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In Detroit, A Team Care Model Increases Support for Diabetic Patients – Direct Relief

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The saying “It takes a village” has never been truer – especially at southwest Detroit’s Community Health and Social Services Center, Inc.
When Diane Tyler-Peterson goes to the federally qualified health center (known as CHASS) for routine check-ups, she’s likely to see her doctor, pharmacist, nurse, and social worker all in one visit. Her chosen support person – her husband – is usually there too. For Tyler-Peterson, it’s helpful to have a team of people working to help her manage her diabetes.
Now, more diabetic patients will have access to the same type of team-related care, due to a grant from Direct Relief’s Fund for Health Equity.
CHASS is one of 50 recipients of grants from the fund, which was created to increase access to health care and improve health outcomes for marginalized communities. The health center, which has a longstanding and trusting relationship with Detroiters, was awarded just over $100,000 to enhance diabetic patients’ access to care coordination and medication therapy management.
Dr. Felix Valbuena, chief executive officer of CHASS, said coordinated care will help patients, medical professionals, and staff manage chronic disease together. As part of the enhanced care, pharmacists will also have more inclusive conversations with patients about medications. 
“It’s a whole team of people that are working to improve the health and wellness of that individual,” he said. “A doctor, nurse, social worker, certified medical assistant, pharmacist, outreach and enrollment officer.” 
According to Valbuena, it can be difficult for patients to get everything they need from one visit to the doctor every few months. It’s helpful to have others remind patients of their appointments, help them with eating plans, determine which medications are best and most affordable, and guide them on how often to check their glucose levels. That’s where Tyler-Peterson’s husband has an essential role to play.
“If we can leverage one more person that is part of their lives to help us avoid all of those consequences, we get one step closer to our goal in the US healthcare system where we are preventing all of these crazy diseases and all of their negative consequences,” he said.
When Tyler-Peterson was diagnosed with diabetes in 1999, she was in disbelief and didn’t plan to return to the doctor.
“I didn’t want to accept that I had it,” she said. “I just didn’t want to.”
The longtime Detroit resident said her mother had diabetes as well, eventually developing symptoms that led to amputation and partial blindness.
The medical team at CHASS warned her of the medical risks she was taking by not managing her own chronic disease, and eventually, she came around.
She reluctantly returned to the doctor and began working with CHASS, even when she didn’t have health insurance. (Federally qualified health centers treat patients regardless of their ability to pay for services.) She learned to trust her medical care team and began to listen to their suggestions for healthier living.
Valbuena says patients and their support person will receive training to manage chronic disease, while receiving an added level of preventative care. That’s unusual for CHASS patients, who often can’t afford the expenses of health care – and Valbuena said it’s why the money used to increase health equity is so important.
Mirna Robles, a nurse at CHASS, said she’s seen patients become more dedicated to managing their health conditions when they are included and educated on the details.
“It decreases the patient’s anxiety about their health,” Robles said. “I think they feel very cared for when they see that everybody is working to help them out (and) to really show that we really do care about their health.”
Over the last 22 years, Tyler-Peterson has learned how to manage her own diabetes. She relies on the CHASS care team for health protocols and her husband for at-home support. And she’s committed to working hard: She changed her diet, does a physical activity three to four days a week, and manages her daily insulin needs. Tyler-Peterson says her A1C, or glucose levels, have significantly decreased and she continues to lose weight.
Tyler-Peterson plans to continue losing weight and her goal is to stop relying on insulin. That’s why she’s her doctor’s “best patient.”
“It changed my whole output and that’s why now I’m taking care of myself, because I want to live and not die early like I was supposed to,” she said. 
Olivia Lewis is a journalist based in Detroit, Michigan.
Filed Under: Community Health, Diabetes, Health, Michigan, North America, United States
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Health and Lifestyle

Woman recounts shooting outside of Defined Fitness – KOB

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Griffin Rushton
Updated: January 10, 2022 09:42 PM
Created: January 10, 2022 04:29 PM

ALBUQUERQUE, N.M. – An early morning workout ended with panic and tears in southwest Albuquerque Monday after someone fired a gun outside the Defined Fitness on Central Avenue.
A woman – who wanted to stay anonymous – said it started around 9 a.m. with a loud bang. It didn't take long to realize it was a gunshot, but it's what happened next that has her questioning her membership.
“I'm still shocked just because it could have been someone who, who could have died in there,” said the woman. 
Hearts were pumping at the Defined Fitness near Central and Unser – but not because of a workout.
“We were starting to warm up, we heard a loud pop. And we thought maybe it was the speakers or the light bulb that busted. So we go and we take a look. And we hear the instructor scream and say, ‘Oh, my goodness,’”
She said that's when they noticed a bullet hole the size of a quarter in the wall and then, more gunfire.
“We start hearing more bullet shots. And so at that time, everybody just panicked and round ran out of the room.”
Albuquerque police confirmed there was a shootout between two cars behind the gym and a stray bullet hit the building. The woman says she's thankful no one was hurt, but is worried not enough people knew they were in danger in the first place.
“They should have evacuated and notified the members that something's going on, and please evacuate. Put more alert out there, versus letting everybody just sit there and continue to work out.”
Defined Fitness sent KOB 4 a statement saying the incident was unrelated to the gym and says it’s still a safe place for its members. But this is not the first time gym-goers have voiced concerns about safety at this location.
Back in November, KOB 4 spoke to a woman who said someone broke into her car in broad daylight and claimed Defined Fitness was not doing enough to keep its members safe.
Both women said they are not sure if they'll ever return to this location.
“I think I'm taking a little break from this gym, just so I can refocus and find my comfort again. So it'll be a while before I returned to this location.”
An APD spokesperson said the gym's security footage has been reviewed and there are no leads on a potential suspect.

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Fitacular 2022 with Planet Fitness – ABC27

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ABC27
Get Fitacular in 2022 with help from Planet Fitness! With several locations in our area it’s easy to get into better habits and make the right choices for your physical and mental health.
Copyright 2022 Nexstar Media Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
WEST MANCHESTER TOWNSHIP, Pa. (WHTM) — The moment the roof collapsed into a York County skating rink was caught on camera Sunday night in West Manchester Township.
It’s still unclear what started that fire that firefighters fought for several hours in the snow, then pouring rain.
DOVER, Pa. (WHTM) — After the heavy snowfall, you can find 11-year-old Mason Torbert working hard shoveling snow so he can save up money to play his favorite sport, football with his friends.
“I want to work for it and get it done, so I can go play tackle because I love that sport,” Torbert said.
JERUSALEM (AP) — An Israeli hospital on Monday said preliminary research indicates a fourth dose of the coronavirus vaccine provides only limited defense against the omicron variant that is raging around the world.
Sheba Hospital last month began administering a fourth vaccine to more than 270 medical workers — 154 who received a Pfizer-BioNtech vaccine and 120 others who received Moderna’s. All had previously been vaccinated three times with the Pfizer-BioNtech vaccine.

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Jadakiss Explains Why Living “Healthy Is Gangsta” – Vibe

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“There’s nothing corny about wanting to live.”
By DeMicia Inman
Staff Writer, News
Jadakiss offered his definition of a gangster during an episode of the Facebook Watch series The Pull Up. In a clip shared on the rapper’s social media, he explains how his lifestyle choices has made being healthy the cool thing to do, and why everyone should take a similar route.
“I think healthy is gangsta,” the 46-year-old rapper exclaimed.
He continued, “Everybody want to be tough guys and this and that, and rich. If you not healthy, you can’t be alive to spend your money. If you not healthy, you can’t enjoy the party, you can’t enjoy the perks of life, you won’t be here to see your kids graduate, to see ’em score they first touchdown, to see things like that. So health is more important than anything.”

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A post shared by JADAKISS (@jadakiss)

He continued to share how his fellow members of The Lox all maintain a health-conscious lifestyle.
“My brothers, Styles, and Sheek… Sheek been working out forever. Styles been on us to eat right and live right. So it’s a collective lifestyle that you gotta live and there’s nothing corny about wanting to live.”
The rappers not only encourage healthy habits among each other but have created space for others to do the same. In February, Styles P discussed the importance of why he decided to open Juices For Life in the Bronx with Good Morning America.
“It is important that you take care of the forgotten. Obviously, this started with us being because we’re from a Black and brown community,” said Styles. “We’re from a poverty community, but why does that mean we don’t have to eat right?”
He continued, “It’s not about being a vegan, it’s not about being plant-based, that’s not what I’m pushing on people, we push balance and health,” said Styles. “It’s about the people.”
View the full episode of Pull Up with Jadakiss featuring Lil Cease below.
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