring is not the only allergy-prone season. As the temperatures begin to dip, many experience the effects of allergies similar to how they would in the spring.

Ragweed is the biggest culprit as it can travel hundreds of miles in the wind. While the yellow-flowering weed usually starts releasing pollen in August, it can last well into September and October. Nearly three-quarters of people who are allergic to spring plants are also allergic to ragweed.

Another fall trigger is mold. Many think of mold growing in their basement or bathroom, but mold spores also love outdoor wet spots such as piles of damp leaves.

Dust mites tend to get overlooked this time of the year, but can be allergy trigger for many. Although they are more common during the humid summer months, they can get mixed into the air when the individuals begin to use their heat.

Tips to Tell the Difference 

• Do you have a fever? If yes, you are dealing with something more than allergies. A fever is never a feature of an allergy.
• Itchiness and watery eyes? Although not always the case, this usually points to an allergy rather than a cold.
• A cold is usually self limiting (symptoms cease in a predictable manner), but an allergy needs interventions and treatment.
• Are others around you sick? A cold is contagious, while an allergy is not.
• How long have you not been feeling yourself? Colds can last a long time, usually between 1-3 weeks. Allergies, though, can stick around for a few days or months if an individual is continuously exposed to the allergen.
• When did the symptoms start? Symptoms of a cold take a few days to develop after the viral infection, but allergic symptoms begin immediately after the exposure.

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Get Fit While at Work

These days, it seems as though more and more people are working longer hours and using the old "no-time-to-exercise" excuse.

Unfortunately, this lack of physical activity can be harmful to your health, as it increases the risk of obesity, back pain, poor posture, leg cramps and tense muscles, among other things.

"The most profitable investment you can make in life is in your physical fitness," says sports medicine Michael C. Schettino, MD. "Any type of physical activity can improve an individual's health."

Wouldn't it be great if you could find a way to fit in some type of workout during those 8+ work hours?

Well, the good news is…you can. It just requires a slight change in how you work or get to work, to make a meaningful improvement.

Cardio

Schedule walk-and-talk meetings. Who says a meeting needs to be held around a table? Take a brainstorming stroll with a colleague. If you need to take notes, schedule the meeting at a park where you can sit on a bench.

Avoid the elevator. The Centers for Disease Control and Prevention recommends adults get two hours and 30 minutes a week of moderate-intensity exercise to stay fit. Stair climbing for just 10 minutes, three times a day, for example, will total 30 minutes of heart-strengthening exercise, putting you well on your way to reaching that mark.

Take a stand. Set a timer to remind yourself to get out of your chair every 30 minutes. Use this time to walk to the water cooler or check in on a project.

Flexibility

Reach for the sky. Sitting at a desk all day can lead to neck pain between the shoulder blades. You can reduce the pain by reaching both arms up to the ceiling and arching your back. Then bring your arms down and stretch forward, opening the upper back. Do this every 20 minutes.

Stretch out your shoulders. Sit straight in your chair and reach one hand behind your back with your palm out. Then reach your other hand up and bend it down, trying to touch both hands. Hold for 10 seconds.

Point your fingers. Typing for eight straight hours can be harmful to your hands, wrist and forearms. Stretch one hand in front of you, pointing your fingers toward the ground. Use your other hand to gently push your fingers down and toward your body. Repeat on the other side. Then, stretch your hands upward doing the same.

Strength

Tone your arms wherever you can. A great way to sneak fitness into your day is to do a few push-ups here and there. Remember, all you need is a flat surface – and it doesn’t need to be horizontal. Simply lean against a wall, desk or other sturdy surface and get a few reps in.

Rise up out of your chair. Even if you are stuck in your chair all day, you can still get some core work in. Throughout the day, simply lift yourself off your chair with your arms.  If your chair is on wheels, it'll be even harder to hold your body still.

Get your legs up. While sitting in your chair, extend one leg out straight in front of you and hold for a few seconds. Then raise it up as high as you can and hold it again for a few seconds. Repeat with each leg multiple times.

These simple actions can significantly increase your physical health. Squeezing in a little exercise also improves concentration and could actually improve your productivity. Also, don't forget…

"The steps taken to improve physical fitness today will increase the likelihood of climbing the future steps of tomorrow," said Dr. Schettino.

Interested in more helpful tips for staying healthy? Check out our Patient Resources section.

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Why Primary Care Is So Important

“At Penn Medicine, our goal is to have long-term relationships that span many, many years and really give the ability for the patient and their primary care provider to bond together with the goal of ultimately giving them a good experience and great outcomes.”
- Ronald Barg, MD

The relationship you build with your primary care physician is one of the most important you’ll ever have. At more than 30 locations throughout the region, Penn Medicine primary care physicians partner with patients to provide the highest level of care.

Ronald Barg, MD, Executive Director of Clinical Care Associates recently discussed, among other things, the various types of practices that fall under the primary care umbrella and how Penn Medicine is making it easier for patients of all ages to receive personalized care in their neighborhood.

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Penn Medicine In the Community: Upcoming Events

This fall, Penn Medicine will host or take part in numerous events throughout the tri-state area. These events provide our physicians and staff an opportunity to be closer to the people we serve and allow us to be more than simply a health care provider; it allows us to be part of the community.

September 8-9: Kennett Square Mushroom Festival
September 19: Street Fare
September 21: Penn Medicine Valley Forge Fall Festival
September 21: Yardley Harvest Day
September 28-29: Woodbury Fall Arts Fest

Penn Primary Care Practices at Kennett Square Mushroom Festival: Sept. 7-8

Voted one of the top festivals in Pennsylvania, the Kennett Square Mushroom Festival returns for the 28th consecutive year. Mushroom lovers from across the country come to celebrate with a two-day festival of food and family fungi, which includes a parade, competitions, music and over 200 vendors.

Visitors will also be able to:

• Taste soups and other mushroom dishes
• Meet celebrity chefs
• Tour local farms

While enjoying the festivities, be sure to visit one of the several participating Penn Medicine practices. Meet Penn physicians and staff and learn how each practice can help you and your family members stay healthy.

Practices in attendance:

Penn Family Medicine Kennett: With an emphasis on disease prevention and promoting healthy lifestyles, this practice provides care for the whole family, from childhood on.

Penn Internal Medicine East Marshall Street: Comprised of six board-certified internal medicine physicians and a physician’s assistant, this practice offers the personal attention patients deserve. Several physicians are bilingual and the practice offers same day appointments.

Penn Family Medicine West Chester: This team of board-certified physicians offers quality care and excellent service for men, women and children.

Date: Saturday and Sunday, September 7-8
Time: Saturday: 10:00 am-7 pm Sunday: 10:00 am-5 pm
Location: 114 W. State Street, Kennett Square, Pa. 19348

Penn Medicine Chestnut Hill at Mt. Airy Street Fare: Sept. 19

For the third year in a row, Mt. Airy will host a fantastic food-centric evening street festival. Come out to Street Fare and sample tasty food and beverages from gourmet food trucks and local restaurants along historic Germantown Avenue.

Visitors will also be able to:

• Check out over 40 food trucks and restaurants
• Sip on craft-brewed beer, wine and cocktails
• Meet local crafters and enjoy live entertainment

While enjoying these great street eats, stop by our Penn Medicine Chestnut Hill table to chat with physicians and staff about all of the health care services Penn has to offer in Chestnut Hill.

Penn Medicine Chestnut Hill has been a part of the community for over 20 years and the physicians and staff pride themselves on developing long-term, meaningful relationships with their patients.

Date: Thursday, September 19
Time: 6:00-10:30 pm
Location: 7000-7200 Germantown Ave Mt. Airy, Pa. 19119

Penn Medicine Valley Forge Fall Festival on Sept. 21

Join physicians and staff of Penn Medicine Valley Forge for the 3rd annual Fall Festival. The day will be filled with fun for all ages as kids can enjoy a bounce house, games, music, face painting and more! Numerous local vendors, including the Tredyffrin Township Police Department, the Valley Forge Running Company and others, will also be there with giveaways and activities.

Visitors will also be able to:

• Take a tour of the state-of-the art facility
• Check their blood pressure
• Enjoy tasty food and drinks
• Talk with physicians from a number of departments

Are you a runner? An early riser?
Begin the day by joining Penn Medicine Valley Forge in support of the TE/Conestoga Football Scholarship 5K Run/2K Walk. The event starts at 9:00 am. Sign up at: www.runtheday.com search: Conestoga

Date: Saturday, September 21
Time: 10:00 am - 1:00 pm
Location: Penn Medicine Valley Forge 1001 Chesterbrook Boulevard Berwyn, Pa. 19312

About Penn Medicine Valley Forge

Penn Medicine Valley Forge is a state-of-the art facility providing expert primary and specialty health care, plus a full range of services. Penn Medicine Valley Forge has primary care and specialty care physicians; as well as an on-site laboratory, radiology services and, now, the Abramson Cancer Center at Valley Forge.

Penn Medicine Bucks County at Yardley Harvest Day: Sept. 21

Check out one-of-a-kind craft artwork and handmade pieces offered by over 100 exhibitors, delicious food vendors, entertainment and community-sponsored booths at the 44th annual Yardley Harvest Day Festival.

While enjoying the festivities, visit the Penn Medicine Bucks County physicians and staff table to learn about the multiple health care services offered at one convenient site, located in Yardley, Pa. Patients and their families can see their primary care physician, consult with a specialist, get lab work and radiology services all in one place.

Date: Saturday, September 21
Time: 10:00 am-5:00 pm
Location: Downtown Yardley Pa. 19067

Penn Medicine Woodbury Heights at Woodbury Fall Arts Fest: Sept. 28-29

Stop by and visit Penn Medicine Woodbury Heights physicians and staff at the 2nd annual Woodbury Fall Arts Fest! The FAF is a weekend-long, free celebration of the arts, consisting of over 300 artists, artisans & craftsmen. There will be a special Starlight Concert on Saturday evening, beginning at 7:00 p.m.

Visitors will also be able to:

• Check out five stages of music, including solo acoustic artist Meghan Knight and Philadelphia-based alternative folk band The Hundred Acre Woods
• Enjoy gourmet foods, a wine and cheese experience and a chili cook-off
• Participate in craft beer tasting
• Enjoy interactive fun for kids and adults 

At the Penn Medicine tent, check your blood pressure and learn more about Penn Medicine Woodbury Heights. As a multi-specialty location, this site includes primary care and specialty care physicians, on-site laboratory services, and physical therapy.

Date: Saturday and Sunday, September 28-29
Time: Saturday: 11:00 am-6:00 pm | Starlight Concert 7:00 pm-10:00 pm
Sunday: 12:00 pm-4:00 pm
Location: Woodbury, NJ 08096

How to Beat the Summer Heat

Lori M. Noble, MD, a primary care physician at Spruce Internal Medicine, located at the new Penn Medicine Washington Square offers tips on how to stay safe in the summer heat.

Lori M. Noble, MD

Summer is a time for family fun in the sun, lazy days by the pool or ocean and countless outdoor activities.

As the summer heat beats down, though, it can sometimes seem like it’s impossible to stay cool. Not only can it be uncomfortable, but in some cases, it can actually be serious or even life-threatening. It is important to be able to recognize the signs of both heat exhaustion and heat stroke, and to know how to treat and prevent them.

Heat exhaustion is due to either not having enough water or salt in the body, both of which come from a combination of excess sweating and lack of hydration. Common symptoms that you should be on the lookout for include:

• Pale skin or cool, moist skin with goose bumps when in the heat
• Fatigue
• Confusion
• Dizziness
• Fainting
• Headache
• Muscle cramps
• Nausea
• Heavy sweating
• Dark-colored urine, (a sign of dehydration)
• Rapid heartbeat

If you or someone you know is experiencing these symptoms, the most important step is to get out of the heat as quickly as possible. Preferably, get to an air-conditioned space or at least out of the sun. Then, drink water, remove tight clothing and take a cool bath or shower. If the symptoms continue for more than 30 minutes despite these treatments, call your doctor. If untreated, heat exhaustion can progress to a more dangerous heat-related illness, called heat stroke.

The common symptoms of heat stroke are:

• Body temperature over 105° F
• Throbbing headache
• Dizziness and light-headedness
• Lack of sweating despite the heat
• Red, hot and dry skin
• Muscle weakness or cramps
• Nausea and vomiting
• Rapid heartbeat (which may be either strong or weak)
• Rapid, shallow breathing
• Behavioral changes (such as confusion, disorientation or staggering)
• Seizures
• Unconsciousness

If you see someone demonstrating these symptoms, immediately call 911. While waiting for the paramedics to arrive, some simple first aid should be administered, which can be life-saving: fan air over the patient while wetting his or her skin with water from a sponge or hose, apply ice packs to the patient's armpits, groin, neck and back to help reduce body temperature, and if the patient is conscious, help them get into to a shower or tub of cool water, or an ice bath.

Preventing heat-related illness is just as important as being able to recognize and treat the common symptoms. Children under age four and adults over 65 or with chronic medical illnesses (like heart disease, lung disease, kidney disease, and diabetes) are at increased risk for both heat exhaustion and heat stroke, so be sure to check in on your loved ones during these hot summer months.

When the temperatures soar above 90 degrees, encourage people without air conditioning to go to a public place that does have air conditioning, like a shopping mall or senior center.

Finally, keep plenty of water on hand and always wear loose, breathable clothing.

Taking these simple steps can help insure that you and your loved ones have a healthy, happy summer.

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Ticked About Lyme Disease?

Awareness and Prevention are Key.

The weather is warmer, the days are longer and all you and your family want to do is spend time outside. It really doesn’t matter if it’s hiking, camping, or playing sports -- as long as you are outdoors-- you are happy. It is important to remember that higher temperatures and the more time you spend outside increases the risks of being bitten by a tick and contracting Lyme disease.

Lyme disease is caused by the bacterium Borrelia burgdorferi, which is transmitted to humans from the bite of the deer tick. Most Lyme disease in the northeastern United States occurs during summer or fall, when the small nymphal ticks are most prevalent.

The early stage of Lyme disease is usually marked by one or more of these signs and symptoms:

• Tiredness
• Chills and fever
• Headache
• Muscle and/or joint pain
• Swollen lymph glands
• A characteristic skin rash (erythema migrans)

When caught early, Lyme disease is highly treatable and curable with a single course of oral antibiotics. If the disease is left untreated, it can cause neurologic complications, including facial palsy, numbness, tingling and headaches, abnormal heart rhythm and large-joint arthritis.

Tips to avoid ticks

• Wear light-colored clothing. You’ll have a better chance of spotting a dark tick crawling around.
• Wear high socks, sneakers and long pants. Tuck your pant legs into your socks, your shirt into your pants and avoid wearing open-toed shoes to minimize areas where ticks can find its way to your skin.
• Use insect repellents. Apply repellent to any skin that is unprotected. You may need to apply every few hours. Make sure to avoid contact with your eyes!
• Shower or bathe within two hours. If possible, always wash off within a couple hours after being outdoors to wash away loose ticks. Do a daily tick check. Search all the places ticks love to hide: your hair, under your arms, between your legs, behind your knees and in your belly button.
• Don’t forget about the kids and pets. Be sure to check any children and pets before they enter the house. Ticks can easily drop off on carpets and furniture.
• Check all gear. Thoroughly examine all items you brought with you on your trek.
• Wash and dry your clothes. It is possible for ticks to survive the washing machine, even if hot water is used. Always dry your clothes in a dryer on high heat for an hour as well.
• Create a tick-free zone at home. Mow your lawn frequently, stack wood neatly and in a dry area and discourage animals by putting up fences. It is also good to keep playground equipment, decks, lawn chairs, etc. away from yard edges and trees.

“While Lyme disease can seem frightening, it is preventable! If you are vigilant about looking for ticks, and can pull the tick off the skin within 48 hours of the exposure, you can't get Lyme disease from that tick. If you're not sure how long the tick was on your body before you were able to remove it, contact your doctor to discuss a one-time dose of an antibiotic to help prevent the symptoms of Lyme disease from developing,” says Lori M. Noble, MD, a primary care physician at Spruce Internal Medicine.

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The Benefits of Physical Activity

Risha Hertz, APNC, discusses the numerous health benefits of keeping an active lifestyle. Risha practices at Penn Family Medicine Gibbsboro.

Risha Hertz, APNC

For many of us, as kids, our parents probably sounded like a broken record: Go outside and play! Sitting inside and watching television is not good for your health.

As it turns out, they were right. Being sedentary or not really engaging in any physical exertion, can take a toll:

“Regular physical activity greatly helps many of the body’s systems function better,” said Risha Hertz, APNC. “For those that aren’t very active, they face increased chances of becoming overweight and developing a number of chronic diseases.”

“For my patients that are just becoming more active, it is a joy to see the positive effects just days into their individualized activity program.”

Below are just a few of the benefits of regular exercise and living a healthy lifestyle.

Controls weight and improves appearance. Perhaps most important, exercise can help prevent excess weight gain or help you to maintain weight loss. Adding muscle also helps your body look lean and toned. Exercise also makes you sweat, which purges the body of toxins that can clog pores and plague your skin with pimples and blemishes.

Strengthens mental acuity. According to the Centers for Disease Control and Prevention, research has shown that doing aerobics or a mix of aerobics and muscle-strengthening activities three to five times a week gives you numerous mental health benefits. Regular physical activity can help improve your thinking, learning, concentration and reaction time as you age. It can also reduce the risk of depression and may help you sleep better.

Gives you an energy boost. Exercise and physical activity transport oxygen and nutrients to your tissues and help your cardiovascular system work more efficiently. When your lungs and heart are working more efficiently, you have more energy.

Reduces risk of injury. Exercise is critical for strong muscles and bones. As you age, muscle strength declines, but studies show that people who exercise on a regular basis are stronger and leaner than others in their age group. Because muscles act as both cushions and shock absorbers for your joints, strong muscles help to protect joints, improve balance and can help reduce the pain of arthritis.

Reduce risk of disease. Two of the leading causes of death in the United States are heart disease and stroke. Living an active lifestyle increases your high-density lipoprotein (HDL), or "good," cholesterol and decreases unhealthy triglycerides. This combination, which helps blood flow, decreases the risk of cardiovascular disease. Regular activity can also help prevent a number of other health concerns, including stroke, metabolic syndrome, type 2 diabetes, depression, some types of cancer and arthritis.

Now that you know the positive effects of living an active lifestyle, how do you get started?

“At Penn Medicine, we partner with our patients to develop individualized activity programs that will work for them,” said Hertz. “Many think that they have to go to the gym for half an hour to an hour and perform weight lifting and cardio. Formal activity is great, but is not for everyone. My patients and I explore ways in which they can become more active throughout the day as much as possible.”

If you haven’t exercised consistently in some time, you might want to talk to your primary care doctor first.

Need help finding a primary care doctor in your area?

Already a Penn patient? Use Penn’s Goals for Healthy Living worksheet at your next primary care appointment to help determine and track your activity goals.

Men: It's Time to Make Health a Priority

Raza Ahmad, MD, discusses the importance of men’s health. Dr. Ahmad practices at Delancey Internal Medicine, now located at Penn Medicine Washington Square.

Raza Ahmad, MD

When it comes to taking care of the house, men will clean the gutters, cut the grass, fix leaky pipes and do many other things to make sure it “stays in good shape”. But, when it comes to their own well-being, they are sometimes less motivated to put the same amount of effort into it. Perhaps this sounds like your dad, brother, son, husband or, even, yourself?

The summer is a great time to remind the men in your life about the importance of getting annual check-ups, proper screenings and taking a look at their overall approach to good health. Make sure that they look as good from the inside as from the outside.

Even if feeling healthy, it’s important to have annual check-ups. This gives your physician the opportunity to obtain a detailed medical history and a thorough physical exam. Additionally, we will collect baseline blood work, including cholesterol, and refer you for proper screening tests, if needed.

With these wellness checkups, potential problems can be identified before they become serious. This also gives you and your physician an opportunity to build a relationship, which will help you and your care team stay ahead of any issues. Should a health situation arise, these previous interactions will help your care team develop a personalized and focused treatment plan.

Your doctor can also provide advice on a proper diet and the best ways to exercise by taking into account your age, weight and family history.

Timetable for Maintaining Good Health

Below is a basic guide providing general medical evaluations for adults. This guide does not take into consideration any existing symptoms, chronic conditions or family history.

If you have any specific questions, your regular well checkup would be the time to ask. Playing catch up in the bottom of the ninth inning with two outs is not a position you want to be in when it comes to your health. Preventative medicine is the best medicine!

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How to Have Your “Cake” and Eat It, Too

Lori M. Noble, MD, a primary care physician at Spruce Internal Medicine, located at the new Penn Medicine Washington Square building, offers tips on how to satisfy your sweet tooth and do so in a healthy way.

Lori M. Noble, MD

For those that don’t know me, I have a bit of a sweet tooth. Ok, I'm a dessert-a-holic. But, throughout my medical training, I became more aware of the potential detriment this habit of mine could have on my health. It is estimated that diabetes affects 382 million people worldwide and the prevalence continues to increase in every country.

Among adults in the United States, the estimated overall prevalence of diabetes ranges from 5.8 to 12.9 percent. One very large, well-respected study - the community-based Framingham Heart Study- has found that the incidence of type 2 diabetes doubled from the 1970's to the 1990's. Diabetes is one of our country's leading health problems, and as I learned more, I decided I didn't want to become a statistic.

So, over the years, I've found creative ways to satisfy my craving for sweets without breaking the sugar bank. Here are some of the tasty tricks I've developed to make dessert both delicious and healthy:

• Fruit crisp/cobbler: Slice up a banana or an apple and brown it in a sauté pan that has been sprayed with some non-stick cooking spray. Sprinkle with cinnamon and put the warm fruit over ½ cup of granola. Add two tablespoons of low-fat whipped topping – delicious!
• "Ice cream": Freeze the older, brown bananas that you would normally wind up throwing out. Once frozen, grind them up in a food processor until they are smooth and creamy. You now have what tastes and looks like ice cream without the added sugar and fat! Mix in whatever you'd like – berries, some crushed graham crackers, a tablespoon of chocolate chips…the possibilities are endless!
• Oatmeal truffles: Mix one cup of instant oats with ½ cup of dried figs, dates or raisins, two tablespoons of skim milk, one tablespoon of honey and cinnamon in a food processor. Once well mixed, form into balls, roll into coconut flakes (optional) and chill in the fridge for 30 minutes.
• Bread pudding: Take two pieces of whole wheat bread (stale or fresh) and break them into small pieces, set aside. Mix ¼ cup of egg whites, two tablespoons of raisins, ½ teaspoon of salt, cinnamon to taste and one tablespoon of melted butter. Pour the mixture over the bread, transfer to an oven-safe dish and bake at 350 degrees until warm, about 15-20 minutes.

For those looking for store bought options that don't require preparation, here are two of my favorites:

• Skinny Cow: Skinny Cow ice cream sandwiches or ice cream popsicles. They typically run between 100-150 calories and are very satisfying.
• Weight Watchers muffins: Add a side of fresh fruit and you've got a high fiber, cake-like dessert.

So next time you are looking for something sweet, try one of these healthy, satisfying options that have earned high praise in my house and should do the trick in yours.

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What to Expect at Your Annual Physical, Part 2: Vaccinations

Lori M. Noble, MD, a primary care physician at Spruce Internal Medicine, located at the new Penn Medicine Washington Square building, discusses what to expect at your annual physical. This is a two-part series. Interested in part 1? Check it out now.

Lori M. Noble, MD

As adults, many of us cannot recall the last time we had to get a routine series of vaccines. Maybe we just have a vague recollection of needing shots before college or before accepting a new job.

That being said, vaccines are an extremely important part of routine care well into adulthood. Some vaccines continue to be recommended for all age groups, while others are offered only at certain age milestones or in those with certain health conditions.

It is important to know what vaccines you may be eligible for, and remember, it’s just a sting or a pinch today that can help prevent disease tomorrow.

HPV vaccination (aka Gardasil)

WHO: Males and females from age 9-26.
WHY: To protect you from four strains of the Human Papilloma Virus, two of which cause genital warts in men and women, and two of which can lead to cervical cancer in women.
NOTES: 1) The HPV vaccine is a series of three shots. The second is given two months after the first and the third is given four months after the second. 2) Not all insurance companies are consistently covering the vaccine for young men, so check with your insurance company before visiting your doctor.

TDaP vaccination (aka Adacel, Boostrix, Daptacel)

WHO: All adults age 19 and older should receive a single dose of Tdap to replace a single dose of the “every 10 year” Td booster.
WHY: To boost protection against Pertussis (which is the infection that causes whooping cough in children), in addition to boosting protection against Tetanus and Diphtheria. There has been an increase in whooping cough in children because as adults, our protection (i.e immunity) against the infection goes down. We can then transmit it to children who are not fully vaccinated.
NOTES: All pregnant women should receive the vaccine with each pregnancy, regardless of prior vaccination.

Flu vaccination

WHO: All adults once per year (typically August-February).
WHY: To protect against the influenza virus and complications, such as pneumonia.
NOTES: There are multiple kinds of flu vaccines, and your doctor will recommend the best one for you based on your age and any other medical conditions you may have.

Pneumonia vaccination (aka Pneumovax)

WHO: One time in all adults age 65 and older AND in all adults under age 65 with any of the following: diabetes, COPD (i.e. emphysema), HIV, heart failure, asthma, chronic hepatitis, cancer or current smokers. WHY: To protect against potentially deadly pneumonia infection and its complications.
NOTES: 1) If the vaccine is given before the age of 65 for any of the above conditions, a second dose should be given as a booster at age 65. 2) In those adults whose immune systems are poor (i.e. cancer patients on chemotherapy), a booster should be given every five years, regardless of age.

Shingles vaccination (aka Zostavax)

WHO: One time in all adults, age 60 and older, who have ever had chickenpox (or whose chickenpox history is unknown).
WHY: To protect from the reactivation of the chicken pox virus, which can cause a painful, blistering rash, called shingles. The rash can leave behind permanent nerve damage at the site of the rash, leading to chronic pain.
NOTES: 1) Adults whose immune systems are very poor should not get the vaccine. 2) The CDC (Centers for Disease Control) currently recommends vaccinating all adults over the age of 50, but insurance companies are currently not approving the vaccine for those between the ages of 50-59. 3) If you have Medicare, you may need to get this shot administered at your local pharmacy, NOT in the doctor’s office, in order to be covered by insurance. Ask your doctor or your pharmacist if this applies to you.

The relationship you build with your primary care doctor is one of the most important you’ll ever have. Primary care providers are there to listen to your special concerns and help you make informed decisions about maintaining your health. If you have additional questions, please speak with your physician.

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Spring into Good Health

Spring is here - at last! The flowers are blooming, the sun is shining and people seem to have just a little extra hop in their step. But if you're still finding it difficult to get out of hibernation mode, Penn Medicine offers some spring wellness suggestions to help:

Get Up, Get Out and Get Active

It can be hard to get back into the swing of things, especially after the harsh winter many of us just endured. Your body, though, will thank you once you get out into the fresh air. Go for a jog, hike, walk the dog, do some yard work, anything that gets your body moving.

Ever think about trying a 5k or 10k run/walk? Now is the perfect time to sign up and give it a shot. Check out a few upcoming runs sponsored by Penn Medicine.


Set goals for yourself in terms of the amount of activities you want to do in a week and have fun reaching them.

Eat Healthier

We know, it's easier said than done. But here's really why: with the additional outdoor activities you’ll be enjoying in the nice weather, your body needs more vitamins and nutrients. Spring is when many different fruits and vegetables come into season, which means your grocery store will be stocked with all kinds of produce. Take advantage of these fresh foods by integrating them into your diet. Not only are they good for you, but they will give you extra energy.

Be Prepared for Allergy Season

We all know the saying, “April showers bring May flowers”. For those that are prone to sniffles and sneezes as the weather warms, now is the time to prepare a plan of defense.

Although the thought is to open windows and allow some fresh air to come in, this can have consequences to those suffering from allergies. By keeping windows closed during this time of year, you can reduce the amount of pollen entering the house. It is also recommended that you change filters in air conditioning units and vents frequently throughout springtime.

When venturing outside, wear sunglasses and a hat to block pollen from landing on your head or entering your eyes. After being outside for an extended period of time, be sure to shower to remove any pollen from your hair and skin.

Finally, talk to your doctor about a seasonal allergy drug that may be appropriate for your symptoms. Or, just schedule an appointment before the season really kicks in.

Get Ready for Spring Cleaning

Did you know there are health benefits to spring cleaning? Not only can spring cleaning help reduce sneezing and sniffling by removing dust buildup, it can also help your mental health. By living in a clutter-free environment, you can reduce stress and anxiety. Remember that spring cleaning needs to be an ongoing activity because of the additional foot traffic, pollen, etc.

A few tips to guide your cleaning:

• In an attempt to control pollen, wash bedding every week in hot water.
• Wash throw rugs every couple weeks to reduce mold.
• Change filters in air conditioning units and vents every 30-60 days.

Work Out With Your Dog

Taking long walks or runs with your dog can help both of you stay in shape! The recommended time per day for walking your dog is 30 minutes. Just think, you can burn calories and enjoy time with your pup. In fact, a 140-pound woman walking at a leisurely pace for a half an hour can burn up to 100 calories! Of course your pet benefits as well.

Benefits of getting fit with your dog include:

• Motivation to exercise – there's nothing like an workout partner who's waiting by the door with a wagging tail to keep you motivated!
• Helps digestive system – a brisk walk can help aid digestion after a big meal.
• Increased cardiovascular fitness – steady movement can get your heart rate up and can help lower blood pressure.
•  Improve balance and coordination.

All the above benefits go for your dog as well. In addition, this time together strengthens the bond between you and your pet, and leads to a strong, trusting relationship.

Spring brings many opportunities, so say goodbye to snow shovels and warmer jackets and say hello to extended days and new outdoor adventures. Like all good things, this time of year is fleeting. So be sure to make the best of it!

For more helpful tips and information, check out Patient Resources section.

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Penn Medicine in the Community: Upcoming Spring Events

This spring, Penn Medicine will take part in numerous events throughout the tri-state area. These events provide our physicians and staff an opportunity to be closer to the people we serve and allow us to be more than simply a health care provider; it allows us to be part of the community.

Click on the image for a printable calendar

Saturday, March 15: Philadelphia More Beautiful Committee’s Annual Block Captain Rally
Saturday, April 5: Zumbathon in Support of the American Lung Association
Saturday, April 26: Lower Bucks Family YMCA Healthy Kids Day
Saturday, April 26: Cherry Hill Earth Festival
Saturday, May 3: Million Dollar Bike Ride
Saturday, May 3: Rittenhouse Row Spring Festival
Saturday, May 17: Kennett Run

2014 Philadelphia More Beautiful Committee’s Block Captain Rally

The return of warm weather means another season of keeping Philadelphia neighborhoods clean is underway. Don’t miss The Philadelphia Streets Department kickoff event with the annual Block Captain Rally. This year's event will feature all Block Captains and will be comprised of multiple workshops, including ones hosted by Penn Presbyterian Internal Medicine, as well as discussing plans for a cleaner Philadelphia.

About Penn Presbyterian Internal Medicine:
This practice provides comprehensive care to adults, including primary care and prevention of illness. Physicians treat patients with a wide array of conditions including hypertension, diabetes mellitus and heart disease. Should the need arise, the faculty also cares for patients admitted to Penn Presbyterian Medical Center.

Date: Saturday, March 15
Time: 9:00 am-2:00 pm
Location: Pennsylvania Convention Center, 1st Floor– 12th and Arch Street Entrance (Northeast corner
Penn Presbyterian workshop details:

• Workshop Room: 102AB
• Workshop Timing:
• Session 1: 10:00-10:45 am
• Session 2: 11:00-11:45 am

Zumbathon with Penn Medicine in Support of the American Lung Association

Penn Medicine supports the American Lung Association and will join them at a Zumbathon in Wayne, PA. Zumba is a dance-based fitness program that combines Latin and international music with dance moves designed to provide a fun, aerobic workout. Get fit while dancing with the area's hottest Zumba instructors and also get a taste of the new craze, Bokwa.

During one of your water breaks, stop by and say hi to the Penn Medicine table. Space is limited. Register today! 

Date: Saturday, April 5
Time: 3:00 pm-6:00 pm
Location: Radnor Activity Center at Sulpizio Gym, Wayne, PA

Penn Medicine Bucks County at Family YMCA Healthy Kids Day

Don't miss this great family event right in your community. In an effort to encourage kids and parents to commit to keeping the body and mind active, this event will feature, among other things, family Zumba, family kickball and family fun. For more information, visit Lower Bucks Family YMCA.

While enjoying the festivities, visit the Penn Internal Medicine & Family Medicine Bucks County table to learn about Penn Primary Care and other specialty care services offered at one convenient site, in Yardley, PA. Patients and their families can see their primary care physician, consult with a specialist, get lab work and radiology services all in one place.

Date: Saturday, April 26
Time: 10:00 am-2:00 pm
Location: Fairless Hills YMCA, Yardley, PA

Penn Medicine Cherry Hill at 5th Annual Cherry Hill Earth Festival

Held at historic Croft Farm, the Cherry Hill Earth Festival promises to be an engaging, healthful, entertaining day for children of all ages. A two and nine-mile Family Fun bike ride, displays and an ‘Artist-in-Residence’ are just a few of the festivities planned! For more information, visit Sustainable Cherry Hill.

Stop by the Penn Family Medicine Cherry Hill table to meet physicians and staff and to learn about the multiple health care services offered at this location. Penn Medicine Cherry Hill is home to both primary and specialty care physicians. Patients are able to see their primary care physician, plus consult with a specialist.

Date: Saturday, April 26
Time: 10:00 am-2:00 pm
Location: Croft Farm
               Cherry Hill, NJ

Rittenhouse Row Spring Festival

The annual Rittenhouse Row Spring Festival is set to take over Rittenhouse Square for a day, showcasing fantastic food, fashion, arts and entertainment. Last year’s event featured more than 40 restaurants, a terrific range of entertainment and endless shopping opportunities.

Don’t forget to visit one of the several participating Penn Medicine practices. Meet Penn physicians and staff and learn how each practice can help you and your family members stay healthy. Penn Medicine will also be partnering with Be Well Philly and feature games and other fun activities. Come check us out on the corner of Broad and Walnut Streets and enter to win a variety of raffle prizes and giveaways!

Date: Saturday, May 3
Time: 12:00-6:00 pm
Location: Broad Street and Walnut Street

Million Dollar Bike Ride

Mark your calendars for the first annual Million Dollar Bike Ride to raise money for rare disease research, organized by the Penn Center for Orphan Disease Research and Therapy and Rare Disease Cycling. The event is the only cycling fundraiser to start and end in the city of Philadelphia.

Refreshments and entertainment at the start/finish line and fun for the entire family. All participants will receive free gear, including a Million Dollar Bike Ride jersey. Individual cyclists can register and raise money for their specific orphan/rare disease foundation.

Date: Saturday, May 3
Time: 9:00 am
Location: Highline Park (31st and Chestnut) on Penn’s campus

Kennett Run

Promoting the general well-being and civic betterment of Kennett area residents, the Kennett Run is an event for all ages and abilities. Ranging from a 1 mile fun walk to a 10k Power Run, there is something for everyone. Following the race, a party will be held for all participants and families.

Be sure to set a few minutes aside to say hi to the physicians and staff from Penn Family Medicine Kennett. With an emphasis on disease prevention and promoting healthy lifestyles, this practice provides care for the whole family, from childhood on.

Date: Saturday, May 17
Time: 7:00 am-12:00 pm
Location: Anson B Nixon Park