Unexplained Symptoms Could Be Signs of a Thyroid Problem

Unexplained Symptoms Could Be Signs of a Thyroid Problem

If you are experiencing unexplained symptoms, including issues with weight gain or loss, anxiety, perspiration, restlessness or fatigue, you may have a problem with a small gland in your neck.

Issues with the thyroid gland, one of the nine major endocrine glands in the body, can be the underlying cause of a wide variety of health problems. It’s important to understand what the thyroid affects and to seek medical care if your thyroid may not be functioning properly.

What is the Thyroid Gland?

The thyroid gland is a butterfly-shaped endocrine gland located in the front of the neck. Endocrine glands produce and regulate chemicals called hormones. Specifically, the thyroid gland produces hormones that help the body regulate metabolic speed, or the rate at which your metabolism works. If hormone levels become too low or too high, you can experience a wide variety of strange and unwanted symptoms.

Common Thyroid Disorders

Thyroid disorders are typically classified as either hypothyroidism or hyperthyroidism. However, hypothyroidism occurs more frequently than hyperthyroidism.

Watch the video to learn more about the difference between hypothyroidism and hyperthyroidism.

Hypothyroidism occurs when the thyroid is not producing enough hormones. The most common symptom is unexplained weight gain. Individuals with hypothyroidism often feel tired, sluggish and depressed. Other common symptoms of hypothyroidism include:

  • Dry skin
  • Brittle nails
  • Numbness or tingling in the hands
  • Constipation
  • Irregular menstrual periods

Slowed heartbeat and low blood pressure often occur in those with hypothyroidism.

Conversely, unexplained weight loss could be a sign of hyperthyroidism, which occurs when the thyroid is producing more hormones than the body requires. Hyperthyroidism can cause anxiety, trouble sleeping, fast heartbeat, high blood pressure, irritability and restlessness. Additional symptoms of hyperthyroidism include muscle weakness, trembling hands, vision problems, diarrhea and irregular menstrual periods.

Those with thyroid disorders may develop a goiter, or swelling in the neck. This can occur in conjunction with either hypothyroidism or hyperthyroidism, as well as with normal thyroid hormone levels.

If you are suffering from symptoms that may be due to a thyroid disorder, talk to your doctor to determine if you should be tested. A blood test for thyroid stimulating hormone (TSH) can help diagnose the true cause of your symptoms.

Treating Thyroid Disorders

Once diagnosed, treatments are available for those suffering from a thyroid disorder. Hypothyroidism can be treated with medication that increases hormone levels. Patients diagnosed with hyperthyroidism are normally prescribed medication to lower their hormone levels. Once medication is administered, patients typically experience noticeable improvements within a few weeks. If a thyroid problem is severe, a physician may recommend surgery to remove the thyroid gland, paired with medication.

Left untreated, thyroid disorders can decrease your quality of life and increase your risk for stroke or heart attack. CHI Saint Joseph Health – Ear, Nose and Throat Care can help if you have questions about thyroid disorders. To learn more, call 859.629.7140.


Jessica Lange, MD

Jessica Lange, MD

Dr. Lange is with CHI Saint Joseph Health – Ear, Nose and Throat Care. The office is located at 120 North Eagle Creek Drive, Suite 102 in Lexington. For more information, call 859.629.7140.

A Community Advocate

Richard Reiter

Growing up in a family of nurses, Ricky Reiter, BSN, RN, CAPA, outpatient surgery charge nurse with Flaget Memorial Hospital, part of CHI Saint Joseph Health, has always been drawn to the idea of improving the lives of those around him.

“In school, I always liked biology and anatomy, and nursing clicked with me,” said Reiter, a graduate of the University of Louisville. “The thought of seeing people when they are at their worst and helping them get better seemed rewarding.”

Upon graduation from his nursing program, Reiter pursued his love for helping others by working in the telemetry unit at Flaget.

“When I started there, it was a small community hospital,” Reiter said. “Everyone knew everyone. If they didn’t know me, they knew my family.”

Nearly two decades later, Reiter has enjoyed being part of the hospital’s evolution, working in a variety of roles in the intensive care unit, infection control, education, employee health and outpatient surgery. But his dedication to service extends well beyond the hospital walls.

Selflessness in Action

When you step onto the elevator at Flaget, you will notice a photo of Reiter gracing the doors and celebrating his love for service to the hospital and the community at large.

At Flaget, Reiter helps organize food drives as part of the Spirit Team. He is the chairperson of the hospital’s Green Team, which oversees the hospital’s recycling program, and he sits on the Nursing Professional Development Program Board to help his colleagues take their careers to the next level.

Reiter is also on the board for the Rolling Fork Iron Horse Festival, serves on the local fire department’s support team and is a former member of the New Haven City Council.

“I always enjoy seeing the community advance,” said Reiter, who is also a father of two children, Emily and Eric. “I am proud to send my kids to the local faith-based school, St. Catherine Academy, and I enjoy bringing them to community meetings with me, as well. They are learning that service is important.”

When It’s Time to Unwind

When he is not helping patients, Reiter enjoys camping and boating with his kids and extended family.

“There are about 60 of us when we all get together,” Reiter said. “We have a good time.”

A version of this article originally appeared in the Fall 2019 edition of Spirit of Health. For more stories like this one, subscribe to Spirit of Health magazine today.

Commitment is the Key to Sustained Weight Loss after Surgery

Jenny Lynn Hatter

Jenny Lynn Hatter is proud to say she lost 100 pounds … four times.

It wasn’t until she had weight loss surgery in 2015 that she was able to maintain the weight loss. “I thought the last thing I wanted to do was have weight loss surgery, but I knew it was my last shot,” she said.

Jenny Lynn had been overweight her whole life. She had “very bad joints and very good health.”

But she was aware of so many things that brought her embarrassment – going upstairs, sitting at ballgames, flying on an airplane.

“I loved to fly but I detested getting on an airplane,” she said. “The inevitable look you get from someone, who really is not trying to be ugly …”

She loves the water, but always hated going to swim. “I just hated the looks,” Jenny Lynn said. “Once, I heard a gentleman say, ‘oh my goodness.’ It hurt … it always hurt.”

So she would try the newest thing for weight loss, but inevitably the weight came back.

“One day, I was at my high school and an alarm went off,” said Jenny Lynn, chief academic officer at Harrison County Schools. “As an administrator, you kick into action. I went up the steps and I thought I was going to die.”

Her mind raced to these questions – “What if there is a real emergency? How am I going to help the students?”

She saw a commercial for the weight loss program at Saint Joseph East and signed up for a seminar. She knew she really had to listen and she would have to do her part. She had the surgery on a school vacation in 2015. She was told it would take two years to achieve her goal weight; she did it in a year.

Watch the video below to hear from Jenny Lynn Hatter.

“I wish there was a simulation for people to see what it feels like to lose 150 pounds,” Jenny Lynn said. But she stresses, “there’s no smoke and mirrors, no magic dust.”

She’s careful when she goes to the grocery store, and she takes spin classes. It takes a dedication to fitness and healthy eating, she said.

But it’s worth it. “I have so much energy,” she said. “Life is so much more enjoyable. Doing my job was all I had in me. There was nothing left for my husband, my children, my church.”

And even though she “was that obese person who didn’t struggle with super-serious health issues,” she feels healthier now.

Jenny Lynn

It’s not always easy, but the team at Saint Joseph East has kept her on track with “tough love.” She admits to having “excuses for a million different things” and she had to be honest about that or else she would wind up back where she started. If she didn’t think an appointment was going to go well, she wouldn’t make one

“It is so important to never give up,” she said. “Never, ever give up.”

Jenny Lynn said weight loss surgery may not be for everyone, but individuals have to figure that out for themselves. She said the “highly personal decision” can “change your life in amazing ways. It can be a total game changer for you.”

As it has for her. “I never bought into the lifestyle changes before,” she said. “Nobody signs up for this wanting to change for life. This center (at Saint Joseph East) does change for life. This center does slice a lot of that fear out.”

If you would like to learn more about weight loss surgery, be sure to join us for a free seminar. View a complete list of upcoming seminar dates, and register online.

Homework From the Heart

Jessica and Bridget

Community health advocate Jessica Hoskins does whatever she can to help families in need find solutions to the problems they face. For one family, that meant finding a new home where their children could thrive.

Connecting families with helpful community resources is more than Hoskins’ job — it’s her passion. She spends her workdays meeting with and conducting research on behalf of families whose children receive care at CHI Saint Joseph Medical Group – Pediatrics in London. She identifies and directs families to programs and services that can help with housing, transportation and medical care.

In July 2018, Hoskins learned about a student-led homebuilding project by the University of the Cumberlands’ Mountain Outreach, a nonprofit service organization.

“I asked the front-desk staff if they knew a family that used our practice, needed a new home and could meet Mountain Outreach’s eligibility criteria,” Hoskins said. “Right away, one of the ladies suggested a family to me, and I got in touch with the mother.”

The mother Hoskins spoke with was part of a family of six that included four children, with a fifth child due in the winter. The two-bedroom, one-bathroom trailer in which they lived was in no condition for a growing family.

“The trailer had mold growing inside, and the roof leaked,” Hoskins said. “It wasn’t fixable.”

Hoskins was determined to help the family obtain a new home.

Perseverance Pays Off

For months, Hoskins helped the family navigate the application process and work through eligibility concerns. She continually followed up with Mountain Outreach about the status of the family’s application through the fall, winter and spring. In March, Hoskins and the family received the news they had been hoping for: The family would receive a house.

Over several weeks during summer break, students and volunteers tore down the trailer and replaced it with a three-bedroom, two-bathroom, 1,200-square-foot house. The family’s children were able to start school this fall with a new home.

“The mother is ecstatic, and so thankful,” Hoskins said. “She told me recently that she can’t wait to buy a Christmas tree to put in the front window. For me, to be part of helping the family get a house and witness it come together step by step was truly amazing.”

A version of this article originally appeared in the Fall 2019 edition of Spirit of Health. For more stories like this one, subscribe to Spirit of Health magazine today.

A ‘Series of Miracles’ Brings Veteran to Saint Joseph Hospital

McCombs

For more than 90 years, Roger McCombs’ life has been filled with a series of miracles.

At least, that’s how he sees it. McCombs, a World War II veteran who turned 93 in October, says his latest miracle came when he opted to come to Lexington from Huntsville, Ala., in search of a surgeon who could fix his failing heart valve. The search led him to Nezar Falluji, MD, MPH, CHI Saint Joseph Medical Group – Cardiology.

When the Heart Team at Saint Joseph Hospital evaluated McCombs, they found his stenotic valve was narrower and was leaking.

“Mr. McCombs had multiple hospitalizations for heart failure,” Dr. Falluji said. “He had been short of breath and had declined over a period of six months.”

For his part, “I felt like I was at the end of my life,” McCombs said.

Miracles in Work

McCombs has led an event-filled life and one, he says, filled with miracles.

He was unable to join the U.S. Navy until he took the Eddy Test, which gave him the opportunity to join the Navy three pay grades ahead of the normal seaman recruit.

After another year, he attained petty officer third class rating.

Serving in the Navy granted him access to the GI Bill, which allowed for him to attend the Missouri School of Mines and Metallurgy at Rolla, Missouri. Because of the high number of people graduating, his first job of any consequence was at a non-engineering job. He produced components for the nuclear plant. He later worked on the first Navy nuclear air force carrier, Enterprise, which was in service for 54 years.

After the ship was built, he had to find another job. He found one – working for the space program on the space shuttle.

“It was all because the government passed the GI bill that enabled me to get that college degree,” McCombs said.

Miracles in Life

His family life has been full – he has three daughters, three sons, 10 grandchildren and five great-grandchildren. But his health declined with age and McCombs had surgery in 2002 to have a mitral heart valve replaced. When that failed, he knew he needed something done but didn’t like the options his Alabama doctors were offering.

That led to his search for a new heart care team. His daughter, Mary Richards, lives in Lexington and found Dr. Falluji.

The Heart Team at Saint Joseph Hospital was the first in the state to perform the mitral valve repair procedure with the Mitraclip system as part of the seminal COAPT trial back in 2013.

Over the years, the team – Dr. Nezar Falluji, Dr. Michael Schaeffer and Dr. Hamid Zadeh – has gained vast experience in two minimally invasive heart procedures, MitraClip therapy and transcatheter aortic-valve replacement (TAVR).

The solution was to insert an aortic bioprosthetic valve into the mitral valve. While the procedure has been done elsewhere, the team at Saint Joseph Hospital had not performed it before. Dr. Falluji said the team’s experience with TAVR, MitraClip and mitral valvuloplasty were all essential in performing this procedure.

“We used an aortic bioprosthetic Tavr valve (Edwards S3) and placed it in a previously surgically placed, now malfunctioning, mitral bioprosthetic valve,” Dr. Falluji said.

The procedure was completed May 9; McCombs was discharged two days later. The team of doctors, including an anesthesiologist, cardiologist and heart surgeon, had set aside a full day for the procedure. It lasted two hours.

“The new one was a miracle,” McCombs said of the new valve. Since the surgery, McCombs has had a good recovery. He’s in cardiac rehab and doing well. Also, his daughter says, “he’s thinking more clearly. He’s moving around better.”

The Greatest Gifts

Christmas Partners Project

For more than 15 years, Barbara Baumgardner, MS, RD, LD, CDE, MLDE, has worked with fellow CHI Saint Joseph Health employees to make Christmas memorable for dozens of families and individuals in central and eastern Kentucky.

Christmas Partners Project

Baumgardner is CHI Saint Joseph Health’s project coordinator for Healthy Communities, but she has another role that ramps up each October: coordinator of the Christmas Partners Project.

This nearly three‑decades-old tradition at CHI Saint Joseph Health matches families in need with departments, physician practices and individuals throughout the health system that can make the holiday special by providing gifts and necessities. Baumgardner has overseen the expansion of the project from serving 20 families per year in its early years to helping 99 families and 29 individuals last Christmas.

“Early on, after we expanded the project to more than 20 families, I collected the gifts at my house,” Baumgardner said. “I would drive all over eastern Kentucky delivering presents.”

The Christmas Partners Project has come a long way since then — and it’s truly a team effort.

Santas by the Dozen

In October, Baumgardner sends out invitations to departments, groups and individuals to participate in the Christmas Partners Project. Participants visit Baumgardner’s office on the campus of Saint Joseph Hospital to choose an individual or family to help. She also visits the facilities to meet with employees interested in participating in the project.

“I rely on the staff at CHI Saint Joseph Health clinics in the communities we serve to submit the names of families and individuals for us to help because they know the people and their needs best,” Baumgardner said. “In 2018, we took requests from six clinics, CHI Saint Joseph Health Partners Clinically Integrated Network, our cancer care services and a few CHI Saint Joseph Health managers who submitted names of their employees. Everyone who needs help at Christmas makes the list.”

The Christmas Partners Project is a massive endeavor that involves dozens of departments and individuals, as well as volunteers who wrap and deliver gifts. Baumgardner finds that spirit of teamwork rewarding and is quick to give credit to the project’s participants for its success.

“I wouldn’t be able to do this without the help of so many departments and employees,” she said. “People tell me it brings their department together, and that they look forward to it every year. We bring joy to many families, but we get so much more out of the experience.”

A version of this article originally appeared in the Fall 2019 edition of Spirit of Health. For more stories like this one, subscribe to Spirit of Health magazine today.

‘Blessed with the Care I Receive’ in Cancer Battle

April Nease

April Nease was 39 years old when she was diagnosed with Stage 4 breast cancer in 2014.

April was director of development for the Saint Joseph Hospital Foundation and, through that work, was familiar with the cancer care team at CHI Saint Joseph Health. Knowing those doctors made her choice for care easy.

“The cancer center has been our biggest support,” her mother, Brenda Nease, said. “We have had easy access to doctors, social workers, infusion nurses … we can always make a call, day or night.”

That availability is a comfort for April and her mom, who have gone through the ups and downs of treatments – surgery, chemotherapy and radiation – and multiple cancer diagnoses over the years. April’s initial diagnosis found cancer was in her breasts and liver; it metastasized to her brain, twice, to her uterine lining, and was most recently found in her lymph nodes and chest.

The flow of communication, April said, is “extremely important. Otherwise, you get online and you google what this symptom is. WebMD is telling you something and you’re freaking out and you have to wait two more weeks to have an official appointment with your doctor. But I felt comfortable calling and the nurses here … I know all of them now.”

No question is too “crazy” or too small, April said. “Like something I thought may have been a side effect or was just something I was feeling. Is that normal – I guess, is what most people want to know. Because if it’s normal, then that’s part of it and if it’s not, then how do we fix it?”

The staff shows genuine concern and interest at every encounter. When April comes into the infusion center, staff members will often ask about her niece’s soccer game … or about something she had done over the weekend – they make a connection to the patients.

And the staff knows what April prefers during her treatment. “They know exactly what chair I’m in and how many pillows I want … one pillow, two blankets.”

“I’m blessed with the care I receive,” April said, “everyone from the breast center where I was diagnosed, the infusion center where I see the girls twice a week …. They all make you feel very comfortable and are always concerned about how you feel.”

It’s also helpful that the staff is very transparent about what the treatments will entail and who will be involved. “They explain everything to you so you’re not sitting in a room thinking, ‘who are all these people?’” April said.

“It has sort of become a close-knit group of caring friends,” Brenda said.

April Nease

While the diagnosis was devastating, and her journey a difficult one, April has never wavered on her choice of provider.

From the beginning, the procedures that she would receive has been made clear. “It’s an ongoing planning,” April said. “They plan everything and give you an idea of what’s coming up next. … To say that’s overwhelming would be an understatement.”

April is also thankful for the resources – especially the support group provided through CHI Saint Joseph Health. “It is so good and, even though all of us here would rather not be a member of this club, we all learn something from each other,” she said.

After multiple surgeries and various treatments, April is back to twice weekly IV infusions. She strives to remain positive.

“I know there are some people who feel worse than I do every day,” she said. “The fact that I’m able to get dressed and go and do what I do … I’m fortunate. I wish I could do more because I used to be very active – being outside and hiking – but you just have to stay positive.”

Protect Yourself This Flu Season by Getting Vaccinated

With flu season upon us, it’s important to remember that a flu shot is the best way to prevent the ailment.

More than 3 million cases of the flu are treated each year in the United States. Thousands of people die from the flu each year, and many more are hospitalized by this potentially life-threatening illness, according to the Centers for Disease Control and Prevention (CDC).

About the Flu

The flu is an extremely contagious viral infection that typically spreads between October and May. The virus can be easily transferred through coughing, sneezing, skin-to-skin contact, saliva or contact with a contaminated surface. The infection attacks the lungs, nose and throat, commonly causing patients to suddenly experience fever and chills, muscle aches, fatigue, headaches, sore throat, coughing and sinus problems.

No one is immune from the flu, and some people have a higher risk of dangerous flu-related complications. Young children, the elderly, pregnant women, those with chronic diseases and those who have weak immune systems are at a greater risk of catching the flu and developing serious complications. The flu virus can also worsen pre-existing medical conditions like heart disease, cancer and diabetes.

Flu Vaccine

Flu viruses change from year-to-year, with new vaccine formulas needed to combat the virus. The flu vaccine is made before each flu season each year to protect against the viruses that are most likely to cause sickness in the upcoming flu season.

The CDC recommends that children 6 months to 8 years of age get two vaccines during each flu season. Those who are not at a greater risk need one vaccine per flu season. Tell your health care provider if you have ever had an allergic or adverse reaction after a flu shot. Those with minor flu symptoms can also be vaccinated, but it’s recommended that those who are severely ill wait until they recover. 

There is a great deal of misinformation about the flu vaccine that has been shared by non-medical sources. The influenza vaccine does not cause the flu. If you have any concerns, talk with your health care provider before deciding whether or not to get the vaccine.

The flu vaccine helps protect you, your loved ones and others around you from catching the flu virus. Don’t let the flu get you down this year – schedule an appointment to get your flu shot.


Debra Danzinger

Debra Danzinger, APRN

Debra Danzinger, APRN, is with CHI Saint Joseph Medical Group– Primary Care in New Haven, Kentucky.

Your Holiday Gift Guide for Better Health

Holiday gift guide

Pick out the perfect gift for all your family members and friends.

Are your loved ones looking to shed some weight, enhance their spiritual health or just in need of a little self-care? The CHI Saint Joseph Health team came together to share their gift recommendations for everyone on your holiday list.

The Exercise Enthusiast

  • Running shoes
  • Activity tracker
  • Water bottle
  • Wireless headphones
  • Gift card for fitness classes or child care

“Give the gift that reiterates your loved ones’ goals to help them feel supported. You could also volunteer to join them at the gym or watch their child while they exercise,” says Billi Benson, BA, MED, exercise physiologist and office manager of The Weight Loss Center at Saint Joseph East.

“Select an activity tracker that is compatible with the receiver’s smartphone, and make sure it can track his or her most common activities, such as running, biking or swimming,” says Paula Fox, BSHA, RT(R)(CV)(ARRT), market director of cardiovascular operations at Saint Joseph Hospital and Saint Joseph East.

The Healthy Eater

  • Gift basket filled with fresh fruits and vegetables
  • Vegetable spiralizer
  • Gift card to a grocery store that specializes in produce

The Caregiver

  • Gift card for a restaurant, spa, respite care and/or cleaning services

“Caregivers often struggle to make time for themselves, so giving something that allows them to decompress and enjoy a little self-care is an excellent choice,” says Susan Carmical, MHA, FACHE, director of operations at VNA Health at Home, a service of CHI Saint Joseph Health.

The Spiritual Friend

  • Journals
  • Devotional books
  • Audiobook subscription
  • Plants
  • Gift card for a spiritual retreat or yoga classes

“A lot of spirituality is about creating the time and space to reflect, so we can help nourish our loved ones by providing them a venue for that meditative reflection,” says Rachel Holmes, MDIV, chaplain at Saint Joseph Berea.

Remember to always consult with your provider before beginning a new diet or exercise program. Don’t have a provider? Visit our online Provider Directory to find one near you.

A version of this article originally appeared in the Fall 2019 edition of Spirit of Health. For more stories like this one, subscribe to Spirit of Health magazine today.



Detecting and Treating Diabetes Early Helps Prevent Serious Complications

Patient speaking with provider

November is National Diabetes Awareness Month, a good opportunity to raise awareness of the disease. New cases of diabetes have more than tripled in the past 20 years in the United States, according to the Centers for Disease Control and Prevention. This has increased the need to provide information and education to the 30 million U.S. adults living with diabetes.

What is Diabetes?

Diabetes is a chronic disease that disrupts the way your body turns food into energy. The disease is largely classified into two categories: type 1 or type 2 diabetes.

Type 1 Diabetes

Type 1 diabetes occurs when the pancreas is unable to produce enough insulin, thereby causing blood sugar levels to rise. It typically develops in childhood or adolescence, but adults can be at risk of developing the disease. Type 1 diabetes develops over a few weeks to months with an abrupt onset of symptoms.

Type 2 Diabetes

Type 2 diabetes is the kind most prevalent in Americans. It occurs when cells become insulin-resistant over time. This means the body makes insulin but the insulin does not work properly. This causes the body’s blood sugar levels to rise dramatically. Symptoms of type 2 diabetes can develop slowly, and many people won’t show symptoms for years. This slow onset of insulin resistance is a treatable and reversible condition called prediabetes.

Prediabetes

Prediabetes is also a common condition that occurs when blood sugar levels are much higher than average, but not high enough to be diagnosed as type 2 diabetes. People with prediabetes have a much higher risk of developing type 2 diabetes, and 90 percent of those living with prediabetes are unaware they have it.

Signs and Symptoms of Diabetes

Diabetes monitoring

According to reports from the American Diabetes Association, over half a million adults in Kentucky are living with diabetes. Of these, over 108,000 do not yet know they have diabetes.

If left untreated diabetes can lead to heart attack, vision loss and kidney disease. This is why it is important to recognize the signs and symptoms of diabetes and have regular check-ups with your doctor.

Some symptoms of diabetes include extreme unquenchable thirst, insatiable hunger, frequent urination, unintentional weight loss, fatigue, blurred vision, numb or tingling hands or feet, dry skin and wounds that heal more slowly than usual.  

Doctors can order blood tests to screen for and diagnose diabetes and prediabetes. These tests are typically inexpensive and are covered by most insurance policies. 

Diabetes Education and Resources

The most important step for treating diabetes or prediabetes is for individuals to receive education from reliable accredited sources about how to properly manage their disease. Receiving education about diabetes has been shown to substantially reduce the long-term effects of the disease and improve overall health.

The Certified Diabetes Educators and Registered Dietitians at CHI Saint Joseph Health – Diabetes and Nutrition Care pride themselves in their ability to empathize with their patients, recognize that there is no one-size-fits-all approach to managing diabetes, and troubleshoot real world sustainable treatment plans for people with diabetes who come from all walks of life.

To learn more about how to receive accredited diabetes education, call 859.313.2393.


Candice Tufano, RD

Candice Tufano, RD is with CHI Saint Joseph Health – Diabetes and Nutrition Care.