Monday, April 24, 2017

SBA hangs out with Dr. Anderson 2017 Delaware Woman-Owned Business of the Year. Ceremoies will be held next May 3rd at the DuPont Contry Club.


Did You Know, even though small businesses may not generate as much money as a large corporation, they are a critical component of and major contributor to the strength of
local economies.



Many thanks to the SBA and SCORE Delaware for this great honor.  Particularly those who have supported the work to create an innovative model of care for persons living with complex chronic conditions like,  Sickle Cell Disease.  The SBA Awards will be held at the DuPont Club
Wednesday May 3rd at 6:00pm.  Join TOVA for this Historic event and continue to support Small Businesses. 

Dr. Anderson grew up in Wilmington, DE.
To Purchase Tickets visit, clients.delawaresbdc.org
or call
the SBA at (302) 573-6294

TOVA Healthcare
in association with TOVA Community Health
601New Castle Ave.
Wilmington, DE 19801
www.tovacommunityhealth.org
(302) 655-6187 ext. 500

All the best, Dr. Anderson


5 Easy Tips to Kick Start an Urban Garden

  Considering Starting a small Garden again in my backyard.  Is it past time to start getting the ground ready or could I wait a few more weeks?  If you do not have space in your backyard, consider starting an Urban Garden.  All you need are the right tools and a little bit of space.  Click here to find out 5 Easy Tips to get started.

  http://www.care2.com/causes/five-ways-to-kick-start-your-own-urban-vegetable-garden.html

  



                                                        TOVA Community Health
                                         601 New Castle Ave.
                                       Wilmington, DE 19801
                                 www.tovacommunityhealth.org
                                      302-655-6187 ext. 500
                   
                                      All the best, Dr. Nina
                          

Friday, March 24, 2017

Can you provide tips for Gardening?

    Considering Starting a small Garden again in my backyard.  Is it time to start getting the ground ready or should I wait a few more weeks? 



                                                     
                                                        TOVA Community Health
                                               Dr. Anderson
                                 www.tovacommunityhealth.org
                                      302-429-5870 ext. 120

Examining my Family Tree for Sickle Cell




      Since I was born before the National Newborn Screening program started in the early 90s, none of my siblings were tested at birth for Sickle Cell Disease or Trait. During my school years, I asked my mom if she or my father carried the Sickle Cell Trait. She assured me that the trait did not run on her side of the family, but my fathers side was unknown. Not until my cousin shared with me that he carried the sickle cell trait did I start to re-examine my family tree. Hence, the Sickle Cell Trait runs on both sides of my family and the need for trait testing is greater than ever. About 1 in 12 African-Americans carry the Sickle Cell Trait. So, if you are at church or at a family function, most likely, your loved ones are trait carriers. Get Tested, it only takes a few minutes of your time. Information is Power.

All the best, Dr. Nina

  TOVA Community Health
Sickle Cell Specialty Treatment Center
601 New Castle Ave.
Wilmington, DE 19801
(302) 655-6187 ext. 500

Sickle Cell Trait can affect Diabetes test results?



     Hemoglobin A1C (HbA1C) is a commonly utilized test to diagnose, treat and manage diabetes. When a blood work is ordered, clinicians observe the percentage of red blood cells that have glucose (sugar) attached to the blood over a two-three month period. According to the American Diabetes Association, a normal HbA1C reading should be below 7 percent. However, a new study has demonstrated that people who are Diabetic with Sickle Cell Trait exhibit lower HbA1C levels. Such variations could result in a delay of diagnosis, treatment, and management of Diabetes. Researchers found that the results from HbA1C tests displayed lower HbA1C levels in people with Sickle Cell Trait who were Diabetic. Also, people who live with Sickle Cell Disease have blood cells that survive a mere 10 to 20 days, while those without the sickle cell normally have blood cells that live longer- 90 to 120 days.

     Due to the difference in the HbA1C reading, it was thought that persons with Sickle Cell Trait also have red blood cells with a shorter life span. The study measured more than 4,600 people, each given a HbA1C test and another fasting blood sugar test. Data for the HbA1C test was skewed (falsely low) as 29 of percent people with Sickle Cell Trait were diagnosed with pre-diabetes versus 49 percent without the trait. This questions the reliability of the HbA1C test for diagnosing and monitoring people with Sickle Cell Trait as there may be other factors that alter the results, such as the shorter lifespan of sickle cells. The HbA1C test can skew HbA1C blood sugar levels, in turn, delay Diabetes diagnosis and treatment. In such case, other more reliable tests should also be used to compare and more accurately diagnose, treat and monitor Diabetics who also carry the Sickle Cell Trait. Do you know your Sickle Cell Trait status? Make an appointment with TOVA today (cdc.gov).



                                                                 Paris Davis,BA




                                        TOVA Community Health
                               Sickle Cell Specialty Treatment Center
                                            601 New Castle Ave
                                        Wilmington, DE 19801
                                      302-655-6187 ext. 500
                                  contact@tovacommunityhealth.org







Sunday, February 12, 2017

Harvard Study found Vitamin-D deficiency overdiagnosed in African-Americans

   Harvard University Researcher, Dr. Thadhani and his colleagues found that African Americans had significantly lower vitamin-D levels compared with white subjects in the study.

Photo taken from http://cdns.yournewswire.com/wp-content/uploads/2014/11/vitd1.jpg

    Despite having lower levels of vitamin d levels, Bone density levels and calcium levels were higher in African Americans compared with white individuals.   In a previous TovaCares blog, I also discuss that persons of darker skin complexion do not absorb vitamin D as well as persons of lighter skin complexion.  This may also attribute to the variation of vitamin D levels in African-Americans.  The findings suggest that treating African Americans for vitamin D deficiency solely based on vitamin D levels (250HD and D-binding protein levels) may not be warranted. 

   TOVA Healthy Tidbit, Remember to always discuss your concerns with a licensed Healthcare Provider. This can be easily done by writing or jotting down about three pertinent questions to discuss at your next appointment. 

  To Read more about this study,



Tova Community Health
Dr. Anderson
Executive Director/Founder
Sickle Cell Specialty Treatment Center
601 New Castle Ave.
Wilmington, DE 19801
(302) 655-6187 ext. 500
www.tovacommuinityhealth.org