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Annamarie Breen, FNP

Legacy Point Family Medicine
Family Medicine

Annamarie Breen is a board-certified family nurse practitioner. She is also a member of the American Association of Nurse Practitioners as well as Utah Nurse Practitioners. She completed her undergraduate degree in nursing at Weber State University. She then graduated magna cum laude from Indiana State University with a Master of Science in nursing, family nurse practitioner concentration.

Annamarie is BLS and ACLS certified and has critical care experience working in the hospital setting. She enjoys caring for individuals, and their family members, across the entire life span. She believes in delivering holistic patient-centered care with an emphasis on disease prevention and health promotion.

Annamarie and her husband have five children. They enjoy spending time together outdoors, especially camping, swimming, and rock climbing. She enjoys serving the families of Weber and Davis Counties.

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Cynthia Canga-Siao, MD

canga-ciao-cynthia-small-sizeCynthia Canga-Siao, M.D., is a board-certified physician specializing in internal medicine. Dr. Canga-Siao earned her medical degree from the Cebu Institute of Medicine in the Philippines. Following medical school, she completed an internal medicine residency at New York’s Cabrini Medical Center in conjunction with the Mount Sinai School of Medicine. Dr.Canga-Siao provides care for adult men and women, with a special enthusiasm for the elderly. She treats patients living with chronic medical conditions including diabetes, hypertension, and cardiovascular disease.

Dr. Canga-Siao stays active by camping, boating, and wakeboarding in the summer. During the winter months she enjoys skiing and snowboarding.

FNP/DNP

Amanda Byrd, FNP/DNP

Byrd, AmandaDavis Medical Group
Family Nurse Practitioner / Doctor of Nursing Practice

Amanda Byrd, FNP/DNP is a Family Nurse Practitioner providing care at Davis Medical Group. She is Board Certified by the American Academy of Nurse Practitioners. She earned her Doctorate in Nursing Practice, in Family and Pediatrics, at the University of Utah and her Bachelor of Nursing degree at Weber State University, where she also earned her Registered Nursing degree.

Amanda comes to Davis County from Vernal, Utah where she most recently cared for patients in a pediatrics practice. She served clinical rotations in Family Medicine, Emergency Medicine, OB/GYN, Urgent Care and Mental Health at Ashley Regional Medical Center, also in Vernal. She has also worked as an R.N. in Surgical Services, ICU and Labor and Delivery.

Within the practice of Family Medicine, Amanda has a special interest in:

  • Pediatric and Adolescent care
  • Women’s health
  • Behavioral Health medication management  (ADD/ADHD, depression and anxiety)
  • Preventative medical care

In her leisure time, Amanda enjoys attending sporting events, hiking and biking, traveling and attending music and theater events. Her family also enjoys visiting museums and art and history exhibits, and spending time on a small family farm in Uintah County.

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doctor crison podiatry

Gretel K. Crison, DPM

Gretel K CrisonLegacy Point Family Medicine
Podiatry

Dr. Gretel K. Crison, is certified in foot surgery by the American Board of Foot & Ankle Surgery. She received her Doctor of Podiatric Medicine (DPM) from Scholl College of Podiatric Medicine in Chicago. She specializes in diabetic foot care, deformities of the foot and sports injuries. She completed a podiatric orthopedic and surgical residency at Veterans Affairs Medical Center in Salt Lake City.

As a former figure skater and member of the University of Michigan marching band, and current skier and devoted kick boxer, Dr. Crison understands the need for proper equipment, shoes, and training to minimize or prevent foot injuries. She makes risk assessments to determine if an injury is a result of foot structure, training overuse or footwear and can recommend which shoes are best for patients in particular sports. A former member of the Utah Diabetes Control Programs Board, Dr. Crison conducted training for general practice doctors regarding Utah Diabetic Guidelines.

Dr. Crison’s specialties include:

  • Diabetic foot care
  • Sports injuries: tendonitis, ankle sprains and fractures
  • Plantar fasciitis, bunions, tailor bunions, hammer toes and ingrown toenails
  • Foot deformities in infants: hammertoes, clubfoot, etc.
  • Chronic foot pain; often a combination of foot structure and overuse

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Megan J. Engelen, DO

Engelen, MeganInternal Medicine of Salt Lake
Internal Medicine

Dr. Megan J. Engelen, a board-certified internal medicine specialist practicing at Internal Medicine of Salt Lake. She earned an undergraduate degree in Biology from Purdue University, followed by her medical degree from Kansas City University of Medicine and Biosciences in Missouri.

After medical school, Dr. Engelen completed an Internal Medicine residency at New Hanover Regional Medical Center in Wilmington, North Carolina where she received an award for the outstanding first year resident and was recognized for her scholarly research. She also authored a book on the treatment of tobacco dependence. Dr. Engelen spent the next two years as a Hospitalist specializing in the treatment of critically ill and other hospitalized patients. Dr. Engelen has since been practicing outpatient Internal Medicine where she enjoys caring for a wide range of patients from adolescence through the elderly focusing on disease prevention, treatment, and medically complex patients.

Dr. Engelen is a Fellow of the American College of Physicians and has been a member of the LeadershipCouncil of the Utah ACP Chapter.

Dr. Engelen’s areas of special interest include:

  • Hypertension and Cardiovascular Disease
  • Diabetes
  • Health Maintenance and Preventive Medicine
  • Women’s Health

In her free time, Dr. Engelen enjoys spending time with her husband and 3 children. Some of her favorite activities include hiking, skiing, and road biking.

Dr. Engelen is currently accepting new patients and accepts most insurance plans.

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Doctor Allen Francis

J. Allen Francis, MD

Francis, AllenDavis Medical Group
Family Medicine

Dr. J. Allen Francis is a board-certified family medicine physician experienced in both private and hospital settings.

Dr. Francis received his undergraduate degree in chemistry from Weber State University. He then went on to complete his medical degree at the University of Utah School of Medicine in Salt Lake City. After completing medical school, Dr. Francis completed a Family Medicine Residency at Quad City Genesis Family Practice in Davenport, Iowa, and has been practicing family medicine for the past twelve years in Layton, Utah.

Dr. Francis supervises medical students as adjunct volunteer faculty at the University of Utah and has also worked as a part-time preceptor with St. Mark’s Family Practice Residency Program. In addition, he is the Family Practice Section Chief at Davis Hospital and Medical Center.

Dr. Francis enjoys the relationships he builds by treating all members of the family, and his areas of special interest include:

  • Pediatrics and newborn care
  • Diabetes
  • Sports medicine
  • Dermatology
  • Geriatrics
  • Asthma and allergy treatment

Dr. Francis enjoys camping, gardening, bird watching, and astronomy. He also enjoys spending time with his wife and six children.

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prostate cancer

What Every Man Should Know about Prostate Cancer

Cancer is a disease in which abnormal cells in the body grow out of control. When cancer starts in the prostate, it is called prostate cancer. The prostate is a walnut-sized organ located just below the bladder and in front of the rectum in men. It produces fluid that makes up a part of semen.

prostate cancer

Not counting some forms of skin cancer, prostate cancer is the most common cancer in American men, and second only to lung cancer in the number of cancer deaths. Every year, more than 200,000 men are diagnosed with prostate cancer, and more than 25,000 men die from it. CDC provides men, doctors, and policymakers with the latest information about prostate cancer.

Symptoms

Different people have different symptoms for prostate cancer. Some men do not have symptoms at all. Some symptoms of prostate cancer could be:

  • Difficulty in starting urination.
  • Weak or interrupted flow of urine.
  • Frequent urination, especially at night.
  • Difficulty in emptying the bladder completely.
  • Pain or burning during urination.
  • Blood in the urine or semen.
  • Pain in the back, hips, or pelvis that doesn’t go away.
  • Painful ejaculation.

If you have any symptoms that worry you, be sure to see your doctor right away. These symptoms may be caused by conditions other than prostate cancer, such as BPH (Benign prostatic hyperplasia).

Risk Factors

There is no way to know for sure if you will get prostate cancer. Men have a greater chance of getting prostate cancer if they are 50 years old or older, are African-American, or have a father, brother, or son who has had prostate cancer.

Screening for Prostate Cancer

Not all medical experts agree that screening for prostate cancer will save lives. The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for men that do not have symptoms. The potential benefit of prostate cancer screening is early detection of cancer, which may make treatment more effective. Potential risks include false positive test results (the test says you have cancer when you do not), treatment of prostate cancers that may never affect your health, and mild to serious side effects from treatment of prostate cancer.

Most organizations recommend that men discuss with their doctors the benefits and risks of prostate cancer screening. CDC continues to support informed decision making, which encourages men to talk with their doctors to learn the nature and risk of prostate cancer, understand the benefits and risks of the screening tests, and make decisions consistent with their preferences and values.

Tests that are commonly used to screen for prostate cancer are:

  • Digital rectal exam (DRE): A doctor, nurse, or other health care professional places a gloved finger into the rectum to feel the size, shape, and hardness of the prostate gland.
  • Prostate specific antigen test (PSA): PSA is a substance made by the prostate. The PSA test measures the level of PSA in the blood, which may be higher in men who have prostate cancer.
    However, other conditions such as an enlarged prostate, prostate infections, and certain medical procedures also may increase PSA levels.

Is prostate cancer screening right for you? The decision is yours. To help men aged 50 years or older understand both sides of the issue, CDC has developed several helpful guides to assist you with making an informed decision.

 

This article written by Allen Francis, MD.
Family Medicine, Davis Medical Group

Aging heart health

Heart Facts: How Age Affects Your Heart Health

As we get older there are age-related changes that may affect our heart and blood vessels. Blood vessels in an aging heart become more rigid and less elastic which can lead to high blood pressure. Arteries can become blocked by plaque which can increase the risk for heart attack or stroke and the aging heart pumps less efficiently which can increase the risk for heart failure.

Aging heart health

“Unfortunately women are particularly vulnerable to age-related heart disease,” notes Dr. Lehmitz, an Internal Medicine Physician at the Salt Lake Senior Clinic. “At menopause, the risk of heart disease and stroke begins to rise, partly because the woman’s body is no longer producing the hormone estrogen,” he explains.

Hereditary risk factors you can’t control

  • A genetic predisposition for high cholesterol
  • A genetic predisposition for high blood pressure
  • A family history of diabetes (which increases the risk for heart disease)
  • An early history of heart disease and heart attack in immediate family members

Risk factors you can control

High Blood Pressure
High blood pressure tells your doctor that your heart is working extra hard to move blood through your arteries. This can lead to a higher risk of developing heart problems, stoke and kidney problems. Normal blood pressure for an adult is about 120 over 80 mm/Hg. Most high blood pressure can be controlled with diet, exercise and medication. “It is critical that aging adults get their blood pressure checked on a regular basis,” recommends Dr. Lehmitz.

Smoking
Heart and blood vessel disease is the #1 cause of death in smokers worldwide. Smoking damages the lining of the arteries and promotes plaque build-up. This build-up can lead to heart attack and stroke.

Exercise
Only 44% of American adults get some exercise. Another 28% aren’t active at all. Exercise can help lower high cholesterol and high blood pressure, improve blood flow through the body, increase muscle strength and improve lung function.

Weight & Diet
Excess weight raises LDL (bad) cholesterol and lowers HDL (good) cholesterol. Overweight adults are at increased risk for high blood pressure and more likely to develop diabetes. “The food we eat has a huge impact on our overall health. A healthy high fiber, low fat and low salt diet can reap significant health benefits for the aging heart,” states Dr. Lehmitz.

This article written by Paul Lehmitz, MD
Senior Medicine – Salt Lake Senior Clinic

healthy living

A Recipe for a Healthy Day

Did you begin the New Year with a resolution to improve your health and fitness? Are you making progress on your goals? Weight loss and fitness are usually at the top of the resolutions list. But did you know that half of the people who make New Year’s resolutions have given up on them by June?

healthy living

So, maybe you got a bit side-tracked. It’s not too late to recommit to those goals which often requires making some lifestyle changes. Don’t take on too many changes at one time. Be reasonable in your approach and take it one day at a time. Begin by writing down your goals and keep them someplace visible – like on your refrigerator or taped to your bathroom mirror. Set small incremental goals and look for balance to your approach. When you think about your day, what small changes can you make that might help achieve one of your goals, such as weight loss?

Sleep

Research now suggests that there is a relationship between sleep and weight (body mass index). Make sure you are getting the proper amount of sleep. Research suggests that seven to eight hours of sleep may be “protective” against obesity. Sleep deprived individuals perceive themselves to be hungrier and may eat more as a consequence.

Nutrition

Eat a well-balanced diet, avoid snacking, and watch your portions. Extremely sweet or fatty food captivates the brain’s reward circuit, only leading to further cravings. Consider changing your “food environment” by not bringing fatty and super sweet foods into the house to help you avoid temptation.

Exercise

It’s all about creating a routine. Find some form of exercise you enjoy doing for at least 30 minutes a day, five days a week. You can still benefit from several shorter spurts of exercise each day, if time is a problem. Don’t sit for long periods of time. Periodically get up and stretch, walk around the office or climb a set of stairs.

Stress Management

We live in an increasingly stressful environment. Look for opportunities each day to do something you enjoy, spend time with loved ones, and make a small difference in someone else’s life. If you feel you are suffering from depression, don’t be embarrassed to seek help.

Improve your health and well-being one day at a time. Develop your own recipe for a healthy day.

 

This article written by Steve Harmon, DO.
Family Medicine, South Valley Primary Care

mens health month

June is Men’s Health Month

The purpose of Men’s Health Month is to heighten the awareness of preventable health problems and encourage early detection and treatment of disease among men and boys. This month gives health care providers, public policy makers, the media, and individuals an opportunity to encourage men and boys to seek regular medical advice and early treatment for disease and injury. You can learn more at www.menshealthmonth.org.

mens health month

It may be “macho” to ignore pain or depression, but it isn’t healthy. The truth is that women are 33 percent more likely than men to visit a doctor regularly. And, according to the Men’s Health Network, men die at higher rates than women when it comes to the top 10 causes of death – heart disease, cancer, stroke, COPD, accidents, pneumonia/influenza, diabetes, suicide, kidney disease and chronic liver disease.

In 1920, women outlived men by only one year. According to the CDC, women today are outliving men by 5.1 years. The stakes are simply too high for men to continue to “tough it out” when it comes to their health. Having a relationship with a health care provider and monitoring a man’s health as he ages is critical for the early detection of significant health issues.

Heart Disease

Heart disease continues to be the leading cause of death in both men and women. Heart disease tends to manifest itself at an earlier age in men than in women. One in four men has some form of heart disease. Men can take charge of their risk by making healthier lifestyle choices. Prevention goes a long way in reducing the risk of stroke, cancers, diabetes and depression.

Depression & Suicide

A much ignored health issue for men is depression. U.S. men are four times more likely to commit suicide compared to women. Part of the blame can be attributed to undiagnosed and treated depression. Depression in men may look different from what is seen in women. It may manifest itself through: anger, aggression, risk-taking behavior, job burn-out, midlife crisis, and alcohol or substance abuse.

Cancer

Lung cancer remains the leading cause of cancer death in men and women. Smoking is responsible for 90 percent of lung cancer cases. Prostate cancer is the second leading cause of cancer death in men, followed by colorectal cancer. To learn more about recommended screenings for these cancers, please visit the American Cancer Society website at www.cancer.org. Screening saves many lives.

Men – it is up to you to take charge of your health. Do it for yourself – do it for the ones you love.

 

This article written by Miguel Angel Ruiz Villalobos, MD.
Family Medicine, Western Hills Medical Clinic