Foley Family Practice, P.C.

Team Work and Health Resources

At Foley Family Practice we work together as a team: Patient, Physician, LPN Clinical Care Manager, Medical Assistant and Front Office Staff.

Look what we have achieved together!
Let's continue to work together to improve our numbers!

June 2013 Population Data for Foley Family Practice

Breast Cancer Screening =  86%

Cervical Cancer Screening = 71%

Colorectal Cancer Screening =80%

Tobacco Assessment =100%

Tobacco Intervention =96%

Date to 3rd next available appointment = 0 days

                We keep 4 appointments open daily for call in or same day appointments.

Blood Pressure Control= 73%

Hypertension Patients with self management goals = 95%

Coronary Artery Disease Patients with controlled LDL  =93%

High Risk Patients with documented self management goals =100%

ER discharges with follow up call from Foley Family Practice =88%

Hosptial discharges with follow up call from Foley Family Practice= 88%

Diabetics with a Hga1c <8% = 82%

Diabetics with a Hga1c > 9% = 15%

Diabetics with yearly eye exam = 84%

Diabetic LDL control = 73%

Diabetic blood pressure control = 68%

Heart Failure Patients with documented self management goals=100%

COPD Patients with documented self management goals = 93%

Diabetic Hga1c Average for Foley Family Practice Diabetic Patients

Additional Resources for Chronic Disease Management and Preventive Medicine
Your number one resource for further information is Foley Family Practice itself. Anytime you have a question about your medications, your treatment plan, your chronic disease or acute illness or preventive medicine please call us or send us a message through the portal. We can then decide if a quick portal message or phone call is enough. However, if more information is needed, we are able to publish handouts to your portal. We can also set you up with Kayleigh, our clinical care manager, to do more patient education or if needed, another appointment with Dr. Foley to answer all of your questions.

American Academy of Family Physicians

Anger Management

Antibiotic Use

When taking an antibiotic it is very important to take the entire course. Do not stop early. Do not skip doses. Doing so can cause resistance and allow the infection to come back.

We recommend taking a probiotic like florastor or Phillips Colon Health or any over the counter ones. You can also do activia 3x per day. These will help prevent diarrhea associated with antibiotics.

Sometimes yeast infections can happen. If this occurs let us know.

Back Pain

Chronic back pain- Important Management Techniques
1. Prevention of New injuries:
One of the most important points in managing back pain is to continue to remain ACTIVE while avoiding reinjury. Many injuries occur as a result of poor lifting technique. Below is an illustration of how to properly lift to avoid back injury or re-injury:
Proper Lifting Techniques
Squat to lift and lower. Do not bend at the waist.
Keep you low back bowed in while bending over.
Keep the weight as close to you as possible.
Bow your back in and raise up with your head first.
If you must turn, turn with your feet, not your body.
Never jerk or twist!
Put the weight down by keeping your low back bowed in.
Keep you feet apart, staggered if possible.
Wear shoes with non-slip soles.
Avoid fast, jerky movements such as quickly twisting, turning around, or lifting an object too quickly.

2. Continue to remain active even though your instinct may be to rest. Continue walking, jogging, yoga, pilates, exercise tapes, swimming, or simply doing housework. Bed rest is a thing of the past and is now considered detrimental to the healing process. It is crucial to your recovery that you keep your back muscles from becoming weaker (this process, called atrophy, occurs to muscles when they are not used often enough). If you remain active, the muscles of the back will remain strong and this will support your
back and help prevent reinjury. Exercise will also help treat the stress, anxiety, and/or depression that is likely contributing to your chronic back pain. Studies show that people who remain active and continue to work recover from back pain more quickly and manage chronic pain better. If you are unsure of what type of activities are right for you- it may be a good idea to work with an athletic trainer or ask about trying physical/occupational therapy.

3. The treatments below are some ideas to try for chronic back pain. Although these do not work for everyone, they work very well for some individuals and may work for you.

-Warm compresses or hot baths/ cold compresses or cold baths
- Over the counter pain relief (if you are medically able) such as acetaminophen (Tylenol) when needed
-Stress reduction tapes/meditation/daily breathing exercises. Search for ideas such as:
-Spinal manipulation by a chiropractor

Remember that your primary care provider is there to help work with you towards a reduction in your back pain and to help you resume normal activities and the best quality of life possible. A
prescription drug is not a quick fix. Treating chronic back pain is a team effort between you, your practitioner, and your other care providers. You contribute the most to the management of your pain by doing your part to stay active and reduce stress. 

Coronary Heart Disease 

Cholesterol Diet 



Go to the nearest ER and ask for help.
Athol Memorial Hospital 978-249-1250.

Call 911 and ask for help.

Call Dr. Foley at 978-249-7300.

Go to CSO.
Families and individuals can experience the quickest response to a psychiatric crisis without medical symptoms by first calling the local Crisis Services team. Individuals will be seen sooner than in the hospital emergency room, and in most cases at the location of their choice.
Greenfield/Franklin County
Staff on-site 24-hours
MCI Youth – 24-hours
140 High Street
Greenfield, MA 01301

Athol/N. Quabbin
Staff on-site weekdays, 8AM-8PM
MCI Youth – 24-hours
491 Main St.
Athol, MA 01331

Resources to use (support groups, organizations, etc): CSO
New England Learning Center for Women In Transition
479 Main Street, PO Box 520
Greenfield MA 01302
Hotline: 413-772-0806

Gardner VNA

Heywood Hospital

Baystate Hospital in Greenfield


Create a healthy eating plan.

American Association of Diabetes Educators

American Diabetes Association

CDC Center for Disease Control and Prevention

Cleveland Clinic

Joslin Diabetes Center


Weight Control Information Network

Choose My Plate Supertracker


Make sure you are getting a probiotic into your diet daily. Examples are Activia yogurt, Align, of Phillip's colon health.

Avoid caffeine and alcohol.

Eat bananas, rice, applesauce, toast, eggs and chicken.

In addition, you should drink at least six 8-ounce glasses of fluid per day. Choose fruit juice without pulp, broth, or soda (without caffeine). Chicken broth (without the fat), tea with honey, and sports drinks are also good choices. Instead of drinking liquids with your meals, drink liquids between meals. Drink small amounts of fluids frequently.

Avoid certain foods such as dairy products, fatty foods, high-fiber foods or highly seasoned foods for a few days.

Eating Healthy On a Budget

Eating better on a budget.

Nutrition doesn't have to be expensive

Eat right when money is tight

Nutrition for everyone

SNAP recipe finder

Spend smart. Eat smart.

Chose my plate < br>
Eating healthy on a budget

Food Network

Health Care Proxy and DNR Status

601 E Street NW
Washington, DC 20049
Toll-free: (888) OUR-AARP [(888) 687-2277] caregiving/multimedia/EG_AdvanceDirectives.html

Aging with Dignity (Five Wishes® form)
PO Box 1661
Tallahassee, FL 32302
Toll-free: (888) 5WISHES [(888) 594-7437]

Caring Connections
Toll-free: (800) 658-8898


AIDS Action Line 3p-9p, 617-536-7733

AIDS Hotline 8:30am-4:30pm, 617-424-5916

RI Project AIDS Hotline 8:30am-5:00pm, 1-800-726-3010


Kidney Stones

Meditation and Relaxation,

Relaxation Techniques

Nicotine Patch

Osteopenia and Osteoporosis

Risks for osteoporosis include early menopause, family history of osteoporosis, inadequate calcium or vitamin d intake, alcholism, anorexia, celiac disease, Asian or Caucasian descent, smoking, amenorhea, personal history of bone fracture as an adult, history of bone fractures in a parent or sibling, having a small or thin frame, type 1 diabetes, thyroid or renal disease, immobility/inactivity and some drugs ( chronic corticosteroid intake, anticonvulsants, immunosuppresants and antiestrogens.)

To help strengthen your bones:
1) quit smoking if you smoke.

2) make sure you take calcium 500-600mg 2-3x per day. Maximum of 1500 mg daily.

3) make sure you are taking at least 800 units of vitamin d daily, more if your vitamin d level is low.

4) there are medications to increase your bone denisity.

Bisphosphonates — Medications in this class of potent antiresorptive agents have been shown to increase BMD and reduce fracture risk. These can cause gi upset, abdominal pain, heartburn/gerd, esophageal ulcers, jaw osteonecrosis, atypical femur fractures and headaches.

evista: This is an estrogen receptor modulator. It can cause hot flashes, leg cramps, peripheral edema, flu like syndrome, arthralgias and sweating. Rarely it can cause venous thromboembolic events.

Miacalcin: this is a nose spray. It works the least of the treatments. It is the hormone calcitonin. Side effects include runny nose and other respitory symptoms, back pain and gi upset.

5) Weight-bearing exercise is associated with small but significant improvement in BMD in premenopausal and postmenopausal women [38] and in men [39]. It may also improve muscle tone and reduce the risk of falls. The Surgeon General recommends a "minimum of 30 minutes of physical activity (such as brisk walking) on most, if not all, days of the week"

6) excess alcohol drinking is detrimental to skeletal health.

7)In addition, administration of drugs that are known to be harmful to skeletal health, such as glucocorticoids and anticonvulsants, should be avoided or minimized in dose and duration.

Preventive Medicine,38393&_dad=portal&_schema=PORTAL


Safe Driving

If you are concerned about your loved one's safety while driving, the Central Mass Safety Council is able to test them to see if they are able to drive.

186 West Boylston Street
Route 12 - Wachusett Plaza
West Boylston, MA 01583
Phone: 508-835-2333

Seizures ,br> By Mayo Clinic staff

Serving Sizes

Sleep Hygiene

-do get into a routine and try to stick to it every night; it may take several days to accomplish, but keep with it. Go to bed at the same time each night. Get up at the same time each morning.
-do start relaxing (putting on comfortable clothes, brushing teeth, reading, listening to soft music, stretching, breathing exercises, meditation, nothing with bright screens such as tv or laptop) 30min before you get into bed
-do get out of bed after 15min if you have not fallen asleep and do something relaxing (other than watching tv) and then get back into bed
-do keep lights off or dimmed while trying to relax before bed or while trying to fall sleep
-do sleep with white noise such as fan
-do keep writing pad and pen next to your bed to write down things on your mind that are keeping you awake
-do get plenty of exercise (minimum 30min) each day to increase your sleep drive and lower your stress

Do Not's:
-do not take naps during the day if you have a hard time falling asleep at night
-do not eat or drink anything 2hrs prior to bed time
- do not get into bed if you are not tired, continue relaxing until you start to feel tired
-do not watch tv in the 30min before bed or while trying to fall asleep
-do not keep tv in bedroom
-do not do anything in bed other than sleep or have intercourse; it should not be used for studying, reading, tv, games, eating, etc.
-do not use alcohol to fall asleep; although it may help you get to sleep it actually worsens the quality of sleep and you will not feel as rested the next day

If you are someone who must watch tv when they cannot sleep:
-watch something boring and nothing that is emotional.
-wear sunglasses while watching the tv

A few drops of lavender oil and / or Roman Chamomille oil on your pillow or a cotton ball can help relax you. Or take a relaxing bath with seasalts with the above oils.


Become an EX —
This site is an online support system to help you quit smoking. It includes information on quitting smoking, tips from experts, a community forum where you can talk with others who are quitting smoking, and a place to make your own customized smoking cessation plan.

Free Help to Quit Smoking —
This website has information to help you quit smoking. There are fact sheets about smoking and your health, news about tobacco risk, and a live chat and hotline service for more information.

Freedom From Smoking (Copyright © American Lung Association) —
Quitting smoking can evoke many feelings: fear, resentment, relief. But if you stay committed to the program and complete all of the assignments, you have a good chance of remaining smoke-free for good. The online program provides 7 sections that focus on determining readiness, confidence building, understanding your habit, physical and psychological recovery, long-term strategies, fitness, and more.

Nicotine Anonymous World Services
This is a 12 step program.

Fallon Health Plan has free help online for anyone. ,br>
Heywood Hospital has a Quit to Win tobacco treatment program. Let us at Foley Family Practice know if you are interested and we can refer you.

QuitWorks is a smoker's helpline provided by Massachusetts. Let us at Foley Family Practice know if you are interested and we can refer you. At times they will provide free patches.

Athol Hospital has a Smoking group on Monday's from 6pm to 7pm in the cafeteria.

The BACCHUS Network

Smoking Quitline
Talk with an NCI smoking cessation counselor for help quitting and answers to smoking-related questions in English or Spanish - call toll free within the United States, Monday through Friday 8:00 a.m. to 8:00 p.m. Eastern Time.
1-877-44U-QUIT (1-877-448-7848)

LiveHelp Online Chat Get information and advice about quitting smoking through a confidential online text chat with an information specialist from NCI's Cancer Information Service - Monday through Friday, 8:00 a.m. to 11:00 p.m. Eastern Time:
For help from your state quitline: 1-800-QUIT-NOW (1-800-784-8669).
Calling this toll-free number will connect you directly to your state quitline. All states have quitlines in place with trained coaches who provide information and help with quitting. Specific services and hours of operation vary from state to state.


A hint when deciding if a food has too much sodium; if you look at the nutritional information on the box and the number for sodium is higher than the number for calories, there is too much sodium in that food.


Websites to help track weight, goals, food intake and exercise.
These are free.
Tons of recipes and support groups on line. =

Travel Tips


Walking Club

You know it: walking is good for you. It’s easy, fun and, best of all, free! So it’s time to start your own walking program. Do it on your own, or with family, friends or coworkers. Set a goal and reward yourself when you reach it. You’ll look and feel better as each step brings you closer to overall health and wellness. Here at Foley Family Practice we want your walking program to be a success. All of the materials we've developed by Beth Israel Deaconess Medical center and are FREE for you to use. We hope they’re helpful. Welcome to the Walking Club.

Weight Loss Course, Free

George Blackburn, MD, PhD, of the Center for the Study of Nutrition Medicine (CSNM) studies how our bodies react to weight loss. Based on his research, Kristina Spellman, Registered and Licensed Dietician for the CSNM, offers this FREE online course to help you understand why it's so hard to slim down and gives you real tools to help you be successful in your quest to achieve a healthy weight. Each week, read the lesson, view the corresponding video and complete the activities. How much does it cost? It is free! Who can learn from this course? Anyone who wants to live a healthier life.






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